A method of inhibiting carnitine acryltransferase in a host which comprises administering to such a host an effective amount of a compound of the formula ##STR53## wherein R.sub.1 is hydroxy, R.sub.2 and R.sub.2 ', independently, are is hydrogen, lower alkyl, aryl, aryl-lower alkyl, lower alkoxy, hydroxy, amino, lower alkylamino, di-lower alkylamino, cyano, halogen, mercapto, lower alkylthio, lower alkylsulfinyl, lower alkylsulfonyl, trihalo-lower alkyl, acyl or nitro;
- A is a bond, ##STR54## `wherein R.sub.7 is hydrogen, lower alkyl or acyl and R.sub.8 and R.sub.9 are, independently, hydrogen or lower alkyl;
- n is an integer from 0 to 10;
- B is a bond, ##STR55## wherein m is an integer from 1 to 4 and R.sub.7, R.sub.8, R.sub.9 are as described above and R.sub.10 is hydrogen or lower alkyl;
- Z is ##STR56## wherein R.sub.11 is hydrogen or lower alkyl;
- X and Y taken together are O.dbd., S.dbd., or when one of X or Y is amino, lower-alkylamino or di-lower alkylamino, the other is hydrogen, lower alkyl or aryl-lower alkyl;
- Q is a cycloalkyl, aryl or heterocyclic radical;
- provided that, when A is oxygen (O) and B is a bond, sulfur (S) or oxygen (O), then n is 2-10;
- or, when a basic or acidic group is present, its pharmaceutically acceptable salt, and when appropriate, its enantiomer, racemate, diastereomer or mixture thereof or geometric isomer or mixture thereof, or a pharmaceutically acceptable salt thereof.