Guidelines for the examination of pharmaceutical patents : developing a public health perspective

as contained in application WO8903692) Compositions useful in the treatment of disturbances of appetite, disturbances of mood, or both, associated with premenstrual syndrome, as well as methods of use therefor. The compositions include serotoninergic drugs, such as d-fenfluramine and fluoxetine. Claims 1. Use of one or more serotonin-mediated neurotransmission enhancing drugs for the manufacture of a medicament for treating disturbances of mood, disturbances of appetite, or both, associated with premenstrual syndrome in women. 6. Use of a drug selected from the group consisting of a monoamine oxidase inhibitor, lithium and tryptophan and a drug selected from the group consisting of dfenfluramine, d,l-fenfluramine, chlorimipramine, cyanimipramine, fluoxetine, paroxetine, fluvoxamine, citalopram, femoxetine, cianopramine, ORG 6582, RU 25591 and LM 5008, lS-4S-Nmethyl-4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-l-naphthylamine, DU 24565, indalpine, CGP 6085/A, WY 25093, alaprociate, zimelidine, trazodone, amitriptyline imipramine, trimipramine, doxepin, protiptyline, nortiptyline and dibenzoxazepine; b. tryptophan and a drug selected from the group consisting of: metergoline, methysergide, cyproheptadine, deprenyl, isocarboazide, phenelzine, tranylcypromine, furazolidone, procarbazine, moclobemide and brofaromine; c. a drug selected from the group consisting of fluoxetine, paroxetine, cyanimipramine, fluvoxamine, citalopram, femoxetine, cianopramine, ORG 6582, RU 25591, LM 5008, lS-4S-N-methyl-4-(3,4dichlorophenyl)-1,2,3,4-tetrahydro-l-naphthylamine, DU 24565, indapline, CGP 6085/A, WY 25093, alaprociate, zimelidine, trazodone, amitriptyline, imipramine, trimipramine, doxepin, protriptyline, nortriptyline, dibenzoxazepine, and a drug selected from the group consisting of metergoline, methysergide, and cyproheptadine; or d. d-fenfluramine, d,l-fenfluramine or chlorimipramine and a drug selected from the group consisting of fluoxetine, fluvoxamine, citalopram, femoxetine, paroxetine, cianopramine, ORG 6582, RU 25591, LM 5008, lS-4S-Nmethyl-4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-l-naphthylamine, DU 24565, indalpine, CGP 6085/A, WY 25093, alaprociate, zimelidine, trazodone cyanimipramine, amitriptyline, imipramine, trimipramine, doxepin, protriptyline, and dibenzoxazepine; all for the manufacture of a medicament for treating disturbances of mood, disturbances of appetite, or both, associated with premenstrual syndrome, in a woman having premenstrual syndrome. 54 Guidelines for the examination of pharmaceutical patents: developing a public health perspective