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    • 3. 发明申请
    • TREATMENT OF CHRONIC PAIN ASSOCIATED WITH DRUG OR RADIATION THERAPY
    • 治疗与药物或放射治疗相关的慢性疼痛
    • WO2004105690A3
    • 2005-03-10
    • PCT/US2004016101
    • 2004-05-20
    • CYPRESS BIOSCIENCE INCRAO SRINIVAS GKRANZLER JAY D
    • RAO SRINIVAS GKRANZLER JAY D
    • A61K20060101A61K31/137A61K31/22A61K31/55
    • A61K31/22
    • Methods for treating chronic widespread pain associated with drug therapy or radiation therapy are described. The method generally involves administering a therapeutically effective amount of a dual or tri reuptake inhibitor of a specific type or a pharmaceutically acceptable salt thereof. Preferably the compound is a non-tricyclic dual reuptake inhibitor. The most preferred compound is milnacipran or a bioequivalent or pharmaceutically acceptable salt thereof. Other preferred compounds are duloxetine and venlafaxine or a bioequivalent or pharmaceutically acceptable salt thereof. In yet another embodiment, a therapeutically effective amount of a non-tricyclic triple reuptake inhibitor ("TRI") compound of a specific type, or a pharmaceutically acceptable salt thereof, is administered. The TRI compounds are characterized by their ability to block the reuptake (and, hence, increase central concentrations of) the three primary brain monoamines: serotonin, noradrenaline, and dopamine.
    • 描述了治疗与药物治疗或放射治疗相关的慢性广泛疼痛的方法。 该方法通常涉及给予治疗有效量的特异型或其可药用盐的双重或三次再摄取抑制剂。 优选地,该化合物是非三环双重再摄取抑制剂。 最优选的化合物是米那普仑或其生物等效或药学上可接受的盐。 其他优选的化合物是度洛西汀和文拉法辛或其生物等效或药学上可接受的盐。 在另一个实施方案中,施用治疗有效量的特定类型的非三环三重再摄取抑制剂(“TRI”)化合物或其药学上可接受的盐。 TRI化合物的特征在于其阻断三种主要脑单胺(5-羟色胺,去甲肾上腺素和多巴胺)的再摄取(并因此增加中心浓度)的能力。
    • 8. 发明申请
    • TREATMENT OF COGNITIVE DYSFUNCTIONS'
    • 治疗精神功能障碍“
    • WO2004045718A2
    • 2004-06-03
    • PCT/US0336813
    • 2003-11-18
    • CYPRESS BIOSCIENCE INCRAO SRINIVAS GKRANZLER JAY D
    • RAO SRINIVAS GKRANZLER JAY D
    • A61K31/00A61K45/06A61K47/00A61P20060101A61P1/00A61P
    • A61K45/06A61K31/00A61K2300/00
    • Cognitive dysfunction can be treated by administering to a mammal an effective amount of a compound that is an N-methyl-D-aspartate (NMDA) receptor antagonist and a selective norepinephrine (NE) serotonin (5-HT) reuptake inhibitor (NSRI), most preferably between 1:1 and 20:1 NE:5-HT reuptake. In a preferred embodiment the composition includes a pharmaceutically acceptable carrier and an effective cognition-enhancing amount of milnacipran, most preferably about 25 mg/day to about 250 mg/day. The composition may further include at least one of Ginkgo biloba, Huperzine A, Phosphatidylserine, Vitamin E, Tacrine, Donepezil, Rivastigmine, and Galantamine. The composition can also include at least one of sibutramine, an aminocyclopropane derivative, venlafaxine, duloxetine, desipramine, nortriptyline, protriptyline, amitriptyline, clomipramine, doxepine, imipramine, and trimipramine.
    • 可以通过向哺乳动物施用有效量的N-甲基-D-天冬氨酸(NMDA)受体拮抗剂和选择性去甲肾上腺素(NE)5-羟色胺(5-HT)再摄取抑制剂(NSRI)的化合物来治疗认知功能障碍, 最优选1:1至20:1 NE:5-HT再摄取。 在优选的实施方案中,组合物包含药学上可接受的载体和有效认知增强量的米那普仑,最优选约25mg /天至约250mg /天。 组合物还可以包括银杏,石杉碱甲,磷脂酰丝氨酸,维生素E,他克林,多奈哌齐,利斯的明和加兰他敏中的至少一种。 该组合物还可以包括西布曲明,氨基环丙烷衍生物,文拉法辛,度洛西汀,地昔帕明,去甲替林,依替西林,阿米替林,氯米帕明,多塞平,丙咪嗪和米帕明中的至少一种。
    • 9. 发明申请
    • METHODS FOR REDUCING THE SIDE EFFECTS ASSOCIATED WITH MIRTAZAPINE TREATMENT
    • 减少与米拉珠星治疗相关的副作用的方法
    • WO2006055854A3
    • 2007-02-01
    • PCT/US2005042019
    • 2005-11-17
    • CYPRESS BIOSCIENCE INCRAO SRINIVASKRANZLER JAY DANDERSON JEFFERY J
    • RAO SRINIVASKRANZLER JAY DANDERSON JEFFERY J
    • A61K31/55A61K9/20
    • A61K31/13A61K31/137A61K31/42A61K31/425A61K31/551A61K31/7008A61K45/06A61K2300/00
    • Compositions, and methods of use thereof, are provided for the prevention or treatment of side effects associated with the use of drugs that act as 5HT2/5HT3 serotonin receptor antagonists and alpha-2 adrenergic receptor antagonists (5HT2/5HT3 antagonist/alpha-2 antagonist). The method involves using dopamine-releasing compounds, such as amantadine, anticonvulsants, such as zonisamide, or dopamine/norepinephrine reuptake inhibitors, such as bupropion, in combination with 5HT2/5HT3 antagonist/alpha-2 antagonists, such as mirtazapine, to reduce the excessive daytime drowsiness and/or weight gain associated with 5HT2/5HT3 antagonist/alpha-2 antagonist use for the treatment of disorders, such as, depression, schizophrenia, anxiety disorders, sleep-related breathing disorders, insomnia, migraine headache, chronic tension-type headache, hot flashes, lower back pain, neuropathic pain and functional somatic syndromes. Formulations of dopamine-releasing compounds or anticonvulsants with 5HT2/5HT3 antagonist/alpha-2 antagonists are provided. In particular embodiments, combination therapy with mirtazapine and zonisamide provides relief from chronic low back pain, while reducing or avoiding side effects associated with monotherapy with mirtazapine or zonisamide.
    • 提供组合物及其使用方法用于预防或治疗与使用作为5HT2 / 5HT3血清素受体拮抗剂和α-2肾上腺素能受体拮抗剂(5HT2 / 5HT3拮抗剂/α-2拮抗剂)的药物相关的副作用 )。 该方法包括使用多巴胺释放化合物,例如金刚烷胺,抗惊厥药如唑尼沙胺,或多巴胺/去甲肾上腺素再摄取抑制剂,例如安非他酮,与5HT2 / 5HT3拮抗剂/α-2拮抗剂如米氮平联合使用,以减少 与5HT2 / 5HT3拮抗剂/α-2拮抗剂有关的过度白天嗜睡和/或体重增加用于治疗诸如抑郁症,精神分裂症,焦虑症,睡眠相关呼吸障碍,失眠,偏头痛头痛,慢性紧张症, 类型头痛,潮热,下背痛,神经性疼痛和功能性体质综合征。 提供了具有5HT2 / 5HT3拮抗剂/α-2拮抗剂的多巴胺释放化合物或抗惊厥药的制剂。 在具体实施方案中,使用米氮平和唑尼沙胺的联合治疗可减轻慢性腰背痛,同时减少或避免与米氮平或唑尼沙胺进行单一疗法相关的副作用。
    • 10. 发明申请
    • DOSAGE ESCALATION AND DIVIDED DAILY DOSE OF ANTI-DEPRESSANTS TO TREAT NEUROLOGICAL DISORDERS
    • 抗衰老药物治疗神经病变的剂量自然和分散日剂量
    • WO2004030633A3
    • 2004-07-15
    • PCT/US0331622
    • 2003-10-03
    • CYPRESS BIOSCIENCE INC
    • RAO SRINIVAS GKRANZLER JAY DGENDREAU MICHAEL R
    • A61K31/00A61K31/165
    • A61K31/00A61K31/165
    • The present invention provides a method to treat neurological disorders. The method includes, e.g., administering higher daily dosages of anti-depressant. The higher daily dosages result in an improved efficacy of the drug, the maintenance of a positive patient toleration, the maintenance of a positive patient safety profile (e.g., dose limiting toxicity), a suitable peak plasma concentration (Cmax) of drug, and/or a once-a-day (QD) as opposed to twice-a-day (BID) administration. Applicants have discovered that increased daily dosages anti-depressant that would normally evoke adverse effects can be administered without the negative patient tolerability (i.e., adverse reactions ) by escalating dosages over time. Such escalation dosages provide more efficacious amounts of anti-depressant than would otherwise be permitted. Similarly, higher levels of circulating drug are possible in patients by administering the compound in divided doses over the course of a day rather than once a day.
    • 本发明提供治疗神经障碍的方法。 该方法包括例如施用更高剂量的抗抑郁剂。 更高的日剂量导致药物的功效改善,维持阳性患者耐受性,维持阳性患者安全性特征(例如剂量限制性毒性),药物的合适的峰值血浆浓度(C max)和/ 或每天一次(QD),而不是每天两次(BID)管理。 申请人已经发现,通常会引起不良反应的每日剂量增加的抗抑郁剂可以通过随着时间的不断升高的剂量而没有负面的患者耐受性(即不良反应)来施用。 这种升级剂量比否则允许的提供更有效量的抗抑郁药。 类似地,通过在一天的时间内分批施用化合物而不是每天一次,在患者中可以使用较高水平的循环药物。