Novotny, Miroslav published the artcileFixed combination of cinnarizine and dimenhydrinate versus betahistine dimesylate in the treatment of Meniere’s disease: a randomized, double-blind, parallel group clinical study, Synthetic Route of 54856-23-4, the publication is International Tinnitus Journal (2002), 8(2), 115-123, database is CAplus.
In a randomized, double-blind clin. study, we evaluated the efficacy and tolerability of the fixed combination of cinnarizine, 20 mg, and dimenhydrinate, 40 mg (Arlevert [ARL]) in comparison to betahistine dimesylate (12 mg) in 82 patients suffering from Meniere’s disease for at least 3 mo and showing the characteristic triad of symptoms (paroxysmal vertigo attacks, cochlear hearing loss, and tinnitus). The treatment (one tablet three times daily) extended to 12 wk, with control visits at 1, 3, 6, and 12 wk after drug intake. The study demonstrated for both the fixed-combination ARL and for betahistine a highly efficient reduction of vertigo symptoms in the course of the 12 wk of treatment; however, no statistically significant difference between the two treatment groups could be established. Similar results were found for tinnitus (approx. 60% reduction) and for the associated vegetative symptoms (almost complete disappearance). Vestibulospinal reactions, recorded by craniocorpog., also improved distinctly, with a statistically significant superiority of ARL vs. betahistine (p <.042) for the parameter of lateral sway (Unterberger’s test). The caloric tests (electronystagmog.) showed only minor changes for both treatment groups in the course of the study. A statistically significant improvement of hearing function of the affected ear (p =.042) was found for the combination preparation after 12 wk of treatment. The tolerability was judged by the vast majority of patients (97.5%) in both groups to be very good. Only one patient (betahistine group) reported a nonserious adverse event, and two betahistine patients did not complete the study. In conclusion, the combination preparation proved to be a highly efficient and safe treatment option for Meniere’s disease and may be used both in the management of acute episodes and in long-term treatment. Efficacy and safety were similar to the widely used standard therapy with betahistine.
International Tinnitus Journal published new progress about 54856-23-4. 54856-23-4 belongs to pyridine-derivatives, auxiliary class Pyridine,Salt,Amine,Inhibitor,Inhibitor, name is N-Methyl-2-(pyridin-2-yl)ethan-1-amine dimethanesulfonate, and the molecular formula is C10H20N2O6S2, Synthetic Route of 54856-23-4.
Referemce:
https://en.wikipedia.org/wiki/Pyridine,
Pyridine | C5H5N – PubChem