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    • 2. 发明授权
    • Methods for treating disorders associated with the central nervous
system using opticallly pure (+) cisapride
    • 使用光学纯(+)西沙必利治疗与中枢神经系统相关疾病的方法
    • US5629329A
    • 1997-05-13
    • US690242
    • 1996-07-19
    • Nancy M. GrayJames W. Young
    • Nancy M. GrayJames W. Young
    • C07D211/62A61K31/445A61K31/4468A61P1/00A61P1/08A61P1/10A61P1/14A61K31/395C07D409/06
    • A61K31/445A61K31/4468
    • Methods are disclosed utilizing the optically pure (+) isomer of cisapride. This compound is a potent drug for the treatment of gastro-esophageal reflux disease while substantially reducing the concomitant liability of adverse effects associated with the racemic mixture of cisapride. This compound is also useful in treating or preventing emesis while substantially reducing adverse effects associated with racemic cisapride. The optically pure (+) isomer of cisapride is also useful for the treatment of dyspepsia and such other conditions as may be related to the activity of (+) cisapride as a prokinetic agent, such as gastroparesis, constipation, post-operative ileus, and intestinal pseudo-obstruction, without the concomitant liability of adverse effects associated with the racemic mixture of cisapride. The (+) isomer of cisapride also exhibits longer duration of action than does racemic cisapride and is useful for treatment of disorders of the central nervous system.
    • 公开利用西沙必利的光学纯(+)异构体的方法。 该化合物是用于治疗胃食管反流疾病的有效药物,同时显着减少与西沙必利的外消旋混合物相关的副作用的伴随的责任。 该化合物也可用于治疗或预防呕吐,同时显着降低与西西沙必利素有关的不良反应。 西沙必利的光学纯的(+)异构体也可用于治疗消化不良和其它可能与(+)西沙必利作为促动力剂的活性相关的其它病症,例如胃轻瘫,便秘,手术后肠梗阻和 肠假性梗阻,没有与西沙必利的外消旋混合物相关的副作用的伴随的责任。 西沙必利的(+)异构体也表现出比外消旋西沙必利更长的作用时间,并且可用于治疗中枢神经系统疾病。