US3729563A - Method of treating movement disorders - Google Patents
Method of treating movement disorders Download PDFInfo
- Publication number
- US3729563A US3729563A US00096295A US3729563DA US3729563A US 3729563 A US3729563 A US 3729563A US 00096295 A US00096295 A US 00096295A US 3729563D A US3729563D A US 3729563DA US 3729563 A US3729563 A US 3729563A
- Authority
- US
- United States
- Prior art keywords
- dopa
- gallate
- movement disorders
- gallic acid
- butyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 238000000034 method Methods 0.000 title description 9
- 208000016285 Movement disease Diseases 0.000 title description 2
- LNTHITQWFMADLM-UHFFFAOYSA-N gallic acid Chemical compound OC(=O)C1=CC(O)=C(O)C(O)=C1 LNTHITQWFMADLM-UHFFFAOYSA-N 0.000 abstract description 26
- WTDRDQBEARUVNC-UHFFFAOYSA-N L-Dopa Natural products OC(=O)C(N)CC1=CC=C(O)C(O)=C1 WTDRDQBEARUVNC-UHFFFAOYSA-N 0.000 abstract description 20
- WTDRDQBEARUVNC-LURJTMIESA-N L-DOPA Chemical compound OC(=O)[C@@H](N)CC1=CC=C(O)C(O)=C1 WTDRDQBEARUVNC-LURJTMIESA-N 0.000 abstract description 18
- 229940074391 gallic acid Drugs 0.000 abstract description 13
- 235000004515 gallic acid Nutrition 0.000 abstract description 13
- 150000001875 compounds Chemical class 0.000 abstract description 11
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract description 8
- 208000012661 Dyskinesia Diseases 0.000 abstract description 6
- 230000017311 musculoskeletal movement, spinal reflex action Effects 0.000 abstract description 6
- 208000027089 Parkinsonian disease Diseases 0.000 abstract description 5
- 206010034010 Parkinsonism Diseases 0.000 abstract description 5
- XOPOEBVTQYAOSV-UHFFFAOYSA-N butyl 3,4,5-trihydroxybenzoate Chemical compound CCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 XOPOEBVTQYAOSV-UHFFFAOYSA-N 0.000 description 12
- 150000003839 salts Chemical class 0.000 description 11
- 206010044565 Tremor Diseases 0.000 description 10
- 239000000203 mixture Substances 0.000 description 9
- 239000002775 capsule Substances 0.000 description 8
- 150000002148 esters Chemical class 0.000 description 8
- 239000000843 powder Substances 0.000 description 8
- 208000035475 disorder Diseases 0.000 description 7
- 230000000694 effects Effects 0.000 description 7
- 239000004615 ingredient Substances 0.000 description 7
- 206010008748 Chorea Diseases 0.000 description 6
- ZTHYODDOHIVTJV-UHFFFAOYSA-N Propyl gallate Chemical compound CCCOC(=O)C1=CC(O)=C(O)C(O)=C1 ZTHYODDOHIVTJV-UHFFFAOYSA-N 0.000 description 6
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 6
- 229920002261 Corn starch Polymers 0.000 description 5
- 230000005856 abnormality Effects 0.000 description 5
- 125000000217 alkyl group Chemical group 0.000 description 5
- 239000008120 corn starch Substances 0.000 description 5
- 239000008187 granular material Substances 0.000 description 5
- 239000000243 solution Substances 0.000 description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 4
- 229920002472 Starch Polymers 0.000 description 4
- -1 dihydroxyphenyl Chemical group 0.000 description 4
- 239000001257 hydrogen Substances 0.000 description 4
- 229910052739 hydrogen Inorganic materials 0.000 description 4
- 125000004435 hydrogen atom Chemical group [H]* 0.000 description 4
- 231100000252 nontoxic Toxicity 0.000 description 4
- 230000003000 nontoxic effect Effects 0.000 description 4
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 4
- 239000008107 starch Substances 0.000 description 4
- 235000019698 starch Nutrition 0.000 description 4
- 239000006188 syrup Substances 0.000 description 4
- 235000020357 syrup Nutrition 0.000 description 4
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 241000282693 Cercopithecidae Species 0.000 description 3
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 3
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 3
- 229910052783 alkali metal Inorganic materials 0.000 description 3
- 150000001340 alkali metals Chemical class 0.000 description 3
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 3
- 150000001342 alkaline earth metals Chemical class 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 239000003085 diluting agent Substances 0.000 description 3
- 230000003292 diminished effect Effects 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 239000008101 lactose Substances 0.000 description 3
- 230000003902 lesion Effects 0.000 description 3
- 229960004502 levodopa Drugs 0.000 description 3
- 235000019359 magnesium stearate Nutrition 0.000 description 3
- 235000010388 propyl gallate Nutrition 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 239000003981 vehicle Substances 0.000 description 3
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 2
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 2
- 206010008752 Choreiform movements Diseases 0.000 description 2
- QUSNBJAOOMFDIB-UHFFFAOYSA-N Ethylamine Chemical compound CCN QUSNBJAOOMFDIB-UHFFFAOYSA-N 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- 208000023105 Huntington disease Diseases 0.000 description 2
- YNAVUWVOSKDBBP-UHFFFAOYSA-N Morpholine Chemical compound C1COCCN1 YNAVUWVOSKDBBP-UHFFFAOYSA-N 0.000 description 2
- NQRYJNQNLNOLGT-UHFFFAOYSA-N Piperidine Chemical compound C1CCNCC1 NQRYJNQNLNOLGT-UHFFFAOYSA-N 0.000 description 2
- 235000021355 Stearic acid Nutrition 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 229930006000 Sucrose Natural products 0.000 description 2
- 206010044074 Torticollis Diseases 0.000 description 2
- 239000011149 active material Substances 0.000 description 2
- 230000001476 alcoholic effect Effects 0.000 description 2
- 125000005907 alkyl ester group Chemical group 0.000 description 2
- 230000000507 anthelmentic effect Effects 0.000 description 2
- WGQKYBSKWIADBV-UHFFFAOYSA-N benzylamine Chemical compound NCC1=CC=CC=C1 WGQKYBSKWIADBV-UHFFFAOYSA-N 0.000 description 2
- 125000000484 butyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 2
- 125000004432 carbon atom Chemical group C* 0.000 description 2
- 208000012601 choreatic disease Diseases 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- MHUWZNTUIIFHAS-CLFAGFIQSA-N dioleoyl phosphatidic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC(COP(O)(O)=O)OC(=O)CCCCCCC\C=C/CCCCCCCC MHUWZNTUIIFHAS-CLFAGFIQSA-N 0.000 description 2
- 239000002552 dosage form Substances 0.000 description 2
- 230000000632 dystonic effect Effects 0.000 description 2
- VFPFQHQNJCMNBZ-UHFFFAOYSA-N ethyl gallate Chemical compound CCOC(=O)C1=CC(O)=C(O)C(O)=C1 VFPFQHQNJCMNBZ-UHFFFAOYSA-N 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- 208000018197 inherited torticollis Diseases 0.000 description 2
- 230000007775 late Effects 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- FBSFWRHWHYMIOG-UHFFFAOYSA-N methyl 3,4,5-trihydroxybenzoate Chemical compound COC(=O)C1=CC(O)=C(O)C(O)=C1 FBSFWRHWHYMIOG-UHFFFAOYSA-N 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 2
- 239000000473 propyl gallate Substances 0.000 description 2
- 229940075579 propyl gallate Drugs 0.000 description 2
- 238000009491 slugging Methods 0.000 description 2
- 239000008117 stearic acid Substances 0.000 description 2
- 239000005720 sucrose Substances 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- 239000000454 talc Substances 0.000 description 2
- 229910052623 talc Inorganic materials 0.000 description 2
- 235000012222 talc Nutrition 0.000 description 2
- KZTWONRVIPPDKH-UHFFFAOYSA-N 2-(piperidin-1-yl)ethanol Chemical compound OCCN1CCCCC1 KZTWONRVIPPDKH-UHFFFAOYSA-N 0.000 description 1
- 206010001541 Akinesia Diseases 0.000 description 1
- 239000005995 Aluminium silicate Substances 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 235000019739 Dicalciumphosphate Nutrition 0.000 description 1
- 239000004262 Ethyl gallate Substances 0.000 description 1
- PIICEJLVQHRZGT-UHFFFAOYSA-N Ethylenediamine Chemical compound NCCN PIICEJLVQHRZGT-UHFFFAOYSA-N 0.000 description 1
- 241000237858 Gastropoda Species 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 206010020651 Hyperkinesia Diseases 0.000 description 1
- 208000000269 Hyperkinesis Diseases 0.000 description 1
- 208000006083 Hypokinesia Diseases 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- QNAYBMKLOCPYGJ-REOHCLBHSA-N L-alanine Chemical compound C[C@H](N)C(O)=O QNAYBMKLOCPYGJ-REOHCLBHSA-N 0.000 description 1
- 240000007472 Leucaena leucocephala Species 0.000 description 1
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 1
- 229920000715 Mucilage Polymers 0.000 description 1
- 208000002740 Muscle Rigidity Diseases 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- 206010071390 Resting tremor Diseases 0.000 description 1
- 229920001800 Shellac Polymers 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 235000004279 alanine Nutrition 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 235000012211 aluminium silicate Nutrition 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 229910021529 ammonia Inorganic materials 0.000 description 1
- 229940124339 anthelmintic agent Drugs 0.000 description 1
- 239000000921 anthelmintic agent Substances 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- 125000004429 atom Chemical group 0.000 description 1
- 239000002585 base Substances 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 1
- 239000008116 calcium stearate Substances 0.000 description 1
- 235000013539 calcium stearate Nutrition 0.000 description 1
- 235000014633 carbohydrates Nutrition 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 239000008119 colloidal silica Substances 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 239000003405 delayed action preparation Substances 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
- NEFBYIFKOOEVPA-UHFFFAOYSA-K dicalcium phosphate Chemical compound [Ca+2].[Ca+2].[O-]P([O-])([O-])=O NEFBYIFKOOEVPA-UHFFFAOYSA-K 0.000 description 1
- 229940038472 dicalcium phosphate Drugs 0.000 description 1
- 229910000390 dicalcium phosphate Inorganic materials 0.000 description 1
- 239000007884 disintegrant Substances 0.000 description 1
- 239000002270 dispersing agent Substances 0.000 description 1
- 239000003937 drug carrier Substances 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 235000019277 ethyl gallate Nutrition 0.000 description 1
- 239000000796 flavoring agent Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- DQHJNOHLEKVUHU-UHFFFAOYSA-N hexyl 3,4,5-trihydroxybenzoate Chemical compound CCCCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 DQHJNOHLEKVUHU-UHFFFAOYSA-N 0.000 description 1
- 230000003483 hypokinetic effect Effects 0.000 description 1
- NLYAJNPCOHFWQQ-UHFFFAOYSA-N kaolin Chemical compound O.O.O=[Al]O[Si](=O)O[Si](=O)O[Al]=O NLYAJNPCOHFWQQ-UHFFFAOYSA-N 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000012153 long-term therapy Methods 0.000 description 1
- IBKQQKPQRYUGBJ-UHFFFAOYSA-N methyl gallate Natural products CC(=O)C1=CC(O)=C(O)C(O)=C1 IBKQQKPQRYUGBJ-UHFFFAOYSA-N 0.000 description 1
- 239000002480 mineral oil Substances 0.000 description 1
- 235000010446 mineral oil Nutrition 0.000 description 1
- 230000002981 neuropathic effect Effects 0.000 description 1
- 231100000957 no side effect Toxicity 0.000 description 1
- KSNJEADFLJNDCP-UHFFFAOYSA-N nonyl 3,4,5-trihydroxybenzoate Chemical compound CCCCCCCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 KSNJEADFLJNDCP-UHFFFAOYSA-N 0.000 description 1
- 239000000574 octyl gallate Substances 0.000 description 1
- 235000010387 octyl gallate Nutrition 0.000 description 1
- NRPKURNSADTHLJ-UHFFFAOYSA-N octyl gallate Chemical compound CCCCCCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 NRPKURNSADTHLJ-UHFFFAOYSA-N 0.000 description 1
- 239000006186 oral dosage form Substances 0.000 description 1
- IIOADSXXVWNOSC-UHFFFAOYSA-N pentyl 3,4,5-trihydroxybenzoate Chemical compound CCCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 IIOADSXXVWNOSC-UHFFFAOYSA-N 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- 230000003389 potentiating effect Effects 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- TXGSOSAONMOPDL-UHFFFAOYSA-N propan-2-yl 3,4,5-trihydroxybenzoate Chemical compound CC(C)OC(=O)C1=CC(O)=C(O)C(O)=C1 TXGSOSAONMOPDL-UHFFFAOYSA-N 0.000 description 1
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 239000011253 protective coating Substances 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- ZLGIYFNHBLSMPS-ATJNOEHPSA-N shellac Chemical compound OCCCCCC(O)C(O)CCCCCCCC(O)=O.C1C23[C@H](C(O)=O)CCC2[C@](C)(CO)[C@@H]1C(C(O)=O)=C[C@@H]3O ZLGIYFNHBLSMPS-ATJNOEHPSA-N 0.000 description 1
- 239000004208 shellac Substances 0.000 description 1
- 229940113147 shellac Drugs 0.000 description 1
- 235000013874 shellac Nutrition 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C65/00—Compounds having carboxyl groups bound to carbon atoms of six—membered aromatic rings and containing any of the groups OH, O—metal, —CHO, keto, ether, groups, groups, or groups
- C07C65/01—Compounds having carboxyl groups bound to carbon atoms of six—membered aromatic rings and containing any of the groups OH, O—metal, —CHO, keto, ether, groups, groups, or groups containing hydroxy or O-metal groups
- C07C65/03—Compounds having carboxyl groups bound to carbon atoms of six—membered aromatic rings and containing any of the groups OH, O—metal, —CHO, keto, ether, groups, groups, or groups containing hydroxy or O-metal groups monocyclic and having all hydroxy or O-metal groups bound to the ring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/205—Amine addition salts of organic acids; Inner quaternary ammonium salts, e.g. betaine, carnitine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
- A61K31/235—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids having an aromatic ring attached to a carboxyl group
Definitions
- Gallic acid, its salts and its alkyl esters are utilized S1m1lar responses can be observed in actual clinical in the treatment of involuntary movement disorders.
- dose of to a 28 Y old compounds can be administered alone or in combination, patlent,suffenng from a Fa Huntlngtons chore? as with LDOPA in the treatment of parkinsonism sulted in a remarkable diminishment of the choreiform movements.
- tary movement disorders such as parkinsonism, Hunting-
- the method of treating involuntary movement distons chorea, hyperkinesis, spasmotic torticollis and the orders with gallic acid, its salts and its esters can also like. Treatment of such disorders is elfected through the be practiced in conjunction with other therapy. Most administration of a daily dose of from about 5 mg./kg. importantly, it has been found that gallic acid, its salts to about 25 mg./kg. of a compound of the formula: and its esters potentiate the action of L-DOPA [L-3-(3,4-
- H0 dihydroxyphenyl)alanine in the treatment of parkin- 30 sonism.
- L-DOPA is known to be useful in this regard H0 000R but its use is limited by the high doses required and the resultant side effects, particularly choreiform moveo ments, which develop in patients on long term therapy.
- R is hydrogen or alkyl or from 1 to 9 carbon
- a pharmaceutically acconjunction with L-DOPA therapy can be observed in ceptable nontoxic alkali metal, alkaline earth metal or l r ry m l as w ll as in r p in a organic amine salt thereof, i.e. a salt of gallic acid.
- monkey having mesencephalic lesions, doses of L-DOPA Certain of these derivatives are known to have therup to 25 mg./kg. produced no change in the tremor.
- the present invention is based on the DOPA had no effect, 25 mg./kg. of L-DOPA effected finding that gallic acid, its salts and esters reduce or a cessation of tremor for 30 minutes and a diminished alleviate the physical body movements associated with a tremor for 45 minutes.
- the butyl gallate when 15 mg./kg. of broad group of conditions generally referred to by the butyl gallate were administered, substantially the same art as involuntary movement disorders.
- These include the efiiect was obtained with only 15 mg./ kg. of L-DOPA as akinesia, rigidity, tremors associated with parkinsonism, observed for 25 mg./kg. of L-DOPA alone, namely a the dystonic neck movements associated with spasmotic diminished tremor for 40 minutes and a cessation of torticollis, the choreiform movements encountered in tremor for 20 to 30 minutes.
- Gallic acid, a salt thereof or an ester thereof 'prferably administered orally as a treatment for involuntary movement disorders This can be accomplished through the use of any of the usual pharmaceutical forms, in-' cluding solid and liquid unit oral dosage forms such as tablets, capsules, powders, suspensions, solutions, syrups and the like, including sustained release preparations.
- unit dosage form as used in this specification and the claims refer to physically discrete units to be administered in single or multiple dosage to humans, each unit containing a predetermined quantity of active materials in association with the required diluent, carrier or vehicle. The quantity of active material is that calcu lated to produce the desired therapeutic elfect upon administration of one or more of such units in a single or multiple dose regimen.
- Powders are prepared by comminuting gallic acid, a salt thereof or an ester thereof to a suitably fine size and mixing with a similarly comminuted diluent pharmaceutical carrier' such as an edible carbohydrate material as for example, starch. sweetening, flavoring, preservative, dispersing and coloring agents can also be present.
- a similarly comminuted diluent pharmaceutical carrier' such as an edible carbohydrate material as for example, starch. sweetening, flavoring, preservative, dispersing and coloring agents can also be present.
- Capsules are made by preparing a powder mixture as described above and filling formed gelatin sheaths.
- a lubricant such as talc, magnesium stearate and calcium stearate can be added to the powder mixture as an ad juvant before the filling operation;
- a glidant such as colloidal silica may be added to improve flow properties;
- a disintegrating or solubilizing agent may be added to improve the availability of the medicament when the capsule is ingested.
- Tablets are made by preparing a powder mixture, granulating or slugging, adding a lubricant and disintegrant and pressing into tablets.
- a powder mixture is prepared by mixing the compound, suitably comminuted, with a diluent or base such as starch, sucrose, kaolin, dicalcium phosphate and the like.
- the powder mixture can be granulated by wetting with a binder such as syrup, starch paste, acacia mucilage or solutions of cellulosic or polymeric materials and forcing through a screen.
- a binder such as syrup, starch paste, acacia mucilage or solutions of cellulosic or polymeric materials and forcing through a screen.
- the powder mixture can be run through the tablet machine and the resulting imperfectly formed slugs broken into granules.
- the granules can be lubricated to prevent sticking to the tablet forming dies by means of the addition of stearic acid, a stearate salt, talc or mineral oil.
- the lubricated mixture is then compressed into tablets, the medicaments canialso be combined with free flowing inert carriers and compressed into tablets directly without going through the granulating or slugging steps.
- a protective coating consisting of a sealing coat of shellac,'a coating of sugar or polymericmaterial and a polish coating of wax can be provided. Dyestufl's can be added to these coatings to distinguish ditferent unit dosages.
- Oral fluids such as syrups and elixirs can be prepared in unit dosage form so that a given quantity, e.g., a teaspoonful, contains a predetermined amount of the compound.
- Syrups can be prepared by dissolving the compound vin a suitably flavored aqueous sucrose solution while elixirs are prepared through the use of a non-toxic alcoholic vehicle.
- Suspensions can be formulated by dispersing the medicament in a non-toxic vehicle in which it is insoluble.
- gallic acid, a salt thereof or an ester thereof When utilized-alone, gallic acid, a salt thereof or an ester thereof is generally administered in a single or multiple dose regimen so that the patient receives a daily dose of from about mg./kg. to about 25 mgJkg.
- This range is however merely a guideline for in all cases the actual dose must be adjusted to the age, weight and condition of the patient and most importantly, titrated to the response observed.
- a human Ingredient for example, for a human Ingredient:
- gallic acid a salt thereof or an alkyl ester thereof.
- the salts are those derived from alkali metals, alkaline earth metals or organic amines, such as the sodium, potassium, calcium and those of ammonia, ethylamine, triethylamine, ethanolamine, diethylarninoethanol, ethylenediamine, piperidine, morpholine, 2-(piperidino )-ethanol, benzylamine, procaine and the like.
- Esters are those derived from gallic acid and straight or branched chain alcohols having from 1 to 9 carbon atoms,-such as methyl gallate, ethyl gallate, n-propyl gallate, isopropyl gallate, n-butyl gallate, pentyl gallate, hexyl gallate, octyl gallate, nonyl gallate and the like.
- the preferred form of gallic acid for the practice of the present invention is the npropyl and n-butylesters.
- lactose, corn starch and Cab-O-Sil are blended and granulated with an alcoholic solution of the stearic acid. This granulate is blended with the butyl gallate and the resulting blend is encapsulated in #0 capsules.
- the foregoing ingredients are combined in accordance with the procedure described in Example 4 and pressed into tablets suitable for oral administration of 50 mg. of L-DOPA and 300 mg. of propyl gallate.
- the first four ingredients are thoroughly mixed and granulated with a aqueous solution of soluble starch. This granulate is dried, mixed with magnesium stearate and pressed into tablet cores which are coated with sugar.
- R is hydrogen or alkyl of from 1 to 9 carbon atoms, or 'when R is hydrogen, a pharmaceutically acceptable non-toxic alkali metal, alkaline earth metal or organic amine salt thereof.
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Abstract
GALLIC ACID, ITS SALTS AND ITS ALKYL ESTERS ARE UTILIZED IN THE TREATMENT OF INVOLUNTARY MOVEMENT DISORDERS. THE COMPOUNDS CAN BE ADMINISTERED ALONE OR IN COMBINATION, AS WITH L-DOPA IN THE TREATMET OF PARKINSONISM.
Description
United States Patent 3,729,563 Patented Apr. 24, 1973 ment disorders can be conveniently observed in laboratory models utilizing, for example, monkeys with mesencephalic lesions. In this method, described by Goldstein et al., Proc. Nat. Acad. Science, 63, No. 4, 1113 (1969) unilateral radio frequency lesions are induced in No Drawing. Continuation-impart of application Ser. No. 5 the Flmmal which then develops hypokinesia almost s,940, Jan. 26, 1970. This application Dec. 8, 1970, modlately and a resting tremor Within a week, a y a Ser.No. 96,295 drome comparable to the neuropathological profile en- Int. Cl. A61k 27/00 countered in human parkinsonism. After administration 424-243 3 Clalms of a dose of 50 mg./kg. of butyl gallate, the tremor diminishes or completely disappears for a period of one ABSTRACT OF THE DISCLOSURE to two hours.
Gallic acid, its salts and its alkyl esters are utilized S1m1lar responses can be observed in actual clinical in the treatment of involuntary movement disorders. The i Thus dose of to a 28 Y old compounds can be administered alone or in combination, patlent,suffenng from a Fa Huntlngtons chore? as with LDOPA in the treatment of parkinsonism sulted in a remarkable diminishment of the choreiform movements. In a second patient, a 43 year old female CROSS REFERENCE with a six year progressive history of chorea and a family background of Huntingtons chorea, choreiform Thls 1S a commuatlon'm'part of 5940 filed movements ceased and remained absent upon treatment 1970' with butyl gallate. A third patient with spasmodic torti- DETAILED DESCRIPTION collis, when placed on 250 mg. t.i.d. had almost complete This invention pertains to the treatment of involuncessation of dystonic neck movements. tary movement disorders such as parkinsonism, Hunting- The method of treating involuntary movement distons chorea, hyperkinesis, spasmotic torticollis and the orders with gallic acid, its salts and its esters can also like. Treatment of such disorders is elfected through the be practiced in conjunction with other therapy. Most administration of a daily dose of from about 5 mg./kg. importantly, it has been found that gallic acid, its salts to about 25 mg./kg. of a compound of the formula: and its esters potentiate the action of L-DOPA [L-3-(3,4-
H0 dihydroxyphenyl)alanine] in the treatment of parkin- 30 sonism. L-DOPA is known to be useful in this regard H0 000R but its use is limited by the high doses required and the resultant side effects, particularly choreiform moveo ments, which develop in patients on long term therapy.
wherein R is hydrogen or alkyl or from 1 to 9 carbon The value of the utilization of these compounds in atoms, or, when R is hydrogen, a pharmaceutically acconjunction with L-DOPA therapy can be observed in ceptable nontoxic alkali metal, alkaline earth metal or l r ry m l as w ll as in r p in a organic amine salt thereof, i.e. a salt of gallic acid. monkey having mesencephalic lesions, doses of L-DOPA Certain of these derivatives are known to have therup to 25 mg./kg. produced no change in the tremor. At apeutic activity. For example, Sakurai et al., J. Pharm. half this dose of L-DOPA however, 12.5 mg./kg., when Soc. Japan, 69, 434 (1949) describe some anthelmintic administered with either 10 or 15 mg./kg. of butyl galactivity for several alkyl gallates. US. Pat. No. 3,462,534 late, the tremor diminished for 40 minutes. When 12.5 describes psychotherapeutic activity, specifically antimg./kg. of L-DOPA was administered with 20 mg./kg. depressant properties, for alkyl gallates and gallacetol. of butyl gallate, the tremor ceased for from 40 to 60 -In contrast to the latter use which involves exclusively minutes. In a second monkey, while 15 mg./kg. of L- mental disorders, the present invention is based on the DOPA had no effect, 25 mg./kg. of L-DOPA effected finding that gallic acid, its salts and esters reduce or a cessation of tremor for 30 minutes and a diminished alleviate the physical body movements associated with a tremor for 45 minutes. However when 15 mg./kg. of broad group of conditions generally referred to by the butyl gallate were administered, substantially the same art as involuntary movement disorders. These include the efiiect was obtained with only 15 mg./ kg. of L-DOPA as akinesia, rigidity, tremors associated with parkinsonism, observed for 25 mg./kg. of L-DOPA alone, namely a the dystonic neck movements associated with spasmotic diminished tremor for 40 minutes and a cessation of torticollis, the choreiform movements encountered in tremor for 20 to 30 minutes.
Huntingtons chorea and a variety of movement disor- In actual clinical tests, these compounds have been ders resulting from extrapyramidal dysfunction. shown to be effective in combatting the dose-related toxic Moreover, in contrast to the use of certain alkyl galeffects of L-DOPA therapy. In nine patients, for example, lates as anthelmintics, these compounds to date have extreated with a daily dose of 750 mg. of butyl gallate, not hibited no side effects when administered according to only was there a significant reduction in the dose of L- the described method of utilizing the present invention. DOPA required, but also a remarkable decrease in un- The activity of these compounds on involuntary movewanted side-effects, as shown in Table I.
TABLE I -LDOPA L-DOPA and butyl gallate Patient ABODEFGHIJ'ABCDEFGHIJ DoseL-DOPA(gra.ms) 1.5 2.5 5 5 6 7 5 6 4 6 1.0 2.0 2.0 2.0 5 3 4 4 5 Al'mnrmnl 10131032210000001000 14110121010000000000 13133233230001011111 03023122210001101010 13012213221101110111 20030010110001001011 10000000200000000000 12021212210101011110 NOTE.-0=n0 observable abnormality; 1=minimal abnormality; 2=minimal to moderate abnormality; 3=moderate to severe abnormality; 4= maximal abnormality.
Gallic acid, a salt thereof or an ester thereof 'prferably administered orally as a treatment for involuntary movement disorders. This can be accomplished through the use of any of the usual pharmaceutical forms, in-' cluding solid and liquid unit oral dosage forms such as tablets, capsules, powders, suspensions, solutions, syrups and the like, including sustained release preparations. The term unit dosage form as used in this specification and the claims refer to physically discrete units to be administered in single or multiple dosage to humans, each unit containing a predetermined quantity of active materials in association with the required diluent, carrier or vehicle. The quantity of active material is that calcu lated to produce the desired therapeutic elfect upon administration of one or more of such units in a single or multiple dose regimen.
Powders are prepared by comminuting gallic acid, a salt thereof or an ester thereof to a suitably fine size and mixing with a similarly comminuted diluent pharmaceutical carrier' such as an edible carbohydrate material as for example, starch. sweetening, flavoring, preservative, dispersing and coloring agents can also be present.
Capsules are made by preparing a powder mixture as described above and filling formed gelatin sheaths. A lubricant such as talc, magnesium stearate and calcium stearate can be added to the powder mixture as an ad juvant before the filling operation; a glidant such as colloidal silica may be added to improve flow properties; a disintegrating or solubilizing agent may be added to improve the availability of the medicament when the capsule is ingested.
Tablets are made by preparing a powder mixture, granulating or slugging, adding a lubricant and disintegrant and pressing into tablets. A powder mixture is prepared by mixing the compound, suitably comminuted, with a diluent or base such as starch, sucrose, kaolin, dicalcium phosphate and the like. The powder mixture can be granulated by wetting with a binder such as syrup, starch paste, acacia mucilage or solutions of cellulosic or polymeric materials and forcing through a screen. As an alternative to granulating, the powder mixture can be run through the tablet machine and the resulting imperfectly formed slugs broken into granules. The granules can be lubricated to prevent sticking to the tablet forming dies by means of the addition of stearic acid, a stearate salt, talc or mineral oil. The lubricated mixture is then compressed into tablets, the medicaments canialso be combined with free flowing inert carriers and compressed into tablets directly without going through the granulating or slugging steps. A protective coating consisting of a sealing coat of shellac,'a coating of sugar or polymericmaterial and a polish coating of wax can be provided. Dyestufl's can be added to these coatings to distinguish ditferent unit dosages.
Oral fluids such as syrups and elixirs can be prepared in unit dosage form so that a given quantity, e.g., a teaspoonful, contains a predetermined amount of the compound. Syrups can be prepared by dissolving the compound vin a suitably flavored aqueous sucrose solution while elixirs are prepared through the use of a non-toxic alcoholic vehicle. Suspensions can be formulated by dispersing the medicament in a non-toxic vehicle in which it is insoluble.
When utilized-alone, gallic acid, a salt thereof or an ester thereof is generally administered in a single or multiple dose regimen so that the patient receives a daily dose of from about mg./kg. to about 25 mgJkg. This range is however merely a guideline for in all cases the actual dose must be adjusted to the age, weight and condition of the patient and most importantly, titrated to the response observed. Thus, for example, for a human Ingredient:
' 'Whefi utiliied in conjunction with IrDOPA'therapy;
and then begin the administration of the gallic acid, salt,
or ester. In: this fashion, the required close of L-DOPA, which will vary from patient to patient, can be significantly reduced with, as described above, a significant reduction of elimination of side effects.
In the Practice of this method, one can employ gallic acid, a salt thereof or an alkyl ester thereof. The salts are those derived from alkali metals, alkaline earth metals or organic amines, such as the sodium, potassium, calcium and those of ammonia, ethylamine, triethylamine, ethanolamine, diethylarninoethanol, ethylenediamine, piperidine, morpholine, 2-(piperidino )-ethanol, benzylamine, procaine and the like. Esters are those derived from gallic acid and straight or branched chain alcohols having from 1 to 9 carbon atoms,-such as methyl gallate, ethyl gallate, n-propyl gallate, isopropyl gallate, n-butyl gallate, pentyl gallate, hexyl gallate, octyl gallate, nonyl gallate and the like. The preferred form of gallic acid for the practice of the present invention is the npropyl and n-butylesters.
The following examples will serve to further typify the nature ofthe present invention but should not be construed as a limitation thereof.
The lactose, corn starch and Cab-O-Sil are blended and granulated with an alcoholic solution of the stearic acid. This granulate is blended with the butyl gallate and the resulting blend is encapsulated in #0 capsules.
EXAMPLE 2 Quantity/capsule, mg. Butyl gallate 8O Corn starch 80 The two ingredients are thoroughly blended and encapsulated in #4 capsules.
of average weight of 70 kg, if an .initial daily dose of about 500- mg. does not produce a satisfactory response,
w g ss s qbss vsdt EXAMPLE 3 Ingredient: Quantity/capsule, mg. L-DOPA Butyl gallate 200 Corn starch 500 The foregoing ingredients are mixed and introduced into a two-piece #1 hard gelatin capsule.
The.L-DOPA,butyl gallate, corn starch and lactose .are thoroughly blended and granulated with a 10% aqueaus solution of gel'atinQThe Wet granulate is dried, screened and combined with the Cab-O-Sil and magnesiurn stearate. This mixture is pressed into tablets suitable for oral administration of 100 mg. of L-DOPA and 300 mg. of butyl gallate. The tablets may be scored to permit he admi is rat on of fractional doses EXAMPLE 5 Ingredient: Quantity/capsule, mg. L-DOPA 500 Propyl gallate 300 Corn starch 200 Lactose 200 Cab-O-Sil M5 400 Gelatin 5 Magnesium stearate 1 The foregoing ingredients are combined in accordance with the procedure described in Example 4 and pressed into tablets suitable for oral administration of 50 mg. of L-DOPA and 300 mg. of propyl gallate.
The first four ingredients are thoroughly mixed and granulated with a aqueous solution of soluble starch. This granulate is dried, mixed with magnesium stearate and pressed into tablet cores which are coated with sugar.
What is claimed is:
1. The method of treating involuntary movement disorders which comprises orally administering to a human suffering from such disorder in a single or multiple dosage regimen, a daily dose of from about 5 mg./kg. to about 25 mg./kg. of a compound of the formula:
HO 000R wherein R is hydrogen or alkyl of from 1 to 9 carbon atoms, or 'when R is hydrogen, a pharmaceutically acceptable non-toxic alkali metal, alkaline earth metal or organic amine salt thereof.
2. The method of claim 1 wherein R is propyl.
3. The method of claim 1 wherein R is butyl.
References Cited UNITED STATES PATENTS 3,462,534 8/1969 Greengard et a1 424308 STANLEY I. FRIEDMAN, Primary Examiner US. Cl. X.R.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US9629570A | 1970-12-08 | 1970-12-08 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US3729563A true US3729563A (en) | 1973-04-24 |
Family
ID=22256708
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US00096295A Expired - Lifetime US3729563A (en) | 1970-12-08 | 1970-12-08 | Method of treating movement disorders |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3911137A (en) * | 1972-12-11 | 1975-10-07 | Sankyo Co | Process for preparing highly concentrated aqueous solution of a dopa compound |
| US3928589A (en) * | 1973-08-08 | 1975-12-23 | Upjohn Co | Novel method and compositions |
| US3984535A (en) * | 1970-07-24 | 1976-10-05 | L'oreal | Scalp deodorant composition |
| US20010047032A1 (en) * | 1999-12-30 | 2001-11-29 | Castillo Gerardo M. | Polyhydroxylated aromatic compounds for the treatment of amyloidosis and alpha-synuclein fibril diseases |
| EP1808169A2 (en) | 1999-12-30 | 2007-07-18 | Proteotech Inc. | Polyhydroxylated aromatic compounds for the treatment of amyloidosis and alpha-synuclein fibril diseases |
| WO2011091692A1 (en) * | 2010-01-29 | 2011-08-04 | 浙江大学 | Uses of benzoate and its derivatives |
-
1970
- 1970-12-08 US US00096295A patent/US3729563A/en not_active Expired - Lifetime
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3984535A (en) * | 1970-07-24 | 1976-10-05 | L'oreal | Scalp deodorant composition |
| US3911137A (en) * | 1972-12-11 | 1975-10-07 | Sankyo Co | Process for preparing highly concentrated aqueous solution of a dopa compound |
| US3928589A (en) * | 1973-08-08 | 1975-12-23 | Upjohn Co | Novel method and compositions |
| US20010047032A1 (en) * | 1999-12-30 | 2001-11-29 | Castillo Gerardo M. | Polyhydroxylated aromatic compounds for the treatment of amyloidosis and alpha-synuclein fibril diseases |
| EP1808169A2 (en) | 1999-12-30 | 2007-07-18 | Proteotech Inc. | Polyhydroxylated aromatic compounds for the treatment of amyloidosis and alpha-synuclein fibril diseases |
| EP1808169A3 (en) * | 1999-12-30 | 2008-03-19 | Proteotech Inc. | Polyhydroxylated aromatic compounds for the treatment of amyloidosis and alpha-synuclein fibril diseases |
| WO2011091692A1 (en) * | 2010-01-29 | 2011-08-04 | 浙江大学 | Uses of benzoate and its derivatives |
| CN103118677A (en) * | 2010-01-29 | 2013-05-22 | 浙江大学 | Application of benzoate and its derivatives |
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