JP2013121948A - Common cold drug improved in drowsiness - Google Patents

Common cold drug improved in drowsiness Download PDF

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JP2013121948A
JP2013121948A JP2012244064A JP2012244064A JP2013121948A JP 2013121948 A JP2013121948 A JP 2013121948A JP 2012244064 A JP2012244064 A JP 2012244064A JP 2012244064 A JP2012244064 A JP 2012244064A JP 2013121948 A JP2013121948 A JP 2013121948A
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drowsiness
common cold
caffeine
cold medicine
isopropylantipyrine
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Kikuko Yoneda
喜久子 米田
Yasutaka Iizuka
泰貴 飯塚
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Daiichi Sankyo Healthcare Co Ltd
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Abstract

PROBLEM TO BE SOLVED: To provide a common cold drug excellent in improving effects of various symptoms of a common cold, and reduced in drowsiness.SOLUTION: An oral common cold drug composition containing an isopropylantipyrine, a dihydrocodeine phosphate, a methylephedrine hydrochloride, a caffeine, and an antihistamine that may cause drowsiness additionally contains an isopropamide iodide.

Description

本発明は、イソプロピルアンチピリン、アセトアミノフェン、クロルフェニラミンマレイン酸塩、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、及びカンゾウエキスを含有し、さらにヨウ化イソプロパミドを配合した、経口感冒薬組成物に関する。   The present invention contains isopropylantipyrine, acetaminophen, chlorpheniramine maleate, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, and licorice extract, and further contains an oral isopropamide. The present invention relates to a pharmaceutical composition.

総合感冒薬は、配合必須成分の(A)解熱鎮痛薬の他に、(B)抗ヒスタミン薬、(C)鎮咳薬、(D)ノスカピン、(E)気管支拡張薬、(F)去痰薬、(G)カフェイン、(H)ビタミン類、(I)粘膜保護成分、及び(J)生薬類が配合される場合がある。総合感冒薬に記載できる効能は、かぜの諸症状(鼻水、鼻閉、くしゃみ、喉痛、咳、痰、悪寒、発熱、頭痛、関節の痛み、筋肉の痛み)の緩和であるが、(B)を含有しない場合は鼻水、鼻閉、くしゃみの効能は認められず、(C)〜(E)を含有しない場合は咳の効能、また、(F)等の去痰作用を有する成分を含有しない場合は痰の効能は記載できない(例えば、非特許文献1参照)。   In addition to (A) antipyretic analgesics, which are essential ingredients, (B) antihistamines, (C) antitussives, (D) noscapine, (E) bronchodilators, (F) expectorants, (G) Caffeine, (H) vitamins, (I) mucosal protective components, and (J) herbal medicines may be blended. Efficacy that can be described in general cold medicine is relief of cold symptoms (nasal discharge, nasal congestion, sneezing, sore throat, cough, sputum, chills, fever, headache, joint pain, muscle pain) (B ) Does not contain the effects of runny nose, nasal congestion, and sneezing, and if it does not contain (C) to (E), it does not contain coughing effects, and (F) or other components having expectorant action In this case, the effect of sputum cannot be described (for example, see Non-Patent Document 1).

鼻水、鼻閉、くしゃみは、かぜの主症状であるため、ほとんどの感冒薬には(B)の抗ヒスタミン薬が配合されている。しかし、抗ヒスタミン薬は、脳内覚醒物質でもあるヒスタミンを同時にブロックして眠気を催すことがあり、覚醒中の作業効率低下や車の運転時等の服用に注意を要する点に課題があった。
咳もかぜの主症状であるため、鎮咳成分のコデイン類も配合されていることが多いが、コデイン類は中枢神経抑制作用があるため、呼吸抑制や眠気については、服薬時の重要な基本的注意事項であった(例えば、非特許文献2参照)。
Since runny nose, nasal congestion, and sneezing are the main symptoms of colds, most common cold drugs contain the antihistamine (B). However, antihistamines may cause sleepiness by simultaneously blocking histamine, which is also a brain arousal substance, and there is a problem in that it requires attention when taking cautions such as lowering work efficiency while driving and driving .
Since cough is also a major symptom of colds, codeine, an antitussive component, is often included, but since codeines have central nervous system inhibitory effects, respiratory depression and sleepiness are important basics when taking medicine. It was a precaution (see Non-Patent Document 2, for example).

抗コリン薬のヨウ化イソプロパミドは、気管支筋収縮の抑制作用、胃腸痙攣の鎮静作用、鼻汁分泌及び胃液の過剰な分泌の抑制作用が認められていることから胃腸薬及び鼻炎薬の有効成分として使用されている(例えば、特許文献1参照)。鼻水を強く抑制する成分であるため、一般用医薬品では鼻炎用内服薬に配合可能な基準内成分(非特許文献1参照)であり、感冒薬にもごくまれにではあるが配合されることがある。しかし、ヨウ化イソプロパミドに眠気を催す作用があること、その逆の眠気抑制作用があることのいずれも知られていない。   The anticholinergic iodopropamide is used as an active ingredient in gastrointestinal and rhinitis drugs because it has been shown to suppress bronchomuscular contraction, gastrointestinal spasm, nasal secretion and excessive secretion of gastric juice (For example, refer to Patent Document 1). Since it is a component that strongly suppresses runny nose, it is a standard component (see Non-Patent Document 1) that can be blended in internal medicine for rhinitis in over-the-counter medicines, and it is sometimes rarely blended in cold medicine. . However, it is not known that isopropamide iodide has drowsiness and vice versa.

特開平第8−325142号公報JP-A-8-325142

一般用医薬品製造(輸入)承認基準 2000年版 じほう 2000OTC Drug Manufacturing (Import) Approval Criteria 2000 Jiho 2000 2009年版 医療用医薬品集 JAPIC 20082009 Edition Prescription Drug Collection JAPIC 2008

本発明は、かぜの諸症状の改善効果のより優れた感冒薬を提供することを目的とする。より詳しくは、鼻水(鼻汁)の抑制効果の優れた総合感冒薬を提供することである。   An object of the present invention is to provide a cold medicine having a better effect of improving various symptoms of cold. More specifically, it is to provide a general cold medicine that has an excellent effect of suppressing runny nose (nasal discharge).

本発明者らは、解熱鎮痛効果を高めるために2種類の解熱鎮痛成分であるイソプロピルアンチピリンとアセトアミノフェンに加え、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、カンゾウエキス、及び、クロルフェニラミンマレイン酸塩を配合した経口感冒薬を見い出しているが、さらに鼻水抑制効果を高めた総合感冒薬について鋭意研究を実施してきた。
その結果、上記感冒薬処方に、さらに抗コリン薬の一種であるヨウ化イソプロパミドを配合すると、意外にも、当初目的とした鼻汁抑制作用のみならず、抗ヒスタミン薬等の好ましくない作用である眠気を軽減する効果を発現することを見い出し、本発明を完成させるに至った。
すなわち、本発明は、下記の(1)〜(4)を提供するものである。
(1)イソプロピルアンチピリン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、及び、眠気を催すことがある抗ヒスタミン薬を含有する組成物において、
さらにヨウ化イソプロパミドを配合したことを特徴とする、経口感冒薬組成物。
(2)イソプロピルアンチピリン、アセトアミノフェン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、カンゾウエキス、及び、眠気を催すことがある抗ヒスタミン薬を含有する組成物において、
さらにヨウ化イソプロパミドを配合したことを特徴とする、経口感冒薬組成物。
(3)眠気を催すことがある抗ヒスタミン薬が、クロルフェニラミンマレイン酸塩である、(1)又は(2)に記載の経口感冒薬組成物。
(4)眠気が改善されたことを特徴とする、(1)〜(3)のいずれか1に記載の経口感冒薬組成物。
In order to enhance the antipyretic analgesic effect, the present inventors added dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, licorice extract, in addition to two types of antipyretic analgesic components, isopropylantipyrine and acetaminophen, Although we have found an oral cold medicine containing chlorpheniramine maleate, we have conducted extensive research on a common cold medicine that has further enhanced the effect of nasal discharge.
As a result, when isopropamide iodide, which is a kind of anticholinergic agent, is further added to the cold medicine prescription, it is surprising that sleepiness, which is an undesirable effect of antihistamines, etc. It has been found that the effect of reducing the above is manifested, and the present invention has been completed.
That is, the present invention provides the following (1) to (4).
(1) In a composition containing isopropylantipyrine, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, and an antihistamine that may cause drowsiness,
An oral cold medicine composition characterized by further containing iodopropamide iodide.
(2) In a composition containing isopropylantipyrine, acetaminophen, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, licorice extract, and an antihistamine that may cause drowsiness,
An oral cold medicine composition characterized by further containing iodopropamide iodide.
(3) The oral cold medicine composition according to (1) or (2), wherein the antihistamine that may cause drowsiness is chlorpheniramine maleate.
(4) The oral cold medicine composition according to any one of (1) to (3), wherein drowsiness is improved.

本発明の経口感冒薬組成物は、優れた鼻汁抑制作用のみならず、抗ヒスタミン薬等の好ましくない作用である眠気を軽減することから有用である。   The oral cold medicine composition of the present invention is useful because it reduces not only excellent nasal discharge, but also drowsiness, which is an undesirable action such as antihistamines.

本発明の、イソプロピルアンチピリン、アセトアミノフェン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン(無水カフェイン、又はカフェイン水和物)、クロルフェニラミンマレイン酸塩、カンゾウ(カンゾウ、カンゾウ末、又はカンゾウエキス)は第16改正日本薬局方に収載され、ヨウ化イソプロパミドは日本薬局方外医薬品規格2002に収載されている。   Isopropylantipyrine, acetaminophen, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine (anhydrous caffeine or caffeine hydrate), chlorpheniramine maleate, licorice (licorice, licorice) Powder or licorice extract) is listed in the 16th revised Japanese Pharmacopoeia, and isopropamide iodide is listed in the Japanese Pharmacopoeia Standard 2002.

本発明の組成物におけるイソプロピルアンチピリン、アセトアミノフェン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、クロルフェニラミンマレイン酸塩、及びカンゾウエキスの含有量は、特に限定されないが、一般用医薬品製造(輸入)承認基準内又は配合前例の範囲内であることが望ましい。   The contents of isopropylantipyrine, acetaminophen, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, chlorpheniramine maleate, and licorice extract in the composition of the present invention are not particularly limited, but for general use It is desirable that it is within the standards for approval of pharmaceutical manufacture (import) or within the range of precedents in combination.

ヨウ化イソプロパミドについては、好ましくは、1〜15mg、より好ましくは3〜9mgを1日1〜3回に分けて服用できるように設定すればよい。
例えば、本発明の組成物が1日3回10mL服用する液剤であれば、その液剤におけるヨウ化イソプロパミドの含有量は、好ましくは0.3〜5mg/10mL、より好ましくは1〜3mg/10mLである。
About isopropamide iodide, Preferably it should just set so that 1-15 mg, More preferably, 3-9 mg can be taken in 1 to 3 times a day.
For example, if the composition of the present invention is a solution taken 10 mL three times a day, the content of iodopropamide in the solution is preferably 0.3 to 5 mg / 10 mL, more preferably 1 to 3 mg / 10 mL. is there.

本発明の組成物には、本発明の効果が阻害されない限り、他の生薬類、ビタミン類、制酸剤、賦形剤、結合剤、滑沢剤、コーティング剤、防腐剤、着色剤、安定剤、pH調整剤、溶解補助剤、清涼剤、香料、色素・着色剤などを配合することができる。   In the composition of the present invention, other herbal medicines, vitamins, antacids, excipients, binders, lubricants, coating agents, preservatives, colorants, stable, as long as the effects of the present invention are not inhibited. An agent, a pH adjuster, a solubilizer, a refreshing agent, a fragrance, a pigment / colorant, and the like can be blended.

本発明の組成物は、当該分野で公知の方法で製造することができる。例えば、本発明の組成物が錠剤である場合には、日局製剤総則「錠剤」の項に準じて製造することができる。また、液剤である場合には、日局製剤総則「液剤」の項に準じて製造することができる。   The composition of the present invention can be produced by a method known in the art. For example, in the case where the composition of the present invention is a tablet, it can be produced according to the section of the Japanese Pharmacopoeia General Rules “Tablets”. Moreover, when it is a liquid agent, it can be manufactured according to the section of the Japanese Pharmacopoeia General Rules “Liquid Agent”.

本発明の実施例を以下に記載するが、これらに限定されるものではない。   Examples of the present invention are described below, but are not limited thereto.

(実施例1)カプセル剤
表1に記載の成分及び分量をとり、日局製剤総則「カプセル剤」の項に準じてカプセル剤を製造する。
(Example 1) Capsule The ingredients and amounts shown in Table 1 are taken, and a capsule is produced according to the section “General Capsule” of the Japanese Pharmacopoeia.

(実施例2)液剤
表2に記載の成分及び分量をとり、日局製剤総則「液剤」の項に準じて錠剤を製造する。
(Example 2) Solution The ingredients and amounts shown in Table 2 are taken, and a tablet is produced according to the section of “General Preparations” “Liquid”.

(試験例)単回投与試験
(1)被検物質
イソプロピルアンチピリン、アセトアミノフェン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、無水カフェイン、クロルフェニラミンマレイン酸塩、カンゾウエキスは日局のものを、また、ヨウ化イソプロパミドは日本バルク薬品(株)製のものを使用した。
被検物質として表1に記載の成分を0.5%CMC(0.5%カルボキシメチルセルロース ナトリウム溶液)に懸濁し、100mg/mLの投与液を調製した。
また、比較物質としてヨウ化イソプロパミドをの代わりに乳糖を添加したものを同様に製造した。
(Test example) Single-dose test (1) Test substance Isopropylantipyrine, acetaminophen, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, anhydrous caffeine, chlorpheniramine maleate, licorice extract In addition, isopropamide iodide was manufactured by Nippon Bulk Chemical Co., Ltd.
The components shown in Table 1 as test substances were suspended in 0.5% CMC (0.5% sodium carboxymethylcellulose solution) to prepare a 100 mg / mL administration solution.
Moreover, what added lactose instead of the isopropamide iodide as a comparative substance was manufactured similarly.

(2)実験動物
Sprague-Dawley系雌雄ラット、5週齢を日本チャールス・リバー(株)から購入し、1週間予備飼育した後、一般状態に異常の認めない良好なものを実験に使用した。群分けは投与日前日に行い、群分け当日の体重を基に、平均体重をできるだけ均等になるように1群3匹とした。
(2) Experimental animals
Sprague-Dawley male and female rats, 5 weeks old, were purchased from Nippon Charles River Co., Ltd., preliminarily raised for 1 week, and then used in the experiment those which were not abnormal in general condition. Grouping was performed on the day before the administration day, and based on the body weight on the day of grouping, 3 animals were grouped so that the average body weight was as uniform as possible.

(3)被検物質の投与
投与用量は10mL/Kg体重とし、フレキシブル胃ゾンデを用いて単回強制経口投与した。対照群には媒体(0.5%CMC)を投与した。
(3) Administration of test substance The administration dose was 10 mL / Kg body weight, and a single forced oral administration was performed using a flexible gastric sonde. The control group received vehicle (0.5% CMC).

(4)試験結果
得られた自発運動及び呼吸数低下の結果を表3〜5に示す。
(4) Test results The results of spontaneous exercise and respiratory rate reduction obtained are shown in Tables 3-5.

被験物質群では、眠気や倦怠感に相当する自発運動低下の発現持続時間が短くなった。 In the test substance group, the duration of onset of decreased locomotor activity corresponding to sleepiness and fatigue was shortened.

被験物質群では、眠気や倦怠感に相当する自発運動低下の発現持続時間が短くなった。 In the test substance group, the duration of onset of decreased locomotor activity corresponding to sleepiness and fatigue was shortened.

被験物質群では、眠気に相当する呼吸数低下が見られなかった。 In the test substance group, there was no decrease in respiratory rate corresponding to sleepiness.

以上の結果より、ヨウ化イソプロパミドを配合することにより抗ヒスタミン薬の眠気や倦怠感に相当する症状が改善されることが判明した。   From the above results, it was found that the symptoms corresponding to the drowsiness and malaise of antihistamines were improved by adding isopropamide iodide.

眠気が軽減された総合感冒薬組成物として利用できる。   It can be used as a general cold medicine composition with reduced drowsiness.

Claims (4)

イソプロピルアンチピリン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、及び、眠気を催すことがある抗ヒスタミン薬を含有する組成物において、
さらにヨウ化イソプロパミドを配合したことを特徴とする、経口感冒薬組成物。
In a composition comprising isopropylantipyrine, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, and an antihistamine that can cause drowsiness,
An oral cold medicine composition characterized by further containing iodopropamide iodide.
イソプロピルアンチピリン、アセトアミノフェン、ジヒドロコデインリン酸塩、dl−メチルエフェドリン塩酸塩、カフェイン、カンゾウエキス、及び、眠気を催すことがある抗ヒスタミン薬を含有する組成物において、
さらにヨウ化イソプロパミドを配合したことを特徴とする、経口感冒薬組成物。
In a composition comprising isopropylantipyrine, acetaminophen, dihydrocodeine phosphate, dl-methylephedrine hydrochloride, caffeine, licorice extract, and an antihistamine that may cause drowsiness,
An oral cold medicine composition characterized by further containing iodopropamide iodide.
眠気を催すことがある抗ヒスタミン薬が、クロルフェニラミンマレイン酸塩である、請求項1又は2に記載の経口感冒薬組成物。   The oral cold medicine composition according to claim 1 or 2, wherein the antihistamine that may cause drowsiness is chlorpheniramine maleate. 眠気が改善されたことを特徴とする、請求項1〜3のいずれか1項に記載の経口感冒薬組成物。   The oral cold medicine composition according to any one of claims 1 to 3, wherein drowsiness is improved.
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