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Methods for treating depression and other CNS disorders using enriched enantiomers of citalopram desmethyl metabolite and didesmethyl metabolite

机译:使用西酞普兰去甲基代谢产物和二去甲基代谢产物的丰富对映异构体治疗抑郁症和其他中枢神经系统疾病的方法

摘要

This invention relates to novel compositions of matter containing enantiomerically enriched (-)-desmethylcitalopram, (+)-didesmethylcitalopram, or (-)-didesmethylcitalopram or mixtures thereof in optimal ratios. Contrary to prior teachings, the enantiomerically enriched citalopram metabolites disclosed herein possess potent serotonin reuptake inhibitory activity, with minimal inhibitory effects on the reuptake of other known monoamines, e.g., norepinephrine (NE) or dopamine (DA). The present invention also discloses methods for treating disorders, dysfunctions and diseases for which inhibition of serotonin reuptake is therapeutically beneficial. In particular, the present invention discloses a method for treating various forms of depression with pharmaceutical compositions described herein.
机译:本发明涉及新颖的物质组合物,其含有以最佳比例对映体富集的(-)-去甲基西酞普兰,(+)-二甲基甲基西酞普兰或(-)-二甲基甲基西酞普兰或其混合物。与先前的教导相反,本文公开的对映体富集的西酞普兰代谢物具有有效的5-羟色胺再摄取抑制活性,而对其他已知的单胺例如去甲肾上腺素(NE)或多巴胺(DA)的再摄取具有最小的抑制作用。本发明还公开了用于治疗对5-羟色胺再摄取的抑制在治疗上有益的疾病,功能障碍和疾病的方法。特别地,本发明公开了一种用本文所述的药物组合物治疗各种形式的抑郁症的方法。

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