DE3323321A1 - PROPHYLAXIS AND THERAPY OF CORONARY HEART DISEASES BY LOWERING THE OESTROGEN LEVEL - Google Patents
PROPHYLAXIS AND THERAPY OF CORONARY HEART DISEASES BY LOWERING THE OESTROGEN LEVELInfo
- Publication number
- DE3323321A1 DE3323321A1 DE19833323321 DE3323321A DE3323321A1 DE 3323321 A1 DE3323321 A1 DE 3323321A1 DE 19833323321 DE19833323321 DE 19833323321 DE 3323321 A DE3323321 A DE 3323321A DE 3323321 A1 DE3323321 A1 DE 3323321A1
- Authority
- DE
- Germany
- Prior art keywords
- estrogen
- prophylaxis
- therapy
- coronary heart
- heart diseases
- 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- Withdrawn
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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
- A61K31/13—Amines
- A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
- A61K31/138—Aryloxyalkylamines, e.g. propranolol, tamoxifen, phenoxybenzamine
-
- 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
- A61K31/365—Lactones
- A61K31/366—Lactones having six-membered rings, e.g. delta-lactones
-
- 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
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
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)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Die Erfindung betrifft die Prophylaxe und Therapie vonThe invention relates to the prophylaxis and therapy of
koronaren Herzkrankheiten durch Senkung des Östrogenspiegels. Koronare Herzkrankheiten gehören zu den häufigsten lebensbedrohenden Gefäßerkrankungen. Zur Behandlung dieser Krankheiten verwendet man mehrere Präparate, die einmal auf das Gefäßsystem erweiternd wirken, die die gestörte Sauerstoffversorgung des Herzmuskelgewebes (Myocard) verbessern und die dazu noch die Bildung von Blutgerinseln (Thrombozytenaggregation) verhindern sollen.coronary artery disease by lowering estrogen levels. Coronary Heart disease is one of the most common life-threatening vascular diseases. To the Treatment of these diseases uses several preparations that are specific to the The vascular system dilates the disturbed oxygen supply to the heart muscle tissue (Myocardium) and also the formation of blood clots (platelet aggregation) should prevent.
Darüber hinaus wird auch der Blutdruck medikamentös gesenkt.In addition, the blood pressure is lowered with medication.
Obwohl seit vielen Jahren bekannt ist, daß Männer mit koronaren Herzkrankheiten wie Angina pectoris, Koronarinsuffizienz, drohendem oder eingetretenem Herzinfarkt im Serum erhöhte Östrogenspiegel aufweisen, hat man noch niemals versucht, eine Behandlung vorzunehmen, bei der der Östrogenspiegel gesenkt wird.Although it has been known for many years that men have coronary artery disease such as angina pectoris, coronary insufficiency, impending or current heart attack have elevated levels of estrogen in the serum, one has never attempted a Carry out treatment that lowers estrogen levels.
Eine Behandlung durch Senkung des Ostrogenspiegeis wurde bisher nur bei Erkrankungen endokriner Driisen vorgesclllagen, zum Beispiel bei Mammakarzinom (US-Patent L235.',93, Endocrinology 100 (1977) 1634 - 1695), Prostatahyperplasie (DE-OS 2 817 157 und DE-OS 3 121 153) oder Oligospermie (J. Clin. End. and Met. 52 (19 97 - 902).Treatment by lowering the estrogen level has only been available so far in diseases of the endocrine gland, for example breast cancer (U.S. Patent L235. ', 93, Endocrinology 100 (1977) 1634-1695), prostatic hyperplasia (DE-OS 2 817 157 and DE-OS 3 121 153) or oligospermia (J. Clin. End. And Met. 52 (19 97-902).
Zur Senkung des Ustrogenspiegels kornmen Antifistrogene wie Tamoxifen und insbesondere Aromatasehemmer wie Testolacton infrage.Antifistrogens such as tamoxifen are used to lower the level of estrogen and especially aromatase inhibitors such as testolactone.
Es wurde nun gefunden, das bei Männern, die unter koronaren Herzkrankheiten leiden, durch Senkung des Serum-Ostrogenspiegels eine therapeutische Wirkung eintritt.It has now been found to do this in men who suffer from coronary artery disease a therapeutic effect occurs by lowering the serum estrogen level.
So beobachtet man beispielsweise bei Patienten mit frischem Herzinfarkt nach oraler Applikation von Tamoxifen oder Testolacton täglich einmal oder mehrmals eine deutliche Verbesserung des Allgemeinbefindens und eine deutliche Steigerung der Herzleistung im Infarktbereich. Die gesteigerte Ilerzleistung kann zum Beispiel durch Radioiso-201 topentechnik ( Thallium-Myocardszintigraphie) und/oder durch Aufnahme eines EKGs nachgewiesen werden.For example, one observes in patients with a recent heart attack after oral administration of tamoxifen or testolactone once or several times a day a significant improvement in general well-being and a significant increase the cardiac output in the infarct area. The increased output can for example by Radioiso-201 topentechnik (thallium myocardial scintigraphy) and / or by Recording of an EKG can be detected.
Die Dosierung des Antiöstrogens bzw. des Aromatasehemmers richtet sich nach der Art und Schwere der Herzkrankheit.The dosage of the anti-estrogen or the aromatase inhibitor is directed depending on the type and severity of the heart disease.
Im allgemeinen wird man mit einer täglichen Dosis eines Antiöstrogens, die der von 10 bis 200 mg Tamoxifen entspricht, oder eines Aromatasehemmers, die der von 50 bis 1000 mg Testolacton entspricht, auskommen.Generally, a daily dose of an anti-estrogen will be used which corresponds to that of 10 to 200 mg of tamoxifen, or an aromatase inhibitor which which corresponds to 50 to 1000 mg testolactone get along.
Bei männlichen Patienten mit Angina pectoris wurden zum Beispiel täglich zweimal 100 mg Testolacton per os verabreicht. Schon nach kurzer Behandlungszeit waren die Schmerzen geringer und nach 4 Wochen waren die Patienten völlig beschwerdefrei. Die erfindungsgemäßen Ostrogenspiegelsenker sind damit auch zur Prophylaxe der koronaren erzkrankheiten geeignet.In male patients with angina pectoris, for example, were daily 100 mg testolactone administered orally twice. Already after a short treatment time the pain was less and after 4 weeks the patients were completely symptom-free. The estrogen level reducers according to the invention are therefore also used for prophylaxis of the coronary arteries suitable for ore diseases.
Zur Prophylaxe und Therapie von koronaren Herzkrankheiten sind erfindungsgemäß alle Stoffe geeignet, die eine Senkung des Ostrogenspiegels bewirken. Zu diesen Stoffen zählen alle Antiöstrogene, die sowohl steroidal als auch nichtsteroidal sein können. Zu den am besten untersuchten nicht-steroidalen Antiöstrogenen zahlen: Tamoxifen ((Z)-2-/p-(1 ,2-Diphenyl-1-butenyl)-phenoxy7-N,N-dimethylethylamin) und dessen Salze, Clomifen (1-/p-(ß-diethylaminoethoxy)phenyl7-1 2-diphenylchlorethylen, Cyclofenil (Bis(p-acetoxyphenyl)cyclohexylidenmethan, Nafoxidin (1-(2-/6-(6-Methoxy-2-phenyl-3,1i-dihydro-1-naphthyl)phenoxz7-ethyl)-pyrrolidin, hydrochlorid u.a.For the prophylaxis and therapy of coronary heart diseases are according to the invention all substances are suitable that cause a lowering of the estrogen level. To this Substances include all antiestrogens that are both steroidal and nonsteroidal could be. Among the best-studied non-steroidal anti-estrogens: Tamoxifen ((Z) -2- / p- (1, 2-Diphenyl-1-butenyl) -phenoxy7-N, N-dimethylethylamine) and its salts, Clomiphene (1- / p- (ß-diethylaminoethoxy) phenyl7-1 2-diphenylchlorethylene, cyclofenil (Bis (p-acetoxyphenyl) cyclohexylidenemethane, nafoxidine (1- (2- / 6- (6-methoxy-2-phenyl-3,1i-dihydro-1-naphthyl) phenoxz7-ethyl) pyrrolidine, hydrochloride, etc.
Als Beispiele für steroidale Antiöstrogene seien 11a-Methoxy-17a-ethinyl-östradiol und 16ß-Ethylöstradiol genannt.Examples of steroidal antiestrogens are 11a-methoxy-17a-ethynyl-estradiol and 16ß-ethyl estradiol called.
Ein Übersichtsreferat über die "Pharmalogie der Antiöstrogene", in dem noch weitere Antiöstrogene abgehandelt werden, ist publiziert in "Gynäkologe" 12 (1979) 199 - 211, Springer-Verlag.A review lecture on the "Pharmalogy of Antiestrogens", in to which other antiestrogens are dealt with, is published in "Gynäkologe" 12 (1979) 199-211, Springer-Verlag.
Da die beim Manne vorhandenen Ostrogene vorwiegend aus der peripheren Aromatisierung von androgenen Hormonen stammen (Excerpta Medica 1979, 42 - 50 und J. Clin. Endocrinol.Since the estrogens present in men mainly come from the peripheral Aromatization originate from androgenic hormones (Excerpta Medica 1979, 42-50 and J. Clin. Endocrinol.
Metab. 27 (1967) 1103 - 1111), sind Aromatasehemmer zur Senkung des Ostrogenspiegels beim Manne besonders gut geeignet Durch Verabreichung von Aromatasehemmern wird die Bildung von biologisch wirksamen Ostrogenen (Östrogenbiosynthese) verhindert bzw. gehemmt. Erfindungsgemäß sind alle Aromatasehemmer geeignet, die die Ustrogenbiosynthese hemmen und selbst nur geringe oder keine östrogene oder andere hormonelle Wirkung entfalten. Aromatasehemmer gemäß vorliegender Erfindung sind zum Beispiel Testolacton (17a-Oxa-D-homo-androsta-1 ,4-dien-3,17-dion, Androst-4-en-4-ol-3,17-dion (Endocrinology 1UO (1977) 1684 - 1695), ester des Androst-4-en-4-ol-3,17-dions (US-Patent i 235 393).Metab. 27 (1967) 1103 - 1111), are aromatase inhibitors to lower the Especially suitable for men’s estrogen level. By administering aromatase inhibitors the formation of biologically active estrogens (estrogen biosynthesis) is prevented or inhibited. According to the invention, all aromatase inhibitors are suitable which promote estrogen biosynthesis inhibit themselves and have little or no estrogenic or other hormonal effects unfold. Examples of aromatase inhibitors according to the present invention are testolactone (17a-Oxa-D-homo-androsta-1, 4-diene-3,17-dione, androst-4-en-4-ol-3,17-dione (Endocrinology 1UO (1977) 1684 - 1695), ester of androst-4-en-4-ol-3,17-dione (US patent i 235 393).
Weitere geeignete Aromatasehemmer werden beschrieben beispielsweise in Endocrinology 92 (1973) 866 - 880, DE-OS 3 124 719 und US-Patent 4 289 762.Other suitable aromatase inhibitors are described, for example in Endocrinology 92 (1973) 866-880, DE-OS 3,124,719 and U.S. Patent 4,289,762.
Die Erfindung betrifft auch Mittel zur Senkung des Östrogenspiegels für die Prophylaxe und Therapie von koronaren erzkrankheiten bei Männern, wobei Antiöstrogene und insbesondere Aromatasehemmer zur Senkung des Ostrogenspiegels geeignet sind.The invention also relates to agents for lowering the level of estrogen for the prophylaxis and therapy of coronary ore diseases in men, whereby Anti-estrogens and especially aromatase inhibitors to lower estrogen levels are suitable.
Die Wirkstoffe (Östrogenspiegelsenker) können mit den in der galenischen Pharmazie üblichen Zusätzen, Trägersubstanzen und/oder Geschmackskorrigentien nach an sich bekannten Methoden zu den üblichen Applikationsformen verarbeitet werden, beispielsweise für die orale, perkutane oder parenterale Applikation.The active ingredients (estrogen level reducers) can be combined with those in the galenic Pharmaceutical usual additives, carrier substances and / or taste corrections methods known per se are processed into the usual application forms, for example for oral, percutaneous or parenteral administration.
Für die bevorzugte orale Applikation kommen insbesondere Tabletten, Dragees, Kapseln, Pillen, Suspensionen oder Lösungen infrage.For the preferred oral administration, tablets are particularly suitable, Dragees, capsules, pills, suspensions or solutions in question.
Die wie oben angegeben formulierten Arzneimittel enthalten vorzugsweise 10 - 100 mg Tamoxifen oder biologisch äquivalente Mengen eines anderen Antiöstrogens oder 50 - 200 mg Testolacton oder biologisch äquivalente engen eines anderen Aromatasehemmers.The medicaments formulated as indicated above preferably contain 10-100 mg of tamoxifen or biologically equivalent amounts of another anti-estrogen or 50-200 mg testolactone or biologically equivalent compounds of another aromatase inhibitor.
Beispiel 1 100,0 mg 17a-Oxa-D-homoandrosta-1,4-dien-3,17-dion (Testolacton) 80,5 mg Lactose 39,5 mg Maisstärke 2,5 mg Poly-N-Vinylpyrrolidon 25 2,0 mg Aerosil 0r m& Magnesiumstearat 225,0 mg Gesamtgewicht der Tablette, die in üblicher Weise auf einer Tablettenpresse hergestellt wird.Example 1 100.0 mg of 17a-Oxa-D-homoandrosta-1,4-diene-3,17-dione (testolactone) 80.5 mg lactose 39.5 mg corn starch 2.5 mg poly-N-vinylpyrrolidone 25 2.0 mg Aerosil 0r m & magnesium stearate 225.0 mg total weight of the tablet used in usual Way is made on a tablet press.
Beispiel 2 50,0 mg 17a-Oxa-D-homoandrosta-1 ,4-dien-3, 17-dion (Testolacton) 115,5 mg Lactose 54,5 mg Maisstärke 2,5 mg Poly-N-Vinylpyrrolidon 25 2,0 mg Aerosil 0,5 mg Magnesiumstearat 225,0 mg Gesamtgewicht der Tablette, die in üblicher Weise auf einer Tablettenpresse hergestellt wird.Example 2 50.0 mg of 17a-Oxa-D-homoandrosta-1, 4-diene-3, 17-dione (testolactone) 115.5 mg lactose 54.5 mg corn starch 2.5 mg poly-N-vinylpyrrolidone 25 2.0 mg Aerosil 0.5 mg magnesium stearate 225.0 mg total weight of the tablet, in the usual way is made on a tablet press.
Beispiel 3 Zusammensetzung einer öligen Lösung: 50,0 mg 17a-Oxa-D-homoandrosta-1,4-dien-3,17-dion (Testolacton) 378,4 mg Rizinusöl 643,6 mg Benzylbenzoat 1072,0 mg - 1 ml Lösung Die Lösung wird in eine Ampulle gefüllt und sterilisiert.Example 3 Composition of an oily solution: 50.0 mg of 17a-oxa-D-homoandrosta-1,4-diene-3,17-dione (Testolactone) 378.4 mg castor oil 643.6 mg benzyl benzoate 1072.0 mg - 1 ml of solution The solution is filled into an ampoule and sterilized.
Beispiel 4 Zusammensetzung einer Tablette: 20,0 mg (Z)-2-/p-(1,2-Diphenyl-1-butenyl)-phenoxy7-N,N-dimethyläthylamin (Tamoxifen) 120,5 mg Lactose 59,5 mg Maisstärke 2,5 mg Poly-N-Vinylpyrrolidon 25 2,0 mg Aerosil 0,5 mg Magnesiumstearat 205,0 mg Gesamtgewicht der Tablette, die in iiblicher Weise auf einer Tablettenpresse hergestellt wird.Example 4 Composition of a tablet: 20.0 mg (Z) -2- / p- (1,2-diphenyl-1-butenyl) -phenoxy7-N, N-dimethylethylamine (Tamoxifen) 120.5 mg lactose 59.5 mg corn starch 2.5 mg poly-N-vinylpyrrolidone 25 2.0 mg Aerosil 0.5 mg Magnesium Stearate 205.0 mg total weight of the tablet, the is produced in the usual way on a tablet press.
Claims (14)
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19833323321 DE3323321A1 (en) | 1983-06-24 | 1983-06-24 | PROPHYLAXIS AND THERAPY OF CORONARY HEART DISEASES BY LOWERING THE OESTROGEN LEVEL |
EP19840902507 EP0179062A1 (en) | 1983-06-24 | 1984-06-19 | Prophylaxis and therapy of coronary heart diseases by lowering the estrogen concentration |
JP50253684A JPS60501656A (en) | 1983-06-24 | 1984-06-19 | Prevention and treatment of coronary heart disease due to decreased estrogen levels |
PCT/DE1984/000137 WO1985000107A1 (en) | 1983-06-24 | 1984-06-19 | Prophylaxis and therapy of coronary heart diseases by lowering the estrogen concentration |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19833323321 DE3323321A1 (en) | 1983-06-24 | 1983-06-24 | PROPHYLAXIS AND THERAPY OF CORONARY HEART DISEASES BY LOWERING THE OESTROGEN LEVEL |
Publications (1)
Publication Number | Publication Date |
---|---|
DE3323321A1 true DE3323321A1 (en) | 1985-01-03 |
Family
ID=6202619
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19833323321 Withdrawn DE3323321A1 (en) | 1983-06-24 | 1983-06-24 | PROPHYLAXIS AND THERAPY OF CORONARY HEART DISEASES BY LOWERING THE OESTROGEN LEVEL |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0179062A1 (en) |
JP (1) | JPS60501656A (en) |
DE (1) | DE3323321A1 (en) |
WO (1) | WO1985000107A1 (en) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0310541A1 (en) * | 1987-10-01 | 1989-04-05 | Schering Aktiengesellschaft | Antigestagenic and antioestrogenic compounds for the introduction of labour and interruption of pregnancy, as well as for the treatment of gynecologic disorders |
EP0943328A2 (en) * | 1989-07-07 | 1999-09-22 | Endorecherche Inc. | Combination therapy for prophylaxis and/or treatment of benign prostatic hyperplasia |
WO2000045806A1 (en) * | 1999-02-03 | 2000-08-10 | Eli Lilly And Company | α1-ADRENERGIC RECEPTOR ANTAGONISTS |
EP1029540A2 (en) * | 1994-07-19 | 2000-08-23 | Pfizer Inc. | Use of droloxifene for the treatment of cardiovascular diseases |
US6423698B1 (en) | 1989-03-10 | 2002-07-23 | Endorecherche, Inc. | Combination therapy for the prophylaxis and/or treatment of benign prostatic hyperplasia |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5811447A (en) * | 1993-01-28 | 1998-09-22 | Neorx Corporation | Therapeutic inhibitor of vascular smooth muscle cells |
CA2162586C (en) * | 1993-05-13 | 2006-01-03 | David J. Grainger | Prevention and treatment of pathologies associated with abnormally proliferative smooth muscle cells |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4289762A (en) * | 1980-06-27 | 1981-09-15 | Merrell Dow Pharmaceuticals Inc. | 10-(1,2-Propadienyl) steroids as irreversible aromatase inhibitors |
US4322416A (en) * | 1980-06-27 | 1982-03-30 | Merrell Dow Pharmaceuticals Inc. | 10-Alkynyl steroids |
DE3121153A1 (en) * | 1981-05-22 | 1982-12-09 | Schering Ag, 1000 Berlin Und 4619 Bergkamen | "USE OF AROMATASE INHIBITORS FOR PROPHYLAXIS AND THERAPY OF PROSTATE HYPERPLASIA" |
-
1983
- 1983-06-24 DE DE19833323321 patent/DE3323321A1/en not_active Withdrawn
-
1984
- 1984-06-19 EP EP19840902507 patent/EP0179062A1/en not_active Withdrawn
- 1984-06-19 JP JP50253684A patent/JPS60501656A/en active Pending
- 1984-06-19 WO PCT/DE1984/000137 patent/WO1985000107A1/en not_active Application Discontinuation
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0310541A1 (en) * | 1987-10-01 | 1989-04-05 | Schering Aktiengesellschaft | Antigestagenic and antioestrogenic compounds for the introduction of labour and interruption of pregnancy, as well as for the treatment of gynecologic disorders |
US6423698B1 (en) | 1989-03-10 | 2002-07-23 | Endorecherche, Inc. | Combination therapy for the prophylaxis and/or treatment of benign prostatic hyperplasia |
EP0943328A2 (en) * | 1989-07-07 | 1999-09-22 | Endorecherche Inc. | Combination therapy for prophylaxis and/or treatment of benign prostatic hyperplasia |
EP0943328A3 (en) * | 1989-07-07 | 1999-12-08 | Endorecherche Inc. | Combination therapy for prophylaxis and/or treatment of benign prostatic hyperplasia |
EP1029540A2 (en) * | 1994-07-19 | 2000-08-23 | Pfizer Inc. | Use of droloxifene for the treatment of cardiovascular diseases |
EP1029540A3 (en) * | 1994-07-19 | 2001-05-16 | Pfizer Inc. | Use of droloxifene for the treatment of cardiovascular diseases |
WO2000045806A1 (en) * | 1999-02-03 | 2000-08-10 | Eli Lilly And Company | α1-ADRENERGIC RECEPTOR ANTAGONISTS |
US6410565B1 (en) | 1999-02-03 | 2002-06-25 | Eli Lilly And Company | α1-adrenergic receptor antagonists |
Also Published As
Publication number | Publication date |
---|---|
JPS60501656A (en) | 1985-10-03 |
EP0179062A1 (en) | 1986-04-30 |
WO1985000107A1 (en) | 1985-01-17 |
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