US2853418A - Hypnotic composition comprising a barbiturate and beta, beta-methyl ethyl glutarimide - Google Patents
Hypnotic composition comprising a barbiturate and beta, beta-methyl ethyl glutarimide Download PDFInfo
- Publication number
- US2853418A US2853418A US578575A US57857556A US2853418A US 2853418 A US2853418 A US 2853418A US 578575 A US578575 A US 578575A US 57857556 A US57857556 A US 57857556A US 2853418 A US2853418 A US 2853418A
- Authority
- US
- United States
- Prior art keywords
- barbiturate
- glutarimide
- methyl ethyl
- barbiturates
- beta
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 229940125717 barbiturate Drugs 0.000 title claims description 66
- HNYOPLTXPVRDBG-UHFFFAOYSA-N barbituric acid Chemical compound O=C1CC(=O)NC(=O)N1 HNYOPLTXPVRDBG-UHFFFAOYSA-N 0.000 title claims description 39
- 239000000203 mixture Substances 0.000 title description 29
- 230000000147 hypnotic effect Effects 0.000 title description 4
- WLEBLSWSESNAJQ-UHFFFAOYSA-N 3-ethyl-4-methylpiperidine-2,6-dione Chemical compound CCC1C(C)CC(=O)NC1=O WLEBLSWSESNAJQ-UHFFFAOYSA-N 0.000 title 1
- 239000000825 pharmaceutical preparation Substances 0.000 claims description 9
- SZQUNAOZNFKTHM-UHFFFAOYSA-N 3-ethylpiperidine-2,6-dione Chemical compound CCC1CCC(=O)NC1=O SZQUNAOZNFKTHM-UHFFFAOYSA-N 0.000 claims description 5
- DDBREPKUVSBGFI-UHFFFAOYSA-N phenobarbital Chemical compound C=1C=CC=CC=1C1(CC)C(=O)NC(=O)NC1=O DDBREPKUVSBGFI-UHFFFAOYSA-N 0.000 description 16
- 229960002695 phenobarbital Drugs 0.000 description 15
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 14
- KNCYXPMJDCCGSJ-UHFFFAOYSA-N piperidine-2,6-dione Chemical compound O=C1CCCC(=O)N1 KNCYXPMJDCCGSJ-UHFFFAOYSA-N 0.000 description 12
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 11
- 239000008101 lactose Substances 0.000 description 11
- 239000003814 drug Substances 0.000 description 10
- 239000008187 granular material Substances 0.000 description 10
- VIROVYVQCGLCII-UHFFFAOYSA-N amobarbital Chemical compound CC(C)CCC1(CC)C(=O)NC(=O)NC1=O VIROVYVQCGLCII-UHFFFAOYSA-N 0.000 description 8
- 229940079593 drug Drugs 0.000 description 7
- 235000019359 magnesium stearate Nutrition 0.000 description 7
- 239000002775 capsule Substances 0.000 description 6
- WEXRUCMBJFQVBZ-UHFFFAOYSA-N pentobarbital Chemical compound CCCC(C)C1(CC)C(=O)NC(=O)NC1=O WEXRUCMBJFQVBZ-UHFFFAOYSA-N 0.000 description 6
- 231100000572 poisoning Toxicity 0.000 description 6
- 230000000607 poisoning effect Effects 0.000 description 6
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 5
- 229960001412 pentobarbital Drugs 0.000 description 5
- 206010010144 Completed suicide Diseases 0.000 description 4
- 238000010521 absorption reaction Methods 0.000 description 4
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 4
- 229960001301 amobarbital Drugs 0.000 description 4
- 239000001768 carboxy methyl cellulose Substances 0.000 description 4
- -1 for example Substances 0.000 description 4
- 239000002245 particle Substances 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 4
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 4
- 231100000331 toxic Toxicity 0.000 description 4
- 230000002588 toxic effect Effects 0.000 description 4
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 4
- 238000005303 weighing Methods 0.000 description 4
- FTOAOBMCPZCFFF-UHFFFAOYSA-N 5,5-diethylbarbituric acid Chemical compound CCC1(CC)C(=O)NC(=O)NC1=O FTOAOBMCPZCFFF-UHFFFAOYSA-N 0.000 description 3
- 206010063746 Accidental death Diseases 0.000 description 3
- 229920001353 Dextrin Polymers 0.000 description 3
- 239000004375 Dextrin Substances 0.000 description 3
- 239000001828 Gelatine Substances 0.000 description 3
- 241001465754 Metazoa Species 0.000 description 3
- 239000003795 chemical substances by application Substances 0.000 description 3
- 235000019425 dextrin Nutrition 0.000 description 3
- 229920000159 gelatin Polymers 0.000 description 3
- 235000019322 gelatine Nutrition 0.000 description 3
- AXXJTNXVUHVOJW-UHFFFAOYSA-M sodium;5-pentan-2-yl-5-prop-2-enylpyrimidin-3-ide-2,4,6-trione Chemical compound [Na+].CCCC(C)C1(CC=C)C(=O)NC(=O)[N-]C1=O AXXJTNXVUHVOJW-UHFFFAOYSA-M 0.000 description 3
- KWGRBVOPPLSCSI-WPRPVWTQSA-N (-)-ephedrine Chemical compound CN[C@@H](C)[C@H](O)C1=CC=CC=C1 KWGRBVOPPLSCSI-WPRPVWTQSA-N 0.000 description 2
- 244000215068 Acacia senegal Species 0.000 description 2
- 235000006491 Acacia senegal Nutrition 0.000 description 2
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 2
- 206010010071 Coma Diseases 0.000 description 2
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 2
- 229920000084 Gum arabic Polymers 0.000 description 2
- 241000282412 Homo Species 0.000 description 2
- 241000282414 Homo sapiens Species 0.000 description 2
- QGMRQYFBGABWDR-UHFFFAOYSA-M Pentobarbital sodium Chemical compound [Na+].CCCC(C)C1(CC)C(=O)NC(=O)[N-]C1=O QGMRQYFBGABWDR-UHFFFAOYSA-M 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 229930006000 Sucrose Natural products 0.000 description 2
- 235000010489 acacia gum Nutrition 0.000 description 2
- 229940035676 analgesics Drugs 0.000 description 2
- 239000005557 antagonist Substances 0.000 description 2
- 239000000730 antalgic agent Substances 0.000 description 2
- 229960002319 barbital Drugs 0.000 description 2
- 229960003874 butobarbital Drugs 0.000 description 2
- STDBAQMTJLUMFW-UHFFFAOYSA-N butobarbital Chemical compound CCCCC1(CC)C(=O)NC(=O)NC1=O STDBAQMTJLUMFW-UHFFFAOYSA-N 0.000 description 2
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- OROGSEYTTFOCAN-DNJOTXNNSA-N codeine Chemical compound C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC OROGSEYTTFOCAN-DNJOTXNNSA-N 0.000 description 2
- 150000001875 compounds Chemical class 0.000 description 2
- 239000000470 constituent Substances 0.000 description 2
- 231100000517 death Toxicity 0.000 description 2
- 230000034994 death Effects 0.000 description 2
- 239000012153 distilled water Substances 0.000 description 2
- 230000037406 food intake Effects 0.000 description 2
- 125000004435 hydrogen atom Chemical group [H]* 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000008194 pharmaceutical composition Substances 0.000 description 2
- CPJSUEIXXCENMM-UHFFFAOYSA-N phenacetin Chemical compound CCOC1=CC=C(NC(C)=O)C=C1 CPJSUEIXXCENMM-UHFFFAOYSA-N 0.000 description 2
- 229960003141 secobarbital sodium Drugs 0.000 description 2
- JHJLBTNAGRQEKS-UHFFFAOYSA-M sodium bromide Chemical compound [Na+].[Br-] JHJLBTNAGRQEKS-UHFFFAOYSA-M 0.000 description 2
- SQMCFUSVGSBKFK-UHFFFAOYSA-M sodium;5-(cyclohexen-1-yl)-1,5-dimethylpyrimidin-3-ide-2,4,6-trione Chemical compound [Na+].O=C1N(C)C(=O)[N-]C(=O)C1(C)C1=CCCCC1 SQMCFUSVGSBKFK-UHFFFAOYSA-M 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 239000005720 sucrose Substances 0.000 description 2
- KWTSXDURSIMDCE-QMMMGPOBSA-N (S)-amphetamine Chemical compound C[C@H](N)CC1=CC=CC=C1 KWTSXDURSIMDCE-QMMMGPOBSA-N 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- BSYNRYMUTXBXSQ-UHFFFAOYSA-N Aspirin Chemical compound CC(=O)OC1=CC=CC=C1C(O)=O BSYNRYMUTXBXSQ-UHFFFAOYSA-N 0.000 description 1
- 229930003347 Atropine Natural products 0.000 description 1
- 229920000623 Cellulose acetate phthalate Polymers 0.000 description 1
- 206010010904 Convulsion Diseases 0.000 description 1
- RKUNBYITZUJHSG-UHFFFAOYSA-N Hyosciamin-hydrochlorid Natural products CN1C(C2)CCC1CC2OC(=O)C(CO)C1=CC=CC=C1 RKUNBYITZUJHSG-UHFFFAOYSA-N 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- LPHGQDQBBGAPDZ-UHFFFAOYSA-N Isocaffeine Natural products CN1C(=O)N(C)C(=O)C2=C1N(C)C=N2 LPHGQDQBBGAPDZ-UHFFFAOYSA-N 0.000 description 1
- 241001508687 Mustela erminea Species 0.000 description 1
- 235000019502 Orange oil Nutrition 0.000 description 1
- 206010039897 Sedation Diseases 0.000 description 1
- 229960001138 acetylsalicylic acid Drugs 0.000 description 1
- 229940025084 amphetamine Drugs 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000000202 analgesic effect Effects 0.000 description 1
- 230000008485 antagonism Effects 0.000 description 1
- 230000001088 anti-asthma Effects 0.000 description 1
- 230000001078 anti-cholinergic effect Effects 0.000 description 1
- 239000000924 antiasthmatic agent Substances 0.000 description 1
- 229940125681 anticonvulsant agent Drugs 0.000 description 1
- 239000001961 anticonvulsive agent Substances 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- RKUNBYITZUJHSG-SPUOUPEWSA-N atropine Chemical compound O([C@H]1C[C@H]2CC[C@@H](C1)N2C)C(=O)C(CO)C1=CC=CC=C1 RKUNBYITZUJHSG-SPUOUPEWSA-N 0.000 description 1
- 229960000396 atropine Drugs 0.000 description 1
- 230000002567 autonomic effect Effects 0.000 description 1
- 150000007656 barbituric acids Chemical class 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 229960001948 caffeine Drugs 0.000 description 1
- VJEONQKOZGKCAK-UHFFFAOYSA-N caffeine Natural products CN1C(=O)N(C)C(=O)C2=C1C=CN2C VJEONQKOZGKCAK-UHFFFAOYSA-N 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 125000004432 carbon atom Chemical group C* 0.000 description 1
- 229940081734 cellulose acetate phthalate Drugs 0.000 description 1
- 239000003874 central nervous system depressant Substances 0.000 description 1
- 239000007931 coated granule Substances 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 229960004126 codeine Drugs 0.000 description 1
- 230000036461 convulsion Effects 0.000 description 1
- KWGRBVOPPLSCSI-UHFFFAOYSA-N d-ephedrine Natural products CNC(C)C(O)C1=CC=CC=C1 KWGRBVOPPLSCSI-UHFFFAOYSA-N 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 230000003001 depressive effect Effects 0.000 description 1
- FYGDTMLNYKFZSV-MRCIVHHJSA-N dextrin Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)OC1O[C@@H]1[C@@H](CO)OC(O[C@@H]2[C@H](O[C@H](O)[C@H](O)[C@H]2O)CO)[C@H](O)[C@H]1O FYGDTMLNYKFZSV-MRCIVHHJSA-N 0.000 description 1
- 229960002179 ephedrine Drugs 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 235000011187 glycerol Nutrition 0.000 description 1
- 150000001469 hydantoins Chemical class 0.000 description 1
- OROGSEYTTFOCAN-UHFFFAOYSA-N hydrocodone Natural products C1C(N(CCC234)C)C2C=CC(O)C3OC2=C4C1=CC=C2OC OROGSEYTTFOCAN-UHFFFAOYSA-N 0.000 description 1
- 239000003326 hypnotic agent Substances 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 231100000518 lethal Toxicity 0.000 description 1
- 230000001665 lethal effect Effects 0.000 description 1
- 239000003509 long acting drug Substances 0.000 description 1
- ALARQZQTBTVLJV-UHFFFAOYSA-N mephobarbital Chemical compound C=1C=CC=CC=1C1(CC)C(=O)NC(=O)N(C)C1=O ALARQZQTBTVLJV-UHFFFAOYSA-N 0.000 description 1
- 229960001703 methylphenobarbital Drugs 0.000 description 1
- 229910052757 nitrogen Inorganic materials 0.000 description 1
- 125000004433 nitrogen atom Chemical group N* 0.000 description 1
- 239000010502 orange oil Substances 0.000 description 1
- SQYNKIJPMDEDEG-UHFFFAOYSA-N paraldehyde Chemical compound CC1OC(C)OC(C)O1 SQYNKIJPMDEDEG-UHFFFAOYSA-N 0.000 description 1
- 229960003868 paraldehyde Drugs 0.000 description 1
- 229960002275 pentobarbital sodium Drugs 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 229960003893 phenacetin Drugs 0.000 description 1
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 1
- 229920000053 polysorbate 80 Polymers 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 230000036280 sedation Effects 0.000 description 1
- 229940125723 sedative agent Drugs 0.000 description 1
- 239000000932 sedative agent Substances 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000000021 stimulant Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- UJMBCXLDXJUMFB-GLCFPVLVSA-K tartrazine Chemical compound [Na+].[Na+].[Na+].[O-]C(=O)C1=NN(C=2C=CC(=CC=2)S([O-])(=O)=O)C(=O)C1\N=N\C1=CC=C(S([O-])(=O)=O)C=C1 UJMBCXLDXJUMFB-GLCFPVLVSA-K 0.000 description 1
- 229960000943 tartrazine Drugs 0.000 description 1
- 235000012756 tartrazine Nutrition 0.000 description 1
- 239000004149 tartrazine Substances 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- HFFLGKNGCAIQMO-UHFFFAOYSA-N trichloroacetaldehyde Chemical compound ClC(Cl)(Cl)C=O HFFLGKNGCAIQMO-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/513—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim having oxo groups directly attached to the heterocyclic ring, e.g. cytosine
- A61K31/515—Barbituric acids; Derivatives thereof, e.g. sodium pentobarbital
Definitions
- This invention relates to barbiturate pharmaceutical preparations, for example, tablets, capsules, elixirs, suspensions and the like, containing barbiturates.
- Thebarbiturates comprise an important and valuable group of central nervous systemdepressants frequently prescribed by physicians and widely used by the laity. Reference to this appears in the textbook entitled, The Pharmacological Basis of Therapeutics, by Goodman and Gilman, page 126, published 1941 by the Macmillan Company, New York, U. S. A.
- the barbiturates are used medically for several purposes, the most important of which are for producing sleep, inhibiting convulsions, anaesthesia, and sedation.
- the general properties of barbiturates are possessed in varying degrees by individual members of the group andthis has led to a large number of different compounds being employed in medicine. Some are long acting, others intermediate and still others very short acting. Administration'may be oral or parenteral, but much more frequently the former.
- the barbiturates are derivatives of barbituric acid, having the general structural formula as follows:
- This barbiturate antagonist is fl,fl-methyl ethyl glutarimide, having the structural formula as follows:
- the above identified glutarimide is outstanding for the purpose of treating barbiturate poisoning, and, unlike other aneleptics used in the treatment of barbiturate poisoning, appears to be a closer approach than hitherto to a true barbiturate antagonist. This has been shown to be the case with animal experiments and has since been confirmed clinically with success in curing many cases of barbiturate poisoning in humans both in Australia and England.
- barbiturate poisoning can be prevented, rather than cured, by employing as a source of barbiturate a pharmaceutical preparation comprising a barbiturate and essentially a proportion of 5,,8-methyl ethyl glutarimide, insufiicient to intereral medical practice much safer by removing the risk of coma which follows ingestion of high doses at present.
- the pharmaceutical preparation of the invention may embody an agent delaying the release of the 5,;8-rnethyl ethyl glutarimide in the" human gastro-intestinal tract.
- the preparation may compriz'e granules havinginsoluble coatings for delaying the absorption of the 5,6- methyl ethyl glutarimide constituent of the mixture.
- Another procedure which may be employed consistsin preparing multi-layer tablets in which a layer containing the barbiturate is compressed over a core containing the glutarimide, as hereinafter fully described in certain of the practical examples. Absorption rates (or release) of the drugs may thereby beartificially controlled, depending upon the rate of absorption, excretion and detoxicationof the ⁇ Le-methyl ethyl glutarimide in relation to the barbiturate prescribed.
- Pharmaceutical preparations in accordancewith the invention may comprise; for example, any of the following medicinal barbiturates: Phenobarbitone (British Pharmacopoeia) or Phenobarbital (U. S. Pharmacopoeia); Amylobarbitone (British Pharmacopoeia) or Amobarbital (U. S. Pharmacopoeia); Butobarbitone (British Pharmacopoeia); Pentobarbitone Sodium (British Pharmacopoeia) or Pentobarbital Sodium (U. S. Pharmacopoeia); Quinalbarbitone Sodium (British Pharmacopoeia) or Secobarbital Sodium (U. S. Pharmacopoeia); and Hexobarbitone Sodium (British Pharmacopoeia) or Hexobarbital Sodium (U. S. National Fo-rmulary Vol. X, 1955).
- Example I Tablets consisting of the following mixture were prepared:
- the phenobarbitone, 5, ⁇ 3-methyl ethyl glutarimide, Lactose and sucrose all of 40 mesh size particles were mixed throughly in a blender, then massed by addinga mixture of equalparts of Industrial Spirit (alcohol 95%) and water.
- the moistened mass was passed through a 16 mesh'sieve and-granules dried at 50 C.
- the dried gran ules were passed through a 16 mesh sieve then mixedwith sodium carboxy methyl cellulose (40 mesh size particles) and magnesium stearate (.60 mesh size particles). Tablets were made diameter, weighing 200 mgm., and containing 30 mgm. of phenobarbitone.
- Example 1 Grams Pentobarbitone 60 ⁇ LB-methyl ethyl glutarimide 12 Lactose 78 Sucrose 35 Sodium carboxy methyl cellulose 10 Magnesium stearate 5 The method of Example 1 was adopted,th e pentobar bi-i tone being of 40' mesh particles. Each 200 mgn'ntablet contains 60 mgm. of entobarbitone.
- Example III Capsules (hard gelatine) were prapared containing the following:
- Example IV An elixirwas: prepared consisting of the following:
- Example V Multi-layer tablets for the delayed release or absorption of the drugs as indicated, were prepared consisting of the following:
- the phenobarbitone and lactose were mixed thoroughly in a blender, then massed by adding gum acacia in aqueous solution.
- the moistened mass was passed through- 16 mesh and the granules dried at 50 C.
- the dried The fLfi-methyl ethyl glutarimide, lactose and icing sugar were granulated as in Example V and the dried granules passed through a 16 mesh then mixed with the sodium carboxy methyl cellulose and magnesium stearate. Tablets weighing 130 mgm. were so prepared.
- Layer B Grams Amylobarbitone 2 Lactose 150 Icing sugar 56 Sodium carboxy methyl cellulose 16 Magnesium stearate 8 The granules were prepared as in Core A. Layer B was compressed on Core A to form a tablet weighing 560 mgm. and containing 200 mgm. amylobarbitone and 65 mgm. 5,5-methyl ethyl glutarimide.
- Example VII Capsules (hard gelatine) were prepared containing the following:
- the tap-methyl ethyl glutarimide, lactose, icing sugar and dextrin were granulated as in Example V.
- the dried granules of 16 mesh size were coated with a solution of cellulose acetate phthalate 10% w/v in acetone.
- the amount of coating was such that when the granules were tested in artificial intestinal juice, they disintegrated within one hour.
- the dried, coated granules were mixed thoroughly with the phenobarbitone and the mixture was filled into hard gelatine capsules so that each capsule contained 19.5 mgm. 5,;3-methyl ethyl glutarimide and 130 mgm. phenobarbitone.
- compositions comprising two or more barbiturates, such barbiturates being mixtures of short-acting, intermediate-acting, and/or long-acting drugs, e. g., mixtures of phenobarbitone and pentobarbitone.
- the glutarimide should be incorporated in these compositions in an amount which is the desired percentage of the total weight of the mixture of barbiturates.
- compositions comprising one or more barbiturates with mild stimulants such as caffeine or amphetamine to reduce the post-barbiturate depression usually encountered as an aftermath of barbiturate administration.
- mild stimulants such as caffeine or amphetamine to reduce the post-barbiturate depression usually encountered as an aftermath of barbiturate administration.
- the glutarimide should be incorporated in an amount which is the desired percentage of the weight of the barbiturate drug or drugs in the composition.
- compositions comprising one or more barbiturates with other mild sedatives as, for example, sodium bromide.
- the glutarimide should be incorporated in an amount which is the desired percentage of the weight of the barbiturate drug or drugs in the composition.
- compositions comprising one or more barbiturates with other hypnotics as, for example, chloral or paraldehyde.
- the glutarimide should be incorporated in an amount as already indicated. In compositions of this kind it will be appreciated that the advantage of the glutarimidemustbe assessed relative to any risk of death 'as a result of overdose of the other hypnotic.
- compositions comprising one or more barbiturates with analgesics as, for example, aspirin, phenacetin, codeine.
- analgesics as, for example, aspirin, phenacetin, codeine.
- the glutarimide should be incorporated in an amount as already indicated.
- compositions of this kind it will be appreciated that the presence of the glutarimide is limited to removing the toxic effect of the barbiturate in case of overdosage.
- the toxic effect of the overdosage of the analgesic or analgesics remains.
- compositions of this kind are usally such that this risk is very much less than the risk of barbiturate toxicity in the case of overdosage.
- compositions comprising one or more barbiturates with antiasthmatics as, for example, ephedrine.
- the glutarimide should be incorporated in an amount as already indicated.
- compositions comprising one or more barbiturates with anticholinergic drugs acting on autonomic efiector cells as, for example, atropine.
- the glutarimide should be incorporated as already indicated.
- compositions comprising one or more barbiturates with anticonvulsants as, for example, the hydantoins.
- the glutarimide should be incorporated as already indicated.
- a pharmaceutical preparation comprising a medicinal barbiturate and a proportion of fLp-methyl ethyl glutarimide within the range of 5% to 30% by weight of the barbiturate.
- a pharmaceutical preparation comprising a medicinal preparation
- types of compositions containnal barbiturate and aproportion of [3, ⁇ 3-methyl ethyl glutarimidewithin the rangeyof 15% to 20% by Weight-of" thepbarbiturate.
- a pharmaceutical preparation comprising-a barbiturate selected from thegroup' consisting of phenobarbital amobarbitol, butobarbitone, pentobarbital'sodiurn, secobarbital sodium andhexobarbital sodium, and a proportion of 13,,8-rnethyl ethyl glutarimide within therange of 0 portion of pig-methyl ethyl glutarirnide Within the range of 15% to"20% by weight of the barbiturate.
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Description
United States Patent HYPNOTIC COMPOSITION COMPRISING A BAR- BITURATE AND QB-METHYL ETHYL GLUTAR- IMIDE NoDrawing. Application April 17, 1956 Serial No. 578,575
Claims priority, application Australia April 20, 1955 4 Claims. c1. 161-52 This invention relates to barbiturate pharmaceutical preparations, for example, tablets, capsules, elixirs, suspensions and the like, containing barbiturates.
Thebarbiturates comprise an important and valuable group of central nervous systemdepressants frequently prescribed by physicians and widely used by the laity. Reference to this appears in the textbook entitled, The Pharmacological Basis of Therapeutics, by Goodman and Gilman, page 126, published 1941 by the Macmillan Company, New York, U. S. A. The barbiturates are used medically for several purposes, the most important of which are for producing sleep, inhibiting convulsions, anaesthesia, and sedation. The general properties of barbiturates are possessed in varying degrees by individual members of the group andthis has led to a large number of different compounds being employed in medicine. Some are long acting, others intermediate and still others very short acting. Administration'may be oral or parenteral, but much more frequently the former.
Chemically, the barbiturates are derivatives of barbituric acid, having the general structural formula as follows:
wherein one or both'of the hydrogen atoms attached to the carbon atom numbered 5 or the hydrogen atom attached to the nitrogen atom numbered 3 are replaced by another group to produce a compound having special property in the field. Examples are diethyl barbituric acid or barbital,phenylethyl-barbituric acid or phenobarbital, and S-phenyl-S-ethyl-3-methyl barbituric acid or methyl-phenobarbitone. .Salts of these compoundscan England has appeared in Lancet, January 21, 1956 at page 150. This paper estimates that between 80,000 and 100,000 lbs. of barbiturates are prescribed annually in the United Kingdom. Approximately 9% of all prescriptions under the National Health Scheme in the United Kingdom were for barbiturates or preparations containing barbiturates. 6.4% of all prescriptions under the National Health Scheme in the United Kingdom in October 1954 contained barbiturates as the sole or principal therapeutic agent.
Since 1949 barbiturate poisoning in general has increased tremendously. The number of patients treated for barbiturate poisoning in England and Wales was 2800 in 1949; 3950 in 1951; and 4200 in 1953. Suicidal and accidental deaths from barbiturates have increased even more spectacularly. In 1946, the number of suicides was 78 and accidental deaths was 54, totalling 132; whilst in 1954 the suicides numbered 391 and accidental deaths 181, totalling 575. Since 1945 the total suicide rate from all agents has tended to oscillate but does not show a significant upward trend. however, have increased approximately six times and it has been concluded that a preference has been shown v lately for using barbiturates as suicidal agents rather than some other lethal means.
Research has recently disclosed a substance which exhibits outstanding antagonism towards barbiturates. This barbiturate antagonist is fl,fl-methyl ethyl glutarimide, having the structural formula as follows:
The above identified glutarimide is outstanding for the purpose of treating barbiturate poisoning, and, unlike other aneleptics used in the treatment of barbiturate poisoning, appears to be a closer approach than hitherto to a true barbiturate antagonist. This has been shown to be the case with animal experiments and has since been confirmed clinically with success in curing many cases of barbiturate poisoning in humans both in Australia and England.
The discovery has now been made that barbiturate poisoning can be prevented, rather than cured, by employing as a source of barbiturate a pharmaceutical preparation comprising a barbiturate and essentially a proportion of 5,,8-methyl ethyl glutarimide, insufiicient to intereral medical practice much safer by removing the risk of coma which follows ingestion of high doses at present. By combining with the barbiturate a proportion of [8,5- methyl ethyl glutarimide such that the effectiveness of the barbiturate at normal dosages is unimpaired but at high dosage levels approaching the usual coma dose, vital body functions are maintained-the usual depressive toxic effects of the barbiturate on such functions as pulse rate, blood pressure, and the like are reduced to a safe level. In this way it is possible to protect patients from accidental or deliberate overdosage of barbiturate.
Clinical trials have shown that 18,;3-methyl ethyl glutarimide may be present in the pharmaceutical preparation in a proportion of 5% to 30% by weight of the barbiturate without interfering with the therapeutic effect of the barbiturate, to overcome the toxic effects of overdose. The (MS-methyl ethyl glutarimide is, in this way Simultaneously ingested with the barbiturate to act as an Patented Sept. 23, 1958 Suicides from barbiturates,
longed in' action, hence'it is possible that the fi d-methyl" ethyl glutarimide would be absorbed and perhaps excreted'ins'om'e instances before being'active. Because of this the pharmaceutical preparation of the invention may embody an agent delaying the release of the 5,;8-rnethyl ethyl glutarimide in the" human gastro-intestinal tract. Thus, the preparation may compriz'e granules havinginsoluble coatings for delaying the absorption of the 5,6- methyl ethyl glutarimide constituent of the mixture. Another procedure which may be employed consistsin preparing multi-layer tablets in which a layer containing the barbiturate is compressed over a core containing the glutarimide, as hereinafter fully described in certain of the practical examples. Absorption rates (or release) of the drugs may thereby beartificially controlled, depending upon the rate of absorption, excretion and detoxicationof the {Le-methyl ethyl glutarimide in relation to the barbiturate prescribed.
Pharmaceutical preparations in accordancewith the invention may comprise; for example, any of the following medicinal barbiturates: Phenobarbitone (British Pharmacopoeia) or Phenobarbital (U. S. Pharmacopoeia); Amylobarbitone (British Pharmacopoeia) or Amobarbital (U. S. Pharmacopoeia); Butobarbitone (British Pharmacopoeia); Pentobarbitone Sodium (British Pharmacopoeia) or Pentobarbital Sodium (U. S. Pharmacopoeia); Quinalbarbitone Sodium (British Pharmacopoeia) or Secobarbital Sodium (U. S. Pharmacopoeia); and Hexobarbitone Sodium (British Pharmacopoeia) or Hexobarbital Sodium (U. S. National Fo-rmulary Vol. X, 1955).
Practical examples of pharmaceutical compositions in accordance with the invention are as follows, but it is to be understood that the invention is in no way limited thereto:
Example I Tablets consisting of the following mixture were prepared:
The phenobarbitone, 5,}3-methyl ethyl glutarimide, Lactose and sucrose all of 40 mesh size particles were mixed throughly in a blender, then massed by addinga mixture of equalparts of Industrial Spirit (alcohol 95%) and water. The moistened mass was passed through a 16 mesh'sieve and-granules dried at 50 C. The dried gran ules were passed through a 16 mesh sieve then mixedwith sodium carboxy methyl cellulose (40 mesh size particles) and magnesium stearate (.60 mesh size particles). Tablets were made diameter, weighing 200 mgm., and containing 30 mgm. of phenobarbitone.
Example 11 Tablets again were prepared consisting of the fol lowing:
Grams Pentobarbitone 60 {LB-methyl ethyl glutarimide 12 Lactose 78 Sucrose 35 Sodium carboxy methyl cellulose 10 Magnesium stearate 5 The method of Example 1 was adopted,,th e pentobar bi-i tone being of 40' mesh particles. Each 200 mgn'ntablet contains 60 mgm. of entobarbitone.
Example III Capsules (hard gelatine) were prapared containing the following:
Grams Amyl'obarbitone 200 mil-methyl ethyl glutarimide 25 Lactose 15 Mix the constituents eachof whichis of- 40 mesh sizeparticles and fill capsulesof suitable .size with.240. mgm'. of'the: mixture. Each capsule. v will contain.200 mgm. arnylobarbitone.
Example IV An elixirwas: prepared consisting of the following:
Dissolve thephenobarbitone, fi,fi-methyl ethyl glutarimide and orange oil in the alcohol and Tween 80, add the glycerin and syrup. Dissolve the tartrazine in sufficient distilled water, mix into the solution, make product up to volume with distilled water and filter. Each 5 ml. of this preparation contains 20 mgm. of phenobarbitone.
Example V Multi-layer tablets for the delayed release or absorption of the drugs as indicated, were prepared consisting of the following:
Core A: Grams [LB-methyl ethyl glutarimide 9.2 Lactose 26.55 Icing sugar 16.8 Dextrin 2.4 Magnesium stearate 0.05
The pLfi-methylethyl glutarimide, lactose, icing sugar and dextrin'are mixed thoroughly in a blender, then massed by, adding a mixture of equal parts of industrial spirit and water. The moistened mass was passed through a' 16 mesh and the granules dried at 50 C. The dried granules were passed through a 16' mesh then mixed with magnesium stearate. Tablets weighing 55 mgmz, and con- 5 taining 9.2 mgm. of Ftp-methyl ethyl glutarimide were so produced.
Layer B: Grams Phenobarbitone 65.75 Lactose 77 Gum acacia 1.5 Magnesium stearate 0.75
The phenobarbitone and lactose were mixed thoroughly in a blender, then massed by adding gum acacia in aqueous solution. The moistened mass was passed through- 16 mesh and the granules dried at 50 C. The dried The fLfi-methyl ethyl glutarimide, lactose and icing sugar were granulated as in Example V and the dried granules passed through a 16 mesh then mixed with the sodium carboxy methyl cellulose and magnesium stearate. Tablets weighing 130 mgm. were so prepared.
Layer B: Grams Amylobarbitone 2 Lactose 150 Icing sugar 56 Sodium carboxy methyl cellulose 16 Magnesium stearate 8 The granules were prepared as in Core A. Layer B was compressed on Core A to form a tablet weighing 560 mgm. and containing 200 mgm. amylobarbitone and 65 mgm. 5,5-methyl ethyl glutarimide.
Example VII Capsules (hard gelatine) were prepared containing the following:
Grams Phenobarbitone 130 B,fi-methyl ethyl glutarimide 19.5 Lactose 30.25 Icing sugar Dextrin 3 The tap-methyl ethyl glutarimide, lactose, icing sugar and dextrin were granulated as in Example V. The dried granules of 16 mesh size were coated with a solution of cellulose acetate phthalate 10% w/v in acetone.
The amount of coating was such that when the granules were tested in artificial intestinal juice, they disintegrated within one hour. The dried, coated granules were mixed thoroughly with the phenobarbitone and the mixture was filled into hard gelatine capsules so that each capsule contained 19.5 mgm. 5,;3-methyl ethyl glutarimide and 130 mgm. phenobarbitone.
Experimental work with animals and humans has been carried out employing phenobarbitone and pentobarbitone, which are the most widely used barbiturates. In all such clinical work the preparations were of the kind in which the lip-methyl ethyl glutarimide and'barbiturate (phenobarbitone or pentobarbitone) were available simultaneously for ingestion. Results in both animals and man showed that the particular barbiturate derivatives above identified act satisfactorily. Medicinal barbiturates generally may be employed in the compositions of the invention but persons concerned with the art will appreciate that no practical advantage will accrue with .those ultra-short acting barbiturates used for anaesthetic purposes only and administered by a qualified medical practitioner.
Persons concerned with the art will appreciate that the invention may also be applied in various kinds of barbiturate pharmaceutical compositions in which the barbiturate content normally constitutes a potential hazard in accidental or deliberate overdosage of barbiturate. ing barbiturates to which the invention may thus be adapted, to the extent that risk of death from overdosage may be minimised, are as follows:
(a) Compositions comprising two or more barbiturates, such barbiturates being mixtures of short-acting, intermediate-acting, and/or long-acting drugs, e. g., mixtures of phenobarbitone and pentobarbitone. The glutarimide should be incorporated in these compositions in an amount which is the desired percentage of the total weight of the mixture of barbiturates.
(b) Compositions comprising one or more barbiturates with mild stimulants such as caffeine or amphetamine to reduce the post-barbiturate depression usually encountered as an aftermath of barbiturate administration. The glutarimide should be incorporated in an amount which is the desired percentage of the weight of the barbiturate drug or drugs in the composition.
(c) Compositions comprising one or more barbiturates with other mild sedatives as, for example, sodium bromide. The glutarimide should be incorporated in an amount which is the desired percentage of the weight of the barbiturate drug or drugs in the composition.
(d) Compositions comprising one or more barbiturates with other hypnotics as, for example, chloral or paraldehyde. The glutarimide should be incorporated in an amount as already indicated. In compositions of this kind it will be appreciated that the advantage of the glutarimidemustbe assessed relative to any risk of death 'as a result of overdose of the other hypnotic.
(e) Compositions comprising one or more barbiturates with analgesics as, for example, aspirin, phenacetin, codeine. The glutarimide should be incorporated in an amount as already indicated. In compositions of this kind it will be appreciated that the presence of the glutarimide is limited to removing the toxic effect of the barbiturate in case of overdosage. The toxic effect of the overdosage of the analgesic or analgesics remains. In practise compositions of this kind are usally such that this risk is very much less than the risk of barbiturate toxicity in the case of overdosage.
(f) Compositions comprising one or more barbiturates with antiasthmatics as, for example, ephedrine. The glutarimide should be incorporated in an amount as already indicated.
(g) Compositions comprising one or more barbiturates with anticholinergic drugs acting on autonomic efiector cells as, for example, atropine. The glutarimide should be incorporated as already indicated.
(h) Compositions comprising one or more barbiturates with anticonvulsants as, for example, the hydantoins. The glutarimide should be incorporated as already indicated.
What is claimed is:
l. A pharmaceutical preparation comprising a medicinal barbiturate and a proportion of fLp-methyl ethyl glutarimide within the range of 5% to 30% by weight of the barbiturate.
2. A pharmaceutical preparation comprising a medici- Examples of types of compositions containnal barbiturate and aproportion of [3,}3-methyl ethyl glutarimidewithin the rangeyof 15% to 20% by Weight-of" thepbarbiturate.
3'. A pharmaceutical preparation comprising-a barbiturate selected from thegroup' consisting of phenobarbital amobarbitol, butobarbitone, pentobarbital'sodiurn, secobarbital sodium andhexobarbital sodium, and a proportion of 13,,8-rnethyl ethyl glutarimide within therange of 0 portion of pig-methyl ethyl glutarirnide Within the range of 15% to"20% by weight of the barbiturate.
References Cited in the file of this patent UNITED. STATES PATENTS.
Hermelin Feb. 28; 1956 OTHER REFERENCES Science News Letter, Apr. 25, 195 3, p. 259.
Harris: Lancet (London), vol. 268, Jan. 22, 1955. p. 181.
Shaw et.al.:. Nature, vol. 174, No..4426, Aug. 28, 1954, pp. 402-403.
Claims (1)
1. A PHARMACEUTICAL PREPARATION COMPRISING A MEDICINAL BARBITURATE AND A PROPORTION OF B-B-METYL ETHYL GLUTARIMIDE WITHIN THE RANGE OF 5% TO 30% BY WEIGHT OF THE BARBITURATE.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU2853418X | 1955-04-20 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US2853418A true US2853418A (en) | 1958-09-23 |
Family
ID=3838701
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US578575A Expired - Lifetime US2853418A (en) | 1955-04-20 | 1956-04-17 | Hypnotic composition comprising a barbiturate and beta, beta-methyl ethyl glutarimide |
Country Status (1)
| Country | Link |
|---|---|
| US (1) | US2853418A (en) |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3051618A (en) * | 1956-11-06 | 1962-08-28 | Hoechst Ag | Beta-hydroxy-butyric acid amide derivatives and process for their use as narcotics |
| US3051742A (en) * | 1957-11-30 | 1962-08-28 | Hoechst Ag | beta-hydroxy-butyric acid amide derivatives and process of preparing them |
| US3145204A (en) * | 1960-03-04 | 1964-08-18 | Lab D Analyses Et De Rech S R | Thienyl phenyl ethyl morpholy carbinol |
| US4526777A (en) * | 1983-01-06 | 1985-07-02 | Mylan Pharmaceuticals Inc. | Pharmaceutical combination composition and associated method |
| US4547498A (en) * | 1983-01-06 | 1985-10-15 | Mylan Pharmaceuticals Inc. | Pharmaceutical combination composition and associated method |
| US4804540A (en) * | 1987-12-16 | 1989-02-14 | G. D. Searle & Co. | Process for preparing the combination products of triamterene and hydrochlorothiazide |
| US20060204578A1 (en) * | 2001-11-06 | 2006-09-14 | Vergez Juan A | Dual controlled release dosage form |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2736682A (en) * | 1954-10-11 | 1956-02-28 | Victor M Hermelin | Method of making a prolonged action medicinal tablet |
-
1956
- 1956-04-17 US US578575A patent/US2853418A/en not_active Expired - Lifetime
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2736682A (en) * | 1954-10-11 | 1956-02-28 | Victor M Hermelin | Method of making a prolonged action medicinal tablet |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3051618A (en) * | 1956-11-06 | 1962-08-28 | Hoechst Ag | Beta-hydroxy-butyric acid amide derivatives and process for their use as narcotics |
| US3051742A (en) * | 1957-11-30 | 1962-08-28 | Hoechst Ag | beta-hydroxy-butyric acid amide derivatives and process of preparing them |
| US3145204A (en) * | 1960-03-04 | 1964-08-18 | Lab D Analyses Et De Rech S R | Thienyl phenyl ethyl morpholy carbinol |
| US4526777A (en) * | 1983-01-06 | 1985-07-02 | Mylan Pharmaceuticals Inc. | Pharmaceutical combination composition and associated method |
| US4547498A (en) * | 1983-01-06 | 1985-10-15 | Mylan Pharmaceuticals Inc. | Pharmaceutical combination composition and associated method |
| US4804540A (en) * | 1987-12-16 | 1989-02-14 | G. D. Searle & Co. | Process for preparing the combination products of triamterene and hydrochlorothiazide |
| US20060204578A1 (en) * | 2001-11-06 | 2006-09-14 | Vergez Juan A | Dual controlled release dosage form |
| US8329217B2 (en) | 2001-11-06 | 2012-12-11 | Osmotica Kereskedelmi Es Szolgaltato Kft | Dual controlled release dosage form |
| US8591947B2 (en) | 2001-11-06 | 2013-11-26 | Osmotica Kereskedelmi és Szolgáltató KFT | Dual controlled release dosage form |
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