FR2918875A1 - Pillbox for use by person e.g. aged person, to take e.g. compressed tablet, has plate with receptacle disposed side by side in plane of case that stores drug, where drug is releasable from case towards receptacle using communication unit - Google Patents

Abstract

The pillbox has a support plate with a drug holding receptacle (1) disposed side by side in a same plane of a drug storing and distributing case that stores and distributes the drug (2). The drug is releasable from the case towards the receptacle using a communication unit arranged between the case and the receptacle and activated on a control. An electronic unit realizes the control of the communication unit. The communication unit is constituted of a central slot (16) located on a barrier arranged between the case and the receptacle.

Description

Ergonomic pill box

  The present invention relates to an ergonomic pill organizer for a regular medication intake facilitated and secure.

  Many people have to take medication daily and most often several times a day. In the majority of cases, people affected by these regular drug intake are elderly. Unfortunately they do not always have all their intellectual and memory faculties, nor all their motor faculties. Indeed, with age, fine motor skills become deficient, most often because of decreased visual acuity and / or tremors, especially hands. Numerous devices called pilluliers have been developed to facilitate the taking of appropriate treatments by the people concerned. They are currently the main tool available to patients to help them comply with their drug treatments.

  The most traditional pillbox consists of a simple box containing the drug or drugs to be taken by the person. However, such a device has many disadvantages, particularly when the person to be treated must take several different drugs and even more when the catch is repeated on the same day.

  Many risks of confusion and errors can then support this type of pillbox, confusions that can have serious consequences or even fatal.

  The US design patent US D473,372 proposes a pill device composed of several contiguous housings that can contain the different drugs. This device makes it possible to no longer mix the different drugs in the same housing and / or to allocate a dwelling to a catch of the day. Indeed, the drug intake is not necessarily the same throughout the day. Although such a device offers wider possibilities than conventional pillboxes, it does not offer easy handling for the elderly, nor a great reliability in taking medication.

  The patent FR2615494 describes a more sophisticated daily pillbox consisting of a mobile bin subdivided into m floors of n compartments each. Each compartment may receive one or more oral medications. Said mobile bin is inserted into a casing provided with windows and the delivery of drugs is made by concordance of said 1 compartment and said window after pivoting said bin in the envelope. Such a device although being very compact, does not offer reliability in the drug intake, nor in the closure of the device.

  Numerous devices offering greater modulations have been made later and in particular pilluliers allowing loading (filling) for the duration of treatment or for one or more weeks. For some people, help is needed to prepare and fill the pillbox. To avoid having to repeat the operation every day, weekly pillboxes were made. US Patent 4793492 describes a model of these types of pilluliers, namely 7 closed and contiguous compartments, each corresponding to one day of drug intake. An alternative embodiment allows that several weekly pill can be assembled. Such a pillbox however does not offer the possibility of several different catches per day depending on the time of day or evening. The US Patent 2005/0029156 and the pill pills known under the trade names such as Medica 7, Medi Memo and Anabox concern pillboxes provided for one week and containing 4 compartments per day for treatment taken possibly 4 times a day: morning, noon, evening and bedtime. These devices are all essentially the same way and have drawers compartmentalized into 4 slots. The patient's medications are placed in each compartment according to the time at which they are to be taken. The drawers are drawn and emptied during the day and then refilled once the pill organizer is empty. Such devices are extremely useful and interesting for people treated regularly.

  French Patent 2694272 describes a weekly pillbox with 4 compartments per day (morning, noon, evening and bedtime) containing drugs. By the actuation of a button, the bottom of the compartment containing said drugs can be opened, which drugs then fall into a space under all the compartments. A window located in a corner of said space under the compartments allows to enter them. Such a device lacks ergonomics because it has the disadvantage of requiring on the one hand a tilting of said pill to bring drugs in said window and on the other hand precise gestures to take the drugs in this narrow window. These movements are not always possible and especially in the elderly. In addition, with such a device, the person treated and often elderly may be wrong and take the evening before the lunch. It is obvious that such a pillbox does not have sufficient safety on the drug intake. The majority of commercially available pillboxes offer minimal footprint, convenience in use and filling, and good readability by the patient. On the other hand, they do not allow safety and reliability in taking medication. The currently available and previously described pilluliers face the difficulties of patients, often forced to take multiple drugs for multiple pathologies. that is to say problems handling the pillboxes and the medical information they convey, problems for seizure of tablets, capsules ..., problems of control of medication taken by the patient or his entourage.

  Non-adherence and inappropriate use of medication is a common problem for the chronically ill and the elderly. Some techniques and interventions have been used to facilitate medication adherence (social supports, educational devices designed to learn the consequences of non-compliance), recall devices (prospective) for treatment. Reminder devices are technically simple solutions, such as pillboxes, simple plastic boxes divided into sections. It appears, however, that these devices do not meet the physical and cognitive constraints of the elderly. Also the inventors have wanted to develop a pill device overcoming these disadvantages and having an ergonomic and secure.

  The weekly ergonomic pill organizer according to the present invention is an ergonomic weekly medicine dispenser adapted to the everyday life of people in difficulty with their medicinal treatments. It aims at facilitating the taking of drugs, by coordinating the taking action with a simple and clear chronological reading at the same time of the days of the week (Monday, Tuesday ...) and moments of catch during the day. -morning (morning, noon, evening and bedtime). In addition, it improves adherence in people with cognitive impairment. It is primarily intended for an elderly population whose motor skills can be affected (tremors, difficult handling ...)

  Thus the present invention relates to a pill pillar characterized in that it consists of a support plate comprising at least one storage and dispensing housing of at least one drug and at least one receptacle for taking said at least one drug arranged side by side side by side in the same plane, the at least one drug being releasable from the housing for storing and dispensing at least one drug to the receptacle for taking at least one drug by means of communication means arranged between them and operable on ordered.

  Preferably, said pill organizer comprises seven boxes for storing and dispensing at least one drug associated with seven receptacles for taking at least one drug and arranged side by side in the plane of the support plate. Said pill box according to this embodiment will then have a repeated alternation seven times of a storage housing and dispensing at least one drug attached to a receptacle for taking said at least one drug. Nevertheless, the number of storage and distribution boxes and the number of associated receptacle is not limiting. Thus, the pill organizer according to the present invention may be configured to contain as many casing associated with its receptacle as necessary for the patient, for example a housing-receptacle assembly, three or fourteen. It comprises at least one socket storage and distribution-socket receptacle assembly.

  Said pill box according to the present invention takes into account the constraints related to the understanding and control of the calendar information that is to say the organization of the dosages with reference to the indication of the seven days of the week (Monday, Tuesday, ...) and four times for the daily catch (morning, noon, evening and bed or night).

  In addition, said pill organizer takes into consideration the gestural constraints namely handling difficulties, especially for taking tablets, capsules ... in the receptacle for taking at least one drug. In addition, such a pill device overcomes the constraints related to the control of actual drug intake.

  And finally, the constraints of size and format of the drugs are considered in the design of an ergonomic pill organizer according to the present invention. In fact, tablets, capsules and other medications are not all of the same shape or size and the number of drugs per dose can vary greatly. Some people have to take 5-6 medications per shot. The capacity of the compartments according to the present invention may be at least 6 tablets / capsules per set time. The configuration of the compartments can of course be adapted according to the number of drugs to contain and their capacity can be increased.

  The pillbox makes it possible to translate the textual prescriptions into an organization of the taking of the drugs during the day and / or the week. It thus makes it possible to advantageously compensate for the difficulties of planning and controlling drug intake, while taking into account handling difficulties related to the age and / or disability of people undergoing treatment. One of the major advantages of The present invention resides in the fact that said ergonomic pill organizer also makes it possible to reduce as much as possible the risks of confusion, of error or of forgetfulness of drug taking, by highlighting the different actions of the patient, by organizing them rather than by by evading them. The pill dispenser according to the present invention has the advantage of being provided with a safety mechanism as to the delivery of the drugs and therefore to their setting. This safety mechanism can be provided by a detent on a rail on which slides the storage case and dispensing of at least one drug and this detent for stopping the storage and distribution box of at least one drug. This thus prevents the patient from taking multiple shots at the same time. In addition, a second safety mechanism is provided by the at least one receptacle for taking at least one drug. Indeed, this receptacle for taking at least one drug is configured with great ergonomics so that taking all drugs is as easy as possible for people treated. The receptacle receptacle has in the center a box for taking at least one drug, the dimensions of which are adapted to not only receive all the drugs coming from the storage and dispensing box of at least one drug but also to facilitate the gripping of the at least one drug. This grip box is hollow and is extended by the walls of the receptacle receptacle, at least two of said walls are inclined so as to further promote the gripping of the at least one drug. For people with particular difficulty in gripping, by sliding along the inclined wall, a drug can be brought to the edge of said pill The ergonomic pill device according to the present invention is deliberately not miniaturized to allow better handling by people using it. According to a preferred embodiment, it is organized in the form of a week-round, inserted into a box and consists of five main elements: at least one storage and dispensing unit for at least one drug, at least one rail, at least one receptacle for taking at least one medication, a support plate and a box.

  The pillbox according to the present invention will be described in more detail with reference to the drawings in which: FIG. 1 represents a perspective view of the ergonomic pill organizer according to the present invention.

  Figure 2 shows a perspective view of a storage case and dispensing of at least one drug in the closed position (Figure 2a) or open (Figure 2b).

  Figure 3 shows a technical diagram of a cross section at the front face of said storage housing and dispensing at least one drug.

  FIG. 4 represents a perspective view of a storage and dispensing box of at least one medicine and of the corresponding rail (FIG. 4a) and of a storage and dispensing housing of at least one drug fitted on a corresponding rail (Figure 4b).

  FIG. 5 is a perspective view of the support plate carrying a rail on which is fitted a housing for storing and dispensing at least one drug attached to the receptacle for taking at least one medication on Monday, said support plate being at above the box intended to contain it.

  Figure 6 shows a perspective view of the support plate, carrying seven receptacles for taking at least one drug, above the box.

  Figure 7 shows a technical diagram of a longitudinal section of the pillbox passing through the middle of the width of the pill and the front face of the cars is also central position. Figure 8 shows a top view of said pill organizer.

  Figure 9 is a perspective view of all the essential components of the pill organizer.

  A pill dispenser according to the present invention as illustrated in FIG. 1 comprises seven receptacles for taking 1 of at least one medicine carried by a support tray itself contained in a box 17. On each of these receptacle receptacles 1 of at least one medication is inscribed on a weekday in a defined language, preferably that of the user of said pillbox, the days beginning from Monday to end on Sunday, while retaining a flexible character according to the needs and the patient organization. Each receptacle for taking at least one drug 1 is associated, side by side and in one plane, with a storage and dispensing box of at least one drug 2 slidably mounted along a rail which is itself same parallel to the receptacle socket 1. This set described is a module that in Figure 1 is repeated seven times. The displacement of each storage and dispensing case of at least one drug 2 is in a gutter 3 oriented in the widthwise direction of said pillbox and contiguous to a receptacle for taking at least one drug 1. The first wall this gutter 3 is either an edge of said support plate attached to the box 17, or a solid partition between the receptacle for taking at least one drug 1 and the storage housing and distribution of at least one drug 2 next. The second wall of the gutter 3 constitutes a partition with a lumen 16 between the at least one storage and dispensing case of at least one drug 2 and the at least one receptacle for taking at least one drug 1. The walls of this gutter 3 can be integrated in the plate 10 and form a single piece with him but they can also be isolated parts and then added to form the device of the invention.

  FIG. 2 shows the detail of one of the seven storage and distribution boxes 2 of said pill box. On a weekly pill, the storage and distribution boxes 2 are the seven boxes in which the patient or the carer (pharmacist, nurse or a third person) can deposit at least one drug, for example at the beginning of the week or from the day corresponding to the beginning of the treatment. The pill dispenser according to the present invention comprises at least one storage and dispensing box 2, which consists of at least one compartment 4.

  In FIGS. 2a and 2b, it can be seen that each storage and distribution box 2 is divided into four compartments 4 corresponding to the four drug-taking moments of the day: morning, noon, evening and bedtime. Depending on the patient's treatment needs, said pill box may contain storage and dispensing boxes 2 having for example only two compartments corresponding for example to medication taken in the morning and evening. The at least one compartment 4 of the storage and distribution casing 2 has an inclined bottom 4a whose slope may possibly be adjusted to increase the capacity of said compartment 4. This inclination is adapted to allow on order a release of at least one drug from the storage and distribution box 2 to the associated receptacle receptacle 1 in the same plane. Each storage and distribution box 2 comprises a cover 5 carrying at least one inscription corresponding to at least one time of taking at least one drug. For example, these inscriptions may be: morning, noon, self! and bed yes night as in Figure 2a which also shows that at each of the four inscriptions of the lid 5, is associated with an icon or a drawing symbolizing each of these periods of the day and therefore taking medication. Each cover 5 is integral with the storage and distribution box 2 by a hinge 6 and for example closed by simply clipping through small tabs or grooves 20 existing on the underside of the cover 5 and being positioned on each side of the transverse partitions 21 Normally, the patient should not have to open the lid 5 to operate the pill organizer but this is still possible when needed. The storage and distribution box 2 further comprises a push button 7 on one side, preferably the front face. This pushbutton device 7 allows the patient to slide the storage and dispensing box 2 along the rail. This push button 7 is adapted to move the storage and dispensing box 2 manually. It has a good shape for a good grip. It projects from said case for storing and dispensing at least one medicine 2 and protrudes from the support plate and the box 17 (FIG. 1) in the direction of the height. This makes it possible to slide the at least one storage and distribution box 2 as soon as it is in its initial position, that is to say when it is in contact with the most frontal part of the rail on which he slides. Indeed, if the push button 7 did not protrude, the displacement of the storage and distribution box 2 in its initial position would not be easy. The sliding of said at least one storage and dispensing box 2 is made thanks to the presence of a mortise 8 which will be slipped on the rail 9. In the example described, the rail extends on a side wall of the gutter 3, for example on the left side wall.

  FIG. 3 is a technical diagram of a cross-sectional view at the front face of said storage and dispensing housing of at least one drug 2. This section allows a better visualization of the arrangement of the storage box and at least one drug 2. The push button 7 is located on top of the storage and dispensing case 2 and projecting from it upwards and only on its front face. The inclined bottom 4a is also clearly visible.

  The movement of the at least one storage and distribution box 2 can be done by manual control or by electronic means. Preferably, the present invention will be provided with manual control means, for example using the push button 7, the user thus maintaining a certain autonomy.

  Depending on the physical and / or intellectual capacities of the patient to be treated, other means of moving the at least one storage and dispensing housing of at least one drug 2 can be envisaged. Indeed, it is possible to integrate the pillbox according to the present invention an electronic control by a clock with simple and adequate motorization means for the precise actuation of said storage and dispensing case of at least one drug 2 in the gutter 3 and particularly with respect to the communication means arranged between said storage case and dispensing of at least one drug 2 and the receptacle for taking at least one drug 1.

  The displacement of the storage and distribution box 2 is made possible by the presence on the latter of a mortise 8 which slips on a rail 9 on which it slides. The rail 9 is illustrated in FIG. 4. It will be able to receive a storage and distribution box 2 by means of the mortise 8 thereof and thus allow it to slide along this said rail 9. This rail is located in the gutter 3 of the pill, preferably on the left side wall thereof. In a particular embodiment, the rail 9 can be in the bottom of the trough 3. On the storage and distribution housing, the mortise 8 corresponding to this rail 9 will be placed according to the position of said rail 9 in the gutter.

  In Figure 4a, it can be seen that the rail 9 is provided with a detent located centrally 11 which has two main functions.

  On the one hand, this central stop 11 confers on the storage and distribution box 2 a unique, irreversible, unidirectional path of travel (visible in FIG. 4b) and therefore an impossibility of returning to the taken decision. (Could you detail the mechanism by which the notch makes the direction of movement irreversible.) Are there any notches on the back of the storage and dispensing case of at least one medicine 2 so that the notch blocks it by lodging in it? each push on the push button? Is this another mechanism for example possible friction in one direction, type seal skins ...?). This mechanism limits the risk of errors in drug intake. In the same way, this allows the patient or a third person to have a chronological reading of the medication taken. Indeed, the patient does not need to lift the lid 5 of the storage and dispensing case of at least one drug 2 to control the emptied compartments and thus know where it is its drug intake.

  On the other hand, the central catch 11 promotes, by the shock that it generates, the good sliding of the drugs compartment 4 of the storage housing and distribution of at least one drug 2 to the receptacle at least one drug 1 associated in the same plane by the communication means existing between them and this also in cooperation with the inclined bottom 4a of said compartment 4.

  It is then clear that this central stop 11 allows a guided release. Indeed, at each passage of said storage and dispensing box 2 on the central detent 11, the user will be informed by a tactile sensation and / or a sound that it is not necessary to push further said housing storage and distribution 2 and that the release of the contents of compartment 4 will be to the associated receptacle receptacle 1. In the same way, electronic means can be envisaged to make the central locking notch 11 coincide, the means of communication between the storage and distribution case 2 and the receptacle 1 and finally the at least one compartment 4.

  As we have said, communication means are arranged between the at least one storage and distribution box 2 and the at least one socket receptacle 1 associated side by side in the same plane, that of the support plate. These means of communication may be of different kinds. Preferably, they are constituted by a light 16 located on the partition arranged between said storage and distribution housing 2 and said receptacle 1 associated with it. They can also consist of tilting flaps or means that can be slid upwards. On manual or electronic control, the storage and distribution box 2 can be moved and the at least one compartment 4 which can contain at least one drug can then be placed opposite said communication means between the storage and dispensing box 2 and the socket receptacle 1 attached. In a particular embodiment of the present invention, the central detent 11 of the rail 9 and the communication means described above, which are preferably the light 16 arranged on the partition, are placed at the same level in the width. of the pillbox, so that they face each other. When the at least one storage and dispensing box 2 is pushed and a compartment 4 filled with at least one drug passes in front of said lumen 16, the at least one drug can then be released to the receptacle receptacle 1 associated with said 2. This release of the at least one drug is also done through the inclined bottom 4a of said compartment 4.

  The at least one socket receptacle 1 is illustrated in FIGS. 1, 5, 6, 7 and 8. When the pill organizer is oriented in the reading direction of the at least one inscription carried by the lid 5 of the storage box and of the 2 or that it is oriented in the direction of travel imposed by the stopper, generally from bottom to top, the socket receptacle 1 is located to the right of the storage and distribution box 2 associated with it, side by side and in the same plane, namely that of the support plate.

  In a particular embodiment of the present invention, each receptacle for taking at least one drug 1 is provided with a header 12 stating the day of the week concerned, for example, in FIG. 5, Monday. In addition, each receptacle receptacle 1 comprises a case of taking at least one drug 13. It is preferably centrally located in the receptacle for taking at least one drug 1. Advantageously, it is hollow, shaped reverse pyramid. It may also have a form particularly suitable for taking drugs such as a cup, a concave shape. This box for taking at least one drug 13 is particularly clearly visible in FIG. 9. The dimension of this box 13 is adapted for the handling and gripping of at least one drug and its ergonomics make it possible to take said facilitated medicine. The receptacle 1 is constituted by this box for taking at least one drug 13 as described but it is also constituted by at least one inclined wall for taking the at least one drug in a facilitated manner for the patient . This at least one inclined wall is in the extension of the gripping space 13. In a preferred embodiment of the present invention, the gripping receptacle 1 is constituted by a box for taking at least one drug and two walls. inclined extending to the edges of the pillbox. The inclination of these walls will be adapted to a better grip of the at least one drug and the size of said pill. When it is oriented as previously described, the receptacle 1 is always lined at least on its left side by a gutter 3 oriented in the width direction of said pillbox. It is in this gutter 3 that slides the storage and distribution case 2, carrying or not at least one drug, as already observed and described with Figure 1.

  This channel 3, clearly visible in Figure 6, consists of two walls: one 14 is full and carries the rail 9, and it is located on the left side of each storage and distribution box 2, the other wall 15 carries at least one means of communication between the storage housing and dispensing of at least one drug 2 and the receptacle for taking at least one drug 1 associated with it side by side in the same plane. In a preferred embodiment illustrated in Figure 6, this wall 15 carries a central lumen 16 as a means of communication as defined above. This central lumen 16 allows the release of at least one drug present in the storage and dispensing casing 2 when a compartment 4 thereof is facing this central lumen 16. The bottom 4a of the at least one compartment 4 of each storage and dispensing box 2 being inclined, the drugs are then in abutment against the wall 15 to the right of said storage and dispensing box 2 and when an opening is present on this right side (here the central lumen 16 ) the drugs then fall from compartment 4 to the receptacle for taking at least one drug 1 and more particularly in the case of taking at least one drug 13.

  The central catch 11 of said rail 9 ensures a certain irreversibility of the path of the storage and distribution case 2.

  FIG. 6 also illustrates the support plate 10 and the box 17. The support plate 10 is constituted by all the fixed elements of the pill organizer, namely at least one gutter 3, at least one rail 9 and at least one outlet receptacle. at least one drug 1 each with its box for taking at least one drug 13 and its respective header 12, each of these elements being in FIG. 6 in number of seven. However, as already mentioned, each of these elements is at least one, the present invention is not limited to a weekly pill pillar. We can conceive indeed pilluliers daily, for 2, 3, 4 days, for two weeks etc. Said support plate 10 is movable itself since it can dissociate itself from the box 17 in which it is contained. This makes it possible to release the at least one storage and distribution housing 2 by sliding along the rail 9. This is done in the direction of sliding imposed by the central catch 11 of said rail 9 and the at least one housing storage and distribution 2 is then extracted by the end X of the gutter 3 that is to say the final end in the direction of the path of said storage and distribution box 2. This end X is preferably the one next to the header 12 of the socket receptacle 1. When the at least one storage and dispensing box 2 is extracted, the user or a third person can then proceed with the replacement of said storage and distribution box 2 at the end opposite to that of said output housing 2 since only one direction of travel of said housing 2 is possible. This replacement will usually be done once the pillbox is empty to avoid losing drugs during this extraction. The at least one storage and dispensing unit for at least one medicine 2 once in place at the beginning of its journey can then be loaded with at least one drug adapted for the different drug doses of the patient and this generally with an opening said housing for storing and dispensing at least one drug 2 by lifting the lid 5. The extraction of said storage and dispensing case of at least one drug 2 also allows its replacement for example when it is damaged, the lid damaged ... or when the dosage requires the use of storage boxes and dispensing of at least one drug containing more or less compartments 4 at defined times of treatment.

  The box 17 has dimensions adapted to contain the support plate 10. The box 17 may itself be provided with a case for easy transport. It may also contain storage spaces for the vital card or other medical information.

  Figure 7 allows a visualization of the respective relationships and locations of each of the constituents of said pill. In FIG. 8, it can be seen that, in the initial position, the storage and dispensing box 2 is located before the central locking catch 11 and before the light 16.

  The respective dimensions of the main components of said pillbox according to the present invention are visible in these Figures 7 and 8. These dimensions and arrangements are not limiting and it will be apparent that various modifications may be made by those skilled in the art on the shape elements which have just been described by way of nonlimiting example without departing from the scope of the invention.

Claims (17)

  Pill box, characterized in that it consists of a support plate (10) comprising at least one storage and distribution housing (2) of at least one drug and at least one receptacle (1) of said at least one medicament arranged side by side in the same plane, the at least one medicament being releasable from the storage and dispensing casing (2) of at least one medicament towards the receptacle (1) for taking at least one medicament thanks to communication means arranged between them and operable to order.   2- pill box according to claim 1, characterized in that the control of the communication means between said storage case and dispensing (2) of at least one drug to the receptacle (1) of at least one drug is manually or by electronic means.   3- pillbox according to claim 1 and 2, characterized in that the communication means between the at least one storage and dispensing housing (2) of at least one drug and the at least one intake receptacle (1) d at least one drug consists of a lumen (16) located on the partition arranged between said storage and dispensing casing (2) of at least one drug and said receptacle (1) for taking at least one drug.   4. Pill box according to one of claims 1 to 3, characterized in that said at least one storage housing and distribution (2) of at least one drug consists of at least one compartment (4).   5. Pill box according to one of the preceding claims, characterized in that the at least one compartment has an inclined bottom to allow the release of at least one drug from the storage housing and distribution (2) of at least one drug to the receptacle (1) of at least one drug.   6- Pill box according to one of the preceding claims, characterized in that said at least one storage housing and distribution (2) of at least one drug is slidably mounted along a rail (9). 14   7- pill box according to claim 6, characterized in that the sliding of said storage housing and distribution (2) of at least one drug is operable on command on said rail and allows the release of at least one drug in the at least one receptacle (1) of at least one drug by facing the at least one compartment (4) of the at least one storage and dispensing housing (2) of at least one drug and light ( 16) located on the partition arranged between said storage and dispensing case (2) of at least one drug and said receptacle (1) of at least one drug.   8- pill box according to claim 6 or 7, characterized in that the rail (9) comprises a central detent (11).   9- pill box according to claim 8, characterized in that said central catch (11) of said rail (9) imposes a direction of unidirectional movement to said at least one storage and distribution housing (2) of at least one drug.   10- pill box according to one of the preceding claims, characterized in that said at least one storage housing and distribution (2) of at least one drug comprises a lid (5).   11- pill box according to claim 10, characterized in that said lid (5) carries at least one indication corresponding to the moment of taking of at least one drug.   12- pill box according to one of the preceding claims, characterized in that said at least one storage and dispensing housing (2) of at least one drug comprises a push button (7). 30   13. Pill box according to one of the preceding claims, characterized in that the at least one setting receptacle (1) of at least one drug is constituted by at least one inclined wall.   14. Pill box according to one of the preceding claims, characterized in that said at least one setting receptacle (1) of at least one drug comprises a setting box (13) of at least one drug.   15- pill box according to claim 14, characterized in that said case (13) of at least one drug is hollow in shape adapted to the facilitated intake of at least one drug, such as pyramidal inverted, concave, shaped cup.   16. Pill box according to one of the preceding claims, characterized in that said support plate (10) is contained in a box (17).   17- Pill box according to one of the preceding claims, characterized in that the box (17), the support plate (10) and the at least one storage and dispensing housing (2) of at least one drug are dissociable for allow the replacement of the at least one storage and dispensing case (2) of at least one drug on the front end of the rail (9) or the replacement of at least one storage and distribution case (2) d at least one drug.