Pharmaceutical composition comprising progestogens and/or estrogens and 5-methyl-(6S)-tetrahydrofolate
申请人:MERCK & CIE
公开号:US10463666B2
公开(公告)日:2019-11-05
The present invention relates to a pharmaceutical composition which comprises progestogens, preferably drospirenone, estrogens, preferably ethinylestradiol and 5-methyl-(6S)-tetrahydrofolate, can be employed as oral contraceptive and moreover prevents disorders caused by folate deficiency in the consumers, in particular cardiovascular disorders and, after conception of the embryo, congenital malformations caused by folate deficiency such as, for example, neural tube defects, ventricular valve defects, urogenital defects, and cleft lip, jaw and palate, without masking the symptoms of vitamin B12 deficiency, and at the same time even in the case of homozygous or heterozygous polymorphism of methylenetetrahydrofolate reductase facilitates unimpaired utilizability of the folate component 5-methyl-(6S)-tetrahydrofolate by the body and thus its biological activity for preventing the abovementioned congenital malformations caused by folate deficiency. In addition, a prolonged protective effect is maintained after discontinuation of the contraceptive.
本发明涉及一种药物组合物,它由孕激素(最好是屈螺酮)、雌激素(最好是炔雌醇)和 5-甲基-(6S)-四氢叶酸组成,可用作口服避孕药,还能预防消费者因缺乏叶酸而导致的疾病,特别是心血管疾病,以及胚胎受孕后因缺乏叶酸而导致的先天性畸形,例如神经管畸形、心室瓣膜畸形、泌尿生殖系统畸形、唇裂、颚裂和腭裂、在不掩盖维生素 B12 缺乏症状的情况下,即使在亚甲基四氢叶酸还原酶同型或异型多态性的情况下,也能促进人体对叶酸成分 5-甲基-(6S)-四氢叶酸的利用不受影响,从而提高其生物活性,预防上述由叶酸缺乏引起的先天性畸形。此外,停用避孕药后,保护作用仍会持续。