Certain esters of cyproheptadine-3-carboxylic acid and its bioisosteres and salts of said esters are peripherally selective dopamine antagonists useful in the treatment of emesis caused by stimulation of dopamine receptors of the chemoreceptor trigger zone, as well as emesis and nausea resulting from other causes including post operative emesis. chronic pediatric vomiting, radiotherapy and chemotherapy induced emesis and nausea associated with migraine attacks and dysmenorrhea or arising idiopathically.
They are also useful in the treatment of gastrointestinal disorders, such as gastro-oesophageal reflux caused by stimulation of dopamine receptors in the stomach or other causes and dyspepsia arising from delayed gastric emptying, post prandial dyspepsia or dyspepsia of unknown etiology.
环庚啶-3-
羧酸的某些
酯类及其
生物异构体和所述
酯类的盐类是外周选择性
多巴胺拮抗剂,可用于治疗因刺激
化学感受器触发区的
多巴胺受体而引起的呕吐,以及其他原因引起的呕吐和恶心,包括手术后呕吐、慢性小儿呕吐、放疗和化疗引起的呕吐,以及与偏头痛发作和痛经有关的恶心或特发性恶心。
它们还可用于治疗胃肠道疾病,如刺激胃中
多巴胺受体或其他原因引起的胃食管反流,以及胃排空延迟引起的消化不良、餐后消化不良或病因不明的消化不良。