DE3213139A1 - Compositions which dissolve urinary calculi - Google Patents
Compositions which dissolve urinary calculiInfo
- Publication number
- DE3213139A1 DE3213139A1 DE19823213139 DE3213139A DE3213139A1 DE 3213139 A1 DE3213139 A1 DE 3213139A1 DE 19823213139 DE19823213139 DE 19823213139 DE 3213139 A DE3213139 A DE 3213139A DE 3213139 A1 DE3213139 A1 DE 3213139A1
- Authority
- DE
- Germany
- Prior art keywords
- iron
- aluminum
- acid
- complexing
- calcium
- 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.)
- Withdrawn
Links
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
- A61K31/28—Compounds containing heavy metals
-
- 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
- A61K31/16—Amides, e.g. hydroxamic acids
-
- 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
- A61K31/275—Nitriles; Isonitriles
-
- 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
- A61K31/34—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
-
- 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
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
-
- 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
- A61K31/655—Azo (—N=N—), diazo (=N2), azoxy (>N—O—N< or N(=O)—N<), azido (—N3) or diazoamino (—N=N—N<) compounds
-
- 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
- A61K31/66—Phosphorus compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/06—Aluminium, calcium or magnesium; Compounds thereof, e.g. clay
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Inorganic Chemistry (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Die vorliegende Erfindung betrifft eine weitere Ausbildung der in der Patentanmeldung P 3< > **6 580.6 beschriebenen harnsteinauflösenden Mittel.The present invention relates to a further embodiment of the patent application P 3 < > ** 6 580.6 described urinary stone dissolving agents.
Aus der Patentanmeldung P 3° 46 580.6 ist bekannt, daß bestimmte Carbonsäuren oder Carbonsäurederivate bzw. Älhre Salze als kalziumbindende Mittel zur Pro- bzw. Metaphylaxe von Harnsteinen eingesetzt werden können.From the patent application P 3 ° 46 580.6 it is known that certain carboxylic acids or carboxylic acid derivatives or Ä Their salts may be employed as calcium-binding agents for process or metaphylaxis of urinary stones.
Überraschenderweise hat sich nunmehr herausgestellt, daß sowohl Kalziumoxalat als auch -phosphatsteine zum Teil mit Anfangsgewichten bis über 600 mg dann bevorzugt auflösen lassen, wenn die in der Hauptanmeldung erwähnten Verbindungen zusätzlich mit stark kalziumkomplexierenden und oxalatkomplexierenden Verbindungen gegeben werden. j Als kalziumkomplexierende Verbindungen sind insbesondere (DL-2,3-Butylendinitrilo)-tetraessigsäure, (1,2-Diphenyläthylendinitrilo)-tetraessigsäure,(trans-Cyclopentylendinitxj tetraessigsäure, 1,2,3-Tris-(N,N-bis(carboxymethyl)amino)-propan, (1-PhenyläthylendinitriIo)-tetraessigsäure, Triäthylentetraminhexaessigsäure, Tetraäthylenpentaaminohqtaessigsäure und trans-Diaminocyclohexan-Ν,Ν,Ν1,N'-tetraessigsäure eingesetzt werden, und zwar vorzugsweise als Alkalisalze oder als Magnesium-, Aluminium-, Eiseno.der Zinksalze. Besonders vorteilhaft sind bei allen Komplexonen Natrium- Kalium- Magnesiumsalze, bei dem die Kationen in ihrem stöchiometrischen erhältnis entsprechend den Verhältnissen im Blutserum vorliegen. Aus physiologischen Überlegungen sind auch die Natriura-Surprisingly, it has now been found that both calcium oxalate and calcium phosphate stones, in some cases with initial weights of over 600 mg, can be dissolved preferentially when the compounds mentioned in the main application are given in addition with highly calcium-complexing and oxalate-complexing compounds. Calcium-complexing compounds are in particular (DL-2,3-butylenedinitrilo) tetraacetic acid, (1,2-diphenylethylenedinitrilo) tetraacetic acid, (trans-cyclopentylenedinitxj tetraacetic acid, 1,2,3-tris- (N, N-bis (carboxymethyl ) amino) propane, (1-phenylethylenedinitriIo) -tetraacetic acid, triethylenetetraminehexaacetic acid, tetraäthylenpentaaminohqtaacetic acid and trans-diaminocyclohexane-Ν, Ν, Ν 1 , N'-tetraacetic acid, aluminum, aluminum, or magnesium salts are used Of the zinc salts. Sodium, potassium and magnesium salts are particularly advantageous for all complexones, in which the cations are present in their stoichiometric ratio in accordance with the proportions in the blood serum.
BAD ORIGINALBATH ORIGINAL
Kalium- Magnesium- Kalziumsalze von Vorteil, da hier die Kationen den Serumkationen entsprechen. Das Vorhandensein des Kalziums im Molekül stört nicht, da im Harn eine fast doppelt so hohe Kalziumkonzentration als im Serum vorliegt und es außerdem an Hand der günstigeren Komple::konstante zum Magnesium- Kalzium-Austausch in den Natrium-Kalium-Magnesium-Kalziumkomplexonen kommt.Potassium, magnesium and calcium salts are beneficial here the cations correspond to the serum cations. The presence of calcium in the molecule does not interfere, since the calcium concentration in the urine is almost twice as high as in the serum and it is also based on the cheaper complex :: constant for magnesium-calcium exchange comes in the sodium-potassium-magnesium-calcium complexes.
Als oxalntkoraplexierende Spüllösungen können wasserlöslich physiologisch unbedenkliche Salze von Aluminium, Eisen, Lanthan, Neodym, Niob, Yttrium, Ytterbium, Cer, Neptunium, Samarium, Gadolinium, Zink, Mangan, Lutetium, Magnesium oder Strontium verwendet werden. Vorzugsweise werden Aluminium-Laktat, Aluminium-Citrat, Aluminium-Nitrat, Aluminium-Sulfat, Eisen-Citrat, Eisen-Kaliuracitrat, Eisen-Ammpniumcitrat, Eisen-Glukonat, Eisen-Laktat, Eisensalze der Glukose, Niob-Nitrat oder Lanthan-Nitrat verwendet.As oxaline-coraplexing rinsing solutions can be water-soluble physiologically harmless salts of aluminum, iron, lanthanum, neodymium, niobium, yttrium, ytterbium, cerium, neptunium, Samarium, gadolinium, zinc, manganese, lutetium, magnesium or strontium can be used. Preferably be Aluminum lactate, aluminum citrate, aluminum nitrate, aluminum sulfate, iron citrate, iron potassium uracitrate, Iron ammonium citrate, iron gluconate, iron lactate, Iron salts of glucose, niobium nitrate or lanthanum nitrate are used.
Zusätzlich zu diesen Verbindungen können zur Lockerung der organischen Steinroatrix auch Gallensäuren und Lezithin und als Kristallisationsheinmer auch Chondroitinsulfat und Natiium-Pyrophosphat bzw. Natrium-Polyphogphat eingesetzt werden.In addition to these compounds, bile acids and bile acids can also be used to loosen the organic stone matrix Lecithin and, as a crystallization inhibitor, also chondroitin sulfate and sodium pyrophosphate or sodium polyphosphate can be used.
Die kalzium- und oxalatkomplexierenden bzw. -bindenden Verbindungen werden in Mengen von 0,01 - 0,25 molar eingesetzt, wobei bei in vitro-Versuchen noch Erfolge mit 0,001 molaren Lösungen erzielt werden konnten. Insbesonde der Bereich zwischen 0,01 - 0,25 molar hat sich als günst erwiesen. Bei Substanzen ohne definiertes Molekulargewich wie beispielsweise Polyphosphaten ergibt sich ein Einsatzbereich von etwa 0,01 - 2o9i. Die zur Auflockerung der organischen Steinmatrix eingesetzten Gallensäuren werden in einer Geaamtkonzentration von etwa 5 g imThe calcium and oxalate complexing or binding compounds are in amounts of 0.01-0.25 molar used, whereby in in vitro tests it was still possible to achieve successes with 0.001 molar solutions. In particular the range between 0.01 and 0.25 molar has proven to be favorable. For substances without a defined molecular weight such as polyphosphates, a range of use of about 0.01-2o9i results. The one to loosen up The bile acids used in the organic stone matrix are in a total concentration of about 5 g im
BAD ORIGINALBATH ORIGINAL
Bereich von 0,1 - 20,0 g/l eingesetzt; bei Lezithin wird eine gesättigte bzw. bei Raumtemperatur nach mehrstündiger Äquilibrierung erzielte Gleichgewichtskonzentration verwendet. Range from 0.1 - 20.0 g / l used; lecithin becomes saturated or at room temperature equilibrium concentration achieved after several hours of equilibration is used.
Die erfindungsgemäß eingesetzten Lösungen können weiterhin zum Schutz des Urothels bestimmte makromolekulare Stoffe enthalten wie beispielsweise Albumin, Polyvinylpyrrolidon, Dextran, Polyvinylacetat, Polyvinylalkohol. Äthylenglykole mit einem mittleren j Molekulargewicht zwischen 2ooo - 4ooo, Sorbitol, Inulin, I Mannitol, Chondroitinsulfat oder andere Mucopolysaccharidi Diese Verbindungen werden der Lösung in Konzentrationen » von 0,1 - 5% zugegeben.The solutions used according to the invention can also contain certain macromolecular substances to protect the urothelium, such as Albumin, polyvinylpyrrolidone, dextran, polyvinyl acetate, polyvinyl alcohol. Ethylene glycols with a middle j Molecular weight between 2,000 - 4,000, sorbitol, inulin, I. Mannitol, chondroitin sulfate or other mucopolysaccharides These compounds are added to the solution in concentrations of 0.1-5%.
Die Erfindung wird im folgenden anhand eines Beispieles näher erläutert:The invention is explained in more detail below using an example:
Bei den In-vitro-Versuchen wurde nach dem Verfahren gearbeitet, das in wissenschaftliche Informationen ' Fresinius,Nephrologie Heft 2/79 veröffentlicht wurde. ;In the in-vitro tests, the procedure used in scientific information ' Fresinius, Nephrologie Heft 2/79 was published. ;
Die Behandlung der Harnsteine erfolgte mit Lösungen, ι die umgerechnet 0,75 g/^g Körpergewicht TricarboSLylsäurer oder eine andere litholytisch wirkende Carbonsäure und (1,2 -Diphenyläthylendinitrilo)-tetraessigsäure in 0,25 molarer Konzentration und Aluminium-Laktat in 0,25 molarer Konzentration enthielten. Zur Lockerung der Steinmatrix wurden zusätzlich 0,1 g/l Taurocholsäure hinzugefügt.The urinary stones were treated with solutions, ι the equivalent of 0.75 g / ^ g body weight TricarboSylic acid or another carboxylic acid with a litholytic effect and (1,2-diphenylethylenedinitrilo) tetraacetic acid in 0.25 molar concentration and aluminum lactate in 0.25 molar concentration. To loosen up an additional 0.1 g / l taurocholic acid was added to the stone matrix.
Bei allen Versuchen ließ sich eine sehr starke Reduzierung der Konkremente, teilweise bis zur völligen Auflösung, feststellen.In all of the tests, a very strong reduction in calculus was found, in some cases even complete Resolution, notice.
BAD ORIGINAL C0PYBATH ORIGINAL C0 PY
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19823213139 DE3213139A1 (en) | 1980-12-11 | 1982-04-08 | Compositions which dissolve urinary calculi |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19803046580 DE3046580A1 (en) | 1980-12-11 | 1980-12-11 | Prophylactic and curative treatment of urinary calculi - by admin. of organic acid, dye, metal oxide, etc. |
DE19823213139 DE3213139A1 (en) | 1980-12-11 | 1982-04-08 | Compositions which dissolve urinary calculi |
Publications (1)
Publication Number | Publication Date |
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DE3213139A1 true DE3213139A1 (en) | 1983-10-20 |
Family
ID=25789637
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19823213139 Withdrawn DE3213139A1 (en) | 1980-12-11 | 1982-04-08 | Compositions which dissolve urinary calculi |
Country Status (1)
Country | Link |
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DE (1) | DE3213139A1 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0304689A2 (en) * | 1987-08-28 | 1989-03-01 | LEOPOLD PHARMA GESELLSCHAFT m.b.H. | Solution for use as a rinsing liquid in the destruction of the deposits extraneous to the body in human and animal tissues or in body cavities |
JP2005507369A (en) * | 2001-04-23 | 2005-03-17 | アノーメッド インコーポレイティド | Use of rare earth compounds for the prevention of kidney stone disease |
-
1982
- 1982-04-08 DE DE19823213139 patent/DE3213139A1/en not_active Withdrawn
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0304689A2 (en) * | 1987-08-28 | 1989-03-01 | LEOPOLD PHARMA GESELLSCHAFT m.b.H. | Solution for use as a rinsing liquid in the destruction of the deposits extraneous to the body in human and animal tissues or in body cavities |
DE3728814A1 (en) * | 1987-08-28 | 1989-03-30 | Lentia Gmbh | SOLUTION FOR USE AS A RINSING LIQUID IN THE DESTRUCTION OF NON-BODY DEPOSITS IN HUMAN AND ANIMAL TISSUES OR BODIES |
EP0304689A3 (en) * | 1987-08-28 | 1990-03-28 | Leopold & Co Chem Pharm | Solution for use as a rinsing liquid in the destruction of the deposits extraneous to the body in human and animal tissues or in body cavities |
JP2005507369A (en) * | 2001-04-23 | 2005-03-17 | アノーメッド インコーポレイティド | Use of rare earth compounds for the prevention of kidney stone disease |
US7192609B2 (en) * | 2001-04-23 | 2007-03-20 | Shire International Licensing B.V. | Use of rare earth compounds for the prevention of kidney stone disease |
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