Potentials of alginate-containing drugs in pediatric practice
Abstract
The aim of review. Basing on analysis of clinical studies carried out in Russia and abroad, devoted to evaluation of efficacy and safety of alginate-containing of drugs, to demonstrate mechanisms of their effect and potential of application in pediatric practice.
Original positions. Prevalence of gastroesophageal reflux disease (GERD) among different age groups necessitates development of new approaches to its treatment. Comparative characteristic and specificity of antacid, antisecretory and alginate-containing drugs action at treatment of GERD at adult patients, pregnant women and children of various age as mono- and combined therapy is presented. Mechanisms and features of effect of drugs Gaviscon and Gaviscon-forte are discussed. Significant safety and confirmed efficacy of alginatecontaining drugs was demonstrated at various clinical symptoms of GERD at children from the 2-weeks age, pregnant women at the second and third trimesters of pregnancy and at adult patients. Data of instrumental investigations, including esophagogastroduodenoscopy and 24-hour intraesophageal pH-metry, showing statistically significant positive effect of these drugs are presented.
Conclusion. Antireflux, cytoprotective, prokinetic and sorption properties of Gaviscon and Gavisconforte along with absence of any significant undesirable effects, proves feasibility of their application at treatment of GERD, including pediatric practice both as monotherapy and within combined treatment modes, in relation to severity of clinical manifestations.
About the Authors
S. I. ErdesRussian Federation
B. O. Matsukatova
Russian Federation
Ye. M. Mukhametova
Russian Federation
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Review
For citations:
Erdes S.I., Matsukatova B.O., Mukhametova Ye.M. Potentials of alginate-containing drugs in pediatric practice. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2009;19(5):55-60. (In Russ.)