SE506179C2 - Pharmaceutical low composition of benazepril and a thiazide diuretic - Google Patents
Pharmaceutical low composition of benazepril and a thiazide diureticInfo
- Publication number
- SE506179C2 SE506179C2 SE9000050A SE9000050A SE506179C2 SE 506179 C2 SE506179 C2 SE 506179C2 SE 9000050 A SE9000050 A SE 9000050A SE 9000050 A SE9000050 A SE 9000050A SE 506179 C2 SE506179 C2 SE 506179C2
- Authority
- SE
- Sweden
- Prior art keywords
- benazepril
- hydrochlorothiazide
- thiazide diuretic
- dose
- composition according
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/55—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
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- Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
soe 179 2' Det är en avsikt med föreliggande uppfinning att till- handahálla en farmaceutiskt kompositon för att behandla och en metod för behandling av mild till måttlig hypertension med en minimal mängd av aktivt medel, medan man uppnår tryckreduktio- ner icke uppnàbara med de individuella aktiva medlen vid samma dosering. It is an object of the present invention to provide a pharmaceutical composition for treating and a method for treating mild to moderate hypertension with a minimal amount of active agent, while achieving pressure reductions not achievable with the individual active agents at the same dosage.
Uppfinningen är ett fixerat förhållande av en lagdoskom- bination av 4-6 mg benazepril eller ett farmaceutiskt godtag- bart salt därav med 80-120 X av 1/8 av den antihypertensiva kliniskt rekommenderade dagliga begynnelsedosen av ett tiazid- diuretikum, som ges såsom en daglig engangsdosering. Föreligg- ande komposition är en daglig enhetsdos för administrering till en vuxen människa med mild till måttlig hypertension, vilken dos omfattar ca 4 till ca 6 mg, lämpligen ca 5 mg, ben- azepril-hydroklorid eller vilket annat farmaceutiskt godtag- bart salt av benazepril som helst och ca 80 % till ca 120 %, lämpligen ca 100 Z, av 1/8 av den vanliga antihypertensiva be- gynnelsedosen för vuxna av ett tiaziddiuretikum, när sàdant diuretikum användes ensamt.The invention is a fixed ratio of a low dose combination of 4-6 mg of benazepril or a pharmaceutically acceptable salt thereof with 80-120 X of 1/8 of the antihypertensive clinically recommended daily starting dose of a thiazide diuretic, given as a daily single dose. The present composition is a daily unit dose for administration to an adult of mild to moderate hypertension, which dose comprises about 4 to about 6 mg, preferably about 5 mg, benazepril hydrochloride or any other pharmaceutically acceptable salt of benazepril. at any time and about 80% to about 120%, preferably about 100 Z, of 1/8 of the usual initial dose for adults of a thiazide diuretic, when such a diuretic is used alone.
Farmaceutiskt godtagbara salter av benazepril är syraad- ditionssalter med farmakologiskt ofarliga syror, t ex med oor- ganisk syra, t ex saltsyra, svavelsyra eller fosforsyra, eller med organiska karbonsyror, sulfonsyror eller sulfosyror, t ex ättiksyra, propionsyra, glykolsyra, meleinsyra, fumarsyra, vinsyra, citronsyra, bensoesyra, metansulfonsyra, etansulfon- syra, eller 2-hydroxietansulfonsyra. Lämplig är hydrokloriden, d v s syraadditionssalter med saltsyra.Pharmaceutically acceptable salts of benazepril are acid addition salts with pharmacologically harmless acids, for example with organic acid, for example hydrochloric acid, sulfuric acid or phosphoric acid, or with organic carboxylic acids, sulphonic acids or sulpho acids, for example acetic acid, propionic acid, glycolic acid, glycolic acid , tartaric acid, citric acid, benzoic acid, methanesulfonic acid, ethanesulfonic acid, or 2-hydroxyethanesulfonic acid. The hydrochloride, i.e. acid addition salts with hydrochloric acid, are suitable.
Lämpligen utväljes diuretikum fran bendroflumetiazid (5 mg) 0,6-0,75 mg; klortalidon (25 mg) 2,5-3,75 mg; klortiazid (500 mg) 50-75 mg; hydroklortiazid (50 mg) 5-7,5 mg; hydroflumetiazid (50 mg) 5-7,5 mg; metylklortiazid (2,5 mg) 0,25-0,38 mg; polytiazid (2 mg) 0,2-0,3 mg; triklormetiazid (2 mg) 0,2-0,3 mg; benstiazid (50 mg) 0,5-0,75 mg; cyklotiazid (2 mg) 0,2-0,3 mg.Suitably the diuretic is selected from bendroflumethiazide (5 mg) 0.6-0.75 mg; chlorthalidone (25 mg) 2.5-3.75 mg; chlorothiazide (500 mg) 50-75 mg; hydrochlorothiazide (50 mg) 5-7.5 mg; hydroflumethiazide (50 mg) 5-7.5 mg; methyl chlorothiazide (2.5 mg) 0.25-0.38 mg; polythiazide (2 mg) 0.2-0.3 mg; trichloromethiazide (2 mg) 0.2-0.3 mg; benstiazide (50 mg) 0.5-0.75 mg; cyclothiazide (2 mg) 0.2-0.3 mg.
BNSDOCID: 40 BNSDOCID ö « . 506 179 Den vanliga kliniska antihypertensiva minimala begynnel- sedosen för vuxna visas inom parentes, följt av doseringppmrà- det, användbart i föreliggande uppfinning. Den kliniska pggyn- nelsedosen, som användes i vara dagar, kan skilja sig fran do- sen, som ges inom parentes i ovanstående lista i nagra fall.BNSDOCID: 40 BNSDOCID ö «. The usual clinical antihypertensive minimal initial dose for adults is shown in parentheses, followed by the dosage form useful in the present invention. The initial clinical dose used for days may differ from the dose given in parentheses in the list above in some cases.
Exempelvis ges ofta hydroklortiazid i en begynnelsedos !¥*' mg. @§;.For example, hydrochlorothiazide is often given in an initial dose of 1 mg. @ § ;.
Försträdesvis utväljes tiaziddiuretikum från klortiazid, hydroklortiazid, metylklortiazid och klortalidon. Lämpligast utväljes tiaziddiuretikum från klortiazid och hydroklortiazid; speciellt hydroklortiazid. p-.Preferably, thiazide diuretics are selected from chlorothiazide, hydrochlorothiazide, methylchlorothiazide and chlorthalidone. Most preferably, thiazide diuretic is selected from chlorothiazide and hydrochlorothiazide; especially hydrochlorothiazide. p-.
Den fördelaktigaste kompositionen omfattar benazepril- hydroklorid och hydroklortiazid i ett viktförhàllande av ca 0,8 till 1, t ex ca 5 mg benazepril-hydroklorid och ca §¿25 mg hydroklortiazid.The most advantageous composition comprises benazepril hydrochloride and hydrochlorothiazide in a weight ratio of about 0.8 to 1, eg about 5 mg of benazepril hydrochloride and about 25 mg of hydrochlorothiazide.
I ett kliniskt, och kvinnor med ett sittande diastoliskt blodtryck av 9§;¿$ mm slumpvis dubbelblindförsök med 334 man Hg jämfördes effekten av den lämpliga kombinationen enlig§_ uppfinningen, som omfattar 5 mg benazepril-hydroklorid och 8,25 mg hydroklortiazid, vilken komposition ges en gàng_s%gli- gen, med verkan av andra kompositioner och av de enstaka¿}Äke- medlen under sex veckor. Resultaten sammanfattas i följande tabell: sa~ mg benazaprila) + 6,25 mg hydroklortiazid - 9,9.mmHgb> 18 mg benazepril + 12,5 mg hydroklortiazid - 9¿§¿æp§g mg benazepril + 25 mg hydroklortiazid -13,§¶ëšBg mg benazepril - Q,8“æ§Hg mg hydroklortiazid - 6,9¿mHg mg benazepril + 6,25 mg hydroklortiazid -10,3 mmflg mg benazepril + 25 mg hydrokortiazidl -10,7 mHg blindprov - 3,9¿E¶Hg a) såsen hyaronorid ___, b) reduktion av sittande diastoliskt blodtryck ¿~w De kliniska resultatet visar att làgdoskompositionen en- ligt uppfinningen har en överraskande verkan. _ Kompositionen kan sättas tillsammans genom metodar¿_som är standard inom tekniken till varje lämplig doseringafogm in- _, 508179C2 I > 40 sus 179 4 klusive tablett, tiskt hjälpmedel eller bärare kan även innefattas. Administre- kapsel, pulver, etc. Varje lämpligt farmaceu- ring kan ske pà vilket sätt som helst genom vilket bàde ben- azepril och tiaziddiuretikum samtidigt kan administreras, men är mestadels lämpligen oral. Den lämpligaste doseringensformen är en fast, oral doseringsform, såsom en tablett eller kapsel.In a clinical, and women with a sitting diastolic blood pressure of 9; $ mm randomized double-blind trial of 334 man Hg, the effect of the appropriate combination according to the invention, comprising 5 mg of benazepril hydrochloride and 8.25 mg of hydrochlorothiazide, which composition is given once_s% gligen, with the effect of other compositions and of the individual¿} Remedies for six weeks. The results are summarized in the following table: sa ~ mg benazaprila) + 6.25 mg hydrochlorothiazide - 9.9.mmHgb> 18 mg benazepril + 12.5 mg hydrochlorothiazide - 9¿§¿æp§g mg benazepril + 25 mg hydrochlorothiazide -13, §¶ËšBg mg benazepril - Q, 8 “æ§Hg mg hydrochlorothiazide - 6.9¿mHg mg benazepril + 6.25 mg hydrochlorothiazide -10.3 mm fl g mg benazepril + 25 mg hydrocortiazidl -10.7 mHg blank - 3.9 ¿E¶Hg a) the sauce hyaronoride ___, b) reduction of sedentary diastolic blood pressure ¿~ w The clinical results show that the low-dose composition according to the invention has a surprising effect. The composition may be formulated by methods which are standard in the art for any suitable dosage form including a tablet, excipient or carrier may also be included. Administration capsule, powder, etc. Any suitable pharmacy can be by any means by which both benzepril and thiazide diuretic can be administered simultaneously, but are mostly suitably oral. The most suitable dosage form is a solid, oral dosage form, such as a tablet or capsule.
Medan andra antihypertensiva, aktiva medel kan tillsättas, är lämpligast endast benazepril och endast ett tiaziddiuretikum närvarande i en enda komposition.While other antihypertensive active agents may be added, most conveniently only benazepril and only one thiazide diuretic are present in a single composition.
Föreliggande uppfinning kommer mera fullständigt att förstås genom hänvisning till följande exempel, som belyser men icke begränsar uppfinningen.The present invention will be more fully understood by reference to the following examples, which illustrate but do not limit the invention.
Filmbelagda tabletter, som innehåller 6,25 mg 6-klor- Exempel: 3,4-dihydro-2H-1,2,4-bensotiadiazin-7-sulfonamid-1,1~dioxid och 5,00 mg 1-karboximetyl-35-(IS-etoxikarbonyl-3-fenylpropyl- amino)-2,3,4,5-tetrahydro-IH-I1Jbensazepin-2-on-hydroklorid framställes pà följande sätt: Bestàndsdelar (för 2 000 tabletter) Kärnmaterial 6-klor-3,4-dihydro-2H-1,2,4-bensotiadiazin-7-sulfon- amid-1,1-dioxid (mikroniserad) 12,50 g 1-karboximetyl-3S-(IS-etoxikarbonyl-3-fenylpropyl- amino)-2,3,4,5-tetrahydro-1H-E1]bensazepin-2-on- hydroklorid 10,00 g hydroxipropylmetylcellulosa 6,00 g hydrogenererad ricinolja 12,00 g laktos (malen) 423,50 g polyvinyl-polypyrrolidon 20,00 g Filmmaterial hydroxipropylmetylcellulosa 7,34 g polyvetylenglykol 8000 (flingor) 1,34 g talk - 5,32 g titandioxid 2,00 g 6-klor-3,4-dihydro-2H-1,2,4-bensotiadiazin-7-sulfonamid- 1,1-dioxid, 1-karboximetyl-35-(1S-etoxikarbonyl-3-fenylpropyl- amino)-2,3,4,5-tetrahydro~1H-E11bensazepin-2-on-hydroklorid BNSDOCID: och kärnan i hydroxipropyl-metylcellulosa blandas med en del av laktosen. återstående laktos tillsättes och blandningen granuleres med vatten, torkas och males. Återstàende kåšåëä- gredienser blandas därmed och den homogena blandningen ptässas till tabletter, som belägges med en vattenhaltig suspension av ovanstående belåggningsmeterial.Film-coated tablets containing 6.25 mg of 6-chloro- Example: 3,4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide-1,1-dioxide and 5.00 mg of 1-carboxymethyl-35 - (1S-ethoxycarbonyl-3-phenylpropylamino) -2,3,4,5-tetrahydro-1H-1H-benzazepin-2-one hydrochloride is prepared as follows: Ingredients (for 2,000 tablets) Core material 6-chloro-3 , 4-dihydro-2H-1,2,4-benzothiadiazine-7-sulfonamide-1,1-dioxide (micronized) 12.50 g of 1-carboxymethyl-3S- (1S-ethoxycarbonyl-3-phenylpropylamino) -2,3,4,5-tetrahydro-1H-E1] benzazepin-2-one hydrochloride 10.00 g hydroxypropyl methylcellulose 6.00 g hydrogenated castor oil 12.00 g lactose (ground) 423.50 g polyvinyl polypyrrolidone 20, 00 g Film material hydroxypropyl methylcellulose 7.34 g polyethylene glycol 8000 (flakes) 1.34 g talc - 5.32 g titanium dioxide 2.00 g 6-chloro-3,4-dihydro-2H-1,2,4-benzothiadiazine-7- sulfonamide-1,1-dioxide, 1-carboxymethyl-35- (1S-ethoxycarbonyl-3-phenylpropylamino) -2,3,4,5-tetrahydro-1H-E11benzazepin-2-one hydrochloride BNSDOCID: and the nucleus of hydroxypropyl- methylcellulose is mixed with part of the lactose. the remaining lactose is added and the mixture is granulated with water, dried and ground. The remaining cauliflower ingredients are mixed therewith and the homogeneous mixture is poured into tablets, which are coated with an aqueous suspension of the above coating material.
BNSDOCID BNSDOCID
Claims (11)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US30038389A | 1989-01-23 | 1989-01-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
SE9000050L SE9000050L (en) | 1990-07-24 |
SE506179C2 true SE506179C2 (en) | 1997-11-17 |
Family
ID=23158879
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
SE9000050A SE506179C2 (en) | 1989-01-23 | 1990-01-08 | Pharmaceutical low composition of benazepril and a thiazide diuretic |
Country Status (24)
Country | Link |
---|---|
JP (1) | JP3009694B2 (en) |
KR (1) | KR0141479B1 (en) |
AT (1) | AT401728B (en) |
AU (1) | AU629288B2 (en) |
BE (1) | BE1002736A4 (en) |
CA (1) | CA2008126C (en) |
CH (1) | CH680568A5 (en) |
CY (1) | CY1835A (en) |
DE (2) | DE4001496C2 (en) |
DK (1) | DK175204B1 (en) |
FR (1) | FR2641971B1 (en) |
GB (1) | GB2227172B (en) |
HK (1) | HK98995A (en) |
IE (1) | IE61784B1 (en) |
IL (1) | IL93117A0 (en) |
IT (1) | IT1239744B (en) |
LU (1) | LU87660A1 (en) |
MX (1) | MX9203362A (en) |
NL (1) | NL194958C (en) |
NZ (1) | NZ232182A (en) |
SA (1) | SA90100151B1 (en) |
SE (1) | SE506179C2 (en) |
SG (1) | SG176194G (en) |
ZA (1) | ZA90429B (en) |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR100221695B1 (en) * | 1991-08-12 | 1999-09-15 | 그린 마틴, 브라이언 쥐 테슬리 | Pharmaceutical spheroid formulation |
DK9200258U4 (en) * | 1992-03-11 | 1993-07-23 | Merck & Co Inc | Pharmaceutical preparation containing enalapril for use in hypertension |
GB9613470D0 (en) * | 1996-06-27 | 1996-08-28 | Ciba Geigy Ag | Small solid oral dosage form |
CN102579346B (en) * | 2012-03-02 | 2013-09-25 | 海南美兰史克制药有限公司 | Liposome solid preparation of benazepril/hydrochlorothiazide medicine combination |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4217347A (en) * | 1977-12-27 | 1980-08-12 | E. R. Squibb & Sons, Inc. | Method of treating hypertension and medicaments therefor |
IL58849A (en) * | 1978-12-11 | 1983-03-31 | Merck & Co Inc | Carboxyalkyl dipeptides and derivatives thereof,their preparation and pharmaceutical compositions containing them |
US4410520A (en) * | 1981-11-09 | 1983-10-18 | Ciba-Geigy Corporation | 3-Amino-[1]-benzazepin-2-one-1-alkanoic acids |
ZA833903B (en) * | 1982-06-01 | 1984-11-28 | Merck & Co Inc | Benzofused lactams as antihypertensives |
US4520021A (en) * | 1982-07-02 | 1985-05-28 | Merck & Co., Inc. | Substituted caprolactam derivatives as antihypertensives |
-
1990
- 1990-01-08 SE SE9000050A patent/SE506179C2/en not_active IP Right Cessation
- 1990-01-15 CH CH112/90A patent/CH680568A5/de not_active IP Right Cessation
- 1990-01-17 GB GB9001054A patent/GB2227172B/en not_active Expired - Lifetime
- 1990-01-18 LU LU87660A patent/LU87660A1/en unknown
- 1990-01-19 DE DE4001496A patent/DE4001496C2/en not_active Expired - Lifetime
- 1990-01-19 CA CA002008126A patent/CA2008126C/en not_active Expired - Lifetime
- 1990-01-19 IT IT47548A patent/IT1239744B/en active IP Right Grant
- 1990-01-19 NZ NZ232182A patent/NZ232182A/en unknown
- 1990-01-19 FR FR909000612A patent/FR2641971B1/en not_active Expired - Lifetime
- 1990-01-19 DE DE2001199041 patent/DE10199041I1/en active Pending
- 1990-01-22 KR KR1019900000697A patent/KR0141479B1/en not_active IP Right Cessation
- 1990-01-22 ZA ZA90429A patent/ZA90429B/en unknown
- 1990-01-22 AU AU48703/90A patent/AU629288B2/en not_active Expired
- 1990-01-22 IE IE23390A patent/IE61784B1/en not_active IP Right Cessation
- 1990-01-22 AT AT0013590A patent/AT401728B/en not_active IP Right Cessation
- 1990-01-22 JP JP2010782A patent/JP3009694B2/en not_active Expired - Lifetime
- 1990-01-22 BE BE9000074A patent/BE1002736A4/en not_active IP Right Cessation
- 1990-01-22 IL IL93117A patent/IL93117A0/en not_active IP Right Cessation
- 1990-01-22 NL NL9000158A patent/NL194958C/en not_active IP Right Cessation
- 1990-01-22 DK DK199000174A patent/DK175204B1/en not_active IP Right Cessation
- 1990-04-04 SA SA90100151A patent/SA90100151B1/en unknown
-
1992
- 1992-06-25 MX MX9203362A patent/MX9203362A/en unknown
-
1994
- 1994-12-16 SG SG176194A patent/SG176194G/en unknown
-
1995
- 1995-06-22 HK HK98995A patent/HK98995A/en not_active IP Right Cessation
- 1995-12-01 CY CY183595A patent/CY1835A/en unknown
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