IE45902B1 - Anti-acne compositions containing erythromycins - Google Patents
Anti-acne compositions containing erythromycinsInfo
- Publication number
- IE45902B1 IE45902B1 IE2220/77A IE222077A IE45902B1 IE 45902 B1 IE45902 B1 IE 45902B1 IE 2220/77 A IE2220/77 A IE 2220/77A IE 222077 A IE222077 A IE 222077A IE 45902 B1 IE45902 B1 IE 45902B1
- Authority
- IE
- Ireland
- Prior art keywords
- erythromycin
- composition
- skin
- ethanol
- acne
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/14—Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/60—Sugars; Derivatives thereof
- A61K8/602—Glycosides, e.g. rutin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
- A61Q17/00—Barrier preparations; Preparations brought into direct contact with the skin for affording protection against external influences, e.g. sunlight, X-rays or other harmful rays, corrosive materials, bacteria or insect stings
- A61Q17/005—Antimicrobial preparations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
- A61Q19/00—Preparations for care of the skin
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Dermatology (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Engineering & Computer Science (AREA)
- Oil, Petroleum & Natural Gas (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Birds (AREA)
- Molecular Biology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
ANTI-ACME COMPOSITION Edward David Thompson Stephen Beauregard Carter Gary Lee Manring Compositions for topical application of erythromycin and derivatives of erythromycin comprising ethanol, isopropyl myristate, glycerol monooleate and the erythromycin compounds are especially useful as a treatment for acne.
Description
This invention relates to compositions for topical application of erythromycin or erythromycin compounds. The compositions herein are particularly useful for the treatment of acne.
Acne vulgaris and other types of acne and acneiform skin maladies associated with the hyperplasia of the sebaceous follicle are often treated by the oral administration of antibiotics. Tetracycline has been the traditional dfcug of choice, but other antibiotics such as erythromycin, lincomycin and clindamycin have also been prescribed for this use. While oral administration of these drugs is often effective in treating acne, oral therapy has several disadvantages. For example, the oral administration of antibiotics subjects the entire body to the antibiotic composition; yet, in acne, only the skin is affected. Moreover, almost all antibiotics have some undesirable side effects when taken orally.
In contrast with oral dosing in the treatment of acne, topical application of antibiotics delivers the antibiotic to the afflicited situs and minimizes the antibiotic levels in the circulatory and gastrointestinal systems. Undesirable side effects occurring from oral administration of the drug are greatly reduced, and yet, properly administered, the therapeutic effect of topical application is comparable with, or superior to, that derived by oral administration.
4S903
-3Cctnpositions for topical treatment of acne are kncwn. anith, U.S. 3,952,099, issued April 20, 1976, discloses carpositions for treating acne lesions by topical application of tetracycline antibiotics in a skin penetration vehicle comprising sucrose, monoleate, decyl methyl sulfoxide and alcohol.
Stoughton, U.S. 3,969,516, issued July 13, 1976, and Arch. Dermatol., 84 182 (1976), discloses a method for topically treating acne by applying formulations containing various antibiotics in N-methyl-2pyrrolidone. The data presented are said to indicate that tetracycline in a pyrrolidone-based penetrating vehicle does not effectively control the inflammatory lesions of acne. In addition to tetracycline, compositions of erythromycin, erythromycin derivatives and clindamycin in the same vehicle were studied. The combination of erythromycin and N-methyl-2-pyrrolidone gave results which were better than tetracycline in the same vehicle, whereas the antibiotic lincomycin gave superior results in controlling the inflamed lesions.
In light of the foregoing, it is clear that the effectiveness of any particular antibiotic as a topical treatment of acneiform skin diseases depends significantly upon the particular skin penetrating vehicle with which it is used.
It is an object of this invention to provide a topical formulation to enhance the penetration of erythromycin and erythromycin compounds through skin.
It is another object of this invention to provide erythromycin compositions which can be used topically in the treatment of acne, especially Acne vulgaris.
It is still another object of this invention to provide storage-stable compositions comprising erythromycin antibiotics in a skin-penetrating vehicle which is especially adapted for the topical treatment of acne.
4S302
- 4 These and other objects of this invention ί
are secured, as will be seen from the following disclosure.
The present invention encompasses an antimicrobial composition for topical application, comprising:
(1) a safe and effective amount of an antibiotic agent selected from the group consisting of erythromycin and compounds of erythromycin; and (2) a pharmaceutically acceptable penetrating carrier, comprising (a) from 0% to 5% glycerol monooleate;
(b) from 20% to 80% ethanol; and (c) the balance comprising isopropyl myristate.
This invention relates to antibiotic compositions especially adapted for the treatment of Acne vulgaris and other acneiform skin diseases, The compositions herein comprise a safe and effective amount of erythranycin and/or compounds of erythromycin and a pharmaceutically acceptable penetrating carrier comprising ethanol, isopropyl myristate and, preferably, a glycerol monooleate. The method for treating acne comprises the topical application of compositions of the foregoing type to the afflicted situs of the skin of the acne sufferer.
By afflicted situs is meant the area of the skin which is inflamed, the acne comedones, papules, pustules, and cysts (acne lesions) and the skin immediately surrounding this area.
By antibiotic agent is meant erythromycin base and compounds or derivatives of erythromycin.
- 5 These antibiotic agents can be used alone or in combination in the present compositions.
By penetrating carrier is meant a mixture of ethanol and isopropyl myristate, and, preferably, glycerol monooleate. Other materials which will not interfere with the penetrating action caused by the carrier can be present, and include perfumes, coloring agents and gelling agents to make the carrier aesthetically pleasing. The penetration effected through the use of the carrier of this invention can be observed, for example, by measuring the amount of diffusion of the antibiotic agent through skin using a diffusion cell apparatus, as disclosed hereinafter.
By pharmaceutically acceptable is meant that the ingredients are suitable for use in contact with the skin and tissues of humans and lower animals without any untoward physiological response, commensurate with a reasonable benefit/risk ratio.
By safe and effective amount is meant an amount which is effective to alleviate the inflammation and the lesions of the acne or acneiform skin disease and yet cause no undesirable side effects (at a reasonable benefit/risk ratio). For topical application, a dose range of antibiotic composition of from
2
0.1 mg/cm per day to 25 mg/cm per day is effective.
The dosage can vary from patient to patient, depending on such factors as the severity of the acne, the frequency of application, the area of the body which is afflicted, and the particular erythromycin compound being applied.
By topical application is meant directly spreading or laying on epidermal tissue. The application can be made by rubbing, using medicated pads, or by any other convenient means.
459 0 3
- 6 By erythromycin is meant erythromycin base produced by the strain of Streptomyces erythreus. The term includes both erythromycin base and/or its hydrated crystals. By the term compounds of erythromycin is meant the salts between erythromycin base and acids, as well as the ester derivatives of erythromycin. Non-limiting examples of compounds of erythromycin include: erythromycin estolate, which is the lauryl sulfate salt of the propionic acid ester of erythromycin; erythromycin glucoheptonate, which is the glucoheptonic acid salt of erythromycin; erythromycin lactobionate, which is prepared from erythromycin base and lactobiono-S-lactone; erythromycin propionate, the propionic acid ester of erythromycin; erythromycin stearate, which includes both the stearic acid salt of erythromycin and the stearic acid ester of erythromycin; and erythromycin ethyl succinate, which is the ester of erythromycin and ethyl succinic acid.
By glycerol monooleate (also known in the literature as monoolein) is meant the monoester of glycerine and oleic acid. Glycerol monooleate employed herein can be made by any of a number of methods well known in the chemical arts. The predominant product of these reactions is 1-glycerol monooleate, the balance comprising 2-glycerol monooleate. The presence or absence of minor amounts of 2-glycerol monooleate does not appear to have any adverse effect on the penetrating ability of the instant compositions.
By comprising is meant that various other compatible ingredients may be present in the compositions in such a proportion as will not adversely affect the stability and penetrating effectiveness of the basic composition. The term comprising thus encompasses and includes the more restrictive terms consisting and consisting essentially of within its scope.
43a 02
- 7 All percentages are by weight, unless otherwise specified herein.
Skin penetration testing
The problems encountered in the topical administration of antibiotics have been the stability of the drug in the carrier or vehicle and the development of a system which allows the drug to penetrate the skin, thus facilitating the delivery of the antibiotic. The selection of the appropriate carrier for an antibiotic agent is critical. Not all delivery systems and penetrating aids will facilitate the diffusion of a given antibiotic agent through the skin barrier. The penetrating carrier must be compatible with the antibiotic; it must be non toxic? and the formulation must be stable.
In order to determine the best penetrating carrier for erythromycin and derivatives of erythromycin, a diffusion study was carried out using the skin of hairless mice. Briefly, the study employed mouse skin which was placed in a vertical position between two capped diffusion cells. A potassium phosphate buffer at pH 8 was added to the diffusion cell abutting the subcutaneous side of the mouse skin and the test composition comprising a solution of the antibiotic agent and the penetrating carrier was added to the diffusion cell abutting the epidermal side of the mouse skin. A small glass bead was added to each diffusion cell to provide mixing.
This cell assembly was arranged in an oscillating water bath at 31°C. The diffusion time used for the test was 20 to 24 hours.
At the end of this time period, each diffusion cell assembly was removed from the water bath, and the diffusate from the cell abutting the subcutaneous side
459 0 3
- 8 of the skin was filtered by expressing the liquid through a disposable filter attached to a plastic disposable syringe. This diffusate was then submitted for microbiological agar diffusion assay done in accordance with the procedure described at 21 C.F.R.
436.105. This test provides a measure of the passage of active erythromycin antibiotic through the skin.
Table 1 lists a representative number of penetrating carriers and their activity, as micrograms erythromycin which penetrated through the mouse skin, per milliliter (pg/ml) of diffusate.
- 9 Penetration data (hairless mouse skin)
>1 x: rd P •P ε •>d >1 X > P c •rl Φ •id in XJ ϋ r- o tn >1 rd 3 £ CN 1 0 P Xi β x) •rl >1 V P >1 dP w £ CN
ρ o
•P rt £
β
•rl cn rd x> P rt rt φ c P □ 0 x> β ••d Φ rt X» β x: CU CD c O CU H
cn
KO in rd in co
VO
O in rcVP dP
CN ’Φ dP
Tp cn
rd rd rd 0 0 0 0 0 Φ P X) P 40 P -P Φ rt 0) rt Φ rt ο Φ u φ Ο Φ >1 rd H rd rd rd 0 rd O rd O tn 0 tn 0 tn 0 β β β dP 0 dP O dP 0 CO g CN g CN g
rd i-d rd >1 rd >1 cu CU 04 0 0 O P Φ P Φ P Φ Ol x) a XJ CU XJ 0 rt 0 rt 0 rt cn x> cn X» cn xJ P •rl cn •rl cn •r| cn Φ Ή •r| •rl x) dP P dP P dP P cn O td O >1 m >1 w m £ Γ** £ in £
>1
Oj
P a
o ω
cW
VO >
in
Φ xJ rt x>
cn in vo cn
0\0 o\o
CN CN rd >1 a o P a «Μ o rt
XJ •η ω •H dP P 00 >1 cn g dP in cn
Φ rt ϋ Φ >i H i-1 O tn 0 β dP 0 cn g rd
Λ ϋ
rd rd >1
Λ
X>
0) dP
CO id
Xi •P
Φ dP
CO
CN rd >1
JC
-P
Φ dP o
tf rd
id Χί rd 4-J >1 Φ Χί x> dP Φ * dP 00 O cn vo
rd >1 I C O .ρ ω dP dP o o
- ίο β •H ο
P >1 Xl r4 -P •P £ •H >1 > p fi •H Φ •ri •P ϋ □ bi iti fi. £
ι o
P
Xi •P ix
P >i H £ fi
nd £ Φ fi ω fi CQ •ri φ •P Η P fi P Φ 0 •ri -P 0 ti ti X3 is
ti w +) Pl ti §43 H fi •H +i ti
P
-P
Φ fi
Φ
CM t*» sr
CM dp sj<
fi tH 0 0 Φ •H CQ Ρ «Ρ Η +> p Φ ti ti ti Φ ϋ φ fi P 0 >i «Η 0 -P fi rH 0 •Η Φ ti tP 0 •P fi Xi fi ft Φ fi dP 0 O CM H (Ί g
P
Φ •P
W
W rH
Λ υ
«Η «ti ’Φ γ** rH ix
Λ
-P dP φ
-P ti fi
Ή fi ω
0 Φ P •P Φ ti 0 Φ ix rH rH 0 tP 0 fi dP 0 CM £
p*
O
M*
¢.°
CM
H
Φ □
ix rH tP dP ld t—(
Φ φ
rH
O fi £
kD in dP
CM rH ix xi •P φ
Φ ΰ
CO >
dp
CM rH ix
CM
O
P
CM ω
•ri •H *0 dP co fO
Φ
-P ti
CM •H «Ό ti
rH >1 xi •P φ •H P •P Φ dP •P ti CO P • •P CO ♦H rH O
rH ix
CM
P
CM
u) •H dP σι
CM
Φ •P ti •P w
•H
P
I* >ι
Xi •P
Φ rH >1
Xi
-P
Φ dP
M3 in dP
CM in
rH Φ 1 >1 rH fi rH rH iH x: Φ 0 rH >< 0 •P CM rH rH fi ix CM υ Φ >1 0 ti XJ 0 ix CM Xi a xi •P P rH dP •P 0 •P Φ CM ζρ σι dP Φ •H φ « £ £ dP dP Φ r* • •H CO in fi in σι rtf CO c*» CM Φ
59% ethyl 0.1% decylmethy1 39% sulfoxide
- 11 4Si)02
P5 •rd
P c
υ c
Ή
Λ!
W
Φ
ID
S (A ω
H id ♦rl nJ ι—I ω
Pl nj
-P nJ
Ό β
O •H •P nJ
P •P
Φ β
Φ fo ι
o
P >1 Λ l—l d-> 4-) e •rd >1 \ > p β •rl Φ •rl -P 0 ϋ Cn >1 ZL 6
I o
p
Λ £
>1
P
K β
♦rl
P
0) •P nJ (2
ι—1 •P μ nJ nJ Φ β p o 0 -P c •r| nJ -P ci Λ fo Φ β o fo ω
p
Φ
-P ω
W dP (N dP cn ro ι—I
>1 £ •Ρ Φ ε Φ γ—| ω >1 Φ 0 ϋ τ3 Ρ φ •rl ϋ Ό κ β 0 10 dP Md ι—1 rd rd • β • Ο (0 Ο
w
P
Φ •P w
Φ dd
CN
Ό •H □
nJ •id
0) rd
O dP cn
Λ •P
Φ dP
OO m
ι
Φ β 0) ι—I ΪΡ fo 0
ω rd ρ rd •Η fo 0 fo □ dP 0 op N Ο μ m rd Γ fo CN Cn
- 12 As can be seen from the data, the selection of the penetrating carrier for erythromycin is quite critical. Of the combinations tested, mixtures of isopropyl myristate and ethanol exhibited by far the best penetration characteristics. Furthermore, the ratio of the isopropyl myristate to ethanol was also found to be critical. However, to ensure the solubility of the erythromycin or its compounds in the formulation, it is necessary to maintain a balance between the isopropyl myristate and ethanol. A mixture of 20% to 80% isopropyl myristate with 20% to 80% ethanol is acceptable. A preferred mixture comprises from 45% to 60% isopropyl myristate and from 30% to 45% ethanol; a highly preferred mixture consists essentially of 60% isopropyl myristate and
40% ethanol.
The foregoing data indicate that erythromycin and compounds of erythromycin when used in a carrier comprising ethanol and isopropyl myristate are very effective in penetrating the epithelium of excised hairless mouse skin. Moreover, the data indicate that materials which are known to be excellent penetrants for tetracycline are not particularly useful with erythromycin.
A second study similar to that using the mouse skin was conducted using human abdominal skin, in an in vitro model. The test system consisted of a sampling cell and a skin sample in contact with a collection cell containing a phosphate buffer at pH
8. The skin surface was treated with the formulation four times’during an 8 or 24 hour period. The sample cell was arranged in a water bath at 31°C.
At the end of the treatment, the phosphate buffer was removed from the collection cell and subsequently analyzed for the amount of erythromycin present.
453J2
- 13 Table 2 summarizes the data from this study. The results demonstrate that glycerol monooleate greatly enhances the penetration of the erythromycin through human skin. Accordingly, erythromycin formulations containing glycerol monooleate, ethanol and isopropyl myristate are superior for human skin penetration.
- 14 CN
EM fi •rt (0 rt μ
rt
Q fi
O •rt
-μ rt μ
•P
Φ fi
Φ ft •P •rt •rt
-P o
* k k k * rt k * •k •k •k •k * •k •k g O in rt in O •tf CN GO < Γ' rt in in in co CO 00 m O' • • • • • • < a • β rt rt o 10 in in o rt O
fi •rt o
XJ •P o
μ φ
□ >1 rt dp dP CN tf dP dP d? dp
CN CN CN tf dP
O O CO O O •tf cfP dp
CN tf dP
CN dP
Ο φ o o «tf dP dp dP dP
O co cn cn οϊ O
rt Φ >1 P ft rt 0 •μ μ tfl dP dP dP dP ft •rt CO φ O m in 0 μ tn in m in ω Kt H s
dP •tf dP dP Ο io co in -tf >1 β
•P w
μ β
Ο xj &
β •P
ϋ) μ
β ο
X.
•tf CO CN x?
•P w
dP dP dP dP dP dP dP dP dP o o o o O O o o o •tf «tf in •tf •tf •tf in •tf •tf
- 15 45902
The preferred carrier for topical application to human skin is a mixture of from 30½ to 45% ethanol, 1% to 5% glycerol monooleate, and the remainder being isopropyl myristate. It is necessary that the glycerol monooleate be limited to an amount less than 5% because above that concentration glycerol monooleate can cause minor skin irritation.
In addition to using erythromycin base as the antimicrobial agent in the above topical formulations, other erythromycin compounds or derivatives can be used. A preferred erythromycin derivative is erythromycin ethyl-succinate. Other compounds which can be used are erythromycin propionate, erythromycin stearate, erythromycin lactobionate, erythromycin glucoheptonate, and erythromycin propionate lauryl sulfate. In addition, mixtures of these compounds can also be used. The limiting factor in the choice of the erythromycin antibiotic is the solubility and the stability of the compound in the ethanol, isopropyl myristate, glycerol monooleate penetrating carriers.
Water can be present in the compositions of this invention without deleteriously affecting the penetration of the antibiotic. However, the presence of large amounts of water causes the erythromycin and erythromycin compounds to become unstable on prolonged storage. The preferred compositions of this invention are substantially water-free, i.e., they contain less than 5% water.
The preferred acne treatment comprises applying safe and effective amounts of the topical composition to the afflicted situs on the skin. An effective dosage is about 0.1 mg/cm to about 25 mg/ 2 cm of the antibiotic composition per day. It is preferred to cleanse the skin prior to treatment, and any soap or detergent composition suitable for
- 16 45902 washing the skin can be employed. The treatment is more effective if the topical applications are made 2 to 4 times per day.
A preferred composition comprises:
(1) 2% to 5% erythromycin;
(2) 1% to 5% glycerol monooleate;
(3) 30% to 45% ethanol; and (4) 45% to 60% isopropyl myristate.
The following examples are intended to illustrate typical antibiotic compositions of this invention, but are not intended to be limiting thereof. All materials used in the compositions are commercially available, or can be prepared in the manner described herein.
In a preferred method of preparation of glycerol monooleate, about 3 moles of methyl oleate are admixed with about 11 moles of anhydrous glycerine and about 22 moles of dimethyl acetamide (solvent) containing 80 ml of a 10% slurry of sodium methoxide and 80 ml xylene. The mixture is heated to about l00°C at 80 mm mercury, with stirring, for two hours. The product of this reaction is predominately (ca.
90% or greater) the 1-glycerol monooleate, the balance comprising 2-glycerol monooleate and noninterferring reactants and by-products.
The following examples employ absolute ethanol. Both absolute (100%) and 95% ethanol are acceptable for the practice of this invention. In the preferred substantially water-free compositions, absolute ethanol is used. Denatured ethanol can be used so long as the denaturant is pharmaceutically acceptable and does not adversely affect the anti- 17 45902 biotic or penetrating characteristics of the carrier.
The compositions herein can also include various agents and ingredients commonly employed in dermatological and cosmetic ointments and lotions.
For example, perfumes, gelling and thickening agents such as carboxymethyl cellulose, ethyl cellulose, coloring agents and the like, can be present in the compositions to provide a more pleasing aesthetic aspect.
Example I
Ingredient
Percent (wt.)
Erythromycin base
Glycerol monooleate
Ethanol
Isopropyl myristate
4%
3%
40%
Balance
The above ingredients are blended mechanically and provide a fluid composition adapted for topical application to skin. The composition of Example I enhances the penetration of the erythromycin base into and through skin, and is especially in the treatment of Acne vulgaris.
A person afflicted with acne lesions is treated by topically applying the composition of
Example I to the acne lesions at a rate of 3 mg/cm of antibiotic composition twice a day for 6 weeks.
At the end of this period, there is a substantial reduction in the number of acne lesions and the inflammation is reduced.
- 18 Erythromycin ethylsuccinate is substituted for the erythromycin base of Example I and similar results are obtained.
Example II
Ingredient
Percent (wt.)
Erythromycin base
Glycerol monooleate
Ethanol
Ethyl cellulose
Isopropyl myristate
2%
2%
40%
%
Balance
The above composition provides a creamy gel base adapted to topical application to skin which can be packaged in a roll-on bottle. This composition enhances the penetration of the erythromycin base into and through human skin, and is an excellent topical treatment for acne when used regularly, per the treatment regimen of Example I.
When erythromycin ethylsuccinate is substituted for the erythromycin of Example II, similar results are obtained.
Example III
Ingredient
Erythromycin base
Ethanol
Percent (Wt.)
4%
40%
Isopropyl myristate
Balance
- 19 The above ingredients are mechanically blended and a fluid product which is suitable for enhancing the penetration of erythromycin into and through animal tissue is provided. The composition is used twice daily in the topical treatment of acne.
In the composition of Example III, the erythromycin base is replaced by an equivalent amount of erythromycin propionate and erythromycin stearate, respectively, and equivalent results are secured.
Example IV
Ingredient Percent (wt.) Erythromycin ethylsuccinate 4% Ethanol 45% Glycerol monooleate 2.5% Coloring agents 1% Clay 1 to 1.5% Isopropyl myristate Balance
The coloring agents in the above formulation are blended to provide a flesh colored formulation. The above ingredients are then mixed and provide a flesh-toned cosmetic cream which enhances the penetration of the erythromycin ethylsuccinate through and into the acne lesion and inflamed tissues around the lesion. The cosmetic base acts as a coverup for the afflicted situs during treatment.
Claims (9)
1. An antimicrobial composition for topical application comprising; (1) a safe and effective amount of an antibiotic agent selected from the group consisting of erythromycin and compounds of erythromycin; and (2) a pharmaceutically acceptable penetrat ing carrier, comprising: (a) from 0% to 5% glycerol monooleate; (b) from 20% to 80% ethanol; and (c) · the balance comprising isopropyl myristate.
2. The composition of Claim 1 which comprises from 0.1% to 10% of the antibiotic agent.
3. The composition of Claim 2 wherein the antibiotic agent is erythromycin.
4. The composition of Claim 3 which comprises from 2% to 5% erythromycin.
5. The composition of Claim 2 wherein the antibiotic agent is an organic ester derivative of erythromycin.
6. The composition of Claim 5 wherein the organic ester derivative of erythromycin is erythromycin ethylsuccinate.
7. The composition of Claim 2 wherein the derivative of erythromycin is selected from the group consisting of erythromycin propionate and erythro21 mycin stearate.
8. A substantially water-free antimicrobial composition according to Claim 1 which consists essentially of: 5 (1) from 2% to 5% erythromycin; (2) from 1% to 5% glycerol monooleate; (3) from 30% to 45% ethanol; and (4) 45% to 60% isopropyl myristate. 9. A composition according to Claim 1
9. 10 substantially as hereinbefore described in any of the Examples.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US73731576A | 1976-11-01 | 1976-11-01 |
Publications (2)
Publication Number | Publication Date |
---|---|
IE45902L IE45902L (en) | 1978-05-01 |
IE45902B1 true IE45902B1 (en) | 1982-12-29 |
Family
ID=24963418
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
IE2220/77A IE45902B1 (en) | 1976-11-01 | 1977-11-01 | Anti-acne compositions containing erythromycins |
Country Status (10)
Country | Link |
---|---|
JP (1) | JPS5394030A (en) |
BE (1) | BE860349A (en) |
CA (1) | CA1090253A (en) |
DE (1) | DE2748399C2 (en) |
FR (1) | FR2368949A1 (en) |
GB (1) | GB1587428A (en) |
IE (1) | IE45902B1 (en) |
IT (1) | IT1088874B (en) |
NL (1) | NL179185C (en) |
PH (1) | PH15370A (en) |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2378523A1 (en) * | 1977-01-26 | 1978-08-25 | Grupper Charles | ACNE TREATMENT MEDICINE |
US4299826A (en) * | 1979-10-12 | 1981-11-10 | The Procter & Gamble Company | Anti-acne composition |
IT1210608B (en) * | 1980-12-08 | 1989-09-14 | Rorer Int Overseas | COMPOSITION FOR TOPICAL ACNE TREATMENT |
JPS5855411A (en) * | 1981-09-28 | 1983-04-01 | Nitto Electric Ind Co Ltd | Base material composition and medicinal composition for external use |
JPH0764754B2 (en) * | 1984-10-02 | 1995-07-12 | 花王株式会社 | Transdermal absorption enhancer and external preparation for skin containing the same |
LU86393A1 (en) * | 1986-04-16 | 1987-12-07 | Oreal | STABLE ANTI-ACNE COMPOSITION BASED ON ERYTHROMYCIN |
US4764379A (en) * | 1987-08-24 | 1988-08-16 | Alza Corporation | Transdermal drug delivery device with dual permeation enhancers |
US5260292A (en) * | 1991-03-05 | 1993-11-09 | Marvin S. Towsend | Topical treatment of acne with aminopenicillins |
DE4334553C2 (en) * | 1993-10-11 | 1998-05-20 | Synopharm Gmbh Pharmazeutische | Liquid pharmaceutical system for percutaneous application |
SI2079441T1 (en) * | 2007-07-25 | 2010-12-31 | Ixodes Gmbh | Topical antibiotic composition for the prevention of lyme disease |
WO2022194653A1 (en) * | 2021-03-16 | 2022-09-22 | Unilever Ip Holdings B.V. | Cosmetic skin care composition |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2914443A (en) * | 1958-03-31 | 1959-11-24 | Abbott Lab | Ointment |
GB903256A (en) * | 1958-11-27 | 1962-08-15 | Mundipharma Ag | Improvements in novel otologic preparations and the process for their preparation |
GB1048820A (en) * | 1963-05-29 | 1966-11-23 | Merck & Co Inc | Emollient compositions containing liquid fatty acid esters |
CA945068A (en) * | 1967-10-25 | 1974-04-09 | Albert M. Kligman | Composition and method of treating acne |
BE793229A (en) * | 1971-12-23 | 1973-06-22 | Merck & Co Inc | GUANIDINE DERIVATIVES WITH ANTI-ACNE ACTION |
GB1538903A (en) * | 1975-04-11 | 1979-01-24 | Nelson Res & Dev | Carrier for a topically applied physiologically active agent or cosmetic agent |
-
1977
- 1977-10-28 CA CA289,778A patent/CA1090253A/en not_active Expired
- 1977-10-28 DE DE2748399A patent/DE2748399C2/en not_active Expired
- 1977-10-28 FR FR7732761A patent/FR2368949A1/en active Granted
- 1977-10-31 GB GB45189/77A patent/GB1587428A/en not_active Expired
- 1977-10-31 IT IT29235/77A patent/IT1088874B/en active
- 1977-10-31 BE BE182239A patent/BE860349A/en not_active IP Right Cessation
- 1977-11-01 JP JP13138377A patent/JPS5394030A/en active Pending
- 1977-11-01 IE IE2220/77A patent/IE45902B1/en not_active IP Right Cessation
- 1977-11-01 NL NLAANVRAGE7712005,A patent/NL179185C/en not_active IP Right Cessation
- 1977-11-08 PH PH20406A patent/PH15370A/en unknown
Also Published As
Publication number | Publication date |
---|---|
PH15370A (en) | 1982-12-10 |
GB1587428A (en) | 1981-04-01 |
DE2748399A1 (en) | 1978-05-11 |
DE2748399C2 (en) | 1983-09-15 |
NL179185B (en) | 1986-03-03 |
FR2368949B1 (en) | 1979-07-20 |
NL179185C (en) | 1986-08-01 |
BE860349A (en) | 1978-05-02 |
IT1088874B (en) | 1985-06-10 |
JPS5394030A (en) | 1978-08-17 |
FR2368949A1 (en) | 1978-05-26 |
NL7712005A (en) | 1978-05-03 |
IE45902L (en) | 1978-05-01 |
CA1090253A (en) | 1980-11-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US4335115A (en) | Anti-acne composition | |
EP0027286B1 (en) | Anti-acne composition comprising diisopropyl sebacate | |
KR900007659B1 (en) | Percutaneous absorption promator and dermatologic preparation for external use | |
EP0267617B1 (en) | Penetration enhancement with binary system of cell envelope disordering compounds and lower alcohols | |
ES2377080T3 (en) | Topical anti-acne preparations containing retinoid (tazarotene or adapalene), antibiotic (clindamycin phosphate) and / or keratolytic (benzoyl peroxide in microsponges) | |
KR100648536B1 (en) | Penetration enhancing and irritation reducing systems | |
PT94485A (en) | METHOD FOR PREPARING A STABLE, COSMETICALLY ACCEPTABLE TOPIC GEL FORMULA, CONTAINING A TETRACYCLINE, USEFUL IN ACNE TREATMENT | |
US4261982A (en) | Therapeutic composition | |
CA2068763C (en) | Use of dibutyl adipate and isopropyl myristate in topical and transdermal products | |
IE45902B1 (en) | Anti-acne compositions containing erythromycins | |
US4039664A (en) | Topical griseofulvin composition and method | |
US20100015216A1 (en) | Methods and materials for treating acne | |
KR100616342B1 (en) | Hair tonic composition | |
AU637860B2 (en) | Penetration enhancement with multi-component system of n-aliphatic pyrrolidones with lower alcohols | |
CA1113460A (en) | Zinc erythromycin | |
JPH03120230A (en) | Percutaneous absorbefacient of drug active ingredient and percutaneous absorption type pharmaceutical | |
WO2012172318A1 (en) | Formulations containing tropolonoids, copper salt and a solvent system | |
JP2691728B2 (en) | External skin preparation | |
JPS59134725A (en) | Storage stable local drug composition containing nitrogen-containing stabilizer | |
CA1339073C (en) | Penetration enhancement with binary system of cell envelope disordering compounds & lower alcohols | |
EP0367586B1 (en) | Primycin solutions | |
Bard | Transepithelial elimination in papular mucinosis | |
Nater | Drugs used on the skin | |
JPH0820546A (en) | Percutaneous absorption accelerator and external preparation for skin | |
JPS61130207A (en) | Hair tonic agent |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
MM4A | Patent lapsed |