COMPOSITION COMPRISING 5-HYDROXYTRYPTOPHAN FOR REDUCING OR ALLEVIATING THE EFFECTS OF NICOTINE WITHDRAWAL AND USE THEREOF
BACKGROUND OF THE INVENTION
The invention relates to a composition, particularly for use in alleviating and reducing the effects of the cessation of smoking, and more particularly during voluntary cessation attempts, forced temporary abstinence and/or as an aid to smoking reduction.
Tobacco smoking is a major cause of morbidity and mortality in the world. Smoking is now recognized as the leading preventable cause of death and disease worldwide. Smoking addiction can be overcome and the health benefits of smoking cessation for men and women of all ages are major and immediate.
The extraordinary addictiveness of cigarette smoking and the fact that smoking creates both physiological and psychological dependence makes it a difficult habit to break. On the physiological side, once a smoker becomes addicted to smoking, the body depends on nicotine. When smokers abstain from smoking during forced temporary abstinence or cessation attempts, withdrawal symptoms occur. These include dysphoria or depressed mood, sleeplessness, irritability, frustration, anger, anxiety, difficulty in concentrating, restlessness, increased appetite and above all, the intense craving for nicotine. On the psychological side, a number of external events independent of and unrelated to nicotine dependence also control smoking, such as the ritual of smoking (the handling and lighting the cigarette), the act of smoking itself becoming a source of pleasure and the perceived improvement in performance and concentration. Nicotine also depletes serotonin (5-HT) in the brain.
Smoking is becoming increasingly a social problem. Environmental tobacco smoke, also known as "passive smoking", "involuntary smoking" or "second-hand smoke", is firmly acknowledged as a significant threat to health through the involuntary exposure of non-smokers to environmental tobacco smoke. For this reason, smoking is now banned or prohibited in many parts of the world, for instance, in the workplace, on public transportation including national and international flights, in hospitals and in public non-smoking areas.
Some smokers are unwilling, unable or not ready to stop smoking abruptly. Smoking reduction, a sustained reduction in overall cigarette consumption with the objective of either reducing tobacco-related harm or promoting smoking cessation, is an alternative therapeutic option for smokers who are not ready, unwilling or unable to stop smoking.
Smokers seem to be well aware of the problem of weight gain following smoking cessation. Greater appetite and hunger as well as increased preference for carbohydrates are common withdrawal symptoms. Smokers compensate for non-smoking by an increase in eating and nibbling. The fear of weight gain after smoking cessation may be an important factor in the persistence of smoking, particularly for women who use cigarettes as a method of appetite suppression and weight control.
One of the major themes that has emerged from smoking cessation and reduction is the value of pharmacological aids which ensure that cost- effective interventions are available to the bulk of the smoking population.
There are currently two categories of medication available as aids for smoking cessation: nicotine replacement medications, generally referred to as "nicotine replacement therapies" (NRT), and non-nicotine based medications, which are mostly prescription drugs.
The applicant has thus identified a need for a non-nicotine based, freely available over-the-counter (OTC) and cost-effective pharmacological aid
which addresses both the physiological and psychological aspects of dependence on cigarette smoking. The composition may be used to alleviate and reduce withdrawal symptoms as an aid to smoking cessation, smoking reduction or during temporary abstinence
SUMMARY OF THE INVENTION
According to the present invention, there is provided 5-hydroxytryptophan (5-HTP) for use in alleviating and reducing one or more of the effects of the cessation of nicotine withdrawal. The nicotine withdrawal is typically as a result of the cessation of tobacco smoking, in particular during voluntary cessation attempts, temporary abstinence and/or as an aid to smoking reduction.
The temporary abstinence may be for a period of from a few hours to a few days, as a result of a smoker being temporarily restricted to a no-smoking area, such as an aircraft, airport building or hospital. Typically, the period is for less than 48 hours.
The effects of nicotine withdrawal which are reduced may include nicotine craving, increased appetite, dysphoria or depressed mood, sleeplessness, irritability, frustration, anger, anxiety, difficulty in concentrating and restlessness. In particular, the nicotine craving and/or increase in appetite are reduced.
Further, according to the invention, there is provided the use of 5-HTP in the manufacture of a composition for use in alleviating and reducing the effects of the cessation of smoking during voluntary cessation attempts and temporary abstinence and as an aid to smoking reduction.
Still further, according to the invention, there is provided a composition, particularly for use in alleviating and reducing the effects of cessation of smoking, including 5-HTP, together with one or more of a potentiator, an anti-
stress agent and an antioxidant, in particular during voluntary cessation attempts, temporary abstinence and/or as an aid to smoking reduction.
Still further, according to the invention, the 5-HTP is used, in the manner described above, in combination with a glycine compound selected from N- monomethyl glycine, N,N-dimethyl glycine, trimethyl glycine, and salts thereof.
DESCRIPTION OF EMBODIMENTS
The invention provides the use of 5-hydroxytryptophan (5-HTP) for use in alleviating and reducing the effects of the cessation of smoking, in particular during voluntary cessation attempts, temporary abstinence and/or as an aid to smoking reduction.
Serotonin (or 5-Hydroxytriptamine (5-HT)) is a downstream metabolite in the two-step metabolic pathway that begins with the precursor amino acid L- tryptophan. Once in the body, L-tryptophan is converted to 5-HTP and from there, serotonin (5-HT) is produced.
5-HTP is the immediate precursor in the biosynthesis of serotonin (5-HT). 5- HTP readily crosses the blood-brain barrier and becomes available for serotonin (5-HT) synthesis. In the brain, serotonin (5-HT) fulfils the function of a neurotransmitter in the central nervous system.
Serotonin (5-HT) is involved in a large number of physiological events and a multitude of brain functions are influenced by serotonin (5-HT). These include sleep, appetite, the perception of pain, mood, anxiety, aggression, stress and nervousness. The oral administration of 5-HTP may help to restore or increase serotonin (5-HT) levels in the brain.
5-HTP is obtained from a natural plant extract from the seeds of the African tree, Griffonia Simplicifolia.
The 5-HTP will be administered in the form of a composition. The composition may be divided into a number of easily administered units such that when all the units are taken over a day, this provides the required daily dose of the 5-HTP for the patient. The daily dose of 5-HTP will typically be in the range of from 25 mg to 400 mg, in: i. divided doses of 5 mg to 100 mg, or ii. a single, controlled-release dosage form.
The composition will typically be a solid, for example a tablet or capsule, a semi-solid, such as a soft gelatine capsule, or in liquid form, for example a solution or flowable dispersion. Typically, the method of administering the composition is sub-lingual, where absorption from the oral mucosa enhances the bio-availability of 5-HTP in the central nervous system. At the same time, sub-lingual administration prevents the peripheral conversion of 5-HTP to serotonin (5-HT) outside the central nervous system.
The composition may also contain a glycine compound, a potentiator such as folic acid, an anti-stress agent such as vitamin B1 thiamine hydrochloride and/or vitamin B6 pyridoxine hydrochloride or an anti-oxidant such as vitamin C or vitamin E. The composition will also contain usual excipients known in the art.
Examples
Examples of the invention will now be described.
In a first example of the invention, the composition contained the following ingredients:
5-HTP 10 mg
Emdex qs mg
Magnesium stearate 3 mg
280 mg
ln a second example of the invention, the composition contained the following ingredients:
5-Hydroxytryptophan 10 mg
Trimethyl glycine 10 mg
Zn-lactate (23% Zn) 5 mg
Egg Albumin 25 mg
Lecethin 3 mg
B-i Thiamine Hydrochloride 0,8 mg
B2 Riboflavine 5 Phosphate Sodium 0,8 mg
B3 Nicotinamide 0,8 mg
B6 Pyridoxine Hydrochloride 1 mg
Folic Acid 0,02 mg
Vitamin C (Sodium Ascorbate) 3 mg
Vitamin E 50% Adsorbate 6 mg
Sodium Cyclamate 0,5 mg
Potassium Sorbate 0,15 mg
Benzoic Acid 0,1 mg
Sodium Saccharin 0,25 mg
Flavour: Green Apple: Lr70173 1 ,2 mg
Emdex qs mg
Magnesium Stearate 3 mq
300 mg
In a third example of the invention, a controlled release tablet contained the following ingredients:
5-HTP 250 mg
Polyethylene glycol matrix 250 mg
The administration of the above-mentioned components, particularly 5-HTP on its own or in combination with the other components, demonstrated
significant effects on smokers during smoking cessation, temporary abstinence and smoking reduction, especially in alleviating the intense craving for nicotine and the increased appetite. Other withdrawal symptoms which form part of the smoking withdrawal syndrome were also alleviated to varying extents, for example, dysphoria or depressed mood, sleeplessness, irritability, frustration, anger, anxiety, difficulty in concentrating and restlessness.