WO2000030715A1 - Composition contenant un analgesique et une xanthine ou un derive de xanthine - Google Patents
Composition contenant un analgesique et une xanthine ou un derive de xanthine Download PDFInfo
- Publication number
- WO2000030715A1 WO2000030715A1 PCT/HU1999/000079 HU9900079W WO0030715A1 WO 2000030715 A1 WO2000030715 A1 WO 2000030715A1 HU 9900079 W HU9900079 W HU 9900079W WO 0030715 A1 WO0030715 A1 WO 0030715A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- effect
- theobromine
- analgin
- antinociceptive
- analgesic
- Prior art date
Links
- 230000000202 analgesic effect Effects 0.000 title claims abstract description 28
- LRFVTYWOQMYALW-UHFFFAOYSA-N 9H-xanthine Chemical compound O=C1NC(=O)NC2=C1NC=N2 LRFVTYWOQMYALW-UHFFFAOYSA-N 0.000 title claims abstract description 26
- 239000000203 mixture Substances 0.000 title claims abstract description 7
- 229940075420 xanthine Drugs 0.000 title description 4
- YAPQBXQYLJRXSA-UHFFFAOYSA-N theobromine Chemical compound CN1C(=O)NC(=O)C2=C1N=CN2C YAPQBXQYLJRXSA-UHFFFAOYSA-N 0.000 claims abstract description 128
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 claims abstract description 82
- 229960004559 theobromine Drugs 0.000 claims abstract description 64
- GMSNIKWWOQHZGF-UHFFFAOYSA-N 3-methyl-9H-xanthine Chemical compound O=C1NC(=O)N(C)C2=C1N=CN2 GMSNIKWWOQHZGF-UHFFFAOYSA-N 0.000 claims abstract description 56
- DJGAAPFSPWAYTJ-UHFFFAOYSA-M metamizole sodium Chemical compound [Na+].O=C1C(N(CS([O-])(=O)=O)C)=C(C)N(C)N1C1=CC=CC=C1 DJGAAPFSPWAYTJ-UHFFFAOYSA-M 0.000 claims abstract description 53
- 229960005181 morphine Drugs 0.000 claims abstract description 41
- 150000001875 compounds Chemical class 0.000 claims abstract description 24
- RYQVRAILJXPCMZ-UHFFFAOYSA-N 3-methyl-7-[(5-methyl-1,2,4-oxadiazol-3-yl)methyl]purine-2,6-dione Chemical compound O1C(C)=NC(CN2C=3C(=O)NC(=O)N(C)C=3N=C2)=N1 RYQVRAILJXPCMZ-UHFFFAOYSA-N 0.000 claims abstract description 22
- DCOPUUMXTXDBNB-UHFFFAOYSA-N diclofenac Chemical compound OC(=O)CC1=CC=CC=C1NC1=C(Cl)C=CC=C1Cl DCOPUUMXTXDBNB-UHFFFAOYSA-N 0.000 claims abstract description 18
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 10
- 229960002065 drotaverine Drugs 0.000 claims abstract description 9
- 239000004480 active ingredient Substances 0.000 claims abstract description 8
- OROGSEYTTFOCAN-DNJOTXNNSA-N codeine Chemical compound C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC OROGSEYTTFOCAN-DNJOTXNNSA-N 0.000 claims abstract description 8
- OMFNSKIUKYOYRG-MOSHPQCFSA-N drotaverine Chemical compound C1=C(OCC)C(OCC)=CC=C1\C=C/1C2=CC(OCC)=C(OCC)C=C2CCN\1 OMFNSKIUKYOYRG-MOSHPQCFSA-N 0.000 claims abstract description 8
- CGIGDMFJXJATDK-UHFFFAOYSA-N indomethacin Chemical compound CC1=C(CC(O)=O)C2=CC(OC)=CC=C2N1C(=O)C1=CC=C(Cl)C=C1 CGIGDMFJXJATDK-UHFFFAOYSA-N 0.000 claims abstract description 6
- RMMXTBMQSGEXHJ-UHFFFAOYSA-N Aminophenazone Chemical compound O=C1C(N(C)C)=C(C)N(C)N1C1=CC=CC=C1 RMMXTBMQSGEXHJ-UHFFFAOYSA-N 0.000 claims abstract description 5
- HEFNNWSXXWATRW-UHFFFAOYSA-N Ibuprofen Chemical compound CC(C)CC1=CC=C(C(C)C(O)=O)C=C1 HEFNNWSXXWATRW-UHFFFAOYSA-N 0.000 claims abstract description 5
- 229960000212 aminophenazone Drugs 0.000 claims abstract description 5
- 229960001680 ibuprofen Drugs 0.000 claims abstract description 5
- 229940083747 low-ceiling diuretics xanthine derivative Drugs 0.000 claims abstract description 5
- RLFWWDJHLFCNIJ-UHFFFAOYSA-N Aminoantipyrine Natural products CN1C(C)=C(N)C(=O)N1C1=CC=CC=C1 RLFWWDJHLFCNIJ-UHFFFAOYSA-N 0.000 claims abstract description 4
- 239000000812 cholinergic antagonist Substances 0.000 claims abstract description 4
- 229960004126 codeine Drugs 0.000 claims abstract description 4
- OROGSEYTTFOCAN-UHFFFAOYSA-N hydrocodone Natural products C1C(N(CCC234)C)C2C=CC(O)C3OC2=C4C1=CC=C2OC OROGSEYTTFOCAN-UHFFFAOYSA-N 0.000 claims abstract description 4
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims abstract description 4
- 210000002460 smooth muscle Anatomy 0.000 claims abstract description 4
- 230000002048 spasmolytic effect Effects 0.000 claims abstract description 4
- 229960000905 indomethacin Drugs 0.000 claims abstract description 3
- BSYNRYMUTXBXSQ-FOQJRBATSA-N 59096-14-9 Chemical compound CC(=O)OC1=CC=CC=C1[14C](O)=O BSYNRYMUTXBXSQ-FOQJRBATSA-N 0.000 claims abstract 2
- 229960001259 diclofenac Drugs 0.000 claims description 13
- XQYZDYMELSJDRZ-UHFFFAOYSA-N papaverine Chemical compound C1=C(OC)C(OC)=CC=C1CC1=NC=CC2=CC(OC)=C(OC)C=C12 XQYZDYMELSJDRZ-UHFFFAOYSA-N 0.000 claims description 4
- 229930008281 A03AD01 - Papaverine Natural products 0.000 claims description 2
- -1 drotaverine theophylline-7-acetic acid salt Chemical class 0.000 claims description 2
- 229960001789 papaverine Drugs 0.000 claims description 2
- 239000000050 smooth muscle relaxant Substances 0.000 claims description 2
- 238000004806 packaging method and process Methods 0.000 claims 2
- 238000009472 formulation Methods 0.000 claims 1
- HEFNNWSXXWATRW-JTQLQIEISA-N dexibuprofen Chemical compound CC(C)CC1=CC=C([C@H](C)C(O)=O)C=C1 HEFNNWSXXWATRW-JTQLQIEISA-N 0.000 abstract description 20
- 230000003502 anti-nociceptive effect Effects 0.000 description 89
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 70
- 230000000694 effects Effects 0.000 description 70
- LPHGQDQBBGAPDZ-UHFFFAOYSA-N Isocaffeine Natural products CN1C(=O)N(C)C(=O)C2=C1N(C)C=N2 LPHGQDQBBGAPDZ-UHFFFAOYSA-N 0.000 description 35
- 229960001948 caffeine Drugs 0.000 description 35
- VJEONQKOZGKCAK-UHFFFAOYSA-N caffeine Natural products CN1C(=O)N(C)C(=O)C2=C1C=CN2C VJEONQKOZGKCAK-UHFFFAOYSA-N 0.000 description 35
- ZFXYFBGIUFBOJW-UHFFFAOYSA-N theophylline Chemical group O=C1N(C)C(=O)N(C)C2=C1NC=N2 ZFXYFBGIUFBOJW-UHFFFAOYSA-N 0.000 description 32
- 230000001965 increasing effect Effects 0.000 description 20
- 239000000730 antalgic agent Substances 0.000 description 17
- 238000012360 testing method Methods 0.000 description 17
- 229940035676 analgesics Drugs 0.000 description 16
- 229960000278 theophylline Drugs 0.000 description 15
- RZVAJINKPMORJF-UHFFFAOYSA-N Acetaminophen Chemical compound CC(=O)NC1=CC=C(O)C=C1 RZVAJINKPMORJF-UHFFFAOYSA-N 0.000 description 14
- 229960005489 paracetamol Drugs 0.000 description 14
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- 230000036407 pain Effects 0.000 description 11
- 241001465754 Metazoa Species 0.000 description 10
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 9
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- 241000699670 Mus sp. Species 0.000 description 6
- 230000036592 analgesia Effects 0.000 description 5
- 231100000673 dose–response relationship Toxicity 0.000 description 5
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- OIRDTQYFTABQOQ-KQYNXXCUSA-N adenosine Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O OIRDTQYFTABQOQ-KQYNXXCUSA-N 0.000 description 4
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- YSWISTPFRKANFF-UHFFFAOYSA-N 3,7-dimethylpurine-2,6-dione;lead Chemical compound [Pb].CN1C(=O)NC(=O)C2=C1N=CN2C YSWISTPFRKANFF-UHFFFAOYSA-N 0.000 description 2
- 239000002126 C01EB10 - Adenosine Substances 0.000 description 2
- 206010019233 Headaches Diseases 0.000 description 2
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 2
- 244000299461 Theobroma cacao Species 0.000 description 2
- 235000009470 Theobroma cacao Nutrition 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 2
- 229960005305 adenosine Drugs 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 210000003169 central nervous system Anatomy 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 230000002349 favourable effect Effects 0.000 description 2
- 231100000869 headache Toxicity 0.000 description 2
- 229910052749 magnesium Inorganic materials 0.000 description 2
- 239000011777 magnesium Substances 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
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- 231100000419 toxicity Toxicity 0.000 description 2
- 230000001988 toxicity Effects 0.000 description 2
- QCOZYUGXYJSINC-UHFFFAOYSA-N 1,3,7-trimethylpurine-2,6-dione Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C.CN1C(=O)N(C)C(=O)C2=C1N=CN2C QCOZYUGXYJSINC-UHFFFAOYSA-N 0.000 description 1
- XEHNLVMHWYPNEQ-UHFFFAOYSA-N 2,3-dihydro-1h-inden-2-amine;hydron;chloride Chemical compound Cl.C1=CC=C2CC(N)CC2=C1 XEHNLVMHWYPNEQ-UHFFFAOYSA-N 0.000 description 1
- HCYFGRCYSCXKNQ-UHFFFAOYSA-N 2-(1,3-dimethyl-2,6-dioxo-7-purinyl)acetic acid Chemical class O=C1N(C)C(=O)N(C)C2=C1N(CC(O)=O)C=N2 HCYFGRCYSCXKNQ-UHFFFAOYSA-N 0.000 description 1
- MGUBQPRSQWCLCX-UHFFFAOYSA-N 3,7-dimethylpurine-2,6-dione Chemical group CN1C(=O)NC(=O)C2=C1N=CN2C.CN1C(=O)NC(=O)C2=C1N=CN2C MGUBQPRSQWCLCX-UHFFFAOYSA-N 0.000 description 1
- RTAPDZBZLSXHQQ-UHFFFAOYSA-N 8-methyl-3,7-dihydropurine-2,6-dione Chemical class N1C(=O)NC(=O)C2=C1N=C(C)N2 RTAPDZBZLSXHQQ-UHFFFAOYSA-N 0.000 description 1
- 102000009346 Adenosine receptors Human genes 0.000 description 1
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- 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 1
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- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 1
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 description 1
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- PCTLYGKHPBZRCZ-UKLTVQOFSA-N maitotoxin-3 Chemical compound C[C@H]1CC[C@H]2O[C@@]3(C)C[C@H]4O[C@H]5C[C@H]6O[C@](O)(C[C@@H](O)CO)[C@@H](O)[C@@H](OS(O)(=O)=O)[C@@H]6O[C@@H]5C=C[C@@H]4O[C@@H]3CC[C@@H]2O[C@@H]2C[C@@H]3O[C@]4(C)CC(=C)C[C@](C)(O[C@H]4C[C@H]3O[C@@H]12)[C@@H](O)CC(=O)CC\C=C(/C)C=C PCTLYGKHPBZRCZ-UKLTVQOFSA-N 0.000 description 1
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- 229940051201 quinoline yellow Drugs 0.000 description 1
- IZMJMCDDWKSTTK-UHFFFAOYSA-N quinoline yellow Chemical compound C1=CC=CC2=NC(C3C(C4=CC=CC=C4C3=O)=O)=CC=C21 IZMJMCDDWKSTTK-UHFFFAOYSA-N 0.000 description 1
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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
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
- A61K31/52—Purines, e.g. adenine
-
- 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
- A61K31/60—Salicylic acid; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
- A61P29/02—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID] without antiinflammatory effect
Definitions
- the invention relates to pharmaceutical compositions comprising as active ingredient an analgesic compound and a compound of xanthine sturcture.
- Analgesic compounds are divided pharmacologically into two main groups:
- Non-steroidal antiinfiammatory drugs, (NSAID) or minor analgesics are included.
- the minor analgesics are less potent in relieving pain than the major analgesics, but their side-effects are also considerably milder.
- the use of major analgesics is limited by the risk of physical dependence.
- the effect/side-effect ratio of the two pharmacological groups also sets bounds to their use.
- Minor analgesics serve to relieve everyday pain (headache, toothache, rheumathoid pain), while major analgesics are used for the treatment of pain connected with severe trauma, malignant tumours etc.
- Drug researchers have since long been striving to produce compounds of non-morphine structure the potency of which reaches that of major analgesics without causing physical dependence. This dream has so far not come through.
- caffeine (1,3,7- trimethyl-lH-purine-2,6-dion).
- the compound is found in largest quantities in the seeds of the coffee-shrub (Coffea arabica), in the leaves of the tea-shrub (Thea sinensis) and in cocoa powder prepared from the fruit of the cocoa-tree (Theobroma cacao).
- Caffeine was isolated from the seed of coffee-shrub and its chemical structure was determined in 1875 (Prog. Drug. Res. 31:273-313,1987).
- caffeine two other alkaloids of xanthine structure are also found in greater quantities in the above mentioned three plants.
- One of them is theophylline (1,3-dimethyl- lH-purine-2,6-dion), the other is theobromine (3,7-dimethyl-lH-purine-2,6-dion).
- the drawback of the use of caffeine is that its absolute contraindication is tachyarrhythmia, while its relative contraindications are ulcer, hyperthyreosis, hypertension and some neuropsychiatric diseases (Med. Monatsschr. Phar. 15,258-269.1992).
- N3 position has great importance from the aspect of the intensity of bronchodilator effect, while H substitution in position N7 leads to the decrease of bronchodilating effect.
- H substitution in position N9 H substitution as a rule causes general decrease of the effect, while substitution in position C8 may lead to the increase of antiallergic, adenosine antagonistic effects and the increase of toxicity (J. Allergy Clin. Immunol. 78:817-824,1986).
- caffeine, theophylline and theobromine their intensity varies according to the type of their effect. From the aspect of smooth muscle relaxant, adenosine receptor antagonistic, diuretic, cardiac and circulatory effects, the order of sequence is theophylline > caffeine > theobromine. From the aspect of central nervous system stimulant, skeletal muscle work increasing, gastric juice secretion increasing effect the order of sequence is caffeine > theophylline > theobromine. As it can be seen, caffeine and theophylline have significant pharmacologic effects, while according to our present knowledge, theobromine is the weakest among the three xanthine derivatives.
- the examinations were performed according to the method of D' Amour and Smith (J. Pharmacol. Exp. Ther. 72:74,1942).
- the principle of the method is that thermal radiation is directed to the tail of the animals and the latency period until the jerk of the tail is measured.
- the various analgesics prolong this latency period.
- the experiments were performed in male Wistar rats of 120-140 g.
- the animals were fixed so that thermal radiation should focus on the tip of their tail.
- An automatic analgesia meter was used for measuring the latency period of tail flick.
- the instrument turned out thermal radiation and stopped the digital clock measuring the latency period. In order to avoid tissue damage developing due to strong analgesic effect, thermal radiation was switched off in each case at periods twice as long as the control latency time.
- Morphine was dissolved in physiological saline for s.c. administration. CH-13584, theophylline and 3-methylxantine were administered in 1 % methylcellulose suspension to the animals.
- the volume injected was in each case 0,1 ml/100 g body -weight.
- the animals were starved for 16 hours but had access to tap water ad libitum.
- the two substances were administered simultaneously, while in case of p.o./s.c. combinations the s. c. administered substance was injected 30 minutes after p.o. treatment.
- Mature CFLP mice of both sexes, weighing 23-27 g were used for the experiments.
- the animals consumed a standard rodent laboratory diet (Charles River Co. Hungary) and tap water ad libitum except on the day of the experiment when they were starved for 16 hours before oral administration of the test substances and had access only to tap water.
- the mice were kept in a room of 22 ⁇ 2°C temperature, cyclic lighting. All experiments were performed at oral administration.
- a 1 % methylcellulose suspension was prepared from the test substances which was administered to the mice through a gastric tube in 0,1 ml/10 g body mass volume. (In case of the combinations, the powder mixture of the two components was suspended in methylcellulose).
- Witkin et al. Witkin, L. B., Heubner, C. F., Galdi, F., 0'Keefe, E. Spitaletta, P., and Plumer A. J., Pharmacology of 2-amino-indane hydrochloride (Su-8629) a potent non-narcotic analgesic, J. Pharmacol. Exp. Ther. 133,400408,1961) was used.
- the first measurement was performed 1 hour after the administration of the test substances.
- acetic acid was injected 2, 3, 4 and 5 hours after their administration and the degree of antinociceptive effect was determined in the function of time. Offset of the effect was assessed by stopping measurement in the groups where the number of writhes approached the control values (20-22 writhes/mouse).
- the time of the first of this measurement is considered as the offset of the effect.
- the results were represented in the form of time-effect curves and the effect-half-life values (tj /2 min.) were read.
- mice The examinations were performed in groups of 10 mice, at oral administration, after 16 hours starving.
- the toxicity of the test substance was determined alone and in their combinations with methylxanthines. Deaths were recorded hourly, then summarized after 24 hours.
- the degree of antinociceptive effect is expressed as the number of writhes/mouse and indicated as % of the control.
- the mean of pain reactions (writhes/mouse), standard deviation (SD) and standard error (SE) were calculated, then significance was calculated using the paired Student's "t" test, thereafter one factor analysis of variance of the significant values was performed.
- CH-13584 potentiated the antinociceptive effect produced by the oral ED50 (15 mg/kg) dose of morphine at several points of time and doses (Table III. 1.(2)). This potentiating effect proved significant 30, 60, 90 minutes after the combination of morphine with 100 mg/kg CH-13584 and 30, 45, 60, 90 minutes after its combination with 200 mg/kg CH-13584.
- CH-13584 also considerably prolonged its duration (Table 111.1.(10) compared to Table III.
- the half-life of the effect of 100 mg/kg analgin is 125 minutes.
- the combination of 100 mg/kg analgin with 5 mg/kg 3-methylxanthine increased the half-life to 220 minutes.
- the potentiating effect of 5 and 10 mg/kg theobromine was even more expressed when combined with 100 mg/kg analgin than found with the former ratio of combination. With its potentiation also the duration of the effect of analgin was prolonged (111.2.(9)).
- the half-life of the effect of 100 mg/kg analgin is 125 minutes.
- the combination of 100 mg/kg analgin with 10 mg/kg theobromine increased the half-life to 230 minutes.
- the half-life of the effect of 200 mg/kg analgin is 230 minutes, which was increased by the combination of 10 mg/kg theobromine to 285 minutes.
- Paracetamol in 50, 100 and 200 mg/kg doses showed short but dose-dependent antinociceptive effect.
- the 200 mg/kg dose which had 60 % effect, is already very near to the acute toxic range (Table 111.2.(11)).
- the half-life of the 20 mg/kg S(+)ibuprofen elicited antinociceptive effect was 105 min while in the combination with 5 mg/kg theobromine it increased to 260 min.
- the elevation of theobromine dose did not caused further increase in the half-life of antinociceptive effect.
- the antinociceptive effect elicited by 20 mg/kg p.o. dose of diclofenac was increased significantly by combining it with 5 mg/kg theobromine.
- This dose of theobromine not only increased but significantly prolonged the antinociceptive effect of diclofenac.
- Two other doses of theobromine (10 and 30 mg/kg) also prolonged the antinociceptive effect of 20 mg/kg diclofenac but less effectively than 5 mg/kg theobromine did it (Table 111.2.(20).
- 5 mg/kg theobromine increased and prolonged both the 30 and 50 mg/kg doses of diclofenac elicited antinociceptive effect, too.
- the antinociception potentiating effect of theobromine was weaker than in the case of 5 mg/kg theobromine (Table 111.2.(21), Table 111.2.(22).
- theobromine significantly increased the half-life of 20 mg/kg diclofenac elicited antinociceptive effect (120 min versus 300 min).
- the increase of theobromine dose in the combination did not produce further increase in the antinociceptive effect of S(+)ibuprofen.
- CH-13584 definitely increased and prolonged the effect of morphine. This phenomenon unanimously indicates that the compound may be suited to reduce the morphine doses of patients needing treatment with morphine. The acute and chronic side effects of morphine could thereby be reduced.
- the analgesia potentiating effect of theobromine becomes even more evident if the half life of the time course of the analgesic effect is compared in a group treated with 100 mg/kg analgin alone or in combination with caffeine or theobromine.
- the half-life (t] / ) of the analgesic effect of analgin is 125 minutes.
- the antinociceptive effect prolonging effect of theobromine is more evident in the combination with S(+)ibuprofen.
- the half-life of 20 mg/kg p.o. S(+)ibuprofen is 105 min.
- the half-life of the antinociceptive effect increased to 260 min.
- Our invention is a pharmaceutical composition
- a pharmaceutical composition comprising as active ingredient an analgesic compound and a compound of xanthine structure, where the ratio of the analgesic and the xanthine derivative is (1-20):1, advantageously 10:1.
- the preparations according to the invention contain as analgesic compound morphine, aminophenazone, analgin, acetyl-salicylyc acid, indomethacin, ibuprofen, diclophenac, codeine, preferably analgin, ibuprofen, codeine, as xanthine derivatives 3-methylxanthine, theobromine or CH-13584 (lH-purine-2,6-dion-3,7-dihydro-3-methyl-7-(5-methyl-l,2,4- oxadiazole-3-yl)methyl), preferably theobromine.
- the preparations of the invention may contain as further active ingredients a smooth muscle spasmolytic, preferably papaverine, drotaverine, or the theophylline-7-acetic acid salt of drotaverine.
- a smooth muscle spasmolytic preferably papaverine, drotaverine, or the theophylline-7-acetic acid salt of drotaverine.
- the above preparations may advantageously be used for the treatment of headache and bone pains of different origin, toothache, pain after tooth extraction, arthralgiae, ostealgiae, pains connected with surgical interventions and delivery, as well as milder pains caused by tumours.
- the preparations of the invention can be differently formulated:
- the three components are separately formulated, but in collective packing.
- the drug form may be tablet, dragee, lozenge, pill, capsule, suppository, cream, solution, drop, emulsion, injection, plaster, eye-drop.
- the preparations contain, beside the active ingredients the usual auxiliary substances.
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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Abstract
Priority Applications (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SK687-2001A SK6872001A3 (en) | 1998-11-25 | 1999-11-23 | Composition containing an analgesic and a xanthine or a xanthine derivative |
HU0202838A HUP0202838A3 (en) | 1998-11-25 | 1999-11-23 | Composition containing an analgesic and a xanthine or a xanthine derivative |
EEP200100281A EE200100281A (et) | 1998-11-25 | 1999-11-23 | Analgeetiline ravimkoostis |
PL99348631A PL348631A1 (en) | 1998-11-25 | 1999-11-23 | Composition containing an analgesic and a xanthine or a xanthine derivative |
EA200100581A EA004375B1 (ru) | 1998-11-25 | 1999-11-23 | Комбинация анальгетических лекарственных средств |
EP99957378A EP1131135A1 (fr) | 1998-11-25 | 1999-11-23 | Composition contenant un analgesique et theobromine |
AU15102/00A AU1510200A (en) | 1998-11-25 | 1999-11-23 | Composition containing an analgesic and a xanthine or a xanthine derivative |
HR20010403A HRP20010403A2 (en) | 1998-11-25 | 2001-05-25 | Composition containing an analgesic and a xanthine or a xanthine derivative |
BG105616A BG105616A (en) | 1998-11-25 | 2001-06-18 | Pharmaceutical compositions of analgesic effect |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
HU9802716A HUP9802716A3 (en) | 1998-11-25 | 1998-11-25 | Pharmaceutical composition of analgesic activity |
HUP9802716 | 1998-11-25 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2000030715A1 true WO2000030715A1 (fr) | 2000-06-02 |
Family
ID=89997413
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/HU1999/000079 WO2000030715A1 (fr) | 1998-11-25 | 1999-11-23 | Composition contenant un analgesique et une xanthine ou un derive de xanthine |
Country Status (12)
Country | Link |
---|---|
EP (1) | EP1131135A1 (fr) |
AU (1) | AU1510200A (fr) |
BG (1) | BG105616A (fr) |
CZ (1) | CZ20011847A3 (fr) |
EA (1) | EA004375B1 (fr) |
EE (1) | EE200100281A (fr) |
HR (1) | HRP20010403A2 (fr) |
HU (1) | HUP9802716A3 (fr) |
PL (1) | PL348631A1 (fr) |
SK (1) | SK6872001A3 (fr) |
WO (1) | WO2000030715A1 (fr) |
YU (1) | YU37001A (fr) |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2183115C1 (ru) * | 2001-06-29 | 2002-06-10 | Государственное унитарное предприятие Межбольничная аптека Медицинского центра Управления делами Президента Российской Федерации | Фармацевтическая композиция, обладающая спазмолитическим и анальгезирующим действием |
BG65576B1 (bg) * | 2002-04-17 | 2009-01-30 | ПИРИМОВА Румяна | Състав на болкоуспокояващо средство, по-специалнопри главоболие и мигрена |
WO2011058374A1 (fr) * | 2009-11-13 | 2011-05-19 | Biocopea Limited | Combinaison de médicament avec la théobromine et son utilisation en thérapie |
WO2013005226A1 (fr) * | 2011-07-04 | 2013-01-10 | Zota Health Care Ltd | Nouvelle composition pharmaceutique combinée contenant du diclofénac et ses procédés de fabrication et d'utilisation |
US8703158B2 (en) | 2009-06-16 | 2014-04-22 | Biocopea Limited | Theobromine for the treatment of cough |
US8853189B2 (en) | 2012-05-31 | 2014-10-07 | Prima Innovations, Llc | Antispasmodic 1,2-Diols and 1,2,3-triols |
AU2015201845B2 (en) * | 2009-11-13 | 2015-11-05 | Infirst Healthcare Limited | Drug combination with theobromine and its use in therapy |
US9308211B2 (en) | 2009-06-16 | 2016-04-12 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
US9314465B2 (en) | 2009-06-16 | 2016-04-19 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
US10016437B2 (en) | 2009-06-16 | 2018-07-10 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
Citations (3)
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WO1986003681A1 (fr) * | 1984-12-26 | 1986-07-03 | Abraham Sunshine | Produit a base d'analgesiques, d'anti-inflammatoires et de decontractants musculaires transosseux |
WO1995007103A1 (fr) * | 1993-09-07 | 1995-03-16 | The Procter & Gamble Company | Compositions contenant un sel d'acide amine d'un agent anti-inflammatoire non steroidien a base d'acide propionique et au moins un decongestionnant ou un expectorant ou un antihistaminique ou un antitussif |
WO1997049405A1 (fr) * | 1996-06-27 | 1997-12-31 | The Procter & Gamble Company | Composition de gel topique contenant une combinaison d'un mains et d'un derive de xanthine |
-
1998
- 1998-11-25 HU HU9802716A patent/HUP9802716A3/hu unknown
-
1999
- 1999-11-23 EA EA200100581A patent/EA004375B1/ru not_active IP Right Cessation
- 1999-11-23 CZ CZ20011847A patent/CZ20011847A3/cs unknown
- 1999-11-23 YU YU37001A patent/YU37001A/sh unknown
- 1999-11-23 EP EP99957378A patent/EP1131135A1/fr not_active Withdrawn
- 1999-11-23 WO PCT/HU1999/000079 patent/WO2000030715A1/fr not_active Application Discontinuation
- 1999-11-23 SK SK687-2001A patent/SK6872001A3/sk unknown
- 1999-11-23 PL PL99348631A patent/PL348631A1/xx unknown
- 1999-11-23 AU AU15102/00A patent/AU1510200A/en not_active Abandoned
- 1999-11-23 EE EEP200100281A patent/EE200100281A/xx unknown
-
2001
- 2001-05-25 HR HR20010403A patent/HRP20010403A2/hr not_active Application Discontinuation
- 2001-06-18 BG BG105616A patent/BG105616A/xx unknown
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
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WO1986003681A1 (fr) * | 1984-12-26 | 1986-07-03 | Abraham Sunshine | Produit a base d'analgesiques, d'anti-inflammatoires et de decontractants musculaires transosseux |
WO1995007103A1 (fr) * | 1993-09-07 | 1995-03-16 | The Procter & Gamble Company | Compositions contenant un sel d'acide amine d'un agent anti-inflammatoire non steroidien a base d'acide propionique et au moins un decongestionnant ou un expectorant ou un antihistaminique ou un antitussif |
WO1997049405A1 (fr) * | 1996-06-27 | 1997-12-31 | The Procter & Gamble Company | Composition de gel topique contenant une combinaison d'un mains et d'un derive de xanthine |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2183115C1 (ru) * | 2001-06-29 | 2002-06-10 | Государственное унитарное предприятие Межбольничная аптека Медицинского центра Управления делами Президента Российской Федерации | Фармацевтическая композиция, обладающая спазмолитическим и анальгезирующим действием |
BG65576B1 (bg) * | 2002-04-17 | 2009-01-30 | ПИРИМОВА Румяна | Състав на болкоуспокояващо средство, по-специалнопри главоболие и мигрена |
US10016437B2 (en) | 2009-06-16 | 2018-07-10 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
US9700561B2 (en) | 2009-06-16 | 2017-07-11 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
US9675618B2 (en) | 2009-06-16 | 2017-06-13 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
US8703158B2 (en) | 2009-06-16 | 2014-04-22 | Biocopea Limited | Theobromine for the treatment of cough |
US9314465B2 (en) | 2009-06-16 | 2016-04-19 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
US9308211B2 (en) | 2009-06-16 | 2016-04-12 | Infirst Healthcare Limited | Drug combinations and uses in treating a coughing condition |
CN102740853B (zh) * | 2009-11-13 | 2015-04-08 | 第一医疗保健有限公司 | 可可碱的药物组合及其在治疗中的用途 |
AU2015201845B2 (en) * | 2009-11-13 | 2015-11-05 | Infirst Healthcare Limited | Drug combination with theobromine and its use in therapy |
AU2010317668C1 (en) * | 2009-11-13 | 2016-02-11 | Infirst Healthcare Limited | Drug combination with theobromine and its use in therapy |
AU2010317668B2 (en) * | 2009-11-13 | 2015-01-22 | Infirst Healthcare Limited | Drug combination with theobromine and its use in therapy |
CN102740853A (zh) * | 2009-11-13 | 2012-10-17 | 比蔻匹亚有限公司 | 可可碱的药物组合及其在治疗中的用途 |
WO2011058374A1 (fr) * | 2009-11-13 | 2011-05-19 | Biocopea Limited | Combinaison de médicament avec la théobromine et son utilisation en thérapie |
WO2013005226A1 (fr) * | 2011-07-04 | 2013-01-10 | Zota Health Care Ltd | Nouvelle composition pharmaceutique combinée contenant du diclofénac et ses procédés de fabrication et d'utilisation |
US8853189B2 (en) | 2012-05-31 | 2014-10-07 | Prima Innovations, Llc | Antispasmodic 1,2-Diols and 1,2,3-triols |
Also Published As
Publication number | Publication date |
---|---|
HRP20010403A2 (en) | 2002-06-30 |
EA200100581A1 (ru) | 2001-12-24 |
HUP9802716A3 (en) | 2000-08-28 |
EP1131135A1 (fr) | 2001-09-12 |
HUP9802716A2 (hu) | 2000-06-28 |
HU9802716D0 (en) | 1999-01-28 |
EE200100281A (et) | 2002-08-15 |
PL348631A1 (en) | 2002-06-03 |
CZ20011847A3 (cs) | 2002-07-17 |
EA004375B1 (ru) | 2004-04-29 |
SK6872001A3 (en) | 2002-05-09 |
YU37001A (sh) | 2004-05-12 |
BG105616A (en) | 2002-01-31 |
AU1510200A (en) | 2000-06-13 |
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