CA2146547A1 - Method and composition for treating muco-epidermal and epidermal pain, inflammation and infection - Google Patents

Method and composition for treating muco-epidermal and epidermal pain, inflammation and infection

Info

Publication number
CA2146547A1
CA2146547A1 CA002146547A CA2146547A CA2146547A1 CA 2146547 A1 CA2146547 A1 CA 2146547A1 CA 002146547 A CA002146547 A CA 002146547A CA 2146547 A CA2146547 A CA 2146547A CA 2146547 A1 CA2146547 A1 CA 2146547A1
Authority
CA
Canada
Prior art keywords
epidermal
preparation
steroidal anti
inflammatory agent
chlorhexidine
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.)
Abandoned
Application number
CA002146547A
Other languages
French (fr)
Inventor
William J. Embro
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2146547A1 publication Critical patent/CA2146547A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/405Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/36Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/36Carboxylic acids; Salts or anhydrides thereof
    • A61K8/368Carboxylic acids; Salts or anhydrides thereof with carboxyl groups directly bound to carbon atoms of aromatic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/40Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing nitrogen
    • A61K8/43Guanidines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/49Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds
    • A61K8/4906Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds with one nitrogen as the only hetero atom
    • A61K8/4913Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds with one nitrogen as the only hetero atom having five membered rings, e.g. pyrrolidone carboxylic acid
    • A61K8/492Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds with one nitrogen as the only hetero atom having five membered rings, e.g. pyrrolidone carboxylic acid having condensed rings, e.g. indol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q17/00Barrier preparations; Preparations brought into direct contact with the skin for affording protection against external influences, e.g. sunlight, X-rays or other harmful rays, corrosive materials, bacteria or insect stings
    • A61Q17/005Antimicrobial preparations

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Birds (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Dermatology (AREA)
  • Emergency Medicine (AREA)
  • Pain & Pain Management (AREA)
  • Neurosurgery (AREA)
  • Rheumatology (AREA)
  • Neurology (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

A topical pharmaceutical preparation for the treatment of epidermal and muco-epidermal tissue is provided. The composition includes a therapeutic amount of chlorexidine and at least one non-steroidal anti-inflammatory agent. A method for treating epidermal and muco-epidermal, pain, inflammation, infection and lesion by applying the topical preparation directly to the affected site is also provided.

Description

WO 95/04s20 2 14 ~ ~ 7 PCT/uss4lo8944 ~THOD ~ND COMPOSmON FOR TREATING MUCO-FPIDFRMAL AND
nFRl~AL PAIN, INFLAMMATION AND INFECTION
BACKGROUND OF I~F. INVENIION
The present invention relates generally to pharmaceutical preparations for the treatment of muco-epidermal and epidermal tissue.
More particularly, the present invention relates to gels, creams, solutions and other topical preparations including a mixture of chlorhexidine and at least one non-steroidal anti-iIlflAmmAtory agent. The invention further provides a method for the treatment of muco-epidermal and epitlermAl tissue using such preparations.
The antimicrobial effects of chlorhexidine are well-documented.
Chlorhexidine gels, rinses and creams are routinely used to control bacterial infections on mucosal epi-l~rmAl and epic~rmAl tissue. For example, chlorhexidine gels and rinses are widely used in dentistry for the treatment of periodontal disease. Non-steroidal anti-ir fl~mmAtory agents such as ibuprofen, ketoprofen and indomethacin have applicAtion in the treatment of, for example, inflAmmAtory diseases such as arthritis, general muscle, skeletal and joint pain and menstrual cramps.
While these compounds have been widely used individually by physicians and dentists in the above-described manner for many years, the effectiveness of a combination of chlorhexidine and a non-steroidal anti-i~flAmmAtory agent has not been appreciated.
Accordingly, it is the object of the present invention to provide a pharmaceutical preparation including a combination of chlorhexidine and at least one anti-i~flAmmAtory agent which together show a synergistic effect in the treatment of muco-epi~lermAl and epidermal irlflAmmAtion and infection.
It is a further object of the invention to provide a method for treating muco-epidermal and epidermal tissue using such preparations.
SUMMARY OF THE INVENTION
The present invention meets the above-stated objects and others that will become readily apparent by providing topical pharmaceutical preparations which include chlorhexidine and at least one non-steroidal anti-irflAmmAtory agent. These active ingredients are incorporated into a gel, cream, solution, rinse or other pharmaceutically acceptable carrier and are applied topically to sites of epi~1ermAl and muco-epidermal inflammation, infection or lesion.

wo 95/04520 æ~465 4~ PCT/US94/08944 The preparations which are the subject of the present invention include a non-toxic amount of chlorhexidine and preferably include, as the non-steroidal anti-inflammatory agent, indomethacin, ibuprofen, ketoprofen or other prostaglandin inhibitors.
As demonstrated below by the various examples provided, the combination of chlorhexidine and a non-steroidal anti-inflAmm~tory agent unexpectedly show a synergistic effect in the treatment of a number of conditions including, periodontal disease, acne, post-r~iAtion therapy, post-chemotherapy therapy, post-surgical therapy, burns and non-specific epidermal and muco-epidermal infections.
The present invention is also directed to a method for treating epi~rm~l and muco-epidermal tissue employing the above-described topical preparations. The course of therapy with such preparations generally requires one to three applications per day or is applied on an as needed basis, depending on the severity of the ronr~ition. Treatment includes directly applying the topical preparations to the affected site.
DRT~ D DF~ lONOF TH~ TION
As noted above, the-topical pharmaceutical preparations of the present invention include chlorhexidine in a therapeutically effective amount. For most therapies, from about 0.1 wt.% to about 1.0 wt.%, preferably about 0.2 wt.% of chlorhexidine, has been found to be effective. The preparations further include a non-toxic amount of at least one non-steroidal anti-inflammatory agent, most preferably indocin, ibuprofen and/or ketoprofen, in an amount ranging from about 2 wt.% to about 5 wt.% of the total preparation.
The active ingredients are incorporated into a solution, cream, rinse, lotion, gel or other acceptable carrier. In some instances, depending upon the particular carrier, the active ingredients are first solubilized and then incorporated into the carrier. The addition of a suspending agent to the carrier such as, for example, acacia powder, xanthan gum, methylcellulose, hydroxymethylcellulose or hydroxypropylcellulose, has been found to be particularly useful when compounding the carrier. In this regard, hydroxymethylcellulose gel is the ~reL~led carrier where treatment requires manual application of the preparation to affected epidermal or muco-epidermal tissue.
Fxample I
Ten patients exhibiting advanced periodontal disease were treated with a preparation of 0.2% chlorhexidine and 2% ketoprofen incorporated into a 2 ~ PCT/US94/08944 hydroxymethylcellulose gel. The patients were each instructed to apply one of the preparations to the affected gums with a tooth brush twice a day for a week. All of these patients experienced relief from pain, infection and inflammation after the prescribed course of therapy.
Fxample II
Two surgical patients were instructed to apply the preparation described in Example I to post surgical sites twice a day for seven days. In both cases pain, inflammation and infection at the affected sites were relieved.
Example m Three patients exhibiting acne sores were instructed to apply the preparation described in Example I to the affected sites twice a day for seven days. In all cases, treatment with the preparations provided a reduction in the pain and inflammation associated with the sores.
Rxample IV
One patient undergoing radiation therapy and two patients undergoing chemotherapy were each instructed to apply the preparation described in Example I twice daily for one week. All three patients received relief from pain and showed faster healing rates of intraoral tissues following treatment with the prescribed preparations.
While ~rererred embodiments have been shown and described, various modifications and substitutions may be made without departing from the spirit and scope of the invention. For example, those skilled in the art will recognize that related derivatives of the active ingredients, such as pharmaceutically acceptable salts of chlorhexidine, and other prostaglandin inhibitors, such as flurbiprofen and naproxen, are useful in practicing the present invention

Claims (14)

I CLAIM:
1. A topical pharmaceutical preparation for the treatment of epidermal and muco-epidermal tissue comprising a therapeutic amount of chlorhexidine and a non-toxic amount of at least one non-steroidal anti-inflammatory agent.
2. The topical preparation of claim 1 wherein the non-steroidal anti-inflammatory agent is a prostaglandin inhibitor.
3. The topical preparation of claim 1 wherein the non-steroidal anti-inflammatory agent is a prostaglandin inhibitor selected from the group consisting of indocin, ibuprofen, ketoprofen, flurbiprofen, naproxen and mixtures thereof.
4. The topical preparation of claim 1 wherein chlorhexidine is present in an amount ranging from about 0.1 wt.% to about 1.0 wt.% of the total preparation.
5. The topical preparation of claim 1 wherein the non-steroidal anti-inflammatory agent is present in an amount ranging from about 2 wt.%
to about 5 wt.% of the total preparation.
6. The topical preparation of claim 1 wherein the preparation further comprises a pharmaceutical carrier incorporating the chlorhexidine and the non-steroidal anti-inflammatory agent.
7. The topical preparation of claim 6 wherein the carrier is selected from the group consisting of a solution, cream, rinse, lotion and gel.
8. A topical pharmaceutical preparation for the treatment of epidermal and muco-epidermal tissue comprising a therapeutic amount of chlorhexidine and at least one non-steroidal anti-inflammatory agent selected from the group consisting of indocin, ibuprofen, ketoprofen and mixtures thereof incorporated into a pharmaceutical carrier.
9. The topical preparation of claim 8 wherein the chlorhexidine is present in an amount ranging from about 0.1 wt.% to about 1.0 wt.% and the non-steroidal anti-inflammatory agent is present in an amount ranging from about 2 to about 5 wt.%.
10. The topical pharmaceutical preparation of claim 9 wherein the carrier is a gel.
11. A method for the treatment of epidermal and muco-epidermal tissue, said method comprising the steps of:
providing a topical pharmaceutical preparation including a carrier incorporating a therapeutic amount of chlorhexidine and a non-toxic amount of at least one non-steroidal anti-inflammatory agent, and applying the preparation directly to epidermal and muco-epidermal tissue having pain, inflammation, infection or lesion associated therewith.
12. The method of claim 11 further characterized in that the non-steroidal anti-inflammatory agent is a prostaglandin inhibitor selected from the group consisting of indocin, ibuprofen, ketoprofen, flurbiprofen, naproxen and mixtures thereof.
13. The method of claim 11 further characterized in that the chlorhexidine is present in an amount ranging from about 0.1 wt.% to about 1.0 wt.% and the non-steroidal anti-inflammatory agent is present in an amount ranging from about 2 to about 5 wt.%.
14. The method of claim 11 further characterized in that the carrier is selected from the group consisting of a solution, cream, rinse, lotion and gel.
CA002146547A 1993-08-06 1994-08-08 Method and composition for treating muco-epidermal and epidermal pain, inflammation and infection Abandoned CA2146547A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10328993A 1993-08-06 1993-08-06
US08/103,289 1993-08-06

Publications (1)

Publication Number Publication Date
CA2146547A1 true CA2146547A1 (en) 1995-02-16

Family

ID=22294404

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002146547A Abandoned CA2146547A1 (en) 1993-08-06 1994-08-08 Method and composition for treating muco-epidermal and epidermal pain, inflammation and infection

Country Status (4)

Country Link
EP (1) EP0664695A1 (en)
JP (1) JPH08505402A (en)
CA (1) CA2146547A1 (en)
WO (1) WO1995004520A1 (en)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5888523A (en) * 1997-09-22 1999-03-30 Biocontrol, Inc. Topical non-steroidal anti-inflammatory drug composition
GB2349644A (en) 1999-05-01 2000-11-08 Biointeractions Ltd Infection resistant polymers, methods for their preparation, and their uses
FR2812190B1 (en) * 2000-07-28 2003-01-31 Oreal USE OF NON-PROSTANOIC AGONISTS OF EP-2 AND / OR EP-4 PROSTAGLANDIN RECEPTORS AS A COSMETIC AGENT FOR MITIGATING, DECREASING OR STOPPING HAIR AND HAIR LOSS
FR2812192B1 (en) * 2000-07-28 2003-01-31 Oreal USE OF PROSTAGLANDIN EP-3 RECEPTOR ANTAGONISTS AS A COSMETIC AGENT FOR MITIGATING, REDUCING OR STOPPING HAIR AND HAIR LOSS
GB0103668D0 (en) 2001-02-15 2001-03-28 Biointeractions Ltd Methods and clinical devices for the inhibition or prevention of mammalian cell growth
FR2822070B1 (en) * 2001-03-15 2006-01-06 Andre Salkin USE OF A BIGUANIDE DERIVATIVE AND A PYRIMIDINE FOR THE MANUFACTURE OF A COSMETIC CARE COMPOSITION
US8865198B2 (en) 2010-10-25 2014-10-21 Dexcel Pharma Technologies Ltd. Method for treating a periodontal disease
RU2491061C2 (en) * 2011-12-05 2013-08-27 Елена Николаевна Светлакова Agent for local treatment of periodontal diseases
WO2014027976A1 (en) 2012-08-17 2014-02-20 Sanovel Ilac Sanayi Ve Ticaret Anonim Sirketi Topical aqueous pharmaceutical compositions of flurbiprofen and chlorhexidine

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB8401965D0 (en) * 1984-01-25 1984-02-29 Beecham Group Plc Composition
EP0159604B1 (en) * 1984-04-09 1990-11-07 Toyo Boseki Kabushiki Kaisha Sustained-release preparation applicable to mucous membrane in oral cavity
JPS6160620A (en) * 1984-09-03 1986-03-28 Teijin Ltd Pharmaceutical composition containing pyroglutamic acid ester
DE3686275T2 (en) * 1985-01-11 1993-03-18 Teijin Ltd PREPARED PRODUCTS WITH DELAYED RELEASE.
JPS62223115A (en) * 1986-03-25 1987-10-01 Rooto Seiyaku Kk Remedy for periodontosis
US4975271A (en) * 1988-12-19 1990-12-04 Vipont Pharmaceutical, Inc. Muscosal delivery systems for treatment of periodontal disease
US5230895A (en) * 1990-05-01 1993-07-27 Copley Pharmaceutical Inc. Sustained released delivery system for use in the periodontal pocket
US5102666A (en) * 1990-09-11 1992-04-07 Oramed, Inc. Calcium polycarbophil controlled release composition and method

Also Published As

Publication number Publication date
EP0664695A1 (en) 1995-08-02
JPH08505402A (en) 1996-06-11
WO1995004520A1 (en) 1995-02-16

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Legal Events

Date Code Title Description
FZDE Discontinued
FZDE Discontinued

Effective date: 19980810