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    G. S. Maslova, R. І. Skrypnyk, I. N. Skrypnyk

    THE ROLE OF L-ORNITHINE-L-ASPARTATE IN PROPHYLAXIS OF CYTOSTATIC-INDUCED LIVER INJURY IN PATIENTS WITH MULTIPLE MYELOMA


    About the author: G. S. Maslova, R. І. Skrypnyk, I. N. Skrypnyk
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The paper presents the findings of our studies on the assessment of the effectiveness of L-ornithine-L-aspartate in the prophylactic of chemotherapy-induced liver injury in patients with multiple myeloma. 24 patients with multiple myeloma were examined (11 females and 13 males, ages 46–78). The condition assessment was conducted twice: before chemotherapy and after 3 courses of chemotherapy. Patients were analyzed for the following biochemical parameters: the activity of alanine and asparagine aminotransferases, gamma-glutamyltranspeptidase, alkaline phosphatase, total bilirubin, total protein, creatinine, urea, total blood calcium level. Depending on the inclusion of L-ornithine-L-aspartate as an adjuvant treatment, patients were divided into 2 groups: group I (n=12) – patients with multiple myeloma, who underwent only chemotherapy; group II (n=12) – patients with multiple myeloma, who during chemotherapy received L-ornithine-L-aspartate at a dose of 10 g/day intravenously for 10 days, then 5 g 2 twice a day for 20 days. Group ІІІ (n=20) the control group, included 20 practically healthy persons. It was established, that application of L-ornithine-L-aspartate as an adjuvant treatment in patients with multiple myeloma that undergo chemotherapy provides the effective prophylactic of pathological alterations in liver and kidney functional state.
    Tags chemotherapy, hepatotoxicity, nephrotoxicity, adjuvant therapy
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    Publication of the article «World of Medicine and Biology» №4(78), 2021 year, 100-104 pages, index UDK 616.36-006-085
    DOI 10.26724/2079-8334-2021-4-78-100-104