CLAIMS
1. A method of enhancing the action of a pharmaceutical agent which is
characterised in that it is a CPNS agent selected from the group of
compounds acting on the central or peripheral nervous system, but
excluding coal tar solution and H1-antagonist antihistamines and also
excluding anti-inflammatory, analgesic and antipyretic agents,
comprising the step of formulating the agent with an administration
medium which is a solution of nitrous oxide gas in a pharmaceutical
acceptable carrier solvent for the gas and which administration
medium includes at least one fatty acid or ester or other suitable
derivative thereof selected from the group consisting of oleic acid,
linoleic acid, alpha-linolenic acid, gamma-linolenic acid, arachidonic
acid, eicosapentaenoic acid [C20: 5w3], decosahexaenoic acid [C22:
6co3], ricinoleic acid and derivatives thereof selected from the group
consisting of the Cl to C6 alkyl esters thereof, the glycerol-
polyethylene glycol esters thereof and the reaction product of
hydrogenated natural oils composed largely of ricinoleic acid based
oils such as castor oil with ethylene oxide.
2. A pharmaceutical preparation characterised in that it comprises a
pharmaceutical agent which is a CPNS agent selected from the group
of compounds acting on the central or peripheral nervous system, but
excluding coal tar solution and H1-antagonist antihistamines and also
excluding anti-inflammatory, analgesic and antipyretic agents,
comprising the step of formulating the agent with an administration
medium which is characterised in that it comprises a solution of
nitrous oxide gas in a pharmaceutically acceptable carrier solvent for
the gas and which administration medium includes at least one fatty
acid or ester or other suitable derivative thereof selected from the
group consisting of oleic acid, linoleic acid, alpha-linolenic acid,
gamma-linolenic acid, arachidonic acid, eicosapentaenoic acid [C20:
5CI) 33 decosahexaenoic acid [C22: 6co3], ricinoleic acid and derivatives
thereof selected from the group consisting of the Cl to C6 alkyl esters
thereof, the glycerol-polyethylene glycol esters thereof and the
reaction product of hydrogenated natural oils composed largely of
ricinoleic acid based oils such as castor oil with ethylene oxide.
3. The method of claim 1 or the preparation of claim 2 wherein the
essential fatty acid or ester thereof, component of the composition
comprises a mixture of esters of the fatty acids listed above and is
preferably constituted by the complex known as Vitamin F Ethyl Ester
having a typical fatty acid distribution as follows :
< C16 : 0
Cl6 o : 8,3 %
Ci8o : 3,5 %
Cis. i : 21,7 %
Cis. 2: 34, 8 %
Cis. 4 : 28,0 %
> C18 : 1, 6 %
unknown: 2, 1 %.
4. The method or the preparation of claim 3 wherein the administration
medium further includes eicosapentaenoic acid [C20: 5w3] and/or
decosahexaenoic acid [C22: 6w3] as additional long chain fatty acids.
5. The method of claim 1 or the preparation of claim 2 wherein the
carrier solvent is water (preferably deionised water) or any of the
pharmaceutical acceptable alcohols, ethers, polymers such as a
polyethyleneglycol or the like or an oil which is preferably an organic
oil which organic oil is further preferably an essential oil based on long
chain fatty acids having between 14 and 22 carbon atoms in the fatty
acid and is preferably of natural origin and most preferably a plant oil
rich in gamma linolenic acid [GLA].
6. The method of claim 1 or the preparation of claim 2 wherein the CPNS
agent is formulated in a liquid presentation and wherein the
formulation incorporate, as part of the administration medium, water
or acceptable other liquid solvent into which the nitrous oxide is
dissolved, preferably to saturation, and wherein the fatty acid or ester
thereof is dissolved or suspended or emulsified along with the CPNS
agent.
7. The method of claim 1 or the preparation of claim 2 wherein the CPNS
agent is formulated to be applied as a topical, buccal or vaginal cream
or ointment or as a cutaneous patch, or as an intravenous,
intramuscular or subcutaneous injection, or as a suppository, and
wherein the formulation used in making up such cream, ointment,
injectable formulation or suppository incorporates, along with the
CPNS agent to be enhanced, a quantity of water containing, and
preferably saturated with, nitrous oxide, the long chain fatty acid or
ester thereof and the anti-infective agent formulated therewith, and,
optionally further incorporates such additional excipients and carriers
as are conventionally used in the pharmaceutical trade in making up
such dosage forms.
8. A method of claim 1 or a composition of claim 2 wherein the CPNS
agent is selected from the group consisting of the following classes of
compounds:
Central nervous system stimulants including central analeptics,
psycho analeptics (antidepressants), respiratory stimulants,
hallucinogenic medicines;
Central nervous system depressants including anaesthetics,
sedatives, hypnotics, barbiturates, non-barbiturates, anticonvulsants,
(including anti-epileptics), tranquillisers (including phenothiazines and
their derivatives, rauwolfia, diphenylmethane and its derivatives, alkyl
diols and their derivatives), centrally acting muscle relaxants ;
Local anaesthetics; and
Medicines affecting autonomic functions including adrenomimetics
(sympathomimetics), adrenolytics (sympatholytics), cholinomimetics
(cholinergics), cholinolytics (anticholinergics) (including
anti-Parkinsonism preparations), Ganglion blockers, anti-emetics and
anti-vertigo preparations, decongestants,-hydroxytryptamine
(serotonin) and serotonin antagonists, and anti-Alzheimers agents.
9. The method of claim 1 or the preparation of claim 2 wherein the active
agent is selected from the group consisting of:
A. the Central Nervous System Stimulants consisting of
i. the following Central Analeptics :
Amphetamine, Dextroamphetamine, Methamphetamine,
Methylphenidate, Caffeine, Caffeine citrated, Caffeine
and Sodium Benzoate, Clomipramine, Desipramine,
Ephedrine, Imipramine, Pemoline, Protryptiline,
ii. the following Psycho Analeptics
(antidepressants):
a. the Tricyclic Antidepressants being:
Amitryptyline, Amoxapine, Clomipramine,
Desipramine, Doxepin, Imipramine, Nortriptyline,
Protriptyline, Trimipramine,
b. the Monamine Oxidase Inhibitors being:
Isocarboxazid, Phenelzine, Tranylcypromine,
c. Other Antidepressants being:
Burpopion, Fluoxetine, Fluvoxamine, Maprotiline, Mitrazapine, Moclobemide,
Nefazodone, Paroxetine, Setraline, Trazodone,
Venlafaxine,
iii. The following Respiratory Stimulants
(Bronchodilators) :
Albuterol, Ephedrine, Ethylnorepinephrine,
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Fenoterol, Isoproterenol, Metaproteronol,<BR>
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Terbutaline,
iv. The following Hallucinogenic medicines:
a. the following Indoleamine hallucinogenics :
LSD, DMT, N, N-dimethylamine, Psilocybin,
b. the following Phenethylamines :
Mescaline, Dimethoxymethylamphetamine
(DOM), Methylenedioxyamphetamine
(MDA), MDMA,
B. the Central nervous system depressants consisting of:
The following anaesthetics:
Halothane, Isoflurane, Enflurane, Methoxyflurane,
Sevoflurane, Desflurane, Methohexital,
Thiopental, Etomidate, Ketamine, Propofol,
ii The following Sedatives and Hypnotics:
Alprazolam, Brotizolam, Chlordiazepoxide,
Clobazam, Clonazepam, Clorazepate,
Demoxepam, Diazepam, Estazolam, Flumazenil,
Flurazepam, Halazepam, Lorazepam, Midazolam,
Nitrazepam, Nordazepam, Oxazepam, Prazepam,
Quazepam, Temazepam, Traizolam,
iii the Barbiturates being:
Amobarbital, Aprobarbital, Butabarbital, Butalbital,
Mephobarbital, Methohexital, Pentobarbital,
Phenobarbital, Secobarbital, Thiopental,
iv the Non-barbiturates being:
Buspirone, Chloral hydrate, Chlormezanone,
Diphenhydramine, Doxylamine, Ethchlovynol,
Ethinamate, Glutethemide, Hydroxyzine,
Meprobamate, Methotrimeprazine, Methyprylon,
Promethazine, Propiomazine, Propofol, Zolpidem,
Zolpiclone, Paraldehyde,
v. The Anticonvulsants, (including
anti-epileptics) being:
Acetazolamide, Amobarbital, Carbamazepine, Clobazam, Clonazepam,
Clorazepate, Corticotropin, Diazepam, Divalproex,
Ethosuximate, Ethotoin, Felbamate, Fosphytoin,
Gabapentin, Lorazepam, Magnesium sulfate,
Mephenytoin, Mephobarbital, Metharbital,
Methsuximide, Nitrazepam, Paraldehyde,
Paramethadione, Pentobarbital, Phenacemide,
Phenobarbital, Phensuximide, Phenytoin,
Primidone, Secobarbital, Trimethadione, Valproate
sodium, Valproic acid,
vi. The following Tranquillisers (including
phenothiazines and their derivatives, rauwolfia,
diphenylmethane and its derivatives, alkyl diols
and their derivatives) being:
a. Phenothiazines and derivatives being;
Acetophenazine, Chlorpromazine,
Chlorprothixene, Flupenthixol, Fluphenazine,
Mesoridazine, Methotrimprazine, Pericyazine,
Perphenazine, Pipotiazine, Prochlorperazine,
Promazine, Thiopropazate, Thioproperazine,
Thioridazine, Thiothixene, Trifluoperazine,
Trifluoropromazine,
b. Other Antipsychotics being:
Clozapine, Fluspirilene, Haloperidol, Loxapine,
Molindone, Olanzapine, Pimozide, Risperidone,
Lithium,
C Centrally acting muscle relaxants consisting of:
Baclofen, Carisoprodol, Chlorphenesin, Chlorzoxazone,
Cyclobenzaprine, Dantrolene, Diazepam, Lorazepam,
Metaxalone, Methocarbamol, Orphenadrine, and Orphenadrine
citrate, Phenytoin,
D Local anaesthetics consisting of:
Articaine, Benzocaine, Bupivacaine, Chloroprocaine, Cocaine,
Diphenhydramine, Etidocaine, Lidocaine, Mepivacaine,
Pramoxine, Prilocaine, Procaine, Propoxycaine, and Procaine,
Proraracain, Ropivacaine, Tetracaine,
E Medicines Affecting Autonomic Functions consisting of:
i The Adrenomimetics (Sympathomimetics)
consisting of:
Phenylethylamine, Epinephrine, Norepinephrine,
Dopamine, Dobutamine, Colterol, Ethylnorepinephrine,
Isoproterenol, Isoetharine, Metaproterenol, Terbutaline,
Metaraminol, Clonidine, Phenylephrine, Tyramine, Hydroxyamphetamine,
Ritodrine, Prenalterol, Methoxamine, Albuterol,
Amphetamine, Methamphetamine, Benzphetamine,
Ephedrine, Phenylpropanolamine, Mephentermine,
Phentermine, Fenfluramine, Propylhexedrine,
Diethylpropion, Phenmetrazine, Phendimetrazine,
ii The Adrenolytics (sympatholytics) consisting of:
Phenoxybenzamine and related Haloalkylamines,
Phentolamine, Prazosin, Terazosin, Doxazosin,
Trimazosin, Indoramine, Labetalol, Ketanserin, Urapidil,
Alfuzosin, Bunazosin, Tamsulosin, Yohimbine,
Propanolol, Metoprolol, Nadolol, Atenolol, Timolol,
Esmolol, Pindolol, Acebutolol, Labetalol, Bopindolol,
Oxprenolol, Penbutolol, Carvedilol, Medroxalol,
Bucindolol, Levubunolol (Betagan) glaucoma,
Metipranolol, Bisoprolol, Nebivolol, Betaxolol (Betoptic)
Glaucoma,
iii The Cholinomimetics (cholinergics) consisting of:
Acetylcholine, Metacholine, Carbachol, Betanechol,
Pilocarpine, Muscarine, Arecoline, Oxotremorine,
Ambenonium, Domperidone, Edrophonium,
Edrophonium & Atropine, Metoclopramide, Neostigmine,
Physostigmine, Pyridostigmine,
iv The Cholinolytics (anticholinergics) (including
anti-Parkinsonism preparations) consisting of:
Amantadine, Anisotropine, Atropine, Scopolamine and
related Belladonna alkaloids, Ipratropium bromide,
Benztropine, Biperidine, Chlorpromazine, Clidinium,
Dicyclomine, Diphenhydramine, Ethopropazine,
Glycopyrollate, Homatropine, Hyoscyamine,
Mepenzolate, Methantheline, Methoctramine,
Hexahydrosiladifenidol, Himbacine, Tripitamine,
Methscopolamine, Orphenadrine HCI, Pirenzepine,
Procyclidine, Propantheline, Scopolamine, Thioridazine,
Trihexyphenidyl, Carbidopa and Levodopa, Levodopa,
Pergolide, Selegiline,
v Ganglion blockers consisting of: Hexamethonium,
Trimethaphan, Mecamylamine,
vi Histamine and antihistaminic agents consisting
of:
2 (m-F-phenylhistamine), Dimaprit, R-a-Me-histamine,
Ethanolamines as Carbinoxamine maleat,
Clemastinefumurate, Diphenhydramine HCI,
Dimenhydrinate, Ethylenediamines as Pyrilamine maleat, Tripelennamine
HCI, Tripelennamine citrate, Alkylamines as
Chlorpheniramine maleat, Brompheniramine maleat,
Piperazines as Hydroxyzine HCI, Hydroxyzine pamoate,
Cyclizine HCI, Cyclizine lactate, Meclizine HCI,
Phenotiazines as Promethazine HCI, Second generation
Alkylamines as Acrivastine, Second generation
Piperazines as Cetrizine HCI, Piperidines as Astemizole,
Levocabastine HCI, Loratadine, Terfenadine,
vii. Anti-emetics and Antivertigo preparations
consisting of:
5-HT3 Antagonists as Ondansetron, Granisetron,
Tropisetron, Dolasetron, D2/5-HT3 Antagonist as
Metoclopramide, Trimethobezamide, D2 Antagonists as
Phenotiazines namely Chlorpromazine, Perphenazine,
Prochlorperazine, Promethazine, Thiethylperazine,
Triflupromazine, D2 Antagonists as Benzimidazole
derivatives namely Domperidone, D2 Antagonists as
Butyrophenones namely Haloperidol, Droperidol,
Corticosteroids as Dexamethasone, Methylprednisolone,
Cannabinoids as Dronabinol, Nabilone, Hl antagonists
Diphenhydramine, Meclizine, Cyclizine, Antimuscarinic
agents as Scopolamine, Benztropiane, Benzodiazepines
as Lorazepam, Alprazolam, Hl Antagonist as
Dimenhydrinate,
viii. Decongestants consisting of :
Oxymetazoline, Phenylephrine, Xylometazoline
ix.-hydroxytryptamine (serotonin) and serotonin
antagonists consisting of
a. 5-HT Agonists being:
Buspirone, ipsaperone, Sumatriptan, Cisapride,
b. 5-HT Antagonists being:
Methysergide, Risperidone, Ketanserin,
Ondansetron,
c. 5-HT transport inhibitors being:
Fluoxetine, Sentraline, and
F Anti-Alzheimers agents consisting of:
Physostigmine, Tacrine and Lecithin in combination with
Tacrine.