Strategy and choice criteria’s of initial disturbances of brain circulation in family physician’s practice
In the present paper a modern sights to manifestations of initial stages of brain ischemia and its role in damage of CNS in cerebrovascular pathology have been looked. Based on this point of view, the requirements to choice of optimal pharmacological strategy concerning correction of brain pathological changes during ischemia, and particularly neurometabolic pharmacotherapy’ advantages have been analyzed. A basic goals of clinical use of neuroprotection’s strategy in generally, and particularly neurometabolic pharmacotherapy have been looked. A main attention paid to mechanisms of action and peculiarities of clinical use of drug Dinar (ethyl-methyl-hydroxypiridine succinat) and its possibilities in plane to realization of pathogenetically grounding neurometabolic pharmacotherapy of initial stages of cerebrovascular pathology. A clinical efficacy of Dinar and its safety characteristics have been looked in detail.