Treatment of pain and neurological conditions

Abstract

The present disclosure is directed toward uses of compound 1 (or its stereoisomers) and compositions and/or dosage forms containing compound 1:or a pharmaceutically acceptable salt thereof. Some uses of Compound 1 and/or its stereoisomers include treating a variety of diseases and disorders, including pain, depression, and schizophrenia. In some embodiments, Compound 1 and/or its stereoisomers may be useful in the treatment of a substance use disorder while inducing fewer withdrawal symptoms than a standard-of-care opioid addiction treatment.

1 . A method of treating a disease or disorder, comprising administering compound 1 to a human being in need thereof, wherein compound 1 is represented by the formula: 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein the disease or disorder is pain, depression, schizophrenia, obesity or weight-gain, or a substance use disorder; wherein for the treatment of a substance use disorder, compound 1 reverses intoxication or reduces cravings for an addictive substance other than alcohol while inducing fewer withdrawal symptoms than a standard-of-care opioid addiction treatment. 
     
     
         2 . The method of  claim 1 , wherein the disease or disorder is pain. 
     
     
         3 . The method of  claim 2 , wherein compound 1 is administered without an opioid. 
     
     
         4 . The method of  claim 1 , wherein the disease or disorder is depression. 
     
     
         5 . The method of  claim 1  wherein the disease or disorder is schizophrenia. 
     
     
         6 . The method of  claim 1 , wherein the disease or disorder is obesity or weight-gain. 
     
     
         7 . A method of  claim 1 , wherein the disease or disorder is a substance use disorder, wherein compound 1 induces fewer withdrawal symptoms than a standard-of-care opioid addiction treatment. 
     
     
         8 . The method of  claim 7 , wherein the substance use disorder is addiction to a pain medication. 
     
     
         9 . The method of  claim 7 , wherein the substance use disorder is addiction to an opioid. 
     
     
         10 . The method of  claim 9 , wherein the opioid is carfentanil, oxymorphone, hydromorphone, Percocet, tramadol, meperidine, codeine, fentanyl, heroin, morphine, oxycodone, hydrocodone, propoxyphene, methadone, meperidine, nalbuphine, pentazocine, butorphanol, or a combination thereof. 
     
     
         11 . The method of  claim 7 , wherein the standard-of-care opioid addiction treatment is buprenorphine, methadone, naloxone, or naltrexone. 
     
     
         12 . The method of  claim 7 , wherein the standard-of-care opioid addiction treatment is naloxone or naltrexone. 
     
     
         13 . The method of  claim 1 , wherein about 0.01 mg to about 1000 mg of compound 1 is released or administered daily to the human being in need thereof. 
     
     
         14 . The method of  claim 13 , wherein about 1 mg to about 400 mg of compound 1 is released or administered daily to the human being in need thereof. 
     
     
         15 . The method of  claim 1 , wherein compound 1 is administered to the human being once, twice, three times, or four times a day.