CN1263449C - Buccal tablet for treating oral anaerobe infection disease and its manufacturing method - Google Patents

Buccal tablet for treating oral anaerobe infection disease and its manufacturing method Download PDF

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Publication number
CN1263449C
CN1263449C CN 200410060435 CN200410060435A CN1263449C CN 1263449 C CN1263449 C CN 1263449C CN 200410060435 CN200410060435 CN 200410060435 CN 200410060435 A CN200410060435 A CN 200410060435A CN 1263449 C CN1263449 C CN 1263449C
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mixed
metronidazole
buccal tablet
minutes
stevioside
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CN1602861A (en
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郑堂华
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Jiangxi Guangxin Pharmaceutical Co ltd
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Abstract

The present invention relates to a buccal tablet for treating oral anaerobe infection diseases and a preparation method thereof. The buccal tablet can effectively solve the disease treatment problem caused by anaerobe. The tablet is prepared from metronidazole, sodium carboxymethylcellulose, dextrin, stevioside, mannitol, sucrose, citric acid, menthol, peppermint oil, essence, ethanol solution and magnesium stearate. The preparation method of the buccal tablet comprises the following steps: the sucrose, the mannitol, the metronidazole, the sodium carboxymethylcellulose, the dextrin and the stevioside are respectively pulverized and sieved to be evenly mixed according to the requirement of the compounding ratio; a wetting agent prepared from the ethanol solution and the citric acid is added; granules are prepared and dried; the menthol, the peppermint oil and the essence are mixed to be prepared into volatile oil, and the volatile oil is sprayed on the dry granules according to the requirement of the compounding ratio; the magnesium stearate is added into the medicament granules, the medicament granules are pressed into tablets, and the buccal tablet is obtained. The buccal tablet has the advantages that the ingredients are scientific and reasonable, a person can easily take the buccal tablet, the therapeutic effect is good, the preparation method is advanced, and the buccal tablet is an invention on the basis of the existing antibiotic medicament. The popularization and the application of the buccal tablet provide the creativity contribution for people's good health.

Description

The mouth cheek sheet and the production method thereof of treatment oral anaerobe infection disease
One, technical field
The present invention relates to a kind of mouth cheek sheet and production method thereof for the treatment of oral anaerobe infection disease clinically.
Two, background technology
Anaerobic infection can cause multiple disease, as oral diseases such as periodontitis, gingivitis, pericoronitis.The essential drugs for the treatment of the anaerobic infection disease in the market have contain the metronidazole composition the fan you take off, cydiodine or other drug, oral, sticking tablet and stick etc. are arranged, though be used for the treatment of oral diseases such as periodontitis, gingivitis, pericoronitis certain curative effect is arranged, but the oral tablet amount is big, cause that systemic side effects is also big, the sticking tablet bitter in the mouth, the patient is difficult for accepting, stick can not be personal by the patient, its curative effect is also unsatisfactory, and therefore existing medicine for the treatment of the disease that causes because of anaerobic infection does not satisfy patient's needs.
Three, summary of the invention
Actual needs at above-mentioned situation and treatment disease, the present invention's purpose just provides a kind of mouth cheek sheet and production method thereof of new treatment oral anaerobe infection disease, can effectively solve the microbial disease treatment problem of anaerobism, the technical scheme of its realization is that this tablet is to be made by metronidazole, sodium carboxymethyl cellulose, dextrin, stevioside, mannitol, sucrose, citric acid, Mentholum, Oleum menthae, essence, alcoholic solution and magnesium stearate; The production method of its realization is with sucrose; mannitol; metronidazole; sodium carboxymethyl cellulose; dextrin; the stevioside pulverize separately sieves; by the ratio requirement uniform mixing together; add citric acid with alcoholic solution and become wetting agent; wetting agent is added in the mixed powder; use the granulator corning; be dried to dry granular; again by ratio requirement, with Mentholum; Oleum menthae and essence are mixed into volatile oil solution, and spray is added in the dry granular; on request magnesium stearate is added in the medicine grain that contains volatile oil again and mix; afterwards, repress is made sheet, gets final product through packing; component science of the present invention; rationally; easily take good effect, production method advanced person; be the invention greatly to existing antibiotic medicine, it is applied and will be people's the healthy creative contribution of making.
Four, the specific embodiment
Below in conjunction with concrete condition, the specific embodiment of the present invention is elaborated.
By the mouth cheek sheet of preceding described treatment oral anaerobe infection disease of the present invention be by:
Metronidazole 0.18-0.22kg sodium carboxymethyl cellulose 0.8-1.0kg dextrin 1.8-2.2kg
Stevioside 0.5-0.7kg mannitol 9-11kg sucrose 18-22kg
Citric acid 300-360g Mentholum 40-48g Oleum menthae 30-36ml
Essence 30-36ml mass concentration is that the alcoholic solution 5.5-6.5kg of 50-60% and the magnesium stearate of medicine dry granular total amount 0.8-1.2% are made, and can make the tablet of any amount by the ratio of above-mentioned quantity.Its production method is; with sucrose; mannitol; metronidazole; sodium carboxymethyl cellulose; dextrin; after stevioside is handled by the pharmacy requirement; pulverize separately sieves; by the dosage requirement with sucrose 18-22kg; mannitol 9-11kg; metronidazole 0.18-0.22kg; sodium carboxymethyl cellulose 0.8-1.0kg; dextrin 1.8-2.2kg and stevioside 0.5-0.7kg put in the mixing arrangement; mixing; standby; get mass concentration and be 95% ethanol and add entry; being mixed with mass concentration is the alcoholic solution 5.5-6.5kg of 50-60%; in solution, add citric acid 300-360g; make it fully be dissolved into wetting agent; wetting agent is added in the composite medicated powder; place in the mixer-granulator and granulate; again the wet granular that makes is put in the heated-air circulation oven; in 18-26 ℃ (room temperature) following air blast dehumidifying reheat drying after 20-30 minute; baking temperature is 70-75 ℃; regular dehumidifying; 55-65 minute stirring once; after doing the different granule mixing of wet degree; tiling evenly again; continued dry 35-45 minute; stirring once again; descended dry 2.5-3 hour at 70-75 ℃; to doing; stop heating; air blast; water content is 2-3% in the dry patent medicine grain; in time after the discharging, after loading onto 14 order stainless steel meshs and carry out granulate with quick crushing and pelletizing machine, place container; will be under the rolling situation by Mentholum 40-48g; the be mixed volatile oil mixed liquor that evenly becomes of Oleum menthae 30-36ml and essence 30-36ml sprays and is added in the dry granular; mixed 2-3 minute, and afterwards, added the magnesium stearate of dried granule gross weight 0.8-1.2%; roll and mixed 2-3 minute; place mixer again, mix homogeneously (about 30 minutes) gets final product with in blocks packing of tablet machine compacting.
To make 66000 tablets of medicines is example; its concrete production method is; with sucrose; mannitol is ground into 80 order fine powders with Universalpulverizer respectively; metronidazole; sodium carboxymethyl cellulose is crossed 100 mesh sieves respectively; dextrin; stevioside is crossed 60 mesh sieves respectively; by ratio requirement; with metronidazole 0.2kg; sodium carboxymethyl cellulose 0.9kg; stevioside 0.6kg; dextrin 2kg; mannitol 10kg; sucrose 20kg places three-dimensional motion mixer; mixed 30 minutes; with mass concentration is that to add mass concentration that pure water makes be 55% alcoholic solution for 95% ethanol; to be that the wetting agent of 55% alcoholic solution 6kg and citric acid 330g mixing melt into adds in the medicated powder of mix homogeneously in the pot by mass concentration again; place high efficient mixed granulator again; stir; cut 2-3 minute (being advisable) with 2.5 minutes; place oscillating granulator to granulate again again with 12 order stainless steel meshs; afterwards; be contained in the stainless steel disc; every dish grain thickness be no more than 3.5cm (centimetre); place heated-air circulation oven; at 25 ℃ of following air blast dehumidifying after 25 minutes; again at 70 ℃ of following heat dryings; regular dehumidifying; stirring once after 60 minutes; tiling was even again after the different granule of wet degree mixed with doing; continued dry about 40 minutes; stirring once again; dry 2.5-3 hour (be generally 3 hours the most suitable); stop heating; air blast; dry patent medicine grain water content is the dried granule of 2-3% (being advisable with 2%); the quick crushing and pelletizing machine of reuse is loaded onto 14 order stainless steel meshs and is carried out quick granulate; afterwards; with Mentholum 44g; the volatile oil mixed liquor that Oleum menthae 33ml and essence 33ml are mixed and made into is sprayed in the dried granule; mix 2-3 minute (be generally 3 minutes the most suitable); after again the magnesium stearate of 337 grams being crossed 100 mesh sieves; add in the granule in rolling; mix 2-3 minute (be generally and be advisable in 2.5 minutes); place the two dimensional motion mixer again; mixed 30 minutes; with the tablet machine compacting in flakes; every 0.5 gram includes metronidazole 3mg.In the tabletting process, heavy every 15-20 minute sampling check sheet, discharge useless sheet, in time sieve removes the fine powder in the sheet, and qualified sheet is loaded in the sealing clean container.In order to guarantee drug effect and storage period, qualified tablet is packed with aluminium foil, PVC material, can adopt the full-automatic Aluminium-coating Packer of DPP-250D II type during packing, heat sealed package under 100-160 ℃, pressure 0.4MPa, and this packing claims inner packing; For sell, storage and transport are convenient, also can carry out outer package again, are about to aluminium-plastic panel and put into multiple box bag, refill box, vanning.Packaging standard is OTC0.5g/ sheet * 12 slice/plate * 1 plate/box or 0.5g/ sheet * 12 slice/plate * 2 plates/box, includes metronidazole 3mg because of every, so be written as 3mg/ sheet * 12 slice/plate * 1 plate/box or 3mg/ sheet * 12 slice/plate * 2 plates/box again.
The shading of this tablet, sealing are preserved, and it is 2 years that time limit is arranged, and the rate that makes of tablet is more than 97%.This invention tablet oral cavity buccal, three times on the one, each a slice can directly act on pathogen, has avoided the general toxic reaction of medicine, reaches the purpose of directly curing the disease.The present invention's uniqueness of filling a prescription, production method advanced person, the mouth cheek sheet of making that is convenient to oral application, through clinical verification, pharmaceutical effectiveness is reliable, and every technical specification all meets or exceeds country to the antibiotic medicine specified standard, has obtained gratifying effect.
Efficiently: the highest 63.25 μ g/ml of saliva medicine metronidazole concentration that measure during medication, minimum is 47.33 μ g/ml, this concentration is 8-6 times of metronidazole minimum inhibitory concentration 8 μ g/ml, be about 10 times of oral metronidazole (200mg/ time) saliva concentration (4.9 μ g/ml), be enough to kill all anaerobe in the oral cavity, evident in efficacy.
Quick-acting: medication is after five minutes, and the saliva concentration can reach effective Mlc, and generally after 1.5 hours, symptom just can be eased, even disappears.
Low toxicity: this product is the 1/50-1/100 of oral metronidazole dosage every day (600-1200mg) by four calculating every day, and dosage is little, and toxicity is low.Because local application has avoided general toxic reaction, and there are not allergy and irritative response.
Slow release: this product is selected well behaved slow molten blocker for use, tablet is stopped in the oral cavity reach 1.5 hours, and this has just guaranteed that medicine has adequate time to act on pathogen, the stripping quantity value stabilization.
Tasty and refreshing: the refrigerant sweet part omitted of this product is bitter, and mouthfeel is pure and fresh, feels good.
Treatment target: medicine of the present invention is mainly used in oral cavity common diseases such as periodontitis, gingivitis, pericoronitis, to have a toothache, symptom such as gingival hemorrhage, red swelling of gingiva, halitosis, odontoseisis, periodontal pyorrhea all has excellent curative.
Administrated method: before taking medicine, gargle at every turn, put the gum buccal position of this product then, do not chew slow pharynx, make saliva soak into lesions position, treat till the tablet off-bottom in the lesion, oral cavity with cold water.
Dosage: each a slice, every day three times, in buccal after meal, serious symptom adds just before going to bed and contains a slice, and effect is better, the 4-12 days course of treatment, behind the transference cure, should continue buccal 1-2 days, or follow the doctor's advice.
Untoward reaction: the individual patient idol has obvious mouthful of astringent taste.
Contraindication: anemia of pregnant woman and women breast-feeding their children's forbidding.
Points for attention: during containing, please don't stir at every turn, not gargle in half an hour at least after the containing.
Clinical experiment, satisfactory, concrete condition is as follows:
The whole clinical experiment of this product is to finish under department of stomatology expert presides over, clinical case is by diagnosis Standard Selection patient, and criterion of therapeutical effect is pressed the national regulation evaluation, and therapeutic scheme is to establish matched group, test group is carried out, administration is undertaken by the consumption requirement, and the present invention sucks clothes three times on the 1st, each 1, clinical case 510 examples, wherein treatment group is 300 examples, and matched group is 210 examples, is matched group with cydiodine.
Clinical test results is as follows:
(1) the doing well,improving situation of disease is relatively:
Group The treatment group Matched group Ridit analyzes
Gingivitis test group periodontitis test group 96.9%(376/388) 85.07%(450/529) 90.53%(239/264) 79.94%(287/359) u=3.46>u 0.01=2.58 p<0.01 u=1.99>u 0.05=1.96 p<0.05
Credit is analysed (Ridit analysis) result and is shown that the treatment group obviously is better than matched group (p<0.01, p<0.05) to the doing well,improving of gingivitis, periodontitis by statistics.
(2) treatment group and matched group curative effect are relatively
The sick kind The treatment group Matched group
Case load Cure Produce effects Effectively Invalid Effective percentage (%) Case load Cure Produce effects Effectively Invalid Effective percentage (%)
Gingivitis periodontitis pericoronitis 100 100 100 58 34 70 28 39 23 12 19 3 2 8 4 98.00 92.00 97.00 70 70 70 28 12 40 29 34 20 10 17 4 3 7 2
After the medication, close to two groups of the total effective rates of gingivitis, be respectively treatment group 98.00%, matched group 95.71%, but in the case to cure case, up to 58%, Ridit analyzes, two groups of curative effects are u=2.39>u relatively 0.05=1.96, p<0.05; The situation of periodontitis, treatment group cure rate is 34%, analyzes u and matched group is 17.14%, two group of general curative effect through Ridit 0.05=1.96, there is significant difference p<0.05, and two groups of curative effects to pericoronitis are all based on healing, and general curative effect is also variant.
The long and shows that through the clinical trial of 510 examples, the treatment group is improved by the cardinal symptom of gingivitis and general curative effect all is better than matched group (p<0.05); Though it is two groups of curative effects to pericoronitis are close, do not contain iodine in the tablet of the present invention, therefore, more suitable to patient's this product of iodine allergy.
(3) pharmacodynamics test
Discharging time limit and Concentration in Saliva measures
Trial volunteer five people (adult: man 4, woman 1), earlier with clear water gargle, each ptysis 3ml, as the normal value that contains before the tablet, everyone respectively contains this product a slice, put between the gum cheek, do not chew not pharynx, every five minutes ptysis 3ml,, get altogether 18 times to 1.5 hours, each accurate saliva 1ml that draws, add 2ml boric acid-potassium chloride buffer, add 7ml chloroform shake well after shaking up and extract, measure trap at 285nm with spectrophotometer, on saliva medicine standard curve, find the concentration that contains metronidazole in the saliva, see the following form:
Saliva medicine time limit determination test is table as a result
The pastille time (minute) Average concentration (μ g/ml) Standard degree (SD) Accumulation concentration (μ g/ml) The pastille time (minute) Average concentration (μ g/ml) Standard degree (SD)
5 10 15 20 25 30 35 40 45 51.17 63.25 60.25 47.33 57.32 56.73 61.96 54.41 50.15 4.23 8.55 7.26 6.07 6.38 4.30 9.09 2.14 8.00 51.17 114.42 174.42 221.75 279.07 335.80 397.49 451.90 502.05 50 55 60 65 70 75 80 85 90 49.26 53.81 55.49 49.46 56.92 59.01 61.30 56.58 50.00 8.44 6.05 6.92 9.86 4.83 3.20 12.01 2.65 8.05
The result shows drug effect concentration longer duration, can fully act on pathogen, guarantees curative effect.
Extracorporeal bacteria inhibitor test: from patient's mouth cacodontia dirt, tell four kind of 31 strain of common anaerobe, wherein bacteroides melanogenicus 11 strains, bacteroides fragilis 7 strains are not understood 4 strains of saccharide bacillus, Streptococcus anaerobius 9 strains, measure through minimum inhibitory concentration (MIC), wherein 29 strain MIC are 4 μ g/ml, and it is 8 μ g/ml that two strain MIC are arranged, and illustrate that medicine of the present invention is reliable to the microbial oral disease curative effect of anaerobism.

Claims (3)

1, a kind of mouth cheek sheet for the treatment of oral anaerobe infection disease, it is characterized in that, be to be that the alcoholic solution 5.5-6.5kg of 50-60% and the magnesium stearate of the dried granule total amount of medicine 0.8-1.2% are made by metronidazole 0.18-0.22kg, sodium carboxymethyl cellulose 0.8-1.0kg, dextrin 1.8-2.2kg, stevioside 0.5-0.7kg, mannitol 9-11kg, sucrose 18-22kg, citric acid 300-360g, Mentholum 40-48g, Oleum menthae 30-36ml, essence 30-36ml, mass concentration.
2; the production method of the mouth cheek sheet of treatment oral anaerobe infection disease according to claim 1; it is characterized in that; with sucrose; mannitol; metronidazole; sodium carboxymethyl cellulose; dextrin; the stevioside pulverize separately sieves; by the dosage requirement; with sucrose 18-22kg; mannitol 9-11kg; metronidazole 0.18-0.22kg; sodium carboxymethyl cellulose 0.8-1.0kg; dextrin 1.8-2.2kg and stevioside 0.5-0.7kg put in the mixing arrangement; mixing; with mass concentration is that 95% ethanol adds water and makes the alcoholic solution 5.5-6.5kg that mass concentration is 50-60%; add citric acid 300-360g and become wetting agent; wetting agent is added in the composite medicated powder; place granulator to granulate; place baking oven again; 18-26 ℃ of following dehumidifying 20-30 minute post-heating drying; baking temperature is 70-75 ℃; 55-65 minute stirring once; tiling evenly; continued dry 35-45 minute; behind the stirring; descended dry 2.5-3 hour at 70-75 ℃; to doing; in pelletizing machine behind the granulate; placing container with Mentholum 40-48g; Oleum menthae 30-36ml is mixed into the spray of volatile oil mixed liquor with essence 30-36ml and is added in the dry granular; mixed 2-3 minute; the magnesium stearate that adds dried granule gross weight 0.8-1.2%; roll and mixed 2-3 minute, reuse mixer mix homogeneously, compacting is in flakes.
3; the production method of the mouth cheek sheet of treatment oral anaerobe infection disease according to claim 2; it is characterized in that; with sucrose; mannitol is ground into 80 order fine powders with Universalpulverizer respectively; metronidazole; sodium carboxymethyl cellulose is crossed 100 mesh sieves respectively; dextrin; stevioside is crossed 60 mesh sieves respectively; by ratio requirement; with metronidazole 0.2kg; sodium carboxymethyl cellulose 0.9kg; stevioside 0.6kg; dextrin 2kg; mannitol 10kg; sucrose 20kg places three-dimensional motion mixer; mixed 30 minutes; to be 55% alcoholic solution 6kg by mass concentration again adds in the medicated powder of mix homogeneously with the miscible wetting agent that becomes of citric acid 330g; place high efficient mixed granulator; stir; cut 2-3 minute; place oscillating granulator to granulate again again with 12 order stainless steel meshs; afterwards; be contained in the stainless steel disc; every dish grain thickness 3.5cm; place heated-air circulation oven; at 25 ℃ of following air blast dehumidifying after 25 minutes; again at 70 ℃ of following heat dryings; stirring once after 60 minutes; tiling evenly; continued dry 40 minutes; stirring once again; dry 3 hours; become water content and be 2% dried granule; the quick crushing and pelletizing machine of reuse is loaded onto 14 order stainless steel meshs and is carried out quick granulate; afterwards, with Mentholum 44g; the volatile oil mixed liquor that Oleum menthae 33ml and essence 33ml are mixed and made into is sprayed in the dried granule, mixes 3 minutes; after again the magnesium stearate of 337 grams being crossed 100 mesh sieves; add in the granule in rolling, mixed 2.5 minutes, place the two dimensional motion mixer again; mixed 30 minutes; with the tablet machine compacting in flakes, every 0.5 gram includes metronidazole 3mg.
CN 200410060435 2004-08-02 2004-08-02 Buccal tablet for treating oral anaerobe infection disease and its manufacturing method Expired - Fee Related CN1263449C (en)

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Publication number Priority date Publication date Assignee Title
CN100425232C (en) * 2006-06-08 2008-10-15 武汉远大制药集团有限公司 Buccale tablet preparation and its making method
CN110859815A (en) * 2019-12-05 2020-03-06 远大医药(中国)有限公司 Metronidazole preparation and preparation method thereof

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