Febuxostat in the therapy of gout: from theory to practice

Gout is a chronic disease that requires permanent urate-lowering therapy. Allopurinol is the gold standard of this therapy. The novel drug febuxostat, a selective xanthine oxidase inhibitor, has been synthesized and introduced into clinical practice in the last 10 years. The paper reviews the litera...

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Main Authors: E. V. Ilyinykh, S. A. Vladimirov, M. S. Eliseev
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-01-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/800
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author E. V. Ilyinykh
S. A. Vladimirov
M. S. Eliseev
author_facet E. V. Ilyinykh
S. A. Vladimirov
M. S. Eliseev
author_sort E. V. Ilyinykh
collection DOAJ
description Gout is a chronic disease that requires permanent urate-lowering therapy. Allopurinol is the gold standard of this therapy. The novel drug febuxostat, a selective xanthine oxidase inhibitor, has been synthesized and introduced into clinical practice in the last 10 years. The paper reviews the literature on the main clinical trials of febuxostat, which show its efficacy that is comparable to or more higher than that of allopurinol, as well as the possibility of using this drug for reduced kidney function, allergic reaction to allopurinol or resistance to therapy with allopurinol, which considerably improves prognosis in these patients. The long-term use of febuxostat is noted to result in almost complete resorption of tophi and in termination of gouty arthritis attacks. These findings allow febuxostat to be considered as a promising and essential medication for the treatment of gout. Great hopes are pinned on the extension of its application; there are ongoing investigations regarding the possibility of using this drug for asymptomatic hyperuricemia and other conditions accompanied by higher uric acid levels.
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institution Kabale University
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series Современная ревматология
spelling doaj-art-9d9786cb42254dcfaf4058152fb2a88c2025-08-20T03:59:54ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-01-01114838810.14412/1996-7012-2017-4-83-882071Febuxostat in the therapy of gout: from theory to practiceE. V. Ilyinykh0S. A. Vladimirov1M. S. Eliseev2V.A. Nasonova Research Institute of Rheumatology, MoscowV.A. Nasonova Research Institute of Rheumatology, MoscowV.A. Nasonova Research Institute of Rheumatology, MoscowGout is a chronic disease that requires permanent urate-lowering therapy. Allopurinol is the gold standard of this therapy. The novel drug febuxostat, a selective xanthine oxidase inhibitor, has been synthesized and introduced into clinical practice in the last 10 years. The paper reviews the literature on the main clinical trials of febuxostat, which show its efficacy that is comparable to or more higher than that of allopurinol, as well as the possibility of using this drug for reduced kidney function, allergic reaction to allopurinol or resistance to therapy with allopurinol, which considerably improves prognosis in these patients. The long-term use of febuxostat is noted to result in almost complete resorption of tophi and in termination of gouty arthritis attacks. These findings allow febuxostat to be considered as a promising and essential medication for the treatment of gout. Great hopes are pinned on the extension of its application; there are ongoing investigations regarding the possibility of using this drug for asymptomatic hyperuricemia and other conditions accompanied by higher uric acid levels.https://mrj.ima-press.net/mrj/article/view/800gouttherapyfebuxostatallopurinol
spellingShingle E. V. Ilyinykh
S. A. Vladimirov
M. S. Eliseev
Febuxostat in the therapy of gout: from theory to practice
Современная ревматология
gout
therapy
febuxostat
allopurinol
title Febuxostat in the therapy of gout: from theory to practice
title_full Febuxostat in the therapy of gout: from theory to practice
title_fullStr Febuxostat in the therapy of gout: from theory to practice
title_full_unstemmed Febuxostat in the therapy of gout: from theory to practice
title_short Febuxostat in the therapy of gout: from theory to practice
title_sort febuxostat in the therapy of gout from theory to practice
topic gout
therapy
febuxostat
allopurinol
url https://mrj.ima-press.net/mrj/article/view/800
work_keys_str_mv AT evilyinykh febuxostatinthetherapyofgoutfromtheorytopractice
AT savladimirov febuxostatinthetherapyofgoutfromtheorytopractice
AT mseliseev febuxostatinthetherapyofgoutfromtheorytopractice