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Medicament for treating at least one of the two states being represented by preeclampsia and preterm labor in a pregnant female mammal and pharmaceutical preparation

机译:用于治疗妊娠雌性哺乳动物的先兆子痫和早产所代表的两种状态中的至少一种的药物和药物制剂

摘要

In the present invention there is disclosed the use of a combination of (a) progestin and (b) nitric oxide synthase substrate and/or nitric oxide donor, or both, optionally in further combination with one or more compounds being selected from the group consisting of cyclooxygenase inhibitors, PGIi2 -mimetics, thromboxane (TXAi2) inhibitors, a compound possessing TXAi2-agonistic and TXAi2 -inhibiting properties, a compound possessing TXAi2 -antagonistic and PGIi2-mimetic activities, and a TXAi2-antagonist, for preparing a medicament intended for treating at least one of the two state being represented by preeclampsia and preterm labor in a pregnant female mammal. The invention relates also to a pharmaceutical preparation containing the above-indicated combination in an amount effective for alleviation of symptoms of preeclampsia, toxemia or preterm labor in a pregnant female mammal symptoms for administering to a female in need of such treatment progestin in bio-equivalent amount of 50 to 300 mg of injected progesterone and the nitric oxide synthase substrate, nitric oxide donor, or both, wherein the amount of nitric oxide synthase substrate is effective to raise the blood level of circulating L-arginine to at least about 1 mmole above the normal circulating level of L-arginine and wherein the amount of nitric oxide donor is effective to provide a blood level of such donor of about 1-1000 nmole.
机译:在本发明中,公开了(a)孕激素和(b)一氧化氮合酶底物和/或一氧化氮供体或两者的组合的用途,任选地与一种或多种选自下组的化合物进一步组合:环氧合酶抑制剂,PGIi2-模拟物,血栓烷(TXAi2)抑制剂,具有TXAi2-激动和TXAi2-抑制特性的化合物,具有TXAi2-拮抗和PGIi2-模仿活性的化合物以及TXAi2-拮抗剂,用于制备用于药物的药物治疗妊娠雌性哺乳动物先兆子痫和早产所代表的两种状态中的至少一种。本发明还涉及含有上述组合物的药物制剂,该组合物的量有效减轻怀孕雌性哺乳动物的先兆子痫,毒血症或早产症状,用于对需要这种治疗的雌性动物给予生物等效的孕激素。 50-300 mg注射的孕酮和一氧化氮合酶底物,一氧化氮供体或两者的量,其中一氧化氮合酶底物的量可有效地将循环L-精氨酸的血液水平提高到至少约1 mmole L-精氨酸的正常循环水平,并且其中一氧化氮供体的量可有效提供该供体的血液水平约1-1000nmol。

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