CN101032484A - Capsule type tiotropium bromide inhalation powder - Google Patents

Capsule type tiotropium bromide inhalation powder Download PDF

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CN101032484A
CN101032484A CN 200710087561 CN200710087561A CN101032484A CN 101032484 A CN101032484 A CN 101032484A CN 200710087561 CN200710087561 CN 200710087561 CN 200710087561 A CN200710087561 A CN 200710087561A CN 101032484 A CN101032484 A CN 101032484A
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tiotropium bromide
lactose
micropowder
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monohydrate
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CN101032484B (en
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许永翔
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Xu Yongxiang
Nanjing Cavendish Bio Engineering Technology Co Ltd
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NANJING KANGZE PHARMACEUTICAL TECHNOLOGY Inc
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Abstract

The present invention discloses one kind of tiotropium bromide capsule atomized powder preparation, which includes tiotropium bromide or tiotropium bromide monohydrate in 0.04-1.5 wt% and fine lactose powder of size smaller than 15 microns for adsorbing tiotropium bromide or tiotropium bromide monohydrate. The present invention also provides the preparation process of the atomized powder preparation. The tiotropium bromide capsule atomized powder preparation has simple preparation process, excellent flowability and homogeneously distributed active component.

Description

A kind of capsule type tiotropium bromide inhalation powder
Technical field
The present invention relates to a kind of pharmaceutical preparation, more particularly, the present invention relates to a kind of capsule type tiotropium bromide inhalation powder and preparation method thereof.
Background technology
Tiotropium bromide is a kind of anticholinergic agents, and its chemistry is by name: and bromination (1R, 2R, 4S, 5S, 7S)-and 7-[2-hydroxyl-2,2-two (2-thienyl) acetoxyl group]-9,9-dimethyl-3-epoxy-9-nitrogen secocubane [3.3.1.0. 2.4] the nonane monohydrate, its chemical constitution is as follows:
Figure A20071008756100031
Boehringer Ingelheim company and Pfizer 2002 are in Holland and the Philippine tiotropium bromide inhalant that gone on the market, trade name: Spiriva TMTiotropium bromide is a kind of long lasting Antimuscarinic drugs, and the hypotype M1 to M5 of M-ChR is had similar affinity.For respiratory tract, it brings into play pharmacological action by the M3 receptor that suppresses on the smooth muscle, thus the diastole bronchus.Test shows that this antagonist is competitive and reversible, is used for the treatment of chronic obstructive pulmonary disease (COPD).Be administered once in one day (sucking 18 μ g/ days) can significantly improve the respiratory function of patients with chronic obstructive pulmonary diseases, act on sustainable more than 24 hours.Tiotropium bromide is a quaternary ammonium salt, and oral absorption is poor, be fit to inhalation, and the whole body cholinolytic effect is not remarkable behind the inhalation, so side effect is little, toxicity low (Drugs of the Future, 2000.25 (7): 693-699).
At present, developed the multiple method for preparing capsule type tiotropium bromide inhalation powder: for example, Boehringer Ingelheim company discloses a kind of sucked powder agent that contains tiotropium bromide in Chinese patent CN1210017C (day for announcing is on July 13rd, 2005), at first will mix the mixture that obtains excipient than coarse grain excipient (200M) with than particulate excipient (5 μ m) lactose monohydrate, and then with the micronization tiotropium bromide monohydrate, obtain the powder spray that can suck.
In addition, the said firm discloses another preparation method in Chinese patent application (publication number CN1717225A, open day on January 4th, 2006), and the lactose monohydrate of mean diameter 10-50 μ m is mixed with the micronization tiotropium bromide.The tiotropium bromide dust cloud preparation of above-mentioned two application preparations has all adopted the blended method of a plurality of alternating layers, complicated process of preparation.
Nanchang Hongyi Science Co., Ltd discloses a kind of Ammonium suction powder dose and its preparation method in Chinese patent application publication number CN1439362A (open day: on JIUYUE 3rd, 2003), said preparation is to be that 10 μ g to 30 μ g, particle diameter are that thiatro bromoaminium anhydrous compound superfine powder and 10mg to 30mg, the mean diameter of 1 μ m to 5 μ m is the medicinal carrier micropowder of amino acids of 30 μ m to 80 μ m with single dose content, and for example filled capsules is prepared from behind the abundant mixing of glycine.
Fudan University also discloses a kind of inhaled tiotropium bromide powder preparation and preparation method thereof in Chinese patent application CN1557308A (open day: on December 29th, 2004), it contains medicine tiotropium bromide and carrier aminoacid and recrystallization lactose, by following method preparation, the dry micronization of tiotropium bromide and aminoacid mixing solution spray is formed micropowder, again with recrystallization lactose mixing filled capsules or make other preparation.
Shanghai Huatuo Medicine Sci-Tech Development Co., Ltd is in Chinese patent application CN1593414A (open day: also disclose a kind of capsule type tiotropium bromide inhalation powder and preparation method thereof on March 16th, 2005); this capsule type inhalation aerosol powder is made up of tiotropium bromide medicine carrying micropowder and excipient; wherein tiotropium bromide medicine carrying micropowder adopts the spray drying process preparation; the particle diameter of tiotropium bromide medicine carrying micropowder be 80% diameter of particle in 0.5 μ m-5 mu m range, 90% diameter of particle is less than 10 μ m.
At present, no matter be listing or the tiotropium bromide of above bibliographical information can suck powder spray, in order to make a spot of tiotropium bromide uniform distribution, their preparation technology is more complicated, all be to carry out micronization, and then prepare with mixed with excipients with tiotropium bromide or its monohydrate or with amino acid whose mixture.
Summary of the invention
The present invention has overcome the deficiency that above-mentioned prior art exists, and provides a kind of preparation technology's novelty, simple and tiotropium bromide distributed uniform, stable tiotropium bromide capsule type in powder spray can suck powder spray.
The purpose of this invention is to provide a kind of tiotropium bromide capsule type and can suck powder spray.
Another object of the present invention provides the preparation method that this tiotropium bromide capsule type can suck powder spray.
The inventor can suck in the experiment of powder spray at the research tiotropium bromide, is surprisingly found out that lactose micropowder absorption tiotropium bromide and the tiotropium bromide for preparing can suck powder spray, advantage such as it has active ingredient and is evenly distributed, and is stable, and preparation technology is simple.
The invention provides a kind of tiotropium bromide and can suck powder spray, wherein, 0.04 tiotropium bromide or tiotropium bromide monohydrate to 1.5% weight ratio are adsorbed on the lactose micropowder, the lactose micropowder particle diameter is all less than 15 μ m, and about 90% less than 8 μ m, and preferred lactose micropowder particle diameter is all less than 12 μ m, and about 90% less than 7 μ m, more preferably the lactose micropowder particle diameter is all less than 10 μ m, and about 90% less than 5 μ m; The weight ratio of tiotropium bromide or tiotropium bromide monohydrate is preferred 0.09 to 1.2%, more preferably, and 0.3 to 0.9%, preferred especially 0.5 to 0.8%.
The present invention also provides a kind of preparation method that above-mentioned tiotropium bromide capsule type can suck powder spray for preparing, and it comprises:
1. preparation lactose micropowder.Take by weighing lactose, add 0.5-3.0 (with the weight ratio of lactose) doubly, preferred 0.8-2.0 doubly, preferred especially 1.0-1.8 water doubly, heating is dissolved above-mentioned lactose fully; Put coldly, filter; Stir to make in right amount to the preferred anhydrous isopropyl alcohol of filtrate adding isopropyl alcohol lentamente down and separate out crystallization, filter; Filtering layer places aqueous isopropanol, and preferred 95% aqueous isopropanol more preferably washs in the anhydrous isopropyl alcohol, sieves, and can select 200 orders, preferred 240 orders, and more preferably 300 mesh sieves filter; Drying is pulverized the lactose micropowder that promptly obtains, its particle diameter is all less than 15 μ m, and about 90% less than 8 μ m, and preferred lactose micropowder particle diameter is all less than 12 μ m, and about 90% less than 7 μ m, and more preferably the lactose micropowder particle diameter is all less than 10 μ m, and about 90% less than 5 μ m;
2. tiotropium bromide is adsorbed on the lactose micropowder that step 1 obtains.Take by weighing tiotropium bromide anhydrous powder or tiotropium bromide monohydrate, add the dehydrated alcohol of 200 to 1000 times of weight ratios, dissolving is standby fully; Take by weighing the lactose micropowder that step 1 obtains, with above-mentioned tiotropium bromide solution mixing, wherein the weight ratio of tiotropium bromide or tiotropium bromide monohydrate and lactose micropowder is preferred 0.09 to 1.2%, more preferably, and 0.3 to 0.9%, preferred especially 0.5 to 0.8%; The system soft material, 140 orders, 120 mesh sieve system granules preferably, drying, 100 orders, preferably 80 orders, more preferably 60 mesh sieve granulate, filled capsules.
The inventor has prepared the lactose micropowder that meets requirement of the present invention with reference to the document about lactose crystn
Adopt solvent crystallization to prepare lactose micropowder, solvent is meant the solvent that ethanol, acetone, isopropyl alcohol etc. are pharmaceutically commonly used, preferred isopropyl alcohol, more preferably anhydrous isopropyl alcohol.
Result of the test shows that solvent crystallization can be used to prepare lactose micropowder, and particle diameter meets the requirements, and through lactose micropowder preparation technology's checking, feasible process can obtain particle diameter all less than 10 μ m, and about 90% particle diameter is less than the lactose micropowder of 5 μ m.
Prepare three batches of carrier mass lactose micropowders (first, second batch, the 3rd batch) by solvent crystallization, the particle diameter that the following method in back is checked the lactose micropowder particle is pulverized in crystallization, and the result shows, feasible process.Check result is as follows:
The distribution (first) of table 1 lactose micropowder particle
Particle size range (μ m)
The visual field 0 0~2.5 2.5~5 5~7.5 7.5~10 10~15 15~20 20~30 30~50 >50
1 0 119 55 8 3 0 0 0 0 0
2 0 105 46 8 2 0 0 0 0 0
3 0 128 68 6 1 0 0 0 0 0
4 0 107 35 4 2 0 0 0 0 0
5 0 96 43 7 4 0 0 0 0 0
6 0 83 47 3 2 0 0 0 0 0
7 0 130 22 7 3 0 0 0 0 0
8 0 124 59 6 1 0 0 0 0 0
9 0 85 53 3 1 0 0 0 0 0
10 0 108 41 4 2 0 0 0 0 0
Ni 0 1002 422 53 19 0 0 0 0 0
Di 0 1.25 3.75 6.25 8.75 12.5 17.5 25 40 50
Ni*Di 0 1252.5 1582.5 331.25 166.25 0 0 0 0 0
F 0 66.98 28.21 3.54 1.27 0.00 0.00 0.00 0.00 0.00
Meansigma methods 2.23
The distribution of table 2 lactose micropowder particle (second batch)
Particle size range (μ m)
The visual field 0 0~2.5 2.5~5 5~7.5 7.5~10 10~15 15~20 20~30 30~50 >50
1 0 131 56 9 2 0 0 0 0 0
2 0 112 59 10 3 0 0 0 0 0
3 0 123 61 6 5 0 0 0 0 0
4 0 130 43 7 1 0 0 0 0 0
5 0 115 33 5 2 0 0 0 0 0
6 0 98 60 3 2 0 0 0 0 0
7 0 86 21 8 1 0 0 0 0 0
8 0 104 44 5 3 0 0 0 0 0
9 0 118 37 4 2 0 0 0 0 0
10 0 108 57 5 1 0 0 0 0 0
Ni 0 1027 411 59 20 0 0 0 0 0
Di 0 1.25 3.75 6.25 8.75 12.5 17.5 25 40 50
Ni*Di 0 1283.75 1541.25 368.75 175 0 0 0 0 0
F 0 67.70 27.09 3.89 1.32 0.00 0.00 0.00 0.00 0.00
Meansigma methods 2.22
The distribution of table 3 lactose micropowder particle (the 3rd batch)
Particle size range (μ m)
The visual field 0 0~2.5 2.5~5 5~7.5 7.5~10 10~15 15~20 20~30 30~50 >50
1 0 125 46 8 1 0 0 0 0 0
2 0 133 65 11 4 0 0 0 0 0
3 0 111 63 7 2 0 0 0 0 0
4 0 92 59 7 2 0 0 0 0 0
5 0 129 41 6 3 0 0 0 0 0
6 0 127 66 3 1 0 0 0 0 0
7 0 87 28 5 1 0 0 0 0 0
8 0 124 43 6 2 0 0 0 0 0
9 0 118 32 5 3 0 0 0 0 0
10 0 121 55 4 1 0 0 0 0 0
Ni 0 1040 432 59 19 0 0 0 0 0
Di 0 1.25 3.75 6.25 8.75 12.5 17.5 25 40 50
Ni*Di 0 1300 1620 368.75 166.25 0 0 0 0 0
F 0 67.10 27.87 3.81 1.23 0.00 0.00 0.00 0.00 0.00
Meansigma methods 2.23
Particle diameter inspection method (10 * 40)
It is an amount of to get the carrier mass lactose micropowder, adds dehydrated alcohol, after the powerful jolting, draws an amount of (being equivalent to lactose 1 μ g) with micropipette immediately, places on the microscope slide, checks according to granulometry (two appendix IX of Chinese Pharmacopoeia version in 2000 E, first method).
The number (Ni) of the carrier mass lactose micropowder particle of (0~2.5,2.5~5,5~7.5,7.5~10,10~15,15~20,20~30,30~50,>50 μ m) in the different-grain diameter scope in each visual field is write down in 10 visuals field of casual inspection respectively.The mean diameter of above-mentioned each particle size range (Di) is respectively 1.25,3.75,6.25,8.75,12.5,17.5,15,40,50 μ m.Calculate the number average bead diameter (D) of carrier mass lactose micropowder by following formula:
D = Σ i = 1 n N i D i Σ i = 1 n N i
In addition, by detecting Emptying Rate that the present invention can suck particulate flowability (angle of repose), filled capsules in the powder spray, deposition ratio in the effective position, uniformity of dosage units etc., the result shows that the tiotropium bromide granule in the powder spray of the present invention has good flowability; Particle size distribution, moisture and character, and capsule 's content Emptying Rate, deposition ratio in the effective position and uniformity of dosage units etc. meet relevant regulation.
Capsule type tiotropium bromide inhalation powder of the present invention, through high temperature (40 ℃, 60 ℃), high light (under 4500 ± 5001x) irradiations, high humility (RH75% ± 5%) condition 5,10 days influence factors' test, the result shows, except 60 ℃ of capsule shells hardening of high temperature, becomes fragile--can not measure its deposition ratio in the effective position, high humidity 92.5% moisture absorption serious (can not detect), under high humidity 75% condition, sample is moisture absorption slightly, outside deposition ratio in the effective position slightly descends; Under other condition, physical and chemical indexs such as the character of sample, moisture, deposition ratio in the effective position, Emptying Rate and content with comparison in 0 day, have no significant change, and meet relevant regulation.
Because of tiotropium bromide is lower at the content of powder spray, principal agent is difficult to mixing with micropowder state and mixed with excipients, perhaps hybrid technique is very complicated, and these have all limited the application of this product.Tiotropium bromide of the present invention can suck powder spray, adopts wet method system granule in the technology, after principal agent is dissolved with solvent, with the micronization mixed with excipients, principal agent is adsorbed on the carrier mass lactose, guaranteed uniformity of dosage units, and technology is simple, is more suitable for the needs of large-scale production.
The specific embodiment
Specify technical scheme of the present invention below by example; for a person skilled in the art; should be understood to this is not restriction to embodiment of the present invention; it is conspicuous according to prior art the technical characterictic in the embodiment being replaced, and still belongs to protection scope of the present invention.
Embodiment 1. tiotropium bromide capsule type powder sprays
1. lactose micropowderization
Get lactose 100g, add water 120ml, heating makes fully dissolving, puts coldly, filters, stir the slow down isopropyl alcohol 300ml that adds, make and separate out crystallization, filter, filtering layer is put and is washed among the 95% aqueous isopropanol 200ml, crosses 200 mesh sieves, filter, put 105 ℃ of aeration-dryings 5 hours, pulverize, promptly.
2. prepare the tiotropium bromide powder spray
1. take by weighing tiotropium bromide monohydrate 22.5mg, add dehydrated alcohol 10ml, heating makes dissolving fully, and is standby.
2. take by weighing lactose micropowder 30.0g, with above-mentioned 1. solution mixing, system soft material, 120 mesh sieve system granules, 60 ℃ of aeration-drying 3 hours, 80 mesh sieve granulate.
3. measure tiotropium bromide (C in the granule 19H 20NO 3S 2) content, adjusting loading amount, to make every capsules contain tiotropium bromide be 100.0% of labelled amount.
4. filled capsules.
5. pack.
6. check.
Embodiment 2. tiotropium bromide capsule type powder sprays
1. lactose micropowderization
Get lactose 100g, add water 180ml, heating makes fully dissolving, puts coldly, filters, stir the slow down isopropyl alcohol 200ml that adds, make and separate out crystallization, filter, filtering layer is put and is washed among the anhydrous isopropyl alcohol 400ml, crosses 300 mesh sieves, filter, put 105 ℃ of aeration-dryings 5 hours, pulverize, promptly.
2. prepare the tiotropium bromide powder spray
1. take by weighing tiotropium bromide monohydrate 22.5mg, add dehydrated alcohol 10ml, heating makes dissolving fully, and is standby.
2. take by weighing lactose micropowder 30.0g, with above-mentioned 1. solution mixing, system soft material, 140 mesh sieve system granules, 60 ℃ of aeration-drying 3 hours, 100 mesh sieve granulate.
3. measure tiotropium bromide (C in the granule 19H 20NO 3S 2) content, adjusting loading amount, to make every capsules contain tiotropium bromide be 100.0% of labelled amount.
4. filled capsules.
5. pack.
6. check.
Embodiment 3. tiotropium bromide capsule type powder sprays
Preparation method is with reference to embodiment 1, and the sieve of just granulating is 100 orders, and granulate sieve 60.
Investigate the foregoing description 1~3 and make particulate flowability (angle of repose) and deposition ratio in the effective position etc., and the powder spray result of the test, specifically see the following form.
Table 4 mobility of particle assay
The end (centimetre) High (centimetre) Angle of repose (degree)
Embodiment 3 5.84 1.26 28.7°
Embodiment 1 5.84 1.72 36.7°
Embodiment 2 5.84 3.25 52.3°
The particulate deposition ratio in the effective position result of table 5
Embodiment 3 Embodiment 1 Embodiment 2
Deposition ratio in the effective position 11.30% 19.68% 21.22%
Table 6 powder spray content check result
The investigation project Embodiment 3 Embodiment 1 Embodiment 2
Character Off-white powder Off-white powder Off-white powder
Moisture % 3.21 3.09 3.12
Number average bead diameter (μ m) 2.25 2.24 2.26
The Emptying Rate of table 7 powder spray
The investigation project Embodiment 3 Embodiment 1 Embodiment 2
Emptying Rate % 97.24 97.31 97.52
In addition, the powder spray of embodiment 1 preparation through high temperature (40 ℃, 60 ℃), high light (5,10 days influence factors' result of the test under 4500 ± 5001x) irradiations, high humility (RH75% ± 5%) condition:
40 ℃ of result of the tests of table 8 inhaled tiotropium bromide powder preparation high temperature
Time (my god) 0 5 10
The content character Off-white powder Off-white powder Off-white powder
Moisture % 3.05 2.98 2.97
Deposition ratio in the effective position % 19.22 17.55 18.81
Emptying Rate % 97.0 97.0 98.2
Content % 100.21 98.59 101.15
60 ℃ of result of the tests of table 9 inhaled tiotropium bromide powder preparation high temperature
Time (my god) 0 5 10
The content character Off-white powder Off-white powder Off-white powder
Moisture % 3.05 2.95 2.93
Deposition ratio in the effective position % 19.22 / /
Emptying Rate % 97.0 / /
Content % 100.21 100.37 100.21
Table 10 inhaled tiotropium bromide powder preparation exposure experiments to light result
Time (my god) 0 5 10
The content character Off-white powder Off-white powder Off-white powder
Moisture % 3.05 3.12 3.23
Deposition ratio in the effective position % 19.22 20.33 20.62
Emptying Rate % 97.0 95.3 95.3
Content % 100.21 99.96 100.13
Table 11 inhaled tiotropium bromide powder preparation relative humidity 75% ± 5% result of the test
Time (my god) 0 5 10
The content character Off-white powder Off-white powder Off-white powder
Moisture % 3.05 3.31 3.47
Deposition ratio in the effective position % 19.22 13.68 /
Emptying Rate % 97.0 93.1 92.8
Content % 100.21 100.03 100.10
Draw wet rate / 1.28 1.31
Table 12 inhaled tiotropium bromide powder preparation air at room temperature result of the test
Time (my god) 0 5 10
The content character Off-white powder Off-white powder Off-white powder
Moisture % 3.05 3.17 3.19
Deposition ratio in the effective position % 19.22 16.19 16.64
Emptying Rate % 97.0 96.3 96.5
Content % 100.21 99.58 100.47
Draw wet rate / 0.23 0.24

Claims (10)

1. a tiotropium bromide can suck powder spray, it is characterized in that it comprises tiotropium bromide or the tiotropium bromide monohydrate and the lactose micropowder of 0.04 to 1.5% weight ratio.
2. powder spray according to claim 1, wherein, tiotropium bromide or tiotropium bromide monohydrate are adsorbed on the lactose micropowder, and the lactose micropowder particle diameter is all less than 15 μ m, and about 90% less than 8 μ m.
3. powder spray according to claim 1, wherein, the weight ratio of tiotropium bromide or tiotropium bromide monohydrate is 0.09 to 1.2%, the lactose micropowder particle diameter is all less than 12 μ m, and about 90% less than 7 μ m.
4. powder spray according to claim 1, wherein, the weight ratio of tiotropium bromide or tiotropium bromide monohydrate is 0.3 to 0.9%, the lactose micropowder particle diameter is all less than 10 μ m, and about 90% less than 5 μ m.
5. method for preparing the described powder spray of the arbitrary claim of claim 1 to 4, it comprises:
(1) preparation lactose micropowder;
(2) tiotropium bromide is adsorbed on the lactose micropowder that step 1 obtains;
Perhaps, this method only comprises tiotropium bromide is adsorbed on the lactose micropowder.
6. method according to claim 5, wherein step (1) comprising: take by weighing lactose, add 0.5-3.0 doubly with the water of the weight ratio of lactose in, heating is dissolved above-mentioned lactose fully; Put coldly, filter; Stir to make in right amount to filtrate adding solvent lentamente down and separate out crystallization, filter; Filtering layer is put in this solvent and is washed, and crosses 200 mesh sieves, filters; Drying is pulverized the lactose micropowder that promptly obtains;
7. method according to claim 6, wherein the solvent described in the step (1) is pharmaceutically acceptable solvent, is selected from ethanol, acetone, the isopropyl alcohol one or more.
8. method according to claim 7, wherein pharmaceutically acceptable solvent is an anhydrous isopropyl alcohol.
9. the method for stating according to claim 5, wherein step (2) comprising: take by weighing tiotropium bromide anhydrous powder or monohydrate, add the dehydrated alcohol of 200 to 1000 times of weight ratios, dissolving is standby fully; Take by weighing the lactose micropowder that step (1) obtains, with above-mentioned tiotropium bromide solution mixing, wherein the weight ratio of tiotropium bromide or tiotropium bromide monohydrate and lactose micropowder is 0.09 to 1.2%.
10. according to the described method of the arbitrary claim of claim 5-9, wherein step (2) further comprises: system soft material, 120 mesh sieve system granules, drying, 80 mesh sieve granulate.
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101422457B (en) * 2007-10-31 2011-01-26 江苏正大天晴药业股份有限公司 Tiotropium bromide respirable dry powder composition
WO2011121425A1 (en) * 2010-03-31 2011-10-06 Glenmark Pharmaceuticals Limited Pharmaceutical powder composition for inhalation
WO2022127092A1 (en) * 2020-12-19 2022-06-23 沈阳药科大学 Trantinterol dry powder inhaler, preparation method therefor, and application thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2004285684B2 (en) * 2003-11-03 2011-07-14 Boehringer Ingelheim International Gmbh Novel crystalline anhydride with anticholinergic effect

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101422457B (en) * 2007-10-31 2011-01-26 江苏正大天晴药业股份有限公司 Tiotropium bromide respirable dry powder composition
WO2011121425A1 (en) * 2010-03-31 2011-10-06 Glenmark Pharmaceuticals Limited Pharmaceutical powder composition for inhalation
WO2022127092A1 (en) * 2020-12-19 2022-06-23 沈阳药科大学 Trantinterol dry powder inhaler, preparation method therefor, and application thereof

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