CN1110557A - Silver nitrate ointment - Google Patents

Silver nitrate ointment Download PDF

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Publication number
CN1110557A
CN1110557A CN 94119842 CN94119842A CN1110557A CN 1110557 A CN1110557 A CN 1110557A CN 94119842 CN94119842 CN 94119842 CN 94119842 A CN94119842 A CN 94119842A CN 1110557 A CN1110557 A CN 1110557A
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ointment
silver nitrate
water
glycerol
gelatin
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CN 94119842
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赵莹
林勇
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Abstract

The silver nitrate ointment belonging to hydrophilic one containing silver ions is prepared from silver nitrate (0.1-0.2%) as main component, glycerin (15%), dimethyl silicone oil (3%), gelatin (2%), carboxymethyl vitamine sodium (3.8%), beta-cyclodextrin (2%), citron yellow (0.005%), potassium nitrate (0.005%) and water, and may be used to treat burn and wound infection with advantages of high curative effect, no hypersensitivity reaction, strong disinfecting power and low poison.

Description

Silver nitrate ointment
The present invention relates to surgical medicine, particularly argentiferous ionic hydrophilic ointment and compound method thereof.
Handle surgical wound with silver and its esters, all on the books at all times.Silver nitrate is a kind of of silver salt, and the silver nitrate of high concentration for example silver stick has corrosiveness, and the wound surface of human in the granulation hyperplasia of small size early arranged; The silver nitrate of low concentration for example 0.5% aqueous solution has antibiotic astriction, once voguish with its treatment large-area burns, a large amount of experiment and clinical practices prove, use 0.5% silver nitrate solution soak, really can prevent and treat burn wound's septicemia, reach and improve the purpose that cure rate reduces mortality rate and disability rate.The problem that exists is: 1, meet light and become black, hinder wound surface to observe; 2, infiltration is forced down, and upsets fluid and electrolyte balance; 3, free silver ions rapidly and the protein binding of transudate, bactericidal action is difficult to lastingly; 4, be difficult for being penetrated into deep tissue; 5, the silver nitrate metabolism causes positive hemoglobin disease once in a while.Just because of this, silver nitrate aqueous solution is just replaced by silver sulfadiazine ointment.United States Patent (USP) 3761590(1975) be exactly this class medicine for external use Chinese patent CN 88101699A(1988).It has overcome the problems that silver nitrate aqueous solution exists, so since nineteen sixty-eight, this ointment occupies critical role in external use burn treating medicine always.But silver sulfadiazine also has some shortcomings, and for example: 1, the anaphylaxis of part or whole body happens occasionally; 2, Resistant strain increases day by day; 3, there is zest the part, and patient can feel scorching hot and sharp during external application; 4, can produce inhibitory action to epidermal growth during valid density; 5, after sulfadiazine absorbs from wound surface, renal function there is certain negatively influencing.So over nearly 10 years, the expert is striving to find the succedaneum of silver sulfadiazine both at home and abroad always.
The objective of the invention is to develop a kind of advantage that can keep and develop silver-colored aqueous solution of orthonitric acid and silver sulfadiazine ointment by the change of dosage form and the improvement of substrate, overcome their shortcomings separately, develop the new drug that a kind of good effect, low, easy to use, the low-cost control burn of toxicity and other surgical wound infect.
Purpose of the present invention adopts following technical scheme to realize:
Through experiment repeatedly, the content of determining principal agent silver nitrate in the silver nitrate ointment is 0.1~0.2%, selects for use 5 kinds of water-soluble basees commonly used to add the ointment that an amount of dimethicone is made simultaneously, filters out following proper formulation and has determined production technology by germ experiment.
(1) silver nitrate ointment prescription (weight %)
A. principal agent:
Silver nitrate 0.1~0.2
B. accessory drugs:
Beta-schardinger dextrin-2.0
Sodium carboxymethyl cellulose 3.8
Gelatin 2.0
Dimethicone 3.0
Potassium nitrate 0.005
Glycerol 15.00
Lemon yellow 0.005
C. water surplus
A+B+C=100 weight %
(2) technology:
1, gets gelatin and add 40 milliliters in warm water, soak 80 ℃ of expansion post-heating, make it dissolve into rubber cement;
2, get glycerol and add in the gelatine size, stir glycerol gelatin matrix;
3, get the sodium carboxymethyl cellulose dimethicone, add in the glycerol gelatin matrix, stir;
4, get beta-schardinger dextrin-and add 20 milliliters in water, heat 60 ℃ of dissolvings;
5, get silver nitrate, potassium nitrate adds 5 milliliters in water, dissolving back adds in the beta-schardinger dextrin-liquid, adds in the glycerol gelatin matrix to stir again;
6, getting the dissolving of lemon yellow adding excess water stirs back the adding in the above-mentioned substrate;
7, uniform ointment is put taken out the bubble that degass in the vacuum chamber;
8, Packaging Bottle is cleaned the cold drying sterilization;
9, with ointment sampling chemical examination, quantitative filling, warehouse-in seals, labels, cases.
Silver nitrate ointment of the present invention has been carried out pharmacodynamics and toxicology test:
(1) Pharmacodynamic test of active extract:
1, extracorporeal bacteria inhibitor test: silver nitrate ointment all has stronger inhibitory action to the common bacterial infection of fire victim, is 16 mcg/ml to the minimum inhibitory concentration (MIC) of bacillus pyocyaneus, is 31 mcg/ml to golden staphylococci.
2, bacteriostatic test in the body: to rabbit and the test of burned rats treatment of infection, the result of the subeschar bacterial count of blank group or matched group and administration group has notable difference, proves that this ointment fungistatic effect is remarkable.
(2) toxicology test:
1, acute toxicity test: the acute toxicity test of intact skin and the acute toxicity test of corrupted skin prove that all silver nitrate ointment does not have the acute toxicity effect.
2, long term toxicity test: successive administration 45 days, 5 times of high dose group behaviour consumption are not seen any toxic reaction, think this product safety non-toxic.
3, skin irritation test: no matter 4 rabbit are to observe at that time after the administration, still visit to a week in 24 hours, and the part of its dispenser there is no erythema, phenomenons such as edema.
4, skin anaphylactic test: the number of animals of skin rubefaction or edema occurs according to every treated animal, divided by the animal subject sum, calculate the sensitization rate, each administration group and blank matrix group sensitization rate are zero.
5, the influence of human epidermal cell growth is observed:
With blank group contrast proof 0.1% silver nitrate ointment epidermal growth there is not inhibitory action with 0.1%, 0.5% silver nitrate ointment and 2% sulfadiazine group ointment.
Three, relevant silver nitrate ointment quality research:
(1) physicochemical constant:
Silver nitrate ointment is yellow or yellowish-brown water-soluble ointment, evenly, fine and smooth, be easy to coating, be easy to clean, pH value 6.5~6.8 is faintly acid, and suitable HLB value and water number are arranged.
(2) silver nitrate assay:
Adopt iodide ion to select determination of electrode residue iodide ion concentration, thus indirect determination concentration of silver ions method.
(3) silver nitrate ointment stability experiment:
Silver nitrate ointment is tested after the packing in the polypropylene plastics bottle that adopts lucifuge and favorable sealing property, shows 20 ± 5 ℃ of stability test results, deposits invariant color after 6 months.Under 40 ℃ of acceleration environments, almost there is not decomposition, 60 ℃ of conditions have decomposition after following 2 months slightly, and this product is fixed tentatively 2 years effect duration.
Preliminary Clinical Observation explanation by above-mentioned a series of research and nearly 100 examples, low concentration 0.1-0.2% silver nitrate ointment is as 0.5% silver nitrate aqueous solution and 2% silver sulfadiazine, has broad-spectrum, very strong antibacterial ability, it is nontoxic to human body to absorb the back, be applicable to treatment large-area burns and other infectious surgical diseases, contrast with 0.5% silver nitrate aqueous solution, it can discharge silver ion lentamente, do not turn black, long action time, be difficult for causing that power and water separates the matter disorder, and reduce to 0.1~0.2% from 0.5%, further slowed down part and systemic toxic side effect with concentration.This medicine and silver sulfadiazine ointment contrast also have obvious advantage, and for example local irritation is little, can not cause pain, not suppress epidermal growth, be difficult for irritated, be difficult for producing Resistant strain, and the renal function injury of having avoided sulfadiazine to cause, reach the advantage of developing orthonitric acid silver aqueous solution and silver sulfadiazine ointment, overcome the shortcoming that they exist separately, good effect, toxicity is low, and is easy to use, low price can be prevented and treated the purpose of design that burn and other surgical wound infect new drug.
Further specify the present invention below in conjunction with embodiment and Comparative Examples.
Embodiment 1:
Take by weighing gelatin 2 grams, add 40 milliliters in warm water, soak 80 ℃ of expansion post-heating, make it be fused into rubber cement, get glycerol 15 gram and add in the gelatine sizes, stir glycerol gelatin matrix, get sodium carboxymethyl cellulose 3.8 grams, dimethicone 3.0 grams join in the glycerol gelatin matrix, stir, get beta-schardinger dextrin-and add 20 milliliters in water, it is standby to heat 60 ℃ of dissolvings, get silver nitrate 0.1 gram, potassium nitrate 0.005 gram joins in the beta-schardinger dextrin-liquid after adding 5 milliliters of dissolvings of water, joins in the glycerol gelatin matrix to stir again, get lemon yellow 0.005 gram and add excess water dissolving back adding to stir in the above-mentioned substrate, uniform ointment is placed vacuum chamber to take out to degas bubble, get final product fill, Packaging Bottle is cleaned, the cold drying poison that goes out, with ointment sampling chemical examination, quantitative filling seals, label the vanning warehouse-in.
Embodiment 2:
Except silver nitrate was 0.2 gram (content 0.2%), all the other were with embodiment 1.
Embodiment 3:
Except silver nitrate was 0.5 gram (content 0.5%), all the other were with embodiment 1.
Comparative Examples 1:
Ointment base: except not adding silver nitrate, other is with embodiment 1.
Comparative Examples 2:
Adopt commercially available SHAOTANGNING OINTMENT, contain 2% silver sulfadiazine in this ointment.
Below the further effect of contrast ointment of the present invention and 2.0% silver sulfadiazine:
Chemical analysis shows that silver nitrate ointment (0.1~0.5%) water solublity is strong, and its effective ingredient silver ion degree of dissociation is big, is 550~650PPM.Ag in 0.1% silver nitrate ointment +Be 597PPM, and the Ag in 2% silver sulfadiazine (AgSD) +Be 270PPM(200~300PPM), the former is about 2.21 times of the latter.
1, external inhibition zone test:
The external inhibition zone result of the test of table 1. (millimeter)
Figure 941198421_IMG1
As seen from Table 1,0.1% silver nitrate ointment is antibacterial obviously greater than 2% silver sulfadiazine ointment (P<0.05).
2, bacteriostatic test in the body:
Get healthy white rabbit, unhairing is scalded with 98% hot water partial-depth, with 0.5 milliliter of staphylococcus aureus (1 * 10 9/ milliliter) evenly coats wound surface, got wound surface middle part eschar and undertissue's inspection bacterial population thereof, and listed in table 2 in the 4th day.
The staphylococcus aureus number relatively under the table 2. scald rabbit eschar
Figure 941198421_IMG2
As seen from Table 2, make bacterial population be starkly lower than blank substrate, also be lower than 2% sulphur and be subjected to pyrimidine silver ointment with ointment of the present invention.
3, the influence that human epidermal cell is grown:
Adopt human epidermal cell cultivation and 3H-TdR to mix method, observe influence, the results are shown in table 3 the human epidermal cell growth.
Table 3. epidermis cell counting
Figure 941198421_IMG3
As known from Table 3, the AgNO of embodiment 3Ointment does not suppress epithelial cell growth, and 2% silver sulfadiazine very obviously descends cell.
4,2% silver sulfadiazine is distributed in patient burn wound scorching hot sensation of pricking, and uses 0.1~0.2% silver nitrate not only non-stimulated but also can also relax the inherent pain of wound surface to patient.
5,0.1~0.2% silver nitrate keeps in Dark Place in basic invariant color in two years.
6,0.1~0.2% silver nitrate does not cause general toxicity and anaphylaxis, and silver sulfadiazine has general toxicity and anaphylaxis.
In sum, it combines the advantage of 0.5% water-soluble silver nitrate aqueous solution and 2.0% flamazine ointment of the present invention, has overcome their shortcoming. Be a kind of good effect, toxicity is low, and is easy to use, the new drug that low-cost control burn and other surgical wound infect.

Claims (2)

1, a kind of silver nitrate ointment is a principal agent with the silver nitrate, is aided with dimethicone, beta-schardinger dextrin-, sodium carboxymethyl cellulose, gelatin, glycerol, potassium nitrate, lemon yellow, water, and prescription of the present invention (weight %) is:
A. principal agent:
Silver nitrate 0.1~0.2
B. accessory drugs:
Beta-schardinger dextrin-2.0
Sodium carboxymethyl cellulose 3.8
Gelatin 2.0
Dimethicone 3.0
Potassium nitrate 0.005
Glycerol 15.00
Lemon yellow 0.005
C. water surplus
A+B+C=100 weight %
2, a kind of technology of producing the ointment of claim 1 is:
(1) get gelatin and add 40 milliliters in warm water, soak 80 ℃ of expansion post-heating, make it dissolve into rubber cement,
(2) get glycerol and add in the gelatine size, stir glycerol gelatin matrix,
(3) get sodium carboxymethyl cellulose, dimethicone adds in the glycerol gelatin matrix, stir,
(4) get beta-schardinger dextrin-and add 20 milliliters in water, heat 60 ℃ of dissolvings,
(5) get silver nitrate, potassium nitrate adds in the powder-beta-dextrin liquid after adding 5 milliliters of dissolvings of water, add in the glycerol gelatin matrix again to stir,
(6) get the lemon horizontal stroke and stir yellow the adding in the above-mentioned substrate of excess water dissolving back adding,
(7) uniform ointment put taken out the bubble that degass in the vacuum chamber,
(8) Packaging Bottle is cleaned, the cold drying sterilization,
(9) with ointment sampling chemical examination, quantitative filling seals, and labels the vanning warehouse-in.
CN 94119842 1994-12-14 1994-12-14 Silver nitrate ointment Pending CN1110557A (en)

Priority Applications (1)

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CN 94119842 CN1110557A (en) 1994-12-14 1994-12-14 Silver nitrate ointment

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CN1110557A true CN1110557A (en) 1995-10-25

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102824363A (en) * 2012-09-21 2012-12-19 张晋瑞 Antibacterial agent
CN115300528A (en) * 2022-07-19 2022-11-08 右江民族医学院 Mirabilitum ointment for inhibiting staphylococcus aureus and preparation method and application thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102824363A (en) * 2012-09-21 2012-12-19 张晋瑞 Antibacterial agent
CN115300528A (en) * 2022-07-19 2022-11-08 右江民族医学院 Mirabilitum ointment for inhibiting staphylococcus aureus and preparation method and application thereof

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