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
  • A61K31/56—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
• • 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
  • A61K31/567—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 substituted in position 17 alpha, e.g. mestranol, norethandrolone
• • 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
  • A61K31/57—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
• • 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
• • 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
  • A61P15/18—Feminine contraceptives
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P17/00—Drugs for dermatological disorders
  • A61P17/08—Antiseborrheics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P17/00—Drugs for dermatological disorders
  • A61P17/10—Anti-acne agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P17/00—Drugs for dermatological disorders
  • A61P17/14—Drugs for dermatological disorders for baldness or alopecia
• • 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
  • A61P5/26—Androgens
• • 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
  • A61P5/30—Oestrogens
• • 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
  • A61P5/34—Gestagens

Definitions

• the present invention relates to the use of a combination of ethinylestradiol and chlormadinone acetate for the manufacture of a medicament contemporaneously for the treatment of androgen induced disorders and for hormone replacement therapy and for the treatment of dysmenorrhoea and menstrual stabilization and for the treatment of menstrual cycle related disorders and contraception
• EP-A-0 398 460 is already a hormonal combination preparation for. Treatment of some of these complaints, especially in the pre- or perimenopause and described with a reliable contraceptive protection.
• This preparation is suitable for women who suffer from high blood pressure, as the progestin component acts against it.
• This object is achieved by the use of a combination of ethinylestradiol and chlormadinone acetate for the manufacture of a medicament contemporaneously for the treatment of androgen induced disorders and hormone replacement therapy and for the treatment of dysmenorrhea and menstrual stabilization and for the treatment of menstrual cycle related disorders and contraception used in women, solved.
• a hormone replacement therapy especially for the treatment of vasomotor symptoms, especially in the pre- and perimenopause, such as hot flashes, sweating and / or insomnia
• Dysmenorrhea and menstrual disorders especially premenstrual syndrome, often associated with headache and / or migraine.
• the progestin chlormadinone acetate used in the hormone combination is also particularly suitable for combating menstrual disorders, in particular premenstrual syndrome and associated headaches and / or migraine, and for the treatment of dysmenorrhoea.
• the drug comprising a combination of ethinylestradiol and chlormadinone acetate is also particularly suitable because of the broad spectrum of efficacy listed above for the treatment of women over the age of 35 years, preferably of women in pre- and perimenopause with the mentioned complaints in addition to effective contraception.
• the medicament used according to the invention is preferably formulated in the form of tablets.
• it will be especially in the form of at least 21 hormone-containing daily units that become an uninterrupted, oral Intake are thought to be provided, optionally in combination with 7 to 3 hormone-free daily units.
• the drug in the form of hormone-containing daily units for continuous administration over several years, preferably up to 2 years, more preferably up to one year, optionally in combination with 7 bis 3 hormone-free daily units are provided.
• the medicament prepared according to the invention can also be administered in a dosage form containing less than 365 hormone-containing daily units, such as, for example, B. with 77 to 193 or 42 to 52 hormone-containing daily units for uninterrupted administration, optionally in combination with 7 to 3 hormone-free daily units are prepared.
• 365 hormone-containing daily units such as, for example, B. with 77 to 193 or 42 to 52 hormone-containing daily units for uninterrupted administration, optionally in combination with 7 to 3 hormone-free daily units are prepared.
• the oral dosage form containing the above-listed hormone-containing daily units and the optional hormone-free daily units may also be present as a kit comprising several of these dosage forms for continued use interrupted by the intake of hormone-free daily units or a corresponding intake break.
• each of the hormone-containing daily units has the same amount of ethinyl estradiol or chlormadinone acetate, i. H. both the amount of ethinylestradiol and chlormadinone acetate is kept constant over a single intake cycle.
• the hormone-containing daily units according to a 2-phase or 3-phase intake cycle over a period of 21 to 25 days in their content of ethinylestradiol or chlormadinone acetate in a known manner.
• a process for the preparation of a medicament comprising the hormone combination of ethinylestradiol and chlormadinone acetate and corresponding formulation processes for producing a dosage form, preferably an oral dosage form in the form of tablets, are known to the person skilled in the art.
• Ethinylestradiol (EE) and povidone K 30 (polyvinylpyrrolidone, PVP) were dissolved in 600 ml of ethanol. Chlormadinone acetate (particle size 90% ⁇ 50 microns), lactose and corn starch were mixed in a mixer / granulator (Diosna P25) for 5 min and then moistened with the ethanolic EE / PVP solution and mixed. The wet mass was forced through a 3 mm sieve and dried in a vacuum oven. The dry granules were deagglomerated through a 0.6 mm sieve, mixed with magnesium stearate and fumed silica and pressed on a tablet press with 5 mm punches into 50 mg tablets.
• the tablets were coated with a methylhydroxypropylcellulose-based varnish (e.g., Opadr YS-1-2184); Coating mass 2 mg per tablet.
• a methylhydroxypropylcellulose-based varnish e.g., Opadr YS-1-2184
• Example 2 Composition Per Tablet
• Ethinylestradiol (EE) and povidone K 30 (PVP) were dissolved in 600 ml of ethanol.
• Chlormadinone acetate (particle size 90% ⁇ 50 microns), lactose and corn starch were mixed in a mixer / granulator (Diosna P25) for 5 min and then moistened with the ethanolic EE / PVP solution and mixed.
• the wet mass was forced through a 3 mm sieve and dried in a vacuum oven.
• the dry granules were deagglomerated through a 0.6 mm sieve, mixed with magnesium stearate and fumed silica and pressed on a tablet press with 5 mm punches into tablets weighing 50 mg.
• the tablets were coated with a methylhydroxypropylcellulose-based lacquer having the following composition (coating composition 2 mg per tablet): methylhydroxypropylcellulose 6 mPa ⁇ s, 0.1351 kg
• Example 3 Composition per tablet
• Ethinylestradiol (EE) and povidone K 30 (PVP) were dissolved in 950 ml of ethanol.
• Chlormadinone acetate (particle size 90% ⁇ 50 microns), lactose and corn starch were mixed in a mixer / granulator (Diosna P25) for 5 min and then moistened with the ethanolic EE / PVP solution and mixed.
• the wet mass was forced through a 3 mm sieve and dried in a vacuum oven.
• the dry granules were deagglomerated through a 0.6 mm sieve, mixed with magnesium stearate and pressed on a tablet press with 6 mm punches into tablets weighing 80 mg.
• the tablets were coated with a coating based on methylhydroxypropylcellulose having a composition according to Example 2 (coating composition 2 mg per tablet)
• Ethinylestradiol (EE) and povidone K 30 (PVP) were dissolved in 950 ml of ethanol.
• Chlormadinone acetate (particle size 90% ⁇ 50 microns), lactose and corn starch were mixed in a mixer / granulator (Diosna P25) for 5 min and then moistened with the ethanolic EE / PVP solution and mixed.
• the wet mass was forced through a 3 mm sieve and dried in a vacuum oven.
• the dry granules were deagglomerated through a 0.6 mm sieve, mixed with magnesium stearate and pressed on a tablet press with 6 mm punches into tablets weighing 80 mg.
• the tablets were coated with a methylhydroxypropylcellulose-based lacquer having the following composition (coating composition 1 mg per tablet) of methylhydroxypropylcellulose 6 mPa ⁇ s, 0.068 kg

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• Health & Medical Sciences (AREA)
• Pharmacology & Pharmacy (AREA)
• Veterinary Medicine (AREA)
• Public Health (AREA)
• General Health & Medical Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• Chemical & Material Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Medicinal Chemistry (AREA)
• Chemical Kinetics & Catalysis (AREA)
• Engineering & Computer Science (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• General Chemical & Material Sciences (AREA)
• Organic Chemistry (AREA)
• Bioinformatics & Cheminformatics (AREA)
• Epidemiology (AREA)
• Endocrinology (AREA)
• Dermatology (AREA)
• Diabetes (AREA)
• Reproductive Health (AREA)
• Gynecology & Obstetrics (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
• Medicinal Preparation (AREA)

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• 2004
  • 2004-05-28 DE DE102004026669A patent/DE102004026669A1/de not_active Withdrawn
  • 2004-12-10 US US11/009,361 patent/US20050267081A1/en not_active Abandoned
• 2005
  • 2005-05-27 AR ARP050102211A patent/AR049195A1/es unknown
  • 2005-05-27 MX MXPA06013800A patent/MXPA06013800A/es active IP Right Grant
  • 2005-05-27 PE PE2005000595A patent/PE20060402A1/es not_active Application Discontinuation
  • 2005-05-27 EP EP05763426A patent/EP1753435A1/de not_active Ceased
  • 2005-05-27 BR BRPI0511864-6A patent/BRPI0511864A/pt not_active Application Discontinuation
  • 2005-05-27 AU AU2005247101A patent/AU2005247101B2/en active Active
  • 2005-05-27 WO PCT/EP2005/005764 patent/WO2005115402A1/de active Application Filing
  • 2005-05-27 RU RU2006145077/15A patent/RU2394579C2/ru active
• 2006
  • 2006-11-27 EC EC2006007030A patent/ECSP067030A/es unknown

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