CN101269068A - Oral preparation containing penicillin V kalium, preparation method and application thereof - Google Patents
Oral preparation containing penicillin V kalium, preparation method and application thereof Download PDFInfo
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- CN101269068A CN101269068A CNA2007100871303A CN200710087130A CN101269068A CN 101269068 A CN101269068 A CN 101269068A CN A2007100871303 A CNA2007100871303 A CN A2007100871303A CN 200710087130 A CN200710087130 A CN 200710087130A CN 101269068 A CN101269068 A CN 101269068A
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Abstract
The invention relates to a buccal tablet containing ospeneff, the preparation method and the use, and aims to provide a buccal tablet with ospeneff adopted as the medicinal ingredient. The buccal tablet can be dissolved among the salvia in the oral cavity and enter the oral cavity, the pharynx and pharyngeal tonsils to play the role of resisting bacteria. The invention adopts ospeneff as the medicinal ingredient and can be made into various pharmaceutical formulations, such as buccal tablets, candies, dropping pills and so on. The buccal tablet containing ospeneff has the characteristics of fast effect, excellent curative effect and convenient drug delivery, can directly improve the concentration of antibiotic drugs at the pathological part and enhance the antibacterial capacity of the pathological part, and is more suitable for majorities of patients.
Description
Technical field
The present invention relates to a kind of medicine and its production and use, particularly contains buccal lozenge of potassium v calcium and its production and use.
Background technology
Pharyngitis is the modal disease of puzzlement modern life, is pharyngeal mucous membrane, submucous tissue and adenoid diffuse inflammation, often is the part of upper respiratory tract infection.Be divided into acute and chronic two kinds clinically.Acute pharyngitis is many in autumn and winter and morbidity at the end of winter and the beginning of spring.Pathological changes ordinary wave and whole pharyngeal cavity also can limit to a place.Can cause by virus, antibacterial and physical chemical factor and high temperature, dust, fumagine, irritative gas etc.Bacterial infection is based on gram-positive coccis such as streptococcus, staphylococcus and Diplococcus pneumoniaes.Wherein serious with A group group B streptococcus causer, antibacterial or toxin enter blood, can cause the purulent lesion of organ at a distance, are called acute septic pharyngitis.Treat with oral or injection antibiotics control infection.
The chronic pharyngitis course of disease is very long, and the symptom stubbornness is often by due to the local infection or general pathological changes secondary, with chronic pathological changes repeatedly acute attack be its characteristics, in many cases, acute attack is to be caused by bacterial infection, therefore, suitable antibacterial therapy helps to control acute symptom.
Acute tonsillitis is a kind of non-specific acute inflammation of very common palatine tonsil, often with to a certain degree pharyngeal mucous membrane and swallow adenoid acute inflammation.Main pathogenic bacterium are streptococcus, staphylococcus, Diplococcus pneumoniae.Adenovirus also can cause primary disease.Antibacterial and virus mixed infection are quite a few to be seen.Antibacterial may be extraneous the intrusion, also may be the antibacterial that is hidden in the tonsillar crypts, when Abwehrkraft des Koepers because of cold, humidity, overworked, have a delicate constitution, tobacco and wine are excessive, when factors such as harmful gas stimulation reduce suddenly, due to bacterial reproduction is strengthened.Acute tonsillitis is acute attack repeatedly on chronic tonsil basis often.Clinical manifestation aversion to cold, hyperpyrexia, pharyngalgia, aggravation etc. when swallowing can the concurrent rheumatic fever relevant with hemolytic streptococcal infection, multiple general diseases such as acute glome-rulonephritis, myocarditis, arthritis.Treatment adopts pain relieving to bring down a fever, oral or injection antibiotics control infection.
The oral cavity infection disease mainly comprises dental disease, periodontal and the disease of cari oris mucosa, as dental caries, pulpitis, periapical periodontitis, periodontitis, recurrent aphtha, oral ulcer, oral leukoplakia, monilial stomatitis, pericoronitis, necrotic stomatitis, thrush, gingivitis, membranous stomatitis, periodontal disease, herpetic stomatitis etc.Antibacterial is the important paathogenic factor that causes the oral cavity infection disease.Intraoral have a large amount of Gram-positives and a gram negative bacteria, and its value volume and range of product all occupies first of the whole body.According to the study, contain antibacterial in every milliliter of saliva and reach 1.5 hundred million.Under certain conditions, incorrect etc. when food debris accumulation, crowded dentition, method for brushing teeth, form dental plaque, tartar, when the kind of antibacterial changes, the amount of pathogenic bacterium increases or passive protective physical fitness descends, cause the generation of oral cavity infection disease.Therefore, oral cavity infection disease is caused by the various bacteria synergism.The patient often has symptoms such as toothache, gingival hemorrhage, redness, odontoseisis displacement, halitosis.Swelling and aching of gum, pyorrhea also can be used as infection focus, cause such as systemic diseases such as arthritis, the heart, cerebrovascular disease.
Treat pharyngitis, tonsillitis and oral cavity infection that bacterial infection causes, often select the antibiotics of resisting gram-positive bacteria for use, the antibiotics of the anti-gram negative bacteria of part also has therapeutical effect.Potassium v calcium is a Penicillin antibiotics.Antimicrobial spectrum is identical with penicillin.Most gram positive bacterias, Grain-negative coccus, indivedual gram negative bacilli (as haemophilus), spirillum and actinomycetes are all had antibacterial activity, but most aureus strains (90%) comprises that staphylococcus aureus and coagulase negative staphylococcus can produce beta lactamase and make this product hydrolysis and inactivation.This product to the activity of most of sensitive strains than penicillin a little less than 2～5 times.The bacterial strain that produces penicillinase there is not antibiotic effect.The mechanism of action of this product is suppress bacteria cell wall synthetic, makes the antibacterial dissolving of breaking rapidly.This product is applicable to light, the grade and moderate infection due to the penicillin sensitive strain, comprises tonsillitis due to the streptococcus, pharyngolaryngitis, scarlet fever, erysipelas etc.; Skin soft-tissue infection due to bronchitis due to the streptococcus pneumoniae, pneumonia, otitis media, sinusitis and the responsive staphylococcus etc.This product also can be used for spirochaete infection and as the prophylactic of rheumatic fever recurrence and infective endocarditis.The technology of the present invention is the potassium v calcium troche, can kill oral cavity, the various pathogenic microorganism in throat rapidly, comprises bacterial propagule etc., effectively treats laryngopharyngeal diseases.The preparation of having succeeded in developing of this medicine has tablet, capsule, granule etc., all adopts oral whole body administration.Slower in view of oral absorption such as tablets, entering behind the blood distributes by whole body dilutes medicine in blood, make medicine lower at the blood drug level of diseased region, and it is also longer to reach time of effective blood drug concentration at diseased region, influences its effective antibacterial efficacy.Therefore, the buccal lozenge of development potassium v calcium by the oral cavity buccal, directly acts on diseased region with high concentration medicine, is used for pharyngitis, pharyngoamygdalitis and oral cavity infection treatment of diseases, can overcome above-mentioned shortcoming, and strong auxiliary treatment means is provided.
Summary of the invention
The purpose of this invention is to provide a kind of is the buccal lozenge and its production and use of ingredient with the potassium v calcium, the medicine through port is contained in the intraoral saliva and dissolves, enter around the oral cavity, pharyngeal and pharyngeal tonsil position, bring into play its antibacterial action, the clinical pharyngitis that is used for the treatment of, pharyngoamygdalitis and oral cavity infection disease, particularly by prolonging preparation in intraoral melting time, it is the disintegration of preparation, prolong the action time of medicine and local lesion, and then improved the treatment pharyngitis, the drug quality of pharyngoamygdalitis and oral cavity infection disease medicament.
For achieving the above object, the present invention has adopted following technical scheme.
The buccal lozenge that contains potassium v calcium of the present invention is made up of ingredient that comprises potassium v calcium and substrate, its Chinese medicine: substrate=1: 0.5-1: 30.0, through port intracavity buccal administration clinically is characterized in that the application of described potassium v calcium buccal lozenge in treatment pharyngitis, pharyngoamygdalitis and oral cavity infection disease.Select 10-100 minute the disintegration of described potassium v calcium buccal lozenge, preferred 15-60 minute, more preferably 20-60, preferred 20-40 minute especially, by prolonging preparation in intraoral melting time, and then improve medicine to pharyngitis, pharyngoamygdalitis and oral cavity infection treatment of diseases effect, improve drug quality.
In the comfort level that described drug quality comprises side reaction and other discomfort brought to patient in the comfort level, drug use process of medication effect, drug use, medicine stores and carry, the characteristics such as complexity of drug manufacture one or multinomial.Described raising drug quality comprises the therapeutic effect that strengthens medicine, reduce and causedly in the drug use process do not accommodate misery, conveniently use, be easy to store and carry, improve safety that medicine uses, simplify production technology, reduce in the characteristics such as toxic and side effects of medicine one or multinomial.
Wherein, selected potassium v calcium is the chemical compound with following feature:
Chinese: potassium v calcium,
English by name: Phenoxymethylpenicillin Potassium
Formal name used at school is: (2S, 5R, 6R)-3,3-dimethyl-7-oxo-6-(2-phenoxy group acetylamino)-4-thia-1-azabicyclo [3.2.0]-heptane-2-formic acid potassium salt
Molecular formula: C
16H
17KN
2O
5S
Molecular weight: 388.49
Wherein said substrate is the preparation adjuvant that is grouped into by one or more one-tenth, comprises diluent (filler), binding agent, disintegrating agent, lubricant, fluidizer, slow releasing agent, coloring agent, correctives, spice etc.
Described preparation type includes but not limited to buccal tablet, drop pill, confection.As a kind of preparation type commonly used, buccal lozenge is meant and is contained in the oral cavity, the drug slow dissolving produces the pharmaceutical preparation of persistent local action, the main local therapeutic effects that rises, detect the whole disintegrates of planted agent in 30 minutes according to version Pharmacopoeia of People's Republic of China in 2005 detection method second disintegration.But the disintegration of present existing buccal lozenge is all below 10 minutes, as GUILIN XIGUA SHUANG buccal tablet, FUFANG CAOSHANHU HANPIAN, ribavirin buccal tablet, gluconic acid calcium tablet, ammonium iodide buccal tablet, JINSANGZIHOUBAO buccal tablet etc.Disintegration, the too fast medicine that then shows was short in partial action time, will obviously influence the topical therapeutic effect of medicine.The inventor is surprised to find by potassium v calcium being made buccal lozenge of the present invention by designing different pharmaceutical preparation technologies, remained on more than 10 minutes the disintegration of buccal lozenge, preferred 10-100 minute, the dissolution of ingredient reached more than 90% when making complete disintegrate simultaneously.For the preferred 20-60 minute disintegration of buccal lozenge for the purpose of the taking convenience, significant prolongation the action time of medicine and local lesion, thereby improved the topical therapeutic effect of medicine.
In addition, buccal lozenge is after containing of intraoral disintegration, and ingredient wherein should mainly be present in dissolved state just can bring into play its due therapeutical effect in the saliva.Improve the dissolved state of potassium v calcium in saliva; it is the important step of buccal lozenge technology; therefore; the present invention utilizes surfactant polyethylene; polyoxyethylene stearate 40 esters; beta cyclodextrin; poloxamer; carboxymethyl starch sodium; substrate such as stearic acid and medicine material are made solid dispersion or sucrose; maltose; dextrinose; the dextrinose oligosaccharide; panose; cottonseed sugar; stachyose; oligofructose; glucose; fructose; lactose; inulin; protein sugar; stevioside; xylitol; maltose alcohol; sorbitol; gelatinized corn starch; syrup; Icing Sugar such as maltose and medicine material are made solid dispersion; make medicine be molecule; colloid or microcrystalline state are scattered in the substrate; the total surface area of medicine increases; and substrate is hydrophilic; medicine had wetting action; can make medicine molten microgranule or the solution of loosing into rapidly; thereby make the dissolving of medicine and absorb quickening; thereby improved bioavailability, reached the purpose that significantly improves medicine topical therapeutic effect.
The present invention relates to contain the drop pill of following composition:
Described drop pill is made up of ingredient that includes potassium v calcium and substrate, adopt water-bath, oil bath or other mode of heating, mixed material is heated to fusion, stir, insert on the drop pill machine with suitable speed, splash in 40 →-15 ℃ the condensing agent liquid paraffin, methyl-silicone oil, vegetable oil any one or a few, drying forms, and its mesostroma is by containing Polyethylene Glycol
(2000,4000,6000,8000,10000,20000), one or more one-tenth in polyoxyethylene stearate 40 esters, beta cyclodextrin, poloxamer, carboxymethyl starch sodium, stearic acid, sodium stearate, glycerin gelatine, glyceryl monostearate, Lac, polyoxyethylene monostearate, polyethers and the medicinal slow release agent are grouped into.
The present invention relates to contain the buccal tablet of following composition:
Described buccal tablet is made up of ingredient that includes potassium v calcium and substrate, and wherein said substrate contains following material: diluent 1-100%; Binding agent 0-30%; Disintegrating agent 0-10%; Lubricant 0-20%; Fluidizer 0-20%; Slow releasing agent 0-30% and conventional coloring agent, correctives, spice.
The present invention relates to contain the confection of following composition:
Described confection is made up of ingredient that includes potassium v calcium and substrate, and wherein said substrate contains following material: diluent 1-100%; Binding agent 0-20%; Disintegrating agent 0-10%; Lubricant 0-10%; Fluidizer 0-10%; Slow releasing agent 0-30% and conventional coloring agent, correctives, spice.
Preparation method of the present invention comprises following order and step, but following be not limitation of the invention:
1. the preparation method of buccal tablet: proportionally potassium v calcium is mixed with substrate; When described substrate was Icing Sugar, substrate contained but is not limited to one or more composition in sucrose, maltose, dextrinose, dextrinose oligosaccharide, panose, cottonseed sugar, stachyose, oligofructose, glucose, fructose, lactose, inulin, protein sugar, stevioside, xylitol, maltose alcohol, sorbitol, gelatinized corn starch, syrup, the maltose etc.; When described substrate was solid dispersion, substrate contained but is not limited to Polyethylene Glycol
(2000,4000,6000, 8000,10000,20000), polyoxyethylene stearate 40 esters, beta cyclodextrin, poloxamer, carboxymethyl starch sodium, stearic acid, sodium stearate, glycerin gelatine, glyceryl monostearate, Lac, polyoxyethylene monostearate, polyethers one or more composition.
(1) takes by weighing an amount of Icing Sugar or other substrate, add water or binding agent, make suitable soft material, add the ingredient that contains potassium v calcium, stir, cut apart, shaping, drying.
(2) take by weighing an amount of Icing Sugar or other substrate, add the ingredient that contains potassium v calcium, add water or binding agent, stir, granulate, drying is shaped on tablet machine.
(3) take by weighing an amount of Icing Sugar or other substrate, add the ingredient that contains potassium v calcium,,, on tablet machine, be shaped then through cooled and solidified through being heated as the miscible or miscible state of semi-molten of fusion.
(4) take by weighing an amount of Icing Sugar or other substrate,, be cooled to 70-100 ℃, add the ingredient that contains potassium v calcium, stir, on tablet machine, be shaped through being heated as the miscible or miscible state of semi-molten of fusion.
2. the preparation of drop pill: proportionally potassium v calcium is mixed with substrate; Substrate is by containing Polyethylene Glycol
(2000,4000,6000,8000,10000,20000), one or more one-tenth in polyoxyethylene stearate 40 esters, beta cyclodextrin, poloxamer, carboxymethyl starch sodium, stearic acid, sodium stearate, glycerin gelatine, glyceryl monostearate, Lac, polyoxyethylene monostearate, polyethers are grouped into.Adopt water-bath, oil bath or other mode of heating, mixed material is heated to fusion, stir, insert on the drop pill machine, splash in 40 →-15 ℃ the condensing agent with suitable speed.Condensing agent can be any one or a few in liquid paraffin, methyl-silicone oil, the vegetable oil.
3. the preparation of confection: proportionally potassium v calcium is mixed with substrate; Matrix filler is to be grouped into by one or more the one-tenth that contains in sucrose, maltose, dextrinose, dextrinose oligosaccharide, panose, cottonseed sugar, stachyose, oligofructose, glucose, fructose, lactose, inulin, protein sugar, stevioside, xylitol, maltose alcohol, sorbitol, gelatinized corn starch, syrup, the maltose etc.
Take by weighing an amount of Icing Sugar or other substrate heat fused, be cooled to uniform temperature then after, add the ingredient contain potassium v calcium, stir, make into the plasticity magma, cut apart extrusion molding;
Potassium v calcium buccal lozenge of the present invention is compared with existing general formulation has following benefit:
1) the potassium v calcium concentration of raising diseased region improves its antibacterial ability.Medicine dissolves in the saliva in the oral cavity, enters around the oral cavity, pharyngeal and pharyngeal tonsil position.These medicines do not pass through hemodilution, form high local concentrations, strengthen antibacterial ability.Buccal lozenge of the present invention is compared with the tablet of prior art: aspect treatment pharyngitis and pharyngoamygdalitis, it is 85% that the clinical symptoms of potassium v calcium buccal tablet group and sign are improved percentage rate, and potassium v calcium is 56% for oral group, illustrates that the curative effect of buccal tablet is better than oral formulations.Aspect treatment oral cavity infection disease, improving clinical symptoms and sign percentage rate is potassium v calcium buccal tablet group 47%, and oral group 21% of penicillin V potassium illustrates that the curative effect of buccal tablet is better than oral formulations.
2) rapid-action.Medicine acts on pathological tissues immediately behind dissolved in oral cavity, saved to absorb the time limit that distributes.
3) convenient drug administration.To the potassium v calcium of need,, directly act on diseased region then by sucking the messenger drug thing at dissolved in oral cavity through the parenteral route administration.
4) production technology is simple.
Specific implementation method
By following concrete embodiment, can further understand the present invention, but following example not a limitation of the invention.
Embodiment 1-potassium v calcium confection
Prescription: potassium v calcium 125g, sucrose 818.5g, citric acid 10g, food pigment-40 0.1g, mannitol 10g, hypromellose 36.5g, 1000 of amount of formulation.
Method: preparation potassium v calcium 125g, citric acid 10g, food pigment-40 0.1g, mannitol 10g, hypromellose 36.5g mixture grind, and cross 20 purpose sieves.Get sucrose 818.5 grams, be heated to 140 ℃ of fusings, be cooled to 85 ℃, add the mixture after sieving, stirred fast 10 minutes, place extrusion molding on the product shaping machine, every buccal tablet weighs 2 grams.Measure the disintegration of potassium v calcium confection in 37 ℃ of 900ml water and the dissolution during complete disintegrate then.
The result: be 22-28 minute disintegration, and fully the dissolution during disintegrate is 95%-102%.
Embodiment 2-low sugar potassium v calcium confection
Prescription: potassium v calcium 125g, sucrose 193.5g, oligofructose 275g, xylitol 300g, inulin 50g, citric acid 10g, food pigment-400.1g, mannitol 10g, hypromellose 36.5g, 1000 of amount of formulation.
Method: preparation citric acid 10g, food pigment-400.1g, mannitol 10g, hypromellose 36.5g mixture grind, and cross 20 purpose sieves.Get sucrose 193.5g, oligofructose 275g, xylitol 300g, inulin 50g, mix, be heated to 140 ℃ of fusings, add the mixture after sieving, stirred fast 10 minutes, be cooled to 85 ℃, add potassium v calcium 125g, stirred 10 minutes fast, place extrusion molding on the product shaping machine, every buccal tablet weighs 2 grams.Measure the disintegration of potassium v calcium confection in 37 ℃ of 900ml water and the dissolution during complete disintegrate then.
The result: be 26-31 minute disintegration, and fully the dissolution during disintegrate is 94%-98%.
Embodiment 3-potassium v calcium buccal tablet
Prescription: potassium v calcium 125 grams, hypromellose 128 grams, Polyethylene Glycol
6000746 grams, aspartame 1 gram.
Method: preparation hypromellose 128 grams, Polyethylene Glycol
6000746 grams, aspartame 1 gram mixed-matrix, heat fused is cooled to 80 ℃, adds potassium v calcium 125 grams, stirring and evenly mixing, room temperature is cooled to solidifies, and granulates, and places extrusion molding on the tablet machine, and every buccal tablet weighs 1 gram.Measure the disintegration of potassium v calcium buccal tablet in 37 ℃ of 900ml water and the dissolution during complete disintegrate then.
The result: be 26-32 minute disintegration, and fully the dissolution during disintegrate is 93%-99%.
The preparation of embodiment 4-potassium v calcium buccal drop pills
Method: taking polyethylene glycol 4,000 8.8 restrains respectively, polyethylene glycol 6000 25 grams, polyoxyethylene stearate 40 esters 1 gram, hypromellose 4 grams, beta cyclodextrin 1 gram, poloxamer 0.5 gram, stearic acid 0.1 gram, sodium stearate 0.1 gram, glycerin gelatine 0.1 gram, glyceryl monostearate 0.1 gram, Lac 0.1 gram, polyoxyethylene monostearate 0.1 gram, polyethers 0.1 gram, mix homogeneously, add potassium v calcium raw material powder 30 grams again, fully mix, adopt electrically heated mode with the supplementary material mixture heated that makes to molten condition, adopt homemade special drilling pill machine, regulate its water dropper temperature and make it remain on 85 ℃ (error＜2%); With the methyl-silicone oil is condensing agent, the refrigeration control system of regulating the drop pill machine makes the temperature of condensing agent remain on 20 →-5 ℃ (error＜5%), the system of dripping, wait to take out behind the type of being shrunk to, remove the surface condensation agent, dry, make the drop pill that contains potassium v calcium 30mg/ grain, carry out then rounding rate (%), dissolve scattered time limit (minute), the mensuration of the ball method of double differences different (%) and hardness, the rounding rate is 81% as a result, and dissolve scattered time limit 9-11 minute, the ball method of double differences was different from 10%, hardness is qualified, and fully the dissolution during disintegrate is 95%-98%.
Embodiment 5-potassium v calcium buccal tablet
Prescription: potassium v calcium 125g, gelatin 177.5g, glycerol 40g, water 60g, oligofructose 242.5g, xylitol 192g, inulin 50g, citric acid 10g, food pigment-400.1g, mannitol 10g, magnesium stearate 10g, hypromellose 143 grams, 1000 of amount of formulation.
Method: preparation gelatin 177.5g, glycerol 40g, water 60g mixed-matrix, drying adds potassium v calcium 125g, oligofructose 242.5g, xylitol 192g, inulin 50g, citric acid 10g, food pigment-40 0.1g again, mannitol 10g, hypromellose 143 gram mixture, grind, cross 20 purpose sieves, granulate 60 ℃ of dryings with the second alcohol and water, add 10 gram magnesium stearate then, mixing places extrusion molding on the tablet machine, and every buccal tablet weighs 2 grams.Measure the disintegration of potassium v calcium buccal tablet in 37 ℃ of 900ml water and the dissolution during complete disintegrate then.
The result: be 41-52 minute disintegration, and fully the dissolution during disintegrate is 94%-99%.
Embodiment 6-potassium v calcium confection
Prescription: potassium v calcium 125g, sucrose 253g, xylitol 300g, inulin 50g, citric acid 10g, food pigment-400.1g, mannitol 10g, hypromellose 252 grams, 1000 of amount of formulation.
Method: preparation citric acid 10g, food pigment-400.1g, mannitol 10g, hypromellose 252 gram mixture grind, and cross 20 purpose sieves.Get sucrose 253g, xylitol 300g, inulin 50g, mix, be heated to 140 ℃ of fusings, add the mixture after sieving, stirring and evenly mixing is cooled to 85 ℃ fast, adds potassium v calcium 125g, stirred 10 minutes fast, place extrusion molding on the product shaping machine, every buccal tablet weighs 2 grams.Measure the disintegration of potassium v calcium confection in 37 ℃ of 900ml water and the dissolution during complete disintegrate then.
The result: be 75-88 minute disintegration, and fully the dissolution during disintegrate is 92%-99%.
The embodiment 7-embodiment of the invention 3 potassium v calcium buccal tablets and potassium v calcium oral formulations of the prior art are in the comparative test to the therapeutical effect effect of acute pharyngitis and acute pharyngoamygdalitis
Medicine: trial target: the embodiment of the invention 3 potassium v calcium buccal tablet 0.125g/ sheets, reference substance: the potassium v calcium 0.25g/ sheet that Weiqida Pharmaceutical Ind Co., Ltd. produces
Method: choose acute pharyngitis and acute pharyngoamygdalitis case, be divided into oral group of penicillin V potassium, the potassium v calcium buccal tablet is sucked group.Each group awards 4 slices/day of 8 slices/day of embodiment 3 potassium v calcium buccal tablets or penicillin V potassium respectively.Oral group with per 6 hours once, each 1, warm water takes.Suck group with per 6 hours once, 2 of each buccal continuously, every tablet of medicine time of oral cavity including reservation greater than 20 minutes.Each is organized case and all observed 48 hours, improves situation respectively at observation in 4,8,16,24,48 hours and record clinical symptoms and sign after the administration.By writing down the case load that each time point clinical symptoms and sign are improved, analyze the therapeutic effect of buccal lozenge to acute pharyngitis and acute pharyngoamygdalitis.Clinical symptoms and sign be improved as that heating is disappeared, pharyngalgia disappears, pharyngeal or tonsil is congested alleviates three indexs and occurs one at least.
The result: by table 1 as seen, by the laboratory observation to 38 routine cases, it is potassium v calcium buccal tablet group 85% that 48 hours clinical symptoms of taking medicine and sign are improved percentage rate, and oral group 56% of potassium v calcium illustrates that the curative effect of buccal tablet is better than oral formulations.
The efficacy test result of study of table 1, buccal lozenge of the present invention
＊p＜0.05
The embodiment 8-embodiment of the invention 3 potassium v calcium buccal tablets are to the observation of the therapeutic effect of oral cavity infectious disease
Medicine: trial target: the embodiment of the invention 3 potassium v calcium buccal tablet 0.125g/ sheets, reference substance: the potassium v calcium 0.25g/ sheet that Weiqida Pharmaceutical Ind Co., Ltd. produces
Method: choose bacterial infection periodontitis case, be divided into oral group of penicillin V potassium, the potassium v calcium buccal tablet is sucked group.Each group awards 4 slices/day of 8 slices/day of embodiment 3 potassium v calcium buccal tablets or penicillin V potassium respectively.Oral group with per 6 hours once, each 1, warm water takes.Suck group with per 6 hours once, 2 of each buccal continuously, every tablet of medicine time of oral cavity including reservation greater than 20 minutes.Each is organized case and all observed 7 days, respectively at observation in 1,3,7 day and record clinical symptoms and sign after the administration.By writing down the case load that each time point clinical symptoms and sign are improved,, analyze the therapeutic effect of buccal lozenge to the bacterial infection periodontitis with oral group of comparison.Clinical symptoms and sign are improved as that gingival hemorrhage alleviates, gingiva hyperemia alleviates two indexs and occurs one at least.
Result: as seen by table 2, by experimental observation to 20 routine cases, the potassium v calcium buccal tablet is taken medicine, and to improve percentage rate be potassium v calcium buccal tablet group 47% for 7 days clinical symptoms and sign, and oral group 21% of penicillin V potassium illustrates that the curative effect of buccal tablet is better than oral formulations.
The efficacy test result of study of table 2, buccal lozenge of the present invention
＊p＜0.05
Claims (10)
1. a drug quality that improves treatment pharyngitis, pharyngoamygdalitis and oral cavity infection disease is the buccal lozenge of main ingredient with potassium v calcium, it is characterized in that described buccal lozenge is made up of ingredient that includes potassium v calcium and substrate.
2. buccal lozenge according to claim 1, be 10-100 minute the disintegration of described potassium v calcium buccal lozenge.
3. buccal lozenge according to claim 2, be 20-60 minute the disintegration of described potassium v calcium buccal lozenge.
4. the buccal lozenge of potassium v calcium according to claim 1, it is characterized in that: described buccal lozenge type comprises buccal tablet, drop pill, confection.
5. the preparation method of the buccal tablet in the described buccal lozenge that contains potassium v calcium of claim 4, it is characterized in that: described buccal tablet is through being heated as the miscible or miscible state of semi-molten of fusion by the ingredient that contains potassium v calcium and substrate, then through cooled and solidified, and then make described buccal tablet.
6. the preparation method of the drop pill in the described buccal lozenge that contains potassium v calcium of claim 4, it is characterized in that: proportionally potassium v calcium is mixed with substrate, adopt water-bath, oil bath or other mode of heating, mixed material is heated to fusion, stir, insert on the drop pill machine with suitable speed, splash in 40 →-15 ℃ the condensing agent and be shaped.
7. the preparation method of the confection in the described buccal lozenge that contains potassium v calcium of claim 4, it is characterized in that: described confection be earlier with substrate through being heated as the miscible state of fusion, then through being cooled to semi-solid, add the ingredient that contains potassium v calcium then, stirring and evenly mixing, make into the plasticity magma, cut apart, extrusion molding.
8. claim 5 or 6 or 7 preparation method, wherein said substrate is one or more compositions that comprise in Polyethylene Glycol, polyoxyethylene stearate 40 esters, beta cyclodextrin, poloxamer, carboxymethyl starch sodium, stearic acid, glycerin gelatine, glyceryl monostearate, Lac, polyoxyethylene monostearate, polyethers, the Icing Sugar.
9. according to claim 5,6,7 described preparation methoies, it is characterized in that: described substrate comprises one or more medicinal slow releasing agent and coloring agent, correctives, spice and other pharmaceutic adjuvant.
10. the application of the buccal lozenge of claim 1 in preparing the medicine that can improve treatment pharyngitis, pharyngoamygdalitis and oral cavity infection disease drug quality.
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| CN106580968A (en) * | 2016-11-22 | 2017-04-26 | 郑州仁宏医药科技有限公司 | Western medicine powder for treating swelling and aching of gum and preparation method thereof |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106580968A (en) * | 2016-11-22 | 2017-04-26 | 郑州仁宏医药科技有限公司 | Western medicine powder for treating swelling and aching of gum and preparation method thereof |
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