TW201622713A - External pharmaceutical composition - Google Patents

External pharmaceutical composition Download PDF

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TW201622713A
TW201622713A TW104109753A TW104109753A TW201622713A TW 201622713 A TW201622713 A TW 201622713A TW 104109753 A TW104109753 A TW 104109753A TW 104109753 A TW104109753 A TW 104109753A TW 201622713 A TW201622713 A TW 201622713A
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salt
pharmaceutical composition
weight
ketone
lactic acid
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TWI684448B (en
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Kazuyoshi Ado
Kozue Imai
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Kobayashi Pharma
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/196Carboxylic acids, e.g. valproic acid having an amino group the amino group being directly attached to a ring, e.g. anthranilic acid, mefenamic acid, diclofenac, chlorambucil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0014Skin, i.e. galenical aspects of topical compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
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Abstract

To provide a pharmaceutical technique which makes have an excellent stability by no precipitation of diclofenac and/or a salt thereof, in spite of coexistence of diclofenac and/or a salt thereof and lactic acid and/or a salt thereof. Combining menthol with diclofenac and/or a salt thereof, and 0.1% by weight or more of lactic acid and/or a salt thereof causes no precipitation of diclofenac and/or a salt thereof, and enables giving an excellent stability.

Description

外用醫藥組成物 External pharmaceutical composition

本發明係有關即使待克菲那(diclofenac)及/或其鹽與乳酸及/或其鹽共存,亦可抑制待克菲那及/或其鹽析出,具備優異安定性的外用醫藥組成物。 The present invention relates to a pharmaceutical composition for external use which can suppress the precipitation of ketone and/or a salt thereof even when diclofenac and/or a salt thereof is coexisted with lactic acid and/or a salt thereof.

現代社會由於辦公自動化設備普及,因長時間維持相同姿勢、承受過度壓力、運動不足等,苦惱於肩膀僵硬、肌肉疼痛、關節痛的人正不斷增加。先前,已針對該等肩膀僵硬、肌肉與關節的疼痛等,為抑制發生於患部的發炎症狀及改善症狀,已實行塗布消炎鎮痛劑之對策。 In modern society, due to the popularity of office automation equipment, people who suffer from shoulder stiffness, muscle pain, and joint pain are increasing because they maintain the same posture for a long time, suffer from excessive stress, and lack of exercise. In the past, in order to suppress inflammation of the shoulders, muscles and joints, and the like, in order to suppress the symptoms of inflammation occurring in the affected part and to improve the symptoms, measures for applying an anti-inflammatory analgesic have been carried out.

先前的消炎鎮痛劑,已將待克菲那、聯苯乙酸、迪皮質醇、吲哚美辛、普羅芬等非類固醇性的抗發炎藥物加以實用化。該等非類固醇性抗發炎藥物中,已知待克菲那對環氧合酶具有高阻礙活性,可發揮優異的消炎鎮痛作用。另外經口或經直腸投藥待克菲那時,有時會發生對胃腸、腎臟或肝臟造成傷害之副作用,特別因為對胃腸呈現極其嚴重之副作用,近來逐漸增加將之使用為外用 劑。然而,待克菲那的經皮吸收性低,使用於經皮投藥時,存在無法充分發揮原有的消炎鎮痛作用之缺點。 Previous anti-inflammatory analgesics have been put into practical use of non-steroidal anti-inflammatory drugs such as ketone, biphenylacetic acid, dicortisol, indomethacin and profen. Among these non-steroidal anti-inflammatory drugs, it is known that ketone has a high inhibitory activity against cyclooxygenase, and can exert an excellent anti-inflammatory analgesic effect. In addition, when oral or transrectal administration to Kefei, there are sometimes side effects that cause damage to the gastrointestinal, kidney or liver, especially because of the extremely serious side effects on the gastrointestinal tract, which has recently been gradually increased for external use. Agent. However, the transdermal absorbability of Kefena is low, and when it is used for transdermal administration, there is a disadvantage that the original anti-inflammatory analgesic effect cannot be fully exerted.

迄今,針對提高待克菲那的經皮吸收性,提高其藥效等之製劑技術已進行了各種檢討。例如,專利文件1中,揭示了含有待克菲那或其鹽的外用組成物,藉由添加醇與羧酸酯及/或羧酸,可提高待克菲那或其鹽的經皮吸收性。另外,專利文件2中,揭示了藉由使外用醫藥組成物中,含有比例為0.5~1.5重量%的待克菲那或其藥學上許可的鹽,5~15重量%的清涼化劑,可提高鎮痛效果。 To date, various reviews have been conducted on preparation techniques for improving the transdermal absorbability of Kevina and improving its efficacy. For example, in Patent Document 1, a topical composition containing ketone or a salt thereof is disclosed, and by adding an alcohol with a carboxylic acid ester and/or a carboxylic acid, the transdermal absorbability of ketone or a salt thereof can be improved. . Further, in Patent Document 2, it is disclosed that a pharmaceutical composition for external use contains 0.5 to 1.5% by weight of ketone or a pharmaceutically acceptable salt thereof, and 5 to 15% by weight of a cooling agent. Improve the analgesic effect.

〔先前技術文件〕 [prior technical paper] 〔專利文件〕 [Patent Document]

[專利文件1]特開平10-182450號公報 [Patent Document 1] Japanese Patent Laid-Open No. Hei 10-182450

[專利文件2]特開2011-074032號公報 [Patent Document 2] Special Opening 2011-074032

隨著苦惱於肩膀僵硬、肌肉疼痛、關節痛的人數增加,對於可發揮更加優異消炎鎮痛作用之外用劑的需求正日益提高,且對於開發可更加提昇待克菲那及/或其鹽之經皮吸收性的製劑技術,期待也愈來愈高。因此,本發明團隊對於含有待克菲那及/或其鹽之外用醫藥組成物,檢討提昇待克菲那及/或其鹽之經皮吸收性的製劑技 術之後,發現如後述之試驗例3所述般,乳酸及/或其鹽可對提昇待克菲那及/或其鹽之經皮吸收性有所貢獻。然而,僅單單使待克菲那及/或其鹽與0.1重量%以上的乳酸及/或其鹽共存,必須面對待克菲那及/或其鹽變為容易析出,損及製劑安定性此新穎的課題。抑制該待克菲那及/或其鹽之析出,經摻合高含量的低級醇之製劑配方,與經摻合多元醇或極性油之製劑配方可有效獲得解決,然而該等製劑配方存在對使用感有不良影響,及有許多製劑設計上的限制等缺點。 With the increase in the number of people suffering from shoulder stiffness, muscle pain, and joint pain, the demand for agents that can exert more excellent anti-inflammatory and analgesic effects is increasing, and the development of Kefina and/or its salt can be further improved. The skin absorption preparation technology is expected to be higher and higher. Therefore, the present inventors reviewed the formulation technique for improving the transdermal absorbability of ketone and/or its salt for a pharmaceutical composition containing ketone and/or its salt. After the treatment, it was found that lactic acid and/or its salt can contribute to the improvement of the transdermal absorbability of ketone and/or its salt as described in Test Example 3 described later. However, it is only necessary to cope with ketone and/or its salt in an amount of 0.1% by weight or more of lactic acid and/or a salt thereof, and it is necessary to treat the ketone and/or its salt to be easily precipitated, thereby impairing the stability of the preparation. A novel subject. Inhibiting the precipitation of the ketone and/or its salt, the formulation of the formulation blended with a high content of the lower alcohol, and the formulation of the blended polyol or the polar oil can be effectively solved, however, the formulation of the formulations is present. The use of the product has an adverse effect, and there are many disadvantages such as limitations in the design of the formulation.

因此,本發明目的係提供即使待克菲那及/或其鹽與乳酸及/或其鹽共存,亦可抑制待克菲那及/或其鹽析出,具備優異安定性的製劑技術。 Therefore, the object of the present invention is to provide a formulation technique which can suppress the precipitation of ketone and/or its salt even if ketone and/or its salt coexist with lactic acid and/or a salt thereof, and which has excellent stability.

本發明團隊,為解決前述課題進行專心檢討後,發現藉由與待克菲那及/或其鹽以及0.1重量%以上的乳酸及/或其鹽一同併用薄荷醇,使待克菲那及/或其鹽不會析出,並具備優異安定性。本發明係基於相關知識,進一步累積檢討而完成之發明。 The inventors of the present invention conducted a thorough review to solve the above problems and found that by using menthol with ketone and/or its salt and 0.1% by weight or more of lactic acid and/or a salt thereof, Or its salt does not precipitate and has excellent stability. The present invention is based on the related knowledge and further accumulates the review and completed the invention.

亦即,本發明係提供下述揭示實施方式之發明。 That is, the present invention provides the invention of the embodiments disclosed below.

(1)一種外用醫藥組成物,其係含有(A)待克菲那及/或其藥學上容許的鹽、(B)0.1重量%以上的乳酸及/或其鹽,以及(C)薄荷醇。 (1) A pharmaceutical composition for external use comprising (A) ketone and/or a pharmaceutically acceptable salt thereof, (B) 0.1% by weight or more of lactic acid and/or a salt thereof, and (C) menthol .

(2)如(1)之外用醫藥組成物,其係進一步含有(D)水。 (2) A pharmaceutical composition according to (1), which further contains (D) water.

(3)如(1)或(2)之外用醫藥組成物,其係進一步含有(E)低級醇。 (3) A pharmaceutical composition for (1) or (2) further comprising (E) a lower alcohol.

(4)如(1)~(3)中任一項之外用醫藥組成物,其中前述(C)成分係含有1重量%以上。 (4) A pharmaceutical composition for use in any one of (1) to (3), wherein the component (C) is contained in an amount of 1% by weight or more.

(5)如(1)~(4)中任一項之外用醫藥組成物,其中前述(D)成分係含有5~50重量%。 (5) A pharmaceutical composition for use in any one of (1) to (4), wherein the component (D) is contained in an amount of 5 to 50% by weight.

(6)如(1)~(5)中任一項之外用醫藥組成物,其中前述(E)成分係含有30~90重量%。 (6) A pharmaceutical composition for use in any one of (1) to (5), wherein the component (E) is contained in an amount of 30 to 90% by weight.

(7)如(1)~(6)中任一項之外用醫藥組成物,其係液劑或凝膠劑。 (7) A pharmaceutical composition, which is a liquid preparation or a gelling agent, as used in any one of (1) to (6).

(8)一種抑制待克菲那及/或其藥學上容許的鹽析出之方法,其係於含有(A)待克菲那及/或其藥學上容許的鹽,以及(B)0.1重量%以上的乳酸及/或其鹽之外用醫藥組成物中,摻合(C)薄荷醇。 (8) A method for inhibiting precipitation of ketone and/or a pharmaceutically acceptable salt thereof, which comprises (A) ketone and/or a pharmaceutically acceptable salt thereof, and (B) 0.1% by weight The medicinal composition other than the above lactic acid and/or its salt is blended with (C) menthol.

根據本發明之外用醫藥組成物,即使待克菲那及/或其鹽與乳酸及/或其鹽共存,亦可抑制待克菲那及/或其鹽析出,並呈現良好的外觀性狀,且具備優異安定性。另外,本發明之外用醫藥組成物,由於藉由使其含有薄荷醇,可抑制待克菲那及/或其鹽之析出使其安定化,於進行製劑化時,使降低低級醇之含量(例如80重量% 以下),與未摻合多元醇及極性油變為可能,製劑設計上的限制較少,可適用於各式各樣的製劑配方。 According to the pharmaceutical composition for external use according to the present invention, even if ketone and/or a salt thereof is coexisted with lactic acid and/or a salt thereof, precipitation of ketone and/or a salt thereof can be suppressed, and a good appearance property is exhibited, and Excellent stability. Further, in the pharmaceutical composition for external use of the present invention, since menthol is contained, precipitation of ketone and/or a salt thereof can be suppressed to stabilize, and when the formulation is formulated, the content of the lower alcohol can be lowered ( For example 80% by weight The following), with unblended polyols and polar oils, is less restrictive in formulation design and can be applied to a wide variety of formulation formulations.

進一步,由於本發明之外用醫藥組成物,飛躍性地提昇待克菲那及/或其鹽的經皮吸收性,可發揮優異的消炎鎮痛作用,能夠有效地緩和或治癒肩膀僵硬、肌肉痛、關節痛等。 Further, since the pharmaceutical composition for external use of the present invention drastically enhances the transdermal absorbability of ketone and/or its salt, it can exert an excellent anti-inflammatory and analgesic effect, and can effectively alleviate or cure shoulder stiffness and muscle pain. Joint pain and so on.

1.外用醫藥組成物 1. Topical pharmaceutical composition

本發明之外用醫藥組成物,其特徵係含有(A)待克菲那及/或其藥學上容許的鹽、(B)0.1重量%以上的乳酸及/或其鹽,以及(C)薄荷醇。以下,針對本發明之外用醫藥組成物詳細說明。 A pharmaceutical composition for external use according to the present invention, which comprises (A) ketone and/or a pharmaceutically acceptable salt thereof, (B) 0.1% by weight or more of lactic acid and/or a salt thereof, and (C) menthol . Hereinafter, the pharmaceutical composition for external use of the present invention will be described in detail.

(A)待克菲那及/或其鹽 (A) to be treated with kefin and/or its salt

本發明之外用醫藥組成物係含有作為消炎鎮痛成分之待克菲那及/或其鹽(以下,有時記作「(A)成分」)。 The pharmaceutical composition for external use of the present invention contains ketone and/or a salt thereof (hereinafter, referred to as "(A) component") as an anti-inflammatory analgesic component.

待克菲那係亦稱作2-(2-(2,6-二氯苯胺)苯基)乙酸之非類固醇系的周知化合物。 A well-known compound of the non-steroidal system of 2-(2-(2,6-dichloroaniline)phenyl)acetic acid, which is also known as Keflon.

待克菲那的鹽,其限度若係藥學上容許者則 無特別限制,例如可舉出鈉鹽、鉀鹽等鹼金屬鹽;鈣鹽等鹼土類金屬鹽;氨與其鹽;二甲基胺、二乙基胺、三甲基胺、三乙基胺等1級、2級或3級烷基胺之鹽;單乙醇 胺、二乙醇胺、二異丙醇胺、三乙醇胺、三異丙醇胺等1級、2級或3級鏈烷醇胺之鹽。其中以鹼金屬鹽較佳,更佳係可舉出鈉鹽。該等待克菲那於藥學上容許的鹽,可單獨使用1種,或可組合使用2種以上。 If the salt of Kefina is pharmaceutically acceptable, The alkali metal salt such as a sodium salt or a potassium salt; an alkaline earth metal salt such as a calcium salt; ammonia and a salt thereof; dimethylamine, diethylamine, trimethylamine, triethylamine, etc. are not particularly limited. a salt of a grade 1, 2 or 3 alkylamine; monoethanol A salt of a grade 1, 2 or 3 alkanolamine such as an amine, diethanolamine, diisopropanolamine, triethanolamine or triisopropanolamine. Among them, an alkali metal salt is preferred, and a sodium salt is more preferred. The pharmaceutically acceptable salt may be used singly or in combination of two or more.

本發明之外用醫藥組成物中,(A)成分可自待克菲那及其鹽中選擇1種單獨使用,亦可組合使用2種以上。(A)成分中,較佳係待克菲那的鹽,更佳係待克菲那的鹼金屬鹽,特佳係可舉出為待克菲那鈉。 In the pharmaceutical composition for external use of the present invention, the component (A) may be used alone or in combination of two or more selected from the group consisting of ketone and its salt. Among the components (A), a salt of ketone is preferred, and an alkali metal salt of ketone is more preferred, and a particularly preferred one is kefenaldine.

針對本發明之外用醫藥組成物中(A)成分的含量並無特別限制,可舉出例如為0.2~2重量%、更佳為0.5~1.5重量%、最佳係0.7~1.3重量%。 The content of the component (A) in the external pharmaceutical composition of the present invention is not particularly limited, and is, for example, 0.2 to 2% by weight, more preferably 0.5 to 1.5% by weight, and most preferably 0.7 to 1.3% by weight.

(B)乳酸及/或其鹽 (B) Lactic acid and / or its salt

本發明之外用醫藥組成物,可含有0.1重量%以上含量的乳酸及/或其鹽(以下,有時記作「(B)成分」)。 The pharmaceutical composition for external use of the present invention may contain lactic acid and/or a salt thereof in an amount of 0.1% by weight or more (hereinafter, referred to as "(B) component").

乳酸的鹽,其限度若係藥學上容許者則無特別限制,例如可舉出鈉鹽、鉀鹽等鹼金屬鹽;鈣鹽、鎂鹽等鹼土類金屬鹽;氨與其鹽。該等乳酸的鹽,可單獨使用1種,或可組合使用2種以上。 The salt of lactic acid is not particularly limited as long as it is pharmaceutically acceptable, and examples thereof include alkali metal salts such as sodium salts and potassium salts; alkaline earth metal salts such as calcium salts and magnesium salts; and ammonia and salts thereof. These salts of lactic acid may be used alone or in combination of two or more.

本發明之外用醫藥組成物中,(B)成分可自乳酸及其鹽中選擇1種單獨使用,亦可組合使用2種以上。(B)成分中,自同時具有待克菲那及/或其鹽析出之抑制效果與更加提高其經皮吸收性之觀點而言,較佳係乳酸、乳酸的鹼金屬鹽,更佳係係乳酸、乳酸鈉,特佳係可 舉出為乳酸。 In the pharmaceutical composition for external use of the present invention, the component (B) may be used alone or in combination of two or more kinds selected from the group consisting of lactic acid and a salt thereof. Among the components (B), from the viewpoint of simultaneously suppressing the precipitation of ketone and/or its salt and increasing the transdermal absorbability, an alkali metal salt of lactic acid or lactic acid is preferred, and a system is preferred. Lactic acid, sodium lactate, especially good Give it lactic acid.

針對本發明之外用醫藥組成物中(B)成分的含量,若為0.1重量%以上則佳,自同時具有待克菲那及/或其鹽析出之抑制效果與更加提高其經皮吸收性之觀點而言,較佳係可舉出例如為0.1~5重量%,更佳為0.1~4重量%,0.1~3重量%亦佳,最佳係0.1~1重量%。 The content of the component (B) in the pharmaceutical composition for external use of the present invention is preferably 0.1% by weight or more, and has an inhibitory effect of precipitation of ketone and/or a salt thereof and an increase in transdermal absorbability. The viewpoint is preferably, for example, 0.1 to 5% by weight, more preferably 0.1 to 4% by weight, still more preferably 0.1 to 3% by weight, most preferably 0.1 to 1% by weight.

(C)薄荷醇 (C) menthol

本發明之外用醫藥組成物係含有薄荷醇(以下,有時記作「(C)成分」)。藉由使組成物中含有薄荷醇,可抑制與0.1重量%以上的乳酸及/或其鹽共存時產生之待克菲那及/或其鹽之析出,可使外用醫藥組成物具備優異安定性。進一步,藉由使其含有薄荷醇,及利用與0.1重量%以上的乳酸及/或其鹽的交互作用,可飛躍性地提高待克菲那及/或其鹽的經皮吸收性,進一步地賦予使用皮膚清涼感,使其具有良好的使用感。 The pharmaceutical composition for external use of the present invention contains menthol (hereinafter, referred to as "(C) component"). By containing menthol in the composition, precipitation of ketone and/or a salt thereof when coexisting with lactic acid and/or a salt thereof in an amount of 0.1% by weight or more can be suppressed, and the external pharmaceutical composition can have excellent stability. . Further, by containing menthol and utilizing an interaction with 0.1% by weight or more of lactic acid and/or a salt thereof, the transdermal absorbability of the ketone and/or its salt can be dramatically improved, further Gives the skin a cool feeling and gives it a good feeling of use.

薄荷醇,可為d體、l體、dl體之任一種,較佳可舉出l體。 The menthol may be any of a d body, a l body, and a dl body, and preferably one body.

本發明之外用醫藥組成物,亦可使用含有薄荷醇的精油作為(C)成分。含有薄荷醇的精油可自周知者之中適當地選擇使用,例如可舉出薄荷油、胡椒薄荷油、綠薄荷油等。 As the external pharmaceutical composition of the present invention, an essential oil containing menthol may be used as the component (C). The essential oil containing menthol can be appropriately selected from known ones, and examples thereof include peppermint oil, peppermint oil, and spearmint oil.

於(C)成分中,自更加提高待克菲那及/或其藥學上許可的鹽的經皮吸收性之觀點,較佳係可舉出薄 荷醇以及含其之精油,更佳係1-薄荷醇以及含其之精油。 Among the components (C), from the viewpoint of further improving the transdermal absorbability of the salt to be ketone and/or its pharmaceutically acceptable salt, it is preferred to be thin. The alcohol and the essential oil containing the same, more preferably 1-menthol and essential oils thereof.

針對本發明之外用醫藥組成物中(C)成分之含量,自更加提高抑制待克菲那及/或其鹽析出效果之觀點,可舉出例如1重量%以上,較佳係1~15重量%,更佳係3~10重量%,最佳係5~10重量%。 The content of the component (C) in the pharmaceutical composition for external use of the present invention is, for example, 1% by weight or more, preferably 1 to 15% by weight, from the viewpoint of further suppressing the effect of inhibiting the precipitation of ketone and/or its salt. %, more preferably 3 to 10% by weight, and most preferably 5 to 10% by weight.

(D)水 (D) water

為了使本發明之外用醫藥組成物可成為期望的製劑型態,亦可因應需要含有水(以下,有時記作「(D)成分」)。 In order to make the pharmaceutical composition for external use of the present invention into a desired formulation form, water may be contained as needed (hereinafter, referred to as "(D) component").

針對本發明外用醫藥組成物中(D)成分之含量,可因應製劑型態適當地加以設定,例如5~50重量%。一般,於水含量為15重量%以上,特別係20重量%以上的條件,使待克菲那及/或其鹽與0.1重量%以上的乳酸及/或其鹽共存時,發現析出物生成變顯著之傾向,但本發明之外用醫藥組成物,即使在含有較多水份的情況下,亦可抑制待克菲那及/或其鹽之析出。有鑑於該等本發明之效果,本發明外用醫藥組成物中(D)成分之含量,可舉出較佳係10~40重量%,更佳係15~40重量%,特佳係15~39重量%,最佳係20~38.9重量%。 The content of the component (D) in the external pharmaceutical composition of the present invention can be appropriately set depending on the formulation type, for example, 5 to 50% by weight. In general, when the water content is 15% by weight or more, particularly 20% by weight or more, when the ketone and/or its salt is coexisted with 0.1% by weight or more of lactic acid and/or a salt thereof, precipitate formation is observed. There is a significant tendency, but the pharmaceutical composition for external use of the present invention can suppress the precipitation of ketone and/or its salt even in the case of containing a large amount of water. In view of the effects of the present invention, the content of the component (D) in the external pharmaceutical composition of the present invention is preferably 10 to 40% by weight, more preferably 15 to 40% by weight, and particularly preferably 15 to 39%. The weight % is preferably 20 to 38.9 % by weight.

(E)低級醇 (E) lower alcohol

本發明之外用醫藥組成物中,為了提昇對所含成分之水的溶解性等,亦可因應需要含有低級醇(以下,有時記 作「(E)成分」)。 In the pharmaceutical composition for external use of the present invention, in order to improve the solubility in water of the components to be contained, a lower alcohol may be contained as needed (hereinafter, it may be noted "(E) component").

有關低級醇並無特別限制,可舉出例如乙醇、丙醇、異丙醇、正丁醇、第二丁醇、第三丁醇等碳數1~4的1價低級醇。其中,較佳係可舉出乙醇、丙醇、異丙醇。該等低級醇可單獨使用1種,亦可組合使用2種以上。 The lower alcohol is not particularly limited, and examples thereof include a monovalent lower alcohol having 1 to 4 carbon atoms such as ethanol, propanol, isopropanol, n-butanol, second butanol, and third butanol. Among them, preferred are ethanol, propanol and isopropanol. These lower alcohols may be used alone or in combination of two or more.

針對本發明之外用醫藥組成物中(E)成分之含量,可因應製劑型態等適當加以設定,可舉出例如30~90重量%。本發明之外用醫藥組成物,由於藉由含有前述(A)~(C)成分,提高待克菲那及/或其鹽對水的溶解性,並使其難以析出,而可降低使組成物中含有的低級醇量。有鑑於該等本發明之效果,使本發明外用醫藥組成物中含有(E)成分時,其含量可舉出較佳係45~80重量%,更佳係50~75重量%,特佳係55~70重量%。 The content of the component (E) in the pharmaceutical composition for external use according to the present invention can be appropriately set depending on the form of the preparation, and examples thereof include, for example, 30 to 90% by weight. In the pharmaceutical composition for external use of the present invention, by containing the components (A) to (C), the solubility of the ketone and/or its salt in water is improved, and it is difficult to precipitate, and the composition can be lowered. The amount of lower alcohol contained in the product. In view of the effects of the present invention, when the external pharmaceutical composition of the present invention contains the component (E), the content thereof is preferably from 45 to 80% by weight, more preferably from 50 to 75% by weight, particularly preferably 55 to 70% by weight.

其他成分 Other ingredients

另外,本發明之外用醫藥組成物中,為了製成期望的製劑型態,可含有前述(D)及(E)成分之外的水性基劑、油性基劑等基劑。 Further, in the pharmaceutical composition for external use of the present invention, a base such as an aqueous base or an oil base other than the components (D) and (E) may be contained in order to obtain a desired formulation form.

前述(D)及(E)成分之外的水性基劑,可舉出例如甘油、丙二醇、二丙二醇、丁二醇等多元醇等。 The aqueous base other than the components (D) and (E) may, for example, be a polyhydric alcohol such as glycerin, propylene glycol, dipropylene glycol or butylene glycol.

油性基劑可舉出非極性油、極性油等。非極性油具體可舉出石蠟、異石蠟等烴類;角鯊烯、鯨蠟等。另外,極性油具體可舉出脂肪族單羧酸酯、三酸甘油酯、 脂肪族二羧酸二酯、脂肪族二羧酸烷烯甘油酯、高級脂肪酸等。一般係為了提升脂溶性成分對水的溶解性等而使用極性油,本發明之外用醫藥組成物,由於藉由含有前述(A)~(C)成分,提高待克菲那及/或其鹽對水的溶解性,並使其難以析出,實際上可不含有極性油而進行製劑化。有鑑於該等本發明之效果,適合本發明外用醫藥組成物之一實施方式,係可舉出實際上未含有極性油者。此處,「實際上未含有極性油」係指極性油的含量為不影響待克菲那及/或其鹽對水的溶解性之量,具體而言係意指5重量%以下,較佳係3重量%以下,更佳係0重量%。 The oily base may, for example, be a nonpolar oil or a polar oil. Specific examples of the non-polar oil include hydrocarbons such as paraffin and isoparaffin; squalene and cetyl wax. Further, specific examples of the polar oil include aliphatic monocarboxylic acid esters and triglycerides. An aliphatic dicarboxylic acid diester, an aliphatic dicarboxylic acid alkene glyceride, a higher fatty acid or the like. In general, a polar oil is used to enhance the solubility of a fat-soluble component in water, and the pharmaceutical composition for external use of the present invention is improved by containing the above components (A) to (C). The solubility in water is difficult to precipitate, and it can be formulated without actually containing a polar oil. In view of the effects of the present invention, one embodiment of the external pharmaceutical composition of the present invention is preferably one which does not substantially contain a polar oil. Here, "the fact that the polar oil is not contained" means that the content of the polar oil does not affect the solubility of the ketone and/or its salt to water, and specifically means 5% by weight or less, preferably It is 3% by weight or less, more preferably 0% by weight.

本發明之外用醫藥組成物中,於不妨礙本發明效果的範圍內,除了前述成分之外,亦可因應需要含有藥理成分。針對可摻合於本發明外用醫藥組成物中的藥理成分,並無特別限制,可舉出例如甘草次酸、甘草酸二鉀、甘草酸銨、甘草酸硬酯酸酯等抗發炎劑;二苯基咪唑、苯海拉明及其於藥學上許可的鹽、縮蘋酸氯菲氨明等抗組織胺劑;利度卡因及其於藥學上許可的鹽、待布卡因及其於藥學上許可的鹽、4-氨基苯甲酸乙酯等局部麻醉劑;生育酚乙酸酯、菸鹼酸苄酯、壬酸香草醯胺、辣椒酐等促進血液循環劑;山金車花酊、黃柏萃取物、山梔子萃取物、歐洲七葉樹萃取物、東莨菪萃取物、顛茄浸膏、當歸萃取物、紫根萃取物、山椒萃取物等生藥等。 The pharmaceutical composition for external use of the present invention may contain a pharmacological component as needed in addition to the above components, within a range not inhibiting the effects of the present invention. The pharmacological component which can be blended in the external pharmaceutical composition of the present invention is not particularly limited, and examples thereof include an anti-inflammatory agent such as glycyrrhetinic acid, dipotassium glycyrrhizinate, ammonium glycyrrhizinate, and glycyrrhizic acid stearate; Phenylimidazole, diphenhydramine and its pharmaceutically acceptable salts, antihistamines such as chlorphenamine dexamethasone; lidocaine and its pharmaceutically acceptable salts, to be buckin and Pharmaceutically acceptable salt, local anesthetic such as ethyl 4-aminobenzoate; tocopherol acetate, benzyl nicotinic acid, vanillyl citrate, capsaicin, etc. to promote blood circulation; arnica flower bud, cork Extracts, crab apple extract, horse chestnut extract, sorghum extract, belladonna extract, angelica extract, purple root extract, pepper extract and other crude drugs.

進一步,本發明之外用醫藥組成物,除前述成分之外,亦可因應需要而含有一般使用於外用醫藥組成 物中的其他添加劑。該等添加劑可舉出例如pH調節劑、界面活性劑、乳化劑、可溶化劑、防腐劑、保存劑、抗氧化劑劑、安定化劑、螯合劑、增黏劑、香料、著色料等。針對可摻合於本發明外用醫藥組成物中的增黏劑,並無特別限制,可舉出例如羥丙基纖維素、羥丙基甲基纖維素、羥乙基纖維素、羧基乙烯聚合物、玻尿酸、黃原膠等。 Further, the pharmaceutical composition for external use of the present invention may contain, in addition to the aforementioned components, a composition generally used for external use as needed. Other additives in the product. Examples of such additives include pH adjusters, surfactants, emulsifiers, solubilizers, preservatives, preservatives, antioxidants, stabilizers, chelating agents, tackifiers, perfumes, coloring materials, and the like. The tackifier which can be blended in the external pharmaceutical composition of the present invention is not particularly limited, and examples thereof include hydroxypropylcellulose, hydroxypropylmethylcellulose, hydroxyethylcellulose, and carboxyvinyl polymer. , hyaluronic acid, xanthan gum, etc.

pH pH

將本發明外用醫藥組成物製成液劑型態時,pH可舉出例如3.0~9.0,更佳係4.0~9.0,最佳係4.5~8.5。 When the external pharmaceutical composition of the present invention is in a liquid dosage form, the pH is, for example, 3.0 to 9.0, more preferably 4.0 to 9.0, and most preferably 4.5 to 8.5.

製劑型態 Formulation type

針對本發明外用醫藥組成物的製劑型態,若其範圍為可經皮適用則無特別限制,例如可舉出液劑(包含化妝水劑、噴霧劑、氣膠劑以及乳液劑)、泡沫劑、軟膏劑、硬膏劑、乳霜劑、凝膠劑、貼附劑等。該等製劑中可舉出較佳為液劑或凝膠劑。調製為該等製劑型態的方法,可依據記載於第十六次修訂之日本藥典中製劑總則等周知的方法,因應製劑型態使用添加劑進行製劑化。 The formulation form of the external pharmaceutical composition of the present invention is not particularly limited as long as it is percutaneously applicable, and examples thereof include a liquid preparation (including a lotion, a spray, a gel, and an emulsion), and a foaming agent. , ointments, plasters, creams, gels, patches, etc. Among these preparations, a liquid preparation or a gel preparation is preferred. The method of preparing the preparation forms can be formulated according to the formulation method in the Japanese Pharmacopoeia of the sixteenth revision, and the preparation is carried out in accordance with the formulation type.

使用方式 Way of use

本發明之外用醫藥組成物,係利用外用投藥方式使用於尋求鎮痛的局部(皮膚)。本發明外用醫藥組成物的投藥量,可因應投藥部位、應治療症狀的程度等適當地設 定,期望進行投藥的局部部位每1cm2,待克菲那及/或其藥學上許可的鹽的一次投藥量,可為約10~500mg。 The pharmaceutical composition for external use of the present invention is applied to a part (skin) for analgesia by a topical administration method. The dosage of the external pharmaceutical composition of the present invention can be appropriately set depending on the site to be administered, the degree of the symptom to be treated, and the like, and it is desirable to carry out the administration of the local portion of the drug per 1 cm 2 , to be kefinal and/or its pharmaceutically acceptable salt. The dosage can be about 10~500mg.

本發明之外用醫藥組成物係外用消炎鎮痛劑,可使用於對肩膀僵硬伴隨的肩膀疼痛、關節痛、腰痛、肌肉痛、肌腱炎(手部、手腕的疼痛)、手肘的疼痛(網球肘等)、重擊痛、扭傷痛、骨折痛、神經痛、變形關節症、關節炎等之治療目的。 The external use pharmaceutical composition of the present invention is an anti-inflammatory analgesic for external use, which can be used for shoulder pain, joint pain, back pain, muscle pain, tendonitis (pain of the hand and wrist), and pain of the elbow (tennis elbow) Etc.), heavy pain, sprain pain, fracture pain, neuralgia, osteoarthritis, arthritis, etc.

2.控制析出方法 2. Control the precipitation method

進一步,本發明係提供抑制待克菲那及/或其藥學上容許的鹽析出的方法。具體而言,本發明之抑制析出方法其特徵係於含有(A)待克菲那及/或其藥學上容許的鹽、及(B)0.1重量%以上的乳酸及/或其鹽之外用醫藥組成物中,摻合(C)薄荷醇,係抑制待克菲那及/或其藥學上容許的鹽析出的方法。本發明之抑制析出方法中,針對使用成分的種類與摻合量、外用醫藥組成物的pH與製劑型態等,係如前述「1.外用醫藥組成物」欄位之記載。 Further, the present invention provides a method of inhibiting the precipitation of ketone and/or its pharmaceutically acceptable salt. Specifically, the method for inhibiting precipitation according to the present invention is characterized by comprising (A) ketone and/or a pharmaceutically acceptable salt thereof, and (B) 0.1% by weight or more of lactic acid and/or a salt thereof. In the composition, (C) menthol is blended, which is a method for inhibiting the precipitation of ketone and/or its pharmaceutically acceptable salt. In the method for inhibiting precipitation according to the present invention, the type of the component to be used, the blending amount, the pH of the external pharmaceutical composition, the formulation type, and the like are as described in the column "1. External pharmaceutical composition".

〔實施例〕 [Examples]

以下揭示實施例更具體說明本發明,但本發明未因該等實施例而有任何限制。 The invention is more specifically illustrated by the following examples, but the invention is not limited by the examples.

試驗例1 Test example 1

調製表1及2所示組成之外用醫藥組成物。具體而 言,係於規定量的乙醇或異丙醇中,添加規定量的待克菲那鈉以及1-薄荷醇並使其溶解後,再添加規定量的乳酸並攪拌。接著,藉由添加規定量的水以及羥丙基纖維素(僅實施例3)並進行攪拌,獲得外用醫藥組成物(實施例3以外為液狀,僅實施例3為凝膠狀)。 The composition shown in Tables 1 and 2 was prepared by using a pharmaceutical composition. Specifically In a predetermined amount of ethanol or isopropyl alcohol, a predetermined amount of ketophene sodium and 1-menthol are added and dissolved, and then a predetermined amount of lactic acid is added and stirred. Then, a predetermined amount of water and hydroxypropylcellulose (Example 3 only) were added and stirred to obtain a pharmaceutical composition for external use (liquid form other than Example 3, and only Example 3 was gel-like).

針對剛調製完成之各外用醫藥組成物的外觀性狀進行評價,進一步亦針對將各外用醫藥組成物放置於25℃下3天,遮光條件下保存後的外觀性狀進行評價。外用醫藥組成物之外觀性狀評價係依下述判定標準進行。 The appearance properties of each of the externally applied pharmaceutical compositions immediately after the preparation were evaluated, and the external appearance of the externally applied pharmaceutical composition was evaluated at 3 ° C for 3 days, and the appearance properties after storage under light-shielding conditions were evaluated. The evaluation of the appearance properties of the external pharmaceutical composition was carried out according to the following criteria.

<外觀性狀的判定標準> <Criteria for judging traits>

◎:未發現析出物,為極佳的可溶狀態。 ◎: No precipitate was found, and it was an excellent soluble state.

○:發現些微析出物,但為實際上可使用程度之良好的可溶狀態。 ○: Some micro-precipitates were found, but they were in a practically usable soluble state.

△:明顯發現析出物,無法成為可使用程度之可溶狀態。 △: The precipitate was clearly found and could not be made soluble.

×:發現顯著的析出物,未呈現可溶狀態。 ×: Significant precipitates were found and did not exhibit a soluble state.

將所得結果示於表1及2。自該結果可知,待克菲那鈉未與乳酸共存時,以及待克菲那鈉與未達0.1重量%的乳酸共存時,未發現析出物生成(參考例1及2),待克菲那鈉與0.1重量%以上的乳酸共存,且未含有1-薄荷醇時,剛調製完成或保存3天後發現顯著的析出物生成(比較例1~6)。反之,待克菲那鈉與0.1重量%以上的乳酸共存,且含有1-薄荷醇時,剛調製完成及保存3 天後,發現抑制了析出物的生成(實施例1~9)。亦即,待克菲那鈉與0.1重量%以上的乳酸共存,且含有5重量%以上的1-薄荷醇時,具有顯著的抑制析出物生成之效果,且呈現極佳的可溶狀態。 The results obtained are shown in Tables 1 and 2. From the results, it was found that when kefinal sodium was not coexisted with lactic acid, and when kefinal sodium was coexisted with less than 0.1% by weight of lactic acid, no precipitate formation was observed (Reference Examples 1 and 2), to Kefner When sodium and 0.1% by weight or more of lactic acid coexisted, and 1-menthol was not contained, remarkable precipitate formation was observed immediately after preparation or storage for 3 days (Comparative Examples 1 to 6). On the other hand, when kofene sodium is coexisted with 0.1% by weight or more of lactic acid, and 1-menthol is contained, it is just completed and stored. After the day, it was found that the formation of precipitates was suppressed (Examples 1 to 9). That is, when kevina sodium is coexisted with 0.1% by weight or more of lactic acid and contains 5% by weight or more of 1-menthol, it has an effect of suppressing the formation of precipitates and exhibits an excellent soluble state.

表中,各含有成分之單位係「重量%」。 In the table, the unit containing each component is "% by weight".

表中,各含有成分之單位係「重量%」。 In the table, the unit containing each component is "% by weight".

試驗例2 Test example 2

調製表3所示組成之外用醫藥組成物(液狀)。為評價各外用醫藥組成物的經皮吸收性進行下述實驗。將-30℃冷凍的YMP(Yucatan Micropig,尤卡坦微型豬)皮膚(日本Charles River公司製),放置於室溫下約30分鐘自然解凍,去除皮下附著的脂肪與肌肉後做為試驗用皮膚。再將試驗用皮膚裝置於Franz型擴散槽(有效通透直徑為25mm,玻璃製),於接收側槽內注滿0.2M的PBS緩衝液(pH7.4),並將Franz型擴散槽浸泡於37℃±3℃的溫水中。Franz型擴散槽內成為37℃±3℃後,在試驗用皮膚的表皮側施用1g的外用醫藥組成物並維持於37℃±3℃,5小時。施用外用醫藥組成物3小時後以及5小時後,採取0.5ml的接收側槽內的PBS緩衝液,利用液體層析儀測定該當PBS緩衝液中待克菲那的濃度,並計算出待克菲那鈉透過試驗用皮膚的量(待克菲那鈉的經皮吸收量,μg)。且本試驗中,試驗用皮膚均使用同一批號者。 The composition shown in Table 3 was prepared by using a pharmaceutical composition (liquid). The following experiment was conducted in order to evaluate the transdermal absorbability of each external pharmaceutical composition. The skin of YMP (Yucatan Micropig, yikatan micropigs) frozen at -30 ° C (manufactured by Charles River, Japan) was naturally thawed at room temperature for about 30 minutes to remove the fat and muscle attached to the skin and used as test skin. . The test skin device was placed in a Franz-type diffusion tank (effective permeation diameter of 25 mm, made of glass), and the receiving side tank was filled with 0.2 M PBS buffer (pH 7.4), and the Franz-type diffusion tank was immersed in Warm water at 37 °C ± 3 °C. After the inside of the Franz type diffusion tank was 37 ° C ± 3 ° C, 1 g of the external pharmaceutical composition was applied to the epidermis side of the test skin and maintained at 37 ° C ± 3 ° C for 5 hours. After administration of the topical pharmaceutical composition for 3 hours and 5 hours, 0.5 ml of the PBS buffer in the receiving side tank was taken, and the concentration of the ketone to be used in the PBS buffer was measured by a liquid chromatograph, and the Kefir was calculated. The amount of sodium that passed through the test (the amount of transdermal absorption of kefinal sodium, μg). In this test, the same batch number was used for the skin for the test.

所得結果示於表3。自表3可明確得知,加入待克菲那鈉及1-薄荷醇後,含乳酸時(實施例10),與不含乳酸時(比較例7)相比,待克菲那鈉的經皮吸收量飛躍性地增加。另一方面,與待克菲那鈉及1-薄荷醇同時含有乙酸時(比較例8),並未如同使用乳酸時般,待克菲那鈉的經皮吸收量並未增加。進一步,即使含有待克菲 那鈉及乳酸,於未含有1-薄荷醇(比較例9)時,待克菲那鈉的經皮吸收量未增加。自上述結果可明確得知,待克菲那鈉的經皮吸收量可飛躍性地增加,係因以一體不可分割的形式含有待克菲那鈉、1-薄荷醇及乳酸而實現。 The results obtained are shown in Table 3. It can be clearly seen from Table 3 that when kevinate and 1-menthol are added, when lactic acid is contained (Example 10), compared with when lactic acid is not contained (Comparative Example 7), the ketone sodium solution is compared. The amount of skin absorption has increased dramatically. On the other hand, when acetic acid was contained together with ketophene sodium and 1-menthol (Comparative Example 8), the transdermal absorption amount of kefinal sodium was not increased as in the case of using lactic acid. Further, even if it contains Nasal and lactic acid did not increase the transdermal absorption of koffinna when the content of 1-menthol was not contained (Comparative Example 9). From the above results, it is clear that the transdermal absorption of koffinnab can be dramatically increased by containing Kefina sodium, 1-menthol and lactic acid in an integral and inseparable form.

表中,各含有成分摻合量之單位係「重量%」。 In the table, the unit containing the blending amount of each component is "% by weight".

製劑例 Formulation example

調製表4所示組成之外用醫藥組成物(製劑例1、3及5係液狀,製劑例2、4及6係凝膠狀)。獲得之外用醫藥組成物均為具有優異的待克菲那鈉經皮吸收性,進一步可抑制析出物生成,具備優異安定性。 The composition shown in Table 4 was prepared by using a pharmaceutical composition (formulations 1, 3, and 5 in liquid form, and preparation examples 2, 4, and 6 in a gel form). The pharmaceutical composition for external use has excellent percutaneous absorption of kefferenadine, and further inhibits the formation of precipitates, and has excellent stability.

表中,各含有成分之單位係「重量%」。 In the table, the unit containing each component is "% by weight".

Claims (8)

一種外用醫藥組成物,其係含有(A)待克菲那及/或其藥學上容許的鹽、(B)0.1重量%以上的乳酸及/或其鹽,以及(C)薄荷醇。 A pharmaceutical composition for external use comprising (A) ketone and/or a pharmaceutically acceptable salt thereof, (B) 0.1% by weight or more of lactic acid and/or a salt thereof, and (C) menthol. 如請求項1之外用醫藥組成物,其係進一步含有(D)水。 A pharmaceutical composition, which further contains (D) water, is used in addition to claim 1. 如請求項1或2之外用醫藥組成物,其係進一步含有(E)低級醇。 A pharmaceutical composition is further contained in addition to claim 1 or 2, which further contains (E) a lower alcohol. 如請求項1~3中任一項之外用醫藥組成物,其中前述(C)成分係含有1重量%以上。 The pharmaceutical composition according to any one of claims 1 to 3, wherein the component (C) is contained in an amount of 1% by weight or more. 如請求項1~4中任一項之外用醫藥組成物,其中前述(D)成分係含有5~50重量%。 The pharmaceutical composition according to any one of claims 1 to 4, wherein the component (D) is contained in an amount of 5 to 50% by weight. 如請求項1~5中任一項之外用醫藥組成物,其中前述(E)成分係含有30~90重量%。 The pharmaceutical composition according to any one of claims 1 to 5, wherein the component (E) is contained in an amount of 30 to 90% by weight. 如請求項1~6中任一項之外用醫藥組成物,其係液劑或凝膠劑。 A pharmaceutical composition, a liquid preparation or a gelling agent, for use in any one of claims 1 to 6. 一種抑制待克菲那及/或其藥學上容許的鹽析出之方法,其係於含有(A)待克菲那及/或其藥學上容許的鹽,以及(B)0.1重量%以上的乳酸及/或其鹽之外用醫藥組成物中,摻合(C)薄荷醇。 A method for inhibiting precipitation of ketone and/or a pharmaceutically acceptable salt thereof, which comprises (A) ketone and/or a pharmaceutically acceptable salt thereof, and (B) 0.1% by weight or more of lactic acid And (/) menthol is blended in a pharmaceutical composition for use in addition to/or its salt.
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