The invention relates to the use of compounds of the general formula (I)
wherein
R¹ represents a hydrogen atom or a C₁₋₁₀ alkyl, C₃₋₇ cycloalkyl, C₃₋₇ cycloalkyl-(C₁₋₄) alkyl, C₃₋₆ alkenyl, C₃₋₁₀ alkynyl, phenyl or phenyl-C₁₋₃ alkyl group; and one of the groups represented by
R², R³, and R⁴ is a hydrogen atom or a C₁₋₆ alkyl, C₃₋₇cycloalkyl, C₂₋₆ alkenyl or phenyl - C₁₋₃ alkyl group and each of the other two groups, which may be the same or different, represents a hydrogen atom or a C₁₋₆ alkyl group;
and physiologically acceptable salts and solvates thereof, for the relief of nausea and vomiting and/or the promotion of gastric emptying and for the manufacture of a medicament for this purpose. Promotion of gastric emptying may be for the relief of gastro-intestinal disorders associated with gastric stasis or may be of advantage in radiological examination procedures.
The invention also relates to a product containing a therapeutic agent liable to induce nausea and vomiting, e.g. a cytostatic agent such as a cyclophosphamide, an alkylating agent or a platinum complex, and a compound of the general formula (I) as a combined preparation for simultaneous separate or sequential use in therapy.
本发明涉及通式(I)化合物的用途
其中
R¹ 代表氢原子或 C₁₋₁₀ 烷基、C₃₋₇ 环烷基、C₃₋₇ 环烷基-(C₁₋₄)烷基、C₃₋₆烯基、C₃₋₁₀ 烷炔基、苯基或苯基-C₁₋₃烷基;以及 R²、R³ 和 R⁴ 所代表的基团之一是氢原子或 C₁₋₄烷基。
R²、R³ 和 R⁴ 所代表的基团之一是氢原子或 C₁₋₆烷基、C₃₋₇环烷基、C₂₋₆烯基或苯基 - C₁₋₃ 烷基,以及另外两个基团中的每一个、代表氢原子或 C₁₋₆烷基;
及其生理上可接受的盐类和溶液,用于缓解恶心和呕吐和/或促进胃排空,以及制造用于此目的的药物。促进胃排空可用于缓解与胃淤积有关的胃肠功能紊乱,或在放射检查过程中具有优势。
本发明还涉及一种含有可诱发恶心和呕吐的治疗剂(如环
磷酰胺、烷化剂或
铂络合物等细胞
抑制剂)和通式(I)化合物的组合制剂产品,可在治疗中同时单独或连续使用。