Claims
- 1. A method of treating physiological or drug induced psychosis or dyskinesia in a mammal comprising administering to the mammal an antipsychotic or anti-dyskinetic effective amount of a compound having the formula: ##STR176## or a pharmaceutically acceptable salt or an N-oxide thereof wherein: a is a single or double bond, provided that when a is a double bond, R.sup.2 (CH.sub.2).sub.n is attached at C-4 and R.sup.16 is not present;
- n is 1-4, provided that when (CH.sub.2).sub.n is attached to the 2-position of the piperidine ring then n is 2-4;
- R.sup.1 is (CH.sub.2).sub.m R.sup.3 or (CH.sub.2).sub.p Ar, where m is 1-4 and p is 1-4;
- R.sup.2 is ##STR177## R.sup.3 is cycloalkyl of 3 to 8 carbon atoms; R.sup.4 is 1-4 substituents independently selected from the group consisting of H, halogen, NO.sub.2, NH.sub.2, haloalkyl of 1 to 3 carbon atoms and 1 to 7 halogen atoms, C.sub.1 -C.sub.3 alkyl, NHCOR.sup.7, NHCO-phenyl, OH, OR.sup.8 and Ar';
- R.sup.5 and R.sup.6 independently are H, alkyl of 1 to 3 carbon atoms, Ar" or taken together form a 2-5 carbon atom alkyl or alkenyl group;
- R.sup.7 and R.sup.8 independently are H or alkyl of 1 to 3 carbon atoms;
- X is O; H.sub.2 ; (H, OH); (R.sup.9, OH); (Ar'", OH); (H, R.sup.9); or (H, OR.sup.10);
- Y is CH.sub.2, CHR.sup.10, C(R.sup.10).sub.2, CH.sub.2 CH.sub.2, (CH.sub.2).sub.3, ##STR178## Ar, Ar', Ar" and Ar'" independently are phenyl, naphthyl, each optionally substituted with 1-5 substituents independently selected from the group consisting of:
- H, halogen, OH, alkoxy of 1 to 3 carbon atoms, NR.sup.11 R.sup.12, SH, S(O).sub.t R.sup.13, where t is 0-2, haloalkyl of 1 to 3 carbon atoms and 1 to 7 halogen atoms, alkyl of 1 to 3 carbon atoms, CO.sub.2 H, carboalkoxy of 2 to 6 carbon atoms, CN, NO.sub.2, SO.sub.2 NH.sub.2, SO.sub.3 H, CO.sub.2 NR.sup.14 R.sup.15, or phenyl;
- R.sup.9 is selected from the group consisting of:
- alkyl of 1-20 carbon atoms or alkenyl or alkynyl of 2-20 carbon atoms, said alkyl, alkenyl, or alkynyl group being optionally substituted with substituents independently selected from:
- - 2cycloalkyl groups of 3-8 carbons,
- 1-6 halogen,
- 1-3 OH,
- 1-3 OR.sup.10,
- 1-2 Ar"";
- cycloalkyl of 3-8 carbon atoms; or
- Ar"";
- R.sup.10 is alkyl of 1-3 carbon atoms;
- Ar"" is phenyl, naphthyl, pyrrolyl, furyl, thienyl, indolyl, benzofuryl, benzothienyl, pyridyl, pyrimidyl, quinolyl, or isoquinolyl. each of which may be substituted with 0-5 groups independently selected from the group consisting of:
- H, halogen, OH, alkoxy of 1 to 3 carbon atoms, NR.sup.11 R.sup.12, SH, S(O).sub.t R.sup.13, where t is 0-2, haloalkyl of 1 to 3 carbon atoms and 1 to 7 halogen atoms, alkyl of 1 to 3 carbon atoms, CO.sub.2 H, carboalkoxy of 2 to 6 carbon atoms, CN, NO.sub.2, SO.sub.2 NH.sub.2, SO.sub.3 H, CO.sub.2 NR.sup.14 R.sup.15, or phenyl;
- R.sup.11 -R.sup.15 independently are H or alkyl of 1 to 3 carbon atoms; and
- R16 is H; alkyl of 1-12 carbons; phenyl or 1-2-naphthyl optionally substituted with one or two substituents independently selected from the group consisting of:
- F, Cl, Br, I, perfluoroalkyl, or alkoxy, or 2- and 3-thienyl;
- provided however that:
- (1) when R.sup.1 is (CH.sub.2).sub.p Ar (p is 1);
- R.sup.2 is ##STR179## and is attached at the C-4 position on the piperidine ring; then X cannot be H2; and
- (2) when (CH.sub.2).sub.n R.sub.2 is attached to the 4-position of the piperidine ring, then R.sup.16 is H, alkyl or aryl.
- 2. The method of claim 1 wherein R.sup.2 in the compound of formula I
- is selected from the group consisting of ##STR180## where X, Y, R.sup.4, R.sup.5 and R.sup.6 are as defined in claim 1.
- 3. The method of claim 1 wherein n is 1 in the compound of Formula I.
- 4. The method of claim 2 wherein R.sup.2 is ##STR181##
- 5. The method of claim 4 wherein X is O.
- 6. The method of claim 2 wherein ##STR182##
- 7. The method of claim 6 wherein X is O.
- 8. The method of claim 6 wherein Y is (CH.sub.2).sub.3.
- 9. The method of claim 2 wherein
- R.sup.2 is ##STR183##
- 10. The method of claim 2 wherein in the compound of formula I
- R.sup.1 is (CH.sub.2).sub.p Ar;
- (CH.sub.2)nR.sup.2 is attached at the C-4 position of the piperidine ring;
- n is 1;
- R.sup.2 is ##STR184## X is wherein X is O, H.sub.2, (H, CH.sub.3), or (H, n-Hexyl); R.sup.4, is H;
- p is 2; and
- Y is (CH.sub.2).sub.3.
REFERENCE TO RELATED EARLIER FILED APPLICATIONS
This patent application is a continuation-in-part of U.S. patent application Ser. No. 07/602,024, filed Oct. 23, 1990, now abandoned, which was a continuation-in-part of U.S. patent application Ser. No. 07/428,097, filed Oct. 27, 1989.
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Continuation in Parts (2)
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Number |
Date |
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Parent |
602024 |
Oct 1990 |
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Parent |
428097 |
Oct 1989 |
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