TW201639563A - Pharmaceutical complex formulation comprising AMLODIPINE, LOSARTAN and CHLORTHALIDONE - Google Patents

Pharmaceutical complex formulation comprising AMLODIPINE, LOSARTAN and CHLORTHALIDONE Download PDF

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TW201639563A
TW201639563A TW105108523A TW105108523A TW201639563A TW 201639563 A TW201639563 A TW 201639563A TW 105108523 A TW105108523 A TW 105108523A TW 105108523 A TW105108523 A TW 105108523A TW 201639563 A TW201639563 A TW 201639563A
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pharmaceutically acceptable
mixture
acceptable salt
losartan
formulation
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TWI714560B (en
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金用鎰
林昊澤
盧利東
尹英洙
朴宰賢
禹鍾守
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韓美藥品股份有限公司
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Abstract

The present invention provides a pharmaceutical complex formulation comprising a first mixture including amlodipine and chlorthalidone and a second mixture including losartan, which has an improved dissolution and stability. The complex formulation according to the present invention may achieve improved preventive or therapeutic effects for cardiovascular diseases by actuating different mechanism of amlodipine, losartan and chlorthalidone, and exhibits high dissolution rates of amlodipine, losartan and chlorthalidone and improved storage stability, due to the minimized drug interactions, and therefore, it is useful in the fields of pharmaceuticals and medicine.

Description

包含安洛待平(AMLODIPINE)、洛沙坦(LOSARTAN)及氯薩利酮(CHLORTHALIDONE)的醫藥複合調配物 Pharmaceutical complex formulation comprising AMLODIPINE, Losartan (LOSARTAN) and losalidone (CHLORTHALIDONE) 發明領域 Field of invention

本發明係有關於一種包含安洛待平(amlodipine)、洛沙坦(losartan)和氯薩利酮(chlorthalidone)的醫藥複合調配物,更特別地,係有關於一種醫藥複合調配物,其包含含有安洛待平和氯薩利酮的第一混合物以及含有洛沙坦的第二混合物,該醫藥複合調配物具有改良的溶解作用和安定性。 The present invention relates to a pharmaceutical compound formulation comprising amlodipine, losartan and chlorthalidone, and more particularly to a pharmaceutical compound formulation comprising A first mixture comprising anisopine and losalone and a second mixture comprising losartan, the pharmaceutical composite formulation having improved dissolution and stability.

發明背景 Background of the invention

大約90~95%的高血壓病人患有原因未找到的本態性(原發性)高血壓。縱然本態性高血壓的基本病因尚不清楚,但是已知心搏出量(cardiac output)(每當心臟收縮而由其泵出的血液的體積)的增加或是增加的末梢血管阻力會引起本態性高血壓。高血壓的危險因素是心理和環境的因素,諸如飲酒、吸煙、老化、缺乏運動、肥胖、攝食很鹹的食物之飲食習慣、壓力等等。再者,因為高血壓有家族 史的傾向,當父母親這兩者具有高血壓,其等80%的孩子後來可能為高血壓,且當父母親中的一者為高血壓,其等25~50%的孩子可能為高血壓。 Approximately 90 to 95% of hypertensive patients have underlying (primary) hypertension that is not found. Although the underlying cause of essential hypertension is unclear, it is known that the increase in cardiac output (the volume of blood pumped by the heart as it contracts) or the increase in peripheral vascular resistance can cause this state. hypertension. Risk factors for high blood pressure are psychological and environmental factors such as drinking, smoking, aging, lack of exercise, obesity, eating habits of salty foods, stress, and so on. Furthermore, because there is a family of high blood pressure The tendency of history, when parents have high blood pressure, 80% of their children may later be high blood pressure, and when one of the parents is high blood pressure, the other 25-50% of the children may be high blood pressure .

在高血壓治療的主要目標是藉由維持血壓在正常的範圍內來預防由高血壓所引起的內部器官損傷。於是,改善生活方式與如服藥是一樣重要的。患有高血壓的病人的目標是將血壓控制在小於140/90mmHg。如果病人有糖尿病或腎臟疾病,血壓的目標應該是小於130/80mmHg。 The main goal in the treatment of hypertension is to prevent internal organ damage caused by high blood pressure by maintaining blood pressure within the normal range. Therefore, improving lifestyle is as important as taking medication. The goal of patients with high blood pressure is to control blood pressure to less than 140/90 mmHg. If the patient has diabetes or kidney disease, the target for blood pressure should be less than 130/80mmHg.

高血壓的治療可以降低由中風或心血管疾病所引起的死亡率。控制高血壓病人的血壓可以降低中風的發生達35~40%、心肌梗塞達20~25%,以及心臟衰竭達大約50%或更高。降低收縮血壓達5mmHg可以降低中風的死亡率達14%、冠狀動脈疾病的死亡率達9%,以及總死亡率達7%。再者,因血壓控制與失智相關,是以適當的控制高血壓病人的血壓可以降低失智的發生。 Treatment of high blood pressure can reduce mortality caused by stroke or cardiovascular disease. Controlling blood pressure in hypertensive patients can reduce the incidence of stroke by 35-40%, myocardial infarction by 20-25%, and heart failure by about 50% or higher. Reducing systolic blood pressure to 5 mmHg can reduce stroke mortality by 14%, coronary artery disease mortality by 9%, and total mortality by 7%. Furthermore, because blood pressure control is related to dementia, it is possible to reduce the occurrence of dementia by appropriately controlling the blood pressure of hypertensive patients.

因此,持續的控制血壓對於高血壓病人預防心血管併發症是重要的。抗高血壓劑需要長期的投藥,以及使用具有不同的藥理學作用之二個或更多個藥物的組合之進階的療法可以引致改良的預防或治療功效,同時由於減少劑量而降低由單一藥物的長期投藥所引起的副作用。 Therefore, continuous control of blood pressure is important for the prevention of cardiovascular complications in hypertensive patients. Antihypertensive agents require long-term administration, and advanced therapies using a combination of two or more drugs with different pharmacological effects can lead to improved prophylactic or therapeutic efficacy, while reducing the dose by a single drug Side effects caused by long-term administration.

著名的抗高血壓藥物依據它們的藥理學作用被區分成利尿劑、消除交感神經作用劑(sympatholytic agents)和血管舒張劑。血管舒張劑為最廣泛開的抗高血壓藥物藥方,以及其等依據其等之藥理學的作用而區分成數群,其 等包括ACE(血管收縮素轉化酵素)抑制劑、血管收縮素II受體拮抗劑,以及鈣離子通道阻斷劑。 Well-known antihypertensive drugs are classified into diuretics, sympatholytic agents, and vasodilators based on their pharmacological effects. Vasodilators are the most widely prescribed antihypertensive drug prescriptions, and their differentiation into groups according to their pharmacological effects. Etc. include ACE (angiotensin-converting enzyme) inhibitors, angiotensin II receptor antagonists, and calcium channel blockers.

安洛待平(Amlodipine)為3-乙基-5-甲基-2-(2-胺基乙氧基-甲基)-4-(2-氯苯基)-6-甲基-1,4-二氫-3,5-吡啶二羧酸鹽類的學名。安洛待平苯磺酸鹽目前以脈優(Norvasc®)(商標)在市場上銷售。在韓國專利登記第452491號中已經揭示安洛待平樟腦磺酸鹽(Amlodipine camsylate),其具有與安洛待平苯磺酸鹽比較更為優異的物理性質,譬如溶解度和安定性,並且目前以安莫地平®(Amodipin®)(商標)在市場上銷售。安洛待平為一種用於治療心血管疾病的鈣離子通道阻斷劑,例如心絞痛、高血壓以及鬱血性心臟衰竭。 Amlodipine is 3-ethyl-5-methyl-2-(2-aminoethoxy-methyl)-4-(2-chlorophenyl)-6-methyl-1. The scientific name of 4-dihydro-3,5-pyridinedicarboxylate. Anloprol besylate is currently marketed on the market under Norvasc ® (trademark). Amlodipine camsylate has been disclosed in Korean Patent Registration No. 452 491, which has superior physical properties such as solubility and stability, and is currently superior to anisoprofen benzene sulfonate. to Anmo horizon ® (Amodipin ®) (trademark) sold on the market. Anlopoxine is a calcium channel blocker for the treatment of cardiovascular diseases such as angina pectoris, hypertension and septic heart failure.

洛沙坦為2-丁基-4-氯-1-[[2'-(1H-四唑-5-基)[1,1'-聯苯]-4-基]甲基]-1H-咪唑-5-甲醇的學名,其已經揭示於美國專利第5,608,075號;第5,138,069號;及第5,153,197號之中。洛沙坦鉀為商業上可得的,如可悅您(Cozaar®)(商標)。洛沙坦會阻斷血管收縮劑血管收縮素II與其之受體的交互作用,且主要用於治療高血壓和心臟衰竭。其亦用於治療缺血性末梢循環障礙、心肌缺血(心絞痛)、糖尿病性神經病變,和青光眼,以及也用於預防心肌梗塞後心臟衰竭的進展。 Losartan is 2-butyl-4-chloro-1-[[2'-(1 H -tetrazol-5-yl)[1,1'-biphenyl]-4-yl]methyl]-1 H - imidazole-5-methanol scientific name, which has been disclosed in U.S. Pat. No. 5,608,075; No. 5,138,069; No. 5,153,197 in the second. Losartan potassium is commercially available, such as Cozaar ® (trademark). Losartan blocks the interaction of the vasoconstrictor angiotensin II with its receptor and is primarily used to treat hypertension and heart failure. It is also used to treat ischemic peripheral circulatory disorders, myocardial ischemia (angina), diabetic neuropathy, and glaucoma, as well as to prevent progression of heart failure after myocardial infarction.

含有藥理學活性不同的安洛待平和洛沙坦之組合調配物的優點,就預防和治療高血壓與心血管疾病而言,是比單一藥物更有效,並且降低由於單一藥物所導致的副作用且改善病人之順從性。在韓國專利登記第1160151號及 第1232296號中已經揭示該組合調配物,並且目前以安莫沙坦®(Amosartan®)(商標)在市場上銷售。 The advantages of a combination formulation containing anisoprofen and losartan having different pharmacological activities are more effective than a single drug in preventing and treating hypertension and cardiovascular diseases, and reducing side effects caused by a single drug. Improve patient compliance. Korean Patent Registration No. 1232296 and second No. 1,160,151 has disclosed compositions of the formulations, and the currently Anmo losartan ® (Amosartan ®) (trademark) sold on the market.

氯薩利酮(chlorthalidone)為苯磺醯胺-2-氯-5-(2,3-二氫-1-羥基-3-側氧-1H-異吲哚-1-基)的學名,其目前以排苦樂通(Hygroton®)(商標)在市場上銷售。氯薩利酮,一種噻嗪類(thiazide)利尿劑,阻斷腎臟遠側小管的Na+/Cl-同向運輸蛋白,藉此抑制Na+及Cl-的再回收且增加K+的排出,此引致水滯留於尿內。近來,除了氫氯塞治(hydrochlorothiazide)已經是一種代表性噻嗪類利尿劑之外,氯薩利酮最近也被注意到以及於國家健康與照顧卓越研究院(NICE)之高血壓治療指導方針中被推薦,代替氫氯塞治。 Chlorthalidone is the scientific name of phenylsulfonamide-2-chloro-5-(2,3-dihydro-1-hydroxy-3-oxo-1H-isoindol-1-yl) It is currently marketed on the market under the Hygroton ® (trademark). Chlorsalone, a thiazide diuretic, blocks the Na + /Cl - co-transported protein in the distal tubules of the kidney, thereby inhibiting the re-recovery of Na + and Cl - and increasing the excretion of K + , This causes water to stay in the urine. Recently, in addition to hydrochlorothiazide, which is already a representative thiazide diuretic, chlorsalone has recently been noted and recommended by the National Institute of Health and Care Excellence (NICE) for hypertension treatment guidelines. It is recommended to replace hydrochlorochlorosis.

氯薩利酮之半生期為50至60小時且反應時間為48至72小時,以及其於夜間控制血壓是更有用的,因為與半生期為9至10小時且反應時間為16至24小時的氫氯塞治相比,氯薩利酮具有更長的作用持續時間與反應時間。 The half-life of chlorsalone is 50 to 60 hours and the reaction time is 48 to 72 hours, and it is more useful to control blood pressure at night because it has a half-life of 9 to 10 hours and a reaction time of 16 to 24 hours. Compared to hydrochlorochlorosis, chlorsalone has a longer duration of action and reaction time.

縱然在臨床領域中越來越需要一種包含不同的藥理學活性之安洛待平、洛沙坦和氯薩利酮(chlorthalidone)的組合調配物,用於更有效的治療心血管疾病,但是其很難以商業化,因藥物的交互作用可能會減少溶解率及安定性,且發展組合調配物是高度困難的。 Even though there is a growing need in the clinical field for a combination of anisopine, losartan and chlorthalidone containing different pharmacological activities for more effective treatment of cardiovascular disease, it is very It is difficult to commercialize, because the interaction of drugs may reduce the dissolution rate and stability, and it is highly difficult to develop a combination formulation.

雖然進行研究來解決以上組合調配物的問題,但是本發明人已經發現溶解作用和安定性有很大的不同,取決於複合雙層錠劑的形式和製造方法,並且已經發展出一 種含有安洛待平、洛沙坦及羅舒伐他汀的複合調配物,其具有改良的溶解作用和安定性。 Although research has been conducted to solve the problems of the above combination formulations, the inventors have found that the dissolution and stability are greatly different depending on the form and manufacturing method of the composite bilayer tablet, and one has been developed. A complex formulation containing anisopine, losartan, and rosuvastatin having improved dissolution and stability.

發明概要 Summary of invention 【揭示】 【reveal】

本發明的一目的是要提供一種包含安洛待平、洛沙坦和氯薩利酮的醫藥複合調配物,其係透過引動不同的機制而對於治療心血管疾病非常有效,並且具有高度的安洛待平、洛沙坦及氯薩利酮溶解率以及改良的儲存安定性。 It is an object of the present invention to provide a pharmaceutical compound formulation comprising anisopine, losartan and chlorsalone which is highly effective in the treatment of cardiovascular diseases by stimulating different mechanisms and has a high degree of safety. Lofap, losartan and chlorsalone dissolution rates and improved storage stability.

本發明提供一種用於預防或治療心血管疾病的醫藥複合調配物,該調配物包含:一第一混合物,其包括安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及一第二混合物,其包括洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑,其中該第一混合物及該第二混合物係以彼此物理上分隔的形式存在。 The present invention provides a pharmaceutical compound formulation for preventing or treating cardiovascular diseases, the formulation comprising: a first mixture comprising acyclovir or a pharmaceutically acceptable salt thereof, polsalone or a pharmaceutically acceptable salt, and a pharmaceutically acceptable additive; and a second mixture comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive, wherein the first A mixture and the second mixture are present in physically separate form from one another.

依據本發明之包含安洛待平、洛沙坦和氯薩利酮的醫藥複合調配物,可透過引動不同的機制而達成改良的 預防或治療心血管疾病的功效,並且由於最小化的藥物交互作用而展現出安洛待平、洛沙坦及氯薩利酮高度的溶解率以及改良的儲存安定性,且因此在醫藥與醫學領域上是有用的。 The pharmaceutical composite formulation comprising anisopine, losartan and losalidone according to the invention can be improved by stimulating different mechanisms The efficacy of preventing or treating cardiovascular disease, and exhibiting a high degree of dissolution of anisopine, losartan, and losalizin, as well as improved storage stability due to minimal drug interactions, and thus in medicine and medicine It is useful in the field.

圖1是依據本發明的一具體例之雙層錠劑的示意圖。 BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a schematic illustration of a two-layer tablet in accordance with one embodiment of the present invention.

圖2是顯示在實施例1和比較實施例1中所製備的錠劑觀察到的安洛待平溶解率的圖。 2 is a graph showing the dissolution rate of anisoprofen observed in the tablets prepared in Example 1 and Comparative Example 1.

圖3是顯示在實施例1和比較實施例1中所製備的錠劑觀察到的氯薩利酮溶解率的圖。 Fig. 3 is a graph showing the dissolution rate of losalizal observed in the tablets prepared in Example 1 and Comparative Example 1.

圖4是顯示在實施例1和比較實施例1中所製備的錠劑觀察到的洛沙坦溶解率的圖。 4 is a graph showing the dissolution rate of losartan observed in the tablets prepared in Example 1 and Comparative Example 1.

圖5是顯示在實施例1至3和比較實施例3至6中所製備的錠劑觀察到的安洛待平溶解率的圖。 Fig. 5 is a graph showing the dissolution rate of anisoprofen observed in the tablets prepared in Examples 1 to 3 and Comparative Examples 3 to 6.

圖6是顯示在實施例1至3和比較實施例3至6中所製備的錠劑觀察到的氯薩利酮溶解率的圖。 Fig. 6 is a graph showing the dissolution rate of losaliztone observed in the tablets prepared in Examples 1 to 3 and Comparative Examples 3 to 6.

圖7是顯示在實施例1至3和比較實施例3至6中所製備的錠劑觀察到的洛沙坦溶解率的圖。 Fig. 7 is a graph showing the dissolution rate of losartan observed in the tablets prepared in Examples 1 to 3 and Comparative Examples 3 to 6.

圖8是顯示在實施例1和比較實施例7與8中所製備的錠劑觀察到的安洛待平溶解率的圖。 Fig. 8 is a graph showing the dissolution rate of anisoprofen observed in the tablets prepared in Example 1 and Comparative Examples 7 and 8.

圖9是顯示在實施例1和比較實施例7與8中所製備的錠劑觀察到的氯薩利酮溶解率的圖。 Fig. 9 is a graph showing the dissolution rate of losalizide observed in the tablets prepared in Example 1 and Comparative Examples 7 and 8.

圖10是顯示在實施例1和比較實施例7與8中所製 備的錠劑觀察到的洛沙坦溶解率的圖。 Figure 10 is a view showing the results produced in Example 1 and Comparative Examples 7 and 8. A plot of the losartan dissolution rate observed for the prepared tablets.

圖11是顯示在實施例4至6和比較實施例9至12中所製備的錠劑觀察到的安洛待平溶解率的圖。 Fig. 11 is a graph showing the dissolution rate of anisoprofen observed in the tablets prepared in Examples 4 to 6 and Comparative Examples 9 to 12.

圖12是顯示在實施例4至6和比較實施例9至12中所製備的錠劑觀察到的氯薩利酮溶解率的圖。 Fig. 12 is a graph showing the dissolution rate of losalizide observed in the tablets prepared in Examples 4 to 6 and Comparative Examples 9 to 12.

圖13是顯示在實施例4至6和比較實施例9至12中所製備的錠劑觀察到的洛沙坦溶解率的圖。 Fig. 13 is a graph showing the dissolution rate of losartan observed in the tablets prepared in Examples 4 to 6 and Comparative Examples 9 to 12.

較佳實施例之詳細說明 Detailed description of the preferred embodiment 【最佳模式】[Best mode]

本發明提供一種用於預防或治療心血管疾病的醫藥複合調配物,該調配物包含一第一混合物,其包括安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及一第二混合物,其包括洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑,其中該第一混合物及該第二混合物係以彼此物理上分隔的形式存在。 The present invention provides a pharmaceutical compound formulation for preventing or treating cardiovascular diseases, the formulation comprising a first mixture comprising anisoprofen or a pharmaceutically acceptable salt thereof, polsalone or a medicament thereof An acceptable salt, and a pharmaceutically acceptable additive; and a second mixture comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive, wherein the first The mixture and the second mixture are present in physically separate form from one another.

於本發明的複合調配物中,該第一混合物及該第二混合物係彼此物理上分隔開。因為該複合調配物分別地包含安洛待平及洛沙坦,可以防止安洛待平及洛沙坦之間的交互作用,此達成高度的安定性。 In the composite formulation of the present invention, the first mixture and the second mixture are physically separated from one another. Since the complex formulation contains azepam and losartan, respectively, the interaction between anisopine and losartan can be prevented, which achieves a high degree of stability.

在本發明的一個具體例中,該複合調配物可以為一種雙層的錠劑,其包含一第一層,其包括安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類, 及一醫藥上可接受的添加劑;以及一第二層,其包括洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑(參見圖1)。除了該雙層錠劑,依據本發明的調配物可以製備成各種不同的形式(例如,核心-外殼結構(core-shell structure)),其中該第一混合物及該第二混合物係物理上分隔開。 In a specific embodiment of the invention, the composite formulation may be a two-layer tablet comprising a first layer comprising anisoprofen or a pharmaceutically acceptable salt thereof, losalone or Its pharmaceutically acceptable salts, And a pharmaceutically acceptable additive; and a second layer comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive (see Figure 1). In addition to the bilayer tablet, the formulation according to the invention can be prepared in a variety of different forms (e.g., a core-shell structure) wherein the first mixture and the second mixture are physically separated open.

本發明的複合調配物包括安洛待平或其醫藥上可接受的鹽類於該第一混合物(或該第一層)內。安洛待平之醫藥上可接受的鹽類為從一種含有醫藥上可接受的陰離子的酸所製備的該等,其可形成無毒性酸加成鹽,以及包括,舉例而言,氫氯酸鹽、氫溴酸鹽、硫酸鹽、磷酸鹽、乙酸鹽、順丁烯二酸鹽、反丁烯二酸鹽、乳酸鹽、酒石酸鹽、檸檬酸鹽、葡萄糖酸鹽、苯磺酸鹽及樟腦磺酸鹽,但不限於此。於此等鹽類中,較佳為安洛待平苯磺酸鹽及樟腦磺酸鹽,以及更佳為安洛待平樟腦磺酸鹽。並且,本發明中使用的安洛待平可以包括一種安洛待平消旋物和(S)-安洛待平。縱然安洛待平或其醫藥上可接受的鹽類之劑量會隨著年齡、病人的性別或體重、疾病之嚴重性、投藥的途徑等等而變化,但是成人(體重:60kg)典型的劑量可以落在大約5至10mg/天之範圍內。 The complex formulation of the present invention comprises an acyclovir or a pharmaceutically acceptable salt thereof in the first mixture (or the first layer). The pharmaceutically acceptable salts of erlotine are those prepared from an acid containing a pharmaceutically acceptable anion which forms a non-toxic acid addition salt and includes, for example, hydrochloric acid Salt, hydrobromide, sulfate, phosphate, acetate, maleate, fumarate, lactate, tartrate, citrate, gluconate, besylate and camphor Sulfonate, but is not limited thereto. Among these salts, acyclovir benzene sulfonate and camphor sulfonate are preferred, and alum is also known as camphor sulfonate. Also, the erlotine used in the present invention may include an acyclovir racemate and (S)-anloline. Even though the dose of anisoprofen or its pharmaceutically acceptable salt varies with age, the sex or weight of the patient, the severity of the disease, the route of administration, etc., typical doses for adults (weight: 60 kg) It can fall within the range of about 5 to 10 mg/day.

本發明的複合調配物包括氯薩利酮或是其醫藥上可接受的鹽類於該第一混合物內。縱然氯薩利酮或其醫藥上可接受的鹽類之劑量會隨著年齡、病人的性別或是體重、疾病之嚴重性、投藥的途徑等等而變化,但是成人(體 重:60kg)典型的劑量可以落在大約12.5至25mg/天之範圍內。 The complex formulation of the present invention comprises losalone or a pharmaceutically acceptable salt thereof in the first mixture. Even though the dose of losalone or its pharmaceutically acceptable salt varies with age, the sex or weight of the patient, the severity of the disease, the route of administration, etc., but in adulthood Weight: 60 kg) A typical dose can fall within the range of about 12.5 to 25 mg/day.

本發明的複合調配物包括洛沙坦或其醫藥上可接受的鹽類於該第二混合物(或該第二層)內。洛沙坦之醫藥上可接受的鹽類的實例是洛沙坦鉀(losartan potassium),但不限於此。縱然洛沙坦或其醫藥上可接受的鹽類之劑量會隨著年齡、病人的性別或體重、疾病之嚴重性、投藥的途徑等等而變化,但是成人(體重:60kg)典型的劑量可以落在大約50至100mg/天之範圍內。 The complex formulation of the present invention comprises losartan or a pharmaceutically acceptable salt thereof in the second mixture (or the second layer). An example of a pharmaceutically acceptable salt of losartan is losartan potassium, but is not limited thereto. Even though the dose of losartan or its pharmaceutically acceptable salts varies with age, the sex or weight of the patient, the severity of the disease, the route of administration, etc., typical doses for adults (weight: 60 kg) can be It falls within the range of about 50 to 100 mg/day.

於本發明的複合調配物中,安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及洛沙坦或其醫藥上可接受的鹽類,可以使用對應於1:1.25~5:5~20,較佳為1:2.5~5:10~20之範圍內的重量比的量。 In the complex formulation of the present invention, acyclovir or a pharmaceutically acceptable salt thereof, polsalone or a pharmaceutically acceptable salt thereof, and losartan or a pharmaceutically acceptable salt thereof It is possible to use an amount corresponding to a weight ratio in the range of 1:1.25 to 5:5 to 20, preferably 1:2.5 to 5:10 to 20.

於本發明的複合調配物中,第一混合物及第二混合物中可以使用的醫藥上可接受的添加劑可以為,舉例而言,醫藥上可接受的載劑或賦形劑。醫藥上可接受的載劑或賦形劑可以包括,舉例而言,乳糖水合物、微晶纖維素、甘露糖醇、檸檬酸鈉、磷酸鈣、甘胺酸、澱粉、分解劑(disintegrant)[例如,交聯聚維酮(crospovidone)、共聚維酮(copovidone)、羥基乙酸澱粉鈉(sodium starch glycolate)、交聯羧甲基纖維素鈉和特定複合的矽酸鹽],以及黏合劑[例如,聚乙烯吡咯烷酮、羥丙基甲基纖維素(HPMC)、羥丙基織維素(HPC)、蔗糖(sucrose)、明膠(gelatin)和阿拉伯膠 (acacia gum)]。 In the complex formulations of the present invention, the pharmaceutically acceptable additives which may be used in the first mixture and the second mixture may be, for example, pharmaceutically acceptable carriers or excipients. Pharmaceutically acceptable carriers or excipients can include, for example, lactose hydrate, microcrystalline cellulose, mannitol, sodium citrate, calcium phosphate, glycine, starch, disintegrant [ For example, crospovidone, copovidone, sodium starch glycolate, croscarmellose sodium, and specific complex citrates, as well as binders [eg , polyvinylpyrrolidone, hydroxypropyl methylcellulose (HPMC), hydroxypropyl averaverin (HPC), sucrose, gelatin and gum arabic (acacia gum)].

在一具體例中,本發明的複合調配物可以包含選自於以下所構成的群組之添加劑:乳糖水合物、微晶纖維素、甘露糖醇、澱粉及其等之組合於第一混合物內。較佳的添加劑包含乳糖水合物及/或微晶纖維素。以第一混合物的總量為基準,可以包含20至60重量%的量之乳糖水合物。在本發明的另一個具體例中,乳糖水合物和微晶纖維素之重量比可以於以上範圍的量內呈1:0.5至1:2。 In a specific embodiment, the composite formulation of the present invention may comprise an additive selected from the group consisting of lactose hydrate, microcrystalline cellulose, mannitol, starch, and the like, in a first mixture. . Preferred additives comprise lactose hydrate and/or microcrystalline cellulose. The lactose hydrate may be included in an amount of from 20 to 60% by weight based on the total amount of the first mixture. In another embodiment of the present invention, the weight ratio of the lactose hydrate to the microcrystalline cellulose may be from 1:0.5 to 1:2 in the above range.

當使用以上範圍的量之乳糖水合物作為水溶性賦形劑時,其係藉由形成促進潤濕通道於調配物內,而加速活性物質的溶解,藉此導致快速的溶解。然而,比以上範圍小的量不能達到快速溶解,但是超過以上範圍的量會延長乳糖水合物完全溶解的時間,藉此延遲活性物質的溶解。當使用以上範圍的量之微晶纖維素時,在壓錠過程(tableting process)中能實現順利的調配物模製(molding)。然而,比以上範圍小的量在壓錠過程中會引起一些困難,但是超過以上範圍的量會導致生產出過大的調配物。 When the above range of amounts of lactose hydrate is used as a water-soluble excipient, it accelerates the dissolution of the active substance by forming a diffusion-promoting passageway in the formulation, thereby causing rapid dissolution. However, an amount smaller than the above range cannot achieve rapid dissolution, but an amount exceeding the above range prolongs the time during which the lactose hydrate is completely dissolved, thereby delaying the dissolution of the active material. When the above range of amounts of microcrystalline cellulose is used, smooth formulation molding can be achieved in the tableting process. However, an amount smaller than the above range causes some difficulties in the tableting process, but an amount exceeding the above range results in the production of an excessively large formulation.

於是,安洛待平、氯薩利酮及洛沙坦的溶解率可藉由採用以上範圍的量之乳糖水合物和微晶纖維素而被相當大的改善。 Thus, the dissolution rate of anisopine, losalidone and losartan can be considerably improved by using the above range of amounts of lactose hydrate and microcrystalline cellulose.

在本發明的一個具體例中,該複合調配物的第一混合物及第二混合物可以用慣用的粒化方法予以粒化,舉例而言壓縮造粒方法,繼而壓錠。在另一個具體例中,第一混合物及該第二混合物可以為藉由輥壓縮方法(roller compression process)而製備的顆粒形式。本發明測試實施例的結果顯示出,用壓縮造粒法所製備之包含第一混合物及第二混合物的雙層錠劑展現出安洛待平、氯薩利酮及洛沙坦提升的溶解率,以及安洛待平及氯薩利酮極佳的溶解作用。 In a particular embodiment of the invention, the first mixture and the second mixture of the complex formulation can be granulated by conventional granulation methods, for example compression granulation, followed by tableting. In another embodiment, the first mixture and the second mixture may be by a roll compression method (roller Particle form prepared by compression process). The results of the test examples of the present invention show that the bilayer tablet comprising the first mixture and the second mixture prepared by the compression granulation method exhibits an increased dissolution rate of anisopine, losalizate and losartan. , and the excellent dissolution of azolidine and chlorsalone.

當安洛待平、氯薩利酮及洛沙坦之組合調配物藉由簡單地混合藥物而製備時,會不利地發生洛沙坦的凝膠化(gelation)。洛沙坦在純化水中或是在相對高的pH值(例如,pH4.0或pH 6.8)下顯示出非常好的溶解模式,但是在低pH值(例如,pH1.2或pH 2.0)下因為凝膠化而釋放非常緩慢。考慮到口服調配物首先會於被暴露至具有一低pH值的消化液之胃內分解及溶解,洛沙坦的凝膠化對於調配物的溶解率有決定性的作用,以及對於藥物的攝入也有決定性的作用。再者,於組合調配物方面,安洛待平及氯薩利酮和洛沙坦混合可能會由於洛沙坦的凝膠化而卡在凝膠內,並且減少其等之溶解作用。此溶解作用的減少可在本說明書的比較實施例1中被證明,比較實施例1中用3個組分之單純混合物進行乾式直接壓縮所製備的單層錠劑,顯示安洛待平及氯薩利酮的溶解率比一般溶解標準(於pH 1.2之人工胃液內歷時30分鐘為80%或更高的溶解率)低得更多。 Gelation of losartan occurs disadvantageously when a combination of anisoprofen, losalizide and losartan is prepared by simply mixing the drugs. Losartan shows a very good dissolution pattern in purified water or at a relatively high pH (eg pH 4.0 or pH 6.8), but at low pH (eg pH 1.2 or pH 2.0) because Gelation and release is very slow. Considering that the oral formulation is first decomposed and dissolved in the stomach exposed to a digestive juice having a low pH value, the gelation of losartan has a decisive effect on the dissolution rate of the formulation, as well as the intake of the drug. It also has a decisive role. Furthermore, in combination with the formulation, the combination of anisoprofen and losalidone and losartan may be trapped in the gel due to gelation of the losartan, and its dissolution is reduced. This reduction in dissolution can be demonstrated in Comparative Example 1 of the present specification, and a single-layer tablet prepared by dry direct compression using a simple mixture of three components in Comparative Example 1 shows that apoloxine and chlorine are present. The dissolution rate of salitonone is much lower than the general dissolution standard (80% or more dissolution rate in artificial gastric juice at pH 1.2 for 30 minutes).

同時,於本發明的複合調配物中,可以藉由物理上分隔開包括安洛待平和氯薩利酮的第一混合物及包括洛沙坦的第二混合物,並且降低洛沙坦的接觸面積來防止洛沙坦的凝膠化,藉此實現安洛待平、氯薩利酮及洛沙坦改 良的溶解作用和安定性。 Meanwhile, in the complex formulation of the present invention, the first mixture comprising anisoprofen and losalizone and the second mixture including losartan can be physically separated, and the contact area of losartan can be lowered. To prevent the gelation of losartan, thereby achieving the treatment of anisopine, losalidone and losartan Good dissolution and stability.

再者,本發明提供一種用於預防或治療心血管疾病的固定劑量組合調配物,該調配物包含一第一混合物,其包括安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及一第二混合物,其包括洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑,其中該第一混合物及該第二混合物係以彼此物理上分隔的形式存在。 Further, the present invention provides a fixed-dose combination formulation for preventing or treating cardiovascular diseases, the formulation comprising a first mixture comprising erlotine or a pharmaceutically acceptable salt thereof, chlorsali a ketone or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive; and a second mixture comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive, Wherein the first mixture and the second mixture are present in physically separate form from one another.

於固定劑量組合調配物中,安洛待平或其醫藥上可接受的鹽類可以一5至10毫克(mg)的量被包含於安洛待平游離酸形式內,氯薩利酮或其醫藥上可接受的鹽類可以一12.5至25mg的量被包含於氯薩利酮游離酸形式內,以及洛沙坦或其醫藥上可接受的鹽類可以50至100mg的量被包含於洛沙坦游離酸形式內。 In a fixed-dose combination formulation, anisoprofen or a pharmaceutically acceptable salt thereof can be included in the form of an albendix free acid in an amount of 5 to 10 milligrams (mg), chlorsarilone or The pharmaceutically acceptable salts can be included in the free acid form of the losalone in an amount of 12.5 to 25 mg, and the losartan or a pharmaceutically acceptable salt thereof can be contained in the amount of 50 to 100 mg in the amount of losar. Within the free acid form.

本發明亦提供一種用於製備一用於預防或治療心血管疾病的醫藥複合調配物之方法,該方法包含下列步驟:a)混合安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及b)混合洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑。 The invention also provides a method for preparing a pharmaceutical compound formulation for preventing or treating cardiovascular diseases, the method comprising the steps of: a) mixing an acyclovir or a pharmaceutically acceptable salt thereof; a ketone or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive; and b) a mixed losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive.

再者,本發明亦提供一種用於製備用於預防或治療心血管疾病的雙層錠劑之方法,該方法包含下列步驟:a)混合安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑以獲得 一混合物且粒化該混合物;b)混合洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑以獲得一混合物且接而粒化該混合物;以及c)將步驟a)及b)中所獲得的顆粒予以壓錠成雙層錠劑。 Furthermore, the present invention also provides a method for preparing a bilayer tablet for preventing or treating cardiovascular diseases, the method comprising the steps of: a) mixing an acyclovir or a pharmaceutically acceptable salt thereof, Chlorsalone or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive to obtain a mixture and granulating the mixture; b) mixing losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive to obtain a mixture and then granulating the mixture; and c) step a The granules obtained in b) and b) are pressed into a bilayer tablet.

在本發明的一個具體例中,心血管疾病係選自以下所組成之群組:心絞痛、高血壓、動脈痙攣、心律不整、心臟肥大、腦梗塞、鬱血性心臟衰竭以及心肌梗塞,但並不限於此。 In a specific embodiment of the present invention, the cardiovascular disease is selected from the group consisting of angina pectoris, hypertension, arterial spasm, arrhythmia, cardiac hypertrophy, cerebral infarction, septic heart failure, and myocardial infarction, but not Limited to this.

【發明模式】 [invention mode]

在下文中,本發明係藉由實施例予以更詳盡地說明。下列實施例意欲進一步闡明本發明但不限制其之範疇。 In the following, the invention is illustrated in more detail by way of examples. The following examples are intended to further illustrate the invention without limiting its scope.

實施例1至3:用壓縮造粒方法來製備複合雙層錠劑Examples 1 to 3: Preparation of composite bilayer tablets by compression granulation

如表1中所示,將安洛待平樟腦磺酸鹽、氯薩利酮、乳糖水合物、微晶纖維素和交聯聚維酮混合,以及經由30網篩來篩選該混合物。經篩選的部分係藉由使用一輥式壓實機(roller compactor)(輥式壓實機WP200,Alexanderwerk)、在20kN的最小壓力及2至10rpm的軋輥速度下,予以擠壓以形成薄片型的顆粒部分。所獲得的顆粒藉由使用一種研磨機(Fitz Mill;BAS 06,Fitzpatrick,USA)予以剪切處理且通經20篩目篩之後,添加硬脂酸鎂至該處以及該混合物最後以一混合器來混合以獲得一種含有安洛待平及氯薩利酮的顆粒部分。 As shown in Table 1, amoxicillin camphorsulfonate, losalidone, lactose hydrate, microcrystalline cellulose, and crospovidone were mixed, and the mixture was screened through a 30 mesh sieve. The screened portion was extruded to form a sheet type by using a roller compactor (roller compactor WP200, Alexanderwerk) at a minimum pressure of 20 kN and a roll speed of 2 to 10 rpm. Part of the particle. The obtained granules were sheared by using a grinder (Fitz Mill; BAS 06, Fitzpatrick, USA) and passed through a 20 mesh screen, magnesium stearate was added thereto and the mixture was finally used as a mixer. To mix to obtain a portion of the granules containing anisoprofen and chlorsalione.

將洛沙坦鉀、微晶纖維素和交聯聚維酮混合,以 及經由30網篩來篩選該混合物。經篩選的部分係藉由使用一輥式壓實機(輥式壓實機WP200,Alexanderwerk)、在20kN的最小壓力及2至10rpm的軋輥速度下,予以擠壓以形成薄片型的顆粒部分。所獲得的顆粒藉由使用一種研磨機(Fitz Mill;BAS 06,Fitzpatrick,USA)予以剪切處理且通經20篩目篩之後,添加硬脂酸鎂至該處以及該混合物最後以一混合器來混合以獲得一種含有洛沙坦的顆粒部分。 Mixing losartan potassium, microcrystalline cellulose and crospovidone to And screening the mixture via a 30 mesh screen. The screened portion was extruded to form a flake-type particle portion by using a roll compactor (roll compactor WP200, Alexanderwerk) at a minimum pressure of 20 kN and a roll speed of 2 to 10 rpm. The obtained granules were sheared by using a grinder (Fitz Mill; BAS 06, Fitzpatrick, USA) and passed through a 20 mesh screen, magnesium stearate was added thereto and the mixture was finally used as a mixer. To mix to obtain a portion of the granules containing losartan.

隨後,藉由使用一種壓錠機(壓錠機;Kilian Synthesis 700,Germany)而製造一種複合雙層錠劑,其係由安洛待平及氯薩利酮顆粒部分(第一層,上層)以及洛沙坦顆粒部分(第二層,下層)組成。 Subsequently, a composite bilayer tablet was prepared by using a tablet press (pressing machine; Kilian Synthesis 700, Germany), which was composed of erlotine and chlorsalone granules (first layer, upper layer) and Luo The composition of the sartan granules (second layer, lower layer).

比較實施例1:用乾式直接壓縮方法所製備的單層錠劑Comparative Example 1: Single layer tablet prepared by dry direct compression method

如表2中所示,將安洛待平樟腦磺酸鹽、氯薩利酮、洛沙坦鉀、乳糖水合物、微晶纖維素和交聯聚維酮混合,以及經由30網篩來篩選該混合物。添加硬脂酸鎂至經篩選的部分,以及該混合物最後以一混合器予以混合。混合的部分經按壓以獲得一種單層錠劑。 As shown in Table 2, anisomycin camphor sulfonate, chlorsalone, losartan potassium, lactose hydrate, microcrystalline cellulose and crospovidone were mixed and screened through a 30 mesh sieve. The mixture. Magnesium stearate was added to the screened portion, and the mixture was finally mixed as a mixer. The mixed portion is pressed to obtain a single layer tablet.

比較實施例2:用乾式直接壓縮方法所製備的雙層錠劑Comparative Example 2: Bilayer tablet prepared by dry direct compression method

如表3中所示,將安洛待平樟腦磺酸鹽、氯薩利酮、乳糖水合物、微晶纖維素和交聯聚維酮混合,以及經由30網篩來篩選該混合物。添加硬脂酸鎂至該處以及該混合物最後以一混合器予以混合來獲得一種安洛待平及氯薩 利酮的混合物部分。 As shown in Table 3, anisomycin camphorsulfonate, losalidone, lactose hydrate, microcrystalline cellulose, and crospovidone were mixed, and the mixture was screened through a 30 mesh sieve. Magnesium stearate is added thereto and the mixture is finally mixed by a mixer to obtain an alopine and a chloride Part of the mixture of ketones.

將洛沙坦鉀、微晶纖維素和交聯聚維酮混合,以及經由30網篩來篩選該混合物。添加硬脂酸鎂至該處以及該混合物最後以一混合器予以混合來獲得一種洛沙坦的混合物部分。 The losartan potassium, microcrystalline cellulose and crospovidone were mixed and the mixture was screened through a 30 mesh screen. Magnesium stearate was added thereto and the mixture was finally mixed in a mixer to obtain a mixture portion of losartan.

隨後,藉由使用一種壓錠機而製造一種複合雙層錠劑,其係由安洛待平及氯薩利酮混合物部分(第一層;上層)以及洛沙坦混合物部分(第二層;下層)組成。 Subsequently, a composite bilayer tablet was prepared by using a tablet press, which consisted of a mixture of erlotine and chlorsalone (first layer; upper layer) and part of losartan mixture (second layer; lower layer) )composition.

比較實施例3至6:用壓縮造粒方法來製備複合雙層錠劑Comparative Examples 3 to 6: Preparation of composite bilayer tablets by compression granulation method

如表4中所示,依據如同實施例1相同的程序來製 造具有各種比例的乳糖對纖維素之複合雙層錠劑。 As shown in Table 4, according to the same procedure as in Embodiment 1 A composite bilayer tablet of lactose to cellulose in various proportions is produced.

比較實施例7:具有各種成分的層之複合雙層錠劑之製備Comparative Example 7: Preparation of a composite bilayer tablet having layers of various compositions

如表5中所示,依據如同實施例1相同的程序來製 造一種複合雙層錠劑,其具有安洛待平及洛沙坦顆粒部分之第一層,以及氯薩利酮顆粒部分之第二層。 As shown in Table 5, according to the same procedure as in Embodiment 1 A composite bilayer tablet having a first layer of erlotin and losartan granules and a second layer of losalidone granules is formed.

比較實施例8:具有各種成分的層之複合雙層錠劑之製備Comparative Example 8: Preparation of a composite bilayer tablet having layers of various compositions

如表6中所示,依據如同實施例1相同的程序來製造一種複合雙層錠劑,其具有安洛待平顆粒部分之第一層,以及洛沙坦及氯薩利酮顆粒部分之第二層。 As shown in Table 6, a composite bilayer tablet having the first layer of the ergozapine granule portion and the losartan and losalidone granule portion was produced according to the same procedure as in Example 1. Second floor.

實施例4至6:具有各種量的活性組分之複合雙層錠劑之製備Examples 4 to 6: Preparation of composite bilayer tablets having various amounts of active ingredients

如表7中所示,製造實施例1至3中具有變化量的活性組分之複合雙層錠劑。 As shown in Table 7, composite bilayer tablets having varying amounts of the active component in Examples 1 to 3 were produced.

比較實施例9至12:具有各種量的活性組分之複合雙層錠劑Comparative Examples 9 to 12: Composite bilayer tablets having various amounts of active ingredients 之製備Preparation

如表8中所示,依據如同實施例1相同的程序來製造複合雙層錠劑。 As shown in Table 8, a composite bilayer tablet was produced in accordance with the same procedure as in Example 1.

測試實施例1:雙層錠劑及單層錠劑之溶解試驗Test Example 1: Dissolution test of double-layer tablets and single-layer tablets

在實施例1所製備的錠劑和比較實施例1所製備的錠劑係於以下的條件下,進行藥物溶解試驗來測量安洛待平、氯薩利酮及洛沙坦於時間期間之溶解率。 The tablet prepared in Example 1 and the tablet prepared in Comparative Example 1 were subjected to a drug dissolution test under the following conditions to measure the dissolution of anisopine, losalidone and losartan during the time period. rate.

-溶解試驗條件- - Dissolution test conditions -

流出物:人工胃液900毫升(pH 1.2) Effluent: artificial gastric juice 900 ml (pH 1.2)

溶解試驗系統:USP槳式方法(paddle method),50rpm Dissolution test system: USP paddle method, 50 rpm

溫度:37℃ Temperature: 37 ° C

溶解時間:在5、10、15、30、45、60、90和120分鐘測量溶解率之後,槳速度自50rpm改變至150rpm,並且接而在150分鐘時,測量最終的溶解率。 Dissolution time: After measuring the dissolution rate at 5, 10, 15, 30, 45, 60, 90 and 120 minutes, the paddle speed was changed from 50 rpm to 150 rpm, and then at 150 minutes, the final dissolution rate was measured.

-分析條件- - Analysis conditions -

管柱:用於3μm液相層析法、填滿十八基矽基化的矽凝膠之不鏽鋼管柱(內徑:4.6mm,長度:15cm) Column: stainless steel column for 3 μm liquid chromatography, filled with 18-mercaptopurine ruthenium gel (inner diameter: 4.6 mm, length: 15 cm)

移動相:*6mM 1-己磺酸鈉/0.05%(v/v)磷酸:乙腈(60:40,v/v) Mobile phase: *6mM sodium 1-hexanesulfonate / 0.05% (v / v) phosphoric acid: acetonitrile (60:40, v / v)

(*6mM 1-己磺酸鈉/0.05%(v/v)磷酸:1.24g的1-己烷磺酸鈉單水合物被放置於一個1L燒瓶內以後,小心地添加0.5mL的磷酸至燒瓶內,然後透過添加純水來溶解及稀釋混合物) (*6 mM sodium 1-hexanosulfonate/0.05% (v/v) phosphoric acid: 1.24 g of sodium 1-hexanesulfonate monohydrate was placed in a 1 L flask, and 0.5 mL of phosphoric acid was carefully added to the flask. Inside, then by adding pure water to dissolve and dilute the mixture)

偵測器:紫外線分光光度計(254nm) Detector: UV spectrophotometer (254nm)

流速:1.3mL/分鐘 Flow rate: 1.3 mL/min

注射體積:10μL Injection volume: 10μL

管柱溫度:45℃ Column temperature: 45 ° C

-溶解率的準則- - criteria for dissolution rate -

在30分鐘時為80%或更高(對於安洛待平及氯薩利酮) 80% or higher at 30 minutes (for anisopine and losalone)

測得的溶解試驗的結果係顯示在圖2至圖4內。如同在圖2和圖3中所顯示的,依據實施例1之安洛待平及氯薩利酮層與洛沙坦層分隔開的雙層錠劑,相較於比較實施例1中用乾式直接壓縮方法所製備的單層錠劑,展現出更高的 溶解率。不像比較實施例1所製備的單層錠劑,實施例1的雙層錠劑顯示出滿足準則、良好的安洛待平及氯薩利酮之溶解特徵及溶解率。 The results of the measured dissolution tests are shown in Figures 2 to 4. As shown in Figures 2 and 3, the bimodal tablet separated from the losartan layer according to Example 1 and the losartan layer was used as compared to Comparative Example 1. Single-layer tablets prepared by dry direct compression method exhibit higher Dissolution rate. Unlike the single-layer tablet prepared in Comparative Example 1, the double-layer tablet of Example 1 showed satisfactory characteristics and good dissolution characteristics and dissolution rate of oxaprozil.

再者,如同在圖4中所顯示的,比較實施例1的單層錠劑在60分鐘時之洛沙坦溶解率為20%或更低,而實施例1的雙層錠劑展現出非常高的洛沙坦溶解率。 Further, as shown in Fig. 4, the losartan dissolution rate of the single-layer tablet of Comparative Example 1 at 60 minutes was 20% or less, and the double-layer tablet of Example 1 exhibited very High losartan dissolution rate.

上面的結果顯示出,當洛沙坦與安洛待平或氯薩利酮存在於相同的層時,洛沙坦的凝膠化使安洛待平或氯薩利酮的溶解度減慢。 The above results show that gelation of losartan slows the solubility of anisoprofen or losalizate when losartan is present in the same layer as acyclovir or chlorsalone.

測試實施例2:用壓縮造粒方法製備之雙層錠劑及用乾式直接壓縮方法所製備的雙層錠劑內的劑量單位之均一度Test Example 2: Double-layer tablet prepared by compression granulation method and uniformity of dosage unit in double-layer tablet prepared by dry direct compression method

關於實施例1中用壓縮造粒方法製備的雙層錠劑及比較實施例2中用單純混合物之乾式直接壓縮法所製備的雙層錠劑,測試安洛待平、氯薩利酮及洛沙坦之質量變化以及含量均一度(content uniformity)。結果顯示於表9與10中。 For the bilayer tablet prepared by the compression granulation method in Example 1 and the double-layer tablet prepared by the dry direct compression method of the simple mixture in Comparative Example 2, the test of anisopine, losalidone and Luo The quality change of satan and the content uniformity. The results are shown in Tables 9 and 10.

如表9中所示,相較於實施例1所製備的雙層錠劑,沒有使用輥式壓實機,用單純混合物之乾式直接壓縮法所製備之比較實施例2的雙層錠劑,展現出相對降級的質量變化。如表10中所示,比較實施例2的雙層錠劑沒有滿足安洛待平及氯薩利酮之含量均一度的準則(15或更低的接受值)。並且,沒有經由壓縮及篩選予以加工所製備之比較實施例2的雙層錠劑,顯示出由於壓錠過程中發生頂裂(capping)而致低的生產率。在另一方面,實施例1中藉由使用輥式壓實機所製備的雙層錠劑,展現出優秀的安洛待平及氯薩利酮之含量均一度,以及滿足劑量單位之均一度的準則。 As shown in Table 9, the double-layer tablet of Comparative Example 2 prepared by the dry direct compression method of a simple mixture was not used in the double-layer tablet prepared in Example 1, without using a roll compactor. Shows a relatively degraded quality change. As shown in Table 10, the double-layer tablet of Comparative Example 2 did not satisfy the criteria for the uniformity of the content of anisopine and closalone (acceptance value of 15 or lower). Further, the bilayer tablet of Comparative Example 2, which was prepared without processing by compression and screening, showed low productivity due to capping during the tableting process. On the other hand, the double-layer tablet prepared by using a roller compactor in Example 1 exhibits excellent uniformity of anisoprofen and chlorsalone, and satisfies the uniformity of the dosage unit. Guidelines.

上面的結果證明安洛待平-氯薩利酮顆粒及洛沙坦顆粒的之輥式壓實方法,影響3種活性組分的劑量單位之均一度,而且影響壓錠過程的生產率。 The above results demonstrate that the roller compaction method of ancyclovir-closlone granules and losartan granules affects the uniformity of the dosage units of the three active components and affects the productivity of the tableting process.

測試實施例3:取決於安洛待平-氯薩利酮層中賦形劑的比例之溶解變化Test Example 3: Dissolution change depending on the proportion of excipients in the ancyclovir-clozarone layer

關於實施例1至3所製備的雙層錠劑以及比較實施例3至6所製備的雙層錠劑,安洛待平、氯薩利酮及洛沙坦之溶解率係以如同測試實驗實施例1相同的方法來測量。結果顯示於圖5至7中。 With regard to the bilayer tablets prepared in Examples 1 to 3 and the bilayer tablets prepared in Comparative Examples 3 to 6, the dissolution rates of anisopine, losalidone and losartan were carried out as in the test experiment. Example 1 was measured in the same manner. The results are shown in Figures 5 to 7.

如同在圖7中所顯示的,實施例1至3的雙層錠劑 之洛沙坦溶解率與比較實施例3至6之溶解率差異不大。 As shown in Figure 7, the double layer tablets of Examples 1 to 3 The losartan dissolution rate did not differ much from the dissolution rates of Comparative Examples 3 to 6.

然而,如同在圖5和圖6中所顯示的,於安洛待平及氯薩利酮之溶解率方面,實施例1至3的雙層錠劑展現出滿足試驗準則、快速且良好的溶解作用,而比較實施例3至6的雙層錠劑沒有滿足溶解試驗之準則(於pH 1.2之人工胃液內30分鐘為80%或更高)。 However, as shown in Figures 5 and 6, the bilayer tablets of Examples 1 to 3 exhibited satisfactory and rapid dissolution in terms of the dissolution rate of anisoprofen and closalone. The double layer tablets of Comparative Examples 3 to 6 did not satisfy the criteria for the dissolution test (80% or more in 30 minutes of artificial gastric juice at pH 1.2).

以上的結果顯示,安洛待平-氯薩利酮層中的乳糖水合物為20至60重量%及乳糖水合物和微晶纖維素之重量比為1:0.5至1:2,會導致較佳的溶解率。 The above results show that the lactose hydrate in the anisopine-closalone layer is 20 to 60% by weight and the weight ratio of lactose hydrate to microcrystalline cellulose is 1:0.5 to 1:2, which results in Good dissolution rate.

測試實施例4:比較實施例7製備的錠劑(由安洛待平-洛沙坦層以及氯薩利酮層組成)以及比較實施例8製備的錠劑(由安洛待平層以及洛沙坦-氯薩利酮層組成)之溶解率Test Example 4: A tablet prepared in Comparative Example 7 (composed of an acyclovir-loxartan layer and a losalidone layer) and a tablet prepared in Comparative Example 8 (from Anzao Ping and Luo Dissolution rate of the composition of the sartan-closlone layer

於實施例1所製備的雙層錠劑以及比較實施例7和8所製備的雙層錠劑方面,安洛待平、氯薩利酮及洛沙坦之溶解率係以如同測試實驗實施例1相同的方法來測量。結果顯示於圖8至10中。 In the bilayer tablet prepared in Example 1 and the bilayer tablet prepared in Comparative Examples 7 and 8, the dissolution rates of anisopine, losalidone and losartan were as in the test example. 1 The same method to measure. The results are shown in Figures 8 to 10.

如同在圖8至10中所顯示的,於安洛待平及氯薩利酮之溶解率方面,安洛待平-氯薩利酮層及洛沙坦層組成之實施例1的雙層錠劑展現出滿足溶解率準則、快速且良好的溶解作用。在另一方面,由安洛待平-洛沙坦層以及氯薩利酮層組成之比較實施例7的雙層錠劑沒有滿足安洛待平之溶解率準則,以及由安洛待平層以及洛沙坦-氯薩利酮層組成之比較實施例8的雙層錠劑沒有滿足氯薩利酮之溶解率準則。 As shown in Figures 8 to 10, the double-layer ingot of Example 1 consisting of the anisopine-closlone layer and the losartan layer in terms of the dissolution rate of anisoprofen and losalizate The agent exhibits a fast and good dissolution that meets the solubility rate criteria. On the other hand, the bilayer tablet of Comparative Example 7 consisting of the aloprofen-loxatan layer and the losalidone layer did not satisfy the dissolution rate criterion of anisoprodine, and the apollo layer And the double-layer tablet of Comparative Example 8 having the composition of the losartan-closlone layer did not satisfy the dissolution rate criterion of chlorsalone.

以上的結果顯示出,既然洛沙坦的凝膠化會減少由安洛待平-洛沙坦層以及氯薩利酮層組成之錠劑,或是由安洛待平層以及洛沙坦-氯薩利酮層組成之錠劑的溶解作用,安洛待平-氯薩利酮層及洛沙坦層組成之雙層錠劑是較佳的,並且也顯示出3種藥物的分隔就良好的溶解率而言是最重要的。 The above results show that since the gelation of losartan reduces the tablet consisting of the ancyclovir-losartan layer and the losalidone layer, or by the ampoules and losartan- The dissolution of the tablet of the losalone layer, the bivalent tablet consisting of the anzapine-clozarone layer and the losartan layer is preferred, and it is also shown that the separation of the three drugs is good. The solubility rate is the most important.

測試實施例5:於加速儲存條件下依據安定性試驗之含量變化Test Example 5: Change in content according to stability test under accelerated storage conditions

關於實施例1至3所製備的錠劑,於下列加速儲存條件下來測量安洛待平、氯薩利酮及洛沙坦之含量變化以評定錠劑的安定性。結果顯示於表11中。 With respect to the tablets prepared in Examples 1 to 3, the changes in the contents of anisopine, losalidone and losartan were measured under the following accelerated storage conditions to evaluate the stability of the tablet. The results are shown in Table 11.

-加速儲存條件- - Accelerated storage conditions -

儲存條件:在40℃、75%相對濕度下被包裝在HDPE(高密度聚乙烯)瓶中 Storage conditions: packaged in HDPE (high density polyethylene) bottles at 40 ° C, 75% relative humidity

試驗時間:0(最初)、1、2、4和6個月 Test time: 0 (initial), 1, 2, 4 and 6 months

試驗對象:安洛待平、氯薩利酮及洛沙坦 Test subjects: anisopine, losalidone and losartan

-分析條件- - Analysis conditions -

管柱:用於3μm液相層析法、填滿十八基矽基化的矽凝膠之不鏽鋼管柱(內徑:4.6mm,長度:15cm) Column: stainless steel column for 3 μm liquid chromatography, filled with 18-mercaptopurine ruthenium gel (inner diameter: 4.6 mm, length: 15 cm)

移動相:6mM 1-己磺酸鈉/0.05%(v/v)磷酸:乙腈(6:4,v/v) Mobile phase: 6 mM sodium 1-hexanosulfonate / 0.05% (v / v) phosphoric acid: acetonitrile (6: 4, v / v)

偵測器:紫外線分光光度計(254nm) Detector: UV spectrophotometer (254nm)

流速:1.3mL/分鐘 Flow rate: 1.3 mL/min

注射體積:10μL Injection volume: 10μL

管柱溫度:45℃ Column temperature: 45 ° C

如表11中所示,此證明實施例1至3所製備的雙層錠劑有優異的安定性,因安洛待平、氯薩利酮及洛沙坦之含量在6個月的加速儲存條件之後減少非常少。 As shown in Table 11, this demonstrates that the bilayer tablet prepared in Examples 1 to 3 has excellent stability, and the content of anisoprofen, losalidone and losartan is accelerated at 6 months. The reduction after the condition is very small.

測試實施例6:在光和熱應力條件下之儲存試驗Test Example 6: Storage test under light and thermal stress conditions

關於實施例1至3以及比較實施例1至8所製備的錠劑,安洛待平、氯薩利酮及洛沙坦所衍生的相關化合物之含量變化,係於光和熱應力條件下予以測量以評定安定性。結果顯示於表12中。 With respect to the tablets prepared in Examples 1 to 3 and Comparative Examples 1 to 8, the changes in the contents of related compounds derived from anisopine, losalidone and losartan were carried out under conditions of light and thermal stress. Measurement to assess stability. The results are shown in Table 12.

-光安定性試驗箱的條件(光應力條件)- - Conditions for light stability test chamber (light stress conditions) -

(1)裝置:Xe-3-HC(Q-Lab) (1) Device: Xe-3-HC (Q-Lab)

(2)溫度和濕度:25℃±2℃/60%±5%RH (2) Temperature and humidity: 25 °C ± 2 °C / 60% ± 5% RH

(3)照度0.80W/m2/nm,18.44小時 (3) Illumination 0.80W/m 2 /nm, 18.44 hours

(1,200,000勒克斯,依據ICH指導方針建議的光安定性試驗條件) (1,200,000 lux, light stability test conditions recommended in accordance with ICH guidelines)

(4)樣本:儲存於培養皿 (4) Sample: stored in a Petri dish

(5)試驗時間:試驗開始和在光暴露之後(於暴露1,200,000勒克斯之後) (5) Test time: start of the test and after light exposure (after exposure to 1,200,000 lux)

-熱安定性試驗箱的條件(熱應力條件)- - Conditions for thermal stability test chamber (thermal stress conditions) -

(1)溫度和濕度:50℃±2℃ (1) Temperature and humidity: 50 °C ± 2 °C

(2)樣本:包裝在HDPE瓶中 (2) Sample: packed in HDPE bottle

(3)試驗時間:試驗開始和儲存28天之後 (3) Test time: 28 days after the start and storage of the test

-分析條件- - Analysis conditions -

管柱:用於5μm液相層析法、填滿十八基矽基化的矽凝膠之不鏽鋼管柱(內徑:4.6mm,長度:25cm) Column: stainless steel column for 5 μm liquid chromatography, filled with 18-mercaptopurine ruthenium gel (inner diameter: 4.6 mm, length: 25 cm)

移動相:6mM 1-己磺酸鈉/0.05%(v/v)磷酸:乙腈(6:4,v/v) Mobile phase: 6 mM sodium 1-hexanosulfonate / 0.05% (v / v) phosphoric acid: acetonitrile (6: 4, v / v)

偵測器:紫外線分光光度計(239nm) Detector: UV spectrophotometer (239nm)

流速:1.0mL/分鐘 Flow rate: 1.0 mL/min

注射體積:10μL Injection volume: 10μL

管柱溫度:45℃ Column temperature: 45 ° C

【表12】安洛待平、氯薩利酮及洛沙坦所衍生的相關化合物之含量變化 [Table 12] Changes in the content of related compounds derived from anisopine, losalidone and losartan

如表12中所示,此證明實施例1至3所製備的錠劑係於光或熱應力條件下,具有的洛待平、氯薩利酮及洛沙坦所衍生的相關化合物很少且為高度安定的。然而,可以 證明比較實施例1中用3個組分之單純混合物所製備的錠劑,與實施例1至3之該等相比,相關化合物業已增加3至10倍。該等結果顯示出,藉由簡單混合物所製備的錠劑因為於光或熱應力條件下隨時間變化,而很難確保有足夠的安定性。 As shown in Table 12, this proves that the tablets prepared in Examples 1 to 3 are under light or thermal stress conditions, and have few related compounds derived from loftin, chlorsalone and losartan. It is highly stable. However, can The tablet prepared by comparing the simple mixture of the three components in Comparative Example 1 proved that the related compound had been increased by 3 to 10 times as compared with the examples of Examples 1 to 3. These results show that tablets prepared by simple mixtures are difficult to ensure sufficient stability due to changes over time under light or thermal stress conditions.

再者,比較實施例7和8之錠劑所生產的相關化合物和比較實施例1之錠劑一樣高。比較實施例7之結果顯示,由安洛待平-洛沙坦層以及氯薩利酮層組成之雙層錠劑,因為在光或熱應力條件下隨時間變化,很難確保有足夠的安定性。比較實施例8之結果顯示,由安洛待平層以及洛沙坦-氯薩利酮層組成之雙層錠劑的,亦因為在光或熱應力條件下隨時間變化,很難確保有足夠的安定性。 Further, the related compounds produced by the tablets of Comparative Examples 7 and 8 were as high as the tablets of Comparative Example 1. The results of Comparative Example 7 show that a bilayer tablet consisting of an acyclovir-losartan layer and a losalidone layer is difficult to ensure sufficient stability due to changes over time under light or thermal stress conditions. Sex. The results of Comparative Example 8 show that the bilayer tablet consisting of the ampoules and the losartan-closlone layer is also difficult to ensure sufficient time due to changes under light or thermal stress conditions over time. Stability.

上面的結果證明實施例1至3所製備由安洛待平-氯薩利酮層及洛沙坦層組成之雙層錠劑為安定的。 The above results demonstrate that the bilayer tablets prepared from Examples 1 to 3 consisting of the ancyclovir-closlone layer and the losartan layer are stable.

測試實施例7:具有各種量的活性組分的雙層錠劑內、取決於安洛待平-氯薩利酮層中賦形劑的比例之溶解變化Test Example 7: Dissolution change in the bilayer tablet having various amounts of the active ingredient, depending on the proportion of the excipient in the ancyclovir-clozarone layer

關於實施例4至6及比較實施例9至12中所製備具有各種量的活性組分之錠劑,安洛待平、氯薩利酮及洛沙坦之溶解率係以如同測試實驗實施例1相同的方法來測量。結果顯示於圖11至13中。 With respect to the tablets prepared in Examples 4 to 6 and Comparative Examples 9 to 12 having various amounts of the active ingredient, the dissolution rates of anisopine, losalone, and losartan were as in the test experiment example. 1 The same method to measure. The results are shown in Figures 11 to 13.

如同在圖11至13中所顯示的,實施例4至6的錠劑展現出與實施例1至3的錠劑相似的溶解模式,滿足了準則,雖然洛沙坦及氯薩利酮的量分別改變成50mg及12.5mg。 As shown in Figures 11 to 13, the tablets of Examples 4 to 6 exhibited a dissolution pattern similar to that of the tablets of Examples 1 to 3, satisfying the criteria, although the amount of losartan and losalone Change to 50mg and 12.5mg respectively.

在另一方面,比較實施例9至12的錠劑沒有滿足 安洛待平及氯薩利酮之溶解率之準則。 On the other hand, the tablets of Comparative Examples 9 to 12 were not satisfied. Guidelines for the dissolution rate of ampoules and chlorsalone.

以上的結果顯示,就良好的溶解率而言,安洛待平-氯薩利酮層中的乳糖水合物之含量為20至60重量%及乳糖水合物和微晶纖維素之重量比為1:0.5至1:2是較佳的,與活性組分的含量不相干。 The above results show that, in terms of good dissolution rate, the content of lactose hydrate in the ancyclovir-clostrione layer is 20 to 60% by weight and the weight ratio of lactose hydrate to microcrystalline cellulose is 1. : 0.5 to 1:2 is preferred and is not related to the content of the active ingredient.

Claims (12)

一種用於預防或治療心血管疾病的醫藥複合調配物,該調配物包含:一第一混合物,其包括安洛待平(amlodipine)或其醫藥上可接受的鹽類、氯薩利酮(chlorthalidone)或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及一第二混合物,其包括洛沙坦(losartan)或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑,其中該第一混合物及該第二混合物係以彼此物理上分隔的形式存在。 A pharmaceutical composite formulation for preventing or treating cardiovascular diseases, the formulation comprising: a first mixture comprising amlodipine or a pharmaceutically acceptable salt thereof, chlorthalidone Or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive; and a second mixture comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable salt An additive, wherein the first mixture and the second mixture are present in physically separated form from one another. 如請求項1之調配物,其中該複合調配物為一雙層錠劑,該雙層錠劑包含:一第一層,其包括安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及一第二層,其包括洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑。 The formulation of claim 1, wherein the composite formulation is a bilayer tablet comprising: a first layer comprising anisofloxacin or a pharmaceutically acceptable salt thereof, a chlorin a ketone or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive; and a second layer comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive . 如請求項1之調配物,其中該第一混合物之該添加劑係選自於以下所構成的群組:乳糖水合物、微晶纖維素、甘露糖醇、澱粉及其等之組合。 The formulation of claim 1, wherein the additive of the first mixture is selected from the group consisting of lactose hydrate, microcrystalline cellulose, mannitol, starch, and the like. 如請求項3之調配物,其中以該第一混合物的總量為基準,包含20至60重量%的量之該乳糖水合物。 The formulation of claim 3, wherein the lactose hydrate is included in an amount of from 20 to 60% by weight based on the total of the first mixture. 如請求項3之調配物,其中該添加劑為乳糖水合物和微 晶纖維素,以及其等之間的重量比為1:0.5至1:2。 The formulation of claim 3, wherein the additive is lactose hydrate and micro The weight ratio of crystalline cellulose, and the like, is from 1:0.5 to 1:2. 如請求項1之調配物,其中該第一混合物及該第二混合物係藉由輥壓縮方法而製備的顆粒形式。 The formulation of claim 1, wherein the first mixture and the second mixture are in the form of granules prepared by a roll compression process. 一種用於預防或治療心血管疾病的固定劑量組合調配物,該調配物包含:一第一混合物,其包括安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及一第二混合物,其包括洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑,其中該第一混合物及該第二混合物係以彼此物理上分隔的形式存在。 A fixed-dose combination formulation for preventing or treating a cardiovascular disease, the formulation comprising: a first mixture comprising anisopine or a pharmaceutically acceptable salt thereof, polsalone or a medicinal thereof An acceptable salt, and a pharmaceutically acceptable additive; and a second mixture comprising losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive, wherein the first mixture And the second mixture is present in a physically separated form from each other. 如請求項7之調配物,其中該安洛待平或其醫藥上可接受的鹽類以一5至10毫克(mg)的量被包含於安洛待平游離酸形式內。 The formulation of claim 7, wherein the anisoprofen or a pharmaceutically acceptable salt thereof is included in the form of acyclovir free acid in an amount of from 5 to 10 milligrams (mg). 如請求項7之調配物,其中該氯薩利酮或其醫藥上可接受的鹽類以一12.5至25mg的量被包含於氯薩利酮游離酸形式內。 The formulation of claim 7, wherein the losalone or a pharmaceutically acceptable salt thereof is included in the free acid form of the losalidone in an amount of from 12.5 to 25 mg. 如請求項7之調配物,其中該洛沙坦或其醫藥上可接受的鹽類以一50至100mg的量被包含於洛沙坦游離酸形式內。 The formulation of claim 7, wherein the losartan or a pharmaceutically acceptable salt thereof is included in the losartan free acid form in an amount of from 50 to 100 mg. 一種用於製備用於預防或治療心血管疾病的醫藥複合調配物之方法,該方法包含下列步驟:a)混合安洛待平或其醫藥上可接受的鹽類、氯薩利 酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑;以及b)混合洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑。 A method for the preparation of a pharmaceutical compound formulation for preventing or treating cardiovascular diseases, the method comprising the steps of: a) mixing an acyclovir or a pharmaceutically acceptable salt thereof, chlorsali a ketone or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive; and b) a mixed losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive. 一種用於製備用於預防或治療心血管疾病的雙層錠劑之方法,該方法包含下列步驟:a)混合安洛待平或其醫藥上可接受的鹽類、氯薩利酮或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑以獲得一混合物且粒化該混合物;b)混合洛沙坦或其醫藥上可接受的鹽類,及一醫藥上可接受的添加劑以獲得一混合物且接而粒化該混合物;以及c)將步驟a)及b)中製備所獲得的顆粒予以壓錠成雙層錠劑。 A method for preparing a bilayer tablet for preventing or treating cardiovascular diseases, the method comprising the steps of: a) mixing an acyclovir or a pharmaceutically acceptable salt thereof, polsalone or a medicament thereof An acceptable salt, and a pharmaceutically acceptable additive to obtain a mixture and granulate the mixture; b) a mixture of losartan or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable additive Obtaining a mixture and granulating the mixture; and c) pressing the granules obtained in the preparation of steps a) and b) into a bilayer tablet.
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