JP2008247823A - Analgesic composition - Google Patents
Analgesic composition Download PDFInfo
- Publication number
- JP2008247823A JP2008247823A JP2007091794A JP2007091794A JP2008247823A JP 2008247823 A JP2008247823 A JP 2008247823A JP 2007091794 A JP2007091794 A JP 2007091794A JP 2007091794 A JP2007091794 A JP 2007091794A JP 2008247823 A JP2008247823 A JP 2008247823A
- Authority
- JP
- Japan
- Prior art keywords
- vitamin
- pain
- analgesic
- analgesic composition
- day
- 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.)
- Granted
Links
- 230000000202 analgesic effect Effects 0.000 title claims abstract description 51
- 239000000203 mixture Substances 0.000 title claims abstract description 38
- OVBPIULPVIDEAO-LBPRGKRZSA-N folic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-LBPRGKRZSA-N 0.000 claims abstract description 46
- 235000019152 folic acid Nutrition 0.000 claims abstract description 24
- 239000011724 folic acid Substances 0.000 claims abstract description 24
- OVBPIULPVIDEAO-UHFFFAOYSA-N N-Pteroyl-L-glutaminsaeure Natural products C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-UHFFFAOYSA-N 0.000 claims abstract description 23
- 229960000304 folic acid Drugs 0.000 claims abstract description 23
- 239000004480 active ingredient Substances 0.000 claims abstract description 5
- FDJOLVPMNUYSCM-UVKKECPRSA-L cobalt(3+);[(2r,3s,4r,5s)-5-(5,6-dimethylbenzimidazol-1-yl)-4-hydroxy-2-(hydroxymethyl)oxolan-3-yl] [(2r)-1-[3-[(2r,3r,4z,7s,9z,12s,13s,14z,17s,18s,19r)-2,13,18-tris(2-amino-2-oxoethyl)-7,12,17-tris(3-amino-3-oxopropyl)-3,5,8,8,13,15,18,19-octamethyl-2,7, Chemical compound [Co+3].N#[C-].C1([C@H](CC(N)=O)[C@@]2(C)CCC(=O)NC[C@@H](C)OP([O-])(=O)O[C@H]3[C@H]([C@H](O[C@@H]3CO)N3C4=CC(C)=C(C)C=C4N=C3)O)[N-]\C2=C(C)/C([C@H](C\2(C)C)CCC(N)=O)=N/C/2=C\C([C@H]([C@@]/2(CC(N)=O)C)CCC(N)=O)=N\C\2=C(C)/C2=N[C@]1(C)[C@@](C)(CC(N)=O)[C@@H]2CCC(N)=O FDJOLVPMNUYSCM-UVKKECPRSA-L 0.000 claims description 30
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- GVJHHUAWPYXKBD-UHFFFAOYSA-N (±)-α-Tocopherol Chemical compound OC1=C(C)C(C)=C2OC(CCCC(C)CCCC(C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-UHFFFAOYSA-N 0.000 description 9
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- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 8
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- YBJHBAHKTGYVGT-ZKWXMUAHSA-N (+)-Biotin Chemical compound N1C(=O)N[C@@H]2[C@H](CCCCC(=O)O)SC[C@@H]21 YBJHBAHKTGYVGT-ZKWXMUAHSA-N 0.000 description 4
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- RBCOYOYDYNXAFA-UHFFFAOYSA-L (5-hydroxy-4,6-dimethylpyridin-3-yl)methyl phosphate Chemical compound CC1=NC=C(COP([O-])([O-])=O)C(C)=C1O RBCOYOYDYNXAFA-UHFFFAOYSA-L 0.000 description 3
- FPIPGXGPPPQFEQ-UHFFFAOYSA-N 13-cis retinol Natural products OCC=C(C)C=CC=C(C)C=CC1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-UHFFFAOYSA-N 0.000 description 3
- GHOKWGTUZJEAQD-UHFFFAOYSA-N Chick antidermatitis factor Natural products OCC(C)(C)C(O)C(=O)NCCC(O)=O GHOKWGTUZJEAQD-UHFFFAOYSA-N 0.000 description 3
- 208000034656 Contusions Diseases 0.000 description 3
- ZZZCUOFIHGPKAK-UHFFFAOYSA-N D-erythro-ascorbic acid Natural products OCC1OC(=O)C(O)=C1O ZZZCUOFIHGPKAK-UHFFFAOYSA-N 0.000 description 3
- 206010072132 Fracture pain Diseases 0.000 description 3
- 206010024453 Ligament sprain Diseases 0.000 description 3
- 208000000112 Myalgia Diseases 0.000 description 3
- 239000002202 Polyethylene glycol Substances 0.000 description 3
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- 208000010040 Sprains and Strains Diseases 0.000 description 3
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 3
- FPIPGXGPPPQFEQ-BOOMUCAASA-N Vitamin A Natural products OC/C=C(/C)\C=C\C=C(\C)/C=C/C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-BOOMUCAASA-N 0.000 description 3
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- 230000037396 body weight Effects 0.000 description 3
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- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 3
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- WIGCFUFOHFEKBI-UHFFFAOYSA-N gamma-tocopherol Natural products CC(C)CCCC(C)CCCC(C)CCCC1CCC2C(C)C(O)C(C)C(C)C2O1 WIGCFUFOHFEKBI-UHFFFAOYSA-N 0.000 description 3
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- JEWJRMKHSMTXPP-BYFNXCQMSA-M methylcobalamin Chemical compound C[Co+]N([C@]1([H])[C@H](CC(N)=O)[C@]\2(CCC(=O)NC[C@H](C)OP(O)(=O)OC3[C@H]([C@H](O[C@@H]3CO)N3C4=CC(C)=C(C)C=C4N=C3)O)C)C/2=C(C)\C([C@H](C/2(C)C)CCC(N)=O)=N\C\2=C\C([C@H]([C@@]/2(CC(N)=O)C)CCC(N)=O)=N\C\2=C(C)/C2=N[C@]1(C)[C@@](C)(CC(N)=O)[C@@H]2CCC(N)=O JEWJRMKHSMTXPP-BYFNXCQMSA-M 0.000 description 3
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- MECHNRXZTMCUDQ-RKHKHRCZSA-N vitamin D2 Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)/C=C/[C@H](C)C(C)C)=C\C=C1\C[C@@H](O)CCC1=C MECHNRXZTMCUDQ-RKHKHRCZSA-N 0.000 description 1
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- QYSXJUFSXHHAJI-YRZJJWOYSA-N vitamin D3 Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C\C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-YRZJJWOYSA-N 0.000 description 1
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Classifications
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- 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
- A61K31/7135—Compounds containing heavy metals
- A61K31/714—Cobalamins, e.g. cyanocobalamin, i.e. vitamin B12
-
- 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
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic 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
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
- A61K31/525—Isoalloxazines, e.g. riboflavins, vitamin B2
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/04—Centrally acting analgesics, e.g. opioids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D475/00—Heterocyclic compounds containing pteridine ring systems
- C07D475/02—Heterocyclic compounds containing pteridine ring systems with an oxygen atom directly attached in position 4
- C07D475/04—Heterocyclic compounds containing pteridine ring systems with an oxygen atom directly attached in position 4 with a nitrogen atom directly attached in position 2
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/22—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains four or more hetero rings
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Pharmacology & Pharmacy (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pain & Pain Management (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Rheumatology (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Nitrogen Condensed Heterocyclic Rings (AREA)
Abstract
Description
本発明は鎮痛用組成物に関する。 The present invention relates to an analgesic composition.
「痛み」は外部からの侵害刺激があったり、生体が病的状態にあるときに、組織障害の有無に関わらず生じる感覚であるが、大変不快な感覚であり、不快な情動を伴う体験である。生体の警告系として重要ではあるが「痛みの悪循環」を引き起こすので、適切な鎮痛処置が必要とされる。このような鎮痛処置には、種々の抗炎症剤や鎮痛剤等が使用されている。 “Pain” is a sensation that occurs regardless of the presence or absence of tissue damage when there is a noxious stimulus from the outside or the living body is in a pathological state, but it is a very unpleasant sensation and an experience with unpleasant emotions. is there. Although it is important as a warning system of a living body, it causes a “vicious circle of pain”, so that an appropriate analgesic treatment is required. For such analgesic treatment, various anti-inflammatory agents and analgesics are used.
現存の鎮痛剤は2つのカテゴリーに分類することができる。一方はモルヒネ、コデイン、ジヒドロコデイン等の麻薬性鎮痛剤(narcotic analgesics)であり、他方はアスピリン、イブプロフェン等の非ステロイド系抗炎症剤である。 Existing analgesics can be divided into two categories. One is narcotic analgesics such as morphine, codeine and dihydrocodeine, and the other is non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen.
一方、ビタミンB12は、葉酸とともに造血において重要な役割を果たしている水溶性ビタミンの1つである。一日に必要な摂取量は非常に微量であり、菜食主義者や高齢者で欠乏がみられる場合があるが、過剰摂取による副作用はほとんどないことが知られている。赤血球の形成を助ける栄養素であるとして栄養機能食品としての表示が許可されており、また、医薬品(例えば特許文献1等を参照)としては、以下の症状に対して使用されている。
1.ビタミンB12欠乏症の予防および治療。
2.消耗性疾患、甲状腺機能亢進症、妊産婦、授乳婦など、ビタミンB12の需要が増大して食事からの摂取が不十分な際の補給。
3.巨赤芽球貧血、広節裂頭条虫症、悪性貧血に伴う神経障害、吸収不全症候群。
4.ビタミンB12の欠乏又は代謝障害が関与すると推定される疾患。
1. Prevention and treatment of vitamin B 12 deficiency.
2. Replenishment when demand for vitamin B12 increases due to debilitating diseases, hyperthyroidism, pregnant women, lactating women, etc., and intake from the diet is insufficient.
3. Giant erythroblast anemia, broad-headed fibroids, neuropathy associated with pernicious anemia, malabsorption syndrome.
4). Deficiency or disease metabolic disorder is implicated in the vitamin B 12.
従来使用されている鎮痛剤は、胃粘膜への障害や、他の薬剤との併用禁忌等の問題があるため、高齢者等の、他にも疾患を持つ患者や、胃腸虚弱の患者に対しては使用困難であり、汎用性に欠けるものであった。そこで、より安全性が高く、かつ優れた鎮痛作用を持つ鎮痛用組成物の開発が期待されていた。 Traditionally used analgesics have problems such as gastric mucosal damage and contraindications with other drugs, so it is recommended for patients with other diseases such as the elderly and patients with gastrointestinal weakness. It was difficult to use and lacked versatility. Therefore, development of an analgesic composition having higher safety and an excellent analgesic action has been expected.
本発明は、上記現状に鑑み、従来の鎮痛剤と比較して安全性が高く、かつ同等又はそれ以上の鎮痛作用を呈する鎮痛用組成物を提供することを課題とする。 In view of the above-mentioned present situation, an object of the present invention is to provide an analgesic composition that is safer than conventional analgesics and that exhibits an analgesic action equal to or higher than that.
本発明者らは、鋭意検討した結果、生体に必須の栄養素として知られ安全性の高いビタミンB12が予想外にも優れた鎮痛作用を持つこと、及び、このビタミンB12を葉酸と併用すると、より優れた鎮痛作用が得られることを見出し、本発明に至った。 The present inventors have made intensive studies, as a result, the high vitamin B 12 with requisite known as nutrient safety to the living body has an excellent analgesic effect unexpectedly, and, when combined with vitamin B 12 and folic acid The present inventors have found that a more excellent analgesic action can be obtained and have reached the present invention.
すなわち本発明は、ビタミンB12を有効成分として含有することを特徴とする鎮痛用組成物である。当該鎮痛用組成物は、さらに、葉酸を含有することが好ましい。この場合において、葉酸1重量部に対して、ビタミンB12を、0.0000125〜1500重量部含有することが好ましい。また、ビタミンB12の投与量が、0.025〜1500mg/日であることが好ましく、葉酸の投与量が、1〜2000mg/日であることが好ましい。 That is, the present invention is an analgesic composition comprising vitamin B 12 as an active ingredient. The analgesic composition preferably further contains folic acid. In this case, with respect to folic acid 1 part by weight, the vitamin B 12, preferably contains from 0.0000125 to 1500 parts by weight. The dose of vitamin B 12 is preferably located in 0.025~1500Mg / day, the dose of folic acid, it is preferable that at 1 to 2000 mg / day.
本発明の鎮痛用組成物は、ビタミンB12を有効成分とするものであるので、従来の鎮痛剤と比較しても安全性がきわめて高い。さらには、従来の鎮痛剤と比較しても優れた鎮痛作用を発揮し得るものである。 Since the analgesic composition of the present invention contains vitamin B 12 as an active ingredient, it is extremely safe even when compared with conventional analgesics. Furthermore, it can exhibit an excellent analgesic action even compared with conventional analgesics.
以下に本発明を詳細に説明する。 The present invention is described in detail below.
本発明の鎮痛用組成物は、ビタミンB12を有効成分として含有する。 Analgesic composition of the present invention contains a vitamin B 12 as an active ingredient.
ビタミンB12はコリン環の中にコバルトイオンを含む構造を持つ水溶性ビタミンである。ビタミンB12としては、コバルトイオンに対する配位子の種類によってシアノコバラミン、ヒドロキソコバラミン、アデノシルコバラミン、メチルコバラミン、アココバラミン、ニトリトコバラミン、スルフィトコバラミン等が存在することが知られているが、本発明でもいずれの形態をも用いることができる。また、これら化合物の有機塩又は無機塩もビタミンB12として用いることができる。好ましくは、シアノコバラミン、メチルコバラミン(メコバラミン)、酢酸ヒドロキソコバラミン、塩酸ヒドロキソコバラミンである。 Vitamin B 12 is a water soluble vitamin having a structure containing cobalt ions into the corrin ring. The vitamin B 12, cyanocobalamin depending on the type of ligand to cobalt ions, hydroxocobalamin, adenosyl cobalamin, methylcobalamin, Akokobaramin, nitrilase Toco rose Min, although sulfite cobalamin like that are known to exist, the Any form can be used in the invention. It can also be used organic or inorganic salts of these compounds as a vitamin B 12. Preferred are cyanocobalamin, methylcobalamin (mecobalamin), hydroxocobalamin acetate, and hydroxocobalamin hydrochloride.
本発明の鎮痛用組成物は、ビタミンB12に加えて、葉酸を含有することが好ましい。葉酸を併用することによって、ビタミンB12が持つ鎮痛作用が著しく増強される。葉酸とは、水溶性ビタミンB群の1種であり、プテロイルグルタミン酸である。 Analgesic composition of the present invention, in addition to vitamin B 12, preferably contains folic acid. By combination of folic acid, analgesia with vitamin B 12 is significantly enhanced. Folic acid is a member of the water-soluble vitamin B group and is pteroylglutamic acid.
ビタミンB12や葉酸は、確たる副作用や併用禁忌が知られておらず、過剰摂取によるリスクがないことから、本発明の鎮痛用組成物はきわめて安全性が高いものである。 Vitamin B 12 and folic acid, convincing side effects and combination contraindications are not known, since there is no risk from overdose, analgesic composition of the present invention is extremely high safety.
本発明の鎮痛用組成物を処方するに際して、ビタミンB12の投与量としては特に限定されないが、例えば、体重60kgの成人1人あたりへの投与量は、約0.025mg〜1500mg/日の範囲であり、好ましくは0.05mg〜1500mg/日の範囲である。葉酸を併用する際には、葉酸が鎮痛作用を増強するので、ビタミンB12の投与量を低減することが可能である。 In formulating the analgesic composition of the present invention is not particularly limited as the dose of vitamin B 12, for example, dosage for an adult per body weight 60kg in the range of about 0.025Mg~1500mg / day And preferably in the range of 0.05 mg to 1500 mg / day. When used in combination folic acid, because folic acid enhances the analgesic effect, it is possible to reduce the dose of vitamin B 12.
葉酸を併用する場合、投与量は特に限定されないが、例えば、体重60kgの成人1人あたりへの投与量は、1〜2000mg/日の範囲であり、特に好ましくは2〜2000mg/日の範囲である。 When folic acid is used in combination, the dose is not particularly limited. For example, the dose per adult with a body weight of 60 kg is in the range of 1 to 2000 mg / day, particularly preferably in the range of 2 to 2000 mg / day. is there.
また、ビタミンB12と葉酸とを組み合わせて配合する場合、その配合割合は特に限定されないが、葉酸1重量部に対して、ビタミンB12を、例えば、0.0000125〜1500重量部の範囲とすることが好ましく、0.0125〜500重量部の範囲がより好ましく、0.0125〜50重量部の範囲がさらに好ましく、0.5〜10重量部の範囲がさらにより好ましく、0.5〜5重量部の範囲がとくに好ましい。この範囲内であれば、ビタミンB12の薬効を好ましく増強することができる。 Further, when formulating a combination of a vitamin B 12 and folic acid, the mixing ratio is not particularly limited with respect to folic acid 1 part by weight, the vitamin B 12, for example, in the range of 0.0000125 to 1500 parts by weight Preferably, the range is 0.0125 to 500 parts by weight, more preferably 0.0125 to 50 parts by weight, still more preferably 0.5 to 10 parts by weight, and 0.5 to 5 parts by weight. Part ranges are particularly preferred. Within this range, it is possible to preferably enhance the efficacy of vitamin B 12.
本発明の鎮痛用組成物には、ビタミンB12と葉酸以外のビタミン群を配合してもよい。そのようなビタミン群としては、ビタミンA、ビタミンB1、ビタミンB2、ビタミンB6、ナイアシン、ビオチン、パントテン酸、ビタミンC、ビタミンD、ビタミンE、ビタミンK等が挙げられる。 Analgesic compositions of the present invention may contain the vitamins other than vitamin B 12 and folic acid. Examples of such vitamin groups include vitamin A, vitamin B 1 , vitamin B 2 , vitamin B 6 , niacin, biotin, pantothenic acid, vitamin C, vitamin D, vitamin E, vitamin K, and the like.
ビタミンAとしては特に限定されないが、例えば、酢酸レチノール、パルミチン酸レチノール、ビタミンA油、肝油、強肝油等が挙げられる。 Although it does not specifically limit as vitamin A, For example, retinol acetate, retinol palmitate, vitamin A oil, liver oil, strong liver oil, etc. are mentioned.
ビタミンB1としては特に限定されないが、例えば、塩酸チアミン、硫酸チアミン、硝酸ビスチアミン、チアミンジスルフィド、チアミンジセチル硫酸エステル塩等が挙げられる。 Vitamin B 1 is not particularly limited, and examples thereof include thiamine hydrochloride, thiamine sulfate, bistamine amine nitrate, thiamine disulfide, and thiamine dicetyl sulfate.
ビタミンB2としては特に限定されないが、例えば、リボフラビン、酪酸リボフラビン、リン酸リボフラビンナトリウム等が挙げられる。 Vitamin B 2 is not particularly limited, and examples thereof include riboflavin, riboflavin butyrate, and riboflavin sodium phosphate.
ビタミンB6としては特に限定されないが、例えば、塩酸ピリドキシン、リン酸ピリドキサール等が挙げられる。 Vitamin B 6 is not particularly limited, and examples thereof include pyridoxine hydrochloride and pyridoxal phosphate.
ナイアシンとしては特に限定されないが、例えば、ニコチン酸、ニコチン酸アミド等が挙げられる。 Niacin is not particularly limited, and examples thereof include nicotinic acid and nicotinamide.
パントテン酸としては特に限定されないが、例えば、パンテノール、パントテン酸カルシウム、パントテン酸ナトリウム等が挙げられる。 Although it does not specifically limit as pantothenic acid, For example, pantenol, calcium pantothenate, sodium pantothenate etc. are mentioned.
ビタミンCとしては特に限定されないが、例えば、アスコルビン酸、アスコルビン酸カルシウム、アスコルビン酸ナトリウム等が挙げられる。 Although it does not specifically limit as vitamin C, For example, ascorbic acid, calcium ascorbate, sodium ascorbate etc. are mentioned.
ビタミンDとしては特に限定されないが、例えば、エルゴカルシフェロール、コレカルシフェロール等が挙げられる。 Although it does not specifically limit as vitamin D, For example, ergocalciferol, cholecalciferol, etc. are mentioned.
ビタミンEとしては特に限定されないが、例えば、酢酸d−α−トコフェロール、酢酸dl−α−トコフェロール、コハク酸d−α−トコフェロール、コハク酸dl−α−トコフェロール、コハク酸dl−α−トコフェロールカルシウム、d−α−トコフェロール、dl−α−トコフェロール等が挙げられる。 Although not particularly limited as vitamin E, for example, d-α-tocopherol acetate, dl-α-tocopherol acetate, d-α-tocopherol succinate, dl-α-tocopherol succinate, dl-α-tocopherol calcium succinate, Examples thereof include d-α-tocopherol and dl-α-tocopherol.
これらのビタミンB類は単独でも用いてもよいし、2種以上を併用してもよい。これらの配合量は本発明の効果を奏する限り、限定されるものではないが、例えば、体重60kgの成人1人あたりへの投与量は、ビタミンAは国際単位で250〜5000IU/日、ビタミンB1は1〜60mg/日、ビタミンB2は1〜60mg/日、ビタミンB6は0.5〜120mg/日、ナイアシンは1〜60mg/日、ビオチンは10μg〜15mg/日、パントテン酸は1〜60mg/日、ビタミンCは50〜3000mg/日、ビタミンDは国際単位で、50〜500IU/日、ビタミンEは10〜500mg/日、ビタミンKは30μg〜50mg/日である。 These vitamin Bs may be used alone or in combination of two or more. These compounding amounts are not limited as long as the effects of the present invention are exhibited. For example, vitamin A has an international unit of 250 to 5000 IU / day, and vitamin B is 60 kg per adult. 1 1~60Mg / day, vitamin B 2 is 1~60Mg / day, vitamin B 6 is 0.5~120Mg / day, niacin 1~60Mg / day, biotin 10Myuji~15mg / day, pantothenic acid 1 -60 mg / day, vitamin C 50-3000 mg / day, vitamin D in international units, 50-500 IU / day, vitamin E 10-500 mg / day, vitamin K 30 μg-50 mg / day.
本発明の鎮痛用組成物は、医薬品であってもよいし、食品、好ましくは健康食品、特に特定保健用食品又は栄養機能食品であってもよい。健康食品の場合には、通常の食品とは異なる形態(例えば錠剤、カプセル剤、散剤等の形態)を持つ、いわゆるサプリメント(栄養補助食品、Dietary Supplement)であってもよい。 The analgesic composition of the present invention may be a pharmaceutical product, or a food, preferably a health food, particularly a food for specified health use or a nutritional functional food. In the case of health foods, so-called supplements (dietary supplements) having different forms from normal foods (for example, forms such as tablets, capsules, powders, etc.) may be used.
本発明の鎮痛用組成物が医薬品である場合には、下記のような薬剤を配合してもよい。アセトアミノフェン、イブプロフェン、アルミノプロフェン、ロキソプロフェン、アスピリン、イソプロピルアンチピリン、エテンザミド等の解熱鎮痛剤;塩酸エフェドリン、dl−塩酸メチルエフェドリン、ノスカピン、塩酸ブロムヘキシン、リン酸コデイン、リン酸ジヒドロコデイン、臭化水素酸デキストロメトルファン、ヒベンズ酸チペピジン、リン酸ジメモルファン等の鎮咳剤;グアヤコールスルホン酸カリウム、グアイフェネシン、塩化アンモニウム等の去痰剤;フマル酸クレマスチン、マレイン酸クロルフェニラミン、塩酸ジフェンヒドラミン、メキタジン等の抗ヒスタミン剤;ヨウ化イソプロパミド等の鼻水分泌抑制剤;塩化リゾチーム等の消炎酵素剤;グリチルレチン酸、グリチルリチン酸等の抗炎症剤;シャクヤクエキス、マオウエキス、ナンテンジツエキス、オウヒエキス、カンゾウエキス、キキョウエキス、ウイキョウエキス、オウバクエキス、ケイヒエキス、ゲンチアナエキス、ゴオウエキス、ショウキョウエキス、チョウジエキス、ビャクジュツエキス、地竜エキス、チクセツニンジンエキス、エキスニンジンエキス等の生薬;イソロイシン、フェニルアラニン、システイン等のアミノ酸;ブロムワレリル尿素、アリルイソプロピルアセチル尿素等の鎮静剤;カフェイン、無水カフェイン等の鎮痛・眠気除去剤;乾燥水酸化アルミニウムゲル、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胃粘膜保護剤、コンドロイチン硫酸ナトリウム等のムコ多糖類。 When the analgesic composition of the present invention is a pharmaceutical product, the following drug may be blended. Antipyretic analgesics such as acetaminophen, ibuprofen, aluminoprofen, loxoprofen, aspirin, isopropylantipyrine, etezamide; ephedrine hydrochloride, dl-methylephedrine hydrochloride, noscapine, bromhexine hydrochloride, codeine phosphate, dihydrocodeine phosphate, hydrobromic acid Antitussives such as dextromethorphan, tipipedin hibenzate, dimemorphan phosphate; expectorants such as potassium guaiacol sulfonate, guaifenesin, ammonium chloride; antihistamines such as clemastine fumarate, chlorpheniramine maleate, diphenhydramine hydrochloride, mequitazine; isopropamide iodide Antinasal secretion agent such as lysozyme chloride; Anti-inflammatory agent such as glycyrrhetinic acid and glycyrrhizic acid; Peonies extract Mao extract, Nantenjitsu extract, Spruce extract, Licorice extract, Oxalis extract, Fennel extract, Oyster extract, Quail extract, Gentiana extract, Gypsophila extract, Pepper extract, Clove extract, Ginseng extract, Earth dragon extract, Chixetsu carrot extract, Extract carrot extract Herbal medicines such as isoleucine, phenylalanine and cysteine; sedatives such as bromvalerylurea and allylisopropylacetylurea; analgesics and drowsiness removing agents such as caffeine and anhydrous caffeine; Gastric mucosa protective agents such as magnesium aluminate and magnesium carbonate, and mucopolysaccharides such as sodium chondroitin sulfate.
医薬品である本発明の鎮痛用組成物を投与する経路としては特に限定されないが、経口投与、舌下投与、経直腸投与、経皮投与、吸入、局所投与、注射(動脈内、静脈内、筋肉内、皮下、皮内、髄腔内等)等が挙げられるが、経口投与が好ましい。 The route for administering the analgesic composition of the present invention as a pharmaceutical is not particularly limited, but oral administration, sublingual administration, rectal administration, transdermal administration, inhalation, topical administration, injection (intraarterial, intravenous, muscle And the like, and oral administration is preferred.
経口投与の場合の剤型としては、錠剤、顆粒剤、散剤、カプセル剤等の固体製剤、シロップ剤等の液体製剤等が挙げられる。これらの製剤は常法により調製することができる。 Examples of the dosage form for oral administration include solid preparations such as tablets, granules, powders and capsules, and liquid preparations such as syrups. These preparations can be prepared by conventional methods.
固体製剤の場合、糖衣、フィルムコート等の剤皮を施すことができる。フィルムコートは、服用しやすさに配慮しながら、安定性等を高めることができる。この場合、ヒドロキシプロピルメチルセルロース、マクロゴール等の高分子および酸化チタン、タルク等の粉成分を溶媒に混和したものをフィルムコート剤として使用でき、滑沢剤としてカルナウバロウ、パームロウ、パラフィンワックス等を使用できる。発明では当該溶媒として、水および1種又は2種以上のアルコール類を組み合わせて使用することが好ましく、溶媒中にアルコール類を50重量%以上の割合で含有することがより好ましく、50〜95重量%の割合で含有することがさらに好ましい。アルコール類としてはエタノールが好ましい。コーティングの方法としては特に限られるものではないが、噴霧コーティングが特に好ましい方法である。これにより、本発明の鎮痛用組成物の製剤安定性を高めることができる。 In the case of a solid preparation, a coating such as a sugar coating or a film coat can be applied. The film coat can enhance stability and the like while considering ease of taking. In this case, a polymer such as hydroxypropylmethylcellulose or macrogol and a powder component such as titanium oxide or talc mixed in a solvent can be used as a film coating agent, and carnauba wax, palm wax, paraffin wax, etc. can be used as a lubricant. . In the invention, it is preferable to use a combination of water and one or more alcohols as the solvent, and it is more preferable that the solvent contains alcohols in a proportion of 50% by weight or more, and 50 to 95% by weight. It is more preferable to contain it in the ratio of%. Ethanol is preferred as the alcohol. The coating method is not particularly limited, but spray coating is a particularly preferable method. Thereby, the formulation stability of the analgesic composition of the present invention can be enhanced.
固体製剤の調製に使用可能な成分としては、例えば、乳糖、デンプン、マンニトール、結晶セルロース、クロスポビドン等の賦形剤;ヒドロキシプロピルセルロース、カルボキシメチルセルロース、ゼラチン、カルボキシメチルセルロースナトリウム、アラビアゴム等の結合剤;カルボキシメチルセルロースカルシウム、ポリビニルピロリドン又はその架橋体、低置換ヒドロキシプロピルセルロース等の崩壊剤;ショ糖脂肪酸エステル、ポリオキシソルビタン脂肪酸エステル等の非イオン界面活性剤;ステアリン酸カルシウム、ステアリン酸マグネシウム、ジメチルポリシロキサン、タルク、ポリエチレングリコール、硬化油等の滑沢剤;タール系色素、銅クロロフィリンナトリウム等の着色剤、キシリトール、サッカリンナトリウム、アスパルテーム等の甘味剤等が挙げられる。また、必要に応じて、ヒドロキシプロピルメチルセルロース、オイドラギット、ポリエチレングリコール、セラック、メチルセルロース、エチルセルロース、酢酸フタル酸セルロース、ヒドロキシプロピルセルロースフタレート等のコーティング剤を用いてコーティングを施してもよいし、ショ糖、アラビアゴム、炭酸カルシウム、タルク、ゼラチン等を用いて糖衣を施してもよい。 Ingredients that can be used to prepare the solid preparation include, for example, excipients such as lactose, starch, mannitol, crystalline cellulose, crospovidone; binders such as hydroxypropylcellulose, carboxymethylcellulose, gelatin, sodium carboxymethylcellulose, gum arabic Disintegrating agents such as carboxymethylcellulose calcium, polyvinylpyrrolidone or a crosslinked product thereof, and low-substituted hydroxypropylcellulose; nonionic surfactants such as sucrose fatty acid ester and polyoxysorbitan fatty acid ester; calcium stearate, magnesium stearate, dimethylpolysiloxane , Lubricants such as talc, polyethylene glycol, hydrogenated oil, tar colorants, colorants such as copper chlorophyllin sodium, xylitol, sodium saccharin, asthma Sweetening agents such as Rutemu like. If necessary, coating may be performed using a coating agent such as hydroxypropylmethylcellulose, Eudragit, polyethylene glycol, shellac, methylcellulose, ethylcellulose, cellulose acetate phthalate, hydroxypropylcellulose phthalate, sucrose, Sugar coating may be performed using rubber, calcium carbonate, talc, gelatin or the like.
液体製剤の調剤に使用可能な成分としては、例えば、精製水、グリセリン、ショ糖、プロピレングリコール、ポリエチレングリコール、ポリオキシエチレンソルビタン脂肪酸エステル、ポリオキシエチレン硬化ヒマシ油、メタ水酸化アルミニウム、寒天、トラガントガム、エタノール等の溶解補助剤、リン酸塩等の緩衝剤、安息香酸ナトリウム、パラオキシ安息香酸メチル、パラオキシ安息香酸エチル、パラオキシ安息香酸ブチル等の保存剤、香料、着色剤、D−ソルビトール、白糖等の矯味剤、キサンタンガム等の増粘剤等が挙げられる。 Ingredients that can be used for liquid formulation include, for example, purified water, glycerin, sucrose, propylene glycol, polyethylene glycol, polyoxyethylene sorbitan fatty acid ester, polyoxyethylene hydrogenated castor oil, aluminum meta-hydroxide, agar, tragacanth gum , Solubilizing agents such as ethanol, buffering agents such as phosphates, preservatives such as sodium benzoate, methyl paraoxybenzoate, ethyl paraoxybenzoate, butyl paraoxybenzoate, fragrances, colorants, D-sorbitol, sucrose, etc. And thickeners such as xanthan gum.
また、医薬品である本発明の鎮痛用組成物は配合剤であってもよいし、2以上の薬剤とからなるキットであってもよい。 The analgesic composition of the present invention which is a pharmaceutical product may be a compounding agent or a kit comprising two or more drugs.
さらに、本発明の鎮痛用組成物はアルミニウム等の遮光性のある包剤に充填されていてもよいし、窒素置換充填等を行ってもよい。 Furthermore, the analgesic composition of the present invention may be filled in a light-shielding packaging material such as aluminum, or may be filled with nitrogen.
本発明の鎮痛用組成物は、身体的な痛みを軽減又は消散するために使用できるものである。そのような身体的な痛みとしては特に限定されないが、外因性化学刺激に伴うものであってもよいし、炎症に起因するものであってもよいし、炎症に起因しないものであってもよい。本発明の鎮痛用組成物で治療可能な痛みとしては、例えば、神経痛、関節痛、腰痛、筋肉痛、肩こり痛、骨折痛、打撲痛、ねんざ痛、外傷痛、頭痛、歯痛、抜歯後又は手術後の疼痛、咽頭痛、耳痛、月経痛、痛風、リウマチ性疾患における痛み、炎症に伴う痛み等が挙げられる。好ましくは外部からの障害に起因して体内で痛み物質が生じることによる痛み、例えば、腰痛、筋肉痛、肩こり痛、骨折痛、打撲痛、ねんざ痛、外傷痛、抜歯後又は手術後の疼痛、咽頭痛、耳痛であり、より好ましくは筋肉痛、骨折痛、打撲痛、ねんざ痛、外傷痛である。また、鎮痛に加えて、並行して抗炎症(消炎)及び/又は発熱時の解熱を行うことを目的として使用することもできる。 The analgesic composition of the present invention can be used to reduce or eliminate physical pain. Such physical pain is not particularly limited, but may be accompanied by exogenous chemical stimulation, may be caused by inflammation, or may not be caused by inflammation. . Examples of pain that can be treated with the analgesic composition of the present invention include neuralgia, joint pain, back pain, muscle pain, stiff shoulder pain, fracture pain, bruise pain, sprain pain, trauma pain, headache, toothache, after extraction or Pain after operation, sore throat, ear pain, menstrual pain, gout, pain in rheumatic diseases, pain associated with inflammation, and the like. Pain caused by pain substances in the body, preferably due to external disturbances, eg back pain, muscle pain, stiff shoulder pain, fracture pain, bruise pain, sprain pain, trauma pain, post-extraction or post-surgical pain Sore throat, ear pain, more preferably muscle pain, fracture pain, bruise pain, sprain pain, trauma pain. Moreover, in addition to analgesia, it can also be used for the purpose of performing anti-inflammation (anti-inflammatory) and / or antipyretic at the time of fever.
以下に実施例を掲げて本発明を詳細に説明するが、本発明はこれら実施例に限定されるものではない。
実施例1〜7並びに比較例1及び2
以下のとおり酢酸ライジング法による鎮痛試験を行った。
EXAMPLES The present invention will be described in detail below with reference to examples, but the present invention is not limited to these examples.
Examples 1-7 and Comparative Examples 1 and 2
An analgesic test by the acetic acid rising method was performed as follows.
試験動物としては、5週齢で25g前後の雄性マウス(ddy、SPF)を馴化後、30g弱に成長させたものを用いた。試験前日には各マウスを絶食させた。 As a test animal, a mouse which was grown to about 30 g after being acclimated to a male mouse (ddy, SPF) of about 25 g at 5 weeks of age was used. On the day before the test, each mouse was fasted.
各被験物質を表1に記載のように秤量し、キサンタンガム1%溶液0.5mLに混濁した。なお、表1中の各成分の配合量はmgで表示している。比較例1で使用したイブプロフェンは周知の鎮痛剤であり、トラネキサム酸は、イブプロフェンの鎮痛作用を増強する成分として公知のものである(特開平9−48728号公報を参照)。 Each test substance was weighed as shown in Table 1 and turbid in 0.5 mL of 1% xanthan gum solution. In addition, the compounding quantity of each component in Table 1 is displayed with mg. Ibuprofen used in Comparative Example 1 is a well-known analgesic agent, and tranexamic acid is known as a component that enhances the analgesic action of ibuprofen (see JP-A-9-48728).
得られた溶液を全量、1群6匹の各マウスに経口投与した。ただしコントロール群に対しては、被験物質を含まないキサンタンガム1%溶液0.5mLを経口投与した。 The total amount of the resulting solution was orally administered to each group of 6 mice. However, 0.5 mL of 1% xanthan gum solution not containing the test substance was orally administered to the control group.
経口投与から45分後に、1%の酢酸を含む生理食塩水溶液をマウスの体重10gに対して0.1mLの割合で腹腔内注射した。当該腹腔内注射から5分が経過した後15分間に行われた伸び(ライジング)の回数をカウントした。 45 minutes after the oral administration, a physiological saline solution containing 1% acetic acid was intraperitoneally injected at a rate of 0.1 mL with respect to 10 g of mouse body weight. The number of stretching (rising) performed for 15 minutes after 5 minutes from the intraperitoneal injection was counted.
下記式に従って、各群におけるライジングの発生回数の減少率、すなわち鎮痛効果を算出した。結果を表1に示す。
鎮痛効果(%)=(1−被験群の総ライジング数/コントロール群の総ライジング数)×100
According to the following formula, the reduction rate of the number of occurrences of rising in each group, that is, the analgesic effect was calculated. The results are shown in Table 1.
Analgesic effect (%) = (1−total number of risings in test group / total number of risings in control group) × 100
表1から明らかなように、ビタミンB12のみを投与した系(実施例1)において、有意にライジングの発生回数が減少した。すなわち、ビタミンB12が鎮痛作用を持つことが示された。しかも、その鎮痛効果は、従来強力な鎮痛作用を有することが知られるイブプロフェンとトラネキサム酸とを併用した系(比較例1)と同等のものであった。
As is clear from Table 1, in the system administered with only vitamin B 12 (Example 1), the number of occurrences of rising was significantly reduced. That is, vitamin B 12 is shown to have analgesic activity. And the analgesic effect was equivalent to the system (comparative example 1) which combined ibuprofen and tranexamic acid known conventionally having a strong analgesic action.
さらに、ビタミンB12と葉酸とを併用した系(実施例2〜7)においては、著しくライジングの発生回数が減少し、従来優れているといわれる鎮痛剤よりも、生物学的に有意な差のある優れた鎮痛効果を示した。一方、葉酸のみを投与した群では、ほとんど鎮痛作用を示さなかった(比較例2)。これは当該系が、非常に優れた鎮痛効果を有し、葉酸はビタミンB12の鎮痛効果を相乗的に向上させる作用を有することを示す。以上より、多くのビタミンが存在する中で、安全性の高いビタミンB12に鎮痛効果が存することを見出し、鎮痛効果を奏しない葉酸にその効果を相乗的に向上させることが示された。 Furthermore, in the system (Examples 2 to 7) in which vitamin B 12 and folic acid are used in combination (Examples 2 to 7), the number of occurrences of rising is remarkably reduced. It showed some excellent analgesic effect. On the other hand, the group administered only with folic acid showed almost no analgesic effect (Comparative Example 2). This the system has a very good analgesic effect, folic acid shown to have an effect to synergistically enhance the analgesic effect of vitamin B 12. Thus, in many vitamins are present, it found that the analgesic effect resides in a high vitamin B 12 safety, has been shown to synergistically improve the effect folate otherwise an analgesic effect.
処方例1〜30
表2〜5に記載の処方に従ってフィルムコーティング剤を製剤した。具体的には、ヒドロキシプロピルメチルセルロース、酸化チタン、カルナウバロウおよびマクロゴール以外を処方に従って量りとり、水を加えて混練、造粒、乾燥、打錠することによって素錠を製した。さらにヒドロキシプロピルメチルセルロース、酸化チタンおよびマクロゴールを溶媒に混和したものを、噴霧コーティングにより前記素錠にコーティングし、カルナウバロウで表面を処理しフィルムコーティング剤を製した。ヒドロキシプロピルメチルセルロース、酸化チタンおよびマクロゴールの溶媒としては、水/エタノール混液を使用し、水とエタノールの配合比率(重量比)が、水:エタノール=60:40、50:50、25:75および5:95の4種を用いた。
Formulation Examples 1-30
Film coating agents were prepared according to the formulations described in Tables 2-5. Specifically, uncoated tablets were prepared by weighing other than hydroxypropylmethylcellulose, titanium oxide, carnauba wax and macrogol according to the prescription, adding water, kneading, granulating, drying and tableting. Further, a mixture of hydroxypropylmethylcellulose, titanium oxide and macrogol in a solvent was coated on the uncoated tablet by spray coating, and the surface was treated with carnauba wax to produce a film coating agent. As a solvent for hydroxypropylmethylcellulose, titanium oxide and macrogol, a water / ethanol mixture is used, and the mixing ratio (weight ratio) of water and ethanol is water: ethanol = 60: 40, 50:50, 25:75 and Four types of 5:95 were used.
表6に記載の処方に従って、定法により液体製剤の鎮痛剤を製造した。この場合、キサンタンガムにより液剤の粘度を高めることで、水に溶けにくい成分を分散させることが可能となった。
According to the formulation described in Table 6, a liquid preparation analgesic was produced by a conventional method. In this case, by increasing the viscosity of the liquid agent with xanthan gum, it becomes possible to disperse components that are hardly soluble in water.
表7に記載の処方に従って鎮痛剤を製造した。具体的には、処方に従って量りとり、水を加えて混練し、造粒し、乾燥して顆粒剤を製造した。
Analgesics were prepared according to the formulation described in Table 7. Specifically, it was weighed according to the prescription, kneaded with water, granulated, and dried to produce granules.
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JP2022016650A (en) * | 2016-07-07 | 2022-01-21 | 第一三共ヘルスケア株式会社 | Oral pharmaceutical composition containing loxoprofen or salt thereof and vitamin b12 |
JP7026457B2 (en) | 2016-07-07 | 2022-02-28 | 第一三共ヘルスケア株式会社 | Oral pharmaceutical composition containing loxoprofen or a salt thereof and vitamins B12 |
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