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Our experience with Wobenzym in the treatment of patients with rheumatoid and psoriatic arthritis.

Szilasiová A., Macejová Ž., Jautová J., Pundová L. Our experience with Wobenzym in the treatment of patients with rheumatoid and psoriatic arthritis. Prakt. Lékař 1998, Vol. 78, No. 7, pp. 366-368.

 Summary: The objective of the uncontrolled trial was to assess the tolerance and safety of the preparation Wobenzym in patients with rheumatoid and psoriatic arthritis who had other concurrent anti-inflammatory treatment and to evaluate its position in combined treatment of RA and PsA. The authors added Wobenzym, 9 to 15 enterosolvent pills per day to anti-inflammatory antirheumatic treatment in 23 patients with RA and 4 patients with PsA because of persisting clinical and laboratory activity. Treatment lasted 16 weeks and more. The evaluation of the effectiveness of Wobenzym by the physician was as follows: very good 33.3 %, good 54.3 % and unsatisfactory 12.4 %. The evaluation of physical capacity by the patients was as follows: 18 patients (75 %) reported a better physical capacity after Wobenzym and only 25 % (6) had the same physical capacity. There was no case of deterioration. When evaluating clinical parameters, the authors found after four months of treatment a decline of the morning stiffness (p < 0.01) and a better grip strength (p < 0.05), reduced articular index and index of incapacity according to HAQ, which however was not statistically significant. The authors recorded a decline of FW the CRP and CIK concentration (p < 0.01). The concentration of alpha-2 macroglobulin, alpha-1 antitrypsin, haemoglobin and amylase values did not change significantly during treatment. The trial confirmed the favourable effect of Wobenzym on the rheumatic process, good tolerance and safety of treatment in patients with rheumatoid diseases even in case of polytherapy.
Key words: Wobenzym - enzyme therapy - rheumatoid arthritis - psoriatic arthritis.