CN102579442B - Compound preparation containing benidipine hydrochloride and atorvastatin calcium and application for compound preparation - Google Patents

Compound preparation containing benidipine hydrochloride and atorvastatin calcium and application for compound preparation Download PDF

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CN102579442B
CN102579442B CN 201210068311 CN201210068311A CN102579442B CN 102579442 B CN102579442 B CN 102579442B CN 201210068311 CN201210068311 CN 201210068311 CN 201210068311 A CN201210068311 A CN 201210068311A CN 102579442 B CN102579442 B CN 102579442B
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weight portions
atorvastatin calcium
compound preparation
magnesium stearate
mesh sieves
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CN102579442A (en
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许东升
陈海霞
初茂忠
杨毅娟
徐彦
韩丽丽
马全龙
王浩骅
孙山
梁海勇
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Shandong Xinbao Pharmaceutical Co.,Ltd.
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SHANDONG HUAYANG PHARMACEUTICAL CO Ltd
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Abstract

The invention discloses a compound preparation containing benidipine hydrochloride and atorvastatin calcium and application for the compound preparation. The compound preparation comprises the following active ingredients: the benidipine hydrochloride and the atorvastatin calcium. By the compound preparation, the defect that hypertension and hyperlipidemia cannot be treated simultaneously by single medicines is overcome, and the compound preparation is prepared by compounding the benidipine hydrochloride and the atorvastatin calcium. The preparation can be prepared into oral formulations of different forms, and a treatment effect of the compound preparation is enhanced under the synergetic and complementary action of medicines, the using dose of the medicines is reduced in clinical application, and the adverse reaction of patients is relieved, so the compound preparation is accepted easily by the patients. The compound preparation has an obvious treatment effect on hypertension and hyperlipidemia, is suitable for the patients who suffer from serious cardiovascular cerebrovascular diseases accompanied with high cholesterol, blood fat metabolic disturbance, cardiac failure, atherosclerosis, coronary heart diseases, acute myocardial infarction and the like, and is low in cost, easy to prepare and convenient to popularize and apply.

Description

A kind of capsule preparations that contains KW-3049 and Atorvastatin calcium
Technical field
The present invention relates to a kind of compound preparation and application thereof, be specifically related to a kind of compound preparation and application thereof that contains KW-3049 and Atorvastatin calcium, belong to the biological medicine technology field.
Background technology
Hypertension is popular disease the most widely in the world today, is called " noiseless killer " by people.Global disease burden survey result showed in 2000, and 50% cardiovascular disease is caused that by hypertension hypertension accounts for 4.5% in present global disease burden, no matter developed country or developing country, and hypertension is all very general.Data shows according to statistics, in recent years China more than 18 years old resident's hypertension prevalence be l8.8%, national number of patients has reached 200,000,000; Then rose to 60%~70% greater than 70 years old among the crowd.In China crowd's more than 40 years old the cause of death, heart disease and cerebrovascular are classified the-position and the 3rd respectively as, and first risk factor of total death is hypertension.Hypertension is the primary risk factor of cardiovascular and cerebrovascular disease and kidney disease, and annual also with nearly 3,000,000 people's speed increase, people's health in serious harm.Wherein half is with dyslipidemia, and along with the further expansion of obese people, this part patient's quantity also will further increase.Hypertension and dyslipidemia are the important risk factor of present two big controllable cardiovascular and cerebrovascular diseases of generally acknowledging.These two kinds of risk factors often merge existence, and influence each other.Framingham studies show that about 80% hyperpietic and deposits other risk factors of cardiovascular diseases, wherein the modal dyslipidemia that is; French hyperpietic below 55 years old investigates to 193784 examples, shows that also surpassing 50% patient merging exists dyslipidemia.Control blood pressure simultaneously and regulate dyslipidemia and make the bigger benefit of patient, the NHANES-m result of study showed in 2003: the control blood pressure, actively transfer fat to make LDL-C and HDL-C level incidence rate of male patient's cardiovascular event that will make up to standard descend 51%, female patient descends 43%.So, facing the patient of huge hypertensive patients dyslipidemia, blood pressure lowering transfers the fat treatment most important simultaneously, can better control blood pressure, reduces the cardiovascular event risk.
KW-3049 is a kind of novel, long-acting, second filial generation dihydropyridine calcium ion antagonist, is used for the treatment of essential hypertension clinically.Domestic literature is used for the treatment of hypertensive report about KW-3049, mostly is greatly once a day, and common dose is each 2~4mg, and maximal dose is each 8mg.Atorvastatin calcium is a kind of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-GoA) reductase inhibitor of novel synthetic tissue selectivity, synthetic by blocking-up liver cholesterol, and promote surface of hepatocytes low-density lipoprotein cholesterol (LDL-C) receptor expression, can effectively reduce LDL-C.The recommendation initial dose of Atorvastatin calcium is 10mg/ day, dosage range 10~60mg/ day, more merging hyperlipemia is arranged in Hypertensive Population, as the not development of control in early days with will promoting arteriosclerosis, on the basis of KW-3049 blood pressure lowering, the coupling Atorvastatin calcium can make blood pressure level further reduce after transferring the fat treatment, and can adjust blood lipid level and well change, the associating fat-reducing medicament can significantly reduce the cardiovascular event risk on the blood pressure lowering basis.But most of patients to hypertension and hyperlipidemia cognitive not enough, poor with prodrug complex, bad health idea, autocontrol force, to reach medical worker's Service Management not in place all be the main cause that influences hypertension and hyperlipemic patients drug compliance difference, for the compound preparation of effective treatment hypertension and hyperlipidemia is provided, improve patient's compliance, these two kinds of medicines are combined drug combination have good effect.
Summary of the invention
Needs and the raising drug compliance of the present invention in order to satisfy hypertension and hyperlipemic patients, a kind of compound preparation that contains KW-3049 and Atorvastatin calcium is provided, this compound preparation antihypertensive effect is remarkable, can treat hypertension and hyperlipidemia simultaneously, little to patient's toxic and side effects, be easy to be accepted by the patient.
The present invention also provides the application of this compound preparation.
When treating hypertension and hyperlipidemia clinically now, often have following problem: 1, list will be treated a kind of disease with a kind of drug main, the multiple complications such as hyperlipidemia but hypertension occurs together simultaneously must be used by multiple medicine simultaneously for guaranteeing curative effect, could guarantee therapeutic effect; 2, during drug combination, because nothing meets the pharmaceutical preparation standard of drug combination dosage, and use clinical inaccurately with dosage, influence curative effect of medication.The present invention has overcome above defective, be devoted to drug combination and treat the research of hypertension and hyperlipidemia simultaneously, to reach control blood pressure and blood fat and to slow down the important organ infringement simultaneously, reduce the purpose of the case fatality rate of hypertension and hyperlipemic patients, solve patient's misery of taking medicine.In research process, be active constituents of medicine with KW-3049 and Atorvastatin calcium, carry out the experiment of drug combination, find that the two combination can improve the therapeutic effect of hypertension and hyperlipidemia greatly, and the compound formulation that drug combination forms can improve patient's drug compliance, obviously alleviate patient's untoward reaction, be easy to be accepted by the patient.
Technical scheme of the present invention is as follows:
A kind of compound preparation that contains KW-3049 and Atorvastatin calcium is characterized in that: be effective ingredient with KW-3049 and Atorvastatin calcium.
In the above-mentioned compound formulation, active constituents of medicine content is: KW-3049 1~10 weight portion, and Atorvastatin calcium 1~320 weight portion, preferred: KW-3049 2~8 weight portions, Atorvastatin calcium 5~80 weight portions.
In the above-mentioned compound preparation, preferred: the mass ratio of KW-3049 and Atorvastatin calcium is 1:2~10, most preferably 1:5~10.
Compound formulation of the present invention, except active constituents of medicine, also contain acceptable accessories, according to the difference of clinical practice, the effective one-tenth of medicine and adjuvant can be made various medically acceptable oral formulations, the consumption of adjuvant can be measured to determine according to actual needs.For example, can be made into compound hydrochloric acid benidipine-atorvastatin calcium tablet (ordinary tablet, dispersible tablet, slow releasing tablet and other special tablets), compound hydrochloric acid benidipine-atorvastatin calcium capsule (conventional capsule, slow releasing capsule and other special capsules), compound hydrochloric acid benidipine-Atorvastatin calcium drop pill, compound hydrochloric acid benidipine-Atorvastatin calcium granule etc.
The used adjuvant of medicine of preparation different dosage form includes diluent, disintegrating agent, binding agent, dispersant, plasticizer, correctives, fluidizer, lubricant etc. substantially.Medicine of the present invention is when preparing different dosage forms, and used adjuvant can be selected microcrystalline Cellulose, pregelatinized Starch, super carboxymethylstach sodium, carboxymethylstach sodium, lactose, polyvinylpolypyrrolidone, cross-linked carboxymethyl cellulose sodium, dextrin, aspartame, 30 POVIDONE K 30 BP/USP 30, hypromellose, Polyethylene Glycol-1500, Polyethylene Glycol-4000, Polyethylene Glycol-6000, sucrose, soluble starch, saccharin sodium, micropowder silica gel and magnesium stearate etc.
Compound preparation of the present invention has the effect for the treatment of hypertension and hyperlipidemia simultaneously, can use it in the medicine of preparation treatment hypertension and hyperlipidemia.
The present invention carries out KW-3049 and Atorvastatin calcium composite, also can treat hyperlipidemia simultaneously in treatment hypertension, and this product can drug combination, and need not respectively hypertension and hyperlipidemia be treated taking convenience more respectively with single medicine.Empirical tests, medicine after composite can improve the curative effect of blood pressure lowering and blood fat reducing, collaborative, complementary action is arranged, and because the synergism of two kinds of medicines, the using dosage of each active drug is reduced, alleviated patient's untoward reaction, the compensation response that blood pressure and blood fat blood pressure lowering trigger when having prevented single therapy, increase patient's toleration, improved compliance.
Medicine of the present invention, oral, every day 1 time, the dosage of each KW-3049 is 1-4mg, the dosage of Atorvastatin calcium is 5-40mg.2 week back blood pressures and the rate and blood-lipid decreased of taking medicine do not reach effective standard person can increase to every day 2 times.3~5 h peaking concentration behind this drug oral, mean half-life in patient's body reaches 25 h, can keep at least 24 h hypotensive effects oral 1 time every day, heart rate, chamber conduction there is not obviously influence, areflexia tachycardia and postural hypotension, have the excellent drug toleration, general 4~8 weeks are a course for the treatment of.
The present invention has overcome the shortcoming that single drug can not treated hypertension and hyperlipidemia simultaneously, has obtained compound preparation of the present invention by KW-3049 and Atorvastatin calcium composite.Preparation of the present invention can be made into the peroral dosage form of different shape, because collaborative, the complementary action of medicine, this compound preparation therapeutic effect strengthens, and the medicine using dosage reduces in clinical practice, has alleviated patient's untoward reaction, is easy to be accepted by the patient.This compound preparation is remarkable to hypertension and hyperlipidemia therapeutic effect, is applicable to serious cardiovascular and cerebrovascular disease patients such as hypercholesterolemia, dysbolism of blood fat, heart failure, atherosclerosis, coronary heart disease, acute myocardial infarctions.And the present invention is cheap, and preparation is simple, and is easy to utilize.
The specific embodiment
The present invention will be further elaborated below by specific embodiment and clinical experiment, should be understood that following explanation only is in order to explain the present invention, its content not to be limited.
Tablet
Embodiment 1
KW-3049 1 weight portion, Atorvastatin calcium 1 weight portion, lactose 44 weight portions, microcrystalline Cellulose 20 weight portions, pregelatinized Starch 40 weight portions, carboxymethylstach sodium 15 weight portions, hypromellose 2.5 weight portions, magnesium stearate 1.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 1mg contains Atorvastatin calcium 1mg in every.
Embodiment 2
KW-3049 1 weight portion, Atorvastatin calcium 5 weight portions, lactose 40 weight portions, microcrystalline Cellulose 20 weight portions, pregelatinized Starch 45 weight portions, carboxymethylstach sodium 15 weight portions, cross-linked carboxymethyl cellulose sodium 20 weight portions, hypromellose 2.5 weight portions, magnesium stearate 1.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 20 mesh sieves and granulated, 65 ℃ of dryings are abundant, and 20 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 5mg in every.
Embodiment 3
KW-3049 2 weight portions, Atorvastatin calcium 10 weight portions, microcrystalline Cellulose 30 weight portions, pregelatinized Starch 58 weight portions, carboxymethylstach sodium 20 weight portions, 30 POVIDONE K 30 BP/USP 30 3 weight portions, magnesium stearate 2 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 20 mesh sieves and granulated, 65 ℃ of dryings are abundant, and 20 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 2 mg contain Atorvastatin calcium 10 mg in every.
Embodiment 4
KW-3049 4 weight portions, Atorvastatin calcium 20 weight portions, lactose 30 weight portions, microcrystalline Cellulose 23 weight portions, pregelatinized Starch 26 weight portions, cross-linked carboxymethyl cellulose sodium 18 weight portions, hypromellose 3 weight portions, magnesium stearate 1 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hypromellose is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 70 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 4mg contains Atorvastatin calcium 20mg in every.
Embodiment 5
KW-3049 4 weight portions, Atorvastatin calcium 40 weight portions, lactose 40 weight portions, microcrystalline Cellulose 50 weight portions, pregelatinized Starch 68.5 weight portions, carboxymethylstach sodium 40 weight portions, hypromellose 5 weight portions, magnesium stearate 2.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 4mg in every contains Atorvastatin calcium 40 mg.
Embodiment 6
KW-3049 8 weight portions, Atorvastatin calcium 80 weight portions, lactose 76 weight portions, pregelatinized Starch 82.5 weight portions, carboxymethylstach sodium 50 weight portions, 30 POVIDONE K 30 BP/USP 30 5 weight portions, magnesium stearate 2.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 2mg in every contains Atorvastatin calcium 20 mg.
Embodiment 7
KW-3049 10 weight portions, Atorvastatin calcium 200 weight portions, lactose 50 weight portions, microcrystalline Cellulose 40 weight portions, pregelatinized Starch 41.5 weight portions, carboxymethylstach sodium 35 weight portions, cross-linked carboxymethyl cellulose sodium 20 weight portions, 30 POVIDONE K 30 BP/USP 30 3 weight portions, hypromellose 3 weight portions, magnesium stearate 2.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30, hydroxypropyl first fiber are mixed with suitable concentration with purified water and make binding agent, and be standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, tabletting, coating, namely.Hydrochloric benidipine 1mg contains Atorvastatin calcium 20mg in every.
Capsule
Embodiment 8
KW-3049 1 weight portion, Atorvastatin calcium 1 weight portion, lactose 30 weight portions, microcrystalline Cellulose 20 weight portions, pregelatinized Starch 30 weight portions, carboxymethylstach sodium 15 weight portions, hypromellose 2 weight portions, magnesium stearate 1 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, and are encapsulated, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 1mg in every.
Embodiment 9
KW-3049 2 weight portions, Atorvastatin calcium 5 weight portions, lactose 25 weight portions, microcrystalline Cellulose 20 weight portions, pregelatinized Starch 30 weight portions, carboxymethylstach sodium 15 weight portions, hypromellose 2 weight portions, magnesium stearate 1 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, and are encapsulated, namely.Hydrochloric benidipine 2 mg contain Atorvastatin calcium 5 mg in every.
Embodiment 10
KW-3049 2 weight portions, Atorvastatin calcium 10 weight portions, microcrystalline Cellulose 35 weight portions, pregelatinized Starch 29.5 weight portions, carboxymethylstach sodium 20 weight portions, 30 POVIDONE K 30 BP/USP 30 2 weight portions, magnesium stearate 1.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, and are encapsulated, namely.Hydrochloric benidipine 2 mg contain Atorvastatin calcium 10 mg in every.
Embodiment 11
KW-3049 4 weight portions, Atorvastatin calcium 40 weight portions, lactose 20 weight portions, microcrystalline Cellulose 25 weight portions, pregelatinized Starch 38.5 weight portions, cross-linked carboxymethyl cellulose sodium 18 weight portions, hypromellose 3 weight portions, magnesium stearate 1.5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, and are encapsulated, namely.Hydrochloric benidipine 4 mg contain Atorvastatin calcium 40mg in every.
Embodiment 12
KW-3049 4 weight portions, Atorvastatin calcium 80 weight portions, lactose 40 weight portions, microcrystalline Cellulose 40 weight portions, pregelatinized Starch 41 weight portions, carboxymethylstach sodium 20 weight portions, cross-linked carboxymethyl cellulose sodium 20 weight portions, hypromellose 4 weight portions, magnesium stearate 1 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, and are encapsulated, namely.Hydrochloric benidipine 2mg in every contains Atorvastatin calcium 40 mg.
Embodiment 13
KW-3049 8 weight portions, Atorvastatin calcium 80 weight portions, lactose 40 weight portions, microcrystalline Cellulose 50 weight portions, pregelatinized Starch 41 weight portions, carboxymethylstach sodium 20 weight portions, cross-linked carboxymethyl cellulose sodium 56 weight portions, hypromellose 4 weight portions, magnesium stearate 1 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to be crossed 18 mesh sieves and granulated, 60 ℃ of dryings are abundant, and 18 mesh sieve granulate add the magnesium stearate mix homogeneously of recipe quantity, and are encapsulated, namely.Hydrochloric benidipine 1mg in every contains Atorvastatin calcium 10 mg.
Dispersible tablet
Embodiment 14
KW-3049 1 weight portion, Atorvastatin calcium 1 weight portion, microcrystalline Cellulose 20 weight portions, lactose 14.6 weight portions, pregelatinized Starch 25 weight portions, super carboxymethylstach sodium 16 weight portions, cross-linked carboxymethyl cellulose sodium 20 weight portions, hypromellose 1 weight portion, aspartame 1 weight portion, magnesium stearate 0.4 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, is crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate add the magnesium stearate mix homogeneously, tabletting, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 1mg in every.
Embodiment 15
KW-3049 1 weight portion, Atorvastatin calcium 5 weight portions, microcrystalline Cellulose 10 weight portions, lactose 25 weight portions, pregelatinized Starch 30 weight portions, super carboxymethylstach sodium 36 weight portions, polyvinylpolypyrrolidone 61 weight portions, hypromellose 1 weight portion, aspartame 2 weight portions, saccharin sodium 3 weight portions, magnesium stearate 3 weight portions, micropowder silica gel 4 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, is crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate add the magnesium stearate mix homogeneously, tabletting, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 5 mg in every.
Embodiment 16
KW-3049 2 weight portions, Atorvastatin calcium 10 weight portions, microcrystalline Cellulose 25 weight portions, lactose 30 weight portions, pregelatinized Starch 36 weight portions, super carboxymethylstach sodium 64 weight portions, polyvinylpolypyrrolidone 10 weight portions, cross-linked carboxymethyl cellulose sodium 10 weight portions, 30 POVIDONE K 30 BP/USP 30 2 weight portions, aspartame 3 weight portions, saccharin sodium 3 weight portions, magnesium stearate 1 weight portion, micropowder silica gel 4 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, micropowder silica gel, with other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, cross 18 mesh sieves and granulate, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate, add magnesium stearate, micropowder silica gel mix homogeneously, tabletting, namely.Hydrochloric benidipine 2 mg contain Atorvastatin calcium 10 mg in every.
Embodiment 17
KW-3049 4 weight portions, Atorvastatin calcium 20 weight portions, microcrystalline Cellulose 35 weight portions, pregelatinized Starch 28 weight portions, carboxymethylstach sodium 50 weight portions, super carboxymethylstach sodium 59 weight portions, polyvinylpolypyrrolidone 20 weight portions, cross-linked carboxymethyl cellulose sodium 20 weight portions, hypromellose 2 weight portions, 30 POVIDONE K 30 BP/USP 30 3 weight portions, aspartame 5 weight portions, magnesium stearate 2 weight portions, micropowder silica gel 2 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hypromellose, 30 POVIDONE K 30 BP/USP 30 are mixed with suitable concentration with purified water and make binding agent, and be standby.Except magnesium stearate, micropowder silica gel, with other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, cross 18 mesh sieves and granulate, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate, add magnesium stearate, micropowder silica gel mix homogeneously, tabletting, namely.Hydrochloric benidipine 4 mg contain Atorvastatin calcium 20 mg in every.
Embodiment 18
KW-3049 4 weight portions, Atorvastatin calcium 40 weight portions, microcrystalline Cellulose 40 weight portions, lactose 55 weight portions, pregelatinized Starch 40 weight portions, carboxymethylstach sodium 46 weight portions, polyvinylpolypyrrolidone 30 weight portions, cross-linked carboxymethyl cellulose sodium 30 weight portions, 30 POVIDONE K 30 BP/USP 30 4 weight portions, aspartame 7 weight portions, saccharin sodium 2 weight portions, magnesium stearate 2 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, is crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate add the magnesium stearate mix homogeneously, tabletting, namely.Hydrochloric benidipine 4 mg contain Atorvastatin calcium 40 mg in every.
Embodiment 19
KW-3049 4 weight portions, Atorvastatin calcium 80 weight portions, microcrystalline Cellulose 50 weight portions, lactose 33 weight portions, pregelatinized Starch 44 weight portions, carboxymethylstach sodium 50 weight portions, super carboxymethylstach sodium 40 weight portions, polyvinylpolypyrrolidone 40 weight portions, cross-linked carboxymethyl cellulose sodium 40 weight portions, 30 POVIDONE K 30 BP/USP 30 5 weight portions, aspartame 10 weight portions, magnesium stearate 3 weight portions, micropowder silica gel 1 weight portion.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, micropowder silica gel, with other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, cross 18 mesh sieves and granulate, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate, add magnesium stearate, micropowder silica gel mix homogeneously, tabletting, namely.Hydrochloric benidipine 2mg contains Atorvastatin calcium 40mg in every.
Embodiment 20
KW-3049 4 weight portions, Atorvastatin calcium 160 weight portions, microcrystalline Cellulose 40 weight portions, lactose 40 weight portions, pregelatinized Starch 68 weight portions, carboxymethylstach sodium 60 weight portions, super carboxymethylstach sodium 50 weight portions, polyvinylpolypyrrolidone 50 weight portions, cross-linked carboxymethyl cellulose sodium 50 weight portions, 30 POVIDONE K 30 BP/USP 30 6 weight portions, aspartame 15 weight portions, magnesium stearate 2 weight portions, micropowder silica gel 5 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and 30 POVIDONE K 30 BP/USP 30 is mixed with suitable concentration with purified water and makes binding agent, and is standby.Except magnesium stearate, micropowder silica gel, with other supplementary material with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, cross 18 mesh sieves and granulate, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate, add magnesium stearate, micropowder silica gel mix homogeneously, tabletting, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 40 mg in every.
Drop pill
Embodiment 21
KW-3049 1 weight portion, Atorvastatin calcium 1 weight portion, Polyethylene Glycol-6,000 23 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, add Polyethylene Glycol-6000, and stirred evenly, 80 ± 2 ℃ of insulations are dripped and are made ball, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 1mg in every ball.
Embodiment 22
KW-3049 2 weight portions, Atorvastatin calcium 5 weight portions, Polyethylene Glycol-1,500 5 weight portions, Polyethylene Glycol-6,000 23 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, and adding Polyethylene Glycol-1500, Polyethylene Glycol-6000 stir evenly, and 80 ± 2 ℃ of insulations are dripped and made ball, namely.Hydrochloric benidipine 2mg contains Atorvastatin calcium 5mg in every ball.
Embodiment 23
KW-3049 2 weight portions, Atorvastatin calcium 10 weight portions, Polyethylene Glycol-4,000 5 weight portions, Polyethylene Glycol-6,000 23 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, add Polyethylene Glycol-4000, Polyethylene Glycol-6000, and stirred evenly, 80 ± 2 ℃ of insulations are dripped and are made ball, namely.Hydrochloric benidipine 2mg contains Atorvastatin calcium 10mg in every ball.
Embodiment 24
KW-3049 4 weight portions, Atorvastatin calcium 10 weight portions, Polyethylene Glycol-4,000 5 weight portions, Polyethylene Glycol-6,000 21 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, add Polyethylene Glycol-4000, Polyethylene Glycol-6000, and stirred evenly, 80 ± 2 ℃ of insulations are dripped and are made ball, namely.Hydrochloric benidipine 4 mg contain Atorvastatin calcium 10 mg in every ball.
Embodiment 25
KW-3049 4 weight portions, Atorvastatin calcium 20 weight portions, Polyethylene Glycol-6,000 21 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, add Polyethylene Glycol-6000, and stirred evenly, 80 ± 2 ℃ of insulations are dripped and are made ball, namely.Hydrochloric benidipine 4 mg contain Atorvastatin calcium 20 mg in every ball.
Embodiment 26
KW-3049 1 weight portion, Atorvastatin calcium 10 weight portions, Polyethylene Glycol-4,000 8 weight portions, Polyethylene Glycol-6,000 21 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, add Polyethylene Glycol-4000, Polyethylene Glycol-6000, and stirred evenly, 80 ± 2 ℃ of insulations are dripped and are made ball, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 10 mg in every ball.
Embodiment 27
KW-3049 1 weight portion, Atorvastatin calcium 20 weight portions, Polyethylene Glycol-6,000 24 weight portions.
KW-3049, Atorvastatin calcium were pulverized 80 mesh sieves respectively, add Polyethylene Glycol-6000, and stirred evenly, 80 ± 2 ℃ of insulations are dripped and are made ball, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 20mg in every ball.
Granule
Embodiment 28
KW-3049 1 weight portion, Atorvastatin calcium 5 weight portions, sucrose 984 weight portions, hypromellose 14 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hypromellose is mixed with suitable concentration with purified water and makes binding agent, and is standby.KW-3049, Atorvastatin calcium and sucrose with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 1 mg contains Atorvastatin calcium 5 mg in every bag.
Embodiment 29
KW-3049 2 weight portions, Atorvastatin calcium 10 weight portions, aspartame 20 weight portions, dextrin 968 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, standby.KW-3049, Atorvastatin calcium and dextrin with the equivalent dilution method mix homogeneously that progressively increases, with purified water soft material processed, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 2mg in every bag contains Atorvastatin calcium 10 mg.
Embodiment 30
KW-3049 4 weight portions, Atorvastatin calcium 20 weight portions, aspartame 5 weight portions, hypromellose 20 weight portions, soluble starch 1971 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and hypromellose is mixed with suitable concentration with purified water and makes binding agent, and is standby.KW-3049, Atorvastatin calcium and soluble starch with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 4mg contains Atorvastatin calcium 20mg in every bag.
Embodiment 31
KW-3049 4 weight portions, Atorvastatin calcium 40 weight portions, aspartame 5 weight portions, soluble starch 2431 weight portions, hypromellose 20 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and KW-3049, Atorvastatin calcium and sucrose with the equivalent dilution method mix homogeneously that progressively increases, with purified water preparation soft material, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 4mg contains Atorvastatin calcium 40mg in every bag.
Embodiment 32
KW-3049 4 weight portions, Atorvastatin calcium 80 weight portions, aspartame 3 weight portions, dextrin 2113 weight portions, soluble starch 2800 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and KW-3049, Atorvastatin calcium and sucrose with the equivalent dilution method mix homogeneously that progressively increases, with purified water preparation soft material, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 2mg in every bag contains Atorvastatin calcium 40 mg.
Embodiment 33
KW-3049 8 weight portions, Atorvastatin calcium 40 weight portions, aspartame 15 weight portions, dextrin 200 weight portions, soluble starch 737 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and KW-3049, Atorvastatin calcium and sucrose with the equivalent dilution method mix homogeneously that progressively increases, with purified water preparation soft material, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 8mg contains Atorvastatin calcium 40mg in every bag.
Embodiment 34
KW-3049 8 weight portions, Atorvastatin calcium 80 weight portions, aspartame 20 weight portions, dextrin 300 weight portions, soluble starch 592 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and KW-3049, Atorvastatin calcium and sucrose with the equivalent dilution method mix homogeneously that progressively increases, with purified water preparation soft material, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 1mg contains Atorvastatin calcium 10mg in every bag.
Embodiment 35
KW-3049 8 weight portions, Atorvastatin calcium 320 weight portions, aspartame 10 weight portions, dextrin 400 weight portions, soluble starch 1262 weight portions.
Raw material, adjuvant were pulverized 80 mesh sieves respectively, and KW-3049, Atorvastatin calcium and sucrose with the equivalent dilution method mix homogeneously that progressively increases, with purified water preparation soft material, are crossed 18 mesh sieves and granulated, 75 ℃ of dryings 3 hours, 18 mesh sieve granulate sieve, packing, namely.Hydrochloric benidipine 1mg contains Atorvastatin calcium 40mg in every bag.
Effective ingredient of the present invention has good therapeutical effect to hypertension, and the different choice of adjuvant mainly has influence on the dosage form of medicine, and is very little to the influence of its therapeutic effect, can ignore.Below by clinical experiment data declaration beneficial effect of the present invention, its test method and result are as follows:
1 data and method
1.1 clinical data
Dyslipidemia diagnostic criteria according to Evaluation of Diagnostic Criteria of Hypertension and the Chinese dyslipidemia guideline of prevention and treatment in 2007 of WHO/ISH1999, select outpatient service and inpatient to be 1 grade of essential hypertension or 2 grades of patients, and patient's 150 examples that merge hypercholesterolemia simultaneously, male 76 examples wherein, women 74 examples; 32~76 years old age, average (50.8 ± 7.3) year, the course of disease 1~22 year, average (12.3 ± 5.1) year.Systolic pressure (160.2 ± 9.8) mmHg when selected, diastolic pressure (96.7 ± 6.9) mmHg; Before the medication serum total cholesterol (TC) 〉=5.72 mmol/L and (or) triacylglycerol (TG) I 1.70 mmol/L.All patients sign Informed Consent Form before experiment.Through stopping using all antihypertensive drugs and to influential 1~2 week of medicine of blood pressure, blood pressure still meets inclusion criteria person is divided into 6 groups at random.All MethodsThe cases enrolled all do not have hydrochloric acid benidipine, Atorvastatin calcium contraindication and allergies, and get rid of severe cardiac, brain, kidney complication, liver, renal insufficiency person, statins taboo; Accepting the patient that statins treatment can not drug withdrawal in addition also gets rid of.The equal not statistically significants of difference such as patient's sex, age, the course of disease, classification between group (P〉0.05), have comparability.
Observation index
Diet keeps relative stability during the MethodsThe cases enrolled treatment, measures blood pressure weekly at least 4 times, and per 4 weeks are surveyed 1 blood fat, measure blood T-CHOL (TC), low-density lipoprotein cholesterol (LDL-C), blood triacylglycerol levels such as (TG).Liver function, indexs such as creatase, the not good untoward reaction person that maybe can not tolerate of blood pressure blood fat control withdraws from experiment.Observe untoward reaction during the treatment.
Therapeutic Method
Treatment group: embodiment 9 capsules, KW-3049 (Beni) 2mg/ Atorvastatin calcium (Atv) 5mg, oral, 1 time on the one, one time 1.
Matched group 1: KW-3049 (Beni) 2mg/ sheet, oral, 1 time on the one, one time 1; Atorvastatin calcium (Atv) 10mg/ sheet, oral, 1 time on the one, one time 0.5.
Matched group 2: KW-3049 (Beni) 2mg/ sheet, oral, 1 time on the one, one time 1.Treated for 8 weeks continuously.
Therapeutic evaluation
1.4.1, efficacy of antihypertensive treatment judges the curative effect of medication criterion with reference in April, 1999 whole nation cardiovascular meeting revision:
Produce effects: diastolic pressure (DBP) decline 〉=10mm Hg (1mm Hg=0.133kPa) also is down to normally, or systolic pressure (SBP) decline 〉=20mm Hg, but is not down to normal;
Effectively: DBP decline<10mm Hg but be down to normal, or SBP 10~20mm Hg that descends;
Invalid: blood pressure drops does not reach above-mentioned standard person.
1.4.2, the hyperlipemia curative effect evaluates according to the dyslipidemia diagnostic criteria of Chinese dyslipidemia guideline of prevention and treatment in 2007:
Produce effects: lipids detection reaches following any one person.TC decline 〉=20%, TG decline 〉=40%, HDL-C rising 〉=0.26mmol/L (10mg/dL), TC-HDL-C/HDL-C descends 〉=20%;
Effectively: lipids detection reaches following any one person.TC descend 〉=10% but<20%, TG descend 〉=20% but<40%, HDL-C risings 〉=0.104mmol/L (4mg/dl) but<0.26mmol/L (10mg/dL), TC-HDL-C/HDL-C decline 〉=10% but<20%;
Invalid: lipids detection does not reach above standard person.
Effectively total=produce effects+effectively.
Date processing and statistical method
Measurement data with ( The t check is relatively adopted in ± s) expression between group; Enumeration data relatively adopts X with rate (%) expression between group 2Check.There is statistical significance P<0.05 for difference.
Efficacy result
2.1 treatment hypertension effect
Figure 710766DEST_PATH_IMAGE002
2.2 treatment hyperlipidemia effect
3, conclusion
KW-3049 has very high affinity to the vascular smooth muscle cell film, by blocking-up cell membrane potential dependent form calcium channel receptor binding site, has suppressed calcium ion and has flowed in the cell, has stoped vascular smooth muscle to shrink and distends the blood vessels.Because very slow with binding site affinity height and the speed of dissociating, thereby has hypotensive activity for a long time and slowly.
Atorvastatin calcium is the fat-reducing medicament of present clinical prescription flow control one, is generally acknowledged to have " pleiotropy ".Studies show that, except effective blood fat reducing, also have certain antihypertensive effect, can delay myocardial hypertrophy and fibrosis process simultaneously, therefore have concertedness with antihypertensive drugs in addition, use the Statins treatment for the patient of hypertensive patients dyslipidemia and can make that the patient is many-sided to be benefited.

Claims (1)

1. capsule preparations that contains KW-3049 and Atorvastatin calcium, it is characterized in that: composition is: KW-3049 2 weight portions, Atorvastatin calcium 5 weight portions, lactose 25 weight portions, microcrystalline Cellulose 20 weight portions, pregelatinized Starch 30 weight portions, carboxymethylstach sodium 15 weight portions, hypromellose 2 weight portions, magnesium stearate 1 weight portion;
Preparation method is: each composition was pulverized 80 mesh sieves respectively, and hydroxypropyl first fiber is mixed with suitable concentration with purified water and makes binding agent, and is standby; Except magnesium stearate, with other composition with the equivalent dilution method mix homogeneously that progressively increases, with the binding agent for preparing soft material processed, to cross 18 mesh sieves and granulate, 60 ℃ of dryings are abundant, 18 mesh sieve granulate, add the magnesium stearate mix homogeneously of recipe quantity, encapsulated, namely, hydrochloric benidipine 2 mg contain Atorvastatin calcium 5 mg in every.
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