Methods for treating lower urinary tract disorders using...

A - Human Necessities – 61 – K

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A61K 31/195 (2006.01) A61K 31/137 (2006.01) A61K 31/197 (2006.01) A61K 31/216 (2006.01) A61K 31/445 (2006.01) A61K 31/4725 (2006.01)

Patent

CA 2519694

A method is provided for using .alpha.2.delta. subunit calcium channel modulators or other compounds that interact with the .alpha.2.delta. calcium channel subunit in combination with one or more compounds with smooth muscle modulatory effects to treat and/or alleviate the symptoms associated with painful and non-painful lower urinary tract disorders in normal and spinal cord injured patients. According to the present invention, .alpha.2.delta. subunit calcium channel modulators include GABA analogs (e.g. gabapentin and pregabalin), fused bicyclic or tricyclic amino acid analogs of gabapentin, and amino acid compounds. Compounds with smooth muscle modulatory effects include antimuscarinics, .szlig.3 adrenergic agonists, spasmolytics, neurokinin receptor antagonists, bradykinin receptor antagonists, and nitric oxide donors.

L'invention concerne une méthode d'utilisation de modulateurs de la sous-unité .alpha.¿2?.delta. des canaux calciques ou d'autres composés qui interagissent avec la sous-unité .alpha.¿2?.delta. des canaux calciques en association avec un ou plusieurs composés présentant des effets modulateurs des muscles lisses pour traiter et/ou soulager les symptômes associés aux troubles des voies urinaires inférieures douloureux et non douloureux chez des patients normaux et des patients atteints de lésions de la moelle épinière. Selon la présente invention, les modulateurs de la sous-unité .alpha.¿2?.delta. des canaux calciques comprennent des analogues de GABA (par exemple gabapentine et prégabaline), des analogues acides aminés fusionnés bicycliques ou tricycliques de gabapentine et des composés d'acides aminés. Les composés ayant des effets modulateurs des muscles lisses comprennent des antimuscariniques, des agonistes .beta.3 adrénergiques, des spasmolytiques, des antagonistes des récepteurs de neurokinine, des antagonistes de récepteurs de bradykinine et des donneurs de monoxyde d'azote.

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