CN111714509A - Application of dioscin in medicine for preventing and treating motion sickness - Google Patents

Application of dioscin in medicine for preventing and treating motion sickness Download PDF

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Publication number
CN111714509A
CN111714509A CN202010722916.3A CN202010722916A CN111714509A CN 111714509 A CN111714509 A CN 111714509A CN 202010722916 A CN202010722916 A CN 202010722916A CN 111714509 A CN111714509 A CN 111714509A
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dioscin
preventing
medicine
motion sickness
treating motion
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陈苗苗
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Nantong University
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Nantong University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/08Drugs for disorders of the alimentary tract or the digestive system for nausea, cinetosis or vertigo; Antiemetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system

Abstract

The invention discloses an application of dioscin in a medicine for preventing and treating motion sickness, and relates to the technical field of application of dioscin; the medicine of dioscin for preventing and treating motion sickness is prepared by mixing pharmaceutically acceptable carrier and dioscin to prepare medicine of specific dosage form; the specific dosage form comprises tablet, capsule, pill, suppository, unguent, liquid, emulsion, and granule. The tablet comprises one of common tablet, enteric-coated tablet, dispersible tablet, quick-release tablet, sustained-release tablet, and controlled-release tablet; the pharmaceutically acceptable carrier of dioscin also comprises one or more of pH buffer, emulsifier, pigment and dye, and the dioscin can play an effective reference role in preventing and treating motion sickness, and further play an effective pharmaceutical role.

Description

Application of dioscin in medicine for preventing and treating motion sickness
Technical Field
The invention belongs to the application field of dioscin, and particularly relates to application of dioscin in a medicine for preventing and treating motion sickness.
Background
Motion sickness, also known as motion sickness, is a syndrome of vegetative nervous system symptoms such as lethargy, headache, pale complexion, stomach discomfort, nausea and vomiting, which are caused by the body being in a motion environment or simulated motion environment. Motion sickness can be induced in a variety of motion environments, such as automobiles, boats, airplanes, pendulum trains, space, simulated motion. The motion sickness is classified into car sickness, sea sickness, simulator motion sickness, aviation motion sickness, space motion sickness and the like according to different motion sickness environments.
The existing anti-motion sickness drugs comprise anticholinergic drugs, antihistamine drugs, sympathomimetic drugs, calcium antagonist, gastric motility drugs, and also traditional Chinese medicines such as salvia miltiorrhiza, gastrodia elata, ginger and the like. The single drug with the best effect of preventing and treating the motion sickness is scopolamine, and the most common drug is antihistaminic drug, namely dimenhydrinate (theohydramine tablets).
The inventor of the application finds that the common anti-motion sickness drugs have large side effects in the long-term research and development process, can cause sleepiness, blurred vision, dry mouth, reduction of gastrointestinal and respiratory tract secretions, difficulty in concentration of attention, memory reduction and the like, and can influence the operation of people under various special environmental conditions.
Disclosure of Invention
The technical problem to be solved is as follows: aiming at the technical problems that the common anti-motion sickness drugs have large side effects and can cause lethargy, blurred vision, dry mouth, reduction of gastrointestinal and respiratory tract secretions, difficulty in concentrating attention, memory decline and the like, the invention aims to provide the application of dioscin in the drugs for preventing and treating the motion sickness.
The technical scheme is as follows:
an application of dioscin in medicine for preventing and treating motion sickness is disclosed, wherein the chemical structural formula of dioscin is shown in the specification
Figure BDA0002600667900000021
Further, the medicine for preventing and treating motion sickness comprises a pharmaceutically acceptable carrier of dioscin.
Furthermore, the medicine of the dioscin for preventing and treating the motion sickness is prepared by mixing a pharmaceutically acceptable carrier with the dioscin to prepare a medicine forming a specific dosage form.
Further, the specific dosage forms include tablets, capsules, pills, suppositories, ointments, liquids, emulsions, and granules.
Further, the dioscin can be used for preventing and treating motion sickness by selecting drugs with corresponding dosage forms according to oral administration or non-oral administration, and one or more of the administration routes can be used by the same patient, and the non-oral administration route can be intravenous injection, intramuscular injection and subcutaneous injection.
Further, the tablet comprises one of common tablets, enteric-coated tablets, dispersible tablets, quick-release tablets, sustained-release tablets and controlled-release tablets.
Further, when the dosage form is a solid dosage form, the pharmaceutically acceptable carrier of the dioscin comprises: the excipient is lactose and/or sucrose, the binder is one or more of water, ethanol, propanol and gelatin solution, the wetting agent is glycerol, and the lubricant is one or more of stearate, boric acid powder and polyethylene glycol.
Further, when the dosage form is a liquid dosage form, the pharmaceutically acceptable carrier of the dioscin is a diluent, and the diluent is one or more of water, ethanol, propylene glycol and lactic acid water solution.
Further, the pharmaceutically acceptable carrier of the dioscin also comprises one or more of pH buffer, emulsifier, pigment and dye.
Furthermore, the medicines for treating motion sickness are in dosage unit form, the dosages of the dioscin contained in the medicines with different dosage forms can be the same or different, and the dosages of the dioscin contained in the medicines with the same dosage form can be the same or different; for example, the dosage of dioscin contained in the drug, which is also in a liquid form, may be 30mg or 60 mg.
Has the advantages that:
1. the medicine for preventing and treating motion sickness comprises dioscin with effective dose for preventing and treating motion sickness and a pharmaceutically acceptable carrier. Wherein, the dioscin can play an effective reference role in preventing and treating motion sickness, and further possibly play an effective medicine role.
2. The vomit latency of beagle dog in high dosage of dioscin is 21.93 + -3.53 min, which is significantly prolonged compared with 10.36 + -3.04 min in control group and 10.91 + -3.17 min in low dosage of dioscin. With the increase of dosage of dioscin, the vomit latency of beagle dogs after rotary stimulation is gradually increased, and the beagle dogs can play the same role as dimenhydrinate, wherein the difference between the high-dosage group of dioscin and the control group is obvious (p is less than 0.05).
3. After the rotation stimulation, the percentage of the decrease of the saccharin drinking water consumption of rats in the rotation stimulation group is 33.13 +/-4.75, and is obviously reduced compared with the rats in the normal saline group (p is less than 0.01), while the percentage of the decrease of the saccharin drinking water consumption of rats in the dioscin high dose group is 17.23 +/-3.64, and is obviously increased relative to the rotation stimulation group, and the difference has significance (p is less than 0.05), and the effect is similar to the result of a theohydramine positive drug control group.
Detailed Description
The following examples illustrate specific steps of the present invention, but are not intended to limit the invention.
Terms used in the present invention generally have meanings commonly understood by those of ordinary skill in the art, unless otherwise specified.
The invention is described in further detail below with reference to specific examples and with reference to data. It will be understood that these examples are intended to illustrate the invention and are not intended to limit the scope of the invention in any way.
In the following examples, various procedures and methods not described in detail are conventional methods well known in the art.
The rotary stimulation device was modeled with reference to Crampton and Lucot reports. Crampton GH, Lucot JB, analyzer for laboratory students of motion in cats, Aviat SpaceEnviron Med.,1985.56(5): 462-.
Example 1
An application of dioscin in medicine for preventing and treating motion sickness is disclosed, wherein the chemical structural formula of dioscin is shown in the specification
Figure BDA0002600667900000041
The medicine for preventing and treating motion sickness comprises a pharmaceutically acceptable carrier of dioscin, the medicine for preventing and treating motion sickness of dioscin is a medicine prepared by mixing the pharmaceutically acceptable carrier and the dioscin to form a specific dosage form, the specific dosage form comprises a tablet, a capsule, a pill, a suppository, a paste, a liquid, an emulsion and a granule, the medicine for preventing and treating motion sickness of dioscin selects the corresponding dosage form according to the oral administration or non-oral administration route, one or more of the administration routes can be used by the same patient, the non-oral administration route comprises intravenous injection, intramuscular injection and subcutaneous injection, and the tablet comprises one of a common tablet, an enteric coated tablet, a dispersible tablet, a quick release tablet, a sustained release tablet and a controlled release tablet; the pharmaceutically acceptable carrier of dioscin also comprises one or more of pH buffer, emulsifier, pigment, and dye.
When the dosage form is solid, the pharmaceutically acceptable carrier of dioscin comprises: the excipient is lactose and/or sucrose, the binder is one or more of water, ethanol, propanol and gelatin solution, the wetting agent is glycerol, and the lubricant is one or more of stearate, boric acid powder and polyethylene glycol; when the dosage form is liquid, the pharmaceutically acceptable carrier of dioscin is diluent, wherein the diluent is one or more of water, ethanol, propylene glycol, and lactic acid water solution; the medicine for preventing and treating motion sickness is in dosage unit form, the dosage of dioscin contained in the medicine with different dosage forms can be the same or different, and the dosage of dioscin contained in the medicine with the same dosage form can be the same or different; for example, the dosage of dioscin contained in the drug, which is also in a liquid form, may be 30mg or 60 mg.
In one application scenario, the skilled physician can readily determine and prescribe the effective amount of dioscin in a drug for the treatment of a disease, depending on the species of the patient (e.g., dog, chimpanzee, etc.), sex, weight, age, medical condition, route of administration, severity of the condition being treated, and the like. In addition, the effective dose administered will vary with the mode of administration, the treatment desired, and the disease condition indicated. The total daily dose may be administered in a single dose or in divided doses. For example, in the case of a single intravenous injection of a medicine for preventing and treating motion sickness in an adult, the dosage of dioscin in the medicine is 30-60mg, for example, 30mg, 40mg, 50mg, 60 mg.
The above listed dosage ranges are exemplary only, and dosages may be adjusted according to pharmacokinetic or pharmacodynamic parameters, which may include clinical effects such as toxic effects and/or laboratory values. Accordingly, this application encompasses dose escalation in patients as determined by one of skill in the art. Determining appropriate dosages and regimens for administering dioscin is well known in the relevant art, and should be understood to be covered by those skilled in the art once provided with the teachings disclosed herein.
The medicaments of the present application may be prepared, packaged or sold in bulk form, in single unit dosage form, or in multiple single unit dosage forms. As used herein, a "unit dose" is an individual amount of a drug that contains a predetermined amount of dioscin. The amount of dioscin is generally equal to the dose of dioscin to be administered to the subject, or a convenient fraction of such a dose, e.g., one-half or one-third of such a dose.
The relative amounts of dioscin, a pharmaceutically acceptable carrier, and any other ingredients in the medicaments of the present application will vary depending on the identity, size, and condition of the subject being treated, and further depending on the route of administration of the composition. For example, the composition may comprise between 0.1% and 100% (w/w) dioscin.
The agent for preventing and treating motion sickness in the present application may further comprise one or more other agents effective for preventing and treating motion sickness, the components of which are in the same formulation or separate formulations for simultaneous administration or sequential administration.
In an application scenario, the medicine for preventing and treating motion sickness comprises at least two active components, namely a first active component and a second active component, wherein the first active component is dioscin; the first active ingredient and the carrier are used in a conventional formulation process to form a first formulation, the second active ingredient and the carrier are used in a conventional formulation process to form a second formulation, and the patient sequentially injects the first formulation and the second formulation. In another application scenario, the first active ingredient, the second active ingredient, and the carrier are used in a conventional formulation process to form a third formulation, which is injected by the patient. In still another application scenario, the effective dosage ratio of the first active component and the second active component is 1:1, 2:1, 1:2, etc., and the effective dosage ratio can be adjusted by the physician according to the actual situation.
The following data are presented to show that dioscin provides an effective reference for preventing and treating motion sickness.
Experimental materials:
the experimental animal beagle dog is 20 beagle dog, each half male and female, the weight is 7.5-10.5kg, the beagle dog is purchased from Shanghai university of transportation experimental animal farm, healthy Sprague-Dawley rat, clean grade, 60 beagle dogs, each half male and female, the weight is 220 plus 260g, and the beagle dog is provided by Nantong university medical experimental animal center.
The experimental method comprises the following steps:
1. rat and beagle motion disease model preparation: during the experiment, rats or dogs are placed in the organic glass cage of the rotating device without being bound and rotate around the horizontal shaft. Clockwise acceleration and deceleration and anticlockwise acceleration and deceleration are carried out alternately, the acceleration time is 7.5s, and the deceleration time is 2.5s, namely 20s in one period. The acceleration at acceleration is 16 DEG/s2Acceleration at deceleration of-48 DEG/s2Rotation amplitude 700 deg., time 10 s. The rat rotation was stopped for 120min and the dog rotation for 30 min.
2. Determination of the sensitivity of beagle motion disease: the dogs are numbered 16 beagle dogs, are bred adaptively for 1 week, are given rotary stimulation for 30min, record the occurrence time (in min) of the sialorrhea and the vomiting of the dogs, and stop rotating if the dogs rotate for 30min, and are marked as insensitive to motion diseases. Beagle dogs were screened twice with 2 weeks interval. And (3) combining the experimental data of two times, grouping 16 beagle dogs into motion disease sensitivity groups according to the existence of vomit symptoms, selecting 16 sensitive groups and 4 insensitive groups, and selecting 10 sensitive groups for drug tests.
3. Beagle drug test design: the beagle drug test adopts the Latin prescription design, 2 dogs in each group are subjected to the drug test every 1 week, and the test is divided into: a normal saline control group (given equal volume of normal saline), a positive control drug of thehydramine group of 0.3125mg/kg vomit latency of 24.58 +/-3.04 min; dioscin low dose group: 0.125mg/kg body weight; the dosage group of dioscin is as follows: 0.25mg/kg body weight; dioscin high dose group: 0.5mg/kg body weight. The corresponding drugs of the beagle dogs are respectively given orally before the rotary stimulation, the rotary stimulation is carried out after 60min, and the vomit occurrence time is recorded.
4. Rat motion disease susceptibility assay: animal motion disease models for experimental study include models for directly producing emesis by abnormal stimulation, and animals to be studied include dogs, cats, monkeys, etc.; there are two models of changes in eating behavior that result from rotational stimulation, including pica and conditioned anorexia (CTA). Animals used in the pica model include white rats, guinea pigs, etc., and when stimulated, the animals develop motion sickness, and more kaolin is ingested by the animals. The CTA model uses many animals, including rats and monkeys, cats, guinea pigs, rats, quails, mice, etc., and the animals show a decrease in the intake of a certain liquid or solid food with a certain color, odor, or taste, due to the onset of motion sickness caused by the rotational stimulation.
The rats are judged and grouped according to the conditioned anorexia: 60 rats are numbered and randomly divided into 4 groups, and the groups are respectively placed in an experimental animal box to freely ingest water and seek food and are adaptively raised for 3-4 days. And (3) screening the water is cut off for 24h on the first day, the saccharin water with the concentration of 0.15% is freely drunk for 45min on the second day, recording the water consumption amount of the saccharin, freely drinking the water, giving a rotary stimulus for 120min on the third day, cutting off the water for 24h, freely drinking the saccharin water with the concentration of 0.15% for 45min on the fourth day, and recording the water consumption amount of the saccharin. The rats in the same batch are rested for 2 weeks, normal drinking water is recovered, the experiment is repeated for 1 time, the percentage of reduction of the saccharin drinking water consumption after the rats are rotationally stimulated is calculated, and the average experiment result of 2 times is that 4 groups of rats are respectively divided into a sensitive group and an insensitive group, namely, the rats with the saccharin drinking water consumption reduction percentage more than or equal to 15% are the sensitive group, and the rats with the saccharin drinking water consumption reduction percentage less than or equal to 15% are the insensitive group. 48 sensitive rats were screened, 12 insensitive rats were screened, and 48 sensitive rats were tested for drugs.
5. Rat drug test design: the rats were randomly divided into 4 groups of 12 rats each, which were: normal saline control group, rotary stimulation group, dioscin high dose (1.8mg/kg) group, and positive control drug Theophediamine (1.125 mg/kg). The first day in the morning 0.15% saccharin sodium solution was dosed for 24h, with normal drinking tap water. The following day morning, 0.15% saccharin water was continued, the third day morning, 0.15% saccharin water was continued and the 0.15% saccharin water consumption was recorded for each group of SD rats. Injecting appropriate amount of reagents prepared according to body weight into abdominal cavity with 1mL syringe in the morning on the fourth day, wherein the normal saline control group, the rotary stimulation group, the dioscin high dose group and the positive control medicine of dimenhydrinate group are respectively as follows: 1ml/200g normal saline, 0.36mg/200g dioscin, 0.225mg/200g tolvaptan, rotating and stimulating the rats in the rotating and stimulating group, the dioscin high dose group and the positive control drug theohydramine group for 120min after 30 min. The administration of 0.15% aqueous saccharin was then continued, and the drinking of aqueous saccharin was continued for each two-day group of SD rats on the fifth and sixth morning days. Calculating the average daily drinking amount of each group of rats according to the drinking amounts of the saccharin aqueous solution in two days before and two days after the rotary stimulation, calculating the percentage of reduction of the drinking amount of the saccharin aqueous solution of each group of rats after the rotary stimulation, and judging the conditioned taste aversion degree of the rats induced by the rotary stimulation and the influence of the dioscin.
Results of the experiment
TABLE 1 Effect of drugs on the vomiting latency of beagle dogs (
Figure BDA0002600667900000071
n=12)
Group of Incubation period for vomiting (min)
Physiological saline group 10.36±3.04
Dimenhydrinate group 23.85±2.84*
Dioscorea saponin low dose group 10.91±3.17
Dioscorea saponin middle dose group 12.01±2.89
High dosage group of dioscin 21.93±3.53*#
Note: p <0.05, compared to control group; # p <0.05, compared to the low dose group
The results in Table 1 show that the vomit latency of the betel dogs in the dioscin medium dose group is increased compared with that in the normal saline group. The vomit incubation period of the beagle dog in the dioscin high-dose group is obviously prolonged compared with that of the control group and the dioscin low-dose group. With the increase of dosage of dioscin, the vomit latency of beagle dogs after rotary stimulation is gradually increased, and the beagle dogs can play the same role as dimenhydrinate, wherein the difference between the high-dosage group of dioscin and the control group is obvious (p is less than 0.05). This indicates that the high dose group of dioscin can prolong the incubation period of vomiting after rotary stimulation of beagle dogs, i.e., dioscin has anti-motion sickness effect.
TABLE 2 Effect of drugs on conditioned taste aversion in Rotatary stimulation induced rats: (
Figure BDA0002600667900000072
n=10)
Group of Percentage reduction of saccharin sodium solution
Physiological saline group 9.50±3.86
Rotary stimulation group 33.13±4.75*
Dimenhydrinate group 15.82±2.19*
High dosage group of dioscin 17.23±3.64#
Note: p <0.01 compared to saline group; # and P <0.05, compared to the rotary stimulation group.
The results in table 2 show that after the rotation stimulation, compared with the normal saline group rats, the saccharin drinking amount of the rotation stimulation group rats is obviously reduced (p is less than 0.01), while the saccharin drinking amount of the dioscin high-dose group rats is obviously increased relative to the rotation stimulation group, and the difference has significance (p is less than 0.05), and the effect is similar to the result of the theohydramine positive drug control group. This indicates that the dioscin high dose group can significantly inhibit conditioned taste aversion of SD rats induced by rotational stimulation, and the effect is comparable to that of the positive control drug theohydramine.
The application carries out the relevant rotary stimulation experimental research on the aspect of preventing and treating the motion sickness by the dioscin, proves that the dioscin has definite effect of preventing and treating the motion sickness, and provides a more complete experimental basis for the dioscin serving as a novel medicine for preventing and treating the motion sickness and the clinical application thereof. Different drug types and dosage groups are designed by taking beagles and SD rats as research objects to carry out a rotation stimulation experiment, which proves that the dioscin can prevent and treat the motion disease. The results show that the dioscin can prolong the vomiting latency period induced by the beagle rotational stimulation and can inhibit conditioned taste aversion induced by the SD rat rotational stimulation. In addition, in two aspects of prolonging the vomiting latency after the beagle dog is subjected to rotational stimulation and inhibiting the conditioned taste aversion induced by the SD rat, the effect of prolonging the vomiting latency or inhibiting the conditioned taste aversion is more obvious along with the increase of the dosage of the dioscin, which shows that the dosage of the dioscin has certain influence on the curative effect. The dioscin is developed into a medicine for preventing and treating motion sickness, has good application prospect, and has important significance in promoting human health and promoting the development of transportation industry such as aviation, aerospace, navigation and the like in China.

Claims (10)

1. The application of dioscin in the medicine for preventing and treating motion sickness is characterized in that: the chemical structural formula of the dioscin is shown as
Figure FDA0002600667890000011
2. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 1, wherein: the medicine for preventing and treating motion sickness comprises a pharmaceutically acceptable carrier of dioscin.
3. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 2, wherein: the medicine of dioscin for preventing and treating motion sickness is prepared by mixing pharmaceutically acceptable carrier and dioscin to prepare medicine of specific dosage form.
4. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 3, wherein: the specific dosage forms comprise tablets, capsules, pills, suppositories, ointments, liquids, emulsions and granules.
5. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 4, wherein: the dioscin is used for preventing and treating motion sickness, and the medicines with corresponding dosage forms are selected according to the oral administration route or the non-oral administration route, wherein one or more of the administration routes can be used by the same patient, and the non-oral administration route is intravenous injection, intramuscular injection and subcutaneous injection.
6. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 4, wherein: the tablet comprises one of common tablet, enteric-coated tablet, dispersible tablet, quick-release tablet, sustained-release tablet and controlled-release tablet.
7. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 3, wherein: when the dosage form is a solid dosage form, the pharmaceutically acceptable carrier of the dioscin comprises: the excipient is lactose and/or sucrose, the binder is one or more of water, ethanol, propanol and gelatin solution, the wetting agent is glycerol, and the lubricant is one or more of stearate, boric acid powder and polyethylene glycol.
8. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 3, wherein: when the dosage form is a liquid dosage form, the pharmaceutically acceptable carrier of dioscin is diluent, and the diluent is one or more of water, ethanol, propylene glycol and lactic acid water solution.
9. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 3, wherein: the pharmaceutically acceptable carrier of dioscin also comprises one or more of pH buffer, emulsifier, pigment, and dye.
10. The use of dioscin as a medicine for preventing and treating motion sickness according to claim 3, wherein: the medicine for preventing and treating motion sickness is in dosage unit form, the dosage of the dioscin contained in the medicines with different dosage forms can be the same or different, and the dosage of the dioscin contained in the medicines with the same dosage form can be the same or different; for example, the dosage of dioscin contained in the drug, which is also in a liquid form, may be 30mg or 60 mg.
CN202010722916.3A 2020-07-24 2020-07-24 Application of dioscin in medicine for preventing and treating motion sickness Pending CN111714509A (en)

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Citations (2)

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Publication number Priority date Publication date Assignee Title
CN1586493A (en) * 2004-07-05 2005-03-02 北京科信必成医药科技发展有限公司 Dioscin oral disintegration tablet and its preparing method
US20060229358A1 (en) * 2005-04-12 2006-10-12 Taipei Medical University Pharmaceutical composition containing flavonoids

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