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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2021-23-79-91</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-2232</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>СОВРЕМЕННАЯ ПОЛИКЛИНИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MODERN POLYCLINIC</subject></subj-group></article-categories><title-group><article-title>Лекарственно-индуцированная гипофосфатемия</article-title><trans-title-group xml:lang="en"><trans-title>Drug-induced hypophosphatemia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Остроумова</surname><given-names>О. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Ostroumova</surname><given-names>O. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ольга Дмитриевна Остроумова, д. м. н., проф., зав. кафедрой терапии и полиморбидной патологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Olga D. Ostroumova, DM Sci, professor head of the Department of Therapy andPolymorbid Pathology</p><p>Moscow</p></bio><email xlink:type="simple">ostroumova.olga@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Близнюк</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bliznyuk</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Светлана Александровна Близнюк, к. м. н., врач-кардиолог кардиологического отделения для больных с инфарктом миокарда № 28</p><p>Москва</p></bio><bio xml:lang="en"><p>Svetlana A. Bliznyuk, PhD Med, cardiologist of the Cardiology Department for Patients with Myocardial Infarction No. 28</p><p>Moscow</p></bio><email xlink:type="simple">sabliznyuk@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кочетков</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kochetkov</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексей Иванович Кочетков,  к. м. н., доцент кафедры терапии и полиморбидной патологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Alexey I. Kochetkov, PhD Med, associate professor of the Department of Therapy and Polymorbid Pathology</p><p>Moscow</p></bio><email xlink:type="simple">ak_info@list.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Комарова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Komarovа</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анна Григорьевна Комарова, к. м. н., врач-кардиолог, зам. главного врача по региональному сосудистому центру</p><p>Москва</p></bio><bio xml:lang="en"><p>Anna G. Komarova, PhD Med, cardiologist, deputy chief physician for the Regional Vascular Center</p><p>Moscow</p></bio><email xlink:type="simple">bellis-06@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного последипломного образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Medical Education of the Russian Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>S. P. Botkin City Clinical Hospital of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного последипломного образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Medical Education of the Russian &#13;
Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2021</year></pub-date><volume>0</volume><issue>23</issue><issue-title>Современная поликлиника (3)</issue-title><fpage>79</fpage><lpage>91</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Остроумова О.Д., Близнюк С.А., Кочетков А.И., Комарова А.Г., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Остроумова О.Д., Близнюк С.А., Кочетков А.И., Комарова А.Г.</copyright-holder><copyright-holder xml:lang="en">Ostroumova O.D., Bliznyuk S.A., Kochetkov A.I., Komarovа A.G.</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://www.med-alphabet.com/jour/article/view/2232">https://www.med-alphabet.com/jour/article/view/2232</self-uri><abstract><p>Гипофосфатемия (ГФ) определяется как снижение уровня неорганического фосфора в сыворотке крови ниже 2,5 мг/дл (0,81 ммоль/л). Одной из причин развития ГФ является прием ряда лекарственных средств: диуретиков, некоторых антибактериальных препаратов, инсулина, антацидов, растворов глюкозы для парентерального введения, противоопухолевых препаратов. Истинная распространенность лекарственно-индуцированной (ЛИ) ГФ неизвестна, потому что оценка уровня фосфатов не проводится рутинно, а лишь при подозрении на ГФ. Наиболее частым механизмом развития ЛИ ГФ является повышение экскреции фосфатов почками. В большинстве случаев ЛИ ГФ протекает бессимптомно и регрессирует после прекращения приема препарата-индуктора. Для восполнения фосфатного дефицита используют немедикаментозные методы (диета) и фармакотерапию. Профилактика ЛИ ГФ предполагает отказ от применения ЛС, прием которых ассоциирован с развитием ЛИ ГФ, особенно у пациентов из групп риска развития ГФ.</p></abstract><trans-abstract xml:lang="en"><p>Hypophosphatemia (GF) is defined as a decrease in the level of inorganic phosphorus in the blood serum below 2.5 mg/dl (0.81 mmol/L). One of the reasons for the development of GF can be the use of a number of medications: diuretics, some antibacterial drugs, insulin, antacids, glucose solutions for parenteral administration, antitumor drugs. The true prevalence of drug-induced (DI) HB is unknown, because the phosphate level is not evaluated routinely, but only when GF is suspected. The most common mechanism for the development of DI GF is an increase in the excretion of phosphates by the kidneys. In most cases, DI GF is asymptomatic and regresses after discontinuation of the inducer drug. To compensate for the phosphate deficiency, non-drug methods (diet) and pharmacotherapy are used. Prevention of DI GF involves avoiding the use of drugs, the reception of which is associated with the development of DI GF, especially in patients at risk of developing GF.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>нарушения электролитного баланса</kwd><kwd>электролитный дисбаланс</kwd><kwd>лекарственно-индуцированные нарушения&#13;
электролитного баланса</kwd><kwd>гипофосфатемия</kwd><kwd>лекарственно-индуцированная гипофосфатемия</kwd><kwd>лекарственные средства</kwd><kwd>нежелательные лекарственные реакции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>electrolytes abnormalities</kwd><kwd>drug-induced electrolytes abnormalities</kwd><kwd>hypophosphatemia</kwd><kwd>drug-induced hypophosphatemia</kwd><kwd>hypokalemia</kwd><kwd>drugs</kwd><kwd>adverse drug reactions</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">Christov M., Juppner H. Phosphate homeostasis disorders. Best Pract Res Clin Endocrinol Metab. 2018;32(5):685-706. https://doi.org/10.1016/j.beem.2018.06.004.</mixed-citation><mixed-citation xml:lang="en">Christov M., Juppner H. Phosphate homeostasis disorders. 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