JP2016164180A - Medicine (2) - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide pharmaceutical compositions in which the interaction between loxoprofen or a salt thereof, and a xanthine derivative is inhibited.SOLUTION: The invention provides a pharmaceutical composition containing loxoprofen or a salt thereof, caffeine, and allylisopropylacetylurea, where the followings (1), (2), and other tablets of particular formulation are excluded. (1) Hard capsules containing loxoprofen sodium dihydrate 60 mg (based on anhydrate), anhydrous caffeine 80 mg, allylisopropylacetylurea 60 mg, magnesium-stearate 7 mg, microcrystalline-cellulose 60 mg, starch 70 mg, and lactose 13 mg. (2) Tablets containing loxoprofen sodium dihydrate 60 mg (based on anhydrate), anhydrous caffeine 80 mg, allylisopropylacetylurea 60 mg, magnesium-stearate 7 mg, microcrystalline-cellulose 60 mg, starch 70 mg, and lactose 13 mg.SELECTED DRAWING: None

Description

  The present invention relates to a pharmaceutical composition excellent in storage stability, which contains loxoprofen or a salt thereof and a xanthine derivative.

  Loxoprofen is a type of non-steroidal anti-inflammatory analgesic (NSAID), including rheumatoid arthritis, osteoarthritis, low back pain, shoulder periarthritis, cervical-shoulder arm syndrome, toothache, acute upper respiratory inflammation, post-surgical / post-traumatic It is known as effective for anti-inflammatory, analgesic and antipyretic after tooth extraction (Non-patent Document 1), and its excellent antipyretic analgesic action is expected to be incorporated into a general cold medicine, antipyretic analgesic, and the like.

  On the other hand, xanthine derivatives such as caffeine have central nervous excitability and are used in various pharmaceuticals such as general cold medicines and antipyretic analgesics. Caffeine exhibits central excitatory action, cardiotonic / diuretic action, gastric acid secretion enhancing action, smooth muscle relaxing action, etc., and is a drug used for antipyretic analgesics, antitussive expectorants, etc. in addition to general cold medicine (Non-patent Document 2) ). In addition, other xanthine derivatives such as theophylline, paraxanthine, theobromine, aminophylline, diprofylline, and proxyphylline having a structure similar to caffeine have pharmacological effects similar to caffeine. Theophylline exhibits central excitatory action, cardiotonic / diuretic action, smooth muscle relaxing action, etc., and is a drug used for antitussive expectorant, antipruritics and the like. Aminophylline is a double salt of theophylline and ethylenediamine and exhibits the same action as theophylline, and diprofylline also exhibits the same action as theophylline (Non-patent Document 3). Proxyphyrin also shows the same action as theophylline (Non-patent Document 4), and paraxanthine and theobromine show the same action.

  A combination of loxoprofen or a salt thereof and a xanthine derivative is already known. For example, Examples 1 to 4 of Patent Literature 1 disclose tablets containing loxoprofen sodium dihydrate and caffeine or theophylline. Further, Examples 1 to 4 of Patent Document 2 disclose tablets containing sodium loxoprofen and anhydrous caffeine.

JP 2006-52210 A JP 2007-314517 A

Fifteenth revised Japanese Pharmacopoeia explanation book Yodogawa Shoten Co., Ltd. C-4790-4759 OTC Handbook 2008-09 Academic Information Distribution Center, Inc. pp. 198-199 OTC Handbook 2008-09 Academic Information Distribution Center, Inc. Pages 292-294 OTC Handbook 2008-09 Academic Information Distribution Center, Inc. Page 688 OTC Handbook 2008-09 Academic Information Distribution Center, Inc. Pages 199-200 15th Amendment Japanese Pharmacopoeia Manual Sasakawa Shoten Co., Ltd. C-2743-2749 OTC Handbook 2008-09 Academic Information Distribution Center Co., Ltd. Pages 693-694

However, it is not known at all whether or not an interaction that affects storage stability occurs between loxoprofen or a salt thereof and a xanthine derivative.
Therefore, the present inventor examined the storage stability of both components, and unexpectedly, when loxoprofen or a salt thereof and a xanthine derivative were mixed and stored for a long time under humid conditions, there was a surprising mutual interaction between these components. It has been found that this interaction causes a change in state such as solidification of the mixture over time, causing a problem in storage stability.
In the process of distribution and storage of pharmaceuticals, there is a possibility of being exposed to a humid environment for a long period of time. Therefore, the pharmaceutical composition is required to have improved storage stability during storage at a high humidity and for a long time.

  Accordingly, an object of the present invention is to provide a pharmaceutical composition in which the interaction between loxoprofen or a salt thereof and a xanthine derivative is suppressed.

  Therefore, the present inventor further studied to solve this problem. As a result, the present inventor found that the interaction can be suppressed by allowing an isovaleryl urea derivative to coexist with loxoprofen or a salt thereof and a xanthine derivative. completed.

  That is, the present invention relates to a pharmaceutical composition containing loxoprofen or a salt thereof, a xanthine derivative and an isovaleryl urea derivative.

According to the present invention, the interaction between loxoprofen or a salt thereof and a xanthine derivative can be suppressed. Therefore, a pharmaceutical composition containing loxoprofen or a salt thereof and a xanthine derivative having excellent storage stability can be provided.
Moreover, the pharmaceutical composition containing the loxoprofen or its salt, and the xanthine derivative which suppressed the interaction can be provided easily and cheaply without passing through a complicated process.

  In the present invention, “loxoprofen or a salt thereof” includes not only loxoprofen itself but also a pharmaceutically acceptable salt of loxoprofen, and further a solvate of loxoprofen or a pharmaceutically acceptable salt thereof with water, alcohol or the like. It is. These are known compounds, and can be produced by known methods, or commercially available products can be used. In the present invention, loxoprofen or a salt thereof is preferably loxoprofen sodium hydrate (chemical name: Monosodium 2- [4-[(2-oxocyclopentyl) methyl] phenyl] propanoate dihydrate).

The content of loxoprofen or a salt thereof in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriately examining according to the sex, age, symptoms, etc. of the user. For example, 10 to 300 mg, more preferably 30 to 240 mg, particularly preferably 60 to 180 mg in terms of loxoprofen sodium anhydride can be contained per day.
In this invention, it is preferable to contain 0.4-50 mass% of loxoprofen or its salt in conversion of a loxoprofen sodium anhydride with respect to the pharmaceutical composition total mass, and it is more preferable to contain 1-40 mass%. In particular, from the viewpoint of use as a general cold medicine, it is preferable to contain 1.2 to 30% by mass, more preferably 1.2 to 25% by mass, and 1.2 to 20% by mass. Is more preferable, and it is more preferable to contain 2.4-15 mass%, and it is especially preferable to contain 2.4-12 mass%.

  In the present invention, the “xanthine derivative” is preferably a compound represented by the following general formula (1).

[In Formula (1), R ¹ and R ² each independently represent a hydrogen atom or a methyl group, and R ³ represents a hydrogen atom, a methyl group, a monohydroxypropyl group, or a dihydroxypropyl group. ]

In formula (1), in R ³ , the monohydroxypropyl group is preferably a 2-hydroxypropyl group. The dihydroxypropyl group is preferably a 2,3-dihydroxypropyl group.

In the above general formula (1),
(1) R ¹ is a methyl group, R ² is a methyl group, and R ³ is a methyl group means caffeine.
(2) R ¹ is a methyl group, R ² is a methyl group, and R ³ is a hydrogen atom means theophylline.
(3) R ¹ is a hydrogen atom, R ² is a methyl group, and R ³ is a methyl group means theobromine.
(4) R ¹ is a methyl group, R ² is a hydrogen atom, and R ³ is a methyl group means paraxanthine.
(5) A compound in which R ¹ is a methyl group, R ² is a methyl group, and R ³ is a 2-hydroxypropyl group means proxyphylline.
(6) The case where R ¹ is a methyl group, R ² is a methyl group, and R ³ is a 2,3-dihydroxypropyl group means diprofylline.

The compounds represented by the general formula (1), especially the above-mentioned compounds are known, and in the present invention, commercially available products can be used in addition to those produced by known methods.
As the xanthine derivative, in addition to the compound represented by the above general formula (1), a pharmaceutically acceptable salt thereof (for example, a double salt formed (sodium benzoate caffeine (sodium benzoate and sodium benzoate)) Caffeine double salt), aminophylline (double salt of theophylline and ethylenediamine)), etc.), a compound represented by the general formula (1) or a salt thereof and solvate of water, alcohol, etc. can also be used. These are also included in the “xanthine derivative”, and the above-mentioned compounds (caffeine, theophylline, theobromine, paraxanthine, proxyphylline, and diprofylline) also include the compound, a salt thereof, and a solvate thereof. In the present invention, one or more of these xanthine derivatives can be used.

  In the present invention, the xanthine derivative is preferably one or more selected from the group consisting of caffeine, theophylline, theobromine, paraxanthine, proxyphylline, and diprofylline. In particular, the pharmaceutical composition of the present invention is used as an antipyretic analgesic or a general cold medicine. Caffeine is preferred from the standpoint of use as, for example. Specific examples of the caffeine include caffeine hydrate, anhydrous caffeine, sodium benzoate caffeine, and caffeine citrate. Among these, caffeine hydrate, caffeine anhydride, benzoic acid are preferable. Sodium caffeine is particularly preferred.

The content of the xanthine derivative in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriately examining according to the sex, age, symptoms, etc. of the user. For example, 10 to 1000 mg, more preferably 20 to 800 mg, particularly preferably 30 to 600 mg of xanthine derivative can be contained per day.
In the present invention, the xanthine derivative is preferably contained in an amount of 0.4 to 65% by mass relative to the total mass of the pharmaceutical composition, more preferably 0.8 to 50% by mass, and 1.6 to 40% by mass. It is particularly preferable to contain it.

  In addition, the content ratio of loxoprofen or a salt thereof and xanthine derivative contained in the pharmaceutical composition of the present invention may be determined by appropriate examination according to the daily dose of each component described above. Or it is preferable to contain 0.03-100 mass parts of xanthine derivatives with respect to 1 mass part of loxoprofen sodium anhydride conversion, and its salt contains 0.08-27 mass parts more preferably. It is more preferable to contain 2-10 mass parts.

In the present invention, the “isovaleryl urea derivative” means one or more selected from the group consisting of bromovalerylurea, allylisopropylacetylurea and salts thereof.
Of the above, bromvalerylurea is represented by the following formula:

It is a compound represented by these.
Allyl isopropyl acetyl urea is represented by the following formula:

It is a compound represented by these. These isovaleryl urea derivatives are all drugs that have a sedative action and are blended in antipyretic analgesics and the like (Non-patent Document 5). Since there are asymmetric carbons in isovaleryl urea derivatives, there are various optical isomers. In the present invention, any optical isomer may be included, and a single optical isomer may be used, or a mixture of various optical isomers. But you can.
In the present invention, the isovaleryl urea derivative is preferably allyl isopropyl acetyl urea or a salt thereof, particularly preferably allyl isopropyl acetyl urea, from the viewpoint of suppressing interaction.

  The content of the isovaleryl urea derivative in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriately examining according to the sex, age, symptoms, etc. of the user. For example, when the isovaleryl urea derivative is bromvaleryl urea or a salt thereof, 10 to 1000 mg, more preferably 30 to 800 mg, particularly preferably 60 to 600 mg of bromvaleryl urea can be taken per day. It can be shown. Further, when the isovaleryl urea derivative is allyl isopropyl acetyl urea or a salt thereof, 1 to 500 mg, more preferably 10 to 300 mg, particularly preferably 20 to 180 mg of allyl isopropyl acetyl urea is converted to free form per day. An amount that can be contained can be included.

  In this invention, it is preferable to contain 0.1-95 mass% of isovaleryl urea derivatives with respect to the pharmaceutical composition total mass. In particular, when the isovaleryl urea derivative is bromvaleryl urea or a salt thereof, it is preferable to contain 1 to 95% by mass of bromvaleryl urea in terms of free form, and preferably 4 to 90% by mass with respect to the total mass of the pharmaceutical composition. More preferably, it is particularly preferably 8 to 80% by mass. Further, when the isovaleryl urea derivative is allyl isopropyl acetyl urea or a salt thereof, it is preferable to contain 0.1 to 70% by mass of allyl isopropyl acetyl urea in terms of a free form with respect to the total mass of the pharmaceutical composition. More preferably, it is contained in an amount of 2 to 30% by mass.

  The content ratio of loxoprofen or a salt thereof and isovalerylurea derivative contained in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriately examining according to the inhibitory effect of the interaction between loxoprofen or a salt thereof and a xanthine derivative. However, from the viewpoint of inhibiting the interaction, when the isovaleryl urea derivative is bromvaleryl urea or a salt thereof, 1 part by mass of loxoprofen or a salt thereof in terms of loxoprofen sodium anhydride and bromvaleryl urea or a salt thereof in free form equivalent It is preferable to contain 0.03-100 mass parts, it is more preferable to contain 0.1-30 mass parts, and it is especially preferable to contain 0.3-10 mass parts. In addition, when the isovaleryl urea derivative is allyl isopropyl acetyl urea or a salt thereof, 1 part by mass of loxoprofen or a salt thereof in terms of anhydrous loxoprofen sodium, and 0.003 to 0.003 in terms of a free form of allyl isopropyl acetyl urea or a salt thereof. The content is preferably 50 parts by mass, more preferably 0.04 to 10 parts by mass, and particularly preferably 0.1 to 3 parts by mass.

  The content ratio of the xanthine derivative and the isovaleryl urea derivative contained in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriately examining according to the inhibitory effect of the interaction between loxoprofen or a salt thereof and the xanthine derivative. From the viewpoint of inhibiting interaction, when the isovaleryl urea derivative is bromovaleryl urea or a salt thereof, the xanthine derivative is contained in an amount of 0.01 to 100 parts by mass in terms of a free form with respect to 1 part by mass of the xanthine derivative. Is preferable, it is more preferable to contain 0.03-40 mass parts, and it is especially preferable to contain 0.1-20 mass parts. Further, when the isovaleryl urea derivative is allyl isopropyl acetyl urea or a salt thereof, one containing 0.001 to 50 parts by mass of allyl isopropyl acetyl urea or a salt thereof in terms of a free form is preferable with respect to 1 part by mass of the xanthine derivative. What contains 0.01-15 mass parts is more preferable, and what contains 0.03-6 mass parts is especially preferable.

The pharmaceutical composition of the present invention may further contain tranexamic acid or a salt thereof in addition to loxoprofen or a salt thereof, a xanthine derivative and an isovaleryl urea derivative.
As specifically disclosed in Test Example 2 below, it was found that tranexamic acid or a salt thereof has an action of suppressing an interaction between loxoprofen or a salt thereof and a xanthine derivative. Loxoprofen is a kind of NSAID, and as with other NSAIDs, gastrointestinal disorders (gastric mucosal irritation, ulceration, etc.) are problematic, but as specifically disclosed in Test Example 3 below, xanthine It has been found that a combination of a derivative and tranexamic acid or a salt thereof has an inhibitory action on gastrointestinal disorders caused by the loxoprofen or a salt thereof.

Therefore, in addition to loxoprofen or a salt thereof, xanthine derivative and isovalerylurea derivative, the pharmaceutical composition of the present invention further containing tranexamic acid or a salt thereof has an interaction between loxoprofen or a salt thereof and the xanthine derivative. It can be expected to be more suppressed and excellent in storage stability, and to be superior in safety because the gastrointestinal disorder caused by loxoprofen is suppressed.
In addition, in the pharmaceutical composition of the present invention of this aspect, since gastrointestinal disorders caused by loxoprofen are suppressed, patients with peptic ulcer that are contraindicated for administration in drugs containing loxoprofen, Pharmaceutical composition for administration to a patient with peptic ulcer and / or a patient with a history of peptic ulcer that can be safely taken even in patients with a history of peptic ulcer It can be expected to be used as

  In the present invention, “tranexamic acid or a salt thereof” includes tranexamic acid itself, a pharmaceutically acceptable salt of tranexamic acid, and a solvent of tranexamic acid or a pharmaceutically acceptable salt thereof, water, alcohol, and the like. Japanese products are also included. Tranexamic acid or its salts have antiplasmin, antiallergic, and antiinflammatory effects, and tend to be associated with increased systemic fibrinolysis, sore throat, redness, and hyperemia in diseases such as tonsillitis and sore throat -Known compounds (Non-Patent Documents 6 and 7) that are used for symptoms such as swelling and mouth pain in stomatitis, and also used for liver pigmentation, senile pigmentation, post-inflammation pigmentation, etc. In addition to the above, commercially available products can be used. In the present invention, tranexamic acid or a salt thereof is preferably tranexamic acid (chemical name: trans-4- (Aminomethyl) cyclohexanecarboxylic acid).

The content of tranexamic acid or a salt thereof in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriately examining according to the sex, age, symptoms, etc. of the user. For example, per day, tranexamic acid or a salt thereof can be contained in an amount that can be taken from 50 to 2000 mg, more preferably from 70 to 750 mg, particularly preferably from 400 to 750 mg in terms of free form of tranexamic acid.
In the present invention, tranexamic acid or a salt thereof is preferably contained in an amount of 1 to 90% by mass, more preferably 1 to 80% by mass, in terms of free form of tranexamic acid, based on the total mass of the pharmaceutical composition. It is more preferable to contain 1-75 mass%. Among these, it is preferable to contain 5-70 mass%, it is more preferable to contain 5-60 mass%, and it is especially preferable to contain 7-50 mass%.

  The content ratio of loxoprofen or a salt thereof and tranexamic acid or a salt thereof contained in the pharmaceutical composition of the present invention is not particularly limited, and is determined by appropriately examining according to the inhibitory effect of the interaction between loxoprofen or a salt thereof and a xanthine derivative. However, from the viewpoint of inhibition of interaction, loxoprofen or a salt thereof is 0.1 to 25 parts by mass in terms of a free form of tranexamic acid with respect to 1 part by mass in terms of loxoprofen sodium anhydride. It is preferably contained, more preferably 0.2 to 15 parts by mass, and particularly preferably 0.5 to 10 parts by mass.

  Further, the content ratio of the xanthine derivative and tranexamic acid or a salt thereof contained in the pharmaceutical composition of the present invention is not particularly limited, and is determined by appropriately examining according to the inhibitory effect of the interaction between loxoprofen or a salt thereof and the xanthine derivative. However, from the viewpoint of inhibiting the interaction, it is preferable to contain 0.05 to 200 parts by mass of tranexamic acid or a salt thereof in terms of free form of tranexamic acid with respect to 1 part by mass of the xanthine derivative. It is more preferable to contain -40 mass parts, and it is especially preferable to contain 0.5-25 mass parts.

  In addition to loxoprofen or a salt thereof, a xanthine derivative and an isovalerylurea derivative, the pharmaceutical composition of the present invention may further contain a basic compound having an acid neutralizing ability. As specifically disclosed in Test Example 4 below, it was found that a basic compound having acid neutralizing ability has an action of suppressing the interaction between loxoprofen or a salt thereof and a xanthine derivative. .

  Therefore, in addition to loxoprofen or a salt thereof, a xanthine derivative and an isovalerylurea derivative, the pharmaceutical composition of the present invention further comprising a basic compound having an acid neutralizing ability is provided between loxoprofen or a salt thereof and a xanthine derivative. This interaction can be further suppressed, and can be expected to be excellent in storage stability.

  In the present invention, the “basic compound having acid neutralizing ability” means a basic compound having acid neutralizing ability. Here, the “acid neutralizing ability” can be determined by conducting a test according to the antacid test method described in the Fifteenth Amendment Japanese Pharmacopoeia General Test Method.

  In the present invention, examples of the basic compound having an acid neutralizing ability include alkaline earth metals such as magnesium, aluminum and calcium and / or alkaline metal basic inorganic compounds such as magnesium and aluminum, and alkali metal basics such as sodium and potassium. Basic inorganic compounds such as inorganic compounds and amine basic inorganic compounds; alkaline earth metals such as magnesium, aluminum and calcium and / or earth metal basic organic compounds, alkali metal basic organic such as sodium and potassium Examples thereof include basic organic compounds such as compounds and amine basic organic compounds.

In the basic inorganic compound, examples of the alkaline earth metal and / or earth metal-based basic inorganic compound include magnesium silicate, magnesium aluminate silicate, magnesium aluminum silicate, magnesium oxide, magnesium hydroxide, and water. Coprecipitation product of magnesium oxide and potassium aluminum sulfate, magnesium carbonate, synthetic hydrotalcite, magnesium aluminate metasilicate, dry aluminum hydroxide gel, synthetic aluminum silicate, synthetic aluminum silicate, hydroxypropyl starch, crystalline cellulose, water Alumina magnesium oxide, aluminum hydroxide gel, aluminum hydroxide / sodium bicarbonate coprecipitation product, aluminum hydroxide / magnesium carbonate mixed dry gel, aluminum hydroxide / magnesium carbonate / carbonic acid Calcium coprecipitation product, bentonite, calcium silicate, calcium carbonate, precipitated calcium carbonate, calcium hydrogen phosphate, magnesium such as anhydrous calcium hydrogen phosphate, metal inorganic salts selected from aluminum and calcium and the like.
Examples of the alkali metal basic inorganic compound include dry sodium carbonate, sodium hydroxide, sodium hydrogen carbonate, sodium carbonate hydrate, tetrasodium pyrophosphate, trisodium phosphate, sodium hydrogen phosphate hydrate, Examples thereof include inorganic salts of metals selected from sodium and potassium such as anhydrous sodium pyrophosphate, anhydrous sodium monohydrogen phosphate, potassium hydroxide, potassium hydrogen carbonate, potassium carbonate and the like.

  In the present invention, the basic inorganic compound having acid neutralizing ability includes magnesium silicate, magnesium aluminate silicate, magnesium aluminum silicate, magnesium oxide, magnesium hydroxide, magnesium hydroxide / potassium aluminum sulfate , Magnesium carbonate, Synthetic hydrotalcite, Magnesium aluminate metasilicate, Dry aluminum hydroxide gel, Synthetic aluminum silicate, Synthetic aluminum silicate, Hydroxypropyl starch, Crystalline cellulose, Magnesium aluminate hydroxide, Aluminum hydroxide gel, Water Aluminum oxide / sodium bicarbonate coprecipitation product, aluminum hydroxide / magnesium carbonate mixed dry gel, aluminum hydroxide / magnesium carbonate / calcium carbonate coprecipitation product, bentonite, silicic acid Calcium, calcium carbonate, precipitated calcium carbonate, calcium hydrogen phosphate, calcium hydrogen phosphate anhydrous, sodium bicarbonate is preferred.

In the basic organic compound, examples of the alkaline earth metal and / or earth metal-based basic organic compound include aldioxa, dihydroxyaluminum aminoacetate, sucralfate hydrate, calcium pantothenate, and the like.
Examples of the alkali metal basic organic compound include sodium citrate hydrate, disodium succinate hexahydrate, DL-sodium tartrate, sodium L-tartrate, copper chlorophyllin sodium, sodium polyacrylate, 5 Examples include '-ribonucleotide disodium, copper chlorophyllin potassium and the like.
Examples of the amine basic organic compound include aminoacetic acid, L-arginine, meglumine and the like.

  In the present invention, as the basic organic compound having acid neutralizing ability, aldioxa, dihydroxyaluminum aminoacetate and sucralfate hydrate are preferable.

  In the present invention, as the basic compound, a crude drug containing a basic compound such as bandit bone, stone decision, or oyster (oyster) may be used.

In the present invention, preferred specific examples of the basic compound having acid neutralizing ability include magnesium aluminate silicate, magnesium silicate, magnesium aluminum silicate, magnesium oxide, magnesium hydroxide, precipitated calcium carbonate, anhydrous phosphorus 1 or more types selected from the group consisting of calcium oxyhydrogen and magnesium aluminate metasilicate are mentioned, and particularly preferably, in terms of interaction suppression, magnesium aluminate silicate, magnesium silicate, magnesium oxide, magnesium hydroxide, One or more selected from the group consisting of precipitated calcium carbonate, anhydrous calcium hydrogen phosphate, and magnesium aluminate metasilicate can be mentioned.
In addition, the said basic compound may be individual and may combine 2 or more types. These are known compounds, and can be produced by known methods, or commercially available products can be used.

  Moreover, as a basic compound which has the said acid neutralization ability, what can be used as an antacid is mentioned as a preferable specific example. Specific examples of basic compounds having acid neutralizing ability that can be used as antacids include aminoacetic acid, magnesium aluminate silicate, magnesium silicate, synthetic aluminum silicate, synthetic hydrotalcite, and magnesium oxide. , Dihydroxyaluminum aminoacetate, magnesium hydroxide hydroxide, aluminum hydroxide gel, dry aluminum hydroxide gel, aluminum hydroxide / magnesium carbonate mixed dry gel, aluminum hydroxide / sodium bicarbonate coprecipitation product, aluminum hydroxide / carbonate Coprecipitation product of calcium / magnesium carbonate, magnesium hydroxide, coprecipitation product of magnesium hydroxide / potassium aluminum sulfate, magnesium carbonate, sodium hydrogen carbonate, precipitated calcium carbonate, magnesium aluminate metasilicate, Water calcium hydrogen phosphate, calcium hydrogen phosphate, cuttlefish bone, stone Ke'Akira, Borei like. Antacids are broadly classified into absorbent antacids and local antacids due to their properties. In the present invention, local antacids are preferred from the viewpoint of preventing alkalosis.

  The content of the basic compound having acid neutralizing ability in the pharmaceutical composition of the present invention is not particularly limited, and may be determined by appropriate examination. For example, the amount taken from 1 to 20000 mg per day is preferred, the amount taken from 10 to 10000 mg is more preferred, and the amount taken from 20 to 5000 mg is particularly preferred. In this invention, it is preferable to contain 0.04-99.9 mass% of basic compounds which have acid neutralization ability with respect to the pharmaceutical composition total mass, and 0.4-99.9 mass% is contained. Is more preferable, and containing 0.8 to 99.9% by mass is particularly preferable.

In addition, when using an aldioxa as a basic compound which has acid neutralization ability, the quantity taken | dosed 10-800 mg per day is preferable, and the quantity taken | dosed 30-400 mg is more preferable.
When using bandit bones, the amount taken from 10 to 6000 mg per day is preferred, and the amount taken from 30 to 3000 mg is more preferred.
When using dry aluminum hydroxide gel, the quantity taken | dosed 10-6000 mg per day is preferable, and the quantity taken | dosed 30-3000 mg is more preferable.
When using magnesium aluminate silicate, the quantity taken | dosed 10-8000 mg per day is preferable, and the quantity taken | dosed 30-4000 mg is more preferable.
When using calcium silicate, the quantity taken | dosed 1-600 mg per day is preferable, and the quantity taken | dosed 30-300 mg is more preferable.
When using magnesium silicate, the quantity taken | dosed 10-12000 mg per day is preferable, and the quantity taken | dosed 30-6000 mg is more preferable.
When using magnesium aluminum silicate, the quantity taken | dosed 1-500 mg per day is preferable, and the quantity taken | dosed 20-225 mg is more preferable.
When using synthetic aluminum silicate, the quantity taken | dosed 10-20000 mg per day is preferable, and the quantity taken | dosed 30-10000 mg is more preferable.
When using synthetic aluminum silicate / hydroxypropyl starch / crystalline cellulose, the amount taken from 10 to 3500 mg per day is preferred, and the amount taken from 30 to 1800 mg is more preferred.

When using a synthetic hydrotalcite, the quantity taken | dosed 10-8000 mg per day is preferable, and the quantity taken | dosed 30-4000 mg is more preferable.
When using magnesium oxide, the quantity taken | dosed 10-2000 mg per day is preferable, and the quantity taken | dosed 30-1000 mg is more preferable.
When dihydroxyaluminum aminoacetate is used, the amount taken from 10 to 6000 mg per day is preferred, and the amount taken from 30 to 3000 mg is more preferred.
When using an alumina magnesium hydroxide, the quantity taken | dosed 10-8000 mg per day is preferable, and the quantity taken | dosed 30-4000 mg is more preferable.
When using aluminum hydroxide gel, the quantity taken | dosed 10-6000 mg per day in conversion of dry aluminum hydroxide gel is preferable, and the quantity taken | dosed 30-3000 mg is more preferable.
When using an aluminum hydroxide / sodium hydrogen carbonate coprecipitation product, the amount taken is preferably 10 to 4000 mg per day, and more preferably 30 to 2000 mg.
When using an aluminum hydroxide / magnesium carbonate mixed dry gel, the amount taken from 10 to 6000 mg per day is preferred, and the amount taken from 30 to 3000 mg is more preferred.
When using an aluminum hydroxide / magnesium carbonate / calcium carbonate coprecipitation product, an amount taken at 10 to 8000 mg per day is preferable, and an amount taken at 30 to 4000 mg is more preferable.
When using magnesium hydroxide, the quantity taken | dosed 10-5000 mg per day is preferable, and the quantity taken | dosed 30-2400 mg is more preferable.
When the coprecipitation product of magnesium hydroxide and potassium aluminum sulfate is used, the amount to be taken is preferably 10 to 4000 mg per day, and more preferably 30 to 2000 mg.

When using sucralfate hydrate, the quantity taken | dosed 10-6500 mg per day is preferable, and the quantity taken | dosed 30-3250 mg is more preferable.
When using stone decision, the quantity taken | dosed 10-6000 mg per day is preferable, and the quantity taken | dosed 30-3000 mg is more preferable.
When using sodium hydrogencarbonate, the quantity taken | dosed 10-10000 mg per day is preferable, and the quantity taken | dosed 30-5000 mg is more preferable.
When using calcium carbonate, the quantity taken | dosed 10-1500 mg per day is preferable, and the quantity taken | dosed 30-700 mg is more preferable.
When using magnesium carbonate, the quantity taken | dosed 10-4000 mg per day is preferable, and the quantity taken | dosed 30-2000 mg is more preferable.
When using precipitated calcium carbonate, the amount taken 10 to 6000 mg per day is preferred, and the amount taken 30 to 3000 mg is more preferred.
When using bentonite, the quantity taken | dosed 1-200 mg per day is preferable, and the quantity taken | dosed 10-100 mg is more preferable.
When using oysters (oysters), the amount taken from 10 to 6000 mg per day is preferred, and the amount taken from 30 to 3000 mg is more preferred.

When using anhydrous calcium hydrogen phosphate, the amount taken 10 to 5000 mg per day is preferable, and the amount taken 30 to 2400 mg is more preferable.
When using magnesium aluminate metasilicate, the quantity taken | dosed 10-8000 mg per day is preferable, and the quantity taken | dosed 30-4000 mg is more preferable.
When using calcium hydrogen phosphate, the amount taken from 10 to 9000 mg per day is preferred, and the amount taken from 30 to 4500 mg is more preferred.

  The content ratio of loxoprofen or a salt thereof contained in the pharmaceutical composition of the present invention and the basic compound having acid neutralizing ability is not particularly limited, and is appropriately examined according to the inhibitory effect of the interaction between loxoprofen and the xanthine derivative. Although it may be determined, from the viewpoint of interaction suppression, loxoprofen or a salt thereof is contained in an amount of 0.003 to 2000 parts by mass of a basic compound having an acid neutralizing ability with respect to 1 part by mass in terms of anhydrous loxoprofen sodium. It is preferable to contain 0.01-100 mass parts, and it is especially preferable to contain 0.02-30 mass parts.

  Moreover, the content ratio of the xanthine derivative contained in the pharmaceutical composition of the present invention and the basic compound having acid neutralizing ability is not particularly limited, depending on the effect of suppressing the interaction between loxoprofen or a salt thereof and the xanthine derivative. However, from the viewpoint of suppressing the interaction, it is preferable to contain 0.001 to 2000 parts by mass of a basic compound having an acid neutralizing ability with respect to 1 part by mass of the xanthine derivative. It is more preferable to contain 0.01-500 mass parts, and it is especially preferable to contain 0.03-200 mass parts.

  In addition to loxoprofen or a salt thereof, a xanthine derivative and an isovaleryl urea derivative, the pharmaceutical composition of the present invention may further contain tranexamic acid or a salt thereof and a basic compound having an acid neutralizing ability. In the pharmaceutical composition, the interaction between loxoprofen or a salt thereof and a xanthine derivative is further suppressed and the storage stability is excellent, and the gastrointestinal disorder caused by loxoprofen is suppressed and the safety is excellent. Use as a pharmaceutical composition for administration to an affected person and / or a person with a history of peptic ulcer can be expected.

The pharmaceutical composition of the present invention can be produced by, for example, a known method described in the 15th revised Japanese Pharmacopoeia General Rules for Preparations. The dosage form is not particularly limited, and may be any of solid, semi-solid, and liquid shapes, and may be a shape usually used in pharmaceuticals depending on the purpose of use and the like. it can. Specifically, for example, tablets (including chewable tablets, effervescent tablets, orally disintegrating tablets), troches, drops, hard capsules, soft capsules, granules, fine granules, powders, pills, dry syrup Solid preparations such as suppositories, suppositories, poultices, plasters; lozenges, chewing gums, jelly agents, jelly drops, whipped agents, ointments, creams, foams, inhalers, nazar gels, etc. Semi-solid preparations; syrups, drinks, suspensions, spirits, liquids, eye drops, aerosols, sprays, sprays, and other liquid preparations, etc. It can be made into a dosage form.
In the present invention, it is preferably a solid preparation from the viewpoint of ease of administration and management of drug dosage, and is selected from the group consisting of tablets, capsules, pills, granules, powders and fine granules. A solid preparation is more preferable, and a tablet or capsule is particularly preferable.

  In the case where the pharmaceutical composition of the present invention is a solid preparation, in terms of interaction inhibition, loxoprofen or a salt thereof and a xanthine derivative in the solid preparation are contained so as not to substantially contact each other, and manufactured and formulated. Those are more preferred. The preparations prepared so as to be substantially in contact with each other can be easily understood by general pharmaceutical technology researchers, using appropriate formulation additives based on known methods. Can be manufactured and formulated. Specifically, as the form of the solid preparation, the following (a) to (f) can be exemplified, and these can be produced and formulated by a known method.

(I) One of loxoprofen or a salt thereof and a xanthine derivative is granulated by an appropriate method to form a granular material, and the other is not granulated, and the powder, granules, etc. A preparation in which the granular material is further coated by an appropriate method. In addition, the isovaleryl urea derivative used by this invention may be contained in a granular material, and may be contained separately from a granular material.
(B) Loxoprofen or a salt thereof and a xanthine derivative are separately granulated by an appropriate method to form granules, and powders and granules produced by containing these, and the granules are further processed by an appropriate method. Coated formulation. In addition, the isovaleryl urea derivative used in the present invention may be contained in any one of the granular materials, may be contained in both granular materials, or may be contained separately from these granular materials. Also good.
(C) A capsule filled with the powder or granule prepared in (i) or (b) above.
(D) Tablets obtained by tableting the granular material produced in (b) or (b) above.
(E) A multilayer tablet prepared so that loxoprofen or a salt thereof and a xanthine derivative do not contact each other, and a preparation in which the multilayer tablet is further coated by an appropriate method. The multi-layer tablet is preferably one in which loxoprofen or a salt thereof and xanthine derivative are positioned in different layers, and as a multi-layer tablet having three or more layers, a layer containing loxoprofen or a salt thereof and a layer containing xanthine derivative are mutually What was located so that it may not contact | connect is more preferable. In addition, as the loxoprofen or a salt thereof and the xanthine derivative, the granular material produced in the above (i) or (b) can be used. In the multilayer tablet, the isovaleryl urea derivative may be located in either the layer containing loxoprofen or a salt thereof or the layer containing the xanthine derivative, or may be located separately in both layers. Furthermore, you may locate in the intermediate | middle layer of either layer.
(F) A dry-coated tablet in which either one of loxoprofen or a salt thereof and a xanthine derivative is arranged in a nuclear tablet, and a preparation in which the dry-coated tablet is further coated by an appropriate method. In addition, as the loxoprofen or a salt thereof and the xanthine derivative, the granular material produced in the above (i) or (b) can be used. In the dry-coated tablet, the isovaleryl urea derivative may be located in the core tablet, may be located in the outer shell, or may be separately located in either the core tablet or the outer shell.
The above-mentioned solid preparation may be coated with sugar coating, film coating or the like by a known method.

  Examples of the route of administration of the pharmaceutical composition of the present invention include oral and parenteral such as transrectal and vaginal. In the present invention, an oral administration preparation is preferred. In addition, the pharmaceutical composition of the present invention can be taken about 1 to 4 times per day before meals, between meals, after meals, before going to bed.

  The pharmaceutical composition of the present invention contains, as a pharmaceutical ingredient, a drug other than loxoprofen or a salt thereof, a xanthine derivative, an isovaleryl urea derivative, tranexamic acid or a salt thereof, and a basic compound having acid neutralizing ability, such as an antipyretic analgesic. One or more selected from the group consisting of antihistamines, antitussives, noscapines, bronchodilators, expectorants, vitamins, anti-inflammatory agents, gastric mucosal protective agents, anticholinergics, herbal medicines, herbal medicines, etc. It may be included. These components are preferably blended in the solid preparation.

  Examples of antipyretic analgesics include aspirin, aspirin aluminum, acetaminophen, isopropylantipyrine, ibuprofen, ethenzamide, sazapyrine, salicylamide, sodium salicylate, thiaramide hydrochloride, lactylphenetidine, and the like.

  Antihistamines include, for example, azelastine hydrochloride, alimemazine tartrate, istipendil hydrochloride, iproheptin hydrochloride, ebastine, epinastine hydrochloride, emedastine fumarate, oxatomide, olopatadine hydrochloride, carbinoxamine diphenyldisulfonate, carbibi Noxamine maleate, d-chlorpheniramine maleate, dl-chlorpheniramine maleate, ketotifen fumarate, difeterol hydrochloride, difeterol phosphate, diphenylpyraline hydrochloride, diphenylpyralineteocric acid Salt, diphenhydramine hydrochloride, diphenhydramine salicylate, diphenhydramine tannate, cyproheptadine hydrochloride hydrate, cetirizine hydrochloride, triprolidine hydrochloride, tripelenamine hydrochloride, Dilamine hydrochloride, fexofenadine, phenetadine hydrochloride, promethazine hydrochloride, promethazine methylene disalicylate, bepotastine besylate, homochlorcyclidine hydrochloride, mequitazine, methodirazine hydrochloride, mebhydroline napadisilate , Loratadine and the like.

  Antitussives include, for example, aloclamide hydrochloride, eprazinone hydrochloride, carbetapentane enoate, cloperastine hydrochloride, cloperastine phendizoate, codeine, codeine phosphate hydrate, dihydrocodeine, dihydrocodeine phosphate, dibub Examples thereof include sodium sodium, dimemorphan phosphate, tipepidine citrate, tipepidine hibenzate, dextromethorphan, dextromethorphan hydrobromide hydrate, dextromethorphan phenolphthalein salt and the like.

Examples of noscapine include noscapine hydrochloride and noscapine.
Examples of bronchodilators include trimethquinol hydrochloride, phenylpropanolamine hydrochloride, phenylephrine hydrochloride, pseudoephedrine hydrochloride, pseudoephedrine sulfate, 1-methylephedrine hydrochloride, dl-methylephedrine hydrochloride, l-methylephedrine. Saccharin salt, dl-methylephedrine saccharin salt, methoxyphenamine hydrochloride and the like can be mentioned.

  As an expectorant, for example, ambroxol hydrochloride, ammonia fennel, ethylcysteine hydrochloride, ammonium chloride, carbocysteine, guaifenesin, potassium guaiacolsulfonate, potassium cresolsulfonate, bromhexine hydrochloride, methylcysteine hydrochloride, Examples thereof include l-menthol and lysozyme hydrochloride.

Vitamins include vitamin B ₁ , vitamin B ₂ , vitamin B ₅ , vitamin B ₆ , vitamin B ₁₂ , vitamin C, hesperidin and derivatives thereof, and salts thereof (for example, thiamine, thiamine chloride hydrochloride, thiamine nitrification) , Dicetiamine hydrochloride, cetothiamine hydrochloride, fursultiamine, fursultiamine hydrochloride, octothiamine, chicotiamine, thiamine disulfide, bisbutiamine, bisbenchamine, prosultiamine, benfotiamine, riboflavin, riboflavin phosphate Riboflavin butyrate, sodium riboflavin phosphate, pyridoxine hydrochloride, pyridoxal phosphate, cyanocobalamin, mecobalamin, ascorbic acid, sodium ascorbate, calcium ascorbate, hesper Lysine and the like).

  Examples of anti-inflammatory agents include glycyrrhizic acid and derivatives thereof and salts thereof (for example, dipotassium glycyrrhizinate, monoammonium glycyrrhizinate), seaprose, semi-alkaline proteinase, serrapeptase, proctase, pronase, bromelain and the like.

  Examples of the gastric mucosa protective agent include gefarnate, cetraxate hydrochloride, sofalcone, teprenone, methylmethionine sulfonium chloride and the like.

  Anticholinergic drugs include oxyphencyclimine hydrochloride, dicyclomine hydrochloride, methixene hydrochloride, scopolamine hydrobromide, datsura extract, tipidium bromide, methyl atropine bromide, methyl anisotropin bromide, methyl scopolamine bromide, methyl-1- Hyoscyamine bromide, methylbenactidium bromide, pirenzepine hydrochloride, butyl scopolamine bromide, belladonna alkaloid, belladonna extract, belladonna total alkaloid, iodide isopropamide, iodide diphenylpiperidinomethyldioxolane, funnel extract, funnel root, funnel root total Examples include alkaloid citrate.

  Herbal medicines include Akamegashiwa (red buds), Asenyaku (Asen Yaku), Inyo-kaku (Ryokan), Fennel (Yongxiang), Engosaku (Yancho), Ogon (Yellow), Ousei (Yellow), Oubak (Yellow), Spruce (Cherry bark), auren (yellow ream), onji (distant), gadgets (garbage), valerian grass (kashikoshi), chamomile, caronin (karojin), kyokyo (kikyo), kyonin (kyojin), kokushi (枸杞) Child), Kukoyo (Kashiwaha), Keigai (Kashiwa), Keihi (Katsuhashi), Ketsumeishi (Kemeko), Gentiana, Gennoshouko (current evidence), Koubushi (Katsukiko), Gooh (oxen yellow), Goshi (Gomiko), Saishin ( Spicy, Salamander, Zion, Zipoppi, Peonies, Shako, Shajin, Shazenshi, Shazenso, Car Grass), animal gall (including yutan (bear gall)), gyoza (ginger), giraffe (earth dragon), shin ii (spicy potato), sexan (stone urn), senega, senkyu (river cucumber), zenko (maehu) ), Sembli (Senri), Sojutsu (蒼朮), Sohakuhi (mulberry bark), Soyo (Soba), Taisan (Daegu), Chiksetsu carrot (Bamboo ginseng), Clove (clove), Chimpi (Chen), Toki ( Toko (Togyo), Nantenjitsu (Nan Tenji), Carrot (Ginseng), Baimo (Scarlet mother), Bacmondou (Wheat Gate Winter), Hange (Halfsummer), Bankouka (Banka Flower), Hampi (Antinas) ), Peony (white bean), peanut (white cocoon), bukuryo (pepper), button pi (peony skin), mao (mao), rokjo (deer moth), and their extracts (extract, tincture, dried extract, etc.) Etc.

  Chinese herbal prescriptions include Kakonto (Kakkonto), Keishito (Katsurayu), Kousosan (Kososan), Psychokeito (Saiko Keitou), Shosai Koto (Koshisaikoyu), Shosei Ryuto (Sho Seiryuto) ), Bakumondou (Bakumon Fuyuto), Hangekoubokuto (Hankatsu Kobokuto), Maoutou (Maoyuto) and the like.

In addition, as a pharmaceutical composition of this invention, things other than the following (a)-(d) are preferable.
(A) A hard capsule obtained by filling the following prescription hard gelatin capsule with the following formulation per capsule.
Loxoprofen sodium dihydrate 60 mg (converted as an anhydride), anhydrous caffeine 80 mg, allylisopropylacetylurea 60 mg, magnesium stearate 7 mg, microcrystalline cellulose 60 mg, starch 70 mg, lactose 13 mg.
(B) A tablet containing the following ingredients per tablet.
Loxoprofen sodium dihydrate 60 mg (converted as an anhydride), anhydrous caffeine 80 mg, allylisopropylacetylurea 60 mg, magnesium stearate 7 mg, microcrystalline cellulose 60 mg, starch 70 mg, lactose 13 mg.
(C) A tablet containing the following ingredients per tablet.
Loxoprofen sodium dihydrate 45 mg (converted as an anhydride), allylisopropylacetylurea 60 mg, acetaminophen 125 mg, anhydrous caffeine 80 mg, magnesium stearate 8 mg, microcrystalline cellulose 32 mg, starch 80 mg.
(D) A tablet containing the following ingredients per tablet.
Loxoprofen sodium dihydrate 45 mg (converted as an anhydride), etenzaamide 125 mg, allylisopropylacetylurea 60 mg, anhydrous caffeine 80 mg, magnesium stearate 8 mg, microcrystalline cellulose 32 mg, starch 80 mg.

  The pharmaceutical composition of the present invention may be further stored in the presence of a desiccant from the viewpoint of interaction inhibition. Hereinafter, what contains the pharmaceutical composition and desiccant of this invention in a container may be called "pharmaceutical formulation" of this invention.

  In the pharmaceutical preparation of the present invention, the desiccant is not particularly limited. Of course, the shape is not limited, for example, a plate-shaped or bag-shaped sheet type, a cylindrical shape (tablet type), etc., and a cylindrical shape with paper wrapping or film coating. But you can.

  Specific examples of the desiccant include silica gel, silica alumina gel (allophane), natural zeolite, synthetic zeolite (molecular sieve), calcium chloride, quicklime (calcium oxide), bentonite clay (montmorillonite), magnesium chloride, magnesium oxide. Etc., and a mixture of these and activated carbon may be used. Among these, one or more selected from the group consisting of silica gel, silica alumina gel (allophane), synthetic zeolite (molecular sieve), and calcium chloride is more preferable.

  Commercially available products can be used as the desiccant. Examples of commercially available products include Shiblet, MS-Tablet, MS-Serum W, Tokai Gel, Decikait 25, Alp Sheet, Yamanishi Pharmaceutical Co., Ltd., manufactured by Tokai Chemical Industry Co., Ltd. Dryan (registered trademark) packaged product, Dryan (registered trademark) tablet, Dryan (registered trademark) sheet, Sekawa, Allosheet, Zeosheet manufactured by Shinagawa Kasei Co., Ltd., OZO manufactured by OZO Chemical Engineering Co., Ltd. An ID sheet made by the company ID, an ID packing desiccant, etc.

In the pharmaceutical preparation of the present invention, the content of the desiccant may be appropriately determined and determined, but is preferably 0.05 to 35 parts by weight, and 0.15 to 17 parts by weight with respect to 1 part by weight of loxoprofen or a salt thereof. Part is more preferred.
Moreover, 0.001-1 mass part is preferable with respect to 1 mass part of pharmaceutical composition of this invention, and 0.004-0.4 mass part is more preferable.

  The container used for the pharmaceutical preparation of the present invention is not particularly limited as long as it can be used as a container for foods, supplements, pharmaceuticals, health foods, and the like, but any of a fixed container and an amorphous container can be used and sealed. What is possible is preferred. Examples of the fixed container include bottles, cans, and boxes. Examples of the amorphous container include bags (pillow packaging, stick packaging, PTP packaging, SP packaging, etc.) and the like. Of these containers, specifically, bottles and bags are preferable.

The forming member of the container is not particularly limited, and examples thereof include paper, glass, a resin or a resin film, or a member such as a metal or a metal film, and a composite structure or a multilayer structure in which these members are appropriately combined. It may be a thing. Moreover, it is preferable that moisture permeation prevention processing is performed about the member which has moisture permeability, such as paper.
The container may be transparent, translucent, or opaque.

  The method for storing the pharmaceutical composition and the desiccant of the present invention in a container is not particularly limited, and both can be achieved by arranging them by appropriate means such as charging into the container.

  For example, when the container is a bottle, the desiccant (preferably, a columnar shape (tablet shape)) is placed in the bottle, or stored in the back side (inner cap) of the bottle lid, and stored in the container. This can be achieved by storing the pharmaceutical composition in a bottle or the like. When stored in a bottle, the pharmaceutical composition of the present invention is preferably a solid preparation.

  Further, when the container is a bag, it can be achieved by storing the desiccant (preferably, a plate-like or bag-like sheet type) and the pharmaceutical composition of the present invention in the bag. When stored in the bag, the pharmaceutical composition of the present invention is preferably a solid preparation.

  Further, the pharmaceutical composition of the present invention may be once packaged by SP packaging, PTP packaging or a bag, and then the packaged pharmaceutical composition and desiccant may be enclosed in a bag. More specifically, the form which carries out pillow packaging, combining the pharmaceutical composition which carried out SP packaging or PTP packaging, and a plate-shaped or bag-shaped sheet type desiccant etc. is mentioned. Further, the pillow packaging form may be stored in a box or the like. When the pharmaceutical composition is once packaged by SP packaging, PTP packaging or a bag, the pharmaceutical composition of the present invention is preferably a solid preparation.

  Since the pharmaceutical composition of the present invention contains loxoprofen, which is a kind of NSAID, or a salt thereof, headache, toothache, post-extraction pain, sore throat, ear pain, joint pain, neuralgia, low back pain, muscle pain, stiff shoulder pain・ Bruise pain, fracture pain, sprain pain, menstrual pain (menstrual pain), pain relief, chills, antipyretic fever, cold symptoms (throat pain, chills, fever, headache, joint pain, muscles It is useful as a general cold medicine (cold medicine), antipyretic analgesic, and the like.

EXAMPLES The present invention will be described in detail below with reference to examples, but the present invention is not limited to these examples.
[Test Example 1] Examination of interaction between loxoprofen or a salt thereof and xanthine derivative Samples 1-A to 1-C shown below were each prepared and stored at 40 ° C. and 75% RH for 19 days. The state of the mixture in the sample after 2 days, 6 days and 19 days was evaluated to confirm the presence or absence of interaction. The results are shown in Table 1.

[Sample 1-A]
Loxoprofen sodium hydrate (Daiwa Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen Sodium Hydrate) 204.3 mg and anhydrous caffeine (Shizuoka Caffeine Industry: trade name: anhydrous caffeine) 250 mg were mixed to obtain a mixture. This was put in a glass bottle (3K standard bottle) to obtain Sample 1-A.
[Sample 1-B]
Loxoprofen sodium hydrate (manufactured by Yamato Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen sodium hydrate) 204.3 mg, anhydrous caffeine (manufactured by Shizuoka Caffeine Industry: trade name: anhydrous caffeine) 250 mg, and allylisopropylacetylurea ( Kongo Chemical Co., Ltd .: Trade name Arippronal “Congo”) 180 mg was mixed to obtain a mixture, which was put into a glass bottle (3K standard bottle) to obtain Sample 1-B.
[Sample 1-C]
Loxoprofen sodium hydrate (manufactured by Yamato Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen sodium hydrate) 204.3 mg, anhydrous caffeine (manufactured by Shizuoka Caffeine Industry: trade name: anhydrous caffeine) 250 mg, and allylisopropylacetylurea ( Kongo Chemical Co., Ltd .: Trade name Aripronal “Congo”) 180 mg was mixed to obtain a mixture, and this was combined with 1 g of synthetic zeolite (product name: MS-W1506) as a desiccant and a glass bottle (3K standard bottle) To obtain Sample 1-C.

From the test results shown in Table 1, it was found that in a mixture in which only loxoprofen sodium hydrate and anhydrous caffeine were mixed, an interaction occurred and the mixture solidified over time (1-A).
On the other hand, in the mixture of loxoprofen sodium hydrate and anhydrous caffeine added with allylisopropylacetylurea, it was found that the white powder state was maintained after storage for 19 days, just after the start of storage. (1-B, 1-C).
From the above test results, it was revealed that the isovaleryl urea derivative has an action of suppressing the interaction between loxoprofen or a salt thereof and the xanthine derivative.

[Test Example 2] Examination of interaction between loxoprofen or a salt thereof and a xanthine derivative Part 2
Samples 2-A to 2-C shown below were each prepared and stored at 40 ° C. and 75% RH for 1 week, and the state of the mixture in the sample immediately after the start of storage, 1 day, 3 days, and 1 week was evaluated. The presence or absence of interaction was confirmed. The results are shown in Table 2.

[Sample 2-A]
Loxoprofen sodium hydrate (Daiwa Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen Sodium Hydrate) 204.3 mg and anhydrous caffeine (Shizuoka Caffeine Industry: trade name: anhydrous caffeine) 250 mg were mixed to obtain a mixture. This was put into a glass bottle (3K standard bottle) to obtain Sample 2-A.
[Sample 2-B]
Loxoprofen sodium hydrate (Daiwa Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen Sodium Hydrate) 204.3 mg, anhydrous caffeine (Shizuoka Caffeine Industry: trade name: anhydrous caffeine) 250 mg and tranexamic acid (Daiichi 750 mg of Sankyo Propharma Co., Ltd. (trade name: Japanese Pharmacopoeia Tranexamic acid) was mixed to obtain a mixture, which was put in a glass bottle (3K standard bottle) to obtain Sample 2-B.
[Sample 2-C]
Loxoprofen sodium hydrate (Daiwa Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen Sodium Hydrate) 204.3 mg, anhydrous caffeine (Shizuoka Caffeine Industry: trade name: anhydrous caffeine) 250 mg and tranexamic acid (Daiichi Sankyo Propharma Co., Ltd .: trade name: 750 mg of Japanese Pharmacopoeia Tranexamic acid) is mixed to obtain a mixture, and this is combined with 1 g of synthetic zeolite (product name: MS-W1506) as a desiccant and a glass bottle (3K standard) In a bottle) to obtain Sample 2-C.

From the test results shown in Table 2, it was found that in a mixture in which only loxoprofen sodium hydrate and anhydrous caffeine were mixed, an interaction occurred and the mixture solidified over time (2-A).
On the other hand, in the mixture of loxoprofen sodium hydrate and anhydrous caffeine and further added tranexamic acid, it was found that the state of white powder was maintained even after storage for 1 week, just after the start of storage ( 2-B, 2-C).
From the above test results, it was revealed that tranexamic acid or a salt thereof has an action of suppressing the interaction between loxoprofen or a salt thereof and a xanthine derivative.

[Test Example 3] Examination of inhibitory action of loxoprofen-induced gastrointestinal disorder by combination of xanthine derivative and tranexamic acid Examination example 3-1 Examination of inhibitory action of loxoprofen-induced gastrointestinal disorder by tranexamic acid Wistar rats (Std: Wistar / ST, male, 8 weeks old), and the test drug administration group and the control group were each tested as 6 animals per group. Rats were fasted at least 16 hours before the start of the study. Water intake was free up to 1 hour before the start of the test, and then water was stopped.
As a test drug, tranexamic acid (TXA) was suspended in a 0.5% methylcellulose (MC) solution and orally administered in predetermined amounts (100, 400 mg / 5 mL / kg body weight). In the control group, only the solvent (0.5% MC solution) was orally administered in the same volume (5 mL / kg body weight).
One hour after administration of the test drug or solvent, loxoprofen sodium hydrate 100 mg / 2 mL physiological saline / kg body weight was orally administered to induce gastric mucosal damage. Five hours after administration of loxoprofen sodium hydrate, the rats were euthanized by cervical dislocation, the cardia was ligated, and the stomach was removed. After injecting 10 mL of 1% formalin solution into the stomach from the pyloric region and ligating the pyloric region, the entire stomach was immersed in the formalin solution for about 20 minutes and fixed lightly.

  Evaluation of gastric mucosal damage was carried out by measuring the length (mm) of individual lesions (erosion) that occurred in the glandular stomach area under a stereomicroscope after incising the stomach along the large fistula. The total length of damage per animal was taken as the ulcer index (UI), and the ulcer index (mean ± standard error) was calculated for each group administered with the test drug and the control group. Moreover, according to the following formula | equation, when the average value of the ulcer index | exponent of a control group was set to 100%, the ulcer suppression rate (%) by the test drug was computed. The results are shown in Table 3.

Ulcer inhibition rate (%) = (average value of ulcer index in control group−average value of ulcer index in test drug administration group) / average value of ulcer index in control group × 100

Test Example 3-2 Examination of Loxoprofen-Induced Gastrointestinal Disorder Inhibitory Effect by Combination of Anhydrous Caffeine and Tranexamic Acid As test drugs, tranexamic acid (TXA) and anhydrous caffeine (Caf) were added with 0.5% methylcellulose (Caf) MC) The test was carried out in the same manner as in Test Example 3-1, using a suspension in a solution and orally administering a predetermined amount ((TXA 400 mg + Caf 100 mg) / 5 mL / kg body weight). The results are shown in Table 4.

From the test results of Tables 3 to 4, 45.9% of ulcer inhibitory effects were observed for loxoprofen-induced gastrointestinal tract disorders when tranexamic acid was administered alone (400 mg / kg).
On the other hand, the combination of tranexamic acid and anhydrous caffeine (400 mg / kg + 100 mg / kg) showed an ulcer suppressing action of 72.9%.

  From the above test results, it was revealed that the combination of a xanthine derivative and tranexamic acid has an excellent inhibitory action against gastrointestinal disorders caused by loxoprofen.

[Test Example 4] Examination of interaction between loxoprofen or a salt thereof and a xanthine derivative Part 3
After preparing each of the mixtures 4-A to 4-F shown below, they were put in a glass bottle (3K standard bottle) and stored at 60 ° C. for 1 week, immediately after the start of storage, 1 day, 3 days and 1 week later. Evaluation was made to confirm the presence or absence of interaction. The results are shown in Table 5.

[Mixture 4-A]
Loxoprofen sodium hydrate (Daiwa Pharmaceutical Co., Ltd .: trade name: Japanese Pharmacopoeia Loxoprofen sodium hydrate) 202.6 mg and sodium benzoate caffeine (Shizuoka caffeine: trade name: sodium benzoate caffeine) 297.4 mg are mixed. As a result, a mixture 4-A was obtained.
[Mixture 4-B]
Loxoprofen sodium hydrate (trade name, Japanese Pharmacopoeia Loxoprofen sodium hydrate) 202.6 mg, sodium benzoate caffeine (product name: sodium benzoate caffeine, trade name: 297.4 mg) and water Magnesium oxide (manufactured by Kyowa Chemical Industry, trade name: Kyowasui Mug) (500 mg) was mixed to obtain a mixture 4-B.
[Mixture 4-C]
A mixture 4-C was obtained in the same manner as the mixture 4-B except that 500 mg of magnesium aluminate silicate (trade name: magnesium aluminate silicate) was used instead of magnesium hydroxide.

[Mixture 4-D]
A mixture 4-D was obtained in the same manner as the mixture 4-B except that 500 mg of magnesium oxide (trade name: heavy magnesium oxide manufactured by Tomita Pharmaceutical Co., Ltd.) was used instead of magnesium hydroxide.
[Mixture 4-E]
A mixture 4-E was obtained in the same manner as the mixture 4-B except that 500 mg of magnesium aluminate metasilicate (trade name: Neusilin UFL2) was used instead of magnesium hydroxide.
[Mixture 4-F]
A mixture 4-F was obtained in the same manner as the mixture 4-B, except that 500 mg of precipitated calcium carbonate (trade name: precipitated carbon dioxide CA manufactured by Sankyo Seimitsu) was used instead of magnesium hydroxide.

From the test results shown in Table 5, it was found that in the mixture 4-A in which only loxoprofen sodium hydrate and sodium caffeine benzoate were mixed, an interaction occurred and the mixture solidified.
On the other hand, in the mixtures 4-B, 4-C, 4-D, 4-E and 4-F in which loxoprofen sodium and sodium caffeine benzoate were further mixed with a basic compound having acid neutralizing ability, It was found that the state of the white powder was maintained after the storage for one week as well as immediately after the start of the storage.
From the above test results, it became clear that the basic compound having acid neutralizing ability used in 4-B to 4-F has an action of suppressing the interaction between loxoprofen or a salt thereof and a xanthine derivative. .

[Example 1]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 75mg
Bromvalerylurea 600mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 1210.5mg
Magnesium stearate 24.3mg

[Example 2]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 150mg
Allyl isopropyl acetyl urea 180mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 1555.5mg
Magnesium stearate 24.3mg

[Example 3]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 150mg
Bromvalerylurea 300mg
Tranexamic acid 750mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 685.5mg
Magnesium stearate 24.3mg

[Example 4]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 75mg
Allyl isopropyl acetyl urea 180mg
Tranexamic acid 750mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 880.5mg
Magnesium stearate 24.3mg

[Example 5]
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 75mg
Allyl isopropyl acetyl urea 180mg
Magnesium oxide 200mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 1430.5mg
Magnesium stearate 24.3mg

[Example 6]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 150mg
Bromvalerylurea 600mg
Dry aluminum hydroxide gel 200mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 935.5mg
Magnesium stearate 24.3mg

[Example 7]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 150mg
Allyl isopropyl acetyl urea 180mg
Dry aluminum hydroxide gel 200mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 1355.5mg
Magnesium stearate 24.3mg

[Example 8]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 75mg
Allyl isopropyl acetyl urea 180mg
Synthetic hydrotalcite 200mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 1430.5mg
Magnesium stearate 24.3mg

[Example 9]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 75mg
Bromvalerylurea 300mg
Tranexamic acid 750mg
Dry aluminum hydroxide gel 200mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 560.5mg
Magnesium stearate 24.3mg

[Example 10]
Tablets containing the following ingredients in 9 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Anhydrous caffeine 75mg
Allyl isopropyl acetyl urea 180mg
Tranexamic acid 750mg
Synthetic hydrotalcite 200mg
Hydroxypropylcellulose 72.9mg
Carmellose calcium 243mg
Crystalline cellulose 680.5mg
Magnesium stearate 24.3mg

[Example 11]
Tablets containing the following components in 6 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” of the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 204.3mg
Acetaminophen 390mg
Anhydrous caffeine 240mg
Allyl isopropyl acetyl urea 180mg
Hydroxypropylcellulose 48.6mg
Carmellose calcium 162mg
Crystalline cellulose 378.9mg
Magnesium stearate 16.2mg

[Example 12]
Tablets containing the following components in 4 tablets (daily dose) were produced by a conventional method in accordance with the section of “Tablets” in the 15th revised Japanese Pharmacopoeia General Rules for Preparations.
Loxoprofen sodium hydrate 136.2mg
Anhydrous caffeine 240mg
Allyl isopropyl acetyl urea 60mg
Dry aluminum hydroxide gel 140mg
Hydroxypropylcellulose 32.4mg
Carmellose calcium 108mg
Crystalline cellulose 352.6mg
Magnesium stearate 10.8mg

[Example 13]
Thirty tablets obtained in Example 1 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 14]
30 tablets obtained in Example 2 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 15]
Thirty tablets obtained in Example 3 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 16]
Thirty tablets obtained in Example 4 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 17]
Thirty tablets obtained in Example 5 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 18]
Thirty tablets obtained in Example 6 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 19]
Thirty tablets obtained in Example 7 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 20]
30 tablets obtained in Example 8 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 21]
Thirty tablets obtained in Example 9 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 22]
Thirty tablets obtained in Example 10 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 23]
Thirty tablets obtained in Example 11 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

[Example 24]
Thirty tablets obtained in Example 12 and 1 g of synthetic zeolite (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name MS-W1506) were placed in a glass bottle (3K standard bottle) to prepare a pharmaceutical preparation.

  According to the present invention, the interaction between loxoprofen or a salt thereof and a xanthine derivative can be suppressed. Therefore, a pharmaceutical composition containing loxoprofen or a salt thereof and a xanthine derivative having excellent storage stability can be provided.

Claims (6)

A pharmaceutical composition comprising loxoprofen or a salt thereof, caffeine, and allylisopropylacetylurea. However, the following (1) to (4) are excluded.
(1) A hard capsule containing 60 mg of loxoprofen sodium dihydrate (converted as an anhydride), 80 mg of anhydrous caffeine, 60 mg of allylisopropylacetylurea, 7 mg of magnesium stearate, 60 mg of microcrystalline cellulose, 70 mg of starch and 13 mg of lactose.
(2) Tablets containing loxoprofen sodium dihydrate 60 mg (converted as an anhydride), anhydrous caffeine 80 mg, allylisopropylacetylurea 60 mg, magnesium stearate 7 mg, microcrystalline cellulose 60 mg, starch 70 mg and lactose 13 mg.
(3) Loxoprofen sodium dihydrate 45 mg (converted as an anhydride), allylisopropylacetylurea 60 mg, acetaminophen 125 mg, anhydrous caffeine 80 mg, magnesium stearate 8 mg, microcrystalline cellulose 32 mg and starch 80 mg .
(4) Loxoprofen sodium dihydrate 45 mg (converted as an anhydride), etenzaamide 125 mg, allylisopropylacetylurea 60 mg, anhydrous caffeine 80 mg, magnesium stearate 8 mg, microcrystalline cellulose 32 mg and starch 80 mg.   The pharmaceutical composition according to claim 1, wherein the loxoprofen or a salt thereof is loxoprofen sodium hydrate.   The pharmaceutical composition according to claim 1 or 2, wherein the caffeine is at least one selected from the group consisting of caffeine hydrate, anhydrous caffeine, sodium benzoate caffeine and caffeine citrate.   The pharmaceutical composition according to any one of claims 1 to 3, which is a solid preparation.   The pharmaceutical composition according to claim 4, comprising loxoprofen or a salt thereof in a solid preparation and caffeine so as not to substantially contact each other.   The pharmaceutical composition according to any one of claims 1 to 5, wherein the dosage form is a tablet, powder, granule, fine granule, pill or capsule.