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    • 1. 发明申请
    • COMBINATIONS OF HMG-COA REDUCTASE INHIBITORS AND NICOTINIC ACID AND METHODS FOR TREATING HYPERLIPIDEMIA
    • HMG-COA还原酶抑制剂与烟碱酸的组合以及治疗高脂血症的方法
    • WO9906046A9
    • 1999-04-29
    • PCT/US9815989
    • 1998-07-31
    • KOS PHARMA INC
    • BOVA DAVID JDUNNE JOSEPHINE
    • A61K9/22A61K9/24A61K31/44A61K31/455A61K31/465A61K31/60A61K9/20
    • A61K31/465A61K9/209A61K31/44A61K31/455A61K31/60
    • The present invention relates to solid pharmaceutical combinations for oral administration comprising nicotinic acid or a nicotinic acid compound or mixtures thereof in an extended release form and an HMG-CoA reductase inhibitor, which are useful for altering lipid levels in subjects suffering from, for example, hyperlipidemia and atherosclerosis, without causing drug-induced hepatotoxicity, myopathy or rhabdomyolysis. The present invention also relates to methods of altering serum lipids in subjects to treat, for example, hyperlipidemia in hyperlipidemics, lipidemia in normolipidemics diagnosed with or predisposed to cardiovascular disease, and atherosclerosis, by administering such oral solid pharmaceutical combinations once per day as a single dose during the evening hours, without causing drug-induced hepatotoxicity, myopathy or rhabdomyolysis, or without causing in at least an appreciable number of individuals drug-induced hepatotoxicity, myopathy or rhabdomyolysis to such a level that discontinuation of such therapy would be required. More particularly, the present invention concerns oral solid pharmaceutical combinations comprised of, for example, (1) an HMG-CoA reductase inhibitor for immediate or extended release, (2) nicotinic acid, a nicotinic acid compound or mixtures thereof, and (3) a swelling agent to form a sustained release composition for extended release of the nicotinic acid or nicotinic acid compound or mixtures thereof for nocturnal or evening dosing for reducing serum lipids and increasing HDL-cholesterol. In accordance with the present invention, and by way of example, a composition for oral administration during the evening hours to alter serum lipids comprised of nicotinic acid and hydroxypropyl methylcellulose in the form of an extended or sustained release tablet or caplet coated with a coating comprising an HMG-CoA reductase inhibitor in immediate release form is disclosed. Also in accordance with the present invention, the pharmaceutical combinations may include a nonsteroidal anti-inflammatory agent for reducing the capacity of nicotinic acid or nicotinic acid compounds to provoke flushing reactions in individuals.
    • 本发明涉及用于口服给药的固体药物组合,其包含呈延长释放形式的烟酸或烟酸化合物或其混合物和HMG-CoA还原酶抑制剂,其可用于改变患有(例如) 高脂血症和动脉粥样硬化,而不引起药物诱导的肝毒性,肌病或横纹肌溶解症。 本发明还涉及改变受试者的血脂以治疗例如高脂血症中的高脂血症,诊断患有心血管疾病或易患心血管疾病或易患心血管疾病的血脂正常的血脂异常和动脉粥样硬化的方法,其通过每天一次给予这种口服固体药物组合 在不引起药物引起的肝毒性,肌病或横纹肌溶解的情况下,或者至少在可察觉数量的个体中没有导致药物诱导的肝毒性,肌病或横纹肌溶解至需要停止这种治疗的水平。 更特别地,本发明涉及口服固体药物组合,其包含例如(1)用于立即或延长释放的HMG-CoA还原酶抑制剂,(2)烟酸,烟酸化合物或其混合物,和(3) 溶胀剂以形成延迟释放烟酸或烟酸化合物或其混合物的持续释放组合物用于夜间或夜间给药以减少血脂和增加HDL-胆固醇。 根据本发明,并且举例来说,用于在傍晚时间口服给药的组合物,以改变包含烟酸和羟丙基甲基纤维素的血清脂质,所述血清脂质为延伸或缓释片剂或囊片,其形式为涂覆有包衣 公开了立即释放形式的HMG-CoA还原酶抑制剂。 还根据本发明,药物组合可以包括用于降低烟酸或烟酸化合物在个体中引起潮红反应的能力的非甾体抗炎剂。
    • 2. 发明申请
    • METHODS OF PRETREATING HYPERLIPIDEMIC INDIVIDUALS WITH A FLUSH INHIBITING AGENT PRIOR TO THE START OF SINGLE DAILY DOSE NICOTINIC ACID THERAPY TO REDUCE FLUSHING PROVOKED BY NICOTINIC ACID
    • 在单次日剂量开始使用消融抑制剂之前预防高血压个体的方法NICOTINIC ACID治疗以减少NICOTINIC所提供的扑食
    • WO9906052A9
    • 1999-04-29
    • PCT/US9815987
    • 1998-07-31
    • KOS PHARMA INC
    • CEFALI EUGENIO A
    • A61K31/455A61K31/60A61K31/785A61K31/62
    • A61K31/455A61K31/60A61K31/785A61K31/40A61K31/365A61K31/22A61K2300/00
    • The present invention relates to pretreating individuals with an effective amount of a flush inhibiting agent for a sufficient period of time prior to the start of single daily dose nicotinic acid therapy to reduce the capacity of nicotinic acid to induce flushing reactions in such individuals during nicotinic acid therapy. In accordance with the present invention, the flush inhibiting agents are administered orally one to four times a day, and preferably one to two times per day, for between about 7 to about 14 days prior to the start of the nicotinic acid therapy. Examples of flush inhibiting agents include nonsteroidal anti-inflammatory agents. Aspirin is a prefered flush inhibiting agent and may be orally administered in daily doses of between about 80 mg to about 1000 mg, and preferably between about 80 mg and about 650 mg, and more preferably between about 80 mg and about 325 mg, during the pretreatment period. Also consistent with the present invention, the pretreatment therapy may be continued during and administered concurrently with the nicotinic acid therapy, in which the nicotinic acid is preferably administered once per day as a single dose during the evening hours or before or at bedtime. The nicotinic acid may be administered alone or in combination with HMG-CoA reductase inhibitors as well as other lipid-altering agents, like cholestyramine and colestipol.
    • 本发明涉及在开始单一日剂量烟酸治疗之前,将有效量的冲洗抑制剂预处理足够的时间以减少在烟酸中这些个体烟酸诱导潮红反应的能力 治疗。 根据本发明,在开始烟碱酸治疗之前约7至约14天,每天口服一至四次,优选每天一至二次口服冲洗抑制剂。 冲洗抑制剂的实例包括非甾体抗炎剂。 阿司匹林是优选的冲洗抑制剂,并且可以在约80mg至约1000mg之间,优选约80mg至约650mg,更优选约80mg至约325mg的日剂量下口服施用 预处理期。 还与本发明一致,预处理治疗可以在烟碱酸治疗期间持续进行,并且其中烟酸优选在傍晚时间或睡前或在睡前时每天以单一剂量施用一次。 烟酸可以单独施用或与HMG-CoA还原酶抑制剂以及其他脂质改变剂如考烯胺和考来泊泊组合施用。
    • 4. 发明申请
    • COMBINATIONS OF HMG-CoA REDUCTASE INHIBITORS AND NICOTINIC ACID COMPOUNDS AND METHODS FOR TREATING HYPERLIPIDEMIA ONCE A DAY AT NIGHT
    • HMG-CoA还原酶抑制剂与烟碱酸化合物的组合以及在晚上一天治疗高脂血症的方法
    • WO9906035A3
    • 1999-04-22
    • PCT/US9815990
    • 1998-07-31
    • KOS PHARMA INC
    • BOVA DAVID JDUNNE JOSEPHINE
    • A61K9/16A61K9/20A61K9/24A61K9/48A61K31/455A61K45/06A61P3/06A61P9/10A61K31/785
    • A61K45/06A61K9/2054A61K9/209A61K31/455A61K31/44A61K31/40A61K31/365A61K31/22A61K2300/00
    • The present invention relates to solid pharmaceutical combinations for oral administration comprising nicotinic acid or a nicotinic acid compound or mixtures thereof in an extended release form and an HMG-CoA reductase inhibitor, which are useful for altering lipid levels in subjects suffering from, for example, hyperlipidemia and atherosclerosis, without causing drug-induced hepatotoxicity, myopathy or rhabdomyolysis. The present invention also relates to methods of altering serum lipids in subjects to treat, for example, hyperlipidemia in hyperlipidemics, lipidemia in normolipidemics diagnosed with or predisposed to cardiovascular disease, and atherosclerosis, by administering such oral solid pharmaceutical combinations once per day as a single dose during the evening hours, without causing drug-induced hepatotoxicity, myopathy or rhabdomyolysis, or without causing in at least an appreciable number of individuals drug-induced hepatotoxicity, myopathy or rhabdomyolysis to such a level that discontinuation of such therapy would be required. More particularly, the present invention concerns oral solid pharmaceutical combinations comprised of, for example, (1) an HMG-CoA reductase inhibitor for immediate or extended release, (2) nicotinic acid, a nicotinic acid compound or mixtures thereof, and (3) a swelling agent to form a sustained release composition for extended release of the nicotinic acid or nicotinic acid compound or mixtures thereof for nocturnal or evening dosing for reducing serum lipids and increasing HDL-cholesterol. In accordance with the present invention, and by way of example, a composition for oral administration during the evening hours to alter serum lipids comprised of nicotinic acid and hydroxypropyl methylcellulose in the form of an extended or sustained release tablet or caplet coated with a coating comprising an HMG-CoA reductase inhibitor in immediate release form is disclosed. Also in accordance with the present invention, the pharmaceutical combinations may include a nonsteroidal anti-inflammatory agent for reducing the capacity of nicotinic acid or nicotinic acid compounds to provoke flushing reactions in individuals.
    • 本发明涉及用于口服给药的固体药物组合,其包含呈延长释放形式的烟酸或烟酸化合物或其混合物和HMG-CoA还原酶抑制剂,其可用于改变患有(例如) 高脂血症和动脉粥样硬化,而不引起药物诱导的肝毒性,肌病或横纹肌溶解症。 本发明还涉及改变受试者的血脂以治疗例如高脂血症中的高脂血症,诊断患有心血管疾病或易患心血管疾病或易患心血管疾病的血脂正常的血脂异常和动脉粥样硬化的方法,其通过每天一次给予这种口服固体药物组合 在不引起药物引起的肝毒性,肌病或横纹肌溶解的情况下,或者至少在可察觉数量的个体中没有导致药物诱导的肝毒性,肌病或横纹肌溶解至需要停止这种治疗的水平。 更特别地,本发明涉及口服固体药物组合,其包含例如(1)用于立即或延长释放的HMG-CoA还原酶抑制剂,(2)烟酸,烟酸化合物或其混合物,和(3) 溶胀剂以形成延迟释放烟酸或烟酸化合物或其混合物的持续释放组合物用于夜间或夜间给药以减少血脂和增加HDL-胆固醇。 根据本发明,并且举例来说,用于在傍晚时间口服给药的组合物,以改变包含烟酸和羟丙基甲基纤维素的血清脂质,所述血清脂质为延伸或缓释片剂或囊片,其形式为涂覆有包衣 公开了立即释放形式的HMG-CoA还原酶抑制剂。 还根据本发明,药物组合可以包括用于降低烟酸或烟酸化合物在个体中引起潮红反应的能力的非甾体抗炎剂。
    • 10. 发明公开
    • BREATH COORDINATED INHALER
    • 气雾
    • EP1007119A4
    • 2001-08-29
    • EP98914481
    • 1998-04-03
    • KOS PHARMA INC
    • HAUSER STEPHEN G
    • A61M15/00A61M11/00
    • A61M15/0091A61M15/0023A61M15/008A61M15/0096
    • An improved breath coordinated inhaler (10) is provided for administering medication to a patient in aerosol form for respiratory inhalation therapy. The improved inhaler (10) comprises a compact housing (18) adapted to receive and support a medication canister (12), including a valve assembly (14) actuated to deliver a dosage of the medication in aerosol form. The housing (18) includes a plunger mounted at a first end thereof for displacing the canister against a spray nozzle (24) located at a second end of the housing to actuate the valve assembly (14), and deliver the medication through a mouthpiece (26) to the patient. The plunger (36) is associated with a seal arrangement for venting the housing (18) when the plunger is depressed to allow the patient to draw in air in timed relation to the medication delivery, and to substantially reseal the housing (18) against ingress of contaminants when the plunger (36) is released.
    • 提供改进的呼吸协调式吸入器(10),用于以气雾剂形式向患者施用用于呼吸吸入治疗的药物。 改进的吸入器(10)包括适于接收和支撑药物罐(12)的紧凑壳体(18),包括阀组件(14),所述阀组件被致动以递送一定剂量的气雾剂形式的药物。 壳体(18)包括安装在其第一端的柱塞,用于抵靠位于壳体的第二端处的喷嘴(24)移动罐以致动阀组件(14),并且将药物递送通过咬嘴 26)给患者。 柱塞(36)与用于在柱塞被压下时使壳体(18)排气以允许患者相对于药物输送定时吸入空气并且基本上重新密封壳体(18)以防止进入 当柱塞(36)被释放时污染物的量。