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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">lvrach</journal-id><journal-title-group><journal-title xml:lang="ru">Лечащий Врач</journal-title><trans-title-group xml:lang="en"><trans-title>Lechaschi Vrach</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-5175</issn><issn pub-type="epub">2687-1181</issn><publisher><publisher-name>ООО «Издательство "Открытые системы"»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51793/OS.2021.24.11.010</article-id><article-id custom-type="elpub" pub-id-type="custom">lvrach-840</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АКТУАЛЬНАЯ ТЕМА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>TOPICAL THEME</subject></subj-group></article-categories><title-group><article-title>Хронофармакология алкоголизма</article-title><trans-title-group xml:lang="en"><trans-title>Chronopharmacology of alcoholism</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5794-8132</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филиппова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Filippova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Филиппова Елена Викторовна, к.м.н., ассистент кафедры фармакологии и клинической фармакологии</p><p>620014, Россия, Екатеринбург, ул. Репина, 3</p></bio><bio xml:lang="en"><p>Elena V. Filippova, MD, Assistant of the Department of Pharmacology and Clinical Pharmacology</p><p>3 Repina str., Yekaterinburg, 620014, Russia</p></bio><email xlink:type="simple">Elena.Philippova17@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9786-757X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кондрашова</surname><given-names>Ю. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Kondrashova</surname><given-names>Yu. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кондрашова Юлия Константиновна, студентка</p><p>620014, Россия, Екатеринбург, ул. Репина, 3</p></bio><bio xml:lang="en"><p>Yuliya K. Kondrashova, student</p><p>3 Repina str., Yekaterinburg, 620014, Russia</p></bio><email xlink:type="simple">julikondrashova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6088-3501</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тагоев</surname><given-names>Ю. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Tagoev</surname><given-names>Yu. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тагоев Юсуф Шамсиддинович, студент</p><p>620014, Россия, Екатеринбург, ул. Репина, 3</p></bio><bio xml:lang="en"><p>Yusif Sh. Tagoev, student</p><p>3 Repina str., Yekaterinburg, 620014, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО УГМУ Mинздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>FSBEI HE Ural State Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>18</day><month>12</month><year>2021</year></pub-date><volume>1</volume><issue>11</issue><fpage>63</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Филиппова Е.В., Кондрашова Ю.К., Тагоев Ю.Ш., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Филиппова Е.В., Кондрашова Ю.К., Тагоев Ю.Ш.</copyright-holder><copyright-holder xml:lang="en">Filippova E.V., Kondrashova Y.K., Tagoev Y.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.lvrach.ru/jour/article/view/840">https://journal.lvrach.ru/jour/article/view/840</self-uri><abstract><p>В статье представлен анализ информации из литературных источников, посвященной изучению хронофармакологии алкоголизма. Для лечения алкоголизма используется комплексный подход, определяющийся тяжестью состояния больного и индивидуальными особенностями симптоматики. В связи со способностью фармакологических соединений вмешиваться в течение ритмических процессов на всех уровнях организации биосистемы хронофармакологический эффект лекарственных средств может быть полезным или нежелательным. Высокой степенью осложнений со стороны сердечнососудистой и нервной систем, а также печени и желудочно-кишечного тракта характеризуется хроническая алкогольная интоксикация. Надежного средства патогенетической фармакотерапии алкоголизма до настоящего времени не разработано. При этом лекарственные препараты используют в основном для купирования явлений абстиненции. Одно из первых мест в терапии алкогольного абстинентного синдрома, сопровождающегося тревогой, страхом и беспокойством, занимают депримирующие средства. Однако расширение их применения в Российской Федерации для лечения алкоголизма остается необоснованным. Так как алкоголизм вызывает крайне разнообразные по своим клиническим проявлениям и по степени тяжести психические расстройства, то для их лечения используется широкий спектр психотропных препаратов. Для проведения противогипоксической и детоксифицирующей терапии используются энергокорригирующие средства. Алкогольный абстинентный синдром с преобладанием неврозоподобных и вегетативнососудистых расстройств является показанием к применению препаратов из класса антиоксидантов. Они сочетают в себе свойства транквилизаторов и ноотропов, не оказывая токсического воздействия на сердце и защищая миокард в условиях гипоксии. Однако на данный момент существует дефицит информации об эффективности их применения при алкогольной абстиненции.</p></abstract><trans-abstract xml:lang="en"><p>The article presents an analysis of information from literary sources devoted to the study of the chronopharmacology of alcoholism. For the treatment of alcoholism, an integrated approach is used, which is determined by the severity of the patient's condition and the individual characteristics of the symptoms. Due to the ability of pharmacological compounds to interfere during rhythmic processes at all levels of the organization of the biosystem, the chronopharmacological effect of drugs may be useful or undesirable. Chronic alcohol intoxication is characterized by a high degree of complications from the cardiovascular, nervous systems, liver and gastrointestinal tract. A reliable means of pathogenetic pharmacotherapy of alcoholism has not yet been developed. At the same time, medications are used mainly for the relief of withdrawal symptoms. One of the first places in the treatment of alcohol withdrawal syndrome, accompanied by anxiety, fear and anxiety, is occupied by depressants. However, the expansion of their use in the Russian Federation for the treatment of alcoholism remains unfounded. Since alcoholism causes extremely diverse mental disorders in their clinical manifestations and severity, a wide range of psychotropic drugs is used for their treatment. For antihypoxic and detoxifying therapy, energy-correcting agents are also used. Alcohol withdrawal syndrome with a predominance of neurosis-like and vegetative-vascular disorders is an indication for the use of drugs from the class of antioxidants. They combine the properties of tranquilizers and nootropics, without having a toxic effect on the heart and protecting the myocardium in hypoxia. However, at the moment there is a lack of information about the effectiveness of their use in alcohol withdrawal.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хронический алкоголизм</kwd><kwd>психотропные препараты</kwd><kwd>депримирующие средства</kwd><kwd>антиоксиданты</kwd><kwd>антигипоксанты</kwd><kwd>хронофармакология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic alcoholism</kwd><kwd>psychotropic drugs</kwd><kwd>depressants</kwd><kwd>antioxidants</kwd><kwd>antihypoxants</kwd><kwd>chronopharmacology</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Paukov V. S., Voronina T. M., Kirillov Yu. A., Malysheva Ye. M. Structural and functional bases of alcoholic disease // Rossiyskiy zhurnal gastroenterologii, gepatologii, koloproktologii. 2018; 28 (5): 7-17.</mixed-citation><mixed-citation xml:lang="en">Paukov V. S., Voronina T. M., Kirillov Yu. 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