HRP20161402T1 - Kombinacije agonista serotoninskih receptora za liječenje poremećaja kretanja - Google Patents
Kombinacije agonista serotoninskih receptora za liječenje poremećaja kretanja Download PDFInfo
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- HRP20161402T1 HRP20161402T1 HRP20161402TT HRP20161402T HRP20161402T1 HR P20161402 T1 HRP20161402 T1 HR P20161402T1 HR P20161402T T HRP20161402T T HR P20161402TT HR P20161402 T HRP20161402 T HR P20161402T HR P20161402 T1 HRP20161402 T1 HR P20161402T1
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Classifications
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- A61K31/16—Amides, e.g. hydroxamic acids
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- A61K31/4523—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
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- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Neurosurgery (AREA)
- Organic Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Neurology (AREA)
- Biomedical Technology (AREA)
- Psychology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Claims (15)
1. Farmaceutski pripravak ili set dijelova koji obuhvaća barem jedan spoj, gdje je taj spoj agonist receptora 5-HT1 D, 5-HT1 B i 5-HT1 F, ili njegov farmaceutski prikladan derivat,
gdje je taj spoj triptan, ili njegov farmaceutski prikladan derivat, i gdje taj pripravak ili set dijelova dalje obuhvaća agonist receptora 5-HT1 A, ili njegov farmaceutski prikladan derivat,
za uporabu u liječenju, prevenciji ili ublažavanju poremećaja kretanja.
2. Farmaceutski pripravak ili set dijelova za uporabu prema zahtjevu 1, gdje spoj ima veći afinitet i/ili učinkovitost aktivacije receptora za 5-HT1 D receptor nego za 5-HT1 B i 5-HT1 F receptore.
3. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje se spoj odabire iz skupine koju čine zolmitriptan, sumatriptan, rizatriptan, naratriptan, almotriptan, frovatriptan i eletriptan, ili njihovi farmaceutski prikladni derivati.
4. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje se agonist 5-HT1A receptora odabire iz skupine koju čine buspiron, alnespiron, binospiron, gepiron, ipsapiron, perospiron, tandospiron, befiradol, repinotan piklozotan, osemozotan, flesinoksan, flibanserin i sarizotan, ili njihovi farmaceutski prikladni derivati.
5. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje je spoj zolmitriptan ili njegov farmaceutski prikladan derivat, i agonist 5-HT1A receptora je buspiron ili njegov farmaceutski prikladan derivat.
6. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje se spoj primjenjuje u dozama od 0.05 - 200 mg/dan, na primjer u dozama od 0.5 - 60 mg/dan, na primjer u dozama od 0.5 – 10 mg/dan i agonist 5-HT1 A receptora se primjenjuje u dozama od 0.05 - 500 mg/dan, na primjer od 0.5 - 100 mg/dan, na primjer u dozama od 0.5 - 30 mg/dan.
7. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, dalje obuhvaća jednu ili više dodatnih djelatnih tvari.
8. Farmaceutski pripravak ili set dijelova za uporabu prema zahtjevu 7, gdje se navedena jedna ili više dodatnih djelatnih tvari odabire iz skupine koju čine: tvari koje povećavaju koncentraciju dopamina u sinaptičkoj pukotini; tvari koje se koriste za liječenje Parkinsonove bolesti; dopamin; L-DOPA; agonisti dopaminskih receptora ili njihovi farmaceutski prikladni derivati; inhibitori dekarboksilaze; COMT (katehol-O-metiltransferaza) inhibitori; NMDA (N-metil-D-aspartat) antagonisti; MAO-B inhibitori; modulatori serotoninskih receptora; agonisti kapa opioidnih receptora, GABA (gama-aminobutirična kiselina) modulatori, modulatori neuronskih kalijevih kanala i modulatori glutamat receptora.
9. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od zahtjeva 7 i 8, gdje je spoj zolmitriptan ili njegov farmaceutski prikladan derivat, agonist 5-HT1A receptora je buspiron ili njegov farmaceutski prikladan derivat, i jedna ili više dodatnih djelatnih tvari obuhvaća L-DOPA ili njegov farmaceutski prikladan derivat i/ili inhibitor dekarboksilaze /ili COMT inhibitor.
10. Farmaceutski pripravak ili set dijelova za uporabu prema zahtjevu 9, gdje je inhibitor dekarboksilaze karbidopa ili benzerazid; i/ili gdje je COMT inhibitor tolkapon ili entakapon.
11. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje se poremećaj kretanja odabire iz skupine koju čine: poremećaj kretanja povezan s izmijenjenim ili poremećenim sinaptičkim razinama dopamina; Parkinsonova bolest; poremećaj kretanja povezan s Parkinsonovom bolešću, uključujući bradikineziju, akineziju i diskineziju; L-DOPA inducirana diskinezija; tardivna diskinezija i akatizija.
12. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje se poremećaj kretanja odabire iz skupine koju čine ataksija, distonija, esencijalni tremor, Huntingtonova bolest, mioklonus, Rettov sindrom, Touretteov sindrom, Wilsonova bolest, korea, Machado-Josephova bolest, sindrom nemirnih nogu, spazmodički tortikolis, geniospazam, i poremećaj kretanja uzrokovan idiopatskom bolešću, genetičkom disfunkcijom ili infekcijama ili disfunkcijom bazalnih ganglija.
13. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od prethodnih zahtjeva, gdje je poremećaj kretanja uzrokovan ili povezan s farmakološkim liječenjem uključujući neuroleptičke lijekove, antipsihotike, antidepresive i antiemetike; ili uzrokovan ili povezan s prekidom uzimanja tvari uključujući opioide, barbiturate, kokain, benzodiazepine, alkohol i amfetamin.
14. Farmaceutski pripravak ili set dijelova za uporabu prema bilo kojem od zahtjeva 7 do 10, gdje se jedna ili više dodatnih djelatnih tvari primjenjuje istodobno, uzastopce ili odvojeno od farmaceutskog pripravka ili seta dijelova.
15. Uporaba farmaceutskog pripravka ili seta dijelova koji obuhvaća barem jedan spoj, gdje je taj spoj agonist receptora 5-HT1 D, 5-HT1 B i 5-HT1 F, ili njegov farmaceutski prikladan derivat, gdje je taj spoj triptan, ili njegov farmaceutski prikladan derivat, i gdje taj pripravak ili set dijelova dalje obuhvaća agonist receptora 5-HT1 A, ili njegov farmaceutski prikladan derivat, za proizvodnju lijeka za liječenje, prevenciju ili ublažavanje poremećaja kretanja.
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