Non-racemic mixtures of d- and l- methadone and method of...

Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Nitrogen containing other than solely as a nitrogen in an...

Reexamination Certificate

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Reexamination Certificate

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06897242

ABSTRACT:
Compositions of non-racemic mixtures of d- and l-methadone and a method of treating pain using the composition. The composition is especially useful for treating pain of mixed origin. For predominantly neuropathic pain, a mixture of predominantly d-methadone, up to about 90%, is used. For predominantly somatic pain, a mixture of predominantly l-methadone, up to about 90%, is used. The non-racemic mixture of d- and l-methadone may be further combined with a pharmacologically effective amount of a nonopioid component. In another aspect of the invention, the methadone can be combined with an opioid antagonist such as naloxone, naltrexone, or the like.

REFERENCES:
patent: 6008258 (1999-12-01), Inturrisi
Gorman et al. The d- and l- isomers of methadone bind to teh non-competetive site on the n-methyl-D-aspartate (NMDA) receptor in rat forebrain and spinal cord, Feb. 14, 1997, Neuroscience Letters 223 pp. 5-8.*
Tomoki Nishiyama et al., “Effects of Intrathecal NMDA and Non-NMDA Antagonists on Acute Thermal Nociception and Their Interaction with Morphine”, Anesthesiology 1998; pp. 715-722.
J. David Leander et al., “Opioid and Nonopioid Behavioral Effects of Methadone Isomers”, The Journal of Pharmacology and Experimental Therapeutics, 1982, vol. 220, No. 3, pp. 592-596.
Naohito Shimoyama et al., “d-Methadone Is Antinociceptive in the Rat Formalin Test”, The Journal of Pharmacology and Experimental Therapeutics, 1997, vol. 283, No. 2, pp. 648-652.
George D. Olsen et al., “Clinical Effects and Pharmacokinetics of Racemic Methadone and Its Optical Isomers”, Clinical Pharmacology and Therapeutics, 1976, vol. 21, No. 2, pp. 147-57.
John S. Morley, “New Perspectives in Our Use of Opioids”, Pain Forum, 1999, vol. 8, No. 4, pp. 200-205.
Y. Eugene Mironer et al., “Successful Use of Methadone in Neuropathic Pain: A Multicenter Study by the National Forum of Independent Pain Clinicians”, Pain Digest, 1999, vol. 9, pp. 191-193.

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