Us 2008/0280991 A1 8, 2007. Pdco

Total Page:16

File Type:pdf, Size:1020Kb

Us 2008/0280991 A1 8, 2007. Pdco US 20080280991A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2008/0280991 A1 Gant et al. (43) Pub. Date: Nov. 13, 2008 (54) SUBSTITUTED NAPHTHALENES (52) U.S. Cl. ......................................... 514/630; 564/219 (75) Inventors: Thomas G. Gant, Carlsbad, CA (US); Sepehr Sarshar, Cardiff by the Sea, CA (US) (57) ABSTRACT Correspondence Address: Disclosed herein are substituted naphthalene-based melato GLOBAL PATENT GROUP - APX nin (MT) receptor modulators and/or 5-HT receptor modula Ms. LaVern Hall tors of Formula I, process of preparation thereof, pharmaceu 10411 Clayton Road, Suite 304 tical compositions thereof, and methods of use thereof. ST. LOUIS, MO 63131 (US) (73) Assignee: AUSPEX O Formula I PHARMACEUTICALS, INC., Vista, CA (US) Ran R15 (21) Appl. No.: 12/116,636 R R16 R11 R13 7 (22) Filed: May 7, 2008 R12 R16 Related U.S. Application Data Ro (60) Provisional application No. 60/928,343, filed on May R O Rs 2 R3 8, 2007. Publication Classification PDCOR R (51) Int. Cl. Rs R6 A6 IK3I/I65 (2006.01) C07C 23.3/05 (2006.01) US 2008/0280991 A1 Nov. 13, 2008 SUBSTITUTED NAPHTHALENES nant metabolite is a naphthol. “S 21517. that has 100-fold less potency for the melatonin receptor than the parent com pound. Long term toxicology studies of these metabolites are 0001. This application claims the benefit of priority of lacking. All of these transformations, among other potential U.S. provisional application No. 60/928,343, filed May 8, transformations, can and do occur through polymorphically 2007, the disclosure of which is hereby incorporated by ref expressed enzymes thus exacerbating interpatient variability. erence as if written herein in its entirety. Further, the terminal elimination half-life is only 2.3 hours. A medicine with a longer half-life will therefore attenuate inter FIELD patient variatibility and improve efficacy. 0002 The present invention is directed to naphthalene based 5-HT receptor modulators and/or melatonin receptor SUMMARY OF THE INVENTION modulators, pharmaceutically acceptable salts and prodrugs 0005 Disclosed herein is a compound having structural thereof, the chemical synthesis thereof, and medical use of Such compounds for the treatment and/or management of Formula I: 5-HT receptor-mediated disorders and/or melatonin receptor mediated disorders. Formula I O BACKGROUND R14 R15 0003) Agomelatine (Valdoxan R,S 20098), N-(2-(7-meth NN R16 oxy-naphthalen-1-yl)-ethyl-acetamide, is an orally adminis R17 tered putative agonist of the melatonin MT and MT recep R11 R13 tors. Agomelatine also antagonizes the 5-HT, receptor. R12 Another drug of agomelatine's class is Ramelteon (Roza R16 remR). Ramelton, however, does not elicit the same effect on R9 5-HT, receptors as agomelatine, and therefore is not as R O Rs effective as agomelatine in treating certain disorders. Ago melatine can be used to treat sleep disorders and depressive DrR3 disorders. As compared with other sleep disorder and depres R4 R7 sive disorder medications, agomelatine does not cause sexual side-effects, daytime drowsiness, and withdrawal effects Rs R6 upon discontinuation. Agomelatine has been shownto attenu ate sexual disorders that are induced by 5-HT, receptor agonism in rats (Loo et al. International Clinical Psychop or a pharmaceutically acceptable salt, Solvate, or prodrug harmacology 2002, 17, 239-247; Chagraoui et al., Psychop thereof, wherein: harmacology 2003, 170, 17-22; Bertaina-Anglade et al. 0006 R. R. R. R. Rs. R. R-7, Rs. Ro Ro, R. R. R. Behavioural Pharmacology 2006, 17, 703-713; Kupfer, R. R. R. and R7 are independently selected from the European Neuropsychopharmacology 2006, 16, S639-S643; group consisting hydrogen and deuterium; and Norman, Australian and New Zealand Journal of Psychiatry 0007 at least one of R. R. R. R. R. R. R. R. R. R. 2006, 40, 394-401; Montgomery, European Neuropsychop R. R. R. R. Rs. Rio, and R7 is deuterium. harmacology 2006, 16, S633-S638; Zupancic et al. CNS 0008 Further disclosed herein is a method for treating, Drugs 2006, 20(12),981-992: Preketal, Psychopharmacol preventing, or ameliorating one or more symptoms of a mela tonin (MT) receptor-mediated disorder and/or serotonin ogy 2007, 190, 575-579). (5-HT) receptor-mediated disorder which comprises admin istering to a subject a therapeutically effective amount of at O least one compound as disclosed herein or a pharmaceutically acceptable salt, Solvate, or prodrug thereof. 0009. Additionally disclosed herein is a method for treat - ing, preventing, or ameliorating one or more symptoms of a disorder involving, but not limited to, depressive disorders, seasonal affective disorders, anxiety, sleep disorders, dys thymia, sexual side effects associated with the use of 5-HT, MeO agonists, any disorder which can lessened, alleviated, or ben efited by modulating MT receptors, and/or any disorder which can lessened, alleviated, or benefited by modulating Agomelatine 5-HT receptors. 0010. Also disclosed herein are articles of manufacture and kits containing compounds as disclosed herein. By way 0004. The agomelatine chemical structure contains a num of example only a kit or article of manufacture can include a ber of moieties that we posit will produce clinically-inactive container (Such as a bottle) with a desired amount of at least (at best) and toxic (at worst) metabolites, the formation of one compound (or pharmaceutical composition of a com which can be prevented or diminished by the approach pound) as disclosed herein. Further, such a kit or article of described herein. For example, agomelatine's methoxy group manufacture can further include instructions for using said is subject to enzymatic oxidation at the C–H bonds. Three compound (or pharmaceutical composition of a compound) agomelatine metabolites have been detected. The predomi disclosed herein. The instructions can be attached to the con US 2008/0280991 A1 Nov. 13, 2008 tainer, or can be included in a package (such as a box or a 0022. In other embodiments said therapeutic agent is an plastic or foil bag) holding the container. antipsychotic medication. 0011. In another aspect is the use of a compound as dis 0023. In further embodiments said antipsychotic medica closed herein in the manufacture of a medicament for treating tion is selected from the group consisting of chlorpromazine, a disorder in a subject, by modulating MT receptors and/or by fluphenazine, perphenazine, prochlorperazine, thioridazine, modulating 5-HT receptors. In a further or alternative trifluoperazine, haloperidol, haloperidol decanoate, droperi embodiment, said disorder is depressive disorders, seasonal dol, pimozide, amisulpride, aripiprazole, bifeprunoX, cloza affective disorders, anxiety, sleep disorders, dysthymia, pine, melperone, norclozapine, olanzapine, risperidone, pali sexual side effects associated with the use of 5-HT, agonists, peridone, quetapine, Symbyax, tetrabenazine, and any disorder which can lessened, alleviated, or benefited by Ziprazidone. modulating MT receptors, and/or any disorder which can 0024. In other embodiments said therapeutic agent is an lessened, alleviated, or benefited by modulating 5-HT recep antidepressant. tOrS. 0025. In further embodiments said antidepressant is 0012. In another aspectare processes for preparing a com selected from the group consisting of amitriptyline, bupro pound as disclosed herein as a MT receptor modulator and/or pion, citalopram, clomipramine, dapoxetine, desipramine, a 5-HT receptor modulator, or other pharmaceutically accept dothiepin, duloxetine, escitalopram, fluoxetine, fluvoxamine, able derivatives such as prodrug derivatives, or individual imipramine, iofepramine, nortriptyline, paroxetine, protrip isomers and mixture of isomers or enantiomers thereof. tyline, Sertraline, traZodone, trimipramine, and Venlafaxine. 0013 Also disclosed herein are processes for formulating 0026. In other embodiments said therapeutic agent is a pharmaceutical compositions with a compound disclosed 5-HT, receptor modulator. herein. 0027. In yet other embodiments said 5-HT, receptor 0014. In further embodiments, said pharmaceutical com modulator is selected from the group consisting of alpha position comprises a compound disclosed herein and one or methyl-5-HT, DOI, lysergic acid diethylamide (LSD), and more pharmaceutically acceptable carriers. meSulergine. 0015. In certain embodiments said pharmaceutical com 0028. In further embodiments, a method for the treatment, position comprises one or more release-controlling excipi prevention, or amelioration of one or more symptoms of a MT entS. receptor-mediated disorder, a 5-HT receptor mediated disor 0016. In other embodiments said pharmaceutical compo der, or a MT receptor-mediated disorder and 5-HT receptor sition further comprises one or more non-release controlling mediated disorder in a subject comprises administering a excipients. therapeutically effective amount of a compound as disclosed 0017. In certain embodiments said pharmaceutical com herein. position is Suitable for oral, parenteral, or intravenous infu 0029. In other embodiments said MT receptor-mediated sion administration. disorder, said 5-HT receptor mediated disorder, or said MT 0018. In yet other embodiments said pharmaceutical com receptor-mediated disorder and 5-HT receptor mediated dis position comprises a tablet, or capsule. order is selected from the group consisting of depressive 0019. In certain embodiments the compounds as disclosed disorders, seasonal affective disorders, anxiety, sleep disor herein are
Recommended publications
  • The Neuroprotective Effects of Melatonin: Possible Role in the Pathophysiology of Neuropsychiatric Disease
    brain sciences Perspective The Neuroprotective Effects of Melatonin: Possible Role in the Pathophysiology of Neuropsychiatric Disease Jung Goo Lee 1,2 , Young Sup Woo 3, Sung Woo Park 2,4, Dae-Hyun Seog 5, Mi Kyoung Seo 6 and Won-Myong Bahk 3,* 1 Department of Psychiatry, College of Medicine, Haeundae Paik Hospital, Inje University, Busan 47392, Korea; [email protected] 2 Paik Institute for Clinical Research, Department of Health Science and Technology, Graduate School, Inje University, Busan 47392, Korea; [email protected] 3 Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul 07345, Korea; [email protected] 4 Department of Convergence Biomedical Science, College of Medicine, Inje University, Busan 47392, Korea 5 Department of Biochemistry, College of Medicine, Inje University, Busan 47392, Korea; [email protected] 6 Paik Institute for Clinical Research, Inje University, Busan 47392, Korea; [email protected] * Correspondence: [email protected] Received: 16 September 2019; Accepted: 19 October 2019; Published: 21 October 2019 Abstract: Melatonin is a hormone that is secreted by the pineal gland. To date, melatonin is known to regulate the sleep cycle by controlling the circadian rhythm. However, recent advances in neuroscience and molecular biology have led to the discovery of new actions and effects of melatonin. In recent studies, melatonin was shown to have antioxidant activity and, possibly, to affect the development of Alzheimer’s disease (AD). In addition, melatonin has neuroprotective effects and affects neuroplasticity, thus indicating potential antidepressant properties. In the present review, the new functions of melatonin are summarized and a therapeutic target for the development of new drugs based on the mechanism of action of melatonin is proposed.
    [Show full text]
  • Pharmacometabolomics of Response to Sertraline and to Placebo in Major Depressive Disorder – Possible Role for Methoxyindole Pathway
    Pharmacometabolomics of Response to Sertraline and to Placebo in Major Depressive Disorder – Possible Role for Methoxyindole Pathway Hongjie Zhu1., Mikhail B. Bogdanov2., Stephen H. Boyle1, Wayne Matson3, Swati Sharma3, Samantha Matson3,4, Erik Churchill1, Oliver Fiehn5, John A. Rush6, Ranga R. Krishnan1,6, Eve Pickering7, Marielle Delnomdedieu8, Rima Kaddurah-Daouk1*, Pharmacometabolomics Research Network 1 Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, United States of America, 2 Department of Neurology and Neuroscience Weill Cornell Medical College, New York, New York, United States of America, 3 Department of Systems Biochemistry, Bedford VA Medical Center, Bedford, Massachusetts, United States of America, 4 Massachusetts General Hospital, Boston, Massachusetts, United States of America, 5 Genome Center, University of California Davis, Davis, California, United States of America, 6 Duke-NUS Graduate Medical School, Singapore, Singapore, 7 Pfizer Global R&D, Clinical Research Statistics, Groton, Connecticut, United States of America, 8 Pfizer Global R&D, Neuroscience Clinical Research, Groton, Connecticut, United States of America Abstract Therapeutic response to selective serotonin (5-HT) reuptake inhibitors in Major Depressive Disorder (MDD) varies considerably among patients, and the onset of antidepressant therapeutic action is delayed until after 2 to 4 weeks of treatment. The objective of this study was to analyze changes within methoxyindole and kynurenine (KYN) branches of tryptophan pathway to determine whether differential regulation within these branches may contribute to mechanism of variation in response to treatment. Metabolomics approach was used to characterize early biochemical changes in tryptophan pathway and correlated biochemical changes with treatment outcome. Outpatients with MDD were randomly assigned to sertraline (n = 35) or placebo (n = 40) in a double-blind 4-week trial; response to treatment was measured using the 17-item Hamilton Rating Scale for Depression (HAMD17).
    [Show full text]
  • Drug Repurposing for the Management of Depression: Where Do We Stand Currently?
    life Review Drug Repurposing for the Management of Depression: Where Do We Stand Currently? Hosna Mohammad Sadeghi 1,†, Ida Adeli 1,† , Taraneh Mousavi 1,2, Marzieh Daniali 1,2, Shekoufeh Nikfar 3,4,5 and Mohammad Abdollahi 1,2,* 1 Toxicology and Diseases Group (TDG), Pharmaceutical Sciences Research Center (PSRC), The Institute of Pharmaceutical Sciences (TIPS), Tehran University of Medical Sciences, Tehran 1417614411, Iran; [email protected] (H.M.S.); [email protected] (I.A.); [email protected] (T.M.); [email protected] (M.D.) 2 Department of Toxicology and Pharmacology, School of Pharmacy, Tehran University of Medical Sciences, Tehran 1417614411, Iran 3 Personalized Medicine Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran 1417614411, Iran; [email protected] 4 Pharmaceutical Sciences Research Center (PSRC) and the Pharmaceutical Management and Economics Research Center (PMERC), Evidence-Based Evaluation of Cost-Effectiveness and Clinical Outcomes Group, The Institute of Pharmaceutical Sciences (TIPS), Tehran University of Medical Sciences, Tehran 1417614411, Iran 5 Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Tehran University of Medical Sciences, Tehran 1417614411, Iran * Correspondence: [email protected] † Equally contributed as first authors. Citation: Mohammad Sadeghi, H.; Abstract: A slow rate of new drug discovery and higher costs of new drug development attracted Adeli, I.; Mousavi, T.; Daniali, M.; the attention of scientists and physicians for the repurposing and repositioning of old medications. Nikfar, S.; Abdollahi, M. Drug Experimental studies and off-label use of drugs have helped drive data for further studies of ap- Repurposing for the Management of proving these medications.
    [Show full text]
  • Npp200972.Pdf
    Neuropsychopharmacology (2009) 34, 2390–2403 & 2009 Nature Publishing Group All rights reserved 0893-133X/09 $32.00 www.neuropsychopharmacology.org Mechanisms Contributing to the Phase-Dependent Regulation of Neurogenesis by the Novel Antidepressant, Agomelatine, in the Adult Rat Hippocampus Ame´lie Soumier1, Mounira Banasr1, Sylviane Lortet1, Fre´de´rique Masmejean1, Nathalie Bernard1, Lydia Kerkerian-Le-Goff1, Cecilia Gabriel2, Mark J Millan3, Elisabeth Mocaer2 and Annie Daszuta*,1 1 2 3 IC2N, IBDML, UMR 6216, Marseille, France; IRIS, Courbevoie, France; IDR Servier, Croissy-sur-Seine, France Agomelatine is a novel antidepressant acting as a melatonergic receptor agonist and serotonergic (5-HT ) receptor antagonist. In adult 2C rats, chronic agomelatine treatment enhanced cell proliferation and neurogenesis in the ventral hippocampus (VH), a region pertinent to mood disorders. This study compared the effects of agomelatine on cell proliferation, maturation, and survival and investigated the cellular mechanisms underlying these effects. Agomelatine increased the ratio of mature vs immature neurons and enhanced neurite outgrowth of granular cells, suggesting an acceleration of maturation. The influence of agomelatine on maturation and survival was accompanied by a selective increase in the levels of BDNF (brain-derived neurotrophic factor) vs those of VEGF (vascular endothelial factor) and IGF-1 (insulin-like growth factor 1), which were not affected. Agomelatine also activated several cellular signals (extracellular signal-regulated kinase1/2, protein kinase B, and glycogen synthase kinase 3b) known to be modulated by antidepressants and implicated in the control of proliferation/survival. Furthermore, as agomelatine possesses both melatonergic agonist and serotonergic (5-HT2C) antagonist properties, we determined whether melatonin and 5-HT2C receptor antagonists similarly influence cell proliferation and survival.
    [Show full text]
  • Association of Selective Serotonin Reuptake Inhibitors with the Risk for Spontaneous Intracranial Hemorrhage
    Supplementary Online Content Renoux C, Vahey S, Dell’Aniello S, Boivin J-F. Association of selective serotonin reuptake inhibitors with the risk for spontaneous intracranial hemorrhage. JAMA Neurol. Published online December 5, 2016. doi:10.1001/jamaneurol.2016.4529 eMethods 1. List of Antidepressants for Cohort Entry eMethods 2. List of Antidepressants According to the Degree of Serotonin Reuptake Inhibition eMethods 3. Potential Confounding Variables Included in Multivariate Models eMethods 4. Sensitivity Analyses eFigure. Flowchart of Incident Antidepressant (AD) Cohort Definition and Case- Control Selection eTable 1. Crude and Adjusted Rate Ratios of Intracerebral Hemorrhage Associated With Current Use of SSRIs Relative to TCAs eTable 2. Crude and Adjusted Rate Ratios of Subarachnoid Hemorrhage Associated With Current Use of SSRIs Relative to TCAs eTable 3. Crude and Adjusted Rate Ratios of Intracranial Extracerebral Hemorrhage Associated With Current Use of SSRIs Relative to TCAs. eTable 4. Crude and Adjusted Rate Ratios of Intracerebral Hemorrhage Associated With Current Use of Antidepressants With Strong Degree of Inhibition of Serotonin Reuptake Relative to Weak eTable 5. Crude and Adjusted Rate Ratios of Subarachnoid Hemorrhage Associated With Current Use of Antidepressants With Strong Degree of Inhibition of Serotonin Reuptake Relative to Weak eTable 6. Crude and Adjusted Rate Ratios of Intracranial Extracerebral Hemorrhage Associated With Current Use of Antidepressants With Strong Degree of Inhibition of Serotonin Reuptake Relative to Weak This supplementary material has been provided by the authors to give readers additional information about their work. © 2016 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ on 10/02/2021 eMethods 1.
    [Show full text]
  • A Study on the Effects of Agomelatine on Food Intake and Body Weight in Restraint Stress Model in Adult Swiss Albino Mice
    Online - 2455-3891 Vol 10, Issue 9, 2017 Print - 0974-2441 Research Article A STUDY ON THE EFFECTS OF AGOMELATINE ON FOOD INTAKE AND BODY WEIGHT IN RESTRAINT STRESS MODEL IN ADULT SWISS ALBINO MICE SHANMUGAPRIYA S*, NIVEDHITHAA S, BHUVANESWARI K Department of Pharmacology, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, Tamil Nadu, India. Email: [email protected] Received: 01 May 2017, Revised and Accepted: 25 May 2017 ABSTRACT Objectives: Agomelatine is a novel melatonin (MT) receptor agonist at MT 1 and 2, serotonin receptor antagonist and an effective chronobiotic agent. The study was designed to evaluate the effects of agomelatine on body weight and food intake in restraint stress model in adult Swiss albino mice. Methods: After the approval of Institutional Animal Ethics Committee, 40 male Swiss albino mice were randomly divided into four groups of 10 animals each; two were treatment groups which received 25 mg/kg (low dose) agomelatine, 50 mg/kg (high dose) agomelatine, standard group given trazodone and the control group administered the vehicle (1% hydroxyethyl cellulose [HEC]) intraperitoneally for the last 14 days in the 3 weeks study period. Chronic restraint stress was given for 4 hrs per day for all groups starting from day 0 to 21. Results: Using paired t-test, both 12 hrs (p=0.011) and 24 hrs (p<0.001) food intake in the high dose agomelatine group were significantly increased. Between groups using ANOVA test showed a statistically significant increase in food intake for this group when compared to the control group. Unlike the low dose agomelatine group (p=0.205), the mean body weight in the group treated with high dose agomelatine revealed a statistically significant rise compared to that of the control (p=0.001) in ANOVA test.
    [Show full text]
  • New-Medicine-Report-Agomelatine
    Suffolk Mental Health Partnership NHS Trust Drug & Therapeutics Committee New Medicine Report Medicine Agomelatine (Valdoxan, Servier) Document Agreed at Suffolk D&T 18th February 2009 status Date of last 22nd July 2009 revision Traffic light Double Red - Prescribing not supported in either general practice or decision secondary/tertiary care Prescribers 5 - Judgement reserved rating Mechanism Agomelatine is a synthetic analogue of the hormone melatonin, and strongly of action binds to and stimulates the activity of melatonin MT1 and MT2 receptors, normalising disturbed circadian rhythms and disrupted sleep-wake cycles. (Melatonin regulates circadian rhythms, including sleep-wake cycles.) Disturbances in circadian rhythms have been implemented in the development of mood disorders. Agomelatine is also a serotonin-receptor antagonist and binds to and inhibits the activity of serotonin 5HT-2C receptors. This antagonism is associated with antidepressant and anti-anxiety activity, and increases slow-wave sleep. Agomelatine does not affect the uptake of serotonin, noradrenaline or dopamine. The inhibition of 5HT-2C receptors increases noradrenaline and dopamine in the frontal cortex and may contribute to agomelatine’s antidepressant activity. Indication Treatment of major depressive disorders in adults Dosage 25mg increasing to 50mg daily Treatment SSRIs alternatives Review prepared by Katie Smith, Director, East Anglia Medicines Information Service May be freely copied by NHS agencies, not to be used for promotional purposes This is an SMHPT
    [Show full text]
  • Australian Public Assessment Report for Agomelatine
    Australian Public Assessment Report for Agomelatine Proprietary Product Name: Valdoxan Submission No: PM-2009-00483-3-1 Sponsor: Servier Laboratories (Australia) Pty Ltd October 2010 Contents I. Introduction to Product Submission........................................................................3 Submission Details.................................................................................................................. 3 Product Background................................................................................................................ 3 Regulatory Status .................................................................................................................... 5 Product Information ................................................................................................................ 5 II. Quality Findings.........................................................................................................6 Introduction............................................................................................................................. 6 Drug Product........................................................................................................................... 6 Bioavailability......................................................................................................................... 6 Quality Summary and Conclusions......................................................................................... 7 III. Nonclinical Findings ..................................................................................................7
    [Show full text]
  • The Role of Adaptogens and Nervines in Clinical Practice
    The Role of Selected Adaptogens and Nervines in Clinical Practice Tieraona Low Dog, MD Chair: US Pharmacopeia Dietary Supplements Admissions Joint Standard Setting Sub-Committee Author of National Geographic’s Fortify Your Life, Healthy At Home, Life Is Your Best Medicine Guide to Medicinal Herbs Copyright © Integrative Medicine Concept, LLC. All Rights Reserved. Disclosure • Tieraona Low Dog, MD has the following to disclose: • Health Advisory Board: Pharmaca • Director of Scientific & Regulatory Affairs: Healthy Lifestyle Brands • Consultant/Spokesperson: FoodState • This talk will not discuss off-label and/or investigational use of pharmaceuticals or devices not yet approved by the FDA. Copyright © Integrative Medicine Concept, LLC. All Rights Reserved. Stress in the 21st Century • 75-90% of all physician’s office visits are for stress-related conditions/complaints. • Lifetime prevalence of emotional disorder > 50%. • 43% of all adults suffer adverse health effects from stress. • Stress contributes to obesity, diabetes, heart disease, high blood pressure, depression, anxiety, asthma, irritable bowel disease, infertility, headaches, muscle tension and premature aging. National Institute of Mental Health: "Fact Sheet on Stress." American Heart Association: "How Does Stress Affect You." Mayo Clinic: "Stress: Constant stress puts your health at risk.” Copyright © Integrative Medicine Concept, LLC. All Rights Reserved. Trends in prescriptions of major classes of psychiatric drugs 1998–2010. Stephen Ilyas, and Joanna Moncrieff BJP 2012;200:393-398
    [Show full text]
  • The Effortless Sleep Method: Cure for Insomnia
    Sleeping Pills: An Introduction 1 1 Sleeping Pills: An Introduction What Are Sleeping Pills? Most sleeping pills are “sedative hypnotics.” That’s a specific class of drugs used to induce and/or maintain sleep. Sedative hypnotics include benzodiazepines, barbiturates, and various hypnotics. SLEEPING PILL ABUSE: ITS SIGNS AND SYMPTOMS A number of people underestimate the powerful grip sleeping pills like Ambien or Sonata can have over someone’s life and the dangers of abusing these drugs. 2 The Effortless Sleep Method: Cure for Insomnia... Many people abusing sleeping pills experience memory and concentration problems. Some of the signs of sleeping pill abuse include: • Slurred speech • Uncoordinated movements • Unsteady gait • Inability to focus • Impaired memory • Unusual euphoria. SLEEPING PILLS: ITS MAIN DANGERS Both the immediate and long-term dangers of sleeping pill abuse are enough for most people to exercise caution when using them. However, many people aren’t aware of the dangers of these medications. The dangerous effects of sleep medications range from seizures to depressed breathing. Some people also experience allergic reactions from sleeping pills that can cause difficulty breathing, chest pain, nausea and swelling. Though rare, people who use sleeping pills may even develop parasomnias. Parasomnias are defined as sleep disorders that include behaviors like sleep-walking, sleep-eating, sleep-sex, sleep- driving and other potentially dangerous sleep-related activities. The immediate dangers of sleeping pills range from minor fatigue to coma. Some of these side effects can even lead to deadly overdoses, casting light on the true dangers of sleeping pills. Common symptoms of sleeping pill abuse are: • Dizziness • Dry mouth • Difficulty with coordination • Daytime drowsiness • Memory loss • Unusual dreams • Itching and swelling Sleeping Pills: An Introduction 3 • Lightheadedness • Depressed breathing rate.
    [Show full text]
  • Agomelatine Softens Depressive-Like Behavior Through the Regulation of Autophagy and Apoptosis
    Hindawi BioMed Research International Volume 2021, Article ID 6664591, 10 pages https://doi.org/10.1155/2021/6664591 Research Article Agomelatine Softens Depressive-Like Behavior through the Regulation of Autophagy and Apoptosis Fengpei Chen,1 Shijia Chen ,2 Jie Liu,1 Nashwa Amin,2,3 Weidong Jin ,1,4 and Marong Fang 2 1The Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310053, China 2Institute of Neuroscience, Zhejiang University School of Medicine, Hangzhou 310058, China 3Department of Zoology, Faculty of Science, Aswan University, Egypt 4Zhejiang Mental Health Center, Tongde Hospital of Zhejiang province, Hangzhou 310012, China Correspondence should be addressed to Weidong Jin; [email protected] and Marong Fang; [email protected] Received 12 December 2020; Revised 11 January 2021; Accepted 26 February 2021; Published 18 March 2021 Academic Editor: Andrea Scribante Copyright © 2021 Fengpei Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Depression is a common and disabling mental disorder with high recurrence rate. Searching for more effective treatments for depression is a long-standing primary objective in neuroscience. Agomelatine (AGO) was reported as an antidepressant with unique pharmacological effects. However, its effects and the underlying mechanism are still unclear. In this study, we sought to evaluate the antidepressant effects of AGO on the chronic restraint stress (CRS) mouse model and preliminarily investigate its effects on the gut microbial metabolites. The CRS model mice were established in 28 days with AGO (60 mg/kg/day, by oral) or fluoxetine (15 mg/kg/day, by oral) administration.
    [Show full text]
  • VALDOXAN® 25Mg Agomelatine (Pronounced A-Go-Mel-A-Tin)
    VALDOXAN® 25mg Agomelatine (pronounced a-go-mel-a-tin) Consumer Medicine Information WHAT IS IN THIS positive benefits on mood and sleep • you are currently taking LEAFLET in depression. fluvoxamine (a drug used in the VALDOXAN is not addictive. treatment of depression) or ciprofloxacin (an antibiotic This leaflet answers some common VALDOXAN does not cause used to treat infections) questions about VALDOXAN. It discontinuation symptoms and can be does not contain all the available stopped without the need to taper • you have an allergy to information. You can obtain more dose. VALDOXAN or any of the information about VALDOXAN by ingredients (including lactose) In clinical studies VALDOXAN had talking to your doctor or pharmacist. listed at the end of this leaflet no effect on sexual function. All medications have risks and • the packaging is torn or shows VALDOXAN is not recommended benefits. Your doctor has weighed signs of tampering for children, adolescents (under 18 the risks of you taking VALDOXAN years old) or elderly patients aged 75 • the expiry date (EXP) printed against the benefits this medicine is or older. on the pack has passed. expected to have for you. Your doctor may prescribe If you have any concerns about Before you start to take VALDOXAN for another purpose. taking this medicine, ask your VALDOXAN Ask your doctor if you have any doctor or pharmacist. Keep this questions about why VALDOXAN A routine blood test should be leaflet with the medicine. has been prescribed for you. performed before treatment to You may need to read it again. check how your liver is functioning.
    [Show full text]