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Title:
PHARMACEUTICAL COMPOSITION OF A PDE4 OR A PDE3/4 INHIBITOR AND A HISTAMINE RECEPTOR ANTAGONIST
Document Type and Number:
WIPO Patent Application WO/2003/074055
Kind Code:
A1
Abstract:
The invention relates to the combined administration of PDE4 or PDE3/4 inhibitors and histamine receptor antagonists for the treatment of respiratory diseases.

Inventors:
BEUME ROLF (DE)
BUNDSCHUH DANIELA (DE)
WEIMAR CHRISTIAN (DE)
WOLLIN STEFAN-LUTZ (DE)
Application Number:
PCT/EP2003/001876
Publication Date:
September 12, 2003
Filing Date:
February 25, 2003
Export Citation:
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Assignee:
ALTANA PHARMA AG (DE)
BEUME ROLF (DE)
BUNDSCHUH DANIELA (DE)
WEIMAR CHRISTIAN (DE)
WOLLIN STEFAN-LUTZ (DE)
International Classes:
A61K9/08; A61K9/00; A61K9/12; A61K9/14; A61K31/4375; A61K31/4409; A61K31/4425; A61K31/4523; A61K31/4545; A61K45/06; A61P11/00; A61P11/06; A61P11/08; A61P37/08; A61P43/00; (IPC1-7): A61K31/4425; A61K31/4523; A61K31/4375; A61K45/06; A61P11/06; A61P11/08
Domestic Patent References:
WO2003000289A12003-01-03
WO2001030777A12001-05-03
Foreign References:
EP1005865A12000-06-07
US5962464A1999-10-05
Other References:
ANDRI L ET AL: "Combined treatment of allergic rhinitis with terfenadine and nimesulide, a non-steroidal antiinflammatory drug", ALLERGIE ET IMMUNOLOGIE, NOUVELLES EDITIONS MEDICALES FRANCAISES, PARIS, FR, vol. 24, no. 8, October 1992 (1992-10-01), pages 313 - 314,317-319, XP002102388, ISSN: 0397-9148
HATZELMANN A ET AL: "ANTI-INFLAMMATORY AND IMMUNOMODULATORY POTENTIAL OF THE NOVEL PDE4 INHIBITOR ROFLUMILAST IN VITRO", JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS, AMERICAN SOCIETY FOR PHARMACOLOGY AND, US, vol. 297, no. 1, 2001, pages 267 - 279, XP001024814, ISSN: 0022-3565
Attorney, Agent or Firm:
ALTANA PHARMA AG (Konstanz, DE)
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Claims:
Patent claims
1. A pharmaceutical composition comprising, in admixture, a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmaceutically acceptable derivatives, and a second active ingredient which is selected from a histamine receptor antagonist and its pharma ceutically acceptable derivatives.
2. A pharmaceutical composition according to claim 1, wherein the first and/or second active ingre dient is in the form of a pharmaceutically acceptable salt, solvate, Noxide or solvate of an salt or Noxide.
3. A pharmaceutical composition according to claim 1 or 2, which is a fixed oral combination.
4. A pharmaceutical composition according to claim 1 or 2, which is a dry powder for use in a dry powder inhaler.
5. A pharmaceutical composition according to claim 1 or 2, which is an aqueous preparation for nasal administration.
6. A pharmaceutical composition according to claim 1 or 2, in which the PDE4 inhibitor, the PDE3/4 inhibitor or their pharmaceutical acceptable derivatives and the histamine receptor antagonist or its pharmaceutically acceptable derivate is combined with a propellant to form a composition which is delivered using a metered dose inhaler.
7. A pharmaceutical composition according to any of the claims 1 to 6, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluorometh oxyN (3, 5dichloropyrid4yl)benzamide [INN : ROFLUMILAST], () cis9ethoxy8methoxy2 methyl1, 2,3, 4,4a, 1 Obhexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthy ridine [INN : PUMAFENTRINE], 3, 5dichloro4 [8methoxy2 (trifluoromethyl) quinolin5ylcarbox amido] pyridine1oxide [Research Code: SCH351591], 3 [3 (cyclopentyloxy)4methoxybenzyl] 6 (ethylamino)8isopropyl3Hpurine [ResearchCode: V11294A], N [9methyl4oxo1phenyl 3,4, 6, 7tetrahydropyrrolo [3,2, 1 jk] [1,4] benzodiazepin3 (R)yl] pyridine4carboxamide [Research Code: CI1018], 4 (3, 4dimethoxyphenyl) thiazole2carboxamide oxime [Research Code: ORG 20241], 3, 7dihydro3 (4chlorophenyl)1propyl1Hpurine2, 6dione [INN AROFYLLINE], 3 [3 (Cyclopentyloxy)4methoxybenzylamino]1 Hpyrazole4methanol, N (3, 5dichloro4pyridinyl)2 [1 (4fluorobenzyl)5hydroxy1 Hindol3yl]2oxoacetamide [ResearchCode: AWD12281], N (3, 5dichloropyridin4yl)2 [5fluoro1 (4fluorobenzyl)1 Hindol3yl]2oxoacetamide [ResearchCode: AWD12343], 8Amino1, 3bis (cyclopropylmethyl) xanthine [INN : CIPAMFYL UNE], Tetrahydro5 [4methoxy3 [ (1 S, 2S, 4R)2norbornyloxy] phenyl]2 (1 H)pyrimidone [INN : ATIZORAM], 9 [3 (Cyclopentyloxy)4methoxyphenyl]1, 3dihydro1, 3dioxo2Hisoindole2pro panamide [ResearchCode: CDC801], Methanesulfonic acid 2 (2, 4dichlorophenylcarbonyl)3 ureidobenzofuran6yl ester [INN : LIRIMILAST], (Z)5 (3, 5ditertbutyl4hydroxybenzylidene)2 imidazothiazolidin4one [INN : DARBUFELONE], cis [4Cyano4 (3cyclopentyloxy4methoxy phenyl) cyclohexane1carboxylic acid [INN : CILOMILAST] and the compounds with the research codes CDC998, SH636, D4396, IC485, CC1088 and KW4490, and the histamine receptor antagonist is selected from the group consisting of (E)6[(E)3(1pyrrolidinyl)1ptolypropenyl] 2pyridineacrylic acid [INN : ACRIVASTINE], 6, 11Dihydro11(1methyl4piperidyliden)5Hben zo [5,6] cyclohepta [1, 2b] pyridin [INN : AZATADINE], 4[(4chlorophenyl)methyl]2(hexahydro1 methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (+) (S)4 [4 [I (4chlorophenyl) 1 (2pyridyl) methoxy] piperidin1yl]butanoic acid [INN : BEPOTASTINE], (plus/minus) [2 [4 (p chloroalphaphenylbenzyl)1piperazinyl]ethoxy]acetic acid [INN: CETIRIZINE], (+)2{2[(p Chloralphamethylalpha phenylbenzyl) oxy] ethyl}1methylpyrrolidin [INN : CLEMASTINE], 8chloro6,11dihydro11(4piperidylidene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], [3(4Chlorophenyl)3pyridin2ylpropyl]dimethylamine [INN : DEXCHLOR PHENIRAMINE], 4'tertbutyl4 [4 (diphenylmethoxy) piperidino] butyrophenone [INN : EBASTINE], [2 [4 [bis (pfluorophenyl) methyl]1piperazinyl] ethoxy] acetic acid [INN : EFLETIIZINE], 1(2eth oxyethyl)2 (hexahydro4methyl1 H1, 4diazepin1yl)benzimidazole [INN : EMEDASTINE], 3amino9, 13bdihydro1Hdibenz [c, f] imidazo [1,5a] azepine [INN : EPINASTINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmethyl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], 3[4(8fluoro5,11dihydrobenz [b] oxepino [4,3b] pyridin11ylidene)piperidin 1yl] propionic acid [Research Code: HSR609], ()(3S,4R)1[cis4cyano4(pfluorophenyl) cyclohexyl]3methyl4phenylisonipecotic acid [INN : LEVOCABASTINE], [2[4[(R)pchloro alphaphenylbenzyl)1piperazinyl] ethoxy] acetic acid [INN : LEVOCETIRIZINE], ethyl 4 (8chloro 5, 6dihydro11Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : <BR> <BR> <BR> LORATADINE], 2 [N [1 (4fluorobenzyl)1 Hbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H)one [INN : MIZOLASTINE], 1(4fluorobenzyl)2(piperidin4ylamino)1Hbenz imidazole [INN : NORASTEMIZOLE], 3(10,11dihydro5Hdibenzo [a, d] cyclohepten5ylidene)N methyl1propanamine [INN : NORTRIPTYLINE], 9methyl3 (1Htetrazol5yl)4Hpyrido [1,2a] pyrimidin4one [INN : PEMIROLAST], 8chloro11[1(5methylpyridin3ylmethyl)piperidin4yl <BR> <BR> <BR> idene] 6, 11dihydro5Hbenzo [5,6] cyclohepta [1,2b] pyridine [INN : RUPATADINE], 1[2[(pchloro alphamethylalphaphenylbenzyl) oxy] ethyl]hexahydro1Hazepine [INN : SETASTINE], S (7carb oxy4hexyl9oxoxanthen2yl)Smethylsulfoximine [INN : SUDEXANOX], 1 (ptertbutylphenyl) 4 [4' (alphahydroxydiphenylmethyl)1'piperidyl]butanol [INN : TERFENADINE], NbenzylN, N' dimethylN (2pyridyl)ethylenediamine [INN : TRIPELENAMINE] and 1 (4fluorobenzyl)2 (piperi din4ylamino)1Hbenzimidazole [INN : TECASTEMIZOLE].
8. A pharmaceutical composition according to any of the claims 1 to 6, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluorometh oxyN (3, 5dichloropyrid4yl)benzamide [INN : ROFLUMILAST], () cis9ethoxy8methoxy2 methyl1, 2,3, 4,4a, 1 Obhexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyri dine [INN : PUMAFENTRINE], 3, 5ichloro4[8methoxy2(trifluoromethyl0quinolin5ylcarbox amido] pyridine1oxide [Research Code: SCH351591], 3 [3 (cyclopentyloxy)4methoxybenzyl] 6 (ethylamino)8isopropyl3Hpurine [ResearchCode: V11294A], N [9methyl4oxo1phenyl 3,4, 6, 7tetrahydropyrrolo [3,2, 1jk] [1,4] benzodiazepin3 (R)yl] pyridine4carboxamide [Research Code: Cl1018], 4 (3, 4dimethoxyphenyl) thiazole2carboxamide oxime [Research Code: ORG 20241], 3, 7dihydro3 (4chlorophenyl)1propyl1Hpurine2, 6dione [INN AROFYLLINE], 3 [3 (Cyclopentyloxy)4methoxybenzylamino]1 Hpyrazole4methanol, N (3, 5dichloro4pyridinyl)2 [1 (4fluorobenzyl)5hydroxyI Hindol3yl]2oxoocetamide [ResearchCode: AWD12281], N (3, 5dichloropyridin4yl)2 [5fluoro1 (4fluorobenzyl)1 Hindol3yl]2oxoacetamide [ResearchCode: AWD12343], 8Amino1, 3bis (cyclopropylmethyl) xanthine [INN : CIPAM FYLLINE], Tetrahydro5[4methoxy3[(1S, 2S, 4R)2norbornyloxy] phenyl]2 (1H)pyrimidone [INN : ATIZORAM], ß[3(Cyclopentyloxy)4methoxyphenyl]1,3dihydro1,3dioxo2Hisoindole2 propanamide [ResearchCode: CDC801], Methanesulfonic acid 2 (2, 4dichlorophenylcarbonyl) 3ureidobenzofuran6yl ester [INN : LIRIMILAST], (Z)5 (3, 5ditertbutyl4hydroxybenzylidene) 2imidazothiazolidin4one [INN : DARBUFELONE], cis [4Cyano4 (3cyclopentyloxy4methoxy phenyl) cyclohexane1carboxylic acid [INN : CILOMILAST] and the compounds with the research codes CDC998, SH636, D4396, IC485 and CC1088, and the histamine receptor antagonist is selected from the group consisting of (E)6[(E)3(1pyrrolidinyl)1ptolypropenyl]2pyridineacryl lic acid [INN : ACRIVASTINE], 6, 11Dihydro11(1methyl4piperidyliden)5Hbenzo [5,6] cyclohep ta [1, 2b] pyridin [INN : AZATADINE], 4[(4chlorophenyl)methyl]2(hexahydro1methyl1Haze pin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (+)(S)4[4[1(4chlorophenyl)1(2pyridyl) methoxy] piperidin1yi]butanoic acid [INN : BEPOTASTINE], (plus/minus) [2 [4 (pchloroalpha phenylbenzyl)1piperazinyl] ethoxy]acetic acid [INN : CETIRIZINE], (+)2 {2 [ (pChloralpha methylalpha phenylbenzyl) oxy] ethyl}1methylpyrrolidin [INN : CLEMASTINE], 8chloro6, 11 dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], [3 (4Chlorophenyl)3pyridin2ylpropyl]dimethylamine [INN : DEXCHLORPHENIRAMINE], 4' tertbutyl4 [4 (diphenylmethoxy) piperidino] butyrophenone [INN : EBASTINE], [2 [4 [bis (pfluoro phenyl) methyl]1piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1 (2ethoxyethyl)2 (hexa hydro4methyl1 H1, 4diazepin1yl)benzimidazole [INN : EMEDASTINE], 3amino9,13bdihy dro1Hdibenz [c, f]imidazo [1,5a] azepine [INN : EPINASTINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenyl methyl) piperidino]butyl]al phamethylhydratropic acid [INN : FEXOFENADINE], 3 [4 (8fluoro5, 11dihydrobenz [b] oxepino [4,3b]pyridin11ylidene)piperidin1yl]propionic acid [Research Code: HSR609], () (3S, 4R)1 [cis4cyano4 (pfluorophenyl) cyclohexyl]3methyl4 phenylisonipecotic acid [INN : LEVOCABASTINE], [2 [4 [ (R)pchloroalphaphenylbenzyl)1pipe razinyl] ethoxy]acetic acid [INN : LEVOCETIRIZINE], ethyl 4(8chloro5, 6dihydro11Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], 2 [N [1 (4 fluorobenzyl)1 Hbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H)one [INN : Ml ZOLASTINE], 1(4fluorobenzyl)2(piperidin4ylamino)1 Hbenzimidazole [INN : NORASTEMI ZOLE], 3 (10, 11dihydro5Hdibenzo [a, d] cyclohepten5ylidene)Nmethyl1propanamine [INN : NORTRIPTYLINE], 9methyl3 (1Htetrazol5yl)4Hpyrido [1,2a] pyrimidin4one [INN : PEMIRO LAST], 8chloro11 [1 (5methylpyridin3ylmethyl) piperidin4ylidene]6, 11dihydro5Hbenzo [5,6] cyclohepta [1,2b] pyridine [INN : RUPATADINE], 1[2[(pchloroalphamethylalphaphenyl benzyl) oxy] ethyl] hexahydro1 Hazepine [INN : SETASTINE], S (7carboxy4hexyl9oxoxanthen 2yl)Smethylsulfoximine [INN : SUDEXANOX], 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphen ylmethyl)1'piperidyl]butanol [INN : TERFENADINE] and NbenzylN, N'dimethylN (2pyridyl) ethylenediamine [INN : TRIPELENAMINE].
9. A pharmaceutical composition according to any of the claims 1 to 6, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluorometh oxyN (3, 5dichloropyrid4yl)benzamide [INN : ROFLUMILAST] and ()cis9ethoxy8methoxy 2methyl1, 2,3, 4,4a, 1 Obhexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthy ridine [INN : PUMAFENTRINE], and the histamine receptor antagonist is selected from the group consisting of 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazi none (INN : AZELASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] ethoxy] acetic acid [INN : CETIRIZINE], 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclo hepta [1, 2b] pyridine [INN : DESLORATADINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenyl methyl) piperid ino]butyl]al phamethylhydratropic acid [INN : FEXOFENADINE], ethyl 4 (8chloro 5, 6dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [I NN : LORATADINE], 2 [N [1 (4fluorobenzyl)1Hbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H)one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenyl methyl)1'piperidyl]butanol [INN : TERFENADINE].
10. A pharmaceutical composition according to claim 9, wherein the PDE4 inhibitor or PDE3/4 inhibi tor is selected from the group consisting of ()cis9ethoxy8methoxy2methyl1, 2,3, 4,4a, 10b hexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFEN TRINE], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof.
11. A pharmaceutical composition according to claim 9, wherein the PDE4 inhibitor or PDE3/4 inhibi tor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5di chloropyrid4yl)benzamide [INN : ROFLUMILAST], a pharmaceutical acceptable salt, solvate, or Noxide thereof, or solvate of an salt or Noxide thereof.
12. A pharmaceutical composition according to any of the claims 1 to 6, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2 (tetrahydrothiopyran4yl) 4a, 5,8, 8atetrahydro2Hphthalazin1one, (cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thipyran4yl)4a,5, 8,8atetrahydro2H phthalazin1one, (cis)4(3,4Dimethoxyphenyl)2(1oxohexahydro1I4thipyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (cis)4(3,4Diethoxyphenyl)2(1,1dioxohexahydro1I6thipyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2 (1, 1dioxohexahydro116thiopyran 4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aR, 8aS)(cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thipyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (4aS, 8aR)(cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thipyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (cis)4(3Cyclopentyloxy4methoxyphenyl)2(1,1dioxohexahydro1I6thipyran4yl)4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (toluene4sulfonyl)piperidin4yl]4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 (1methanesulfonylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)2(1Acetylpiperidin4yl)4(3,4diethoxyphenyl)4a, 5,8, 8atetrahydro2Hphthalazin 1one, 5 {4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1Hphthalazin2yl]piperidin 1yl}5oxopentanoic acid, (4aS, 8aR)4(3,4Diethoxyphenyl)2[1(1pyridin4ylmethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid tertbutylamide, 4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1Hphthalazin2yl]piperidine1 carboxylic acid phenylamide, (cis)4 [4 (7Methoxy2, 2dimethyl2, 3dihydrobenzofuran4yl)1oxo4a, 5,8, 8atetrahydro1 H phthalazin2yl]piperidine1carboxylic acid tertbutylamide, (4aS, 8aR)4(3,4Dimethoxyphenyl02[1(5dimethylaminonaphthalene1sulfonyl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (4nitrophenyl)piperidin4yl]4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4(3, 4Dimethoxyphenyl)2(1pyrid in4ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)2 {1 [2 (4Am ino3, 5d ichlorophenyl)2oxoethyl]piperidin4yl}4 (3, 4dimethoxy phenyl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 4 (3, 4Dimethoxyphenyl)2 [1 (1methyl1 Hpyrazolo [3, 4d] pyrimidin4yl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hnaphthalen1one, (4aS, 8aR04(3,4Dimethoxyphenyl)2(1thieno [2,3d] pyrimidin4ylpiperidin4yl)4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyrimidin2ylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2oxo2Hchromen7ylmethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 4 (3, 4Dimethoxyphenyl)2 (1isopropylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2morpholin4yl2oxoethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1phenethylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2[1(morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyridin3ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin2ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (2morpholin4ylethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3,4Deithoxymethyl)2(1{2[4(2dimethylaminoethyl)piperazin1yl]ethanoyl} piperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hisopropylacetamide, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(41,2,3thiadiazol4ylbenzyl)piperidin4yl]4a,5,8,8a tetrahydro2Hphthalazin1one, 1 (1 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}methanoyl)4ethylpiperazine2, 3dione, 4(2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl] piperidin1yl}ethanoylamino)benzoic acid ethyl ester, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hacetamide and the histamine receptor antagonist is selected from the group con sisting of (E)6[(E)3(1pyrrolidinyl)1ptolylpropenyl]2pyridineacrylic acid [INN : ACRIVASTI NE], 6, 11Dihydro11 (1methyl4piperidyliden)5Hbenzo [5,6] cyclohepta [1, 2b] pyridin [INN : AZATADINE], 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthala zinone [INN : AZELASTINE], (+)(S)4[4[1(4chlorophenyl)1(2pyridyl) methoxy] piperidin1yl] butanoic acid [INN : BEPOTASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1pipera zinyl] ethoxy]acetic acid [INN : CETIRIZINE], (+)2{2[(pChloralphamethylalpha phenylbenz yl) oxy] ethyl}1methylpyrrolidin [INN : CLEMASTINE], 8chloro6,11dihydro11(4piperidylidene) 5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], [3 (4Chlorophenyl)3pyridin 2ylpropyl]dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'tertbutyl4 [4 (diphenylmeth oxy) piperidino] butyrophenone [INN : EBASTINE], [2[4[bis(pfluorophenyl)methyl]1piperazin yl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1(2ethoxyethyl)2(hexahydro4methyl1H1, 4dia zepin1yl)benzimidazole [INN : EMEDASTINE], 3amino9, 13bdihydro1 Hdibenz [c, f] imida zo [1,5a] azepine [INN : EPINASTINE], (plus/minus)p[1hydroxy4[4(hydroxydiphenylmethyl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], 3 [4 (8fluoro5, 11di hydrobenz [b] oxepino [4,3b] pyridin11ylidene)piperidin1yl] propionic acid [Research Code: HSR 609], () (3S, 4R)l [cis4cyano4 (pfluorophenyl) cyclohexyl]3methyl4phenylisonipecotic acid [INN : LEVOCABASTINE], [2[4[(R)pchloroalphaphenylbenzyl)1piperazinyl] ethoxy] acetic acid [INN : LEVOCETIRIZINE], ethyl 4(8chloro5,6dihydro11Hbenzo [5,6] cyclohepta [1,2b] py ridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], 2[N[1(4fluorobenzyl)1Hbenz imidazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H) one [INN : MIZOLASTINE], 1 (4fluo robenzyl)2(piperidin4ylamino)1 Hbenzimidazole [INN : NORASTEMIZOLE], 3 (10, 11dihydro 5Hdibenzo [a,d]cyclohepten5ylidene)Nmethyl1propanamine [INN : NORTRIPTYLINE], 9methyl3 Htetrazol5yl)4Hpyrido [1,2a] pyrimidin4one [INN : PEMIROLAST], 8chloro11 [1 (5methylpyridin3ylmethyl) piperidin4ylidene]6, 11dihydro5Hbenzo [5,6] cyclohepta [1,2b] pyridine [INN : RUPATADINE], 1[2[(pchloroalphamethylalphaphenylbenzyl) oxy] ethyl] hexa hydro1 Hazepine [INN : SETASTINE], S (7carboxy4hexyl9oxoxanthen2yi)Smethylsul foximine [INN : SUDEXANOX], 1(ptertbutylphenyl)4[4'(alphahydroxydiphenylmethyl)1' piperidyl]butanol [INN : TERFENADINE], NbenzylN, N'dimethylN (2pyridyl)ethylenediamine [INN : TRIPELENAMINE], and 1 (4fluorobenzyl)2 (piperidin4ylamino)1 Hbenzimidazole [INN : TECASTEMIZOLE].
13. A pharmaceutical composition according to any of the claims 1 to 6, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2 iopyran4yl) 4a, 5, 8,8atetrahydro2Hphthalazin1one, (cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3, 4Dimethoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5, 8,8atetrahydro 2Hphthalazin1one, (cis)4(3,4Diethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2(1,1dioxohexahydro1I6thiopyran 4yi)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aR, 8aS) (cis)4 (3, 4Dimethoxyphenyl)2 (1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (4aS, 8aR)(cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (cis)4 (3Cyclopentyloxy4methoxyphenyl)2 (1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (toluene4sulfonyl)piperidin4yl]4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2(1methanesulfonylpiperidin4yl)4a,5, 8,8atetrahydro2H phthalazin1one, (4aS, 8aR)2 (1Acetylpiperidin4yl)4 (3, 4diethoxyphenyl)4a, 5,8, 8atetrahydro2Hphthalazin 1one, 5{4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidin 1yl)5oxopentanoic acid, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (1pyridin4ylmethanoyl)piperidin4yl]4a, 5, 8,8atetra hydro2Hphthalazin1one, 4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid tertbutylamide, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid phenylamide, (cis)4 [4 (7Methoxy2, 2dimethyl2, 3dihydrobenzofuran4yl)1oxo4a, 5,8, 8atetrahydro1 H phthalazin2yl]piperidine1carboxylic acid tertbutylamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (5dimethylaminonaphthalene1sulfonyl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (4nitrophenyl)piperidin4yl]4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin4ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)2 {1 [2 (4Amino3, 5dichlorophenyl)2oxoethyl]piperidin4yl}4 (3, 4dimethoxy phenyl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 4 (3, 4Dimethoxyphenyl)2 [1 (1methyl1 Hpyrazolo [3,4d] pyrimidin4yl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hnaphthalen1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1thieno [2,3d] pyrimidin4ylpiperidin4yl)4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyrimidin2ylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2oxo2Hchromen7ylmethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 4 (3, 4Dimethoxyphenyl)2 (1isopropylpiperid in4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2morpholin4yl2oxoethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1phenethylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2[1(morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin3ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyridin2ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (2morpholin4ylethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2(1{2[4(2dimethylaminoethyl)piperazin1yl]ethanoyl} piperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hisopropylacetam ide, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(41, 2, 3thiadiazol4ylbenzyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 1 (1 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}methanoyl)4ethylpiperazine2, 3dione, 4 (2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}ethanoylamino)benzoic acid ethyl ester, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hacetamide and the histamine receptor antagonist is selected from the group consis ting of 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] ethoxy]acetic acid [INN : CETIRIZINE], 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5, 6] cyclohepta [1,2b] pyridine (INN : DESLORATADINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmeth yl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], ethyl 4 (8chloro5, 6 dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORA TADINE], 2 [N [1 (4fluorobenzyl)1 Hbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin 4 (3H)one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl) 1'piperidyl]butanol [INN : TERFENADINE].
14. A pharmaceutical composition according to claim 9 or 13, wherein the histamine receptor antago nist is selected from the group consisting of 8chloro6, 11dihydro11 (4piperidylidene)5Hben zo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], ethyl 4 (8chloro5, 6dihydro11H benzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN: LORATADINE], a pharmaceutically acceptable salt or solvate thereof, or a solvate of an salt thereof.
15. Use of a pharmaceutical composition according to claim 1 in the manufacture of a medicament for the treatment of a respiratory diseases.
16. A process for the preparation of a pharmaceutical composition as defined in claim 1 which com prises mixing the first active ingredient with the second active ingredient.
17. A pharmaceutical product comprising, in combination, a preparation of a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmaceutically acceptable derivatives, and a preparation of a second active ingredient which is selected from a histamine receptor antagonist and its pharmaceutically acceptable derivatives, for simultaneous, sequential or separate use in therapy.
18. A pharmaceutical product according to claim 17, wherein the first and/or second active ingredient is in the form of a pharmaceutically acceptable salt, solvate, Noxide or solvate of an salt or Noxi de.
19. A pharmaceutical product according to claim 17 or 18, wherein the PDE4 inhibitor or PDE3/4 inhi bitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5di chloropyrid4yl)benzamide [INN : ROFLUMILAST], ()cis9ethoxy8methoxy2methyl 1,2, 3,4, 4a, 10bhexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5dichloro4 [8methoxy2 (trifluoromethyl) quinolin5ylcarboxamido] pyridi ne1oxide [Research Code: SCH351591], 3 [3 (cyclopentyloxy)4methoxybenzyl]6 (ethylami no)8isopropyl3Hpurine [ResearchCode: V1 1294A], N [9methyl4oxoIphenyl3, 4, 6, 7tetra hydropyrrolo [3,2, 1jk] [1,4] benzodiazepin3 (R)yl] pyridine4carboxamide [ResearchCode: CI1018], 4 (3, 4dimethoxyphenyl) thiazole2carboxamide oxime [Research Code: ORG20241], 3, 7dihydro3 (4chlorophenyl)1propyl1 Hpurine2, 6dione [INN AROFYLLINE], 3 [3 (Cyclo <BR> <BR> <BR> pentyloxy)4methoxybenzylamino]IHpyrazole4m ethanol, N (3, 5dichloro4pyridinyl)2 [I (4 fluorobenzyl)5hydroxy1Hindol3yl]2oxoacetamide [ResearchCode: AWD12281], N (3, 5 dichloropyridin4yl)2 [5fluoro1 (4fluorobenzyl)1 Hindol3yl]2oxoacetamide [ResearchCode: AWD12343], 8Amino1,3bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro5 [4methoxy3[(1S, 2S, 4R)2norbornyloxy] phenyl]2 ( H)pyrimidone [INN : ATIZORAM], f [3 (Cy clopentyloxy)4methoxyphenyl]1, 3dihydro1, 3dioxo2Hisoindole2propanamide [Research Code: CDC801], Methanesulfonic acid 2 (2, 4dichlorophenylcarbonyl)3ureidobenzofuran6yl ester [INN : LIRIMILAST], (Z)5 (3, 5ditertbutyl4hydroxybenzylidene)2imidazothiazolidin4one [INN : DARBUFELONE], cis [4Cyano4 (3cyclopentyloxy4methoxyphenyl) cyclohexane1carb oxylic acid [INN : CILOMILAST] and the compounds with the research codes CDC998, SH636, D4396, IC485, CC1088 and KW4490, and the histamine receptor antagonist is selected from the group consisting of (E)6[(E)3(1pyrrolidinyl)1ptolylpropenyl]2pyridineacrylic acid [INN : ACRIVASTINE], 6, 11Dihydro11(1methyl4piperidyliden)5Hbenzo [5,6] cyclohepta [1, 2b] pyridin [INN : AZATADINE], 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl) 1 (2H) phthalazinone [INN : AZELASTINE], (+) (S)4 [4 [1 (4chlorophenyl)1 (2pyridyl) methoxy] piperidin1yl]butanoic acid [I NN : BEPOTASTINE], (plus/minus) [2 [4 (pchloroalphaphenyl benzyl)1piperazinyl] ethoxy] acetic acid [INN : CETIRIZ. INE], (+)2 {2 [ (pChloralphamethyl alpha phenylbenzyl) oxy] ethyl}1methylpyrrolidin [INN : CLEMASTINE], 8chloro6,11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], [3 (4Chlo rophenyl)3pyridin2ylpropyl]dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'tertbutyl4 [4 (diphenylmethoxy) piperidino] butyrophenone [INN : EBASTINE], [2 [4 [bis (pfluorophenyl) meth yl]1piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1 (2ethoxyethyl)2 (hexahydro4 methyl1H1, 4diazepin1yl)benzimidazole [INN : EMEDASTINE], 3amino9,13bdihydro1H dibenz [c, f] im idazo [1,5a] azepine [INN : EPINASTINE], (plus/minus)p[1hydroxy4[4(hydroxy diphenylmethyl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], 3 [4 (8 fluoro5, 11dihydrobenz [b] oxepino [4,3b] pyridin11ylidene)piperidin1yl] propionic acid [Research Code: HSR609], () (3S, 4R)1 [cis4cyano4 (pfluorophenyl) cyclohexyl]3methyl4 phenylisonipecotic acid [INN : LEVOCABASTINE], [2 [4 [ (R)pchloroalphaphenylbenzyl)l piperazinyl] ethoxy]acetic acid [INN : LEVOCETIRIZINE], ethyl 4 (8chloro5, 6dihydro11 H benzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], 2 [N [1 (4fluorobenzyl)1 Hbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H) one [INN : MIZOLASTINE], 1 (4fluorobenzyl)2 (piperidin4ylamino)1 Hbenzimidazole [INN : NORA <BR> <BR> STEMIZOLE], 3 (10, 11dihydro5Hdibenzo [a, d] cyclohepten5ylidene)Nmethyl1propanamine [INN : NORTRIPTYLI N E], 9methyl3(1 Htetrazol5yl)4Hpyrido [1,2a] pyrimidin4one [INN : PEMIROLAST], 8chloro11 [1 (5methylpyridin3ylmethyl) piperidin4ylidene]6, 11dihydro5H benzo [5,6] cyclohepta [1,2b] pyridine [I NN : RUPATADINE], 1[2[(pchloroalphamethylalpha phenylbenzyl) oxy] ethyl] hexahydro1Hazepine [INN : SETASTINE], S (7carboxy4hexyl9oxo xanthen2yl)Smethylsulfoximine [INN : SUDEXANOX], 1 (ptertbutylphenyl)4 [4' (alphahy droxydiphenylmethyl)1'piperidyl]butanol [INN : TERFENADINE], NbenzylN, N'dimethylN (2 pyridyl)ethylenediamine [INN : TRIPELENAMINE] and 1 (4fluorobenzyl)2 (piperidin4ylamino) 1 Hbenzimidazole [INN : TECASTEMIZOLE].
20. A pharmaceutical product according to claim 17 or 18, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5 dichloropyrid4yl)benzamide [INN : ROFLUMILAST], ()cis9ethoxy8methoxy2methyl 1,2, 3,4, 4a, 10bhexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5dichloro4 [8methoxy2 (trifluoromethyl) quinolin5ylcarboxamido] pyridi ne1oxide [Research Code: SCH351591], 3 [3 (cyclopentyloxy)4methoxybenzyl]6 (ethylami no)8isopropyl3Hpurine [ResearchCode: V11294A], N [9methyl4oxo1phenyl3, 4,6, 7tetra hydropyrrolo [3,2, 1jk] [1,4] benzodiazepin3 (R)yl] pyridine4carboxamide [ResearchCode: CI1018], 4 (3, 4dimethoxyphenyl) thiazole2carboxamide oxime [Research Code: ORG20241], 3, 7dihydro3 (4chlorophenyl)1propyl1 Hpurine2, 6dione [INN AROFYLLINE], 3 [3 (Cyclo pentyloxy)4methoxybenzylamino]1Hpyrazole4methanol, N(3,5dichloro4pyridinyl)2[1(4 fluorobenzyl)5hydroxy1 Hindol3yl]2oxoacetam ide [ResearchCode: AWD12281], N (3, 5 dichloropyridin4yl)2 [5fluoro1 (4fluorobenzyl)1 Hindol3yl]2oxoacetamide [ResearchCode: AWD12343], 8Amino1, 3bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro5 [4methoxy3[(1S, 2S, 4R)2norbornyloxy] phenyl]2 (1H)pyrimidone [INN : ATIZORAM], R [3 (Cy clopentyloxy)4methoxyphenyl]1, 3dihydro1, 3dioxo2Hisoindole2propanamide [Research Code: CDC801], Methanesulfonic acid 2(2, 4dichlorophenylcarbonyl)3ureidobenzofuran6yl ester [INN : LIRIMILAST], (Z)5 (3, 5ditertbutyl4hydroxybenzylidene)2imidazothiazolidin4one [INN : DARBUFELONE], cis [4Cyano4 (3cyclopentyloxy4methoxyphenyl) cyclohexane1carb oxylic acid [INN : CILOMILAST] and the compounds with the research codes CDC998, SH636, D4396, IC485 and CC1088, and the histamine receptor antagonist is selected from the group consisting of (E)6[(E)3(1pyrrolidinyl)1ptolylpropenyl]2pyridineacrylic acid [INN : ACRIVA STINE], 6, 11Dihydro11 (1methyl4piperidyliden)5Hbenzo [5,6] cyclohepta [1, 2b] pyridin [INN : AZATADINE], 4[(4chlorophenyl)methyl]2(hexahydro1methyl1Hazepin4yl)1 (2H) phthala zinone [INN : AZELASTINE], (+) (S)4 [4 [1 (4chlorophenyl)1 (2pyridyl) methoxy] piperidin1yl] butanoic acid [INN : BEPOTASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1pipera zinyl] ethoxy] acetic acid [INN : CETIRIZINE], (+)2{2[(pChloralphamethylalpha phenylbenz yl) oxy] ethyl}1methylpyrrolidin [INN : CLEMASTINE], 8chloro6, 11dihydro11 (4piperidylidene) 5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], [3 (4Chlorophenyl)3pyridin 2ylpropyl]dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'tertbutyl4 [4 (diphenylmeth oxy) piperidino] butyrophenone [INN : EBASTINE], [2 [4 [bis (pfluorophenyl) methyl]1piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1 (2ethoxyethyl)2 (hexahydro4methyl1H1, 4diaze pin1yl)benzimidazole [INN : EMEDASTINE], 3amino9, 13bdihydro1 Hdibenz [c, f imidazo [1,5 a] azepine [INN : EPINASTINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmethyl) piperidi no]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], 3[4(8fluoro5,11dihydrobenz [b] oxepino [4,3b] pyridin11ylidene)piperidin1ylJpropionic acid [Research Code: HSR609], () (3S, 4R)1 [cis4cyano4 (pfluorophenyl) cyclohexyl]3methyl4phenylisonipecotic acid [INN : LEVOCABASTINE], [2 [4 [ (R)pchloroalphaphenylbenzyl)1piperazinyl] ethoxy]acetic acid [INN : LEVOCETIRIZINE], ethyl 4 (8chloro5, 6dihydro11Hbenzo [5,6] cyclohepta [1,2b] pyridin 11ylidene)1piperidinecarboxylate [INN : LORATADINE], 2 [N [1 (4fluorobenzyl)1Hbenzimi dazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H) one [INN : MIZOLASTINE], 1 (4fluoro benzyl)2(piperidin4ylamino)1Hbenzimidazole [INN : NORASTEMIZOLE], 3(10, 11dihydro 5Hdibenzo [a, d] cyclohepten5ylidene)Nmethyl1propanamine [INN : NORTRIPTYLINE], 9me thyl3 Htetrazol5yl)4Hpyrido [1,2a] pyrimidin4one [INN : PEMIROLAST], 8chloro11 [1 (5 methylpyridin3ylmethyl) piperidin4ylidene]6, 11dihydro5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : RUPATADINE], 1 [2 [ (pchloroalphamethylalphaphenylbenzyl) oxy] ethyl] hexahydro1 H azepine (INN : SETASTINE], S (7carboxy4hexyl9oxoxanthen2yl)Smethylsulfoximine [INN : SUDEXANOX], 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl)1'piperidyl]butanol [INN : TERFENADINE] and NbenzylN, N'dimethylN (2pyridyl)ethylenediamine [INN : TRIPELE NAMINE].
21. A pharmaceutical product according to claim 17 or 18, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5 dichloropyrid4yl)benzamide [INN : ROFLUMILAST] and ()cis9ethoxy8methoxy2methyl 1,2, 3,4, 4a, 10bhexahydro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFENTRINE], and the histamine receptor antagonist is selected from the group consisting of 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus)[2[4(pchloroalphaphenylbenzyl)1piperazinyl]ethoxy]acetic acid [INN : CETI RIZI N E], 8chloro6, 11dihydro11(4piperidyl idene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmethyl) piperi dino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], ethyl 4 (8chloro5, 6dihydro 11Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], 2 [N [l (4fluorobenzyl)l Hbenzimidazol2yi]4piperidinyl]Nmethylamino] pyrimidin4 (3H)one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl)1'piperidyl] butanol [INN : TERFENADINE].
22. A pharmaceutical product according to claim 21, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of ()cis9ethoxy8methoxy2methyl1, 2,3, 4,4a, 10bhexahy dro6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFENTRINE], a pharmaceutical acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof.
23. A pharmaceutical product according to claim 21, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropy rid4yl)benzamide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate, or Noxi de thereof, or solvate of an salt or Noxide thereof.
24. A pharmaceutical product according to claim 17 or 18, wherein the PDE4 inhibitor or PDE3/4 inhi bitor is selected from the group consisting of (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofu ran4yl)2(tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (cis)4 (3, 4Di methoxyphenyl)2 (1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8atetrahydro2Hphthalazin1 one, (cis)4 (3, 4Dimethoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (cis)4(3,4Diethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2(1,1dioxohexahydro1I6thiopyran 4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aR, 8aS)(cis)4(3, 4Dimethoxyphenyl)2(1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (4aS, 8aR) (cis)4 (3, 4Dimethoxyphenyl)2 (1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (cis)4(3Cyclopentyloxy4methoxyphenyl)2(1, 1dioxohexahydro116thiopyran4yl)4a, 5, 8,8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (toluene4sulfonyl)piperidin4yl]4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2(1methanesulfonylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)2(1Acetylpiperidin4yl)4(3,4diethoxyphenyl)4a, 5,8, 8atetrahydro2Hphthalazin 1one, 5{4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidin 1yl}5oxopentanoic acid, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (1pyridin4ylmethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, 4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid tertbutylamide, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid phenylamide, (cis)4 [4 (7Methoxy2, 2dimethyl2, 3dihydrobenzofuran4yl)1oxo4a, 5,8, 8atetrahydro1 H phthalazin2yl]piperidine1carboxylic acid tertbutylamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (5dimethylaminonaphthalene1sulfonyl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(4nitrophenyl)piperidin4yl]4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin4ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)2 {1 [2 (4Amino3, 5dichlorophenyl)2oxoethyl]piperidin4yl}4 (3, 4dimethoxy phenyl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2[1(1methyl1Hpyrazolo [3,4d] pyrimidin4yl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hnaphthalen1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1thieno [2,3d] pyrimidin4ylpiperidin4yl)4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyrimidin2ylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(2oxo2Hchromen7ylmethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2(1isopropylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2morpholin4yl2oxoethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1phenethylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (lpyridin3ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin2ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (2morpholin4ylethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 (l {2 [4 (2dimethylaminoethyl)piperazin1yl]ethanoyl} piperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hisopropylacetamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (41, 2, 3thiadiazol4ylbenzyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 1(1{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}methanoyl)4ethylpiperazine2, 3dione, 4(2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}ethanoylamino)benzoic acid ethyl ester, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hacetamide and the histamine receptor antagonist is selected from the group consis ting of (E)6[(E)3(1pyrrolidinyl)1ptolylpropenyl]2pyridineacrylic acid [INN : ACRIVASTINE], 6, 11Dihydro11(1methyl4piperidyliden)5Hbenzo [5,6] cyclohepta [1, 2b] pyridin [INN : AZATA DINE], 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (+) (S)4 [4 (1 (4chlorophenyl)1 (2pyridyl) methoxy] piperidin1yl]butanoic acid [INN : BEPOTASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] eth oxy]acetic acid [INN : CETIRIZINE], (+)2{2[(pChloralphamethylalpha phenylbenzyl) oxy] ethyl}1methylpyrrolidin [INN : CLEMASTINE], 8chloro6, 11dihydro11(4piperidylidene)5H benzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], [3 (4Chlorophenyl)3pyridin2yl propyl]dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'tertbutyl4 [4 (diphenylmethoxy) pi peridino] butyrophenone [INN : EBASTINE], [2 [4 [bis (pfluorophenyl) methyl]1piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1(2ethoxyethyl)2(hexahydro4methyl1H1,4diazepin1yl) benzimidazole [INN : EMEDASTINE], 3amino9, 13bdihydro1Hdibenz [c, ff imidazo [1,5a] azepine [INN : EPINASTINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmethyl) piperidino]butyl] alphamethylhydratropic acid [INN : FEXOFENADINE], 3[4(8fluoro5,11dihydrobenz [b] oxepi no [4,3b] pyridin11ylidene)piperidin1yl] propionic acid [Research Code: HSR609], () (3S, 4R) 1 [cis4cyano4 (pfluorophenyl) cyclohexyl]3methyl4phenylisonipecotic acid [INN : LEVOCA BASTINE], [2 [4 [ (R)pchloroalphaphenylbenzyl)lpiperazinyl] ethoxy]acetic acid [INN : LEVO CETI RIZINE], ethyl 4(8chloro5, 6dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1 piperidinecarboxylate [INN : LORATADINE], 2[N[1(4fluorobenzyl)1Hbenzimidazol2yl]4pipe ridinyl]Nmethylamino] pyrimidin4 (3H)one [INN : MIZOLASTINE], 1 (4fluorobenzyl)2 (piperidin 4ylamino)1Hbenzimidazole [INN : NORASTEMIZOLE], 3 (10, 11dihydro5Hdibenzo [a, d] cyclo hepten5ylidene)Nmethyl1propanamine [INN : NORTRIPTYLINE], 9methyl3(1Htetrazol5 yl)4Hpyrido [1,2a] pyrimidin4one [INN : PEMIROLAST], 8chloro11 [1 (5methylpyridin3yl methyl) piperidin4ylidene]6, 11dihydro5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : RUPATA DINE], 1[2[(pchloroalphamethylalphaphenylbenzyl) oxy] ethyl]hexahydro1Hazepine [INN : SETASTINE], S (7carboxy4hexyl9oxoxanthen2yl)Smethylsulfoximine [INN : SUDEXANOX], 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl)1'piperidyl]butanol [INN : TERFENADI NE], NbenzylN, N'dimethylN (2pyridyl)ethylenediamine [INN : TRIPELENAMINE], and 1(4flu orobenzyl)2 (piperidin4ylamino)1 Hbenzimidazole [INN : TECASTEMIZOLE].
25. A pharmaceutical product according to claim 17 or 18, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of (cis)4 (2, 3Dihydro2, 2dimethyl7methoxyben zofuran4yl)2(tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (cis)4 (3, 4 Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8atetrahydro2Hphthalazin 1one, (cis)4 (3, 4Dimethoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5, 8,8atetrahydro 2Hphthalazin1one, (cis)4(3,4Diethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4(2,3Dihydro2,2dimethyl7methoxybenzofuran4yl)2(1,1dioxohexahydro1I6thiopyran 4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aR, 8aS)(cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)(cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (cis)4 (3Cyclopentyloxy4methoxyphenyl)2 (1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (toluene4sulfonyl)piperidin4yl]4a, 5, 8,8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 (1methanesulfonylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)2 (1Acetylpiperidin4yl)4 (3, 4diethoxyphenyl)4a, 5,8, 8atetrahydro2Hphthalazin 1one, 5{4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidin 1yl}5oxopentanoic acid, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (1pyridin4ylmethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid tertbutylamide, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid phenylamide, (cis)4[4(7Methoxy2,2dimethyl2,3dihydrobenzofuran4yl)1oxo4a, 5,8, 8atetrahydro1 H phthalazin2yl]piperidine1carboxylic acid tertbutylamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (5dimethylaminonaphthalene1sulfonyl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (4nitrophenyl)piperidin4yl]4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin4ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3, 4Dimethoxyphenyl)2[1(morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)2 {1 [2 (4Amino3, 5dichlorophenyl)2oxoethyl]piperidin4yl}4 (3, 4dimethoxy phenyl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2[1(1methyl1Hpyrazolo [3,4d] pyrimidin4yl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hnaphthalen1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1thieno [2,3d] pyrimidin4ylpiperidin4yi)4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3, 4Dimethoxyphenyl)2(1pyrimidin2ylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2oxo2Hchromen7ylmethyl)piperidin4yi]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2(1isopropylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2morpholin4yi2oxoethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1phenethylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2[1(morpholin4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin3ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin2ylmethylpiperidin4yl)4a, 5, 8,8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (2morpholin4ylethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 (112 [4 (2dimethylaminoethyl)piperazinlyl]ethanoyl} piperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hisopropylacetamide, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(41, 2, 3thiadiazol4ylbenzyl)piperidih4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 1(1{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}methanoyl)4ethylpiperazine2, 3dione, 4(2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}ethanoylamino)benzoic acid ethyl ester, 2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hacetamide and the histamine receptor antagonist is selected from the group consis ting of 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)lpiperazinyl] ethoxy] acetic acid [INN : CETIRIZINE], 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclohepta [1,2b] pyridine [INN : DESLORATADINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmethyl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], ethyl 4(8chloro5, 6dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidine carboxylate [INN : LORATADINE], 2 [N [1 (4fluorobenzyl)1 Hbenzimidazol2yl]4piperidinyl]N methylamino] pyrimidin4 (3H) one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alpha hydroxydiphenylmethyl)1'piperidyl]butanol [INN : TERFENADINE].
26. A pharmaceutical product according to claim 21 or 25, the histamine receptor antagonist is selec ted from the group consisting of 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclo hepta [1, 2b] pyridine [INN : DESLORATADINE], ethyl 4 (8chloro5, 6dihydro11Hbenzo [5,6] cy clohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], a pharmaceuti cally acceptable salt or solvate thereof, or a solvate of an salt thereof.
27. Use of a pharmaceutical product according to claim 19 or 24 in the manufacture of a medicament for the treatment of respiratory diseases.
28. A kit comprising a preparation of a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmaceutical acceptable derivatives, a preparation of a second active ingredient which is selected from a histamine receptor antagonist and its pharmaceutical acceptable derivatives, and instructions for simultaneous, sequential or separate administration to the patient in need thereof.
29. A kit according to claim 28, wherein the first and/or second active ingredient is in the form of a pharmaceutical acceptable salt, solvate, Noxide or solvate of an salt or Noxide.
30. A kit according to claim 28 or 29, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST] and ()cis9ethoxy8methoxy2methyl1, 2,3, 4,4a, 10bhexahydro 6 (4diisopropylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFENTRINE], and the histamine receptor antagonist is selected from the group consisting of 4 [ (4chlorophenyl) methyl]2(hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (plus/ minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] ethoxy]acetic acid [INN : CETIRIZINE], 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DES LORATADINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmethyl) piperidino]butyl]alpha methylhydratropic acid [INN : FEXOFENADINE], ethyl 4 (8chloro5, 6dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], 2 [N [1 (4 fluorobenzyl)1 Hbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin4 (3H) one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl)1'piperidyl] butanol [INN : TERFENADINE].
31. A kit according to claim 30, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of ()cis9ethoxy8methoxy2methyl1, 2,3, 4,4a, 1 Obhexahydro6 (4diisopro pylaminocarbonylphenyl)benzo [c] [1,6] naphthyridine [INN : PUMAFENTRINE], a pharmaceutical acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof.
32. A kit according to claim 30, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof.
33. A kit according to claim 28 or 29, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2(tetrahy drothiopyran4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (cis)4 (3, 4Dimethoxyphenyl)2 (1, 1dioxohexahydroI 16thiopyran4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (cis)4 (3, 4Dimethoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (cis)4(3,4Diethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a,5, 8,8atetrahydro2H phthalazin1one, (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2 (1, 1dioxohexahydro116thiopyran 4yl)4a, 5,8, 8atetrahydro2 Hphthalazin1one, (4aR, 8aS)(cis)4(3, 4Dimethoxyphenyl)2(1, 1dioXohexahydro116thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (4aS, 8aR) (cis)4 (3, 4Dimethoxyphenyl)2 (I, ldioxohexahydro1 16thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (cis)4(3Cyclopentyloxy4methoxyphenyl)2(1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (toluene4sulfonyl)piperidin4yl]4a, 5, 8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2(1methanesulfonylpiperidin4yl)4a,5,8,8atetrahydro2H phthalazin1one, (4aS, 8aR)2(1Acetylpiperidin4yl)4(3,4diethoxyphenyl)4a,5,8,8atetrahydro2Hphthalazin 1one, 5{4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidin 1yl}5oxopentanoic acid, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (1pyridin4ylmethanoyl)piperidin4ylJ4a, 5, 8,8atetra hydro2Hphthalazin1one, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid tertbutylamide, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid phenylamide, (cis). 4 [4 (7Methoxy2, 2dimethyl2, 3dihydrobenzofuran4yl)1oxo4a, 5,8, 8atetrahydro1H phthalazin2yl]piperidine1carboxylic acid tertbutylamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (5dimethylaminonaphthalene1sulfonyl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (4nitrophenyl)piperidin4yl]4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyridin4ylmethylpiperidin4yl)4a, 5, 8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)2(1[2(4Amino3,5dichlorophenyl)2oxoethyl]piperidin4yl}4(3,4dimethoxy phenyl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2[1(1methyl1Hpyrazolo [3,4d] pyrimidin4yl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hnaphthalen1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1thieno [2,3d] pyrimidin4ylpiperidin4yl)4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyrimidin2ylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(2oxo2Hchromen7ylmethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2(1isopropylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(2morpholin4yl2oxoethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1phenethylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin3ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin2ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS ; 8aR)4 (3, 4Diethoxyphenyl)2 [1 (2morpholin4ylethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 (1 {2 [4 (2dimethylaminoethyl)piperazin1yl]ethanoyl}pi peridin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hisopropylacetamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (41, 2, 3thiadiazol4ylbenzyl)piperidin4yl]4a, 5,8, 8a tetrahydro2 Hphthalazin1one, 1 (1 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}methanoyl)4ethylpiperazine2, 3dine, 4(2{4[(4aS,8aR)4(3,4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}ethanoylamino)benzoic acid ethyl ester, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hacetamide and the histamine receptor antagonist is selected from the group consis ting of 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 Hazepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] ethoxy]acetic acid [INN : CETIRIZINE], 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclohepta [1,2b] pyridine [INN : DESLORATADINE], (plus/minus)p [1hydroxy4 [4 (hydroxydiphenylmeth yl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXOFENADINE], ethyl 4 (8chloro5, 6 dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORA TADINE], 2 [N [I (4fluorobenzyl)lHbenzimidazol2yl]4piperidinyl]Nmethylamino] pyrimidin 4 (3H)one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl)1' piperidyl]butanol [INN : TERFENADINE].
34. A kit according to claim 30 or 33, wherein the histamine receptor antagonist is selected from the group consisting of 8chloro6, 11dihydro11 (4piperidylidene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], ethyl 4(8chloro5, 6dihydro11 Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1piperidinecarboxylate [INN : LORATADINE], a pharmaceutical acceptable salt or solvate thereof, or a solvate of an salt thereof.
35. A method for the treatment of a respiratory disease comprising administering to a patient in need thereof (a) an effective amount of a PDE4 inhibitor, a PDE3/4 inhibitor or a pharmaceutical acceptable derivative thereof and (b) an effective amount of a histamine receptor antagonist or a pharmaceutically acceptable derivative thereof.
36. A method according to claim 35, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST] and ()cis9ethoxy8methoxy2methyl1, 2,3, 4,4a, 10bhexahydro 6 (4diisopropylaminocarbonylphenyl)benzo [c] [1, 6] naphthyridine [INN : PUMAFENTRINE].
37. A method according to claim 35, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2 (tetrahydrothiopyran4yl) 4a, 5,8, 8atetrahydro2Hphthalazin1one, (cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4(3,4Dimethoxyphenyl)2(1oxohexahydro1I4thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (tetrahydrothiopyran4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (cis)4 (3Chloro4methoxyphenyl)2 (1oxohexahydro114thiopyran4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (cis)4(3, 4Diethoxyphenyl)2(1, 1dioXohexahydro116thiopyran4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (cis)4 (2, 3Dihydro2, 2dimethyl7methoxybenzofuran4yl)2 (1, 1dioxohexahydro116thiopyran 4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aR, 8aS) (cis)4(3,4Dimethoxyphenyl)2(1,1dioxohexahydro1I6thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (4aS, 8aR) (cis)4 (3, 4Dimethoxyphenyl)2 (1, 1dioxohexahydro116thiopyran4yl)4a, 5,8, 8ate trahydro2Hphthalazin1one, (cis)4 (3Cyclopentyloxy4methoxyphenyl)2 (1, 1dioxohexahydro1 16thiopyran4yl)4a, 5, 8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (toluene4sulfonyl)piperidin4yl]4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 (1methanesulfonylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)2(1Acetylpiperidin4yl)4(3,4diethoxyphenyl)4a, 5,8, 8atetrahydro2Hphthalazin 1one, 5{4[(4aS,8aR)4(3,4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidin 1yl}5oxopentanoic acid, (4aS, 8aR)4 (3, 4Diethoxyphenyl)2 [1 (1pyridin4ylmethanoyl)piperid in4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, 4 [ (4aS, 8aR)4 (3, 4Diethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid tertbutylamide, 4[(4aS,8aR)4(3,4Diethoxphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperidine1 carboxylic acid phenylamide, (cis)4 [4 (7Methoxy2, 2dimethyl2, 3dihydrobenzofuran4yl)1oxo4a, 5,8, 8atetrahydro1 H phthalazin2yl]piperidine1carboxylic acid tertbutylamide, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (5dimethylaminonaphthalene1sulfonyl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (4nitrophenyl)piperidin4yl]4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyridin4ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)2{1[2(4Amino3,5dichlorophenyl)2oxoethyl]piperidin4yl}4(3,4dimethoxy phenyl)4a, 5,8, 8atetrahydro2Hphthalazin1one, 4(3,4Dimethoxyphenyl)2[1(1methyl1Hpyrazolo [3,4d] pyrimidin4yl)piperidin4yl] 4a, 5,8, 8atetrahydro2Hnaphthalen1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1thieno [2,3d] pyrimidin4ylpiperidin4yl)4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyrimidin2ylpiperidin4yl)4a, 5,8, 8atetrahydro2H phthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 [1 (2oxo2Hchromen7ylmethyl)piperidin4yl]4a, 5, 8,8a tetrahydro2Hphthalazin1one, 4 (3, 4Dimethoxyphenyl)2 (1isopropylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(2morpholin4yl2oxoethyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1phenethylpiperidin4yl)4a, 5,8, 8atetrahydro2Hphtha lazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2[1(morpholine4carbonyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4 (3, 4Dimethoxyphenyl)2 (1pyridin3ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3,4Dimethoxyphenyl)2(1pyridin2ylmethylpiperidin4yl)4a, 5,8, 8atetrahydro 2Hphthalazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2[1(2morpholin4ylethanoyl)piperidin4yl]4a, 5,8, 8atetra hydro2Hphthalazin1one, (4aS, 8aR)4(3,4Diethoxyphenyl)2(1{2[4(2dimethylaminoethyl)piperiazin1yl]ethanoyl} piperidin4yl)4a, 5, 8, 8atetrahydro2Hphthalazin1one, 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hisopropylacetamide, (4aS, 8aR)4(3,4Dimethoxyphenyl)2[1(41, 2, 3thiadiazol4ylbenzyl)piperidin4yl]4a, 5,8, 8a tetrahydro2Hphthalazin1one, 1 (1 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pipe ridin1yl}methanoyl)4ethylpiperazine2, 3dione, 4 (2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]pi peridin1yl}ethanoylamino)benzoic acid ethyl ester and 2 {4 [ (4aS, 8aR)4 (3, 4Dimethoxyphenyl)1oxo4a, 5,8, 8atetrahydro1 Hphthalazin2yl]piperi din1yl}2Hacetamide.
38. A method according to any of claims 35 to 37, wherein the histamine receptor antagonist is selected from the group consisting of 4 [ (4chlorophenyl) methyl]2 (hexahydro1methyl1 H azepin4yl)1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus) [2 [4 (pchloroalphaphen ylbenzyl)1piperazinyl] ethoxy] acetic acid [INN : CETIRIZINE], 8chloro6, 11dihydro11 (4pipe ridylidene)5Hbenzo [5,6] cyclohepta [1, 2b] pyridine [INN : DESLORATADINE], (plus/minus)p [1 hydroxy4 [4 (hydroxydiphenylmethyl) piperidino]butyl]alphamethylhydratropic acid [INN : FEXO FENADINE], ethyl4 (8chloro5, 6dihydro11Hbenzo [5,6] cyclohepta [1,2b] pyridin11ylidene)1 piperidinecarboxylate [INN : LORATADINE], 2 [N [1 (4fluorobenzyl)1 Hbenzimidazol2yl]4pipe ridinyl]Nmethylamino] pyrimidin4 (3H)one [INN : MIZOLASTINE] and 1 (ptertbutylphenyl)4 [4' (alphahydroxydiphenylmethyl)1'piperidyl]butanol [INN : TERFENADINE].
39. A pharmaceutical composition according to any of the claims 1 to 7, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluorometh oxyN (3, 5dichloropyrid4yl)benzamide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine recep tor antagonist is selected from the group consisting of [2 [4 [ (R)pchloroalphaphenylbenzyl)1 piperazinyl] ethoxy]acetic acid [INN : LEVOCETIRIZINE] and its pharmaceutically acceptable derivatives.
40. A pharmaceutical product according to any of the claims 17 to 19, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluorometh oxyN (3, 5dichloropyrid4yl)benzamide [INN : ROFLUMILAST], a pharmaceutical acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine recep tor antagonist is selected from the group consisting of [2 [4 [ (R)pchloroalphaphenylbenzyl)l piperazinyl] ethoxy] acetic acid [INN : LEVOCETIRIZINE] and its pharmaceutically acceptable derivatives.
41. A pharmaceutical composition according to claim 9, wherein the PDE4 inhibitor or PDE3/4 inhibi tor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5di chloropyrid4yl)benzamide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine receptor antagonist is selected from the group consisting of (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1pipera zinyl] ethoxy] acetic acid [INN : CETIRIZINE] and its pharmaceutically acceptable derivatives.
42. A pharmaceutical product according to claim 21, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloro pyrid4yl)benzamide [INN : ROFLUMILAST], a pharmaceutical acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine receptor antagonist is selected from the group consisting of (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1pipera zinyl] ethoxy] acetic acid [INN : CETIRIZINE] and its pharmaceutical acceptable derivatives.
43. Use of a pharmaceutical composition/product according to any of the claims 39 to 42 in the manu facture of a medicament for the treatment of respiratory diseases.
44. A kit according to claim 28 or 29, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST], a pharmaceutical acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine receptor antagonist is selected from the group consisting of [2 [4 [ (R)pchloroalphaphenylbenzyl)lpiperazinyl] ethoxy] acetic acid [INN : LEVOCETIRIZINE] and its pharmaceutical acceptable derivatives.
45. A kit according to claim 30, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine receptor antagonist is selected from the group consisting of (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] ethoxy] acetic acid [INN : CETIRIZINE] and its pharmaceutically acceptable derivatives.
46. A method according to claim 35, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine receptor antagonist is selected from the group consisting of [2 [4 [ (R)pchloroalphaphenylbenzyl)lpiperazinyl] ethoxy] acetic acid [INN : LEVOCETIRIZINE] and its pharmaceutically acceptable derivatives.
47. A method according to claim 35, wherein the PDE4 inhibitor or PDE3/4 inhibitor is selected from the group consisting of 3Cyclopropylmethoxy4difluoromethoxyN (3, 5dichloropyrid4yl)benz amide [INN : ROFLUMILAST], a pharmaceutically acceptable salt, solvate or Noxide thereof, or solvate of an salt or Noxide thereof, and the histamine receptor antagonist is selected from the group consisting of (plus/minus) [2 [4 (pchloroalphaphenylbenzyl)1piperazinyl] ethoxy] acetic acid [INN : CETIRIZINE] and its pharmaceutically acceptable derivatives.
Description:
PHARMACEUTICAL COMPOSITION OF A PDE4 OR A PDE3/4 INHIBITOR AND A HISTAMINE RECEPTOR ANTAGONIST Field of application of the invention The present invention relates to combinations of pharmaceutical active substances for use in the treatment of respiratory diseases.

The substances used in the combinations according to the invention are known active compounds from the PDE4 and PDE3/4 inhibitors class and active compounds from the class of the histamine receptor antagonists.

Known technical background In the international application W0031000289 compositions are described which comprise a PDE4 inhibitor and a H1-receptor antagonist and the use of these compositions for the manufacture of a medicament for the treatment of respiratory diseases.

Description of the invention Asthma is a common inflammatory disease of the respiratory tract, accounting for 1-3% of all office visits, 500,000 hospital admissions per year and more pediatric hospital admissions than any other single illness in the US. Annually, more than 5000 children and adults die of asthma attacks in the United States (William E. S.; Goodmann Gilmann A.: The pharmacological Basis of Therapeutics, gth Edition, pp. 152 & 659-682, Mc Graw Hill, New York 1996).

Asthma can no longer be viewed simply as a reversible airway obstruction. It should instead be considered primarily as an inflammatory illness that has bronchial hyperactivity and bronchospasm as its results. Allergen specific immunoglobulin E (IgE) is bound to the mast cells via Fc receptors. It is a fragment obtained by papain digestion of immunoglobulin molecules and contains most of the antigenic determinants. When an allergen comes into contact with IgE, the mast cells are activated and release a number of inflammatory mediators, which include granule contents like histamine, proteases, heparin, and tumor necrosis factor (TNF), a variety of lipid membrane derived molecules like prostaglandins, leukotrienes and platelet activating factor (PAF), and a number of cytokines like interleukin (IL)-1, 3,4, 5,6 and 8 and chemokines. An enormous variety of mediators are released which have more than one potent effect on airway inflammation.

As a result of vasodilation, increased vasopermeability and increased endothelial adhesiveness towards leukocytes further leads to an influx of inflammatory cells like lymphocytes, eosinophils and macrophages from blood circulation into the tissues. This in turn leads to the release of mediators which have further inflammatory effects (Rao A. R. et al. Recent Perspectives in the design of antiasthmatic agents, Pharmazie, 55,7, 475-482,2000).

Thus, it can be understood that it is unlikely that drugs affecting a single mediator can satisfactorily treat the disease alone. As asthma is one of the major diseases affecting mankind, there is a need to develop drugs which can affect a wide variety of mediators.

Therefore, it is the object of the present invention to make available respiratory tract therapeutics which fulfill the following conditions: -Favorable simultaneous influence on several of the inflammatory mediators - Marked bronchorelaxation and-dilatation - Good oral availability - Minor side effects - Good suitability for long-term therapy Favorable influence on bronchial hyperreactivity It has now been found that the combined use of a PDE4 or a PDE3/4 inhibitor and a histamine receptor antagonist outstandingly fulfills the above-mentioned conditions.

The invention thus relates to the combined use of a PDE4 or a PDE3/4 inhibitor and a histamine receptor antagonist in the treatment of respiratory diseases.

By the expression"PDE4 inhibitor"is meant a selective phosphodiesterase inhibitor, which inhibits preferentially the type 4 phosphodiesterase when compared to other known types of phosphodiester- ase, e. g. type 1,2, 3,5 etc. , whereby the compound has a lower IC5o (more potent) for the type 4 phosphodiesterase, such as where the IC50 for PDE4 inhibition is about factor 10 lower compared to IC, go for inhibition of other known type of phosphodiesterase, e. g. type 1,2, 3,5 etc.

Analogously, the expression"PDE3/4 inhibitor"is defined. Methods to determine the activity and selectivity of a phosphodiesterase inhibitor are known to the person skilled in the art. In this connec- tion it may be mentioned, for example, the methods described by Thompson et al. (Adv Cycl Nucl Res 10: 69-92,1979), Giembycz et al. (Br J Pharmacol 118: 1945-1958,1996) and the phosphodiesterase scintillation proximity assay of Amersham Pharmacia Biotech.

By the expression"histamine receptor antagonist"are meant H1-receptor antagonists, particularly the so called H1-receptor antagonists of the second generation (Mutschler, Arzneimittelwirkungen, 8.

Edition, 2001, pages 456-461).

As possible PDE4 or PDE3/4 inhibitors within the meaning of the present invention may be mentioned, by way of example, those PDE4 or PDE3/4 inhibitors which are named expressis verbis as an example, or described or claimed generically in the following patent applications and patents: DE 1545687, DE 2028869, DE 2123328, DE 2315801, DE 2402908, DE 2413935, DE 3900233, EP 0103497, EP 0139464, EP 0158380, EP 0163965, EP 0335386, EP 0389282, EP 0393500, EP 0428302, EP 0435811, EP 0449216, EP 0459505, EP 0470805, EP 0490823, EP 0506194, EP 0510562, EP 0511865, EP 0527117, EP 0553174, EP 0557016, EP 0626939, EP 0664289, EP 0671389, EP 0685474, EP 0685475, EP 0685479, EP 0731099, EP 0736532, EP 0738715, EP 0748805, EP 0763534, EP 0816357, EP 0819688, EP 0819689, EP 0832886, EP 0834508, EP 0848000, JP 92234389, JP 94329652, JP 95010875, JP 98072415, JP 98147585, US 5703098, US 5739144, WO 9117991, WO 9200968, WO 9212961, WO 9307146, WO 9315044, WO 9315045, WO 9318024, WO 9319068, WO 9319720, WO 9319747, WO 9319749, WO 9319751, WO 9325517, WO 9402465, WO 9412461, WO 9420455, WO 9422852, WO 9427947, WO 9500516, WO 9501338, WO 9501980, WO 9503794, WO 9504045, WO 9504046, WO 9505386, WO 9508534, WO 9509623, WO 9509624, WO 9509627, WO 9509836, WO 9514667, WO 9514680, WO 9514681, WO 9517392, WO 9517399, WO 9519362, WO 9520578, WO 9522520, WO 9524381, WO 9527692, WO 9535281, WO 9535283, WO 9535284, WO 9600218, WO 9601825, WO 9606843, WO 9603399, WO 9611690, WO 9611917, WO 9612720, WO 9631486, WO 9631487, WO 9635683, WO 9636595, WO 9636596, WO 9636611, WO 9636625, WO 9636626, WO 9636638, WO 9638150, WO 9639408, WO 9640636, WO 9703967, WO 9704779, WO 9705105, WO 9708143, WO 9709345, WO 9712895, WO 9718208, WO 9719078, WO 9720833, WO 9722585, WO 9722586, WO 9723457, WO 9723460, WO 9723461, WO 9724117, WO 9724355, WO 9725312, WO 9728131, WO 9730999, WO 9731000, WO 9732853, WO 9735854, WO 9736905, WO 9740032, WO 9743288, WO 9744036, WO 9744322, WO 9747604, WO 9748697, WO 9804534, WO 9805327, WO 9806692, WO 9806704, WO 9807715, WO 9808828, WO 9808830, WO 9808841, WO 9808844, WO 9809946, WO 9809961, WO 9811113, WO 9814448, WO 9818796, WO 9821207, WO 9821208, WO 9821209, WO 9822453, WO 9831674, WO 9840382, WO 9845268, WO 9855481, WO 9856756, WO 9905111, WO 9905112, WO 9505113, WO 9906404, WO 9918095, WO 9931071, WO 9931090, WO 9947505, WO 9957115, WO 9957118, WO 9964414, WO 0001695, WO 0012501, WO 0026208, WO 0042017, WO 0042018, WO 0042019, WO 0042020, WO 0042034, WO 0119818, WO 0130766, WO 0130777, WO 0151470, WO 02006270, WO 02066476, WO 02064584 and WO 02085885.

Exemplary PDE inhibitors are shown on the following pages with the aid of their formulae: (Pumafentrin) Roflumilast In the above formulae there is given neither any stereochemical information nor are hydrogen atoms indicated [-O is accordingly-OH, >N is >NH or-N is NH2]. Methyl groups, e. g. on the oxygen atoms, are indicated by lines].

Those PDE4 or PDE3/4 inhibitors are to be emphasized which are named expressis verbis as an example and/or claimed generically in the patent applications or patents EP 0163965, EP 0389282, EP 0393500, EP 0435811, EP 0482302, EP 0499216, EP 0506194, EP 0510562, EP 0528922, EP 0553174, EP 0731099, WO 9319749, WO 9500516, WO 9501338, WO 9600218, WO 9603399, WO 9611690, WO 9636625, WO 9636626, WO 9723457, WO 9728131, WO 9735854, WO 9740032, WO 9743288, WO 9809946, WO 9807715, WO 9808841, WO 9821207, WO 9821208, WO 9821209, WO 9822453, WO 9831674, WO 9840382, WO 9855481, WO 9905111, WO 9905112, WO 9905113, WO 9931071, WO 9931090, WO 9947505, WO 9957115, WO 9957118, WO 9964414, WO 0001695, WO 0012501, WO 0042017, WO 0042018, WO 0042019, WO 0042020, WO 0042034, WO 0119818, WO 0130766, WO 0130777, WO 0151470 WO 02006270, WO 02066476, WO 02064584 and WO 02085885 and the compounds with the following research codes: CDC-998, D-4396, SCH-351591, IC-485, CC-1088 and KW-4490. Substances having good oral availability are preferred here.

Preferred PDE4 or PDE3/4 inhibitors are 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropy- rid-4-yl)-benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexa- hydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-methoxy-2- (trifluoromethyl) quinolin-5-ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxybenzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N-[9-methyl-4-oxo-1-phenyl-3, 4,6, 7-tetrahydropyrrolo [3,2, 1 jk] [1, 4]- benzo-diazepin-3 (R)-yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl)- thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3, 7-dihydro-3-(4-chlorophenyl)-1-prop- yl-1H-purine-2, 6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxybenzylamino]-1H-pyra- zole-4-methanol, N- (3, 5-dichloro-4-pyridinyl)-2- [1- (4-fluorobenzyl)-5-hydroxy-1 H-indol-3-yl]-2-oxoacet- amide [Research-Code: AWD-12-281], N- (3, 5-dichloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1H- indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1, 3-bis (cyclopropylmethyl) xan- thine [INN : CIPAMFYLLINE], Tetrahydro-5-[4-methoxy-3-[(1S, 2S, 4R)-2-norbornyloxy] phenyl]-2 (1 H)- pyrimidone [INN : ATIZORAM], f- [3- (Cyclopentyloxy)-4-methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H- isoindole-2-propanamide [Research-Code: CDC-801], Methanesulfonic acid 2- (2, 4-dichlorophenyl- carbonyi)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5- (3, 5-di-tert-butyl-4-hydroxybenz- ylidene)-2-imidazothiazolidin-4-one [INN : DARBUFELONE], cis- [4-Cyano-4- (3-cyclopentyloxy-4-meth- oxyphenyl) cyclohexane-1-carboxylic acid [INN : CILOMILAST] and the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088 and KW-4490.

Further preferred PDE4 inhibitors are selected from the group consisting of (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2-(tetrahydrothiopyran- 4-yl)-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (cis)-4-(3, 4-Dimethoxyphenyl)-2-(1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Diethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (2, 3-Dihydro-2, 2-d imethyl-7-methoxybenzofuran-4-yl)-2-(1, 1-dioxohexahydro-116-thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a,5, 8,8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4- (3-Cyclopentyloxy-4-methoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-(1-methanesulfonyl-piperidin-4 -yl)-4a,5, 8,8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2- (1-Acetyl-piperidin-4-yl)-4- (3, 4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (1-pyridin-4-yl-methanoyl)-piperidin-4-yl]-4a, 5, 8,8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4-[(4-aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4-[4-(7-Methoxy-2,2-dimethyl-2,3-dihydro-benzofuran-4- yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(5-dimethylamino-naphthale ne-1-sulfonyl)-piperidin-4-yl]- 4a, 5, 8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-nitro-phenyl)-piperidin -4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-4-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(morpholine-4-carbonyl)-pi peridin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2- {1- [2- (4-Amino-3, 5-dichloro-phenyl)-2-oxo-ethyl]-piperidin-4-yl}-4- (3, 4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(1-methyl-1H-pyrazolo [3,4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-thieno [2,3-d] pyrim idin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrimidin-2-yl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4- (3, 4-D imethoxyphenyl)-2- [1- (2-oxo-2H-chromen-7-ylmethyl)-piperidin-4-yl]-4a, 5, 8,8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (1-isopropyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-morpholin-4-yl-2-oxo-et hyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-phenethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yi]-4a, 5, 8,8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-3-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxy-phenyl)-2-(1-pyridin-2-ylmethyl-piperi din-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [I- (2-morpholin-4-yl-ethanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (l- {2- [4- (2-dimethylamino-ethyl)-piperazin-1-yl]-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-1, 2, 3-thiadiazol4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1- (1- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4-(2-{4-[(4aS,8aR)-4-(3,4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester and 2-{4-[(4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide.

Particularly preferred PDE4 or PDE3/4 inhibitors are 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5- dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST] and (-)-cis-9-ethoxy-8-methoxy-2-methyl- 1,2, 3,4, 4a, 10b-hexahydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1, 6] naphthyridine [INN : PUMAFENTRINE].

As possible histamine receptor antagonists within the meaning of the present invention may be mentioned, by way of example, (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b]- pyridin [INN : AZATADINE], 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) - phthalazinone [INN : AZELASTINE], (+)-(S)-4-[4-[1-(4-chlorophenyl)-1-(2-pyridyl)methoxy]piperi din-1- yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazin- yl] ethoxy] -acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] - ethyl}-1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-ben- zo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]- dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] bu- tyrophenone [INN : EBASTINE], [2-[4-(bis(p-fluorophenyl)methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2-ethoxyethyl)-2- (hexahydro-4-methyl-1H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, f] imidazo [1,5-a] azepine [INN : EPINASTINE], <BR> <BR> (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], 3-[4-(8-fluoro-5,11-dihydrobenz [b] oxepino [4, 3-b] pyridin-11-ylidene)-piperidin- 1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclo- hexyl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2- [4- [ (R)-p-chloro-alpha-phenyl- benzyl)-1-piperazinyl] ethoxy]-acetic acid [INN : LEVOCETRIZINE], ethyl 4-(8-chloro-5,6-dihydro-11H- benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1- (4-fluorobenzyl)-1H-benzimidazol-2-yl]-4-piperidinyl]-N-meth yl-amino] pyrimidin-4 (3H) -one [INN : MIZO- LASTINE], 1-(4-fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidiazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-1-propanam ine [INN : NORTRIPTY- LINE], 9-methyl-3- (1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro- 11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1,2-b]- pyridine [I N N : RU PATAD IN E], 1-[2-[(p-ch loro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro- 1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1-(p-tert-butylphenyl)-4-[4'-(alpha-hydroxydiphenylmethyl)-1 '-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N-(2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE] and 1-(4-vfluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN: TECASTEMIZOLE].

Preferred histamine receptor antagonists are 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H- azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenyl- benzyl)-1-piperazinyl] ethoxy] -acetic acid [INN : CETIRIZINE], 8-chloro-6,11-dihydro-11-(4-piperidyl- idene) -5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p-[1-hydroxy- 4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4- (8-chloro-5, 6-dihydro-11 H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarb- oxylate [INN : LORATADINE], 2-[N-[1-(4-fluorobenzyl)-1H-benzimidazol-2-yl]-4-piperidinyl ]-N-methyl- amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydi- phenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE].

Particularly preferred histamine receptor antagonists are 8-chloro-6, 11-dihydro-11- (4-piperidylidene)- 5H-benzo [5, 6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE] and ethyl 4- (8-chloro-5, 6-dihydro- 11H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE].

In the context of the present invention, unless otherwise stated, a pharmaceutically acceptable deri- vative of an active ingredient means a pharmaceutical acceptable salt or solvate (e. g. hydrate), a pharmaceutical acceptable solvate of such salt, a pharmaceutical acceptable N-oxide or a phar- maceutically acceptable salt or solvate of the latter.

Suitable pharmacological tolerable salts here are on the one hand in particular water-soluble and water-insoluble acid addition salts with acids such as, for example, hydrochloric acid, hydrobromic acid, phosphoric acid, nitric acid, sulfuric acid, acetic acid, citric acid, D-gluconic acid, benzoic acid, 2- (4-hydroxybenzoyl)-benzoic acid, butyric acid, sulfosalicylic acid, maleic acid, lauric acid, malic acid, fumaric acid, succinic acid, oxalic acid, tartaric acid, embonic acid, stearic acid, toluenesulfonic acid, methanesulfonic acid or 1-hydroxy-2-naphthoic acid, the acids being employed in salt preparation- depending on whether it is a mono-or polybasic acid and depending on which salt is desired-in an equimolar quantitative ratio or one differing therefrom. Furthermore, the active compounds mentioned can also be present as pure enantiomers or as enantiomer mixtures in any mixing ratio.

On the other hand, salts with bases are also suitable. Examples of salts with bases which may be mentioned are alkali metal (lithium, sodium, potassium) or calcium, aluminium, magnesium, titanium, ammonium, meglumine or guanidinium salts, where here too the bases are employed in salt prepara- tion in an equimolar quantitative ratio or one differing therefrom.

Certain of the active ingredients used in the present invention are capable of existing in stereoisomeric forms. The invention encompasses all stereoisomers of the active ingredients and mixtures thereof including racemates. Tautomers and mixtures thereof of the active ingredients are also part of the present invention.

In accordance with the present invention, there is provided in a first aspect a pharmaceutical composi- tion comprising, in admixture, a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmaceutically acceptable derivatives, and a second active ingredient which is selected from a histamine receptor antagonist and its pharmaceutically acceptable deriva- tives.

In a second aspect-which is an embodiment of the first aspect-there is provided a pharmaceutical composition comprising, in admixture, a first active ingredient which is selected from 3-Cyclopropyl- methoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILASTj, (-) -cis-9- ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-methoxy-2- (trifluoromethyl) quinolin-5- ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxy- benzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N- [9-methyl-4-oxo-1- phenyl-3, 4,6, 7-tetrahydropyrrolo [3, 2, 1 jk] [1,4] benzo-diazepin-3 (R)-yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3, 7-dihydro-3- (4-chlorophenyl)-1-propyl-1H-purine-2, 6-dione [INN AROFYLLINE], 3- [3- <BR> <BR> (Cyclopentyloxy)-4-methoxybenzylamino]-1 H-pyrazole-4-methanol, N- (3, 5-dichloro-4-pyridinyl)-2- [1- (4- fluorobenzyl)-5-hydroxy-1 H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5-dichlo- ropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12- 343], 8-Amino-1,3-bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4-methoxy-3- [(1S, 2S, 4R)-2-norbornyloxy]phenyl]-2(1H)-pyrimidone [INN : ATIZORAM], ß-[3-(Cyclopentyloxy)-4- methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H-isoindole-2-propanamide [Research-Code: CDC-801], Methanesulfonic acid 2-(2, 4-dichlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMI- LAST], (Z)-5- (3, 5-di-tert-butyl-4-hydroxybenzylidene)-2-imidazothiazolidin-4 -one [INN : DARBUFELO- NE], cis- [4-Cyano-4- (3-cyclopentyloxy-4-methoxyphenyl) cyclohexane-1-carboxylic acid [INN : CILO- MILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088, KW- 4490 and their pharmaceutical acceptable derivatives, and a second active ingredient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolyipropenyl]-2-pyridinea crylic acid [INN : ACRIVASTI- NE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5, 6] cyclohepta- [1, 2-b] pyridin [INN : AZATA- D I N E], 4-[(4-chlorophenyl) methyl]-2-(hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (+)- (S)-4- [4- [1- (4-chlorophenyl)-1- (2-pyridyl) methoxy] piperidin-1-yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy]-acetic acid [INN : CETIRIZIN E], (+)-2-{2-[(p-Chior-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}-1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b]- pyridine [INN : DESLORATADINE], [3-(4-Chlorophenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4-[4-(diphenylmethoxy)piperidino] butyrophenone [INN : EBASTINE], [2-[4-[bis(p-fluorophenyl)methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2-ethoxyethyl)-2- (hexahydro-4-methyl-1 H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, f) imidazo [1, 5-ajazepine [INN : EPINASTINE], (plus/minus)-p- [1- hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXO- FENADINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxepino [4,3-b] pyridin-11-ylidene)-piperidin-1-yl] pro- pionic acid [Research Code: HSR-609], (-)-(3S,4R)-1-[cis-4-cyano-4-(p-fluorophenyl)cyclohexyl]-3- methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro-alpha-phenylbenzyl)-1- piperazinyl] ethoxy]-acetic acid [INN : LEVOCETIRIZINE], ethyl 4- (8-chloro-5, 6-dihydro-11 H-benzo- [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4- fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H) -one [INN : MIZO- LASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-I-propanamine [INN : NORTRIPTY- LINE], 9-methyl-3-(1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro- 11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1,2-b]- pyridine [INN : RUPATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro- 1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yi)-S-methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], 1-(4-fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN : TECASTEMIZOLE] and their pharmaceutical acceptable derivatives.

In a third aspect-which is another embodiment of the first aspect-there is provided a pharmaceutical composition comprising, in admixture, a first active ingredient which is selected from 3-Cyclopropyl- methoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST], (-) -cis-9-eth- oxy-8-methoxy-2-methyl-1 ; 2, 3,4, 4a, 10b-hexahydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1, 6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-methoxy-2- (trifluoromethyl) quinolin-5- ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxy- benzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N- [9-methyl-4-oxo-1- phenyl-3, 4,6, 7-tetrahydropyrrolo [3,2, 1 jk] [1,4] benzo-diazepin-3 (R)-yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3, 7-dihydro-3- (4-chlorophenyl)-1-propyl-1 H-purine-2, 6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxybenzylamino]-1 H-pyrazole-4-methanol, N- (3, 5-dichloro-4-pyridinyl)-2- [1- (4- fluorobenzyl)-5-hydroxy-1H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5-di- chloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1,3-bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4- methoxy-3- [ (1S, 2S, 4R)-2-norbornyloxy] phenyl]-2 ( H)-pyrimidone [INN : ATIZORAM], R- [3- (Cyclo- pentyloxy)-4-methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H-isoindole-2-propanamide [Research-Code: CDC-801], Methanesulfonic acid 2- (2, 4-dichlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5-(3,5-di-tert-butyl-4-hydroxybenzylidene)-2-imidazothia zolidin-4-one [INN : DARBU- FELONE], cis- [4-Cyano-4- (3-cyclopentyloxy-4-methoxyphenyl) cyclohexane-1-carboxylic acid [INN : CILOMILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088 and their pharmaceutically acceptable derivatives, and a second active ingredient which is selected from (E)-6- [ (E)-3- (I-pyrrolidinyl)-l-p-tolylpropenyl]-2-pyridineacrylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridin [INN : AZATA- DINE], 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (+)-(S)-4-[4-[1-(4-chlorophenyl)-1-(2-pyridyl)methoxy]piperi din-1-yl]-butanonic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy]-acetic acid [INN : CETIRIZINE], (+)-2- {2- [ (p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}-1-methylpyrrolidin [INN : CLEMASTIN E], 8-ch loro-6, 11-dihydro-11-(4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyri- dine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEX- CHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] butyrophenone [INN : EBA- STINE], [2- [4- [bis (p-fluorophenyl) methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2- ethoxyethyl)-2-(hexahydro-4-methyl-1 H-1, 4-diazepin-1-yl)-benzim idazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, f] imidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p- [1- hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXO- FENADINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxepino [4, 3-b] pyridin-11-ylidene)-piperidin-1-yl]- propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohexyl]-3- methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2- [4- [ (R)-p-chloro-alpha-phenylbenzyl)-l- piperazinyl] ethoxy]-acetic acid [INN : LEVOCETIRIZINE], ethyl 4- (8-chloro-5, 6-dihydro-11 H-benzo- [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4- fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZO- LASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a,d]cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTY- LINE], 9-methyl-3- (1H-tetrazol-5-yl)-4H-pyrido [1, 2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro- 11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-yl idene]-6, 11-dih yd ro-5 H-benzo [5,6] cyclohepta[1,2-b]- pyridine [INN : RUPATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro- 1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1-(p-tert-butylphenyl)-4-[4'-(alpha-hydroxydiphenylmethyl)-1 '-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE] and their pharmaceutical acceptable derivatives.

In a forth aspect-which is still another embodiment of the first aspect-there is provided a Pharma- ceutical composition comprising, in admixture, a first active ingredient which is selected from 3-Cyclo- propylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST], (-) -cis- 9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 1 Ob-hexahydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE] and their pharmaceutically acceptable derivatives, and a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H- azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenz- yl)-1-piperazinyl] ethoxy] -acetic acid [INN : CETIRIZINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)- 5H-benzo [5, 6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p-[1-hydroxy-4-[4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4- (8-chloro-5, 6-dihydro-11 H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1-(4-fluorobenzyl)-1H-benzimidazol-2-yl]-4-piperidinyl ]-N-methyl-amino]- pyrimidin-4 (3H) -one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenyl- methyl)-1'-piperidyl]-butanol [INN : TERFENADINE] and their pharmaceutically acceptable derivatives.

In the fifth aspect-which is a further embodiment of the first aspect-there is provided a pharmaceutical composition comprising, in admixture, a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (cis)-4-(3, 4-Dimethoxyphenyl)-2-(1, 1-dioxohexahydro-115-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4-(3, 4-Dimethoxyphenyl)-2-(1-oXo-hexahydro-114-thiopyran-4-yl)-4a , 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5, 8,8a-tetrahydro-2H- phthalazin-1-one, (cis)-4-(3,4-Diethoxyphenyl)-2-(1,1-dioxohexahydro-1I6-thiop yran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (1, 1-dioxohexahydro-116-thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)- (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)- (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4- (3-Cyclopentyloxy-4-methoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1-methanesulfonyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2- (1-Acetyl-piperidin-4-yl)-4- (3, 4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(1-pyridin-4-yl-methanoyl)- piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4- [ (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxyl ic acid tert-butylamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (5-dimethylamino-naphthalene-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-nitro-phenyl)-piperidin -4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-4-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(morpholine-4-carbonyl)-pi peridin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2- {l- [2- (4-Amino-3, 5-dichloro-phenyl)-2-oxo-ethyl]-piperidin-4-yl}-4- (3, 4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(1-methyl-1H-pyrazaolo[3, 4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-thieno [2,3-d] pyrimidin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrimidin-2-yl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-oxo-2H-chromen-7-ylmethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-(1-isopropyl-piperidin-4-yl)-4a,5, 8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-morpholin-4-yl-2-oxo-et hyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-phenethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-3-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-2- (1-pyridin-2-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(2-morpholin-4-yl-ethanoyl) -piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-(1-{2-[4-(2-dimethylamino-ethy l-piperazin-1-yl]ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1-(1-[4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4- (2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmaceutical acceptable derivatives, and a second active ingredient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRI- VASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridin [INN : AZATADINE], 4-[(4-chlorophenyl)methyl]-2-(hexahydro-1-methyl-1H-azepin-4 -yl)-1(2H)phthalazinone [INN : AZELASTINE], (+)- (S)-4- [4- [1- (4-chlorophenyl)-1- (2-pyridyl) methoxy] piperidin-1-yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)-[2-[4-(p-chloro-alpha-phenylbenzyl)-1-piperazin yl] ethoxy] -acetic acid [INN : CETRIZINE], (+)-2-{2-[(p-Chloro-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}-1-methylpyrro- lidin [INN : CLEMASTINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-benzo [5,6] cyclohepta-[1, 2- b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEXCHLORPHENRAMINE], 4'-tert-butyl-4-[4-(diphenylmethoxy)piperdino]butyrophenone [INN : EBA- STINE], [2- [4- [bis (p-fluorophenyl) methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2- ethoxyethyl)-2- (hexahydro-4-methyl-1 H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-ami- no-9, 13b-dihydro-1H-dibenz [c, fjimidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p-[1-hydroxy- 4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], 3-[4-(8-fluoro-5,11-dihydrobenz[b]oxepino [4,3-b] pyridin-11-ylidene)-piperidin-1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohexyl]-3-methyl-4- phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro-alpha-phenylbenzyl)-1-pipera- zinyl] ethoxy] -acetic acid [INN : LEVOCETIRIZINE, ethyl 4-(8-chloro-5,6-dihydro-11H-benzo [5,6] cy- clohepta [1, 2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1-(4-fluoro- benzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H) -one [INN : MIZOLA- STINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1H-benzimidazole [INN : NORASTEMIZOLE], 3-(10,11-dihydro-5H-dibenzo[a,d]cyclohepten-5-ylidene)-N-met hyl-1-propanamine [INN : NORTRIPTY- LINE], 9-methyl-3- H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro- 11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1, 2-b]- pyridine [INN : RUPATADINE], 1- [2- [ (p-chloro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro- 1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1-(p-tert-butylphenyl)-4-[4'-(alpha-hydroxydiphenylmethyl)-1 '-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], and 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : TECASTEMIZOLE] and their pharmaceutically acceptable derivatives.

In a sixth aspect-which is still a further embodiment of the first aspect-there is provided a pharma- ceutical composition comprising, in admixture, a first active ingredient which is selected from (cis)-4- (2,3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6-thio pyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-1 14-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-1 14-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4-(3,4-Diethoxyphenyl)-2-(1,1-dioxohexahydro-1I6-thiop yran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- <BR> <BR> <BR> lazin-1-one,<BR> <BR> <BR> <BR> (cis)-4-(2, 3-Dihyd ro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2-(1, 1-dioxohexahydro-1 16-th iopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3, 4-Dimethoxyphenyl)-2-(1, 1-dioxohexahydro-1 16-th iopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4- (3-Cyclopentyloxy-4-methoxyphenyl)-2- (l, I-dioxohexahydro-1 16-thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-(1-methanesulfonyl-piperidin-4 -yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2- (1-Acetyl-piperidin-4-yl)-4- (3, 4-diethoxyphenyl)-4a, 5, 8, 8a-tetrahydro-2H-phthalazin-1- one, 5- {4- [ (4aS, 8aR)-4- (3, 4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(1-pyridin-4-yl-methanoyl)- piperidin-4-yl]-4a,5, 8, 8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4a,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4- [ (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (5-dimethylamino-naphthalene-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-nitro-phenyl)-piperidin -4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-4-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2- {l- [2- (4-Amino-3, 5-dichloro-phenyl)-2-oxo-ethyl]-piperidin-4-yl}-4- (3, 4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- [1- (1-methyl-1 H-pyrazolo [3, 4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-thieno [2,3-d] pyrimidin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrimidin-2-yl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-oxo-2H-chromen-7-ylmeth yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (1-isopropyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-morpholin-4-yl-2-oxo-ethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-phenethyl-piperidin-4-yl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-3-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- ophthazain-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-2- (1-pyridin-2-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (2-morpholin-4-yl-ethanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1- {2- [4- (2-dimethylam ino-ethyl)-piperazin-1-ylj-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-ylj-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, I- (I- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-l-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4-(2-{4-[(4aS,8aR)-4-(3,4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmaceutical acceptable derivatives, and a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phtha- lazinone [INN : AZELASTINE], (plus/minus)-[2-[4-(p-chloro-alpha-phenylbenzyl)-1-piperazin yl] ethoxy] - acetic acid [INN : CETIRIZINE], 8-chloro-6, 1 1-dihydro-11- (4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl)- piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4-(8-chloro-5, 6-dihydro- 11H-benzo [5,6] cyclohepta[1, 2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE] and their pharmaceutical acceptable derivatives.

In a seventh aspect the invention provides a pharmaceutical product comprising, in combination, a preparation of a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmaceutical acceptable derivatives, and a preparation of a second active ingredient which is selected from a histamine receptor antagonist and its pharmaceutical acceptable derivatives, for simultaneous, sequential or separate use in therapy.

In a eighth aspect-which is an embodiment of the seventh aspect-the invention provides a Pharma- ceutical product comprising, in combination, a preparation of a first active ingredient which is selected from 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMI- LAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6- (4-diisopropylaminocarbonyl- phenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-methoxy-2- (trifluoro- methyl) quinolin-5-ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3-[3-(cyclopentyl- oxy)-4-methoxybenzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N- [9-meth- yl-4-oxo-1-phenyl-3, 4,6, 7-tetrahydropyrrolo [3,2, 1-jk] [1,4] benzo-diazepin-3 (R)-yl] pyrid ine-4-carbox- amide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3, 7-dihydro-3-(4-chlorophenyl)-1-propyl-1H-purine-2, 6-dione [INN AROFYLLINE], <BR> <BR> <BR> 3- [3- (Cyclopentyloxy)-4-methoxybenzylamino]-1 H-pyrazole-4-methanol, N- (3, 5-dichloro-4-pyridinyl)-2- [1- (4-fluorobenzyl)-5-hydroxy-1H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5- dichloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1 H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1,3-bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4- methoxy-3-[(1S, 2S, 4R)-2-norbornyloxy]phenyl]-2(1H)-pyrimidone [INN : ATIZORAM], 9- [3- (Cyclopent- yloxy)-4-methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H-isoindole-2-propanamide [Research-Code: CDC- 801], Methanesulfonic acid 2-(2, 4-dichlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRI- MILAST], (Z)-5- (3, 5-di-tert-butyl-4-hydroxybenzylidene)-2-imidazothiazolidin-4 -one [INN : DARBUFE- LONE], cis-[4-(Cyano-4-(3-cyclopentyloxy-4-methoxyphenyl)cyclohexan e-1-carboxylic acid [INN : CILO- MILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088, KW- 4490 and their pharmaceutical acceptable derivatives, and a preparation of a second active ingre- dient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridin [INN : AZATADIN E], 4-[(4-chlorophenyl) methyl]-2-(hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazi- none [INN: AZELASTINE], (+)-(S)-4-[4-[1-(4-chlorophenyl)-1-(2-pyridyl) methoxy] piperidin-1-yl]-butano- ic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy] - acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}-1-meth- ylpyrrolidin [INN : CLEMASTINE], 8-chloro-6,11-dihydro-11-(4-piperidylidene)-5H-benzo [5,6] cyclohep- ta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4-[4-(diphenylmethoxy)piperidino] butyrophenone [INN : EBASTINE], [2- [4- [bis (p-fluorophenyl) methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2-ethoxyethyl)-2- (hexahydro-4-methyl-1H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, fgim idazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p-[1-hy- droxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENA- DINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxepino [4, 3-b] pyridin-11-ylidene)-piperidin-1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohexyl]-3-methyl-4-phen- ylisonipecotic acid [INN : LEVOCABASTINE], [2- [4- [ (R)-p-chloro-alpha-phenylbenzyl)-1-piperazinyl]- ethoxy]-acetic acid [INN : LEVOCETIRIZINE], ethyl 4-(8-chloro-5,6-dihydro-11H-benzo [5, 6] cyclohep- ta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H- benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE], 1- (4-fluo- robenzyl)-2- (piperidin-4-ylamino)-1H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H- dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTYLINE], 9-methyl-3- (1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro-11- [1- (5-methylpy- ridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1, 2-b] pyridine [INN : RU- PATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro-1 H-azepine [INN : SETASTI N E], S-(7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TETRFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], 1- (4-fluorobenzyl)-2- (piperidin4-ylamino)-1 H-benzimidazole [INN : TECASTEMIZOLE] and their pharmaceutically accep- table derivatives, for simultaneous, sequential or separate use in therapy.

In a ninth aspect-which is another embodiment of the seventh aspect-the invention provides a pharmaceutical product comprising, in combination, a preparation of a first active ingredient which is selected from 3-Cyclopropylmethoxy-4-difluoromethoxy-N-(3,5-dichloropyrid- 4-yl)-benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6- (4-diisopropyl- aminocarbonylphenyl)-benzo- [c] [1, 6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-meth- oxy-2-(trifluoromethyl) quinolin-5-ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxybenzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N- [9-methyl-4-oxo-1-phenyl-3, 4,6, 7-tetrahydropyrrolo [3,2, 1 jk] [1,4] benzo-diazepin-3 (R)- yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3, 7-dihydro-3- (4-chlorophenyl)-1-propyl-1H-purine-2, 6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxybenzylamino]-1H-pyrazole-4-methano l, N- (3, 5- dichloro-4-pyridinyl)-2- [1- (4-fluorobenzyl)-5-hydroxy-1 H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5-dichloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1H-indol-3-ylj-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1,3-bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4-methoxy-3- [ (1 S, 2S, 4R)-2-norbornyloxy]phenyl]-2(1H)-pyrimidone [INN : ATIZORAM], ß-[3-(Cyclopentyloxy)-4-methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H-isoindole-2-propanamide [Research - Code : CDC-801], Methanesulfonic acid 2- (2, 4-dichlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5- (3, 5-di-tert-butyl-4-hydroxybenzylidene)-2-imidazothiazolidin-4 -one [INN : DARBUFELONE], cis-[4-Cyano-4-(3-cyclopentyloxy-4-methoxyphyenyl)cyclohexan e-1-carboxylic acid [INN : CILOMILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088 and their pharmaceutical acceptable derivatives, and a preparation of a second active ingredient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] - pyridin [INN : AZATADINE], 4-[(4-chlorophenyl) methyl]-2-(hexahydro-1-methyl-1 H-azepin4-yl)-1 (2H)- phthalazinone [INN : AZELASTINE], (+)- (S)-4- [4- [1- (4-chlorophenyl)-1- (2-pyridyl) methoxy] piperidin-1- yl]-butanoic acid [INN : BEPOTASTINE], (pfus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazin- yl] ethoxy] -acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] - ethyl}-1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-ben- zo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]- dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] buty- rophenone [INN : EBASTINE], [2-[4-[bis(p-fluorophenyl)methyl]-1-piperazinyl]ethoxy]aceti c acid [INN : EFLETIRIZINE], 1-(2-ethoxyethyl)-2-(hexahydro-4-methyl-1 H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1 H-dibenz [c, f] imidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p-[1-hydroxy-4-[4-(hydroxydiphenylmethyl)piperi dino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADiNE], 3- [4- (8-fiuoro-5, 11-dihydrobenz [b] oxepino [4,3-b] pyridin-11-ylidene)-piperidin- 1-yl] propionic acid [Research Code: HSR-609], (-)-(3S,4R)-1-[cis-4-cyano-4-(p-fluorophenyl)cyclo- hexyl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro-alpha-phen- ylbenzyl)-1-piperazinyl] ethoxy] -acetic acid [INN : LEVOCETIRIZINE], ethyl 4-(8-chloro-5, 6-dihydro- 11 H-benzo [5,6] cyclohepta [1,2-b] pyridin-1 1-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE], 1-(4-fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN : NORASTE- MIZOLE], 3-(10, 11-dihydro-5H-dibenzo [awd] cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTYLINE], 9-methyl-3-(1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIRO- LAST], 8-chloro-11-[1-(5-methylpyridin-3-ylmethyl)piperidin-4-ylide ne]-6,11-dihydro-5H-benzo [5,6]- cyclohepta [1,2-b] pyridine [INN : RUPATADINE], 1- [2- [ (p-chloro-alpha-methyl-alpha-phenylbenzyl)- oxy] ethyl] hexahydro-1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S- methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenyl methyl)-1'- piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE] and their pharmaceutically acceptable derivatives, for simultaneous, sequential or separate use in therapy. in a tenth aspect-which is still another embodiment of the seventh aspect-the invention provides a pharmaceutical product comprising, in combination, a preparation of a first active ingredient which is selected from 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6-(4-diisopropylami- nocarbonylphenyl)-benzo-[c] [1,6] naphthyridine [INN : PUMAFENTRINE] and their pharmaceutically acceptable derivatives, and a preparation of a second active ingredient which is selected from 4- [ (4- chlorophenyl) methyl]-2-(hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTI- NE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy] -acetic acid [INN : CETI- RIZIN E], 8-chloro-6, 11-dihydro-11-(4-piperidyl idene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p-[1-hydroxy-4-[4-(hydroxydiphenylmethyl)piperi dino]-butyl]-alpha- methylhydratropic acid [INN : FEXOFENADINE], ethyl 4-(8-chloro-5,6-dihydro-11H-benzo [5,6] cyclo- hepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1-(4-fluorobenzyl)- 1H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE] and their pharmaceutically acceptable derivatives, for simultaneous, sequential or separate use in therapy.

In the eleventh aspect-which is a further embodiment of the seventh aspect-the invention provides a pharmaceutical product comprising, in combination, a preparation of a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (tetrahydrothiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-114-th iopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5, 8,8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Diethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2-(1,1-dioxohexahydro-1 I6-thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a,5, 8,8a-tetrahy- dro-2H-phthalazin-1-one, (cis-4-(3-Cyclopentyloxy-4-methoxyphenyl)-2-(1,1-dioxohexahy dro-1I6-tiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5, 8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-(1-methanesulfonyl-piperidin-4 -yl)-4a,5, 8,8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2- (1-Acetyl-piperidin-4-yl)-4- (3, 4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5- {4- [ (4aS, 8aR)-4- (3, 4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4-(3,4-Diethoxphenyl)-2-[1-(1-pyridin-4-yl-methanoyl)-p iperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (5-dimethylamino-naphthalene-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-nitro-phenyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-4-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8ar)-2-{1-[2-(4-Amino-3,5-dichloro-phenyl)-2-oxo-ethyl]-pipe ridin-4-yl}-4-(3,4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(1-methyl-1H-pyrazolo[3,4-d]pyr imidin-4-yl)-piperidin-4-yl]-4a,5, 8,8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-thieno [2,3-d] pyrim idin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxphenyl)-2-(1-pyrimidin-2-yl-piperidin-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-oxo-2H-chromen-7-ylmeth yl)-piperidin-4-yl]-4a,5, 8,8a-te- trahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-(1-isopropyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-morpholin-4-yl-2-oxo-et hyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-phenethyl-piperidin-4-yl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-3-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxy-phenyl)-2-(1-pyridin-2-ylmethyl-piperi din-4-yl)-4a,5, 8,8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-morpholin-4-yl-ethanoyl )-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1- {2- [4- (2-dimethylamino-ethyl)-piperazin-1-yl]-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1- (1- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4-(2-{4-[(4aS,8aR)-4-(3,4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmaceutically acceptable derivatives, and a preparation of a second active ingredient which is selected (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5, 6] cyclohepta- [1, 2-b] - pyridin [INN : AZATADINE], 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1H-azepin-4-yl)-1 (2H) - phthalazinone [INN : AZELASTINE], (+)- (S)-4- [4- [1- (4-chlorophenyl)-1- (2-pyridyl) methoxy] piperidin-1- yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-pipera- zinyl] ethoxy]-acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl)- oxy] ethyl}-1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6, 11-dihydro-11-(4-piperidylidene)-5H- benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl- propyl]-dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperi- dino] butyrophenone [INN : EBASTINE], [2- [4- [bis (p-fluorophenyl) methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1-(2-ethoxyethyl)-2-(hexahydro-4-methyl-1H-1,4-diazepin-1-yl )-benzimi- dazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, f) imidazo [1, 5-a] azepine [INN : EPI- NASTINE], (plus/minus)-p-[1-hydroxy-4-[4-(hydroxydiphenylmethyl)piperi dino]-butyl]-alpha-meth- ylhydratropic acid [INN : FEXOFENADINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxepino [4,3-b] pyridin-11- ylidene)-piperidin-1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluo- rophenyl) cyclohexyl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro- alpha-phenylbenzyl)-1-piperazinyl] ethoxy]-acetic acid [INN : LEVOCETIRIZINE], ethyl 4- (8-chloro-5, 6- dihydro-11H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [I NN : LORATA- DINE], 2- [N- [l- (4-fluorobenzyl)-l H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H) - one [INN : MIZOLASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : NORA- STEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d]cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTYLINE], 9-methyl-3-(1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIRO- LAST], 8-chloro-11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cy- clohepta [1,2-b] pyridine [INN : RUPATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl)oxy]- ethyl] hexahydro-1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methyl- sulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperi- dyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRI- PELENAMINE], and 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : TECASTEMI- ZOLE] and their pharmaceutical acceptable derivatives, for simultaneous, sequential or separate use in therapy.

In the twelfth aspect, which is a still further embodiment of the seventh aspect-the invention provides a pharmaceutical product comprising, in combination, a preparation of a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (tetrahydrothiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6-thio pyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4-(3,4-Diethoxyphenyl)-2-(1,1-dioxohexahydro-1l6-thiop yran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2-(1,1-dioxohexahydro-1 l6-thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)- (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4- (3-Cyclopentyloxy-4-methoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5, 8,8a-tetrahydro-2H- phthalazin-1-one,.

(4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1-methanesulfonyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2-(1-Acetyl-iperidin-4-yl)-4-(3,4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (1-pyridin-4-yl-methanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4-[4-(7-Methoxy-2,2-dimethyl-2,3-dihydro-benzofuran-4- yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (5-dimethylamino-naphthalene-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-nitro-phenyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-4-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2-{1-[2-(4-Amino-3,5-dichloro-phenyl)-2-oxo-ethyl]-pipe ridin-4-yl}-4-(3,4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(1-methyl-1H-pyrazolo[3, 4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-thieno [2,3-d] pyrimidin-4-yl-piperidin-4-yl)-4a, 5, 8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyrimidin-2-yl-piperidin-4 -yl)-4a,5, 8,8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-oxo-2H-chromen-7-ylmethyl)-piperidin-4-yl]-4a, 5, 8, 8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (1-isopropyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-morpholin-4-yl-2-oxo-ethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-phenethyl-piperidin-4-yl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(morpholine-4-carbonyl)-pip eridin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrid in-3-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-2- (1-pyridin-2-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (2-morpholin-4-yl-ethanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-(1-{2-[4-(2-dimethylamino-ethy l)-piperazin-1-yl]-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1- (1- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4- (2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmaceutically acceptable derivatives, and a preparation of a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin- 4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1- piperazinyl] ethoxy] -acetic acid [INN : CETIRIZINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H- benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p- [l-hydroxy-4- [4- (hy- droxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4- (8-chloro-5, 6-dihydro-11 H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino]- pyrimidin-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenyl- methyl)-1'-piperidyl]-butanol [INN : TERFENADINE] and their pharmaceutical acceptable derivatives, for simultaneous, sequential or separate use in therapy.

In a thirteenth aspect, the invention provides a kit comprising a preparation of a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmaceutical acceptable derivatives, a preparation of a second active ingredient which is selected from a histamine receptor antagonist and its pharmaceutically acceptable derivatives, and instructions for the simultaneous, sequential or separate administration of the preparations to a patient in need thereof.

In a fourteenth aspect-which is an embodiment of the thirteenth aspect-the invention provides a kit comprising a preparation of a first active ingredient which is selected from 3-Cyclopropylmethoxy-4- difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-meth- oxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthy- ridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-methoxy-2- (trifluoromethyl) quinolin-5-ylcarbox-ami- do] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxybenzyl]-6- (ethyl- amino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N- [9-methyl-4-oxo-1-phenyl-3, 4,6, 7-tetra- hydropyrrolo [3,2, 1-jk] [1, 4] benzo-diazepin-3 (R)-yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3,7-dihydro-3- (4-chlorophenyl)-1-propyl-1 H-purine-2,6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxy- benzylamino]-1 H-pyrazole-4-methanol, N- (3, 5-dichloro-4-pyridinyl)-2- [1- (4-fluorobenzyl)-5-hydroxy-1 H- indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5-dichloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1 H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1,3-bis (cy- clopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4-methoxy-3- [ (1S, 2S, 4R)-2-norbornyl- oxy] phenyl]-2 (1 H)-pyrimidone [I N N : ATIZORAM], fl- [3- (Cyclopentyloxy)-4-methoxyphenyl]-1, 3-dihydro- 1, 3-dioxo-2H-isoindole-2-propanamide [Research-Code: CDC-801], Methanesulfonic acid 2- (2, 4-di- chlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5- (3, 5-di-tert-butyl-4- hydroxybenzylidene)-2-imidazothiazolidin-4-one [INN : DARBUFELONE], cis- [4-Cyano-4- (3-cyclo- pentyloxy-4-methoxyphenyl) cyclohexane-1-carboxylic acid [INN : CILOMILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088, KW-4490 and their pharmaceuti- cally acceptable derivatives, a preparation of a second active ingredient which is selected from (E)-6- [ (E)-3- (1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridineacrylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridin [INN : AZATADINE], 4- [ (4-chloro- phenyl) methyl]-2- (hexahydro-1-methyl-1H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (+)- (S)-4- [4- [1- (4-chlorophenyl)-1- (2-pyridyl) methoxy] piperidin-1-yl]-butanoic acid [INN : BEPOTA- STINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy]-acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}-1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6,11-dihydro-11-(4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : D ESLORATADIN E], [3-(4-Chlorophenyl)-3-pyridin-2-yl-propyl]-d imethylamine [I N N : DEX- CHLORPHENIRAMINE], 4'-tert-butyl-4-[4-(diphenylmethoxy)piperidino]butyrophenone [INN : EBA- STINE], [2- [4- [bis (p-fluorophenyl) methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2- ethoxyethyl)-2-(hexahydro-4-methyl-1-1,4-diazepin-1-yl)-benz imidazole [INN: EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, faimidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p-[1- hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXO- FENADINE], 3-[4-(8-fluoro-5,11-dihydrobenz [b] oxepino [4,3-b] pyridin-11-ylidene)-piperidin-1-yl] pro- pionic acid [Research Code: HSR-609], (-)-(3S,4R)-1-[cis-4-cyano-4-(p-fluorophenyl)cyclohexyl]-3- methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2- [4- [ (R)-p-chloro-alpha-phenylbenzyl)-l- piperazinyl] ethoxy] -acetic acid [INN : LEVOCETIRIZINE], ethyl 4-(8-chloro-5, 6-dihydro-11 H-benzo [5,6]- cyclohepta[1, 2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1-(4-fluoro- benzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTI- NE], 1-(4-fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN: NORASTEMIZOLE], 3-(10, 11- dihydro-5H-dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTYLINE], 9-methyl-3-(1 H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro-11-[1-(5- methylpyrid in-3-ylmethyl) piperid in-4-yl idene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1,2-b] pyridine [INN : RUPATADINE], 1- [2- [ (p-ch loro-al pha-methyl-al pha-ph enyl benzyl) oxy] ethyl] hexahydro-1 H-aze- pine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SU- DEXANOX], 1-(p-tert-butylphenyl)-4-[4'-(alpha-hydroxydiphenylmethyl)-1 '-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], 1-(4-fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN : TECASTEMIZOLE] and their pharmaceutically acceptable derivatives, and instructions for the simultaneous, sequential or separate administration of the preparations to a patient in need thereof.

In a fifteenth aspect-which is another embodiment of the thirteenth aspect-the invention provides a kit comprising a preparation of a first active ingredient which is selected from 3-Cyclopropylmethoxy-4- difluoromethoxy-N- (3, 5-dichloropyrid-4-yi)-benzamide [INN : ROFLUMILAST], (-) -cis-9-ethoxy-8-meth- oxy-2-methyl-1, 2,3, 4,4a, 1 Ob-hexahydro-6- (4-diisopropylam inocarbonylphenyl)-benzo- [c] [1,6] naphthy- ridine [INN : PUMAFENTRINE], 3, 5-dichloro-4-[8-methoxy-2-(trifluoromethyl)quinolin-5-ylcarb ox-ami- do] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxybenzyl]-6- (ethyl- amino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N-[9-methyl-4-oxo-1-phenyl-3, 4,6, 7-tetra- hydropyrrolo [3,2, 1 jk] [1,4] benzo-diazepin-3 (R)-yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3,7-dihydro-3- (4-chlorophenyl)-1-propyl-1 H-purine-2,6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxy- benzylamino]-lH-pyrazole-4-m ethanol, N- (3, 5-dichloro-4-pyridinyl)-2- [l- (4-fluorobenzyl)-5-hydroxy-lH- indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5-dichloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1 H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1, 3-bis (cy- clopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4-methoxy-3- [ (1S, 2S, 4R)-2-norbornyl- oxy] phenyl]-2 ( H)-pyrimidone [INN : ATIZORAM], R- [3- (Cyclopentyloxy)-4-methoxyphenyl]-1, 3-dihydro- 1, 3-dioxo-2H-isoindole-2-propanamide [Research-Code: CDC-801], Methanesulfonic acid 2- (2, 4-di- chlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5- (3, 5-di-tert-butyl-4-hy- droxybenzylidene)-2-imidazothiazolidin-4-one [INN : DARBUFELONE], cis- [4-Cyano-4- (3-cyclopentyl- oxy-4-methoxyphenyl) cyclohexane-1-carboxylic acid [INN : CILOMILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088 and their pharmaceutically acceptable derivatives, a preparation of a second active ingredient which is selected from (E)-6- [ (E)-3- (1-pyrroli- dinyl)-1-p-tolylpropenyl]-2-pyridineacrylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4- piperidyliden)-5H-benzo [5,6] cyclohepta-[1,2-b]pyridin [INN : AZATADINE], 4- [ (4-chlorophenyl) methyl]- 2-(hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (+)-(S)-4-[4-[1-(4- chlorophenyl)-1-(2-pyridyl) methoxy] piperidin-1-yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy]-acetic acid [I N N : CETI RIZIN E], (+)-2-{2-[(p- Chlor-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}-1-methylpyrrolidin [I N N : CLEMASTINE], 8-chloro- 6, 11-dihydro-11-(4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert- butyl-4- [4- (diphenylmethoxy) piperidino] butyrophenone [INN: EBASTINE], [2- [4- [bis (p-fluorophenyl)- methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2-ethoxyethyl)-2- (hexahydro-4- methyl-1H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-di- benz [c, fimidazo [1, 5-a] azepine [INN : EPINASTINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphen- ylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid (INN : FEXOFENADINE], 3-[4-(8-fluoro-5,11- dihydrobenz [b] oxepino [4,3-b] pyridin-11-ylidene)-piperidin-1-yl] propionic acid [Research Code: HSR- 609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohexyl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro-alpha-phenylbenzyl)-1-piperazinyl]ethoxy ]-acetic acid [INN : LEVOCETIRIZINE], ethyl 4-(8-chloro-5,6-dihydro-11H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)- 1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperi- dinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4- ylamino)-1H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d] cyclohepten- 5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTYLINE], 9-methyl-3-(1H-tetrazol-5-yl)-4H-pyri- do [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro-11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4- ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1,2-b] pyridine [INN : RUPATADINE], 1-[2-[(p-chloro- alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro-1 H-azepine [INN : SETASTINE], S- (7-carboxy- 4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (al- pha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2- pyridyl)-ethylenediamine [INN : TRIPELENAMINE] and their pharmaceutically acceptable derivatives, and instructions for the simultaneous, sequential or separate administration of the preparations to a patient in need thereof.

In a sixteenth aspect-which is still another embodiment of the thirteenth aspect-the invention pro- vides a kit comprising a preparation of a first active ingredient which is selected from 3-Cyclopropyl- methoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST], (-) -cis-9- ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6-(4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE] and their pharmaceutical acceptable derivatives, a preparation of a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexa- hydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus)- [2- [4- (p-chloro- alpha-phenylbenzyl)-1-piperazinyl] ethoxy] -acetic acid [INN : CETIRIZINE], 8-chloro-6, 11-dihydro-11- (4- piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p- [1- hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFE- NADINE], ethyl 4-(8-chloro-5,6-dihydro-11H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperi- dinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N- methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hy- droxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE] and their pharmaceutical accepta- ble derivatives, and instructions for the simultaneous, sequential or separate administration of the preparations to a patient in need thereof.

In the seventeenth aspect-which is a further embodiment of the thirteenth aspect-the invention provides a kit comprising a preparation of a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6-thio pyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5, 8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4-(3-Chloro-4-methoxyphenyl)-2-(tetrahydrothiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chioro-4-methoxyphenyi)-2- (1-oxo-hexahydro-1i"-thiopyran-4-yi)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Diethoxyphenyl)-2- (1, 1-dioxohexahydro-116-th iopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, <BR> <BR> <BR> (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (I, l-dioxohexahydro-1 16_thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4-(3-Cyclopentyloxy-4-methoxyphenyl)-2-(1,1-dioxohexah ydro-1l6-thiopyran-4-yl)-4a,5, 8,8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1-methanesulfonyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2-(1-Acetyl-piperidin-4-yl)-4-(3,4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (1-pyridin-4-yl-methanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(5-dimethylamino-naphthale ne-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-nitro-phenyl)-piperidin-4-yl]-4a, 5, 8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrid in-4-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2- {1- [2- (4-Amino-3, 5-dichloro-phenyl)-2-oxo-ethyl]-piperidin-4-yl}-4- (3, 4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- [1- (1-methyl-1 H-pyrazolo [3, 4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-thieno [2,3-d] pyrimidin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyrimidin-2-yl-piperidin-4 -yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-oxo-2H-chromen-7-ylmethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (1-isopropyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-morpholin-4-yl-2-oxo-ethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-phenethyl-piperidin-4-yl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-3-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-D imethoxy-phenyl)-2- (1-pyridin-2-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahyd ro-2 H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-D iethoxyphenyl)-2- [1- (2-morpholin-4-yl-ethanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1- {2- [4- (2-dimethylamino-ethyl)-piperazin-1-yl]-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1-(1-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4-(2-{4-[(4aS,8aR)-4-(3,4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yi]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmaceutical acceptable derivatives, a preparation of a second active ingredient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11-(1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] - pyridin [INN : AZATADINE], 4-[(4-chlorophenyl)methyl]-2-(hexahydro-1-methyl-1H-azepin-4 -yl)-1 (2H) - phthalazinone [INN : AZELASTINE], (+)-(S)-4-[4-[1-(4-chlorophenyl)-1-(2-pyridyl) methoxy] piperidin-1- yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazin- yl] ethoxy]-acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] - ethyl}-1-methylpyrrolidin [INN : CLEMASTIN E], 8-chloro-6, 11-dihydro-11-(4-piperidylidene)-5H-ben- zo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]- dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] bu- tyrophenone [INN : EBASTINE], [2-[4-[bis(p-fluorophenyl)methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETI RIZINE], 1- (2-ethoxyethyl)-2- (hexahydro-4-methyl-1H-1, 4-diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, f) imidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxepino [4, 3-b] pyridin-11-ylidene)-piperidin- 1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohex- yl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro-alpha-phenylbenz- yl)-1-piperazinyl] ethoxy] -acetic acid [INN : LEVOCETIRIZINE], ethyl 4- (8-chloro-5, 6-dihydro-11H-ben- zo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4- fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H) -one [INN : MIZO- LASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTY- LINE], 9-methyl-3- (1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro- 11- ['I- (5-methylpyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1, 2-b]- pyridine [INN : RUPATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl)oxy]ethyl] hexahydro- 1H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], and 1-(4-fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN : TECASTEMIZOLE] and their phar- maceutically acceptable derivatives, and instructions for the simultaneous, sequential or separate administration of the preparations to a patient in need thereof.

In the eighteenth aspect-which is a still further embodiment of the thirteenth aspect-the invention provides a kit comprising a preparation of a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2-(tetrahydrothiopyran- 4-yl)-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6-thio pyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-114-th iopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Diethoxyphenyl)-2- (1, 1-dioxohexahydro-1 I6-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2-(1, 1-dioxohexahydro-116-th iopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1l6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4-(3-Cyclopentyloxy-4-methoxyphenyl)-2-(1, 1-dioXohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-(1-methanesulfonyl-piperidin-4 -yl)-4a,5, 8,8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2- (1-Acetyl-piperidin-4-yl)-4- (3, 4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(1-pyridin-4-yl-methanoyl)- piperidin-4-yl]-4a,5,8,8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1H-phtha- lazin-2-yl]-piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(5-dimethylamino-naphthale ne-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-n itro-phenyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2 H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-4-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(morpholine-4-carbonyl)-pi peridin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2- {1- [2- (4-Am ino-3, 5-dichloro-phenyl)-2-oxo-ethyl]-p iperidin-4-yl}-4- (3, 4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(1-methyl-1H-pyrazolo [3,4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-thieno [2,3-d] pyrimidin-4-yl-piperid in-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrimidin-2-yl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(2-oxo-2H-chromen-7-ylmeth yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (l-isopropyl-piperidin-4-yi)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-morpholin-4-yl-2-oxo-ethyl)-piperidin-4-yl]-4a, 5, 8,8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-phenethyl-piperidin-4-yl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-3-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-2- (1-pyridin-2-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [l- (2-morpholin-4-yl-ethanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1- {2- [4- (2-dimethylamino-ethyl)-piperazin-1-yl]-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1- (1- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4- (2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2-{4-[(4aS, 8aR)-4-(3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmaceutical acceptable derivatives, a preparation of a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin-4-yl)- 1 (2H) phthalazinone [INN : AZELASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-pipera- zinyl] ethoxy] -acetic acid [INN : CETIRIZINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-benzo- [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxy- diphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4- (8- chloro-5, 6-dihydro-11 H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1H-benzimidazol-2-yl]-4-piperidinyl]-N-meth yl-amino] pyrimi- din-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'- piperidyl]-butanol [INN : TERFENADINE] and their pharmaceutical acceptable derivatives, and in- structions for the simultaneous, sequential or separate administration of the preparations to a patient in need thereof.

It has been found that the administration of active ingredients according to the invention is advantage- ous because it results-in comparison to the administration of a single active ingredient from the PDE4 and PDE3/4 inhibitors or the histamine receptor antagonists class-in a reduced early allergic respon- se and/or in a reduced late inflammatory airway response.

The pharmaceutical composition of the present invention may be prepared by mixing the first active ingredient with the second active ingredient. Therefore, in the nineteenth aspect of the present inven- tion, there is provided a process for the preparation of a pharmaceutical composition which comprises mixing a first active ingredient which is selected from a PDE4 inhibitor, a PDE3/4 inhibitor and their pharmacologically acceptable derivatives, with a second active ingredient which is selected from a histamine receptor antagonist and its pharmacologically acceptable derivatives.

In a twentieth aspect-which is an embodiment of the nineteenth aspect-there is provided a process for the preparation of a pharmaceutical composition which comprises mixing a first active ingredient which is selected from 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)-benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6- (4-diisopro- pylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro-4- [8-meth- oxy-2- (trifluoromethyi) quinolin-5-ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxybenzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Research-Code: V-11294A], N- [9-methyl-4-oxo-1-phenyl-3, 4,6, 7-tetrahydropyrrolo [3,2, 1-jk] [1,4] benzo-diazepin-3 (R) - yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole-2-carboxamide oxime [Research Code: ORG-20241], 3, 7-dihydro-3-(4-chlorophenyl)-1-propyl-1H-purine-2, 6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxybenzylamino]-1 H-pyrazole-4-methanol, N- (3, 5- dichloro-4-pyridinyl)-2- [1- (4-fluorobenzyl)-5-hydroxy-1 H-indol-3-yl]-2-oxoacetamide [Research-Code : AWD-12-281], N-(3,5-dichloropyridin-4-yl)-2-[5-fluoro-1-(4-fluorobenzyl)- 1H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1, 3-bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4-methoxy-3- [ (1S, 2S, 4R)-2-norbornyloxy] phenyl]-2 ( H)-pyrimidone [INN : ATIZORAM], ß-[3-(Cyclopentyloxy)-4-methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H-isoindole-2-propanamide [Research - Code : CDC-801], Methanesulfonic acid 2-(2, 4-dichlorophenylcarbonyl)-3-ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5-(3,5-di-tert-butyl-4-hydroxybenzylidene)-2-imidaozthia zolidin-4-one [INN : DARBUFFELONE], cis-[4-Cyano-4-(3-cyclopentyloxy-4-methoxyphenyl)cyclohexane -1-carboxylic acid [INN : CILOMILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088, KW-4490 and their pharmacologically acceptable derivatives, with a second active ingredi- ent which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11-(1-methyl-4-piperidyliden)-5H-benzo [5, 6] cyclohepta- [1, 2-b] pyridin [INN : AZATADINE], 4-[(4-chlorophenyl)methyl]-2-(hexahydro-1-methyl-1H-azepin-4 -yl)-1 (2H) phthala- zinone [INN : AZELASTINE], (+)- (S)-4- [4- [1- (4-chlorophenyl)-1- (2-pyridyl) methoxy] piperidin-1-yl]-bu- tanoic acid [INN : BEPOTASTINE], (plus/minus)-[2-[4-(p-chloro-alpha-phenylbenzyl)-1-piperazin yl]- ethoxy] -acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl) oxy] ethyl}- 1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6,11-dihydro-11-(4-piperidlidene)-5H-benzo [5,6]- cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]-di- methylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] buty- rophenone [INN : EBASTINE], [2-[4-[bis(p-fluorophenyl)methyl]-1-piperazinyl]ethoxy]aceti c acid [INN : EFLETI RIZIN E], 1-(2-ethoxyethyl)-2-(hexahydro-4-methyl-1 H-1, 4-diazepin-1-yl)-benzim idazoWe [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, fimidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], 3-[4-(8-fluoro-5,11-dihydrobenz [b] oxepino [4, 3-b] pyridin-11-ylidene)-piperidin- 1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohex- yl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(4R)-p-chloro-alpha-phenylbenz- yl)-1-piperazinyl] ethoxy] -acetic acid [INN : LEVOCETIRIZINE], ethyl 4-(8-chloro-5,6-dihydro-11 H-ben- zo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1-(4- fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZO- LASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIP- TYLIN E], 9-methyl-3-(1 H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro- <BR> <BR> <BR> 11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5, 6] cyclohepta [1, 2-b]- pyridine [INN : RUPATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro- 1 H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)-1H-benzimidazole [INN : TECASTEMIZOLE] and their pharmacologically acceptable derivatives.

In a twentyfirst aspect-which is another embodiment of the nineteenth aspect-there is provided a process for the preparation of a pharmaceutical composition which comprises mixing a first active in- gredient which is selected from 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid-4-yl)- benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahydro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE], 3, 5-dichloro- 4- [8-methoxy-2- (trifluoromethyl) quinolin-5-ylcarbox-amido] pyridine-1-oxide [Research Code: SCH-351591], 3- [3- (cyclopentyloxy)-4-methoxybenzyl]-6- (ethylamino)-8-isopropyl-3H-purine [Re- search-Code: V-11294A], N-[9-methyl-4-oxo-1-phenyl-3, 4,6, 7-tetrahydropyrrolo [3,2, 1-jk] [1,4] benzo- diazepin-3 (R)-yl] pyridine-4-carboxamide [Research-Code: CI-1018], 4- (3, 4-dimethoxyphenyl) thiazole- 2-carboxamide oxime [Research Code: ORG-20241], 3,7-dihydro-3-(4-chlorophenyl)-1-propyl-1H-pu- rine-2,6-dione [INN AROFYLLINE], 3- [3- (Cyclopentyloxy)-4-methoxybenzylamino]-1 H-pyrazole-4-me- thanol, N- (3, 5-dichloro-4-pyridinyl)-2- [1- (4-fluorobenzyl)-5-hydroxy-1 H-indol-3-yl]-2-oxoacetamide [Research-Code: AWD-12-281], N- (3, 5-dichloropyridin-4-yl)-2- [5-fluoro-1- (4-fluorobenzyl)-1H-indol-3- yl]-2-oxoacetamide [Research-Code: AWD-12-343], 8-Amino-1,3-bis (cyclopropylmethyl) xanthine [INN : CIPAMFYLLINE], Tetrahydro-5- [4-methoxy-3- [ (1S, 2S, 4R)-2-norbornyloxy] phenyl-2 (1H)-pyrimi- done [INN : ATIZORAM], R- [3- (Cyclopentyloxy)-4-methoxyphenyl]-1, 3-dihydro-1, 3-dioxo-2H-isoindole- 2-propanamide [Research-Code: CDC-801], Methanesulfonic acid 2- (2, 4-dichlorophenylcarbonyl)-3- ureidobenzo-furan-6-yl ester [INN : LIRIMILAST], (Z)-5- (3, 5-di-tert-butyl-4-hydroxybenzylidene)-2-imi- dazothiazolidin-4-one [INN : DARBUFELONE], cis- [4-Cyano-4- (3-cyclopentyloxy-4-methoxyphenyl)- cyclohexane-1-carboxylic acid [INN : CILOMILAST], the compounds with the research codes CDC-998, SH-636, D-4396, IC-485, CC-1088 and their pharmacologically acceptable derivatives, with a second active ingredient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolypropenyl]-2-pyri- dineacrylic acid [INN : ACRIVASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cy- clohepta- [1, 2-b] pyridin [INN : AZATADINE], 4-[(4-chlorophenyl)methyl]-2-(hexahydro-1-methyl-1H- azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (+)-(S)-4-[4-[1-(4-chlorophenyl)-1-(2-pyridyl)- methoxy] piperidin-1-yi]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha- phenylbenzyl)-1-piperazinyl] ethoxy] -acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chloro-alpha-methyl- alpha phenylbenzyl) oxy] ethyl}-1-methylpyrrolidin [INN : CLEMASTINE], 8-chloro-6,11-dihydro-11-(4- piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], [3- (4-Chloro- phenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] butyrophenone [INN : EBASTINE], [2- [4- [bis (p-fluorophenyl) methyl]-1- piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1- (2-ethoxyethyl)-2- (hexahydro-4-methyl-1 H-1, 4- diazepin-1-yl)-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1 H-dibenz [c, flimidazo [1, 5- a] azepine [INN : EPINASTINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]- butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxe- pino [4,3-b] pyridin-11-ylidene)-piperidin-1-yl] propionic acid [Research Code: HSR-609], (-)- (3S, 4R)-1- [cis-4-cyano-4- (p-fluorophenyl) cyclohexyl]-3-methyl-4-phenylisonipecotic acid [INN : LEVOCABA- STINE], [2- [4- [ (R)-p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy] -acetic acid [INN : LEVOCETI- RIZINE], ethyl 4- (8-chloro-5, 6-dihydro-11H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperi- dinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluorobenzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N- methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE], 1- (4-fluorobenzyl)-2- (piperidin-4-ylamino)- 1 H-benzimidazole [INN : NORASTEMIZOLE], 3- (10, 11-dihydro-5H-dibenzo [a, d] cyclohepten-5-ylide- ne)-N-methyl-1-propanamine [INN : NORTRIPTYLi N E], 9-methyl-3-(1 H-tetrazol-5-yl)-4H-pyrido [1,2- a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro-11- [1- (5-methylpyridin-3-ylmethyl) piperidin-4-ylide- <BR> <BR> <BR> ne] -6, 11-dihydro-5H-benzo [5,6] cyclohepta [1,2-b] pyridine [INN : RUPATADINE], 1- [2- [ (p-chloro-alpha- methyl-alpha-phenylbenzyl) oxy] ethyl] hexahydro-1H-azepine [INN : SETASTINE], S- (7-carboxy-4-hex- yi-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXANOX], 1- (p-tert-butylphenyl)-4- [4'- (alpha- hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE], N-benzyl-N, N'-dimethyl-N-(2- pyridyl)-ethylenediamine [INN : TRIPELENAMINE] and their pharmacologically acceptable derivatives.

In a twentysecond aspect-which is still another embodiment of the nineteenth aspect-there is provided a process for the preparation of a pharmaceutical composition which comprises mixing a first active ingredient which is selected from 3-Cyclopropylmethoxy-4-difluoromethoxy-N- (3, 5-dichloropyrid- 4-yl)-benzamide [INN : ROFLUMILAST], (-)-cis-9-ethoxy-8-methoxy-2-methyl-1, 2,3, 4,4a, 10b-hexahy- dro-6- (4-diisopropylaminocarbonylphenyl)-benzo- [c] [1,6] naphthyridine [INN : PUMAFENTRINE] and their pharmacologically acceptable derivatives, with a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZE- LASTINE], (plus/minus)-[2-[4-(p-chloro-alpha-phenylbenzyl)-1-piperazin yl]ethoxy]-acetic acid [INN : CETIRIZINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]- alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4- (8-chloro-5, 6-dihydro-11 H-benzo [5,6]- cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [1- (4-fluoro- benzyl)-1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTI- NE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFE- NADINE] and their pharmacologically acceptable derivatives.

In a twentythird aspect-which is still another embodiment of the nineteenth aspect-there is provided a process for the preparation of a pharmaceutical composition which comprises mixing a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- <BR> <BR> <BR> phthalazin-1-one,<BR> <BR> <BR> <BR> <BR> <BR> (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-1 4-thiopyran-4-yl)-4a, 5, 8, 8a-tetrahydro-2H-phtha-<BR> <BR> <BR> <BR> <BR> lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (1-oxo-hexahydro-114-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Diethoxyphenyl)-2- (l, 1-dioxohexahydro-I 16-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4-(2,3-Doihydro-2,2-dimethyl-7-mehoxybenzofuran-4-yl)- 2-(1,1-dioxohyexahydro-1I6-thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4-(3-Cyclopentyloxy-4-methoxyphenyl)-2-(1,1-dioxohexah ydro-1I6-thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1-methanesulfonyi-piperidin-4-yi)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2- (1-Acetyl-piperidin-4-yl)-4- (3, 4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-iethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (1-pyridin-4-yl-methanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, 4- [ (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4- [ (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxyl ic acid tert-butylamide, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (5-dimethylamino-naphthalene-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (4-nitro-phenyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyridin-4-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2-{1-[2-(4-Amino-3,5-dichloro-phenyl)-2-oxo-ethyl]-pipe ridin-4-yl}-4-(3,4-dimethoxy-phenyl)- 4a,5,8,8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(-1methyl-1H-pyrazolo [3, 4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-thieno [2,3-d] pyrimidin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrimidin-2-yl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-oxo-2H-chromen-7-ylmethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (1-isopropyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-morpholin-4-yl-2-oxo-ethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-phenethyl-piperidin-4-yl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-3-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-2- (1-pyridin-2-ylmethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(2-morpholin-4-yl-ethanoyl) -piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1- {2- [4- (2-dimethylamino-ethyl)-piperazin-1-yl]-ethanoyl}-pipe- ridin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4- (3, 4-D imethoxyphenyl)-2- [1- (4-1, 2, 3-th iad iazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1-(1-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4- (2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmacologically acceptable derivatives, with a second active ingredient which is selected from (E)-6-[(E)-3-(1-pyrrolidinyl)-1-p-tolylpropenyl]-2-pyridinea crylic acid [INN : ACRI- VASTINE], 6, 11-Dihydro-11- (1-methyl-4-piperidyliden)-5H-benzo [5,6] cyclohepta- [1, 2-b] pyridin [INN : AZATADINE], 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phthalazinone [INN : AZELASTINE], (+)-(S)-4-[4-[1-(4-chlorophenyl)-1-(2-pyridyl) methoxy] piperidin-1-yl]-butanoic acid [INN : BEPOTASTINE], (plus/minus)- [2- [4- (p-chloro-alpha-phenylbenzyl)-1-piperazinyl] ethoxy]-acetic acid [INN : CETIRIZINE], (+)-2-{2-[(p-Chlor-alpha-methyl-alpha phenylbenzyl)oxy]ethyl}-1-methylpyrro- lidin [INN : CLEMASTINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-benzo [5, 6] cyclohepta- [1, 2- b] pyridine [INN : DESLORATADINE], [3- (4-Chlorophenyl)-3-pyridin-2-yl-propyl]-dimethylamine [INN : DEXCHLORPHENIRAMINE], 4'-tert-butyl-4- [4- (diphenylmethoxy) piperidino] butyrophenone [INN : EBASTINE], [2- [4- [bis (p-fluorophenyl) methyl]-1-piperazinyl] ethoxy] acetic acid [INN : EFLETIRIZINE], 1-(2-ethoxyethyl)-2-(hexahydro-4-methyl-1H-1,4-diazepin-1-yl )-benzimidazole [INN : EMEDASTINE], 3-amino-9, 13b-dihydro-1H-dibenz [c, fjimidazo [1,5-a] azepine [INN : EPINASTINE], (plus/minus)-p- [1- hydroxy-4- [4- (hydroxydiphenylmethyl) piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFE- NADINE], 3- [4- (8-fluoro-5, 11-dihydrobenz [b] oxepino [4, 3-b] pyridin-11-ylidene)-piperidin-1-yl] propionic acid [Research Code: HSR-609], (-)-(3S,4R)-1-[cis-4-cyano-4-(p-fluorophenyl)cyclohexyl]-3-m ethyl-4- phenylisonipecotic acid [INN : LEVOCABASTINE], [2-[4-[(R)-p-chloro-alpha-phenylbenzyl)-1-pipera- zinyl] ethoxy] -acetic acid [INN : LEVOCETIRIZINE], ethyl 4-(8-chloro-5,6-dihydro-11 H-benzo [5,6] cyclo- hepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2-[N-[1-(4-fluorobenzyl)- 1 H-benzimidazol-2-yl]-4-piperidinyl]-N-methyl-amino] pyrimidin-4 (3H) -one [INN : MIZOLASTINE], 1- (4- fluorobenzyl)-2-(piperidin-4-ylamino)-1H-benzimidazole [INN : NORASTEMIZOLE], 3-(10,11-dihydro- 5H-dibenzo [a, d] cyclohepten-5-ylidene)-N-methyl-1-propanamine [INN : NORTRIPTYLINE], 9-methyl-3- (1H-tetrazol-5-yl)-4H-pyrido [1,2-a] pyrimidin-4-one [INN : PEMIROLAST], 8-chloro-11-[1-(5-methyl- pyridin-3-ylmethyl) piperidin-4-ylidene]-6, 11-dihydro-5H-benzo [5,6] cyclohepta [1, 2-b] pyridine [INN : RUPATADINE], 1-[2-[(p-chloro-alpha-methyl-alpha-phenylbenzyl) oxy] ethyl]hexahydro-1H-azepine [INN : SETASTINE], S- (7-carboxy-4-hexyl-9-oxoxanthen-2-yl)-S-methylsulfoximine [INN : SUDEXA- NOX], 1-(p-tert-butylphenyl)-4-[4'-(alpha-hydroxydiphenylmethyl)-1 '-piperidyl]-butanol [INN : TERFE- <BR> <BR> <BR> NADINE], N-benzyl-N, N'-dimethyl-N- (2-pyridyl)-ethylenediamine [INN : TRIPELENAMINE], 1- (4-fluoro- benzyl)-2- (piperidin-4-ylamino)-1 H-benzimidazole [INN : TECASTEMIZOLE] and their pharmacologi- cally acceptable derivatives.

In a twentyfourth aspect-which is still another embodiment of the nineteenth aspect-there is provided a process for the preparation of a pharmaceutical composition which comprises mixing a first active ingredient which is selected from (cis)-4- (2, 3-Dihydro-2, 2-dimethyl-7-methoxybenzofuran-4-yl)- 2-(tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1-oxo-hexahydro-1 14-thiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (cis)-4- (3-Chloro-4-methoxyphenyl)-2- (tetrahydrothiopyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, (cis)-4-(3-Chloro-4-methoxyphenyl)-2-(1-oxo-hexahydro-1I4-th ipyran-4-yl)-4a, 5,8, 8a-tetrahydro-2H- <BR> <BR> <BR> phthalazin-1-one,<BR> <BR> <BR> <BR> (cis)-4- (3, 4-Diethoxyphenyl)-2- (1, 1-dioxohexahydro-1 Is-thiopyran-4-yl)-4a, 5, 8, 8a-tetrahydro-2H-phtha-<BR> <BR> <BR> <BR> <BR> lazin-1-one, (cis)-4- (2, 3-Dihydro-2, 2-d imethyl-7-methoxybenzofuran-4-yl)-2- (1, 1-dioxohexahydro-1 16-thiopyran-4- yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aR, 8aS)-(cis)-4-(3,4-Dimethoxyphenyl)-2-(1,1-dioxohexahydro-1I6 -thipyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)- (cis)-4- (3, 4-Dimethoxyphenyl)-2- (1, 1-dioxohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (cis)-4-(3-Cyclopentyloxy-4-methoxyphenyl)-2-(1, 1-d ioXohexahydro-116-thiopyran-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (toluene-4-sulfonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1-methanesulfonyl-piperidin-4-yl)-4a, 5, 8,8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-2-(1-Acetyl-piperidin-4-yl)-4-(3,4-diethoxyphenyl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1- one, 5-{4-[(4aS,8aR)-4-(3,4-Diethoxy-phenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-5-oxo-pentanoic acid, (4aS, 8aR)-4-(3,4-Diethoxyphenyl)-2-[1-(1-pyridin-4-yl-methanoyl)- piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid tert-butylamide, 4-[(4aS,8aR)-4-(3,4-Diethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidine-1-carb- oxylic acid phenylamide, (cis)-4- [4- (7-Methoxy-2, 2-dimethyl-2, 3-dihydro-benzofuran-4-yl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phtha- lazin-2-yl]-piperidine-1-carboxylic acid tert-butylamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(5-dimethylamino-naphthale ne-1-sulfonyl)-piperidin-4-yl]- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-nitro-phenyl)-piperidin -4-yl]-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-4-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-2- {1- [2- (4-Amino-3, 5-dichloro-phenyl)-2-oxo-ethyl]-piperidin-4-yl}-4- (3, 4-dimethoxy-phenyl)- 4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 4-(3,4-Dimethoxyphenyl)-2-[1-(1-methyl-1H-pyrazolo [3,4-d] pyrimidin-4-yl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-naphthalen-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-thieno [2, 3-d] pyrimidin-4-yl-piperidin-4-yl)-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-pyrimidin-2-yl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phtha- lazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-oxo-2H-chromen-7-ylmethyl)-piperidin-4-yl]-4a, 5,8, 8a-te- trahydro-2H-phthalazin-1-one, 4- (3, 4-Dimethoxyphenyl)-2- (1-isopropyl-piperidin-4-yl)-4a, 5, 8, 8a-tetrahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- [1- (2-morpholin-4-yl-2-oxo-ethyl)-piperid in-4-yl]-4a, 5, 8,8a-te- trahydro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-2- (1-phenethyl-piperidin-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin- 1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (morpholine-4-carbonyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahydro- 2H-phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-(1-pyridin-3-ylmethyl-piperid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4-(3,4-Dimethoxy-phenyl)-2-(1-pyridin-2-ylmethyl-piperi din-4-yl)-4a, 5,8, 8a-tetrahydro-2H- phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- [1- (2-morpholin-4-yl-ethanoyl)-piperidin-4-yl]-4a, 5,8, 8a-tetrahy- dro-2H-phthalazin-1-one, (4aS, 8aR)-4- (3, 4-Diethoxyphenyl)-2- (1- {2- [4- (2-dimethylamino-ethyl)-piperazin-1-yl]-ethanoyl}-pipe- rid in-4-yl)-4a, 5,8, 8a-tetrahydro-2H-phthalazin-1-one, 2-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-isopropyl-acetamide, (4aS, 8aR)-4-(3,4-Dimethoxyphenyl)-2-[1-(4-1, 2, 3-thiadiazol-4-yl-benzyl)-piperidin-4-yl]-4a, 5,8, 8a-tetra- hydro-2H-phthalazin-1-one, 1- (1- {4- [ (4aS, 8aR)-4- (3, 4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-methanoyl)-4-ethyl-piperazine-2, 3-dione, 4-(2-{4-[(4aS,8aR)-4-(3,4-Dimmethoxy-phenyl)-1-oxo-4a 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin- 1-yl}-ethanoylamino)-benzoic acid ethyl ester, 2-{4-[(4aS,8aR)-4-(3,4-Dimethoxyphenyl)-1-oxo-4a, 5,8, 8a-tetrahydro-1 H-phthalazin-2-yl]-piperidin-1- yl}-2H-acetamide and their pharmacologically acceptable derivatives, with a second active ingredient which is selected from 4- [ (4-chlorophenyl) methyl]-2- (hexahydro-1-methyl-1 H-azepin-4-yl)-1 (2H) phtha- lazinone [INN : AZELASTINE], (plus/minus)-[2-[4-(p-chloro-alpha-phenylbenzyl)-1-piperazny l] ethoxy] - acetic acid [INN : CETIRIZINE], 8-chloro-6, 11-dihydro-11- (4-piperidylidene)-5H-benzo [5,6] cyclohepta- [1,2-b] pyridine [INN : DESLORATADINE], (plus/minus)-p- [1-hydroxy-4- [4- (hydroxydiphenylmethyl)- piperidino]-butyl]-alpha-methylhydratropic acid [INN : FEXOFENADINE], ethyl 4- (8-chloro-5, 6-dihydro- 11 H-benzo [5,6] cyclohepta [1,2-b] pyridin-11-ylidene)-1-piperidinecarboxylate [INN : LORATADINE], 2- [N- [l- (4-fluorobenzyl)-lH-benzimidazol-2-yl]-4-piperidinyl]-N-meth yl-amino] pyrimidin-4 (3H)-one [INN : MIZOLASTINE] and 1- (p-tert-butylphenyl)-4- [4'- (alpha-hydroxydiphenylmethyl)-1'-piperidyl]-butanol [INN : TERFENADINE] and their pharmacologically acceptable derivatives.

The first and second active ingredient may alternatively (other than in admixture as described above) be administered simultaneously, sequentially or separately to treat respiratory diseases. By sequential is meant that the first and second active ingredient are administered one immediately after the other.

Separately means a time difference of administration of up to 24 h, preferably up to 12 h.

The present invention further provides the use of a pharmaceutical composition, or pharmaceutical product according to the invention in the manufacture of a medicament for the prophylaxis and/or treatment of a respiratory disease.

A further aspect of the present invention is a method for the treatment of a respiratory disease com- prising administering to a patient in need thereof (a) an effective amount of a PDE4 inhibitor, a PDE3/4 inhibitor or a pharmaceutical acceptable derivative thereof and (b) an effective amount of a histamine receptor antagonist or a pharmaceutical acceptable derivative thereof.

Respiratory diseases which may be mentioned are in particular allergen-and inflammation-induced bronchial disorders (bronchitis, obstructive bronchitis, spastic bronchitis, allergic bronchitis, allergic asthma, bronchial asthma, COPD, allergic, seasonal and perennial rhinitis), which can be treated by the combination according to the invention also in the sense of a long-term therapy (if desired with appropriate adjustment of the dosage of the individual components to the needs at the time, for example needs subject to seasonally related variations).

The active ingredients may, and indeed will, as part of the pharmaceutical composition, the Pharma- ceutical product or preparation, be used in admixture with one or more pharmaceutical acceptable auxiliaries and/or excipients.

Within the meaning of the present invention, "use"is preferably understood as meaning the oral administration of both active ingredients. The active ingredients also can be administered as a nasal spray, an aerosol, or as an inhaled powder. Further methods of administration, which may be mentioned are the parenteral (e. g. intravenous) and the transdermal administration of the active ingredients.

The invention encompasses on the one hand co-administering both drugs in one delivery form such as a fixed oral combination (putting both active ingredients in one tablet), as an inhaler (putting both active ingredients in the same inhaler) or as a free oral combination (putting both active ingredients in two separate tablets). On the other hand it encompasses also the administration of the drugs in two different delivery forms such as putting the PDE4 inhibitor into tablets and package them with an inhaler that contains the histamine receptor antagonist, or vice versa.

The person skilled in the art is familiar on the basis of his/her expert knowledge with which excipients or auxiliaries are suitable for the desired pharmaceutical composition, product or preparation. In addition to solvents, gel-forming agents, tablet excipients and other active compound carriers, it is possible to use, for example, antioxidants, dispersants, emulsifiers, antifoams, flavor corrigents, preservatives, solubilizers, colorants or permeation promoters and complexing agents (e. g. cyclo- dextrins).

The pharmaceutical compositions or preparations according to the invention for oral administration are preferably in the form of tablets, coated tablets, capsules, emulsions, suspensions or solutions, the active ingredient content advantageously being between 0.1 and 95% and by appropriate choice of the excipients and the auxiliaries, it being possible to achieve a pharmaceutical administration form precisely tailored to the active ingredient (s) and/or to the desired onset of action (e. g. a sustained release form or an enteric form).

The active ingredients according to the invention are administered by inhalation preferably in the form of an aerosol ; the aerosol particles of solid, liquid or mixed composition preferably having a diameter of 0.5 to 10 um, advantageously of 2 to 6 um.

Aerosol generation can be carried out, for example, by pressure-driven jet atomizers or ultrasonic atomizers, but advantageously by propellant-driven metered aerosols or propellant-free administration of micronized active compounds from inhalation capsules.

Depending on the inhaler system used, in addition to the active compounds the administration forms additionally contain the required excipients, such as, for example, propellants (e. g. Frigen in the case of metered aerosols), surface-active substances, emulsifiers, stabilizers, preservatives, flavorings, fillers (e. g. lactose in the case of powder inhalers) or, if appropriate, further active compounds.

For the purposes of inhalation, a large number of apparatuses are available with which aerosols of optimum particle size can be generated and administered, using an inhalation technique which is as right as possible for the patient. In addition to the use of adaptors (spacers, expanders) and pear- shaped containers (e. g. NebulatorS), Volumatic (É)), and automatic devices emitting a puffer spray (Autohaler@), for metered aerosols, in particular in the case of powder inhalers, a number of technical solutions are available (e. g. Diskhaler@, Rotadisk@, TurbohalerX or the inhaler described in European Patent Application EP 0 505 321), using which an optimal administration of active compound can be achieved.

Typical compositions for nasal delivery include those mentioned above for inhalation and further include non-pressurized compositions in the form of a solution or suspension in an inert vehicle such as water optionally in combination with conventional excipients such as buffers, anti-microbials, tonicity modifying agents and viscosity modifying agents which may be administered by nasal pump.

Typical transdermal formulations comprise a conventional aqueous or non aqueous vehicle, for example a cream, ointment, lotion or paste, or are in the form of a medicated plaster, patch or membrane.

For the above-mentioned therapeutic uses the dosages administered will, of course, vary with the first and second active ingredients employed, the mode of administration, the treatment desired and the disorder indicated.

However, in general, satisfactory results will be obtained when the total daily dosage of first active in- gredient (s), the PDE4 respectively the PDE3/4 inhibitors, when taken oral is in the range from 1-2000 ug/kg of body weight. In the case of the particularly preferred PDE4 inhibitor ROFLUMILAST, the daily dosage is in a range from 1-20 Jg/kg of body weight. The daily dosage for the particularly preferred PDE3/4 inhibitor PUMAFENTRINE is in a range from 300-1500 ug/kg of body weight.

The total daily dosage of the second active ingredient (s), the histamine receptor antagonists also can vary within a wide range (0.1-1500 pg/kg of body weight). In the case of the particularly preferred histamine receptor antagonist LORATADINE, the daily dosage when taken oral is in a range from 0.1- 0. 5 ug/kg of body weight.