CN117599054B - Pharmaceutical composition for treating pseudomyopia and application thereof - Google Patents

Pharmaceutical composition for treating pseudomyopia and application thereof Download PDF

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Publication number
CN117599054B
CN117599054B CN202410096928.8A CN202410096928A CN117599054B CN 117599054 B CN117599054 B CN 117599054B CN 202410096928 A CN202410096928 A CN 202410096928A CN 117599054 B CN117599054 B CN 117599054B
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anisodine
hydrobromide
pseudomyopia
pharmaceutical composition
eye drops
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CN117599054A (en
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胡大林
万峰
岳琴
李淋淋
马贞
廖凤琼
覃顺旺
刘昭华
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Chengdu First Pharmaceutical Co ltd
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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
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/468-Azabicyclo [3.2.1] octane; Derivatives thereof, e.g. atropine, cocaine
    • 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
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/439Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom the ring forming part of a bridged ring system, e.g. quinuclidine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0048Eye, e.g. artificial tears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/10Ophthalmic agents for accommodation disorders, e.g. myopia

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

The invention discloses a pharmaceutical composition for treating pseudomyopia and application thereof, and belongs to the field of medicines. The invention provides application of combination of anisodine and vatupine in preparing medicaments for treating pseudomyopia, and also provides a pharmaceutical composition for treating pseudomyopia. The camphor Liu Jianhou martrope compound eye drops provided by the invention have the advantages that the active ingredients of the camphor powder and the martrope hydrobromide are extracted from plants and then crystallized into salt, so that the prepared compound eye drops have good curative effect, low side effect and stable quality, and a better choice is provided for the market.

Description

Pharmaceutical composition for treating pseudomyopia and application thereof
Technical Field
The invention relates to a pharmaceutical composition for treating pseudomyopia and application thereof, belonging to the field of medicines.
Background
Myopia is generally classified into pseudomyopia and true myopia, and mixed myopia. Pseudomyopia is the continuous contraction and cramping of the ciliary muscle due to excessive ocular use, increased lens thickness, and blurred vision. The muscle can be relaxed by using medicines, acupuncture, ear-buried needles and physiotherapy instruments or strengthening eye muscle exercise of the patient, so that fatigue is relieved, and the vision is recovered to a normal state. If the pseudomyopia is not relieved in time, the pseudomyopia can finally cause the enlargement of the ocular axis to become true myopia.
The eye drops such as atropine sulfate on the market at present are easy to rebound and have large side effects and the like for treating pseudomyopia, and the research on other medicaments for treating pseudomyopia is a clinical urgent problem to be solved.
There are reports that the compound anisodine injection is used for treating teenager pseudomyopia (Xiao, etc., clinical research of treating teenager pseudomyopia by the compound anisodine injection, chinese health care nutrition (late journal of ten days), 2014), the document discloses that the compound anisodine prepared by combining anisodine hydrobromide and procaine is used for treating pseudomyopia, wherein the anisodine has the anticholinergic effects of relieving smooth muscle spasm, expanding pupil, inhibiting salivary gland secretion, etc., and can regulate whole eye vascular function and improve blood supply of eyes. The central action, peripheral anticholinergic action such as smooth muscle spasm relieving, saliva secretion inhibiting and pupil dilating effects are slightly weaker than those of atropine, but the toxicity is much lower than those of atropine.
In addition, there are reports that the latter horse tropine used for ophthalmic examination optometry and mydriasis is used for treating pseudomyopia, and the effect and toxicity of the latter horse tropine are similar to those of atropine, but weaker. The mydriasis effect is faster than atropine, but the maintenance time is short, the effect is achieved 5-20 min after eye drop, the maximum is 30-90 min, and the duration is 18-48 min. The pupil is restored to normal within 12-36 h. Patent application number: 201610351530.X, name: an eye drop capable of preventing myopia discloses an eye drop capable of preventing myopia, which comprises a rear horse riding product, a preservative, a pH regulator, an isotonic regulator and a diluent, wherein the components are as follows: rear horse riding product: 0.01% -0.3%; preservative: 0.001% -0.05%; pH regulator: regulating pH to 6.6-7.2; 1% -10% of an isotonic regulator; dilution liquid: the balance. The eye drop can relieve muscle spasm in a short period and eliminate pseudomyopia state by injecting eyes daily or weekly before sleeping late when the eyes of a user are tired or have myopia tendency through the low-concentration back martrope, so that the purpose of preventing myopia is achieved.
At present, no report on the combined use of the anisodine and the post-martrop exists.
Disclosure of Invention
The technical scheme of the invention provides the application of the combination of the anisodine and the vatupine in preparing the medicine for treating pseudomyopia. The invention also provides a pharmaceutical composition for treating pseudomyopia.
The invention provides application of combination of anisodine and vatupine in preparing an ophthalmic medicament for treating pseudomyopia.
Wherein the weight ratio of the anisodine to the rear martolopine is as follows: 0.5-2:0.5-2.
Further preferably, the weight ratio of the anisodine to the rear martolidine is as follows: 1:2.
Wherein the anisodine is anisodine hydrobromide, and the post-martrop is post-martrop hydrobromide.
The preparation of the medicine is eye drops, eye ointment and eye gel.
The invention also provides a pharmaceutical composition for treating pseudomyopia, which is a preparation prepared from the active ingredients of the anisodine and the after-martrop, wherein the weight ratio of the anisodine to the after-martrop is as follows: 0.5-2:0.5-2.
Further preferably, the weight ratio of the anisodine to the rear martolidine is as follows: 1:2.
Wherein the preparation is eye drops, eye ointment and eye gel, and the preferred preparation is eye drops, wherein the mass percentage of the anisodine is 0.05-0.2%, and the mass percentage of the damascene is as follows: 0.05 to 0.2 percent.
Further preferably, the preparation is an eye drop, wherein the mass percentage of the anisodine is 0.05%, and the mass percentage of the damascene is as follows: 0.1%. The dosage of each application is as follows: 25 mug of anisodine and 50 mug of post-martrop.
Wherein the anisodine is anisodine hydrobromide, and the post-martrop is post-martrop hydrobromide.
The camphor Liu Jianhou martrope compound eye drops provided by the invention have the advantages that the active ingredients of the camphor powder and the martrope hydrobromide are extracted from plants and then crystallized into salt, so that the prepared compound eye drops have good curative effect, low side effect and stable quality, and a better choice is provided for the market.
Drawings
Figure 1 shows the sphere power change rate within 4 weeks of anisodine hydrobromide alone.
Fig. 2 shows the spherical diopter change rate of martrope over 4 weeks after hydrobromic acid alone.
Figure 3 shows the rate of change of spherical diopters within 4 weeks of the inventive combination of anisodine hydrobromide and post-hydrobromide martrope.
Detailed Description
EXAMPLE 1 preparation method of the eye drops of the invention
Mixing 100ml of sterile injectable water with 0.25g of borax and 2.4g of boric acid, dissolving, weighing 0.05g of anisodine and 0.1g of post-ma tuo pin, stirring, mixing, stirring, weighing 0.1g of sodium hyaluronate, and adding EDTA 2 Continuously stirring Na 0.05g and methyl benzoate 0.05g uniformly, adding water to fix volume, filtering with microporous membrane of 0.22 μm, and packaging to obtain eye drop.
EXAMPLE 2 preparation method of eye drops of the present invention
Taking 100ml of sterile water for injection, adding 0.5g of borax and 3.2g of boric acid, mixing and dissolving, then adding 1.2g of hydroxypropyl methylcellulose, stirring and dissolving, weighing 0.1g of anisodine and 0.1g of secoisolariciresinol, stirring and dissolving, uniformly mixing and stirring, weighing 0.15g of sodium hyaluronate, uniformly stirring, and finally adding EDTA 2 Continuously stirring Na 0.1g uniformly, adding water to a certain volume, filtering with a microporous filter membrane of 0.22 μm, and filling to obtain the eye drop.
EXAMPLE 3 preparation of the eye drops of the invention
Taking 100ml of sterile water for injection, adding 1.6g of sodium dihydrogen phosphate dihydrate and 0.4g of disodium hydrogen phosphate dodecahydrate for dissolution, weighing 0.05g of anisodine and 0.1g of post-martrope for stirring and dissolution, weighing 0.5g of povidone K, stirring uniformly after mixing and stirring uniformly, and finally adding EDTA 2 Continuously and uniformly stirring 0.05g of Na and 0.03g of benzalkonium bromide, adding water to fix the volumeFiltering with microporous membrane of 0.22 μm, and packaging.
EXAMPLE 4 preparation of the eye drops of the invention
Taking 100ml of sterile water for injection, adding 2.0g of sodium dihydrogen phosphate dihydrate and 1.0g of disodium hydrogen phosphate dodecahydrate for dissolution, weighing 0.1g of anisodine and 0.1g of post-martrope for stirring and dissolution, weighing 0.5g of povidone K, stirring uniformly after mixing and stirring uniformly, and finally adding EDTA 2 Continuously stirring 0.1g of Na and 0.03g of benzalkonium bromide uniformly, adding water to fix the volume, filtering by a microporous filter membrane with the diameter of 0.22 mu m, and filling to obtain the finished product.
EXAMPLE 5 investigation of the stability of the eye drops of the invention
The compound eye drops prepared in example 1 were subjected to stability investigation, and the results are shown in table 1:
TABLE 1 stability investigation results of compound eye drops of martrope after anisodine
Conclusion: the investigation result of the influencing factors shows that the main indexes such as the properties, related substances, isomers, content and the like of the two batches of samples have no obvious difference under the illumination condition; the product is stable in illumination conditions; the isomer and related substances of the sample all show obvious change at the high temperature of 60 ℃, and the isomer and related substances increase along with the increase of the standing time, and the other indexes have no obvious change; the temperature-sensitive product is sensitive to temperature, and the influence of temperature is noted in the storage and transportation processes of the product.
The long-term test and investigation result shows that: the stability results of the embodiments are basically consistent, and the main indexes are as follows: the properties, colors, isomers, related substances, content and the like are not changed obviously; the sterility test was satisfactory during the investigation. The product has stable storage condition at normal temperature.
Stability: product influence factor experiments and long term conditions (25 ℃, RH65±5%) after 3 months of investigation: under the condition of illumination (5000 LuX), the prepared eye drop sample has no obvious difference between each detection item of the sample and 0 day, which proves that the product has better light stability, and has no obvious change in pH and content compared with the detection result of 0 day under the condition of high temperature 60 ℃, and no detected isomer and increased tropinic acid impurity, so the product needs to control the temperature of the transportation and storage environment. Under the condition of long-term test for 3 months, the detection items of the sample have no obvious difference from the comparison of 0 month, which indicates that the product is stable under the normal-temperature storage condition.
The following demonstrates the beneficial effects of the invention by pharmacodynamic tests.
Test example 1 screening of best Compound formulation of Cinnamomum camphora Liu Jianhou and horse tropine
A shape deprivation myopia model is established through eyelid suture operation of New Zealand white rabbits, and the drug effect of anisodine, after-martrop and compound composition thereof on the New Zealand white rabbits myopia model is tested, and the result shows that compared with a single preparation of the camphor Liu Jianhou martrop compound eye drops, the spherical diopter value of a model animal after administration of the anisodine hydrobromide eye drops and the after-martrop hydrobromide eye drops has an obviously rising trend compared with that of the model animal before administration, and the myopia degree of the model animal is obviously improved.
1. Experimental procedure
Before the start of the experiment: the animal adaptation period was carried out as required and the experimental animals were operated as shown in the following table during the adaptation period. Animals included in the experiment will be selected after the end of the conditioning period based on the animal's health status and data during the conditioning period.
And (3) model making: the eye drop administration of levofloxacin eye drops is started for preventing infection 2 days before operation, on the same day, 0.06-0.09 mL/kg standard ear margin is used for intravenous injection of sultai-domaticin mixed solution (each milliliter of mixed solution comprises 0.5 mg domaticin and 50 mg sultai), a new zealand white rabbit after anesthesia is placed on a console on one side, two eyes are given with 0.25 g/L gentamicin physiological saline mixed solution for flushing conjunctival sac for disinfection, left hand forceps slightly lift an upper eyelid, right hand ophthalmic scissors are used for cutting an outer canthus part from an inner canthus part to an eyelid part from 2-3 mm, the lower eyelid is used for the same operation, then the upper eyelid is sewed by a 4-0 suture line, and the eye drops are used for three continuous days after operation. Eyelid sutures were checked once a day after surgical suturing, and once the suture was found to fall off, the suture was immediately re-sutured.
Sphere diopter measurement: animals were transferred from the indoor lighting environment to the ophthalmic laboratory and the mean was taken 6 times using infrared mode measurement of the refractometer. Spherical diopters were measured at different time points: baseline, pre-eyedrop, post-eyedrop Day1, day2, day3, week1, week2, week3, week4.
The study is a drug effect experiment of the test object on a New Zealand white rabbit myopia model. Using 63 animals of New Zealand white rabbits (less than 2 weeks old), forming a vision deprivation myopia model by applying a eyelid sewing method, collecting spherical diopter data by using a full-computer automatic optometry device HandyRey-K after molding for 8 weeks, and screening 48 animals with average spherical diopter value of less than 2.75D of eyes according to the spherical diopter result, randomly dividing into 8 groups, wherein 6 animals are selected in each group; the eyes of the animals in the group are dripped into eyes for administration once a day for four weeks; spherical diopter measurements were performed at Day1, day2, day3, week1, week2, week3, week4, respectively, after the first dose.
2. Experimental results
2.1 experiments on different proportions of anisodine and rear Matropine
The results of measuring spherical diopters 4 weeks after administration are shown in Table 2:
TABLE 2 optimal formulation screening of anisodine and post-ambroxol
Test conclusion after screening proportioning: the experiment induces a New Zealand white rabbit myopia model through eyelid suture operation, tests the drug effect of a test object on the New Zealand white rabbit myopia model, and measures spherical diopter values at different time points within 4 weeks after the test object is continuously dropped into eyes, and the result shows that the myopia degree of a model animal can be improved after the combined administration of the martrope hydrobromide and the anisodine hydrobromide; the optimal proportion is 0.05% of camphor Liu Jianjia 0.1.1% of hydrobromic acid and then 0.1% of hydrobromic acid, at the moment, the spherical diopter of New Zealand white rabbits is maximally 4.5, and the diopter change rate is maximally 260%.
2.2 The compound preparation and the single preparation of the invention have spherical diopter change rate before and after administration
The experimental results show that: for 4 weeks of continuous dosing, the difference in spherical diopter values of the 0.05% anisodine hydrobromide group, the 0.05% post-martrope hydrobromide group, the 0.05% anisodine hydrobromide-0.05% post martrope group was of great significance (p < 0.01) compared to the saline group control; the spherical diopter change rate of the white rabbit after the compound administration of the anisodine hydrobromide and the martrop hydrobromide is far greater than that of a single preparation of the anisodine hydrobromide and the martrop hydrobromide, which shows that the combination of the two can obviously improve the drug effect, and better curative effect is observed in the treatment process (see figures 1, 2 and 3).
In summary, the eye drop induces a New Zealand white rabbit myopia model through eyelid suture operation, the drug effect of a test object on the New Zealand white rabbit myopia model is tested, the test object continuously drops eyes for 4 weeks at different time points to measure spherical diopter values, and the result shows that after the compound eye drop of the rear martrope with the content of 0.05% of anisodine and 0.1% by mass is administrated, the spherical diopter values of the model animal obviously have an ascending trend compared with the model animal myopia degree before administration.

Claims (4)

1. Use of anisodine hydrobromide in combination with post-ambroxol in the manufacture of an ophthalmic medicament for the treatment of pseudomyopia; the weight ratio of the anisodine hydrobromide to the post-mitopine hydrobromide is as follows: 1:2.
2. Use according to claim 1, characterized in that: the preparation of the ophthalmic medicine is eye drops, eye ointment and ophthalmic gel.
3. A pharmaceutical composition for treating pseudomyopia, characterized in that: the preparation is prepared from anisodine hydrobromide and after-hydrobromic-acid martrop serving as active ingredients, wherein the weight ratio of the anisodine hydrobromide to the after-hydrobromic-acid martrop is as follows: 1:2.
4. A pharmaceutical composition according to claim 3, characterized in that: the preparation is eye drops, wherein the concentration of the anisodine hydrobromide is 0.05 percent, and the concentration of the post-hydrobromic-acid martrop is 0.1 percent.
CN202410096928.8A 2024-01-24 2024-01-24 Pharmaceutical composition for treating pseudomyopia and application thereof Active CN117599054B (en)

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CN101219143A (en) * 2008-01-25 2008-07-16 北京紫竹药业有限公司 Use of anisodine in preparing medicament for treating amblyopia
CN113968853A (en) * 2020-07-22 2022-01-25 中国农业大学 Hapten and artificial antigen of atropine alkaloid, and preparation method and application thereof
CN114414679A (en) * 2021-12-27 2022-04-29 吉林省农业科学院 Method for detecting belladonna alkaloid in animal tissue

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