CN114425052B - Sildenafil for preparing pharmaceutical composition for treating ischemia and application thereof - Google Patents

Sildenafil for preparing pharmaceutical composition for treating ischemia and application thereof Download PDF

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CN114425052B
CN114425052B CN202011176804.9A CN202011176804A CN114425052B CN 114425052 B CN114425052 B CN 114425052B CN 202011176804 A CN202011176804 A CN 202011176804A CN 114425052 B CN114425052 B CN 114425052B
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sildenafil
pharmaceutical composition
ischemia
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application
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CN114425052A (en
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穆淑琪
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Xinhuoguang Financial Group Memorial Hospital
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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
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

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Abstract

The invention relates to sildenafil for preparing a pharmaceutical composition for treating ischemia and application thereof. The invention discloses a pharmaceutical composition for treating ischemia, which is used for patients suffering from ischemia. The pharmaceutical composition comprises Sildenafil (Sildenafil) and a pharmaceutically acceptable carrier, wherein the dosage form of the pharmaceutical composition is gel, transdermal patch, cream or ointment. The invention further discloses application of sildenafil in preparing a pharmaceutical composition for treating ischemia. The application and the pharmaceutical composition can be used for treating ischemia.

Description

Sildenafil for preparing pharmaceutical composition for treating ischemia and application thereof
Technical Field
The invention relates to a pharmaceutical composition for treating ischemia and application of the pharmaceutical composition.
Background
Ischemia refers to a decrease in blood volume in an organ or tissue, which may be the result of a local manifestation of systemic anemia, or a local blood circulation disorder. Depending on the location where ischemia occurs, it may be classified as limb ischemia or organ ischemia, such as cerebral ischemia (ischemic stroke), cardiac ischemia (ischemic heart disease), and the like. In recent years, the incidence of peripheral arterial occlusive disease has increased due to aging of the population, smoking, changes in eating habits, and an increase in the proportion of the mouth of diabetics, and thus the incidence of limb ischemia has increased, and the prevalence may be even as high as 11%. In addition to peripheral arterial occlusive disease, raynaud's phenomenon, berger's disease, vasospasm, compression, etc. may also cause limb ischemia to occur.
Limb ischemia may also occur in newborns, especially premature infants. The cause of this is different from that of adults, and may be caused by hypoplasia, hypoxia, anemia, etc. However, ischemia of the limb, whether it is an adult or a neonate, may cause numbness, pain or ice-cooling of the limb end, and with increased ischemia time, may lead to purple, black, or even ulceration or necrosis of the tissue.
Traditionally, ischemia is treated primarily by oral medications, however, orally administered medications may act not only on the ischemic site, but also throughout the body. Therefore, systemic or systemic side effects may occur, and the speed and efficacy of the drug may be easily affected by organs (e.g., liver, kidney, etc.) that metabolize the drug.
Therefore, there is still a need for a pharmaceutical composition for treating ischemia and its preparation and application, which can directly act on ischemic tissues to promote blood circulation, so as to avoid numbness, pain, and even purple, black, ulceration or necrosis of the ischemic tissues caused by ischemia, further achieve the effect of treating ischemia, and further avoid side effects caused by drug action on other tissues.
Disclosure of Invention
In view of the above problems, an object of the present invention is to provide a pharmaceutical composition for treating ischemia and its preparation method and use, wherein the pharmaceutical composition can be directly applied to ischemic tissues to promote blood circulation, so as to prevent the local tissues from numbness, pain, ice-cooling, and even purple, black, ulceration and necrosis caused by ischemia, thereby achieving the effect of treating ischemia, and simultaneously preventing side effects caused by drug action on other tissues.
To achieve the above object, the present invention provides a pharmaceutical composition for treating ischemia, which is used for patients suffering from ischemia, the pharmaceutical composition comprises Sildenafil (Sildenafil) and a pharmaceutically acceptable carrier, wherein the dosage form of the pharmaceutical composition is gel, transdermal patch, cream or ointment.
To achieve the above objective, the present invention further provides a use of sildenafil for preparing a pharmaceutical composition for treating ischemia, wherein the pharmaceutical composition is for patients suffering from ischemia, the pharmaceutical composition comprises sildenafil and a pharmaceutically acceptable carrier, and the pharmaceutical composition is in the form of gel, transdermal patch, cream or ointment.
In one embodiment, the dose of sildenafil is between 0.3 mg/ml and 50 mg/ml.
In one embodiment, the dose of sildenafil is between 0.5 mg/ml and 30 mg/ml.
In one embodiment, the dose of sildenafil is between 0.3 mg/cm and 50 mg/cm.
In one embodiment, the dose of sildenafil is between 0.5 mg/cm and 30 mg/cm.
In one embodiment, the pharmaceutically acceptable carrier is mineral oil, propylene glycol, polyoxypropylene, emulsifying wax, glycerin, polyethylene glycol, fatty alcohols, fatty ethers, fatty acid esters, vegetable oils, silicone oils, petrolatum, lanolin, beeswax, hyaluronic acid, polyacrylic acid, polyvinylpyrrolidone, gelatin, dextrin, polysaccharides, polyacrylamide, polyvinyl alcohol, polyvinyl acetate, hydroxypropyl methylcellulose, or carboxypropyl methylcellulose.
In one embodiment, the patient is a neonate, infant or young child.
In the above, the invention has the following effects: by providing the pharmaceutical composition for treating ischemia and the preparation and application thereof, the pharmaceutical composition can directly act on ischemic tissues to promote the blood circulation of the local tissues so as to prevent the local tissues from numbness, pain, even purple, blackening, ulceration or necrosis caused by ischemia, further achieve the effect of treating ischemia and further simultaneously prevent side effects caused by the action of drugs on other tissues.
Detailed Description
Preferred embodiments and experimental examples of the pharmaceutical composition for treating ischemia and the preparation use thereof according to the present invention will be described below with reference to the relevant tables, wherein like elements will be described with like reference numerals.
The pharmaceutical composition and the preparation and application thereof can directly act on ischemic tissues to promote the blood circulation of the local tissues, so as to avoid numbness and pain, and even purple, black, ulceration or necrosis of the local tissues caused by ischemia, further achieve the effect of treating the ischemia, and further avoid side effects caused by the action of medicines on other tissues.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can be used in the testing experiments of the present invention, the preferred materials and methods are described herein. In describing and claiming the present invention, the following terminology will be used. It is to be understood that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention.
The term "ischemia" refers to a decrease in blood volume in an organ or tissue, which may be the result of a local manifestation of systemic anemia, or a local blood circulation disorder. Depending on the location where ischemia occurs, it may be classified as limb ischemia or organ ischemia, such as cerebral ischemia (ischemic stroke), cardiac ischemia (ischemic heart disease), and the like. Limb ischemia may be caused by peripheral arterial occlusive disease, raynaud's phenomenon, berger's disease, vasospasm, compression, hypoplasia, hypoxia, anemia, and the like. Limb ischemia may cause numbness, pain or ice-cold at the limb ends, and with the increase of ischemia time, limb purple, blackening, even tissue ulceration and necrosis are more likely to occur.
The term "Sildenafil" also known as "Sildenafil", which is a fifth phosphodiesterase inhibitor acting on phosphodiesterase 5 (PDE 5), which IUPAC name 1- [ 4-ethoxy-3- (6, 7-dihydro-1-methyl-7-oxo-3-propyl-1H-pyrazolo [4,3d ]]Pyrimidin-5-yl) benzenesulfonyl]-4-methylpiperazine citrate in the form of a pharmaceutical product. Sildenafil is approved by the U.S. food and drug administration for the treatment of penile erectile dysfunction. The medicine is prepared by using the product name of pyroxene (Pfizer)It is sold as a film-coated lozenge containing 25, 50 or 100 mg sildenafil citrate. Sildenafil of the invention may have the following structure, or salts (e.g., citrate), solvates, hydrates, prodrugs, mirror isomers, non-mirror isomers, or geometric isomers thereof.
As used herein, "disease" in the health status of an individual refers to the inability of an individual to maintain a constant in vivo (homeostasis) and if the disease does not improve, the health of an individual continues to deteriorate.
As used herein, the terms "treatment", "treatment" and "treatment method" refer to reducing the frequency or severity of symptoms of a disease or disorder experienced by an individual by administering to the individual an agent or pharmaceutical composition.
As used herein, the term "pharmaceutically acceptable" refers to a material, such as a carrier or diluent, that is sildenafil, or a salt, solvate, hydrate, prodrug, enantiomer, non-enantiomer, or geometric isomer thereof, useful in the present invention, which retains its biological activity or properties and is relatively non-toxic. I.e. the material may be applied to an individual without causing undesirable biological effects or interacting in a detrimental manner with any of the ingredients contained in the composition.
As used herein, a "pharmaceutically acceptable carrier" includes salts, materials, compositions or carriers, such as fillers, diluents, excipients or encapsulating materials, that allow sildenafil of the present invention to be applied to a subject's body surface and allow sildenafil to perform its intended function. Each salt or carrier must be compatible with the other ingredients of the formulation, including sildenafil useful in the present invention, and not deleterious to the subject. Examples of materials that can be used as carriers include: sugars such as lactose, glucose, and sucrose; starches, such as corn starch and potato starch; cellulose and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose, and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil, safflower seed oil, sesame oil, olive oil, corn oil, and soybean oil; glycols, such as propylene glycol; polyols such as glycerol, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents such as magnesium hydroxide and aluminum hydroxide; alginic acid; a diluent; granulating agent; a lubricant; an adhesive; a disintegrant; a wetting agent; an emulsifying agent; a colorant; a release agent; a coating agent; a fragrance; a preservative; an antioxidant; a plasticizer; a gelling agent; a thickener; a hardening agent; a setting agent; a surfactant; a humectant; a carrier; a stabilizer; and other non-toxic compatible materials used in the formulation, or any combination thereof.
The pharmaceutical compositions of the methods of the invention are suitable for topical or transdermal routes of administration. Suitable pharmaceutical compositions are in dosage forms such as, but not limited to, gels, emulsions, transdermal patches, creams, ointments (pastes).
Formulations suitable for topical application include, but are not limited to, liquid or semi-liquid formulations such as wipes, lotions, oil-in-water or water-in-oil emulsions such as creams, ointments or pastes. Although the concentration of the active ingredient may be as high as the limit of solubility of the active ingredient in the solvent, a topically applied formulation may, for example, contain about 1% to about 10% (w/w) of the active ingredient. Formulations for topical application may further comprise one or more additional ingredients described herein.
The carrier in a gel, emulsion, transdermal patch, cream, ointment of a pharmaceutical composition that may be for topical or transdermal administration may be, for example, but not limited to, mineral oil, propylene glycol, polyoxypropylene, emulsifying wax, glycerin, polyethylene glycol, fatty alcohol, fatty ether, fatty acid ester, vegetable oil, silicone oil, petrolatum, lanolin, beeswax, hyaluronic acid, polyacrylic acid, polyvinylpyrrolidone, gelatin, dextrin, polysaccharide, polyacrylamide, polyvinyl alcohol, polyvinyl acetate, hydroxypropyl methylcellulose, or carboxypropyl methylcellulose.
The topically applied pharmaceutical composition may optionally be combined with other ingredients such as adjuvants, antioxidants, chelating agents, surfactants, foaming agents, wetting agents, emulsifiers, viscosity enhancers, buffers, preservatives and the like. In other embodiments, penetration or permeation enhancers are included in the composition and are effective to improve transdermal penetration of the active ingredient into and through the stratum corneum relative to compositions lacking the penetration enhancers. Various permeation enhancers are known to those skilled in the art, including oleic acid, oleyl alcohol, ethoxydiglycol, laurocapram, alkenyl carboxylic acids, dimethyl sulfoxide, polar lipids or N-methyl-2-pyrrolidone. In another embodiment, the composition may further comprise a solubilizing agent that functions to increase the degree of turbulence of the stratum corneum structure, thereby enhancing transport across the stratum corneum. Various solubilizing agents known to those skilled in the art, such as isopropyl alcohol, propylene glycol or sodium xylene sulfonate.
The formulations of the pharmaceutical compositions described herein may be prepared by any method known or later developed in the pharmacological and pharmaceutical arts. Generally, such a preparation method comprises the following steps: the active ingredient is combined with a carrier or one or more other auxiliary ingredients, and the product is then formed or packaged, if desired or feasible, into the intended unit of single or multiple doses.
As used in this specification, "patient," "individual," "subject," and "subject" are used interchangeably and refer to a human or non-human mammal. Non-human mammals include, for example, domestic animals and pets, such as sheep, cattle, pigs, dogs, cats, and murine mammals. Preferably, the patient is a human.
The term "neonate" refers to a human within 28 days after birth. The term "infant" refers to a human between 28 days postnatal and 1 year old. The term "young child" refers to a human between 1 and 3 years of age. The term "premature infant" particularly refers to newborns born after 20 weeks of gestation but less than 37 weeks of gestation.
As used in this specification, "dose" means a dose of sildenafil that can promote blood circulation. In the gel, cream or ointment of the present invention, the dosage of sildenafil is between 0.3 mg/ml and 50 mg/ml. Preferably, the dose of sildenafil is between 0.5 mg/ml and 30 mg/ml. Preferably, the dose of sildenafil is between 1 mg/ml and 5 mg/ml. In the transdermal patch of the present invention, the dose of sildenafil is between 0.3 mg/cm and 50 mg/cm. Preferably, the dose of sildenafil is between 0.5 mg/cm and 30 mg/cm. Preferably, the dose of sildenafil is between 1 mg/square cm and 5 mg/square cm.
The range is as follows: various embodiments of the invention may be presented throughout the present disclosure in a range of forms. It should be understood that the description of the range format is merely for convenience and brevity and should not be interpreted as limiting the scope of the claims. Accordingly, the description of a range should be considered to specifically disclose all possible sub-ranges and single values within the range. For example, a description of a range from 1 to 6 should be considered to have the particular disclosed subranges, e.g., from 1 to 3, 1 to 4, 1 to 5, 2 to 4, 2 to 6, 3 to 6, etc., as well as single and partial numbers within that range, e.g., 1, 2, 2.7, 3, 4, 5, 5.3, and 6. The foregoing rules apply regardless of the span of the range.
The invention relates to a pharmaceutical composition for treating ischemia, which is used for patients suffering from ischemia, and comprises Sildenafil (Sildenafil) and a pharmaceutically acceptable carrier, wherein the dosage form of the pharmaceutical composition is gel, transdermal patch, cream or ointment. In this embodiment, a dose of sildenafil may be withdrawn or weighed and a pharmaceutically acceptable carrier may be added to prepare a pharmaceutical composition for administration to the ischemic site of a patient to achieve the effect of promoting blood circulation at the site and thereby treat ischemia. In particular, sildenafil may have the following structure, or salts, solvates, hydrates, prodrugs, enantiomers, non-enantiomers or geometric isomers thereof, without limitation of the invention.
In addition, the pharmaceutical composition of the present invention includes a dosage form of gel, transdermal patch, cream or ointment. In this embodiment, when the pharmaceutical composition is in the form of a gel, cream or paste, the dosage of sildenafil is between 0.3 mg/ml and 50 mg/ml, preferably the dosage of sildenafil is between 0.5 mg/ml and 30 mg/ml. Preferably, the dose of sildenafil is between 1 mg/ml and 5 mg/ml. In this embodiment, when the pharmaceutical composition is in the form of a transdermal patch, the dosage of sildenafil is between 0.3 mg/cm and 50 mg/cm, preferably between 0.5 mg/cm and 30 mg/cm. Preferably, the dose of sildenafil is between 1 mg/square cm and 5 mg/square cm. Of course, the dosage of sildenafil can be any number and range encompassed between any two of the foregoing ranges and can vary with the carrier in question, the route of administration, or the individual in need thereof and with respect to physiological conditions.
In this embodiment, the pharmaceutically acceptable carrier is mineral oil, propylene glycol, polyoxypropylene, emulsifying wax, glycerin, polyethylene glycol, fatty alcohol, fatty ether, fatty acid ester, vegetable oil, silicone oil, petrolatum, lanolin, beeswax, hyaluronic acid, polyacrylic acid, polyvinylpyrrolidone, gelatin, dextrin, polysaccharide, polyacrylamide, polyvinyl alcohol, polyvinyl acetate, hydroxypropyl methylcellulose, or carboxypropyl methylcellulose. Preferably, the pharmaceutically acceptable carrier is petrolatum.
In this embodiment, the ischemia is limb ischemia, also referred to as acroischemia or terminal ischemia, such as, but not limited to, chronic acroischemia or acute acroischemia.
In this embodiment, the patient is a neonate, infant or young child. Preferably, the patient is a premature infant in the neonate.
The invention further provides a use of Sildenafil (Sildenafil) for preparing a pharmaceutical composition for treating ischemia. In addition, the present invention provides a method for treating ischemia, comprising administering a pharmaceutical composition comprising Sildenafil (Sildenafil) and a pharmaceutically acceptable carrier to an affected area of a patient suffering from ischemia, the pharmaceutical composition being in the form of a gel, transdermal patch, cream or ointment, the ischemia being acroischemia, and the patient being a premature infant. However, the dosage, type of carrier, and other properties of the pharmaceutical composition are substantially the same as those of the pharmaceutical composition described above, and reference is made to the above description, and thus, the description thereof will not be repeated.
In the above, the pharmaceutical composition and the preparation and application thereof according to the invention can directly act on ischemic tissues to promote the blood circulation of the local tissues, so as to avoid numbness, pain, even purple, blackening, ulceration or necrosis of the local tissues caused by ischemia, further achieve the effect of treating ischemia, and further avoid side effects caused by the action of drugs on other tissues.
The following experimental examples are used to illustrate the use and pharmaceutical compositions of the present invention, providing significant efficacy for improving the therapeutic effects of acroischemia.
Experimental example one: preparing a pharmaceutical composition.
Sildenafil (trade nameOr->The pharmaceutical company of the large-size pharmaceutical company of the feiji) was mixed with 1 ml of a Sterile gel (a patient lubricant (sterilization), CEYOTEKPatient lubricant (Sterile), the company of the Asahi-yu technology, to prepare a pharmaceutical composition having a sildenafil dose of 1 mg/ml to 5 mg/ml for the subsequent experiment of experiment example two.
Experimental example two: sildenafil can improve the results of studies on symptoms of premature infant acroischemia.
Patient engaged in
Patients were from taiwan new light medical community legal new light Wu Huoshi commemorative hospital on premature infants treated from month 6 2018 to month 12 2018 who had acroischemia. The premature patients who conducted the experiment were all signed by their parents or legal agency of written informed consent approved by the research operation ethical norms review team (Institutional Review Board, IRB) of the hospital.
Table 1: patient status and treatment information
Therapeutic methods using the pharmaceutical compositions of the invention
The pharmaceutical composition prepared in experimental example one was applied to ischemic sites (affected parts) of patient 1 and patient 2. The application thickness is about 1mm, and the application area is changed according to the area of the affected part, and the affected part is required to be completely covered. After application, a gauze layer is covered and the application is performed for 30 minutes to allow the pharmaceutical composition to be absorbed by the affected area. And then removing the gauze and applying the medical composition, covering a new gauze layer, and standing for 30 minutes (without warm compress), wherein the steps are one treatment course. Repeating the treatment course: applying the medicinal composition, covering a layer of gauze, performing warm application for 30 min, removing the gauze, applying the medicinal composition, covering a layer of new gauze, standing for 30 min (no warm application), recording the improved state when the ischemia condition of the affected part is obviously improved, and continuing the treatment until the affected part is completely cured. The conditions of the affected area when ischemia occurred in the patient and the conditions of the affected area when symptom improvement was observed are shown in tables 2 and 3 below.
Table 2: the condition of the affected part when ischemia occurs in patient 1 and the condition of the affected part when symptom improvement is observed
Table 3: condition of affected part when ischemia occurs in patient 2 and condition of affected part when symptom improvement is observed
Please refer to both table 1 and table 2 for explaining the treatment condition of patient 1. As shown in table 1, patient 1 developed ischemia symptoms at 12 th day after birth, and after treatment with the pharmaceutical composition of the present invention for 2 hours, an improvement in symptoms was observed, and the affected area when ischemia was developed and the affected area when symptom improvement was observed (after treatment for 2 hours, i.e., 2 courses of treatment) are shown in table 2. As shown in table 2, the affected area at the time of symptom improvement was observed to be significantly smaller than that at the time of ischemia (before treatment), and the purple condition caused by ischemia was also observed to be improved (purple fade) in the second toe, even the fifth toe was observed to have been healed after 2 hours of treatment (2 courses of treatment). In addition, patient 1 had a complete cure time for ischemic symptoms of 3 days (see treatment period of table 1).
Please refer to both table 1 and table 3 for explaining the treatment condition of patient 2. As shown in table 1, patient 2 developed ischemia symptoms at 10 days after birth, and after treatment with the pharmaceutical composition of the present invention for 9 hours, an improvement in symptoms was observed, and the affected area when ischemia occurred and the affected area when symptom improvement was observed (after treatment for 9 hours, i.e., 9 courses of treatment) are shown in table 3. As shown in table 3, it was observed that the affected area at the time of symptom improvement was significantly smaller than that at the time of ischemia (before treatment), and the purple state due to ischemia was also improved (purple fade). In addition, patient 2 had a complete cure of ischemic symptoms for 8 days (see treatment period of table 1).
According to the results of the above experimental examples, it is shown that the pharmaceutical composition of the present invention can improve, even cure, the condition of premature infant acromion (toe) ischemia. In particular, although the above experimental example is described by taking the example of treating the ischemia of the extremity of the premature infant, the pharmaceutical composition and the preparation use thereof of the present invention can be used for the neonate, infant or infant of the non-premature infant, even other patients, the present invention is not limited thereto, and the treated part can be used for other parts, such as but not limited to fingers, arms, lower legs, thighs, etc. In addition, the carriers used in the pharmaceutical compositions of the above experimental examples are exemplified by gels, however, the pharmaceutical compositions may also include the carriers described in other parts herein, and are not limited thereto.
In summary, the pharmaceutical composition and the preparation and application thereof can directly act on ischemic tissues to promote blood circulation of the local tissues, so as to prevent numbness and pain, even purple, black, ulceration or necrosis of the local tissues caused by ischemia, further achieve the effect of treating ischemia, and further prevent side effects caused by drug action on other tissues.
The foregoing is by way of example only and is not limiting. Any equivalent modifications or variations to the present invention without departing from the spirit and scope of the present invention are intended to be included within the scope of the claims of the present application.

Claims (4)

1. Use of sildenafil for the preparation of a pharmaceutical composition for the treatment of ischemia due to hypoplasia, hypoxia, anaemia in a premature infant, characterized in that the pharmaceutical composition consists of sildenafil and a pharmaceutically acceptable carrier, wherein the pharmaceutical composition is in the form of a gel, a transdermal patch, a cream or a paste, and in the gel, cream or paste the dose of sildenafil is between 0.3 mg/ml and 50 mg/ml, and in the transdermal patch the dose of sildenafil is between 0.3 mg/cm and 50 mg/cm.
2. The use of claim 1, wherein the dose of sildenafil is between 0.5 mg/ml and 30 mg/ml.
3. The use of claim 1, wherein the dose of sildenafil is between 0.5 mg/square centimeter and 30 mg/square centimeter.
4. The use according to claim 1, wherein the pharmaceutically acceptable carrier is mineral oil, propylene glycol, polyoxypropylene, emulsifying wax, glycerin, polyethylene glycol, fatty alcohols, fatty ethers, fatty acid esters, petrolatum, lanolin, beeswax, hyaluronic acid, polyacrylic acid, polyvinylpyrrolidone, gelatin, dextrin, polyacrylamide, polyvinyl alcohol, polyvinyl acetate, hydroxypropyl methylcellulose or carboxypropylmethylcellulose.
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西地那非通过PKG 依赖通道诱导局部缺血组织血管再生;王涛;Chinese Journal of Andrology;第22卷(第1期);72 *

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