Use of therapeutic dosages for nitric oxide donors which do...

A - Human Necessities – 61 – K

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A61K 31/535 (2006.01) A61K 31/21 (2006.01) A61K 31/223 (2006.01) A61K 31/5377 (2006.01)

Patent

CA 2467159

Patients with pathologic conditions involving constriction or proliferation of smooth muscle or disease associated with cysteine containing proteins, or who are at risk for such, are administered a therapeutically effective amount of a nitric oxide (NO) donor which is insufficient to acutely lower mean arterial blood pressure or pulmonary artery pressure by more than 10%. In one subgenus, NO donor is administered to modify red blood cell membrane receptors to prevent red blood cells from causing vasoconstriction. A related method which allows increased dosage of NO donor without acutely lowering mean arterial blood pressure comprises administering the NO donor into an artery of the patient. In another method, patients having a cardiovascular syndrome, or who are at risk for such, are administered a therapeutically effective amount of thiol which does not acutely affect blood pressure to a significant degree.

L'invention concerne l'administration à des patients présentant une pathologie de constriction ou de prolifération d'un muscle lisse ou atteints d'une maladie associée à des protéines contenant de la cystéine, ou bien à des personnes en présentant le risque, d'une dose thérapeutiquement efficace d'un donneur d'oxyde nitrique (NO), qui reste insuffisante pour diminuer fortement une pression artérielle moyenne ou une pression artérielle pulmonaire moyenne de plus de 10 %. Dans un sous-genre, le donneur NO est administré pour modifier les récepteurs membranaires de globules rouges, afin d'éviter que les globules rouges ne provoquent une vasoconstriction. La présente invention porte également sur un procédé associé qui permet d'augmenter la dose de donneur NO, sans diminuer fortement une pression artérielle moyenne, et qui consiste à administrer le donneur NO dans une artère du patient. Dans un autre mode de réalisation, on administre à des patients présentant un syndrome cardio-vasculaire, ou bien à des personnes en présentant le risque, une dose thérapeutiquement efficace de thiol, qui n'affecte pas la pression sanguine de manière notable.

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