DK160034B - PHARMACEUTICAL PREPARATION, PARTICULARLY FOR TREATMENT OF CARDIOVASCULAR DISORDERS - Google Patents

PHARMACEUTICAL PREPARATION, PARTICULARLY FOR TREATMENT OF CARDIOVASCULAR DISORDERS Download PDF

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Publication number
DK160034B
DK160034B DK416185A DK416185A DK160034B DK 160034 B DK160034 B DK 160034B DK 416185 A DK416185 A DK 416185A DK 416185 A DK416185 A DK 416185A DK 160034 B DK160034 B DK 160034B
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Denmark
Prior art keywords
alfuzosin
diltiazem
treatment
blood pressure
pharmaceutical preparation
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DK416185A
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Danish (da)
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DK416185A (en
DK160034C (en
DK416185D0 (en
Inventor
Icilio Cavero
Peter Hicks
Salomon Langer
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Synthelabo
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Publication of DK416185A publication Critical patent/DK416185A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/02Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/08Vasodilators for multiple indications
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

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  • Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Reproductive Health (AREA)
  • Endocrinology (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Nitrogen- Or Sulfur-Containing Heterocyclic Ring Compounds With Rings Of Six Or More Members (AREA)

Description

DK 160034BDK 160034B

iin

Den foreliggende opfindelse angår et farmaceutisk præparat især til behandling af cardiovasculære lidelser og urinblærelidelser, såsom hyperaktiv urinblære. Det farmaceutiske præparat ifølge opfindelsen indeholder alfuzosin 5 og diltiazem, som er anvendelige ved behandling af car diovasculære lidelser, især af hypertension af en hvilken som helst oprindelse, samt af angina pectoris.The present invention relates to a pharmaceutical composition in particular for the treatment of cardiovascular disorders and urinary bladder disorders such as hyperactive urinary bladder. The pharmaceutical composition of the invention contains alfuzosin 5 and diltiazem which are useful in the treatment of car diovascular disorders, especially of hypertension of any origin, and of angina pectoris.

Diltiazem med formlen: /0CH3Diltiazem of the formula: / OCH3

OISLAND

/ 0 0 ™r\ CH3 er kendt for sin virkning mod angina pectoris og sin 10 antihypertensive virkning./ 0 0 ™ r \ CH3 is known for its action against angina pectoris and its antihypertensive effect.

Alfuzosin med formlen: ch3 ch3oAJU« nh2 udviser ligeledes antihypertensiv virkning.Alfuzosin of the formula: ch3 ch3oAJU «nh2 also exhibits antihypertensive effect.

DK 16 O O 3 4 BDK 16 O O 3 4 B

22

Man har nu overraskende fundet, at der opnås en syner-gistisk antihypertensiv virkning når de to forbindelser kombineres. Den foreliggende opfindelse angår således et farmaceutisk præparat, som er ejendommeligt ved, 5 at det indeholder diltiazem og alfuzosin.It has now surprisingly been found that a synergistic antihypertensive effect is obtained when the two compounds are combined. The present invention thus relates to a pharmaceutical composition which is characterized in that it contains diltiazem and alfuzosin.

De farmaceutiske præparater ifølge den foreliggende opfindelse er blevet underkastet en serie af farmakologiske undersøgelser, som påviser deres værdifulde egenskaber indenfor det cardiovasculære område.The pharmaceutical compositions of the present invention have been subjected to a series of pharmacological studies demonstrating their valuable properties in the cardiovascular field.

10 Man har anvendt følgende afprøvningsmetoder: 1. Intravenøs afprøvning10 The following test methods have been used: 1. Intravenous testing

Man anæstetiserede SHR rotter med en alder over 5 måneder med natriumpentobarbital (60 mg/kg i.v.), og man forberedte dem således, at blodtrykket måles fra en kanyle 15 anlagt i carotidarterien.SHR rats were anesthetized with sodium pentobarbital (60 mg / kg i.v.) over 5 months of age and prepared to measure blood pressure from a cannula placed in the carotid artery.

De forbindelser, som skulle afprøves, blev indgivet intravenøst gennem femoralvenen.The compounds to be tested were administered intravenously through the femoral vein.

Man infunderede ad denne intravenøse vej lO^ug/kg/min. diltiazem eller det tilsvarende opløsningsmiddel i 45 20 minutter (opløsningsmidlet er destilleret vand inde holdende 0,9¾ NaCl).This intravenous route was infused 10 µg / kg / min. diltiazem or the corresponding solvent for 45 minutes (the solvent is distilled water containing 0.9¾ NaCl).

10 minutter senere indsprøjtede man alfuzosin (2^ug/kg/minά 5 minutter). Man målte de maksimale ændringer i blodtrykket efter indsprøjtningen af diltiazem, af alfuzosin 25 eller af de to kombineret.Ten minutes later, alfuzosin (2 µg / kg / min for 5 minutes) was injected. Maximum changes in blood pressure were measured after diltiazem injection, alfuzosin 25 or the two combined.

Diltiazem alene fremkalder en vedvarende sænkning af blodtrykket på 12,6 + 2,1 mm Hg (n=15).Diltiazem alone induces a sustained decrease in blood pressure of 12.6 + 2.1 mm Hg (n = 15).

DK 160034 BDK 160034 B

33

Under anvendelse af alfuzosin alene er sænkningen af blodtrykket på 19,7 + 4,7 mm Hg (n=6) efter afslutning af indgiften, og på 4,2 + 1,5 mm Hg 15 minutter senere.Using alfuzosin alone, the blood pressure decrease was 19.7 + 4.7 mm Hg (n = 6) after the end of administration, and 4.2 + 1.5 mm Hg 15 minutes later.

5 Med kombinationen diltiazem/alfuzosin er sænkningen af blodtrykket 58,4 + 7,8 mm Hg (n=7) ved afslutningen af tilførslen af alfuzosin, og den er stadig 15 minutter senere 48,7 + 8,7 mm Hg.With the diltiazem / alfuzosin combination, the lowering of blood pressure is 58.4 + 7.8 mm Hg (n = 7) at the end of the infusion of alfuzosin, and it is still 48.7 + 8.7 mm Hg 15 minutes later.

10 2. Afprøvning pr. os10 2. Testing per. U.S

Ved denne afprøvning pr. os anvendte man SHR han rotter i vågen tilstand, som havde en alder på mere end 5 måneder .In this test per. we used SHR he rats in wakefulness, who had an age of more than 5 months.

1515

Man målte kontinuert arterieblodtrykket og hjertets frekvens ud fra en arterie i halen, som var forsynet med en kanyle. Efter at arterieblodtrykket var stabiliseret (efter ca. 2 timer), modtog dyrene med peroral ind-20 gift i et rumfang på 5 ml/kg, enten 1 mg/kg alfuzosin, eller 12,5 mg/kg diltiazem, eller placebo (destilleret vand + 0,2¾ "Tween 80") eller også kombinationen diltiazem/ alfuzosin.Continuous arterial blood pressure and heart rate were measured from an artery fitted with a cannula. After arterial blood pressure stabilized (after about 2 hours), the animals received oral administration at a volume of 5 ml / kg, either 1 mg / kg alfuzosin, or 12.5 mg / kg diltiazem, or placebo (distilled water + 0.2¾ "Tween 80") or also the diltiazem / alfuzosin combination.

25 Den perorale indgift af 12,5 mg/kg diltiazem havde ikke nogen signifikant indflydelse på arterieblodtrykket eller på hjertets frekvens hos rotterne.The oral administration of 12.5 mg / kg diltiazem had no significant effect on arterial blood pressure or heart rate in the rats.

Alfuzosin (1 mg/kg p.o.) nedsætter i ringe udstrækning 30 arterieblodtrykket (-22 + 4 mm Hg efter 30 minutters forløb, idet det oprindelige blodtryk var 186 + 4 mm Hg; n = 9). 1 time efter behandlingen er denne parameter vendt tilbage til sin oprindelige værdi.Alfuzosin (1 mg / kg p.o.) to a minor extent decreases arterial blood pressure (-22 + 4 mm Hg after 30 minutes, the original blood pressure being 186 + 4 mm Hg; n = 9). 1 hour after treatment, this parameter has returned to its original value.

35 Kombinationen alfuzosin/diltiazem fremkalder en sænkning af arterieblodtrykket.The combination alfuzosin / diltiazem causes a decrease in arterial blood pressure.

DK 160034 BDK 160034 B

44

Den hypotensive aktivitet af denne kombination er maksimal 15 minutter efter behandling (-96 + 4 mm Hg; det oprindelige tryk = 195 + 5 mm Hg; n = 11).The hypotensive activity of this combination is maximal 15 minutes after treatment (-96 + 4 mm Hg; initial pressure = 195 + 5 mm Hg; n = 11).

5 1 time efter behandlingen er sænkningen stadig lig med 70¾ af den maksimale værdi.5 1 hour after treatment, the reduction is still equal to 70¾ of the maximum value.

4 timer efter behandlingen er sænkningen stadig svarende til 30¾ af den maksimale værdi.4 hours after treatment, the reduction is still equivalent to 30¾ of the maximum value.

1010

Hjertets frekvens ændres ikke signifikant hverken af de enkelte forbindelser eller ved kombinationen deraf.The heart rate is not significantly altered either by the individual compounds or by the combination thereof.

15 De ovenfor beskrevne resultater viser, at der foreligger en synergisme mellem de antihypertensive virkninger af diltiazem og af alfuzosin.The results described above show that there is a synergism between the antihypertensive effects of diltiazem and of alfuzosin.

De farmaceutiske forbindelser ifølge den foreliggende 20 opfindelse kan indeholde pr. doseringsenhed fra 25 til 160 mg diltiazem og fra 0,1 - 10 mg alfuzosin.The pharmaceutical compounds of the present invention may contain per dosage unit from 25 to 160 mg of diltiazem and from 0.1 to 10 mg of alfuzosin.

De kan foreligge i en hvilken som helst egnet form til peroral eller til parenteral indgift i kombination med 25 en hvilken som helst egnet excipiens.They may be in any suitable form for oral or parenteral administration in combination with any suitable excipient.

Den daglige dosering er af en sådan størrelse, at man indgiver fra 25 til 320 mg diltiazem og fra 0,2 til 20 mg alfuzosin.The daily dosage is such that administration of 25 to 320 mg of diltiazem and 0.2 to 20 mg of alfuzosin is administered.

30 3530 35

Claims (2)

1. Farmaceutisk præparat, kendetegnet ued, at det indeholder diltiazem 5 og alfuzosin.A pharmaceutical composition, characterized in that it contains diltiazem 5 and alfuzosin. 2. Farmaceutisk præparat ifølge krav 1, kendetegnet ved, at det pr. doseringsenhed indeholder 25 - 160 mg diltiazem og 0,1 - 10 mg alfuzosin. 10 15 20 25 30 35Pharmaceutical composition according to claim 1, characterized in that dosage unit contains 25 - 160 mg diltiazem and 0.1 - 10 mg alfuzosin. 10 15 20 25 30 35
DK416185A 1984-09-14 1985-09-13 PHARMACEUTICAL PREPARATION, PARTICULARLY FOR TREATMENT OF CARDIOVASCULAR DISORDERS DK160034C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR8414088A FR2570275B1 (en) 1984-09-14 1984-09-14 PHARMACEUTICAL COMPOSITIONS BASED ON DILTIAZEM AND ALFUSOZINE
FR8414088 1984-09-14

Publications (4)

Publication Number Publication Date
DK416185D0 DK416185D0 (en) 1985-09-13
DK416185A DK416185A (en) 1986-03-15
DK160034B true DK160034B (en) 1991-01-21
DK160034C DK160034C (en) 1991-06-17

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ID=9307716

Family Applications (1)

Application Number Title Priority Date Filing Date
DK416185A DK160034C (en) 1984-09-14 1985-09-13 PHARMACEUTICAL PREPARATION, PARTICULARLY FOR TREATMENT OF CARDIOVASCULAR DISORDERS

Country Status (11)

Country Link
EP (1) EP0178961B1 (en)
JP (1) JPS6172718A (en)
AU (1) AU574506B2 (en)
CA (1) CA1256031A (en)
DE (1) DE3579098D1 (en)
DK (1) DK160034C (en)
FR (1) FR2570275B1 (en)
HU (1) HU193448B (en)
IL (1) IL76377A (en)
NZ (1) NZ213465A (en)
ZA (1) ZA857057B (en)

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2421888A1 (en) * 1978-02-06 1979-11-02 Synthelabo ALKYLENE DIAMINE AMIDES AND THEIR APPLICATION IN THERAPEUTICS
JPS5970611A (en) * 1982-10-15 1984-04-21 Tanabe Seiyaku Co Ltd Drug composition

Also Published As

Publication number Publication date
EP0178961A1 (en) 1986-04-23
DE3579098D1 (en) 1990-09-13
FR2570275A1 (en) 1986-03-21
JPS6172718A (en) 1986-04-14
IL76377A (en) 1989-12-15
CA1256031A (en) 1989-06-20
DK416185A (en) 1986-03-15
AU574506B2 (en) 1988-07-07
AU4743085A (en) 1986-04-24
FR2570275B1 (en) 1986-11-21
DK160034C (en) 1991-06-17
DK416185D0 (en) 1985-09-13
EP0178961B1 (en) 1990-08-08
HU193448B (en) 1987-10-28
NZ213465A (en) 1988-06-30
HUT40569A (en) 1987-01-28
IL76377A0 (en) 1986-01-31
ZA857057B (en) 1986-06-25

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