CN101590235A - The composition and use thereof that contains calcium antagonist and vitamin B group - Google Patents

The composition and use thereof that contains calcium antagonist and vitamin B group Download PDF

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CN101590235A
CN101590235A CNA2008101142146A CN200810114214A CN101590235A CN 101590235 A CN101590235 A CN 101590235A CN A2008101142146 A CNA2008101142146 A CN A2008101142146A CN 200810114214 A CN200810114214 A CN 200810114214A CN 101590235 A CN101590235 A CN 101590235A
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vitamin
content
group
calcium antagonist
amlodipine
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秦献辉
王文艳
于多
徐希平
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AUSA PHARMED Ltd
BEIJING AOSA MEDICINE RESEARCH CENTRE Co Ltd
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AUSA PHARMED Ltd
BEIJING AOSA MEDICINE RESEARCH CENTRE Co Ltd
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Priority to CNA2008101142146A priority Critical patent/CN101590235A/en
Priority to PCT/CN2008/001681 priority patent/WO2009143662A1/en
Publication of CN101590235A publication Critical patent/CN101590235A/en
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Abstract

The present invention relates to contain the pharmaceutical composition and the purposes in the medicine of preparation treatment hyperhomocysteinemiainjury or homocysteine rising disease thereof of calcium antagonist and B group vitamin.Calcium antagonist and vitamin B group share and can further reduce the Hcy level, are better than list and use medicine, show that calcium antagonist class medicine and vitamin B group share the level at reduction Hcy, have synergism thereby alleviate in the Hcy damage.Compositions innovation and creation provided by the invention are selections that treatment Hcy raises, for the treatment of homocysteine provides more effective therapeutic scheme.The invention belongs to pharmaceutical field.

Description

The composition and use thereof that contains calcium antagonist and vitamin B group
Technical field
The present invention relates to contain the pharmaceutical composition and the purposes in the medicine of preparation treatment hyperhomocysteinemiainjury or homocysteine rising disease thereof of calcium antagonist and vitamin B group.Belong to pharmaceutical field.
Background technology
As far back as people in 1969 hypothesis is just proposed, think homocysteine (Hcy, a kind of sulfur-containing amino acid) may be the risk factor of cardiovascular disease, since then, there is big quantity research to accumulate objective evidence, thinks that Plasma Homocysteine and cardiovascular disease (CVD) and other systemic disease occurrence risk are closely related.
A large amount of dissimilar studies confirm that, Plasma Homocysteine is independent of conventional risk factors such as hypertension, hyperlipidemia, the Hcy 5 μ mol/L that raise, the apoplexy risk increases by 59% (OR, 1.59; 95%CI, 1.30-1.95), the deep venous thrombosis risk increases by 60% (OR, 1.60; 95%CI, 1.15-2.22), ischemic heart desease (comprising coronary heart disease, angina pectoris, arrhythmia, heart infarction, heart failure and sudden death) risk increases by 33% (OR, 1.33; 95%CI, 1.22-1.46); And Hcy reduces by 3 μ mol/L, and the apoplexy risk reduces by 24%, and the deep venous thrombosis risk reduces by 25%, and the ischemic heart desease risk reduces by 16%.Show Hcy and ischemic heart desease, apoplexy, deep venous thrombosis all closely related [Wald DS, et al.Homocysteine and cardiovascular disease:evidence on causality from ameta-analysis.BMJ.2002; 325:1202-1206.].The mechanism of the body injury that high Hcy mass formed by blood stasis causes it is generally acknowledged and response to oxidative stress, the blood coagulation of destruction body and fibrinolytic between balance, cause that vascular smooth muscle cell proliferation and direct cytotoxicity are relevant.
High Hcy except in CVD develops, playing an important role, also and other diseases such as Alzheimer (Alzheimer ' s disease, AD), cognitive dysfunction, dementia (Clarke et al.1998; Morris, 2003), osteoporosis (Verhoef ﹠amp; De Groot, 2005), depression, parkinson disease (PD), schizophrenia, death, the neonate defective, multiple disease such as habitual abortion is closely related.
Since the nineties in 20th century, the high Hcy of a large amount of report prompting blood plasma and brain function go down and the generation of AD relevant.The blood Hcy level that studies show that AD patient in a large number is higher than normally.1998 by people such as Clarke [Clarke R, et al.Folate, vitamin B12, and serum total homocysteine levels in confirmed Alzheimerdisease.Arch Neurol.1998; 55:1449-1455.] being AD to 164 clinical diagnosises more than 55 years old, the patient has carried out comparative study with 148 similar old peoples of age.The result shows, AD patient's Cambridge cognitive competence is checked (the Cambri dge Cognitive Examination, CAMCOG) scoring and simple and easy mental status examination (mini-mental state examination, MMSE) scoring significantly is lower than matched group, and the Plasma Hcy level significantly increases; The maximum characteristics of this research are to have 76 patients to make a definite diagnosis in after death obtaining the histology in the case, the difference of Hcy concentration more remarkable than 164 clinical diagnosis patients between AD patient after making a definite diagnosis and the contrast; There are some researches show the every rising 5mmol/L of Hcy, the danger of suffering from AD just increases by 40%, and thinks and the diagnosis of the Hcy level before 8 years and dementia and AD can be interrelated at least; Postrglion[Postiglione A, et al.Plasma folate, vitamin B12, and totalhomocysteine tetrahydrofolate reducase gene in patients with Alzheimer ' sdementia.A case-control study.Gerontolgy, 2001; 47:324-349.] etc. the people studies confirm that AD patient not only has higher Plasma Hcy level, its course of disease progress also is directly proportional with Hcy, therefore thinks that the Hcy mass formed by blood stasis not only be the independent hazard factor of AD, more develop with its course of disease and the order of severity relevant.More have research to think, the Hcy level can be used as and is independent of beyond age, sex, education degree, renal function, vitamin B6 level, smoking history and the hypertension and self-existent cognitive competence on the horizon descended and the predictive factors of decline degree.Hcy possible mechanism of action in AD, dementia or cognitive function are impaired: Hcy is to neuronic direct infringement; Strengthen the neurotoxicity of amyloid A β; Influence brain function etc. by the infringement microcirculation.
There is research [OpSuilleabhain PE, et al.Arch Neurol, 2004,61:865.] to show that depression takes place the PD patient of high Hcy and Cognitive function damage is tighter.The research that Susser etc. carry out is schizophrenia group and matched group homocysteine level relatively, and they are divided into normal folate level group and low folate level group, found that two groups there were significant differences in low folate level.Prompting supports that there is homocysteine metabolic imbalance hypothesis [Susser E in schizophrenia thus, etal.Lindenbaum J:Schizophrenia and impaired homocysteine metabolism:a possibleassociation[J] .Biol Psychiatry 1998,44:141].Gonzalez S etc. studies show that, in the old people of no any chronic disease, high Hcy and its death closely related [Gonzalez S, et al.Homocysteineincrease the risk of mortality in elderly individuals.BJN.2007; 1-7].
It is generally acknowledged that the infringement that the Hcy level causes with it is proportionate, do not have a tangible dangerous decomposition point.The external about 8-10 μ of Hcy level mol/L.Hughes et al[J Epidemiol Community Health.2000; 54 (1): 31-34.] find, Chinese male Hcy average out to 15.3 μ mol/L, the women is 12.2 μ mol/L.If with blood plasma tHcy>14 μ mol/L is criterion, the high tHcy incidence rate of Chinese male is 57%, and the women is 31%.Hao et al[J Nutr2007; 137:407-13] research also show that the high Hcy incidence rate of Chinese population is higher.Show that high Hcy is extensive China morbidity crowd, cause important social danger.
Main at present use vitamin B group reduces Hcy.A meta the analysis showed that folic acid is less than 1mg/d (average 0.5mg), and 1-3mg/d (average 1.2mg) is greater than the therapeutic equivalence [BMJ.1998 of 3mg/d (average 5.7mg) reduction Hcy; 316:894-898].
Calcium antagonist claims calcium channel blocker again, can suppress to stride film Ca 2+Interior stream and/or intracellular Ca 2+Discharge, reduce Cytoplasmic Ca 2+Concentration and utilization rate thereof suppress the activity of ATP enzyme, reduce myocardial contraction, make that the myocyte is lax, vasodilation, reduce peripheral vascular resistance, thereby blood pressure is reduced.Calcium antagonist is used for the treatment of angina pectoris, hypertension, arrhythmia, congestive cardiomyopathy and ischemic heart desease etc. clinically.Can be used for primary pulmonary hypertension, cerebral infarction, hypertrophic neuropathy etc. in addition, is the widely used cardiovascular drugs of a class.Dihydropyridine type calcium antagonists is selectivity Ca 2+The channel blocking medicine, its significant feature position is at the porin (dihydropyridines point position) in voltage dependent form passage (PDC), regulating and controlling voltage type passage (VOC) and receptor agonism type passage (ROC) outside and the α l subunit (dihydropyridines responsive type) of L type PDC, its exercising result is to make calcium channel exempt to be activated or gate can not be opened, reduce open calcium channel number, retardance Ca 2+Enter in the cell, and correspondingly show Ca at heart, kidney, blood vessel, smooth muscle etc. 2+The channel blocking effect.Dihydropyridine type calcium antagonists comprises nifedipine (nifedipine), amlodipine (amlodipine), Levamlodipine, nimodipine (nimodipine), nicardipine (nicardipine), lacidipine (lacidipine), nisoldipine (nisoldipine), nitrendipine (nitrendipine), felodipine (felodipine), nilvadipine (nilvadipine), isradipine (isradipine), barnidipine (barnidipine), cilnidipine (cilnidipine), niludipine (niludipine), azelnidipine (azelnidipine) etc.United States Patent (USP) 4572909 discloses amlodipine and relevant dihydropyridine compound thereof, and they are effective anti-ischemic and antihypertensive.United States Patent (USP) 4879303 discloses amlodipine benzenesulphonate.Amlodipine benzenesulphonate is at present with trade name
Figure A20081011421400051
Sell.Nicardipine, nicardipine hydrochlorate are effective dihydropyridine type calcium antagonists.Barnidipine, barnidipine hydrochlorate are effective dihydropyridine type calcium antagonists.Nifedipine has following structural formula.
Figure A20081011421400052
Summary of the invention
The objective of the invention is to overcome the deficiency of existing medicine when the high Hcy of treatment, a kind of pharmaceutical composition and purposes in the medicine of preparation treatment hyperhomocysteinemiainjury or homocysteine rising disease thereof that contains calcium antagonist and vitamin B group is provided.
For achieving the above object, the present invention is by the following technical solutions:
A kind of pharmaceutical composition comprises:
(1) one or more in the calcium antagonist of pharmaceutical dosage, calcium antagonist isomer, calcium antagonist activity metabolite or the calcium antagonist officinal salt;
(2) one or more in the vitamin B group of pharmaceutical dosage; And
(3) acceptable carrier on the pharmaceutics.
In compositions provided by the invention, described calcium antagonist comprises dihydropyridine type calcium antagonists and non-dihydropyridine type calcium antagonists, preferred dihydropyridine type calcium antagonists.Dihydropyridine type calcium antagonists comprises nifedipine, amlodipine, Levamlodipine, nimodipine, nicardipine, lacidipine, nisoldipine, nitrendipine, felodipine, nilvadipine, isradipine, barnidipine, cilnidipine, niludipine, azelnidipine, preferred nifedipine, amlodipine, Levamlodipine, nitrendipine are more preferably amlodipine, Levamlodipine, lacidipine and nifedipine; Non-dihydropyridine type calcium antagonists comprises diltiazem, verapamil etc.Wherein, nifedipine content is that 20-120mg, amlodipine content are that 2.5-20mg, Levamlodipine content are that 2.5-10mg, nicardipine content are that 30-240mg, lacidipine content are that 2-8mg, nisoldipine content are that 5-60mg, nitrendipine content are that 10-60mg, felodipine content are that 2.5-40mg, isradipine content are that 2.5-20mg, diltiazem content are that 30-240mg, verapamil content are 40-480mg.The better content of said medicine is respectively: nifedipine 20-60mg, amlodipine 2.5-10mg, Levamlodipine 2.5-5mg, nicardipine 60-120mg, lacidipine 4-6mg, nisoldipine 10-60mg, nitrendipine 20-60mg, felodipine 2.5-20mg, isradipine 2.5-10mg, diltiazem 90-240mg, verapamil 80-360mg, the isomer of above-mentioned substance, active metabolite or its officinal salt content can be tried to achieve according to of equal value conversion of above-mentioned substance.
In compositions provided by the invention, described vitamin B group comprises vitamin B1 (vitamin B1), vitamin B2 (vitamin B2), vitamin PP, vitamin B6 (vitamin B6), vitamin B12 (vitamin B12), biotin (D-biotin, vitamin H), folic acid (folic acid, vitamin B9) and pantothenic acid (pantothenate, vitamin B5) etc.
In compositions provided by the invention, one or both in described vitamin B group preferred vitamin B12, the vitamin B6.Further comprise folic acid.Wherein, vitamin B12 comprises the derivant of cobalamine, mecobalamin element, 5 '-deoxyadenosyl cobalamin, hydroxocobalamine, cyanocobalamin and other cobalamine and can discharge/generate the material of cobalamine in vivo.Vitamin B6 comprises the derivant of pyridoxol, 2-methyl-3-hydroxy-4-formyl-5-hydroxymethylpyridine., pyridoxamine, pyridoxal 5-phosphate, phosphopyridoxamine and above-mentioned substance and can discharge/generate the material of this compounds in vivo.Folic acid comprises the active metabolite of formyl tetrahydrofolic acid, L-methopterin, folate, folic acid or folate and can discharge/generate the material of folic acid in vivo.
According to the present invention, the content of described vitamin B12 is 1 μ g~2mg, and the content of vitamin B6 is 0.5~50mg.The content of folic acid is 0.2~15mg.Its better content is: vitamin B12 1 μ g~0.25mg, vitamin B6 1~50mg, folic acid 0.2~5mg.Wherein folic acid is treated preferred 0.4mg of effective dose or 0.8mg.
According to the present invention, described vitamin B group is a vitamin B12, and content is 1 μ g~2mg, preferred 1 μ g~0.25mg.
In compositions of the present invention, the component of preferred following content is as active component:
Calcium antagonist is an amlodipine, and vitamin B group is a vitamin B6; Wherein the content of amlodipine is 2.5-10mg, and the content of vitamin B6 is 5-50mg; Or
Calcium antagonist is an amlodipine, and vitamin B group is vitamin B12 and folic acid; Wherein the content of amlodipine is 2.5-10mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg, and the content of folic acid is 0.2~5mg; Or
Calcium antagonist is an amlodipine, and vitamin B group is a vitamin B12; Wherein the content of amlodipine is 2.5-10mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg; Or
Calcium antagonist is an amlodipine, and vitamin B group is vitamin B12, vitamin B6 and folic acid; Wherein the content of amlodipine is 2.5-10mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg, and the content of vitamin B6 is 5-50mg, the content of folic acid is 0.2~5mg; Or
Calcium antagonist is a nifedipine, and vitamin B group is a vitamin B6; Wherein the content of nifedipine is 20-60mg, and the content of vitamin B6 is 5-50mg; Or
Calcium antagonist is a nifedipine, and vitamin B group is vitamin B12 and folic acid; Wherein the content of nifedipine is 20-60mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg, and the content of folic acid is 0.2~5mg; Or
Calcium antagonist is a nifedipine, and vitamin B group is a vitamin B12; Wherein the content of nifedipine is 20-60mg, and the content of vitamin B12 is 0.25-2mg, preferred 1 μ g~0.25mg; Or
Calcium antagonist is a nifedipine, and vitamin B group is vitamin B12, vitamin B6 and folic acid; Wherein the content of nifedipine is 20-60mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg, and the content of vitamin B6 is 5-50mg, the content of folic acid is 0.2~5mg; Or
Calcium antagonist is a lacidipine, and vitamin B group is a vitamin B6; Wherein the content of lacidipine is 2-8mg, and the content of vitamin B6 is 5-50mg; Or
Calcium antagonist is a lacidipine, and vitamin B group is vitamin B12 and folic acid; Wherein the content of lacidipine is 2-8mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg, and the content of folic acid is 0.2~5mg; Or
Calcium antagonist is a lacidipine, and vitamin B group is a vitamin B12; Wherein the content of lacidipine is 2-8mg, and the content of vitamin B12 is 0.25-2mg, preferred 1 μ g~0.25mg; Or
Calcium antagonist is a lacidipine, and vitamin B group is vitamin B12, vitamin B6 and folic acid; Wherein the content of lacidipine is 2-8mg, and the content of vitamin B12 is 1 μ g~2mg, preferred 1 μ g~0.25mg, and the content of vitamin B6 is 5-50mg, the content of folic acid is 0.2~5mg.
Among the present invention, described various content of medicines are the dosage of every day.
According to the present invention, active component in the pharmaceutical composition is the solvent in the compositions, one of them active component comes from a kind of in the calcium antagonist, another active component is from one or more vitamin B group, the dosage form of this pharmaceutical composition includes but not limited to conventional tablet, bilayer tablet, multilayer tablet, slow releasing tablet, the single chamber controlled release tablet, two chambers controlled release tablet, the pore type controlled release tablet, sublingual lozenge, oral cavity quick disintegrating slice, dispersible tablet, enteric coatel tablets, granule, pill, enteric coated capsule, delayed-release tablet, regularly/the position releasing piece, conventional capsule, slow releasing capsule, controlled release capsule, the capsule that contains micropill or small pieces, the pH dependent form capsule that contains micropill or small pieces, oral liquid, membrane or patch, what should particularly point out is that the pharmaceutical composition that will contain calcium antagonist and vitamin B group is made tablet or capsule.
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition, can be made into common oral preparation, comprise conventional tablet, conventional capsule, granule etc., described pharmaceutically suitable carrier includes excipient and the accessory drugs that helps reactive compound is mixed with pharmaceutical formulation when making tablet, compositions as one or more materials of microcrystalline Cellulose, inorganic salts, lactose, sodium chloride, citric acid and sodium sulfite etc. belongs to this area general knowledge.
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition, can be made into slow releasing preparation, comprise excipient and adjuvant etc.Described excipient and adjuvant have comprised that the adjuvant of slow releasing function is that the solubility/insoluble salt of hydroxypropyl methylcellulose and/or ethyl cellulose and/or polyacrylic resin class and/or polycarboxy ethene and/or alginic acid and/or ethyl cellulose and/or other play the adjuvant of slow releasing function, the hypromellose employing includes the extensive stock of hydroxypropyl methylcellulose (HPMC) such as U.S. many elegant (Methocel) of all size, ethyl cellulose adopts the extensive stock that includes ethyl cellulose (EC), and polyacrylic resin adopts and includes polyacrylic resin II, the acrylic resin of III class or analog such as all size (Eudragit).
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition, can be made into controlled release preparation, comprise that active medicine has reached the adjuvant of controlled release effect.The above-mentioned adjuvant that plays the controlled release effect is polyoxyethylene and/or hypromellose and/or ethyl cellulose and/or sodium chloride and/or lactose and/or mannitol and/or fructose and/or glucose and/or sucrose or low-substituted hydroxypropyl cellulose and/or cross-linking sodium carboxymethyl cellulose and/or crospolyvinylpyrrolidone and/or cellulose acetate.Above-mentioned adjuvant is pharmaceutical carrier, expanding material, permeation-promoter, solubilizing agent, binding agent, wetting agent, lubricant, coloring agent, porogen, membrane material, antiplastering aid, plasticizer, lucifuge agent, solvent.Pharmaceutical carrier, expanding material can adopt polyoxyethylene, hypromellose, ethyl cellulose, hydroxypropyl cellulose, methylcellulose, Glyceryl Behenate class etc.; Permeation-promoter can adopt sodium chloride, lactose, mannitol etc.; Solubilizing agent can be adopted sodium lauryl sulphate or poloxamer etc.; Binding agent can adopt polyvinylpyrrolidone, hypromellose, chitosan, sodium alginate, methylcellulose, ethyl cellulose, starch slurry, arabic gum, gelatin, sucrose, polyvinyl alcohol etc.; Wetting agent can adopt the ethanol-water solution of dehydrated alcohol, water, various concentration; Lubricant can adopt stearic acid, magnesium stearate, Pulvis Talci, starch, paraffin etc.; Coloring agent can adopt natural pigment such as carmine, amaranth, lemon yellow, bright orchid, indigo, brownish red ferrum oxide and synthetic dyestuff or the like; Porogen can adopt sucrose, mannitol, Polyethylene Glycol, titanium dioxide, Pulvis Talci, silicon dioxide etc.; Membrane material can adopt cellulose acetate, ethyl cellulose, hydroxypropyl emthylcellulose acetic acid succinate, beautiful jade Cellulose Acetate Phthalate, poly-phthalic acid vinyl acetate cellulose, hydroxypropyl cellulose, hydroxyethyl-cellulose etc.; Solvent can adopt acetone, dehydrated alcohol, ethanol, water etc.
Also contain the pharmaceutics acceptable carrier in the said composition, can be made into sublingual lozenge, oral cavity quick disintegrating slice or dispersible tablet etc.; Comprise excipient and adjuvant etc.Described excipient and adjuvant have mannitol, sorbitol, maltose alcohol, low substituted hydroxy-propyl methylcellulose, microcrystalline Cellulose, carboxymethyl starch sodium, cross-linked carboxymethyl cellulose sodium, crospolyvinylpyrrolidone, processing agar, cyclodextrin, glycyrrhizic acid, stevioside, citric acid, Oleum menthae, eucalyptus oil, Oleum Caryophylli, Fructus Citri Limoniae oil, citrus seed oil and some other correctives that wraps up with microcapsule etc.
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition; can be made into enteric coatel tablets or enteric coated capsule etc.; comprise excipient and adjuvant etc.; described excipient and adjuvant have starch; microcrystalline Cellulose; inorganic salts; hydroxypropyl emthylcellulose; ethyl cellulose; the polyacrylic resin class; polycarboxy ethene; the solubility of alginic acid/insoluble salt; octadecanol; stearic acid; sodium chloride; cysteine; the compositions of one or more materials of citric acid and sodium sulfite etc.; enteric-coating material comprises: Lac; the cellulose acetate phthalate ester; crylic acid resin (as Eudragit L and S type etc.); the polyvinyl acetate phthalic acid ester; phthalic acid hypromellose ester; succinic acid acetic acid hydroxypropyl methylcellulose, and plasticizer is (as diethyl phthalate; Polyethylene Glycol; propylene glycol; glycerol triacetate; dimethyl phthalate; dibutyl sebacate; triethyl citrate; tributyl citrate; CitroflexA-2; the acetylated monoglycerides of Oleum Ricini and percentage etc.) with porogen various medicaments adjuvants such as (as PEG6000).
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition; can be made into delayed-release tablet or timing (position) releasing piece; comprise excipient and adjuvant; described excipient and adjuvant have starch; microcrystalline Cellulose; inorganic salts; hydroxypropyl emthylcellulose; ethyl cellulose; the polyacrylic resin class; polycarboxy ethene; the solubility of alginic acid/insoluble salt; octadecanol; stearic acid; sodium chloride; cysteine; the compositions of one or more materials of citric acid and sodium sulfite etc., described coating material that postpones release or regularly (position) release comprises: Lac; the cellulose acetate phthalate ester; ethyl cellulose; hydroxypropyl emthylcellulose; hydroxypropyl cellulose; crylic acid resin (as Eudragit L and S type etc.); the polyvinyl acetate phthalic acid ester; phthalic acid hypromellose ester; succinic acid acetic acid hydroxypropyl methylcellulose; the polyvinyl acetate phthalic acid ester; and plasticizer is (as diethyl phthalate; Polyethylene Glycol; propylene glycol; glycerol triacetate; dimethyl phthalate; dibutyl sebacate; triethyl citrate; tributyl citrate; CitroflexA-2; the acetylated monoglycerides of Oleum Ricini and percentage etc.) with porogen (as PEGi000; PEG4000; various medicaments adjuvant such as PEG6000).
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition; can be made into slow releasing capsule; controlled release capsule; the capsule that contains micropill or small pieces; contain the pH dependent form capsule of micropill or small pieces etc.; comprise excipient and adjuvant; described excipient and adjuvant have starch; microcrystalline Cellulose; inorganic salts; hydroxypropyl emthylcellulose; ethyl cellulose; the polyacrylic resin class; polycarboxy ethene; the solubility of alginic acid/insoluble salt; octadecanol; stearic acid; sodium chloride; cysteine; the compositions of one or more materials of citric acid and sodium sulfite etc., coating material comprises: Lac; the cellulose acetate phthalate ester; ethyl cellulose; hydroxypropyl emthylcellulose; hydroxypropyl cellulose; crylic acid resin (as Eudragit L and S type etc.); the polyvinyl acetate phthalic acid ester; phthalic acid hypromellose ester; succinic acid acetic acid hydroxypropyl methylcellulose; the polyvinyl acetate phthalic acid ester; and plasticizer is (as diethyl phthalate; Polyethylene Glycol; propylene glycol; glycerol triacetate; dimethyl phthalate; dibutyl sebacate; triethyl citrate; tributyl citrate; CitroflexA-2; the acetylated monoglycerides of Oleum Ricini and percentage etc.) with porogen various medicaments adjuvants such as (as PEG6000).
Also contain the pharmaceutics acceptable carrier in this pharmaceutical composition, can be made into dosage forms such as granule, oral liquid, membrane, patch.Described pharmaceutically acceptable carrier includes excipient and the adjuvant that helps reactive compound is mixed with pharmaceutical formulation when making the patch membrane; as polyvinyl alcohol, Triafol T, ethylene-vinyl acetate copolymer, polyvinylpyrrolidone, polyacrylamide, polybutene class pressure sensitive adhesive, crylic acid resin pressure sensitive adhesive, silicone pressure sensitive adhesive etc.; and back lining materials such as polrvinyl chloride, polyethylene, aluminium foil, polypropylene, polyester, the compositions of one or more materials of protecting film such as polyethylene, polystyrene, polypropylene etc.
Chemical compound in the pharmaceutical composition provided by the invention can be granted diseased individuals simultaneously in identical preparation, also grant diseased individuals discriminably in succession.If grant diseased individuals in succession, then the delay of granting of second (or additional) active component should not cause active component to unite the loss of the beneficial effect that brings.If grant diseased individuals simultaneously, the chemical compound in the compositions can mix and be present in the same pharmaceutical dosage forms, also can independently exist respectively with same dosage form.If independently exist respectively with same dosage form, then pharmaceutical composition can flexible existing with " Combined drug box " form." Combined drug box " is a kind of case type container, the drug regimen of built-in one or more dosage forms, and operation instructions.The compound tablet of a kind of composition in a kind of and described vitamin B group in the preferred in the present invention described calcium antagonist class medicine.
Chemical compound in the pharmaceutical composition provided by the invention can be granted diseased individuals simultaneously in preparation inequality, also grant diseased individuals discriminably in succession.If grant diseased individuals in succession, then the delay of granting of second (or additional) active component should not cause active component to unite the loss that brings beneficial effect.If grant diseased individuals simultaneously, the chemical compound in the compositions independently exists with different dosage forms, and pharmaceutical composition also can flexible existing with " Combined drug box " form." Combined drug box " is a kind of case type container, the drug regimen of built-in one or more dosage forms, and operation instructions.
Another object of the present invention provides the purposes of pharmaceutical composition in the medicine of preparation treatment hyperhomocysteinemiainjury or homocysteine rising disease that contains calcium antagonist and vitamin B group.
Beneficial effect of the present invention:
The at present clinical medicine that does not still have the rising of efficient treatment homocysteine, single with vitamin B group (folk prescription or compound recipe) unsatisfactory curative effect, do not reach certain degree owing to reduce the degree of Hcy, often unhelpful to terminal point; Calcium antagonist and vitamin B group share and can further reduce Hcy, thereby reduce the Hcy damage, have synergism, can solve the clinical blank of present treatment Hcy.
The present invention will be further described below in conjunction with the specific embodiment, is not limitation of the invention, all any this areas of carrying out according to content of the present invention be equal to replacement, all belong to protection scope of the present invention.
The specific embodiment
Embodiment 1: preparation amlodipine VB12 sheet (1000)
Prescription is formed:
Amlodipine 5g
VB12 6mg
Starch 10g
Microcrystalline Cellulose 50g
Carboxymethyl starch sodium (CMSNa) 30g
10% 30 POVIDONE K 30 BP/USP-30 (solvent is a dehydrated alcohol) is an amount of
Magnesium stearate is an amount of
Preparation technology:
5g amlodipine, 6mgVB12,50g lactose, 50g microcrystalline Cellulose, 10g starch are pulverized, cross 120 mesh sieves, according to the equivalent method mix homogeneously that progressively increases, poly-ly make soft material for the ketone alcoholic solution with an amount of 10%, granulation, dry, granulate, with water content is about 3% granule and an amount of magnesium stearate mix homogeneously, makes 1000 according to a conventional method promptly.Embodiment 2: preparation amlodipine folic acid, VB12 sheet (1000)
Prescription is formed:
Amlodipine 10.0g
Folic acid 0.8g
VB12 0.1g
Starch 45.0g
Microcrystalline Cellulose 45.0g
Carboxymethyl starch sodium (CMSNa) 5.0g
5% 30 POVIDONE K 30 BP/USP-30 (solvent is a dehydrated alcohol) is an amount of
Magnesium stearate is an amount of
Preparation technology is with embodiment 1.
Embodiment 3: preparation amlodipine folic acid, VB12, VB6 sheet (1000)
Prescription is formed:
Amlodipine 10.0g
Folic acid 0.8g
VB12 0.1g
VB6 6.0g
Starch 45.0g
Microcrystalline Cellulose 45.0g
Carboxymethyl starch sodium (CMSNa) 5.0g
5% 30 POVIDONE K 30 BP/USP-30 (solvent is a dehydrated alcohol) is an amount of
Magnesium stearate is an amount of
Preparation technology is with embodiment 1.
Embodiment 4: preparation nifedipine folic acid VB12 capsule (1000)
Prescription is formed:
Nifedipine 30.0g
Folic acid 0.8g
VB12 0.1g
Lactose 30.0g
Microcrystalline Cellulose 15.0g
Starch 20.0g
Carboxymethyl starch sodium 5.0g
Magnesium stearate is an amount of
Preparation technology:
According to the prescription proportioning, get lactose, microcrystalline Cellulose, starch, carboxymethylstach sodium and in about 100 ℃, distinguish dry about 2 hours, cross 100 mesh sieves; With crude drug cross behind 100 mesh sieves with above-mentioned adjuvant by equivalent incremental method mix homogeneously, with No. 3 capsule fills.
Embodiment 5: preparation Levamlodipine folic acid VB12 capsule (1000)
Prescription is formed:
Levamlodipine 2.5g
Folic acid 0.8g
VB12 0.1g
Starch 10.0g
Microcrystalline Cellulose 50.0g
Carboxymethyl starch sodium (CMSNa) 30.0g
5% 30 POVIDONE K 30 BP/USP-30 (solvent is a dehydrated alcohol) is an amount of
Magnesium stearate is an amount of
Preparation technology is with embodiment 7.
Embodiment 6: amlodipine VB12 compound recipe is to the curative effect of high Hcy rat model
1, method
90 of 250~300g male rats are got in animal and high Hcy modelling, are divided into 6 groups at random, 15/group.Wherein 1 group gives normal feedstuff, and other groups give the feedstuff of homomethionin, continuous 12 weeks.
Each group of grouping and administration gives amlodipine (0.5mg/kg), amlodipine (1mg/kg), VB12 (0.01mg/kg), amlodipine+VB12 (0.5mg+0.01mg/kg) respectively, and all the other two group model groups and normal group give the equivalent normal saline respectively.In continuous 8 weeks, the mensuration of required index is carried out in the ventral aorta blood sampling after the last administration.
2, result
The result shows, compares with normal group, and methionine feed group Hcy all significantly raises.Amlodipine list medicine group does not make significant difference to Hcy, and the folic acid group all can significantly reduce the Hcy level; Amlodipine+folic acid group can significantly reduce the Hcy level, is better than list with amlodipine group and folic acid group, shows that the two has significant synergism on reduction Hcy.
Embodiment 7: amlodipine folic acid VB12 compound recipe is to the curative effect of high Hcy rat model
1, method
90 of 250~300g male rats are got in animal and high Hcy modelling, are divided into 6 groups at random, 15/group.Wherein 1 group gives normal feedstuff, and other groups give the feedstuff of homomethionin, continuous 12 weeks.
Each group of grouping and administration gives amlodipine (0.5mg/kg), amlodipine (1mg/kg), folic acid+VB12 (0.08mg+0.01mg/kg), amlodipine+folic acid+VB12 (0.5mg+0.08mg+0.01mg/kg) respectively, and all the other two group model groups and normal group give the equivalent normal saline respectively.In continuous 8 weeks, the mensuration of required index is carried out in the ventral aorta blood sampling after the last administration.
2, result
The result shows, compares with normal group, and methionine feed group Hcy all significantly raises.Amlodipine list medicine group does not make significant difference to Hcy, and folic acid+VB12 group all can significantly reduce the Hcy level; Amlodipine folic acid VB12 group also can significantly reduce the Hcy level, is better than list with amlodipine group and folic acid group, shows that amlodipine and vitamin B group have significant synergism on reduction Hcy.
It is the independent hazard factor of body that brief summary: Hcy raises, single at present unsatisfactory with folic acid or Compound B vitamin effect in the treatment of clinical high Hcy, the compound medicine of this invention can further reduce Hcy, thereby reduce the Hcy damage, to be better selection, for the treatment of homocysteine provides more effective therapeutic scheme.

Claims (10)

1. pharmaceutical composition for the treatment of hyperhomocysteinemiainjury or homocysteine rising disease comprises:
(1) calcium antagonist of pharmaceutical dosage;
(2) vitamin B group of pharmaceutical dosage; And
(3) acceptable carrier on the pharmaceutics;
Wherein, described calcium antagonist is selected from a kind of in nifedipine, amlodipine, Levamlodipine, nimodipine, nicardipine, lacidipine, nisoldipine, nitrendipine, felodipine, nilvadipine, isradipine, barnidipine, cilnidipine, niludipine, azelnidipine, diltiazem, the verapamil; Described vitamin B group is selected from one or more in folic acid, vitamin B6, vitamin B12, vitamin B1, vitamin B2, vitamin PP, biotin and the pantothenic acid.
2. the described compositions of claim 1, it is characterized in that: described calcium antagonist is selected from nifedipine, amlodipine, Levamlodipine, lacidipine, felodipine, isradipine, diltiazem, a kind of in the verapamil, wherein, nifedipine content is 20~120mg, amlodipine content is 2.5~20mg, Levamlodipine content is 2.5~10mg, lacidipine content is 2~8mg, felodipine content is 2.5~40mg, isradipine content is 2.5-20mg, diltiazem content is 30-240mg, verapamil content is 40-480mg; Described vitamin B group is one or both in vitamin B12, the vitamin B6, and wherein, vitamin B12 content is 1 μ g~2mg, and vitamin B6 content is 5-50mg.
3. the described compositions of claim 2, it is characterized in that: described vitamin B12 content is 1 μ g~0.25mg.
4. claim 2,3 each described compositionss further comprise folic acid, and content is 0.2~5mg, preferred 0.2~1.0mg.
5. the described compositions of claim 4, it is characterized in that: the content of described folic acid is 0.4mg or 0.8mg.
6. the described compositions of claim 2, it is characterized in that: described calcium antagonist is an amlodipine, content is 2.5~20mg; Described vitamin B group is a vitamin B12, and content is 1 μ g~0.25mg.
7. the described compositions of claim 2, it is characterized in that: described calcium antagonist is a lacidipine, content is 2~8mg; Described vitamin B group is a vitamin B12, and content is 1 μ g~0.25mg.
8. claim 6,7 each described compositionss further comprise folic acid, and content is 0.2~1.0mg.
9. any one described compositions in the claim 1 to 8 is characterized in that: said composition make conventional tablet, conventional capsule, granule, slow releasing tablet, sublingual lozenge, oral cavity quick disintegrating slice, dispersible tablet, enteric coatel tablets, enteric coated capsule, delayed-release tablet, regularly/position releasing piece, slow releasing capsule, controlled release capsule, contain micropill or small pieces capsule, contain pH dependent form capsule, granule, oral liquid, membrane, the patch dosage form of micropill or small pieces.
10. the purposes of any one described compositions in the medicine of preparation treatment hyperhomocysteinemiainjury or homocysteine rising disease in the claim 1 to 9.
CNA2008101142146A 2008-05-30 2008-05-30 The composition and use thereof that contains calcium antagonist and vitamin B group Pending CN101590235A (en)

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CNA2008101142146A CN101590235A (en) 2008-05-30 2008-05-30 The composition and use thereof that contains calcium antagonist and vitamin B group
PCT/CN2008/001681 WO2009143662A1 (en) 2008-05-30 2008-09-28 Pharmaceutical composition comprising calcium blocker and b family vitamins and the use thereof

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498643A (en) * 2018-12-06 2019-03-22 北京斯利安药业有限公司 A kind of folate composition and its application in the old mistake intelligence drug of preparation improvement
CN111481554A (en) * 2019-01-29 2020-08-04 深圳奥萨医药有限公司 Tablet containing amlodipine and folic acid and preparation method thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498643A (en) * 2018-12-06 2019-03-22 北京斯利安药业有限公司 A kind of folate composition and its application in the old mistake intelligence drug of preparation improvement
CN111481554A (en) * 2019-01-29 2020-08-04 深圳奥萨医药有限公司 Tablet containing amlodipine and folic acid and preparation method thereof
CN111481554B (en) * 2019-01-29 2022-11-25 深圳奥萨医药有限公司 Tablet containing amlodipine and folic acid and preparation method thereof

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