CN1698604A - β-cyclodextrin/amoxicillin inclusion compound and its composition with potassium clavulanate and preparation method - Google Patents
β-cyclodextrin/amoxicillin inclusion compound and its composition with potassium clavulanate and preparation method Download PDFInfo
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- CN1698604A CN1698604A CN 200510039175 CN200510039175A CN1698604A CN 1698604 A CN1698604 A CN 1698604A CN 200510039175 CN200510039175 CN 200510039175 CN 200510039175 A CN200510039175 A CN 200510039175A CN 1698604 A CN1698604 A CN 1698604A
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- amoxicillin
- cyclodextrin
- pharmaceutical composition
- clavulanate
- potassium
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- LSQZJLSUYDQPKJ-NJBDSQKTSA-N amoxicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=C(O)C=C1 LSQZJLSUYDQPKJ-NJBDSQKTSA-N 0.000 title claims abstract description 72
- 229960003022 amoxicillin Drugs 0.000 title claims abstract description 71
- LSQZJLSUYDQPKJ-UHFFFAOYSA-N p-Hydroxyampicillin Natural products O=C1N2C(C(O)=O)C(C)(C)SC2C1NC(=O)C(N)C1=CC=C(O)C=C1 LSQZJLSUYDQPKJ-UHFFFAOYSA-N 0.000 title claims abstract description 71
- WHGYBXFWUBPSRW-FOUAGVGXSA-N beta-cyclodextrin Chemical compound OC[C@H]([C@H]([C@@H]([C@H]1O)O)O[C@H]2O[C@@H]([C@@H](O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O3)[C@H](O)[C@H]2O)CO)O[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@@H]3O[C@@H]1CO WHGYBXFWUBPSRW-FOUAGVGXSA-N 0.000 title claims abstract description 50
- ABVRVIZBZKUTMK-JSYANWSFSA-M potassium clavulanate Chemical compound [K+].[O-]C(=O)[C@H]1C(=C/CO)/O[C@@H]2CC(=O)N21 ABVRVIZBZKUTMK-JSYANWSFSA-M 0.000 title claims abstract description 39
- 150000001875 compounds Chemical class 0.000 title claims abstract description 31
- 229920000858 Cyclodextrin Polymers 0.000 title claims abstract description 29
- 239000001116 FEMA 4028 Substances 0.000 title claims abstract description 28
- 235000011175 beta-cyclodextrine Nutrition 0.000 title claims abstract description 28
- 229960004853 betadex Drugs 0.000 title claims abstract description 28
- 239000000203 mixture Substances 0.000 title claims abstract description 17
- 238000002360 preparation method Methods 0.000 title claims description 38
- 238000000034 method Methods 0.000 claims abstract description 14
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims abstract description 9
- 229940038649 clavulanate potassium Drugs 0.000 claims abstract description 8
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims abstract description 6
- FPAFDBFIGPHWGO-UHFFFAOYSA-N dioxosilane;oxomagnesium;hydrate Chemical compound O.[Mg]=O.[Mg]=O.[Mg]=O.O=[Si]=O.O=[Si]=O.O=[Si]=O.O=[Si]=O FPAFDBFIGPHWGO-UHFFFAOYSA-N 0.000 claims abstract description 4
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 claims abstract description 3
- 229920002261 Corn starch Polymers 0.000 claims abstract description 3
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims abstract description 3
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 claims abstract description 3
- 229930195725 Mannitol Natural products 0.000 claims abstract description 3
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 claims abstract description 3
- 235000021355 Stearic acid Nutrition 0.000 claims abstract description 3
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 claims abstract description 3
- 239000008116 calcium stearate Substances 0.000 claims abstract description 3
- 235000013539 calcium stearate Nutrition 0.000 claims abstract description 3
- 239000008101 lactose Substances 0.000 claims abstract description 3
- 235000019359 magnesium stearate Nutrition 0.000 claims abstract description 3
- 239000000594 mannitol Substances 0.000 claims abstract description 3
- 235000010355 mannitol Nutrition 0.000 claims abstract description 3
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 claims abstract description 3
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 claims abstract description 3
- 239000008117 stearic acid Substances 0.000 claims abstract description 3
- 239000001913 cellulose Substances 0.000 claims abstract 2
- 235000010980 cellulose Nutrition 0.000 claims abstract 2
- 229920002678 cellulose Polymers 0.000 claims abstract 2
- 239000008194 pharmaceutical composition Substances 0.000 claims description 20
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 20
- 239000007787 solid Substances 0.000 claims description 19
- 239000000843 powder Substances 0.000 claims description 6
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 5
- DWHGNUUWCJZQHO-ZVDZYBSKSA-M potassium;(2s,5r,6r)-6-[[(2r)-2-amino-2-(4-hydroxyphenyl)acetyl]amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid;(2r,3z,5r)-3-(2-hydroxyethylidene)-7-oxo-4-oxa-1-azabicyclo[3.2.0]heptane-2-carboxylate Chemical compound [K+].[O-]C(=O)[C@H]1C(=C/CO)/O[C@@H]2CC(=O)N21.C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=C(O)C=C1 DWHGNUUWCJZQHO-ZVDZYBSKSA-M 0.000 claims description 4
- 229920003109 sodium starch glycolate Polymers 0.000 claims description 4
- 229940079832 sodium starch glycolate Drugs 0.000 claims description 4
- 239000008109 sodium starch glycolate Substances 0.000 claims description 4
- 239000000725 suspension Substances 0.000 claims description 4
- 229920000168 Microcrystalline cellulose Polymers 0.000 claims description 2
- 229920000881 Modified starch Polymers 0.000 claims description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 2
- 239000008120 corn starch Substances 0.000 claims description 2
- 229960000913 crospovidone Drugs 0.000 claims description 2
- 229960001375 lactose Drugs 0.000 claims description 2
- 229960001855 mannitol Drugs 0.000 claims description 2
- 239000008108 microcrystalline cellulose Substances 0.000 claims description 2
- 229940016286 microcrystalline cellulose Drugs 0.000 claims description 2
- 235000019813 microcrystalline cellulose Nutrition 0.000 claims description 2
- 229940093429 polyethylene glycol 6000 Drugs 0.000 claims description 2
- 235000013809 polyvinylpolypyrrolidone Nutrition 0.000 claims description 2
- 229920000523 polyvinylpolypyrrolidone Polymers 0.000 claims description 2
- 239000000741 silica gel Substances 0.000 claims description 2
- 239000000454 talc Substances 0.000 claims description 2
- 235000012222 talc Nutrition 0.000 claims description 2
- 229940033134 talc Drugs 0.000 claims description 2
- 229910052623 talc Inorganic materials 0.000 claims description 2
- 229960004106 citric acid Drugs 0.000 claims 1
- 229940099112 cornstarch Drugs 0.000 claims 1
- TZBAVQKIEKDGFH-UHFFFAOYSA-N n-[2-(diethylamino)ethyl]-1-benzothiophene-2-carboxamide;hydrochloride Chemical compound [Cl-].C1=CC=C2SC(C(=O)NCC[NH+](CC)CC)=CC2=C1 TZBAVQKIEKDGFH-UHFFFAOYSA-N 0.000 claims 1
- DOKHEARVIDLSFF-UHFFFAOYSA-N prop-1-en-1-ol Chemical class CC=CO DOKHEARVIDLSFF-UHFFFAOYSA-N 0.000 claims 1
- 229910002027 silica gel Inorganic materials 0.000 claims 1
- 229960001866 silicon dioxide Drugs 0.000 claims 1
- 239000000463 material Substances 0.000 abstract description 5
- 235000015165 citric acid Nutrition 0.000 abstract description 2
- 229940057838 polyethylene glycol 4000 Drugs 0.000 abstract description 2
- 230000008569 process Effects 0.000 abstract description 2
- JDSQBDGCMUXRBM-UHFFFAOYSA-N 2-[2-(2-butoxypropoxy)propoxy]propan-1-ol Chemical compound CCCCOC(C)COC(C)COC(C)CO JDSQBDGCMUXRBM-UHFFFAOYSA-N 0.000 abstract 1
- 229920000945 Amylopectin Polymers 0.000 abstract 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 abstract 1
- 235000019759 Maize starch Nutrition 0.000 abstract 1
- 229920000609 methyl cellulose Polymers 0.000 abstract 1
- 239000001923 methylcellulose Substances 0.000 abstract 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 abstract 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 abstract 1
- 229940069328 povidone Drugs 0.000 abstract 1
- 239000011734 sodium Substances 0.000 abstract 1
- 229910052708 sodium Inorganic materials 0.000 abstract 1
- 229940079593 drug Drugs 0.000 description 23
- 239000003814 drug Substances 0.000 description 23
- 238000004090 dissolution Methods 0.000 description 19
- 239000000047 product Substances 0.000 description 8
- 239000003826 tablet Substances 0.000 description 7
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- 238000002835 absorbance Methods 0.000 description 5
- 239000002775 capsule Substances 0.000 description 5
- 230000008859 change Effects 0.000 description 5
- 238000000354 decomposition reaction Methods 0.000 description 5
- 239000000825 pharmaceutical preparation Substances 0.000 description 5
- 238000012360 testing method Methods 0.000 description 5
- 238000010521 absorption reaction Methods 0.000 description 4
- 229940038195 amoxicillin / clavulanate Drugs 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000000243 solution Substances 0.000 description 4
- 238000001228 spectrum Methods 0.000 description 4
- HZZVJAQRINQKSD-UHFFFAOYSA-N Clavulanic acid Natural products OC(=O)C1C(=CCO)OC2CC(=O)N21 HZZVJAQRINQKSD-UHFFFAOYSA-N 0.000 description 3
- HZZVJAQRINQKSD-PBFISZAISA-N clavulanic acid Chemical compound OC(=O)[C@H]1C(=C/CO)/O[C@@H]2CC(=O)N21 HZZVJAQRINQKSD-PBFISZAISA-N 0.000 description 3
- 239000002552 dosage form Substances 0.000 description 3
- 238000002474 experimental method Methods 0.000 description 3
- 238000000227 grinding Methods 0.000 description 3
- 239000011265 semifinished product Substances 0.000 description 3
- 108090000204 Dipeptidase 1 Proteins 0.000 description 2
- 102000004190 Enzymes Human genes 0.000 description 2
- 108090000790 Enzymes Proteins 0.000 description 2
- 239000003782 beta lactam antibiotic agent Substances 0.000 description 2
- 102000006635 beta-lactamase Human genes 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 229960003324 clavulanic acid Drugs 0.000 description 2
- MTHSVFCYNBDYFN-UHFFFAOYSA-N diethylene glycol Chemical compound OCCOCCO MTHSVFCYNBDYFN-UHFFFAOYSA-N 0.000 description 2
- 238000002845 discoloration Methods 0.000 description 2
- 239000012738 dissolution medium Substances 0.000 description 2
- 239000008187 granular material Substances 0.000 description 2
- 229940124531 pharmaceutical excipient Drugs 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
- 238000013268 sustained release Methods 0.000 description 2
- 239000012730 sustained-release form Substances 0.000 description 2
- 230000009466 transformation Effects 0.000 description 2
- 239000002132 β-lactam antibiotic Substances 0.000 description 2
- 229940124586 β-lactam antibiotics Drugs 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 241000606124 Bacteroides fragilis Species 0.000 description 1
- 241000193403 Clostridium Species 0.000 description 1
- 208000030453 Drug-Related Side Effects and Adverse reaction Diseases 0.000 description 1
- 241000588914 Enterobacter Species 0.000 description 1
- 241000588724 Escherichia coli Species 0.000 description 1
- 241000606768 Haemophilus influenzae Species 0.000 description 1
- 241000588748 Klebsiella Species 0.000 description 1
- 241000589248 Legionella Species 0.000 description 1
- 208000007764 Legionnaires' Disease Diseases 0.000 description 1
- 241000588652 Neisseria gonorrhoeae Species 0.000 description 1
- 239000008118 PEG 6000 Substances 0.000 description 1
- 241000206591 Peptococcus Species 0.000 description 1
- 241000191992 Peptostreptococcus Species 0.000 description 1
- 229920001030 Polyethylene Glycol 4000 Polymers 0.000 description 1
- 229920002584 Polyethylene Glycol 6000 Polymers 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- 241000588770 Proteus mirabilis Species 0.000 description 1
- 241000588767 Proteus vulgaris Species 0.000 description 1
- 241000191940 Staphylococcus Species 0.000 description 1
- 241000193998 Streptococcus pneumoniae Species 0.000 description 1
- 241000193996 Streptococcus pyogenes Species 0.000 description 1
- 241001312524 Streptococcus viridans Species 0.000 description 1
- 238000000862 absorption spectrum Methods 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- PNEYBMLMFCGWSK-UHFFFAOYSA-N aluminium oxide Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 230000002924 anti-infective effect Effects 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
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- 229940090805 clavulanate Drugs 0.000 description 1
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- 239000008363 phosphate buffer Substances 0.000 description 1
- 239000008055 phosphate buffer solution Substances 0.000 description 1
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- 239000011591 potassium Substances 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 229940007042 proteus vulgaris Drugs 0.000 description 1
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- HFHDHCJBZVLPGP-UHFFFAOYSA-N schardinger α-dextrin Chemical compound O1C(C(C2O)O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC(C(O)C2O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC2C(O)C(O)C1OC2CO HFHDHCJBZVLPGP-UHFFFAOYSA-N 0.000 description 1
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- 229940031000 streptococcus pneumoniae Drugs 0.000 description 1
- 239000007939 sustained release tablet Substances 0.000 description 1
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- 235000020357 syrup Nutrition 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
- 208000019206 urinary tract infection Diseases 0.000 description 1
- 229910001845 yogo sapphire Inorganic materials 0.000 description 1
Landscapes
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
技术领域technical field
本发明涉及一种β-环糊精包合阿莫西林的药物组合物、这种药物组合物复配克拉维酸钾构成的药物组合物,以及这两种药物组合物的制备方法。The invention relates to a pharmaceutical composition containing amoxicillin contained in β-cyclodextrin, a pharmaceutical composition composed of the pharmaceutical composition compounded with potassium clavulanate, and a preparation method of the two pharmaceutical compositions.
背景技术Background technique
β-内酰胺类抗生素阿莫西林/克拉维酸钾复合制剂最初由世界著名葛兰素史克制药公司研究开发,于1984年8月6日获FDA批准上市。到目前为止,本品已连续13年保持其世界畅销药的地位,居世界抗感染药的首位。该品我国药典已有收载。The β-lactam antibiotic amoxicillin/clavulanate potassium compound preparation was originally researched and developed by the world-renowned GlaxoSmithKline pharmaceutical company, and was approved by the FDA on August 6, 1984. So far, this product has maintained its status as the world's best-selling drug for 13 consecutive years, ranking first in the world's anti-infective drugs. This product has been recorded in Chinese Pharmacopoeia.
阿莫西林与克拉维酸联合,可抑制葡萄球菌、流感嗜血杆菌、卡他球菌、大肠杆菌、克雷白杆菌、奇异变形杆菌、普通变形杆菌、淋球茵、军团菌、脆弱拟杆菌等微生物产生的β-内酰胺酶对阿莫西林的破坏,因此对上述病原菌的产酶或不产酶株有效。本品还对不产β-内酰胺酶的肺炎链球菌、化脓性链球菌、绿色链球菌、梭状芽胞杆菌、消化球菌、消化链球菌等也有抗菌作用。可用于上述敏感菌所致的下呼吸道、中耳、鼻窦、皮肤组织、尿路等部位感染。对肠杆菌属尿路感染也可有效。Amoxicillin combined with clavulanic acid can inhibit staphylococcus, Haemophilus influenzae, catarrhalis, Escherichia coli, Klebsiella, Proteus mirabilis, Proteus vulgaris, Neisseria gonorrhoeae, Legionella, Bacteroides fragilis, etc. The β-lactamase produced by microorganisms destroys amoxicillin, so it is effective against enzyme-producing or non-enzyme-producing strains of the above-mentioned pathogenic bacteria. This product also has antibacterial effect on Streptococcus pneumoniae, Streptococcus pyogenes, Streptococcus viridans, Clostridium, Peptococcus, Peptostreptococcus, etc. that do not produce β-lactamase. It can be used for lower respiratory tract, middle ear, sinus, skin tissue, urinary tract and other infections caused by the above-mentioned sensitive bacteria. It is also effective against Enterobacter urinary tract infection.
目前,国内市场上阿莫西林/克拉维酸钾复方制剂有:片剂、胶囊、咀嚼片、冲剂、糖浆、粉针、混悬剂等剂型,其阿莫西林/克拉维酸钾配比有:2∶1、4∶1、5∶1、7∶1、10∶1及14∶1等产品。阿莫西林/克拉维酸钾复方比单用阿莫西林有着明显的优势,但是在我国单用阿莫西林远高于其复方制剂。造成这一反差的原因主要是制剂的溶出速度慢、克拉维酸钾含量不稳定等产品质量还有待提高。阿莫西林为半合成β-内酰胺类抗生素,含三摩尔结晶水,分子量419,含水12.0%~15.0%。阿莫西林分子不稳定的内酰胺环,易受亲核、亲电试剂进攻,而易发生降解,由于水溶性差,其口服制剂溶出性能不佳。克拉维酸钾水溶性好,但极易氧化,稳定性差,制剂在保质期内易变色、含量下降较快。目前制剂产品主要采取添加抗氧剂,紧密压片,包衣处理及隔绝空气密封包装等方法解决稳定性问题。At present, the compound preparations of amoxicillin/clavulanate potassium on the domestic market include: tablets, capsules, chewable tablets, granules, syrups, powder injections, suspensions and other dosage forms, and the ratio of amoxicillin/clavulanate potassium is as follows: : 2:1, 4:1, 5:1, 7:1, 10:1 and 14:1 products. Amoxicillin/clavulanate potassium compound has obvious advantages over amoxicillin alone, but in our country, amoxicillin alone is much higher than its compound preparation. The reason for this contrast is mainly that the dissolution rate of the preparation is slow, the content of potassium clavulanate is unstable and the quality of the products needs to be improved. Amoxicillin is a semi-synthetic β-lactam antibiotic containing three moles of crystal water, a molecular weight of 419, and a water content of 12.0% to 15.0%. The unstable lactam ring of amoxicillin molecules is easily attacked by nucleophiles and electrophiles, and is prone to degradation. Due to poor water solubility, the dissolution performance of its oral preparations is not good. Potassium clavulanate has good water solubility, but is easily oxidized and has poor stability. The preparation is prone to discoloration and content declines rapidly during the shelf life. At present, preparation products mainly adopt methods such as adding antioxidants, compactly compressing tablets, coating treatment and air-sealed packaging to solve stability problems.
大量研究成果表明,许多医药产品应用β-环糊精(β-CD)进行分子包合的超分子制剂技术可显著改善药物制剂质量、降低原药的毒副作用、提高疗效、方便患者使用。目前国外已有15个使用β-CD和β-CDD为辅料的药品制剂上市,超分子体给药制剂技术的应用主要是下列几个方面:提高药物制剂的稳定性;增加药物的溶解度;促进药物吸收,提高药物的生物利用度;减轻药物对机体的刺激,减少药物不良反应;掩盖药物的不良气味,利于患者服用;作为缓释和靶向制剂的载体;油状药物的粉末化,便于制剂制备。目前,阿莫西林及其与克拉维酸钾的复方制剂尚未有采用β-环糊精进行分子包合的超分子技术制剂的报道。A large number of research results have shown that the supramolecular preparation technology of many pharmaceutical products using β-cyclodextrin (β-CD) for molecular inclusion can significantly improve the quality of pharmaceutical preparations, reduce the toxic and side effects of the original drug, improve the curative effect, and facilitate the use of patients. At present, 15 pharmaceutical preparations using β-CD and β-CDD as auxiliary materials have been marketed abroad. The application of supramolecular drug delivery preparation technology is mainly in the following aspects: improving the stability of pharmaceutical preparations; increasing the solubility of drugs; promoting Drug absorption, improve the bioavailability of drugs; reduce the stimulation of drugs to the body, reduce adverse drug reactions; mask the bad smell of drugs, which is convenient for patients to take; as a carrier for sustained release and targeted preparations; powdering of oily drugs is convenient for preparation preparation. Currently, amoxicillin and its compound preparation with clavulanate potassium have not yet been reported using β-cyclodextrin for molecular inclusion supramolecular technology preparations.
β-环糊精在水溶液中可与药物等有机分子形成超分子体(包合物)。形成包合物时,电子云密度较高的β-CD疏水空腔对药物客体分子产生电子云微拢,使客体的紫外吸收光谱谱峰位移或增强。紫外吸收的相对变化即反映出药物客体和β-CD的包合情况。β-cyclodextrin can form supramolecular bodies (inclusion complexes) with organic molecules such as drugs in aqueous solution. When clathrates are formed, the hydrophobic cavity of β-CD with higher electron cloud density will generate electron cloud close to the drug guest molecule, which will shift or enhance the peak of the ultraviolet absorption spectrum of the guest. The relative change of UV absorption reflects the inclusion of drug guest and β-CD.
发明内容Contents of the invention
本发明的目的是:采用β-环糊精与阿莫西林制成固体粉状包合物,使阿莫西林稳定性、机械加工性能和溶出特性得到显著增强提高。进一步的发明目的是将β-环糊精/阿莫西林包合物与克拉维酸钾配伍,高压力强度制备出新型制剂,增强克拉维酸钾稳定性,改进复合制剂的药学性能,提高复合制剂产品质量。本申请还将分别提供这两种药物的包合物及组合物的制备方法。The object of the present invention is: adopting β-cyclodextrin and amoxicillin to make a solid powder clathrate, so that the stability, mechanical processing performance and dissolution characteristics of amoxicillin are significantly enhanced. The further object of the invention is to combine the inclusion compound of β-cyclodextrin/amoxicillin with potassium clavulanate to prepare a new type of preparation with high pressure strength, enhance the stability of potassium clavulanate, improve the pharmaceutical properties of the compound preparation, and improve the compound preparation. Preparation product quality. The present application will also provide preparation methods of the clathrates and compositions of the two drugs respectively.
需要说明的是:β-环糊精/阿莫西林包合物加入克拉维酸钾以后,可以作为另一种药物组合物描述;也可以作为β-环糊精/阿莫西林包合物的优化方案描述,两种描述方式的技术方案所包含的范围是相同的。本申请请求保护时采用后一种方式描述。It should be noted that after adding potassium clavulanate to the β-cyclodextrin/amoxicillin inclusion compound, it can be described as another pharmaceutical composition; For the description of the optimization scheme, the scope of the technical scheme of the two description methods is the same. The latter method is used to describe the application when requesting protection.
用混合磷酸盐缓冲液(pH=6.86)配制浓度约2.3ug/ml的阿莫西林溶液,为保持阿莫西林浓度恒定,用此溶液配制β-CD的浓溶液,逐步增加β-CD浓度进行紫外扫描,结果显示,阿莫西林的紫外吸收随β-CD浓度增大呈现快速而有规律性的增强,表明阿莫西林与β-CD具有良好的包合作用。以附图1,β-CD浓度对紫外吸收的定量关系(Hildebrand-Benesi公式)测定出阿莫西林/β-环糊精形成超分子体的形成常数(包合常数Ka)为357M-1(Y=-0.0028X+0.141;R2=0.986)。Use mixed phosphate buffer (pH=6.86) to prepare an amoxicillin solution with a concentration of about 2.3ug/ml. In order to keep the concentration of amoxicillin constant, use this solution to prepare a concentrated solution of β-CD, and gradually increase the concentration of β-CD. The results of ultraviolet scanning showed that the ultraviolet absorption of amoxicillin increased rapidly and regularly with the increase of β-CD concentration, indicating that amoxicillin and β-CD had a good inclusion effect. With accompanying drawing 1, the quantitative relationship (Hildebrand-Benesi formula) of β-CD concentration to ultraviolet absorption is measured the formation constant (inclusion constant Ka) that amoxicillin/β-cyclodextrin forms supramolecular body to be 357M-1 ( Y=-0.0028X+0.141; R2=0.986).
相溶解度试验表明,当β-CD浓度为0时,阿莫西林固有溶解度等于4.58×10-6mol/L。随着β-CD浓度的增加,阿莫西林溶解度明显增加,0.7%的β-CD使阿莫西林溶解度增加了3.89倍。体系溶解度变化具有AL型曲线特征,表明形成1∶1包合物,溶解度曲线方程为Y=0.0022x+5×10-6(R2=0.9928)。由曲线方程求得包合常数Ka为441M-1。The phase solubility test showed that when the concentration of β-CD was 0, the intrinsic solubility of amoxicillin was equal to 4.58×10-6mol/L. With the increase of β-CD concentration, the solubility of amoxicillin increased obviously, and 0.7% β-CD increased the solubility of amoxicillin by 3.89 times. The solubility change of the system has the characteristics of an AL-type curve, indicating that a 1:1 clathrate is formed, and the solubility curve equation is Y=0.0022x+5×10-6 (R2=0.9928). The inclusion constant Ka obtained from the curve equation is 441M-1.
药物等有机分子与β-环糊精形成超分子的结构与药物分子结构有直接关系,较小的药物分子一般形成1∶1包合物,较大分子的药物可形成1∶1或1∶2及更高比例的包合物,包合比例的测定对确定药物制剂处方具有重要价值。以连续递变实验法测定阿莫西林/β-环糊精包合比例,配制阿莫西林与β-CD总摩尔浓度相同而摩尔比分别为1∶3~3∶1的系列溶液,以缓冲液为空白228nm处测定体系吸光度Acd与对应浓度的阿莫西林的吸光值A0,计算吸光值之比DA(DA=Acd/A0),DA最大处对应的摩尔比即为包合比,得下表结果,The supramolecular structure of organic molecules such as drugs and β-cyclodextrin is directly related to the molecular structure of drugs. Smaller drug molecules generally form 1:1 inclusion complexes, and larger molecules can form 1:1 or 1:1 inclusion complexes. 2 and a higher proportion of inclusion compounds, the determination of the inclusion ratio is of great value in determining the prescription of pharmaceutical preparations. The inclusion ratio of amoxicillin/β-cyclodextrin was determined by the continuous gradient experiment method, and a series of solutions with the same total molar concentration of amoxicillin and β-CD and a molar ratio of 1:3 to 3:1 were prepared to buffer Solution is the blank 228nm, measure the absorbance Acd of the system and the absorbance value A0 of the corresponding concentration of amoxicillin, calculate the ratio DA (DA=Acd/A0) of the absorbance value, and the molar ratio corresponding to the DA maximum is the inclusion ratio, which can be obtained as follows table results,
阿莫西林xicillin∶β-CD ΔA(10-2)Amoxicillin xicillin: β-CD ΔA(10-2)
1∶3 1.71:3 1.7
1∶2 0.71:2 0.7
2∶3 1.92:3 1.9
1∶1 8.61:1 8.6
3∶2 1.23:2 1.2
2∶1 0.12:1 0.1
3∶1 1.33:1 1.3
其中以1∶1摩尔比混合的体系吸光值相差最大,故阿莫西林与β-CD以1∶1比例进行包合,该结果与相溶解度试验一致。Among them, the absorbance value of the system mixed at a molar ratio of 1:1 has the largest difference, so amoxicillin and β-CD are clathrated at a ratio of 1:1, and the result is consistent with the phase solubility test.
用研磨法制备了阿莫西林/β-CD包合物(摩尔比1∶1),常温下将β-CD加入1~5倍量水及阿莫西林,研磨5小时,冷却、过滤、水洗固体,然后真空干燥12小时,过100目筛,得白色粉末。Amoxicillin/β-CD inclusion complex (molar ratio 1:1) was prepared by grinding method, β-CD was added 1 to 5 times of water and amoxicillin at room temperature, ground for 5 hours, cooled, filtered, washed with water The solid was then vacuum-dried for 12 hours and passed through a 100-mesh sieve to obtain a white powder.
取阿莫西林、β-CD、包合物、物理混合物四种样品进行差示扫描量热分析:以Al2O3为参比,准确称取5.0mg样品,量程为±25μV,升温范围为40℃~400℃,升温速率为10℃/min,作DTA图谱,见附图2。Four samples of amoxicillin, β-CD, clathrate, and physical mixture were taken for differential scanning calorimetry analysis: with Al2O3 as a reference, 5.0 mg of sample was accurately weighed, the measuring range was ±25μV, and the temperature rise range was 40℃~ 400°C, the heating rate is 10°C/min, and the DTA spectrum is made, see Figure 2.
由图可见,阿莫西林在103.8℃有一脱结晶水峰,155℃~200℃附近分别有2次晶型转换的吸热峰,280℃附近为分解放热峰;β-CD在80.6℃和210℃处分别是β-CD的脱包合水吸热峰和晶型转换的吸热峰,310.6℃为熔融-分解峰。混合物保持了β-CD和阿莫西林的吸热峰,基本上是各化合物图谱的叠加,说明混合物不存在明显的分子间相互作用。而在包合物的图谱上各个峰的位置和形状都发生了变化,脱结晶水和包合水后110℃~230℃区间内的阿莫西林晶型转换特征峰(155℃~200℃)消失而成为比热恒定的稳定态,而230℃出现体系晶型转换峰,280℃附近的阿莫西林放热分解特征峰消失,水溶液制备的包合新体系保持了结晶水和包合水,但是阿莫西林和β-CD的特征峰发生变化,因此说明新体系为包合物而非机械混合物。It can be seen from the figure that amoxicillin has a decrystallization water peak at 103.8°C, there are two endothermic peaks of crystal transformation around 155°C~200°C, and a decomposition exothermic peak around 280°C; At 210°C are the endothermic peaks of β-CD deinclusion water and crystal transformation, respectively, and at 310.6°C are the melting-decomposition peaks. The mixture maintains the endothermic peaks of β-CD and amoxicillin, which is basically the superposition of the spectrum of each compound, indicating that there is no obvious intermolecular interaction in the mixture. However, the position and shape of each peak on the spectrum of the clathrate have changed, and the characteristic peak of amoxicillin crystal form conversion in the range of 110°C to 230°C after decrystallization water and clathrate water (155°C to 200°C) The specific heat disappears and becomes a stable state with constant specific heat, while the crystal form conversion peak of the system appears at 230°C, and the characteristic peak of amoxicillin's exothermic decomposition near 280°C disappears. However, the characteristic peaks of amoxicillin and β-CD changed, which indicated that the new system was an inclusion compound rather than a mechanical mixture.
测定包合物中阿莫西林含量,探索了制备工艺稳定性,固定阿莫西林和β-CD投料比,改变加入水量、变化研磨时间和适当调节温度,制备三批包合物的药物含量测定见下表
结果表明,包合物的制备工艺重现性好(RSD=0.42%),工艺方法稳定可靠。The results show that the preparation process of the clathrate has good reproducibility (RSD=0.42%), and the process method is stable and reliable.
包合对阿莫西林的溶出度的影响试验:分别取阿莫西林和含相同剂量的阿莫西林的包合物测定溶出度。测定方法参照中国药典2000版二部,混合磷酸缓冲液pH=6.86为溶出介质,温度为37℃,转篮转速为100r/min;于5,10,15,20,25,30和40min取样8ml,过滤,同时立即补加等量等温溶出介质,样液于228nm处测定吸光值,代入标准曲线计算浓度,测定得阿莫西林溶出度。结果见附图3,实验结果表明,包合物能够显著提高阿莫西林溶出度。包合物15min溶出即达73%,远高于原料药(8.9%)。原料药在40min时溶出度仅为33.6%,而包合物则溶出95.0%以上。实验证明,环糊精超分子技术可以用于阿莫西林剂型的改进,是提高阿莫西林制剂溶出度的关键技术。Influence test of inclusion on the dissolution rate of amoxicillin: respectively take amoxicillin and the inclusion compound containing the same dose of amoxicillin to measure the dissolution rate. The determination method refers to the second part of the Chinese Pharmacopoeia 2000 edition, the mixed phosphate buffer solution pH=6.86 is the dissolution medium, the temperature is 37°C, and the rotation speed of the basket is 100r/min; 8ml samples are taken at 5, 10, 15, 20, 25, 30 and 40min , filter, and immediately add an equal amount of isothermal dissolution medium, measure the absorbance at 228nm of the sample solution, substitute it into the standard curve to calculate the concentration, and measure the dissolution rate of amoxicillin. The results are shown in Figure 3, and the experimental results show that the inclusion compound can significantly improve the dissolution rate of amoxicillin. The dissolution of the clathrate reaches 73% within 15 minutes, which is much higher than that of the bulk drug (8.9%). The dissolution rate of the crude drug was only 33.6% in 40 minutes, while the clathrate was more than 95.0%. Experiments have proved that cyclodextrin supramolecular technology can be used to improve the dosage form of amoxicillin, and it is a key technology to improve the dissolution rate of amoxicillin preparations.
进一步以包合物加入设计量克拉维酸钾和总质量10%~30%的常用药用辅料(崩解剂、黏合剂、填充剂和润滑剂等),采用干法制粒工艺制备了各种目前已有的阿莫西林/克拉维酸钾配比的口服剂型,以药典2000年版二部方法进行克拉维酸钾稳定性试验,测定结果表明,包合物制剂(片剂)中克拉维酸钾含量稳定性显著优于普通片剂产品,制剂外观及机械性能明显得到改进提高。新型制剂与包合物的阿莫西林溶出度对照试验见附图4,结果表明,高压力强度制备的新型制剂基本保持了包合物高溶出的特性,能够快速崩解溶出,15min内的药物溶出度优于包合物;但是由于其他辅料和添加剂的影响,其40min以后的溶出度略低于包合物,45min时制剂溶出度可达到91.7%。实验证明,阿莫西林/β-环糊精包合物具有快速溶出的特性、与其他辅料和克拉维酸钾有良好的相容性,具备优良的机械加工性能,包合技术成为改进阿莫西林-克拉维酸钾复合制剂的重要技术基础。Further adding the designed amount of potassium clavulanate and 10% to 30% of the total mass of commonly used pharmaceutical excipients (disintegrants, binders, fillers and lubricants, etc.) into the clathrate, and prepared various The existing oral dosage form of amoxicillin/potassium clavulanate ratio at present carries out the stability test of potassium clavulanate with the two methods of Pharmacopoeia 2000 edition, and the measurement result shows that clavulanic acid in clavulanate preparation (tablet) The stability of potassium content is significantly better than that of ordinary tablet products, and the appearance and mechanical properties of the preparation are obviously improved. The comparison test of amoxicillin dissolution between the new preparation and the inclusion compound is shown in Figure 4. The results show that the new preparation prepared by high pressure intensity basically maintains the high dissolution characteristics of the inclusion compound, can quickly disintegrate and dissolve, and the drug can be dissolved within 15 minutes. The dissolution rate is better than that of clathrate; however, due to the influence of other auxiliary materials and additives, its dissolution rate after 40 minutes is slightly lower than that of clathrate, and the dissolution rate of the formulation can reach 91.7% at 45 minutes. Experiments have proved that the inclusion compound of amoxicillin/β-cyclodextrin has the characteristics of rapid dissolution, good compatibility with other excipients and potassium clavulanate, and excellent mechanical processing performance. The inclusion technology has become an improved amoxicillin An important technical basis for the compound preparation of cillin-potassium clavulanate.
完成本申请前述发明任务的方案是:The scheme of completing the foregoing invention task of the application is:
β-环糊精/阿莫西林包合物,其组成包括:阿莫西林、β-环糊精,两者的质量比为1∶2.5~1∶5。The β-cyclodextrin/amoxicillin clathrate comprises: amoxicillin and β-cyclodextrin, and the mass ratio of the two is 1:2.5-1:5.
进一步的方案:将上述包合物 与克拉维酸钾复配再制成阿莫西林-克拉维酸钾复合制剂,阿莫西林/克拉维酸钾配比的质量比为2∶1~14∶1,需要添加的其他辅料可以选用:微晶纤维素、玉米淀粉、柠檬酸、滑石粉、羧甲淀粉钠、硬脂酸、硬脂酸钙、硬脂酸镁、预胶化淀粉、乳糖、甘露醇、交联聚维酮、滑石粉、PEG4000(聚乙二醇4000)、低取代羟丙纤维素、微粉硅胶、羧甲淀粉钠、PEG6000(聚乙二醇6000)。A further scheme: compound the above clathrate and potassium clavulanate to make amoxicillin-potassium clavulanate preparation, the mass ratio of amoxicillin/potassium clavulanate is 2:1~14: 1. Other excipients that need to be added can be selected: microcrystalline cellulose, corn starch, citric acid, talcum powder, sodium starch glycolate, stearic acid, calcium stearate, magnesium stearate, pregelatinized starch, lactose, Mannitol, crospovidone, talc, PEG4000 (polyethylene glycol 4000), low-substituted hydroxypropyl cellulose, micronized silica gel, sodium starch glycolate, PEG6000 (polyethylene glycol 6000).
具体可按照下列附表中的方案之一制备得到固体制剂:Specifically, the solid preparation can be prepared according to one of the schemes in the following attached table:
方案:
β-环糊精/阿莫西林包合物的制备方法包括以下步骤:The preparation method of β-cyclodextrin/amoxicillin clathrate comprises the following steps:
将β-环糊精与1~5倍质量的水混合,室温下使成悬浮体;Mix β-cyclodextrin with 1 to 5 times the mass of water, and make a suspension at room temperature;
加入质量比1/5~2/5(最佳比例1/3)量阿莫西林,混合均匀、充分研磨;Add amoxicillin in a mass ratio of 1/5 to 2/5 (the best ratio is 1/3), mix evenly, and grind thoroughly;
冷却、过滤,取固体物干燥,粉碎过100目筛即得固体粉状包合物。Cool, filter, take the solid to dry, and crush through a 100-mesh sieve to obtain a solid powder clathrate.
更具体地说,本制备方法所包括步骤的具体条件是:More specifically, the specific conditions of the steps included in the preparation method are:
将β-环糊精与质量比1~5倍量纯水(最佳比例2)在20~25℃温度下混合,使成悬浮体;Mix β-cyclodextrin with 1 to 5 times the mass ratio of pure water (optimal ratio 2) at a temperature of 20 to 25°C to form a suspension;
加入质量比1/5~2/5(最佳比例1/3)量阿莫西林,充分混合研磨2~15小时;Add amoxicillin at a mass ratio of 1/5 to 2/5 (the best ratio is 1/3), mix and grind thoroughly for 2 to 15 hours;
5℃冷却12小时后过滤,取固体物干燥即得固体包合物。After cooling at 5°C for 12 hours, filter, take the solid and dry it to obtain the solid clathrate.
进一步将上述包合物制成复合制剂的方法是增加以下步骤:The method for further making the above-mentioned clathrate compound preparation is to increase the following steps:
包合物与克拉维酸钾混合均匀、过筛,干法制粒,粉碎过筛,得到β-环糊精/阿莫西林包合物与克拉维酸钾复配的粉状半成品。The inclusion compound and potassium clavulanate are evenly mixed, sieved, dry granulated, pulverized and sieved to obtain a powdery semi-finished product compounded with β-cyclodextrin/amoxicillin inclusion compound and potassium clavulanate.
半成品与其他辅料混合、制粒后压制成片或灌制胶囊。The semi-finished product is mixed with other auxiliary materials, granulated and then compressed into tablets or capsules.
更优化和更具体地说,所增加的步骤是:More optimally and more specifically, the added steps are:
包合物与克拉维酸钾混合均匀、过80目筛,干法制粒,粉碎过100目筛,得到粉状半成品的药物组合物。The clathrate and potassium clavulanate are evenly mixed, passed through an 80-mesh sieve, dry-granulated, crushed and passed through a 100-mesh sieve to obtain a powdery semi-finished pharmaceutical composition.
半成品与其他辅料混合、15℃~30℃条件下干法制粒、60℃干燥4~20小时,后压制成片或灌制胶囊。The semi-finished product is mixed with other auxiliary materials, dry granulated at 15°C-30°C, dried at 60°C for 4-20 hours, and then compressed into tablets or capsules.
本发明的优点:Advantages of the present invention:
增强阿莫西林和克拉维酸钾药物稳定性:阿莫西林制备成为包合物后,外观为白色固体,60℃以下放置72小时未见药物含量下降和分解变质,固体外观无变化。DSC谱试验证明,温度80℃~105℃出现包合水和结晶水的挥发现象,300℃以上才出现包合阿莫西林的分解。制剂克拉维酸钾稳定性达到药典标准要求。Enhance drug stability of amoxicillin and potassium clavulanate: After amoxicillin is prepared as an inclusion compound, the appearance is a white solid, and it is stored below 60°C for 72 hours without any decrease in drug content, decomposition and deterioration, and no change in the appearance of the solid. The DSC spectrum test proves that the volatilization of inclusion water and crystal water occurs at a temperature of 80°C to 105°C, and the decomposition of inclusion amoxicillin occurs above 300°C. The stability of the preparation potassium clavulanate meets the requirements of the Pharmacopoeia standard.
包合物溶出性优良,机加工性能好,易与克拉维酸钾复配,起到增强克拉维酸钾的作用,与其他药用辅料具有良好的相容性易制备成为各种固体口服制剂如片剂、胶囊、分散片、缓释片、缓释胶囊、颗粒剂等。The inclusion compound has excellent dissolution properties, good machinability, and is easy to compound with clavulanate potassium to enhance the effect of clavulanate potassium. It has good compatibility with other pharmaceutical excipients and can be easily prepared into various solid oral preparations Such as tablets, capsules, dispersible tablets, sustained-release tablets, sustained-release capsules, granules, etc.
包合方式制备的剂型易崩解、药物溶出速度快,溶出度高。The dosage form prepared by the inclusion method is easy to disintegrate, the drug dissolution rate is fast, and the dissolution rate is high.
易携带易储藏:制备的固体制剂,耐压性、操作加工性及外观都有极大改进,易于生产制备,易于包装,无变色、破裂现象。Easy to carry and easy to store: The prepared solid preparation has greatly improved pressure resistance, processability and appearance, easy to produce, easy to prepare, easy to pack, and no discoloration or cracking.
具体实施方式Detailed ways
实施例1,将100毫升纯水与100克β-环糊精混合,于20℃室温下加入33克阿莫西林,充分研磨8小时,然后于5℃下放置12小时;过滤,水洗固体物2次。于40℃真空干燥12小时,即得白色固体包合物。固体包合物粉碎过100目筛,与2.36克克拉维酸钾混合,过80目筛2次,干法制粒,粉碎成粉状得药物组合物,组合物中阿莫西林-克拉维酸钾剂量比14∶1。Example 1, mix 100 ml of pure water with 100 g of β-cyclodextrin, add 33 g of amoxicillin at room temperature at 20°C, grind thoroughly for 8 hours, then place at 5°C for 12 hours; filter, and wash the solid with water 2 times. Vacuum-dry at 40°C for 12 hours to obtain a white solid clathrate. The solid clathrate is crushed through a 100-mesh sieve, mixed with 2.36 grams of potassium clavulanate, passed through an 80-mesh sieve twice, dry-granulated, and ground into a powder to obtain a pharmaceutical composition. In the composition, amoxicillin-clavulanate potassium The dose ratio is 14:1.
实施例2:与实施例1基本相同,但是加入200毫升纯水,充分研磨5小时。Embodiment 2: substantially the same as embodiment 1, but add 200 milliliters of pure water, fully grind for 5 hours.
实施例3:与实施例1基本相同,但是加入20克阿莫西林。得到的白色固体包合物与1.4克克拉维酸钾混合制得粉状药物组合物。Embodiment 3: substantially the same as embodiment 1, but add 20 grams of amoxicillin. The obtained white solid clathrate was mixed with 1.4 g of potassium clavulanate to prepare a powdery pharmaceutical composition.
实施例4:与实施例1基本相同,但是加入40克阿莫西林。得到的白色固体包合物再与2.8克克拉维酸钾混合制得粉状药物组合物。Embodiment 4: substantially the same as embodiment 1, but add 40 grams of amoxicillin. The obtained white solid clathrate was mixed with 2.8 g of potassium clavulanate to prepare a powdery pharmaceutical composition.
实施例5:与实施例3基本相同,但是加入10克克拉维酸钾与包合物混合,制得阿莫西林-克拉维酸钾剂量比2∶1的粉状药物组合物。Embodiment 5: It is basically the same as Embodiment 3, but 10 grams of clavulanate potassium is added and mixed with the clathrate to prepare a powdery pharmaceutical composition with a dosage ratio of amoxicillin-clavulanate potassium of 2:1.
实施例6:与实施例3基本相同,但是加入5克克拉维酸钾与包合物混合,制得阿莫西林-克拉维酸钾剂量比4∶1的粉状药物组合物。Embodiment 6: It is basically the same as Embodiment 3, but 5 grams of potassium clavulanate is added and mixed with the clathrate to prepare a powdered pharmaceutical composition with a dose ratio of amoxicillin-potassium clavulanate of 4:1.
实施例7:与实施例3基本相同,但是加入4克克拉维酸钾与包合物混合,制得阿莫西林-克拉维酸钾剂量比5∶1的粉状药物组合物。Embodiment 7: It is basically the same as Embodiment 3, but 4 grams of potassium clavulanate is added and mixed with the clathrate to prepare a powdered pharmaceutical composition with a dosage ratio of amoxicillin-potassium clavulanate of 5:1.
实施例8:与实施例4基本相同,但是加入5.7克克拉维酸钾与包合物混合,制得阿莫西林-克拉维酸钾剂量比7∶1的粉状药物组合物。Embodiment 8: It is basically the same as Embodiment 4, but 5.7 g of clavulanate potassium is added and mixed with the clathrate to prepare a powdery pharmaceutical composition with a dosage ratio of amoxicillin-clavulanate potassium of 7:1.
实施例9:与实施例4基本相同,但是加入4克克拉维酸钾与包合物混合,制得阿莫西林-克拉维酸钾剂量比10∶1的粉状药物组合物。Embodiment 9: It is basically the same as Embodiment 4, but 4 grams of potassium clavulanate is added and mixed with the clathrate to prepare a powdered pharmaceutical composition with a dose ratio of amoxicillin-potassium clavulanate of 10:1.
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