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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">The Clinician</journal-id><journal-title-group><journal-title xml:lang="en">The Clinician</journal-title><trans-title-group xml:lang="ru"><trans-title>Клиницист</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8338</issn><issn publication-format="electronic">2412-8775</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">18</article-id><article-id pub-id-type="doi">10.17650/1818-8338-2013-3-4-93-97</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>PHARMACOTHERAPY</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ФАРМАКОТЕРАПИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">OSTEOARTHROSIS: NEW POSSIBILITIES FOR DELAYED-ACTING SYMPTOM-MODIFYING THERAPY</article-title><trans-title-group xml:lang="ru"><trans-title>ОСТЕОАРТРОЗ – НОВЫЕ ВОЗМОЖНОСТИ СИМПТОМ-МОДИФИЦИРУЮЩЕЙ ТЕРАПИИ ЗАМЕДЛЕННОГО ДЕЙСТВИЯ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shostak</surname><given-names>N. A.</given-names></name><name xml:lang="ru"><surname>Шостак</surname><given-names>Н. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Acad. A.I. Nesterov Department of Faculty Therapy</p></bio><email>nshostak44@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Pravdyuk</surname><given-names>N. G.</given-names></name><name xml:lang="ru"><surname>Правдюк</surname><given-names>Н. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Acad. A.I. Nesterov Department of Faculty Therapy</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Klimenko</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Клименко</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Acad. A.I. Nesterov Department of Faculty Therapy</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kondrashov</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Кондрашов</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Acad. A.I. Nesterov Department of Faculty Therapy</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shemenkova</surname><given-names>V. S.</given-names></name><name xml:lang="ru"><surname>Шеменкова</surname><given-names>В. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Acad. A.I. Nesterov Department of Faculty Therapy</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Egorova</surname><given-names>V. A.</given-names></name><name xml:lang="ru"><surname>Егорова</surname><given-names>В. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Acad. A.I. Nesterov Department of Faculty Therapy</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ГБОУ ВПО РНИМУ им. Н.И. Пирогова Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2013-10-15" publication-format="electronic"><day>15</day><month>10</month><year>2013</year></pub-date><volume>7</volume><issue>3-4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>93</fpage><lpage>97</lpage><history><date date-type="received" iso-8601-date="2014-07-14"><day>14</day><month>07</month><year>2014</year></date><date date-type="accepted" iso-8601-date="2014-07-14"><day>14</day><month>07</month><year>2014</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2013, Shostak N.A., Pravdyuk N.G., Klimenko A.A., Kondrashov A.A., Shemenkova V.S., Egorova V.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2013, Шостак Н.А., Правдюк Н.Г., Клименко А.А., Кондрашов А.А., Шеменкова В.С., Егорова В.А.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="en">Shostak N.A., Pravdyuk N.G., Klimenko A.A., Kondrashov A.A., Shemenkova V.S., Egorova V.A.</copyright-holder><copyright-holder xml:lang="ru">Шостак Н.А., Правдюк Н.Г., Клименко А.А., Кондрашов А.А., Шеменкова В.С., Егорова В.А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://klinitsist.abvpress.ru/Klin/article/view/18">https://klinitsist.abvpress.ru/Klin/article/view/18</self-uri><abstract xml:lang="en"><p><bold>Objective:</bold> to study the efficacy, tolerability, and safety of Artradol in patients with knee osteoarthrosis.</p><p><bold>Subjects and methods.</bold> The investigation enrolled 35 patients of both sexes, mean age 63,45 ± 6,9 years, with stages II and III gonarthrosisand walking pain intensity &gt; 40 mm visual analog scale. All the patients were given Artradol (chondroitin sulfate) intramuscularly every other day in a dose of 0,1 g (the first 3 injections), its fourth injection was 0,2 g used for 2 months. Changes in the WOMAC index, up-and-go test, as well as the need to use nonsteroidal anti-inflammatory drugs (NSAIDs), and therapeutic efficiency as viewed by the physician and patient were estimated.</p><p><bold>Results.</bold> The clinical effect of the drug occurred by the average treatment day of 18. Lower needs for NSAIDs were noted in 97 % of the patients;NSAIDs were discontinued in 22 (62 %) cases. There was a statistically significant decrease in the total scores of the WOMAC and up-to-go tests on therapy completion. The therapy resulted in considerable improvement in 97,0 % of the patients.</p><p><bold>Conclusion.</bold> Artradol has high clinical efficacy and safety and a noticeable delayed-acting symptom-modifying effect, which makes it relevant for use in the treatment of gonarthrosis.</p></abstract><trans-abstract xml:lang="ru"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>osteoarthrosis</kwd><kwd>gonarthrosis</kwd><kwd>delayed-acting symptom-modifying effect</kwd><kwd>chondroitin sulfate</kwd><kwd>Artradol</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>остеоартроз, гонартроз</kwd><kwd>симптом-модифицирующие препараты замедленного действия</kwd><kwd>хондроитин сульфат</kwd><kwd>Артрадол</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Goldring M.B. The role of the chondrocyte in osteoarthritis. 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