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Patent Assignee: CHEUNG C CHEU-I HAUGLAND R HAUG-I YUE S YUES-I ; Inventor: CHEUNG C; HAUGLAND R; YUE S Patent Family 1 patents, 1 countries ; Patent Number Kind Date Application Number Kind Date Update Type US 20050191643 A1 20050901 US 2003494448 P 20030811 200677 B US 2004916822 A 20040811 Priority Applications no., kind, date ; : US 2003494448 P 20030811; US 2004916822 A 20040811 Patent Details Patent Number Kind Lan Pgs Draw Filing Notes US 20050191643 A1 EN 48 Related to Provisional US 2003494448 Alerting Abstract US A1 NOVELTY - Non-fluorescent carbocyanine quencher compounds are new. DESCRIPTION - Non-fluorescent carbocyanine quencher compounds of formula I ; or II ; are new. R2 amino ; alkyl, alkoxy, sulfoalkyl, reactive group, carrier molecule or solid support all optionally substituted R3 and R4 alkyl, reactive group, carrier molecule c1 ; , solid support all optionally substituted ; or sulfoalkyl; R5 amino ; alkyl, alkoxy, fused benzene, sulfoalkyl, reactive group, carrier molecule, solid support all optionally substituted ; , H, trifluoromethyl or halo; R22 - R26 amino ; alkyl, alkoxy, amino, carbonyl, reactive group, sulfo, carrier molecule, solid support all optionally substituted ; , H, hydroxyl, halo, thioether or sulfoalkyl; A pyridinium, quinolinium, benzazolium or indolinium all optionally substituted ; . R3 and R4 taken together form a optionally substituted 5- to 6-membered saturated ring. A member independently selected from R22 in combination with R23, R23 in combination with R24, R24 in combination with R25, and R25 in combination with R26 together with the atoms to which they are joined, form optionally substituted 5- to 7membered hetero ; cycloalkyl or hetero ; aryl rings. INDEPENDENT CLAIMS are also included for: a composition C ; comprising luminescent donor and acceptor molecules, and I ; II absorbing m1 ; residual energy from an energy donor molecule during energy transfer between luminescent donor and acceptor molecules involving covalently bonding the luminescent donor molecule to the acceptor molecule to prepare an energy transfer pair, covalently bonding I ; II ; to the energy transfer pair to prepare a quencher labeled energy transfer pair, covalently bonding the quencher labeled energy transfer pair to a carrier molecule to prepare a ternary labeled carrier molecule, illuminating the ternary labeled carrier molecule so that fluorescence from the luminescent donor molecule is accepted by the acceptor molecule and the residual fluorescence from the luminescent donor molecule is accepted by the quenching compound and the residual energy is absorbed during energy transfer between luminescent donor and acceptor molecules; detecting m2 ; presence or absence of an analyte in a sample involving contacting the sample with c1 ; to prepare a labeled sample, incubating the labeled sample for the carrier molecule to associate with the ligand to form an incubated sample, illuminating the incubated sample to form an illuminated sample; and observing the illuminated sample to detect the presence or absence of an analyte in the sample; a kit k1 ; for detecting a ligand in a sample, comprising C and a kit k2 ; for labeling a carrier molecule comprising I ; II ; . USE - For detecting presence or absence of an analyte in a sample preferably live cells, intracellular fluids, extracellular fluids, biological fluids, biological fermentation media, environmental sample, industrial samples, proteins, peptides, buffer solutions biological fluids or chemical reactors, blood cells, immune cells, cultured cells, muscle tissue, neurons, extracellular vesicles; vascular tissue, blood fluids, saliva, urine; water, soil, waste water, sea water, pharmaceuticals, foodstuffs or beverages ; claimed ; . ADVANTAGE - The non-fluorescent carbocyanine compound absorb in the emitting range of the R-phycoerythrin R-PE ; , and accept the residual fluorescence of the fluorescent protein. This allows for detection of multiple targets using R-PE tandem conjugates by lowering the need for compensation. The compounds are essentially nonfluorescent, and accept energy in the range that the donor emits the residual fluorescence. Technology Focus BIOTECHNOLOGY - Preferred Components: c1 ; is amino acid, peptide, protein, nucleoside, oligo ; nucleotide, hapten, biotin-binding protein, psoralen, drug, hormone, lipid, lipid assembly, biological cell or virus preferably antibody or its fragment, avidin or streptavidin, biotin, blood component protein, dextran, enzyme, enzyme inhibitor, hormone, IgG binding protein, fluorescent protein, growth factor, lectin, lipopolysaccharide, microorganism, metal binding protein, metal chelating moiety, peptide toxin, non-biological microparticle, phosphotidylserine-binding protein, structural protein, small-molecule drug, tyramide, protein A, oligonucleotide or nucleotide, especially an antibody, its fragment, streptavidin or avidin.
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Are an important component of the haemostatic plug where they are entangled and embedded within the network of fibrin fibres see ANTICOAGULANTS ; . Secondly, they have an important active role, through release of many mediators and factors, in initiating and orchestrating the clotting process. In particular, they have an intimate relationship with the vessel wall, to both the endothelium, and to the underlying layers that become exposed in vascular damage. The number of potential ways that platelet aggregation can be affected by drugs is extensive because of the extremely complex and multiple roles of platelets in haemostasis. In view of this, the following account will deal only with agents that are currently used, or have the potential to be used, in antiplatelet therapy. Platelets contribute significantly to vaso-occlusive thrombosis, one of the major causes of death and disease throughout the world. Consequently, inhibiting platelet function is a potentially important therapeutic goal. Aspirin is a relatively weak antiplatelet agent. Nevertheless, there is a battery of evidence from large-scale multicentre clinical trials, that it has considerable value in the prophylaxis and treatment of vascular disease. It works as an inhibitor of cyclooxygenase enzymes concerned with the synthesis in the body of prostanoids see CYCLOOXYGENASE INHIBITORS ; . There are two forms of this enzyme. One, COX-1, is constitutively expressed; but the other, COX-2, is inducible. Individual NSAIDs have different ratios of activity against the two isoenzymes, and this accounts partly for their side-effects see ANALGESICS NSAID ; . Aspirin is relatively active at COX-1, irreversibly alkylating its active site. This reduces thromboxane A2 TXA2 ; synthesis in platelets, but platelets cannot synthesise new enzyme, and activity does not return until new platelets are formed which takes about a week ; . In contrast, the vascular endothelium is able to generate more of the enzyme; furthermore, a higher concentration of aspirin is required in these cells. Thus low doses of aspirin given intermittently say three-day intervals ; decrease the synthesis of TXA2 by platelets, without greatly reducing prostacyclin synthesis by the endothelium. These changes may be sufficient to account for the antiplatelet actions of aspirin, though there may well be other actions. Thromboxane A2 is thrombotic and a vasoconstrictor ; whereas prostacyclin inhibits platelet aggregation. Thus TXA2-synthesis inhibitors e.g. dazoxiben, an imidazole ; and TXA2-receptor antagonists e.g. vapiprost ; have been investigated with a view to their use as antiplatelet drugs. Both these classes of drugs are, in fact, weak inhibitors of platelet action in vivo. Drugs that combine these activities e.g. ridogrel ; are under development. Prostacyclin is a potent inhibitor of platelet aggregation, and can help disintegrate platelet clumps, but it is not fibrinolytic. In respect of its inhibition of platelet aggregation, it is thought to act by inhibiting the transduction mechanisms for the expression of membrane glycoprotein receptors GPIIb IIIa ; , which are types of adhesion receptor. These receptors which are normally expressed on the platelet surface, are critical for aggregation - since aggregation involves links formed by fibrinogen binding to GPIIb IIIa-receptors on adjacent platelets. Conversely, proaggregatory agents induce this mechanism of adhesion e.g. thromboxane, ADP, 5-HT and PAF ; . Prostacyclin is available as epoprostenol for clinical use, but since it has a half-life of only about 3 minutes and is very expensive ; is only suitable for use as a platelet aggregation agent under unusual circumstances; for instance in blood circuits in renal dialysis or cardiac bypass surgery, and by intravenous injection as a vasodilator and antiplatelet, for example, periactin dosage.
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Findings from the questionnaires; this first table shows the age groups of the nine participants in the questionnaire group; only one chose not to divulge their age. Those who gave their age were in an overall age grouping of 31 to years: five in the 31-45 age group and three in the 46-60 age group, for example, periactin tablets.
The authors have no commercial, proprietary, or financial interest in any products or companies described in this article. Address for correspondence and reprints: Alan B. Lumsden, MD, Professor and Chief, Division of Vascular Surgery, DeBakey Department of Surgery, Baylor College of Medicine, 6550 Fannin Street, Suite 1661, Houston, TX 77030 USA. E-mail: abl2000 aol 2006 by the INTERNATIONAL SOCIETY and proscar.
Production of this peer-reviewed newsletter would not be possible without the assistance of a reliable and talented clinical advisory board. As 2005 nears an end, we want to thank each of the following members of the advisory board for their dedication to making this newsletter a valuable medication safety resource for clinicians. R. Kenneth Alderfer, RPh, Buckley Pharmacy, King of Prussia, PA Mike Allen, RPh, Walgreen Co., Deerfield, IL Brent Collier, RPh, J.O. Wyatt Community Health Center, Amarillo, TX Stephanie DeGraw, PharmD, Abington Pharmacy, Abington, PA Eddie Dunn, PharmD, University of Arkansas School of Pharmacy, Little Rock, AR Jeffry R. Ellis, PharmD, Medicine Shoppe Pharmacy, Sandwich, IL Richard A. Feifer, MD, Medco Health Solutions, Franklin Lakes, NJ Alan S. Fox, RPh, Wal-Mart, Streetsboro, Ohio Ronald Goldman, RPh, Tel-Drug, Horsham, PA Meghan Harris, PharmD, Harris Teeter Pharmacy, Greensboro, NC Donna Horn, RPh, Brooks Pharmacy, Warwick, RI Stan Illich, RPh, MHA, Evans Army Community Hospital, Fort Carson, CO Amanda G. Kennedy, PharmD, BCPS, University of Vermont, Burlington, VT Danielle Kohutka, RPh, McNeil Pharmaceuticals, Collegeville, PA Mykola Malinowsky, RPh, MS, Fairview Clinic Pharmacy, Minneapolis, MN Patrick McDonnell, PharmD, Temple University School of Pharmacy, Philadelphia, PA Shelly Mathias Newark, CPhT, Biologics, Inc., Raleigh, NC Mark Nolan, RPh, NATO Healthcare Facility, Mons, Belgium Candice Rogers, PA-C, University of Florida Student Health Center, Gainesville, FL Andrew Seger, PharmD, Brigham & Women's Hospital, Boston, MA Ed Staffa, RPh, National Association of Chain Drug Stores, Alexandria, VA Hermine Stein, DO, Brookside Family Practice & Pediatrics, Pottstown, PA Kim Swiger, RPh, Ukrop's Super Markets, Richmond, VA Kimberly Tallian, PharmD, FCSHP, University of California, San Diego Medical Center San Diego, CA Christopher Walsh, PharmD, St. Joseph Medical Center, Reading, PA Larry Wolfe, RPh, Walgreen Co., Litchfield Park, AZ Chuck Young, RPh, CFE, Massachusetts Board of Registration in Pharmacy, Boston, MA.
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Quency of attacks ; 10, 23, 26 ; . Flunarizine also has antidopaminergic, antiserotonergic and antiadrenergic properties. This accounts for some of its adverse effects such as extrapyramidal effects, sedation, weight gain and depression 20 ; . In controlled trial, the efficacy of flunarizine and nifedipine in migraine prophylaxis was similar, but flunarizine had a slightly faster onset of action 51 ; . ASA and NSAIDs: Although ASA appears to be effective for migraine prophylaxis, further controlled studies are required 23, 26 ; . The efficacy of naproxen sodium for migraine prophylaxis has been established 23 ; . It also useful for prophylaxis of menstrual migraine, when initiated two to seven days before onset of menses 7, 10 ; . Other NSAIDs, such as ibuprofen and flurbiprofen, have also been used for prophylaxis. However, gastrointestinal side effects tend to limit the usefulness of NSAIDs for continuous migraine prophylaxis 7, 23, 52 ; . 5-HT2 antagonists: 5-HT2 antagonists eg, pizotyline, methysergide ; are effective for migraine prophylaxis. Pizotyline Sandomigran; Sandoz ; causes fewer adverse effects than methysergide Sansert; Sandoz ; . Adverse effects of pizotyline include drowsiness, weight gain, nausea and dizziness 26 ; . Methysergide is a very effective agent for migraine prophylaxis, but is used infrequently, due to the potential for serious side effects retroperitoneal, cardiac valvular and pleural fibrosis ; . Methysergide should not be taken for more than six consecutive months; it should be tapered and discontinued for a period of one to two months to avoid the development of fibrosis 10, 23, 26 ; . Methysergide may be effective in patients who are refractory to other prophylactic agents; maximum response occurs within three weeks. Methysergide should be administered with food and initiated at a low dose with gradual increases, in order to minimize gastrointestinal side effects. Because methysergide is an ergot derivative, it can result in peripheral vasoconstriction and is contraindicated in the same situations as ergotamine 10 ; . There is some evidence that 5-HT2 antagonists may be implicated in drug-induced headaches 26 ; . Cyproheptadine Periactin; MSD ; , an antihistamine, has also been used in migraine prophylaxis. However, individual responses are variable and there are no controlled trials demonstrating its efficacy. Cyproheptadine may cause drowsiness and weight gain 10 ; . MAOIs: MAOIs eg, phenelzine ; have been used for migraine prophylaxis in refractory cases about 80% improve ; 53 ; . MAOIs decrease the breakdown of serotonin, thereby increasing CNS levels. However, dietary restrictions must be adhered to and patients must avoid meperidine for acute attacks 10 ; . Moclobemide Manerix; Hoffmann-La Roche ; , a reversible MAOI, may also have a potential role in migraine prophylaxis, based on one published case report 54 ; . Further studies are required. Valproic acid and divalproex sodium: Valproic acid or divalproex sodium Epival; Abbott ; are promising agents for prophylaxis of severe or refractory migraine attacks, but clinical trial data are limited 7, 10, 23, ; . According to preliminary data, a serum level of about 700 m mol L has been suggested as 47 and
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The differential diagnosis includes anticholinergic poisoning, malignant hyperthermia, and the neuroleptic malignant syndrome, each of which can be readily distinguished from the serotonin syndrome on clinical grounds and on the basis of the medication history Table 2 ; . Patients with the anticholinergic syndrome have normal reflexes and show the "toxidrome" of mydriasis; agitated delirium; dry oral mucosa; hot, dry, erythematous skin; urinary retention; and an absence of bowel sounds. Hyperactive bowel sounds -- along with neuromuscular abnormalities, diaphoresis, and normal skin color -- distinguish the serotonin syndrome from the anticholinergic toxidrome.2 Malignant hyperthermia is a pharmacogenetic disorder characterized by increasing concentrations of end-tidal carbon dioxide, hypertonicity, hyperthermia, and metabolic acidosis. The disorder occurs within minutes after exposure to inhalational anesthetic agents.43 On physical examination, the skin is often mottled, with cyanotic areas contrasting with patches of bright red flushing.43 The rigor mortislike rigidity of skeletal muscles and hyporeflexia that are seen in malignant hyperthermia further distinguish this condition from the serotonin syndrome.43 The neuroleptic malignant syndrome is an idiopathic reaction to dopamine antagonists, a condition that is defined by a slow onset, bradykinesia or akinesia, "lead pipe" muscular rigidity, hyperthermia, fluctuating consciousness, and autonomic instability.44 Signs and symptoms of the neuroleptic malignant syndrome typically evolve during several days, in contrast to the rapid onset and hyperkinesia of the serotonin syndrome. Knowledge of the precipitating drug also helps in distinguishing between syndromes: dopamine antagonists produce bradykinesia, whereas serotonin agonists produce hyperkinesia.45.
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We have analysed the numerous in vitro and in vivo pharmacological studies which have been conducted on the activity of homeopathic medicines, both unitary having a single active constituent ; and complex having a number of active constituents ; . Of the hundreds of studies examined, we have selected 65 publications: 38 relating to unitary and 27 to compound homeopathic medicines, In each case the original bibliographical source is cited, together with the title in English translation or original ; , where available. The purpose of this volume is to analyse in particular some of the most significant publications relating to human clinical trials of homeopathic medicines versus placebo and homeopathic medicines versus conventional medicines. We also consider it interesting to mention the most significant in vivo and in vitro studies designed to establish the efficacy of homeopathic medicines, because basic research is crucial to the advance of medical and biological knowledge, and is the necessary prelude to human clinical trials.
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