TW202320773A - Atropine eye drops and preparation method therefor - Google Patents

Atropine eye drops and preparation method therefor Download PDF

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TW202320773A
TW202320773A TW111134106A TW111134106A TW202320773A TW 202320773 A TW202320773 A TW 202320773A TW 111134106 A TW111134106 A TW 111134106A TW 111134106 A TW111134106 A TW 111134106A TW 202320773 A TW202320773 A TW 202320773A
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atropine
eye drops
days
prescription
regulator
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袁建棟
李�昊
馮欣
黃仰青
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大陸商博瑞生物醫藥(蘇州)股份有限公司
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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
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0048Eye, e.g. artificial tears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/468-Azabicyclo [3.2.1] octane; Derivatives thereof, e.g. atropine, cocaine
    • 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
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    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • 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
    • 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
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
    • 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
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/10Ophthalmic agents for accommodation disorders, e.g. myopia

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Abstract

The present invention belongs to the field of medicine, and specifically relates to atropine eye drops and a preparation method therefor. The atropine eye drops provided in the present invention comprise: by mass concentration, 0.10-0.20 g/L of atropine or a pharmaceutically acceptable salt thereof, 0-1.00 g/L of a chelating agent, and 7.80-9.00 g/L of an osmotic pressure regulator, a pH regulator and water for injection. The pH regulator is a combination of citric acid and borax or a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, and the amount of the pH regulator used is based on adjusting the pH value to 4.5-5.5. The atropine eye drops prepared according to the above prescription have good stability, low total impurities, low toxicity and do not irritate to eyes.

Description

阿托品滴眼液及其製備方法Atropine eye drops and preparation method thereof

本發明屬於醫藥領域,具體涉及一種阿托品滴眼液及其製備方法。The invention belongs to the field of medicine, and in particular relates to an atropine eye drop and a preparation method thereof.

阿托品(atropine)是一種天然化合物,可從顛茄或其它茄科植物中提取而得。在臨床醫學上,阿托品主要用來解除平滑肌痙攣、改善微循環、抑制腺體分泌、解除迷走神經對心臟的抑制等。硫酸阿托品(atropine sulfate)為阿托品的一種鹽,據臨床資料記載,硫酸阿托品眼用製劑的藥理作用較好,對M受體有相當高的選擇性,並阻斷M膽鹼受體,使瞳孔括約肌和睫狀肌鬆弛,形成擴瞳機制,緩解由眼睛腫脹和發炎引起的疼痛。Atropine is a natural compound that can be extracted from belladonna or other plants of the nightshade family. In clinical medicine, atropine is mainly used to relieve smooth muscle spasm, improve microcirculation, inhibit glandular secretion, and relieve the inhibition of vagus nerve on the heart. Atropine sulfate (atropine sulfate) is a kind of salt of atropine, according to clinical records, the pharmacological action of atropine sulfate ophthalmic preparation is better, has quite high selectivity to M receptor, and blocks M choline receptor, makes the pupil The sphincter and ciliary muscles relax, creating a pupil-dilation mechanism that relieves pain caused by swelling and inflammation of the eye.

多年研究證實,阿托品類眼用製劑能夠讓青少年兒童原本緊張的睫狀肌得到舒展,並在睡眠過程中對其調節功能進行進一步恢復,有效延緩和治療近視發展。但目前市售的阿托品眼用製劑(如美歐品、亞妥明、樂托品、USP1%等)在存儲過程中易分解,有關物質(托品酸、去水阿托品、任何單一未知的有關物質及有關物質總量等)的生成將影響藥物的有效性和安全性。Years of studies have confirmed that atropine ophthalmic preparations can stretch the originally tense ciliary muscles of adolescents and children, and further restore their regulatory function during sleep, effectively delaying and treating the development of myopia. However, currently commercially available atropine ophthalmic preparations (such as Meioupin, Yatamine, Letropine, USP1%, etc.) are easily decomposed during storage, and related substances (tropine acid, anhydroatropine, any single unknown related substances) Substances and the total amount of related substances, etc.) will affect the effectiveness and safety of drugs.

因此,研發一種存儲穩定性好的阿托品類眼用藥物,是本領域亟待解決的技術問題。Therefore, developing an atropine ophthalmic drug with good storage stability is a technical problem to be solved urgently in this field.

發明要解決的問題The problem to be solved by the invention

針對現有技術中存在的缺陷,本發明提供一種阿托品滴眼液,透過原料選擇及處方優化,穩定性好,總雜質低。Aiming at the defects existing in the prior art, the present invention provides an atropine eye drop, which has good stability and low total impurities through raw material selection and prescription optimization.

進一步地,本發明還提供一種上述阿托品滴眼液的製備方法,以此方法製備的阿托品滴眼液,穩定性好,總雜質低,適於長期儲存。 用於解決問題的方案 Furthermore, the present invention also provides a method for preparing the above-mentioned atropine eye drops. The atropine eye drops prepared by this method have good stability and low total impurities, and are suitable for long-term storage. solutions to problems

本發明提供一種阿托品滴眼液,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,pH調節劑和注射用水; 其中,所述pH調節劑為檸檬酸和硼砂的組合或磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合,所述pH調節劑的用量為以將pH值調至4.5~5.5為準。 The present invention provides a kind of atropine eye drop, comprises the following components: by mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L, osmotic pressure regulator 7.80~ 9.00g/L, pH regulator and water for injection; Wherein, the pH regulator is a combination of citric acid and borax or a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, and the dosage of the pH regulator is based on adjusting the pH value to 4.5-5.5.

優選地,以質量濃度計,所述檸檬酸和硼砂的組合中,檸檬酸0.50~2.00g/L,硼砂1.00~2.00g/L; 以質量濃度計,所述磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合中,磷酸二氫鈉1.49~6.00g/L,磷酸氫二鈉0.43~0.88g/L,鹽酸0.04~0.13g/L。 Preferably, in terms of mass concentration, in the combination of citric acid and borax, citric acid is 0.50~2.00g/L, and borax is 1.00~2.00g/L; In terms of mass concentration, in the combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, sodium dihydrogen phosphate is 1.49~6.00g/L, disodium hydrogen phosphate is 0.43~0.88g/L, hydrochloric acid is 0.04~0.13g/L L.

進一步優選地,本發明所述的阿托品滴眼液,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,檸檬酸0.50g/L,硼砂1.05g/L和注射用水。Further preferably, the atropine eye drops of the present invention comprises the following components: in terms of mass concentration, 0.10-0.20 g/L of atropine or a pharmaceutically acceptable salt thereof, 0-1.00 g/L of a chelating agent, and osmotic Pressure regulator 7.80~9.00g/L, citric acid 0.50g/L, borax 1.05g/L and water for injection.

進一步優選地,本發明所述的阿托品滴眼液,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,磷酸二氫鈉1.95g/L,磷酸氫二鈉0.56g/L,鹽酸0.076g/L和注射用水。Further preferably, the atropine eye drops of the present invention comprises the following components: in terms of mass concentration, 0.10-0.20 g/L of atropine or a pharmaceutically acceptable salt thereof, 0-1.00 g/L of a chelating agent, and osmotic Pressure regulator 7.80~9.00g/L, sodium dihydrogen phosphate 1.95g/L, disodium hydrogen phosphate 0.56g/L, hydrochloric acid 0.076g/L and water for injection.

優選地,本發明所述的阿托品滴眼液,所述藥學上可接受的鹽為硫酸鹽。Preferably, in the atropine eye drops of the present invention, the pharmaceutically acceptable salt is sulfate.

優選地,本發明所述的阿托品滴眼液,所述螯合劑包括依地酸二鈉、依地酸鈉鈣和依地酸中的一種或兩種以上的組合。Preferably, in the atropine eye drops of the present invention, the chelating agent includes one or a combination of two or more of edetate disodium, edetate sodium calcium and edetate.

進一步優選地,本發明所述的阿托品滴眼液,所述螯合劑為依地酸二鈉。Further preferably, in the atropine eye drops of the present invention, the chelating agent is disodium edetate.

優選地,本發明所述的阿托品滴眼液,所述滲透壓調節劑包括氯化鈉、甘露醇和甘油中的一種或兩種以上的組合; 進一步優選地,本發明所述的阿托品滴眼液,所述滲透壓調節劑為氯化鈉。 Preferably, in the atropine eye drops of the present invention, the osmotic pressure regulator includes one or a combination of two or more of sodium chloride, mannitol and glycerin; Further preferably, in the atropine eye drops of the present invention, the osmotic pressure regulator is sodium chloride.

本發明提供一種根據本發明所述的阿托品滴眼液的製備方法,包括以下步驟: 將處方量的所述螯合劑、滲透壓調節劑、pH調節劑溶解於所述注射用水中,得到溶液A; 向所述溶液A中加入處方量的所述阿托品或其藥學上可接受的鹽,得到溶液B; 將所述溶液B過濾,灌裝,即得。 The present invention provides a kind of preparation method of atropine eye drops according to the present invention, comprises the following steps: Dissolving the chelating agent, osmotic pressure regulator, and pH regulator in the prescribed amount in the water for injection to obtain solution A; Adding the atropine or its pharmaceutically acceptable salt of prescription amount in described solution A, obtains solution B; The solution B is filtered, filled, and obtained.

優選地,本發明所述的製備方法,所述注射用水的溫度在40℃以下。Preferably, in the preparation method of the present invention, the temperature of the water for injection is below 40°C.

進一步優選地,本發明所述的製備方法,所述注射用水的溫度為21.4~24.4℃。Further preferably, in the preparation method of the present invention, the temperature of the water for injection is 21.4-24.4°C.

優選地,本發明所述的製備方法,將所述溶液B經孔徑為0.22μm的微濾膜過濾,所述微濾膜為PVDF膜。 發明的效果 Preferably, in the preparation method of the present invention, the solution B is filtered through a microfiltration membrane with a pore size of 0.22 μm, and the microfiltration membrane is a PVDF membrane. The effect of the invention

本發明提供的阿托品滴眼液,透過選擇特定的螯合劑、滲透壓調節劑,結合pH調節劑,達到了產品穩定、雜質少的有益效果,適於長期儲存。令人驚訝的是,與市售阿托品滴眼液相比,本發明提供的阿托品滴眼液經過30天的影響因素及6個月的加速試驗等穩定性測試,其總雜質含量明顯低於市售的美歐品、亞妥明和樂托品,本發明的處方在穩定性上具有預料不到的技術效果。The atropine eye drop provided by the invention achieves the beneficial effects of product stability and less impurities by selecting a specific chelating agent, an osmotic pressure regulator, and a pH regulator, and is suitable for long-term storage. Surprisingly, compared with the commercially available atropine eye drops, the atropine eye drops provided by the present invention passed through 30 days of influence factors and 6 months of accelerated tests and other stability tests, and its total impurity content was significantly lower than that of the commercially available atropine eye drops. The American-European product, yatromin and letopine sold, the prescription of the present invention has unexpected technical effect on stability.

進一步地,本發明提供的阿托品滴眼液,不含增稠劑和防腐劑,毒性低;pH值更接近中性,對眼部無刺激。Furthermore, the atropine eye drops provided by the present invention do not contain thickeners and preservatives, and have low toxicity; the pH value is closer to neutral, and has no irritation to eyes.

進一步地,本發明提供的阿托品滴眼液,以磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合作為pH調節劑,安全性更高,更適於兒童長期用藥。Furthermore, the atropine eye drops provided by the present invention use a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid as the pH regulator, which has higher safety and is more suitable for long-term medication for children.

進一步地,本發明提供的阿托品滴眼液的製備方法,以此方法製備的阿托品滴眼液穩定性好,總雜質低,適於長期儲存。Further, the present invention provides a preparation method of atropine eye drops, the atropine eye drops prepared by this method has good stability, low total impurities, and is suitable for long-term storage.

具體實施方式Detailed ways

以下將詳細說明本發明的各種例示性實施例、特徵和方面。在這裡專用的詞“例示性”意為“用作例子、實施例或說明性”。這裡作為“例示性”所說明的任何實施例不必解釋為優於或好於其它實施例。Various illustrative embodiments, features, and aspects of the invention are described in detail below. The word "exemplary" is used exclusively herein to mean "serving as an example, embodiment, or illustration." Any embodiment described herein as "exemplary" is not necessarily to be construed as superior or better than other embodiments.

另外,為了更好地說明本發明,在下文的具體實施方式中給出了眾多的具體細節。本領域技術人員應當理解,沒有某些具體細節,本發明同樣可以實施。在另外一些實例中,對於本領域技術人員熟知的方法、手段、器材和步驟未作詳細描述,以便於凸顯本發明的主旨。In addition, in order to better illustrate the present invention, numerous specific details are given in the specific embodiments below. It will be understood by those skilled in the art that the present invention may be practiced without certain of the specific details. In other instances, methods, means, devices and steps well known to those skilled in the art are not described in detail in order to highlight the gist of the present invention.

如無特殊聲明,本說明書中所使用的單位均為國際標準單位,並且本發明中出現的數值,數值範圍,均應當理解為包含了工業生產中所不可避免的系統性誤差。Unless otherwise stated, the units used in this specification are all international standard units, and the numerical values and numerical ranges appearing in the present invention should be understood as including inevitable systematic errors in industrial production.

本說明書中,使用“數值A~數值B”表示的數值範圍是指包含端點數值A、B的範圍。In this specification, the numerical range represented by "numerical value A~numerical value B" refers to the range including numerical value A and B of the endpoint.

本說明書中,“任選的”或“任選地”是指接下來描述的事件或情況可發生或可不發生,並且該描述包括該事件發生的情況和該事件不發生的情況。In this specification, "optional" or "optionally" means that the next described event or situation may or may not occur, and that the description includes situations where the event occurs and situations where the event does not occur.

本說明書中,使用“可以”表示的含義包括了進行某種處理以及不進行某種處理兩方面的含義。In this specification, the meaning expressed by "may" includes the meaning of performing certain processing and not performing certain processing.

本說明書中,所提及的“一些具體/優選的實施方案”、“另一些具體/優選的實施方案”、“實施方案”等是指所描述的與該實施方案有關的特定要素(例如,特徵、結構、性質和/或特性)包括在此處所述的至少一種實施方案中,並且可存在於其它實施方案中或者可不存在於其它實施方案中。另外,應理解,所述要素可以任何合適的方式組合在各種實施方案中。 [阿托品滴眼液] In this specification, references to "some specific/preferred embodiments", "other specific/preferred embodiments", "embodiments" and the like refer to specific elements described in relation to the embodiments (for example, A feature, structure, property, and/or characteristic) is included in at least one embodiment described herein, and may or may not be present in other embodiments. In addition, it is to be understood that the described elements may be combined in any suitable manner in the various embodiments. [Atropine eye drops]

本發明提供一種阿托品滴眼液,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,pH調節劑和注射用水; 其中,pH調節劑為檸檬酸和硼砂的組合或磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合,pH調節劑的用量為以將pH值調至4.5~5.5為準。 The present invention provides a kind of atropine eye drop, comprises the following components: by mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L, osmotic pressure regulator 7.80~ 9.00g/L, pH regulator and water for injection; Wherein, the pH regulator is a combination of citric acid and borax or a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, and the dosage of the pH regulator is based on adjusting the pH value to 4.5-5.5.

在本發明一些具體的實施方案中,以質量濃度計,上述檸檬酸和硼砂的組合中,檸檬酸0.50~2.00g/L,硼砂1.00~2.00g/L;以質量濃度計,上述磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合中,磷酸二氫鈉1.49~6.00g/L,磷酸氫二鈉0.43~0.88g/L,鹽酸0.04~0.13g/L。In some specific embodiments of the present invention, in terms of mass concentration, in the combination of the above-mentioned citric acid and borax, citric acid is 0.50~2.00g/L, and borax is 1.00~2.00g/L; in terms of mass concentration, the above-mentioned dihydrogen phosphate In the combination of sodium, disodium hydrogen phosphate and hydrochloric acid, sodium dihydrogen phosphate is 1.49~6.00g/L, disodium hydrogen phosphate is 0.43~0.88g/L, and hydrochloric acid is 0.04~0.13g/L.

本發明提供的阿托品滴眼液,透過原料選擇及處方優化,穩定性好,總雜質低,適於長期保存;而且,pH值為4.5~5.5,更接近中性,對眼部無刺激。The atropine eye drop provided by the invention has good stability and low total impurities through raw material selection and prescription optimization, and is suitable for long-term storage; moreover, the pH value is 4.5-5.5, which is closer to neutral, and has no irritation to eyes.

在本發明一些優選的實施方案中,該阿托品滴眼液由下列組分組成:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,pH調節劑和注射用水; 其中,pH調節劑為檸檬酸和硼砂的組合或磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合;以質量濃度計,檸檬酸0.50~2.00g/L,硼砂1.00~2.00g/L,磷酸二氫鈉1.49~6.00g/L,磷酸氫二鈉0.43~0.88g/L,鹽酸0.04~0.13g/L。 In some preferred embodiments of the present invention, the atropine eye drop consists of the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L , osmotic pressure regulator 7.80~9.00g/L, pH regulator and water for injection; Wherein, the pH regulator is a combination of citric acid and borax or a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid; in terms of mass concentration, citric acid is 0.50~2.00g/L, borax is 1.00~2.00g/L, phosphoric acid Sodium dihydrogen 1.49~6.00g/L, disodium hydrogen phosphate 0.43~0.88g/L, hydrochloric acid 0.04~0.13g/L.

本發明對上述處方進一步優化,使其不含增稠劑[例如羥丙甲纖維素(60SH)],可避免增稠劑對產品穩定性的影響;同時也不含防腐劑(如苯扎氯銨等),安全性高,毒性低。 阿托品或其藥學上可接受的鹽 The present invention further optimizes above-mentioned prescription, makes it not contain thickener [such as hypromellose (60SH)], can avoid the influence of thickener on product stability; Ammonium, etc.), high safety and low toxicity. Atropine or its pharmaceutically acceptable salt

阿托品類藥物是目前最為有效預防青少年兒童近視的藥物,可使原本緊張的睫狀肌得到舒展,並在睡眠過程中其調節功能可得到進一步恢復。Atropine drugs are currently the most effective drugs for preventing myopia in adolescents and children. They can stretch the originally tense ciliary muscle and further restore its regulatory function during sleep.

在本發明一些具體的實施方案中,以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,例示性地,其質量濃度可以為0.10g/L、0.12g/L、0.14g/L、0.15g/L、0.16g/L、0.18g/L、0.20g/L等。臨床研究發現,在一定範圍內,阿托品或其藥學上可接受的鹽的濃度越高,其預防和/或治療近視的效果越好,但濃度過高(如1%濃度、0.5%濃度、0.1%濃度,其質量濃度分別為10g/L、5g/L、1g/L)會伴隨著諸多不良反應,如散瞳作用強、眼壓升高等。相比之下,低濃度滴眼液在保證具有較好的預防和/或治療近視效果的同時,能夠把不良反應降到最低。研究發現,0.01%濃度(質量濃度為0.1g/L)阿托品滴眼液適用於兒童青少年進展性近視的矯正;0.02%濃度(質量濃度為0.2g/L)為不會產生明顯不良臨床症狀的最高濃度。In some specific embodiments of the present invention, in terms of mass concentration, atropine or a pharmaceutically acceptable salt thereof is 0.10~0.20g/L, illustratively, its mass concentration can be 0.10g/L, 0.12g/L, 0.14g/L, 0.15g/L, 0.16g/L, 0.18g/L, 0.20g/L, etc. Clinical studies have found that within a certain range, the higher the concentration of atropine or its pharmaceutically acceptable salt, the better the effect of its prevention and/or treatment of myopia, but the concentration is too high (such as 1% concentration, 0.5% concentration, 0.1 % concentration, and its mass concentration is 10g/L, 5g/L, 1g/L respectively) will be accompanied by many adverse reactions, such as strong mydriasis and increased intraocular pressure. In contrast, low-concentration eye drops can minimize adverse reactions while ensuring a better effect of preventing and/or treating myopia. The study found that atropine eye drops with a concentration of 0.01% (mass concentration of 0.1g/L) are suitable for the correction of progressive myopia in children and adolescents; highest concentration.

在本發明一些優選的實施方案中,阿托品或其藥學上可接受的鹽的質量濃度為0.10g/L或0.20g/L。In some preferred embodiments of the present invention, the mass concentration of atropine or a pharmaceutically acceptable salt thereof is 0.10 g/L or 0.20 g/L.

在本發明一些優選的實施方案中,藥學上可接受的鹽為硫酸鹽(即為硫酸阿托品)。 螯合劑 In some preferred embodiments of the present invention, the pharmaceutically acceptable salt is sulfate (ie, atropine sulfate). Chelating agent

考慮到阿托品滴眼液所使用的包裝容器的材質可能為低密度聚乙烯,其原料中含有對人體有害的金屬元素;而且,在實際生產時,配液罐及生產管路均為不銹鋼材質,也可能引入金屬離子,微量重金屬可透過氧化或其它機制催化阿托品滴眼液中活性成分分解,因此,加入螯合劑可與多種金屬離子形成穩定的錯合物,防止活性成分分解,使得阿托品滴眼液穩定性好,總雜質低。Considering that the packaging container used for atropine eye drops may be made of low-density polyethylene, and its raw materials contain metal elements harmful to the human body; moreover, in actual production, the liquid distribution tank and production pipelines are made of stainless steel. It is also possible to introduce metal ions. Trace heavy metals can catalyze the decomposition of active ingredients in atropine eye drops through oxidation or other mechanisms. Therefore, the addition of chelating agents can form stable complexes with various metal ions to prevent the decomposition of active ingredients, making atropine eye drops The liquid has good stability and low total impurities.

在本發明一些具體的實施方案中,螯合劑包括依地酸二鈉、依地酸鈉鈣和依地酸中的一種或兩種以上的組合。In some specific embodiments of the present invention, the chelating agent includes one or a combination of two or more of edetate disodium, edetate sodium calcium and edetate.

在本發明一些優選的實施方案中,螯合劑為依地酸二鈉。In some preferred embodiments of the invention, the chelating agent is disodium edetate.

在本發明一些具體的實施方案中,螯合劑的質量濃度為0~1.00g/L,例示性地,其質量濃度可以為0、0.10g/L、0.20g/L、0.40g/L、0.50g/L、0.60g/L、0.80g/L、1.00g/L等。 滲透壓調節劑 In some specific embodiments of the present invention, the mass concentration of the chelating agent is 0~1.00g/L, illustratively, its mass concentration can be 0, 0.10g/L, 0.20g/L, 0.40g/L, 0.50 g/L, 0.60g/L, 0.80g/L, 1.00g/L, etc. osmotic regulator

滲透壓調節劑用於將阿托品滴眼液的滲透壓控制在適宜範圍內。The osmotic pressure regulator is used to control the osmotic pressure of the atropine eye drops within an appropriate range.

在本發明一些具體的實施方案中,滲透壓調節劑包括氯化鈉、甘露醇和甘油中的一種或兩種以上的組合。In some specific embodiments of the present invention, the osmotic pressure regulator includes one or a combination of two or more of sodium chloride, mannitol and glycerin.

在本發明一些優選的實施方案中,滲透壓調節劑為氯化鈉,使用氯化鈉的阿托品滴眼液的穩定性優於使用甘露醇或甘油。In some preferred embodiments of the present invention, the osmotic pressure regulator is sodium chloride, and the stability of the atropine eye drops using sodium chloride is better than that using mannitol or glycerin.

人眼能夠耐受的滲透壓範圍較寬,相當於0.5~1.5%w/v氯化鈉溶液的滲透壓莫耳濃度。理想情況下,滴眼液應與淚液等滲,相當於0.09%w/v氯化鈉溶液。考慮到阿托品滴眼液中其它鹽類組分也會影響其滲透壓,故應綜合研究滲透壓調節劑的用量。在本發明一些具體的實施方案中,滲透壓調節劑的質量濃度為7.80~9.00g/L,例示性地,其質量濃度可以為7.80g/L、8.00g/L、8.20g/L、8.40g/L、8.60g/L、8.80g/L、9.00g/L等。當質量濃度低於7.80g/L或高於9.00g/L時,均會導致滲透壓超出人眼的耐受範圍,從而引起眼部不適。The osmotic pressure range that the human eye can tolerate is relatively wide, which is equivalent to the osmotic pressure molar concentration of 0.5~1.5% w/v sodium chloride solution. Ideally, eye drops should be isotonic with tear fluid, equivalent to 0.09% w/v sodium chloride solution. Considering that other salt components in atropine eye drops will also affect its osmotic pressure, the dosage of osmotic pressure regulator should be comprehensively studied. In some specific embodiments of the present invention, the mass concentration of the osmotic pressure regulator is 7.80~9.00g/L. Exemplarily, its mass concentration can be 7.80g/L, 8.00g/L, 8.20g/L, 8.40 g/L, 8.60g/L, 8.80g/L, 9.00g/L, etc. When the mass concentration is lower than 7.80g/L or higher than 9.00g/L, the osmotic pressure will exceed the tolerance range of human eyes, thus causing eye discomfort.

在本發明一些優選的實施方案中,滲透壓調節劑的質量濃度為8.30g/L和8.70g/L。 pH調節劑 In some preferred embodiments of the present invention, the mass concentration of the osmotic pressure regulator is 8.30 g/L and 8.70 g/L. pH regulator

pH調節劑用於將阿托品滴眼液的pH值調節至4.5~5.5,使其接近中性,對眼部無刺激。阿托品或硫酸阿托品的分子結構中含有酯基,在pH值偏高時易發生水解,其水解產物為托品酸和托品醇,從而引起滴眼液品質問題。The pH regulator is used to adjust the pH value of the atropine eye drops to 4.5~5.5, making it close to neutral and non-irritating to the eyes. The molecular structure of atropine or atropine sulfate contains ester groups, which are prone to hydrolysis when the pH value is high, and the hydrolysis products are tropic acid and tropinol, which cause quality problems of eye drops.

在本發明一些具體的實施方案中,pH調節劑為檸檬酸和硼砂的組合。In some specific embodiments of the present invention, the pH adjusting agent is a combination of citric acid and borax.

在本發明另一些具體的實施方案中,pH調節劑為磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合。In other specific embodiments of the present invention, the pH regulator is a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid.

其中: 當pH調節劑為檸檬酸和硼砂的組合時,在本發明一些具體的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,檸檬酸0.50~2.00g/L,硼砂1.00~2.00g/L和注射用水。 in: When the pH regulator is a combination of citric acid and borax, in some specific embodiments of the present invention, the atropine eye drops include the following components: in terms of mass concentration, 0.10 to 0.20 g of atropine or a pharmaceutically acceptable salt thereof /L, chelating agent 0~1.00g/L, osmotic pressure regulator 7.80~9.00g/L, citric acid 0.50~2.00g/L, borax 1.00~2.00g/L and water for injection.

在本發明一些優選的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,檸檬酸0.50g/L,硼砂1.05g/L和注射用水。In some preferred embodiments of the present invention, atropine eye drops comprises the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L, osmotic Pressure regulator 7.80~9.00g/L, citric acid 0.50g/L, borax 1.05g/L and water for injection.

在本發明一些更優選的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10g/L,螯合劑1.00g/L,滲透壓調節劑8.70g/L,無水檸檬酸0.50g/L,硼砂1.05g/L和注射用水。In some more preferred embodiments of the present invention, atropine eye drops comprises the following components: by mass concentration, atropine or its pharmaceutically acceptable salt 0.10g/L, chelating agent 1.00g/L, osmotic pressure regulator 8.70g/L, 0.50g/L anhydrous citric acid, 1.05g/L borax and water for injection.

在本發明另一些更優選的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.20g/L,螯合劑1.00g/L,滲透壓調節劑8.70g/L,無水檸檬酸0.50g/L,硼砂1.05g/L和注射用水。In some other more preferred embodiments of the present invention, atropine eye drops comprise the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.20g/L, chelating agent 1.00g/L, osmotic pressure adjustment Agent 8.70g/L, anhydrous citric acid 0.50g/L, borax 1.05g/L and water for injection.

當pH調節劑為磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合時,在本發明一些具體的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,磷酸二氫鈉1.49~6.00g/L,磷酸氫二鈉0.43~0.88g/L,鹽酸0.04~0.13g/L和注射用水。When the pH regulator is a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, in some specific embodiments of the present invention, the atropine eye drops include the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable Accepted salt 0.10~0.20g/L, chelating agent 0~1.00g/L, osmotic pressure regulator 7.80~9.00g/L, sodium dihydrogen phosphate 1.49~6.00g/L, disodium hydrogen phosphate 0.43~0.88g/L L, hydrochloric acid 0.04~0.13g/L and water for injection.

當磷酸二氫鈉和磷酸氫二鈉分別高於6.00g/L,0.88g/L時,會引起滴眼液中雜質含量升高;而且,此兩種磷酸鹽本身存在一定的滲透壓,若用量較大,為了實現等滲,需調整滲透壓調節劑用量,而滲透壓調節劑(尤其氯化鈉)對阿托品或硫酸阿托品有一定的穩定作用,可抑制托品酸增長。因此,為保證阿托品滴眼液的穩定性,需協同調節兩種磷酸鹽和滲透壓調節劑用量,本發明的滴眼液中,磷酸二氫鈉、磷酸氫二鈉和滲透壓調節劑的質量濃度分別為1.49~6.00g/L、0.43~0.88g/L和7.80~9.00g/L。When sodium dihydrogen phosphate and disodium hydrogen phosphate are higher than 6.00g/L and 0.88g/L respectively, the impurity content in the eye drops will increase; moreover, the two phosphates themselves have certain osmotic pressure, if The dosage is relatively large. In order to achieve isotonicity, it is necessary to adjust the dosage of the osmotic pressure regulator, and the osmotic pressure regulator (especially sodium chloride) has a certain stabilizing effect on atropine or atropine sulfate, which can inhibit the growth of tropic acid. Therefore, in order to ensure the stability of atropine eye drops, two kinds of phosphates and the osmotic pressure regulator consumption need to be adjusted synergistically. In the eye drops of the present invention, the quality of sodium dihydrogen phosphate, disodium hydrogen phosphate and osmotic pressure regulator The concentrations are 1.49~6.00g/L, 0.43~0.88g/L and 7.80~9.00g/L respectively.

在本發明一些優選的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,磷酸二氫鈉1.95g/L,磷酸氫二鈉0.56g/L,鹽酸0.076g/L和注射用水。In some preferred embodiments of the present invention, atropine eye drops comprise the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L, osmotic pressure Regulator 7.80~9.00g/L, sodium dihydrogen phosphate 1.95g/L, disodium hydrogen phosphate 0.56g/L, hydrochloric acid 0.076g/L and water for injection.

在本發明一些更優選的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學可接受的鹽0.10g/L,螯合劑1.00g/L,滲透壓調節劑8.30g/L,磷酸二氫鈉1.95g/L,磷酸氫二鈉0.56g/L,鹽酸0.076g/L和注射用水。In some more preferred embodiments of the present invention, atropine eye drops comprises the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.10g/L, chelating agent 1.00g/L, osmotic pressure regulator 8.30g/L g/L, sodium dihydrogen phosphate 1.95g/L, disodium hydrogen phosphate 0.56g/L, hydrochloric acid 0.076g/L and water for injection.

在本發明另一些更優選的實施方案中,阿托品滴眼液包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.20g/L,螯合劑1.00g/L,滲透壓調節劑8.30g/L,磷酸二氫鈉1.95g/L,磷酸氫二鈉0.56g/L,鹽酸0.076g/L和注射用水。In some other more preferred embodiments of the present invention, atropine eye drops comprise the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.20g/L, chelating agent 1.00g/L, osmotic pressure adjustment Agent 8.30g/L, sodium dihydrogen phosphate 1.95g/L, disodium hydrogen phosphate 0.56g/L, hydrochloric acid 0.076g/L and water for injection.

在本發明一些優選的實施方案中,阿托品滴眼液的劑量規格為0.5mL/支,適於使用者單劑量單支給藥,不存在用藥污染的問題,更加安全可靠。 [製備方法] In some preferred embodiments of the present invention, the dosage specification of the atropine eye drops is 0.5mL/bottle, which is suitable for single-dose single-bottle administration by the user, and there is no problem of drug contamination, which is safer and more reliable. [Preparation]

本發明提供上述阿托品滴眼液的製備方法,包括以下步驟: 將處方量的螯合劑、滲透壓調節劑、pH調節劑溶解於注射用水中,得到溶液A; 向溶液A中加入處方量的阿托品或其藥學可接受的鹽,得到溶液B; 將溶液B過濾,灌裝,即得。 The invention provides the preparation method of above-mentioned atropine eye drops, comprises the following steps: Dissolving the chelating agent, osmotic pressure regulator and pH regulator in the prescribed amount in water for injection to obtain solution A; Adding atropine or its pharmaceutically acceptable salt of prescription amount in solution A, obtains solution B; Filter the solution B, fill it, and get it.

以此方法所製備的阿托品滴眼液穩定性好,總雜質低,適於長期儲存。The atropine eye drop prepared by the method has good stability, low total impurities and is suitable for long-term storage.

配液溫度影響阿托品滴眼液的穩定性,在本發明一些具體的實施方案中,注射用水的溫度(即配液溫度)控制在40℃以下,優選為21.4~24.4℃,例示性地,其溫度可以為21.4℃、22.5℃、24.4℃等。The dosing temperature affects the stability of the atropine eye drops. In some specific embodiments of the present invention, the temperature of the water for injection (i.e. the dosing temperature) is controlled below 40°C, preferably 21.4 to 24.4°C. Exemplarily, it The temperature may be 21.4°C, 22.5°C, 24.4°C, etc.

在本發明一些具體的實施方案中,溶液A的pH值為4.99~5.01,例示性地,其pH值可以為4.99、5.00、5.01等。In some specific embodiments of the present invention, the pH value of solution A is 4.99-5.01. Exemplarily, the pH value may be 4.99, 5.00, 5.01, etc.

在本發明一些具體的實施方案中,溶液B的pH值為4.98~5.01,例示性地,其pH值可以為4.98、5.00、5.01等。In some specific embodiments of the present invention, the pH value of solution B is 4.98-5.01. Exemplarily, the pH value may be 4.98, 5.00, 5.01, etc.

在本發明一些具體的實施方案中,將溶液B經孔徑為0.22μm的微濾膜過濾。阿托品滴眼液為無菌製劑,透過微濾膜過濾的目的在於除菌,使產品符合標準。在本發明一些具體的實施方案中,微濾膜至少設置兩道,除菌效果更好。In some specific embodiments of the present invention, solution B is filtered through a microfiltration membrane with a pore size of 0.22 μm. Atropine eye drops is a sterile preparation, and the purpose of filtering through the microfiltration membrane is to sterilize and make the product meet the standard. In some specific embodiments of the present invention, at least two microfiltration membranes are provided, and the sterilization effect is better.

在本發明一些具體的實施方案中,微濾膜採用PVDF膜,若採用其它材質的微濾膜,可能會引入雜質。In some specific embodiments of the present invention, the microfiltration membrane adopts PVDF membrane, and if the microfiltration membrane of other materials is used, impurities may be introduced.

上述pH調節劑為檸檬酸和硼砂的組合或磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合。The above-mentioned pH regulator is a combination of citric acid and borax or a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid.

其中,當pH調節劑為檸檬酸和硼砂的組合時,“檸檬酸和硼砂的組合”表示的是阿托品滴眼液中pH調節劑的溶質存在形式,在實際製備過程中,所加入的原料可以為無水檸檬酸或其水合物以及硼砂或其水合物的混合物,具體地,可以為無水檸檬酸和硼砂的混合物,也可以為檸檬酸一水合物和十水硼砂的混合物等,其加入量是以溶質的質量濃度計。Wherein, when the pH regulator is the combination of citric acid and borax, "combination of citric acid and borax" represents the solute existence form of the pH regulator in the atropine eye drops, and in the actual preparation process, the added raw materials can be It is a mixture of anhydrous citric acid or its hydrate and borax or its hydrate, specifically, it can be a mixture of anhydrous citric acid and borax, it can also be a mixture of citric acid monohydrate and borax decahydrate, etc., and its addition amount is Measured by mass concentration of solute.

在本發明一些更為具體的實施方案中,阿托品滴眼液的製備方法包括以下步驟: 量取適量注射用水,控制溫度為21.4~22.5℃; 加入處方量的穩定劑、滲透壓調節劑、無水檸檬酸和硼砂,攪拌使其溶解,攪拌速度為50~300rpm,攪拌時間為10~30min,再加入適量注射用水至預設體積,得到溶液A,此時系統pH值為4.99~5.01; 向溶液A中加入處方量的阿托品或其藥學上可接受的鹽,攪拌速度為50~300rpm,攪拌時間為10~30min,得到溶液B,此時系統pH值為4.7~5.3; 將溶液B經過微濾膜過濾,檢驗合格後,灌裝,封口,即得。 In some more specific embodiments of the present invention, the preparation method of atropine eye drops comprises the following steps: Measure an appropriate amount of water for injection, and control the temperature at 21.4~22.5°C; Add the prescribed amount of stabilizer, osmotic pressure regulator, anhydrous citric acid and borax, stir to dissolve, the stirring speed is 50~300rpm, and the stirring time is 10~30min, then add an appropriate amount of water for injection to the preset volume to obtain solution A , the pH value of the system at this time is 4.99~5.01; Add atropine or a pharmaceutically acceptable salt thereof in a prescription amount to solution A, the stirring speed is 50-300 rpm, and the stirring time is 10-30 min to obtain solution B, and the system pH value is 4.7-5.3 at this time; The solution B is filtered through a microfiltration membrane, and after passing the inspection, it is filled and sealed to obtain the product.

當pH調節劑為磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合時,同理,“磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合”表示的是阿托品滴眼液中pH調節劑的溶質存在形式,在實際製備過程中,所加入的原料可以為磷酸二氫鈉或其水合物、磷酸氫二鈉或其水合物與鹽酸的混合物,如磷酸二氫鈉二水合物、磷酸氫二鈉二水合物與鹽酸的混合物等;其中,鹽酸可以為市售濃鹽酸,也可以為自行配製的其它濃度的稀鹽酸。When the pH regulator is a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, similarly, "the combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid" means the pH regulator in atropine eye drops. Solute exists in the form, in the actual preparation process, the raw material added can be a mixture of sodium dihydrogen phosphate or its hydrate, disodium hydrogen phosphate or its hydrate and hydrochloric acid, such as sodium dihydrogen phosphate dihydrate, dihydrogen phosphate A mixture of sodium dihydrate and hydrochloric acid, etc.; wherein the hydrochloric acid can be commercially available concentrated hydrochloric acid, or dilute hydrochloric acid of other concentrations prepared by oneself.

在本發明一些更為具體的實施方案中,阿托品滴眼液的製備方法包括以下步驟: 配製0.1~1mol/L的鹽酸,備用; 量取適量注射用水,控制溫度為24.4℃; 加入處方量的穩定劑、滲透壓調節劑、磷酸二氫鈉二水合物和磷酸氫二鈉二水合物,攪拌使其溶解,攪拌速度為50~300rpm,攪拌時間為10~30min,此時系統pH值為5.86~5.87,再加入配製的鹽酸,調節pH值至5.00,然後再加入適量注射用水至預設體積,得到溶液A,此時系統pH值為5.00~5.01; 向溶液A中加入處方量的阿托品或其藥學上可接受的鹽,攪拌速度為50~300rpm,攪拌時間為10~30min,得到溶液B,此時系統pH值為5.01; 將溶液B經過微濾膜過濾,檢驗合格後,灌裝,封口,即得。 實施例 In some more specific embodiments of the present invention, the preparation method of atropine eye drops comprises the following steps: preparing 0.1-1mol/L hydrochloric acid for standby; taking an appropriate amount of water for injection, and controlling the temperature at 24.4°C; Stabilizer, osmotic pressure regulator, sodium dihydrogen phosphate dihydrate and disodium hydrogen phosphate dihydrate, stir to dissolve, the stirring speed is 50~300rpm, the stirring time is 10~30min, and the pH value of the system at this time is 5.86 ~5.87, then add the prepared hydrochloric acid, adjust the pH value to 5.00, and then add an appropriate amount of water for injection to the preset volume to obtain solution A. At this time, the pH value of the system is 5.00~5.01; Its pharmaceutically acceptable salt, the stirring speed is 50~300rpm, the stirring time is 10~30min, and the solution B is obtained, and the pH value of the system is 5.01 at this time; the solution B is filtered through a microfiltration membrane, and after passing the inspection, it is filled. Seal it, and you get it. Example

下面將結合實施例對本發明的實施方案進行詳細描述,但是本領域技術人員將會理解,下列實施例僅用於說明本發明,而不應視為限定本發明的範圍。實施例中未註明具體條件者,按照常規條件或製造商建議的條件進行。所用試劑或儀器未註明生產廠商者,均為可以透過市售獲得的常規產品。 實施例1 Embodiments of the present invention will be described in detail below in conjunction with examples, but those skilled in the art will understand that the following examples are only used to illustrate the present invention, and should not be considered as limiting the scope of the present invention. Those who do not indicate the specific conditions in the examples are carried out according to the conventional conditions or the conditions suggested by the manufacturer. The reagents or instruments used were not indicated by the manufacturer, and they were all conventional products that could be obtained from the market. Example 1

本實施例提供一種阿托品滴眼液,其處方如表1所示: 表1 阿托品滴眼液處方 原佐劑名稱 規格:0.01% 質量(mg)/支 (以溶質計) 質量(g)/1 L (以溶質計) 硫酸阿托品 0.05 0.10 無水檸檬酸 0.25 0.50 硼砂 0.53 1.05 依地酸二鈉 0.50 1.00 氯化鈉 4.35 8.70 注射用水 加至0.5 mL 加至1 L The present embodiment provides a kind of atropine eye drops, and its prescription is as shown in table 1: Table 1 prescription of atropine eye drops Original adjuvant name Specification: 0.01% Mass (mg)/branch (calculated by solute) Mass (g)/1 L (calculated as solute) Atropine sulfate 0.05 0.10 anhydrous citric acid 0.25 0.50 Borax 0.53 1.05 Edetate disodium 0.50 1.00 Sodium chloride 4.35 8.70 Water for Injection Make up to 0.5 mL Add to 1 L

本實施例提供上述阿托品滴眼液的製備方法,包括以下步驟: (1)量取處方量90%的注射用水900 mL,溫度為22.5℃; (2)加入處方量的依地酸二鈉、氯化鈉、硼砂和無水檸檬酸,攪拌使其溶解,攪拌速度為200 rpm,攪拌時間為10 min,加注射用水至1000 mL,得到溶液A,測定系統pH值為5.01; (3)向溶液A中加入處方量的硫酸阿托品,攪拌速度為200 rpm,攪拌時間為10 min,得到溶液B,測定系統pH值為4.98; (4)用0.22 μm PVDF 濾膜過濾,所得藥液送分析檢測硫酸阿托品含量; (5)用玻璃注射器灌裝0.5 mL藥液至1 mL的滴眼劑瓶中,共162支,熱熔封口,待瓶口冷卻至室溫後,進行檢漏;其餘藥液密封於玻璃瓶中室溫保存。 實施例2 The present embodiment provides the preparation method of above-mentioned atropine eye drops, comprises the following steps: (1) Measure 900 mL of water for injection with 90% of the prescription volume at a temperature of 22.5°C; (2) Add the prescribed amount of edetate disodium, sodium chloride, borax and anhydrous citric acid, stir to dissolve, the stirring speed is 200 rpm, the stirring time is 10 min, add water for injection to 1000 mL, and obtain solution A , the pH value of the measuring system is 5.01; (3) Add the atropine sulfate of recipe quantity in solution A, stirring speed is 200 rpm, and stirring time is 10 min, obtains solution B, and measuring system pH value is 4.98; (4) Filtrate with a 0.22 μm PVDF filter membrane, and the obtained medicinal solution is sent for analysis to detect the content of atropine sulfate; (5) Fill 0.5 mL of liquid medicine into a 1 mL eye drop bottle with a glass syringe, a total of 162 tubes, heat-melt and seal, and check for leaks after the bottle mouth cools to room temperature; the rest of the liquid medicine is sealed in glass bottles Store at room temperature. Example 2

本實施例提供一種阿托品滴眼液,其處方如表2所示: 表2 阿托品滴眼液處方 原佐劑名稱 規格:0.02% 質量(mg)/支 (以溶質計) 質量(g)/1 L (以溶質計) 硫酸阿托品 0.10 0.20 無水檸檬酸 0.25 0.50 硼砂 0.53 1.05 依地酸二鈉 0.50 1.00 氯化鈉 4.35 8.70 注射用水 加至0.5 mL 加至1 L The present embodiment provides a kind of atropine eye drops, and its prescription is as shown in table 2: Table 2 prescription of atropine eye drops Original adjuvant name Specification: 0.02% Mass (mg)/branch (calculated by solute) Mass (g)/1 L (calculated as solute) Atropine sulfate 0.10 0.20 anhydrous citric acid 0.25 0.50 Borax 0.53 1.05 Edetate disodium 0.50 1.00 Sodium chloride 4.35 8.70 Water for Injection Make up to 0.5 mL Add to 1 L

本實施例提供上述阿托品滴眼液的製備方法,包括以下步驟: (1)量取處方量90%的注射用水900 mL,溫度為21.4℃; (2)加入處方量的依地酸二鈉、氯化鈉、硼砂和無水檸檬酸,攪拌使其溶解,攪拌速度為200 rpm,攪拌時間為10 min,加注射用水至1000 mL,得到溶液A,測定系統pH值為4.99; (3)向溶液A中加入處方量的硫酸阿托品,攪拌速度為200 rpm,攪拌時間為10 min,得到溶液B,測定系統pH值為4.98; (4)用0.22 μm PVDF 濾膜過濾,所得藥液送分析檢測硫酸阿托品含量; (5)用玻璃注射器灌裝0.5 mL濾液至1 mL的滴眼劑瓶中,共150支,熱熔封口,待瓶口冷卻至室溫後,進行檢漏;其餘藥液密封於玻璃瓶中室溫保存。 實施例3 The present embodiment provides the preparation method of above-mentioned atropine eye drops, comprises the following steps: (1) Measure 900 mL of water for injection with 90% of the prescription volume at a temperature of 21.4°C; (2) Add the prescribed amount of edetate disodium, sodium chloride, borax and anhydrous citric acid, stir to dissolve, the stirring speed is 200 rpm, the stirring time is 10 min, add water for injection to 1000 mL, and obtain solution A , the pH value of the measuring system is 4.99; (3) Add the atropine sulfate of recipe quantity in solution A, stirring speed is 200 rpm, and stirring time is 10 min, obtains solution B, and measuring system pH value is 4.98; (4) Filtrate with a 0.22 μm PVDF filter membrane, and the obtained medicinal solution is sent for analysis to detect the content of atropine sulfate; (5) Fill 0.5 mL of the filtrate into a 1 mL eye drop bottle with a glass syringe, a total of 150, heat-melt the seal, and check for leaks after the bottle mouth cools to room temperature; the rest of the liquid medicine is sealed in the glass bottle Store at room temperature. Example 3

本實施例提供一種阿托品滴眼液,其處方如表3所示: 表3 阿托品滴眼液處方 原佐劑名稱 規格:0.01% 質量(mg)/支 (以溶質計) 質量(g)/1 L (以溶質計) 硫酸阿托品 0.05 0.10 磷酸二氫鈉二水合物 0.98 1.95 磷酸氫二鈉二水合物 0.28 0.56 依地酸二鈉 0.50 1.00 氯化鈉 4.15 8.30 鹽酸 0.038 0.076 注射用水 加至0.5 mL 加至1 L The present embodiment provides a kind of atropine eye drops, and its prescription is as shown in table 3: Table 3 prescription of atropine eye drops Original adjuvant name Specification: 0.01% Mass (mg)/branch (calculated as solute) Mass (g)/1 L (calculated as solute) Atropine sulfate 0.05 0.10 Sodium dihydrogen phosphate dihydrate 0.98 1.95 Disodium hydrogen phosphate dihydrate 0.28 0.56 Edetate disodium 0.50 1.00 Sodium chloride 4.15 8.30 hydrochloric acid 0.038 0.076 Water for Injection Make up to 0.5 mL Add to 1 L

本實施例提供上述阿托品滴眼液的製備方法,包括以下步驟: (1)精密量取36%鹽酸0.9 mL,加至100 mL注射用水中,配製成0.1 mol/L的鹽酸,備用; (2)量取處方量90%的注射用水900 mL,溫度為24.4℃; (3)加入處方量的依地酸二鈉、氯化鈉、磷酸二氫鈉二水合物和磷酸氫二鈉二水合物,攪拌使其溶解,攪拌速度為200 rpm,攪拌時間為10 min,測定系統pH值為5.87; 用0.1 mol/L的鹽酸調節pH值至5.00,加注射用水至1000 mL,得到溶液A,測定系統pH值為5.00; (4)向溶液A中加入處方量的硫酸阿托品,攪拌速度為200 rpm,攪拌時間為10 min,得到溶液B,測定系統pH值為5.01; (5)用0.22 μm PVDF 濾膜過濾,所得藥液送分析檢測硫酸阿托品含量; (6)用玻璃注射器灌裝0.5 mL藥液至1 mL的滴眼劑瓶中,共156支,熱熔封口,待瓶口冷卻至室溫後,進行檢漏;其餘藥液密封於玻璃瓶中室溫保存。 實施例4 The present embodiment provides the preparation method of above-mentioned atropine eye drops, comprises the following steps: (1) Precisely measure 0.9 mL of 36% hydrochloric acid, add it to 100 mL of water for injection, and prepare 0.1 mol/L hydrochloric acid for later use; (2) Measure 900 mL of water for injection with 90% of the prescription volume, and the temperature is 24.4°C; (3) Add the prescribed amount of edetate disodium, sodium chloride, sodium dihydrogen phosphate dihydrate and disodium hydrogen phosphate dihydrate, stir to dissolve, the stirring speed is 200 rpm, and the stirring time is 10 min. The pH value of the measuring system is 5.87; Adjust the pH value to 5.00 with 0.1 mol/L hydrochloric acid, add water for injection to 1000 mL to obtain solution A, and measure the pH value of the system to 5.00; (4) Add the atropine sulfate of recipe quantity in solution A, stirring speed is 200 rpm, and stirring time is 10 min, obtains solution B, and measuring system pH value is 5.01; (5) Filtrate with a 0.22 μm PVDF filter membrane, and the obtained medicinal solution is sent for analysis to detect the content of atropine sulfate; (6) Fill 0.5 mL of liquid medicine into a 1 mL eye drop bottle with a glass syringe, a total of 156 tubes, heat-melt and seal, and check for leaks after the mouth of the bottle cools to room temperature; the rest of the liquid medicine is sealed in glass bottles Store at room temperature. Example 4

本實施例提供一種阿托品滴眼液,其處方如表4所示: 表4 阿托品滴眼液處方 原佐劑名稱 規格:0.02% 質量(mg)/支 (以溶質計) 質量(g)/1 L (以溶質計) 硫酸阿托品 0.10 0.20 磷酸二氫鈉二水合物 0.98 1.95 磷酸氫二鈉二水合物 0.28 0.56 依地酸二鈉 0.50 1.00 氯化鈉 4.15 8.30 鹽酸 0.038 0.076 注射用水 加至0.5 mL 加至1 L The present embodiment provides a kind of atropine eye drops, and its prescription is as shown in table 4: Table 4 prescription of atropine eye drops Original adjuvant name Specification: 0.02% Mass (mg)/branch (calculated by solute) Mass (g)/1 L (calculated as solute) Atropine sulfate 0.10 0.20 Sodium dihydrogen phosphate dihydrate 0.98 1.95 Disodium hydrogen phosphate dihydrate 0.28 0.56 Edetate Disodium 0.50 1.00 Sodium chloride 4.15 8.30 hydrochloric acid 0.038 0.076 Water for Injection Make up to 0.5 mL Add to 1 L

本實施例提供上述阿托品滴眼液的製備方法,包括以下步驟: (1)精密量取36%鹽酸0.9 mL,加至100 mL注射用水中,配製成0.1 mol/L的鹽酸,備用; (2)量取處方量90%的注射用水900 mL,溫度為24.4℃; (3)加入處方量的依地酸二鈉、氯化鈉、磷酸二氫鈉二水合物和磷酸氫二鈉二水合物,攪拌使其溶解,攪拌速度為200 rpm,攪拌時間為10 min,測定系統pH值為5.86; 用0.1 mol/L的鹽酸調節pH值至5.00,加注射用水至1000 mL,得到溶液A,測定系統pH值為5.01; (4)向溶液A中加入處方量的硫酸阿托品,攪拌速度為200 rpm,攪拌時間為10 min,得到溶液B,測定系統pH值為5.01; (5)用0.22 μm PVDF 濾膜過濾,所得藥液送分析檢測硫酸阿托品含量; (6)用玻璃注射器灌裝0.5 mL濾液至1 mL的滴眼劑瓶中,共104支,熱熔封口,待瓶口冷卻至室溫後,進行檢漏;其餘藥液密封於玻璃瓶中室溫保存。 測試例1 阿托品滴眼液的影響因素測試 1.1 實施例1和實施例2製備的阿托品滴眼液測試 The present embodiment provides the preparation method of the above-mentioned atropine eye drops, comprising the following steps: (1) accurately measure 0.9 mL of 36% hydrochloric acid, add it to 100 mL of water for injection, and prepare 0.1 mol/L hydrochloric acid for subsequent use; 2) Measure 900 mL of water for injection with 90% of the prescribed amount at 24.4°C; (3) Add the prescribed amount of edetate disodium, sodium chloride, sodium dihydrogen phosphate dihydrate and disodium hydrogen phosphate dihydrate Stir to dissolve the substance, the stirring speed is 200 rpm, the stirring time is 10 min, and the pH value of the measuring system is 5.86; the pH value is adjusted to 5.00 with 0.1 mol/L hydrochloric acid, and water for injection is added to 1000 mL to obtain solution A. The pH value of the measurement system is 5.01; (4) Add atropine sulfate in the prescription amount to solution A, the stirring speed is 200 rpm, and the stirring time is 10 min to obtain solution B, and the pH value of the measurement system is 5.01; (5) Use 0.22 μm Filtrate through a PVDF filter membrane, and the resulting medicinal solution is sent for analysis to detect the content of atropine sulfate; (6) Fill 0.5 mL of the filtrate into a 1 mL eye drop bottle with a glass syringe, a total of 104, heat-melt and seal, and wait for the bottle to cool to room temperature. After warming, check for leaks; the rest of the liquid medicine is sealed in a glass bottle and stored at room temperature. Test Example 1 Atropine Eye Drops Test of Influencing Factors 1.1 The Atropine Eye Drops Prepared in Example 1 and Example 2

實施例1和實施例2中所採用pH調節劑為檸檬酸和硼砂的組合。對於該阿托品滴眼液,其影響因素測試研究了高溫(40℃和50℃)和強光照射(5000lx)條件;考慮到可能存在的運輸條件,同時也進行了低溫試驗(4℃)和凍融試驗(-18℃)的研究。其研究結果分別如表5和表6所示: 表5 實施例1製備的阿托品滴眼液影響因素測試結果 規格:0.01% 實施例1 時間 pH值 滲透壓 mOsmol/kg 硫酸阿托品含量% 有關物質 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 0天 4.98 299 101.46 ND ND ND ND 40℃-5天 4.99 301 101.78 0.043 ND ND 0.043 40℃-10天 5.01 305 103.20 0.087 ND 0.037 0.151 40℃-30天 4.97 309 104.71 0.263 0.030 0.061 0.463 50℃-5天 4.99 305 102.67 0.133 0.016 0.127 0.394 50℃-10天 5.03 314 104.58 0.282 0.038 0.131 0.715 50℃-30天 4.98 331 110.14 0.841 0.121 0.168 1.950 光照5天 5.00 302 101.14 ND ND 0.028 0.141 光照10天 5.03 304 101.81 0.018 ND 0.220 0.616 光照30天 4.97 301 96.74 0.094 ND 1.718 4.71 低溫 5.01 299 101.19 0.058 ND ND 0.058 凍融 5.02 302 101.01 0.054 ND ND 0.054 註:有關物質中的雜質去水阿托品,由阿托品脫水獲得,具有解痙作用,毒性較大。 表6 實施例2製備的阿托品滴眼液影響因素測試結果 規格:0.02% 實施例2 時間 pH值 滲透壓 mOsmol/kg 硫酸阿托品含量% 有關物質 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 0天 4.98 301 100.33 ND ND ND ND 40℃-5天 4.99 302 100.93 0.044 ND ND 0.044 40℃-10天 5.00 306 101.90 0.084 ND 0.01 0.094 40℃-30天 4.96 315 103.27 0.264 0.030 0.027 0.321 50℃-5天 4.99 307 101.91 0.139 0.018 0.068 0.291 50℃-10天 5.01 312 103.20 0.282 0.039 0.066 0.472 50℃-30天 4.98 328 108.27 0.819 0.115 0.087 1.371 光照5天 4.99 301 100.40 ND ND 0.027 0.027 光照10天 5.00 304 100.85 0.013 ND 0.188 0.315 光照30天 4.96 305 98.45 0.061 ND 1.264 2.728 低溫 5.00 302 100.10 0.053 ND ND 0.053 凍融 4.97 302 100.36 0.052 ND 0.040 0.092 Adopted pH regulator among the embodiment 1 and embodiment 2 is the combination of citric acid and borax. For the atropine eye drops, its influence factor test studied the conditions of high temperature (40°C and 50°C) and strong light irradiation (5000lx); considering the possible transportation conditions, low temperature test (4°C) and freezing Melt test (-18 ℃) research. The research results are shown in Table 5 and Table 6 respectively: Table 5 The test results of the influencing factors of the atropine eye drops prepared in Example 1 Specification: 0.01% Example 1 time pH value Osmolality mOsmol/kg Atropine sulfate content% relative substance Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity % 0 days 4.98 299 101.46 ND ND ND ND 40℃-5 days 4.99 301 101.78 0.043 ND ND 0.043 40℃-10 days 5.01 305 103.20 0.087 ND 0.037 0.151 40℃-30 days 4.97 309 104.71 0.263 0.030 0.061 0.463 50℃-5 days 4.99 305 102.67 0.133 0.016 0.127 0.394 50℃-10 days 5.03 314 104.58 0.282 0.038 0.131 0.715 50℃-30 days 4.98 331 110.14 0.841 0.121 0.168 1.950 5 days of light 5.00 302 101.14 ND ND 0.028 0.141 10 days of light 5.03 304 101.81 0.018 ND 0.220 0.616 30 days of light 4.97 301 96.74 0.094 ND 1.718 4.71 low temperature 5.01 299 101.19 0.058 ND ND 0.058 freeze-thaw 5.02 302 101.01 0.054 ND ND 0.054 Note: Anhydroatropine, an impurity in related substances, is obtained by dehydration of atropine, which has antispasmodic effect and is highly toxic. Table 6 The test results of the influencing factors of the atropine eye drops prepared in Example 2 Specification: 0.02% Example 2 time pH value Osmolality mOsmol/kg Atropine sulfate content % relative substance Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity% 0 days 4.98 301 100.33 ND ND ND ND 40℃-5 days 4.99 302 100.93 0.044 ND ND 0.044 40℃-10 days 5.00 306 101.90 0.084 ND 0.01 0.094 40℃-30 days 4.96 315 103.27 0.264 0.030 0.027 0.321 50℃-5 days 4.99 307 101.91 0.139 0.018 0.068 0.291 50℃-10 days 5.01 312 103.20 0.282 0.039 0.066 0.472 50℃-30 days 4.98 328 108.27 0.819 0.115 0.087 1.371 5 days of light 4.99 301 100.40 ND ND 0.027 0.027 10 days of light 5.00 304 100.85 0.013 ND 0.188 0.315 30 days of light 4.96 305 98.45 0.061 ND 1.264 2.728 low temperature 5.00 302 100.10 0.053 ND ND 0.053 freeze-thaw 4.97 302 100.36 0.052 ND 0.040 0.092

根據表5和表6的測試結果可知,隨著時間增加,本發明提供的阿托品滴眼液在高溫40℃和50℃條件下,硫酸阿托品含量均呈上升趨勢,50℃時較40℃更為明顯,這是由於本發明提供的阿托品滴眼液所使用的內包材為半滲透性容器,具有失水性,從而導致滴眼液中硫酸阿托品含量升高。本發明提供的滴眼液在高溫50℃及強光照射條件下,托品酸和去水阿托品增長趨勢顯著。因此,本發明提供的阿托品滴眼液在存儲和運輸過程中,應避免高溫和強光照射。 1.2 實施例3和實施例4製備的阿托品滴眼液測試 According to the test results of Table 5 and Table 6, it can be seen that as time increases, the content of atropine sulfate in the atropine eye drops provided by the present invention is on the rise at high temperatures of 40°C and 50°C, and the content of atropine sulfate at 50°C is higher than that at 40°C. Obviously, this is because the inner packaging material used in the atropine eye drops provided by the present invention is a semi-permeable container, which has the property of dehydration, which leads to an increase in the content of atropine sulfate in the eye drops. In the eye drops provided by the invention, under the conditions of high temperature of 50° C. and strong light irradiation, the growth trend of tropic acid and anhydroatropine is remarkable. Therefore, the atropine eye drops provided by the present invention should avoid high temperature and strong light irradiation during storage and transportation. 1.2 The atropine eye drops test prepared by embodiment 3 and embodiment 4

實施例3和實施例4所採用的pH調節劑為磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合。對於該阿托品滴眼液,其影響因素試驗研究了高溫(40℃和50℃)和強光照射(5000lx)條件;考慮到可能存在的運輸條件,同時也進行了低溫試驗(4℃)和凍融試驗(-18℃)的研究。其研究結果分別如表7和表8所示: 表7 實施例3製備的阿托品滴眼液影響因素測試結果 規格:0.01% 實施例3 時間 pH值 滲透壓 mOsmol/kg 硫酸阿托品含量% 有關物質 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 0天 5.01 304 101.41 ND ND ND ND 40℃-5天 5.04 308 101.84 0.044 ND ND 0.044 40℃-10天 5.08 310 103.21 0.094 ND 0.033 0.172 40℃-30天 5.01 319 106.44 0.284 0.030 0.051 0.506 50℃-5天 5.05 314 102.42 0.135 0.018 0.108 0.451 50℃-10天 5.05 319 105.04 0.305 0.043 0.144 1.056 50℃-30天 5.02 338 111.79 0.874 0.130 0.158 1.965 光照5天 5.04 308 101.42 ND ND ND ND 光照10天 5.08 309 102.41 0.014 ND 0.064 0.415 光照30天 5.00 308 100.29 0.074 ND 1.868 3.966 低溫 5.02 304 102.76 0.062 ND ND 0.062 凍融 5.00 304 103.55 0.058 ND ND 0.058 表8 實施例4製備的阿托品滴眼液影響因素試驗結果 規格:0.02% 實施例4 時間 pH值 滲透壓 mOsmol/kg 硫酸阿托品含量% 有關物質 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 0天 5.01 301 99.62 ND ND ND ND 40℃-5天 5.02 308 100.90 0.039 ND ND 0.039 40℃-10天 5.05 312 101.43 0.089 0.011 ND 0.100 40℃-30天 5.00 313 103.77 0.266 0.032 0.025 0.352 50℃-5天 5.00 308 100.32 0.113 0.033 0.049 0.227 50℃-10天 5.06 314 102.55 0.239 0.036 0.079 0.523 50℃-30天 4.98 338 108.88 0.794 0.121 0.076 1.273 光照5天 5.01 307 100.53 ND ND ND ND 光照10天 5.05 306 100.62 0.011 ND 0.093 0.124 光照30天 4.98 305 100.21 0.095 ND 0.733 1.754 低溫 5.00 302 101.15 0.060 ND ND 0.056 凍融 5.00 302 101.23 0.064 ND ND 0.064 The pH adjuster that embodiment 3 and embodiment 4 adopt is the combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid. For the atropine eye drops, its influencing factor test studied the conditions of high temperature (40°C and 50°C) and strong light irradiation (5000lx); considering the possible transportation conditions, low temperature test (4°C) and freezing Melt test (-18 ℃) research. The results of the study are shown in Table 7 and Table 8 respectively: The test results of the influencing factors of the atropine eye drops prepared in Table 7 Example 3 Specification: 0.01% Example 3 time pH value Osmolality mOsmol/kg Atropine sulfate content % relative substance Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity% 0 days 5.01 304 101.41 ND ND ND ND 40℃-5 days 5.04 308 101.84 0.044 ND ND 0.044 40℃-10 days 5.08 310 103.21 0.094 ND 0.033 0.172 40℃-30 days 5.01 319 106.44 0.284 0.030 0.051 0.506 50℃-5 days 5.05 314 102.42 0.135 0.018 0.108 0.451 50℃-10 days 5.05 319 105.04 0.305 0.043 0.144 1.056 50℃-30 days 5.02 338 111.79 0.874 0.130 0.158 1.965 5 days of light 5.04 308 101.42 ND ND ND ND 10 days of light 5.08 309 102.41 0.014 ND 0.064 0.415 30 days of light 5.00 308 100.29 0.074 ND 1.868 3.966 low temperature 5.02 304 102.76 0.062 ND ND 0.062 freeze-thaw 5.00 304 103.55 0.058 ND ND 0.058 Table 8 The test results of the influencing factors of the atropine eye drops prepared in Example 4 Specification: 0.02% Example 4 time pH value Osmolality mOsmol/kg Atropine sulfate content% relative substance Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity% 0 days 5.01 301 99.62 ND ND ND ND 40℃-5 days 5.02 308 100.90 0.039 ND ND 0.039 40℃-10 days 5.05 312 101.43 0.089 0.011 ND 0.100 40℃-30 days 5.00 313 103.77 0.266 0.032 0.025 0.352 50℃-5 days 5.00 308 100.32 0.113 0.033 0.049 0.227 50℃-10 days 5.06 314 102.55 0.239 0.036 0.079 0.523 50℃-30 days 4.98 338 108.88 0.794 0.121 0.076 1.273 5 days of light 5.01 307 100.53 ND ND ND ND 10 days of light 5.05 306 100.62 0.011 ND 0.093 0.124 30 days of light 4.98 305 100.21 0.095 ND 0.733 1.754 low temperature 5.00 302 101.15 0.060 ND ND 0.056 freeze-thaw 5.00 302 101.23 0.064 ND ND 0.064

根據表7和表8的測試結果可知,隨著時間增加,本發明提供的阿托品滴眼液在高溫40℃和50℃條件下,硫酸阿托品含量均呈上升趨勢,50℃時較40℃更為明顯,這是由於本發明提供的阿托品滴眼液所使用的內包材為半滲透性容器,具有失水性,從而導致滴眼液中硫酸阿托品含量升高。本發明提供的滴眼液在高溫50℃及強光照射條件下,托品酸和去水阿托品增長趨勢顯著。因此,本發明提供的阿托品滴眼液在貯存和運輸過程中,應避免高溫和強光照射。 2 自製滴眼液與市售滴眼液的穩定性數據對比 表9 自製滴眼液與市售滴眼液的影響因素高溫數據對比 樣品 時間 有關物質(面積標準化) 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 自製 滴眼液 自製 樣品1 0天 ND ND ND ND 40℃-5天 0.082 ND 0.029 0.111 40℃-10天 0.165 ND 0.036 0.236 40℃-30天 0.468 0.057 0.076 0.795 自製 樣品2 0天 ND ND ND ND 40℃-5天 0.085 ND ND 0.085 40℃-10天 0.168 ND 0.036 0.230 40℃-30天 0.499 0.059 0.060 0.725 自製 樣品3 0天 ND ND ND ND 40℃-5天 0.087 0.022 0.026 0.136 40℃-10天 0.159 ND 0.024 0.183 40℃-30天 0.490 0.063 0.082 0.837 自製 樣品4 0天 ND ND ND ND 40℃-5天 0.086 ND ND 0.086 40℃-10天 0.181 ND 0.032 0.256 40℃-30天 0.536 0.059 0.078 0.781 自製 樣品5 0天 ND ND ND ND 40℃-5天 0.078 ND ND 0.078 40℃-10天 0.148 0.031 ND 0.179 40℃-30天 0.439 0.055 0.036 0.593 市售 滴眼液 美歐品 0天 0.061 0.117 0.241 1.132 40℃-30天 0.505 0.170 0.240 1.676 亞妥明 0天 0.238 0.072 10.05 12.634 40℃-5天 0.305 0.057 6.158 8.698 40℃-10天 0.331 0.061 3.742 6.246 40℃-30天 0.464 0.084 0.506 2.974 樂托品 0天 1.341 0.089 0.264 2.073 40℃-5天 1.585 0.086 0.231 2.321 40℃-10天 1.766 0.090 0.206 2.376 40℃-30天 2.495 0.135 0.193 3.437 註:本表格中,自製樣品1與實施例1處方一致,批量為100mL;自製樣品2為實施例1所製備的阿托品滴眼液;自製樣品3與實施例3處方一致,批量為100mL;自製樣品4為實施例3所製備的阿托品滴眼液;自製樣品5與實施例3處方一致,批量為500mL。 According to the test results of Table 7 and Table 8, it can be seen that as time increases, the content of atropine sulfate in the atropine eye drops provided by the present invention shows an upward trend at high temperatures of 40°C and 50°C, and the content of atropine sulfate at 50°C is higher than that at 40°C. Obviously, this is because the inner packaging material used in the atropine eye drops provided by the present invention is a semi-permeable container, which has the property of dehydration, which leads to an increase in the content of atropine sulfate in the eye drops. In the eye drops provided by the invention, under the conditions of high temperature of 50° C. and strong light irradiation, the growth trend of tropic acid and anhydroatropine is remarkable. Therefore, the atropine eye drops provided by the invention should avoid high temperature and strong light irradiation during storage and transportation. 2 Comparison of stability data between self-made eye drops and commercially available eye drops sample time Related substances (area normalized) Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity% homemade eye drops Homemade sample 1 0 days ND ND ND ND 40℃-5 days 0.082 ND 0.029 0.111 40℃-10 days 0.165 ND 0.036 0.236 40℃-30 days 0.468 0.057 0.076 0.795 Homemade sample 2 0 days ND ND ND ND 40℃-5 days 0.085 ND ND 0.085 40℃-10 days 0.168 ND 0.036 0.230 40℃-30 days 0.499 0.059 0.060 0.725 Homemade Sample 3 0 days ND ND ND ND 40℃-5 days 0.087 0.022 0.026 0.136 40℃-10 days 0.159 ND 0.024 0.183 40℃-30 days 0.490 0.063 0.082 0.837 Homemade sample 4 0 days ND ND ND ND 40℃-5 days 0.086 ND ND 0.086 40℃-10 days 0.181 ND 0.032 0.256 40℃-30 days 0.536 0.059 0.078 0.781 Homemade sample 5 0 days ND ND ND ND 40℃-5 days 0.078 ND ND 0.078 40℃-10 days 0.148 0.031 ND 0.179 40℃-30 days 0.439 0.055 0.036 0.593 commercially available eye drops American and European products 0 days 0.061 0.117 0.241 1.132 40℃-30 days 0.505 0.170 0.240 1.676 Yatomin 0 days 0.238 0.072 10.05 12.634 40℃-5 days 0.305 0.057 6.158 8.698 40℃-10 days 0.331 0.061 3.742 6.246 40℃-30 days 0.464 0.084 0.506 2.974 Lotropine 0 days 1.341 0.089 0.264 2.073 40℃-5 days 1.585 0.086 0.231 2.321 40℃-10 days 1.766 0.090 0.206 2.376 40℃-30 days 2.495 0.135 0.193 3.437 Note: In this form, the self-made sample 1 is consistent with the prescription of Example 1, and the batch size is 100mL; the self-made sample 2 is the atropine eye drops prepared in Example 1; the self-made sample 3 is the same as the prescription of Example 3, and the batch size is 100mL; Sample 4 is the atropine eye drops prepared in Example 3; self-made sample 5 is consistent with the prescription of Example 3, and the batch size is 500mL.

根據測試結果可知,對於自製滴眼液,無論是本發明提供的何種處方,經高溫長期(40℃-30天)存放後,其穩定性無顯著差異,總雜質含量(0.593%-0.837%)明顯少於市售的美歐品(1.676%)、亞妥明(2.974%)和樂托品(3.437%),均低於市售製劑。 表10 自製滴眼液與市售滴眼液的影響因素強光照射數據對比 樣品 時間 有關物質(面積標準化) 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 自製 滴眼液 自製 樣品1 0天 ND ND ND ND 光照-5天 ND ND 0.027 0.139 光照-10天 0.034 ND 0.214 0.618 光照-30天 0.185 ND 1.687 4.767 自製 樣品2 0天 ND ND ND ND 光照-5天 ND ND ND ND 光照-10天 0.027 ND 0.193 0.417 光照-30天 0.146 ND 1.424 3.556 自製 樣品3 0天 ND ND ND ND 光照-5天 ND ND 0.067 0.067 光照-10天 ND ND 0.153 0.394 光照-30天 0.153 ND 1.121 3.505 市售 滴眼液 美歐品 0天 0.061 0.117 0.241 1.132 光照-30天 0.115 0.103 13.217 15.884 亞妥明 0天 0.238 0.072 10.05 12.634 光照-5天 0.242 0.049 9.582 16.082 光照-10天 0.239 0.048 9.108 17.314 光照-30天 0.236 0.059 7.222 17.866 樂托品 0天 1.341 0.089 0.264 2.073 光照-5天 1.354 0.067 4.691 7.199 光照-10天 1.346 0.069 6.335 9.085 光照-30天 1.435 0.070 7.699 11.638 註:本表格中,自製樣品1為實施例1所製備的阿托品滴眼液;自製樣品2為實施例3所製備的阿托品滴眼液;自製樣品3與實施例3處方一致,批量為500mL。 According to the test results, it can be known that for self-made eye drops, no matter what kind of prescription provided by the present invention, after long-term (40°C-30 days) storage at high temperature, its stability has no significant difference, and the total impurity content (0.593%-0.837% ) was significantly less than that of commercially available American and European products (1.676%), yatromin (2.974%) and lautropine (3.437%), all of which were lower than those of commercially available preparations. Table 10 Comparison of strong light exposure data between self-made eye drops and commercially available eye drops sample time Related substances (area normalized) Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity% homemade eye drops Homemade sample 1 0 days ND ND ND ND Light - 5 days ND ND 0.027 0.139 Light - 10 days 0.034 ND 0.214 0.618 Light - 30 days 0.185 ND 1.687 4.767 Homemade sample 2 0 days ND ND ND ND Light - 5 days ND ND ND ND Light - 10 days 0.027 ND 0.193 0.417 Light - 30 days 0.146 ND 1.424 3.556 Homemade Sample 3 0 days ND ND ND ND Light - 5 days ND ND 0.067 0.067 Light - 10 days ND ND 0.153 0.394 Light - 30 days 0.153 ND 1.121 3.505 commercially available eye drops American and European products 0 days 0.061 0.117 0.241 1.132 Light - 30 days 0.115 0.103 13.217 15.884 Yatomin 0 days 0.238 0.072 10.05 12.634 Light - 5 days 0.242 0.049 9.582 16.082 Light - 10 days 0.239 0.048 9.108 17.314 Light - 30 days 0.236 0.059 7.222 17.866 Lotropine 0 days 1.341 0.089 0.264 2.073 Light - 5 days 1.354 0.067 4.691 7.199 Light - 10 days 1.346 0.069 6.335 9.085 Light - 30 days 1.435 0.070 7.699 11.638 Note: In this table, self-made sample 1 is the atropine eye drops prepared in Example 1; self-made sample 2 is the atropine eye drops prepared in Example 3; self-made sample 3 has the same prescription as Example 3, and the batch size is 500mL.

根據測試結果可知,與市售滴眼液相比,本發明的自製滴眼液所產生未知雜質少,而且,該未知雜質是由於所用的光照穩定箱留樣環境複雜導致,其總雜質仍低於市售製劑,本發明的自製滴眼液應避光保存。 表11 自製滴眼液與市售滴眼液的加速試驗(40℃,25%RH)數據對比 樣品 時間 有關物質(面積標準化) 托品酸% 去水阿托品% 最大未知單一雜質% 總雜質% 自製 滴眼液 自製 樣品1 0天 ND ND ND ND 加速1月 0.428 0.045 0.025 0.498 加速2月 0.870 0.081 0.024 0.997 加速3月 1.361 0.163 0.037 1.611 加速6月 1.726 0.199 0.079 2.120 自製 樣品2 0天 ND ND ND ND 加速1月 0.494 0.055 0.039 0.613 加速2月 0.963 0.094 0.040 1.144 加速3月 1.495 0.190 0.073 1.805 加速6月 1.808 0.220 0.112 2.261 市售 滴眼液 美歐品 0天 0.061 0.117 0.241 1.132 加速1月 0.480 0.167 0.291 2.061 加速2月 0.869 0.244 0.245 2.603 加速3月 1.283 0.262 0.641 3.917 加速6月 2.411 0.413 0.173 5.000 樂托品 0天 1.341 0.089 0.264 2.073 加速1月 2.475 0.125 0.372 3.461 加速2月 3.606 0.186 0.271 4.477 加速3月 4.587 0.229 0.215 5.354 加速6月 8.753 0.473 0.513 9.953 註1:本表格中,托品酸和去水阿托品的數據均未經過校正因子處理; 註2:本表格中,自製樣品1與實施例1中處方一致,批量為100mL;自製樣品2與實施例3中處方一致,批量為100mL。 According to the test results, compared with the commercially available eye drops, the self-made eye drops of the present invention produce less unknown impurities, and the unknown impurities are caused by the complexity of the sample retention environment in the light stability box used, and its total impurities are still low. Compared with commercially available preparations, the self-made eye drops of the present invention should be kept away from light. Table 11 Comparison of accelerated test (40°C, 25%RH) data between self-made eye drops and commercially available eye drops sample time Related substances (area normalized) Tropic acid% Dehydrated atropine% Maximum unknown single impurity % Total impurity % homemade eye drops Homemade sample 1 0 days ND ND ND ND Accelerate January 0.428 0.045 0.025 0.498 Accelerate February 0.870 0.081 0.024 0.997 Accelerate March 1.361 0.163 0.037 1.611 Accelerate June 1.726 0.199 0.079 2.120 Homemade sample 2 0 days ND ND ND ND Accelerate January 0.494 0.055 0.039 0.613 Accelerate February 0.963 0.094 0.040 1.144 Accelerate March 1.495 0.190 0.073 1.805 Accelerate June 1.808 0.220 0.112 2.261 commercially available eye drops American and European products 0 days 0.061 0.117 0.241 1.132 Accelerate January 0.480 0.167 0.291 2.061 Accelerate February 0.869 0.244 0.245 2.603 Accelerate March 1.283 0.262 0.641 3.917 Accelerate June 2.411 0.413 0.173 5.000 Lotropine 0 days 1.341 0.089 0.264 2.073 Accelerate January 2.475 0.125 0.372 3.461 Accelerate February 3.606 0.186 0.271 4.477 Accelerate March 4.587 0.229 0.215 5.354 Accelerate June 8.753 0.473 0.513 9.953 Note 1: In this form, the data of tropic acid and anhydroatropine have not been processed by the correction factor; Note 2: In this form, the self-made sample 1 is consistent with the prescription in Example 1, and the batch size is 100mL; the self-made sample 2 is the same as that in the implementation In example 3, the prescription is the same, and the batch size is 100mL.

根據表11中加速試驗數據可知,在加速3個月時自製滴眼液的托品酸略高於市售滴眼液—美歐品,其原因為:美歐品的pH值為4.7,自製滴眼液的pH值更接近5.0,而托品酸受pH值影響較大,因此自製滴眼液的托品酸會略高一些。托品酸是阿托品的水解產物,且是體內代謝產物,在美國藥典1%規格硫酸阿托品滴眼液的品質標準中,托品酸限度為7.0%,因此自製滴眼液的托品酸不會對安全性產生影響。但在加速6個月時,相比於自製滴眼液,市售滴眼液托品酸的含量顯著增加。在整個研究週期內,自製滴眼液的托品酸、去水阿托品和最大未知單一雜質含量仍保持在較低位準,產生的雜質少,且總雜質低於市售滴眼液,穩定性更好。 3 增稠劑對產品雜質的影響 According to the accelerated test data in Table 11, it can be seen that the tropic acid of the self-made eye drops is slightly higher than that of the commercially available eye drops—the American and European products during the accelerated 3-month period. The reason is that the pH value of the American and European products is 4.7. The pH value of eye drops is closer to 5.0, and tropic acid is greatly affected by the pH value, so the tropic acid of self-made eye drops will be slightly higher. Tropic acid is a hydrolysis product of atropine, and it is a metabolite in the body. In the quality standard of the United States Pharmacopoeia 1% specification atropine sulfate eye drops, the limit of tropic acid is 7.0%, so the tropic acid of self-made eye drops will not impact on security. However, at the accelerated 6-month period, compared with homemade eye drops, the content of tropic acid was significantly increased in commercially available eye drops. During the whole research period, the contents of tropic acid, dehydrated atropine and the largest unknown single impurity in the self-made eye drops remained at a low level, and the impurities produced were less, and the total impurities were lower than those of the commercially available eye drops. better. 3 Effect of thickener on product impurities

在處方中添加增稠劑,研究增稠劑對產品穩定性的影響。考慮到產品產生雜質可能是pH調節劑和增稠劑共同作用的結果,本發明進一步透過改變pH調節劑用量,綜合研究增稠劑對產品穩定性的影響。樣品處方組成及實驗結果見表12~表13。 表12 添加增稠劑羥丙甲纖維素的阿托品滴眼液處方 處方組成 處方1 質量(g)/1L (以溶質計) 處方2 質量(g)/1L (以溶質計) 處方3 質量(g)/1L (以溶質計) 處方4 質量(g)/1L (以溶質計) 硫酸阿托品(民生) 0.10 0.10 0.10 0.10 磷酸二氫鈉二水合物 9.60 2.70 / / 磷酸氫二鈉二水合物 1.50 0.40 / / 硼酸 / / 14.70 4.30 依地酸二鈉 1.00 1.00 1.00 1.00 氯化鈉 9.00 9.00 9.00 9.00 羥丙甲纖維素(60SH) 5.00 5.00 5.00 5.00 注射用水 加至100 mL 加至100mL 加至100mL 加至100mL pH值 5.0 5.0 5.0 5.0 Add thickeners to the formulation and study the effect of thickeners on product stability. Considering that the impurity in the product may be the result of the joint action of the pH regulator and the thickener, the present invention further comprehensively studies the influence of the thickener on product stability by changing the amount of the pH regulator. See Table 12~Table 13 for the composition of the sample prescription and the experimental results. Table 12 Prescription of Atropine Eye Drops Added Thickener Hypromellose prescription composition Prescription 1 Mass (g)/1L (calculated as solute) Prescription 2 Mass (g)/1L (calculated as solute) Prescription 3 Mass (g)/1L (based on solute) Prescription 4 Mass (g)/1L (based on solute) Atropine Sulfate (Minsheng) 0.10 0.10 0.10 0.10 Sodium dihydrogen phosphate dihydrate 9.60 2.70 / / Disodium hydrogen phosphate dihydrate 1.50 0.40 / / boric acid / / 14.70 4.30 Edetate disodium 1.00 1.00 1.00 1.00 Sodium chloride 9.00 9.00 9.00 9.00 Hypromellose (60SH) 5.00 5.00 5.00 5.00 Water for Injection Make up to 100 mL Add to 100mL Add to 100mL Add to 100mL pH value 5.0 5.0 5.0 5.0

上述處方的配製方法可以按照實施例1-2的配製方法製備。具體地,按照實施例1的配製方法製備對應的產品。 表13 添加增稠劑對產品穩定性的影響 產品 (以處方編號標識) 時間 有關物質(面積標準化法) 托品酸 (%) 去水阿托品(%) 最大未知單一雜質(%) 總雜質 (%) 處方1 0天 0.077 0.129 0.021 0.227 處方2 0.074 0.073 0.020 0.165 處方3 0.074 0.068 / 0.142 處方4 0.074 0.115 0.062 0.211 處方1 40℃-5天 0.126 0.086 0.104 0.573 處方2 0.160 0.093 0.287 0.890 處方3 0.178 0.106 0.316 0.973 處方4 0.161 0.144 0.232 1.008 處方1 40℃-10天 0.334 0.199 0.139 1.139 處方2 0.214 0.168 2.541 5.397 處方3 0.441 0.196 2.789 6.101 處方4 0.226 0.172 2.966 6.153 處方1 40℃-30天 0.817 0.252 1.261 3.521 處方2 0.539 0.152 0.522 2.222 處方3 0.932 0.148 0.542 2.729 處方4 0.498 0.196 1.612 3.849 The preparation method of the above prescription can be prepared according to the preparation method of Example 1-2. Specifically, the corresponding product was prepared according to the preparation method of Example 1. Table 13 Effect of adding thickener on product stability Product (identified by prescription number) time Related substances (area normalization method) Tropic acid (%) Dehydrated atropine(%) The largest unknown single impurity (%) Total impurities (%) Prescription 1 0 days 0.077 0.129 0.021 0.227 Prescription 2 0.074 0.073 0.020 0.165 Prescription 3 0.074 0.068 / 0.142 Prescription 4 0.074 0.115 0.062 0.211 Prescription 1 40℃-5 days 0.126 0.086 0.104 0.573 Prescription 2 0.160 0.093 0.287 0.890 Prescription 3 0.178 0.106 0.316 0.973 Prescription 4 0.161 0.144 0.232 1.008 Prescription 1 40℃-10 days 0.334 0.199 0.139 1.139 Prescription 2 0.214 0.168 2.541 5.397 Prescription 3 0.441 0.196 2.789 6.101 Prescription 4 0.226 0.172 2.966 6.153 Prescription 1 40℃-30 days 0.817 0.252 1.261 3.521 Prescription 2 0.539 0.152 0.522 2.222 Prescription 3 0.932 0.148 0.542 2.729 Prescription 4 0.498 0.196 1.612 3.849

綜合表12和表13可知,處方1-4均添加了增稠劑,對應的產品經高溫長期(40℃,30天)存放後,穩定性均變差。其中,處方1和處方2均添加磷酸鹽和增稠劑,處方3和處方4均添加硼酸和增稠劑,產品穩定性無顯著差異,這說明,產品穩定性變差的原因並不在於添加磷酸鹽或硼酸;處方1和處方2的磷酸鹽濃度不同,產品穩定性無顯著差異,這說明,產品穩定性變差的原因並不在於磷酸鹽濃度不同;處方3和處方4的硼酸濃度不同,產品穩定性無顯著差異,這說明,產品穩定性的原因並不在於硼酸濃度不同。Based on Table 12 and Table 13, it can be seen that all formulations 1-4 have added thickeners, and the corresponding products have poor stability after long-term storage at high temperature (40°C, 30 days). Among them, Prescription 1 and Prescription 2 both added phosphate and thickener, Prescription 3 and Prescription 4 both added boric acid and thickener, and there was no significant difference in product stability, which shows that the reason for the deterioration of product stability is not the addition of Phosphate or boric acid; formulation 1 and formulation 2 have different phosphate concentrations, but there is no significant difference in product stability, which shows that the reason for the poor product stability is not the difference in phosphate concentration; formulation 3 and formulation 4 have different boric acid concentrations , there is no significant difference in product stability, which shows that the reason for product stability is not that the concentration of boric acid is different.

綜上,添加增稠劑羥丙甲纖維素會使產品的穩定性變差,雜質變多。本發明提供的阿托品滴眼液,透過原料選擇及處方優化,不含增稠劑,穩定性好,總雜質低,適於長期保存。 4 磷酸鹽濃度的研究 In summary, adding the thickener hypromellose will make the product less stable and more impurities. The atropine eye drop provided by the invention does not contain a thickener through raw material selection and prescription optimization, has good stability and low total impurities, and is suitable for long-term storage. 4. Study on Phosphate Concentration

將磷酸鹽濃度減半,研究其對樣品穩定性的影響。樣品處方組成及實驗結果見表14~表15。 表14 不同磷酸鹽濃度的阿托品滴眼液處方 處方組成 規格:0.01% 處方1 質量(g)/1L(以溶質計) 處方2 質量(g)/1L(以溶質計) 硫酸阿托品 0.10 0.10 磷酸二氫鈉二水合物 7.80 3.90 磷酸氫二鈉二水合物 2.20 1.10 氯化鈉 9.00 9.00 鹽酸 適量 適量 注射用水 加至100 mL 加至100 mL pH值 5.0 5.0 表15 不同磷酸鹽濃度的研究結果—影響因素試驗(40℃) 產品 (以處方編號標識) 時間 有關物質(面積標準化法) 托品酸(%) 去水阿托品(%) 最大未知單一雜質(%) 總雜質(%) 處方1 0天 0.106 0.127 ND 0.233 處方2 0.106 0.115 0.025 0.247 處方1 40℃-5天 0.192 0.137 0.04 0.465 處方2 0.171 0.127 0.077 0.475 處方1 40℃-10天 0.319 0.168 0.089 0.837 處方2 0.272 0.15 0.134 0.857 處方1 40℃-30天 0.718 0.236 0.238 1.356 處方2 0.589 0.206 0.245 1.268 Halve the phosphate concentration and study its effect on sample stability. See Table 14~Table 15 for sample prescription composition and experimental results. Table 14 Prescription of atropine eye drops with different phosphate concentrations prescription composition Specification: 0.01% Prescription 1 Mass (g)/1L (calculated as solute) Prescription 2 Mass (g)/1L (based on solute) Atropine sulfate 0.10 0.10 Sodium dihydrogen phosphate dihydrate 7.80 3.90 Disodium hydrogen phosphate dihydrate 2.20 1.10 Sodium chloride 9.00 9.00 hydrochloric acid Appropriate amount Appropriate amount Water for Injection Make up to 100 mL Make up to 100 mL pH value 5.0 5.0 Table 15 Research Results of Different Phosphate Concentrations—Influencing Factor Test (40°C) Product (identified by prescription number) time Related substances (area normalization method) Tropic acid (%) Dehydrated atropine(%) The largest unknown single impurity (%) Total impurities (%) Prescription 1 0 days 0.106 0.127 ND 0.233 Prescription 2 0.106 0.115 0.025 0.247 Prescription 1 40℃-5 days 0.192 0.137 0.04 0.465 Prescription 2 0.171 0.127 0.077 0.475 Prescription 1 40℃-10 days 0.319 0.168 0.089 0.837 Prescription 2 0.272 0.15 0.134 0.857 Prescription 1 40℃-30 days 0.718 0.236 0.238 1.356 Prescription 2 0.589 0.206 0.245 1.268

根據表15實驗結果可知,托品酸的增長受磷酸鹽濃度的影響,磷酸鹽濃度低時,托品酸增長相對較慢,這個結果是出人預料的。同時,最大未知單一雜質增長相對較快,總雜質也會出現增長,以此看,阿托品滴眼液中,磷酸鹽的濃度應控制在稍高位準。但考慮到磷酸鹽本身也存在一定滲透壓,如果磷酸鹽用量較大的話,為了達到等滲,還需調整氯化鈉用量;而氯化鈉對硫酸阿托品的穩定性也有一定的影響。因此,從保證阿托品滴眼液穩定性和滲透壓角度考慮,需協同調節兩種磷酸鹽和氯化鈉的用量。 5 氯化鈉濃度的研究 According to the experimental results in Table 15, it can be known that the growth of tropic acid is affected by the concentration of phosphate, and when the concentration of phosphate is low, the growth of tropic acid is relatively slow, which is unexpected. At the same time, the largest unknown single impurity increases relatively quickly, and the total impurities will also increase. From this point of view, the concentration of phosphate in atropine eye drops should be controlled at a slightly higher level. However, considering that phosphate itself also has a certain osmotic pressure, if the amount of phosphate is large, in order to achieve isotonicity, the amount of sodium chloride needs to be adjusted; and sodium chloride also has a certain impact on the stability of atropine sulfate. Therefore, from the perspective of ensuring the stability and osmotic pressure of atropine eye drops, it is necessary to coordinate the dosage of the two phosphates and sodium chloride. 5 Study on the concentration of sodium chloride

本發明分別將磷酸二氫鈉、磷酸氫二鈉的質量濃度初步定為1.95g/L、0.56g/L,在此條件下研究氯化鈉用量對滲透壓的影響。配製包含不同氯化鈉濃度的空白佐劑溶液,並測定樣品滲透壓。樣品處方及滲透壓結果見表16。 表16 不同氯化鈉濃度的空白佐劑溶液處方和滲透壓結果 處方組成 處方1 質量(g)/1 L (以溶質計) 處方2 質量(g)/1 L (以溶質計) 處方3 質量(g)/1 L (以溶質計) 處方4 質量(g)/1 L (以溶質計) 處方5 質量(g)/1 L (以溶質計) 磷酸二氫鈉二水合物 1.95 1.95 1.95 1.95 1.95 磷酸氫二鈉二水合物 0.56 0.56 0.56 0.56 0.56 氯化鈉 7.80 8.10 8.30 8.50 9.00 依地酸二鈉 1.00 1.00 1.00 1.00 1.00 注射用水 100mL 100mL 100mL 100mL 100mL 滲透壓(mOsmol/kg) 283 294 298 306 309 The present invention preliminarily sets the mass concentrations of sodium dihydrogen phosphate and disodium hydrogen phosphate as 1.95g/L and 0.56g/L respectively, and studies the influence of sodium chloride dosage on osmotic pressure under these conditions. Blank adjuvant solutions containing different concentrations of sodium chloride were prepared and the osmolarity of the samples was measured. The sample formulation and osmotic pressure results are shown in Table 16. Table 16 Blank adjuvant solution prescription and osmotic pressure results of different sodium chloride concentrations prescription composition Prescription 1 Mass (g)/1 L (calculated as solute) Prescription 2 Mass (g)/1 L (calculated as solute) Prescription 3 Mass (g)/1 L (calculated as solute) Prescription 4 Mass (g)/1 L (calculated as solute) Prescription 5 mass (g)/1 L (calculated as solute) Sodium dihydrogen phosphate dihydrate 1.95 1.95 1.95 1.95 1.95 Disodium hydrogen phosphate dihydrate 0.56 0.56 0.56 0.56 0.56 Sodium chloride 7.80 8.10 8.30 8.50 9.00 Edetate Disodium 1.00 1.00 1.00 1.00 1.00 Water for Injection 100mL 100mL 100mL 100mL 100mL Osmolality (mOsmol/kg) 283 294 298 306 309

基於滴眼液與淚液等滲的規定,本發明選擇滲透壓範圍為280~320mOsmol/kg,此時對應的氯化鈉用量為7.80~9.00g/L。結合已有市售製劑的滲透壓,將本發明阿托品滴眼液的滲透壓初步定為300mOsmol/kg左右,此時對應的氯化鈉用量為8.30g/L,以此展開氯化鈉濃度對穩定性影響的研究。Based on the isotonic requirement of eye drops and tears, the present invention selects an osmotic pressure range of 280-320 mOsmol/kg, and the corresponding sodium chloride dosage is 7.80-9.00 g/L. In conjunction with the osmotic pressure of existing commercially available preparations, the osmotic pressure of the atropine eye drops of the present invention is preliminarily determined as about 300mOsmol/kg, and the corresponding sodium chloride consumption is 8.30g/L this moment, expand the sodium chloride concentration to A study of stability effects.

按調整氯化鈉用量後的處方製備樣品,研究樣品的穩定性情況。樣品處方組成及實驗結果見表17~表18。 表17 不同氯化鈉濃度的阿托品滴眼液處方 處方組成 處方1 質量(g)/1 L (以溶質計) 處方2 質量(g)/1 L (以溶質計) 硫酸阿托品(自製) 0.10 0.10 磷酸二氫鈉二水合物 1.95 1.95 磷酸氫二鈉二水合物 0.56 0.56 氯化鈉 9.00 8.30 依地酸二鈉 1.00 1.00 鹽酸 0.076 0.076 注射用水 100 mL 100 mL pH值 5.0 5.0 表18 滲透壓調節劑用量的研究結果—影響因素試驗(40℃) 產品(以處方編號標識) 時間 有關物質(面積標準化法) 托品酸(%) 去水阿托品(%) 最大未知單一雜質(%) 總雜質(%) 處方1 0天 ND ND ND 0 處方2 ND ND ND 0 處方1 40℃-5天 0.093 ND ND 0.093 處方2 0.087 0.022 0.026 0.136 處方1 40℃-10天 0.189 ND 0.029 0.218 處方2 0.159 ND 0.024 0.183 處方1 40℃-30天 0.587 0.053 0.066 0.759 處方2 0.490 0.063 0.082 0.837 Samples were prepared according to the prescription after adjusting the amount of sodium chloride, and the stability of the samples was studied. See Table 17~Table 18 for sample formulation composition and experimental results. Table 17 Prescription of atropine eye drops with different sodium chloride concentrations prescription composition Prescription 1 Mass (g)/1 L (calculated as solute) Prescription 2 Mass (g)/1 L (calculated as solute) Atropine Sulfate (Homemade) 0.10 0.10 Sodium dihydrogen phosphate dihydrate 1.95 1.95 Disodium hydrogen phosphate dihydrate 0.56 0.56 Sodium chloride 9.00 8.30 Edetate disodium 1.00 1.00 hydrochloric acid 0.076 0.076 Water for Injection 100mL 100mL pH value 5.0 5.0 Table 18 Research results on the dosage of osmotic pressure regulators—influencing factor test (40°C) Product (identified by prescription number) time Related substances (area normalization method) Tropic acid (%) Dehydrated atropine(%) The largest unknown single impurity (%) Total impurities (%) Prescription 1 0 days ND ND ND 0 Prescription 2 ND ND ND 0 Prescription 1 40℃-5 days 0.093 ND ND 0.093 Prescription 2 0.087 0.022 0.026 0.136 Prescription 1 40℃-10 days 0.189 ND 0.029 0.218 Prescription 2 0.159 ND 0.024 0.183 Prescription 1 40℃-30 days 0.587 0.053 0.066 0.759 Prescription 2 0.490 0.063 0.082 0.837

根據影響因素試驗結果可知,氯化鈉用量從9.00g/L調整到8.30g/L,並未對樣品穩定性造成影響,這說明,在保證產品穩定性的情況下,進一步減少氯化鈉的使用量,可提高阿托品滴眼液的安全性和整體品質。According to the test results of influencing factors, it can be seen that the amount of sodium chloride is adjusted from 9.00g/L to 8.30g/L, which does not affect the stability of the sample. This shows that under the condition of ensuring product stability, the concentration of sodium chloride should be further reduced The dosage can improve the safety and overall quality of atropine eye drops.

綜合上述可知,為保證阿托品滴眼液的穩定性,需協同調節兩種磷酸鹽和滲透壓調節劑用量。按照上述方式研究得出,本發明的滴眼液中,磷酸二氫鈉、磷酸氫二鈉和氯化鈉的質量濃度分別為1.49~6.00g/L、0.43~0.88g/L和7.80~9.00g/L;並且,本發明經進一步篩選,當磷酸二氫鈉、磷酸氫二鈉和氯化鈉的質量濃度分別為1.95g/L、0.56g/L、8.30g/L時,滴眼液的穩定性更好。Based on the above, in order to ensure the stability of atropine eye drops, it is necessary to coordinately adjust the dosage of the two phosphates and the osmotic pressure regulator. According to the above-mentioned research, in the eye drops of the present invention, the mass concentrations of sodium dihydrogen phosphate, disodium hydrogen phosphate and sodium chloride are 1.49~6.00g/L, 0.43~0.88g/L and 7.80~9.00g/L respectively. g/L; and, the present invention is further screened, and when the mass concentrations of sodium dihydrogen phosphate, disodium hydrogen phosphate and sodium chloride are respectively 1.95g/L, 0.56g/L, and 8.30g/L, the eye drops The stability is better.

以上已經描述了本揭露的各實施例,上述說明是例示性的,並非窮盡性的,並且也不限於所揭示的各實施例。在不偏離所說明的各實施例的範圍和精神的情況下,對於本技術領域的普通技術人員來說許多修改和變更都是顯而易見的。本文中所用術語的選擇,旨在最好地解釋各實施例的原理、實際應用或對市場中的技術的改進,或者使本技術領域的其它普通技術人員能理解本文揭示的各實施例。Having described various embodiments of the present disclosure above, the foregoing description is illustrative, not exhaustive, and is not limited to the disclosed embodiments. Many modifications and alterations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments. The terminology used herein is chosen to best explain the principle of each embodiment, practical application or improvement of technology in the market, or to enable other ordinary skilled in the art to understand each embodiment disclosed herein.

Claims (10)

一種阿托品滴眼液,其特徵在於,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,pH調節劑和注射用水; 其中,所述pH調節劑為檸檬酸和硼砂的組合或磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合,所述pH調節劑的用量為以將pH值調至4.5~5.5為準。 A kind of atropine eye drop, it is characterized in that, comprises following component: by mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L, osmotic pressure adjusting agent 7.80g/L ~9.00g/L, pH regulator and water for injection; Wherein, the pH regulator is a combination of citric acid and borax or a combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, and the dosage of the pH regulator is based on adjusting the pH value to 4.5-5.5. 根據請求項1所述的阿托品滴眼液,其特徵在於,以質量濃度計,所述檸檬酸和硼砂的組合中,檸檬酸0.50~2.00g/L,硼砂1.00~2.00g/L; 以質量濃度計,所述磷酸二氫鈉、磷酸氫二鈉和鹽酸的組合中,磷酸二氫鈉1.49~6.00g/L,磷酸氫二鈉0.43~0.88g/L,鹽酸0.04~0.13g/L。 According to the atropine eye drops described in claim 1, it is characterized in that, in terms of mass concentration, in the combination of citric acid and borax, citric acid is 0.50 ~ 2.00g/L, and borax is 1.00 ~ 2.00g/L; In terms of mass concentration, in the combination of sodium dihydrogen phosphate, disodium hydrogen phosphate and hydrochloric acid, sodium dihydrogen phosphate is 1.49~6.00g/L, disodium hydrogen phosphate is 0.43~0.88g/L, hydrochloric acid is 0.04~0.13g/L L. 根據請求項2所述的阿托品滴眼液,其特徵在於,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,檸檬酸0.50g/L,硼砂1.05g/L和注射用水。According to the atropine eye drop described in claim 2, it is characterized in that it comprises the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L , osmotic pressure regulator 7.80~9.00g/L, citric acid 0.50g/L, borax 1.05g/L and water for injection. 根據請求項2所述的阿托品滴眼液,其特徵在於,包括以下組分:以質量濃度計,阿托品或其藥學上可接受的鹽0.10~0.20g/L,螯合劑0~1.00g/L,滲透壓調節劑7.80~9.00g/L,磷酸二氫鈉1.95g/L,磷酸氫二鈉0.56g/L,鹽酸0.076g/L和注射用水。According to the atropine eye drop described in claim 2, it is characterized in that it comprises the following components: in terms of mass concentration, atropine or its pharmaceutically acceptable salt 0.10~0.20g/L, chelating agent 0~1.00g/L , osmotic pressure regulator 7.80~9.00g/L, sodium dihydrogen phosphate 1.95g/L, disodium hydrogen phosphate 0.56g/L, hydrochloric acid 0.076g/L and water for injection. 根據請求項1至4中任一項所述的阿托品滴眼液,其特徵在於,所述藥學上可接受的鹽為硫酸鹽。According to the atropine eye drop described in any one of claims 1 to 4, it is characterized in that the pharmaceutically acceptable salt is sulfate. 根據請求項1至4中任一項所述的阿托品滴眼液,其特徵在於,所述螯合劑包括依地酸二鈉、依地酸鈉鈣和依地酸中的一種或兩種以上的組合,優選為依地酸二鈉。According to the atropine eye drops described in any one of claims 1 to 4, it is characterized in that the chelating agent comprises one or more of edetate disodium, edetate sodium calcium and edetate combination, preferably disodium edetate. 根據請求項1至4中任一項所述的阿托品滴眼液,其特徵在於,所述滲透壓調節劑包括氯化鈉、甘露醇和甘油中的一種或兩種以上的組合,優選為氯化鈉。According to the atropine eye drops described in any one of claims 1 to 4, it is characterized in that the osmotic pressure regulator comprises one or more combinations of sodium chloride, mannitol and glycerin, preferably chlorinated sodium. 一種根據請求項1至7中任一項所述的阿托品滴眼液的製備方法,其特徵在於,包括以下步驟: 將處方量的所述螯合劑、滲透壓調節劑、pH調節劑溶解於所述注射用水中,得到溶液A; 向所述溶液A中加入處方量的所述阿托品或其藥學上可接受的鹽,得到溶液B; 將所述溶液B過濾,灌裝,即得。 A preparation method according to the atropine eye drops described in any one of claim items 1 to 7, is characterized in that, comprises the following steps: Dissolving the chelating agent, osmotic pressure regulator, and pH regulator in the prescribed amount in the water for injection to obtain solution A; Adding the atropine or its pharmaceutically acceptable salt of prescription amount in described solution A, obtains solution B; The solution B is filtered, filled, and obtained. 根據請求項8所述的製備方法,其特徵在於,所述注射用水的溫度控制在40℃以下,優選為21.4~24.4℃。According to the preparation method described in Claim 8, it is characterized in that the temperature of the water for injection is controlled below 40°C, preferably 21.4-24.4°C. 根據請求項8或9所述的製備方法,其特徵在於,將所述溶液B經孔徑為0.22μm的微濾膜過濾,所述微濾膜為PVDF膜。According to the preparation method described in Claim 8 or 9, it is characterized in that the solution B is filtered through a microfiltration membrane with a pore size of 0.22 μm, and the microfiltration membrane is a PVDF membrane.
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