Combination therapy of lower urinary tract disorders with...

A - Human Necessities – 61 – K

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A61K 45/06 (2006.01) A61P 13/10 (2006.01)

Patent

CA 2673545

The administration to a mammal of a combination of compounds, at least one of which is an .alpha.2.delta. calcium channel subunit (A2d) ligand and at least one of which is a non-steroidal anti-inflammatory drug (NSAID), provides a surprising and potent inhibition of the micturition reflex, superior to that obtained by treatment with an A2d ligand or NSAID alone. Combinations of A2d ligand and NSAIDs are thus useful for treatment of lower urinary tract disorders and symptoms thereof. Preferred A2d ligands are gabapentin and pregabalin. Preferred NSAIDs are celecoxib, diclofenac, diflunisal, flurbiprofen, naproxen, nimesulide or sulindac.

La présente invention concerne l'administration à un mammifère d'une combinaison de composés, dont au moins l'un des composés est un ligand de la sous-unité .alpha.2.delta. (a2d) des canaux calciques, et au moins l'un des autres composés est un médicament anti-inflammatoire non stéroïdien (AINS). L'administration de cette combinaison provoque une inhibition étonnante et puissante du réflexe de miction, supérieure à l'inhibition obtenue grâce au traitement par un ligand de l'A2d seul ou par un AINS seul. Les combinaisons de ligands de l'A2d et d'AINS se révèlent par conséquent utiles pour le traitement de troubles du tractus urinaire inférieur et de leurs symptômes. Les ligands de l'A2d préférés sont la gabapentine et la prégabaline. Les AINS préférés sont le célécoxibe, le diclofénac, le diflunisal, le flurbiprofène, le naproxène, le nimésulide ou le sulindac.

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