Ex parte DICPINIGAITIS - Page 8




          Appeal No. 1997-2829                                                        
          Application No. 08/456,090                                                  


          skill of the art (Kreutner, col. 3, lines 58-60).  Kreutner                 
          teaches that the amount and frequency of the administration of              
          baclofen will be regulated according to the judgment of the                 
          attending clinician with respect to the age, condition and                  
          size of the patient, and the severity of the symptom being                  
          treated (Kreutner, col. 3, line 66, to col. 4, line 3).                     
               Kreutner does not specifically address coughs induced by               
          the administration of an ACE inhibitor.  However, Kreutner                  
          does not limit the source of the cough.  According to                       
          Kreutner, baclofen has unexpectedly surprising activity as an               
          antitussive agent (Kreutner, col. 1, lines 65-67).  Baclofen                
          has demonstrated cough suppressing activity significantly                   
          (about 14 to 40 times) better than codeine in the tests                     
          performed by Kreutner (Kreutner, col. 3, lines 2-5; col. 6,                 
          lines 8-12).  Administering baclofen in an antitussive                      
          effective amount avoids the possible side effects caused by                 
          GABA-A agonism, such as motor-incoordination, confusion,                    
          light-headedness, and other adverse psychomotor and                         
          psychological effects (Kreutner, col. 1, lines 42-52; col. 1,               
          line 67, to col. 2, line 2).  Kreutner strongly suggests that               



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