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TW201803564A - Oral tipepidine preparation - Google Patents

Oral tipepidine preparation Download PDF

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TW201803564A
TW201803564A TW106117949A TW106117949A TW201803564A TW 201803564 A TW201803564 A TW 201803564A TW 106117949 A TW106117949 A TW 106117949A TW 106117949 A TW106117949 A TW 106117949A TW 201803564 A TW201803564 A TW 201803564A
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hypromellose
composition
range
different viscosities
water
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TW106117949A
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Chinese (zh)
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江崎直美
川田恭子
森崎一貴
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大正製藥股份有限公司
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    • AHUMAN NECESSITIES
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    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • A61K31/4523Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
    • A61K31/4535Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a heterocyclic ring having sulfur as a ring hetero atom, e.g. pizotifen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
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    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K9/2004Excipients; Inactive ingredients
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    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/10Expectorants
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/14Antitussive agents
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • AHUMAN NECESSITIES
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    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
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    • AHUMAN NECESSITIES
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    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia

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Abstract

The present invention provides a novel oral composition of a single or twice daily dose type, which contains tipepidine or a pharmaceutically acceptable salt thereof, wherein the drug dissolution rate of tipepidine or the pharmaceutically acceptable salt thereof is controlled.

Description

替培啶(Tipepidine)之經口用製劑 Tipipidine oral preparation

本發明係有關於一種含有替培啶或醫藥上可容許之其鹽的緩釋性之經口用製劑,可應用於醫藥品領域。 The present invention relates to a sustained-release oral preparation containing tiperidine or a pharmaceutically acceptable salt thereof, and can be applied to the field of pharmaceuticals.

替培啶係一種具有與可待因磷酸鹽同等或高於其之鎮咳作用,同時兼具去痰作用的物質,而且因其為非麻醉性,向來係廣泛使用作為醫療用及一般用醫藥品之鎮咳去痰藥或感冒藥。 Tiperidine is a substance that has an antitussive effect equal to or higher than that of codeine phosphate, and also has an expectorant effect, and because it is non-narcotic, it has been widely used as a medical and general pharmaceutical Antitussive and expectorant or cold medicine.

近年來,替培啶已知可抑制G蛋白偶聯內向整流性鉀離子(GIRK)通道(G protein-coupled inwardly-rectifying potassium ion channel),除上述作為鎮咳去痰藥或感冒藥之用途以外,亦有人報導針對中樞機能障礙、例如注意力不足過動症、憂鬱症等的情感疾病或者情緒失常、起因於環境化學物質等之腦機能障礙、強迫症、帕金森氏症、精神分裂症、神經因性疼痛、排尿困難、由澱粉狀蛋白β蛋白質誘發之失智症、阿茲海默症等的用途(專利文獻1~9)。 In recent years, tiperidine has been known to inhibit the G protein-coupled inwardly-rectifying potassium ion channel (GIRK), in addition to its use as an antitussive, expectorant or cold medicine, as well as Some people report on central dysfunction, such as emotional disorders or mood disorders such as attention deficit hyperactivity disorder, depression, brain dysfunction due to environmental chemicals, obsessive-compulsive disorder, Parkinson's disease, schizophrenia, neurological causes Sexual pain, dysuria, dementia induced by amyloid beta protein, Alzheimer's disease, etc. (Patent Documents 1 to 9).

迄今,替培啶係採以替培啶海苯酸鹽為有效成分之錠 劑、散劑、糖漿劑等經口用製劑的形態,作為鎮咳去痰藥或感冒藥使用。以替培啶海苯酸鹽而言,要達到最高血漿中濃度,經口投予後需約1.3小時;而血漿中半衰期為約1.8小時,僅於短時間內有效,因此其通常係以1日3次投予型之經口劑對患者開藥。 So far, tiperidine is an ingot with tiperidine sea benzoate as an active ingredient. In the form of oral preparations such as agents, powders, syrups, it is used as an antitussive, expectorant or cold medicine. In the case of tiperidine sea benzoate, to reach the highest plasma concentration, it takes about 1.3 hours after oral administration; and the plasma half-life is about 1.8 hours, which is only effective for a short time, so it is usually 1 day Patients were prescribed 3 oral doses.

另一方面,在近來發現之適用於注意力不足過動症或憂鬱症等的預防‧治療藥之用途中,理想的是其效果穩定且持續地作用,能盡量抑制在學校或職場等目的地服用之1日1次或2次投予型之經口用製劑,藉由減少忘記服用的情形,而可望充分地發揮對此等適用疾病的預防‧治療效果。又,於此等用途中,由於係以數個月,視情況而定長達數年服用替培啶為前提,而要求一種提高服藥遵從性亦納入考量的1日1次或2次投予型之經口用製劑。然而,替培啶海苯酸鹽在呈酸性的胃中雖顯示良好的溶解性,但極難溶於水,因此,在呈中性且水分較少的消化管下部之溶解性會大幅降低,而不易在胃~腸穩定地持續釋放。 On the other hand, among the recently discovered uses for the prevention and treatment of attention deficit hyperactivity disorder and depression, it is desirable that the effect is stable and continuous, and it can be minimized in destinations such as schools and workplaces. Oral preparations for single or double administration once a day can reduce the number of cases of forgetting to take them, and it is expected that the preventive and therapeutic effects of these applicable diseases will be fully exerted. In addition, in these applications, it is premised on taking tepididine for several months and, depending on the circumstances, up to several years, and it is required to improve the compliance of taking medication once or twice a day. Oral preparation. However, although tepididine benzoate shows good solubility in the acidic stomach, it is extremely difficult to dissolve in water. Therefore, the solubility in the lower part of the digestive tract that is neutral and less water will be greatly reduced. It is not easy to release continuously in the stomach ~ intestine.

[先前技術文獻] [Prior technical literature] [專利文獻] [Patent Literature]

[專利文獻1]日本特再公表2007-37258 [Patent Document 1] Japanese Special Re-publication Sheet 2007-37258

[專利文獻2]日本特開2009-227631 [Patent Document 2] Japanese Patent Laid-Open No. 2009-227631

[專利文獻3]日本特再公表2007-139153 [Patent Document 3] Japanese Special Re-publication Table 2007-139153

[專利文獻4]日本特開2012-62272 [Patent Document 4] Japanese Patent Application Publication No. 2012-62272

[專利文獻5]日本特開2011-246446 [Patent Document 5] Japanese Patent Laid-Open No. 2011-246446

[專利文獻6]日本特開2013-63958 [Patent Document 6] Japanese Patent Laid-Open No. 2013-63958

[專利文獻7]日本特再公表2012-118172 [Patent Document 7] Japanese Special Re-publication Table 2012-118172

[專利文獻8]日本特開2007-204366 [Patent Document 8] Japanese Patent Laid-Open No. 2007-204366

[專利文獻9]日本特開2017-36242 [Patent Document 9] Japanese Patent Laid-Open No. 2017-36242

本發明係以提供一種含有替培啶的新穎緩釋性之經口用製劑,尤為1日1次或2次投予型之緩釋性之經口用製劑為課題。 The subject of the present invention is to provide a novel sustained-release oral preparation containing tiperidine, particularly a sustained-release oral preparation for administration once or twice a day.

本案發明人等為解決前述課題而致力進行研究的結果發現,可達到:無論替培啶的上述藥物動態為何,皆可控制替培啶在胃中的溶出速度,而能夠在胃~腸穩定且持續性地釋放出替培啶的經口用之緩釋性製劑化。 The inventors of the present case made efforts to solve the aforementioned problems and found that it is possible to achieve the following: regardless of the above drug dynamics of tiperidine, the dissolution rate of tiperidine in the stomach can be controlled, and it can be stable in the stomach to the intestine and Oral sustained release formulations that release tiperidine continuously.

亦即,本發明為(1)一種緩釋性之經口固形組成物,其係包含替培啶或醫藥上可容許之其鹽作為有效成分;(2)一種1日1次或2次投予型之緩釋性之經口固形組成物,其係包含替培啶或醫藥上可容許之其鹽作為有效成分;(3)如(1)或(2)之組成物,其係以替培啶或醫藥上可容許之其鹽為有效成分,且進一步包含水溶性高分 子基劑;(4)如(3)之組成物,其中水溶性高分子基劑為羥丙甲纖維素或羧基乙烯聚合物;(5)如(3)之組成物,其中水溶性高分子基劑為羥丙甲纖維素;(6)如(5)之組成物,其中羥丙甲纖維素的含量為組成物中5~90質量%的範圍;(7)如(4)~(6)中任一項之組成物,其中羥丙甲纖維素為黏度不同的羥丙甲纖維素之混合物;(8)如(7)之組成物,其中黏度不同的羥丙甲纖維素之混合物為羥丙甲纖維素50~100mPa‧s的至少1種與羥丙甲纖維素4000~100000mPa‧s的至少1種之組合;(9)如(7)之組成物,其中黏度不同的羥丙甲纖維素之混合物為羥丙甲纖維素100mPa‧s與羥丙甲纖維素4000~15000mPa‧s的至少1種之組合;(10)如(7)~(9)中任一項之組成物,其中黏度不同的羥丙甲纖維素之混合物的含量為組成物中5~45質量%的範圍;(11)如(7)~(9)中任一項之組成物,其中黏度不同的羥丙甲纖維素之混合物的含量為組成物中10~30質量%的範圍;(12)如(7)~(11)中任一項之組成物,其中黏度不同的羥丙甲纖維素之低黏度與高黏度的混合質量比為25:75~90:10的範圍; (13)如(7)~(11)中任一項之組成物,其中黏度不同的羥丙甲纖維素之低黏度與高黏度的混合質量比為25:75~80:20的範圍;(14)如(7)~(11)中任一項之組成物,其中黏度不同的羥丙甲纖維素之低黏度與高黏度的混合質量比為40:60~60:40的範圍;(15)如(1)~(14)中任一項之組成物,其係進一步包含含有賦形劑的顆粒而成;(16)如(15)之組成物,其中顆粒係以濕式造粒或乾式造粒所製成;(17)如(16)之組成物,其中濕式造粒時所使用的溶媒為水與乙醇的混合質量比為100:0~20:80之範圍的溶媒;(18)如(16)之組成物,其中濕式造粒時所使用的溶媒為水與乙醇的混合質量比為100:0~40:60之範圍的溶媒;(19)如(1)~(18)中任一項之組成物,其中替培啶或醫藥上可容許之其鹽為替培啶海苯酸鹽(Tipepidine hibenzate);(20)如(1)~(19)中任一項之組成物,其中經口固形組成物係選自錠劑、膠囊劑或顆粒劑;(21)如(1)~(20)中任一項之組成物,其係咳嗽、喀痰困難、注意力不足過動症、憂鬱症(包含治療排斥性憂鬱症)、躁鬱症、精神分裂症、焦慮症、失智症、 強迫症(包含治療排斥性強迫症)、帕金森氏症、排尿困難、疼痛、由澱粉狀蛋白β蛋白質所誘發之失智症或阿茲海默症等的預防或治療用。 That is, the present invention is (1) a slow-release oral solid composition, which contains tiperidine or a pharmaceutically acceptable salt thereof as an active ingredient; (2) a single or two-time administration per day The preformed sustained-release oral solid composition contains teperidine or a pharmaceutically acceptable salt thereof as an active ingredient; (3) a composition such as (1) or (2), which is a substitute Perididin or a pharmaceutically acceptable salt thereof is an active ingredient and further contains a high water-soluble content Child base agent; (4) A composition such as (3), wherein the water-soluble polymer base is hypromellose or a carboxyvinyl polymer; (5) A composition such as (3), wherein the water-soluble polymer The base is hypromellose; (6) A composition such as (5), wherein the content of hypromellose is in the range of 5 to 90% by mass in the composition; (7) such as (4) to (6) The composition according to any one of the above, wherein hypromellose is a mixture of hypromellose having different viscosities; (8) The composition of (7), wherein the mixture of hypromellose having different viscosities is Combination of at least one type of hypromellose 50 ~ 100mPa‧s and at least one type of hypromellose 4000 ~ 100000mPa‧s; (9) A composition such as (7), wherein hypromellose with different viscosity The cellulose mixture is a combination of hypromellose 100mPa‧s and at least one of hypromellose 4000 ~ 15000mPa‧s; (10) The composition according to any one of (7) to (9), The content of the mixture of hypromellose having different viscosities is in the range of 5 to 45% by mass in the composition; (11) The composition according to any one of (7) to (9), in which hydroxypropion having different viscosities The content of methylcellulose mixture is The range of 10 to 30% by mass of the composition; (12) The composition of any one of (7) to (11), wherein the mixed mass ratio of low viscosity and high viscosity of hypromellose having different viscosities is 25: 75 ~ 90: 10 range; (13) The composition according to any one of (7) to (11), wherein the mixed mass ratio of low viscosity and high viscosity of hypromellose having different viscosities is in a range of 25:75 to 80:20; ( 14) The composition according to any one of (7) to (11), wherein the mixed mass ratio of low viscosity and high viscosity of hypromellose having different viscosities is in a range of 40:60 to 60:40; (15 ) The composition according to any one of (1) to (14), further comprising particles containing an excipient; (16) The composition according to (15), wherein the particles are formed by wet granulation or (17) The composition according to (16), wherein the solvent used in the wet granulation is a solvent with a mixed mass ratio of water and ethanol in the range of 100: 0 to 20:80; 18) The composition according to (16), wherein the solvent used in the wet granulation is a solvent having a mixed mass ratio of water and ethanol in a range of 100: 0 to 40:60; (19) such as (1) to ( 18) The composition according to any one of the above, wherein the tiperidine or a pharmaceutically acceptable salt thereof is Tipipidine hibenzate; (20) As in any one of (1) to (19) Composition, wherein the oral solid composition is selected from the group consisting of lozenges, capsules, or granules (21) The composition of any one of (1) to (20), which is cough, sputum difficulty, attention deficit hyperactivity disorder, depression (including treatment of rejection depression), bipolar disorder, mental Schizophrenia, anxiety, dementia, It is used for the prevention or treatment of obsessive-compulsive disorder (including treatment of obsessive-compulsive disorder), Parkinson's disease, dysuria, pain, dementia induced by amyloid beta protein, or Alzheimer's disease.

本發明之經口固形組成物可控制替培啶在胃中的溶出速度,而能夠在胃~腸穩定且持續性地釋放出替培啶。就本發明之經口固形組成物,由於可確認替培啶或醫藥上可容許之其鹽的溶出速度經控制之緩釋化,而能夠提供一種斟酌提高服藥遵從性的1日1次或2次投予型製劑。 The oral solid composition of the present invention can control the dissolution rate of tiperidine in the stomach, and can stably and continuously release tiperidine in the stomach to the intestine. With regard to the oral solid composition of the present invention, controlled release of the rate of dissolution of teperidine or a pharmaceutically acceptable salt thereof can be confirmed, so that it is possible to provide one or two times a day to improve compliance with medication. Sub-administration formulation.

第1圖係表示實施例1及2之溶出試驗的結果。 Figure 1 shows the results of the dissolution tests of Examples 1 and 2.

第2圖係表示實施例3及4之溶出試驗的結果。 Fig. 2 shows the results of the dissolution tests of Examples 3 and 4.

第3圖係表示實施例1及5之溶出試驗的結果。 Fig. 3 shows the results of the dissolution tests of Examples 1 and 5.

第4圖係表示實施例6及7之溶出試驗的結果。 Fig. 4 shows the results of the dissolution tests of Examples 6 and 7.

第5圖係表示實施例8及9之溶出試驗的結果。 Fig. 5 shows the results of the dissolution tests of Examples 8 and 9.

第6圖係表示實施例9及10之溶出試驗的結果。 Fig. 6 shows the results of the dissolution tests of Examples 9 and 10.

第7圖係表示實施例11及12之溶出試驗的結果。 Fig. 7 shows the results of the dissolution tests of Examples 11 and 12.

第8圖係表示比較例1之溶出試驗的結果。 FIG. 8 shows the results of the dissolution test of Comparative Example 1. FIG.

第9圖係表示實施例6之不同pH的試驗液之溶出試驗的結果。 Fig. 9 is a graph showing the results of dissolution tests of test solutions of different pHs in Example 6.

第10圖係表示實施例7之不同pH的試驗液之溶出試驗的結果。 Fig. 10 is a graph showing the results of dissolution tests of test solutions of different pHs in Example 7.

第11圖係表示實施例13之不同pH的試驗液之溶出試驗的結果。 Fig. 11 is a graph showing the results of dissolution tests of test solutions of different pHs in Example 13;

第12圖係表示實施例14之不同pH的試驗液之溶出試驗的結果。 Fig. 12 is a graph showing the results of dissolution tests of test solutions of different pHs in Example 14.

[實施發明之形態] [Form of Implementing Invention]

本發明一形態為以替培啶或醫藥上可容許之其鹽為有效成分的緩釋性醫藥組成物。 One aspect of the present invention is a sustained-release pharmaceutical composition using teperidine or a pharmaceutically acceptable salt thereof as an active ingredient.

替培啶能以游離體使用,也能以醫藥上可容許之替培啶的鹽使用。作為醫藥上可容許之替培啶的鹽,可舉出替培啶海苯酸鹽、替培啶檸檬酸鹽、替培啶十八烷基硫酸酯鹽等。 Tiperidine can be used as a free body or as a pharmaceutically acceptable salt of tiperidine. Examples of the pharmaceutically acceptable salt of tiperidine include tiperidine sea benzoate, teperidine citrate, teperidine octadecyl sulfate, and the like.

替培啶或醫藥上可容許之其鹽的含量,相對於組成物全體通常為10~50質量%。 The content of teperidine or a pharmaceutically acceptable salt thereof is usually 10 to 50% by mass based on the entire composition.

於本發明中,所稱「緩釋性」,係指例如根據日本藥典溶出試驗第2法(攪拌槳法),使用900mL的溶出試驗第2液(對1容量的pH6.8之磷酸鹽緩衝液添加1容量的水而成者)作為試驗液,以攪拌槳旋轉數50rpm之條件溶出時,將試驗開始後2小時時間點之有效成分的溶出率控制於5~70%,較佳為將試驗開始後2小時時間點之有效成分的溶出率控制於5~60%,更佳為將試驗開始後6小 時時間點之有效成分的溶出率控制於30~80%。 In the present invention, the term "sustained release" refers to, for example, the second method of the dissolution test (stirring paddle method) of the Japanese Pharmacopoeia, using a 900 mL dissolution test second solution (for phosphate buffer of 1 volume of pH 6.8 When 1 volume of water is added to the liquid) as the test solution, the dissolution rate of the active ingredient at the time point of 2 hours after the start of the test is controlled to 5 to 70% when it is dissolved under the condition that the number of revolutions of the stirring paddle is 50 rpm. The dissolution rate of the active ingredient at the time point of 2 hours after the start of the test is controlled to be 5 to 60%, and it is more preferable that the dissolution rate is 6 hours after the start of the test. The dissolution rate of the active ingredient at the time point is controlled at 30 to 80%.

本發明之緩釋性製劑可視需求混合惰性載體,並藉由常用方法作成顆粒劑、散劑、膠囊劑、錠劑等而提供。本發明中的惰性載體係指與藥效成分共同含於製劑中但不顯示藥效之水溶性高分子基劑以外的成分。例如,賦形劑、潤滑劑、崩解劑、黏合劑、塑化劑、抗氧化劑、塗覆劑、著色劑、矯味劑、界面活性劑、可塑劑等係包含於此。 The sustained-release preparation of the present invention can be mixed with an inert carrier as required, and provided as granules, powders, capsules, tablets, etc. by a common method. The inert carrier in the present invention refers to a component other than a water-soluble polymer base which is contained in a preparation together with a medicinal ingredient but does not show medicinal effect. For example, excipients, lubricants, disintegrants, binders, plasticizers, antioxidants, coating agents, colorants, flavoring agents, surfactants, plasticizers, and the like are included here.

本發明所使用的水溶性高分子基劑係指緩釋性基劑之水溶性高分子,作為水溶性高分子,可混合使用選自羥丙甲纖維素、羥丙基纖維素、鄰苯二甲酸羥丙基甲基纖維素、乙酸琥珀酸羥丙基甲基纖維素、羧甲基乙基纖維素、羧甲基纖維素鈉、羥乙基纖維素、甲基纖維素、乙酸鄰苯二甲酸纖維素、聚乙二醇、聚乙烯醇、聚乙烯吡咯啶酮、聚乙烯縮醛二乙胺基乙酸酯、甲基丙烯酸胺烷基酯共聚物E、甲基丙烯酸胺烷基酯共聚物RS、甲基丙烯酸共聚物L、甲基丙烯酸共聚物LD、甲基丙烯酸共聚物S、羧基乙烯聚合物、阿拉伯膠、海藻酸鈉、海藻酸丙二醇酯、洋菜、明膠、黃蓍膠、黃原膠之高分子的1種或2種以上。 The water-soluble polymer base agent used in the present invention refers to a water-soluble polymer of a sustained-release base agent. As the water-soluble polymer, it can be mixed and selected from the group consisting of hypromellose, hydroxypropylcellulose, and phthalate. Hydroxypropyl methyl cellulose formate, hydroxypropyl methyl cellulose acetate succinate, carboxymethyl ethyl cellulose, sodium carboxymethyl cellulose, hydroxyethyl cellulose, methyl cellulose, phthalate acetate Copolymerization of cellulose formate, polyethylene glycol, polyvinyl alcohol, polyvinylpyrrolidone, polyvinyl acetal diethylaminoacetate, amine alkyl methacrylate copolymer E, amine alkyl methacrylate RS, methacrylic acid copolymer L, methacrylic acid copolymer LD, methacrylic acid copolymer S, carboxyvinyl polymer, gum arabic, sodium alginate, propylene glycol alginate, agar, gelatin, tragacanth, One or more types of polymers of xanthan gum.

作為本發明之製劑所使用的賦形劑,可舉出混合使用例如選自乳糖、結晶纖維素、白糖、粉糖、砂糖、葡萄糖、甘露糖醇、山梨糖醇、玉米澱粉、澱粉類、阿拉伯膠、糊精、聚三葡萄糖、輕質無水矽酸、低取代度羥丙基纖維素、羧甲基纖維素鈉、合成矽酸鋁、鎂鋁矽酸鹽、磷酸氫鈣、及無水磷酸氫鈣所成群組的1種或2種以 上。 Examples of the excipient used in the preparation of the present invention include a mixture selected from lactose, crystalline cellulose, white sugar, powdered sugar, granulated sugar, glucose, mannitol, sorbitol, corn starch, starches, arabic Gum, dextrin, polytriglucose, light anhydrous silicic acid, low-substitution hydroxypropyl cellulose, sodium carboxymethyl cellulose, synthetic aluminum silicate, magnesium aluminosilicate, calcium hydrogen phosphate, and anhydrous hydrogen phosphate 1 or 2 groups of calcium on.

作為本發明之製劑所使用的潤滑劑,可舉出混合使用例如選自硬脂酸鎂、硬脂酸鈣、硬脂酸、滑石、輕質無水矽酸、膠體二氧化矽、合成矽酸鋁、及鎂鋁矽酸鹽所成群組的1種或2種以上。 Examples of the lubricant used in the preparation of the present invention include a mixture selected from magnesium stearate, calcium stearate, stearic acid, talc, light anhydrous silicic acid, colloidal silicon dioxide, and synthetic aluminum silicate. , And one or more types of magnesium aluminosilicate.

作為本發明之製劑所使用的崩解劑,可舉出混合使用例如選自交聯聚維酮、交聯羧甲基纖維素鈉、羧甲基纖維素、羧甲基澱粉鈉、低取代度羥丙基纖維素、羧甲基纖維素鈣、結晶纖維素、羥丙基澱粉、玉米澱粉、馬鈴薯澱粉、及部分α化澱粉所成群組的1種或2種以上。 Examples of the disintegrant used in the preparation of the present invention include a mixture selected from the group consisting of crospovidone, croscarmellose sodium, carboxymethylcellulose, sodium carboxymethyl starch, and a low degree of substitution. One or more of hydroxypropyl cellulose, calcium carboxymethyl cellulose, crystalline cellulose, hydroxypropyl starch, corn starch, potato starch, and partially alpha starch.

作為本發明之製劑所使用的黏合劑,可舉出混合使用例如選自羥丙基纖維素、聚乙烯吡咯啶酮、聚三葡萄糖、及澱粉糊等所成群組的1種或2種以上。 Examples of the binder used in the preparation of the present invention include one or two or more selected from the group consisting of hydroxypropyl cellulose, polyvinylpyrrolidone, polytriglucose, and starch paste. .

本發明之緩釋化基劑,除水溶性高分子以外,亦可使用脂溶性高分子或水溶性高分子與脂溶性高分子之組合。更佳為水溶性高分子。 In addition to the water-soluble polymer, the slow-release base of the present invention may also use a fat-soluble polymer or a combination of a water-soluble polymer and a fat-soluble polymer. More preferably, it is a water-soluble polymer.

就本發明中的水溶性高分子而言,較佳為羥丙甲纖維素或羧基乙烯聚合物,更佳為羥丙甲纖維素。 The water-soluble polymer in the present invention is preferably hypromellose or a carboxyvinyl polymer, and more preferably hypromellose.

本發明中的羥丙甲纖維素係與羥丙基甲基纖維素同義,為纖維素之甲基及羥丙基的混合醚。於本發明中,作為羥丙甲纖維素可利用甲氧基及羥基丙氧基之取代度不同者。就羥丙甲纖維素,作為其代表例有1828、2208、2906及2910之取代度類型(例如參照第17次修訂日本藥典第1305頁),皆可使用於本發明之緩釋性製劑。 又,可使用各種黏度的羥丙甲纖維素。於此,羥丙甲纖維素的黏度係指依循第17次修訂日本藥典所測得的值(顯示黏度:日本藥典之20℃下的2%水溶液黏度)。較佳之黏度為50~100000mPa‧s,更佳為100~15000mPa‧s。 Hypromellose in the present invention is synonymous with hydroxypropyl methylcellulose, and is a mixed ether of cellulose methyl and hydroxypropyl. In the present invention, as the hypromellose, one having a different degree of substitution between a methoxy group and a hydroxypropoxy group can be used. As representative examples of hypromellose, there are substitution types of 1828, 2208, 2906, and 2910 (for example, refer to the 17th revised Japanese Pharmacopoeia page 1305), which can be used in the sustained-release preparation of the present invention. Moreover, hypromellose of various viscosities can be used. Here, the viscosity of hypromellose refers to the value measured in accordance with the 17th revised Japanese Pharmacopoeia (display viscosity: 2% aqueous solution viscosity at 20 ° C of the Japanese Pharmacopoeia). The preferred viscosity is 50 ~ 100000mPa‧s, more preferably 100 ~ 15000mPa‧s.

本發明中之羥丙甲纖維素的摻混量,於經口組成物中,較佳為3~90質量%,更佳為5~60質量%,特佳為5~45質量%。羥丙甲纖維素的摻混量亦有時會隨羥丙甲纖維素的黏度而變更。例如,當羥丙甲纖維素的黏度為50~100mPa‧s時,較佳之摻混量為15~90質量%,更佳之摻混量為35~90質量%,再更佳之摻混量為35~60質量%。當黏度為4000~100000mPa‧s,例如4000、15000、100000mPa‧s時,較佳之摻混量為5~40質量%,更佳之摻混量為10~30質量%。 The mixing amount of hypromellose in the present invention is preferably 3 to 90% by mass, more preferably 5 to 60% by mass, and particularly preferably 5 to 45% by mass in the oral composition. The mixing amount of hypromellose may also change depending on the viscosity of hypromellose. For example, when the viscosity of hypromellose is 50-100 mPa‧s, the preferred blending amount is 15-90 mass%, the more preferred blending amount is 35-90 mass%, and the more preferred blending amount is 35. ~ 60% by mass. When the viscosity is 4000 to 100,000 mPa‧s, such as 4000, 15000, 100,000 mPa‧s, the preferred blending amount is 5 to 40% by mass, and the more preferred blending amount is 10 to 30% by mass.

再者,為了提供有效成分之更穩定的緩釋性,較佳使用黏度不同的羥丙甲纖維素。所稱黏度不同的羥丙甲纖維素,例如,較佳組合使用如50~100mPa‧s之低黏度羥丙甲纖維素與如4000~100000mPa‧s之高黏度羥丙甲纖維素,低黏度羥丙甲纖維素與高黏度羥丙甲纖維素的混合質量比為25:75~90:10的範圍,更佳為25:75~80:20,再更佳為40:60~60:40,特佳為50:50。透過以上述特定的混合比使用低黏度羥丙甲纖維素與高黏度羥丙甲纖維素,可達成有效成分之極穩定的緩釋性。 Furthermore, in order to provide more stable sustained-release properties of the active ingredients, hypromellose having different viscosities is preferably used. Hypromellose with different viscosity is, for example, a low-viscosity hypromellose such as 50 ~ 100mPa‧s and a high-viscosity hypromellose such as 4000 ~ 100000mPa‧s are preferably used in combination. The mixing mass ratio of hypromellose and high viscosity hypromellose is in the range of 25: 75 ~ 90: 10, more preferably 25: 75 ~ 80: 20, and even more preferably 40: 60 ~ 60: 40. Particularly good is 50:50. By using low-viscosity hypromellose and high-viscosity hypromellose in the above specific mixing ratio, extremely stable sustained-release properties of the active ingredients can be achieved.

羧基乙烯聚合物的黏度係指0.5質量%水溶液(pH7.5)之黏度,較佳為4000~39400mPa‧s。本發明中 之羧基乙烯聚合物的摻混量,於經口組成物中,較佳為15~90質量%。 The viscosity of the carboxyethylene polymer refers to the viscosity of a 0.5% by mass aqueous solution (pH 7.5), and preferably from 4000 to 39400 mPa · s. In the present invention The blending amount of the carboxyethylene polymer in the oral composition is preferably 15 to 90% by mass.

替培啶或醫藥上可容許之其鹽能以與賦形劑共同進行造粒之狀態或未造粒之狀態使用。又,羥丙甲纖維素可與替培啶或醫藥上可容許之其鹽共同混合後,以經造粒之狀態或未造粒之狀態使用。例如,無論製造方法為何皆可看出充分的緩釋化。更佳的是,羥丙甲纖維素較佳為混合替培啶或醫藥上可容許之其鹽,經造粒後,進行打錠而製成的經口製劑。 Teperidine or a pharmaceutically acceptable salt thereof can be used in a granulated state or an ungranulated state together with an excipient. In addition, hypromellose can be mixed with teperidine or a pharmaceutically acceptable salt thereof and used in a granulated state or an ungranulated state. For example, sufficient sustained release can be seen regardless of the manufacturing method. More preferably, hypromellose is preferably an oral preparation prepared by mixing tiperidine or a pharmaceutically acceptable salt thereof, granulating, and tabletting.

濕式造粒時所使用之作為溶媒的水與乙醇的混合質量比可為100:0~0:100的範圍。更佳為100:0~20:80的範圍,再更佳為100:0~40:60的範圍。 The mixed mass ratio of water and ethanol used as a solvent in the wet granulation may be in a range of 100: 0 to 0: 100. It is more preferably in the range of 100: 0 to 20:80, and even more preferably in the range of 100: 0 to 40:60.

本發明之緩釋性醫藥組成物,為了預防或治療咳嗽、喀痰困難等,除作為鎮咳去痰劑或感冒藥使用以外,由於替培啶亦可抑制G蛋白偶聯內向整流性鉀離子(GIRK)通道,故可使用於下述用途。 In order to prevent or treat cough, sputum difficulty, etc., the sustained-release pharmaceutical composition of the present invention is used as an antitussive, expectorant or cold medicine, and teperidine can also inhibit G protein coupled inward rectifying potassium (GIRK) Channel, it can be used for the following purposes.

亦可作為注意力不足過動症、憂鬱症(例如治療排斥性憂鬱症)、躁鬱症、精神分裂症(陽性症狀、陰性症狀、認知障礙)、焦慮症、失智症(阿茲海默型、路易氏體型)、強迫症(例如治療排斥性強迫症)、帕金森氏症、排尿困難、疼痛等的預防或治療藥使用。 Can also be used as attention deficit hyperactivity disorder, depression (e.g., treatment of rejection depression), bipolar disorder, schizophrenia (positive symptoms, negative symptoms, cognitive impairment), anxiety, dementia (Alzheimer's type , Lewy body type), obsessive-compulsive disorder (for example, treatment of rejection obsessive-compulsive disorder), Parkinson's disease, dysuria, pain, etc.

[實施例] [Example]

以下,舉出實施例對本發明更詳細地加以說明,而此等實施例並非意圖限定本發明,且可於不悖離本 發明之範圍的範圍加以變更。 Hereinafter, the present invention will be described in more detail with reference to examples, but these examples are not intended to limit the present invention and can be used without departing from the present invention. The scope of the invention is changed.

實施例1及2 Examples 1 and 2

混合表1所記載之成分1~4,用水進行造粒後加以乾燥,而分別調製成造粒顆粒。對造粒顆粒混合表1所記載之成分5~7,進行打錠而得到錠劑。 Ingredients 1 to 4 described in Table 1 were mixed, granulated with water, and dried to prepare granulated particles. The granulated granules were mixed with the ingredients 5 to 7 described in Table 1, and tableted to obtain a tablet.

Figure TW201803564AD00001
Figure TW201803564AD00001

實施例3及4 Examples 3 and 4

混合表2所記載之成分1~5,進行打錠而得到錠劑。 The components 1 to 5 described in Table 2 were mixed and tableted to obtain a tablet.

Figure TW201803564AD00002
Figure TW201803564AD00002

實施例5 Example 5

混合表3所記載之成分1~4,用水進行造粒後加以乾燥,而分別調製成造粒顆粒。對造粒顆粒混合表3所記載之成分5~6,進行打錠而得到錠劑。 Ingredients 1 to 4 described in Table 3 were mixed, granulated with water, and dried to prepare granulated particles. The granulated granules were mixed with the ingredients 5 to 6 described in Table 3, and tableted to obtain a tablet.

Figure TW201803564AD00003
Figure TW201803564AD00003

實施例6及7 Examples 6 and 7

混合表4所記載之成分1~4,使用水/乙醇(質量比:50:50)混合液進行造粒後加以乾燥,而分別調製成造粒顆粒。對造粒顆粒混合表4所記載之成分5~7,進行打錠而得到錠劑。 The components 1 to 4 described in Table 4 were mixed, and a water / ethanol (mass ratio: 50:50) mixed solution was used for granulation and then dried to prepare granulated particles. The granulated granules were mixed with the ingredients 5 to 7 described in Table 4 and tableted to obtain a tablet.

Figure TW201803564AD00004
1)以90:10的比率組合使用黏度100mPa‧s與4000mPa‧s之羥丙甲纖維素(比率係指質量比;以下同) 2)以50:50的比率組合使用黏度100mPa‧s與4000mPa‧s之羥丙甲纖維素
Figure TW201803564AD00004
1) Use hypromellose with a viscosity of 100mPa‧s and 4000mPa‧s in a ratio of 90:10 (the ratio refers to the mass ratio; the same applies hereinafter) 2) Use a viscosity of 100mPa‧s and 4000mPa in a ratio of 50:50 ‧S Hypromellose

實施例8及9 Examples 8 and 9

對於實施例8係混合表5所記載之成分1~7,進行打錠而得到錠劑。對於實施例9係混合表5所記載之成分1~4,用水進行造粒後加以乾燥,而調製成造粒顆粒。對造粒顆粒混合表5所記載之成分5~7,進行打錠。 The components 1 to 7 described in Table 5 were mixed in Example 8 and tableted to obtain a tablet. The components 1 to 4 described in Table 9 in Example 9 were mixed, granulated with water, and dried to prepare granulated particles. The granulated granules were mixed with the ingredients 5 to 7 described in Table 5 and tableted.

Figure TW201803564AD00005
Figure TW201803564AD00005

實施例10 Example 10

混合表6所記載之成分1~4,使用水/乙醇(質量比:20:80)混合液進行造粒後加以乾燥,而分別調製成造粒顆粒。對造粒顆粒混合表6所記載之成分5,進行打錠而得到錠劑。 The components 1 to 4 described in Table 6 were mixed, granulated using a water / ethanol (mass ratio: 20:80) mixed solution, and dried to prepare granulated particles. The granulated granules were mixed with component 5 described in Table 6 and tableted to obtain a tablet.

Figure TW201803564AD00006
Figure TW201803564AD00006

實施例11及12 Examples 11 and 12

實施例11係混合表7所記載之成分1~4,使用水/乙醇(質量比:50:50)混合液進行造粒後加以乾燥,而調製成造粒顆粒。對造粒顆粒混合表7所記載之成分5~7,進行打錠而得到錠劑。實施例12係將經分散於溶媒的成分8塗覆於實施例11之錠劑,而得到錠劑。 In Example 11, the components 1 to 4 described in Table 7 were mixed, granulated using a water / ethanol (mass ratio: 50:50) mixture, and dried to prepare granulated particles. The granulated granules were mixed with the ingredients 5 to 7 described in Table 7 and tableted to obtain a tablet. Example 12 was obtained by applying the dispersing component 8 to the tablet of Example 11 to obtain a tablet.

Figure TW201803564AD00007
Figure TW201803564AD00007

實施例13及14 Examples 13 and 14

混合表8所記載之成分1~4,使用水/乙醇(質量比:50:50)混合液進行造粒後加以乾燥,而分別調製成造粒顆粒。對造粒顆粒混合表8所記載之成分5~7,進行打錠而得到錠劑。 The components 1 to 4 described in Table 8 were mixed, granulated using a water / ethanol (mass ratio: 50:50) mixture, and dried to prepare granulated particles. The granulated granules were mixed with the ingredients 5 to 7 described in Table 8 and tableted to obtain a tablet.

Figure TW201803564AD00008
3)以80:20的比率組合使用黏度100mPa‧s與4000mPa‧s之羥丙甲纖維素 4)以40:60的比率組合使用黏度100mPa‧s與4000mPa‧s之羥丙甲纖維素
Figure TW201803564AD00008
3) Use hypromellose with a viscosity of 100mPa‧s and 4000mPa‧s at a ratio of 80:20 4) Use hypromellose with a viscosity of 100mPa‧s and 4000mPa‧s at a ratio of 40:60

試驗例1:溶出試驗 Test example 1: Dissolution test

針對所得之實施例1~12及比較例1確認其溶出性。利用實施例1~12及比較例1,依循日本藥典一般試驗法之溶出試驗法(攪拌槳法),試驗液使用900mL的溶出試驗第2液,以旋轉數50rpm進行自動採樣,根據自動吸光度測定進行溶出試驗。由所得測定值求出各採樣時間下的溶出率。 About the obtained Examples 1-12 and Comparative Example 1, the dissolution property was confirmed. Using Examples 1 to 12 and Comparative Example 1, following the dissolution test method (stirring paddle method) of the general test method of the Japanese Pharmacopoeia, the second solution of the 900 mL dissolution test was used as the test solution, and automatic sampling was performed at a rotation number of 50 rpm. Perform a dissolution test. From the obtained measured values, the dissolution rate at each sampling time was determined.

將實施例1及2的結果示於第1圖。由第1圖可知,含有羥丙甲纖維素之實施例1及含有羧基乙烯聚合物之實施例2係顯示出優良的緩釋性。 The results of Examples 1 and 2 are shown in Fig. 1. As can be seen from Fig. 1, Example 1 containing hypromellose and Example 2 containing a carboxyvinyl polymer showed excellent sustained-release properties.

將實施例3及4的結果示於第2圖。由第2圖可知,藉由變更羥丙甲纖維素的含量,可控制替培啶的溶出速度。 The results of Examples 3 and 4 are shown in FIG. 2. As can be seen from FIG. 2, by changing the content of hypromellose, the dissolution rate of tepididine can be controlled.

將實施例1及5的結果示於第3圖。由第3圖可知,藉由變更羥丙甲纖維素的黏度,可控制替培啶的溶出速度。 The results of Examples 1 and 5 are shown in FIG. 3. As can be seen from Fig. 3, by changing the viscosity of hypromellose, the dissolution rate of tepididine can be controlled.

將實施例6及7的結果示於第4圖。由第4圖可知,透過組合使用黏度不同的羥丙甲纖維素,可控制替培啶的溶出速度。 The results of Examples 6 and 7 are shown in FIG. 4. As can be seen from FIG. 4, the dissolution rate of tiperidine can be controlled by using hypromellose having different viscosities in combination.

將實施例8及9的結果示於第5圖。由第5圖可知,以直接打錠法製造之實施例8及以濕式造粒法製造之實施例9係顯示出替培啶之優良的緩釋性。 The results of Examples 8 and 9 are shown in FIG. 5. It can be seen from FIG. 5 that Example 8 manufactured by the direct tabletting method and Example 9 manufactured by the wet granulation method show excellent sustained-release properties of tiperidine.

將實施例9及10的結果示於第6圖。由第6圖可知,造粒溶媒使用水之實施例9及使用水/乙醇混合液之實施例10係顯示出替培啶之優良的緩釋性。 The results of Examples 9 and 10 are shown in FIG. 6. It can be seen from FIG. 6 that Example 9 using water and Example 10 using a water / ethanol mixed solution for the granulating solvent show excellent sustained-release properties of teperidine.

將實施例11及12的結果示於第7圖。由第7圖可知,無論有無塗覆,實施例11及12皆顯示出替培啶之優良的緩釋性。 The results of Examples 11 and 12 are shown in FIG. 7. It can be seen from FIG. 7 that Examples 11 and 12 show excellent sustained-release properties of tiperidine, with or without coating.

將比較例1的結果示於第8圖。比較例1係使用市售阿斯匹靈錠20。 The results of Comparative Example 1 are shown in FIG. 8. In Comparative Example 1, a commercially available aspirin tablet 20 was used.

試驗例2:不同pH的試驗液之溶出試驗 Test example 2: Dissolution test of test solution with different pH

利用實施例6、7、13及14,依循日本藥典一般試驗法之溶出試驗法(攪拌槳法),試驗液使用900mL的溶出試驗第1液(pH1.2;將2.0g氯化鈉溶於7.0mL鹽酸及水中而調成1000mL者)及900mL的溶出試驗第2液,以旋轉數50rpm進行自動採樣,根據自動吸光度測定進行溶出試驗。由所得測定值求出各採樣時間下的溶出率。 Using Examples 6, 7, 13, and 14, following the dissolution test method (stirring paddle method) of the general test method of the Japanese Pharmacopoeia, a 900 mL dissolution test solution (pH 1.2; 2.0 g of sodium chloride was dissolved in the test solution) 7.0 mL of hydrochloric acid and water to make 1000 mL) and 900 mL of the second solution for dissolution test, automatic sampling was performed at a number of rotations of 50 rpm, and the dissolution test was performed based on automatic absorbance measurement. From the obtained measured values, the dissolution rate at each sampling time was determined.

將實施例6的結果示於第9圖。由第9圖可知,使用黏度不同的羥丙甲纖維素之實施例6之錠劑,不分試驗液(pH)皆顯示出一定的替培啶之溶出速度。 The results of Example 6 are shown in FIG. 9. It can be seen from FIG. 9 that the tablet of Example 6 using hypromellose having different viscosities showed a certain rate of dissolution of tepididine regardless of the test solution (pH).

將實施例7的結果示於第10圖。由第10圖可知,使用黏度不同的羥丙甲纖維素之實施例7之錠劑,不分試驗液(pH)皆顯示出一定的替培啶之溶出速度。 The results of Example 7 are shown in FIG. 10. It can be seen from FIG. 10 that the tablets of Example 7 using hypromellose having different viscosities showed a certain rate of dissolution of tepididine regardless of the test solution (pH).

將實施例13的結果示於第11圖。由第11圖可知,使用黏度不同的羥丙甲纖維素之實施例13之錠劑,不分試驗液(pH)皆顯示出一定的替培啶之溶出速度。 The results of Example 13 are shown in FIG. 11. It can be seen from FIG. 11 that the tablets of Example 13 using hypromellose having different viscosities showed a certain rate of dissolution of tepididine regardless of the test solution (pH).

將實施例14的結果示於第12圖。由第12圖可知,使用黏度不同的羥丙甲纖維素之實施例14之錠劑,不分試驗液 (pH)皆顯示出一定的替培啶之溶出速度。 The results of Example 14 are shown in FIG. 12. It can be seen from FIG. 12 that the tablet of Example 14 using hypromellose having different viscosities was used, regardless of the test solution. (pH) showed a certain rate of dissolution of teperidine.

[產業上可利用性] [Industrial availability]

根據本發明,可控制替培啶在胃中的溶出速度,而能夠在胃~腸穩定且持續地釋放出替培啶,可將替培啶或醫藥上可容許之其鹽作成經口投予用之緩釋化製劑而提供。 According to the present invention, the dissolution rate of tiperidine in the stomach can be controlled, and the tiperidine can be released stably and continuously from the stomach to the intestine. The tiperidine or a pharmaceutically acceptable salt thereof can be administered orally. It is provided with a sustained-release preparation.

Claims (21)

一種緩釋性之經口固形組成物,其係包含替培啶或醫藥上可容許之其鹽作為有效成分。 A sustained-release oral solid composition containing teperidine or a pharmaceutically acceptable salt thereof as an active ingredient. 一種1日1次或2次投予型之緩釋性之經口固形組成物,其係包含替培啶或醫藥上可容許之其鹽作為有效成分。 A sustained-release oral solid composition of the type for once or twice daily administration, which comprises tiperidine or a pharmaceutically acceptable salt thereof as an active ingredient. 如請求項1或2之組成物,其係以替培啶或醫藥上可容許之其鹽為有效成分,且進一步包含水溶性高分子基劑。 For example, the composition of claim 1 or 2 uses teperidine or a pharmaceutically acceptable salt thereof as an active ingredient, and further contains a water-soluble polymer base. 如請求項3之組成物,其中水溶性高分子基劑為羥丙甲纖維素或羧基乙烯聚合物。 The composition of claim 3, wherein the water-soluble polymer base is hypromellose or a carboxyvinyl polymer. 如請求項3之組成物,其中水溶性高分子基劑為羥丙甲纖維素。 The composition of claim 3, wherein the water-soluble polymer base is hypromellose. 如請求項5之組成物,其中羥丙甲纖維素的含量為組成物中5~90質量%的範圍。 The composition according to claim 5, wherein the content of hypromellose is in the range of 5 to 90% by mass of the composition. 如請求項4~6中任一項之組成物,其中羥丙甲纖維素為黏度不同的羥丙甲纖維素之混合物。 The composition according to any one of claims 4 to 6, wherein hypromellose is a mixture of hypromellose having different viscosities. 如請求項7之組成物,其中黏度不同的羥丙甲纖維素之混合物為羥丙甲纖維素50~100mPa‧s的至少1種與羥丙甲纖維素4000~100000mPa‧s的至少1種之組合。 For example, the composition of claim 7, wherein the mixture of hypromellose having different viscosities is at least one of hypromellose 50 to 100 mPa‧s and at least one of hypromellose 4000 to 100,000 mPa‧s. combination. 如請求項7之組成物,其中黏度不同的羥丙甲纖維素之混合物為羥丙甲纖維素100mPa‧s與羥丙甲纖維素4000~15000mPa‧s的至少1種之組合。 For example, the composition of claim 7, wherein the mixture of hypromellose having different viscosities is a combination of at least one of hypromellose 100 mPa‧s and hypromellose 4000-15000 mPa · s. 如請求項7~9中任一項之組成物,其中黏度不同的羥丙甲纖維素之混合物的含量為組成物中5~45質量%的範圍。 The composition according to any one of claims 7 to 9, wherein the content of the mixture of hypromellose having different viscosities is in the range of 5 to 45% by mass in the composition. 如請求項7~9中任一項之組成物,其中黏度不同的羥丙甲纖維素之混合物的含量為組成物中10~30質量%的範圍。 The composition according to any one of claims 7 to 9, wherein the content of the mixture of hypromellose having different viscosities is in the range of 10 to 30% by mass of the composition. 如請求項7~11中任一項之組成物,其中黏度不同的羥丙甲纖維素之低黏度與高黏度的混合質量比為25:75~90:10的範圍。 For example, the composition of any one of claims 7 to 11, wherein the mixed mass ratio of low viscosity and high viscosity of hypromellose having different viscosities is in a range of 25:75 to 90:10. 如請求項7~11中任一項之組成物,其中黏度不同的羥丙甲纖維素之低黏度與高黏度的混合質量比為25:75~80:20的範圍。 For example, the composition of any one of claims 7 to 11, wherein the mixed mass ratio of low viscosity and high viscosity of hypromellose having different viscosities is in a range of 25:75 to 80:20. 如請求項7~11中任一項之組成物,其中黏度不同的羥丙甲纖維素之低黏度與高黏度的混合質量比為40:60~60:40的範圍。 For example, the composition of any one of claims 7 to 11, wherein the mixed mass ratio of low viscosity and high viscosity of hypromellose having different viscosities is in a range of 40:60 to 60:40. 如請求項1~14中任一項之組成物,其係進一步包含含有賦形劑的顆粒而成。 The composition according to any one of claims 1 to 14, further comprising particles containing an excipient. 如請求項15之組成物,其中顆粒係以濕式造粒或乾式造粒所製成。 The composition according to claim 15, wherein the granules are made by wet granulation or dry granulation. 如請求項16之組成物,其中濕式造粒時所使用的溶媒為水與乙醇的混合質量比為100:0~20:80之範圍的溶媒。 For example, the composition of claim 16, wherein the solvent used in the wet granulation is a solvent having a mixed mass ratio of water and ethanol in a range of 100: 0 to 20:80. 如請求項16之組成物,其中濕式造粒時所使用的溶媒為水與乙醇的混合質量比為100:0~40:60之範圍的溶媒。 For example, the composition of claim 16, wherein the solvent used in the wet granulation is a solvent having a mixed mass ratio of water and ethanol in a range of 100: 0 to 40:60. 如請求項1~18中任一項之組成物,其中替培啶或醫藥上可容許之其鹽為替培啶海苯酸鹽(Tipepidine hibenzate)。 For example, the composition according to any one of claims 1 to 18, wherein tepididine or a pharmaceutically acceptable salt thereof is tipipidine hibenzate. 如請求項1~19中任一項之組成物,其中經口固形組成物係選自錠劑、膠囊劑或顆粒劑。 The composition according to any one of claims 1 to 19, wherein the oral solid composition is selected from the group consisting of a tablet, a capsule or a granule. 如請求項1~20中任一項之組成物,其係咳嗽、喀痰困難、注意力不足過動症、憂鬱症(包含治療排斥性憂鬱症)、躁鬱症、精神分裂症、焦慮症、失智症、強迫症(包含治療排斥性強迫症)、帕金森氏症、排尿困難、疼痛、由澱粉狀蛋白β蛋白質所誘發之失智症或阿茲海默症的預防或治療用。 If the composition of any one of claims 1 to 20, it is cough, sputum difficulty, hyperactivity disorder, depression (including the treatment of rejection depression), bipolar disorder, schizophrenia, anxiety, loss Prevention or treatment of mental illness, obsessive-compulsive disorder (including the treatment of rejection obsessive-compulsive disorder), Parkinson's disease, dysuria, pain, dementia induced by amyloid beta protein or Alzheimer's disease
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