CN103908454B - A kind of pharmaceutical composition and its preparation method and application - Google Patents

A kind of pharmaceutical composition and its preparation method and application Download PDF

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CN103908454B
CN103908454B CN201410155681.9A CN201410155681A CN103908454B CN 103908454 B CN103908454 B CN 103908454B CN 201410155681 A CN201410155681 A CN 201410155681A CN 103908454 B CN103908454 B CN 103908454B
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pharmaceutical composition
aspirin
nonaqueous carrier
preparation
present
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CN103908454A (en
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叶文锐
戴向荣
李小羿
张国辉
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ZHAOKE PHARMACEUTICAL (HONGKONG) CO Ltd
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ZHAOKE PHARMACEUTICAL (HONGKONG) CO Ltd
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Abstract

The present invention relates to field of medicaments, disclose a kind of pharmaceutical composition and its preparation method and application.Pharmaceutical composition of the present invention includes the bisulfate clopidogrel treating effective dose and aspirin and the nonaqueous carrier comprising phospholipid.Aspirin and bisulfate clopidogrel are prepared the pharmaceutical composition becoming brand-new together with phospholipid by the present invention, it considerably lowers the gastrointestinal damage risk produced because of bisulfate clopidogrel and aspirin combination medication, do not change the pharmacokinetics level of two kinds of active component simultaneously, can be applicable in the various drug forms of preparation prevention and treatment cardiovascular and cerebrovascular disease.

Description

A kind of pharmaceutical composition and its preparation method and application
Technical field
The present invention relates to field of medicaments, be specifically related to a kind of pharmaceutical composition and its preparation method and application.
Background technology
Aspirin is the first-selection of cardiovascular patient prophylactic treatment medication, present stage clinical general increase The second suppression platelet aggregation drugs-bisulfate clopidogrel so that it is improve with aspirin combination medication Therapeutic effect, but this drug combination also brings some stomach damage (such as symptoms such as gastrorrhagias) simultaneously Hidden danger.Result of study shows, relative to aspirin+placebo group, bisulfate clopidogrel+Ah Si Woods group has lower cardiovascular event risk (p < 0.01), but has higher major bleeding events simultaneously Risk (p < 0.01).
Although some researcher or mechanism's suggestion use PPI(proton pump inhibitor) reduce gastrorrhagia and send out Raw probability, but bisulfate clopidogrel and PPI are all by CYP450 enzyme (especially in liver CY2C19 enzyme) metabolism, when the two uses simultaneously, PPI may pass through competitive inhibition CYP2C19 (important member in CYP450 enzyme the second subfamily is the drug metabolism enzyme wanted of body weight for humans) and affect chlorine The bioconversion of pyrrole Gray, affects its suppression platelet aggregation, and then causes the effect of drug combination Have a greatly reduced quality, easily cause the generation of cardiovascular disease.Damage additionally, PPI is only capable of reducing upper digestive tract-stomach Wound, there is no minimizing effect for lower digestive tract-intestinal injury.
For present case, PPI is restricted with the drug combination of bisulfate clopidogrel, only by (mainly upper gastrointestinal hemorrhage, advanced age use China simultaneously to recommend to be used for the patient with High risk of bleeding Method woods, aspirin, and with helicobacter pylori infections), and avoid use and CYP2C19 to have high parent With the PPI of power, such as omeprazole and esomeprazole.
In a word, bisulfate clopidogrel aspirin combination medication adds the risk of injury of gastrointestinal tract, should This is reduced, but the use of PPI is restricted and may weaken bisulfate clopidogrel drug effect and To intestinal injury without minimizing effect, therefore, it is badly in need of developing a kind of new pharmaceutical composition, stomach can be reduced The generation of intestinal injury, can not affect again the pharmacokinetics level of two kinds of principal agents.
Summary of the invention
In view of this, it is an object of the invention to provide a kind of pharmaceutical composition and preparation method thereof, make institute State pharmaceutical composition and can reduce the gastrointestinal produced because of bisulfate clopidogrel and aspirin combination medication Road damages, and does not affect the pharmacokinetics level of two kinds of principal agents simultaneously;
It is a further object to provide described pharmaceutical composition in preparation prevention and treatment cardiovascular disease Application in medicine.
For achieving the above object, the present invention provides following technical scheme:
A kind of pharmaceutical composition, including the bisulfate clopidogrel for the treatment of effective dose and aspirin with And nonaqueous carrier, described nonaqueous carrier comprises phospholipid.
As preferably, described bisulfate clopidogrel and the gross weight of aspirin and the weight of nonaqueous carrier Amount is than being 1:20-20:1, it is highly preferred that bisulfate clopidogrel and the gross weight of aspirin and non-aqueous The weight ratio of carrier is 1:4-4:1, it is further preferred that bisulfate clopidogrel and aspirin is total The weight ratio of weight and nonaqueous carrier is 1:1-2:1.
As preferably, in described nonaqueous carrier, the concentration of phospholipid is 10%-40%, more preferably 37%.
Treatment effective dose of the present invention refers to the aspirin of 30mg-300mg every day, and Every day 50mg-160mg bisulfate clopidogrel, it is conventional that the proportioning of two kinds of principal agents can refer to this area Aspirin-bisulfate clopidogrel drug combination proportioning, as preferably, hydrogen sulfate chlorine in the present invention The weight ratio of pyrrole Gray and aspirin is 3:4.
Phospholipid of the present invention includes multiple zwitterionic phospholipid, includes but not limited to, phosphatidyl gallbladder Alkali, Phosphatidylserine, PHOSPHATIDYL ETHANOLAMINE, sphingomyelins and other ceramide, and multiple Other zwitterionic phospholipid.As preferably, nonaqueous carrier of the present invention also comprises bio-compatible Property oil.Biocompatibility oil of the present invention refers to that the people of any CFDA approval uses or animal is used Oil.
As preferably, described nonaqueous carrier is lecithin oil, it is highly preferred that described lecithin oil is big Bean lecithin.
Pharmaceutical composition of the present invention significantly reduces stomach/damage of intestines scoring in rat stomach/damage of intestines test, Relative to not adding the aspirin-bisulfate clopidogrel drug combination group of phospholipid, medicine group of the present invention Compound shows splendid reduction stomach/damage of intestines effect.
Meanwhile, the pharmaceutical composition pharmacokinetics level of the present invention experiment carried out in New Zealand white rabbit Result shows, compared with aspirin and bisulfate clopidogrel, the present composition does not change two Person's active metabolite serum levels.
Based on this, the present invention provides described pharmaceutical composition at preparation prevention and treatment cardiovascular and cerebrovascular disease Application in medicine.When preparing related drugs, its dosage form be non-aqueous solution, paste, suspensoid, Dispersant, colloid suspensions, capsule, aqueous emulsion or microemulsion, can be used for vivo medicine-feeding, be administered orally Or topical.
Additionally, present invention also offers the preparation method of described pharmaceutical composition, with solvent with comprise phosphorus The nonaqueous carrier mix homogeneously of fat, is subsequently adding bisulfate clopidogrel and the A Si for the treatment of effective dose The mixing of woods, then cooling, filtration sterilization, lyophilizing removing solvent, it is thus achieved that described pharmaceutical composition.
As preferably, described bisulfate clopidogrel and the gross weight of aspirin and the weight of nonaqueous carrier Amount is than being 1:20-20:1, it is highly preferred that bisulfate clopidogrel and the gross weight of aspirin and non-aqueous The weight ratio of carrier is 1:4-4:1, it is further preferred that bisulfate clopidogrel and aspirin is total The weight ratio of weight and nonaqueous carrier fat is 1:1-2:1.
As preferably, in described nonaqueous carrier, the concentration of phospholipid is 10%-40%, more preferably 37%.
Treat effective dose described in preparation method of the present invention and refer to the Ah Si of 30mg-300mg every day Woods, and the bisulfate clopidogrel of 50mg-160mg every day, the proportioning of two kinds of principal agents can refer to Aspirin-bisulfate clopidogrel drug combination proportioning that this area is conventional, as preferably, the present invention The weight ratio of middle bisulfate clopidogrel and aspirin is 3:4.
Phospholipid described in preparation method of the present invention includes multiple zwitterionic phospholipid, includes but not limited to, Phosphatidylcholine, Phosphatidylserine, PHOSPHATIDYL ETHANOLAMINE, sphingomyelins and other ceramide, And multiple other zwitterionic phospholipid.As preferably, nonaqueous carrier of the present invention also comprises Biocompatibility oil.Biocompatibility oil of the present invention refers to that the people of any CFDA approval uses Or the oil of animal.
As preferably, the described biocompatibility oil containing phospholipid is lecithin oil, it is highly preferred that institute Stating lecithin oil is soybean lecithin.
As preferably, solvent described in preparation method of the present invention is alcohols solvent, it is highly preferred that described Alcohols solvent is ethanol.
From above technical scheme, the present invention by aspirin and bisulfate clopidogrel together with phospholipid Preparation becomes brand-new pharmaceutical composition, and it significantly reduces because of bisulfate clopidogrel and aspirin Drug combination and the gastric injury risk that produces, do not change the pharmacokinetics level of two kinds of active component simultaneously, Can be applicable in the various drug forms of preparation prevention and treatment cardiovascular disease.
Accompanying drawing explanation
Fig. 1 show aspirin active metabolite salicylic pharmacokinetics comparison diagram;Its In, ASAPC(20mg/kg) represent that the broken line of embodiment 1 pharmaceutical composition and its aspirin are given Dose;ASA(20mg/kg) represent aspirin and its individually dosed amount of broken line;
Fig. 2 show the pharmacokinetics comparison diagram of bisulfate clopidogrel active metabolite;Its In, CLOPC(15mg/kg) represent the broken line of embodiment 1 pharmaceutical composition and its hydrogen sulfate chlorine pyrrole Gray's dosage;CLO(15mg/kg) represent bisulfate clopidogrel and broken line it is individually dosed Amount.
Detailed description of the invention
The invention discloses a kind of pharmaceutical composition and its preparation method and application, those skilled in the art can To use for reference present disclosure, it is suitably modified technological parameter and realizes.Special needs to be pointed out is, all similar Replacing and change apparent to those skilled in the art, they are considered as being included in this Bright.Pharmaceutical composition of the present invention and its preparation method and application is carried out by preferred embodiment Describing, related personnel substantially can be to side as herein described in without departing from present invention, spirit and scope Method and application are modified or suitably change and combine, and realize and apply the technology of the present invention.
Hereinafter a kind of pharmaceutical composition provided by the present invention and its preparation method and application is done furtherly Bright.
Embodiment 1: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 1.75g, phospholipid concentration 37%) under the conditions of 75 DEG C, use homogenate in advance Machine mixes;After 5 minutes, add 750mg bisulfate clopidogrel and 1.0g aspirin, continue Continuous mixing 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to filter; Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 2: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 0.875g, phospholipid concentration 20%) under the conditions of 75 DEG C, use homogenate in advance Machine mixes;After 5 minutes, add 375mg bisulfate clopidogrel and 0.5g aspirin, continue Continuous mixing 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to filter; Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 3: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 17.5g, phospholipid concentration 10%) under the conditions of 75 DEG C, use homogenate in advance Machine mixes;After 5 minutes, add 375mg bisulfate clopidogrel and 0.5g aspirin, continue Continuous mixing 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to filter; Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 4: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 43.75mg, phospholipid concentration 40%) use under the conditions of 75 DEG C in advance even Pulp grinder mixes;After 5 minutes, add 375mg bisulfate clopidogrel and 0.5g aspirin, Continue mixing 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to carry out Filter;Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 5: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 3.5g, phospholipid concentration 15%) under the conditions of 75 DEG C, use refiner in advance Mixing;After 5 minutes, add 375mg bisulfate clopidogrel and 0.5g aspirin, continue Mix 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to filter; Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 6: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 218.75mg, phospholipid concentration 25%) use under the conditions of 75 DEG C in advance even Pulp grinder mixes;After 5 minutes, add 375mg bisulfate clopidogrel and 0.5g aspirin, Continue mixing 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to carry out Filter;Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 7: prepare pharmaceutical composition of the present invention
By straight alcohol (purity >=99.5%, 20ml) and soybean lecithin (use Phosal35SB, The one of soybean lecithin, 437.5mg, phospholipid concentration 30%) use under the conditions of 75 DEG C in advance even Pulp grinder mixes;After 5 minutes, add 375mg bisulfate clopidogrel and 0.5g aspirin, Continue mixing 15 minutes;It is cooled to room temperature afterwards, and uses the filter of 0.2 micron pore size to carry out Filter;Finally carry out lyophilizing and remove ethanol, it is thus achieved that described pharmaceutical composition.
Embodiment 8: gastric injury is tested
In SD rat (often group 22-25 is only, 150-200g), use embodiment of the present invention 1-7 Pharmaceutical composition gastric infusion 63mg/kg, after 10 minutes, rat oral gavage gives 1ml0.6mol/L Hydrochloric acid, dissects after 1h, carries out stomach lesion assessment.Normal saline group is set simultaneously and uses merely The matched group of aspirin+bisulfate clopidogrel.Result of the test is shown in Table 1.
Stomach method for estimating damage: stomach is immersed 4mL2% formalin 30min, then along stomach Big curved incision stomach, uses slide calliper rule to measure the length and width (unit is mm) of each petechia, (unit is mm to stomach damage=length x width2).
Gastric injury testing result respectively organized by table 1
As shown in Table 1, relative to normal saline group, the stomach damaged area of matched group dramatically increases (p < 0.01);And relative to matched group, the stomach damage surface of various embodiments of the present invention pharmaceutical composition Amassing and substantially reduce (p < 0.01), minimizing amplitude reaches 60%.
Embodiment 9: injury of small intestine is tested
In the empty stomach SD rat using isoflurane anesthesia (often group 20~22,150~200g), Use embodiment of the present invention 1-7 pharmaceutical composition through duodenum near-end be administered 100mg/kg, 90 points Testing index after clock.Wherein, cut whole section of small intestinal (n=9~12) after partial rat euthanasia to be used for rushing Intestinal lavage chamber also measures the hemoglobin concentration of flushing liquor;Another part rat (n=9~12) is being administered 60 minutes posterior veins injection Evans Blue dye liquid (10mg/ml), and when 90 minutes by small intestinal Near-end 30cm cuts off, and observes staining conditions, then hatched with formamide solution under anatomic microscope At night, measure the concentration (concentration height means that vascular permeability is big) of Azo-Blue;Physiology is set simultaneously Saline group and use merely the matched group of aspirin+bisulfate clopidogrel.Result of the test is shown in Table 2。
Injury of small intestine testing result respectively organized by table 2
As shown in Table 2, relative to normal saline group, the enteric hemorrhage (hemoglobin concentration of matched group And Azo-Blue concentration) dramatically increase (p < 0.01);And relative to matched group, each reality of the present invention The enteric hemorrhage executing example pharmaceutical composition substantially reduces (p < 0.01), and minimizing amplitude reaches 60%.
Embodiment 10: pharmacokinetics hydraulic test
In New Zealand white rabbit (often group 3, totally 3 groups), the 1st group uses the embodiment of the present invention 1 Gastric infusion 70mg/kg, the aspirin of the 2nd group of gastric infusion 20mg/kg, the 3rd group of gavage is given The bisulfate clopidogrel of medicine 15mg/kg;And successively 0,0.5,1,2,4,8,12,24h Totally 8 time points gather blood sample, analyze aspirin active metabolite salicylic acid, sulfur respectively The serum levels of acid hydrogen clopidogrel hydrogen active metabolite.Result of the test as depicted in figs. 1 and 2, As seen from the experiment, pharmaceutical composition of the present invention does not only change aspirin and hydrogen sulfate hydrogen chlorine pyrrole Gray's pharmacokinetics level, and from whole result of the test figure, the medicine of pharmaceutical composition of the present invention Obtain some for kinetics level to improve, be better than simple aspirin and hydrogen sulfate clopidogrel hydrogen.
The above is only the preferred embodiment of the present invention, it is noted that general for the art For logical technical staff, under the premise without departing from the principles of the invention, it is also possible to make some improvement and profit Decorations, these improvements and modifications also should be regarded as protection scope of the present invention.

Claims (9)

1. a pharmaceutical composition, it is characterised in that include the hydrogen sulfate chlorine pyrrole lattice treating effective dose Thunder and aspirin and nonaqueous carrier, described nonaqueous carrier comprises phospholipid;
The weight ratio of described bisulfate clopidogrel and the gross weight of aspirin and nonaqueous carrier is 1:20-20:1。
Pharmaceutical composition the most according to claim 1, it is characterised in that described nonaqueous carrier is also Comprise biocompatibility oil.
Pharmaceutical composition the most according to claim 2, it is characterised in that described nonaqueous carrier is Lecithin oil.
Pharmaceutical composition the most according to claim 1, it is characterised in that in described nonaqueous carrier The concentration of phospholipid is 10%-40%.
5. pharmaceutical composition described in claim 1 is in preparation prevention and treatment cardiovascular disease medicine Application.
6. the preparation method of pharmaceutical composition described in claim 1, it is characterised in that with solvent with Comprise the nonaqueous carrier mix homogeneously of phospholipid, be subsequently adding the hydrogen sulfate chlorine pyrrole lattice for the treatment of effective dose Thunder and aspirin mixing, then filtration sterilization, it is thus achieved that described pharmaceutical composition.
Preparation method the most according to claim 6, it is characterised in that described nonaqueous carrier also wraps Containing biocompatibility oil.
Preparation method the most according to claim 7, it is characterised in that described nonaqueous carrier is ovum Phosphatide oil.
Preparation method the most according to claim 6, it is characterised in that phosphorus in described nonaqueous carrier The concentration of fat is 10%-40%.
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CN111228217B (en) * 2020-02-13 2022-02-11 广东药科大学 Submicron emulsion containing clopidogrel or phospholipid complex of clopidogrel salt and preparation method thereof

Citations (4)

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Publication number Priority date Publication date Assignee Title
CN1415284A (en) * 2002-10-29 2003-05-07 上海医药工业研究院 Non-steroid anti-inflammatory drug phospholipid capsule bubble and its preparation method
CN1543358A (en) * 2000-12-19 2004-11-03 �ÿ���˹ϵͳ��ѧ���»� Nsaid formulations comprising lecithin oils for protecting the gastrointestinal tract and providing enhanced therapeutic activity
CN101065108A (en) * 2004-10-12 2007-10-31 得克萨斯大学体系董事会 Purified phospholipid-non-steroidal anti-inflammatory drug associated compositions and methods for preparing and using same
CN101703513A (en) * 2009-11-10 2010-05-12 沈阳药科大学 Compound sustained-release preparation of aspirin and clopidogrel or pharmaceutically acceptable salt thereof

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1543358A (en) * 2000-12-19 2004-11-03 �ÿ���˹ϵͳ��ѧ���»� Nsaid formulations comprising lecithin oils for protecting the gastrointestinal tract and providing enhanced therapeutic activity
CN1415284A (en) * 2002-10-29 2003-05-07 上海医药工业研究院 Non-steroid anti-inflammatory drug phospholipid capsule bubble and its preparation method
CN101065108A (en) * 2004-10-12 2007-10-31 得克萨斯大学体系董事会 Purified phospholipid-non-steroidal anti-inflammatory drug associated compositions and methods for preparing and using same
CN101703513A (en) * 2009-11-10 2010-05-12 沈阳药科大学 Compound sustained-release preparation of aspirin and clopidogrel or pharmaceutically acceptable salt thereof

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