Strontium-containing complexes for treatment of pain, pruritis and inflammation
Therapeutically-active compositions that combine strontium with at least one additional molecules that increase the overall therapeutic potency of the combination beyond the potency of any of the separate constituents. Specifically, the combinations perform two important functions; (1) they increase the ability of topically-applied strontium to inhibit both acute sensory irritation (e.g., pruritus and pain), redness, swelling and inflammation (collectively defined for purposes of this description, “irritation”) and the chronic irritation that is characteristic of and contributes to the development and maintenance of painful or pruritic neuropathic conditions; and (2) they decrease the strontium activated pathways that are known to enhance the development and maintenance of pain, pruritis and neuropathic conditions.
1. A formulation comprising:
a complex of divalent cationic strontium, N-acetylcysteine or an ester thereof and at least one polyhydroxyphenol selected from the group consisting of gallic acid and caffeic acid, wherein the N-acetylcysteine or an ester thereof and the polyhydroxyphenol are conjugated together by a thioester bond formed by a sulfhydryl group of the N-acetylcysteine or an ester thereof and a carboxyl group of the polyhydroxyphenol moiety; and
a pharmaceutically-acceptable delivery system.
2. The formulation of claim 1 , wherein the formulation is configured for administration to the oral cavity.
3. The formulation of claim 1 , further comprising a polymer.
4. The formulation of claim 3 , wherein the polymer is a neutral or anionic polymer.
5. The formulation of claim 4 , wherein the neutral polymer is polyvinylpyrrolidone.
6. The formulation of claim 5 , wherein the polyvinylpyrrolidone is chemically modified by derivatization and/or crosslinking.
7. The formulation of claim 1 , further comprising at least one aromatic amino acid selected from the group consisting of histidine, tyrosine, phenylalanine and tryptophan.
8. The formulation of claim 7 , wherein the at least one aromatic amino acid is an L-isomer.
9. A method of treating acute pain or pruritus in a subject comprising administering the formulation of claim 1 to the subject.
10. A method of treating chronic pain or pruritus in a subject comprising administering the formulation of claim 1 to the subject.
11. A method of treating neuropathic pain or pruritus in a subject comprising administering the formulation of claim 1 to the subject.
12. A method of reducing pain associated with an oral condition in a subject comprising administering the formulation of claim 1 to the subject.
13. The method of claim 12 , wherein the oral condition is selected from the group consisting of oral ulcers, throat ulcers due to infection, trauma, chemical irritant exposure, malignancy, sore throat, aphthous ulcers, infections that occur in and around nociceptors, and Herpes simplex infections.