Effectiveness of inosine pranobex in the treatment and prevention of infectious diseases (system review)

I. Babachenko
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Abstract

The purpose of the article is a systematic review of studies conducted in recent decades in children and adults, with an emphasis on domestic works, on the use of inosine pranobex preparations, in the treatment of infectious diseases. The clinical and immunological effectiveness of inosine pranobex in the treatment and prevention of relapses in patients with recurrent respiratory viral infections against the background of persistent herpesviruses types 4-6 has been demonstrated. Using the example of multicenter comparative as well as placebo-controlled studies, not only the effectiveness, but also the safety of long-term courses of therapy is shown. A promising direction is the use of inosine pranobex in the treatment of COVID-19 and post-Covid conditions, taking into account its immunomodulatory effect without the risk of increasing the “cytokine storm”, as well as studies of the direct antiviral effect on the SARS-CoV-2 virus in vitro.
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肌苷吡诺贝酯治疗和预防传染病的效果(系统综述)
本文旨在对近几十年来在儿童和成人中使用肌苷吡诺贝酯制剂治疗传染病的研究进行系统回顾,重点是国内的研究工作。研究表明,肌苷吡诺贝司在治疗和预防以 4-6 型持续性疱疹病毒为背景的反复呼吸道病毒感染患者的复发方面具有临床和免疫学效果。通过多中心对比研究和安慰剂对照研究,不仅证明了长期疗程的有效性,也证明了其安全性。考虑到肌苷普拉诺贝克的免疫调节作用不会增加 "细胞因子风暴 "的风险,以及在体外对 SARS-CoV-2 病毒的直接抗病毒作用的研究,将肌苷普拉诺贝克用于治疗 COVID-19 和后 Covid 病症是一个很有前途的方向。
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