US20080033050A1 - Method of treating thermoregulatory disfunction with paroxetine - Google Patents
Method of treating thermoregulatory disfunction with paroxetine Download PDFInfo
- Publication number
- US20080033050A1 US20080033050A1 US11/499,586 US49958606A US2008033050A1 US 20080033050 A1 US20080033050 A1 US 20080033050A1 US 49958606 A US49958606 A US 49958606A US 2008033050 A1 US2008033050 A1 US 2008033050A1
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- paroxetine
- compound
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- administered
- Prior art date
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- Abandoned
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- 238000000034 method Methods 0.000 title claims abstract description 20
- 230000001331 thermoregulatory effect Effects 0.000 title claims abstract description 18
- AHOUBRCZNHFOSL-UHFFFAOYSA-N Paroxetine hydrochloride Natural products C1=CC(F)=CC=C1C1C(COC=2C=C3OCOC3=CC=2)CNCC1 AHOUBRCZNHFOSL-UHFFFAOYSA-N 0.000 title claims description 41
- AHOUBRCZNHFOSL-YOEHRIQHSA-N (+)-Casbol Chemical compound C1=CC(F)=CC=C1[C@H]1[C@H](COC=2C=C3OCOC3=CC=2)CNCC1 AHOUBRCZNHFOSL-YOEHRIQHSA-N 0.000 title claims description 38
- 229960002296 paroxetine Drugs 0.000 title claims description 37
- 206010060800 Hot flush Diseases 0.000 claims abstract description 34
- 208000033830 Hot Flashes Diseases 0.000 claims abstract description 22
- 230000003054 hormonal effect Effects 0.000 claims abstract description 14
- 230000004064 dysfunction Effects 0.000 claims abstract description 13
- 206010029410 night sweats Diseases 0.000 claims abstract description 6
- 230000036565 night sweats Effects 0.000 claims abstract description 6
- 201000010099 disease Diseases 0.000 claims abstract description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 5
- 150000001875 compounds Chemical class 0.000 claims description 13
- 239000000935 antidepressant agent Substances 0.000 claims description 12
- 230000001430 anti-depressive effect Effects 0.000 claims description 11
- 229940005513 antidepressants Drugs 0.000 claims description 11
- 150000003839 salts Chemical class 0.000 claims description 6
- 239000012453 solvate Substances 0.000 claims description 6
- 239000000203 mixture Substances 0.000 claims description 4
- 230000009245 menopause Effects 0.000 abstract description 12
- 230000036760 body temperature Effects 0.000 abstract description 2
- 238000011282 treatment Methods 0.000 description 16
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical class CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 14
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 11
- 150000004682 monohydrates Chemical class 0.000 description 11
- 229940124834 selective serotonin reuptake inhibitor Drugs 0.000 description 11
- 239000003814 drug Substances 0.000 description 9
- 239000012896 selective serotonin reuptake inhibitor Substances 0.000 description 8
- 229940079593 drug Drugs 0.000 description 7
- 239000012458 free base Substances 0.000 description 7
- 230000000694 effects Effects 0.000 description 6
- 239000003112 inhibitor Substances 0.000 description 5
- 208000024891 symptom Diseases 0.000 description 5
- 239000002552 dosage form Substances 0.000 description 4
- QZAYGJVTTNCVMB-UHFFFAOYSA-N serotonin Chemical compound C1=C(O)C=C2C(CCN)=CNC2=C1 QZAYGJVTTNCVMB-UHFFFAOYSA-N 0.000 description 4
- 238000010317 ablation therapy Methods 0.000 description 3
- -1 anhydrous forms Chemical class 0.000 description 3
- 239000000262 estrogen Substances 0.000 description 3
- 229940011871 estrogen Drugs 0.000 description 3
- 229960005183 paroxetine hydrochloride Drugs 0.000 description 3
- 229960002073 sertraline Drugs 0.000 description 3
- VGKDLMBJGBXTGI-SJCJKPOMSA-N sertraline Chemical compound C1([C@@H]2CC[C@@H](C3=CC=CC=C32)NC)=CC=C(Cl)C(Cl)=C1 VGKDLMBJGBXTGI-SJCJKPOMSA-N 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 3
- 230000001457 vasomotor Effects 0.000 description 3
- QCQCHGYLTSGIGX-GHXANHINSA-N 4-[[(3ar,5ar,5br,7ar,9s,11ar,11br,13as)-5a,5b,8,8,11a-pentamethyl-3a-[(5-methylpyridine-3-carbonyl)amino]-2-oxo-1-propan-2-yl-4,5,6,7,7a,9,10,11,11b,12,13,13a-dodecahydro-3h-cyclopenta[a]chrysen-9-yl]oxy]-2,2-dimethyl-4-oxobutanoic acid Chemical compound N([C@@]12CC[C@@]3(C)[C@]4(C)CC[C@H]5C(C)(C)[C@@H](OC(=O)CC(C)(C)C(O)=O)CC[C@]5(C)[C@H]4CC[C@@H]3C1=C(C(C2)=O)C(C)C)C(=O)C1=CN=CC(C)=C1 QCQCHGYLTSGIGX-GHXANHINSA-N 0.000 description 2
- 102000040125 5-hydroxytryptamine receptor family Human genes 0.000 description 2
- 108091032151 5-hydroxytryptamine receptor family Proteins 0.000 description 2
- 206010006187 Breast cancer Diseases 0.000 description 2
- 208000026310 Breast neoplasm Diseases 0.000 description 2
- 229910019142 PO4 Inorganic materials 0.000 description 2
- 230000032683 aging Effects 0.000 description 2
- 230000002280 anti-androgenic effect Effects 0.000 description 2
- 230000001833 anti-estrogenic effect Effects 0.000 description 2
- 238000004090 dissolution Methods 0.000 description 2
- 239000000328 estrogen antagonist Substances 0.000 description 2
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 2
- 235000021317 phosphate Nutrition 0.000 description 2
- 230000000862 serotonergic effect Effects 0.000 description 2
- 229940076279 serotonin Drugs 0.000 description 2
- 239000003772 serotonin uptake inhibitor Substances 0.000 description 2
- 238000009097 single-agent therapy Methods 0.000 description 2
- 229940124597 therapeutic agent Drugs 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- SNICXCGAKADSCV-JTQLQIEISA-N (-)-Nicotine Chemical compound CN1CCC[C@H]1C1=CC=CN=C1 SNICXCGAKADSCV-JTQLQIEISA-N 0.000 description 1
- RTHCYVBBDHJXIQ-MRXNPFEDSA-N (R)-fluoxetine Chemical compound O([C@H](CCNC)C=1C=CC=CC=1)C1=CC=C(C(F)(F)F)C=C1 RTHCYVBBDHJXIQ-MRXNPFEDSA-N 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- 239000004135 Bone phosphate Substances 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- DNXHEGUUPJUMQT-CBZIJGRNSA-N Estrone Chemical compound OC1=CC=C2[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CCC2=C1 DNXHEGUUPJUMQT-CBZIJGRNSA-N 0.000 description 1
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical class CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 1
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 1
- 208000003698 Heroin Dependence Diseases 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-N Hydrogen bromide Chemical compound Br CPELXLSAUQHCOX-UHFFFAOYSA-N 0.000 description 1
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical class CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 1
- 206010027304 Menopausal symptoms Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000012902 Nervous system disease Diseases 0.000 description 1
- 208000025966 Neurological disease Diseases 0.000 description 1
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 1
- 206010060862 Prostate cancer Diseases 0.000 description 1
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 239000000556 agonist Substances 0.000 description 1
- OFYVIGTWSQPCLF-NWDGAFQWSA-N bicifadine Chemical compound C1=CC(C)=CC=C1[C@@]1(CNC2)[C@H]2C1 OFYVIGTWSQPCLF-NWDGAFQWSA-N 0.000 description 1
- 229950010365 bicifadine Drugs 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 208000015114 central nervous system disease Diseases 0.000 description 1
- 239000013043 chemical agent Substances 0.000 description 1
- 238000001311 chemical methods and process Methods 0.000 description 1
- 238000002648 combination therapy Methods 0.000 description 1
- 238000013270 controlled release Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 206010013663 drug dependence Diseases 0.000 description 1
- 229940106582 estrogenic substances Drugs 0.000 description 1
- JKKFKPJIXZFSSB-CBZIJGRNSA-N estrone 3-sulfate Chemical compound OS(=O)(=O)OC1=CC=C2[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CCC2=C1 JKKFKPJIXZFSSB-CBZIJGRNSA-N 0.000 description 1
- 229960002464 fluoxetine Drugs 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 238000002657 hormone replacement therapy Methods 0.000 description 1
- 150000004677 hydrates Chemical class 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-M hydrogensulfate Chemical compound OS([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-M 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 238000011221 initial treatment Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 229940049920 malate Drugs 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N malic acid Chemical compound OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000002858 neurotransmitter agent Substances 0.000 description 1
- 229960002715 nicotine Drugs 0.000 description 1
- SNICXCGAKADSCV-UHFFFAOYSA-N nicotine Natural products CN1CCCC1C1=CC=CN=C1 SNICXCGAKADSCV-UHFFFAOYSA-N 0.000 description 1
- 239000002767 noradrenalin uptake inhibitor Substances 0.000 description 1
- 229940126569 noradrenaline reuptake inhibitor Drugs 0.000 description 1
- 238000011275 oncology therapy Methods 0.000 description 1
- AEIUZSKXSWGSRU-QXGDPHCHSA-N paroxetine maleate Chemical compound OC(=O)\C=C/C(O)=O.C1=CC(F)=CC=C1[C@H]1[C@H](COC=2C=C3OCOC3=CC=2)CNCC1 AEIUZSKXSWGSRU-QXGDPHCHSA-N 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 1
- 208000028173 post-traumatic stress disease Diseases 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- CBQGYUDMJHNJBX-RTBURBONSA-N reboxetine Chemical compound CCOC1=CC=CC=C1O[C@H](C=1C=CC=CC=1)[C@@H]1OCCNC1 CBQGYUDMJHNJBX-RTBURBONSA-N 0.000 description 1
- 229960003770 reboxetine Drugs 0.000 description 1
- 238000009256 replacement therapy Methods 0.000 description 1
- 229940126570 serotonin reuptake inhibitor Drugs 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 1
- 229960004688 venlafaxine Drugs 0.000 description 1
- PNVNVHUZROJLTJ-UHFFFAOYSA-N venlafaxine Chemical compound C1=CC(OC)=CC=C1C(CN(C)C)C1(O)CCCCC1 PNVNVHUZROJLTJ-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- 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
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/445—Non condensed piperidines, e.g. piperocaine
-
- 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
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/445—Non condensed piperidines, e.g. piperocaine
- A61K31/4523—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
- A61K31/4525—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a five-membered ring with oxygen as a ring hetero atom
-
- 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
- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/357—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having two or more oxygen atoms in the same ring, e.g. crown ethers, guanadrel
- A61K31/36—Compounds containing methylenedioxyphenyl groups, e.g. sesamin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
- A61P15/12—Drugs for genital or sexual disorders; Contraceptives for climacteric disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/24—Drugs for disorders of the endocrine system of the sex hormones
Definitions
- the present invention relates to a method for treating a patient suffering from a thermoregulatory dysfunction, especially hot flashes and flushes associated with hormonal changes due to naturally occurring menopause (whether male or female) or due to chemically or surgically induced menopause.
- the method is also applicable to treating the hot flashes, hot flushes, or night sweats associated with disease states that disrupt normal hormonal regulation of body temperature.
- the invention further relates to use of paroxetine or a salt thereof.
- Hot flashes or flushes are most typically seen in women who are in the process of going through menopause, but are also seen in women who have undergone surgical or chemically induced menopause. They are also seen (less frequently) in men who are undergoing the so-called “male menopause” or who have undergone hormonal ablative therapy.
- the hot flashes and flushes are connected with a disruption of the hormonal control of thermoregulatory function.
- disease states which disrupt the normal hormonal control over thermoregulatory function also result in such hot flashes and flushes.
- thermoregulatory dysfunctions have been hormonal replacement therapy primarily because of the known substantial fluctuations in estrogen levels.
- serotonergic compounds such as serotonin receptor reuptake inhibitors
- norepinepherine type compounds particularly norepinepherine uptake inhibitors
- US 2006-0100263 relates to combinations of bicifadine and another drug for hot flashes.
- Paroxetine is one of the “other” drugs mentioned as suitable for the combination therapy.
- US 2006-0020015 claims the use of combinations of norepinepherine reuptake inhibitors in combination with serotonin reuptake inhibitors.
- the '015 application also mentions that selective serotonin reuptake inhibitors are being clinically evaluated in hot flashes and particularly mentions that fluoxetine is mentioned in this context in WO 9944601. US 2006-0020014 and US 2004-0130987 have similar disclosures.
- US 2004-1052710 mentions the use of serotonergic reuptake inhibitors in combination with norepinepherine reuptake inhibitors for the treatment of vasomotor symptoms (the class to which hot flashes and flushes belong) with paroxetine being specifically mentioned as one possible serotonin reuptake inhibitor.
- US 2002-0042432 (now U.S. Pat. No. 6,369,051) claims the combinations of estrogenic substances with a selective serotonin reuptake inhibitor (SSRI) and paroxetine is specifically mentioned as one of the potential SSRIs for use in the claimed invention.
- SSRI selective serotonin reuptake inhibitor
- sertraline (another SSRI) was found to be effective to some degree in hot flashes as a standalone therapy in Trott, et al
- Paroxetine is a well characterized molecule in the pharmaceutical and patent literature. Chemical processes for its manufacture are detailed in U.S. Pat. No. 4,861,893; U.S. Pat. No. 6,172,233; U.S. Pat. No. 6,326,496; U.S. Pat. No. 6,433,179; U.S. Pat. No. 6,541,637 U.S. Pat. No. 6,686,473; U.S. Pat. No. 6,716,985; U.S. Pat. No. 6,881,845; U.S. Pat. No. 6,900,327; and U.S. Pat. No. 6,956,121 to name a few.
- US 2002/0193406; US 2002/0035130; and US 2001/0023253 disclose particularly the mesylate salt, but also many others.
- US 2002/0090394 discloses controlled release compositions of paroxetine. Paroxetine has also been indicated for a wide range of treatments ranging from its use as an antidepressant (U.S. Pat. No. 4,007,196) to neurologic and mental disorders, (U.S. Pat. No. 5,470,846) to CNS disorders (U.S. Pat. No. 5,985,322) to treatments for nicotine withdrawal, premenstrual symptoms, post-traumatic stress disorder, heroin addiction, etc.
- an antidepressant U.S. Pat. No. 4,007,196
- neurologic and mental disorders U.S. Pat. No. 5,470,846
- CNS disorders U.S. Pat. No. 5,985,322
- Another object of the invention is to provide to a patient suffering from a thermoregulatory dysfunction a dosage form of paroxetine suitable for administration of from 0.1 mg/day to less than 10 mg/day.
- Still another object of the invention is to provide to a patient suffering from a thermoregulatory dysfunction a treatment thereof with paroxetine that substantially avoids most and/or substantially reduces the side effects typically obtained from an antidepressant effective amount of paroxetine.
- thermoregulatory dysfunction treatment using paroxetine as free base or a pharmaceutically acceptable salt thereof, in an anhydrate, a hydrate, or solvate form, in any non-crystalline or any crystalline polymorphic form of any of the foregoing in a dosage of from about 0.1 mg/day up to less than an antidepressant therapeutically effective amount of paroxetine.
- the present invention is a method of treating a thermoregulatory dysfunction treatment using paroxetine as free base or a pharmaceutically acceptable salt thereof, in an anhydrate, a hydrate, or solvate form, in any non-crystalline or any crystalline polymorphic form of any of the foregoing in a dosage of from about 0.1 mg/day up to less than an antidepressant therapeutically effective amount of paroxetine.
- the invention is also a dosage form of paroxetine in a dose which is less than that effective for its use as an antidepressant.
- paroxetine may be in the form of the free base or any pharmaceutically acceptable salt thereof.
- Pharmaceutically acceptable salts include, but are not limited to, hydohalides (such as hydrochloride, hydrobromide, hydroiodide), sufates (such as sulfate, bisulfate), phosphates (such as mono, di, or tri basic phosphate), oxalate, mesylate, tosylate, pamoate, citrate, carbonate, bicarbonate, maleate, malate, fumarate, as well as many others set forth in the patent references indicated in paragraph 0010 above.
- the paroxetine is present as the free base, the hydrochloride salt, or the mesylate salt or mixtures thereof. Most preferably the paroxetine is present as the hydrochloride salt or the mesylate salt.
- Paroxetine for use in the present invention may be in the anhydrate, hemihydrate, monohydrate, or higher hydrate forms. Paroxetine for use in the present invention may also be either amorphous or crystalline, the choice being made by the formulator depending upon the formulation and dissolution characteristics desired. Crystalline forms have better stability, but amorphous forms have faster dissolution profiles.
- the dosage is about 0.1 mg/day up to less than an antidepressant effective amount of paroxetine (based on the free base, anhydrate); preferably up to about 9.5 mg/day.
- the paroxetine can be administered to achieve the invention in amounts of at least 0.5 mg/day, more preferably at least 1 mg/day, still more preferably at least 2 mg/day, even more preferably at least 4 mg/day, up to preferably not more than about 9 mg/day, more preferably not more than about 8.5 mg/day, still more preferably not more than 8 mg/day.
- Non-limiting dosages that are specifically suitable for the present invention include 2 mg/day, 2.5 mg/day, 3 mg/day, 3.5 mg/day, 4 mg/day, 4.5 mg/day, 5 mg/day, 5.5 mg/day, 6 mg/day, 6.5 mg/day, 7 mg/day, 7.5 mg/day, 8 mg/day, and 8.5 mg/day.
- thermoregulatory dysfunction is applicable to the treatment of thermoregulatory dysfunction and in particular to such conditions (without limitation) as hot flushes, hot flashes, night sweats, etc. whether or not related to menopause (female or male), perimenopause, hormone ablative therapy (including, but not limited to, anti-estrogenic therapy and antiandrogenic therapy), treatments with other chemical agent or therapeutic agents that are antiestrogenic or antiandrogenic or interfere with thermoregulatory function, surgical procedures (such as, without limitation castration, hysterectomy, ooectomy, etc), and disease states interfering with normal thermoregulatory functioning.
- hormone ablative therapy including, but not limited to, anti-estrogenic therapy and antiandrogenic therapy
- treatments with other chemical agent or therapeutic agents that are antiestrogenic or antiandrogenic or interfere with thermoregulatory function surgical procedures (such as, without limitation castration, hysterectomy, ooectomy, etc), and disease states interfering with normal thermoregulatory functioning.
- the present invention is directed to the treatment of perimenopausal and postmenopausal hot flashes, hot flushes and night sweats in women, whether due to aging, therapeutically induced menopause, or surgically induced menopause.
- the invention is also preferably directed to hot flashes or hot flushes or night sweats in men whether such symptoms are due to aging, chemical castration, hormonal ablative therapy, or surgical castration.
- paroxetine based on free base non-solvate, anhydrate
- paroxetine based on free base non-solvate, anhydrate
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- Health & Medical Sciences (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Chemical & Material Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Epidemiology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Organic Chemistry (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Endocrinology (AREA)
- Reproductive Health (AREA)
- Diabetes (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Plural Heterocyclic Compounds (AREA)
Priority Applications (47)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/499,586 US20080033050A1 (en) | 2006-08-04 | 2006-08-04 | Method of treating thermoregulatory disfunction with paroxetine |
ES13190594T ES2699298T3 (es) | 2006-08-04 | 2007-07-31 | Método de tratamiento de la disfunción termorreguladora con paroxetina |
UAA200901871A UA96770C2 (uk) | 2006-08-04 | 2007-07-31 | Спосіб лікування розладу терморегуляторної функції за допомогою пароксетину |
LTEP07810919.6T LT2068881T (lt) | 2006-08-04 | 2007-07-31 | Termoreguliacinės disfunkcijos gydymo būdas su paroksetinu |
EP07810919.6A EP2068881B1 (fr) | 2006-08-04 | 2007-07-31 | Méthode pour traiter un dysfonctionnement de thermorégulation avec de la paroxétine |
JP2009522831A JP5846717B2 (ja) | 2006-08-04 | 2007-07-31 | パロキセチンによる体温調節機能障害の治療方法 |
ES07810919T ES2698207T3 (es) | 2006-08-04 | 2007-07-31 | Método de tratamiento de la disfunción termorreguladora con paroxetina |
PT07810919T PT2068881T (pt) | 2006-08-04 | 2007-07-31 | Método de tratamento de disfunção termorreguladora com paroxetina |
HUE07810919A HUE040481T2 (hu) | 2006-08-04 | 2007-07-31 | Eljárás hõszabályozás rendellenes mûködésének kezelésére paroxetinnel |
DK07810919.6T DK2068881T3 (en) | 2006-08-04 | 2007-07-31 | PROCEDURE FOR TREATING TERMOREGULATORY DYSFUNCTION WITH PAROXETIN |
MEP-2009-37A ME00592B (fr) | 2006-08-04 | 2007-07-31 | Méthode pour traiter un dysfonctionnement de thermorégulation avec de la paroxétine |
BRPI0715087-3A2A BRPI0715087A2 (pt) | 2006-08-04 | 2007-07-31 | Método de tratamento de disfunção termoregulatória com paroxetina |
DK13190594.5T DK2719385T3 (en) | 2006-08-04 | 2007-07-31 | Method of treating thermoregulatory dysfunction with paroxetine |
PL13190594T PL2719385T3 (pl) | 2006-08-04 | 2007-07-31 | Sposób leczenia dysfunkcji termoregulacji za pomocą paroksetyny |
PT13190594T PT2719385T (pt) | 2006-08-04 | 2007-07-31 | Método de tratamento de disfunção termorreguladora com paroxetina |
CNA2007800289306A CN101505759A (zh) | 2006-08-04 | 2007-07-31 | 使用帕罗西汀治疗体温调节障碍的方法 |
SG2011081056A SG176452A1 (en) | 2006-08-04 | 2007-07-31 | Method of treating thermoregulatory disfunction with paroxetine |
NZ574735A NZ574735A (en) | 2006-08-04 | 2007-07-31 | Method of treating thermoregulatory disfunction with paroxetine |
LTEP13190594.5T LT2719385T (lt) | 2006-08-04 | 2007-07-31 | Termoreguliacinės disfunkcijos gydymas paroksetinu |
PL07810919T PL2068881T3 (pl) | 2006-08-04 | 2007-07-31 | Sposób leczenia dysfunkcji termoregulacji za pomocą paroksetyny |
KR1020097004195A KR20090040453A (ko) | 2006-08-04 | 2007-07-31 | 파록세틴으로 체온 조절 기능 이상을 치료하는 방법 |
PCT/US2007/017062 WO2008019010A2 (fr) | 2006-08-04 | 2007-07-31 | Méthode pour traiter un dysfonctionnement de thermorégulation avec de la paroxétine |
SI200732079T SI2719385T1 (sl) | 2006-08-04 | 2007-07-31 | Metoda zdravljenja termoregulatorne disfunkcije s paroksetinom |
RU2009107739/15A RU2478379C2 (ru) | 2006-08-04 | 2007-07-31 | Способ лечения расстройства терморегуляции |
CA2659577A CA2659577C (fr) | 2006-08-04 | 2007-07-31 | Methode pour traiter un dysfonctionnement de thermoregulation avec de la paroxetine |
MX2009001275A MX2009001275A (es) | 2006-08-04 | 2007-07-31 | Método para el tratamiento de disfunción termorreguladora con paroxetina. |
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HUE13190594A HUE040099T2 (hu) | 2006-08-04 | 2007-07-31 | Eljárás termoregulációs zavar kezelésére paroxetinnel |
KR1020147020772A KR20140098865A (ko) | 2006-08-04 | 2007-07-31 | 파록세틴으로 체온 조절 기능 이상을 치료하는 방법 |
EP13190594.5A EP2719385B1 (fr) | 2006-08-04 | 2007-07-31 | Méthode pour traiter un dysfonctionnement de thermorégulation avec de la paroxétine |
KR1020157032729A KR20150132888A (ko) | 2006-08-04 | 2007-07-31 | 파록세틴으로 체온 조절 기능 이상을 치료하는 방법 |
RS20181386A RS58046B1 (sr) | 2006-08-04 | 2007-07-31 | Postupak lečenja termoregulacione disfunkcije paroksetinom |
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IL196844A IL196844A (en) | 2006-08-04 | 2009-02-02 | Paroxetine for use in the treatment of out-of-control thermal disorders |
NO20090639A NO343176B1 (no) | 2006-08-04 | 2009-02-10 | Fremgangsmåte for å behandle termoregulatorisk dysfunksjon med paroksetin |
US14/157,992 US8946251B2 (en) | 2006-08-04 | 2014-01-17 | Method of treating thermoregulatory dysfunction with paroxetine |
JP2014021171A JP5895009B2 (ja) | 2006-08-04 | 2014-02-06 | パロキセチンによる体温調節機能障害の治療方法 |
US14/276,494 US8859576B2 (en) | 2006-08-04 | 2014-05-13 | Method of treating thermoregulatory dysfunction with paroxetine |
US14/577,227 US9393237B2 (en) | 2006-08-04 | 2014-12-19 | Method of treating thermoregulatory dysfunction with paroxetine |
US15/211,074 US20170165251A1 (en) | 2006-08-04 | 2016-07-15 | Method of treating thermoregulatory dysfunction with paroxetine |
US15/785,769 US20200268733A9 (en) | 2006-08-04 | 2017-10-17 | Method of treating thermoregulatory dysfunction with paroxetine |
HRP20181893TT HRP20181893T1 (hr) | 2006-08-04 | 2018-11-14 | Metoda za liječenje termoregulatorne disfunkcije paroksetinom |
HRP20181925TT HRP20181925T1 (hr) | 2006-08-04 | 2018-11-19 | Metoda za liječenje termoregulatorne disfunkcije paroksetinom |
CY181101219T CY1120867T1 (el) | 2006-08-04 | 2018-11-19 | Μεθοδος αντιμετωπισης θερμορυθμιστικης δυσλειτουργιας με παροξετινη |
CY181101241T CY1120902T1 (el) | 2006-08-04 | 2018-11-23 | Μεθοδος αντιμετωπισης θερμορυθμιστικης δυσλειτουργιας με παροξετινη |
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US14/157,992 Active US8946251B2 (en) | 2006-08-04 | 2014-01-17 | Method of treating thermoregulatory dysfunction with paroxetine |
US14/276,494 Active US8859576B2 (en) | 2006-08-04 | 2014-05-13 | Method of treating thermoregulatory dysfunction with paroxetine |
US14/577,227 Active US9393237B2 (en) | 2006-08-04 | 2014-12-19 | Method of treating thermoregulatory dysfunction with paroxetine |
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US15/785,769 Abandoned US20200268733A9 (en) | 2006-08-04 | 2017-10-17 | Method of treating thermoregulatory dysfunction with paroxetine |
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US (7) | US20080033050A1 (fr) |
EP (2) | EP2719385B1 (fr) |
JP (2) | JP5846717B2 (fr) |
KR (3) | KR20150132888A (fr) |
CN (1) | CN101505759A (fr) |
AU (1) | AU2007282065B2 (fr) |
BR (1) | BRPI0715087A2 (fr) |
CA (1) | CA2659577C (fr) |
CY (2) | CY1120867T1 (fr) |
DK (2) | DK2068881T3 (fr) |
ES (2) | ES2698207T3 (fr) |
HR (2) | HRP20181893T1 (fr) |
HU (2) | HUE040099T2 (fr) |
IL (1) | IL196844A (fr) |
LT (2) | LT2068881T (fr) |
ME (1) | ME00592B (fr) |
MX (1) | MX2009001275A (fr) |
NO (1) | NO343176B1 (fr) |
NZ (1) | NZ574735A (fr) |
PL (2) | PL2719385T3 (fr) |
PT (2) | PT2719385T (fr) |
RS (2) | RS58046B1 (fr) |
RU (1) | RU2478379C2 (fr) |
SG (1) | SG176452A1 (fr) |
SI (2) | SI2719385T1 (fr) |
UA (1) | UA96770C2 (fr) |
WO (1) | WO2008019010A2 (fr) |
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US8859576B2 (en) | 2006-08-04 | 2014-10-14 | Noven Therapeutics, Llc | Method of treating thermoregulatory dysfunction with paroxetine |
US20160136148A1 (en) * | 2012-12-31 | 2016-05-19 | Noven Therapeutics, Llc | Solid dispersions of amorphous paroxetine mesylate |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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EP3284472B1 (fr) * | 2015-04-07 | 2021-06-02 | Meiji Co., Ltd. | Agent supprimant les bouffées de chaleur |
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2008
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