Preview

Antibiot Khimioter = Antibiotics and Chemotherapy

Advanced search

Rationality of Cytoflavin Inclusion in the Treatment of Patients with Dermatological Pathology Comorbid with Mental Disorders

https://doi.org/10.37489/0235-2990-2023-68-5-6-49-54

Abstract

With the help of literature data, the effectiveness of Cytoflavin inclusion in the treatment regimens for patients with psoriasis, microbial eczema, and rosacea in the period of exacerbation was analyzed based on the assessment of subjective and objective data of the DLQI (Dermatology Life Quality Index), WAM (Well-being, Activity, Mood), DISS (Dermatological Index of the Symptom Scale). It was revealed that, according to the results of testing before the start of treatment, all patients had mental disorders, which manifested in an increase in indicators on the DLQI and DISS scales and a decrease on the WAM scale. The reduction of clinical manifestations and the decrease in DISS (by 86.0%, (P≤0.05) for rosacea, by 83.0% (P≤0.01) for eczema) was found to be more pronounced after a course of therapy with the inclusion of Cytoflavin (2 tablets 2 times a day 30 minutes before meals, course — 25 days), compared with standard therapy. This had a positive effect on well-being (the value of the indicator increased by 63,9% for rosacea, by 66,0% for eczema, and 27.8% for psoriasis), activity (56,1% for rosacea, 66.1 % for eczema, and 22.1% for psoriasis), mood (51,9% for rosacea, 54.3% for eczema, and 23.7% for psoriasis), and improved quality of life: indicator DLQI decreased by 42,9% in rosacea, 62.4% in eczema, and 61.5% in psoriasis. Thus, the analysis of literature data made it possible to confirm that the inclusion of Cytoflavin in the treatment regimens for patients with the above-mentioned skin pathologies, comorbid with mental disorders, improves the effectiveness of basic therapy, which is manifested by a faster and more pronounced reduction in clinical manifestations and an increase in the quality of life of patients.

About the Authors

M. M. Khaydarov
Republican Dermatovenerologic Dispensary
Russian Federation

neurologist, methodologist of the cabinet of medical prevention of the Republican Dermatovenerologic Dispensary; neurologist of the 1st qualification category, dermatovenereologist of the highest qualification category, doctor of the highest qualification category in the specialty «Health Organization and Public Health»

37 Soyuznaya st., Republican Dermatovenerologic Dispensary, Ufa, 450010



A. L. Kovalenko
Scientific and Advisory Center of Toxicology named after S. N. Golikov of the FMBA of Russia
Russian Federation

D. Sc. in Biology, Ph. D. in Chemistry, Laureate of the Prize of the Government of the Russian Federation in the field of Science and Technology, Scientific and Advisory Center of Toxicology named after. S. N. Golikov of the FMBA of Russia



A. Yu. Petrov
«Petersburg Institute of Nuclear Physics named after B. P. Konstantinov» of the National Research Center «Kurchatov Institute»
Russian Federation

Ph. D. in Pharmaceutical Sciences, Laureate of the Prize of the Government of the Russian Federation in the field of Science and Technology, researcher, Petersburg Institute of Nuclear Physics named after B. P. Konstantinov of the National Research Center «Kurchatov Institute»



N. T. Khaidarova
Ufa Children’s Polyclinic No. 6,
Russian Federation

neurologist, neurologist of the highest qualification category, Ufa Children’s Polyclinic No. 6



References

1. Glazkova L.K., Volkova N.V. Nosogeny in dermatological practice: ways of correction Klinicheskaya Dermatologiya i Venerologiya. 2011; 4: 46–51(in Russian)

2. Karavaeva T.A., Korol'kova T.N. Psychological mechanisms and psychosomatic relationships in various dermatoses. Klinicheskaya Dermatologiya i Venerologiya. 2018; 17 (5): 7–16. https://doi.org/10.17116/klinderma2018170517. (in Russian)

3. Bao Q., Chen L., Lu Z., Ma Y., Guo L., Zhang S., Huang X., Xu S., Ruan L. Association between eczema and risk of depression: a systematic review and meta-analysis of 188,495 participants J Affect Disord. 2018 Oct 1; 238: 458–464. doi: 10.1016/j.jad.2018.05.007. Epub 2018 May 15.

4. Chang H.C., Huang Y.C., Lien Y.J., Chang Y.S. Association of rosacea with depression and anxiety: A systematic review and meta-analysis J Affect Disord. 2022 Feb 15; 299: 239–245. doi: 10.1016/j.jad.2021.12.008. Epub 2021 Dec 5.

5. González-Parra S., Daudén E. Psoriasis and depression: The Role of inflammation. Actas Dermosifiliogr (Engl Ed). 2019 Jan–Feb; 110 (1): 12–19. doi: 10.1016/j.ad.2018.05.009. Epub 2018 Dec 1.

6. Koo J., Marangell L.B., Nakamura M., Armstrong A., Jeon C., Bhutani T., Wu J.J. Depression and suicidality in psoriasis: review of the literature including the cytokine theory of depression. J Eur Acad Dermatol Venereol. 2017 Dec; 31 (12): 1999–2009. doi: 10.1111/jdv.14460. Epub 2017 Aug 9.

7. Heisig M., Reich A. Psychosocial aspects of rosacea with a focus on anxiety and depression. Clin Cosmet Investig Dermatol. 2018 Mar 6; 11: 103–107. doi: 10.2147/CCID.S126850. eCollection 2018.

8. Arslanova P.R., Zhiganov T.A., Sergeeva T.A. On the possibility of using vitamins in resistant depression. Ehksperimental'naya i Klinicheskaya Farmakologiya. 2021; 84 (4): 24–32. doi: https://doi.org/10.30906/0869-2092-2021-844-24-32. (in Russian)

9. Mazin P.V., SHeshunov I.V, Mazina N.K. Meta-analytical evaluation of the clinical efficacy of Cytoflavin in neurological diseases. Zhurnal Nevrologii i Psikhiatrii im. S. S. Korsakova. 2017; 3: 28–39. doi https://doi.org/10.17116/jnevro20171173128-39. (in Russian)

10. Dikova O.V., Tyukina T.A. Complex metabolic therapy in patients with psoriasis. Klinicheskaya Dermatologiya i Venerologiya. 2018; 17 (5): 59– 64. doi: https://doi.org/10.17116/klinderma20181705159. (in Russian)

11. Tyukina T.A., Dikova O.V., Shapovalova V.O. Dynamics of clinical symptoms of psoriasis under the influence of Cytoflavin. Medicus Dermatology. 2016; 8(2): 31–33. (in Russian)

12. Tyukina T.A., Dikova O.V., Shapovalova V.O. The effect of therapy with the use of Cytoflavin on the parameters of the psycho-emotional state of patients with psoriasis. Sovremennye Tendentsii Razvitiya Nauki i Tekhnologij. 2017; 1–3:122-124. (in Russian)

13. Laseev D.I., Dikova O.V., Laseeva M.G., Kovalenko A.L. Evaluation of the effectiveness of a drug with metabolic action in the complex therapy of eczema. Klinicheskaya Dermatologiya i Venerologiya. 2015; 2: 47–53. doi https://doi.org/10.17116/klinderma201514248-55. (in Russian)

14. Kotel'nikova M.A., Simonova N.V., Men'shhikova N.V., Shtarberg M.A. Results of the study of parameters of psycho-emotional and antioxidant status in patients with rosacea. Dal'nevostochnyj Meditsinskij Zhurnal. 2021; 4: 44–48. doi: https://doi.org/10.35177/19945191-2021-4-9. (in Russian)

15. Kotel'nikova M.A., Simonova N.V., Dorovskikh V.A., Shtarberg M.A. Effect of cytoflavin on the antioxidant status of patients with mild to moderate rosacea. Ehksperimental'naya i Klinicheskaya Farmakologiya. 2020; 83 (7): 32–37. doi: https://doi.org/10.30906/0869-2092-2020-83-7-32-37. (in Russian)


Review

For citations:


Khaydarov M.M., Kovalenko A.L., Petrov A.Yu., Khaidarova N.T. Rationality of Cytoflavin Inclusion in the Treatment of Patients with Dermatological Pathology Comorbid with Mental Disorders. Antibiot Khimioter = Antibiotics and Chemotherapy. 2023;68(5-6):49-54. (In Russ.) https://doi.org/10.37489/0235-2990-2023-68-5-6-49-54

Views: 584


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0235-2990 (Print)