JP2010174028A - Intraorally soluble or chewing solid internal pharmaceutical composition containing bitter agent - Google Patents
Intraorally soluble or chewing solid internal pharmaceutical composition containing bitter agent Download PDFInfo
- Publication number
- JP2010174028A JP2010174028A JP2010063282A JP2010063282A JP2010174028A JP 2010174028 A JP2010174028 A JP 2010174028A JP 2010063282 A JP2010063282 A JP 2010063282A JP 2010063282 A JP2010063282 A JP 2010063282A JP 2010174028 A JP2010174028 A JP 2010174028A
- Authority
- JP
- Japan
- Prior art keywords
- hydrochloride
- drug
- menthol
- pharmaceutical composition
- diphenhydramine
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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- 239000007787 solid Substances 0.000 title claims abstract description 14
- 230000001055 chewing effect Effects 0.000 title claims abstract description 13
- 239000008194 pharmaceutical composition Substances 0.000 title abstract description 16
- NOOLISFMXDJSKH-UTLUCORTSA-N (+)-Neomenthol Chemical compound CC(C)[C@@H]1CC[C@@H](C)C[C@@H]1O NOOLISFMXDJSKH-UTLUCORTSA-N 0.000 claims abstract description 43
- NOOLISFMXDJSKH-UHFFFAOYSA-N DL-menthol Natural products CC(C)C1CCC(C)CC1O NOOLISFMXDJSKH-UHFFFAOYSA-N 0.000 claims abstract description 43
- 229940041616 menthol Drugs 0.000 claims abstract description 43
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 claims abstract description 7
- DBAKFASWICGISY-BTJKTKAUSA-N Chlorpheniramine maleate Chemical compound OC(=O)\C=C/C(O)=O.C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Cl)C=C1 DBAKFASWICGISY-BTJKTKAUSA-N 0.000 claims abstract description 6
- 229940046978 chlorpheniramine maleate Drugs 0.000 claims abstract description 6
- DYWNLSQWJMTVGJ-KUSKTZOESA-N Phenylpropanolamine hydrochloride Chemical compound Cl.C[C@H](N)[C@H](O)C1=CC=CC=C1 DYWNLSQWJMTVGJ-KUSKTZOESA-N 0.000 claims abstract description 5
- 229960001948 caffeine Drugs 0.000 claims abstract description 5
- 229960002305 phenylpropanolamine hydrochloride Drugs 0.000 claims abstract description 5
- HOKDBMAJZXIPGC-UHFFFAOYSA-N Mequitazine Chemical compound C12=CC=CC=C2SC2=CC=CC=C2N1CC1C(CC2)CCN2C1 HOKDBMAJZXIPGC-UHFFFAOYSA-N 0.000 claims abstract description 4
- 229940108858 belladonna total alkaloid Drugs 0.000 claims abstract description 4
- 229960005042 mequitazine Drugs 0.000 claims abstract description 4
- 239000003814 drug Substances 0.000 claims description 72
- 229940079593 drug Drugs 0.000 claims description 68
- 229960000520 diphenhydramine Drugs 0.000 claims description 6
- ZZVUWRFHKOJYTH-UHFFFAOYSA-N diphenhydramine Chemical compound C=1C=CC=CC=1C(OCCN(C)C)C1=CC=CC=C1 ZZVUWRFHKOJYTH-UHFFFAOYSA-N 0.000 claims description 6
- 239000000284 extract Substances 0.000 claims description 6
- BYJAVTDNIXVSPW-UHFFFAOYSA-N tetryzoline Chemical compound N1CCN=C1C1C2=CC=CC=C2CCC1 BYJAVTDNIXVSPW-UHFFFAOYSA-N 0.000 claims description 4
- NTCYWJCEOILKNG-ROLPUNSJSA-N [(1r,2s)-1-hydroxy-1-phenylpropan-2-yl]-dimethylazanium;chloride Chemical compound Cl.CN(C)[C@@H](C)[C@H](O)C1=CC=CC=C1 NTCYWJCEOILKNG-ROLPUNSJSA-N 0.000 claims description 3
- 229960000659 methoxyphenamine hydrochloride Drugs 0.000 claims description 3
- FGSJNNQVSUVTPW-UHFFFAOYSA-N methoxyphenamine hydrochloride Chemical compound Cl.CNC(C)CC1=CC=CC=C1OC FGSJNNQVSUVTPW-UHFFFAOYSA-N 0.000 claims description 3
- 229940051020 methylephedrine hydrochloride Drugs 0.000 claims description 3
- 150000003839 salts Chemical class 0.000 claims description 3
- SFLSHLFXELFNJZ-QMMMGPOBSA-N (-)-norepinephrine Chemical compound NC[C@H](O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-QMMMGPOBSA-N 0.000 claims description 2
- AJZJIYUOOJLBAU-CEAXSRTFSA-N (2r,3r)-2,3-dihydroxybutanedioic acid;n,n,2-trimethyl-3-phenothiazin-10-ylpropan-1-amine Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O.C1=CC=C2N(CC(CN(C)C)C)C3=CC=CC=C3SC2=C1.C1=CC=C2N(CC(CN(C)C)C)C3=CC=CC=C3SC2=C1 AJZJIYUOOJLBAU-CEAXSRTFSA-N 0.000 claims description 2
- PMGQWSIVQFOFOQ-BDUVBVHRSA-N (e)-but-2-enedioic acid;(2r)-2-[2-[1-(4-chlorophenyl)-1-phenylethoxy]ethyl]-1-methylpyrrolidine Chemical compound OC(=O)\C=C\C(O)=O.CN1CCC[C@@H]1CCOC(C)(C=1C=CC(Cl)=CC=1)C1=CC=CC=C1 PMGQWSIVQFOFOQ-BDUVBVHRSA-N 0.000 claims description 2
- FWLKKPKZQYVAFR-LVEZLNDCSA-N (e)-but-2-enedioic acid;1-(2-ethoxyethyl)-2-(4-methyl-1,4-diazepan-1-yl)benzimidazole Chemical compound OC(=O)\C=C\C(O)=O.OC(=O)\C=C\C(O)=O.N=1C2=CC=CC=C2N(CCOCC)C=1N1CCCN(C)CC1 FWLKKPKZQYVAFR-LVEZLNDCSA-N 0.000 claims description 2
- CIVCELMLGDGMKZ-UHFFFAOYSA-N 2,4-dichloro-6-methylpyridine-3-carboxylic acid Chemical compound CC1=CC(Cl)=C(C(O)=O)C(Cl)=N1 CIVCELMLGDGMKZ-UHFFFAOYSA-N 0.000 claims description 2
- QOLHOCYZKJILAV-UHFFFAOYSA-N 5-[(3-carboxy-4-hydroxyphenyl)methyl]-2-hydroxybenzoic acid;n,n-dimethyl-1-phenothiazin-10-ylpropan-2-amine Chemical compound C1=CC=C2N(CC(C)N(C)C)C3=CC=CC=C3SC2=C1.C1=CC=C2N(CC(C)N(C)C)C3=CC=CC=C3SC2=C1.C1=C(O)C(C(=O)O)=CC(CC=2C=C(C(O)=CC=2)C(O)=O)=C1 QOLHOCYZKJILAV-UHFFFAOYSA-N 0.000 claims description 2
- 241001106067 Atropa Species 0.000 claims description 2
- BALXUFOVQVENIU-GNAZCLTHSA-N Ephedrine hydrochloride Chemical compound Cl.CN[C@@H](C)[C@H](O)C1=CC=CC=C1 BALXUFOVQVENIU-GNAZCLTHSA-N 0.000 claims description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 claims description 2
- WJAJPNHVVFWKKL-UHFFFAOYSA-N Methoxamine Chemical compound COC1=CC=C(OC)C(C(O)C(C)N)=C1 WJAJPNHVVFWKKL-UHFFFAOYSA-N 0.000 claims description 2
- DJDFFEBSKJCGHC-UHFFFAOYSA-N Naphazoline Chemical compound Cl.C=1C=CC2=CC=CC=C2C=1CC1=NCCN1 DJDFFEBSKJCGHC-UHFFFAOYSA-N 0.000 claims description 2
- GXDALQBWZGODGZ-UHFFFAOYSA-N astemizole Chemical compound C1=CC(OC)=CC=C1CCN1CCC(NC=2N(C3=CC=CC=C3N=2)CC=2C=CC(F)=CC=2)CC1 GXDALQBWZGODGZ-UHFFFAOYSA-N 0.000 claims description 2
- YEJAJYAHJQIWNU-UHFFFAOYSA-N azelastine hydrochloride Chemical compound Cl.C1CN(C)CCCC1N1C(=O)C2=CC=CC=C2C(CC=2C=CC(Cl)=CC=2)=N1 YEJAJYAHJQIWNU-UHFFFAOYSA-N 0.000 claims description 2
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- OJFSXZCBGQGRNV-UHFFFAOYSA-N carbinoxamine Chemical compound C=1C=CC=NC=1C(OCCN(C)C)C1=CC=C(Cl)C=C1 OJFSXZCBGQGRNV-UHFFFAOYSA-N 0.000 claims description 2
- 229960002689 clemastine fumarate Drugs 0.000 claims description 2
- 229960000525 diphenhydramine hydrochloride Drugs 0.000 claims description 2
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- 229960002534 ephedrine hydrochloride Drugs 0.000 claims description 2
- WHWZLSFABNNENI-UHFFFAOYSA-N epinastine Chemical compound C1C2=CC=CC=C2C2CN=C(N)N2C2=CC=CC=C21 WHWZLSFABNNENI-UHFFFAOYSA-N 0.000 claims description 2
- 229960002548 epinastine hydrochloride Drugs 0.000 claims description 2
- 229960005192 methoxamine Drugs 0.000 claims description 2
- 229960004186 naphazoline nitrate Drugs 0.000 claims description 2
- 229960002748 norepinephrine Drugs 0.000 claims description 2
- SFLSHLFXELFNJZ-UHFFFAOYSA-N norepinephrine Natural products NCC(O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-UHFFFAOYSA-N 0.000 claims description 2
- 239000008203 oral pharmaceutical composition Substances 0.000 claims description 2
- BAINIUMDFURPJM-UHFFFAOYSA-N oxatomide Chemical compound O=C1NC2=CC=CC=C2N1CCCN(CC1)CCN1C(C=1C=CC=CC=1)C1=CC=CC=C1 BAINIUMDFURPJM-UHFFFAOYSA-N 0.000 claims description 2
- 229960002698 oxatomide Drugs 0.000 claims description 2
- XXPDBLUZJRXNNZ-UHFFFAOYSA-N promethazine hydrochloride Chemical compound Cl.C1=CC=C2N(CC(C)N(C)C)C3=CC=CC=C3SC2=C1 XXPDBLUZJRXNNZ-UHFFFAOYSA-N 0.000 claims description 2
- 229960002244 promethazine hydrochloride Drugs 0.000 claims description 2
- JWBPVFVNISJVEM-UHFFFAOYSA-M sodium caffeine benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1.CN1C(=O)N(C)C(=O)C2=C1N=CN2C JWBPVFVNISJVEM-UHFFFAOYSA-M 0.000 claims description 2
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- NZHGWWWHIYHZNX-CSKARUKUSA-N tranilast Chemical compound C1=C(OC)C(OC)=CC=C1\C=C\C(=O)NC1=CC=CC=C1C(O)=O NZHGWWWHIYHZNX-CSKARUKUSA-N 0.000 claims description 2
- QOHTWPYSDMTOPU-UHFFFAOYSA-N 1-(4-iodophenyl)sulfonyl-3-propylurea Chemical compound CCCNC(=O)NS(=O)(=O)C1=CC=C(I)C=C1 QOHTWPYSDMTOPU-UHFFFAOYSA-N 0.000 claims 1
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Abstract
Description
本発明は、服薬が容易な溶解型又は咀嚼型の固形内服医薬組成物に関する。 The present invention relates to a dissolved or chewable solid internal medicine composition that can be easily taken.
近年、生活の質(QOL; Quality of life)の向上の必要性が重要視されている。医療の分野では、患者のQOLの向上と関連して、医薬に安全性及び有効性に加えて服薬し易さが求められるようになっている。従来は、苦い薬や服用し難い形態の薬であっても患者は我慢して服用するのが当然とされていた。しかし、そのような服用に際して患者に負担を強いるような医薬の場合、服薬指示が守られない恐れがあり、適切な治療効果を得られない場合がある。従って、薬効が同等であれば、服用し易い製剤の方が望ましいのは、単に、患者の負担を軽減するだけでなく、コンプライアンス(服薬遵守)を向上し、予定の治療効果を達成するという点からも当然のことである。このような理由から、患者のQOLのみならずコンプライアンスを高め、適切な治療を行うためにも、服用し易い医薬製剤を提供する必要がある。 In recent years, the necessity of improving the quality of life (QOL) has been emphasized. In the medical field, in connection with improvement of patient QOL, in addition to safety and effectiveness, medicines are required to be easy to take. Conventionally, it has been a matter of course for patients to take patience even if they are bitter or difficult to take. However, in the case of a medicine that imposes a burden on the patient when taking such medicine, there is a possibility that the medication instruction may not be observed and an appropriate therapeutic effect may not be obtained. Therefore, if the drug efficacy is the same, it is desirable to use a preparation that is easy to take, not only to reduce the burden on the patient, but also to improve compliance (compliance) and achieve the expected therapeutic effect. Of course it is natural. For these reasons, it is necessary to provide a pharmaceutical preparation that is easy to take not only for the patient's QOL but also for improving compliance and performing appropriate treatment.
通常の固形内服薬は、多量の水又は温湯と一緒に服用しなければならず、高齢者や起き上ることができない患者の場合、服用が困難である。また、水が簡単に手に入らない場合にも服用指示が守られ難いという問題がある。これに対して口中溶解型又は咀嚼型の固形製剤であれば、高齢者でも服用が容易であり、また、どのような姿勢であっても服用が可能である。しかも、水が不要であることから、水の有無と関係無く服用時間を確実に守ることができる。しかし、これらの口中で徐々に溶解させるか、又は咀嚼するタイプの製剤は、薬物の口中滞留時間が長いために、苦みに代表される不快な刺激を伴う薬物を含有する場合には、服用指示を守ることが困難である。
しかるに、多くの薬物が苦味、酸味、渋み等の不快な味又は刺激を有することから、口中溶解型又は咀嚼型の製剤に適用できる薬物には制限があった。
Conventional solid internal medicine must be taken with a large amount of water or hot water, and is difficult to take for elderly people or patients who cannot get up. In addition, there is a problem that it is difficult to follow the instructions even when water is not readily available. On the other hand, if it is a solid preparation in the mouth or chewable, it can be easily taken even by an elderly person and can be taken in any posture. And since water is unnecessary, taking time can be reliably protected irrespective of the presence or absence of water. However, these types of preparations that are gradually dissolved or chewed in the mouth have a long residence time in the mouth, so if they contain a drug with an unpleasant stimulus typified by bitterness, dosing instructions It is difficult to protect.
However, since many drugs have an unpleasant taste or irritation such as bitterness, acidity, and astringency, there are limitations on the drugs that can be applied to the oral dissolution type or chewing type preparations.
従来、ある薬効成分の苦味などをマスキングする方法として、物理的に担体吸着させる方法や、薬効成分をマイクロカプセル化したり、被膜する方法が知られている。しかし、これらの方法では製剤が大型化する傾向にあり、また担体や被膜による薬効成分の消化管吸収阻害が起こったり、製剤化工程が複雑になるという問題があった。
また、薬効成分に甘味剤や矯味剤を添加して製剤化する方法があるが、薬物ごとに不快感の種類(苦味、酸味、渋み等)が相違し、苦味の閾値の大きさが異なるなどの理由から苦味等を充分に抑制できない場合があり、マスキングの効果は必ずしも充分でなかった。
Conventionally, as a method for masking the bitterness of a certain medicinal component, a method of physically adsorbing a carrier, a method of microencapsulating a medicinal component or a coating method are known. However, these methods have a problem that the preparation tends to be large, the gastrointestinal absorption inhibition of the medicinal component by the carrier or the coating occurs, and the preparation process is complicated.
In addition, there is a method of adding a sweetener or a corrigent to a medicinal ingredient, but the type of discomfort (bitterness, sourness, astringency, etc.) differs for each drug, and the bitterness threshold value is different. For this reason, bitterness and the like may not be sufficiently suppressed, and the masking effect is not always sufficient.
さらに、内服固形製剤である以上、服用の簡便さや不快な味の解消とは別に、消化管での薬物の放出、吸収、効果の発現など、薬物の体内挙動の点で優れた性質を具備していなければならない。例えば、メントールは固形医薬組成物に爽快感や清涼感を与える目的で配合されることが多いが、配合量の増加にともない、(1)それ自身が苦味を有することから、製剤の苦味を増強させる(特開平4−228033);(2)製剤からの薬物溶出を妨げ結果的に薬効を低下させる;又は(3)保存中にウイスカーを析出させる、等の不都合があることが知られている。従来は、このような不都合を避けるために、メントールの配合量を少量に抑える必要があるとされており、通常の配合量は、0.1重量%未満であった。このように、薬物の苦味をマスキングするためにメントールを増量することには弊害があると考えられていたのである。 Furthermore, as long as it is a solid preparation for internal use, it has excellent properties in terms of in-vivo behavior of the drug, such as release, absorption and expression of effects in the digestive tract, apart from ease of taking and elimination of unpleasant taste. Must be. For example, menthol is often blended for the purpose of giving a refreshing or refreshing feeling to a solid pharmaceutical composition. However, as the blending amount increases, (1) the bitterness of the preparation is enhanced because of its own bitterness. It is known that there are disadvantages such as (2) hindering drug elution from the preparation and consequently reducing the drug efficacy; or (3) precipitating whiskers during storage. . Conventionally, in order to avoid such inconvenience, it has been necessary to suppress the amount of menthol to a small amount, and the usual amount was less than 0.1% by weight. Thus, it was thought that increasing the amount of menthol to mask the bitter taste of the drug was harmful.
本発明者らは、服用し易く製造工程が簡単で、有効な固形医薬組成物を提供することを目的として鋭意、研究を重ねた結果、口中溶解型又は口中咀嚼型固形製剤に特定量のメントールを配合した場合、薬物の不快な味が改善され、かつ製剤の性質や薬効発現には影響がないことを見出し、本発明を完成するに至った。
即ち、本発明は、苦味を有する薬物と、0.1〜2.25重量%のメントールとを含有する口中溶解型又は咀嚼型の固形医薬組成物を提供するものである。
The inventors of the present invention have intensively and intensively studied for the purpose of providing an effective solid pharmaceutical composition that is easy to take and has a simple manufacturing process, and as a result, a specific amount of menthol in a mouth-dissolving or mouth-masticating solid preparation. It was found that the unpleasant taste of the drug was improved and the properties of the preparation and the expression of the drug effect were not affected, and the present invention was completed.
That is, the present invention provides a solid pharmaceutical composition of the mouth-dissolving type or chewing type containing a drug having a bitter taste and 0.1 to 2.25% by weight of menthol.
従って、本発明は以下を提供する。
(1)苦味を有する薬物と、0.1〜2.25重量%のメントールとを含有する口中溶解型又は咀嚼型の固形内服医薬組成物。
(2)メントール配合量が、1.0〜2.0重量%である項目(1)記載の医薬組成物。
(3)メントール配合量が、0.5〜2.0重量%である項目(1)記載の医薬組成物。
(4)1回服用量あたりのメントールの量が2〜9mgである項目(1)〜(3)のいずれかに記載の医薬組成物。
(5)苦味を有する薬物が中枢神経刺激薬、抗ヒスタミン・抗アレルギー薬、副交感神経遮断薬、交感神経興奮薬、生薬、鎮咳薬、解熱鎮痛薬及び制酸剤から選択されるものである項目(1)〜(4)のいずれかに記載の医薬組成物。
(6)口中咀嚼型製剤である項目(1)〜(5)のいずれかに記載の医薬組成物。
Accordingly, the present invention provides the following.
(1) A mouth-dissolving or chewing type solid oral pharmaceutical composition containing a drug having a bitter taste and 0.1 to 2.25% by weight of menthol.
(2) The pharmaceutical composition according to item (1), wherein the amount of menthol is 1.0 to 2.0% by weight.
(3) The pharmaceutical composition according to item (1), wherein the menthol content is 0.5 to 2.0% by weight.
(4) The pharmaceutical composition according to any one of items (1) to (3), wherein the amount of menthol per dose is 2 to 9 mg.
(5) Items in which the bitter tasting drug is selected from CNS stimulants, antihistamines / antiallergic drugs, parasympathomimetic drugs, sympathomimetic drugs, crude drugs, antitussives, antipyretic analgesics and antacids The pharmaceutical composition according to any one of (1) to (4).
(6) The pharmaceutical composition according to any one of items (1) to (5), which is a mouth chewable preparation.
本発明の「口中溶解型又は咀嚼型の固形医薬組成物」とは、口腔内で唾液の存在下、瞬時又は漸次溶解させて服用する製剤、又は咀嚼、粉砕して唾液と混合することにより一部又は全部を溶解させてから服用する製剤である。
また、「苦味を有する薬物」とは、本発明の目的の1つである患者のコンプライアンスの向上という観点から、通常の感覚を有するヒトが、口中で咀嚼又は溶解させて服用することに困難又は抵抗を感じるような不快な味を有する薬物を指し、単に、文字通りの苦みを有する薬物のみならず、渋み、酸味等の刺激性の味を有する薬物をも包含し、薬物の種類は特に限定されない。また、苦味のマスキング、薬物溶出速度の制御のためのコーティングなどの処理を施した薬物もこの定義に含まれる。
The “in-mouth dissolved or chewable solid pharmaceutical composition” of the present invention refers to a preparation to be taken in the mouth in the presence of saliva in an instant or gradually dissolved form, or by chewing, pulverizing and mixing with saliva. It is a preparation to be taken after part or all is dissolved.
In addition, the “drug having a bitter taste” means that it is difficult for a human having a normal sensation to take it by chewing or dissolving in the mouth from the viewpoint of improving patient compliance, which is one of the objects of the present invention. It refers to drugs with an unpleasant taste that feels resistance, including not only drugs with literal bitterness but also drugs with stimulating tastes such as astringency and acidity, and the type of drug is not particularly limited . Also included in this definition are drugs that have undergone treatments such as bitterness masking and coating to control drug dissolution rate.
後述の試験例に示すように、本発明の口中溶解型又は咀嚼型の医薬組成物は薬物の苦味が適切にマスキングされており、しかもウイスカーの発生もなく長期間安定である。予想外なことに、本発明組成物は、それ自身苦味を有するメントールを大量に含有しているにもかかわらず、薬物の苦味がマスキングされて服用し易く、薬物の崩壊・溶出も良好である。このように、本発明組成物は、コンプライアンスの向上に有効であり且つ、服用後の消化管における溶出、吸収性に優れ、予定された薬物挙動を達成して充分な薬理効果を発揮することができる優れた製剤である。
溶出性の向上は、口中で唾液と十分に混合されて溶出が促進された状態で消化管に達し、唾液との混合物として吸収されやすい状態で吸収部位に到達し、安定性を保って消化管から吸収されることに関連している。従って、本発明によれば、同量の薬物を口中で溶解又は咀嚼することなく内服錠剤として服用する場合に比較して、予想外に優れた治療効果を達成することが可能である。
As shown in the test examples described later, the mouth-dissolving or chewing type pharmaceutical composition of the present invention is appropriately masked for the bitter taste of the drug, and is stable for a long time without the occurrence of whiskers. Unexpectedly, although the composition of the present invention contains a large amount of menthol having its own bitter taste, the bitter taste of the drug is masked and is easy to take, and the disintegration and dissolution of the drug is also good. . As described above, the composition of the present invention is effective in improving compliance, is excellent in elution and absorption in the digestive tract after administration, and achieves a predetermined drug behavior and exhibits a sufficient pharmacological effect. It is an excellent formulation that can be made.
Improvement in dissolution performance reaches the digestive tract in a state where it is well mixed with saliva in the mouth and promotes dissolution, reaches the absorption site in a state where it is easily absorbed as a mixture with saliva, maintains the stability, and maintains the stability. Related to being absorbed from. Therefore, according to the present invention, it is possible to achieve an unexpectedly superior therapeutic effect as compared to taking the same amount of drug as an internal tablet without dissolving or chewing in the mouth.
本発明では、メントール及び薬物が鼻腔粘膜や気管支粘膜に直接作用することにより薬物治療効果を高めることができるため、苦味を呈する薬物のなかでも特に鼻炎症状治療用薬物、呼吸器症状治療用薬物とともに含有することがより好ましい。また、メントールの清涼感が胃のむかつきを除去するのに効果的であることから、胃腸治療用薬物をともに含有することも好ましい。 In the present invention, since the menthol and the drug can directly enhance the drug therapeutic effect by directly acting on the nasal mucosa and bronchial mucosa, among the drugs exhibiting bitter taste, in particular, the drug for treating nasal inflammation and the drug for treating respiratory symptoms It is more preferable to contain. It is also preferable to contain a gastrointestinal therapeutic drug because the refreshing feeling of menthol is effective in removing upset stomach.
本発明に用いられるメントールは、文献(第13改正日本薬局方、D1050〜1058)に記載されており、市販のものを使用することも可能であり、天然精油及び合成品のいずれも使用することができる。本発明のメントールはl体、dl体のいずれでもよく、さらにペパーミント油、ミント油、スペアーミント油といったメントールを含有する精油なども本発明のメントールに含まれる。本発明組成物中にメントールを0.1〜2.25重量%の範囲で使用すると、苦味を伴うことなくすっきりとした清涼感を与え、患者のコンプライアンスの向上に有効である。この範囲を越えると、メントールの刺激が逆に不快感となりうる。一方、この範囲よりも少ないと、薬物の苦味を充分にマスキングすることができない恐れがある。 The menthol used in the present invention is described in the literature (13th revised Japanese Pharmacopoeia, D1050 to 1058), and it is also possible to use a commercially available product, either a natural essential oil or a synthetic product. Can do. The menthol of the present invention may be either l-form or dl-form. Furthermore, essential oils containing menthol such as peppermint oil, mint oil, and spare mint oil are also included in the menthol of the present invention. When menthol is used in the composition of the present invention in the range of 0.1 to 2.25% by weight, it provides a refreshing refreshing feeling without bitterness and is effective for improving patient compliance. Beyond this range, menthol stimulation can be uncomfortable. On the other hand, if it is less than this range, the bitterness of the drug may not be sufficiently masked.
本発明の組成物中のメントール配合量は、上記の通り0.1〜2.25重量%の範囲が適当である。この範囲で用いると薬物の苦味をマスキングし、かつウイスカーの発現を回避し安定な組成物を得ることができる。しかし、ウイスカーの発現回避とマスキング効果をより充分に達成するためには、メントールの量が0.5〜2.0重量%であることが好ましく、1.0%〜2.0重量%であることがより好ましい。
本発明組成物は、成人のメントールの1回服用量が、2〜9mg、好ましくは3〜9mg、より好ましくは4〜9mgの範囲となるように製造する。なお、成人1日当たりの投与量は6〜27mg、好ましくは9〜27mg、より好ましくは12〜27mgである。
The amount of menthol in the composition of the present invention is suitably in the range of 0.1 to 2.25% by weight as described above. When used in this range, the bitter taste of the drug can be masked, whisker expression can be avoided, and a stable composition can be obtained. However, in order to more fully achieve the avoidance of whisker expression and the masking effect, the amount of menthol is preferably 0.5 to 2.0% by weight, and 1.0% to 2.0% by weight. It is more preferable.
The composition of the present invention is produced so that the single dose of adult menthol is in the range of 2-9 mg, preferably 3-9 mg, more preferably 4-9 mg. The daily dose for adults is 6 to 27 mg, preferably 9 to 27 mg, more preferably 12 to 27 mg.
本発明の医薬組成物には、任意の「苦味を有する薬物」を、それぞれの薬物のついて規定された量、含有させることができる。
そのような薬物として、中枢神経刺激薬、抗ヒスタミン・抗アレルギー薬、副交感神経遮断薬、交感神経興奮薬(血管収縮薬)、消炎酵素、抗炎症薬、生薬、鎮咳薬、去痰薬、喀痰溶解薬、鎮暈薬、解熱鎮痛薬、制酸剤、粘膜修復剤、整腸剤、健胃剤、消化剤、鎮痛鎮痙剤、止瀉剤等が例示される。中でも、中枢神経刺激薬、抗ヒスタミン・抗アレルギー薬、副交感神経遮断薬、交感神経興奮薬、生薬、鎮咳薬、解熱鎮痛薬及び制酸剤には以下に例示するように、苦味を呈する薬物が知られており、本発明組成物に用いることが好ましい。
The pharmaceutical composition of the present invention may contain an arbitrary “drug having a bitter taste” in an amount defined for each drug.
Such drugs include CNS stimulants, antihistamines / antiallergic drugs, parasympathetic blockers, sympathomimetic drugs (vasoconstrictors), anti-inflammatory enzymes, anti-inflammatory drugs, herbal medicines, antitussives, expectorants, sputum dissolution Examples include drugs, antipruritics, antipyretic analgesics, antacids, mucosal repair agents, intestinal preparations, gastric agents, digestives, analgesic antispasmodics, antipruritics and the like. Among them, there are drugs that exhibit bitter taste as exemplified below in central nerve stimulants, antihistamines / antiallergic drugs, parasympathetic blockers, sympathomimetics, herbal medicines, antitussives, antipyretic analgesics and antacids. It is known and preferably used in the composition of the present invention.
中枢神経刺激薬としては、カフェイン類が例示され、具体的には無水カフェイン、カフェイン、安息香酸ナトリウムカフェイン等が挙げられる。
抗ヒスタミン・抗アレルギー薬としては、塩酸イソチペンジル、塩酸プロメタジン、メチレンジサリチル酸プロメタジン、カルビノキサミン、アステミゾール、フマル酸クレマスチン、メキタジン、マレイン酸クロルフェニラミン、塩酸ジフェンヒドラミン、サリチル酸ジフェンヒドラミン、タンニン酸ジフェンヒドラミン、ジフェンヒドラミン、イブジラスト、アンレキサノクス、シプロヘプタジン、フマル酸ケトチフェン、酒石酸アリメマジン、トラニラスト、ペミロラストカリウム、塩酸アゼラスチン、オキサトミド、フマル酸エメダスチン、塩酸エピナスチン等又はそれらの塩類が挙げられる。
Examples of the central nervous stimulant include caffeine, and specific examples include anhydrous caffeine, caffeine, sodium benzoate caffeine and the like.
Antihistamines and antiallergic agents include isothipentyl hydrochloride, promethazine hydrochloride, promethazine methylene disalicylate, carbinoxamine, astemizole, clemastine fumarate, mequitazine, chlorpheniramine maleate, diphenhydramine hydrochloride, diphenhydramine salicylate, diphenhydramine tanninate, diphenhydramine, Examples include amlexanox, cyproheptadine, ketotifen fumarate, alimemazine tartrate, tranilast, pemirolast potassium, azelastine hydrochloride, oxatomide, emedastine fumarate, epinastine hydrochloride, and salts thereof.
副交感神経遮断薬としては、ダツラエキス、ベラドンナアルカロイド、ベラドンナ総アルカロイド、ベラドンナエキス、ロートエキス、ヨウ化イソプロパミド等が挙げられる。
交感神経興奮薬としては、塩酸フェニルプロパノールアミン、塩酸フェニレフリン、塩酸メチルエフェドリン、塩酸エフェドリン、塩酸メトキシフェナミン、ノルエピネフリン、硝酸ナファゾリン、ジャイロメタゾリン、ミドドリン、メトキサミン、テトラハイドロゾリン等又はそれらの塩類が挙げられる。
Examples of parasympathetic nerve blockers include datsura extract, belladonna alkaloid, belladonna total alkaloid, belladonna extract, funnel extract, and isopropamide iodide.
Examples of sympathomimetic drugs include phenylpropanolamine hydrochloride, phenylephrine hydrochloride, methylephedrine hydrochloride, ephedrine hydrochloride, methoxyphenamine hydrochloride, norepinephrine, naphazoline nitrate, gyrometazoline, middolin, methoxamine, tetrahydrozoline, and their salts. It is done.
生薬としては、アロエ、ウイキョウ、ウコン、ウヤク、エンゴサク、エイジツ、オウギ、オウセイ、オンジ、ガラナ、クコシ、ジオウ、トウキ、トチュウ、ニンジン、アマロゲンチン、オウゴン、オウバク、オウレン、ガジュツ、カスカラサグラダ、カッコウ、カスカリラノキ、カノコ草、カロウコン、キキョウ、キジツ、キョウニン、キハダ、クコ、クジン、ケイガイ、ケイヒ、ケツメイシ、ケンゴシ、ゲンチアナ、ゲンノショウコ、コウジン、コウブシ、コウボク、ゴオウ、ゴシツ、ゴシュユ、ゴミシ、コロンボ、コンズランゴ、サイコ、サンシシ、サフラン、サンズコン、ジオウ、シコン、シソシ、シャクヤク、シャジン(ツリガネニンジン)、シャゼン(オオバコ)、ジャ香、ショウキョウ、ショウマ、セイヒ、セキショウコン、センキュウ、センコツ、センタウリウム草、センブリ、センボウ、センソ、センナ、ソウジュツ、ソウハクヒ、ソヨウ、ダイオウ、竹節人参、チモ、チレッタ草、チンピ、トウヒ、トウニン、トコン、ニガキ、ニンジン、ビャクシャク、ビャクジュツ、ベラドンナコン、ヘノポジ油、ヤクチ、ユウタン、ヨモギ、ニガヨモギ、苦味チンキ、ジシュユ、ホップ、ホミカ、ボウイ、マオウ、モクツウ、モッコウ、リュウタン、リンドウ、ルソンカ、レンギョウ等が挙げられる。 Herbal medicines include aloe, fennel, turmeric, yak, engosaku, ages, ogi, seisei, onji, guarana, kukosi, jiou, touki, eucommia, carrot, amarogentin, ougon, okaku, ouren, gajutsu, caskara sagrada, cuckoo, Cascarilla, cypress grass, carroton, cypress, pheasant, kyonin, yellowfin, wolfberry, kujin, keigai, keihi, ketsumeishi, kengoshi, gentiana, gennoshouko, koujin, kobushi, koboku, burdock, gosh, goshyu, garsh, colander , Sansushi, Saffron, Sandscon, Giant, Sicon, Sisoshi, Peonies, Shajin (Tsuriganeninjin), Shazen (Psyllium), Jia incense, Showa, Shouma, Sehi, Sekishokon, Se Cucumber, centipede, centaurium grass, assembly, senbo, senso, senna, sagetsu, sakuhakuhi, soyou, daiou, bamboo ginseng, chimo, chiletta grass, chimpi, spruce, tonin, tokon, nigaki, carrot, peony, peanut, belladonnackon, Examples include henoposi oil, yakchi, yutan, mugwort, mugwort, bitter tincture, jishyu, hop, homika, bowie, maou, mokutsu, mokko, ryutan, gentian, luzonka, forsythia and the like.
鎮咳薬としては、臭化水素酸デキストロメトルファン、デキストロメトルファン、塩酸ノスカピン、ノスカピン、塩酸メチルエフェドリン、塩酸フェニルプロパノールアミン、塩酸メトキシフェナミン等が挙げられる。
去痰薬としては、塩酸ブロムヘキシン、塩酸アンブロキソール等が挙げられる。
Antitussives include dextromethorphan hydrobromide, dextromethorphan, noscapine hydrochloride, noscapine, methylephedrine hydrochloride, phenylpropanolamine hydrochloride, methoxyphenamine hydrochloride, and the like.
Examples of expectorants include bromhexine hydrochloride and ambroxol hydrochloride.
解熱鎮痛薬としては、アスピリン、アスピリンアルミニウム、アセトアミノフェン、エテンザミド、サリチルアミド、イブプロフェン、フェナセチン、ジクロフェナクナトリウム、プラノプロフェン等が挙げられる。
制酸剤としては、シメチジン、ラニチジン、ファモチジン等のH2受容体拮抗薬等が挙げられる。
以上の薬物は例示にすぎず、本発明の目的に適う限り、任意の苦味を有する薬物を本発明組成物中に含有させることができることは、当業者にとって明らかである。
Examples of antipyretic analgesics include aspirin, aspirin aluminum, acetaminophen, etenzamide, salicylamide, ibuprofen, phenacetin, diclofenac sodium, pranoprofen and the like.
Examples of the antacid include H 2 receptor antagonists such as cimetidine, ranitidine, and famotidine.
The above drugs are merely examples, and it will be apparent to those skilled in the art that drugs having any bitter taste can be included in the composition of the present invention as long as they meet the purpose of the present invention.
本発明組成物は任意の疾患の治療に適した薬物を含有させることができるが、口中溶解型又は咀嚼型の製剤であることから、鼻腔、口腔、気道などに直接作用してこれらの部位における疾患に有効な薬物を含有させると即効性、持続作用が得られるので好ましい。
これらの薬物の配合量は、通常使用される用量で適宜配合される。さらに、本発明の組成物は、苦味を有する薬物以外の薬物を含んでいてもよい。また、ミネラル類、ビタミン類、アミノ酸類などを必要に応じて配合することができる。
The composition of the present invention can contain a drug suitable for the treatment of any disease, but since it is a mouth-dissolving or chewable preparation, it directly acts on the nasal cavity, oral cavity, respiratory tract, etc. at these sites. It is preferable to contain a drug effective for a disease because immediate action and sustained action can be obtained.
The compounding amount of these drugs is appropriately blended at a commonly used dose. Furthermore, the composition of the present invention may contain a drug other than a drug having a bitter taste. In addition, minerals, vitamins, amino acids and the like can be blended as necessary.
本発明の医薬組成物は、口中で溶解又は咀嚼することにより服用するための形態であれば、剤形は任意であり、錠剤(素錠、糖衣錠)、キャンディー(飴)、グミ剤、ヌガー剤等が例示される。形や大きさは口中にて服用することに不都合がない範囲で適宜選択される。また、製造に際しては、当該技術分野で同様の形態の組成物を製造する場合に用いられている既知の方法をそのまま、又は適宜応用して用いれば良い。
錠剤は、粉末状の薬物と製薬上許容される賦形剤とを混合して圧縮成形することにより、また、キャンディー(飴)、グミ剤、ヌガー剤等は、製菓の分野で既知の方法で調製することができる。
例えば、錠剤は、当該技術分野で既知の押しだし造粒法、粉砕造粒法、乾式圧密造粒法、流動層造粒法、転動造粒法、高速攪拌造粒法、湿式打錠法、直接打錠法等を、目的に応じて適宜組み合わせて製造すればよい。
本発明の実施に好ましい剤形は、錠剤であり、特に口中咀嚼型の錠剤である。
The pharmaceutical composition of the present invention may be in any dosage form as long as it is in a form that can be taken by dissolving or chewing in the mouth, and tablets (plain tablets, dragees), candy (pox), gummi, nougat Etc. are exemplified. The shape and size are appropriately selected as long as there is no inconvenience for taking in the mouth. In production, a known method used in the case of producing a composition having the same form in the technical field may be used as it is or by appropriately applying it.
Tablets are prepared by mixing powdered drugs and pharmaceutically acceptable excipients and compression-molding. Also, candy (gummy), gummi, nougat, etc. can be prepared by methods known in the confectionery field. Can be prepared.
For example, the tablet may be an extrusion granulation method, a pulverization granulation method, a dry compaction granulation method, a fluidized bed granulation method, a rolling granulation method, a high-speed stirring granulation method, a wet tableting method known in the art. What is necessary is just to manufacture combining a direct tableting method etc. suitably according to the objective.
A preferred dosage form for the practice of the present invention is a tablet, in particular a chewable tablet in the mouth.
本発明製剤には、本発明の効果に影響を与えない限り、一般的に医薬品添加剤として使用されている任意の成分を添加することができる。そのような添加剤として、トウモロコシデンプン、バレイショデンプン、白糖、タルク、カオリン、硫酸カルシウム、炭酸カルシウム、結晶セルロース等の賦形剤、ステアリン酸マグネシウム、ステアリン酸カルシウム、等の滑沢剤、カルボキシメチルセルロースカルシウム、低置換度ヒドロキシメチルセルロース等の崩壊剤、ヒドロキシプロピルセルロース、ヒドロキシプロピルメチルセルロース、ポリビニルピロリドン、ゼラチン、セルロース高分子、アクリル酸系高分子、メチルセルロース、アラビアゴム、ポリビニルアルコール等の結合剤、その他の甘味剤、着香剤、着色剤、矯味剤、吸着剤、防腐剤、湿潤剤、帯電防止剤等が挙げられる。 Any component that is generally used as a pharmaceutical additive can be added to the preparation of the present invention as long as the effect of the present invention is not affected. Such additives include corn starch, potato starch, sucrose, talc, kaolin, calcium sulfate, calcium carbonate, excipients such as crystalline cellulose, lubricants such as magnesium stearate, calcium stearate, carboxymethylcellulose calcium, Disintegrants such as low-substituted hydroxymethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, polyvinylpyrrolidone, gelatin, cellulose polymer, acrylic polymer, methylcellulose, gum arabic, polyvinyl alcohol, and other sweeteners, Examples include flavoring agents, coloring agents, flavoring agents, adsorbents, preservatives, wetting agents, and antistatic agents.
以下に実施例を挙げて本発明をさらに詳しく説明する。
実施例1〜2 錠剤
Examples 1-2 Tablet
実施例3 錠剤
実施例4 錠剤
実施例5 錠剤
実施例6 錠剤
試験例1 溶出試験
実施例1及び2の錠剤を用い、日本薬局方の一般試験法である溶出試験法(パドル法)に従って試験を行った。試験溶液として、日本薬局方の一般試験法である崩壊試験にある胃液を想定したpH1.2又は腸液を想定したpH6.8の試験液を用いた。
試験は、試験溶液500ml中、37℃で、パドルの回転数100rpmとして行った。各錠剤を、口中で約5から15回かみ砕いた後、試料として試験溶液に添加した。試験開始後、経時的に溶出液を採取し、チュアブル錠に配合されているマレイン酸クロルフェニラミンを指標成分として薬物溶出量を測定した。マレイン酸クロルフェニラミンは常法のHPLC法にて測定した。結果を表6に示す。
Test Example 1 Dissolution Test Using the tablets of Examples 1 and 2, a test was conducted according to the dissolution test method (paddle method) which is a general test method of the Japanese Pharmacopoeia. As the test solution, a test solution having a pH of 1.2 assuming a gastric juice in a disintegration test which is a general test method of the Japanese Pharmacopoeia or a pH 6.8 assuming an intestinal fluid was used.
The test was performed in 500 ml of the test solution at 37 ° C. and a paddle rotation speed of 100 rpm. Each tablet was chewed about 5 to 15 times in the mouth and then added to the test solution as a sample. After starting the test, the eluate was collected over time, and the drug elution amount was measured using chlorpheniramine maleate blended in the chewable tablet as an indicator component. Chlorpheniramine maleate was measured by a conventional HPLC method. The results are shown in Table 6.
薬物放出速度とその変動は、消化管内での薬物吸収の速度、吸収量と密接に関連しており、薬物治療の効果の発現に大きい影響を及ぼすことが知られている。上記の試験結果は、本発明の製剤が従来の製剤に比較して優れた溶出速度を示すものであることを明らかにし、本発明製剤が即効性であると同時に生物学的利用率が高く、確実に持続して高い効果を発揮しうる有用な製剤であることを証明するものである。
It is known that the drug release rate and its variation are closely related to the rate and amount of drug absorption in the gastrointestinal tract, and have a great influence on the manifestation of the effect of drug treatment. The above test results reveal that the preparation of the present invention exhibits an excellent dissolution rate as compared with the conventional preparation, and the preparation of the present invention has an immediate effect and a high bioavailability, It proves that it is a useful preparation that can reliably and sustainably exhibit high effects.
試験例2 有効性試験
これらの製剤は、いずれも、含量試験、崩壊試験(JP)、含量均一性試験(JP)に適合することを確認した。
鼻炎症状(くしゃみ、鼻水、鼻づまり、のどの痛み、涙目、頭重)を有する被験者14名に薬剤A〜Dを投与(一回一錠)し、症状の改善度を、薬剤服用10分後と4時間後に評価した。同様に、胃痛、胃のむかつきを訴える被験者10名に薬剤E、Fを投与(一回一錠)し、症状の改善度を、薬剤服用10分後と4時間後に評価した。
咀嚼剤A、B、E、F、は口中で咀嚼(5から15回)して服用し、溶解剤Cは咀嚼せず口中で溶解させ、服用した。また、錠剤Dは、150mlの水で、口中で咀嚼又は溶解せずに内服した。試験結果を表9及び表10に示す。
Test Example 2 Effectiveness test
All of these preparations were confirmed to meet the content test, disintegration test (JP), and content uniformity test (JP).
14 subjects with nasal inflammation (sneezing, runny nose, stuffy nose, sore throat, tear eyes, head weight) were administered drugs A to D (one tablet at a time), and the degree of improvement in symptoms was 10 minutes after taking the drug. And evaluated after 4 hours. Similarly, drugs E and F were administered to 10 subjects complaining of stomach pain and upset stomach (one tablet at a time), and the degree of symptom improvement was evaluated 10 minutes and 4 hours after taking the drug.
Chewing agents A, B, E and F were chewed (5 to 15 times) in the mouth and taken, and dissolving agent C was dissolved in the mouth without being chewed. Tablet D was taken with 150 ml of water without being chewed or dissolved in the mouth. The test results are shown in Table 9 and Table 10.
本発明の咀嚼型、溶解型製剤であるA、C及びEはメントールを配合しない咀嚼型製剤B及びFと同様もしくはそれ以上に鼻炎症状又は胃痛、胃のむかつき症状を即効的に改善し、高い改善率を示している。特に本発明製剤の即効性は、それぞれの対照製剤B及びFよりもはるかに高く、咀嚼型又は溶解型製剤にメントールを含有させると、即効性が顕著に増強されることを示している。
また、これらの結果は、多量のメントールの存在によっても、鼻炎治療薬、胃腸症状治療薬の効果に影響が無く、むしろ、即効性を増大し、持続的な効果も増強することを意味している。
さらに、非−咀嚼型の錠剤Dと比較すると、本発明製剤は10分後の改善率が有意に高く、4時間後の改善率においても優れており、即効性と持続性の両方を兼ね備えていることが分かる。
以上の結果から、本発明の溶解型、咀嚼型製剤は、メントールを配合していない同じ剤形の製剤、及びメントールを含有する通常の錠剤に比較して即効性であり、かつ持続的な効果を有することが明らかである。投与から4時間後においても、対応する錠剤に比較して高い効果を示すことから、本発明の組成物は、高い即効性と高い生物学的利用率を兼ね備えた、治療効果が増強された優れた製剤であるといえる。
The chewable and soluble preparations A, C and E of the present invention are effective in improving nasal inflammation or stomach pain and upset stomach as well as chewable preparations B and F not containing menthol. It shows the improvement rate. In particular, the immediate effect of the preparation of the present invention is much higher than that of the respective control preparations B and F, and it is shown that the immediate effect is remarkably enhanced when menthol is contained in the chewable or dissolved preparation.
These results also mean that the presence of a large amount of menthol does not affect the effects of rhinitis and gastrointestinal symptoms, but rather increases immediate efficacy and enhances sustained effects. Yes.
Furthermore, compared with the non-chewable tablet D, the preparation of the present invention has a significantly improved improvement rate after 10 minutes and is excellent in the improvement rate after 4 hours, and has both immediate effect and sustainability. I understand that.
From the above results, the dissolution type and chewable type preparations of the present invention are immediate effects as compared with the preparations of the same dosage form not containing menthol and normal tablets containing menthol, and have a sustained effect. It is clear that Even after 4 hours from administration, the composition of the present invention exhibits a high effect as compared with the corresponding tablet. Therefore, the composition of the present invention has a high immediate effect and a high bioavailability, and has an excellent therapeutic effect. It can be said that it is a preparation.
試験例3 メントール配合量と効果
表11に示す試験製剤(G〜N)を用いた。鼻炎症状(くしゃみ、鼻水、鼻づまり、のどの痛み)を有する被験者14名に薬剤を投与(一回一錠)し、症状の改善度及び刺激性を、薬剤服用10分後に評価した。なお、試験薬剤は、口中で5〜15回かみ砕いて服用した。
また、各製剤を3ヶ月間、室温で保存した後、ウイスカーの発生を確認した。
Test Example 3 Menthol content and effects Test preparations (GN) shown in Table 11 were used. The drug was administered to 14 subjects having nasal inflammation symptoms (sneezing, runny nose, stuffy nose, sore throat) (one tablet at a time), and the degree of improvement and irritation of the symptoms were evaluated 10 minutes after taking the drug. The test drug was chewed 5 to 15 times in the mouth.
Moreover, after each formulation was stored at room temperature for 3 months, the occurrence of whiskers was confirmed.
製剤Gでは、服用10分後の鼻炎症状の改善は認められなかったが製剤H〜Nでは、鼻炎症状の改善が認められた。 しかし、試験薬剤M及びNで、服用時に粘膜刺激の発現が認められ、試験薬剤Nでは粘膜刺激が極めて強く、安全性にやや問題が認められた。
また、各製剤を3ヶ月間、室温で保存した後、ウイスカーの発生を確認したところ、製剤M、Nにウイスカーが検出された。製剤G〜Lではウイスカーは観察されなかった。
In Formulation G, no improvement in nasal inflammation was observed 10 minutes after administration, but in Formulations H to N, improvement in nasal inflammation was observed. However, the test drugs M and N showed mucosal irritation when taken, and the test drug N showed extremely strong mucosal irritation and a slight safety problem.
Moreover, when each preparation was stored at room temperature for 3 months and then the occurrence of whiskers was confirmed, whiskers were detected in preparations M and N. No whisker was observed in formulations G-L.
本発明の医薬組成物は、服用形態、味ともに服用し易く、コンプライアンスの向上に有効であると共に、ウイスカーの発現も抑制されて安定であり、消化管における溶出、吸収性にも優れて、同量の活性成分を含有する通常の内服用錠剤に比較して十分に高い生物学的利用率を達成できる。その結果、薬物の有効利用が可能となり投与量の減少等を通して、患者の負担を軽減すると共に、生活の質を向上させることも可能である。 The pharmaceutical composition of the present invention is easy to take both in dosage form and taste, is effective in improving compliance, is stable with suppressed whisker expression, has excellent elution and absorption in the gastrointestinal tract, and the same. A sufficiently high bioavailability can be achieved compared to conventional oral tablets containing a quantity of active ingredient. As a result, the drug can be effectively used, and the burden on the patient can be reduced and the quality of life can be improved by reducing the dose.
Claims (1)
Mouth-dissolving or chewing type solid oral pharmaceutical composition comprising (a) a bitter-tasting drug and (b) 0.1-2.25% by weight of menthol [provided that (a) a bitter-tasting drug As chlorpheniramine maleate, isothipentyl hydrochloride, promethazine hydrochloride, promethazine methylene disalicylate, carbinoxamine, astemizole, clemastine fumarate, mequitazine, diphenhydramine hydrochloride, diphenhydramine tannic acid diphenhydramine, diphenhydramine, ibudilastofen hexothifen , Alimemazine tartrate, tranilast, potassium pemirolast, azelastine hydrochloride, oxatomide, emedastine fumarate, epinastine hydrochloride, phenylpropanolamine hydrochloride, salt Phenylephrine, methylephedrine hydrochloride, ephedrine hydrochloride, methoxyphenamine hydrochloride, norepinephrine, naphazoline nitrate, gyrometazoline, middolin, methoxamine, tetrahydrozoline, belladonna total alkaloid, datsura extract, belladonna alkaloid, belladonna extract, funnel extract, iodopropamide, Except when containing at least one selected from the group consisting of anhydrous caffeine and sodium caffeine benzoate].
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