Methods and compositions for treating anxiety disorders or symptoms thereof

Abstract

The present invention relates to methods and compositions for reducing distress dysfunction, including emotional and physical distress. The invention entails co-administration of at least one Receptor Switcher and at least one Endorphin Enhancer. Additionally, at least one Synergistic Enhance and/or at least one Exogenous Opioid are also administered to enhance or prolong the therapeutic effects.

1 .- 41 . (canceled) 
     
     
         42 . A method to safely and effectively treat anxiety conditions, symptoms and/or disorders in a subject in need comprising:
 (a) administering at least one Receptor Switcher to the subject, wherein the Receptor Switcher is naltrexone; and   (b) administering at least one Endorphin Enhancer to the subject, wherein the Endorphin Enhancer is the PDE inhibitor ibudilast.   
     
     
         43 . The method of  claim 42 , wherein the anxiety conditions, symptoms and/or disorders are selected from the group consisting of Panic Disorders, Agoraphobia, Specific Phobias, Social Phobias, Obsessive-Compulsive Disorder, Post-Traumatic Stress Disorder, Acute Stress Disorder, Generalized Anxiety Disorder, Substance-Induced Anxiety, Anxiety Related to Medical Disorders, Anxiety Disorder Not Otherwise Specified (NOS), as well as signs and symptoms of anxiety, stress, agitation, and worry that are not classified as an Anxiety Disorder. 
     
     
         44 . The method of  claim 42 , wherein the combination of the Receptor Switcher and the Endorphin Enhancer results in a decrease in side effects associated with administration of the compounds alone. 
     
     
         45 . The method of  claim 42 , wherein:
 (a) naltrexone is administered in an amount of about 1 microgram up to about 125 micrograms;   (b) naltrexone is administered in a range of about 125 up to about 500 micrograms; or   (c) naltrexone is administered in an range of about 500 up to about 1000 micrograms.   
     
     
         46 . The method of  claim 42 , wherein the Receptor Switcher is naltrexone, and naltrexone is administered in the dosage range of about 1 microgram up to about 1000 micrograms. 
     
     
         47 . The method of  claim 42 , wherein the Receptor Switcher is naltrexone, and naltrexone is administered in the dosage range of about 1 microgram up to about 500 micrograms. 
     
     
         48 . The method of  claim 42 , wherein the Receptor Switcher is naltrexone, and naltrexone is administered in the dosage range of about 1 microgram up to about 125 micrograms. 
     
     
         49 . The method of  claim 42 , wherein the subject has previously taken an Endorphin Enhancer, an Exogenous Opioid, a Synergistic Enhancer, or any combination thereof, wherein:
 (a) the Endorphin Enhancer is selected from the group consisting of theophylline, roflumilast, ibudilast, cilomilast, ardenafil, tadalafil, sildenafil, zaprinast, rolipram, methylxanthine, milrinone, inaminone, cilostazol, caffeine, guarana, ginkgo biloba, forskolin, glutamic acid, aspartic acid, glutamine, mono-sodium glutamate (MSG), N-methyl-D-asparate (NMDA), aminophylline;   (b) the Exogenous Opioid is selected from the group consisting of tramadol, morphine, oxycodone, hydrocodone, papaverine, codeine, dihydrocodeine, fentanyl, hydromorphone, buprenorphine, butorphanol, methadone, alfentanil, loperamide, levorphanol, menthol, meperidine, nalbuphine, oxymorphone, pentazocine, pentazocine, propoxyphene, remifentanil, and sufenta; [from original claim  59 ] and   (c) the Synergistic Enhancer is selected from the group consisting of selective serotonin reuptake inhibitors (SSRIs), selective norepinephrine reuptake inhibitor (SNRIs), non-opioid analgesics, non-steroidal anti-inflammatory agents (NSAIDs), cannabis, acetaminophen, acetylsalicylic acid, white willow bark, ibuprofen, amino acids, 5HTP, tryptophan, S-adenosylmethionine (SAMe), GABA, pharmaGABA, tyrosine, taurine, arginine, celecoxib, methylphenidate, acetyl-L-carinitine, L-theanine, magnesium, menthol, myhhr gum, boswellia, and any combination thereof.   
     
     
         50 . The method of  claim 42 , wherein the mode of administration is selected from the group consisting of oral, pulmonary, nasal, sublingual, parenteral, and transdermal. 
     
     
         51 . The method of  claim 42 , wherein the Receptor Switcher and Endorphin Enhancer are administered orally. 
     
     
         52 . The method of  claim 42 , wherein the pharmaceutical formulation is delivered in a pharmaceutically-acceptable carrier that is rapid release, immediate-release, slow-release, delayed-released, controlled release, a combination of immediate release and controlled release, a nano-encapsulation formulations, or an abuse and/or tamper-resistant delivery system.