US2498687A - Vasoconstrictor composition - Google Patents
Vasoconstrictor composition Download PDFInfo
- Publication number
- US2498687A US2498687A US626182A US62618245A US2498687A US 2498687 A US2498687 A US 2498687A US 626182 A US626182 A US 626182A US 62618245 A US62618245 A US 62618245A US 2498687 A US2498687 A US 2498687A
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- United States
- Prior art keywords
- ephedra
- ephedrine
- vasoconstrictor
- base
- exchange
- 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.)
- Expired - Lifetime
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- 239000005526 vasoconstrictor agent Substances 0.000 title claims description 15
- 239000000203 mixture Substances 0.000 title claims description 10
- 241000218671 Ephedra Species 0.000 claims description 30
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical group [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 claims description 6
- 230000003639 vasoconstrictive effect Effects 0.000 claims description 6
- KWGRBVOPPLSCSI-WPRPVWTQSA-N (-)-ephedrine Chemical compound CN[C@@H](C)[C@H](O)C1=CC=CC=C1 KWGRBVOPPLSCSI-WPRPVWTQSA-N 0.000 description 54
- KWGRBVOPPLSCSI-UHFFFAOYSA-N d-ephedrine Natural products CNC(C)C(O)C1=CC=CC=C1 KWGRBVOPPLSCSI-UHFFFAOYSA-N 0.000 description 27
- 229960002179 ephedrine Drugs 0.000 description 27
- 239000003814 drug Substances 0.000 description 10
- 229940079593 drug Drugs 0.000 description 9
- LRFVTYWOQMYALW-UHFFFAOYSA-N 9H-xanthine Chemical compound O=C1NC(=O)NC2=C1NC=N2 LRFVTYWOQMYALW-UHFFFAOYSA-N 0.000 description 8
- 239000002585 base Substances 0.000 description 8
- 238000006243 chemical reaction Methods 0.000 description 8
- 239000000463 material Substances 0.000 description 6
- ZFXYFBGIUFBOJW-UHFFFAOYSA-N theophylline Chemical compound O=C1N(C)C(=O)N(C)C2=C1NC=N2 ZFXYFBGIUFBOJW-UHFFFAOYSA-N 0.000 description 6
- 150000001875 compounds Chemical class 0.000 description 5
- 239000002934 diuretic Substances 0.000 description 5
- 239000004615 ingredient Substances 0.000 description 5
- 150000003839 salts Chemical group 0.000 description 5
- 230000000172 allergic effect Effects 0.000 description 4
- 208000010668 atopic eczema Diseases 0.000 description 4
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 4
- 150000001768 cations Chemical class 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- YAPQBXQYLJRXSA-UHFFFAOYSA-N theobromine Chemical compound CN1C(=O)NC(=O)C2=C1N=CN2C YAPQBXQYLJRXSA-UHFFFAOYSA-N 0.000 description 4
- 229940075420 xanthine Drugs 0.000 description 4
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 3
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 3
- 229930013930 alkaloid Natural products 0.000 description 3
- 229940125717 barbiturate Drugs 0.000 description 3
- 229910000278 bentonite Inorganic materials 0.000 description 3
- 239000000440 bentonite Substances 0.000 description 3
- 235000012216 bentonite Nutrition 0.000 description 3
- 238000005341 cation exchange Methods 0.000 description 3
- 239000000470 constituent Substances 0.000 description 3
- 230000001882 diuretic effect Effects 0.000 description 3
- 229910000286 fullers earth Inorganic materials 0.000 description 3
- 150000007530 organic bases Chemical class 0.000 description 3
- 229940125723 sedative agent Drugs 0.000 description 3
- 239000000932 sedative agent Substances 0.000 description 3
- FVAUCKIRQBBSSJ-UHFFFAOYSA-M sodium iodide Chemical compound [Na+].[I-] FVAUCKIRQBBSSJ-UHFFFAOYSA-M 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 229960000278 theophylline Drugs 0.000 description 3
- 239000010457 zeolite Substances 0.000 description 3
- UCTWMZQNUQWSLP-VIFPVBQESA-N (R)-adrenaline Chemical compound CNC[C@H](O)C1=CC=C(O)C(O)=C1 UCTWMZQNUQWSLP-VIFPVBQESA-N 0.000 description 2
- 229930182837 (R)-adrenaline Natural products 0.000 description 2
- KWTSXDURSIMDCE-QMMMGPOBSA-N (S)-amphetamine Chemical compound C[C@H](N)CC1=CC=CC=C1 KWTSXDURSIMDCE-QMMMGPOBSA-N 0.000 description 2
- BALXUFOVQVENIU-GNAZCLTHSA-N Ephedrine hydrochloride Chemical compound Cl.CN[C@@H](C)[C@H](O)C1=CC=CC=C1 BALXUFOVQVENIU-GNAZCLTHSA-N 0.000 description 2
- LPHGQDQBBGAPDZ-UHFFFAOYSA-N Isocaffeine Natural products CN1C(=O)N(C)C(=O)C2=C1N(C)C=N2 LPHGQDQBBGAPDZ-UHFFFAOYSA-N 0.000 description 2
- 150000003797 alkaloid derivatives Chemical class 0.000 description 2
- FQPFAHBPWDRTLU-UHFFFAOYSA-N aminophylline Chemical compound NCCN.O=C1N(C)C(=O)N(C)C2=C1NC=N2.O=C1N(C)C(=O)N(C)C2=C1NC=N2 FQPFAHBPWDRTLU-UHFFFAOYSA-N 0.000 description 2
- 229960003556 aminophylline Drugs 0.000 description 2
- 229940025084 amphetamine Drugs 0.000 description 2
- SVPXDRXYRYOSEX-UHFFFAOYSA-N bentoquatam Chemical compound O.O=[Si]=O.O=[Al]O[Al]=O SVPXDRXYRYOSEX-UHFFFAOYSA-N 0.000 description 2
- 229960001948 caffeine Drugs 0.000 description 2
- VJEONQKOZGKCAK-UHFFFAOYSA-N caffeine Natural products CN1C(=O)N(C)C(=O)C2=C1C=CN2C VJEONQKOZGKCAK-UHFFFAOYSA-N 0.000 description 2
- 229940030606 diuretics Drugs 0.000 description 2
- 229960002534 ephedrine hydrochloride Drugs 0.000 description 2
- 229960005139 epinephrine Drugs 0.000 description 2
- 230000000144 pharmacologic effect Effects 0.000 description 2
- 239000006187 pill Substances 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 238000007086 side reaction Methods 0.000 description 2
- 235000009518 sodium iodide Nutrition 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 229960004559 theobromine Drugs 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- KWTSXDURSIMDCE-UHFFFAOYSA-N 1-phenylpropan-2-amine Chemical compound CC(N)CC1=CC=CC=C1 KWTSXDURSIMDCE-UHFFFAOYSA-N 0.000 description 1
- KLNGFIBGXXNTLD-UHFFFAOYSA-N 2-[benzyl(methyl)amino]-1-phenylpropan-1-ol Chemical compound C=1C=CC=CC=1CN(C)C(C)C(O)C1=CC=CC=C1 KLNGFIBGXXNTLD-UHFFFAOYSA-N 0.000 description 1
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 1
- 201000010000 Agranulocytosis Diseases 0.000 description 1
- 208000028185 Angioedema Diseases 0.000 description 1
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 241001106067 Atropa Species 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical class [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- 241000196324 Embryophyta Species 0.000 description 1
- 241000723281 Ephedra equisetina Species 0.000 description 1
- 241000723237 Ephedra intermedia Species 0.000 description 1
- 241001480144 Ephedra major Species 0.000 description 1
- QUSNBJAOOMFDIB-UHFFFAOYSA-N Ethylamine Chemical group CCN QUSNBJAOOMFDIB-UHFFFAOYSA-N 0.000 description 1
- PIICEJLVQHRZGT-UHFFFAOYSA-N Ethylenediamine Chemical compound NCCN PIICEJLVQHRZGT-UHFFFAOYSA-N 0.000 description 1
- 241000208278 Hyoscyamus Species 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- DJDFFEBSKJCGHC-UHFFFAOYSA-N Naphazoline Chemical compound Cl.C=1C=CC2=CC=CC=C2C=1CC1=NCCN1 DJDFFEBSKJCGHC-UHFFFAOYSA-N 0.000 description 1
- ZAHXYMFVNNUHCP-UHFFFAOYSA-N Naphazoline nitrate Chemical compound O[N+]([O-])=O.C=1C=CC2=CC=CC=C2C=1CC1=NCCN1 ZAHXYMFVNNUHCP-UHFFFAOYSA-N 0.000 description 1
- 208000025047 Non-histaminic angioedema Diseases 0.000 description 1
- 206010033557 Palpitations Diseases 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- 208000001431 Psychomotor Agitation Diseases 0.000 description 1
- 206010038743 Restlessness Diseases 0.000 description 1
- 208000013738 Sleep Initiation and Maintenance disease Diseases 0.000 description 1
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 description 1
- ABBQHOQBGMUPJH-UHFFFAOYSA-M Sodium salicylate Chemical compound [Na+].OC1=CC=CC=C1C([O-])=O ABBQHOQBGMUPJH-UHFFFAOYSA-M 0.000 description 1
- 208000024780 Urticaria Diseases 0.000 description 1
- 244000042325 Vigna aconitifolia Species 0.000 description 1
- 235000010725 Vigna aconitifolia Nutrition 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 229910000323 aluminium silicate Inorganic materials 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 230000002921 anti-spasmodic effect Effects 0.000 description 1
- 229940124575 antispasmodic agent Drugs 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- -1 aryl ethylamine derivatives Chemical class 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 229940026666 benzedrex Drugs 0.000 description 1
- 150000003842 bromide salts Chemical class 0.000 description 1
- 229940040544 bromides Drugs 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 235000001465 calcium Nutrition 0.000 description 1
- 235000011148 calcium chloride Nutrition 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 239000000496 cardiotonic agent Substances 0.000 description 1
- RNFNDJAIBTYOQL-UHFFFAOYSA-N chloral hydrate Chemical compound OC(O)C(Cl)(Cl)Cl RNFNDJAIBTYOQL-UHFFFAOYSA-N 0.000 description 1
- 229960002327 chloral hydrate Drugs 0.000 description 1
- 239000003245 coal Substances 0.000 description 1
- 230000003412 degenerative effect Effects 0.000 description 1
- HNPSIPDUKPIQMN-UHFFFAOYSA-N dioxosilane;oxo(oxoalumanyloxy)alumane Chemical compound O=[Si]=O.O=[Al]O[Al]=O HNPSIPDUKPIQMN-UHFFFAOYSA-N 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- IRVLBORJKFZWMI-JQWIXIFHSA-N etafedrine Chemical compound CCN(C)[C@@H](C)[C@H](O)C1=CC=CC=C1 IRVLBORJKFZWMI-JQWIXIFHSA-N 0.000 description 1
- 229950002456 etafedrine Drugs 0.000 description 1
- 150000003947 ethylamines Chemical class 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000008020 evaporation Effects 0.000 description 1
- 230000007717 exclusion Effects 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 239000012458 free base Substances 0.000 description 1
- 210000004051 gastric juice Anatomy 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 150000004820 halides Chemical class 0.000 description 1
- 229910052677 heulandite Inorganic materials 0.000 description 1
- 229910052900 illite Inorganic materials 0.000 description 1
- MTNDZQHUAFNZQY-UHFFFAOYSA-N imidazoline Chemical compound C1CN=CN1 MTNDZQHUAFNZQY-UHFFFAOYSA-N 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 206010022437 insomnia Diseases 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- MYWUZJCMWCOHBA-UHFFFAOYSA-N n-methyl-1-phenylpropan-2-amine Chemical compound CNC(C)CC1=CC=CC=C1 MYWUZJCMWCOHBA-UHFFFAOYSA-N 0.000 description 1
- 229940105623 neo-synephrine Drugs 0.000 description 1
- VGIBGUSAECPPNB-UHFFFAOYSA-L nonaaluminum;magnesium;tripotassium;1,3-dioxido-2,4,5-trioxa-1,3-disilabicyclo[1.1.1]pentane;iron(2+);oxygen(2-);fluoride;hydroxide Chemical compound [OH-].[O-2].[O-2].[O-2].[O-2].[O-2].[F-].[Mg+2].[Al+3].[Al+3].[Al+3].[Al+3].[Al+3].[Al+3].[Al+3].[Al+3].[Al+3].[K+].[K+].[K+].[Fe+2].O1[Si]2([O-])O[Si]1([O-])O2.O1[Si]2([O-])O[Si]1([O-])O2.O1[Si]2([O-])O[Si]1([O-])O2.O1[Si]2([O-])O[Si]1([O-])O2.O1[Si]2([O-])O[Si]1([O-])O2.O1[Si]2([O-])O[Si]1([O-])O2.O1[Si]2([O-])O[Si]1([O-])O2 VGIBGUSAECPPNB-UHFFFAOYSA-L 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 150000002892 organic cations Chemical class 0.000 description 1
- 238000012856 packing Methods 0.000 description 1
- 229960003742 phenol Drugs 0.000 description 1
- SONNWYBIRXJNDC-VIFPVBQESA-N phenylephrine Chemical compound CNC[C@H](O)C1=CC=CC(O)=C1 SONNWYBIRXJNDC-VIFPVBQESA-N 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- 235000011164 potassium chloride Nutrition 0.000 description 1
- NLKNQRATVPKPDG-UHFFFAOYSA-M potassium iodide Chemical class [K+].[I-] NLKNQRATVPKPDG-UHFFFAOYSA-M 0.000 description 1
- 235000007715 potassium iodide Nutrition 0.000 description 1
- 229940118915 privine Drugs 0.000 description 1
- JCRIVQIOJSSCQD-UHFFFAOYSA-N propylhexedrine Chemical compound CNC(C)CC1CCCCC1 JCRIVQIOJSSCQD-UHFFFAOYSA-N 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 238000010517 secondary reaction Methods 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 235000017281 sodium acetate Nutrition 0.000 description 1
- 239000001632 sodium acetate Substances 0.000 description 1
- 229940083599 sodium iodide Drugs 0.000 description 1
- 229960004025 sodium salicylate Drugs 0.000 description 1
- 229910052678 stilbite Inorganic materials 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 210000002820 sympathetic nervous system Anatomy 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000002636 symptomatic treatment Methods 0.000 description 1
- 230000002195 synergetic effect Effects 0.000 description 1
- 229920003002 synthetic resin Polymers 0.000 description 1
- 239000000057 synthetic resin Substances 0.000 description 1
- 229940055029 vasocon Drugs 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/17—Gnetophyta, e.g. Ephedraceae (Mormon-tea family)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/56—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
- A61K47/58—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. poly[meth]acrylate, polyacrylamide, polystyrene, polyvinylpyrrolidone, polyvinylalcohol or polystyrene sulfonic acid resin
- A61K47/585—Ion exchange resins, e.g. polystyrene sulfonic acid resin
Definitions
- This invention relates to preparations of ephedrine and related compounds, and more particularly to improved compositions for oral administration of such drugs.
- Ephedrine is, as is well-known, the principal alkaloid of the pharmacologically active species of ephedra, or mahuang, particularly Ephedra equisetina Bunge, E. sz'm'ca Stapf, E. nebrodensis, E. intermedia, E. oulgaris (so-called), and others. In these species the usual content of ephedrine varies between about A;% and 1%% by weight, and occasionally as high as 1.9%. Ephedrine may also be obtained synthetically. Related compounds may also be synthesized, and will be further referred to hereinbelow.
- ephedrine acts in a similar manner to epinephrine, stimulating the sympathetic nervous system. It is a vasoconstrictor, and is particularly useful in the symptomatic treatment, of allergic manifestations such as asthma, urticaria, angioneurotic edema, and the like, and has the great advantage over epinephrine of being effective when given orally. 7
- Ephedrine itself is likewise not without disadvantageous secondary reactions, commonly causing anxiety, palpitation, restlessness, sleeplessness, and the like, particularly in the allergic individual, who is often predisposed to such symptoms. It is therefore common to compound ephedrine with sedatives such as the barbiturates in order to overcome the undesired reactions.
- sedatives such as the barbiturates
- the use of such sedatives, while accomplishing the immediate purpose, is in turn undesirable, particularly when barbiturates are used, as these may be habit-forming, and may cause such degenerative conditions as agranulocytosis with long-continued use.
- One of the objects of this invention is to provide a means of administering ephedrine and related compounds while avoiding the undesirable subsidiary reactions therefrom.
- Another object of the invention is to provide a means of administering ephedra while avoiding the undesirable subsidiary reactions therefrom.
- Another object of the invention is to provide a'means of prolonging the action of oral vasoconstrictor medication while at the same time reducing the intensity of the initial effects of treatment.
- Another object is to provide a novel and useful medication for allergic disorders.
- diuretics and cardiac stimulants such as caffeine, theobromine, theophylline, and aminophylline are sometimes useful as adjuncts, as are antispasmodics such as belladonna, stramonium, and hyoscyamus and their alkaloids, and also alkali metal and alkaline-earth halides such as calcium, sodium, and potassium iodides, and potassium and calcium chlorides.
- sedatives such as bromides, chloral hydrate, and barbiturates can of course be added, but their use is made large unnecessary by the synergistic action of the ephedra rine.
- zeolites such as analcite, matrolite, heulandite, stilbite, common greensand zeolites, and even synthetically made zealites of of the alumino-silicate type; or even such of those of the recently introduced organic cation exchangers of, for example, the sulfonated coal or the synthetic resin type, as are non-toxic. These will naturally be'finely divided-:and' may'be present in such.
- the base exchange reaction may be carried out during manufacture,- asfcr example'by mixing the two reacting substances with water, drying, and comminuting; or they may bef'simply mixed dry, allowing reaction to take place when they are. moistened "by .the gastric juices.
- .another basebesides the vasoconstrictor is present, such as. for example. caffeine or. theophylline, .a. portionor .all of. this other baselmay likewise. beboundby base. exchange. "Wherethe reaction is not.
- Ephedrine has been used as the'example ofjthe vasoconstrictor .hereinabove ;'.but it will be understood that thereare otheranalogues and-derivatives having anessentially similar action and likewise-adapted for oral administration which can alsorbe usedinxaccor'dance withthe principles of this invention.
- Naturallyfluhose which .are volatile..in..the..f-ree state, such as li-phenyland .1-cyclohexyl-2- aminopropane, areibestusedlin the non-volatile salt' form, to avoid loss. by evaporation, Any other bases employed, such as xanthine diuretics, may of course also be in the free base or salt form.
- ephedra is the well-known crude drug ephedra, or mahuang, of species containing ephedrine in pharmacologically active quantities.
- the drug consists largely of the green stems of the plant.
- the amountsof fullers earth is sufficient to adsorb'about half of the ephedrinehydrochloride, assuming a base-exchange capacity of 3 30 --m i1liequivalents per grams.
- Mixture A a-nd'MixtureB are :packed intoopposite ends ofpa -gelatin-capsule, whichsare then putvtogeth'er.
- Each alkaloidis provided with approximately half its equivalent weight :in
- compositionfor medicinal use comprising,
- ephedrine and vasoconstrictive ephedra in a weight-ratio of ephedrinezephedra between the approximate limits of 1:20 and 1 :2, together with a comminuted solid cation-exchange material in quantity sufiicient to adsorb by base-exchange a substantial proportion of the ephedrine.
- a composition for medicinal use comprising; an orally effective vasoconstrictor containing the group RCC-N where R is a six membered carbon ring and vasoconstrictive ephedra in a weight-ratio of vasoconstrictor:ephedra between the approximate limits of 1 :20 and 1 :2.
- a composition for medicinal use comprising, an orally efiective vasoconstrictor containing the group R--CCN- where R is a six membered carbon ring and vasoconstrictive ephedra in a Weight-ratio of vasoconstrictorzephedra between the approximate limits of 1:20 and 1:2, together with a comminuted solid cation-exchange material in quantity suflicient to adsorb by base-exchange a substantial proportion of the vasoconstrictor.
- a composition for medicinal use comprising, an orally efiective vasoconstrictor containing the group R--CCN- where R is a six membered carbon ring and vasoconstrictive ephedra; a xanthine diuretic chosen from the group consisting of cafieine, theobromine, theophylline, and their double salts with ethylene diamine, sodium acetate, and sodium salicylate; and a base-exchange material; in which the vasoconstrictor: ephedra ratio lies between the limits of 1:20 and 1 :2, and in which the vasoconstrictor and ephedra are mixed with a partial stoichiometric equivalent of the base-exchange material, and in which the 6 xanthine diuretic is separately mixed with a partially stoichiometric equivalent of the base-exchange material, and in which the vasoconstrictor and xanthine diuretic portions are juxtaposed for simultaneous administration.
- composition according to claim 4 and wherein the comminuted solid cation-exchange material is selected from the group consisting of zeolites, fullers earths, bentonites and illites.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Natural Medicines & Medicinal Plants (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Epidemiology (AREA)
- Alternative & Traditional Medicine (AREA)
- Mycology (AREA)
- Microbiology (AREA)
- Medical Informatics (AREA)
- Botany (AREA)
- Biotechnology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Description
Patented Feb. 28, 1950 UNITED STATES PATENT OFFICE No Drawing. Application November 1, 1945, Serial No. 626,182
'7 Claims.
This invention relates to preparations of ephedrine and related compounds, and more particularly to improved compositions for oral administration of such drugs.
Ephedrine is, as is well-known, the principal alkaloid of the pharmacologically active species of ephedra, or mahuang, particularly Ephedra equisetina Bunge, E. sz'm'ca Stapf, E. nebrodensis, E. intermedia, E. oulgaris (so-called), and others. In these species the usual content of ephedrine varies between about A;% and 1%% by weight, and occasionally as high as 1.9%. Ephedrine may also be obtained synthetically. Related compounds may also be synthesized, and will be further referred to hereinbelow.
Pharmacologically, ephedrine acts in a similar manner to epinephrine, stimulating the sympathetic nervous system. It is a vasoconstrictor, and is particularly useful in the symptomatic treatment, of allergic manifestations such as asthma, urticaria, angioneurotic edema, and the like, and has the great advantage over epinephrine of being effective when given orally. 7
The crude drug ephedra is seldom given to obtain the therapeutic action of ephedrine (except possibly by Chinese herb doctors) because of undesirable side reactions caused by other constituents of the crude drug. Ephedrine itself, whether obtained naturally or synthetically, is likewise not without disadvantageous secondary reactions, commonly causing anxiety, palpitation, restlessness, sleeplessness, and the like, particularly in the allergic individual, who is often predisposed to such symptoms. It is therefore common to compound ephedrine with sedatives such as the barbiturates in order to overcome the undesired reactions. The use of such sedatives, while accomplishing the immediate purpose, is in turn undesirable, particularly when barbiturates are used, as these may be habit-forming, and may cause such degenerative conditions as agranulocytosis with long-continued use.
One of the objects of this invention is to provide a means of administering ephedrine and related compounds while avoiding the undesirable subsidiary reactions therefrom.
Another object of the invention is to provide a means of administering ephedra while avoiding the undesirable subsidiary reactions therefrom.
Another object of the invention is to provide a'means of prolonging the action of oral vasoconstrictor medication while at the same time reducing the intensity of the initial effects of treatment.
Another object is to provide a novel and useful medication for allergic disorders.
I have discovered that a remarkable synergism between ephedrine and ephedra when taken together in certain ratios. As stated above, neither ephedrine nor ephedra is wholly satisfactory when used alone, but when so combined that the ratio of total ephedrine to ephedra is between about 1:20 and 1:2, and more desirably between about 1:10 and 1:3, the hereinbefore cited undesirable side reactions of ephedrine are greatly reduced. At the ratios given not enough ephedra is taken in to cause in turn the reactions incident upon it, and indeed the ephedrine itself appears to' modify these. It will be appreciated that ratios of this magnitude do not occur in natural mahuang, ephedrine contents of respectively 1% and 2% giving ephedrinezephedra ratios of 1:99 and 1:49.
The pharmacology of ephedra as to all of its minor constituents has not been sufiiciently elucidated that an explanation of the phenomena of this invention can be given; but it seems not unlikely that hitherto unappreciated constituents of ephedra have the property of modifying the pharmacological action of ephedrine so that the purpose of this invention can be realized, but that the ephedrinezephedra ratio in naturally occuring ephedra has such values that the elfect is defeated when enough ephedra is taken to provide a therapeutic quantity of ephedrine. However, it should be understood that I do not wish to be limited to any particular theory of action.
It is in some cases desirable, but not necessary for the purposes of this invention in its broadest aspects, to include other ingredients in a preparation for allergic relief embodying the principles of the invention. Thus, diuretics and cardiac stimulants such as caffeine, theobromine, theophylline, and aminophylline are sometimes useful as adjuncts, as are antispasmodics such as belladonna, stramonium, and hyoscyamus and their alkaloids, and also alkali metal and alkaline-earth halides such as calcium, sodium, and potassium iodides, and potassium and calcium chlorides. sedatives such as bromides, chloral hydrate, and barbiturates can of course be added, but their use is made large unnecessary by the synergistic action of the ephedra rine.
To prolong the effect of the medication, and at the same time to lessen the impact of the drugs on the system, it is desirable to add a suitable quantity of a substance exhibiting base exchange,
such as clays of moderate or high base exchange with the ephed-,
3 capacity like fullers earth, illite, bentonite, and similar clays; or zeolites such as analcite, matrolite, heulandite, stilbite, common greensand zeolites, and even synthetically made zealites of of the alumino-silicate type; or even such of those of the recently introduced organic cation exchangers of, for example, the sulfonated coal or the synthetic resin type, as are non-toxic. These will naturally be'finely divided-:and' may'be present in such. quantity (as maybe readily calculated from the base exchange capacity for large cations of the exchange substance and the stoichiometric equivalence of the ephedrineior.v other alkaloid or organic base present) asto bind all or only a portion of the organicb'ase,'viz., ephedrine. The base exchange reaction may be carried out during manufacture,- asfcr example'by mixing the two reacting substances with water, drying, and comminuting; or they may bef'simply mixed dry, allowing reaction to take place when they are. moistened "by .the gastric juices.
I prefer to bind up only aportion of the organic base, viz., ephedrine, in this-manner, so thatthe remainder is available for. absorption as soomas it reaches. the stomach, while-the. exchangedlportion is-withheld vfrom availability until the. alkaline regions of the intestines. are reached, whereupon 'the base tends to. be liberated fromthe cation exchanger.asaconsequence of the higher pH. Where .another basebesides the vasoconstrictor is present, such as. for example. caffeine or. theophylline, .a. portionor .all of. this other baselmay likewise. beboundby base. exchange. "Wherethe reaction is not. effected d'uringrmanufacture, it may beldesirable to separate the various organic bases in separate capsules or .pills or. portions thereof, each with itsproperamount of, cation exchanger, so'that the reaction of the stronger base with the cation exchanger to the exclusion of-the weakeris avoided.
"Ephedrine has been used as the'example ofjthe vasoconstrictor .hereinabove ;'.but it will be understood that thereare otheranalogues and-derivatives having anessentially similar action and likewise-adapted for oral administration which can alsorbe usedinxaccor'dance withthe principles of this invention. "Examples of: theseiarei' racemic ephedrine which of course contains half ofrthe ofiicial stereoisomem benzyl ephedrine, ethyl ephedrine, neo-synephrine' (a-hydroxy p=methylaminoethyl-3-hydroxybenzene), .propa'drine (-ahydroxy-p-aminopropylb'enzene), amphetamine (1-phenyl 2-aminopropane) benzedrex (1-03 clohexyl-2-aminopropa'ne) desoxyephedrine;privine (aL-naphthyLZ-methyI imidazoline) and others, which'ior'the most part may be structurally consideredas "derivatives of ethylamine, and more'particulariyas p aryl ethylamine derivatives. All'of" the foregoing compounds contain the group R'C C-'-N where'R is a sixmembered carbon ring. Those skilled in'the art recognize the six-membered carbon ring. ethyl amine structure as contributing vasoconstrictive action,v as described in "fThe Pharmacological Basisof Therapeutics by Goodman and Gilman, page427. It will lee-understood that these vasocon'strictor amines can be employed as the free basaorlin the. salt" form, for example, .as the hydrochloride, sulfate, acetate, and so forth. (Their actionwhere used according to the invention is independent. or whether they are. in the'freelamine or salt form. Naturallyfluhose which .are volatile..in..the..f-ree state, such as li-phenyland .1-cyclohexyl-2- aminopropane, areibestusedlin the non-volatile salt' form, to avoid loss. by evaporation, Any other bases employed, such as xanthine diuretics, may of course also be in the free base or salt form.
In the examples and claims which follow, ephedra is the well-known crude drug ephedra, or mahuang, of species containing ephedrine in pharmacologically active quantities. The drug consists largely of the green stems of the plant.
Examples Grains .iEphedrine sulfate .Ephedra 2 The powdered ingredients are encapsulated.
Grains E'phedrine Ephedra 1 /2 Aminophylline 1% The; powdered ingredients are formed into a pill.
. Grains Ephedrine hydrochloride 1 Ephedra 4 Fullers earth 3 The 'powdered ingredients are encapsulated.
The amountsof fullers earth is sufficient to adsorb'about half of the ephedrinehydrochloride, assuming a base-exchange capacity of 3 30 --m i1liequivalents per grams.
Mixture A a-nd'MixtureB are :packed intoopposite ends ofpa -gelatin-capsule, whichsare then putvtogeth'er. Each alkaloidis provided with approximately half its equivalent weight :in
; bentonite, .and 13hBr.ma/nn8r"Of packing insures that eachportion of-bentonite willbe saturated withits properalkaloid.
Grains Amphetamine'sulfate" Benzylephe'drine hydrochloride 4/8 Neosynephrin'e hydrochloride 4A; Ephedra 5 Sodiumiodide 5 The powdered ingredients are encapsulated.
In the examples. above, the quantities given are fora vsingleldose.
What :I olaimis:
i. l. A composition for "medicinal use:comprising, ephedrine and jvasoconstrictive. ephedra in a weight-ratio ref ephedrine :ephedra. between the approximatelimits of 1 :20 and 1.: 2.
2. A compositionfor medicinal use comprising,
ephedrine and vasoconstrictive ephedra in a weight-ratio of ephedrinezephedra between the approximate limits of 1:20 and 1 :2, together with a comminuted solid cation-exchange material in quantity sufiicient to adsorb by base-exchange a substantial proportion of the ephedrine.
3. A composition for medicinal use comprising; an orally effective vasoconstrictor containing the group RCC-N where R is a six membered carbon ring and vasoconstrictive ephedra in a weight-ratio of vasoconstrictor:ephedra between the approximate limits of 1 :20 and 1 :2.
4. A composition for medicinal use comprising, an orally efiective vasoconstrictor containing the group R--CCN- where R is a six membered carbon ring and vasoconstrictive ephedra in a Weight-ratio of vasoconstrictorzephedra between the approximate limits of 1:20 and 1:2, together with a comminuted solid cation-exchange material in quantity suflicient to adsorb by base-exchange a substantial proportion of the vasoconstrictor.
5. A composition for medicinal use comprising, an orally efiective vasoconstrictor containing the group R--CCN- where R is a six membered carbon ring and vasoconstrictive ephedra; a xanthine diuretic chosen from the group consisting of cafieine, theobromine, theophylline, and their double salts with ethylene diamine, sodium acetate, and sodium salicylate; and a base-exchange material; in which the vasoconstrictor: ephedra ratio lies between the limits of 1:20 and 1 :2, and in which the vasoconstrictor and ephedra are mixed with a partial stoichiometric equivalent of the base-exchange material, and in which the 6 xanthine diuretic is separately mixed with a partially stoichiometric equivalent of the base-exchange material, and in which the vasoconstrictor and xanthine diuretic portions are juxtaposed for simultaneous administration.
6. A composition according to claim 3 and wherein the ephedra is comminuted.
7. A composition according to claim 4 and wherein the comminuted solid cation-exchange material is selected from the group consisting of zeolites, fullers earths, bentonites and illites.
DELMAR I-I. LARSEN.
REFERENCES CITED The following references are of record in the file of this patent:
UNITED STATES PATENTS Number Name Date 1,250,331 Lloyd Dec. 18, 1917 2,033,856 Smith Mar. 10, 1936 2,222,952 Mothes Nov, 26, 1940 FOREIGN PATENTS Number Country Date 690,488 Germany Apr. 26, 1940 691,339 Germany May 23, 1940 OTHER REFERENCES Chen and SchmidtEphedrine and Related Substances, pages 82-94, Williams and Wilkins 00., Baltimore, 1930. (Copy in Division 43.)
Chen-The Chemist and Druggist, November 26, 1938, Ephedrine and Ma Huang. (Reprint in Division 43, 4 pages.)
Claims (1)
- 3. A COMPOSITION FOR MEDICINAL USE COMPRISING; AN ORALLY EFFECTIVE VASOCONSTRICTOR CONTAINING THE GROUP R-C-C-N WHERE R IS A SIX MEMBERED CARBON RING AND VASOCONSTRICTIVE EPHEDRA IN A WEIGHT-RADIO OF VASCONSTRICTOR:EPHEDRA BETWEEN THE APPROXIMATE LIMITS OF 1:20 AND 1:2.
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US626182A US2498687A (en) | 1945-11-01 | 1945-11-01 | Vasoconstrictor composition |
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US626182A US2498687A (en) | 1945-11-01 | 1945-11-01 | Vasoconstrictor composition |
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Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2990332A (en) * | 1958-04-02 | 1961-06-27 | Wallace & Tiernan Inc | Pharmaceutical preparations comprising cation exchange resin adsorption compounds and treatment therewith |
US3007847A (en) * | 1956-05-08 | 1961-11-07 | Warner Lambert Pharmaceutical | Antispasmodic composition |
US3027303A (en) * | 1958-06-04 | 1962-03-27 | Bristol Myers Co | Hematinic compositions |
US3035979A (en) * | 1959-04-15 | 1962-05-22 | Wallace & Tiernan Inc | Pharmaceutical composition containing a resin-narcotic compound and a resinantihistamine compound |
US3084099A (en) * | 1958-08-04 | 1963-04-02 | Wallace & Tiernan Inc | Therapeutic amine-resin complex composition and method of using same |
US3100738A (en) * | 1961-08-09 | 1963-08-13 | Neisler Lab Inc | Uniform release process |
US3108044A (en) * | 1957-10-03 | 1963-10-22 | Clinical Products Ltd | Medicament of polystyrene anion exchange resin having a barbiturate adsorbed thereon |
US3342685A (en) * | 1957-10-03 | 1967-09-19 | Clinical Products Ltd | Vitamin-cation exchange resin therapy and method of eliminating drug odor |
US3699219A (en) * | 1969-07-15 | 1972-10-17 | Haver Lockland Lab | Method of administering amino acids to convalescing livestock and composition therefor |
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US1250331A (en) * | 1915-07-06 | 1917-12-18 | John Uri Lloyd | Alkaloidal compound. |
US2033856A (en) * | 1934-07-05 | 1936-03-10 | Claude R Smith | Compounds of bentonite with organic bases and process of producing same |
DE690488C (en) * | 1939-02-24 | 1940-04-26 | Chemisch Pharmazeutische A G B | Process for the production of concentrated aqueous caffeine solutions |
DE691339C (en) * | 1939-02-24 | 1940-05-23 | Chemisch Pharmazeutische A G B | Process for the preparation of concentrated aqueous theophylline solutions |
US2222952A (en) * | 1938-01-15 | 1940-11-26 | Bilhuber Inc E | Theophylline and caffeine solution |
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1945
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Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
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US1250331A (en) * | 1915-07-06 | 1917-12-18 | John Uri Lloyd | Alkaloidal compound. |
US2033856A (en) * | 1934-07-05 | 1936-03-10 | Claude R Smith | Compounds of bentonite with organic bases and process of producing same |
US2222952A (en) * | 1938-01-15 | 1940-11-26 | Bilhuber Inc E | Theophylline and caffeine solution |
DE690488C (en) * | 1939-02-24 | 1940-04-26 | Chemisch Pharmazeutische A G B | Process for the production of concentrated aqueous caffeine solutions |
DE691339C (en) * | 1939-02-24 | 1940-05-23 | Chemisch Pharmazeutische A G B | Process for the preparation of concentrated aqueous theophylline solutions |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3007847A (en) * | 1956-05-08 | 1961-11-07 | Warner Lambert Pharmaceutical | Antispasmodic composition |
US3108044A (en) * | 1957-10-03 | 1963-10-22 | Clinical Products Ltd | Medicament of polystyrene anion exchange resin having a barbiturate adsorbed thereon |
US3342685A (en) * | 1957-10-03 | 1967-09-19 | Clinical Products Ltd | Vitamin-cation exchange resin therapy and method of eliminating drug odor |
US2990332A (en) * | 1958-04-02 | 1961-06-27 | Wallace & Tiernan Inc | Pharmaceutical preparations comprising cation exchange resin adsorption compounds and treatment therewith |
US3027303A (en) * | 1958-06-04 | 1962-03-27 | Bristol Myers Co | Hematinic compositions |
US3084099A (en) * | 1958-08-04 | 1963-04-02 | Wallace & Tiernan Inc | Therapeutic amine-resin complex composition and method of using same |
US3035979A (en) * | 1959-04-15 | 1962-05-22 | Wallace & Tiernan Inc | Pharmaceutical composition containing a resin-narcotic compound and a resinantihistamine compound |
US3100738A (en) * | 1961-08-09 | 1963-08-13 | Neisler Lab Inc | Uniform release process |
US3699219A (en) * | 1969-07-15 | 1972-10-17 | Haver Lockland Lab | Method of administering amino acids to convalescing livestock and composition therefor |
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