CN108210484B - Tamoxifen gel patch and preparation method thereof - Google Patents
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Abstract
本发明属药物制剂技术领域,涉及一种他莫昔芬凝胶贴膏及其制备方法。本发明提供了一种他莫昔芬凝胶贴膏剂,其由他莫昔芬、增溶剂、交联型聚合物、交联剂、交联调节剂、卡波姆,下述重量份数的组分制成:其中,卡波姆的加入有效地改善了凝胶贴膏基质的成型问题;增溶剂桉叶油和二乙二醇单乙基醚的加入明显改善他莫昔芬在凝胶贴膏基质中的溶解度,解决了药物析出的问题;本发明制备的他莫昔芬凝胶贴膏成型稳定、外观完整,具有黏附性能良好,透皮速率高,无致敏性和刺激性,使用方便、不污染衣物、可反复揭贴,生产成本低廉等优点。The invention belongs to the technical field of pharmaceutical preparations, and relates to a tamoxifen gel patch and a preparation method thereof. The invention provides a tamoxifen gel patch, which is composed of tamoxifen, a solubilizer, a cross-linked polymer, a cross-linking agent, a cross-linking regulator, a carbomer, and the following parts by weight: Component preparation: Among them, the addition of carbomer effectively improves the forming problem of the gel patch base; the addition of solubilizer eucalyptus oil and diethylene glycol monoethyl ether significantly improves the tamoxifen in the gel The solubility in the plaster matrix solves the problem of drug precipitation; the tamoxifen gel plaster prepared by the invention has stable molding, complete appearance, good adhesion performance, high skin penetration rate, no sensitization and irritation, It is convenient to use, does not pollute clothes, can be peeled off repeatedly, and has the advantages of low production cost and the like.
Description
技术领域technical field
本发明属药物制剂技术领域,具体涉及一种他莫昔芬凝胶贴膏及其制备方法。The invention belongs to the technical field of pharmaceutical preparations, and in particular relates to a tamoxifen gel patch and a preparation method thereof.
背景技术Background technique
现有技术公开了乳腺癌是女性最常见的恶性肿瘤,每年全世界约有 130 万人被诊断为乳腺癌,有约40万人死于该疾患,并且其发病率呈逐年上升趋势。目前临床治疗乳腺癌的方案包括有手术治疗、化疗、放疗、内分泌治疗、分子靶向治疗、中医治疗等。研究显示,大部分乳腺癌细胞表达雌激素受体,其生长增殖呈明显的激素依赖性。近年内分泌治疗方案逐渐成为热点,内分泌治疗是通过降低体内雌激素水平或抑制雌激素的作用,达到抑制肿瘤细胞的生长。业内知悉,他莫昔芬是第一代选择性雌激素受体调节剂,具有雌激素激动和拮抗的双重作用,是激素依赖性乳腺癌内分泌治疗中的最有效、运用时间最长久的一线内分泌治疗药物,适用于雌激素受体和孕激素受体阳性的绝经后乳腺癌妇女患者,为乳腺癌术后内分泌辅助治疗的首选药物之一。The prior art discloses that breast cancer is the most common malignant tumor in women, about 1.3 million people worldwide are diagnosed with breast cancer every year, about 400,000 people die from the disease, and the incidence rate is increasing year by year. The current clinical treatment options for breast cancer include surgery, chemotherapy, radiotherapy, endocrine therapy, molecular targeted therapy, and traditional Chinese medicine. Studies have shown that most breast cancer cells express estrogen receptors, and their growth and proliferation are obviously hormone-dependent. In recent years, endocrine therapy has gradually become a hot topic. Endocrine therapy can inhibit the growth of tumor cells by reducing the level of estrogen in the body or inhibiting the effect of estrogen. It is known in the industry that tamoxifen is the first-generation selective estrogen receptor modulator with dual effects of estrogen agonism and antagonism. It is the most effective and longest-lasting first-line endocrine therapy in hormone-dependent breast cancer. Therapeutic drug, suitable for postmenopausal women with estrogen receptor and progesterone receptor-positive breast cancer, is one of the first-choice drugs for endocrine adjuvant therapy after breast cancer surgery.
目前他莫昔芬的给药途径以口服为主,主要为片剂、颗粒剂、胶囊剂,他莫昔芬在水中几乎不溶,因此,临床实践显示,上述口服剂型存在有胃肠道溶出差,导致生物利用度较低,且存在肝脏首过效应,口服血药浓度波动大,长期服用易导致静脉血栓并增加患子宫内膜癌的几率等缺陷。为降低他莫昔芬的副作用并增加临床疗效,本领域研究人员考虑将给药方式由口服改为经皮给药,期望经皮制剂可以避免口服给药可能产生的肝脏首过效应,避免血药浓度波动、降低药物毒性和不良反应,减少给药次数,使用方便;而且,对于在乳腺周围皮肤上应用经皮制剂将使药物以经皮扩散、渗透的途径直接进入病灶部位,持续长时间的针对性的给药,使乳腺组织中的他莫昔芬浓度提高,利于提高乳腺癌治疗效果。At present, the route of administration of tamoxifen is mainly oral, mainly tablets, granules, and capsules. Tamoxifen is almost insoluble in water. Therefore, clinical practice shows that the above oral dosage forms have poor gastrointestinal dissolution. , resulting in low bioavailability, and there is a liver first-pass effect, oral plasma concentration fluctuations, long-term use may easily lead to venous thrombosis and increase the risk of endometrial cancer and other defects. In order to reduce the side effects of tamoxifen and increase the clinical efficacy, researchers in the field consider changing the administration method from oral administration to transdermal administration. Fluctuation of drug concentration, reduction of drug toxicity and adverse reactions, reduction of the number of administrations, and convenient use; moreover, the application of transdermal preparations on the skin around the breast will allow the drug to directly enter the lesion through percutaneous diffusion and penetration, and last for a long time. The targeted administration of tamoxifen increases the concentration of tamoxifen in breast tissue, which is beneficial to improve the therapeutic effect of breast cancer.
他莫昔芬又称三苯氧胺,分子量为371,熔点为96~98℃,研究显示,其在水中几乎不溶,在乙醇中微溶,在冰醋酸中易溶,目前报道的有他莫昔芬凝胶剂、乳膏剂、霜剂、微乳等,CN101065120A公开了一种4-羟基三苯氧胺凝胶制剂,属半固体制剂;Tamoxifen, also known as tamoxifen, has a molecular weight of 371 and a melting point of 96-98 °C. Studies have shown that it is almost insoluble in water, slightly soluble in ethanol, and easily soluble in glacial acetic acid. Glue, cream, cream, microemulsion, etc. CN101065120A discloses a 4-hydroxy tamoxifen gel preparation, which is a semi-solid preparation;
CN1857242A公开了一种枸橼酸他莫昔芬微乳外用制剂,属液体制剂,亦可制成半固体制剂;CN101711754A进一步公开了将枸橼酸他莫昔芬微乳制备成贴膏剂的方法,该贴膏采用高温加热工艺,其配方中涉及到的松香增塑剂、聚异丁烯压敏胶等组分,容易导致皮肤刺激性、过敏性。CN1857242A discloses an external preparation of tamoxifen citrate microemulsion, which is a liquid preparation and can also be made into a semi-solid preparation; CN101711754A further discloses a method for preparing tamoxifen citrate microemulsion into a patch, The plaster adopts a high-temperature heating process, and the rosin plasticizer, polyisobutylene pressure-sensitive adhesive and other components involved in its formula are likely to cause skin irritation and allergy.
目前尚无他莫昔芬凝胶贴膏的相关报道。There are no reports on tamoxifen gel patch.
基于现有技术的现状,本申请的发明人拟提供一种他莫昔芬凝胶贴膏剂及其制备方法,本发明能克服他莫昔芬目前已有剂型的缺陷,为乳腺癌的内分泌治疗提供一种更加方便有效的剂型。Based on the current situation of the prior art, the inventor of the present application intends to provide a tamoxifen gel patch and a preparation method thereof. The present invention can overcome the defects of the existing dosage forms of tamoxifen, and is an endocrine therapy for breast cancer. A more convenient and effective dosage form is provided.
发明内容SUMMARY OF THE INVENTION
本发明的目的是克服现有技术他莫昔芬已有剂型的缺陷,提供一种他莫昔芬凝胶贴膏及其制备方法。The object of the present invention is to overcome the defects of the existing dosage forms of tamoxifen in the prior art, and provide a tamoxifen gel patch and a preparation method thereof.
基于凝胶贴膏(原巴布膏剂或凝胶膏剂)系指原料药物与适宜的亲水性基质混匀后涂布于背衬材料上制成的贴膏剂(中国药典2015版定义)。Gel-based plaster (original bab ointment or gel plaster) refers to the plaster (defined in Chinese Pharmacopoeia 2015 edition) made by mixing the raw material drug with a suitable hydrophilic matrix and then coating it on the backing material.
本发明提供了一种他莫昔芬凝胶贴膏剂,其由他莫昔芬、增溶剂、交联型聚合物、交联剂、交联调节剂、卡波姆,下述重量份数的组分制成:其中所述组分的重量百分比为:他莫昔芬0.1~2、增溶剂3~13、交联型聚合物5~12、交联剂0. 2~0.4、交联调节剂0. 2~0.6、卡波姆0.5~5。本发明制备的他莫昔芬凝胶贴膏成型稳定、外观完整,具有黏附性能良好,透皮速率高,无致敏性和刺激性,使用方便、不污染衣物、可反复揭贴。The invention provides a tamoxifen gel patch, which is composed of tamoxifen, a solubilizer, a cross-linked polymer, a cross-linking agent, a cross-linking regulator, a carbomer, and the following parts by weight: Component preparation: wherein the weight percentages of the components are: 0.1-2 of tamoxifen, 3-13 of solubilizers, 5-12 of cross-linking polymers, 0.2-0.4 of cross-linking agent, and cross-linking adjustment 0.2 to 0.6 for carbomer, 0.5 to 5 for carbomer. The tamoxifen gel patch prepared by the invention is stable in shape, complete in appearance, good in adhesion performance, high in skin penetration rate, free from sensitization and irritation, convenient to use, does not pollute clothes, and can be peeled off repeatedly.
本发明中,选用的交联型聚合物为聚丙烯酸部分中和物,包括聚丙烯酸钠中和百分比即中和度为70% 的NP-600(商品名:ViscomateTM)、中和度为50% 的NP-700(商品名:ViscomateTM)、中和度为35% 的NP-800(商品名:ViscomateTM)中的一种或几种;本发明的实施例中优选NP-800;该交联型聚合物的重量百分比为5~12%。In the present invention, the selected cross-linked polymer is a partial neutralization of polyacrylic acid, including the neutralization percentage of sodium polyacrylate, namely NP-600 (trade name: Vicomate TM ) with a neutralization degree of 70% and a neutralization degree of 50%. % NP-700 (trade name: Viscomate TM ), one or more of NP-800 (trade name: Viscomate TM ) with a neutralization degree of 35%; NP-800 is preferred in the embodiment of the present invention; The weight percentage of the cross-linked polymer is 5-12%.
本发明中,所述交联剂包括甘羟铝、氢氧化铝、氯化铝、硫酸铝、明矾中的一种或几种,优选甘羟铝;交联剂的重量百分比为0.2~0.4%。In the present invention, the cross-linking agent includes one or more of aluminum glycerol, aluminum hydroxide, aluminum chloride, aluminum sulfate, and alum, preferably aluminum glycerol; the weight percent of the cross-linking agent is 0.2-0.4% .
本发明中,所述交联调节剂,是酒石酸、枸缘酸、乳酸、EDTA或EDTA-2Na中的一种或几种,其中,酒石酸、枸橼酸、乳酸等提供酸性质子环境,交联剂释放铝离子,铝离子与交联型聚合物即部分中和的聚丙烯酸钠结构中的羧基交联形成凝胶贴膏的基质骨架;本发明中为了延缓交联的速度,基质配方中还加入EDTA或EDTA-2Na与上述羧基竞争性地与铝离子螯合,从而控制交联基质的黏弹性及稠度,便于生产过程中的搅拌和涂布;所述交联调节剂的重量百分比为0.2~0.6%。In the present invention, the crosslinking regulator is one or more of tartaric acid, citric acid, lactic acid, EDTA or EDTA-2Na, wherein tartaric acid, citric acid, lactic acid, etc. The agent releases aluminum ions, and the aluminum ions are cross-linked with the cross-linked polymer, that is, the carboxyl group in the partially neutralized sodium polyacrylate structure, to form the matrix skeleton of the gel patch; in order to delay the speed of cross-linking in the present invention, the matrix formula also Adding EDTA or EDTA-2Na and the above-mentioned carboxyl groups competitively chelate with aluminum ions, thereby controlling the viscoelasticity and consistency of the cross-linked matrix, facilitating stirring and coating in the production process; the weight percent of the cross-linking regulator is 0.2 ~0.6%.
本发明中,卡波姆选用型号为Carbopol®934、Carbopol®934P、Carbopol®940、Carbopol®941、Carbopol®971P、Carbopol®974P、Carbopol®980中的一中或几种,卡波姆的重量百分比为0.5~5%;所述卡波姆能够有效改善凝胶贴膏基质的成型。In the present invention, the carbomer selection model is one or more of Carbopol ® 934, Carbopol ® 934P, Carbopol ® 940, Carbopol ® 941, Carbopol ® 971P, Carbopol ® 974P, Carbopol ® 980, the weight of the carbomer The percentage is 0.5-5%; the carbomer can effectively improve the forming of the gel patch base.
本发明中,所述的增溶剂选自桉叶油、二乙二醇单乙基醚(商品名可以是TranscutolP)中的一种或两种;增溶剂的重量百分比为3~13%;所述增溶剂能改善他莫昔芬在凝胶贴膏基质中的溶解度,解决药物在胶面析出的问题。In the present invention, the solubilizer is selected from one or both of eucalyptus oil and diethylene glycol monoethyl ether (trade name can be TranscutolP); the weight percentage of the solubilizer is 3-13%; The solubilizer can improve the solubility of tamoxifen in the gel patch matrix, and solve the problem of drug precipitation on the glue surface.
本发明中,所述他莫昔芬凝胶贴膏的配方中还可加入透皮促进剂,包括氮酮、丙二醇、油酸、月桂醇、肉豆蔻酸异丙酯、薄荷醇中的一种或几种,优选氮酮;该透皮促进剂的重量百分比为0~3%。In the present invention, the formulation of the tamoxifen gel patch can also add a transdermal enhancer, including one of azone, propylene glycol, oleic acid, lauryl alcohol, isopropyl myristate, and menthol or several, preferably azone; the weight percentage of the skin penetration enhancer is 0-3%.
本发明中,所述他莫昔芬凝胶贴膏的配方中还可加入填充剂,包括高岭土、微粉硅胶、交联聚乙烯吡咯烷酮(PVPP)、二氧化钛、硅胶、皂土、碳酸钙、氧化锌、白陶土中的一种或几种,填充剂的重量百分比为0~3%;所述的填充剂能改变凝胶贴膏基质的结构而呈蜂窝状,有利于增加基质的胶强度和剥离性能。In the present invention, fillers can also be added to the formulation of the tamoxifen gel patch, including kaolin, micropowder silica gel, cross-linked polyvinylpyrrolidone (PVPP), titanium dioxide, silica gel, bentonite, calcium carbonate, zinc oxide , one or more of kaolin, and the weight percentage of filler is 0-3%; the filler can change the structure of the gel paste matrix to be honeycomb, which is beneficial to increase the glue strength of the matrix and peel off performance.
本发明中,所述他莫昔芬凝胶贴膏的配方中还可加入增粘剂,包括羧甲基纤维素钠(CMC-Na)、甲基纤维素、聚乙烯醇(PVA)、聚乙烯吡咯烷酮(PVP)、明胶、阿拉伯胶中的一种或几种,优选聚乙烯醇,增粘剂的重量百分比为0~3%;所述增粘剂可抑制药物结晶析出,增加凝胶贴膏基质的黏性、稠度,提高皮肤的黏附力。In the present invention, the formulation of the tamoxifen gel patch can also be added with a thickening agent, including sodium carboxymethyl cellulose (CMC-Na), methyl cellulose, polyvinyl alcohol (PVA), polymer One or more of vinylpyrrolidone (PVP), gelatin, and gum arabic, preferably polyvinyl alcohol, and the weight percentage of the tackifier is 0 to 3%; The viscosity and consistency of the cream base can improve the adhesion of the skin.
本发明中,所述他莫昔芬凝胶贴膏配方中还可加入防腐剂、保湿剂和表面活性剂中的一种或几种;其中,防腐剂为苯甲酸、尼泊金甲酯、尼泊金乙酯、尼泊金丙酯、尼泊金丁酯中的一种或几种;表面活性剂为聚山梨酯、聚氧乙烯蓖麻油、OP乳化剂、平平加O中的一种或几种;保湿剂为丙二醇、甘油、1, 3丁二醇、聚乙二醇中的一种或几种。In the present invention, one or more of preservatives, moisturizing agents and surfactants can also be added to the tamoxifen gel patch formulation; wherein, the preservatives are benzoic acid, methylparaben, One or more of ethylparaben, propylparaben and butylparaben; the surfactant is a kind of polysorbate, polyoxyethylene castor oil, OP emulsifier, peregalin or several; the moisturizing agent is one or more of propylene glycol, glycerin, 1,3 butanediol and polyethylene glycol.
本发明的他莫昔芬凝胶贴膏采用无纺布为背衬材料,所述背衬材料对凝胶贴膏基质起支撑作用,柔韧性强,延伸性好,能够适应乳房等身体敏感性部位,同时其透气性好,能够最大程度降低贴膏对皮肤的刺激性。The tamoxifen gel patch of the present invention adopts a non-woven fabric as a backing material, and the backing material supports the gel patch matrix, has strong flexibility and good extensibility, and can adapt to body sensitivities such as breasts. At the same time, it has good air permeability, which can minimize the irritation of the patch to the skin.
本发明他莫昔芬凝胶贴膏采用聚乙烯、聚丙烯等材料为保护膜,其对膏体表面起保护作用,使用时撕去即可。The tamoxifen gel patch of the present invention adopts polyethylene, polypropylene and other materials as a protective film, which has a protective effect on the surface of the paste, and can be torn off during use.
本发明提供了他莫昔芬凝胶贴膏的制备方法,其包括步骤:The invention provides a preparation method of tamoxifen gel patch, which comprises the steps:
(1)将增溶剂、透皮促进剂及其他适当种类的附加剂混合均匀,再加入他莫昔芬溶解制得主药溶液或混悬液;(1) Mix the solubilizer, skin penetration enhancer and other appropriate additives evenly, and then add tamoxifen to dissolve to obtain the main drug solution or suspension;
(2)将主药溶液或混悬液、填充剂、交联剂、交联型辅料、其他适当种类的附加剂加入甘油中,搅拌均匀即得A相;(2) Add the main drug solution or suspension, filler, cross-linking agent, cross-linking auxiliary material, and other appropriate types of additives into glycerol, and stir evenly to obtain phase A;
(3)将增粘剂、卡波姆、交联调节剂及适当种类的附加剂溶解在纯化水中制得混合溶液作为B相;(3) Dissolving the tackifier, carbomer, crosslinking regulator and appropriate types of additives in purified water to prepare a mixed solution as phase B;
(4)将B相加至A相中,快速搅拌至适当粘稠度,涂布,裁切,包装,即得他莫昔芬凝胶贴膏。(4) Add phase B to phase A, stir quickly to an appropriate viscosity, apply, cut, and package to obtain tamoxifen gel patch.
本发明制备的凝胶贴膏,成型稳定、外观完整,具有黏附性能良好,无致敏性和刺激性,直接贴敷而不用反复涂抹,使用方便、不污染衣物、可反复揭贴等优点,可明显提高患者用药的顺应性;该凝胶贴膏含水量高、载药量大,特别能够承载高含量的增溶剂和透皮促进剂,从而增加主药的溶解度并促进药物有效渗透皮肤直达乳房的病灶部位,明显降低药物在血液循环中的浓度及其波动度,减少甚至避免口服他莫昔芬导致的静脉血栓及易患子宫内膜癌等副作用。此外,该凝胶贴膏还具有生产过程不大量使用有机溶剂、防爆措施,不用高温,不污染环境、成本低廉等优点。The gel patch prepared by the invention has the advantages of stable molding, complete appearance, good adhesion performance, no sensitization and irritation, direct application without repeated application, convenient use, no pollution to clothes, repeated peeling and the like. It can significantly improve the compliance of the patient's medication; the gel patch has high water content and large drug loading, and can especially carry high content of solubilizers and transdermal enhancers, thereby increasing the solubility of the main drug and promoting the effective penetration of the drug into the skin. The breast lesions can significantly reduce the concentration and fluctuation of the drug in the blood circulation, and reduce or even avoid side effects such as venous thrombosis and susceptibility to endometrial cancer caused by oral tamoxifen. In addition, the gel paste also has the advantages of not using a large amount of organic solvents in the production process, taking explosion-proof measures, not requiring high temperature, not polluting the environment, and low cost.
下面对本发明的具体实施方式做进一步详细的说明,但不应以此限制本发明的保护范围。凡基于本发明的内容所实现的技术均属于本发明的范围。显然,根据本发明的内容,按照本领域的普通技术知识和惯用手段,在不脱离本发明的基本技术思想的前提下,还可以做出其他多种形式的修改、替换和变更。The specific embodiments of the present invention will be described in further detail below, but the protection scope of the present invention should not be limited by this. All technologies implemented based on the content of the present invention belong to the scope of the present invention. Obviously, according to the content of the present invention, in accordance with the common technical knowledge and customary means in the field, without departing from the basic technical idea of the present invention, other modifications, substitutions and changes can also be made.
具体实施方式Detailed ways
实施例1 他莫昔芬在不同介质中的溶解度试验Example 1 Solubility test of tamoxifen in different media
将过量的他莫昔芬分别加入如表1所示的10种介质中,搅拌并超声30min,于恒温震荡器中振荡24h,取1ml上清液置于试管中,于10000r/min高速离心10min,精确吸取上清液用流动相稀释适当倍数后进行HPLC测定;他莫昔芬在各介质中的溶解度如表1所示,其中,他莫昔芬在乙醇、N-甲基-2-吡咯烷酮中溶解度最高,其次是桉叶油、丙二醇、二乙二醇单乙基醚。The excess tamoxifen was added to the 10 media shown in Table 1, stirred and sonicated for 30 minutes, shaken in a constant temperature shaker for 24 hours, and 1 ml of the supernatant was placed in a test tube, and centrifuged at 10,000 r/min for 10 minutes. , accurately draw the supernatant and dilute it with the mobile phase to perform HPLC determination; the solubility of tamoxifen in each medium is shown in Table 1, among which, tamoxifen in ethanol, N-methyl-2-pyrrolidone The medium solubility is the highest, followed by eucalyptus oil, propylene glycol, and diethylene glycol monoethyl ether.
表1他莫昔芬在不同介质中的溶解度Table 1 Solubility of tamoxifen in different media
实施例2 增溶剂对他莫昔芬在水-甘油(比例50/50)中溶解度的影响试验Example 2 Influence test of solubilizer on the solubility of tamoxifen in water-glycerol (ratio 50/50)
在28份甘油、28份水和15份不同增溶剂(如表2所示)组成的混合溶液中,分别加入过量的他莫昔芬,搅拌并超声30min,置于恒温震荡器中振荡24h,取1ml上清液至试管中,于10000r/min高速离心10min,精密吸取上清液,用流动相稀释适当倍数后进行HPLC测定,结果显示(如表2所示),在水-甘油(50/50)的混合体系中采用二乙二醇单乙基醚作为增溶剂的效果最好。In a mixed solution consisting of 28 parts of glycerol, 28 parts of water and 15 parts of different solubilizers (as shown in Table 2), an excess of tamoxifen was added respectively, stirred and sonicated for 30 minutes, and placed in a constant temperature oscillator to shake for 24 hours. Take 1ml of the supernatant into a test tube, centrifuge at 10000r/min for 10min, accurately aspirate the supernatant, dilute it with mobile phase to an appropriate multiple, and perform HPLC measurement. The results show (as shown in Table 2), in water-glycerol (50 /50) in the mixed system using diethylene glycol monoethyl ether as the solubilizer has the best effect.
表2不同增溶剂对他莫昔芬在水—甘油(比例50/50)中溶解度的影响Table 2 Effects of different solubilizers on the solubility of tamoxifen in water-glycerol (50/50 ratio)
实施例3 比较实验Example 3 Comparative experiment
表3 实施例1与比较例1-4处方Table 3 Recipe of Example 1 and Comparative Examples 1-4
根据上述制备方法制备比较例1-4和实施例1的凝胶贴膏,观察贴膏成型情况和药物析出情况,结果如表4所示;其中,The gel patches of Comparative Examples 1-4 and Example 1 were prepared according to the above-mentioned preparation method, and the forming situation of the patch and the drug precipitation were observed, and the results were shown in Table 4; wherein,
比较例1制备的凝胶贴膏无法成型,呈半固体凝胶状,而且可见大量药物析出;The gel patch prepared by Comparative Example 1 could not be formed, was semi-solid gel-like, and a large amount of medicine could be seen to separate out;
比较例2处方中加入卡波姆,可见凝胶贴膏基质交联成型,具备一定的皮肤黏附力,肉眼观察可见有大量药物在贴膏胶面析出;Adding carbomer in the prescription of Comparative Example 2, it can be seen that the gel patch matrix is cross-linked and formed, and has a certain skin adhesion, and a large amount of drugs are precipitated on the adhesive surface of the patch by naked eye observation;
比较例3在比较例2基础上加入增溶剂桉叶油,凝胶贴膏基质交联成型,但有少量药物析出;Comparative example 3 adds solubilizer eucalyptus oil on the basis of comparative example 2, and the gel patch matrix is cross-linked and formed, but a small amount of medicine is precipitated;
比较例4在比较例3基础上加入N-甲基-2-吡咯烷酮,凝胶贴膏基质交联成型,但仍有少量药物析出;In Comparative Example 4, N-methyl-2-pyrrolidone was added on the basis of Comparative Example 3, and the gel patch matrix was cross-linked and formed, but there was still a small amount of drug precipitation;
结果显示。实施例1在比较例3基础上加入二乙二醇单乙基醚,凝胶贴膏基质交联成型,胶面完整均匀,未发现有药物析出。The results show. In Example 1, on the basis of Comparative Example 3, diethylene glycol monoethyl ether was added, and the gel patch matrix was cross-linked and formed, and the adhesive surface was complete and uniform, and no drug precipitation was found.
表4 实施例1与比较例1-4处方成型和增溶评价Table 4 Formulation and solubilization evaluation of formulations of Example 1 and Comparative Examples 1-4
实施例4 比较实验Example 4 Comparative experiment
表5 实例2-6处方Table 5 Examples 2-6 recipes
制备实例2Preparation Example 2
称取二乙二醇单乙基醚、桉叶油、吐温80和氮酮混合均匀,加入处方量的他莫昔芬,搅拌并超声30min,制成他莫昔芬混悬液,备用;将他莫昔芬混悬液、甘羟铝、PVPP加入甘油中,搅拌均匀后再加入Viscomate NP-800,搅匀,即得A相,另取酒石酸,PVA,卡波姆加入蒸馏水中溶解,搅拌12h,作为B相,将B相加入到A相中,快速搅拌至适当粘稠度,用涂布机以1.5mm厚度的规格进行涂布,裁切,用铝箔袋包装,得他莫昔芬凝胶贴膏;Diethylene glycol monoethyl ether, eucalyptus oil, Tween 80 and azone were weighed and mixed uniformly, the tamoxifen of the recipe was added, stirred and sonicated for 30 min to prepare a tamoxifen suspension for subsequent use; Add tamoxifen suspension, aluminum carboxylate, and PVPP into glycerin, stir evenly, then add Vicomate NP-800, stir evenly to obtain phase A, and add tartaric acid, PVA, and carbomer to distilled water to dissolve, Stir for 12h, as phase B, add phase B into phase A, quickly stir to appropriate viscosity, coat with a coating machine with a thickness of 1.5mm, cut it, and pack it in an aluminum foil bag to obtain tamoxifen Fen gel patch;
实例3制备同实例2,其中主要将透皮促进剂氮酮换成油酸;The preparation of example 3 is the same as that of example 2, wherein the skin penetration enhancer azone is mainly replaced with oleic acid;
实例4制备同实例2,其中主要将填充剂PVPP换成微粉硅胶;The preparation of example 4 is the same as that of example 2, wherein the filler PVPP is mainly replaced with micropowder silica gel;
实例5制备同实例2,其中主要将增粘剂PVA换成CMC-Na;Example 5 is prepared with Example 2, wherein the tackifier PVA is mainly replaced by CMC-Na;
实例6制备同实例2,其中主要是将NP800改变为NP700,并调整剂量。Example 6 The preparation was the same as that of Example 2, except that NP800 was mainly changed to NP700, and the dosage was adjusted.
评价性试验:Evaluative test:
试验例 . 体外经皮渗透试验Test Example . In vitro percutaneous penetration test
采用改良Franz扩散池进行体外经皮渗透试验,透皮有效扩散面积为3.14 cm2,接收池体积约为8 ml,将离体猪耳皮肤固定于供给池与接受池之间,皮肤的角质层面朝上,接收池中注满50%乙醇生理盐水,并确保离体猪耳皮肤与接受液接触充分无气泡。将实施例2、3、4、7他莫昔芬凝胶贴膏贴敷于角质层面,开启磁力搅拌器(200 r·min-1)和恒温(37±0.5)°C水浴循环,开始计时,分别于6、12、24、48 h取接受液0.6 ml,并立即补充0.6 ml等温度的接受液,取出的接受液经0.45 μm微孔滤膜过滤后,HPLC测定他莫昔芬浓度,计算单位面积累积渗透量Qn(µg/cm2),记录48h的累积渗透量为Q48(μg · cm-2);以累积渗透量(Qn)对时间(t)做线性回归分析,得线性回归方程,方程的斜率即为透皮速率 J[μg /( cm2·h) ]。增渗倍数(ER)为各透皮促进剂试验组的透皮速率与不含促透剂的实例4的透皮速率之比;The in vitro percutaneous penetration test was carried out by using a modified Franz diffusion cell. The effective diffusion area of the skin was 3.14 cm 2 , and the volume of the receiving cell was about 8 ml. The isolated pig ear skin was fixed between the supply cell and the receiving cell. On, the receiving tank was filled with 50% ethanolic saline, and ensured that the isolated pig ear skin was in contact with the receiving fluid without air bubbles. Apply the tamoxifen gel patch of Examples 2, 3, 4, and 7 to the stratum corneum, turn on the magnetic stirrer (200 r·min-1) and the constant temperature (37±0.5) °C water bath cycle, and start timing. , at 6, 12, 24, and 48 h respectively, take 0.6 ml of the receiving solution, and immediately add 0.6 ml of the receiving solution at the same temperature. After the taken-out receiving solution is filtered through a 0.45 μm microporous membrane, the concentration of tamoxifen is determined by HPLC. Calculate the cumulative permeation amount per unit area Q n (µg/cm 2 ), record the cumulative permeation amount for 48 hours as Q 48 (µg · cm -2 ); perform linear regression analysis on the cumulative permeation amount (Q n ) versus time (t), A linear regression equation was obtained, and the slope of the equation was the skin penetration rate J [μg/(cm 2 ·h) ]. The penetration enhancement ratio (ER) is the ratio of the penetration rate of each skin penetration enhancer test group to the penetration rate of Example 4 without penetration enhancer;
采用HPLC法检测渗透液中他莫昔芬的浓度,色谱条件:PLATISILTM ODS色谱柱(150×4.6 mm,5 μm);流动相为甲醇:三乙胺1%(冰乙酸调pH到8.5)为89:11(V/V);体积流量为1.0 mL /min;检测波长238 nm;柱温25℃;进样量10 μl,采用外标法定量,以峰面积对他莫昔芬标准溶液质量浓度做线性回归,得回归方程为:C=0.053 A-0.0048 (r=0.9998),他莫昔芬在0.081~2.42μg·ml-1范围内与峰面积线性关系良好。方法回收率和精密度符合要求;The concentration of tamoxifen in the permeate was detected by HPLC. Chromatographic conditions: PLATISIL TM ODS column (150×4.6 mm, 5 μm); mobile phase: methanol: triethylamine 1% (pH adjusted to 8.5 with glacial acetic acid) The volume flow was 1.0 mL/min; the detection wavelength was 238 nm; the column temperature was 25 °C; the injection volume was 10 μl, and the external standard method was used for quantification. The linear regression was performed on the mass concentration, and the regression equation was obtained as: C=0.053 A-0.0048 (r=0.9998). Tamoxifen has a good linear relationship with the peak area in the range of 0.081~2.42μg·ml-1. Method recovery and precision meet the requirements;
透皮参数如表6所示,结果显示,与实例4不加促进剂相比,加有促进剂的实例2、3、7透过速率显著优于实例4;与油酸作为促进剂的实例3对比,含氮酮的实施例2、7的透皮速率更优;The skin penetration parameters are shown in Table 6. The results show that compared with Example 4 without the accelerator, the permeation rates of Examples 2, 3, and 7 with the accelerator are significantly better than those of Example 4; 3 In contrast, the skin penetration rates of Examples 2 and 7 containing nitrogen ketones are better;
表6 透皮促进剂对他莫昔芬凝胶贴膏透皮速率的影响Table 6 The effect of penetration enhancers on the penetration rate of tamoxifen gel patch
试验例 他莫昔芬凝胶贴膏初黏力试验Test Example Tamoxifen Gel Patch Initial Adhesion Test
根据《中国药典》(2015年版)四部通则0952黏附力测定法第一法(初黏力的测定)。初黏力采用滚球斜坡停止法测定,取实例1-6样品各3片,除去保护层,置于倾斜角为15°的倾斜板中央,膏面向上,斜面上部10cm及下部15cm用0.025mm厚的涤纶薄膜覆盖,中间留出5cm膏面。取不同直径的钢球,自斜面顶端自由滚下,根据胶面能粘住的最大钢球的球号,评价其初黏性的大小,结果如表7所示,显示实施例初黏力性能良好,结果显示实例1因未加增粘剂和填充剂,能黏住的钢球号相对较小;实例2-6均显示具有良好的初粘力,其中凝胶贴膏加有PVA的初粘力较CMC-Na略好;According to "Chinese Pharmacopoeia" (2015 edition) Four General Principles 0952 Adhesion Determination Method 1 (Determination of Initial Adhesion). The initial viscosity is measured by the rolling ball slope stop method. Take 3 samples of each of the examples 1-6, remove the protective layer, and place them in the center of the inclined plate with an inclination angle of 15°. Covered with thick polyester film, leaving 5cm of cream in the middle. Take steel balls of different diameters and roll them down freely from the top of the inclined surface. According to the ball number of the largest steel ball that the rubber surface can stick to, evaluate the size of its initial viscosity. The results are shown in Table 7, showing the initial viscosity performance of the example. Good, the results show that the number of steel balls that can stick is relatively small in Example 1 because no tackifier and filler are added; Examples 2-6 all show good initial adhesion, wherein the gel paste is added with PVA. The viscosity is slightly better than CMC-Na;
表7 实例1-6凝胶贴膏初黏力试验中黏附的钢球号Table 7 The number of steel balls adhered in the initial adhesion test of the gel patch of Example 1-6
试验例 他莫昔芬凝胶贴膏黏着力试验Test Example Tamoxifen Gel Patch Adhesion Test
根据《中国药典》(2015年版)四部通则0952黏附力测定法第四法(黏着力的测定)。黏着力采用BLD-200N试验机进行,取实例1-6凝胶贴膏(70cm×50cm)3片,黏性面向上,置于上样模块上,对准刻度线,将两边的盖衬分别撕开少许,用压条分别压住两边露出的黏性面,小心除去盖衬,居中自然放置在夹具底板上,使供试品平整地贴合在底板上,将压板水平压下,用两侧螺栓固定底板和压板,使矩形条上的供试品黏性面均匀绷紧,放于仪器上,固定后设定压辊前行速度为600mm·min-1,后退速度为21mm·min-1进行测定,黏着力测定结果如表8所示,均符合2015年版中国药典规定的凝胶贴膏黏着力应为1000~2000mN的标准,实例1未加增粘剂和填充剂,黏着力相对偏低;实例2-6均显示有良好的黏着力,其中凝胶贴膏加有PVA的黏着力较CMC-Na更好。According to "Chinese Pharmacopoeia" (2015 edition) Four General Principles 0952 Adhesion Determination Method 4 (Determination of Adhesion). Adhesion was tested by BLD-200N testing machine. Take 3 pieces of gel patch (70cm×50cm) of Example 1-6, with the adhesive side facing up, put it on the sample loading module, align with the scale line, and separate the cover linings on both sides. Tear off a little, press the sticky surfaces exposed on both sides with pressure strips, carefully remove the cover lining, and place it naturally on the bottom plate of the fixture in the center, so that the test sample is flat on the bottom plate, press the pressure plate horizontally, and use both sides. Fix the bottom plate and the pressure plate with bolts, so that the sticky surface of the test product on the rectangular strip is evenly stretched, and place it on the instrument. After fixing, set the forward speed of the pressure roller to 600mm·min -1 and the backward speed to 21mm·min -1 The measurement results are shown in Table 8, which are all in line with the 2015 edition of the Chinese Pharmacopoeia, which stipulates that the adhesive force of the gel patch should be 1000-2000 mN. Example 1 does not add tackifiers and fillers, and the adhesive force is relatively biased. Low; Examples 2-6 all show good adhesion, and the adhesion of the gel patch with PVA is better than that of CMC-Na.
表8 各实施例制备的凝胶贴膏的黏着力Table 8 Adhesion of the gel patches prepared in each example
试验例 他莫昔芬凝胶贴膏皮肤刺激性试验Test Example Tamoxifen Gel Patch Skin Irritation Test
取试验用家兔6只,实验前 24h 将家兔脊柱两侧毛剪净并用脱毛膏进行脱毛处理,脱毛范围左、右各3 cm×3 cm,并检查皮肤应无受损,脱毛后将动物分为两组,即完整皮肤组和破损皮肤组,其中破损皮肤组于给药前用消毒的16号针头将脱毛区皮肤划破,划成井字形破口,深度以渗血为准,左右两侧皮肤破损程度保持一致;6 experimental rabbits were taken. 24 hours before the experiment, the hair on both sides of the spine of the rabbits was trimmed and depilated with depilatory cream. The depilation range was 3 cm × 3 cm on the left and right. The animals were divided into two groups, namely the intact skin group and the damaged skin group. In the damaged skin group, the skin of the depilation area was scratched with a sterilized 16-gauge needle before administration to make a well-shaped break. The degree of skin damage on both sides remains the same;
采用同体左右侧自身对比法,两组家兔的左侧脱毛区均给予实例2凝胶贴膏,右侧脱毛区均给予空白基质凝胶贴膏,贴药完成后先用两层纱布覆盖药膏,再用医用胶带固定,每只动物分笼饲养,给药24h后,除去纱布和药膏,用温水擦洗干净给药区,分别于1h、24h、48h和72h后观察给药部位有无红斑或水肿现象,如表9所示,结果显示,完整皮肤组、破损皮肤组的家兔给予凝胶贴膏后,均未见脱毛区皮肤有红斑或水肿现象,对同一只家兔左右侧脱毛区皮肤进行比较,未见异常,表明他莫昔芬凝胶贴膏对皮肤无刺激性;Using the self-contrast method on the left and right sides of the same body, the gel patch of Example 2 was given to the left depilation area of the two groups of rabbits, and the blank matrix gel patch was applied to the right depilation area. After the patch was completed, the ointment was covered with two layers of gauze. , and then fixed with medical tape, and each animal was kept in separate cages. After 24 hours of administration, the gauze and ointment were removed, and the administration area was cleaned with warm water. The edema phenomenon, as shown in Table 9, the results show that after the rabbits in the intact skin group and the damaged skin group were given the gel patch, there was no erythema or edema on the skin in the depilation area. Compared with the skin, no abnormality was found, indicating that the tamoxifen gel patch is not irritating to the skin;
表9 家兔皮肤刺激性实验Table 9 Rabbit skin irritation test
试验例 他莫昔芬凝胶贴膏皮肤过敏性试验Test Example Tamoxifen Gel Patch Skin Allergy Test
按照国家食品药品监督管理局《化学药物刺激性、过敏性和溶血性研究技术指导原则》进行,In accordance with the State Food and Drug Administration's "Technical Guiding Principles for Research on Irritability, Allergy and Hemolysis of Chemical Drugs",
取试验用豚鼠30只,雌雄各半,实验前24h背部脊柱两侧毛剪净并用脱毛膏进行脱毛处理,脱毛面积每侧各为3×3cm2,随机分为3组,每组10只,雌雄各半;Thirty guinea pigs, half male and half male, were taken for the test. 24 hours before the experiment, the hair on both sides of the back spine was trimmed and treated with depilatory cream. The depilation area was 3 × 3 cm 2 on each side. half male and female
将豚鼠上药皮肤区进行温水擦拭,3组动物左侧皮肤上药,分别为实例2他莫昔芬凝胶贴膏3cm2、空白基质凝胶贴膏3cm2、1%2,4-二硝基氯代苯0.2ml,给药后用两层纱布覆盖,再用医用胶带固定,持续24h后,去掉纱布及药膏,并用温水擦洗干净,第7和14天,以同样方法重复一次,观察豚鼠脱毛区皮肤有无红斑和水肿情况;The medicated skin area of the guinea pig was wiped with warm water, and the left skin of the 3 groups of animals was medicated, respectively Example 2 tamoxifen gel patch 3cm 2 , blank matrix gel patch 3cm 2 , 1% 2,4-di Nitrochlorobenzene 0.2ml, covered with two layers of gauze after administration, and then fixed with medical tape. After 24 hours, the gauze and ointment were removed, and washed with warm water. Repeat the same method on the 7th and 14th day. Observe Whether there is erythema and edema on the skin of the guinea pig depilation area;
激发接触:于末次致敏接触后14天,分别于豚鼠右侧脱毛区给予各组对应药品,给药后用两层纱布覆盖,再用医用胶带固定,持续6h后,去掉纱布及药膏,并用温水擦洗干净,即刻观察豚鼠脱毛区皮肤过敏情况,并于24h、48h和72h再次观察豚鼠脱毛区皮肤过敏情况,计算致敏率和反应平均值:Provocative exposure: 14 days after the last sensitizing exposure, the corresponding drugs of each group were administered to the right depilation area of the guinea pigs. After administration, they were covered with two layers of gauze, and then fixed with medical tape. After 6 hours, the gauze and ointment were removed. Scrub with warm water, immediately observe the skin allergy in the depilation area of the guinea pig, and observe the skin allergy in the depilation area of the guinea pig again at 24h, 48h and 72h, and calculate the sensitization rate and the average value of the reaction:
致敏率=出现红斑或水肿动物数÷总动物数)×100%,致敏率统计结果如表11所示,致敏反应强度评判标准如表10所示;Sensitization rate = number of animals with erythema or edema ÷ total number of animals) × 100%, the statistical results of sensitization rate are shown in Table 11, and the evaluation criteria of sensitization reaction intensity are shown in Table 10;
反应平均值=(红斑形成总分 + 水肿形成总分)÷合计动物数Mean response = (total score for erythema formation + total score for edema formation) ÷ total number of animals
其中,皮肤过敏分值评定标准为:轻度红斑、中度红斑、重度红斑和水肿性红斑的分值依次为1分、2分、3分、4分;轻度水肿、中度水肿和重度水肿的分值依次为1分、2分、3分;Among them, the evaluation criteria for skin allergy scores are: mild erythema, moderate erythema, severe erythema and edematous erythema are scored as 1 point, 2 points, 3 points, 4 points; mild edema, moderate edema and severe erythema The scores for edema are 1, 2, and 3 in turn;
豚鼠过敏情况统计结果分析显示:空白基质凝胶贴膏组、他莫昔芬凝胶贴膏组的豚鼠脱毛区皮肤在各个观察期内均未出现红斑或水肿,表明他莫昔芬凝胶贴膏对皮肤无过敏性。The statistical analysis of allergy in guinea pigs showed that no erythema or edema appeared in the hair removal area of the guinea pigs in the blank matrix gel patch group and the tamoxifen gel patch group during each observation period, indicating that the tamoxifen gel patch group did not have erythema or edema. The cream is non-allergenic to the skin.
表 10 致敏反应强度评判标准Table 10 Criteria for judging the intensity of sensitization
表11 豚鼠过敏情况统计表Table 11 Statistics of guinea pig allergy
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