Patent Publication Number: US-4929619-A

Title: Anti-infective methods and compositions

Description:
This is a continuation of application Ser. No. 07/218,956 filed July 14, 1988 now U.S. Pat. No. 4,873,265. 
    
    
     BACKGRAOUND OF THE INVENTION 
     1. Field of the Invention 
     The invention relates to methods of providing local anti-infective treatment to human or animal tissues and compositions useful in such treatments. 
     2. Description of the Prior Art 
     Local or topical antibacterial or antimycotic agents have been commercially available in a variety of preparations and vehicles for many years. Examples of the active ingredients commonly found in such locally applied antimicrobal compositions include bacitracin, polymyxin, neomycin, povidone iodine, benzoyl peroxide, tolnaftate, miconazole and the like. In addition, it is known that ethyl alcohol, which is utilized as a solvent or diluent in a number of topical antibacterial preparations, has significant bactericidal activity. 
     Antihistaminic agents, i.e., drugs capable of antagonizing the in vivo effects of histamine, have been known for decades. The classical antihistamines act by competitively antagonizing the effects of histamine at H 1  -receptor sites. While antihistamines have traditionally been administered orally and in some instances parenterally, topical antihistaminic preparations, particularly incorporating diphenhydramine, have been used to reduce pruritus caused by, e.g., fixed drug eruptions, contact dermatitis and insect bites. Such tropical antihistaminic preparations have also been utilized to treat the erythema and edema of insect bites, poison ivy and so on. 
     In conditions where both local relief or pruritus and edema and anti-infective treatment are required, it has been conventional to apply both an antihistaminic agent and a topically effective antimicrobial agent to the affected area to achieve the desired therapeutic effects. It has not hitherto been disclosed that the use of a topically effective antihistaminic agent alone in a suitable topical vehicle would achieve any significant bactericidal, bacteriostatic and/or antimycotic effects. 
     SUMMARY OF THE INVENTION 
     It has now been discovered, surprisingly, that certain antihistaminic agents, when incorporated into pharmaceutically acceptable topical vehicles, exhibit substantial and significant antimycotic and antibacterial activity, both bactericidal and bacteriostatic in nature, without the additional or concomitant use of any separate anti-infective or antimicrobial agent. 
     The subject invention comprehends methods of providing local anti-infective treatment to a human or animal tissue area comprising the application to said tissue area of a composition containing an effective concentration of certain antihistaminic agents together with a pharmaceutically acceptable topical vehicle, e.g., a pharmaceutically suitable and compatible liquid, lotion, aerosol, cream, gel or ointment. An effective amount of such a topical antihistamine-containing preparation may be applied one to five times daily to achieve the desired anti-infective effect as well as local antihistaminic activity. 
     DETAILED DESCRIPTION OF THE INVENTION 
     The methods of the present invention comprise the providing of local anti-infective treatment to a human or animal tissue area by applying to said tissue area an effective antibacterial or antimycotic (i.e., antifugal and anti-yeast) amount of a composition containing (a) from about 0.5 to about 5% by weight of antihistaminic agent selected from the group consisting of ethanolamine derivatives, ethylenediamine derivatives and alkylamine derivatives, as well as pharmaceutically acceptable salts thereof, and (b) a pharmaceutically acceptable topical vehicle selected from the group consisting of liquids, lotions, aerosols, gels and ointments. 
     The term &#34;ethanolamine derivatives&#34; as used herein refers to antihistaminic compositions having structural formulas exemplified by, but not limited to, the following species: ##STR1## 
     The term &#34;ethylenediamine derivatives&#34; as used herein refers to antihistaminic compositions having structural formulas exemplified by, but not limited to, the following species: ##STR2## 
     The term &#34;alkylamine derivatives&#34; as used herein refers to antihistaminic compositions having structural formulas exemplified by, but not limited to, the follwing species: ##STR3## 
     In vitro &#34;zone of inhibition&#34; screening has demonstrated that not all antihistamines included in the aforementioned three classes exhibit significant antimicrobial activity. It has been ascertained that at least the following compounds do exhibit such activity in vitro, and in vivo expanded flora testing has confirmed the antibacterial activity of some of these compounds while others remain to be tested: 
     Ethanolamine derivatives--diphenhydramine, diphenhydramine hydrochloride and dimenhydrinate 
     Ethylenediamine derivatives--tripelennamine 
     Alkylamine derivatives--brompheniramine, chlorpheniramine and triprolidine 
     All of the above antihistamines exhibited marked antibacterial activity and activity against C. albicans, but chlorpheniramine and triprolidine were ineffective agaisnt T. mentagrophytes. Pyrilamine, an alkylamine, showed activity against T. mentagrophytes but not the other pathogens screened. 
     A more preferred concentration range for the active antihistaminic agents used in the compositions and methods of the present invention is from about 1% to about 3% by weight. Numerous antihistamines of the classes mentioned above were found in in vitro antibacterial testing, however to have minimum inhibitory concentrations as low as 0.25% (diphenhydramine), 0.5% (dimenhydrinate) and 0.5-1% (e.g., tripelennamine, brompheniramine and triprolidine). 
     The compositions utilized in the methods of the present invention for effecting local anti-infective treatment include conventional pharmaceutically acceptable vehicles which are suitable for topical use and chemically compatible with the active antihistamine ingredients. Such topical preparations containing, e.g., 2% an antihistamine such as diphenhydramine hydrochloride are currently available in the form of lotions, aerosol sprays, creams and the like. Several specific examples of formulations suitable for use in the methods of the invention are set forth below. 
     The topical antihistamine-containing compositions suitable for use in the present invention may be employed on any tissue area where the anti-pruritic, anti-edema, anti-erythema and anti-inflammatory properties of the antihistaminic ingredient, as well as the newly discovered topical antibacterial and/or antimycotic properties, are required. Examples of such tissue areas include, but are by no means limited to, skin areas affected by insect bites, hives, poison ivy, allergic dermatoses, itching lesions, pustules and the like, ringworm, athlete&#39;s foot, thrush, etc., wherein pruritis, erythema and edema can be relieved by the antihistamine, and infection, particularly infection which may be exacerbated by dirt or scratching, can be prevented by the antibacterial properties of the active ingredient. Lotions, creams, gels and aerosol sprays are particularly suited for application to such affected skin areas. In addition, liquid solutions and sprays containing from about 0.5% to about 5% of the subject antihistaminic agents can be of great value when applied topically to infected, inflamed or fungally infested vaginal and perianal areas or the mouth, throat and nasal passages, acting to combat local infection as well as to provide the known antihistaminic effects of such agents. Isotonic sterile solutions of the antibacterially active antihistamines may be used to treat conjunctivitis and other inflammatory conditions of the eye. 
     The low toxicity of the selected antihistaminic agents makes them suitable for use on the mucosa of the nose, mouth and throat, or in the eyes, where conventional topical antibacterial agents such as povidone iodine or benzoyl peroxide could not be used. 
     The amount of antihistamine-containing composition that must be applied to a particular tissue are to achieve the desired anti-infective effect may vary depending on the nature of the condition affecting the tissue area, the size of the tissue area and the frequency of application of the composition. Generally, compositions suitable for use in the methods of the present invention may be liberally applied to the affected areas from one to five times daily, with each application comprising from 0.1-100 mg of composition (i.e., antihistamine in vehicle) per square centimeter of tissue area. 
     The anti-infective treatment methods of the present invention utilizing antihistamine-containing compositions provide unique advantages. By the application of these topical compositions, both anti-infective effects and the various conventionally known effects of antihistamines can be achieved with a single preparation containing a single active ingredient known to be safe for topical use with few, if any, adverse side effects. These novel methods make the treatment of tissue areas requiring both anti-infective and antihistaminic therapy less expensive for health professionals and patients alike and enable the use of one topical medication in many first aid situations wherein it was previously believed that both a topical antihistamine (e.g., for relief of pruritus and swelling) and an antibacterial agent (to prevent infection) were required. 
     It has also been found that certain antihistaminic agents act synergistically with bactericidal alcohols (e.g. ethyl and isopropyl alcohol) to produce antimicrobial activity greater than can be achieved by either agent alone. Examples of gel vehicles containing 60 to 90% ethyl alcohol admixed with 2% diphenhydramine hydrochloride are disclosed in co-pending and commonly owned application Ser. No. 130,445, and those disclosures are incorporated herein by reference. 
     The compositions utilized in the methods of the present invention are generally self-preserving, i.e., they do not require added preservatives to retard spoilage because of the antibacterial activity of the antihistaminic active ingredients. 
     The following examples provide detailed illustrations of the anti-infective treatment methods of the present invention as well as compositions suitable for use in such methods. Moreover, in vitro and in vivo data demonstrating the antibacterial effectiveness of the compositions used in the invention are set forth. These examples are not intended, however, to limit or restrict the scope of the invention in any way, and should not be construed as providing methods, conditions, ingredients or starting materials which must be utilized exclusively to practice the present invention. 
    
    
     EXAMPLES 1-5 
     Antimicrobial Gels 
     The following ingredients were admixed to form homogeneous gels containing from 0.5 to 5.0% by weight of antihistamine (all percentages given are w/w): 
     
         ______________________________________                                    
Ingredients  Ex. 1   Ex. 2   Ex. 3 Ex. 4 Ex. 5                            
______________________________________                                    
CARBOPOL 940 1.0%    1.0%    1.0%  1.0%  1.0%                             
(carboxyvinyl poly-                                                       
mer, B. F. Goodrich                                                       
Chemical Co.)                                                             
NATROSAL 250 0.2%    0.2%    0.2%  0.2%  0.2%                             
HHF (hydroxyethyl                                                         
cellulose, Hercules,                                                      
Inc.)                                                                     
CERAPHYL 41  2.5%    2.5%    2.5%  2.5%  2.5%                             
(C.sub.12-15 alcohols                                                     
lactate, Van Dyk                                                          
&amp; Co.)                                                                    
Glycerine    2.5%    2.5%    2.5%  2.5%  2.5%                             
QUADROL      2.7%    2.7%    2.7%  2.7%  2.7%                             
POLYOL                                                                    
(tetrahydro-                                                              
xy-propyl ethylenedia-                                                    
mine, BASF Wyan-                                                          
dotte Corp.)                                                              
COSMEDIA     2.0%    2.0%    2.0%  2.0%  2.0%                             
(polyacrylamido-                                                          
methyl propane sul-                                                       
fonic acid, Henkel                                                        
Corp.)                                                                    
FD &amp; C Blue No. 1,                                                        
              0.05%   0.05%   0.05%                                       
                                    0.05%                                 
                                          0.05%                           
10% sol.                                                                  
Triethanolamine                                                           
              0.24%   0.24%   0.24%                                       
                                    0.24%                                 
                                          0.24%                           
Diphenhydramine HCl                                                       
             0.5%    1.0%    2.0%  2.5%  5.0%                             
Purified water                                                            
             88.31%  87.81%  86.81%                                       
                                   86.31%                                 
                                         83.81%                           
______________________________________                                    
 
    
     EXAMPLES 6-10 
     Antimicrobial Creams 
     The following ingredients were admixed to form homogeneous creams containing from 0.5 to 5.0% by weight of antihistamine: 
     
         ______________________________________                                    
Ingredients  Ex. 6   Ex. 7   Ex. 8 Ex. 9 Ex. 10                           
______________________________________                                    
AMERCHOL L-101                                                            
             5.0%    5.0%    5.0%  5.0%  5.0%                             
(Mineral oil and                                                          
multistearyl extract,                                                     
American Cholesterol                                                      
Products, Inc.)                                                           
Isopropyl Palmitate                                                       
             4.0%    4.0%    4.0%  4.0%  4.0%                             
CERASYNT PA  7.0%    7.0%    7.0%  7.0%  7.0%                             
(Propylene glycol                                                         
stearate, Van Dyk                                                         
&amp; Co.)                                                                    
Cetyl Alcohol                                                             
             2.5%    2.5%    2.5%  2.5%  2.5%                             
ARLACEL 60   2.0%    2.0%    2.0%  2.0%  2.0%                             
(Sorbitan monostea-                                                       
rate, ICI Americas,                                                       
Inc.)                                                                     
Sorbic Acid  0.2%    0.2%    0.2%  0.2%  0.2%                             
TWEEN 60     3.0%    3.0%    3.0%  3.0%  3.0%                             
(Polysorbate 60,                                                          
ICI Americas, Inc.)                                                       
MYRJ 52      1.0%    1.0%    1.0%  1.0%  1.0%                             
(Polyoxyl 40 stearate,                                                    
ICI Americas, Inc.)                                                       
Propylene Glycol                                                          
             8.0%    8.0%    8.0%  8.0%  8.0%                             
Purified Water                                                            
             66.8%   66.3%   65.3% 64.8% 62.3%                            
Diphenhydramine HCl                                                       
             0.5%    1.0%    2.0%  2.5%  5.0%                             
______________________________________                                    
 
    
     EXAMPLES 11-15 
     Antimicrobial Lotions 
     The following ingredients were admixed to form homogeneous lotions containing from 0.5 to 5.0% weight of antihistamine: 
     
         ______________________________________                                    
Ingredients  Ex. 11  Ex. 12  Ex. 13                                       
                                   Ex. 14                                 
                                         Ex. 15                           
______________________________________                                    
AMERCHOL L-101                                                            
             21.0%   21.0%   21.0% 21.0% 21.0%                            
(Mineral oil and                                                          
multistearyl extract,                                                     
American Cholesterol                                                      
Products, Inc.)                                                           
Isopropyl Palmitate                                                       
             1.5%    1.5%    1.5%  1.5%  1.5%                             
CERASYNT PA  3.0%    3.0%    3.0%  3.0%  3.0%                             
(Propylene glycol                                                         
stearate, Van Dyk                                                         
&amp; Co.)                                                                    
Cetyl Alcohol                                                             
             1.5%    1.5%    1.5%  1.5%  1.5%                             
ARLACEL 60   1.0%    1.0%    1.0%  1.0%  1.0%                             
(Sorbitan monoste-                                                        
arate, ICI Americas,                                                      
Inc.)                                                                     
TWEEN 60     1.5%    1.5%    1.5%  1.5%  1.5%                             
(Polysorbate 60,                                                          
ICI Americas, Inc.)                                                       
Sorbic Acid  0.2%    0.2%    0.2%  0.2%  0.2%                             
MYRJ 52      0.5%    0.5%    0.5%  0.5%  0.5%                             
(Polyoxyl 40 stearate,                                                    
ICI Americas, Inc.)                                                       
Propylene Glycol                                                          
             2.0%    2.0%    2.0%  2.0%  2.0%                             
Purified Water                                                            
             67.3%   66.8%   65.8% 65.3% 62.8%                            
Diphenhydramine HCl                                                       
             0.5%    1.0%    2.0%  2.5%  5.0%                             
______________________________________                                    
 
    
     EXAMPLE 16 
     Antimicrobial Isotonic Solutions 
     An isotonic solution of sodium chloride in sterile preserved water was prepared containing 2% diphenhydramine hydrochloride by weight. 
     EXAMPLE 17 
     Alternative Antimicrobial Gels, Creams, Lotions and Solutions 
     Gels, creams, lotions ans solutions may be prepared in accordance with Examples 1-16, substituting in place of diphenhydramine hydrochloride the following antihistaminic agents: 
     0.5-5% dimenhydrinate hydrochloride 
     0.5-5% tripelennamine citrate 
     0.5-5% brompheniramine maleate 
     0.5-5% chlorpheniramine maleate 
     0.5-5% triprolidine hydrochloride 
     Suitable minor changes in the nature and quantities of the inactive ingredients comprising the gel, cream and lotion vehicles may be required in certain cases with the above substitute active ingredients. In general, the vehicles set forth in Examples 1-16 are suitable for most of the antibacterially active antihistaminic agents. 
     EXAMPLE 18 
     Method of Anti-Infective Treatment for Skin Areas 
     A sufficient quantity of a gel, cream or lotion according to Examples 1-15 to coat a skin area requiring anti-infective treatment is applied directly to the skin area and gently spread until a thin, uniform coating over the affected area is achieved. This treatment can be repeated from 1-15 times daily, as required. 
     EXAMPLES 19 
     Method of Providing Anti-Infective Treatment to the Nose and Throat 
     30 ml. of an isotonic solution prepared according to Example 16 are placed in a squeezable spray bottle with a nebulizer tip. The solution is then sprayed directly onto an inflamed nasal passages by inserting the tip of the container into the nostrils and squeezing the container, or sprayed onto inflamed throat area by inserting the tip into the mouth, directed toward the throat, and sqeezing the container. This treatment can be repeated from 1-5 times daily as required. 
     EXAMPLE 20 
     Method of Providing Anti-Infective Treatment to the Conjunctiva 
     One or two drops of a sterile isotonic solution prepared according to Example 16 are administered directly into the eye with an eyedropper for treatment of conjunctivitis. 
     EXAMPLE 21 
     In Vitro Screening 
     A. Antibacterial Activity 
     The following antihistamines in liquid solution were screened for in vitro antibacterial activity: 
     Ethanolamine Derivatives 
     (a) Diphenhydramine 2% aqueous solution 
     (b) Dimenhydrinate 2% aqueous solution 
     (c) Doxylamine 2% aqueous solution 
     Ethylenediamine Derivatives 
     (a) Pyrilamine 2% aqueous solution 
     (b) Tripelennamine 2% aqueous solution 
     Alkylamine Derivatives 
     (a) Brompheniramine 2% aqueous solution 
     (b) Chlorpheniramine 2% aqueous solution 
     (c) Triprolidine 2% aqueous solution 
     The 2% solutions listed above were diluted further with sterile water, using serial half-step dilutions. Forty lambda of each were pipetted onto seeded Mueller-Hinton agar plates. The agar plates were then incubated for 24 hours at 35° C. and zones of inhibition were then recorded. The Minimum Inhibitory Concentration (MIC) was the lowest concentration of the test material which produced a zone of inhibition against the organism. The MIC for each test material (antihistamine), using each organism, is listed in Table 1. 
     Preparation of Mueller-Hinton agar plates: 
     Stock cutaneous strains of each organism were grown in Mueller-Hinton broth for 18 hours at 35° C. Plates were seeded with the 18 hour broth culture, allowed to air dry at room temperature (about 10 minutes) and then used for determination of zones of inhibition as outlined above. 
     
                       TABLE 1                                                     
______________________________________                                    
Minimum Inhibitory Concentrations (mg/ml) of Several                      
Antihistamines on Cutaneous Bacteria*                                     
           Rank   ORGANISM                                                
Antihistamine                                                             
             Order**  ML     SA   CM   EC   PA                            
______________________________________                                    
Diphenhydramine                                                           
             1        2.5    2.5  2.5  2.5  5.0                           
Brompheniramine                                                           
             2        5.0    10.0 3.0  5.0  10.0                          
Chlorpheniramine                                                          
             2        5.0    10.0 5.0  5.0  10.0                          
Triprolidine 3        10.0   10.0 5.0  5.0  10.0                          
Dimenhydrinate                                                            
             3        10.0   10.0 5.0  5.0  10.0                          
Tripelennamine                                                            
             3        10.0   10.0 5.0  5.0  10.0                          
Pyrilamine   4        0      0    10.0 10.0 0                             
Doxylamine   5        0      0    0    0    0                             
______________________________________                                    
 (*)                                                                      
 ML = Micrococcus luteous                                                 
 SA = Staphylococcus aureus                                               
 CM = Corenybacterium minutissimum                                        
 EC = Escherichia coli                                                    
 PA = Pseudomonas aeroginosa                                              
 **Rank  highest inhibition (rank 1) to lowest (rank 5)                   
 
    
     B. Antimycotic Activity 
     A laboratory propagated strain of C. albicans, originally isolated from an infected skin lesion of a patient, was grown in Mueller-Hinton broth for 18 hours at 35° C. Plates were then seeded with the broth culture and allowed to air-dry at room temperature (22° C.) for about 10-15 minutes. Forty lambda of the 2% aqueous solutions or of serial half-step dilutions in water were then pipetted onto the seeded Mueller-Hinton agar plates. The plates were then incubated for 24 hours at 35° C. and zones of inhibition were then recorded. The Minimum Inhibitory Concentration (MIC) was the lowest concentration of the test material which produced a zone of inhibition against the organism. The MIC for each test material (antihistamine) is listed in the enclosed table. Table 2 lists the MIC&#39;s against C. albicans while Table 3 lists the MIC&#39;s against in vitro-grown spores of the human pathogen T. mentagrophytes. This strain was isolated from a human infection and was grown on Sabourand-Dextrose agar for 2 weeks. The spores were collected by flooding the agar plates after the 2 week growth period with a 0.01% solution of Tween-80 (sorbitol ester) and then filtering the Tween solution through gauze mesh to collect the suspension of spores. Sabourand-Dextrose agar plates are then seeded with the spore suspension. After air-drying, 40 lambda of each test solution is pipetted onto the plates and the plates left to incubate for 4 days at 22° C. 
     
                       TABLE 2                                                     
______________________________________                                    
Minimum Inhibitory Concentrations (MIC&#39;s) of                              
Several Aqueous Antihistamines on C. albicans*                            
ANTIHISTAMINE    MIC (mg/ml)                                              
______________________________________                                    
Diphenhydramine  10                                                       
Brompheniramine  20                                                       
Chlorpheniramine 20                                                       
Triprolidine     20                                                       
Dimenhydrinate   20                                                       
Tripelennamine   20                                                       
Pyrilamine       No inhibition                                            
Doxylamine       No inhibition                                            
______________________________________                                    
 *C. albicans: A human pathogenic yeast responsible for thrush and diaper 
 rashes in infants and for moniliasis (vaginal) and human skin infections 
 in adults.                                                               
 
    
     
                       TABLE 3                                                     
______________________________________                                    
Minimum Inhibitory Concentrations (MIC&#39;s) of                              
Several Aqueous Antihistamines Against                                    
Spores of T. Mentagrophytes*                                              
ANTIHISTAMINE    MIC (mg/ml)                                              
______________________________________                                    
Diphenhydramine  10                                                       
Brompheniramine  20                                                       
Chlorpheniramine No inhibition                                            
Triprolidine     No inhibition                                            
Dimenhydrinate   20                                                       
Tripelennamine   20                                                       
Pyrilamine       20                                                       
Doxylamine       No inhibition                                            
______________________________________                                    
 *T. mentagrophytes: A human pathogenic fungus responsible for ringworm,  
 athelete&#39;s foot and chronic fungal infections in susceptible humans.     
 
    
     EXAMPLE 22 
     In Vivo Antibacterial Tests 
     A. Expanded Flora Test--Bactericidal Activity 
     Test materials A and B (both gels) were prepared with the following ingredients: 
     
         ______________________________________                                    
Ingredient           Material A                                           
                               Material B                                 
______________________________________                                    
CARBOPOL 940 (carboxyvinyl                                                
                     1.0%      1.0%                                       
polymer)                                                                  
NATROSAL 250 HHF (hydroxyethyl                                            
                     0.2%      0.2%                                       
cellulose)                                                                
Purified Water       28.75%    86.71%                                     
CERAPHYL (C.sub.12-15 alcohols lactate)                                   
                     2.5%      2.5%                                       
Glycerin             2.5%      2.5%                                       
QUADROL POLYOL (tetrahydroxy-                                             
                     2.7%      2.7%                                       
propul ethylenediamine)                                                   
UVINUL MS-40 (benzophenone)                                               
                     0.1%      0.1%                                       
Diphenhydramine HCl  --        2.0%                                       
Alcohol USP          60.0%     --                                         
FDC Blue #1 1% Sol.  0.05%     0.05%                                      
COSMEDIA (polyacrylamidomethyl-                                           
                     2.0%      2.0%                                       
propane sulfonic acid)                                                    
Triethanolamine      0.2%      0.24%                                      
______________________________________                                    
 
    
     As indicated, the only difference between the two test materials was that Material A contained about 60% ethyl alcohol by weight and Material B contained no alcohol but about 2% diphenhydramine by weight. 
     The floral expansion was carried out by translocating cutaneous microflora from the perineal region to the forearms of 10 subjects and then expanding them by covering the forerm sites occlusively under chambers for 24 hours. After that, materials A and B were applied in duplicate to designate test sites and the sites cultured at (i) 5 minutes and (ii) 10 minutes for quantitative bacteriology. A control (untreated site) was included at each time-point. 
     The findings are summarized in Table 4. There was a highly significant killing effect by both the alcohol gel (A) and the diphenhydramine gel (B) at both time-points. There were no apparent significant differences in bactericidal activity between A and B, however, either at 5 or at 10 minutes. On the average, both treatments (A and B) produced two to three orders of magnitude reduction in bacterial counts (e.g., from 10 6  organisms per cm 2  to 10 3 .5 organisms per cm 2 ). 
     
                       TABLE 4                                                     
______________________________________                                    
Log.sub.10 of Aerobic Bacteria Per CM.sup.2 of Skin Surface               
At 5.0 and 10.0 Minutes After Drug Application                            
Subject                                                                   
       5.0 Minutes        10.0 Minutes                                    
Number Control    A      B      Control                                   
                                       A    B                             
______________________________________                                    
1      5.61       2.37   2.11   5.74   2.53 3.23                          
2      5.46       1.89   2.16   5.58   1.81   0                           
3      6.07       2.96   2.96   5.37   3.37 4.32                          
4      6.02       3.32   5.29   6.02   4.07 5.26                          
5      6.34       4.32   5.16   6.26   5.26 5.26                          
6      6.56       2.67   1.11   6.11   4.11 5.42                          
7      6.39       3.73   4.16   6.23   2.74 4.59                          
8      6.26       4.26   5.42   6.68   4.23 4.44                          
9      6.11         0    3.89   6.16   2.72 3.11                          
10     6.07       3.89   3.42   6.11   4.26 3.29                          
______________________________________                                    
 
    
     B. Expanded Flora Test--Bacteriostatic Activity (24 hours) 
     The method described above was repeated on 6 new subjects with test materials A and B, but quantitative bacterial values were taken after 24 hours on the treated or control sites to assay for bacteriostatic activity. Additional test materials C, D, E and F were also applied to the forearms of these subjects for comparative purposes. These materials comprised the following: 
     
         ______________________________________                                    
Material C The same ingredients as material A with the                    
           addition of 2% diphenhydramine in place of                     
           2% purified water - i.e., this gel cont-                       
           ained both 60% ethyl alcohol and 2% diphen-                    
           hydramine.                                                     
Material D Bacitracin ointment U.S.P. (500 units per                      
           gram).                                                         
Material E 60% ethyl alcohol (liquid).                                    
Material F Povidone iodine ointment U.S.P. 10%.                           
______________________________________                                    
 
    
     As a control, a material designated &#34;base&#34; containing the same ingredients as materials A, B and C but no alcohol or diphenhydramine was applied to the patient&#39;s forearms as well. In addition, an untreated site was cultured for control purposes. 
     The findings are summarized in Table 5. There was a highly significant bacteriostatic effect observed with both materials A and B, considerably superior to the effect achieved with bacitracin (material D) or ethyl alcohol (material E). But a substantially greater bacteriostatic effect was observed with material C, close to that of povidone iodine (material F), indicating a synergistic interaction between the antihistamine and alcohol components of material C. 
     
                       TABLE 5                                                     
______________________________________                                    
Log.sub.10 of Aerobic Bacteria Per CM.sup.2 of Skin Surface               
At 24 Hours After Drug Application                                        
Base     Untreated A      B    C    D    E    F                           
______________________________________                                    
1     6.85   6.93      5.11 3.34 3.07 6.26 6.91 2.81                      
2     6.99   6.97      5.26 1.59 2.32 6.29 6.89 1.59                      
3     7.01   6.95      3.16 4.72 2.59 6.53 4.42 1.11                      
4     6.76   6.55      4.26 4.96 1.59 6.26 5.81 2.89                      
5     7.01   6.83      5.71 1.42 1.42 5.56 6.85 1.42                      
6     6.93   6.89      2.29 1.59 1.81 5.96 6.91   0                       
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     It should be noted that the antimicrobial treatment methods of the present invention utilizing antihistamine-containing compositions are not limited to the treatment of conditions where both antihistaminic and antibacterial or antimycotic treatment are required. The compositions and methods of the invention are useful in treating any tissue areas where topical antibacterial or antimycotic agents would normally be applied for anti-infective purposes, whether or not pruritus, erythema or edema are present. In fact, as demonstrated by the in vivo data set forth above, the compositions utilized in the subject methods are better and more potent antibacterial agents than many drugs commonly used as the principal active ingredients in commercially available topical anti-infective products which have no antihistaminic components. 
     As further demonstrated by the clinical data, the methods of the invention provide not merely a short-term bactericidal effect to the treated tissue areas, but also a long-term bacteriostatic effect, thus inhibiting re-infection of the treated areas. 
     It has thus been shown that there are provided compositions and methods which achieve the various objects of the invention and which are well adapted to meet the conditions of practical use. 
     As various possible embodiments might be made of the above invention, and as various changes might be made in the embodiments set forth above, it is to be understood that all matters herein described are to be interpreted as illustrative and not in a limiting sense.