Compositions and methods for minimizing or reversing...

A - Human Necessities – 61 – K

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Details

A61K 31/4045 (2006.01) A61K 31/428 (2006.01) A61K 31/485 (2006.01) A61P 25/28 (2006.01) A61P 25/30 (2006.01)

Patent

CA 2737393

Methods and compositions are provided for preventing or reversing loss of the therapeutic effect of a drug, where the loss is associated with the repeated administration of the drug to a patient. The method includes administering to the patient a dopamine receptor agonist or partial agonist or a drug that increases the extracellular level of dopamine by enhancing release of dopamine, decreasing the removal of dopamine from the extracellular space, enhancing the synthesis of dopamine within the brain, or decreasing metabolic degradation of dopamine; and also administering to the patient an opioid receptor antagonist in an ultra-low dose amount, wherein the ultra-low dose amount is effective to prevent or reverse loss of therapeutic effects associated with the repeated administration of the drug to the patient. The methods are useful for various treatments, including treating Parkinson's Disease, Restless Leg Syndrome, depression, schizophrenia, psychostimulant drug abuse, or attention deficit disorder.

La présente invention a pour objet des méthodes et des compositions destinées à prévenir ou inverser la perte de leffet thérapeutique dun médicament, où la perte est associée à ladministration répétée du médicament à un patient. La méthode comprend ladministration au patient dun agoniste ou dun agoniste partiel du récepteur de la dopamine ou dun médicament qui augmente le taux extracellulaire de la dopamine par une amplification de la libération de dopamine, une diminution de lélimination de dopamine à partir de lespace extracellulaire, une amplification de la synthèse de dopamine au sein du cerveau ou une diminution de la dégradation métabolique de dopamine; et également ladministration au patient dun antagoniste des récepteurs des opiacés à une dose ultra-basse, où la dose ultra-basse est efficace pour prévenir ou inverser la perte des effets thérapeutiques associée à ladministration répétée du médicament au patient. Les méthodes sont utiles pour divers traitements, y compris le traitement de la maladie de Parkinson, du syndrome des jambes sans repos, de la dépression, de la schizophrénie, dun abus de substances psychostimulantes ou dun trouble de déficit de lattention.

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