JP4318899B2 - Anti-cold medicine - Google Patents

Anti-cold medicine Download PDF

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Publication number
JP4318899B2
JP4318899B2 JP2002244431A JP2002244431A JP4318899B2 JP 4318899 B2 JP4318899 B2 JP 4318899B2 JP 2002244431 A JP2002244431 A JP 2002244431A JP 2002244431 A JP2002244431 A JP 2002244431A JP 4318899 B2 JP4318899 B2 JP 4318899B2
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Japan
Prior art keywords
pseudoephedrine
agent
antitussive
ingredients
drug
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JP2002244431A
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JP2003146871A (en
Inventor
郁夫 高木
正人 中山
保博 鳥住
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Daiichi Sankyo Healthcare Co Ltd
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Daiichi Sankyo Healthcare Co Ltd
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Description

【0001】
【発明の属する技術分野】
本発明は、プソイドエフェドリンとヨウ化イソプロパミドを有効成分とする抗感冒剤に関する。
【0002】
【従来の技術】
医師の処方箋を必要とせずに一般消費者が購入できる医薬品は一般用医薬品と称されている。一般用医薬品の多くは複数の有効成分が配合された複合剤であり、製品によっては10種類を越える成分が配合されている場合もまれではない。例えば、かぜ薬には解熱鎮痛剤、抗ヒスタミン剤、鎮咳剤、交感神経興奮剤、去痰剤、中枢神経興奮剤、その他、の各有効成分が配合されている。しかし、有効成分数が増すほど予期せぬ薬物相互作用の頻度は急激に高まることが予想され、特に、他疾患薬と併用する場合の潜在的なリスクは無視できない。
【0003】
有効性を低減させることなく配合成分数を絞ることができれば理想的である。しかし、例えば、感冒のような疾病では、症状は多彩であり、各症状に対する有効性を低減させることなく配合成分数の低減化を実現することは極めて困難である。又、具体的にどの薬物どうしの組合せでそれが可能となるかを予測することは困難であり、膨大な組合せの中からそれぞれ試験して探索していく以外に方法はないものと言える。
【0004】
これまで、鎮咳剤以外の成分どうしの配合により鎮咳効果を発現させ、鎮咳剤を省略する可能性をもたらした従来技術としては、例えば、抗ヒスタミン剤であるケトチフェン、去痰剤であるアンブロキソール及び消炎酵素剤であるリゾチームを配合し鎮咳効果を発現したもの(特開平10−45591)、抗ヒスタミン剤であるクロルフェニラミン、カルビノキサミンもしくはクレマスチン及び去痰剤であるアンブロキソールを配合し鎮咳効果を発現したもの(特開平10−316568)、解熱鎮痛剤であるアセトアミノフェンと、抗ヒスタミン・抗アレルギー剤であるケトチフェンもしくはエピナスチン及びカフェインを配合し鎮咳効果を発現したもの(特開平10−17473)、解熱鎮痛剤であるナプロキセン、ジクロフェナク、ケトプロフェンもしくはイソプロピルアンチピリン及び去痰剤のブロムヘキシンもしくはアンブロキソールを配合し鎮咳効果を発現したもの(特開2000−80034)、解熱鎮痛剤であるロキソプロフェン及び去痰剤であるブロムヘキシンもしくはアンブロキソールを配合し鎮咳効果を発現したもの(特開2001−172175)、抗ヒスタミン剤であるエメダスチン及び去痰剤であるグアイフェネシン、ブロムヘキシンもしくはアンブロキソールを配合し鎮咳効果を発現したもの(特開2001−226264)が挙げられる。
【0005】
【発明が解決しようとする課題】
しかしながら、プソイドエフェドリン及び鎮咳作用を持たない薬物を配合して鎮咳効果を得たという報告はない。一方、花粉症等のアレルギー性鼻炎においては、鼻腔通気抵抗が増すため無意識の内に口呼吸の比率が高まり、上気道への刺激が増して、咽頭痛さらには咳嗽症状を次第に伴ってくるようになる。一般用医薬品製造[輸入]承認基準の「鼻炎用内服薬」によれば鎮咳剤は基準外成分に該当する(医薬品製造指針、薬事時報社、2000年)。そこで、通常、鎮咳成分を配合しない鼻炎用薬に鎮咳効果が付加されれば、鼻炎症状から咳嗽症状の併発を未然に防ぐことが可能となり極めて有用である。
【0006】
本発明は、以上の状況を鑑みなされたものであり、効き目を低下させることなく一般用医薬品における配合成分数の削減を目指し、薬物相互作用リスクの回避および処方の簡素化、ひいては製造及び開発コストの低減化を図ることを目的とする。さらにまた、花粉症等のアレルギー性鼻炎症状のより有効な治療薬を実現させることを目的とする。
【0007】
本発明者等は、上記課題を克服すべく鋭意検討を行なった結果、いずれも単独では鎮咳効果を示さないプソイドエフェドリンとヨウ化イソプロパミドを含む組成物が、鎮咳効果を発現することを見出し、本発明を完成した。
【0008】
【課題を解決するための手段】
本発明は、プソイドエフェドリンとヨウ化イソプロパミドを有効成分とする抗感冒剤である。
【0009】
また、本発明はプソイドエフェドリンとヨウ化イソプロパミドを有効成分とする鎮咳剤である。
【0010】
さらにまた、本発明はプソイドエフェドリンとヨウ化イソプロパミドを有効成分とする抗鼻炎剤である。
【0011】
プソイドエフェドリンとは、プソイドエフェドリン又はプソイドエフェドリン塩酸塩もしくはプソイドエフェドリン硫酸塩等のプソイドエフェドリンの塩をしめす。
【0012】
【発明の実施の形態】
プソイドエフェドリン及びヨウ化イソプロパミドは、USP(米国薬局方)XXIVに収載されている。
【0013】
本発明の抗感冒剤が固形製剤の場合において含有される、プソイドエフェドリンの重量%は通常、0.1乃至50%であり、好適には、0.5乃至30%であり、また、ヨウ化イソプロパミドの重量%は通常、0.005乃至5%であり、好適には、0.01乃至2%である。
【0014】
本発明の抗感冒剤が液剤の場合において含有される、プソイドエフェドリンの含有量は通常、0.1乃至100mg/mLであり、好適には、1乃至50mg/mLであり、また、ヨウ化イソプロパミドの含有量は通常、0.05乃至10mg/mLであり、好適には、0.1乃至5mg/mLである。
【0015】
本発明の抗感冒剤の具体的な剤形としては、例えば、錠剤、細粒剤(散剤を含む)、カプセル、液剤(シロップ剤を含む)等をあげることができ、各剤形に適した添加剤や基材を適宜使用し、日本薬局方等に記載された通常の方法に従い、製造することができる。
【0016】
上記各剤形において、その剤形に応じ、通常使用される各種添加剤を使用することもできる。
【0017】
例えば、錠剤の場合、乳糖、結晶セルロース等を賦形剤として、メタケイ酸アルミン酸マグネシウム又は酸化マグネシウム等を安定化剤として、ヒドロキシプロピルセルロース等をコーテイング剤として、ステアリン酸マグネシウム等を滑沢剤として、使用することができ、
細粒剤及びカプセル剤の場合、乳糖、精製白糖等を賦形剤として、メタケイ酸アルミン酸マグネシウム又は酸化マグネシウム等を安定化剤として、トウモロコシデンプン等を吸着剤として、ヒドロキシプロピルセルロース等を結合剤として、使用することができる。
【0018】
上記各剤形において、必要に応じ、クロスポピドン等の崩壊剤;ポリソルベート等の界面活性剤;ケイ酸カルシウム等の吸着剤;三二酸化鉄、カラメル等の着色剤;安息香酸ナトリウム等のpH調節剤;香料;等を添加することもできる。
【0019】
【実施例】
以下に、実施例等を示し、本発明をさらに詳細に説明するが、本発明の範囲はこれらに限定されるものではない。
(実施例1)錠剤
(1)成分
【0020】
【表1】

Figure 0004318899
(2)製法
上記成分及び分量をとり、日局製剤総則「錠剤」の項に準じて錠剤を製する。(実施例2)細粒剤
(1)成分
【0021】
【表2】
Figure 0004318899
(2)製法
上記成分及び分量をとり、日局製剤総則「顆粒剤」の項に準じて細粒剤を製する。
実施例(3)カプセル剤
(1)成分
【0022】
【表3】
Figure 0004318899
(2)製法
上記成分及び分量をとり、日局製剤総則「顆粒剤」の項に準じて細粒剤を製した後、カプセルに充てんして硬カプセル剤を製する。
実施例(4)シロップ剤
(1)成分
【0023】
【表4】
Figure 0004318899
(2)製法
上記成分及び分量をとり、日局製剤総則「シロップ剤」の項に準じてシロップ剤を製した後、褐色ガラス瓶に充てんしてシロップ剤を製する。
(試験例 1 )カプサイシン暴露吸入に対する咳嗽抑制効果
(1)被験物質
被験物質は、試験当日に0.5%トラガント液で懸濁液にして用いた。被験物質の投与液量は、体重1Kgあたり2.0mLとし、対照群には同量の0.5%トラガント液を投与した。
(2)試験動物
Hartley系雄性モルモット5週齢(日本SLC社より購入)を、5乃至9日間の予備飼育後に使用した。
(3)試験方法
▲1▼カプサイシンによる咳嗽の誘発
動物の健康状態を点検して選抜後、1群5匹の体重が平均化するように振り分ける。動物を樹脂製の暴露箱(48×48×46cm)内にセットし、超音波ネブライザーでエアゾール化したカプサイシン液(10μg/mL)を5分間暴露吸入させる。この間に誘発する咳嗽回数を計測する。
▲2▼咳嗽抑制作用
被験物質は経口ゾンデを用いて、カプサイシン暴露吸入の1時間前に投与する。抑制率(%)は下式より算出する。
【0024】
【数1】
抑制率(%)=[1−被験物質投与群の平均咳嗽回数/対照群の平均咳嗽回数]×100
(4)試験結果
プソイドエフェドリンとヨウ化イソプロパミドの各単剤および組合せによる咳嗽抑制率の結果を表5に示す。
【0025】
【表5】
Figure 0004318899
塩酸プソイドエフェドリン又はヨウ化イソプロパミド単独では、咳嗽抑制効果を示さなかったが、両者を組み合わせることにより、優れた咳嗽抑制効果を示した。
【0026】
【発明の効果】
本発明の、プソイドエフェドリンとヨウ化イソプロパミドを有効成分とする抗感冒剤は、それぞれ単独では予想し得なかった鎮咳効果が発現するので、例えば鎮咳剤又は抗鼻炎剤として有用である。[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an anti-cold drug containing pseudoephedrine and iodopropamide as active ingredients.
[0002]
[Prior art]
Drugs that can be purchased by general consumers without requiring a doctor's prescription are called over-the-counter drugs. Many over-the-counter drugs are complex agents containing a plurality of active ingredients. Depending on the product, it is not uncommon to have more than 10 kinds of ingredients. For example, cold medicines contain antipyretic analgesics, antihistamines, antitussives, sympathomimetic drugs, expectorants, central nervous system stimulants, and other active ingredients. However, the frequency of unexpected drug interactions is expected to increase rapidly as the number of active ingredients increases, and the potential risk when used in combination with drugs for other diseases cannot be ignored.
[0003]
It would be ideal if the number of ingredients can be reduced without reducing the effectiveness. However, for example, diseases such as the common cold have various symptoms, and it is extremely difficult to realize a reduction in the number of ingredients without reducing the effectiveness for each symptom. In addition, it is difficult to predict specifically which combination of drugs can be achieved, and it can be said that there is no method other than testing and searching each of a huge number of combinations.
[0004]
So far, conventional techniques that have developed the antitussive effect by combining ingredients other than the antitussive agent and have the possibility of omitting the antitussive agent include, for example, ketotifen, an antihistamine agent, ambroxol, an antiphlogistic agent, and an anti-inflammatory enzyme agent. A combination of a certain lysozyme and an antitussive effect (JP-A-10-45591), an antihistamine chlorpheniramine, carbinoxamine or clemastine, and an expectorant ambroxol (APO) -316568), an antipyretic analgesic that combines an antipyretic analgesic agent with acetaminophen and an antihistamine / antiallergic agent ketotifen or epinastine and caffeine (JP-A-10-17473), an antipyretic analgesic Naproxen, diclofenac, ke Prophine or isopropylantipyrine and expectorant bromhexine or ambroxol combined to develop antitussive effect (JP 2000-80034), antipyretic analgesic agent loxoprofen and expectorant bromhexine or ambroxol formulated antitussive Examples thereof include those exhibiting an effect (Japanese Patent Application Laid-Open No. 2001-172175) and those expressing an antitussive effect by combining emedastine, which is an antihistamine, and guaifenesin, bromhexine or ambroxol, which are an expectorant (Japanese Patent Application Laid-Open No. 2001-226264).
[0005]
[Problems to be solved by the invention]
However, there is no report of obtaining antitussive effect by combining pseudoephedrine and a drug having no antitussive effect. On the other hand, in allergic rhinitis such as hay fever, nasal ventilation resistance increases, so the ratio of mouth breathing increases unconsciously, irritation to the upper respiratory tract increases, and sore throat and cough symptoms gradually accompany it. become. According to the “standard medicine for rhinitis” approved by the OTC drug manufacturing [import] approval standard, antitussives fall under the non-standard components (Pharmaceutical manufacturing guidelines, Yakujijiho, 2000). Thus, if an antitussive effect is added to a rhinitis drug that does not normally contain an antitussive component, it is possible to prevent the occurrence of cough symptoms from nasal inflammation, which is extremely useful.
[0006]
The present invention has been made in view of the above situation, and aims to reduce the number of ingredients in an over-the-counter drug without reducing efficacy, avoiding drug interaction risk, simplifying prescription, and thus manufacturing and development costs. The purpose is to reduce this. Furthermore, it aims at realizing a more effective therapeutic agent for allergic rhinitis symptoms such as hay fever.
[0007]
As a result of intensive studies to overcome the above problems, the present inventors have found that a composition containing pseudoephedrine and isopropamide iodide, both of which do not exhibit an antitussive effect alone, exhibits an antitussive effect. Was completed.
[0008]
[Means for Solving the Problems]
The present invention is an anti-cold agent containing pseudoephedrine and iodopropamide as active ingredients.
[0009]
The present invention also provides an antitussive agent comprising pseudoephedrine and iodopropamide as active ingredients.
[0010]
Furthermore, the present invention is an anti-rhinitis agent comprising pseudoephedrine and iodopropamide as active ingredients.
[0011]
Pseudoephedrine is a pseudoephedrine salt such as pseudoephedrine or pseudoephedrine hydrochloride or pseudoephedrine sulfate.
[0012]
DETAILED DESCRIPTION OF THE INVENTION
Pseudoephedrine and iodopropamide are listed in USP (United States Pharmacopeia) XXIV.
[0013]
The weight% of pseudoephedrine contained when the anti-cold drug of the present invention is a solid preparation is usually 0.1 to 50%, preferably 0.5 to 30%, and isopropamide iodide. % By weight is usually 0.005 to 5%, preferably 0.01 to 2%.
[0014]
The content of pseudoephedrine, which is contained when the anti-cold drug of the present invention is a liquid preparation, is usually 0.1 to 100 mg / mL, preferably 1 to 50 mg / mL, and isopropamide iodide. The content is usually 0.05 to 10 mg / mL, preferably 0.1 to 5 mg / mL.
[0015]
Specific dosage forms of the anti-cold drug of the present invention include, for example, tablets, fine granules (including powders), capsules, liquids (including syrups) and the like, and are suitable for each dosage form. An additive and a base material can be used as appropriate, and can be produced according to the usual method described in the Japanese Pharmacopoeia.
[0016]
In the above dosage forms, various commonly used additives can be used depending on the dosage form.
[0017]
For example, in the case of tablets, lactose, crystalline cellulose or the like as an excipient, magnesium metasilicate aluminate or magnesium oxide as a stabilizer, hydroxypropyl cellulose or the like as a coating agent, magnesium stearate or the like as a lubricant Can be used,
In the case of fine granules and capsules, lactose, purified sucrose, etc. are used as excipients, magnesium metasilicate aluminate or magnesium oxide, etc., stabilizers, corn starch, etc. as adsorbents, hydroxypropyl cellulose, etc. as binders As can be used.
[0018]
In each of the above dosage forms, a disintegrant such as crospovidone; a surfactant such as polysorbate; an adsorbent such as calcium silicate; a colorant such as iron sesquioxide and caramel; and a pH adjuster such as sodium benzoate. Fragrance, etc. can also be added.
[0019]
【Example】
Hereinafter, the present invention will be described in more detail with reference to examples and the like, but the scope of the present invention is not limited thereto.
Example 1 Tablet (1) Ingredients
[Table 1]
Figure 0004318899
(2) Manufacturing method Take the above ingredients and the amount, and manufacture the tablet according to the section of the General Rules for Pharmaceutical Preparations “Tablet”. (Example 2) Fine granule (1) component
[Table 2]
Figure 0004318899
(2) Production method Take the above ingredients and quantities, and produce a fine granule according to the section “Granule” of the General Rules for Preparations.
Example (3) Capsule (1) Ingredient
[Table 3]
Figure 0004318899
(2) Manufacturing method After taking the above components and the amount, and making a fine granule according to the section of the Japanese Pharmacopoeia General Rules “Granule”, the capsule is filled into a hard capsule.
Example (4) Syrup (1) Ingredient
[Table 4]
Figure 0004318899
(2) Manufacturing method Take the above components and quantities, and make a syrup according to the Japanese general formulation “Syrup” section, then fill it into a brown glass bottle to make a syrup.
(Test Example 1 ) Cough inhibitory effect on capsaicin exposure and inhalation (1) Test substance The test substance was used as a suspension in 0.5% tragacanth solution on the test day. The test solution dose was 2.0 mL per kg body weight, and the same amount of 0.5% tragacanth solution was administered to the control group.
(2) Test animals
Hartley male guinea pigs 5 weeks old (purchased from Japan SLC) were used after 5 to 9 days of preliminary breeding.
(3) Test method {circle around (1)} Induction of cough induced by capsaicin After selecting and checking the health of the animals, the animals are divided so that the weights of five animals per group are averaged. The animal is set in a resin exposure box (48 × 48 × 46 cm) and inhaled with capsaicin solution (10 μg / mL) aerosolized with an ultrasonic nebulizer for 5 minutes. The number of coughs induced during this time is measured.
(2) Cough inhibiting action The test substance is administered using an oral sonde 1 hour before inhalation of capsaicin exposure. The inhibition rate (%) is calculated from the following formula.
[0024]
[Expression 1]
Inhibition rate (%) = [1-average cough count of test substance administration group / average cough count of control group] × 100
(4) Test results Table 5 shows the results of cough suppression rate by each single agent and combination of pseudoephedrine and isopropamide iodide.
[0025]
[Table 5]
Figure 0004318899
Pseudoephedrine hydrochloride or isopropamide iodide alone did not show cough suppression effect, but the combination of both showed excellent cough suppression effect.
[0026]
【The invention's effect】
The anti-cold drug containing pseudoephedrine and isopropamide iodide as active ingredients of the present invention exhibits an antitussive effect that could not be predicted by itself, and thus is useful as, for example, an antitussive agent or an antirhinitis agent.

Claims (1)

有効成分として、プソイドエフェドリンとヨウ化イソプロパミドのみからなる鎮咳剤。Antitussive agent consisting only of pseudoephedrine and isopropamide iodide as active ingredients .
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JP2009197011A (en) * 2001-08-27 2009-09-03 Daiichi Sankyo Healthcare Co Ltd Antirheumic agent

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JP4695326B2 (en) * 2001-12-21 2011-06-08 第一三共ヘルスケア株式会社 Pharmaceutical composition for rhinitis

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