Significance of L-carnitine in internal medicine

被引:7
作者
Sizova, Zh M. [1 ]
Shikh, E., V [1 ]
Makhova, A. A. [1 ]
机构
[1] IM Sechenov First Moscow State Med Univ, Sechenov Univ, Minist Hlth Russian Federat, Moscow, Russia
关键词
L-carnitine; P450; CYP; 3A4; chronic heart failure; myocardial infarction; chronic renal failure; inter-drug interaction; antioxidant; antihypoxant; ACETYL-L-CARNITINE; STAGE RENAL-DISEASE; MYOCARDIAL-INFARCTION; HEMODIALYSIS-PATIENTS; EXERCISE TOLERANCE; STABLE ANGINA; OLD RATS; SUPPLEMENTATION; DEFICIENCY; THERAPY;
D O I
10.26442/00403660.2019.01.000040
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The review presents the results of a number of experimental and clinical studies proving the prospects of using L-carnitine in the clinic of internal diseases. Due to the antioxidant and antihypoxant properties, the additional use of L-carnitine in addition to the main etiopathogenetic therapy is prescribed by cardiologists, nephrologists, neurologists, gerontologists. Experimental studies we conducted earlier showed no effect of L-carnitine on the activity of the P450 CYP 3A4 system, which reduces the likelihood of drug-drug interaction at the level of metabolism of drugs metabolized by P450 3A4. When using L-carnitine as part of complex pharmacotherapy, the drug has an increased safety profile in comorbid patients taking L-carnitine.
引用
收藏
页码:114 / 120
页数:7
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