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WO1996035452A1 - Pharmaceutical composition containing acetylcysteine, carbocysteine or erdosteine in combination with a beta 2 agonist and an expectorant for the treatment of respiratory tract disorders - Google Patents

Pharmaceutical composition containing acetylcysteine, carbocysteine or erdosteine in combination with a beta 2 agonist and an expectorant for the treatment of respiratory tract disorders Download PDF

Info

Publication number
WO1996035452A1
WO1996035452A1 PCT/GB1996/001107 GB9601107W WO9635452A1 WO 1996035452 A1 WO1996035452 A1 WO 1996035452A1 GB 9601107 W GB9601107 W GB 9601107W WO 9635452 A1 WO9635452 A1 WO 9635452A1
Authority
WO
WIPO (PCT)
Prior art keywords
pharmaceutical composition
pharmaceutically acceptable
acceptable salt
acetylcysteine
expectorant
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.)
Ceased
Application number
PCT/GB1996/001107
Other languages
French (fr)
Inventor
Peter David Holtshousen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Adcock Ingram Ltd
Original Assignee
Adcock Ingram Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Adcock Ingram Ltd filed Critical Adcock Ingram Ltd
Priority to AU56556/96A priority Critical patent/AU5655696A/en
Publication of WO1996035452A1 publication Critical patent/WO1996035452A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/38Heterocyclic compounds having sulfur as a ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/02Ammonia; Compounds thereof

Definitions

  • This invention relates to a pharmaceutical composition.
  • South African Patent Application No. 94/0155 describes and claims a pharmaceutical composition in unit dosage form which comprises a therapeutic dose of acetylcysteine or carbocysteine and a therapeutic dose of terbutaline or pharmaceutically acceptable salt thereof.
  • the composition may be formulated as a capsule, tablet, synip, intravenous solution, nebulising solution, aerosol inhaler, dry powder inhaler or aqueous pump spray.
  • the composition is useful in the treatment of respiratory tract disorders.
  • South African Patents Nos. 92/1848 and 93/5931 describe simiiar pharmaceutical compositions, save that salbutamol or pharmaceutically acceptable salt thereof are used in place of terbutaline.
  • composition comprising as active ingredients:
  • the pharmaceutical composition of the invention will be provided in the form of dosage units with each unit containing each of the active ingredients.
  • the dosage units may be capsules, tablets, syrups, intravenous solutions, nebulising solutions, aerosol inhalers, dry powder inhalers, or aqueous pump sprays.
  • composition will provide each of the active ingredients in therapeutically effective amounts.
  • the acetylcysteine, carbocysteine, erdosteine or pharmaceutically acceptable salt thereof will be present in an amount sufficient to produce a mucolytic action;
  • the beta 2 agonist will be present in an amount sufficient to produce a bronchodilating action;
  • the expectorant will be present in an amount sufficient to produce an expectorant action.
  • the therapeutically effective amount of each active ingredient may be provided in a single dosage unit, e.g. a single tablet, teaspoon or intravenous unit, capsule, or may be provided in more than one dosage unit (multiple units), e.g. more than one tablet, capsule, teaspoon or intravenous unit.
  • the preferred beta 2 agonist is terbutaline, salbutamol or a pharmaceutically acceptable salt thereof.
  • the preferred expectorant is guaiphenesin.
  • Other useful expectorants are sodium citrate and ammonium chloride.
  • the pharmaceutical composition of the invention may be used in the treatment of respiratory tract disorders.
  • the composition has particular use in treating coughs, bronchitis, or chronic pulmonary conditions such as emphysema, chronic bronchitis and bronchicetasis.
  • the pharmaceutical composition will also contain one or more of the usual excipi ⁇ nts which are required to formulate the particular dosage unit.
  • a preferred composition of the invention contains, as active ingredients, acetylcysteine or a pharmaceutically acceptable salt thereof , terbutaline pharmaceutically acceptable salt thereof / and guaiphenesin.
  • a method of treatment of a human or animal patient suffering from a respiratory tract disorder comprising administering to said patient: (a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of these; and (b) a beta 2 agonist; and (c) an expectorant.
  • the active ingredients are preferably each administered in a therapeutically effective amount.
  • Acetylcysteine 100-2000mg Terbutaline sulphate l-5mg Guaiphenesin 50-400mg Acid source 200-2500mg Alkali source 200-2500mg Flavours/colouring agents 5-200mg Diluent/binder 0-2000mg Lubricants 5-500mg
  • Aerosol inhaler (Dry powder inhaler or aqueous pump spray)

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Inorganic Chemistry (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

A pharmaceutical composition useful in the treatment of respiratory tract disorders. The composition comprises as active ingredients: (a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of theses; and (b) a beta 2 agonist, e.g. salbutamol, terbutaline; and (c) an expectorant, e.g. guaiphenesin, sodium citrate, ammonium chloride.

Description

PHARMACEUTICAL COMPOSITION CONTAINING ACETYLCYSTEINE, CARBOCYSTEINE OR ERDO¬ STEINE, IN COMBINATION WITH A BETA 2 AGONIST AND AN EXPECTORANT FOR THE TREAT¬ MENT OF RESPIRATORY TRACT DISORDERS
BACKGROUND OF THE INVENTION
This invention relates to a pharmaceutical composition.
South African Patent Application No. 94/0155 describes and claims a pharmaceutical composition in unit dosage form which comprises a therapeutic dose of acetylcysteine or carbocysteine and a therapeutic dose of terbutaline or pharmaceutically acceptable salt thereof. The composition may be formulated as a capsule, tablet, synip, intravenous solution, nebulising solution, aerosol inhaler, dry powder inhaler or aqueous pump spray. The composition is useful in the treatment of respiratory tract disorders.
South African Patents Nos. 92/1848 and 93/5931 describe simiiar pharmaceutical compositions, save that salbutamol or pharmaceutically acceptable salt thereof are used in place of terbutaline.
SUMMARY OF THE INVENTION
According to the present invention there is provided a pharmaceutical composition comprising as active ingredients:
(a) acetylcysteine, carbocysteine, erdostein or a pharmaceutically acceptable salt oι any of these; and
(b) a beta 2 agonist; and
(c) an expectorant. DESCRIPTION OF EMBODIMENTS
The pharmaceutical composition of the invention will be provided in the form of dosage units with each unit containing each of the active ingredients. The dosage units may be capsules, tablets, syrups, intravenous solutions, nebulising solutions, aerosol inhalers, dry powder inhalers, or aqueous pump sprays.
Further, the composition will provide each of the active ingredients in therapeutically effective amounts. Thus, the acetylcysteine, carbocysteine, erdosteine or pharmaceutically acceptable salt thereof, will be present in an amount sufficient to produce a mucolytic action; the beta 2 agonist will be present in an amount sufficient to produce a bronchodilating action; and the expectorant will be present in an amount sufficient to produce an expectorant action. The therapeutically effective amount of each active ingredient may be provided in a single dosage unit, e.g. a single tablet, teaspoon or intravenous unit, capsule, or may be provided in more than one dosage unit (multiple units), e.g. more than one tablet, capsule, teaspoon or intravenous unit.
The preferred beta 2 agonist is terbutaline, salbutamol or a pharmaceutically acceptable salt thereof.
The preferred expectorant is guaiphenesin. Other useful expectorants are sodium citrate and ammonium chloride.
The pharmaceutical composition of the invention may be used in the treatment of respiratory tract disorders. The composition has particular use in treating coughs, bronchitis, or chronic pulmonary conditions such as emphysema, chronic bronchitis and bronchicetasis. The pharmaceutical composition will also contain one or more of the usual excipiεnts which are required to formulate the particular dosage unit.
A preferred composition of the invention contains, as active ingredients, acetylcysteine or a pharmaceutically acceptable salt thereof , terbutaline pharmaceutically acceptable salt thereof / and guaiphenesin.
The following are typical amounts of the active ingredients (preferable amounts being given in brackets) which will be used in the compositions of the invention:
Active Ingredient Amount
Acetylcysteine 50-2000mg (200-600mg)
Erdosteine 25-2000mg
Salbutamol 1-1 Omg (2-4mg)
Terbutaline 1-lOmg (2,5 to 5mg)
Guaiphenesin 50-1000mg (200-400mg)
The same amounts will be used when the active ingredient is in the form of a pharmaceutically acceptable salt.
According to another aspect of the invention there is provided the use of (a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of these; and (b) a beta 2 agonist; and (c) an expectorant for the manufacture of a medicament for the treatment of respiratory tract disorders. According to another aspect of the invention there is provided a method of treatment of a human or animal patient suffering from a respiratory tract disorder comprising administering to said patient: (a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of these; and (b) a beta 2 agonist; and (c) an expectorant. The active ingredients are preferably each administered in a therapeutically effective amount.
Examples of suitable compositions of the invention are set out hereinafter.
Capsules mg/capsule
Acetylcysteine 100-2000mg
Terbutaline sulphate 1-lOmg
Guaiphenesin 50-400mg
Diluent/Disintegrant 5-400mg
Glidants 0-25mg
Disintegrants 0-30mg
Tablets mg/tablet
Acetylcysteine 100-2000mg
Terbutaline sulphate lmg-lOmg
Guaiphenesin 50-400mg
Diluent 5-300mg
Disintegrant 2-50mg
Binder 2-100mg
Lubricant l-20mg
Svrup mε/5 or 10ml
Acetylcysteine 100-2000mg
Terbutaline sulphate 1-lOmg
Guaiphenesin 50-400mg
Solvents, solubilisers, stabilisers, alkali 5-1000mg
Colouring agents 0-150mg
Preservatives/Antioxidants l-150mg
Flavours l-200mg Effervescent tablets mg/tablet
Acetylcysteine 100-2000mg Terbutaline sulphate l-5mg Guaiphenesin 50-400mg Acid source 200-2500mg Alkali source 200-2500mg Flavours/colouring agents 5-200mg Diluent/binder 0-2000mg Lubricants 5-500mg
Nebulising solution
Acetylcysteine 100-2000mg
Terbutaline sulphate l-5mg
Guaiphenesin 10-400mg
Alkali/buffer, isotoxicity agents 5-500mg
Stabilisers, solubilisers O-lOOmg
Aerosol inhaler (Dry powder inhaler or aqueous pump spray)
Acetylcysteine l-2000mg Terbutaline sulphate 100-1000μg Guaiphenesin l-400mg Granules/Powder for oral solution
Acetylcysteine 100-2000mg
Terbutaline sulphate l-5mg
Guaiphenesin 50-400mg
Binder 0-300mg
Diluent/Glidants 200-5000mg
Flavours/colouring agents l-200mg

Claims

1. A pharmaceutical composition comprising as active ingredients:
(a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of these; and
(b) a beta 2 agonist; and
(c) an expectorant.
2. A pharmaceutical composition according to claim 1 wherein the beta 2 agonist is terbutaline, salbutamol or a pharmaceutically acceptable salt of any of these.
3. A pharmaceutical composition according to claim 1 or claim 2 wherein the expectorant is guaiphenesin, sodium citrate or ammonium chloride.
4. A pharmaceutical composition according to any one of the preceding claims in the form of a dosage unit.
5. A pharmaceutical composition according to claim 4 wherein the dosage unit is a capsule, tablet, syrup, intravenous solution, nebulising solution, aerosol inhaler, dry powder inhaler or aqueous pump spray.
6. A pharmaceutical composition according to any one of the preceding claims which contains, as active ingredients, acetylcysteine or a pharmaceutically acceptable salt thereof, terbutaline or a pharmaceutically acceptable salt thereof and guaiphenesin.
7. A pharmaceutical composition according to any one of the preceding claims for use in the treatment of respiratory tract disorders.
8. A pharmaceutical composition according to claim 7 wherein the respiratory tract disorder is a cough, bronchitis or a chronic pulmonary condition.
9. A pharmaceutical composition according to claim 8 wherein the chronic pulmonary condition is emphysema, chronic bronchitis or bronchiectasis.
10. The use of a combination of
(a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of these; and
(b) a beta 2 agonist; and
(c) an expectorant; for the manufacture of a medicament for the treatment of respiratory tract disorders.
11. The use accordi g to claim 10 wherein the respiratory tract disorder is a cough, bronchitis or a chronic pulmonary condition.
12. The use according to claim 11 wherein the chronic pulmonary condition is emphysema, chronic bronchitis or bronchiectasis.
13. The use according to any one of claims 10 to 12 wherein the combination of acetylcysteine or a pharmaceutically acceptable salt thereof, terbutaline or a pharmaceutically acceptable salt thereof and guaiphenesin.
14. A method of treatment of a human or animal patient suffering from a respiratory tract disorder comprising administering to said patient: (a) acetylcysteine, carbocysteine, erdosteine or a pharmaceutically acceptable salt of any of these; and
(b) a beta 2 agonist; and (c) an expectorant.
15. A method of treatment according to claim 14 wherein the respiratory tract disorder is a cough, bronchitis or a chronic pulmonary condition.
16. A method of treatment according to claim 15 wherein the chronic pulmonary condition is emphysema, chronic bronchitis or bronchiectasis.
17. A composition comprising:
(a) acetylcysteine, carbocysteine and erdosteine or a pharmaceutically acceptable salt of any of these; and
(b) a beta 2 agonist; and (c) an expectorant; for use in therapy.
18. Products containing
(a) acetylcysteine, carbocysteine and erdosteine or a pharmaceutically acceptable salt of any of these; and
(b) a beta 2 agonist; and
(c) an expectorant; as a combined preparation for simultaneous, separate or sequential use in the treatment of respiratory tract disorders, particularly cough, bronchitis or a chronic pulmonary condition, particularly emphysema, chronic bronchitis or bronchiectasis.
19. A pharmaceutical composition substantially as described herein with reference to any one of the examples.
PCT/GB1996/001107 1995-05-10 1996-05-09 Pharmaceutical composition containing acetylcysteine, carbocysteine or erdosteine in combination with a beta 2 agonist and an expectorant for the treatment of respiratory tract disorders Ceased WO1996035452A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU56556/96A AU5655696A (en) 1995-05-10 1996-05-09 Pharmaceutical composition containing acetylcysteine, carboc ysteine or erdosteine in combination with a beta 2 agonist a nd an expectorant for the treatment of respiratory tract dis orders

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ZA95/3778 1995-05-10
ZA953778 1995-05-10

Publications (1)

Publication Number Publication Date
WO1996035452A1 true WO1996035452A1 (en) 1996-11-14

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Country Status (3)

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WO (1) WO1996035452A1 (en)
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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000059500A1 (en) * 1999-04-06 2000-10-12 Zambon Group S.P.A. Swallowable tablets with high content of n-acetylcysteine
WO2003068206A1 (en) * 2002-02-13 2003-08-21 Adcock Ingram Intellectual Property (Proprietary) Limited Pharmaceutical compositions comprising terbutaline or salbutamol in combination with guaiphenesine
WO2005013963A1 (en) 2003-08-06 2005-02-17 Galephar M/F Advantageous combinations for inhalation of nacystelyn and bronchodilators
CN1303065C (en) * 2004-05-20 2007-03-07 江苏豪森药业股份有限公司 Ambroxol cysteine analogs and their preparation process and use thereof
EP1857106A1 (en) * 2006-05-16 2007-11-21 Edmond Pharma S.R.L. Combinations of erdosteine and beta-2 agonists for treating COPD
EP2068903A4 (en) * 2006-10-03 2010-11-03 Galleon Pharmaceuticals Inc S-nitrosothiol compounds and related derivatives
EP1940369A4 (en) * 2005-09-20 2011-01-26 Galleon Pharmaceuticals Inc Combination s-nitrosothiol-based pharmaceutical products for restoring normal breathing rhythm
WO2011030163A1 (en) * 2009-09-12 2011-03-17 Reckitt Benckiser Llc Use of guaifenesin for inhibiting mucin secretion
WO2011142677A1 (en) * 2010-05-11 2011-11-17 Breathe Easy Ltd Methods and compositions for the treatment of lung disorders
US20160120899A1 (en) * 2009-06-16 2016-05-05 Infirst Healthcare Limited Drug Combinations and Uses in Treating a Coughing Condition
US9675618B2 (en) 2009-06-16 2017-06-13 Infirst Healthcare Limited Drug combinations and uses in treating a coughing condition
US9700561B2 (en) 2009-06-16 2017-07-11 Infirst Healthcare Limited Drug combinations and uses in treating a coughing condition
WO2019212427A3 (en) * 2017-12-30 2019-11-28 Neutec Ar-Ge Sanayi Ve Ticaret Anonim Şirketi Compositions comprising erdosteine and ascorbic acid
CN113018444A (en) * 2020-01-09 2021-06-25 海南斯达制药有限公司 Pharmaceutical composition for treating respiratory system diseases and preparation method thereof

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WO1991017746A1 (en) * 1990-05-21 1991-11-28 Norwich Eaton Pharmaceuticals, Inc. The use of phenylpropanolamine as a mucus secretagogue in the upper airways
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EP0521388A1 (en) * 1991-07-01 1993-01-07 Gerhard Dr. Gergely Process for the preparation of a pharmaceutical preparation containing at least two different actives and use thereof
ZA935931B (en) * 1992-08-18 1994-03-07 South African Druggists Ltd Pharmaceutical composition
ZA94155B (en) * 1992-11-06 1995-07-11 Adcock Ingram Pharma Pharmaceutical composition
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ZA921848B (en) * 1991-05-10 1992-11-25 South African Druggists Ltd Pharmaceutical composition
EP0521388A1 (en) * 1991-07-01 1993-01-07 Gerhard Dr. Gergely Process for the preparation of a pharmaceutical preparation containing at least two different actives and use thereof
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C. MAAYAN ET AL.: "Immediate effect of various treatments on lung function in infants with cystic fibrosis", RESPIRATION, vol. 55, no. 3, 1989, pages 144 - 151, XP002014824 *
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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000059500A1 (en) * 1999-04-06 2000-10-12 Zambon Group S.P.A. Swallowable tablets with high content of n-acetylcysteine
WO2003068206A1 (en) * 2002-02-13 2003-08-21 Adcock Ingram Intellectual Property (Proprietary) Limited Pharmaceutical compositions comprising terbutaline or salbutamol in combination with guaiphenesine
WO2005013963A1 (en) 2003-08-06 2005-02-17 Galephar M/F Advantageous combinations for inhalation of nacystelyn and bronchodilators
CN1303065C (en) * 2004-05-20 2007-03-07 江苏豪森药业股份有限公司 Ambroxol cysteine analogs and their preparation process and use thereof
EP1940369A4 (en) * 2005-09-20 2011-01-26 Galleon Pharmaceuticals Inc Combination s-nitrosothiol-based pharmaceutical products for restoring normal breathing rhythm
EP1857106A1 (en) * 2006-05-16 2007-11-21 Edmond Pharma S.R.L. Combinations of erdosteine and beta-2 agonists for treating COPD
WO2007131592A1 (en) * 2006-05-16 2007-11-22 Edmond Pharma S.R.L. Combinations of erdosteine and beta-2 agonists for treating copd
EP2068903A4 (en) * 2006-10-03 2010-11-03 Galleon Pharmaceuticals Inc S-nitrosothiol compounds and related derivatives
US9675618B2 (en) 2009-06-16 2017-06-13 Infirst Healthcare Limited Drug combinations and uses in treating a coughing condition
US20160120899A1 (en) * 2009-06-16 2016-05-05 Infirst Healthcare Limited Drug Combinations and Uses in Treating a Coughing Condition
US9700561B2 (en) 2009-06-16 2017-07-11 Infirst Healthcare Limited Drug combinations and uses in treating a coughing condition
AU2010294008B2 (en) * 2009-09-12 2014-08-14 Rb Health (Us) Llc Use of guaifenesin for inhibiting mucin secretion
WO2011030163A1 (en) * 2009-09-12 2011-03-17 Reckitt Benckiser Llc Use of guaifenesin for inhibiting mucin secretion
WO2011142677A1 (en) * 2010-05-11 2011-11-17 Breathe Easy Ltd Methods and compositions for the treatment of lung disorders
WO2019212427A3 (en) * 2017-12-30 2019-11-28 Neutec Ar-Ge Sanayi Ve Ticaret Anonim Şirketi Compositions comprising erdosteine and ascorbic acid
CN113018444A (en) * 2020-01-09 2021-06-25 海南斯达制药有限公司 Pharmaceutical composition for treating respiratory system diseases and preparation method thereof

Also Published As

Publication number Publication date
ZA963590B (en) 1996-11-19
AU5655696A (en) 1996-11-29

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