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Pharmaceutical compositions comprising dextromethorphan and quinidine for the treatment of neurological disorders

a technology of neurodegenerative disorders and pharmaceutical compositions, which is applied in the direction of drug compositions, biocide, cardiovascular disorders, etc., can solve the problems of emotional lability or pseudobulbar affect, afflicted with emotional problems, and not having control over emotional displays

Inactive Publication Date: 2009-03-26
AVANIR PHARMA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

"The patent text describes a method for treating emotional lability and other chronic disorders such as neuropathic pain and brain injury using dextromethorphan and quinidine. The treatment involves administering a combination of these drugs to patients in need, with the option of using a weight ratio of dextromethorphan to quinidine of about 1:1.25 or less. The method can provide improved treatment compared to existing drugs and can be used without interfering with consciousness or alertness. The treatment can be administered as a single dose or in multiple doses per day. The method can also be used to treat neuropathic pain, neurodegenerative diseases, and brain injuries."

Problems solved by technology

Patients suffering from neurodegenerative diseases or brain damage such as is caused by stroke or head injury often are afflicted with emotional problems associated with the disease or injury.
The feelings that accompany emotional lability are often described in words such as “disconnectedness,” since patients are fully aware that an outburst is not appropriate in a particular situation, but they do not have control over their emotional displays.
Emotional lability or pseudobulbar affect becomes a clinical problem when the inability to control emotional outbursts interferes in a substantial way with the ability to engage in family, personal, or business affairs.
For example, a businessman suffering from early-stage ALS or Parkinson's disease might become unable to sit through business meetings, or a patient might become unable to go out in public, such as to a restaurant or movie, due to transient but intense inability to keep from crying or laughing at inappropriate times in front of other people.
Such outbursts, along with the feelings of annoyance, inadequacy, and confusion that they usually generate and the visible effects they have on other people, can severely aggravate the other symptoms of the disease; they lead to feelings of ostracism, alienation, and isolation, and they can render it very difficult for friends and family members to provide tolerant and caring emotional support for the patient.

Method used

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  • Pharmaceutical compositions comprising dextromethorphan and quinidine for the treatment of neurological disorders
  • Pharmaceutical compositions comprising dextromethorphan and quinidine for the treatment of neurological disorders
  • Pharmaceutical compositions comprising dextromethorphan and quinidine for the treatment of neurological disorders

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Embodiment Construction

[0067]The following description and examples illustrate a preferred embodiment of the present invention in detail. Those of skill in the art will recognize that there are numerous variations and modifications of this invention that are encompassed by its scope. Accordingly, the description of a preferred embodiment should not be deemed to limit the scope of the present invention.

[0068]Emotional lability or pseudobulbar affect is associated with a number of neurological diseases, such as stroke (House et al., BMJ, 1989; 298:991-4), multiple sclerosis (MS) (Cotrell et al., J. Neurol. Psychopathol., 1926; 7:1-30; Feinstein et al., Arch. Neurol., 1997; 54:1116-21), amyotrophic lateral sclerosis (ALS) (Miller et al., Neurol., 1999; 52:1311-23; Jackson et al., Semin. Neurol. 1998; 18:27-39; Poeck, K., Pathophysiology of emotional disorders associated with brain damage. In: P. J. Vinken, G. W. Bruyn, editors. Handbook of Clinical Neurology. Amsterdam: North-Holland Publishing Company 1969;...

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Abstract

Pharmaceutical compositions and methods for treating neurological disorders by administering same are provided. The compositions comprise dextromethorphan in combination with quinidine.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a division of U.S. application Ser. No. 11 / 035,213, filed on Jan. 12, 2005, which is a continuation, under 35 U.S.C. § 120, of International Patent Application No. PCT / US2003 / 022303, filed on Jul. 17, 2003 under the Patent Cooperation Treaty (PCT), which was published by the International Bureau in English on Jan. 22, 2004, which designates the United States and claims the benefit of U.S. Provisional Application No. 60 / 396,661, filed Jul. 17, 2002. Each of the aforementioned applications is incorporated by reference herein in its entirety, and each is hereby expressly made a part of this specification.FIELD OF THE INVENTION[0002]Pharmaceutical compositions and methods for treating neurological disorders are provided. The compositions comprise dextromethorphan in combination with quinidine.BACKGROUND OF THE INVENTION[0003]Patients suffering from neurodegenerative diseases or brain damage such as is caused by stroke or h...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/439A61P25/00C07D221/28A61K9/20A61K9/48A61K31/4745A61K31/485A61K31/49A61P9/00A61P9/10A61P21/04A61P25/04A61P25/16A61P25/28A61P43/00C07D453/04
CPCA61K31/485A61K31/49A61K45/06A61K31/4709A61K2300/00A61P25/02A61K31/4748
Inventor YAKATAN, GERALDBERG, JAMESPOPE, LAURA E.SMITH, RICHARD A.
Owner AVANIR PHARMA
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