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    1. Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russian Federation (Sechenovskiy University) (119991, Moscow, Russia)

    Abstract: The remaining disorders of stool, supposedly of a functional nature, similar to the symptoms of irritable bowel syndrome (IBS), in patients with inflammatory bowel disease (IBD) in remission during the last 16 years are actively discussed in the literature. A great similarity in the clinical manifestations and mechanisms of the formation of true IBS and IBD-IBS was revealed. As the combining factors of these two pathological conditions, occult inflammation in the intestinal wall, intestinal motility disorders, visceral hypersensitivity, intestinal microbiome disorder and increased permeability of the mucosa are considered. The role of psychological stress in the formation of the IBD-IBS remains underestimated and insufficiently investigated. In patients with true IBS and IBD-IBS, the indices of depression, actual and personal anxiety, alexithymia are statistically significantly higher than in healthy individuals and do not differ among themselves. An additional confirmation of similar changes in the psychovegetative status in patients with IBS and IBD-IBS is the study of one of the relatively new psychometric indicators, the Visceral Sensitivity Index (VSI), which characterizes specific anxiety with respect to gastroenterological symptoms of the disease. Аn integrative index of all psycho-vegetative changes in patients is an indicator of the quality of life. As in patients with true IBS, and with IBD-IBS, according to the literature, Noah decrease in both physical and mental qOL component. The article deals with modern information about similarities and differences mechanisms of IBS and IBD in remission with IBS-like symptoms, which indicate large differential diagnostic difficulties in distinguishing these disorders.

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    Full text is published :
    Tashchyan O.V., Pogromov A.P., Mnatsakanyan M.G., Morozova Yu.N. Inflammatory bowel diseases in remission with ibs-like symptoms. Experimental and Clinical Gastroenterology. 2018;157(9): 128–133. DOI: 10.31146/1682-8658-ecg-157-9-128-133.
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    1. Sechenov First Moscow State Medical University (Moscow, Russia)
    2. Center of Pharmaceutical Analytics LLC (Moscow, Russia)
    3. North-Western State Medical University named after I.I. Mechnikov of the Ministry of Health of the Russian Federation (Saint-Petersburg, Russia)

    Keywords:reference drug of mebeverine hydrochloride, generic drugs of mebeverine hydrochloride, equivalence in vitro, mebeverine, Duspataline®, Niaspam Sparex®.

    Abstract: Purpose of the study: Investigation and comperasion of dissolution kinetics of three mebeverine hydrochloride drugs: Duspatalin® 200 mg prolonged-release capsules, Niaspam 200 mg prolonged-release capsules and Sparex® 200 mg prolonged-release capsules. Materials and methods: For each of mebeverine trade names under test, a total of 6 prolonged-release capsules 200 mg were used in the experiment. Duspatalin® 200 mg, served as a reference product. The study was performed using three dissolution media (рН 1.2; 4.5; 6.8), which modeled GI tract parts where disintegration, release, and absorption of API take place. Sampling points (1, 2, 4, 6, 8, 10, and 12 hours) were selected in such a manner so the dissolution profile of the studied dosage forms would be fully described, including the complete release (the plateau). Results: The dissolution kinetics of generic drugs (Niaspam 200 mg and Sparex® 200 mg prolonged-release capsules) and reference product were found to be equivalent in vitro in media with pH 1.2 and 6.8. At the same time, the dissolution of these drugs was not equivalent at media with pH 4.5, which is characteristic for the stomach antrum. The results of the comparative study show that at pH 4.5 93.66% of the API was released from Niaspam capsules and 98.72% – from Sparex® capsules. The percentage of released API from Duspatalin® capsules was 83.08%. Conclusion: In vitro laboratory studies of mebeverine hydrochloride release rate from three drugs (Duspatalin® 200 mg prolonged-release capsules, Niaspam 200 mg prolonged-release capsules and Sparex® 200 mg prolonged-release capsules) showed that the dissolution kinetics at pH 4.5 of the generic drugs differs from that of the original drug, which may potentially impact on clinical practice. However, further direct comparative clinical studies are required in order to confirm this hypothesis.

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    Full text is published :
    Ramenskaya G.V., Shokhin I.E., Simanenkov V.I., Tihonov S.V. Prolonged-release dosage forms of mebeverine hydrochloride: clinical pharmacological and pharmaceutical aspects. Experimental and Clinical Gastroenterology. 2018;157(9): 134–141. DOI: 10.31146/1682-8658-ecg-157-9-134-141.
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    1. State-funded Educational Establishment of Higher Professional Education «Volgograd State Medical University of the Ministry of Public Health of the Russian Federation» (400131, Volgograd, Russia)

    Keywords:cholelithiasis, "biliary pain", stones, dyspeptic syndrome

    Abstract: This review focuses on the clinical picture, approaches to the diagnosis and treatment of cholelithiasis.

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    Skvortsov V.V., Khalilova U.A. Diagnostics and treatment of cholelithiasis. Experimental and Clinical Gastroenterology. 2018;157(9): 142–150. DOI: 10.31146/1682-8658-ecg-157-9-142-150.
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