JP2003277258A - Agent for treating migraine - Google Patents

Agent for treating migraine

Info

Publication number
JP2003277258A
JP2003277258A JP2002078895A JP2002078895A JP2003277258A JP 2003277258 A JP2003277258 A JP 2003277258A JP 2002078895 A JP2002078895 A JP 2002078895A JP 2002078895 A JP2002078895 A JP 2002078895A JP 2003277258 A JP2003277258 A JP 2003277258A
Authority
JP
Japan
Prior art keywords
migraine
ibuprofen
caffeine
agent
present
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2002078895A
Other languages
Japanese (ja)
Inventor
Hideo Kitayama
日出男 北山
Kazuo Matsumoto
一男 松本
Masanori Hirano
正憲 平野
Muneyuki Otaki
宗志 大滝
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SSP Co Ltd
Original Assignee
SSP Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SSP Co Ltd filed Critical SSP Co Ltd
Priority to JP2002078895A priority Critical patent/JP2003277258A/en
Priority to KR10-2003-0014985A priority patent/KR20030076287A/en
Priority to TW092106044A priority patent/TW200401643A/en
Priority to CN03107407A priority patent/CN1444942A/en
Publication of JP2003277258A publication Critical patent/JP2003277258A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/192Carboxylic acids, e.g. valproic acid having aromatic groups, e.g. sulindac, 2-aryl-propionic acids, ethacrynic acid 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • A61K31/522Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To provide an agent for preventing or treating migraine having an excellent effect with high safety. <P>SOLUTION: The agent for preventing or treating migraine contains ibuprofen and caffeine compounds as the effective ingredients. The agent is capable of reducing migraine and also reducing nausea, vomitting and excessive sensitivities against lights and sounds which occur simultaneously together with migraine. <P>COPYRIGHT: (C)2004,JPO

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【発明の属する技術分野】本発明は片頭痛の予防又は治
療剤に関する。
TECHNICAL FIELD The present invention relates to a preventive or therapeutic agent for migraine.

【0002】[0002]

【従来の技術】片頭痛は前側頭部が、ズキンズキンと痛
む頭痛で、その4割は片側のみではなく両側が痛む。そ
の頻度は月に1〜2回、多い時で1週間に1回、繰り返
し起こり、それは4〜72時間続く。その随件症状とし
て、悪心、嘔吐の他、光や音に過敏となる者もいる。ま
た、片頭痛が起こる前に、閃輝暗点等の前兆現象がある
者もいる。日本人の約8%は片頭痛を有すると言われ、
その治療には数%の人達は医療機関を受診するが、残り
の半分の人達が大衆薬(OTC)を服用し、そしていず
れも行わない残りの人々は我慢して痛みの過ぎるのをや
りすごすと言われている。
2. Description of the Related Art Migraine is a headache in which the frontal region of the head is aching, and 40% of it is not only on one side but on both sides. The frequency is recurring once to twice a month, often once a week, which lasts for 4 to 72 hours. As an incidental symptom, there are some people who are hypersensitive to light and sound in addition to nausea and vomiting. In addition, before the migraine occurs, some people have a precursory phenomenon such as a bright scotoma. It is said that about 8% of Japanese people have migraine,
A few percent of them go to a medical facility for the treatment, but the other half take over-the-counter medicine (OTC), and the rest, who do neither, endure too painful. It is said.

【0003】片頭痛の発生機序及び原因には、血管
説、神経説、三叉神経血管説等があり今なお確定さ
れていないが、いずれの説においても頭蓋内の血流が変
化していることが認められている。従って、わが国にお
いては、頭蓋内の血管収縮作用を有するゾルミトリプタ
ン製剤、コハク酸スマトリプタン製剤、あるいは酒石酸
エルゴタミン及び無水カフェイン配合製剤が、「片頭
痛」の効能・効果をもつ薬剤として存在する。
Mechanisms and causes of migraine include vascular theory, neurological theory, trigeminal vascular theory, etc., which have not yet been confirmed. However, blood flow in the skull is changed in any theory. Is recognized. Therefore, in Japan, zolmitriptan preparations having intracranial vasoconstriction, sumatriptan succinate preparations, or ergotamine tartrate and anhydrous caffeine preparations exist as agents with "migraine" efficacy. .

【0004】また、米国においては、アセトアミノフェ
ン、アスピリン及びカフェインを有効成分とする「Exce
din Migraine」(Bristo1‐Myers社)や、イブプロフェ
ンを有効成分とする「Advil Migraine」(Whiteha11‐R
obins社)及び「Mortrin Migraine Pain Caplets」(Nc
Neil Consumer社)が「片頭痛」の効能・効果をもつ非
処方箋薬として販売されており、わが国においても、大
衆薬として販売されているイブプロフェンやアセトアミ
ノフェン等が「片頭痛」の効能・効果はないものの「頭
痛」の効能・効果を有していることから、片頭痛に対し
て使用されている。
In the United States, "Exce" containing acetaminophen, aspirin and caffeine as active ingredients.
din Migraine "(Bristo1-Myers) or" Advil Migraine "(Whiteha11-R) containing ibuprofen as an active ingredient.
obins) and "Mortrin Migraine Pain Caplets" (Nc
Neil Consumer Co., Ltd.) is marketed as a non-prescription drug with the effect / effect of “migraine”. In Japan, ibuprofen, acetaminophen, etc., which are marketed as over-the-counter drugs, are also indicated as “migraine”. Although it is not present, it is used for migraine because it has the effect of "headache".

【0005】しかしながら、ゾルミトリプタン製剤等に
おいては、循環器系への副作用、例えば狭心症や心筋梗
塞を悪化させるおそれがあるという問題があり、またイ
ブプロフェンやアセトアミノフェンを単独で使用する場
合、高度の片頭痛の者に対しては充分な治療効果が得ら
れていないのが現状である。
However, zolmitriptan preparations and the like have a problem that side effects on the circulatory system, such as angina and myocardial infarction, may be exacerbated, and when ibuprofen or acetaminophen is used alone. However, the current situation is that a sufficient therapeutic effect has not been obtained for persons with severe migraine.

【0006】[0006]

【発明が解決しようとする課題】本発明は、片頭痛の予
防又は治療に優れた効果を発揮し、且つ安全性が高い薬
剤を提供することを目的とする。
DISCLOSURE OF THE INVENTION An object of the present invention is to provide a drug which exhibits excellent effects in the prevention or treatment of migraine and is highly safe.

【0007】[0007]

【課題を解決するための手段】本発明者らは、斯かる実
情に鑑み鋭意研究した結果、解熱鎮痛剤であるイブプロ
フェンとカフェイン類を組み合わせて使用した場合に、
イブプロフェンを単独で使用した場合に比べて顕著な片
頭痛治療効果があり、片頭痛の予防又は治療剤として有
用であることを見出した。
Means for Solving the Problems As a result of intensive studies in view of such actual circumstances, the present inventors have found that when a combination of ibuprofen, an antipyretic analgesic, and caffeine is used,
It was found that it has a remarkable therapeutic effect on migraine as compared with the case where ibuprofen is used alone, and is useful as a preventive or therapeutic agent for migraine.

【0008】すなわち本発明は、イブプロフェン及びカ
フェイン類を有効成分として含有する片頭痛の予防又は
治療剤を提供するものである。
That is, the present invention provides a prophylactic or therapeutic agent for migraine, which contains ibuprofen and caffeine as active ingredients.

【0009】[0009]

【発明の実施の形態】イブプロフェン、すなわち2−
(4−イソブチルフェニル)プロピオン酸は、 慢性関節リウマチ、関節痛及び関節炎、神経痛及び神
経炎、背腰痛、頸腕症候群、子宮付属器炎、月経困難
症、紅斑(結節性紅斑、多形滲出性紅斑、遠心性環状紅
斑)等の消炎・鎮痛、手術並びに外傷後の消炎・鎮
痛、急性上気道炎(急性気管支炎を伴う急性上気道炎
を含む)の解熱・鎮痛を効能・効果として市販されてい
る薬剤である。本発明のイブプロフェンは、2−(4−
イソブチルフェニル)プロピオン酸の塩、例えばナトリ
ウム、カリウム、マグネシウム、カルシウム、アンモニ
ウム、メチルグルカミン、更にはリジン等のアミノ酸と
の塩であってもよい。
DETAILED DESCRIPTION OF THE INVENTION Ibuprofen, ie 2-
(4-isobutylphenyl) propionic acid is used for rheumatoid arthritis, arthralgia and arthritis, neuralgia and neuritis, back and back pain, cervical arm syndrome, uterine adnexitis, dysmenorrhea, erythema (erythema nodosum, erythema multiforme erythema). , Centrifugal erythema), etc., anti-inflammatory / analgesic after surgery and trauma, and antipyretic / analgesic of acute upper respiratory tract inflammation (including acute upper respiratory tract inflammation with acute bronchitis) It is a drug. The ibuprofen of the present invention is 2- (4-
It may be a salt of isobutylphenyl) propionic acid, for example, a salt with an amino acid such as sodium, potassium, magnesium, calcium, ammonium, methylglucamine, or lysine.

【0010】本発明のカフェイン類としては、カフェイ
ン、無水カフェインの他、安息香酸ナトリウムカフェイ
ン、カフェイン塩酸塩、クエン酸カフェイン等が挙げら
れ、このうち無水カフェインが好ましい。
Examples of the caffeines of the present invention include caffeine, anhydrous caffeine, sodium benzoate caffeine, caffeine hydrochloride, caffeine citrate, etc. Among them, anhydrous caffeine is preferable.

【0011】本発明の薬剤は、上記イブプロフェンとカ
フェイン類とを組み合わせて用いるものであり、後記実
施例に示すように、イブプロフェンを単独で投与した場
合と比較して、顕著に片頭痛を抑制する効果を発揮す
る。従って、本発明の薬剤は、片頭痛の予防又は治療に
有効である。
The drug of the present invention is used in combination with the above-mentioned ibuprofen and caffeine, and, as shown in the Examples below, remarkably suppresses migraine compared to the case where ibuprofen is administered alone. Exert the effect of. Therefore, the drug of the present invention is effective in preventing or treating migraine.

【0012】本発明の片頭痛の予防又は治療剤における
イブプロフェンとカフェイン類の使用形態は特に限定さ
れるものではない。すなわち、イブプロフェンとカフェ
イン類とを、製剤学的に許容され得る希釈剤、賦形剤等
と共に混合して単一製剤とすること、或いは両薬剤を別
々に製剤化しセット(キット)とすることでもよい。
尚、両薬剤を別々の製剤とする場合にはそれぞれ異なっ
た剤形としてもよい。
The use form of ibuprofen and caffeine in the preventive or therapeutic agent for migraine of the present invention is not particularly limited. That is, ibuprofen and caffeine are mixed with a pharmaceutically acceptable diluent, excipient, etc. into a single preparation, or both drugs are separately formulated into a set (kit). But it's okay.
When the two drugs are prepared in different formulations, they may have different dosage forms.

【0013】本発明の片頭痛の予防又は治療剤は、用法
に応じ種々の剤形の医薬品製剤とすることができ、斯か
る剤形としては例えば、散剤、顆粒剤、細粒剤、錠剤、
カプセル剤、液剤、シロップ剤等を挙げることができ
る。更に、成分の放出が制御されるような徐放性製剤の
形態をとることもできる。
The preventive or therapeutic agent for migraine of the present invention can be made into pharmaceutical preparations of various dosage forms according to the usage, and examples of such dosage forms include powders, granules, fine granules, tablets,
Capsules, liquids, syrups and the like can be mentioned. Further, it may be in the form of sustained-release preparation with controlled release of the components.

【0014】これらの製剤は、その剤形に応じて製剤学
的に許容される、賦形剤、崩壊剤、結合剤、滑沢剤、希
釈剤、緩衝剤、安定化剤、溶解補助剤等の医薬品添加物
と適宜混合、希釈又は溶解し、常法に従い製造すること
ができる。例えば、散剤は、有効成分(イブプロフェン
及びカフェイン類)を必要に応じて適当な賦形剤、滑沢
剤等を加えよく混和して調製すればよく、錠剤及び顆粒
剤は、乳糖、白糖、ブドウ等、マンニトール等の糖類、
結晶セルロース等の賦形剤;ゼラチン、アルギン酸ナト
リウム、ヒドロキシプロピルメチルセルロース、ポリビ
ニルピロリドン、カルボキシメチルセルロース等の結合
剤;カルボキシメチルセルロースカルシウム、低置換度
ヒドロキシプロピルセルロース、炭酸カルシウム等の崩
壊剤;ステアリン酸マグネシウム、硬化ヒマシ油等の水
素添加植物油、タルク等の滑沢剤等を必要に応じて加
え、常法に従って調製すればよい。また、錠剤は必要に
応じてコーティングを施し、フィルムコート錠、糖衣錠
等にすることができる。
These preparations are pharmaceutically acceptable excipients, disintegrating agents, binders, lubricants, diluents, buffers, stabilizers, solubilizing agents, etc., which are pharmaceutically acceptable depending on the dosage form. It can be manufactured according to a conventional method by appropriately mixing, diluting or dissolving it with the pharmaceutical additive of. For example, a powder may be prepared by thoroughly mixing active ingredients (ibuprofen and caffeine) with appropriate excipients, lubricants and the like, if necessary, and tablets and granules may be prepared by lactose, sucrose, Grapes, sugars such as mannitol,
Excipients such as crystalline cellulose; binders such as gelatin, sodium alginate, hydroxypropylmethylcellulose, polyvinylpyrrolidone, carboxymethylcellulose; disintegrants such as carboxymethylcellulose calcium, low-substituted hydroxypropylcellulose, calcium carbonate; magnesium stearate, hardening A hydrogenated vegetable oil such as castor oil, a lubricant such as talc, etc. may be added as necessary, and the mixture may be prepared according to a conventional method. Further, the tablets may be coated as necessary to form film-coated tablets, sugar-coated tablets and the like.

【0015】また、本発明の片頭痛の予防又は治療剤に
は、片頭痛の予防・治療効果に影響を及ばさない限り他
の薬効成分を配合することができるが、特に、胃粘膜保
護及び即効性等の点から、水酸化マグネシウム、酸化マ
グネシウム、メタケイ酸アルミン酸マグネシウム、炭酸
マグネシウム等の制酸剤を配合するのが好ましい。
In addition, the prophylactic or therapeutic agent for migraine of the present invention may contain other medicinal components as long as it does not affect the preventive or therapeutic effect of migraine. From the viewpoint of immediate effect and the like, it is preferable to add an antacid such as magnesium hydroxide, magnesium oxide, magnesium aluminometasilicate, or magnesium carbonate.

【0016】本発明の片頭痛の予防又は治療剤における
イブプロフェン及びカフェイン類の含量は製剤により適
宜選択すればよいが、イブプロフェンについては20〜
50重量%、カフェイン類については10〜30重量%
であるのが好ましく、イブプロフェン100重量部に対
して、カフェイン類20〜70重量部を配合するのが好
ましい。
The content of ibuprofen and caffeine in the agent for preventing or treating migraine of the present invention may be appropriately selected depending on the preparation.
50% by weight, 10-30% by weight for caffeine
Is preferable, and it is preferable to add 20 to 70 parts by weight of caffeine to 100 parts by weight of ibuprofen.

【0017】本発明の片頭痛の予防又は治療剤の投与量
は、片頭痛の種類及び症状によって適宜に選択される
が、イブプロフェンについては、1日あたり50〜60
0mg、好ましくは100〜350mg、カフェイン類
については、1日あたり、20〜400mg、好ましく
は40〜250mgを、1日1回から数回に分けて投与
するのが好ましい。
The dosage of the preventive or therapeutic agent for migraine of the present invention is appropriately selected according to the type and symptom of migraine, but for ibuprofen, it is 50 to 60 per day.
0 mg, preferably 100 to 350 mg, and for caffeines, it is preferable to administer 20 to 400 mg, preferably 40 to 250 mg per day in one to several divided doses per day.

【0018】[0018]

【実施例】実施例1 下記表1に示すフィルムコーテイング錠を製造した。[Example] Example 1 The film-coated tablets shown in Table 1 below were produced.

【0019】[0019]

【表1】 [Table 1]

【0020】月2回程度、軽度の片頭痛を起こすボラン
ティア5名に、表1の2製剤を片頭痛時に1回づつ服用
してもらい、1時間以内に痛みが消えた時に効果有りと
した。その結果、本発明品ではいずれのボランティアも
1時間以内に痛みが消えたが、比較品では4名のみ1時
間以内に痛みが消えたとの回答が得られた。また、本発
明品の方が痛みが消えるまでの時間がやや短いようだと
答えた者が5名中4名いた。
Five volunteers who had mild migraine about twice a month took two preparations of Table 1 once each during migraine, and when the pain disappeared within 1 hour, it was considered effective. As a result, with the product of the present invention, the pain disappeared within 1 hour for all volunteers, but with the comparative product, only 4 people answered that the pain disappeared within 1 hour. In addition, 4 out of 5 people answered that the product of the present invention seemed to have slightly shorter time until pain disappeared.

【0021】[0021]

【発明の効果】本発明の片頭痛の予防又は治療剤によれ
ば、片頭痛及びそれに伴う、悪心、嘔吐、光や音に過敏
となることを緩和することができる。
The preventive or therapeutic agent for migraine of the present invention can alleviate migraine and its associated nausea, vomiting, and hypersensitivity to light and sound.

───────────────────────────────────────────────────── フロントページの続き (72)発明者 大滝 宗志 千葉県印西市西の原3−17−1−703 Fターム(参考) 4C086 AA01 AA02 CB07 MA02 MA52 NA14 ZA08 ZC75 4C206 AA01 AA02 DA24 MA02 MA05 MA72 NA14 ZA08 ZC75    ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Muneshi Otaki             3-17-1-703 Nishinohara, Inzai City, Chiba Prefecture F-term (reference) 4C086 AA01 AA02 CB07 MA02 MA52                       NA14 ZA08 ZC75                 4C206 AA01 AA02 DA24 MA02 MA05                       MA72 NA14 ZA08 ZC75

Claims (3)

【特許請求の範囲】[Claims] 【請求項1】 イブプロフェン及びカフェイン類を有効
成分として含有する片頭痛の予防又は治療剤。
1. A preventive or therapeutic agent for migraine comprising ibuprofen and caffeines as active ingredients.
【請求項2】 イブプロフェン100重量部に対してカ
フェイン類を20〜70重量部含有する請求項1記載の
片頭痛の予防又は治療剤。
2. The preventive or therapeutic agent for migraine according to claim 1, which contains 20 to 70 parts by weight of caffeine with respect to 100 parts by weight of ibuprofen.
【請求項3】 更に、制酸剤を含有する請求項1又は2
記載の片頭痛の予防又は治療剤。
3. The method according to claim 1, further comprising an antacid.
The preventive or therapeutic agent for migraine described.
JP2002078895A 2002-03-20 2002-03-20 Agent for treating migraine Pending JP2003277258A (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2002078895A JP2003277258A (en) 2002-03-20 2002-03-20 Agent for treating migraine
KR10-2003-0014985A KR20030076287A (en) 2002-03-20 2003-03-11 Remedy for hemicrania
TW092106044A TW200401643A (en) 2002-03-20 2003-03-19 Remedy for hemicrania
CN03107407A CN1444942A (en) 2002-03-20 2003-03-20 Medicine for treating migraine

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WO2012147986A1 (en) * 2011-04-28 2012-11-01 興和株式会社 Stable pharmaceutical composition

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KR101035494B1 (en) * 2008-12-22 2011-05-20 주식회사 스마코 Brake system for torpedo ladle car

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JPH0285214A (en) * 1988-06-27 1990-03-26 Takeda Chem Ind Ltd Preparation suppressing whisker growth
KR920002148A (en) * 1990-07-03 1992-02-28 안드레아 엘. 콜비 Pharmaceutical compositions for alleviating gastrointestinal symptoms caused by nonsteroidal anti-inflammatory drugs and methods for alleviating the same
US5914129A (en) * 1996-07-23 1999-06-22 Mauskop; Alexander Analgesic composition for treatment of migraine headaches
IL136961A0 (en) * 1999-06-30 2001-06-14 Pfizer Prod Inc 5ht1 receptor agonists, caffeine and either a cox-2 inhibitor or nsaid for the treatment of migraine
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WO2012147986A1 (en) * 2011-04-28 2012-11-01 興和株式会社 Stable pharmaceutical composition
JPWO2012147986A1 (en) * 2011-04-28 2014-07-28 興和株式会社 Stable pharmaceutical composition

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