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Protocol for a Randomised Controlled Trial: Efficacy of Donepezil Against
BMJ Open: first published as 10.1136/bmjopen-2013-003533 on 25 September 2013. Downloaded from Open Access Protocol Protocol for a randomised controlled trial: efficacy of donepezil against psychosis in Parkinson’s disease (EDAP) Hideyuki Sawada, Tomoko Oeda To cite: Sawada H, Oeda T. ABSTRACT ARTICLE SUMMARY Protocol for a randomised Introduction: Psychosis, including hallucinations and controlled trial: efficacy of delusions, is one of the important non-motor problems donepezil against psychosis Strengths and limitations of this study in patients with Parkinson’s disease (PD) and is in Parkinson’s disease ▪ In previous randomised controlled trials for (EDAP). BMJ Open 2013;3: possibly associated with cholinergic neuronal psychosis the efficacy was investigated in patients e003533. doi:10.1136/ degeneration. The EDAP (Efficacy of Donepezil against who presented with psychosis and the primary bmjopen-2013-003533 Psychosis in PD) study will evaluate the efficacy of endpoint was improvement of psychotic symp- donepezil, a brain acetylcholine esterase inhibitor, for toms. By comparison, this study is designed to prevention of psychosis in PD. ▸ Prepublication history for evaluate the prophylactic effect in patients this paper is available online. Methods and analysis: Psychosis is assessed every without current psychosis. Because psychosis To view these files please 4 weeks using the Parkinson Psychosis Questionnaire may be overlooked and underestimated it is visit the journal online (PPQ) and patients with PD whose PPQ-B score assessed using a questionnaire, Parkinson (http://dx.doi.org/10.1136/ (hallucinations) and PPQ-C score (delusions) have Psychosis Questionnaire (PPQ) every 4 weeks. bmjopen-2013-003533). been zero for 8 weeks before enrolment are ▪ The strength of this study is its prospective randomised to two arms: patients receiving donepezil design using the preset definition of psychosis Received 3 July 2013 hydrochloride or patients receiving placebo. -
First Chemoenzymatic Stereodivergent Synthesis of Both Enantiomers of Promethazine and Ethopropazine
First chemoenzymatic stereodivergent synthesis of both enantiomers of promethazine and ethopropazine Paweł Borowiecki*, Daniel Paprocki and Maciej Dranka Full Research Paper Open Access Address: Beilstein J. Org. Chem. 2014, 10, 3038–3055. Warsaw University of Technology, Faculty of Chemistry, doi:10.3762/bjoc.10.322 Noakowskiego St. 3, 00-664 Warsaw, Poland Received: 03 September 2014 Email: Accepted: 01 December 2014 Paweł Borowiecki* - [email protected] Published: 18 December 2014 * Corresponding author Associate Editor: J. Aubé Keywords: © 2014 Borowiecki et al; licensee Beilstein-Institut. ethopropazine; lipase-catalyzed kinetic resolution; Mosher License and terms: see end of document. methodology; promethazine; stereodivergent synthesis Abstract Enantioenriched promethazine and ethopropazine were synthesized through a simple and straightforward four-step chemoenzy- matic route. The central chiral building block, 1-(10H-phenothiazin-10-yl)propan-2-ol, was obtained via a lipase-mediated kinetic resolution protocol, which furnished both enantiomeric forms, with superb enantioselectivity (up to E = 844), from the racemate. Novozym 435 and Lipozyme TL IM have been found as ideal biocatalysts for preparation of highly enantioenriched phenothiazolic alcohols (up to >99% ee), which absolute configurations were assigned by Mosher’s methodology and unambiguously confirmed by XRD analysis. Thus obtained key-intermediates were further transformed into bromide derivatives by means of PBr3, and subse- quently reacted with appropriate amine providing desired pharmacologically valuable (R)- and (S)-stereoisomers of title drugs in an ee range of 84–98%, respectively. The modular amination procedure is based on a solvent-dependent stereodivergent transforma- tion of the bromo derivative, which conducted in toluene gives mainly the product of single inversion, whereas carried out in methanol it provides exclusively the product of net retention. -
(19) 11 Patent Number: 6165500
USOO6165500A United States Patent (19) 11 Patent Number: 6,165,500 Cevc (45) Date of Patent: *Dec. 26, 2000 54 PREPARATION FOR THE APPLICATION OF WO 88/07362 10/1988 WIPO. AGENTS IN MINI-DROPLETS OTHER PUBLICATIONS 75 Inventor: Gregor Cevc, Heimstetten, Germany V.M. Knepp et al., “Controlled Drug Release from a Novel Liposomal Delivery System. II. Transdermal Delivery Char 73 Assignee: Idea AG, Munich, Germany acteristics” on Journal of Controlled Release 12(1990) Mar., No. 1, Amsterdam, NL, pp. 25–30. (Exhibit A). * Notice: This patent issued on a continued pros- C.E. Price, “A Review of the Factors Influencing the Pen ecution application filed under 37 CFR etration of Pesticides Through Plant Leaves” on I.C.I. Ltd., 1.53(d), and is subject to the twenty year Plant Protection Division, Jealott's Hill Research Station, patent term provisions of 35 U.S.C. Bracknell, Berkshire RG12 6EY, U.K., pp. 237-252. 154(a)(2). (Exhibit B). K. Karzel and R.K. Liedtke, “Mechanismen Transkutaner This patent is Subject to a terminal dis- Resorption” on Grandlagen/Basics, pp. 1487–1491. (Exhibit claimer. C). Michael Mezei, “Liposomes as a Skin Drug Delivery Sys 21 Appl. No.: 07/844,664 tem” 1985 Elsevier Science Publishers B.V. (Biomedical Division), pp 345-358. (Exhibit E). 22 Filed: Apr. 8, 1992 Adrienn Gesztes and Michael Mazei, “Topical Anesthesia of 30 Foreign Application Priority Data the Skin by Liposome-Encapsulated Tetracaine” on Anesth Analg 1988; 67: pp 1079–81. (Exhibit F). Aug. 24, 1990 DE) Germany ............................... 40 26834 Harish M. Patel, "Liposomes as a Controlled-Release Sys Aug. -
The Lysosomotropic Activity of Hydrophobic Weak Base Drugs Is Mediated Via Their Intercalation Into the Lysosomal Membrane
cells Article The Lysosomotropic Activity of Hydrophobic Weak Base Drugs is Mediated via Their Intercalation into the Lysosomal Membrane Michal Stark 1, Tomás F. D. Silva 2, Guy Levin 1, Miguel Machuqueiro 2 and Yehuda G. Assaraf 1,* 1 The Fred Wyszkowski Cancer Research Laboratory, Department of Biology, Technion-Israel Institute of Technology, Haifa 3200003, Israel; [email protected] (M.S.); [email protected] (G.L.) 2 BioISI-Biosystems & Integrative Sciences Institute, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016 Lisboa, Portugal; [email protected] (T.F.D.S.); [email protected] (M.M.) * Correspondence: [email protected] Received: 5 March 2020; Accepted: 20 April 2020; Published: 27 April 2020 Abstract: Lipophilic weak base therapeutic agents, termed lysosomotropic drugs (LDs), undergo marked sequestration and concentration within lysosomes, hence altering lysosomal functions. This lysosomal drug entrapment has been described as luminal drug compartmentalization. Consistent with our recent finding that LDs inflict a pH-dependent membrane fluidization, we herein demonstrate that LDs undergo intercalation and concentration within lysosomal membranes. The latter was revealed experimentally and computationally by (a) confocal microscopy of fluorescent compounds and drugs within lysosomal membranes, and (b) molecular dynamics modeling of the pH-dependent membrane insertion and accumulation of an assortment of LDs, including anticancer drugs. Based on the multiple functions of the lysosome as a central nutrient sensory hub and a degradation center, we discuss the molecular mechanisms underlying the alteration of morphology and impairment of lysosomal functions as consequences of LDs’ intercalation into lysosomes. Our findings bear important implications for drug design, drug induced lysosomal damage, diseases and pertaining therapeutics. -
Antipsychotics for Treatment of Delirium in Hospitalised Non-ICU Patients
This is a repository copy of Antipsychotics for treatment of delirium in hospitalised non-ICU patients. White Rose Research Online URL for this paper: https://eprints.whiterose.ac.uk/132847/ Version: Published Version Article: Burry, Lisa, Mehta, S.R., Perreault, M.M et al. (6 more authors) (2018) Antipsychotics for treatment of delirium in hospitalised non-ICU patients. Cochrane Database of Systematic Reviews. CD005594. ISSN 1469-493X https://doi.org/10.1002/14651858.CD005594.pub3 Reuse Items deposited in White Rose Research Online are protected by copyright, with all rights reserved unless indicated otherwise. They may be downloaded and/or printed for private study, or other acts as permitted by national copyright laws. The publisher or other rights holders may allow further reproduction and re-use of the full text version. This is indicated by the licence information on the White Rose Research Online record for the item. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request. [email protected] https://eprints.whiterose.ac.uk/ Cochrane Database of Systematic Reviews Antipsychotics for treatment of delirium in hospitalised non- ICU patients (Review) Burry L, Mehta S, Perreault MM, Luxenberg JS, Siddiqi N, Hutton B, Fergusson DA, Bell C, Rose L Burry L, Mehta S, Perreault MM, Luxenberg JS, Siddiqi N, Hutton B, Fergusson DA, Bell C, Rose L. Antipsychotics for treatment of delirium in hospitalised non-ICU patients. Cochrane Database of Systematic Reviews 2018, Issue 6. -
Toxidromes: What's Your Poison
CEPCP Self Study Package Summer 2008 Toxidromes; what’s your poison? Continuing Medical Education Section 1: Toxidromes Table of Contents: INTRODUCTION........................................................................................................................................ 3 WHAT IS A TOXIDROME? ............................................................................................................................ 4 THE AUTONOMIC NERVOUS SYSTEM (ANS).................................................................................... 4 THE PARASYMPATHETIC RESPONSE ........................................................................................................... 9 THE SYMPATHETIC RESPONSE.................................................................................................................. 10 THE TOXIDROMES................................................................................................................................. 11 ANTICHOLINERGICS.................................................................................................................................. 11 TREATMENT FOR ANTICHOLINERGIC OVERDOSES.................................................................................... 13 SYMPATHOMIMETICS / WITHDRAWAL ...................................................................................................... 14 TREATMENT FOR SYMPATHOMIMETIC OVERDOSES.................................................................................. 16 TRANSPORTING AGITATED PATIENTS...................................................................................................... -
Drug/Substance Trade Name(S)
A B C D E F G H I J K 1 Drug/Substance Trade Name(s) Drug Class Existing Penalty Class Special Notation T1:Doping/Endangerment Level T2: Mismanagement Level Comments Methylenedioxypyrovalerone is a stimulant of the cathinone class which acts as a 3,4-methylenedioxypyprovaleroneMDPV, “bath salts” norepinephrine-dopamine reuptake inhibitor. It was first developed in the 1960s by a team at 1 A Yes A A 2 Boehringer Ingelheim. No 3 Alfentanil Alfenta Narcotic used to control pain and keep patients asleep during surgery. 1 A Yes A No A Aminoxafen, Aminorex is a weight loss stimulant drug. It was withdrawn from the market after it was found Aminorex Aminoxaphen, Apiquel, to cause pulmonary hypertension. 1 A Yes A A 4 McN-742, Menocil No Amphetamine is a potent central nervous system stimulant that is used in the treatment of Amphetamine Speed, Upper 1 A Yes A A 5 attention deficit hyperactivity disorder, narcolepsy, and obesity. No Anileridine is a synthetic analgesic drug and is a member of the piperidine class of analgesic Anileridine Leritine 1 A Yes A A 6 agents developed by Merck & Co. in the 1950s. No Dopamine promoter used to treat loss of muscle movement control caused by Parkinson's Apomorphine Apokyn, Ixense 1 A Yes A A 7 disease. No Recreational drug with euphoriant and stimulant properties. The effects produced by BZP are comparable to those produced by amphetamine. It is often claimed that BZP was originally Benzylpiperazine BZP 1 A Yes A A synthesized as a potential antihelminthic (anti-parasitic) agent for use in farm animals. -
Downloads/ Aboutfda/Centersoffices/Officeofmedicalproductsandtobacco/CDER/ UCM600276.Pdf
Nomura et al. BMC Geriatrics (2018) 18:154 https://doi.org/10.1186/s12877-018-0835-y RESEARCHARTICLE Open Access Identifying drug substances of screening tool for older persons’ appropriate prescriptions for Japanese Kaori Nomura1, Taro Kojima2, Shinya Ishii2, Takuto Yonekawa3, Masahiro Akishita2 and Manabu Akazawa3* Abstract Background: In 2015, the Japan Geriatric Society (JGS) updated “the Guidelines for Medical Treatment and its Safety in the elderly,” accompanied with the Screening Tool for Older Persons’ Appropriate Prescriptions for Japanese (STOPP-J): “drugs to be prescribed with special caution” and “drugs to consider starting.” The JGS proposed the STOPP-J to contribute to improving prescribing quality; however, each decision should be carefully based on medical knowledge. The STOPP-J shows examples of commonly prescribed drug substances, but not all relevant drugs. This research aimed to identify substances using such coding, as a standardized classification system would support medication monitoring and pharmacoepidemiologic research using such health-related information. Methods: A voluntary team of three physicians and two pharmacists identified possible approved medicines based on the STOPP-J, and matched certain drug substances to the Anatomical Therapeutic Chemical Classification (ATC) and the Japanese price list as of 2017 February. Injectables and externally used drugs were excluded, except for self-injecting insulin, since the STOPP-J guidelines are intended to cover medicines used chronically for more than one month. Some vaccines are not available in the Japanese price list since they not reimbursed through the national health insurance. Results: The ATC 5th level was not available for 39 of the 235 identified substances, resulting in their classification at the ATC 4th level. -
Adverse Effects and Precautions Interactions Pharmacokinetics Uses
91 2 3. Montplaisir J, et a!. Pramipexole in the treatment of restless legs Sifrol; Ger.: Oprymea; Pramip; Sifrol; Gr.: Glepark; Mariprax; Abuse. Like other antimuscarinics (see also under Trihex Bur J Neuro/ 2000; 7 27-31. syndrome: a follow-up study. (suppl l): Medopexol; Miraleton; Miraparkin; Mirapexin; Hong Kong: yphenidyl Hydrochloride, p. 918.1) procyclidine has been 4. Saletu M, et al. Acute placebo-controlled sleep laboratory studies and Mirapex; Hung.: Mirapexin; Oprymea; Pramitenorm; Indon.: clinical follow-up with pramipexole in restless legs syndrome. Bur Arch abused for its euphoriant effects. 1•2 Sifrol; Irl.: Glepark; Meroximer; Miramel; Mirapexin; Mirole; Psychiatry Clin Neurosci 2002; 252: 185-94. 1. McGucken RB, et al. Teenage procyclidine abuse. Lancet 1985; i: 1514. 5. Silber MH, et at. Pramipexole in the management of restless legs Oprymea; Sifrol; Israel: Sifrol; Trimexol; Ital. : Ezaprev; Mari 2. Dooris B, Reid C. Feigning dystonia to feed an unusual drug addiction. J syndrome: an extended study. Sleep 2003; 26: 819-21. prax; Miparkan; Miraper; Mirapexin; Miviren; Pramigen; Acrid Emerg Med 2000; 17: 311. 6. Stiasny-Kolster K, Oertel WH. Low-dose pramipexole in the manage Ramixole; Jp n: BI-Sifrol; Mirapex; Malaysia: Sifrol; Mex.: ment of restless legs syndrome: an open label trial. Neuropsychobiology Sifrol; Neth.: Glepark; Mirapexin; Oprymea; Pramipexolane; 2004; 50: 65-70. Pramithon; Sifrol; Norw. : Sifrol; NZ: Sifrol; Philipp.: Sifrol; Interactions 7. Winkelman JW, et al. Efficacy and safety of pramipcxole in restless legs syndrome. Neurology 2006; 67: 1034-9. Pol. : Miparkan; Mirapexin; Neliprax; Oprymea; Pramixil; Rit As for antimuscarinics in general (see Atropine Sulfate, 8. -
Poison Or Antibiotic? a Guide to "Class" Entries
Poison or Antibiotic? A Guide to “Class” Entries Preface Most entries in the Poisons List, i.e. the Schedule 10, and the Schedules 1, 2 and 3 to the Pharmacy and Poisons Regulations (Cap. 138A) are in the form of individual drugs and their salts, e.g. “Abacavir; its salts”. However, some entries are in the form of a “class”, e.g. “Barbituric acid; its salts; its derivatives …”. In such cases, it is not always clear which drugs are members of the class (e.g. amobarbital, barbital, pentobarbital, phenobarbital, etc. are poisons, being derivatives of barbituric acid). Likewise, the Antibiotics Ordinance (Cap. 137) applies to the substances specified in Schedule 1 to the Antibiotics Regulations, to their salts and derivatives, and to the salts of such derivatives. Again, it is not always clear which drugs are derivatives of an antibiotic named in the Schedule (e.g. demeclocycline, doxycycline, tigecycline, etc. are antibiotics, being derivatives of “Tetracycline” named in the Schedule). This Guide provides a list of such drugs which are available as registered pharmaceutical products in Hong Kong. Drugs which are not available as registered pharmaceutical products in Hong Kong are also included in this Guide as far as possible. It should be noted that it is not possible to compile a complete list of all these drugs, simply because there is no limit to the number of “derivatives” a parent chemical can have. This Guide should be read in conjunction with the Schedules 1, 2, 3, and 10 to the Pharmacy and Poisons Regulations, and Schedule 1 to the Antibiotics Regulations, if the poison/antibiotic classification of a particular pharmaceutical product is to be determined. -
1 Proposal for Drug Coding of “List of Drugs to Be Prescribed with Special
Proposal for drug coding of “List of drugs to be prescribed with special caution” 1) Therapeutic category/JAN English name Japan 2) ATC3) Nervous system: Overall antipsychotic drugs - Typical antipsychotic drugs Bromperidol 1179028 N05AD06 Chlorpromazine Hydrochloride 1171001 N05AA01 Chlorpromazine Phenolphthalinate 1171005 N05AA01 Clocapramine Hydrochloride Hydrate 1179030 N05AX Fluphenazine Maleate 1172009 N05AB02 Haloperidol 1179020 N05AD01 Levomepromazine Maleate 1172014 N05AA02 Mosapramine Hydrochloride 1179035 N05AX10 Nemonapride 1179036 N05AL Oxypertine 1179011 N05AE01 Perphenazine 1172006 N05AB03 1172007 Perohenazine Fendizoate 1172004 N05AB03 Perphenazine Maleate 1172013 N05AB03 Pimozide 1179022 N05AG02 Pipamperone Hydrochloride 1179006 N05AD05 Propericiazine (Periciazine) 1172005 N05AC01 Spiperone 1179015 N05AD Sulpiride 1179016 N05AL01 2329009 Sultopride Hydrochloride 1179032 N05AL02 Timiperone 1179026 N05AD Combination (see Table3-3) 1179100 - 1179101 Nervous system: Overall antipsychotic drugs – Atypical antipsychotic drugs Aripiprazole Hydrate 1179045 N05AX12 Asenapine Maleate 1179056 N05AH05 Blonanserin 1179048 N05AX Clozapine 1179049 N05AH02 Olanzapine 1179044 N05AH03 Paliperidone 1179053 N05AX13 Perospirone Hydrochloride Hydrate 1179043 N05AX Quetiapine Fumarate 1179042 N05AH04 Risperidone 1179038 N05AX08 Zotepine 1179024 N05AX11 Nervous system: Benzodiazepines Alprazolam 1124023 N05BA12 Bromazepam 1124020 N05BA08 1 Therapeutic category/JAN English name Japan 2) ATC3) Brotizolam 1124009 N05CD09 Chlordiazepoxide 1124028 -
Simple and Simultaneous Determination for Twelve Phenothiazines in Human Serum by Reversed-Phase High-Performance Liquid Chromatography
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Tsukuba Repository Simple and simultaneous determination for twelve phenothiazines in human serum by reversed-phase high-performance liquid chromatography 著者 Tanaka Einosuke, Nakamura Takako, Terada Masaru, Shinozuka Tatsuo, Hashimoto Chikako, Kurihara Katsuyoshi, Honda Katsuya journal or Journal of chromatography. B, Analytical publication title technologies in the biomedical and life sciences volume 854 number 1-2 page range 116-120 year 2007-07 権利 (C) 2007 Elsevier B.V. URL http://hdl.handle.net/2241/91103 doi: 10.1016/j.jchromb.2007.04.004 Simple and simultaneous determination for twelve phenothiazines in human serum by reversed-phase high-performance liquid chromatography Einosuke Tanaka*,1, Takako Nakamura1, Masaru Terada2 , Tatsuo Shinozuka3, Chikako Hashimoto4, Katsuyoshi Kurihara4 and Katsuya Honda1 1 Department of Legal Medicine, Institute of Community Medicine, University of Tsukuba, Tsukuba-shi, Ibaraki-ken 305-8575, Japan 2 Department of Legal Medicine, School of Medicine, Toho University, 5-21-16 Omorinishi, Ota-ku, Tokyo 143-8540, Japan 3 Department of Legal Medicine, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan 4 Department of Legal Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato Sagamihara, Kanagawa 228-8555, Japan Proofs and Correspondence to: Dr Einosuke Tanaka Institute of Community Medicine, University of Tsukuba, Tsukuba-shi, Ibaraki-ken 305-8575, Japan Tel/Fax: +81-29-853-3057 E-mail: [email protected] Keywords : phenothiazine, HPLC, serum, human 1 Summary A high-performance liquid chromatographic method has been developed for the simlultaneous analysis of twelve phenothiazines (chlorpromazine, fluphenazine, levomepromazine, perazine, perphenazine, prochlorperazine, profenamine, promethazine, propericiazine, thioproperazine, thioridazine and trifluoperazine) in human serum using HPLC/UV.