CN103919776B - A kind of pharmaceutical composition for the treatment of of arthritis - Google Patents

A kind of pharmaceutical composition for the treatment of of arthritis Download PDF

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CN103919776B
CN103919776B CN201410173902.5A CN201410173902A CN103919776B CN 103919776 B CN103919776 B CN 103919776B CN 201410173902 A CN201410173902 A CN 201410173902A CN 103919776 B CN103919776 B CN 103919776B
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arthritis
acetaminophen
pharmaceutical composition
treatment
tetrahydropalmatine
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CN103919776A (en
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武素艳
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Nantong Fayink High Tech Material Technology Co ltd
Qidong Binhua Water Supply Co ltd
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Linyi Caozhimei Pharmaceutical Technology Co Ltd
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Abstract

The invention discloses a kind of pharmaceutical composition for the treatment of of arthritis, belong to medical art.This pharmaceutical composition contains tetrahydropalmatine and acetaminophen, and wherein the weight ratio of tetrahydropalmatine and acetaminophen is 1:0.5-4.The most important advantage of the present invention is collaborative antiinflammatory, decrease the consumption that tetrahydropalmatine and acetaminophen are used alone simultaneously, thus the expense of patient medication is reduced, reduce the toxic and side effects of acetyl aminophenol simultaneously, add the safety of medication and the compliance of patient.

Description

A kind of pharmaceutical composition for the treatment of of arthritis
Technical field
The invention belongs to medical art, be specifically related to a kind of pharmaceutical composition for the treatment of of arthritis.
Background technology
Arthritis refers to the arthritis pathological changes caused by inflammation, infection, wound or other factors, belong to rheumatism subject disease, comparatively common are osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gouty arthritis, all can cause the obstacle of function of joint to some extent, and longer, the touching difficulty of the course of disease more, common trait is the chronic inflammation processes of Progressive symmetric erythrokeratodermia development.Main clinical manifestation is the symptoms such as arthralgia, arthroncus, joint function disturbance, is one of major reason disabled.According to statistics, global arthritic reaches 3.55 hundred million, and China's arthritis is more than 100,000,000, and number is also in continuous increase.Arthritis has had a strong impact on life, the working and learning of patient, so there is the exploitation of the arthritis treatment medicine of good result to have great importance.
At present for the arthritis cure method that also neither one is satisfied, be generally all symptomatic treatment, namely alleviate arthralgia, improve range of motion, reduce joint function disturbance.Slight arthritis can take conservative treatment, and for most of patients with osteoarthritis, slightly can control by taking analgesic drug product to moderate pain, these drug mains will comprise the NSAID (non-steroidal anti-inflammatory drug) such as acetaminophen, diclofenac.The side effect of nonsteroidal antiinflammatory drug to gastrointestinal tract and kidney is comparatively obvious, and the importance of therefore basic pharmaceutical therapeutic alliance is appeared suddenly.The omeprazole of U.S. Xi Er large pharmaceutical factory development wets the compound recipe be made up of NSAID (non-steroidal anti-inflammatory drug) diclofenac and misoprostol, treatment of arthritis is evident in efficacy, misoprostol in compound recipe has stronger antiulcer action, but due to expensive, its application can not get popularizing.
Dl-tetrahydr-Opalmatine (dl-tetrahydropalmatine, THP), belongs to the former little Rhizoma Nelumbinis base analogue (tetrahydroprotoberberines, THPBs) of tetrahydrochysene.THP divides supination can be divided into levo form (1-THP) and d-isomer (d-THP) through chemistry.Result of study for many years shows, only l-THP has central analgesia, calm, stable effect, and d-THP, then without obvious analgesic activity, is emptying dose of dopamine in brain (DA).L-THP clinical application is called rotundine (rotundine), there is the Clinical practice time reaching 40 years, analgesia effect is reliable, have good therapeutical effect, and its analgesic activity does not belong to narcotic analgesic and anti inflammation and heat resolution analgesic category to chronic, persistence dull pain.
Acetaminophen (Acetaminophen is called for short AP) is called in Britain and flutters heat breath epilepsy, is an antipyretic analgesic.First be found in 19 ends, the world, be an active metabolite of the analgesic phenacetin that a kind of toxicity is larger, belong to phenyl amines.This medicine and nineteen fifty-five are gone on the market by MeNeil laboratory in the U.S., are the analgesic drug product that on market, market is best at present.The Analgesic Mechanism of acetaminophen is not yet very clear, may be produce shock effect by the synthesis (comprise and suppress prostaglandin synthetase) of prostaglandin (PG) in suppression central nervous system and the impulsion of blocking-up pain nerve tip, the latter can may make the synthesis of the material of pain receptor sensitivity (as 5-hydroxy tryptamine, Kallidin I etc.) relevant with suppression prostaglandin or other.The acetaminophen of low concentration stimulates the generation of PGs, and the generation of the acetaminophen of high concentration PGs always.Robak is the reported first two-way activity of this medicine in the research of the COX enzyme (Prostaglandin Cyclooxygenase) of cattle seminal vesicle microsome.There is arguement in the binding mode of acetaminophen, it is generally acknowledged that it passes through to suppress Cycloxygenase-3(COX-3 for many years at present always) work, but also need more research.
At present, in treatment of arthritis, there is not yet using tetrahydropalmatine or by tetrahydropalmatine and the acetaminophen coupling medicine as main active.
Summary of the invention
Acetyl aminophenol can be used for treating knee osteoarthritis, but has larger poison pair effect, because which limit the application in this respect of this medicine due to the acetaminophen of heavy dose.The present inventor finds under study for action unexpectedly, after reducing the dosage of acetyl aminophenol, it is combined with tetrahydropalmatine and can obtain good antiphlogistic effects.
Based on studying discovery above, an object of the present invention is to provide a kind of pharmaceutical composition acting on comprehensive, that toxic and side effects is low and cheap treatment of arthritis.This medicine contains tetrahydropalmatine and the acetaminophen of special ratios, and because two medicine mechanism of action interact, after composition compositions, antiinflammatory action is more comprehensive, and two medicines have share synergism, and its antiinflammatory action is obviously better than the folk prescription of same dose.
In order to realize object of the present invention, inventor is studied by lot of experiments, finally obtains following technical scheme:
A pharmaceutical composition for treatment of arthritis, this pharmaceutical composition contains tetrahydropalmatine and acetaminophen.
Preferably, the pharmaceutical composition for the treatment of of arthritis as above, wherein the weight ratio of tetrahydropalmatine and acetaminophen is 1:0.5-4.
Further preferably, the pharmaceutical composition for the treatment of of arthritis as above, wherein the weight ratio of tetrahydropalmatine and acetaminophen is 1:1.5.
Again further preferably, the pharmaceutical composition for the treatment of of arthritis described above, wherein said tetrahydropalmatine is raceme or the levo form of tetrahydropalmatine.
The pharmaceutical composition for the treatment of of arthritis of the present invention is oral formulations.Preferably, described oral formulations comprises tablet, capsule, granule, oral liquid.Further preferably, the oral formulations described in per unit contains tetrahydropalmatine 20mg, acetaminophen 20-30mg.
By animal experiment study, we find that compositions provided by the present invention can suppress the pedal swelling of model of adjuvant arthritis in rats, effectively regulate PGE in Plasma TNF-α and tissue 2activity.Therefore, two of object of the present invention a kind of new pharmaceutical composition is to provide for the preparation of the purposes in the medicine for the treatment of of arthritis; That is: the compositions that forms of tetrahydropalmatine and acetaminophen is as the application of active component in the medicine preparing treatment of arthritis.Preferably, the compositions that forms of rotundin and acetaminophen is as the application of active component in the medicine preparing treatment of arthritis.
Compared with prior art, the pharmaceutical composition tool that the present invention relates to has the following advantages and progress significantly:
(1) the most important advantage of the present invention is collaborative antiinflammatory, effectively can regulate PGE in Plasma TNF-α and tissue 2activity, thus reach and cure the object of rheumatoid arthritis;
(2) when identical curative effect, decrease the consumption that tetrahydropalmatine and acetaminophen are used alone, especially drastically reduce the area the consumption of acetaminophen, thus the expense of patient medication is reduced, reduce the toxic and side effects of acetyl aminophenol simultaneously, add the safety of medication and the compliance of patient.
Detailed description of the invention
Be below specific embodiments of the invention, technical scheme of the present invention is done to describing further, but protection scope of the present invention be not limited to these embodiments.Every do not deviate from the present invention's design change or equivalent substituting include within protection scope of the present invention.
Embodiment 1 experimental animal model of CFA induced adjuvant arthritis in rats is tested
SD rat 40, body weight 180-220g, after conventional adaptation raises one week, sets up the pathological model of adjuvant-induced arthritis in the sufficient sole of the foot portion intradermal injection Freund's complete adjuvant 0.1mL of rat right hind leg.The successful adjuvant arthritis rats of modeling is divided into four groups at random by body weight, i.e. model control group, rotundin group (20mg/kg/d), acetaminophen group (30mg/kg), compositions group (rotundin 20mg/kg/d+ acetaminophen 30mg/kg/d) totally 4 groups, often organizes 10.After modeling the 4th day, the medicine that gavage gives corresponding dosage is carried out to rotundin group, acetaminophen group, compositions group rat, the isopyknic purified water of model control group gavage, each group every day 1 time, administration three weeks altogether.
Rat respectively at before modeling, before administration, administration three weeks rear fine rules and ruler measure the change of the sufficient sole of the foot Zhou Jing of right hind fixed position.After last administration 5 hours, sterile working under etherization, from heart blood drawing 2-3mL, anticoagulant heparin, isolated blood plasma, is placed in-20 DEG C and preserves test plasma TNF-alpha actives.On the left back ankle joint of every rat, 0.5cm place cuts inflammatory swelling foot, weigh, peeling, shreds, normal saline 5rnl soaks 1 hour, take out Mus pawl, centrifugal soak, Aspirate supernatant 0.1rnl, add the KOH-methanol solution 2ml of 0.5mol/L, isomerization 20 minutes in 50 DEG C of water-baths, with methanol dilution to 20ml, is that 278nm place measures its optical density value (OD) in wavelength.Suitable absorbing light density value is organized to represent PGE with every gram 2activity, as evaluation antiinflammatory index.
Can be found out by the result of the test of table 1, there is height swelling in each modeling rat the 3rd day right back ankle joint after modeling, administration is after three weeks, rotundin or acetyl aminophenol are suppressing the effect on pedal swelling more weak, and after drug combination, the two obtains significant synergism on reduction model of adjuvant arthritis in rats pedal swelling.
The comparison of right hind foot sole of the foot Zhou Jing before and after table 1 administration
Compare with before modeling, * p< 0.01; Before and after administration, self compares, # p< 0.05, ## p< 0.01; Compare with model group, p< 0.05, △ △ p< 0.01; Compare with tetrahydropalmatine group, ★ ★ p< 0.01; Compare with acetaminophen group, ● ● p< 0.01.
Can be found out by the result of the test of table 2, rotundin has the activity of certain reduction model of adjuvant arthritis in rats TNF-α, but to PGE 2not effect; Acetaminophen is to PGE 2there is certain reducing effect, but TNF-α is not affected.Compositions group after two medicine couplings, it is at reduction TNF-α with from PGE 2two indices all achieves good concertedness effect.
PGE in Plasma TNF-α and tissue respectively organized by table 2 2results contrast
Compare with model control group * p< 0.05, * p< 0.01;
Compare with tetrahydropalmatine group, # p< 0.05, ## p< 0.01;
Compare with acetaminophen group, p< 0.05, △ △ p< 0.01.

Claims (2)

1. the compositions that forms of rotundin and acetaminophen is as the application of active component in the medicine preparing treatment of arthritis, it is characterized in that: described pharmaceutical composition is oral formulations, oral formulations described in per unit contains rotundin 20mg, acetaminophen 30mg.
2. the compositions that forms of rotundin according to claim 1 and acetaminophen is as the application of active component in the medicine preparing treatment of arthritis, it is characterized in that: described oral formulations is tablet, capsule, granule or oral liquid.
CN201410173902.5A 2014-04-29 2014-04-29 A kind of pharmaceutical composition for the treatment of of arthritis Active CN103919776B (en)

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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103351308A (en) * 2006-09-03 2013-10-16 于崇曦 Positively charged water-soluble 4-acetamidophenol having rapid skin penetration speed, and related compound prodrug thereof

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103351308A (en) * 2006-09-03 2013-10-16 于崇曦 Positively charged water-soluble 4-acetamidophenol having rapid skin penetration speed, and related compound prodrug thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
含延胡索乙素成分的药材和制剂含量测定方法研究进展;苏健等;《中国中医药信息杂志》;20101231;第17卷(第12期);110-112 *

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