Correction of system «restored thiols — nitric oxide» as an important factor in the treatment of chronic cerebral ischemia
Summary. A study of clinical and biochemical efficacy of combined use Tivomax-Darnitsa and Metamax in 40 patients with chronic cerebral ischemia was conducted. Results of the study showed that combined use of Tivomax-Darnitsa and Metamax improves the effectiveness of treatment of cephalgic, vestibular, asthenic and anxiety syndromes, improves physical and mental performance and quality of sleep in patients with I and II stages of discirculatory encephalopathy. After treatment with Tivomax-Darnitsa and Metamax the levels of nitric oxide and L-arginine and the activity of NO-synthase in plasma of patients with discirculatory encephalopathy were significantly increased. Their modulating effect on thiol-disulfide balance that prevents further progression of endothelial dysfunction in chronic cerebral ischemia was noted. Pathogenetic validity of the inclusion of drugs Tivomax-Darnitsa and Metamax in the complex therapy of patients with chronic cerebral ischemia was proved.