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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">bekhterev</journal-id><journal-title-group><journal-title xml:lang="ru">Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева</journal-title><trans-title-group xml:lang="en"><trans-title>V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7053</issn><issn pub-type="epub">2713-055X</issn><publisher><publisher-name>V. M. BEKHTEREV  NATIONAL  RESEARCH  MEDICAL  CENTER  FOR  PSYCHIATRY  AND  NEUROLOGY                           OF    THE  RUSSIAN  FEDERATION   MINISTRY  OF  HEALTH</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31363/2313-7053-2022-4-92-95</article-id><article-id custom-type="elpub" pub-id-type="custom">bekhterev-753</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>В ПОМОЩЬ ПРАКТИКУЮЩЕМУ ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>GUIDELINES FOR THE PRACTITIONER</subject></subj-group></article-categories><title-group><article-title>Препараты холина в лечении астенических состояний: современность и перспективы (представление клинического случая)</article-title><trans-title-group xml:lang="en"><trans-title>Choline preparations in the treatment of asthenic states: modernity and perspectives (A Clinical Case Presentation)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9376-7854</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Быков</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bykov</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юрий Витальевич Быков, кандидат медицинских наук, ассистент</p><p>ГБОУ ВПО Ставропольский государственный медицинский университет</p><p>педиатрический факультет</p><p>кафедра анестезиологии и реаниматологии</p><p>Ставрополь</p></bio><bio xml:lang="en"><p>Yuri V. Bykov</p><p>Stavropol State Medical University</p><p>Stavropol</p></bio><email xlink:type="simple">yubykov@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0773-3405</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беккер</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bekker</surname><given-names>R. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Роман Александрович Беккер, магистр компьютерных наук (M. Sc. in Computer Sciences), NEI Master of Psychopharmacology with Distinction, независимый исследователь в области психофармакологии</p><p>Азор</p></bio><bio xml:lang="en"><p>Roman A. Bekker, an independent researcher in psychopharmacology</p><p>Azur</p></bio><email xlink:type="simple">romanbekker2022@gmail.com</email></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Минздрав России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>18</day><month>12</month><year>2022</year></pub-date><volume>56</volume><issue>4</issue><fpage>92</fpage><lpage>95</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Быков Ю.В., Беккер Р.А., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Быков Ю.В., Беккер Р.А.</copyright-holder><copyright-holder xml:lang="en">Bykov Y.V., Bekker R.A.</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.bekhterevreview.com/jour/article/view/753">https://www.bekhterevreview.com/jour/article/view/753</self-uri><abstract><p>   В рамках данной статьи представлен интересный клинический случай из практики авторов, иллюстрирующий эффективность и безопасность применения Глиатилина (холина альфосцерата) в составе комплексной терапии у 19-летнего юноши с постковидным синдромом, проявлявшимся преимущественно смесью симптомов астении, депрессии, тревожности, нарушений сна и когнитивных нарушений. Этот пациент по принципиальным идеологическим соображениям отказывался от приёма антидепрессантов, анксиолитиков и любых других психотропных средств. В то же время он попросил помочь ему подобрать «лечение, состоящее только из натуральных компонентов».</p></abstract><trans-abstract xml:lang="en"><p>   In this article, we want to present the reader with an interesting clinical case from authors’ practice, which, in our opinion, clearly demonstrates the efficacy and safety of using Gliatilin (choline alfoscerate) as a part of combination therapy in a 19-year-old man with so-called «long COVID syndrome», manifesting itself predominantly as mix of symptoms of asthenia, depression, anxiety, sleep and cognitive difficulties. This patient, for his ideological reasons and beliefs, refused taking antidepressants, anxiolytics, as well as any other psychotropic drugs. At the same time, the patient asked for help in choosing «a treatment, which will consist of only natural ingredients».</p></trans-abstract><kwd-group xml:lang="ru"><kwd>холин</kwd><kwd>холина альфосцерат</kwd><kwd>Глиатилин</kwd><kwd>астения</kwd><kwd>депрессия</kwd><kwd>тревожность</kwd><kwd>когнитивные нарушения</kwd><kwd>постковидный синдром</kwd><kwd>синдром хронической усталости</kwd><kwd>комплаентность к лечению</kwd><kwd>психотропные препараты</kwd><kwd>антидепрессанты</kwd><kwd>анксиолитики</kwd></kwd-group><kwd-group xml:lang="en"><kwd>choline</kwd><kwd>choline alfoscerate</kwd><kwd>Gliatilin</kwd><kwd>asthenia</kwd><kwd>depression</kwd><kwd>anxiety</kwd><kwd>cognitive impairment</kwd><kwd>long COVID</kwd><kwd>chronic fatigue syndrome</kwd><kwd>treatment compliance</kwd><kwd>psychotropic drugs</kwd><kwd>antidepressants</kwd><kwd>anxiolytics</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">Быков Ю. В. Депрессии и резистентность. Практическое руководство / Ю. В. Быков, Р. А. Беккер, М. К. Резников. – М.: РИОР: ИНФРА-М, 2013. – 374 с. ISBN 978-5-16-006093-4.</mixed-citation><mixed-citation xml:lang="en">Bikov Yu. V., Bekker R. A., Reznikov M. K. Depression and resistance. Practical guide. M. 2013. 374 s. (in rus.)</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">FLCCC Protocol on Long-COVID Treatment (I-RECOVER). Available at: https://covid19criticalcare.com/covid-19-protocols/i-recover-long-covid-treatment/ Access verified 18. 07. 2022.</mixed-citation><mixed-citation xml:lang="en">FLCCC Protocol on Long-COVID Treatment (I-RECOVER). Available at: https://covid19criticalcare.com/covid-19-protocols/i-recover-long-covid-treatment/ Access verified 18. 07. 2022.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">FLCCC Protocol on Post-Vaccine Problem Treatment (I-RECOVER). Available at: https://covid19criticalcare.com/covid-19-protocols/i-recover-post-vaccine-treatment/ Access verified 18. 07. 2022.</mixed-citation><mixed-citation xml:lang="en">FLCCC Protocol on Post-Vaccine Problem Treatment (I-RECOVER). Available at: https://covid19criticalcare.com/covid-19-protocols/i-recover-post-vaccine-treatment/ Access verified 18. 07. 2022.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
