CN117442615A - H (H) 2 Receptor antagonist pharmaceutical composition and preparation method thereof - Google Patents

H (H) 2 Receptor antagonist pharmaceutical composition and preparation method thereof Download PDF

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Publication number
CN117442615A
CN117442615A CN202311572886.2A CN202311572886A CN117442615A CN 117442615 A CN117442615 A CN 117442615A CN 202311572886 A CN202311572886 A CN 202311572886A CN 117442615 A CN117442615 A CN 117442615A
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China
Prior art keywords
famotidine
injection
pharmaceutical composition
sodium hydroxide
phosphoric acid
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CN202311572886.2A
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Chinese (zh)
Inventor
李新波
李子敬
周康
李帆
沈甜
王博
李小凤
向志祥
郁慧
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Xi'an Licai Pharmaceutical R&d Co ltd
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Shaanxi Li Cai Pharmaceutical Co ltd
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Abstract

The invention discloses an H 2 A receptor antagonist pharmaceutical composition comprising the active ingredients famotidine, vitamin C, niacinamide, phosphoric acid, tromethamine, sodium hydroxide and water for injection. The composition is prepared by using FamoIn the mixed solution of the tidine, the vitamin C, the nicotinamide and the phosphoric acid, the pH value is adjusted to 6.0-6.2 by using the organic alkali tromethamine, the pH value is further adjusted to 6.5-8.0 by using sodium hydroxide, and finally the volume is fixed. The invention solves the problems of poor stability and easy precipitation at low temperature of famotidine in the composition. H disclosed in the invention 2 The receptor antagonist pharmaceutical composition has the advantages of good stability, high safety, simple process, controllable quality and the like.

Description

H (H) 2 Receptor antagonist pharmaceutical composition and preparation method thereof
Technical Field
The invention belongs to the field of chemical pharmaceutical preparations, and in particular relates to H 2 Receptor antagonist pharmaceutical compositions and methods of making the same.
Background
H of the invention 2 The receptor antagonist is famotidine, and the molecular formula is: c (C) 8 H 15 N 7 O 2 S 3 Molecular weight: 337.45, chemical name: 3- [ [ [2- [ (diaminomethylene) amino ] amino group]-4-thiazolyl]Methyl group]Thio-]-N-sulfamoyl propionamidine. Famotidine is an effective histamine H 2 Receptor antagonists are widely used in the treatment and prevention of peptic ulcers. As third generation H 2 Receptor antagonists which inhibit gastric acid secretion 2 The receptor antagonist is 7 to 40 times higher, and the effect of treating peptic ulcer and upper gastrointestinal hemorrhage is better than that of ranitidine and cimetidine.
A large amount of literature data report that famotidine is a compound with an extremely unstable chemical structure, is extremely unstable under the conditions of acid, oxidation, high temperature and the like, is extremely easy to degrade, and cannot be prepared into injection by adopting a high-temperature sterilization process. In addition, famotidine has a remarkable characteristic that it is easily dissolved in an acidic aqueous solution but is unstable in an acidic aqueous solution, and is relatively stable in an alkaline aqueous solution but is poor in solubility.
Therefore, famotidine injection is prepared by adding vitamin C as antioxidant to famotidine injection, and adding lactic acid to provide acidic environment for famotidine dissolution, and adding large amount of nicotinamide as cosolvent. However, since famotidine is very unstable under acidic conditions, it is relatively stable in alkaline aqueous solutions but has poor solubility. Therefore, if the pH of the solution is adjusted to be about 6.0 in a weak acid environment by adding sodium hydroxide in the prescription, the famotidine is easy to precipitate out in the range of 15-25 ℃ if the pH is continuously increased, so that the stability can not be continuously increased by increasing the pH.
Aiming at the original ground judicial motidine injection, several problems need to be solved, firstly, the impurity is obviously increased when placed under the condition of normal temperature (10-30 ℃), namely, the stability under the normal condition is not solved; secondly, in order to improve the stability as much as possible, the weak acid environment with the pH value adjusted to about 6.0 causes the famotidine to be precipitated after the solubility of the famotidine is reduced below 15 ℃, so that the famotidine cannot be preserved at a lower temperature (such as 2-8 ℃ or 10-15 ℃) to further improve the stability; thirdly, the addition of lactic acid to the prescription provides an acidic environment, but the lactic acid contains a large proportion of polylactic acid, so that the polylactic acid is easy to hydrolyze into lactic acid in the placing process, the pH is reduced along with the prolonging of the placing time, and the stability is poorer. Fourthly, a large amount of nicotinamide (50 mg/ml) is added into the prescription, and the high dose of nicotinamide can cause the increase of liver toxicity of human bodies, so that certain potential safety hazard exists.
Accordingly, the prior art has been studied around the above problems, and it is desired to develop a method for solving the above problems of the famotidine injection.
Patent CN113143859a discloses a famotidine injection and a preparation method thereof, the famotidine injection comprises famotidine, ethanol, glycerin, acid and mannitol, and a compound system formed by ethanol-glycerin-acid is adopted to synergistically increase the solubility, the tolerance and the stability of the famotidine to pH, thereby improving the safety of the preparation. However, the product is stored for 6 months at 25+/-2 ℃, the total impurities still reach 1.2-2.3%, and the problem of the stability of the famotidine injection is not solved yet.
Patent CN102225050B discloses a method for preparing famotidine sodium chloride injection by an inclusion method and a product thereof, wherein sulfobutyl ether-beta-cyclodextrin is adopted to include the liquid medicine and then the liquid medicine is dissolved in water, so that the solubility and the stability of the famotidine are improved. The patent method has complex process, and researches show that the product still has the problems of poor stability and easy precipitation in storage.
Therefore, the famotidine injection prepared by the prior art still has the problems of poor stability, easy precipitation during low-temperature storage, higher impurity content and the like, and therefore, a new famotidine injection is needed to solve the technical problems.
The inventor surprisingly found in the long-term famotidine injection research that famotidine can not be precipitated and is abnormally stable under the condition that the pH value of a solution system is close to neutral (less in irritation) of 6.5-8 by adopting tromethamine and sodium hydroxide, and the consumption of nicotinamide is greatly reduced, thereby completing the invention.
Disclosure of Invention
In order to overcome the defects in the prior art, the main purpose of the invention is to provide a famotidine injection and a preparation method thereof, wherein the famotidine injection has the advantages of simple composition, good product stability, difficult precipitation in low-temperature storage and high safety.
The technical scheme of the invention is as follows:
h (H) 2 A receptor antagonist pharmaceutical composition comprising famotidine, vitamin C, nicotinamide, phosphoric acid, tromethamine, sodium hydroxide, and water for injection.
Specifically, H is calculated according to the mass-volume ratio 2 The receptor antagonist pharmaceutical composition comprises 10mg/ml of famotidine, 1.2mg/ml of vitamin C, 5mg/ml of nicotinamide, 2mg/ml of phosphoric acid, a proper amount of tromethamine, a proper amount of sodium hydroxide and the balance of water for injection.
Further, phosphoric acid was added in the form of a 10% (w/w) phosphoric acid solution.
Further, sodium hydroxide was added as a 0.1M sodium hydroxide solution.
Further, the pH of the pharmaceutical composition is 6.5-8.0, preferably the pH of the pharmaceutical composition is 7.0-8.0.
The invention also provides an H 2 A process for preparing a receptor antagonist pharmaceutical composition comprising the steps of:
step 1: taking injection water with the prescription amount of 80%, adding vitamin C and nicotinamide with the prescription amount, and uniformly stirring;
step 2: adding 10% (w/w) phosphoric acid solution with a prescription amount to reduce the pH of the solution, adding famotidine with a prescription amount, and stirring to dissolve completely;
step 3: firstly adding a proper amount of tromethamine to adjust the pH to 6.0-6.2, and then adding 0.1M sodium hydroxide solution to adjust the pH to 6.5-8;
step 4: and quantifying the rest water for injection to a full amount, sterilizing and filtering the liquid medicine by a filter membrane, and filling and sealing the ampoule to obtain the famotidine injection.
Further, the water temperature for injection in step 1 was 40 ℃.
Further, in step 2, a prescribed amount of 10% (w/w) phosphoric acid solution was added to lower the pH of the solution to 3-4.
Further, the sterilization filtration in the step 4 adopts a 0.22 μm filter membrane.
Compared with the prior art, the beneficial effect of this application lies in:
(1) During the research process, the application finds that when the pH value of the pharmaceutical composition containing the famotidine is adjusted, firstly, the pharmaceutically and medically acceptable organic alkali tromethamine is added to adjust the pH value to 6.0-6.2, then the pH value is further adjusted to 6.5-8.0 by using sodium hydroxide, and the surprising finding that the famotidine is not separated out due to the continuous increase of the pH value is carried out, and meanwhile, the problems of poor stability and easy separation of the famotidine at low temperature are solved. And the dosage of nicotinamide in the prescription is greatly reduced, and the safety guarantee is improved.
(2) The application also adopts phosphoric acid as a solvent for promoting the dissolution of famotidine, can form phosphate buffer salt with sodium hydroxide, and can replace mannitol used for regulating the osmotic pressure of injection in the original ground product so as to reduce vascular irritation during injection. Meanwhile, prescription components are simplified, and the safety of the product is further improved.
Detailed Description
The present application is further illustrated by the following specific examples. It should be understood that: the examples of the present application are merely illustrative of the present application and are not limiting of the present application. The experimental methods, in which specific conditions are not noted in the following examples, are generally conducted under conventional conditions or under conditions recommended by the manufacturer. The raw materials of specific origin are not noted in the following examples, and are generally commercially available conventional products. The technical scheme obtained by simply improving the application or adopting conventional means or components to perform equivalent substitution on the basis of the technical scheme belongs to the protection scope of the application.
Example 1
Prescription:
the preparation method comprises the following steps:
step 1: taking 800mL of water for injection (40 ℃), adding 1.2g of vitamin C and 5g of nicotinamide, and uniformly stirring;
step 2: adding 20g of 10% (w/w) phosphoric acid solution to reduce the pH of the solution to 3.5, adding 10g of famotidine, and stirring for complete dissolution;
step 3: firstly adding 3.6g of tromethamine, adjusting the pH to 6.0, and then adding a proper amount of 0.1M sodium hydroxide solution to adjust the pH to 7.5;
step 4: and quantifying the rest water for injection to a full amount, sterilizing and filtering the liquid medicine by a 0.22 mu m filter membrane, and filling and sealing the ampoule to obtain the famotidine injection.
Example 2
This example is essentially the same as example 1, except that the formulation is formulated with an appropriate amount of 0.1M sodium hydroxide solution, and the pH is adjusted to 6.5 in step 3.
Example 3
The examples are essentially the same as example 1, except that the formulation is adjusted to a pH of 7.0 in step 3 with an appropriate amount of 0.1M sodium hydroxide solution.
Example 4
The examples are essentially the same as example 1, except that the formulation is adjusted to a pH of 8.0 in step 3 with an appropriate amount of 0.1M sodium hydroxide solution.
Comparative example 1
This comparative example is essentially the same as example 1, except that the formulation is formulated with an appropriate amount of 0.1M sodium hydroxide solution, and the pH is adjusted to 6.1 in step 3.
Comparative example 2
This comparative example is essentially the same as example 1, except that the formulation is formulated with an appropriate amount of 0.1M sodium hydroxide solution, and the pH is adjusted to 8.3 in step 3.
Comparative example 3
This comparative example is essentially the same as example 1 except that 0.1M sodium hydroxide solution is used in the formulation and the pH is adjusted to 7.5 in step 3 using tromethamine alone.
Comparative example 4
This comparative example is essentially the same as example 1, except that the formulation has 0g of tromethamine and the pH is adjusted to 7.5 in step 3 using only a suitable amount of 0.1M sodium hydroxide solution.
Comparative example 5
This comparative example is essentially the same as example 1, except that in step 3, the pH is adjusted to 5.5 with a suitable amount of tromethamine and then to 7.5 with a suitable amount of 0.1M sodium hydroxide solution.
Comparative example 6
This comparative example is essentially the same as example 1, except that in step 3, the pH is adjusted to 6.5 with an appropriate amount of tromethamine and then to 7.5 with 0.1M sodium hydroxide.
Comparative example 7
This comparative example is essentially the same as example 1 except that the formulation is replaced with a 1M hydrochloric acid solution of 20g of 10% (w/w) phosphoric acid solution, and the pH of the solution is lowered to 3.5 using 1M hydrochloric acid in step 2.
Comparative example 8
This comparative example is essentially the same as example 1 except that the formulation is replaced with a 1M acetic acid solution of 20g of 10% (w/w) phosphoric acid solution, and the pH of the solution is lowered to 3.5 using 1M acetic acid in step 2.
Comparative example 9
The information of the original preparation (trade name Gaster Injection 20mg; company-holder LTL film Co., ltd.) is shown in Table 1, using the original preparation as comparative example 9.
TABLE 1 information on the original developer
Prescription composition Prescription dosage
Famotidine 20mg
Nicotinamide 100mg
Lactic acid 9.8mg
Mannitol (mannitol) 40mg
Vitamin C 2mg
Sodium hydroxide Proper amount of
Water for injection 2ml
pH 5.8-6.2
Comparative example 10
This comparative example is substantially identical to comparative example 9 (as-ground formulation) except that the nicotinamide content in the formulation is reduced from 100mg to 10mg, i.e., the nicotinamide concentration is reduced from 50mg/ml to 5mg/ml.
Comparative example 11
The sample prepared by the recipe and preparation method of example 1 in CN113143859a was comparative example 11.
Comparative example 12
The sample prepared by the recipe and preparation method of example 1 in CN102225050B is comparative example 12.
Test example 1: examine the influence of different pH values on the quality and stability of the product
Since famotidine is easily hydrolyzed and unstable in a lower pH solution, the famotidine is better in stability but easy to separate out in a higher pH solution. The stability of the injection samples prepared by comparing examples 1-4, comparative examples 1-2 and comparative examples 9-10 is tested, wherein the low temperature test method is that the injection samples are placed at 2-8 ℃ for 2 days, then placed at 40 ℃ for 2 days, and circulated for 3 times. The results are shown in Table 2.
Table 2 test example 1 product quality and stability results
As can be seen from the results of Table 2, the total impurity content of examples 1 to 4 was relatively low, wherein the impurity of comparative example 1 was significantly higher than that of examples 1 to 4, the impurity of comparative example 2 was slightly lower than that of example 2, but higher than that of examples 1, 3 and 4, and the impurity of comparative examples 9 to 10 was significantly higher than that of examples 1 to 4 and examples 1 to 2. It is thus obtained that not the higher the pH, the more stable the product. Regarding the problem of low temperature precipitation of crystals, neither examples 1 to 4 nor comparative example 1 had crystals precipitated under low temperature conditions, but comparative example 2 and comparative examples 9 to 10 had crystals precipitated. Comparative example 10 shows that the sample is more prone to precipitate crystals at low temperature by reducing the nicotinamide concentration from 50mg/ml to 5mg/ml compared to comparative example 9. The prescription of the invention has slow growth of related substances within the pH range of 6.5-8.0, and the low-temperature experimental liquid medicine still has no crystal precipitation under the condition of reducing the content of nicotinamide (5 mg/ml).
Test example 2: examine the influence of different pH regulator on the quality and stability of the product
The quality and stability of the prepared injection products are tested by comparing the preparation method with the preparation method of the example 1 and the comparison examples 3-6, wherein the low-temperature experiment method is that the injection products are placed at the temperature of 2-8 ℃ for 2 days, then placed at the temperature of 40 ℃ for 2 days, and circulated for 3 times. The results are shown in Table 3.
TABLE 3 test example 2 product quality and stability results
As is clear from Table 3, in example 1, the crystals were precipitated in comparison with comparative examples 4 to 5 under conditions of low temperature in comparative examples 4 to 5, which were adjusted to the same final pH of 7.5; example 1 was compared with comparative example 3 and comparative example 6, and comparative example 3 and comparative example 6 were higher in impurity than example 1.
Test example 3: investigation of the influence of different buffer systems on vascular irritation
The original formulation (comparative example 9) was prepared by adding mannitol as an osmotic pressure regulator to reduce irritation to blood vessels upon injection. In the preparation process of the famotidine injection, an acidic substance is required to be added first to reduce the pH value so as to promote the dissolution of the famotidine, and an alkaline substance is required to be added later to adjust the pH value to keep the product stable. Based on the thought that an acid-base buffer system can be formed and the osmotic pressure can be regulated, different buffer systems are examined, and vascular irritation tests are carried out on the products of examples 1-4 and comparative examples 7-8, and the results are shown in Table 4.
Vascular stimulation experiments: the rabbits were randomly divided into 6 groups of 36 rabbits, each group having a male and female half. Test group: the medicines of examples 1-4 are respectively injected into the vein of the left auricle of the rabbit; control group: the medicines of comparative examples 7-8 are injected intravenously at the left auricle of rabbits; blank group: the rabbit left ear margin was injected with an equal volume of physiological saline. Each group was administered 1 time a day for 5 days continuously, and whether or not there was irritation such as redness, swelling, and the like in the injection site and surrounding tissues was observed visually.
TABLE 4 results of vascular irritation test on the products of examples 1-4, comparative examples 7-8
As can be seen from Table 4, examples 1-4 of the present application were less irritating to blood vessels than comparative examples 7-8.
Test example 4: long-term stability investigation of products
The stability test examination (accelerated, long-term test) was carried out on the optimally combined sample prepared in example 1 according to the general rule 9001 of the edition of chinese pharmacopoeia 2020 and the stability test guidelines of the formulation, and comparative example 9 (original formulation), comparative example 11 (example 1 in CN113143859 a), and ratio 12 (example 1 in CN 102225050B) were used as comparisons.
Acceleration test: four batches of samples of example 1, comparative example 9, comparative example 11 and proportion 12 were taken, respectively, and placed at 40 ℃ + -2, RH75% + -5% for 3 months, respectively, sampled at l and 3 months, and inspected according to stability key investigation projects, and compared with the test results of 0 month.
Long-term test: four batches of samples of example 1, comparative example 9, comparative example 11 and comparative example 12 were taken, individually packaged and placed for 6 months at 25 ℃ ± 2, rh60% ± 5%, and sampled for 6 months, and examined according to stability emphasis and compared with the test results of 0 month. The results of the accelerated experiments are summarized in Table 5, and the results of the long-term experiments are summarized in Table 6.
TABLE 5 results summary of results of accelerated experiments
TABLE 6 summary of results of long-term experiments
The accelerated test (40 ℃) for 3 months and the long-term test (25 ℃) for 6 months compared with 0 day, the contents of the comparative examples 9-12 are reduced under the conditions of the accelerated test and the long-term test, and the total impurities are obviously increased. The quality of the homemade product under the preferred recipe (example 1) showed significantly slower trend, and the related impurities showed slower trend and little change in pH. All the quality meets the regulations, and the famotidine injection prepared by the technical scheme of the invention has stable and controllable quality.
The above embodiments are only for illustrating the technical solutions of the present application and not for limiting the same, and although the present application has been described in detail with reference to examples, it should be understood by those skilled in the art that modifications or equivalent substitutions can be made to the technical solutions of the present application without departing from the scope of the technical solutions of the present application, and all the modifications or equivalent are included in the scope of the claims of the present application.

Claims (9)

1. H (H) 2 A receptor antagonist pharmaceutical composition comprising famotidine, vitamin C, nicotinamide, phosphoric acid, tromethamine, sodium hydroxide and water for injection.
2. The pharmaceutical composition according to claim 1, characterized in that it comprises, in terms of mass-to-volume ratio, famotidine 10mg/ml, vitamin c1.2mg/ml, nicotinamide 5mg/ml, phosphoric acid 2mg/ml, an amount of tromethamine, an amount of sodium hydroxide and the balance of water for injection.
3. The pharmaceutical composition according to claim 1 or 2, wherein the phosphoric acid is added in the form of a 10% (w/w) phosphoric acid solution.
4. Pharmaceutical composition according to claim 1 or 2, characterized in that the sodium hydroxide is added in the form of a 0.1M sodium hydroxide solution.
5. The pharmaceutical composition according to claim 1 or 2, wherein the pH of the pharmaceutical composition is 6.5-8.0.
6. The pharmaceutical composition according to any one of claims 1-5, wherein the method of preparing the pharmaceutical composition comprises the steps of:
step 1: taking injection water with the prescription amount of 80%, adding vitamin C and nicotinamide with the prescription amount, and uniformly stirring;
step 2: adding 10% (w/w) phosphoric acid solution with a prescription amount to reduce the pH of the solution, adding famotidine with a prescription amount, and stirring to dissolve completely;
step 3: firstly adding a proper amount of tromethamine to adjust the pH to 6.0-6.2, and then adding 0.1M sodium hydroxide to adjust the pH to 6.5-8.0;
step 4: and quantifying the rest water for injection to a full amount, sterilizing and filtering the liquid medicine by a filter membrane, and filling and sealing the ampoule to obtain the famotidine injection.
7. The method according to claim 6, wherein the water for injection in step 1 has a temperature of 40 ℃.
8. The method according to claim 6, wherein the prescribed amount of 10% (w/w) phosphoric acid solution is added in step 2 to lower the pH of the solution to 3-4.
9. The method according to claim 6, wherein the sterilization filtration in the step 4 is performed by using a 0.22 μm filter.
CN202311572886.2A 2023-11-23 2023-11-23 H (H) 2 Receptor antagonist pharmaceutical composition and preparation method thereof Pending CN117442615A (en)

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