JPH06305967A - Improving and therapeutic agent for cholinergic nervous insufficiency - Google Patents

Improving and therapeutic agent for cholinergic nervous insufficiency

Info

Publication number
JPH06305967A
JPH06305967A JP5099958A JP9995893A JPH06305967A JP H06305967 A JPH06305967 A JP H06305967A JP 5099958 A JP5099958 A JP 5099958A JP 9995893 A JP9995893 A JP 9995893A JP H06305967 A JPH06305967 A JP H06305967A
Authority
JP
Japan
Prior art keywords
improving
lower alkyl
group
therapeutic agent
formula
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.)
Pending
Application number
JP5099958A
Other languages
Japanese (ja)
Inventor
Fumio Mizobe
文夫 溝部
Masashi Maruhashi
正史 丸橋
Sadakazu Yokomori
貞和 横森
Hiroaki Araki
博陽 荒木
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Taisho Pharmaceutical Co Ltd
Original Assignee
Taisho Pharmaceutical Co Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Taisho Pharmaceutical Co Ltd filed Critical Taisho Pharmaceutical Co Ltd
Priority to JP5099958A priority Critical patent/JPH06305967A/en
Publication of JPH06305967A publication Critical patent/JPH06305967A/en
Pending legal-status Critical Current

Links

Abstract

PURPOSE:To obtain the improving and therapeutic agent, containing a specific azole derivative as an active ingredient and having excellent effects on cholinergic nervous insufficiency and high safety and effective in improving and treating Alzheimer disease, etc. CONSTITUTION:The objective improving and therapeutic agent contains an azole derivative of the formula (R<1> is lower alkyl, thienyl or phenyl which may be substituted with lower alkyl or lower alkoxy; R<2> is H, lower alkyl or phenyl; X is O atom or S; Y is O atom or NH) or its acid addition salt as an active ingredient.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【産業上の利用分野】本発明は、ある特定のアゾール誘
導体を有効成分とするコリン作動性神経不全の改善・治
療薬に関する。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an agent for improving and / or treating cholinergic nerve insufficiency, which contains a specific azole derivative as an active ingredient.

【0002】[0002]

【従来の技術】近年、アルツハイマー病やアルツハイマ
ー型老年痴呆が大きな問題となっているが、これらの疾
患はコリン作動性神経の変性、脱落と深く関わりあって
いることが知られている[ホワイトハウス,P.J.
ら,サイエンス,第215巻,第1237ページ(19
82年)など]。コリン作動性神経の記憶への関与は、
アセチルコリン系拮抗剤をヒトに投与すると、記憶障害
が惹起されることからも示される。従って、コリン作動
性神経系の賦活薬が、アルツハイマー病をはじめとする
種々の痴呆症の治療薬となり得る。コリン作動性神経系
の賦活薬としては、アセチルコリンエステラーゼ阻害剤
の他、ムスカリン性アセチルコリンレセプターを直接刺
激するムスカリン性アゴニストなどがある。ムスカリン
性アセチルコリンレセプターは、M1型、M2型の2つの
サブタイプからなり、M1型は主に中枢神経系に、M2型
は主に末梢組織に分布している。M2型レセプター賦活
薬では副作用につながる可能性が大きいため、M1型選
択性の高い化合物が有用なコリン作動性神経系の賦活薬
となり得る。ところで、本発明のコリン作動性神経不全
の改善・治療薬の有効成分となる化合物は、特開平2−
229190号公報において5−HT拮抗作用に基づく
胃腸管機能障害治療作用、鎮痛作用などが知られてい
る。
2. Description of the Related Art Recently, Alzheimer's disease and senile dementia of the Alzheimer's type have become major problems. It is known that these diseases are deeply associated with degeneration and loss of cholinergic nerves [White House , P .; J.
Et al., Science, Volume 215, Page 1237 (19
1982) etc.]. The involvement of cholinergic nerves in memory is
It is also shown that administration of an acetylcholine antagonist to humans causes memory impairment. Therefore, a cholinergic nervous system activator can be a therapeutic agent for various dementia including Alzheimer's disease. Examples of the cholinergic nervous system activator include an acetylcholinesterase inhibitor and a muscarinic agonist that directly stimulates a muscarinic acetylcholine receptor. The muscarinic acetylcholine receptor is composed of two subtypes of M1 type and M2 type. The M1 type is mainly distributed in the central nervous system and the M2 type is mainly distributed in peripheral tissues. Since M2 type receptor activators are highly likely to lead to side effects, compounds with high M1 type selectivity can be useful cholinergic nervous system activators. By the way, a compound which is an active ingredient of the agent for improving and / or treating cholinergic nerve failure according to the present invention is disclosed in JP-A-2-
In Japanese Patent No. 229190, a therapeutic effect on gastrointestinal tract dysfunction based on a 5-HT antagonistic effect, an analgesic effect and the like are known.

【0003】[0003]

【発明が解決しようとする課題】しかしながら、前記公
報記載の化合物のコリン作動性神経不全に対する作用は
知られていない。本発明の目的は、コリン作動性神経不
全に対して優れた効果を有し、かつ安全性の高い新しい
薬剤を提供することにある。
However, the action of the compounds described in the above publication on cholinergic neuropathy is not known. An object of the present invention is to provide a new drug having an excellent effect on cholinergic nerve failure and a high safety.

【0004】[0004]

【課題を解決するための手段】本発明者らは、前記課題
を解決すべく、ムスカリン性アセチルコリンレセプター
M1型に強く結合する化合物を広く探索した結果、ある
特定のアゾール誘導体がM1型レセプターに対し、強い
親和性と良好な選択性を示すことを見いだし、本発明を
完成した。
In order to solve the above problems, the present inventors extensively searched for compounds that strongly bind to the muscarinic acetylcholine receptor M1 type, and as a result, a certain azole derivative against the M1 type receptor. The inventors have found that they have strong affinity and good selectivity, and completed the present invention.

【0005】すなわち、本発明は、式That is, the present invention uses the formula

【0006】 [0006]

【0007】(式中、R1は低級アルキル基、チエニル
基または「低級アルキル基もしくは低級アルコキシ基」
で置換されていてもよいフェニル基を示し、R2は水素
原子、低級アルキル基またはフェニル基を示し、Xは酸
素原子または硫黄原子を示し、Yは酸素原子またはNH
基を示す。)で表されるアゾール誘導体またはその酸付
加塩を有効成分とするコリン作動性神経不全の改善・治
療薬である。
(In the formula, R 1 is a lower alkyl group, a thienyl group or a "lower alkyl group or a lower alkoxy group".
Represents a phenyl group which may be substituted with, R 2 represents a hydrogen atom, a lower alkyl group or a phenyl group, X represents an oxygen atom or a sulfur atom, Y represents an oxygen atom or NH.
Indicates a group. ) Is an azole derivative or an acid addition salt thereof represented by the formula (1) as an active ingredient for improving and / or treating cholinergic nerve failure.

【0008】本発明において好ましい化合物は、2−メ
チル−4−フェニル−5−チアゾールカルボン酸 トロ
ピルエステル(以下、化合物1と称する。)、2,4−
ジメチル−5−オキサゾールカルボン酸 トロピルエス
テル(以下、化合物2と称する。)、2−(2−チエニ
ル)−4−オキサゾールカルボン酸 トロピルエステル
(以下、化合物3と称する。)、2−フェニル−5−メ
チル−4−チアゾールカルボン酸 トロピルエステル
(以下、化合物4と称する。)、N−トロピル−2−フ
ェニル−4−チアゾールカルボキサミド(以下、化合物
5と称する。)、2−(3−メチルフェニル)−4−チ
アゾールカルボン酸 トロピルエステル(以下、化合物
6と称する。)、N−トロピル−2−(3−メチルフェ
ニル)−4−チアゾールカルボキサミド塩酸塩(以下、
化合物7と称する。)、N−トロピル−2−(4−メト
キシフェニル)−4−チアゾールカルボキサミド塩酸塩
(以下、化合物8と称する。)であり、特に好ましい化
合物は化合物3及び化合物5である。
Preferred compounds in the present invention are 2-methyl-4-phenyl-5-thiazolecarboxylic acid tropyl ester (hereinafter referred to as compound 1) and 2,4-
Dimethyl-5-oxazolecarboxylic acid tropyl ester (hereinafter referred to as compound 2), 2- (2-thienyl) -4-oxazolecarboxylic acid tropyl ester (hereinafter referred to as compound 3), 2-phenyl-5- Methyl-4-thiazolecarboxylic acid tropyl ester (hereinafter referred to as compound 4), N-tropyl-2-phenyl-4-thiazolecarboxamide (hereinafter referred to as compound 5), 2- (3-methylphenyl)- 4-thiazolecarboxylic acid tropyl ester (hereinafter, referred to as compound 6), N-tropyl-2- (3-methylphenyl) -4-thiazolecarboxamide hydrochloride (hereinafter,
This is referred to as Compound 7. ), N-tropyl-2- (4-methoxyphenyl) -4-thiazolecarboxamide hydrochloride (hereinafter referred to as compound 8), and particularly preferred compounds are compound 3 and compound 5.

【0009】本発明のコリン作動性神経不全の改善・治
療薬の有効成分である式(I)の化合物の投与量は、投
与方法、患者の年齢および患者の症状などにより適宜選
択されるが、成人を治療する場合、通常1日1〜200
mgを1〜3回に分けて投与する。投与方法としては、
経口投与または非経口投与が挙げられる。経口投与の場
合の剤形としては、錠剤、顆粒剤、散剤、カプセル剤、
シロップ剤、懸濁化剤などを挙げることができ、また、
非経口投与の場合の剤形としては注射剤、点眼用液剤、
坐剤などを挙げることができる。各種剤形の製剤は、常
用の賦形剤(例えば、結晶セルロース、デンプン、乳糖
など)、結合剤(例えば、ヒドロキシプロピルセルロー
ス、ポリビニルピロリドンなど)、滑沢剤(例えば、ス
テアリン酸マグネシウム、タルクなど)、崩壊剤(例え
ば、カルボキシメチルセルロースカルシウムなど)など
を用いて、通常の製造法(例えば、第12改正日本薬局
方に記載の方法)により製造することができる。
The dose of the compound of the formula (I), which is an active ingredient of the agent for improving and / or treating cholinergic nerve deficiency of the present invention, is appropriately selected depending on the administration method, the age of the patient and the symptoms of the patient. When treating an adult, usually 1 to 200 per day
Administer mg in 1 to 3 divided doses. As an administration method,
Oral or parenteral administration may be mentioned. The dosage forms for oral administration include tablets, granules, powders, capsules,
Examples include syrups, suspending agents, etc.
For parenteral administration, the dosage forms include injections, eye drops,
Suppository etc. can be mentioned. Formulations of various dosage forms include conventional excipients (eg crystalline cellulose, starch, lactose etc.), binders (eg hydroxypropyl cellulose, polyvinylpyrrolidone etc.), lubricants (eg magnesium stearate, talc etc.) ), A disintegrating agent (for example, carboxymethyl cellulose calcium, etc.) and the like, and can be produced by an ordinary production method (for example, the method described in the 12th revised Japanese Pharmacopoeia).

【0010】[0010]

【発明の効果】本発明により、コリン作動性神経の不全
に伴う疾患、例えば、アルツハイマー病、アルツハイマ
ー型老年痴呆、ハンチントン舞踏病、晩発性運動障害、
躁病などの改善・治療に優れた薬剤を提供することが可
能となった。また、脳虚血、脳硬塞、脳出血などの脳血
管障害に起因した痴呆(脳血管性痴呆)、精神障害、加
齢に伴う記憶障害、パーキンソン病に伴う痴呆症などに
もコリン作動性神経の不全が起こっている場合が多いの
で、これらの疾患の改善・治療も期待できる。
INDUSTRIAL APPLICABILITY According to the present invention, diseases associated with cholinergic nerve deficiency, such as Alzheimer's disease, Alzheimer-type senile dementia, Huntington's chorea, late movement disorder,
It has become possible to provide drugs that are excellent for the improvement and treatment of mania and the like. Also, dementia due to cerebrovascular disorders such as cerebral ischemia, cerebral infarction, and cerebral hemorrhage (cerebrovascular dementia), mental disorders, memory disorders with age, dementia with Parkinson's disease, etc. Since there are many cases where symptoms occur, improvement / treatment of these diseases can be expected.

【0011】[0011]

【実施例】次に試験例を挙げて本発明の効果を説明す
る。 試験例1 ムスカリン性アセチルコリンレセプターへの結合性は、
フリードマン(Freedman)らの方法[Eur.J.Pharmaco
l.,第156巻,第133ページ(1988年)]を一
部改変して測定した。すなわち、ラット大脳皮質シナプ
トソーム膜画分(M1型レセプターに富む)を用いた[3
H]−ピレンゼピン−レセプター結合実験系にて、サン
プル濃度10-9 〜10-3Mを加えたときの結合阻害曲
線よりサンプルのIC50値を求め、M1結合性の指標と
してKi値を算出した。さらに、ラット心臓膜画分(M
2型レセプターに富む)を用いた[3H]−N−メチルス
コポラミン−レセプター結合実験系でも同様にしてM2
結合性を示すKi値を求め、Ki値のM2/M1比を計算
することにより、M1選択性を評価した。その結果を表
1に示す。
EXAMPLES Next, the effects of the present invention will be described with reference to test examples. Test Example 1 The binding to the muscarinic acetylcholine receptor was
The method of Freedman et al. [Eur.J.Pharmaco
L., 156, 133 (1988)] with some modifications. That is, a rat cerebral cortex synaptosome membrane fraction (rich in M1 type receptors) was used [ 3
In the [H] -pirenzepine-receptor binding experiment system, the IC 50 value of the sample was determined from the binding inhibition curve when a sample concentration of 10 -9 to 10 -3 M was added, and the Ki value was calculated as an index of M1 binding property. . Furthermore, rat heart membrane fraction (M
In the same manner as in [ 3 H] -N-methylscopolamine-receptor binding experimental system using (type 2 receptor-rich), M2
The M1 selectivity was evaluated by determining the Ki value indicating the binding property and calculating the M2 / M1 ratio of the Ki value. The results are shown in Table 1.

【0012】[0012]

【表1】 [Table 1]

【0013】試験例2 マウス(ICR系雄,4週齢,1群10匹)腹腔内にオ
キソトレモリンを投与(0.5mg/kg)することに
よって起こる振戦を、投与10分後、観察したところ、
振戦スコアー=1.0を示した。なお、 スコアー1;時々弱い振戦が出現する。 スコアー2;時々強い振戦が出現する。 スコアー3;持続的に強い振戦が出現する。 という段階である。さらに、化合物1,化合物3〜8の
それぞれをオキソトレモリン投与20分前に経口投与
(25,50mg/kg)したところ、振戦スコアーは
表2に示すごとく上昇した。
Test Example 2 Mice (ICR male, 4 weeks old, 10 mice per group) were intraperitoneally administered with oxotremorine (0.5 mg / kg) to observe tremor 10 minutes after administration. I just did
The tremor score was 1.0. In addition, score 1; sometimes a weak tremor appears. Score 2: A strong tremor sometimes appears. Score 3: A continuous strong tremor appears. That is the stage. Furthermore, when each of Compound 1 and Compounds 3 to 8 was orally administered (25,50 mg / kg) 20 minutes before the administration of oxotremorine, the tremor score increased as shown in Table 2.

【0014】[0014]

【表2】 [Table 2]

【0015】式(I)の化合物の投与により、オキソト
レモリンによる振戦作用の増強が認められたことから、
式(I)の化合物は中枢性のアゴニスト活性を有するこ
とが明らかになった。
The administration of the compound of formula (I) was found to enhance the tremor effect of oxotremorine.
The compounds of formula (I) have been shown to have central agonist activity.

【0016】 試験例3 [電撃けいれんによる健忘改善試験] 試験は、Tobe Akihiroら[Japan.J.Pharmacol.,第39
巻,第153〜161ページ(1985年)]の方法を
参考にして行った。マウス(ICR系雄,4週齢,1群
10匹)を、明箱と、床のグリッドを介して電気ショッ
ク(0.2mA,2秒間)を加えることのできる暗箱の
2室よりなる受動回避装置に入れ、獲得試行を行った。
24時間後に保持試行を行い、明箱から暗箱に入るまで
の潜時を、最高180秒まで測定した。最大電撃けいれ
ん(ECS)の負荷は、電撃装置を用い、獲得試行の直
後に、マウスの両耳を介して電流(1000V,20m
A)を0.2秒間通電することにより行った。強直性伸
展けいれんの出現でECSが負荷されたことを確認し
た。式(I)の化合物5検体は、ECS負荷直後にアラ
ビアゴムに懸濁して経口投与(0.3〜3mg/kg)
した。結果を表3に示す。
Test Example 3 [Amnesia Improvement Test by Electric Shock Seizure] The test was conducted by Tobe Akihiro et al. [Japan.J.Pharmacol., No. 39].
Vol., Pp. 153-161 (1985)]. Passive avoidance of mice (ICR male, 4 weeks old, 10 mice per group) consisting of a light box and a dark box to which an electric shock (0.2 mA, 2 seconds) can be applied via the floor grid. It was put in the device and an acquisition trial was performed.
A holding trial was performed after 24 hours, and the latency from entering the light box to entering the dark box was measured up to 180 seconds. The maximum electric shock seizure (ECS) load was measured using an electric shock device, and immediately after the acquisition trial, current (1000 V, 20 m) was passed through both ears of the mouse.
It was performed by energizing A) for 0.2 seconds. It was confirmed that ECS was loaded by the appearance of tonic extension cramps. 5 compounds of the formula (I) were orally administered by suspending them in gum arabic immediately after ECS loading (0.3 to 3 mg / kg)
did. The results are shown in Table 3.

【0017】[0017]

【表3】 [Table 3]

【0018】[0018]

───────────────────────────────────────────────────── フロントページの続き (72)発明者 荒木 博陽 東京都豊島区高田3丁目24番1号 大正製 薬株式会社内 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Hiroyo Araki 3-24-1 Takada, Toshima-ku, Tokyo Taisho Pharmaceutical Co., Ltd.

Claims (1)

【特許請求の範囲】[Claims] 【請求項1】 式 (式中、R1は低級アルキル基、チエニル基または「低
級アルキル基もしくは低級アルコキシ基」で置換されて
いてもよいフェニル基を示し、R2は水素原子、低級ア
ルキル基またはフェニル基を示し、Xは酸素原子または
硫黄原子を示し、Yは酸素原子またはNH基を示す。)
で表されるアゾール誘導体またはその酸付加塩を有効成
分とするコリン作動性神経不全の改善・治療薬。
1. A formula (In the formula, R 1 represents a lower alkyl group, a thienyl group or a phenyl group which may be substituted with a “lower alkyl group or a lower alkoxy group”, R 2 represents a hydrogen atom, a lower alkyl group or a phenyl group, (X represents an oxygen atom or a sulfur atom, and Y represents an oxygen atom or an NH group.)
An agent for improving and / or treating cholinergic nerve failure, which comprises an azole derivative represented by the following formula or an acid addition salt thereof as an active ingredient.
JP5099958A 1993-04-27 1993-04-27 Improving and therapeutic agent for cholinergic nervous insufficiency Pending JPH06305967A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP5099958A JPH06305967A (en) 1993-04-27 1993-04-27 Improving and therapeutic agent for cholinergic nervous insufficiency

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP5099958A JPH06305967A (en) 1993-04-27 1993-04-27 Improving and therapeutic agent for cholinergic nervous insufficiency

Publications (1)

Publication Number Publication Date
JPH06305967A true JPH06305967A (en) 1994-11-01

Family

ID=14261202

Family Applications (1)

Application Number Title Priority Date Filing Date
JP5099958A Pending JPH06305967A (en) 1993-04-27 1993-04-27 Improving and therapeutic agent for cholinergic nervous insufficiency

Country Status (1)

Country Link
JP (1) JPH06305967A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6528529B1 (en) 1998-03-31 2003-03-04 Acadia Pharmaceuticals Inc. Compounds with activity on muscarinic receptors
US7678363B2 (en) 2005-08-26 2010-03-16 Braincells Inc Methods of treating psychiatric conditions comprising administration of muscarinic agents in combination with SSRIs
EP2258357A2 (en) 2005-08-26 2010-12-08 Braincells, Inc. Neurogenesis with acetylcholinesterase inhibitor

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6528529B1 (en) 1998-03-31 2003-03-04 Acadia Pharmaceuticals Inc. Compounds with activity on muscarinic receptors
US7485651B2 (en) 1998-03-31 2009-02-03 Acadia Pharmaceuticals, Inc. Compounds with activity on muscarinic receptors
US7678363B2 (en) 2005-08-26 2010-03-16 Braincells Inc Methods of treating psychiatric conditions comprising administration of muscarinic agents in combination with SSRIs
EP2258357A2 (en) 2005-08-26 2010-12-08 Braincells, Inc. Neurogenesis with acetylcholinesterase inhibitor
EP2258358A2 (en) 2005-08-26 2010-12-08 Braincells, Inc. Neurogenesis with acetylcholinesterase inhibitor
EP2275096A2 (en) 2005-08-26 2011-01-19 Braincells, Inc. Neurogenesis via modulation of the muscarinic receptors
EP2275095A2 (en) 2005-08-26 2011-01-19 Braincells, Inc. Neurogenesis by muscarinic receptor modulation

Similar Documents

Publication Publication Date Title
Bymaster et al. Xanomeline: a selective muscarinic agonist for the treatment of Alzheimer's disease
DE60037347T2 (en) Combinations containing cGMP-PDE5 inhibitor.
JP2010540439A (en) Fluorine-containing derivatives of hydrogenated pyrido [4,3-b] indoles with neuroprotective and cognitive enhancing properties, processes for preparing and use
KR20200088346A (en) Treatment method of gastrointestinal diseases using tradipitant
US20090192142A1 (en) Use of carbamazepine derivatives for the treatment of agitation in dementia patients
US20050148614A1 (en) Combination of active ingredients for the treatment of senile dementia of the Alzheimer type
JPH06500099A (en) Use of heterocyclic amino-alcohol compounds in the treatment of CNS diseases
JPH06305967A (en) Improving and therapeutic agent for cholinergic nervous insufficiency
JP5591310B2 (en) Novel combination of 4- {3- [cis-hexahydrocyclopenta [c] pyrrol-2 (1H) -yl] propoxy} benzamide and an NMDA receptor antagonist, and pharmaceutical composition comprising the same
JP2603023B2 (en) Use of 4-amino-1- (2-pyridyl) piperidine derivative
KR101786818B1 (en) Therapeutic agent or prophylactic agent for neuropathic pain
JPH05132430A (en) Use of glycine/nmda receptor ligand relating to therapy of drug dependence and withdrawal symptoms
US20220096449A1 (en) Method of treatment with tradipitant
SK24098A3 (en) Combinatory composition for the treatment of dementia
JP2877231B2 (en) Optical isomers of spiroquinuclidine derivatives, methods for their preparation, pharmaceutical compositions comprising them and therapeutic methods using them
WO1997035582A1 (en) Method for treating migraine pain
AT400301B (en) ANTIEMETIC
SK286040B6 (en) Pharmaceutical composition containing 1-(2-napht-2-ylethyl)-4-(3- trifluoromethylphenyl)-1,2,3,6-tetrahydropyridin hydrochloride and donepezil or tacrine
GB2244431A (en) Treatment of age related memory impairment and other cognitive disorders
RU2258506C2 (en) Medicinal agents used for prophylaxis and treatment of neurodegenerative diseases
CA2416706C (en) Dementia remedies containing 2-aryl-8-oxodihydropurine derivatives as the active ingredient
JP2002517448A (en) Use of NK-1 receptor antagonist for the treatment of mental disorders
JP2003534381A (en) S-methyl-dihydro-ziprasidone for the treatment of psychiatric and eye disorders
JPH06107544A (en) Medicine for improving cholinergic neuropathy
WO1998005324A1 (en) Method for treating bipolar disorder