Publications by authors named "Kirilochev O"

Objective: Access to literature on clozapine in Russian language remains strikingly limited. We aimed to identify and translate clinical evidence on clozapine-based treatment outcomes.

Methods: We performed a systematic review in PubMed, Embase and scientific indexes from former USSR states searching for articles published in Russian from the database inception till January 2023 and summarized the data in a scoping review (PROSPERO Reg.

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Article Synopsis
  • A recent article discussed the modernization of clozapine prescriptions in the US, addressing concerns about agranulocytosis—a serious side effect of this medication.
  • In contrast, an international group examined the global outcomes of clozapine use, highlighting that adverse reactions to the drug may vary across different countries.
  • Research indicated that while some countries like Finland and Denmark reported no increased mortality linked to clozapine, the UK showed a worrying trend of rising fatal outcomes associated with the drug, particularly due to conditions like pneumonia and myocarditis rather than agranulocytosis.
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White blood cell (WBC) monitoring has reduced clozapine-treated patient deaths associated with agranulocytosis to a rarity. However, clozapine protocols and package inserts worldwide provide no instructions for preventing myocarditis or pneumonia during clozapine titrations. Prescribers worldwide are largely unaware of that.

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Article Synopsis
  • This international guideline suggests enhancing clozapine package inserts by implementing ancestry-based dosing and titration to reduce adverse drug reactions (ADRs).
  • Clozapine, a powerful medication, has a narrow therapeutic range and is highly associated with toxicity, especially in certain populations; it is especially risky due to its high rates of pneumonia-related mortality.
  • The guideline outlines six personalized dosing schedules based on ancestry and metabolic activity, recommending varying daily doses of clozapine tailored to individual patient profiles to minimize the risk of ADRs.
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The study objective was to analyze the frequency of prescription of potentially inappropriate medications (PIMs) to elderly patients treated in a psychiatric in-patient setting. This study was carried out using AGS Beers criteria, an anti-polypharmacy tool developed under the auspices of the American Geriatric Association. The study indicates a high frequency of use of PIMs from the following pharmacological groups: benzodiazepine derivatives, non-steroidal anti-inflammatory drugs (long-term use), as well as drugs with significant anticholinergic potential.

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The prescription of psychotropic drugs requires a thorough assessment not only of the effectiveness of pharmacotherapy, but also of its safety. It is an essential component of the rational treatment of patients with mental disorders. Most of adverse drug reactions are predictable and, accordingly, preventable.

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An analysis of 132 drugs used in a psychiatric hospital for the estimation of the possibility of drug-drug interactions has been carried out. It has been established that one in five potential combination has a drug-drug interaction with clinically significant interactions being more frequent. Psychotropic drugs occupy a leading position in the number of such interactions.

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Background: The problem of drug safety will never disappear as new drugs are delivered in increasing numbers. They have high biological activity and adverse drug reactions (ADR) [1]. Currently, adverse drug reactions are the fourth leading cause of death for patients.

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The paper provides the results of diagnosing hepatic failure in 102 neonatal infants with various diseases. Based on clinical, routine biochemical, instrumental, and morphological studies, the author proposes a clinical classification of the grades of neonatal hepatic failure. A close correlation (Pierson coefficient) has been statistically found between the severity of neonatal hepatic failure with respective clinical and laboratory criteria.

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