Ep 1462107 A1

Total Page:16

File Type:pdf, Size:1020Kb

Ep 1462107 A1 Europäisches Patentamt *EP001462107A1* (19) European Patent Office Office européen des brevets (11) EP 1 462 107 A1 (12) EUROPEAN PATENT APPLICATION (43) Date of publication: (51) Int Cl.7: A61K 31/565, A61K 31/57, 29.09.2004 Bulletin 2004/40 A61P 15/18 (21) Application number: 03075905.4 (22) Date of filing: 28.03.2003 (84) Designated Contracting States: (72) Inventors: AT BE BG CH CY CZ DE DK EE ES FI FR GB GR • Coelingh Bennink, Herman Jan Tijmen HU IE IT LI LU MC NL PT RO SE SI SK TR 3971 BE Driebergen (NL) Designated Extension States: • Visser, Monique AL LT LV MK 3704 BB Zeits (NL) (71) Applicant: Pantarhei Bioscience B.V. (74) Representative: Jorritsma, Ruurd 3701 CH Zeist (NL) Nederlandsch Octrooibureau Postbus 29720 2502 LS Den Haag (NL) (54) Method of female contraception and kit for use in such method (57) The present invention is concerned with a dydrogesterone. method of contraception in a female mammal of child- Another aspect of the invention relates to a kit com- bearing capability, said method comprising orally ad- prising a plurality of oral dosage units, said plurality of ministering to the female a combination of estrogen and daily hormone units containing an estrogen in an progestogen continuously for at least 3 months, wherein amount equivalent to 2.2-5 mg 17β-estradiol and a pro- the estrogen is selected from the group consisting of gestogen in an amount equivalent to 5-50 mg dydroges- 17β-estradiol, precursors of 17β-estradiol and combina- terone, wherein the estrogen is selected from the group tions thereof, said estrogen being administered in an consisting of 17β-estradiol, precursors of 17β-estradiol amount equivalent to a daily oral dosage of 2.2-5 mg and combinations thereof. 17β-estradiol and said progestogen being administered in an amount equivalent to a daily oral dose of 5-50 mg EP 1 462 107 A1 Printed by Jouve, 75001 PARIS (FR) 1 EP 1 462 107 A1 2 Description progestogen and at least one estrogen is described in WO 99/12531. In contrast to the aforementioned com- TECHNICAL FIELD OF THE INVENTION bined and sequential contraceptive methods, no regular menses occur as the continuous administration of pro- [0001] The present invention is concerned with a new 5 gestogen in the indicated amounts induces amenor- method of contraception in mammalian females of child- rhoea. This so called continuous combined method of- bearing capability. More particularly the present inven- fers the advantage that it prevents withdrawal bleed- tion relates to such a method comprising orally admin- ings. In addition, the method gives rise to less subjective istering to the female a combination of estrogen and pro- complaints, such as the symptoms caused by hormone gestogen continuously for at least 3 months. 10 fluctuations, and is associated with a lower risk of VTE [0002] The invention also relates to a pharmaceutical than the well-known combined and sequential regi- kit comprising a plurality of oral dosage units, said plu- mens. Finally, it is believed that the avoidance of chronic rality of daily hormone units containing an estrogen and fluctuations in blood serum steroid levels may have a a progestogen. positive impact on the occurrence of premenstrual syn- 15 drome and the risk of breast cancer. BACKGROUND OF THE INVENTION SUMMARY OF THE INVENTION [0003] Currently on the market there are a number of hormonal contraceptives for females which can be clas- [0007] As mentioned above, a continuous combined sified into two general types. The first are known as 20 contraceptive method that employs a combination of an monophasic preparations. These contain a constant estrogen and a progestogen is known from WO amount of an estrogen and a progestogen. Newer prep- 99/12531. The present inventors have unexpectedly arations known as bi- or triphasic preparations have var- discovered that significantly less unscheduled bleeding ying levels of estrogen and progestogen; in most cases and spotting is observed in such a continuous combined consisting of relatively constant levels of estrogen with 25 method if the estrogen 17β-estradiol (E2) is employed a step-wise increase in progestogen throughout the cy- and is administered in a dosage that is significantly high- cle. This pattern of estrogen and progestogen adminis- er than that advocated in the PCT-application. tration results in a relatively dominant estrogenic formu- [0008] In addition, it was surprisingly found that the lation at the beginning of the package with increasing prolonged use of a combination of a relatively high dose progestogenic activity toward the end of the package. 30 of E2 and a progestogen very effectively suppresses en- Mono-, bi- and triphasic contraceptives are commonly dometrial thickening. This finding indicates that a con- referred to as combined contraceptives. tinuous combined method employing a relatively high [0004] Virtually all combined contraceptives have in dose of E2 may be used advantageously as a contra- common that they are based on a regimen which in- ceptive method. volves an administration-free interval of about 7 days 35 [0009] It is very unexpected that, despite the use of a whereby withdrawal bleeding, simulating the natural high dose of E2, the present method does not give rise menses, occurs. Thus 21 day intervals of hormone ad- to significant endometrial thickening since E2, like other ministration alternate with 7 days during which no hor- estrogens, is usually associated with endometrial stim- mones are administered. ulation. [0005] As an alternative to the aforementioned com- 40 bined contraceptive methods, the so called sequential DETAILED DESCRIPTION OF THE INVENTION method has been proposed. Typical of the sequential contraceptive method is that it comprises two consecu- [0010] Accordingly, one aspect of the invention is con- tive phases, i.e. one phase during which estrogen and cerned with a method of contraception in a female mam- no progestogen is administered and another phase dur- 45 mal of childbearing capability, said method comprising ing which a combination of estrogen and progestogen orally administering to the female a combination of es- is administered. The first sequential methods, like the trogen and progestogen continuously for at least 3 aforementioned combined contraceptives, made use of months, wherein the estrogen is selected from the group an administration free interval of about 7 days. More re- consisting of 17β-estradiol, precursors of 17β-estradiol cently, sequential methods have been proposed which 50 and combinations thereof, said estrogen being admin- do not include such an administration-free (or placebo) istered in an amount equivalent to a daily oral dosage period, meaning that estrogen is administered through- of 2.2-5 mg 17β-estradiol and said progestogen being out the full cycle and that progestogen is co-adminis- administered in an amount equivalent to a daily oral tered during only part of that cycle. WO 95/17895 (Ehr- dose of 5-50 mg dydrogesterone. lich et al.) describes such an uninterrupted sequential 55 [0011] The combination of estrogen and progestogen method. is advantageously administered at least once daily so [0006] Yet another alternative contraceptive method as to maintain a relatively constant serum concentra- that employs continuous uninterrupted administration of tion. Most preferably the combination is administered 2 3 EP 1 462 107 A1 4 once daily. that can be obtained by reacting the hydroxyl groups of [0012] The present method may suitable employ any the estrogenic substances with substances that contain pharmaceutically acceptable substance with sufficient one or more carboxy (M+-OOC-) groups, wherein M+ progestogenic activity. The present invention encom- represents a hydrogen or (akali)metal cation. Hence, in passes the use of substances that exhibit progestogenic 5 a particularly preferred embodiment, the precursors are activity per se as well as precursors of such substances. derivatives of 17β-estradiol or a progestogen, wherein The invention also encompasses the use of pro- the hydrogen atom of at least one of the hydroxyl groups gestogen metabolites that exhibit progestogenic activi- has been substituted by -CO-R, wherein R is a hydro- ty. Examples of progestogens that may suitably be em- carbon radical comprising from 1-25 carbon atoms. ployed in accordance with the invention include dydro- 10 Preferably R is hydrogen, or an alkyl, alkenyl or aryl rad- gesterone, norethisterone, levonorgestrel, norgesti- ical comprising from 1-20 carbon atoms. mate, drospirenone, 3-beta-hydroxydesogestrel, 3-keto [0015] An important advantage of the present method desogestrel, 17-deacetyl norgestimate, 19-norproges- resides in the fact that it suppresses endometrial growth. terone, acetoxypregnenolone, allylestrenol, anage- Typically, in the present method, the continuous admin- stone, chlormadinone, cyproterone, demegestone, de- 15 istration of the combination of estrogen and pro- sogestrel, dienogest, dihydrodydrogesterone, dihydro- gestogen is effective in maintaining a substantially con- gesterone, dimethisterone, ethisterone, ethynodiol dia- stant thin endometrium with a thickness of less than 8 cetate, flurogestone acetate, gastrinon, gestodene, mm, preferably of less than 6 mm. gestrinone, hydroxymethylprogesterone, hydroxypro- [0016] The continuous administration of the combina- gesterone, lynestrenol, medrogestone, medroxypro- 20 tion of estrogen and progestogen is advantageously gesterone, megestrol, melengestrol, nomegestrol, continued for a period of at
Recommended publications
  • (12) United States Patent (10) Patent No.: US 7,871,995 B2 Bunschoten Et Al
    US00787 1995 B2 (12) United States Patent (10) Patent No.: US 7,871,995 B2 Bunschoten et al. (45) Date of Patent: *Jan. 18, 2011 (54) DRUG DELIVERY SYSTEM COMPRISINGA (52) U.S. Cl. ....................................... 514/171; 514/182 TETRAHYDROXYLATED ESTROGEN FOR (58) Field of Classification Search ................. 514/171, USE IN HORMONAL CONTRACEPTION 514f182 See application file for complete search history. (75) Inventors: Evert Johannes Bunschoten, Heesch (NL); Herman Jan Tijmen Coelingh (56) References Cited Bennink, Driebergen (NL); Christian U.S. PATENT DOCUMENTS Franz Holinka, New York, NY (US) 3,440,320 A 4, 1969 Sackler et al. O O 3,797.494. A 3, 1974 Zaffaroni (73) Assignee: Pantarhei Bioscience B.V., Al Zeist 4,460.372 A 7/1984 Campbell et al. (NL) 4,573.996 A 3/1986 Kwiatek et al. 4,624,665 A 1 1/1986 Nuwayser (*) Notice: Subject to any disclaimer, the term of this 4,722,941 A 2f1988 Eckert et al. patent is extended or adjusted under 35 4,762,717 A 8/1988 Crowley, Jr. U.S.C. 154(b) by 1233 days. 4.937,238 A 6, 1990 Lemon 5,063,507 A 1 1/1991 Lindsey et al. This patent is Subject to a terminal dis- 5,130,137 A 7/1992 Crowley, Jr. claimer. 5,211,952 A 5/1993 Spicer et al. 5,223,261 A 6/1993 Nelson et al. 5,340,584 A 8/1994 Spicer et al. (21) Appl. No.: 10/478,357 5,340,585 A 8/1994 Pike et al. 1-1. 5,340,586 A 8, 1994 Pike et al.
    [Show full text]
  • Risk of Breast Cancer After Stopping Menopausal Hormone Therapy In
    Risk of breast cancer after stopping menopausal hormone therapy in the E3N cohort Agnès Fournier, Sylvie Mesrine, Laure Dossus, Marie-Christine Boutron-Ruault, Françoise Clavel-Chapelon, Nathalie Chabbert-Buffet To cite this version: Agnès Fournier, Sylvie Mesrine, Laure Dossus, Marie-Christine Boutron-Ruault, Françoise Clavel- Chapelon, et al.. Risk of breast cancer after stopping menopausal hormone therapy in the E3N cohort. Breast Cancer Research and Treatment, Springer Verlag, 2014, 145 (2), pp.535-43. 10.1007/s10549- 014-2934-6. inserm-01319982 HAL Id: inserm-01319982 https://www.hal.inserm.fr/inserm-01319982 Submitted on 23 May 2016 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. TITLE PAGE Risk of breast cancer after stopping menopausal hormone therapy in the E3N cohort Authors : Agnès Fournier1,2,3, Sylvie Mesrine1,2,3, Laure Dossus1,2,3, Marie-Christine Boutron- Ruault1,2,3, Françoise Clavel-Chapelon1,2,3, Nathalie Chabbert-Buffet4 Affiliations: 1. Inserm, Center for research in Epidemiology and Population Health, U1018, Nutrition, Hormones and Women’s Health team, F-94807, Villejuif, France 2. Univ Paris-Sud, UMRS 1018, F-94807, Villejuif, France 3. Institut Gustave Roussy, F-94805, Villejuif, France 4.
    [Show full text]
  • (12) Patent Application Publication (10) Pub. No.: US 2006/0110428A1 De Juan Et Al
    US 200601 10428A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2006/0110428A1 de Juan et al. (43) Pub. Date: May 25, 2006 (54) METHODS AND DEVICES FOR THE Publication Classification TREATMENT OF OCULAR CONDITIONS (51) Int. Cl. (76) Inventors: Eugene de Juan, LaCanada, CA (US); A6F 2/00 (2006.01) Signe E. Varner, Los Angeles, CA (52) U.S. Cl. .............................................................. 424/427 (US); Laurie R. Lawin, New Brighton, MN (US) (57) ABSTRACT Correspondence Address: Featured is a method for instilling one or more bioactive SCOTT PRIBNOW agents into ocular tissue within an eye of a patient for the Kagan Binder, PLLC treatment of an ocular condition, the method comprising Suite 200 concurrently using at least two of the following bioactive 221 Main Street North agent delivery methods (A)-(C): Stillwater, MN 55082 (US) (A) implanting a Sustained release delivery device com (21) Appl. No.: 11/175,850 prising one or more bioactive agents in a posterior region of the eye so that it delivers the one or more (22) Filed: Jul. 5, 2005 bioactive agents into the vitreous humor of the eye; (B) instilling (e.g., injecting or implanting) one or more Related U.S. Application Data bioactive agents Subretinally; and (60) Provisional application No. 60/585,236, filed on Jul. (C) instilling (e.g., injecting or delivering by ocular ion 2, 2004. Provisional application No. 60/669,701, filed tophoresis) one or more bioactive agents into the Vit on Apr. 8, 2005. reous humor of the eye. Patent Application Publication May 25, 2006 Sheet 1 of 22 US 2006/0110428A1 R 2 2 C.6 Fig.
    [Show full text]
  • COMPARISON of ORAL DYDROGESTERONE and INTRAMUSCULAR PROGESTERONE in the TREATMENT of THREATENED ABORTION -..:: Biomedica
    ORIGINAL ARTICLE COMPARISON OF ORAL DYDROGESTERONE AND INTRAMUSCULAR PROGESTERONE IN THE TREATMENT OF THREATENED ABORTION QING G., HONG Y., FENG X. AND WEI R. Northwest Women’s Hospital, Xian City, Shanxi Province, China ABSTRACT Background and Objective: Threatened abortion is a common condition and presents with varied cli- nical manifestations. The aim of the study was to observe and analyze the efficacy and safety of dydro- gesterone in threatened abortion. Methods: One hundred and seventy two pregnant women with early – threatened abortion diagnosed during prenatal care in Northwest Women’s Hospital from January 2012 to December 2013, were sele- cted and randomly divided into dydrogesterone group and the progesterone group. Patients received either oral dydrogesterone or progesterone injected intramuscularly, respectively. The clinical efficacy and safety of both drugs were observed. Results: There were no significant differences in age, gravidity, parity and gestational age between the two groups (p> 0.05) and there was no significant difference in progesterone levels following treatment (p > 0.05). There were no significant differences in the success rate of fetus protection, abortion rate and treatment time between the groups (p > 0.05). Conclusion: Dydrogesterone and progesterone have significant beneficial effects in the treatment of threatened abortion, and they are easy to use and safe. Keywords: Threatened abortion; Dydrogestrone; Progesterone injection. INTRODUCTION gen and has a significant role in the prevention of early Threatened abortion is a common condition, and the contractions of the myometrium.4 It plays a key role in clinical manifestations are as follows: vaginal bleeding, inducing a protective immunomodulatory effect on the with or without lower abdominal pain, non-dilatation embryo.
    [Show full text]
  • Northern Ireland Prescription Code Book Drugs Section September 2021
    Family Practitioner Services, Pharmaceutical Services, 2 Franklin Street, Belfast BT2 8DQ Telephone No. 028 9053 5613, Fax No. 028 9053 2963 Northern Ireland Prescription Code Book Drugs section September 2021 Page 1 of 587 Effective for prescriptions dispensed September 2021 BSO Code dm+d Pack Description Code Number Special ZD Of Container 38960 4SURE beta-ketone testing strips 4S-810-4183401-001 (Nipro Diagnostics (UK) Ltd) 10 strip strips 38961 4SURE testing strips (Nipro Diagnostics (UK) Ltd) 50 strip strips 4144 AAA 1.5mg/dose sore throat spray (Manx Healthcare Ltd) 60 dose [BSO pack = 1] BSO Unit Of Measure Code No. devices dispensed 70598 (DT) Abacavir 600mg / Lamivudine 300mg tablets 30 tablet tablets 9154 Abasaglar 100units/ml solution for injection 3ml cartridges (Eli Lilly and Company Ltd) 5 cartridge cartridges ZD 9038 Abasaglar KwikPen 100units/ml solution for injection 3ml pre-filled pens (Eli Lilly and Company Ltd) 5 pre- injections ZD filled disposable injection 70088 (DT) Abatacept 125mg/1ml solution for injection pre-filled disposable devices 4 pre-filled disposable injections ZD injection 70089 (DT) Abatacept 125mg/1ml solution for injection pre-filled syringes 4 pre-filled disposable injection injections ZD 70144 Abelcet 100mg/20ml concentrate for suspension for infusion vials (Teva UK Ltd) 10 vial vials Hospital Only 3303 Abidec Multivitamin drops (Omega Pharma Ltd) 25 ml mls 4043 Abilify 10mg orodispersible tablets (Otsuka Pharmaceuticals (U.K.) Ltd) 28 tablet 4 x 7 tablets tablets 3006 Abilify 10mg tablets (Otsuka
    [Show full text]
  • Comparison of the Efficacy of Tibolone and Transdermal Estrogen in Treating Menopausal Symptoms in Postmenopausal Women
    https://doi.org/10.6118/jmm.19205 J Menopausal Med 2019;25:123-129 pISSN: 2288-6478, eISSN: 2288-6761 ORIGINAL ARTICLE Comparison of the Efficacy of Tibolone and Transdermal Estrogen in Treating Menopausal Symptoms in Postmenopausal Women Hyun Kyun Kim, Sung Hye Jeon, Ki-Jin Ryu, Tak Kim, Hyuntae Park Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea Objectives: This study aimed to compare the efficacy of tibolone and transdermal estrogen in treating menopausal symptoms in postmenopausal women with an intact uterus. Methods: Overall, 26 women consumed tibolone orally and 31 women received transdermal estrogen gel mixed with progestogen. The menopause rating scale (MRS) was used to assess their menopausal symptoms at their first outpatient visit and 6 months later. Results: The transdermal estrogen group showed significant improvements in more items of the MRS questionnaire. There was a favorable change in body weight in the transdermal estrogen group compared with that in the tibolone group. Depressive mood, irritability, physical and mental exhaustion, sexual and bladder problems, and joint and muscular discomfort improved only in the transdermal estrogen group, whereas heart discomfort and vaginal dryness improved only in the tibolone group. Nevertheless, the intergroup differences in each item were insignificant after adjusting for body mass index and hypertension, which differed before treatment. Conclusions: Both the therapeutic options improved menopausal symptoms within 6 months of use. However, transdermal estrogen appeared to be more effective in preventing weight gain in menopausal women than tibolone. Key Words: Hormone replacement therapy, Menopause, Tibolone, Transdermal estrogens INTRODUCTION placement therapy (HRT) increases blood coagulabil- ity by increasing clotting factor levels and decreasing Menopausal symptoms such as hot flushes, affect up antithrombin activity [3].
    [Show full text]
  • Pp375-430-Annex 1.Qxd
    ANNEX 1 CHEMICAL AND PHYSICAL DATA ON COMPOUNDS USED IN COMBINED ESTROGEN–PROGESTOGEN CONTRACEPTIVES AND HORMONAL MENOPAUSAL THERAPY Annex 1 describes the chemical and physical data, technical products, trends in produc- tion by region and uses of estrogens and progestogens in combined estrogen–progestogen contraceptives and hormonal menopausal therapy. Estrogens and progestogens are listed separately in alphabetical order. Trade names for these compounds alone and in combination are given in Annexes 2–4. Sales are listed according to the regions designated by WHO. These are: Africa: Algeria, Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mozambique, Namibia, Niger, Nigeria, Rwanda, Sao Tome and Principe, Senegal, Seychelles, Sierra Leone, South Africa, Swaziland, Togo, Uganda, United Republic of Tanzania, Zambia and Zimbabwe America (North): Canada, Central America (Antigua and Barbuda, Bahamas, Barbados, Belize, Costa Rica, Cuba, Dominica, El Salvador, Grenada, Guatemala, Haiti, Honduras, Jamaica, Mexico, Nicaragua, Panama, Puerto Rico, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Suriname, Trinidad and Tobago), United States of America America (South): Argentina, Bolivia, Brazil, Chile, Colombia, Dominican Republic, Ecuador, Guyana, Paraguay,
    [Show full text]
  • 209627Orig1s000
    CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 209627Orig1s000 MULTI-DISCIPLINE REVIEW Summary Review Office Director Cross Discipline Team Leader Review Clinical Review Non-Clinical Review Statistical Review Clinical Pharmacology Review Reviewers of Multi-Disciplinary Review and Evaluation SECTIONS OFFICE/ AUTHORED/ ACKNOWLEDGED/ DISCIPLINE REVIEWER DIVISION APPROVED Mark Seggel, Ph.D. OPQ/ONDP/DNDP2 Authored: Section 4.2 Digitally signed by Mark R. Seggel -S CMC Lead DN: c=US, o=U.S. Government, ou=HHS, ou=FDA, ou=People, cn=Mark R. Signature: Mark R. Seggel -S Seggel -S, 0.9.2342.19200300.100.1.1=1300071539 Date: 2018.08.08 16:29:15 -04'00' Frederic Moulin, DVM, PhD OND/ODE3/DBRUP Authored: Section 5 Pharmacology/ Digitally signed by Frederic Moulin -S Toxicology DN: c=US, o=U.S. Government, ou=HHS, ou=FDA, ou=People, Reviewer Signature: Frederic Moulin -S 0.9.2342.19200300.100.1.1=2001708658, cn=Frederic Moulin -S Date: 2018.08.08 15:26:57 -04'00' Kimberly Hatfield, PhD OND/ODE3/DBRUP Approved: Section 5 Pharmacology/ Toxicology Digitally signed by Kimberly P. Hatfield -S DN: c=US, o=U.S. Government, ou=HHS, ou=FDA, ou=People, Team Leader Signature: Kimberly P. Hatfield -S 0.9.2342.19200300.100.1.1=1300387215, cn=Kimberly P. Hatfield -S Date: 2018.08.08 14:56:10 -04'00' Li Li, Ph.D. OCP/DCP3 Authored: Sections 6 and 17.3 Clinical Pharmacology Dig ta ly signed by Li Li S DN c=US o=U S Government ou=HHS ou=FDA ou=People Reviewer cn=Li Li S Signature: Li Li -S 0 9 2342 19200300 100 1 1=20005 08577 Date 2018 08 08 15 39 23 04'00' Doanh Tran, Ph.D.
    [Show full text]
  • Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017
    Q UO N T FA R U T A F E BERMUDA PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 BR 111 / 2017 The Minister responsible for health, in exercise of the power conferred by section 48A(1) of the Pharmacy and Poisons Act 1979, makes the following Order: Citation 1 This Order may be cited as the Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017. Repeals and replaces the Third and Fourth Schedule of the Pharmacy and Poisons Act 1979 2 The Third and Fourth Schedules to the Pharmacy and Poisons Act 1979 are repealed and replaced with— “THIRD SCHEDULE (Sections 25(6); 27(1))) DRUGS OBTAINABLE ONLY ON PRESCRIPTION EXCEPT WHERE SPECIFIED IN THE FOURTH SCHEDULE (PART I AND PART II) Note: The following annotations used in this Schedule have the following meanings: md (maximum dose) i.e. the maximum quantity of the substance contained in the amount of a medicinal product which is recommended to be taken or administered at any one time. 1 PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 mdd (maximum daily dose) i.e. the maximum quantity of the substance that is contained in the amount of a medicinal product which is recommended to be taken or administered in any period of 24 hours. mg milligram ms (maximum strength) i.e. either or, if so specified, both of the following: (a) the maximum quantity of the substance by weight or volume that is contained in the dosage unit of a medicinal product; or (b) the maximum percentage of the substance contained in a medicinal product calculated in terms of w/w, w/v, v/w, or v/v, as appropriate.
    [Show full text]
  • Classification Decisions Taken by the Harmonized System Committee from the 47Th to 60Th Sessions (2011
    CLASSIFICATION DECISIONS TAKEN BY THE HARMONIZED SYSTEM COMMITTEE FROM THE 47TH TO 60TH SESSIONS (2011 - 2018) WORLD CUSTOMS ORGANIZATION Rue du Marché 30 B-1210 Brussels Belgium November 2011 Copyright © 2011 World Customs Organization. All rights reserved. Requests and inquiries concerning translation, reproduction and adaptation rights should be addressed to [email protected]. D/2011/0448/25 The following list contains the classification decisions (other than those subject to a reservation) taken by the Harmonized System Committee ( 47th Session – March 2011) on specific products, together with their related Harmonized System code numbers and, in certain cases, the classification rationale. Advice Parties seeking to import or export merchandise covered by a decision are advised to verify the implementation of the decision by the importing or exporting country, as the case may be. HS codes Classification No Product description Classification considered rationale 1. Preparation, in the form of a powder, consisting of 92 % sugar, 6 % 2106.90 GRIs 1 and 6 black currant powder, anticaking agent, citric acid and black currant flavouring, put up for retail sale in 32-gram sachets, intended to be consumed as a beverage after mixing with hot water. 2. Vanutide cridificar (INN List 100). 3002.20 3. Certain INN products. Chapters 28, 29 (See “INN List 101” at the end of this publication.) and 30 4. Certain INN products. Chapters 13, 29 (See “INN List 102” at the end of this publication.) and 30 5. Certain INN products. Chapters 28, 29, (See “INN List 103” at the end of this publication.) 30, 35 and 39 6. Re-classification of INN products.
    [Show full text]
  • PHARMACEUTICAL APPENDIX to the TARIFF SCHEDULE 2 Table 1
    Harmonized Tariff Schedule of the United States (2020) Revision 19 Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States (2020) Revision 19 Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names INN which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service CAS registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known.
    [Show full text]
  • The Inhaled Steroid Ciclesonide Blocks SARS-Cov-2 RNA Replication by Targeting Viral
    bioRxiv preprint doi: https://doi.org/10.1101/2020.08.22.258459; this version posted August 24, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 1 The inhaled steroid ciclesonide blocks SARS-CoV-2 RNA replication by targeting viral 2 replication-transcription complex in culture cells 3 4 Shutoku Matsuyamaa#, Miyuki Kawasea, Naganori Naoa, Kazuya Shiratoa, Makoto Ujikeb, Wataru 5 Kamitanic, Masayuki Shimojimad, and Shuetsu Fukushid 6 7 aDepartment of Virology III, National Institute of Infectious Diseases, Tokyo, Japan 8 bFaculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan 9 cDepartment of Infectious Diseases and Host Defense, Gunma University Graduate School of 10 Medicine, Gunma, Japan 11 dDepartment of Virology I, National Institute of Infectious Diseases, Tokyo, Japan. 12 13 Running Head: Ciclesonide blocks SARS-CoV-2 replication 14 15 #Address correspondence to Shutoku Matsuyama, [email protected] 16 17 Word count: Abstract 149, Text 3,016 bioRxiv preprint doi: https://doi.org/10.1101/2020.08.22.258459; this version posted August 24, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 18 Abstract 19 We screened steroid compounds to obtain a drug expected to block host inflammatory responses and 20 MERS-CoV replication. Ciclesonide, an inhaled corticosteroid, suppressed replication of MERS-CoV 21 and other coronaviruses, including SARS-CoV-2, the cause of COVID-19, in cultured cells. The 22 effective concentration (EC90) of ciclesonide for SARS-CoV-2 in differentiated human bronchial 23 tracheal epithelial cells was 0.55 μM.
    [Show full text]