TWI222882B - Pharmaceutical formulations - Google Patents

Pharmaceutical formulations Download PDF

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Publication number
TWI222882B
TWI222882B TW91102626A TW91102626A TWI222882B TW I222882 B TWI222882 B TW I222882B TW 91102626 A TW91102626 A TW 91102626A TW 91102626 A TW91102626 A TW 91102626A TW I222882 B TWI222882 B TW I222882B
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Taiwan
Prior art keywords
formula
scope
cannabis
patent application
item
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TW91102626A
Other languages
Chinese (zh)
Inventor
Brian A Whittle
Geoffrey W Guy
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Gw Pharma Ltd
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Priority claimed from GB0103638A external-priority patent/GB0103638D0/en
Priority claimed from US09/827,158 external-priority patent/US6730330B2/en
Priority claimed from GB0111597A external-priority patent/GB2377633A/en
Priority claimed from GB0121715A external-priority patent/GB2381194A/en
Application filed by Gw Pharma Ltd filed Critical Gw Pharma Ltd
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Publication of TWI222882B publication Critical patent/TWI222882B/en

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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
    • A61K9/0031Rectum, anus
    • 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
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/006Oral mucosa, e.g. mucoadhesive forms, sublingual droplets; Buccal patches or films; Buccal sprays
    • 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
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0056Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/107Emulsions ; Emulsion preconcentrates; Micelles
    • A61K9/1075Microemulsions or submicron emulsions; Preconcentrates or solids thereof; Micelles, e.g. made of phospholipids or block copolymers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/12Aerosols; Foams
    • A61K9/122Foams; Dry foams
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2086Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat
    • A61K9/209Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat containing drug in at least two layers or in the core and in at least one outer layer

Abstract

The invention relates to pharmaceutical formulations for use in the administration of lipophilic medicaments via mucosal surfaces. In particular the invention provides pharmaceutical formulations for use in administration of a lipophilic medicament via a mucosal surface which upon hydration form an emulsion containing the lipophilic medicament which is capable of adhering to a mucosal surface and allowing controlled release of the medicament. The invention further provides pharmaceutical formulations which contain, as active ingredients, specific combinations of cannabinoids in pre-defined ratios.

Description

12228821222882

本發明係有關用於經由黏膜表面投予藥物特別親脂 藥物之醫藥配方。 口服吞嚥藥物首先被吸收入灌流胃腸道的血液。來自 胃腸道的靜脈引流區域是進入灌流肝臟的血液。如此表示 經由胃腸道管腔吸收的藥物即刻皆送到肝臟,送到身體最 主要的解毒器官。肝臟除了保護有機體避免攝食毒素之 外,肝臟也代謝藥物,以相同方式處理。然後來自肝臟的 血液經由肝門靜脈返回心臟左側,而到達系統循環其餘部 分。如此首先通過肝臟可能導致攝食藥物被去除相當大部 分。第一次通過的影響有些藥物比其它藥物更顯著;以類 大麻酚為例,多於90%攝食劑.量於第一次通過時被去除。 營養管道之某些區域有靜脈引流流域而其未涉及第 一次通過肝臟。此等區域(口腔黏膜、舌下及鼻咽、以及遠 端直腸)直接引流入左側心臟。避免第一次通過效應乃使用 頰用、鼻用及舌下劑型以及使用栓劑的理由。此等劑型配 方各有優缺點如後。 栓劑受到衛生以及病人遵從性的限制。 投予鼻黏膜之配方容易造成疼痛及反射性噴嚏,於極 端案例可能導致鼻黏膜刺激及損傷。 舌下配方可能刺激唾液流出,當產生唾液量太大時病 人難免會吞嚥。頰用配方也有相同限制。 舌下及頰用配方二者係與藥物由親水媒劑有效移轉 至舌下或頰黏膜有關。藥物通過上皮細胞間之間質移轉主 要受藥物之脂質溶解度控制。當藥物為水不溶性時,另有 4 (請先閲讀背面之注意事項再填寫本頁) 訂— 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公奢) 1222882 A7 ____ B7 _ 五、發明説明(2 ) 阻礙防止其由舌下區吸收。因此經口投藥且吞嚥親脂藥物 例如大麻及類大麻酚之治療用途有其物理及生物限制。 本發明係關於特別適合用於經由黏膜例如舌下黏膜 或頰黏膜投予親脂藥物之配方。 因此根據本發明之第一特徵方面,提供一種用於經由 黏膜表面投予親脂藥物之醫藥配方,其包含至少一種親脂 藥物以及至少一種自行乳化劑,其中當水合時,該配方形 成含親脂藥物乳液,該乳液可黏著於黏膜表面,且允許以 控制方式釋放藥物。 經由直接實驗顯示當親脂藥物被調配成自行乳化配 方時,親脂藥物可與與吸收黏膜有效緊密接觸。 本發明之上下文中,須了解下列術語之定義如後。 「自行乳化劑」為當以最小能量需求呈現另一相存在 時可形成乳液之化學劑。相反地,乳化劑與自行乳化劑相 反,乳化劑需要額外能量才能形成乳液。於此處揭示之噴 霧配方,自行乳化出現於與另一相(唾液)接觸時。 「主要」(自行)乳化劑為其主要功能係作為(自行)乳化 劑。 次要(自行)乳化劑為其次要功能係作為(自行)乳化 劑。次要(自行)乳化劑之另一種功能例如係作為增溶劑或 增黏劑。 、概略而§自行乳化劑為可溶性皂、鹽或硫酸化醇特別 為非離子性界面活性劑或第四化合物。此等化合物俗稱為 自行乳化級(SE級)例如SE級甘油基一油酸酯以及阽級甘 — * 本紙張尺度適财關家標準(CNS) A4規格^^297公釐) —--—— » 舞 《 (請先閱讀背面之注意事項再填寫本頁) 、-=口. ^22882 A7 —_____B7_____ 五、發明説明(3 ) 油基一硬脂酸酯。 「親水親脂平衡」(HLB)系統以及界面活性分子之親 水部分與親脂部分間之平衡,HLB用作為選擇及分類乳化 劑之合理手段的基礎。於HLB系統中,各乳化劑被指定j 至20的數目(參考藥典)。帶有HLB值3至6之乳化劑為親脂 性’形成油包水乳液,HLB值8至18指示主要親水特性,形 成水包油乳液。較佳用於本發明之乳化劑通常具有HLB值8 至18 〇 出乎思外地,根據本發明之配方不會造成反射性分泌 唾液,原因在於分泌的唾液被吸引入劑量單位内部時,原 位形成乳化物質。進一步,如此形成的物質黏著於黏膜表 面而於黏膜表面典型為頰黏膜及/或舌下黏膜表面形成一 層,藉此提供經控制釋放配方。 較佳具體實施例中,本發明之配方並非推進劑驅動的 氣霧劑或液體噴霧劑。 製備口咽輸送類大麻酚之液體配方造成多項問題。首 先,每0.1毫升液體配方需要輸送至少1〇毫克,更好至少 2.5亳克及又更好至少5毫克類大麻酚俾於丨單位劑量達成 療效。就此方面而言,一個病人可能需要高達每日i 2〇亳克 類大麻酚’平均約40毫克/日,以每曰最大6劑投藥。 於舌下或經頰輸送案例,如此表示若活性成分欲經黏 膜吸收,則此種配方之活性成分數量無法由病人所吞嚥。 雖然此種劑量可藉由將類大麻酚溶解於乙醇做溶劑 而達成,但雨濃度的乙醇造成刺痛感,該刺痛感已經超出 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐·)The present invention relates to a pharmaceutical formulation for administering a drug, particularly a lipophilic drug, through a mucosal surface. Oral swallowing drugs are first absorbed into blood that perfuses the gastrointestinal tract. The venous drainage area from the gastrointestinal tract is the blood that enters the perfused liver. This means that the drugs absorbed through the lumen of the gastrointestinal tract are immediately delivered to the liver and to the body's main detoxification organ. In addition to protecting the organism from ingestion of toxins, the liver also metabolizes drugs and treats them in the same way. The blood from the liver then returns to the left side of the heart through the hepatic portal vein and reaches the rest of the systemic circulation. Passing through the liver in this way first may result in a considerable portion of the medication being removed. The effects of the first pass are more pronounced in some drugs than others; in the case of cannabinoids, more than 90% of the food is taken. The amount is removed on the first pass. Some areas of the nutritional pipeline have venous drainage basins that do not involve the first pass through the liver. These areas (oral mucosa, sublingual and nasopharynx, and distal rectum) flow directly into the left heart. Avoiding first-pass effects is the reason for buccal, nasal, and sublingual dosage forms, and suppositories. Each of these formulations has advantages and disadvantages as follows. Suppositories are limited by hygiene and patient compliance. Formulas administered to the nasal mucosa can easily cause pain and reflex sneezing. In extreme cases, they may cause irritation and damage to the nasal mucosa. Sublingual formulations may stimulate saliva outflow, and patients will inevitably swallow when too much saliva is produced. The buccal formula has the same limitations. Both sublingual and buccal formulations are related to the effective transfer of the drug from a hydrophilic vehicle to the sublingual or buccal mucosa. The transfer of drugs through the epithelium is mainly controlled by the lipid solubility of the drugs. When the drug is water-insoluble, there is another 4 (please read the precautions on the back before filling this page). Order — This paper size is applicable to China National Standard (CNS) A4 specification (210X297 public luxury) 1222882 A7 ____ B7 _ V. Invention Explanation (2) Prevents its absorption from the sublingual area. Therefore, oral and swallowing of lipophilic drugs such as cannabis and cannabinoids have physical and biological limitations for their therapeutic use. The present invention relates to formulations that are particularly suitable for administering lipophilic drugs through mucous membranes, such as the sublingual or buccal mucosa. Therefore, according to a first characteristic aspect of the present invention, there is provided a pharmaceutical formula for administering a lipophilic drug via a mucosal surface, comprising at least one lipophilic drug and at least one self-emulsifying agent, wherein the formula forms Lipid drug emulsion that adheres to the surface of the mucosa and allows controlled release of the drug. Direct experiments have shown that when lipophilic drugs are formulated as self-emulsifying formulations, lipophilic drugs can be effectively in intimate contact with the absorbing mucosa. In the context of the present invention, it should be understood that the following terms are defined as follows. A "self-emulsifier" is a chemical that can form an emulsion when another phase is present with minimal energy requirements. In contrast, emulsifiers, in contrast to self-emulsifiers, require additional energy to form an emulsion. The spray formulation disclosed here, self-emulsifying occurs when it comes into contact with another phase (saliva). A "primary" (self) emulsifier is used as a (self) emulsifier for its main function. Secondary (self) emulsifiers are used as (self) emulsifiers for their secondary functional systems. Another function of a secondary (self) emulsifier is, for example, as a solubilizer or tackifier. Briefly, § self-emulsifiers are soluble soaps, salts or sulfated alcohols, especially non-ionic surfactants or fourth compounds. These compounds are commonly referred to as self-emulsifying grades (SE grades) such as SE grade glyceryl monooleate and glutamate grade — * This paper is compliant with the Financial Standards (CNS) A4 specification ^^ 297 mm) ----- — »Dance" (Please read the notes on the back before filling this page),-= 口. ^ 22882 A7 —_____ B7_____ V. Description of the invention (3) Oil-based monostearate. The "hydrophilic-lipophilic balance" (HLB) system and the balance between the hydrophilic and lipophilic portions of the surface-active molecules, HLB is used as the basis for a reasonable means of selecting and classifying emulsifiers. In the HLB system, each emulsifier is assigned a number of j to 20 (refer to Pharmacopoeia). Emulsifiers with HLB values of 3 to 6 are lipophilic ' to form water-in-oil emulsions, and HLB values of 8 to 18 indicate the main hydrophilic properties to form oil-in-water emulsions. Emulsifiers preferred for use in the present invention typically have an HLB value of 8 to 180. Unexpectedly, the formulations according to the present invention do not cause reflective secretion of saliva because the secreted saliva is attracted into the dosage unit in situ An emulsified substance is formed. Further, the substance thus formed adheres to the surface of the mucosa and forms a layer on the surface of the mucosa, typically the buccal mucosa and / or the sublingual mucosa, thereby providing a controlled release formulation. In a preferred embodiment, the formulation of the present invention is not a propellant-driven aerosol or liquid spray. The formulation of liquid formulations of oropharyngeal cannabinoids poses a number of problems. First, at least 10 milligrams, preferably at least 2.5 milligrams, and still more preferably at least 5 milligrams of cannabinoids are delivered per 0.1 milliliter of liquid formula to achieve a therapeutic effect. In this regard, a patient may require up to about 20 mg / day of cannabinoids on average about 40 mg / day, with a maximum of 6 doses per day. In the case of sublingual or buccal delivery, this means that if the active ingredient is to be absorbed through the mucosa, the amount of active ingredient in this formulation cannot be swallowed by the patient. Although such a dose can be achieved by dissolving cannabinoids in ethanol as a solvent, the concentration of ethanol in the rain caused a tingling sensation that has exceeded this paper standard and applies Chinese National Standard (CNS) A4 specifications (210X297) ··)

、一吞. (請先閲讀背面之注意事項再填窝本頁) 五、發明説明(4 ) 忍受範圍之外。 量’同時仍然 如此需要使用一種助溶劑俾減少乙醇用 維持足量類大麻酚可溶。 申請人發現助溶劑之選擇有限制,必須選擇·· 1)可作為溶解度增進劑之助溶劑,或 π)具有增溶效果其足夠允許足量類大麻祕解於一單 =量’亦即至少K0毫克/(U毫升配方,其允許溶劑存在 里降至病人容許範圍的程度之助溶劑。 荟照前述i)項特別ϋ當助溶劑為聚氧伸乙基蓖麻油衍 生物’特別為克摩佛(Crem〇ph〇r)。 至於前述ii)項之特別適當助溶劑為丙二醇及甘油。 最好本發明配方為固體劑型例如固體凝膠(例如有彈 性但具有維度穩定性之凝膠)、托劑、壓縮錠劑、含錠、膠 畏背彳等或凝膠噴霧劑。 劑里單位較好組成均勻,於本發明之範圍也包括由多 層不同組成形成的多層劑量單位,例如雙層錠及雙層凝 膠,如附圖所示,其中不同層含有不同活性成分及/或具有 不同釋放特性。 凝膠喷霧配方也包括一或多種溶劑以及視需要地也 S有一或多種助溶劑。用於凝膠喷霧配方之適當溶劑包括 乙醇。適當助溶劑包括甘油。 凝膠噴霧配方可根據黏度而與.「液劑」配方區別。凝 膠喷霧劑通常比單純的乙醇溶液劑黏稠。典型地,凝膠噴 霧劑黏度係於1〇,〇〇〇·2〇,〇〇〇厘泊之範圍。 五、發明説明(5 ) 可涵括於本發明之配方之適當自行乳化劑包括適用 於表2作為主要及次要乳化劑之物質。較佳自行乳化劑包括 一油酸甘油酯以及一硬脂酸甘油酯(特別自行乳化級)。使 用一油酸甘油酯及一硬脂酸甘油酯(非自行乳化級),通常 例如添加小量鹼俾產生「自行乳化」劑。 用於固體劑型配方,配方中自行乳化劑涵括總量較好 至少占配方之5% w/w及更好至少1〇% w/w。 用於凝膠喷霧配方,配方涵括之自行乳化劑總量較好 至少占配方之2% w/w及更好至少5% w/w。 自行乳化劑之總量通常隨配方所含活性成分(親脂藥 物)總量成比例;活性成分含量愈高,則自行乳化劑含量愈 大。本發明配方意圖含有高於1%活性成分含量。最好自行 礼化劑對活性成分之相對比例為每10%活性成分含自 行乳化劑至每5%活性成分含1%自行乳化劑間。自行乳化 劑總量也可改變俾於口中產生預定溶解/崩散特性,原因在 於實驗觀察自行乳化劑含量增高具有延長溶解/崩散時間 的效果(參考實例14)。 ▲配方進-步包含-或多種增黏劑(提高黏度之化學 劑)。適當增黏劑包括下表2列舉之增黏劑。 較佳增黏劑為氧乙烯與氧丙烯之鼓段共聚物。更好增 黏劑為非離子性界面活性劑。後述例中,配方含有自㈣ =i,其為非離子界面活性劑,但額外含有至少—種增黏 劑其係非為非離子性界面活性劑。 較佳具體實施例中,配方包含至少—種㈣劑, 五 、發明説明 / ^可藉存在於唾液巾之酵素作用而溶解。此種增黏劑例 2包括㈣如預膠化澱粉,其藉由唾賴粉酶之作用而溶 ”才對酶刀解敏感的增黏劑,可能導致原位形成包含 ”見月曰藥物之物質’該物質具有由口腔及舌下黏膜之最理想 吸收。如此具有讓固體凝膠快速溶解(例如數分鐘以内溶 之優點。 寬廣多種親脂增黏劑用於醫藥製劑,已知經由此等物 質水合形成的凝膠具有表面電荷。表2列舉若干化學劑(但 非限於本發明之範圍),其具有此種性質,指示其經法規核 准意圖用於經口投藥的製劑。表中也指示已知表面電荷符 號。 較佳具體實施例中,配方包含至少一種增黏劑,該增 黏劑當水合時形成凝膠其具有正表面電荷,以及至少一種 增黏劑其當水合時形成帶有負表面電荷的凝膠。最佳具體 實施例中,配方包含至少一種增黏劑,其當水合時形成具 有正表面電荷之凝膠,其為明膠或糖明膠;以及至少一種 增黏劑其當水合時形成帶負表面電荷之凝膠,其為澱粉、 預膠化;殿粉、阿拉伯膠或聚右旋糖。 出乎意外地發現經由選擇可產生相反電荷凝膠之材 料混合物,可修改結果所得混合物之溶解度特性,控制由 此配方釋放藥物之速率,特別藉唾液中存在的澱粉分解酶 而溶解其中至少一種成分。 可經由改變增黏劑總量,也經由改變形成正及負表面 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐)One swallow. (Please read the precautions on the back before filling in this page.) 5. Description of the invention (4) Out of tolerance. The amount 'while still so requires the use of a co-solvent to reduce the use of ethanol to maintain a sufficient amount of cannabinoid-soluble. The applicant finds that the choice of cosolvent is limited, and must choose ... 1) can be used as a solubility enhancer, or π) has a solubilizing effect, which is sufficient to allow a sufficient amount of cannabis to be secreted in a single amount = that is at least K0 mg / (U ml formula, which allows the presence of the solvent to reduce the extent to which the patient can tolerate the co-solvent. According to the above item i), especially when the co-solvent is a polyoxyethylene castor oil derivative 'especially grammar Buddha (Cremopaph). As regards the aforementioned particularly suitable co-solvents for item ii) are propylene glycol and glycerol. Preferably, the formulation of the present invention is a solid dosage form such as a solid gel (e.g., a gel having elasticity but having dimensional stability), a support agent, a compressed lozenge, a lozenge, a gelatin capsule, etc., or a gel spray. The units in the agent are preferably uniform in composition, and within the scope of the present invention also include multi-layered dosage units formed of multiple layers with different compositions, such as double-layer tablets and double-layer gels, as shown in the drawings, where different layers contain different active ingredients and / Or have different release characteristics. The gel spray formulation also includes one or more solvents and optionally one or more co-solvents. Suitable solvents for gel spray formulations include ethanol. Suitable co-solvents include glycerol. Gel spray formulations can be distinguished from "liquid" formulations based on viscosity. Gel sprays are usually thicker than pure ethanol solutions. Typically, the viscosity of a gel spray is in the range of 100,000 to 20,000 centipoise. V. Description of the invention (5) Suitable self-emulsifiers that can be included in the formulations of the present invention include those suitable for use in Table 2 as the primary and secondary emulsifiers. Preferred self-emulsifying agents include glyceryl monooleate and glyceryl monostearate (particularly self-emulsifying grades). Glycerol monooleate and glyceryl monostearate (non-self-emulsifying grade) are usually used, for example, adding a small amount of alkali 俾 to produce a "self-emulsifying" agent. Used in solid dosage formulations. The total amount of self-emulsifier in the formulation is preferably at least 5% w / w and more preferably at least 10% w / w. For gel spray formulations, the total amount of self-emulsifiers included in the formulation is preferably at least 2% w / w and more preferably at least 5% w / w. The total amount of self-emulsifiers is usually proportional to the total amount of active ingredients (lipophilic drugs) contained in the formula; the higher the active ingredient content, the greater the content of self-emulsifiers. The formulations according to the invention are intended to contain an active ingredient content above 1%. Preferably, the relative ratio of the self-saccharifying agent to the active ingredient is between 10% of the active ingredient and a self-emulsifier to 1% of the 5% active ingredient. The total amount of self-emulsifiers can also change the predetermined dissolution / disintegration characteristics in the mouth. The reason is that increasing the content of self-emulsifiers has the effect of extending the dissolution / disintegration time (see Example 14). ▲ The formula further contains-or multiple tackifiers (chemical agents to increase viscosity). Suitable tackifiers include the tackifiers listed in Table 2 below. A preferred tackifier is a drum segment copolymer of oxyethylene and oxypropylene. Better tackifiers are non-ionic surfactants. In the examples described below, the formula contains ㈣ = i, which is a non-ionic surfactant, but additionally contains at least one tackifier, which is not a non-ionic surfactant. In a preferred embodiment, the formulation contains at least one tincture, and the invention description can be dissolved by the action of the enzyme present in the saliva towel. Examples of such thickeners include pre-gelatinized starch, which is soluble by the action of sialylase, and is a thickener that is only sensitive to enzymatic knifebreaking. Substance 'This substance has the best absorption from the oral cavity and sublingual mucosa. This has the advantage of allowing solid gels to dissolve quickly (for example within a few minutes.) A wide variety of lipophilic tackifiers are used in pharmaceutical formulations. Gels formed by the hydration of these substances are known to have surface charges. Table 2 lists several chemical agents (But not limited to the scope of the present invention), which has such properties, indicating that it is approved by law for preparations intended for oral administration. The table also indicates the known surface charge symbol. In a preferred embodiment, the formulation contains at least A tackifier that forms a gel when hydrated and has a positive surface charge, and at least one tackifier that forms a gel with a negative surface charge when hydrated. In a preferred embodiment, the formulation includes At least one tackifier that forms a gel with a positive surface charge when hydrated, which is gelatin or sugar gelatin; and at least one tackifier that forms a gel with a negative surface charge when hydrated, which is starch, Gelatinization; powder, acacia or polydextrose. Unexpectedly, by selecting a mixture of materials that can produce gels with opposite charges, the resulting mixture can be modified. The solubility characteristics control the rate of drug release from this formula, especially the dissolution of at least one of the components by the amylolytic enzymes present in saliva. It can be changed by changing the total amount of thickener, and also by forming positive and negative surfaces. China National Standard (CNS) A4 (210X297 mm)

f 泰 麵 (請先閲讀背面之注意事項再填寫本頁) 、π— 0! 上以2882 五 、發明説明(7 ) 電荷凝膠材料比例而修改劑型之物理性質。通常增加帶正 電荷增黏劑(例如明膠或糖明膠)之相對量具有減慢口中溶 解/崩散效果,而增加帶負電增黏劑(如澱粉或預膠化澱粉) 相對量具有於口中加速溶解/崩散效果(參考圖14)。配方所 含帶正及負電荷增黏劑比例可變更而形成具有所需釋放特 性之劑型。 用於固體劑型,配方所含增黏劑(包括任何膠凝劑)總 量較好高於配方之60% w/w。 用於凝膠喷霧劑型,涵括於配方之增黏劑總量較好係 向於配方之1% w/w,最好係高於配方之2% w/w。涵括於 破膠喷霧配方之較佳增黏劑包括例如羧甲基纖維素。 其它賦形劑也可視需要涵括於本發明之配方。例如配 方可含有一或多種抗氧化劑。較佳抗氧化劑包括心生育 酚抗壞血酸基棕櫚酸酯、丁基化羥茴香醚(BHA)等。配 方也包括一或多種著色劑。適當著色劑包括例如甚黃素或 葉綠素。 隨附之實例舉例說明可獲得強力親脂性藥物經由 黏膜及舌下上皮吸收之最理想配方,該種配方可獲得最一 想治療作用要求之藥力學側繪。配方含有至少一種自行乳 化組成分,其制讀時形絲性乳液,可逆地黏著於 膜,不會造成刺激或損傷,或刺激唾液過度分泌。當該 型被引進下頷窩或上頷窩或置於舌下時,該劑型水解而 於黏膜。如此形成的水解後之乳化物質維持接觸大面積 黏膜及舌下黏膜,經歷一段時間釋放出藥物。 頰 黏 劑 黏 頰 本紙張尺度適财關家鮮⑽)峨格⑽χ297^}f Thai noodles (please read the precautions on the back before filling this page), π—0 !, modify the physical properties of the dosage form with 2882 V, invention description (7) charge gel material ratio. Usually increasing the relative amount of positively charged tackifiers (such as gelatin or sugar gelatin) has a slowing effect on dissolution / disintegration in the mouth, while increasing the relative amount of negatively charged tackifiers (such as starch or pregelatinized starch) has an acceleration in the mouth Dissolution / disintegration effect (refer to Figure 14). The proportion of the positive and negatively charged tackifiers in the formulation can be changed to form a dosage form with the required release characteristics. For solid dosage forms, the total amount of tackifier (including any gelling agent) in the formula is better than 60% w / w of the formula. For gel spray formulations, the total amount of tackifier included in the formula is preferably 1% w / w of the formula, and more preferably 2% w / w of the formula. Preferred tackifiers for inclusion in breaker spray formulations include, for example, carboxymethyl cellulose. Other excipients may be included in the formulations of the present invention as needed. For example, the formulation may contain one or more antioxidants. Preferred antioxidants include cardiotocopheryl ascorbyl palmitate, butylated hydroxyanisole (BHA), and the like. Formulations also include one or more colorants. Suitable colorants include, for example, very flavin or chlorophyll. The accompanying example illustrates the most ideal formula for obtaining strong lipophilic drugs to be absorbed through the mucosa and sublingual epithelium. This formula can obtain the pharmacodynamic profile of the most desired therapeutic effect. The formula contains at least one self-emulsifying component, which is a filiform emulsion during reading, which reversibly adheres to the membrane without causing irritation or damage, or stimulating excessive secretion of saliva. When the form is introduced into the lower or upper popliteal fossa or placed under the tongue, the dosage form hydrolyzes to the mucous membranes. The hydrolyzed emulsified substance thus formed maintains contact with a large area of the mucosa and the sublingual mucosa, and releases the drug over a period of time. Cheek Adhesive Adhesive Cheeks

、可| (請先閱讀背面之注意事項再填寫本頁) 1222882 五 、發明説明( 配方之經過控制之釋放特性,亦 可藉由變更配方所含賦形劑相對含量,特別自=需 增黏劑含量而變更/ <丁礼化劑及 -段足㈣L在於教财特料_表面經歷 ㈣:,全部親脂藥物皆經由黏膜表面而吸收入 ㈣時間。親脂藥物之吸收速率顯然係依據藥物性 貝決疋。以類大麻紛為例’於約10分鐘可達成經由頻或舌 下黏膜之顯著吸收。因此希望輸送類大麻盼之任何配方可 維持:貝上疋整,接觸黏膜表面至少經歷此段時間。 最佳本發明配方將於0160分鐘,更好〇·5_ΐ5分鐘以内 完全崩散’但本發明配方係製造成崩散時間至少為90分鐘。 表2列舉當該劑量單位放置接觸唾液時可獲得適當黏 度之可涵括的醫藥可接受性賦形劑及賦形劑類型(但非囿 限本發明)。該劑型可經由與可密封而隔絕光及空氣之模具 内熔化或壓縮製造。 根據本發明之第二特徵方面,提供一種用於經由黏膜 表面投予親脂藥物之醫藥配方,該配方包含至少一種親脂 藥物,至少一種溶劑,至少一種助溶劑,其較佳亦為增溶 劑,以及至少一種自行乳化劑,其中當水合時,該配方形 成含親脂藥物之乳液,其可黏著於黏膜表面且允許以控制 方式釋放藥物,其特徵在於配方中溶劑及助溶劑總量係大 於配方之55%w/w。 較佳具,體實施例中,本配方可為液體劑型例如氣霧 劑、液體噴霧劑或滴劑。以自行乳化配方黏著於黏膜經歷 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公變), 可 | (Please read the precautions on the back before filling this page) 1222882 V. Description of the invention (Controlled release characteristics of the formula can also be changed by changing the relative content of the excipients contained in the formula, especially since the viscosity needs to be increased The content of the agent is changed / < Ding Lihua agent and-Duanzuo Li L is the teaching materials _ surface experience㈣ :, all lipophilic drugs are absorbed through the mucosal surface into the time. The absorption rate of lipophilic drugs is obviously based on Medicinal bettapine. Taking cannabinoids as an example, significant absorption through the mucous membrane of the tongue or sublingual can be achieved in about 10 minutes. Therefore, any formula that hopes to deliver cannabis-like drugs can be maintained: on the shellfish, contact with the mucosal surface at least After this period of time. The best formula of the present invention will completely disintegrate within 0160 minutes, preferably 0.5-5 minutes, but the formula of the present invention is manufactured so that the disintegration time is at least 90 minutes. Table 2 lists when the dosage unit is placed in contact Included pharmaceutically acceptable excipients and types of excipients (but not limited to the present invention) for saliva to obtain an appropriate viscosity. The dosage form can be sealed in a mold that can be shielded from light and air Manufactured by melting or compression. According to a second characteristic aspect of the present invention, a pharmaceutical formulation for administering a lipophilic drug through a mucosal surface is provided, the formulation comprising at least one lipophilic drug, at least one solvent, at least one co-solvent, Jia is also a solubilizer, and at least one self-emulsifier. When hydrated, the formulation forms an emulsion containing lipophilic drugs that can adhere to the surface of the mucosa and allow controlled release of the drug. It is characterized by the solvent and the The total amount of solvent is greater than 55% w / w of the formula. Preferably, in the embodiment, the formula may be a liquid dosage form such as an aerosol, a liquid spray or a drop. The self-emulsifying formula is adhered to the mucous membrane to undergo the paper Standards apply to China National Standard (CNS) A4 specifications (210X297 public transformer)

................ |(請先閲讀背面之注意事項— II〉 •訂丨 1222882 五、發明説明(9 ) I又足夠讓親脂藥物吸收時間,輸送親脂活性成分至黏膜 表面之技術原理可延伸至液體劑型。較佳具體實施例為經 由泵送作用噴霧劑投藥之液體配方。 泵送作用喷霧劑於輸送類大麻酚時特別有用。確實先 月〕人們考慮泵送作用噴霧劑不適合用於輸送藥物,而將注 意力集中於含推進劑之溶劑系統。 雖然了解此種系統有缺點,包括輸送速度之缺點,但 热叫技藝人士嘗試經由變更喷嘴減慢推進劑來解決此項問 題。申請人發現使用泵送喷霧其配方,可產生一種喷霧, 其中顆粒具有平均氣體動力學粒徑15至45微米,特別20至 40破米及平均約33微米。當使用加壓系統輸送時此點係於 平均氣體動力學粒徑5至1〇微米之粒子相反。 實際上,申請人所做比較試驗顯示泵送作用噴霧系統 之優點為可輸送活性成分至目標區域内的較大表面積。將 參照隨附實例12舉例說明。 經由直接實驗驗證粒子分布及喷霧面積的變化。如附 隨實例12所述配方填裝於泵送動作喷霧總成(藉法洛斯 (Valois)小瓶VP7 i 00型引動)。相同配方可填裝於藉耶八 134a提供動力的加壓容器。 二容器係於距離一張薄紙5〇亳米距離排放,該薄紙相 對於喷射之行進方向夾角直角。然後於二例中排放丨微升 產生之喷霧樣式對光目測觀察。二例之排放樣式皆為圓 形,測量值如後: 平均面積(平方亳米) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐)...... | (Please read the precautions on the back — II> • Order 丨 1222882 V. Description of the invention (9) I is enough for the lipophilic drug to absorb time and deliver The technical principle of lipophilic active ingredients to the surface of the mucosa can be extended to liquid dosage forms. The preferred embodiment is a liquid formulation administered via a pumping spray. The pumping spray is particularly useful when transporting cannabinoids. It is true that the first month 〔People consider pumping sprays not suitable for drug delivery, and focus on propellant-containing solvent systems. Although understanding the disadvantages of such systems, including the disadvantages of delivery speed, it has been hot for artists to try to change the nozzle Slowing the propellant to solve this problem. The applicant has found that the use of a pumped spray formulation can produce a spray in which the particles have an average aerodynamic particle size of 15 to 45 microns, in particular 20 to 40 millimeters and an average of about 33 microns. This is the opposite of particles with an average aerodynamic particle size of 5 to 10 microns when delivered using a pressurized system. In fact, comparative tests performed by the applicant show pumping effect spray systems The advantage is that the active ingredient can be delivered to a larger surface area in the target area. An example will be described with reference to the attached example 12. The particle distribution and the change in spray area are verified through direct experiments. The formula is packed in pumping as described in example 12 Action spray assembly (inspired by Valois vial VP7 i 00). The same formula can be filled in a pressurized container powered by Yeba 134a. The two containers are placed at a distance of 50mm from a sheet of thin paper. Discharge, the tissue paper is at a right angle with respect to the travelling direction of the jet. Then, in two cases, the spray pattern generated by microliters was observed visually. The discharge patterns in both cases were circular, and the measured values are as follows: Average area ( Square millimeters) This paper is sized for China National Standard (CNS) A4 (210X297 mm)

•訂· 0! (請先閱讀背面之注意事項再填寫本頁) 1222882 五 發明説明 10 泵送動作噴霧 --·~~~~—_ 加壓噴霧 23 16 加壓1務造成液體匯聚於該區中。、, .^ . ^ 栗适作用噴霧產 生季乂為均勻的匯集樣式且較少「回彈〃 」表适動作噴霧涵蓋 面積顯著較大。此試驗之進行條件係與該υ之實際使用 相關。藉泵送仙«比較H加壓賴可到達頰黏膜較寬 廣面積。 、 較佳具體實施财,配方之溶劑與助溶劑總量(不存在 有推進劑)係大於65% W/W,更佳大於70% w/w,更佳大於 75%w/w,更佳大於8〇%w/w,又更佳大於85%w/w二最佳 配方之溶劑與助溶劑總存在量係占配方之8g% w/w至㈣ W/w之範圍。 0 較佳用於本配方之溶劑為低碳烷基(C「C4)醇,最佳為 乙醇。 ' 較佳用於本配方之助溶劑包括丙二醇、甘油、馬克格 (macrogols),也包括也可作為增溶劑之助溶劑,較佳例如 為聚氧氫化蓖麻油。於本發明之範圍涵括於配方之「增溶 劑」及「自行乳化劑」可為相同化學物質。 本案内容中,「增溶劑」_詞表示其偏好提高活性成 分(亦即親脂藥物)於配方之溶解度之物質。於本發明之第 一知·徵方面之配方中,可涵括增溶劑來克服改良活性成分 (親脂藥物)於含有有限量乙醇之配方之溶解度問題。如此 添加增溶劑通常具有增加可攙混於配方之活性成分用量可 同時維持病人忍受度的效果。 本紙張尺度適用中國國家標準(CNS) A4規格• Order · 0! (Please read the precautions on the back before filling out this page) 1222882 Five Descriptions of the Invention 10 Pumping Action Spray --- ~~~~~ -_ Pressure Spray 23 16 Pressurization will cause the liquid to condense in the Area. 、,. ^. ^ The chestnut effect spray season is a uniform collection style and less "rebound". The suitable action spray covers a significantly larger area. The conditions under which this test is performed are related to the actual use of the v. By pumping fairy «Compared with H pressurization can reach a wider area of the buccal mucosa. 1. The specific implementation is better. The total amount of solvent and co-solvent in the formula (without propellant) is greater than 65% W / W, more preferably greater than 70% w / w, more preferably greater than 75% w / w, and more preferably More than 80% w / w, and more preferably more than 85% w / w. The total amount of solvent and co-solvent present in the two best formulations ranges from 8 g% w / w to ㈣ W / w. 0 Preferred solvents for this formulation are lower alkyl (C "C4) alcohols, most preferably ethanol. 'Preferred co-solvents for this formulation include propylene glycol, glycerol, macrogols, and also include A co-solvent that can be used as a solubilizer is preferably polyoxyhydrogenated castor oil. In the scope of the present invention, the "solubilizer" and "self-emulsifier" included in the formula can be the same chemical substance. In this case, the word "solubilizer" means that it prefers substances that increase the solubility of active ingredients (ie, lipophilic drugs) in the formulation. In the formulation of the first aspect of the present invention, a solubilizing agent may be included to overcome the solubility problem of an improved active ingredient (lipophilic drug) in a formulation containing a limited amount of ethanol. Adding solubilizers in this way usually has the effect of increasing the amount of active ingredients that can be blended into the formulation while maintaining patient tolerance. This paper size applies to China National Standard (CNS) A4

、T. (請先閲讀背面之注意事項再填寫本頁) 1222882 A7 B7 五、發明説明(11 ) 涵括助溶劑之優點將參照其中親脂藥物包含一或多 種類大麻酚之配方舉例說明。類大麻酚通常於多種溶劑之 溶解度有限,如此造成可攙混於醫藥配方之類大麻酚數量 限制。例如含乙醇加推進劑至氣霧噴霧劑之可穩定化0.7 ^*THC/0.1毫升液體配方。結果此種配方必須多次施用 才能達成具有醫藥有意義劑量的活性類大麻酚。添加助溶 劑,其為比標準推進劑更佳之增溶劑,如本發明教示丙二 醇、甘油、馬克格或聚氧氫化蓖麻油,將可攙混遠較大量 的活性成分類大麻酚,而其又表示可於單次施用配方時投 予醫藥相關劑量的類大麻盼。 幸父佳具體實施例中,配方含有乙醇作為溶劑及丙二醇 作為助溶劑。本具體實施例中,配方中乙醇對丙二醇之比 例較佳為4 : 1至1 : 4之範圍及最佳為丨:1。 進一步較佳具體實施例中,配方含有乙醇作為溶劑, 以及聚氧氫化蓖麻油(最佳克摩佛RH4〇)作為助溶劑/增溶 劑。本具體實施例中,聚氧氫化蓖麻油於配方之存在量較 it*占配方中存在的聚氧氫化蓖麻油加乙醇總量(% ,更 佳聚氧氫化蓖麻油加乙醇於配方存在之總量w/w)之5〇/〇 至55%w/w,更佳為20%至40%w/w及最佳為3〇%w/w。聚 氧氫化蓖麻油加乙醇總量高達配方之97% w/w。 可涵括於本配方之適當自行乳化劑列舉於表2,前文 就本發明之第一特徵方面做說明。最佳為一油酸甘油酯及 一硬脂酸甘油酯(較佳為自行乳化級)。 本配方中,自行乳化劑總量較佳係高於配方之1 0/〇 本紙張尺度適用中國國家標準(CNS) A4規格(21〇χ297公釐) (請先閲讀背面之注意事項再填寫本頁)T. (Please read the notes on the back before filling this page) 1222882 A7 B7 V. Description of the Invention (11) The advantages of the co-solvent will be explained with reference to the formulation of lipophilic drugs containing one or more types of cannabinol. Cannabinoids usually have limited solubility in many solvents, which limits the amount of cannabinoids that can be blended into pharmaceutical formulations. For example, stabilizing 0.7 ^ THC / 0.1ml liquid formula containing ethanol plus propellant to aerosol spray. As a result, this formulation must be applied multiple times to achieve a medically meaningful dose of active cannabinoid. Adding a solubilizer, which is a better solubilizer than standard propellants, such as the teachings of the present invention, propylene glycol, glycerol, marke or polyoxygenated castor oil, can mix far larger amounts of activity into classified cannabinol, and it also says A pharmaceutically relevant dose of cannabinoid can be administered in a single administration of the formulation. Fortunately, in the specific embodiment, the formulation contains ethanol as a solvent and propylene glycol as a co-solvent. In this specific embodiment, the ratio of ethanol to propylene glycol in the formulation is preferably in the range of 4: 1 to 1: 4 and most preferably 丨: 1. In a further preferred embodiment, the formulation contains ethanol as a solvent, and polyoxyhydrogenated castor oil (optimally CMOFO RH40) as a co-solvent / solubilizer. In this specific embodiment, the amount of polyoxygenated castor oil present in the formula is greater than it * accounts for the total amount of polyoxygenated castor oil plus ethanol present in the formula (%, more preferably the total amount of polyoxygenated castor oil plus ethanol in the formula The amount w / w) is 50/50 to 55% w / w, more preferably 20% to 40% w / w, and most preferably 30% w / w. The total amount of polyoxygenated castor oil plus ethanol is up to 97% w / w of the formula. Appropriate self-emulsifiers that can be included in this formulation are listed in Table 2. The first aspect of the invention is described above. Most preferred are glyceryl monooleate and glyceryl monostearate (preferably self-emulsifying grades). In this formula, the total amount of self-emulsifier is preferably 10/0 higher than the formula. The paper size is applicable to China National Standard (CNS) A4 (21〇297mm) (Please read the precautions on the back before filling in this page)

•、可I 14 1222882 A7 __B7 五、發明説明(I2 ) W/W。如前文說明,其它賦形劑可涵括於配方如抗氧化劑、 矯味剡等。隶好配方未含任何推進劑,如推進劑驅動氣霧 劑配方所常見的推進劑。 較佳具體實施例中,本發明之液體及凝膠喷霧配方適 合施用至頰黏膜。 經由直接調查研究結果發現,某些情況下藥物施用於 舌下黏膜有限制,因而限制舌下用途。某些高度脂溶性藥 物(包括類大麻盼及大麻萃取物)唯有溶解於(主要為)非水 性溶劑才能溶解成溶液。此等溶劑如丙二醇、乙二醇(添加 或未添加二醇)及增溶劑為醫藥可接受性,但當滴於或噴霧 於舌下黏膜(依據乙醇濃度決定)可能產生灼熱刺痛感。產 生的刺痛感又造成反射性吞嚥。結果某種比例的劑量可能 由於刺激吞嚥反射而被吞嚥。由GIT吸收的劑量比例多變 化低於口咽〉辰度,結果導致第一次通過效應造成吸收多變 化。此等因素造成藥物之吸收多變,推定為舌下途徑。 發現直接施用溶液或乳液配方至頰表面包括採用滴 劑或較佳採用泵送動作喷霧可解決第一次通過問題,且有 多種其它出乎意外的優點如後·· (1) 4知加壓氣霧劑被導引至口咽腔時粒子霧由口中 逃逸表示藥物損失。藉由直接喷霧於頰表面,遠離舌下區, 避免此項問題。經由使用泵送作用人工操作喷霧器(pAS) 可更元全解決此項問題。PAS係於低壓操動,產生具有較 大平均氣體動力學直徑(例如15至45微米)噴霧劑,可被導 引至口腔頰區而非舌下區; ϊ紙張尺度適用中國國家標準(CNS) A4規格⑵〇χ297公變)— -—; (請先閱讀背面之注意事項再填寫本頁) 、tr— 1222882 A7 ----------B7 _ i ^ ( i3) ^ 一 (2)防止或將無法接受的刺痛感減至最低(就此方面而 言,頰黏膜比舌下區不敏感); ()K貝上制動接觸頰表面之藥物劑量,讓藥物由不會 又正$唾液分泌干擾的位置吸收。施用後,頰黏膜返回其 位在上頷或下頷外齒齦表面的正常位置,因而被夾持於接 觸吸收面之口袋内; (4) 藉吞嚥造成劑量的損失減至最低。藉頰施用不會刺 激吞嚥反射,由於藥物處在密閉空間,故病人可呑嚥正常 產生的唾液而不干擾頰口袋; (5) 對類大麻酚而言,舌下配方及頰用配方之吸收曲線 下方面積(AUC)類似。於頰投藥後,類大麻酚主要(11_羥_) 代谢產物含量實質減少。如此證實由經黏膜比舌下區吸收 的類大麻酚/活性成分之比例較高。於使用後述頰用配方 (參考實例12)後,由頰黏膜比由舌下黏膜進行更高程度吸 收。 旨藥物性質 後文實例舉例說明可由棘手的親脂藥物如類大麻酚 或二硝酸甘油酯(GTN)製造舌下及頰用配方之方式。但本 發明之用途非僅限於此類活性成分,下表丨參照其類別說明 若干活性成分,個別藥物可根據本發明調配。 若藥物可溶於水,可將藥物分散於口腔上皮及舌下黏 膜。若藥物分子(經游離後)具有適當游離常數,其將通過 上皮而被吸收入系統循環。未帶電的脂質分子若與黏膜緊 密接觸,將只通入或通過口咽黏膜。 ---------------- 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) _ ^• 、 I 14 1222882 A7 __B7 V. Description of the invention (I2) W / W. As explained previously, other excipients may be included in the formulation such as antioxidants, flavorings, and the like. The formulated formula does not contain any propellants, such as those commonly found in propellant-driven aerosol formulations. In a preferred embodiment, the liquid and gel spray formulations of the present invention are suitable for application to buccal mucosa. The results of the direct investigation revealed that in some cases, the application of the drug to the sublingual mucosa was limited, thus limiting the use of the sublingual. Some highly fat-soluble drugs (including cannabinoids and cannabis extracts) can only be dissolved into solutions by dissolving (mainly) non-aqueous solvents. These solvents such as propylene glycol, ethylene glycol (with or without diols), and solubilizers are medically acceptable, but when dripped or sprayed on the sublingual mucosa (depending on the concentration of ethanol) may produce a burning tingling sensation. The tingling sensation in turn causes reflex swallowing. As a result, a certain proportion of the dose may be swallowed as a result of stimulating swallowing reflexes. The proportion of the dose absorbed by GIT is more variable than that of oropharynx> Chen, which results in the change of absorption due to the first pass effect. These factors cause the drug's absorption to vary, which is presumed to be a sublingual route. Found that applying a solution or emulsion formula directly to the buccal surface, including the use of drops or preferably a pumping action spray, can solve the problem of first pass, and there are many other unexpected advantages as follows. (1) When aerosols are guided into the oropharyngeal cavity, particle mist escapes from the mouth to indicate drug loss. Avoid this problem by spraying directly on the cheek surface, away from the sublingual area. This problem can be more completely solved by using a pumping manually operated sprayer (pAS). PAS is operated at a low pressure to produce a spray with a large average aerodynamic diameter (for example, 15 to 45 microns), which can be guided to the buccal area rather than the sublingual area; ϊ The paper size applies the Chinese National Standard (CNS) A4 specification ⑵〇χ297 public transformer) —-—; (Please read the precautions on the back before filling this page), tr-1222882 A7 ---------- B7 _ i ^ (i3) ^ one ( 2) Prevent or minimize unacceptable tingling sensations (in this respect, the buccal mucosa is less sensitive than the sublingual area); () The dose of the drug on the K-brake to contact the buccal surface will prevent the drug from being positive $ Saliva secretion interferes with site absorption. After application, the buccal mucosa returns to its normal position on the surface of the gingival surface of the palate or chin, and is therefore held in the pocket that contacts the absorbent surface; (4) The loss of dose is minimized by swallowing. Application by cheek does not stimulate swallowing reflex. Because the drug is in a confined space, patients can choke normal saliva without disturbing the buccal pocket; (5) For cannabinoids, absorption by sublingual formula and buccal formula The area under the curve (AUC) is similar. After buccal administration, the content of major (11_hydroxy_) metabolites of cannabinoids decreased substantially. This confirms that the ratio of cannabinoid / active ingredient absorbed by the transmucosal region is higher than that of the sublingual area. After the buccal formulation described later (Reference Example 12) was used, absorption was higher from the buccal mucosa than from the sublingual mucosa. Purpose Drug Properties The examples below illustrate how sublingual and buccal formulations can be made from tricky lipophilic drugs such as cannabinoids or glyceryl dinitrate (GTN). However, the application of the present invention is not limited to such active ingredients. The following table illustrates some active ingredients with reference to their categories. Individual drugs can be formulated according to the present invention. If the drug is soluble in water, it can be dispersed in the oral epithelium and sublingual mucosa. If the drug molecule (after freeing) has an appropriate free constant, it will be absorbed into the systemic circulation through the epithelium. If the uncharged lipid molecules are in close contact with the mucosa, they will only pass through or through the oropharyngeal mucosa. ---------------- This paper size applies to China National Standard (CNS) Α4 specification (210X297 mm) _ ^

f: - . (請先閲讀背面之注意事項再填寫本頁).f:-. (Please read the notes on the back before filling this page).

、可I 1222882 A7May I 1222882 A7

五、發明説明(l5 ) 溶劑時,偏好使用糖醇。 因此根據本發明之第三牿朽 — 一符徵方面,長1供一種經由黏膜 !:投予親脂藥物之醫藥配方,該配方包含至少-種親脂 樂物以及至少-種自行乳化劑,其中當水合時’該配方形 成含親脂藥物乳液,其可黏著於黏膜表面,且允許以控制 方式釋放藥物,其中該親脂藥物為至少一種得自大麻植物 之萃取物。 「藥物卒取物」為一種得自植物物質的萃取物,定義 參考植物性藥物產物產業指南的草稿,2_年8月,美國衛 生人類服務部’食品藥物管理中心、之藥物評估研究。 植物材料」定義為植物或植物各部分(例如皮、木、 葉二根、花、果貫、種子、莓或其各部分)以及擠壓產 物。 「大麻植物」一詞涵蓋野生大麻(Cannabis sativa)也涵 括其、交異株包括奇摩大麻(Cannabis chemovars)其天然含 有不專i之各種類大麻盼,Cannabis sativa亞種indica包括 、交異株var_ indica及var_ kafiristanica、印度大麻(Cannabis indica),以及經由基因交錯、自行交錯所得植株或其雜交 種。「大麻植物材料」一詞須據此解譯為涵蓋由一或多種大 麻植物所得植物材料。為了避免疑惑,此處闡述「大麻植 物材料」包括乾燥後的大麻生物質塊。 於本案上下文,「大麻萃取物」或「得自大麻植物之 卒取物」專詞互換用以涵蓋由大麻植物材料衍生而得之「植 物性藥物物質」。植物性藥物物質於植物性藥物產物產業指 18 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 五、發明説明(l6 ) 二草稿,2_年8月’美國衛生人類服務部,食品藥物管 ^中:之藥物評估研究定義為:「衍生自-或多種植物、蒸 巨硯真困之藥物物質。其係藉如下-或多種處理而 由植物性原料製備:粉化,煎煮,壓梓,水性萃取,醇性 卒取或其它類似製程」。植物性藥物物質不含由天然來源衍 生而得之高度純化或化學改性物質。如此以大麻為例,衍 生自大麻植物之「植物性藥物物質」不含經高度純化之藥 典級類大麻驗。 衍生自大麻植物之「植物性藥物物質」包括使用下述 方法製備之-次萃取物,例如於加壓下使用溶劑如cuc5 醇類(乙醇)’諾佛藍(制urane)(HFAi34a)、HF則以及 液體二氧化碳進行浸m萃取等處理製備之萃取物。 -次萃取物進—步可藉超臨界或次臨界萃取、氣化及層析 純化。當使用例如前文列舉之溶劑3夺,所得萃取物含有非 特異性脂溶性物f。脂溶性物f可藉多種方法去除包括「冬 」°玄方法涉及急冷至_2〇c ’接著過遽、去除壞狀碎屑, 使用液體二氧化碳萃取及蒸餘。 較佳「大麻萃取物」包括使用此處特別揭示用以由大 麻植物材料製備萃取物之任一種方法或製程獲得的萃取 物。萃取物較佳實質上不含蠟及其它非特異性脂溶性物 f,但較佳含有實質上全部天然存在於植物之類大麻酚, 隶好貝貝與其出現於完整大麻植物之比例相同。 植物性藥物物質被調配成「植物性藥物產物」,該詞 於植物性藥物產物產業指南的草稿,2000年8月,美國衛生 本紙張尺度適财關家鮮(⑽纖格⑵QX297公董)5. Description of the invention (15) In the case of solvents, sugar alcohols are preferred. Therefore, according to the third aspect of the present invention-a sign, Chang 1 is for a pharmaceutical formulation for administration of lipophilic drugs, which contains at least one lipophilic fungus and at least one self-emulsifier, Wherein, when hydrated, the formulation forms a lipophilic drug-containing emulsion that can adhere to the mucosal surface and allow controlled release of the drug, wherein the lipophilic drug is at least one extract derived from a cannabis plant. "Drug extract" is an extract derived from plant material. The definition refers to the draft of the Plant Drug Product Industry Guide, August 2_, the US Department of Health and Human Services' Center for Food and Drug Administration, drug evaluation research. "Plant material" is defined as plants or plant parts (such as bark, wood, two leaves, flowers, fruit, seeds, berries, or parts thereof) and extruded products. The term "marijuana plant" encompasses wild cannabis (Cannabis sativa) and other crosses including Cannabis chemovars, which naturally contain various types of cannabis, and Cannabis sativa subspecies indica, including crosses var_indica and var_kafiristanica, Cannabis indica, and plants or their hybrids obtained by genetic interleaving and self-interleaving. The term “hemp plant material” shall be interpreted accordingly to cover plant material derived from one or more hemp plants. For the avoidance of doubt, the “cannabis plant material” described here includes dried cannabis biomass blocks. In the context of this case, the terms “cannabis extract” or “stroke derived from cannabis plant” are used interchangeably to cover “phytopharmaceutical substances” derived from cannabis plant material. Phytopharmaceutical substances in the phytopharmaceutical product industry refers to the 18 paper standards applicable to the Chinese National Standard (CNS) A4 specifications (210X297 mm) V. Description of the invention (16) Second draft, August 2_ 'US Department of Health and Human Services In the Food and Drug Administration: The drug evaluation study is defined as: "Derived from-or a variety of plants, the drug substance of steamed giant salamander. It is prepared from plant-based raw materials by the following-or multiple treatments: flour, fried Cooking, pressing, water-based extraction, alcohol extraction or other similar processes. " Botanical drug substances do not contain highly purified or chemically modified substances derived from natural sources. Taking cannabis as an example, the "phytopharmaceutical substance" derived from the cannabis plant does not contain a highly purified pharmacopoeia-like cannabis test. "Botanical drug substances" derived from cannabis plants include secondary extracts prepared using methods such as the use of solvents such as cuc5 alcohols (ethanol) 'Norfo blue (urfa) (HFAi34a), HF under pressure Then, the liquid carbon dioxide is subjected to an extraction process such as immersion extraction. -Sub-extractives can be further purified by supercritical or subcritical extraction, gasification and chromatography. When using, for example, the solvents listed above, the resulting extract contains a non-specific fat-soluble substance f. The fat-soluble matter f can be removed by a variety of methods, including the "winter" ° method, which involves quenching to _2OCc ', then passing through, removing bad debris, using liquid carbon dioxide extraction and steaming. Preferred "hemp extracts" include extracts obtained using any of the methods or processes specifically disclosed herein for preparing extracts from hemp plant material. The extract is preferably substantially free of wax and other non-specific fat-soluble substances f, but preferably contains substantially all cannabinol such as naturally occurring in plants, and Babe is the same proportion as it appears in whole cannabis plants. Plant-based drug substances are formulated as "plant-based drug products", a term used in the draft of the Plant-based Drug Product Industry Guide, August 2000, American Health

•訂, 0! (請先閱讀背面之注意事項再填寫本頁) ) 五、發明説明(l7 2服務部,食品藥物管理中心之藥物評估研究定義為 備 思圖用作為藥物的植物性產物;由植物性藥物物 之藥物產物」。 、 根據本發明之第四特徵方面,提供一種經由黏膜表面 投予親脂藥物之醫藥配方,該配方包含至少-種親脂藥物 乂及至J 一種自行乳化劑,其中當水合時,該配方形成含 親脂藥物乳液,其可黏著於黏膜表面,且允許以控制方式 釋放藥物,其中該親脂藥物包含兩種或兩種以上天然或合 成類大麻盼的組合。 、本具體實施例中,「類大麻盼」可為由天然來源純化 或透過合成手段獲得之高度純㈣典級物f。類大⑽包 括但非限於四氫類大麻酚、其前驅物、烷基(特別丙基)類 似物、大麻二酚、其前驅物、烷基(特別丙基)類似物及大 麻盼。 較佳具體實施例中,親脂藥物包含兩種或兩種以上類 大麻酚之任一種組合,該類大麻酚係選自四氫大麻酚、δ9_ 四氫大麻酚、Δ9-四氫大麻酚丙基類似物、大麻二酚、大麻 二酚丙基類似物、大麻酚、大麻色原烯、大麻色原烯丙基 類似物及大麻吉紛(cannabigerol)。 適合用於投予大麻萃取物及類大麻酚之配方原理也 適合用於其匕藥物例如生物驗、驗類及酸類。其要求為若 藥物不溶於唾液,則需藉添加緩衝鹽及]3]^調節劑而溶解及 /或調整至適當非游離形式。 本發明配方可用於輸送大麻植物萃取物,也輸送個別 1222882 A7 _________ B7_ 五、發明説明(18) "~ ' ^ 類大麻盼、或其合成類似物,無論是由大麻植物衍生而得 及類大麻酚的組合。「大麻植物」包括野生大麻及其變種包 括奇摩大麻其天然含有不等量的各種類大麻酚。特別本發 明提供以大麻為主之藥物萃取物(CBME)配方。 大麻用作藥物已行之有年,於維多利亞時代廣泛用作 為處方藥物組成分。大麻用作為催眠鎮定劑用於治療「歇 斯底里、精神錯亂、癲癇、神經性失眠、偏頭痛、疼痛及 痛經」。大麻持續用至20世紀中葉,大麻作為處方藥今曰正 在接受重新評估當中。發現特定類大麻酚受器以及新穎投 藥方法可將以大麻為主的藥物延伸用於歷史適應症及新穎 適應症。 大麻被用在娛樂上促成立法管制結果導致大麻的禁 用。歷史上大麻被許多醫生認為一種獨特物品;其可用於 對抗對鴉片麻醉劑有抗性的疼痛,用於例如脊索受傷之病 情以及其它形式神經病變疼痛包括多發性硬化疼痛及痙 攣。 於美國及加勒比海國家,種植做娛樂用途的大麻經過 選種讓大麻含高含量四氫大麻酚(THC)而犧牲掉其它類大 麻酚。於默克索弓1(1996年),已知出現於大麻的其它類大 麻酚例如大麻二酚及大麻酚被視為不具有娛樂活性成分。 雖然大麻二酚先前被視為無活性成分,但證據顯示其具有 藥理活性,於若干方面之藥理活性與THC不同。大麻的療 效無法單純以一種或其它「活性」成分做出滿意的說明。 業已顯示單獨四氫大麻盼(THC)比較等量THC呈大麻 _1 1 " ...... 丨丨···' _ 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公楚) _ ?1• Order, 0! (Please read the precautions on the back before filling out this page)) 5. Description of the invention (l7 2 The drug evaluation study of the Service Department, Food and Drug Administration Center is defined as a plant product prepared for use as a drug; A medicinal product derived from a botanical drug ". According to a fourth characteristic aspect of the present invention, a pharmaceutical formulation for administering a lipophilic drug via a mucosal surface is provided, the formulation comprising at least one lipophilic drug 至 and J a self-emulsifier Wherein, when hydrated, the formula forms a lipophilic drug-containing emulsion that can adhere to the surface of the mucosa and allow controlled release of the drug, where the lipophilic drug contains a combination of two or more natural or synthetic cannabinoids In this specific embodiment, the "cannabis-like compound" may be a highly pure classic grade f, which is purified from natural sources or obtained through synthetic means. The quasi-like compounds include, but are not limited to, tetrahydrocannabinol, its precursors, Alkyl (especially propyl) analogs, cannabidiol, precursors, alkyl (especially propyl) analogs, and cannabinol. In a preferred embodiment, the lipophilic drug package Any combination of two or more types of cannabinols, which are selected from the group consisting of tetrahydrocannabinol, δ9_tetrahydrocannabinol, Δ9-tetrahydrocannabinolpropyl analogs, cannabidiol, cannabidiol Propyl analogs, cannabinol, cannabinolene, cannabinol allyl analogues and cannabigerol. Suitable formulas for the administration of cannabis extracts and cannabinoids are also suitable for their use Drugs such as biological tests, tests and acids. The requirements are that if the drug is insoluble in saliva, it needs to be dissolved and / or adjusted to a suitable non-free form by adding buffer salts and [3] ^ regulators. The formula of the invention can be used for delivery Cannabis plant extracts also deliver individual 1222882 A7 _________ B7_ 5. Description of the Invention (18) " ~ ^ Cannabinoids, or their synthetic analogs, whether derived from a cannabis plant and a combination of cannabinoids. "Cannabis plant" includes wild cannabis and its variants, including Chimo cannabis, which naturally contains unequal amounts of various cannabinoids. In particular, the present invention provides cannabis-based medicinal extract (CBME) formulations. Hemp is used as a medicament For years, it was widely used as a prescription drug component in the Victorian era. Cannabis was used as a hypnotic tranquilizer for the treatment of "hysteria, insanity, epilepsy, neurological insomnia, migraine, pain, and dysmenorrhea." Cannabis continued to be used until 20 In the middle of the century, cannabis was being re-evaluated as a prescription drug today. It was found that specific cannabinol receptors and novel methods of administration can extend cannabis-based drugs to historical and novel indications. Cannabis is used for entertainment Prompted legislation results in banning marijuana. Historically marijuana has been considered a unique item by many doctors; it can be used to combat pain that is resistant to opiates, for conditions such as spinal cord injury and other forms of neuropathic pain including multiple sclerosis Pain and cramps. In the United States and the Caribbean, cannabis grown for recreational purposes has been selected to allow cannabis to contain high levels of tetrahydrocannabinol (THC) without sacrificing other types of anabol. In Merck Bow 1 (1996), other types of cannol known to occur in cannabis such as cannabidiol and cannabinol are considered to have no recreationally active ingredients. Although cannabidiol was previously regarded as an inactive ingredient, evidence shows that it has pharmacological activity, which differs from THC in several respects. The efficacy of cannabis cannot be satisfactorily stated simply with one or other "active" ingredients. It has been shown that tetrahydrocannabis (THC) alone is equivalent to THC as cannabis_1 1 " ...... 丨 丨 ·· '_ This paper size is applicable to China National Standard (CNS) A4 specification (210X297) ) _ ?1

-m (請先閲讀背面之注意事項再填寫本頁) 訂— 1222882 、發明説明 萃取物投藥時產生的疼痛緩解程度較低。曾經研究此種現 象的基本藥理基礎。某些情況下,THC及大麻二酚(CBD) 於相同的g品床韵期试驗具有相反效果的藥理性質,而在其 匕試驗又具有相同效果。舉例言之,於某些臨床研究以及 來自藝文報告,感覺CBD可修改THC之精神作用功效。兩 種類大麻酚之活性範圍有助於說明若干於全球不同地區生 長的大麻的若干治療效果。也指出THC與CBD組合可出現 有用的效果。經由申請人研究。下表3顯示兩種類大麻酚之 藥理性質差異。 22 (請先閲讀背面之注意事項再填寫本頁} 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(20 ) 表3 效果 THC THCV CBD CBDV 參考文獻 CBi(腦受器) ++ 土 Pertwee等人,1998 CB2(周邊受器) + - CNS影響 抗抽搐劑+ — ++ Carlini 等人,1973 抗美車佐(Antimetrazol) - - GW資料 抗電擊 - ++ GW資料 肌肉鬆弛劑 — Petro,1980 光敏劑 ++ + GW資料 強直性昏厥 ++ -H- GW資料 精神作用 ++ - GW資料 抗精神病 - ++ Zuardi 等人,1991 神經保護抗氧化劑 + ++ HampsonAJ人,1998 活性* ++ - 止吐劑 + + 鎮定(減少自主活動) Zuardi 等人,1991 刺激食慾 ++ 抑制食慾 - ++ 解焦慮 GW資料 心血管影響 心搏減慢 - + Smiley 等人,1976 心搏加速 + - 高血壓§ + - 降血壓§ - + Adams等人,1977 抗炎 土 土 Brown,1998 免疫調節/抗炎活性 原足掌水腫試驗 - + GW資料 Coxl GW資料 Cox2 GW資料 TNFa拮抗 + + ++ ++ 青光眼 -Η- + ..................#! -*-· (請先閲讀背面之注意事項再填寫本頁) •訂, *影響與〇61受器無關 +THC為前抽搐劑 § THC對血壓產生雙相影響;於初次使用病人,THC 產生姿勢性低血壓,也報告長期使用時產生低金壓。GW 國際報告第002/000159號。 23 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) 1222882 A7 B7 五、發明説明(21 ) 由此等藥理特性及申請人直接進行實驗結果,出乎意 外地顯示THC與CBD以變化比例組合特別可用於治療某些 醫療情況。進一步發現於臨床上THC與CBD的混合物毒性 比單獨THC低。 如此於本發明之第四特徵方面,提供一種包含類大麻 酚之醫藥配方,其具有CBD對THC之特定比例,發現臨床 上可用於治療或處置特定疾病或醫療情況。 又一特徵方面,本發明也提供具有特定次四氫大麻酚 (THCV)或次大麻二酚(CBDV)比例之醫藥配方。THCV及 CBDV(分別為THC及CBD的丙基類似物)為已知主要表現 於大麻植物特定變種的類大麻酚,發現THCV比THC及CBD 分別具有定性方面的優異性質。服用THCV的人報告THCV 產生的情緒提升比THC產生的情緒提升較少障礙。造成的 嚴重宿醉情況也減少。 又一特徵方面,本發明提供具有THCV對THC之特定 比例的醫藥配方。發現此種配方特別可用於疼痛緩解及食 慾刺激領域。 於較佳具體實施例中,根據本發明之第五以及隨後各 特徵方面提供之配方例如含特定類大麻酚比例之配方也具 有前文說明之「自行乳化」配方的重要特性。 本發明也提供製造前述醫藥配方之方法,以及使用該 等醫藥配方治療或處置特定疾病或病情之方法。本發明之 配方、方法及用途陳述於隨附之申請專利範圍。 本案申請人特別觀察到特定類大麻酚的組合比單獨 24 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐)-m (Please read the precautions on the back before filling out this page) Order — 1222882, Description of the invention The pain relief is lower when the extract is administered. The basic pharmacological basis of this phenomenon has been studied. In some cases, THC and cannabidiol (CBD) have the opposite pharmacological properties in the same g product bed rhyme test, and they have the same effect in the dagger test. For example, in some clinical studies and reports from Art Literature, it is felt that CBD can modify the psychological effects of THC. The range of activity of the two types of cannabinol helps to illustrate some of the therapeutic effects of several cannabis grown in different regions of the world. It is also pointed out that the combination of THC and CBD can produce useful effects. Researched by applicant. Table 3 below shows the differences in pharmacological properties of the two cannabinoids. 22 (Please read the precautions on the back before filling in this page} This paper size applies Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of invention (20) Table 3 Effect THC THCV CBD CBDV Reference CBi (brain receptor) ++ To Pertwee et al., 1998 CB2 (peripheral receptor) +-CNS anti-convulsant + + ++ Carlini et al., 1973 Antimetrazol--GW data anti-shock- ++ GW Data Muscle Relaxant-Petro, 1980 Photosensitizer ++ + GW Data Ankylosing Syncope ++ -H- GW Data Psychoactive ++-GW Data Antipsychotics-++ Zuardi et al. 1991 Neuroprotective Antioxidants + ++ Hampson AJ, 1998 Activity * ++-Antiemetic + + Sedative (reduces autonomic activity) Zuardi et al., 1991 Stimulate appetite ++ Suppress appetite-++ Anxiety GW data Cardiovascular effects Slow heart rate-+ Smiley Et al., 1976 Acceleration +-Hypertension § +-Lowering blood pressure §-+ Adams et al., 1977 Anti-inflammatory soil Brown, 1998 Immunomodulatory / anti-inflammatory activity Protopodal edema test Test-+ GW data Coxl GW data Cox2 GW data TNFa antagonist + + ++ ++ glaucoma-Η-+ .................. #!-*-· (Please Read the precautions on the back before filling in this page) • Order, * The impact has nothing to do with 〇61 receptor + THC is a pre-convulsant § THC has a biphasic effect on blood pressure; in the first-time use of patients, THC produces postural hypotension, and Low gold pressure is generated when the report is used for a long time. GW International Report No. 002/000159. 23 This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of the invention (21) The characteristics and the results of experiments performed directly by the applicant have unexpectedly shown that the combination of THC and CBD in varying proportions is particularly useful for treating certain medical conditions. It is further found that the toxicity of a mixture of THC and CBD is clinically lower than that of THC alone. In a fourth characteristic aspect, a pharmaceutical formula containing cannabinoids is provided, which has a specific ratio of CBD to THC, and is found to be clinically useful for treating or treating a specific disease or medical condition. In yet another characteristic aspect, the present invention also provides a pharmaceutical formulation having a specific ratio of sub-tetrahydrocannabinol (THCV) or sub-cannabinol (CBDV). THCV and CBDV (propyl analogues of THC and CBD, respectively) are cannabinoids known to be mainly expressed in specific varieties of cannabis plants. It was found that THCV has qualitatively superior properties than THC and CBD, respectively. People who take THCV report that THCV produces fewer emotional lifts than THC. The number of severe hangovers also decreased. In yet another characteristic aspect, the present invention provides a pharmaceutical formulation having a specific ratio of THCV to THC. This formulation was found to be particularly useful in the areas of pain relief and appetite irritation. In a preferred embodiment, the formula provided according to the fifth and subsequent features of the present invention, such as a formula containing a specific type of cannabinol, also has important characteristics of the "self-emulsifying" formula described above. The present invention also provides a method for manufacturing the aforementioned pharmaceutical formula, and a method for treating or treating a specific disease or condition using the pharmaceutical formula. The formulation, method and use of the present invention are set out in the scope of the accompanying patent application. The applicant in this case observed in particular that the combination of specific cannabinoids was 24 (please read the precautions on the back before filling this page) This paper size applies to China National Standard (CNS) A4 (210X297 mm)

、發明説明(22 任一種個別類大麻酚更有利。較佳具體實施例為其中CBD 含量比THC含量更高的配方。此種配方稱做「反比例」配 方,此種配方為新穎且不尋常,原因在於於全球可取得之 藥用以及娛樂用大麻植株之多種變種中,CBD比起THC為 次要的類大麻酚組成分。其它具體實施例中,THC及CBD 或THCV及CBDV係以約略等量存在;或THC或THCV為主 要成分且占類大麻酚存在量總量高達95.5%。 適合使用之目標醫療情況之特佳具體實施例示於下 表4。 ----------------------#----- < 4 (請先閲讀背面之注意事項再填寫本頁) 表4 :不同類大麻酚比做之目農邊療群 產品組別 THC : CBD比例 目標治療區 高THC >95:5 癌症疼痛,偏頭痛,食慾刺激 等比例 50:50 多發硬化,脊索受傷,周邊神經病 變,其它神經原性疼痛 反/寬比例CBD <25:75 類風濕性關節炎,發炎性腸病 高CBD <5:95 ^神=(、精神分裂),癲癇或運動障 Ϊ苴;殳二碩部受傷,類風濕性關節炎 ^尤病的病程修飾食慾抑制2. Description of the invention (22) Any individual cannabinoid is more advantageous. The preferred embodiment is a formula in which the CBD content is higher than the THC content. This formula is called an "inverse proportion" formula. This formula is novel and unusual. The reason is that among various varieties of medicinal and recreational cannabis plants available worldwide, CBD is a secondary cannabinoid-like component compared to THC. In other specific embodiments, THC and CBD or THCV and CBDV are approximately equal. Or THC or THCV is the main component and accounts for up to 95.5% of the total amount of cannabinoids. Special examples of the target medical conditions suitable for use are shown in Table 4 below. ---------- ------------ # ----- < 4 (Please read the precautions on the back before filling out this page) Table 4: Different types of cannabinols compared with the products of the agricultural border therapy group Different THC: CBD ratio Target treatment area high THC > 95: 5 Cancer pain, migraine, appetite stimulation ratio 50:50 Multiple sclerosis, spinal cord injury, peripheral neuropathy, other neurogenic pain anti / wide ratio CBD < 25:75 Rheumatoid arthritis, high CBD with inflammatory bowel disease < 5: 95 ^ 神 = (, Schizophrenia), epilepsy or dyskinesia Ϊ 苴; 殳 Second injury, rheumatoid arthritis ^ The course of the disease modifies appetite suppression

、訂I 本發明醫藥配方可由純粹類大麻紛組合熟諸技蓺人 士眾所周知之醫藥載劑及賦形劑調配。例如CBD及THC可 購自希格瑪亞利須(Sigma-Aldrich)公司,蒲朵夷,凡夕路, 圆2 4QH。CBDV及THCV係使用熟諸技藝卞人^士眾所周知 之技術由大麻植株萃取而得。大麻植株及類大麻酚使用於 某些範疇需要經由政府核准’但政府已經核准用於醫療研 究以及藥物商品化的機構。英國的核准執明可向「家庭局 申請。 本發明之較佳具體實施例中,配方句八 | 上— W巴含一或多種大麻 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 25 1222882 A7 __B7__ 五、發明説明(23 ) 全株變種的萃取物,特別野生大麻、印度大麻或經由基因 交錯、自行交錯所得植株或其雜交種。各種特定大麻變種 的確切類大麻酚含量可使用業界人士眾所周知方法如TLC 或HPLC以定性及定量方式測定。如此可選擇製備出的萃取 物將獲得CBD對THC或CBDV對THCV或THCV對THC之預 定比例的大麻變種。另外,也可將得自兩種或兩種以上不 同變種的萃取物混合或攙合而製造一種具有較佳類大麻酚 比例可供調配成醫藥配方的材料。 含THC-及含CBD_藥物之方便比例的準備可由培養大 麻的特定奇摩變種達成。此種奇摩變種(藉產生的類大麻酚 區別而非藉植物的形態特性區別的植株)已經經由熟諳技 藝人士熟習的多種植物育種技術育種。藉插接繁殖植株來 生產材料可確保基因型維持固定,因而確保每次植物收穫 含有實質相等比例的類大麻酚。 此外,發現經由園藝選種方法,也可獲得其它其類大 麻酚含量主要表現為次四氫大麻酚(THCV)或次大麻二酚 (CBDV)的奇摩變種。 就園藝方面而言,方便由插接生長產生THC、THC V、 CBD及CBDV作為主要類大麻酚之奇摩變種。如此確保各 植株的基因型完全相同,以及定性配方(生物物質中各種類 大麻酚比例)完全相同。由此奇摩變種,藉類似萃取方法可 製備萃取物。一次萃取物之方便製備方法包括浸潰、滲濾、 使用C1至C5醇(乙醇)、諾佛藍(HFA134a)、HFA227及液體 二氧化破加壓萃取。一次萃取物可進一步純化,例如藉超 本紙張尺度適用中國國家標準Α4規格(210X297公釐) 26 (請先閲讀背面之注意事項再填窝本頁) 、^τ— 五、發明説明(24 ) 臨界或次臨界萃取、氣化及層析術的純化。當使用前文列 舉的溶劑時,結果所得萃取物含有雜純脂溶性物質。 非特異性脂溶性物f可藉多項處理去除,包括急冷至-20 t接著過濾絲臘狀碎屑,制二氧化碳萃取及藉蒸潑去 除。較佳植物栽培及萃取物製備方法顯示於實例。所得萃 取物適合攙混於醫藥製劑。投藥方法可採用舌下滴劑、舌 下錠、凝膠劑及喷霧劑、氣霧吸入劑、氣化器及其它習知 醫藥口服劑型、淀腸劑及直腸栓劑。其它可能的配方引述 於Ik附之巾W專利㈣。最好萃取物係根據本發明之第一 及第二特徵方面被調配成自行乳化配方。 此等投藥途徑各有優缺點。通常經由呼吸道、口腔/ 鼻道及遠端直腸投藥的製劑可避開肝臟第一次通過效應。 吞嗓藥物第-次通過肝臟時進行實f代謝,產生的代謝產 物類型可能依據投藥途徑而改變。 有多種可藉大麻有效治療的醫療病情。此種製劑之不 同類大麻盼比例決定其治療的最好的醫療病情,本發明對 於最適合此項目的之配方問題獲得解決。如前述,本發明 之教示將以含特定比例類大麻紛之製劑之用途舉例說明 (表4) ’將進一步藉實例舉例說明。 經由直接實驗顯示,投予THC之前先投予cbd(或 CBDV)可修改出現的意識影響。將THc之精神作用影響減 至最低’將隨後鎮定作用延遲且緩和。若THc在⑽之前 投藥則無法觀察得此項減低效果。如此本發明之一較佳具 體實施例為-種頰用或舌下投藥用錠劑,其有一層快速溶 1222882 五、發明説明(25 ) 解的CBD或CBDV,以及第二層或芯層溶解較不快速的 THC或THCV。如此該配方提供一種可以定時順序吸收藥 物的手段。確實可調配多種包含二相之具有經修改的釋 側繪之配方。 本案申請人進一步觀察CBD可作為醫藥配方之醫藥安 疋劑,因而延長儲存壽命。不欲受理論所限,相信其原因 可能來自於CBD的抗氧化劑性質。雖然已知cbd之抗氧化 劑性質可用於有關活物質的藥理設計,但先前並未觀察到 可用作為藥物安定劑效果。 如此於本發明之另一特徵方面係關於使用cbd來延長 包含一或多種生物活性組成分之醫藥產品之儲存壽命。較 佳生物活性組成分陳述於隨附之申請專利範圍,屬於上表工 所示藥物及特定藥物類別之一或多者。 圖式之簡單說明 參照下列實例連同附圖將進一步了解本發明,附圖 中: 第1圖示意顯示根據本發明之劑型之包裝。 第2圖示意顯示根據本發明之劑型施用於上頷窩。 第3圖示意顯示劑型就位。 第4圖示意顯示劑型就位丨分鐘後典型觀察得的黏膜 染色。 f例1 製造10%預膠化澱粉溶液(組成分A),將一份粉狀預膠 化澱粉分散於9份水,加熱至膠化然後冷卻。預膠化玉米澱 本紙張尺度適用中國國家標準(〇^) A4規格(21〇><297公釐) 28 五、發明説明(26) 粉為美國國家處方級單章的主題。此種產物用作為後文實 例列舉之其它配方的組成分,稱作為「澱粉凝膠」。帶有負 表面電荷。 ZM1 接著說明本發明之配方之製備,其中使用蛇麻子萃取 物,蛇麻子萃取物是油性含樹脂物質用作為活性成分代用 品。有苦味,因此當活性成分刺激味蕾時且暗示活性成分 一黏膜父互作用時,病人即刻可分辨。配方於頰及舌下黏 膜的分布則以顏色的展開顯示。病人方面想吞嚥配方慾望 的升高則藉直接觀察做測量。 本實例中,配方之製法係將凝膠(含有至少一種帶負表 面严何活性組成分)組合具相反表面電荷的凝膠。相反表面 電荷的凝膠可視需要地含有至少—種可能與該相反電荷凝 膠或其它活性成分相同的活性組成分。當兩種帶相反表面 電荷的凝膠接觸在一起時發生凝聚,結果導致黏度改變, 但所得凝膠仍然為熱塑性,仍然可被_於模具。冷卻時, 疑膠固定成為撓性但又呈剛性凝膠。 糖明膠係經由牛或豬明膠或魚明膠(魚膠)18份及甘油 2伤,於水冷上與足夠製造最終重量100份重量比的蒸餾水 一起加熱製備。如此製造的糖明膠為透明剛性凝膠,出乎 意外地其W穩定。可對抗微生物的攻I,且與空氣於 60-70%相對濕度呈平衡。 由如下製備一種配方··I. The pharmaceutical formula of the present invention can be formulated from pure cannabis-like combinations and well-known pharmaceutical carriers and excipients. For example, CBD and THC can be purchased from Sigma-Aldrich Company, Puduoyi, Fanxi Road, Yuan 2 4QH. CBDV and THCV are derived from cannabis plants using techniques well known to the artisans. The use of cannabis plants and cannabinoids in certain areas requires government approval ', but the government has approved institutions for medical research and commercialization of drugs. The UK's approval certificate can be applied to the "Family Office. In a preferred embodiment of the present invention, the formula sentence eight | 上 — Wbar contains one or more cannabis paper This paper size is applicable to the Chinese National Standard (CNS) A4 specification (210X297) (%) 25 1222882 A7 __B7__ 5. Description of the invention (23) Extracts of whole plant varieties, especially wild cannabis, Indian cannabis or plants obtained by genetic interleaving and self-interlacing or their hybrids. Exact cannabinoid content of various specific cannabis variants It can be determined qualitatively and quantitatively using methods well known to those in the industry, such as TLC or HPLC. In this way, the extract can be prepared to obtain a cannabis variant with a predetermined ratio of CBD to THC or CBDV to THCV or THCV to THC. Alternatively, The extracts obtained from two or more different variants are mixed or blended to produce a material with a better ratio of cannabinoids that can be formulated into a pharmaceutical formula. The preparation of convenient ratios containing THC- and CBD_ drugs can be prepared by Cultivation of specific chima variants of marijuana was achieved. Such chima variants (differentiated by cannabinoids produced rather than by morphological characteristics of plants) Strains) have been bred through a variety of plant breeding techniques familiar to skilled artisans. The production of materials by plugging propagation plants can ensure that the genotype is maintained and thus ensure that each plant harvest contains a substantially equal proportion of cannabinoids. In addition, it has been found that through horticulture Selection methods can also obtain other Chimo variants whose cannabinoid-like content is mainly represented by hypotetrahydrocannabinol (THCV) or subcannabinol (CBDV). As far as horticulture is concerned, it is convenient to produce THC by plug growth, THC V, CBD and CBDV are the main variants of cannabis-like chimeras. This ensures that the genotypes of all plants are exactly the same, and the qualitative formula (the proportion of various cannabinoids in biological substances) is exactly the same. Therefore, the variants of chimera use similar extraction methods Extracts can be prepared. Convenient methods for preparing a single extract include immersion, diafiltration, C1 to C5 alcohols (ethanol), Norfolk Blue (HFA134a), HFA227, and liquid dioxide. Pressure extraction. A single extract can be further extracted Purification, for example, the size of this paper exceeds the Chinese national standard A4 specification (210X297 mm) 26 (Please read the back first Note for refilling this page), ^ τ— V. Description of the invention (24) Critical or subcritical extraction, gasification and purification of chromatography. When the solvents listed above are used, the resulting extract contains heteropure lipids Soluble substances. Non-specific fat-soluble matter f can be removed by a number of treatments, including quenching to -20 t and then filtering the silk-like debris, carbon dioxide extraction and removal by evaporation. The preferred plant cultivation and extract preparation methods are shown in Example. The obtained extract is suitable for mixing in pharmaceutical preparations. The method of administration can be sublingual drops, sublingual tablets, gels and sprays, aerosol inhalers, gasifiers, and other conventional pharmaceutical oral dosage forms. Intestines and rectal suppositories. Other possible formulations are cited in the patent attached to the towels attached to Ik. Preferably, the extract is formulated into a self-emulsifying formulation according to the first and second characteristic aspects of the present invention. These routes of administration have their own advantages and disadvantages. Formulations usually administered via the respiratory, oral / nasal and distal rectum avoid the first-pass effect of the liver. The swallowing drug undergoes actual metabolism when it passes through the liver for the first time, and the type of metabolite produced may change depending on the route of administration. There are many medical conditions that can be effectively treated with cannabis. The proportion of different cannabis in this preparation determines the best medical condition to be treated, and the present invention solves the formulation problem that is most suitable for this project. As mentioned above, the teaching of the present invention will be illustrated by the use of a preparation containing a specific proportion of cannabis (Table 4) 'and will be further illustrated by examples. Direct experiments have shown that administering cbd (or CBDV) before administering THC can modify the effect of consciousness. Minimizing the psychic effects of THc ’will delay and moderate the sedative effect subsequently. This reduction effect cannot be observed if THc is administered before ⑽. As such, one of the preferred embodiments of the present invention is-medicinal lozenge for buccal or sublingual administration, which has a layer of fast dissolving 1222882 V. Explanation of the invention (25) solution of CBD or CBDV, and the second layer or core layer dissolving Less fast THC or THCV. The formulation thus provides a means of absorbing the drugs in a timed sequence. It is indeed possible to formulate a variety of two-phase formulations with modified release profiles. The applicant of this case further observed that the CBD can be used as a pharmaceutical tincture for pharmaceutical formulations, thus prolonging the storage life. Without wishing to be bound by theory, it is believed that the reason may come from the antioxidant properties of the CBD. Although it is known that the antioxidant properties of cbd can be used for the pharmacological design of living substances, it has not previously been observed to be effective as a drug stabilizer. Thus, in another feature aspect of the present invention is the use of cbd to extend the shelf life of a medicinal product containing one or more biologically active components. The composition of the better biological activity is stated in the scope of the attached patent application and belongs to one or more of the drugs and specific drug categories shown in the table above. Brief description of the drawings The present invention will be further understood with reference to the following examples together with the accompanying drawings, in which: Figure 1 schematically shows the packaging of a dosage form according to the present invention. Figure 2 shows schematically the application of a dosage form according to the invention to the palatal fossa. Figure 3 schematically shows the dosage form in place. Figure 4 shows schematically the mucosal staining that is typically observed after the dosage form has been in place for one minute. fExample 1 A 10% pregelatinized starch solution (component A) was prepared. One part of the powdered pregelatinized starch was dispersed in 9 parts of water, heated to gelatinization, and then cooled. Pregelatinized corn starch This paper is in accordance with Chinese national standard (〇 ^) A4 size (21〇 < 297 mm) 28 V. Description of the invention (26) Powder is the subject of a national prescription-level single chapter in the United States. This product is used as a component of other formulations listed in the examples below, and is referred to as "starch gel". With negative surface charge. ZM1 Next, the preparation of the formulation of the present invention is described, in which a hop extract is used, which is an oily resin-containing substance used as a substitute for an active ingredient. It has a bitter taste, so when the active ingredient stimulates the taste buds and implies the active ingredient-mucosal parent interaction, the patient is immediately discernible. The distribution of the formula on the cheeks and sublingual mucosa is shown by color development. The patient's increased desire to swallow the formula is measured by direct observation. In this example, the formulation is made by combining a gel (containing at least one active component with a negative surface) with a gel having opposite surface charges. The oppositely surface-charged gel may optionally contain at least one active ingredient that may be the same as the oppositely-charged gel or other active ingredient. When two gels with opposite surface charges contact together, agglomeration occurs, resulting in a change in viscosity, but the resulting gel is still thermoplastic and can still be used in the mold. When cooled, the gel fixed to a flexible but rigid gel. Sugar gelatin is prepared by heating 18 parts of bovine or pig gelatin or fish gelatin (fish gelatin) and glycerol, and heating it on water cooling with distilled water sufficient to make a final weight of 100 parts by weight. The sugar gelatin thus produced is a transparent rigid gel, which is unexpectedly stable. It is resistant to attack by microorganisms and is in equilibrium with air relative humidity of 60-70%. Prepare a formula from ...

本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐) 1222882 A7 B7 五、發明説明(27 ) 一硬脂酸甘油酯(SE) 大豆卵填脂 葉綠素(油溶性) 組成分A 生育盼BP 蛇麻子萃取物 糖明膠製造 5份 7份 3份 30份 0.1份 10份 100份 混合物以攪拌加熱至9(rc溫度(使用水浴或微波爐加 熱)。混合物經徹底攪動然後於仍然熔化狀態將每份2克配 漿於已經使用離型劑處理的鋁箔模具。某些離型劑適合用 於此項用返,聚石夕氧或蜂犧於正己烧溶液喷霧於凹面模 具,讓溶劑蒸乾。所得成品重量改變而容納每件高達約25〇 宅克大麻容量,表示含有約15〇毫克THC或CBD。 當冷卻時,積層箔置於模具上藉加熱密封。將空氣抽 成真空置換成氮氣係在密封前進行,故完成的單位劑型之 殘餘空間變成惰性非氧化氣氛。 如此製成的產物為長|卩形凝膠劑,有一凸面以及 坦面。含有油溶性著色劑,指示乳液於口腔内分布的樣式 攙此葉綠素作為揭露劑是一種可視需要採用的特色;當使 用葉綠素時表示含藥物產物展開的頰黏膜區。本發明之特 色舉例說明於第1-4圖。熟諳技藝人士顯然易知乳化劑以 包裝物理形狀及形式之變化也屬於本發明之教示範圍。tMl 前述配方製造一種彈性但剛硬凝膠產物。當半鍵放 於上颢於任一側口腔内側間(上頷竇)時半錠在一分鐘以 平 及 置内 (請先閲讀背面之注意事項再填寫本頁) .、可丨 本紙張尺度適财關家標準(CNS) A4規格(210X297公釐) 五、發明説明(28 ) J 口熔化兩刀J里捋已經產生乳化物質覆蓋於頰黏膜上。 當放置於上頷與頰黏_時凝膠並無任何感覺,也不會誘 ㈣吞下該藥劑的需求。覆蓋的頰黏膜區可於給藥前、給 樂後1分鐘、2分鐘、5八如 TZ 1 Γν \ 刀名里及10力鐘或者其它方便的時間攝 影記錄獲得證實。 此配方略被有葉綠素口味的特徵,將凝膠放置就位後 長達1 〇刀1里可刀辨出有蛇麻子萃取物,如此證實於此段期 間於口咽存在有「控制釋放藥物」。 顏色的分布(1分鐘㈣,味覺持續長達1G分鐘)指示此 類型配方適合作為投予高度脂溶性藥物如大麻萃取物或類 大麻盼之媒劑。調㈣可用於臨床試驗作為自行指示安尉 劑製劑。附圖指出-半產物置於σ中之分布情況。產物之 構型、原位乳化時產物之分布面積顯示於第丨_4圖。第3圖 顯不该裝置原先放置位置。為求清晰,顯示產品置於口腔 一側。但也可平分放置於兩側而確保獲得最大分布。另外 可同時放置含有不同活性成分的產物但放在口中兩遍。 實例4 貫例1所不裝置被夾在兩片尼龍網間,附著在錠分布 設備監(ΒΡ設計)於35°C。凝膠於丨_2分鐘以内分散而形成精 細且質地均勻的乳液。 實例5 本貝例係有關含大麻萃取物混合物劑型之製備。為方 便參照將大麻萃取物稱作為以大麻為主之藥物萃取物 (CBME)。得自可生產類大麻酚總量大於9〇%為大麻二紛 1222882 A7 B7 五、發明説明(29 ) (請先閲讀背面之注意事項再填寫本頁) (CBD)之大麻奇摩變種係經由超臨界流體萃取乾燥後的大 麻製備。稱作為CBME-G5。同理,類大麻酚總量有高比例 (高於95%)為四氫大麻酚(THC)之萃取物稱作為 CBME-G1。本實例配方可變更而容納含較大或較少含量類 大麻酚之CBME,俾達成預定THC對CBD及其它類大麻盼 比例。含THC對CBD不同比例之產物可用於治療特定醫療 病情。 經由熔化下列成分製造混合物: 一油酸甘油酯 10份 大豆卵填脂 10份 薑黃素 0.1份 組成分A 20份 CBME-G5 獲得 CBD 1 份 CBME-G1 獲得 THC 2 份 α-生育酚 0.1份 抗壞血酸基棕櫚酸酯ΒΡ 0.1份 糖明膠而製造 100份 各組成分以溫和加熱於水浴上混合,攪拌,趁熱倒入 模具内。於模具内之產物如實例1完成且於惰性氣體下密 封。 本配方中,薑黃素提供明亮黃色,讓產品於口腔之分 布區可分辨。α-生育酚及抗壞血酸基棕櫚酸酯為抗氧化 劑,其連同一油酸甘油酯可獲得有效抗氧化系統。 本劑型尺寸相當大(1 -2克)可攙混比較大量活性成分 於劑型。大麻二酚之劑量為900毫克/日,所述劑型讓此劑 量每日平分2-9劑(較好2-4劑)投藥。 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) -32 - A222882 5份 〇·5份 79.3 份 10份 5份 〇·1份 〇·1份 10份 、發明説明(30 ) 就w/w而言,四氫大麻酚比大麻二盼更具活性,若需 要較小單位劑量(THC),則可將此劑量涵括於習知大小的 舌下錠。實例6說明此種錠劑配方。 一硬脂酸甘油醋(自行乳化級) 波利索貝(Polysorbate)80 乳糖(直接壓縮級)This paper size applies Chinese National Standard (CNS) A4 (210 X 297 mm) 1222882 A7 B7 V. Description of the invention (27) Glyceryl monostearate (SE) Soy egg filling chlorophyll (oil-soluble) Group A Fermentation BP hop extract extract sugar gelatin 5 parts 7 parts 3 parts 30 parts 0.1 parts 10 parts 100 parts mixture to stir and heat to 9 (rc temperature (using a water bath or microwave oven). The mixture is thoroughly stirred and then still melted Mix 2 grams of each part into an aluminum foil mold that has been treated with a release agent. Some release agents are suitable for this purpose. Polylithium oxide or bee sacrifices a solution of n-hexane to spray the concave mold to let the solvent Evaporate to dryness. The weight of the finished product can be changed to accommodate up to about 250 grams of cannabis, which means it contains about 150 mg of THC or CBD. When cooling, the laminated foil is placed on the mold and sealed by heating. The air is evacuated and replaced by vacuum. The nitrogen formation is performed before sealing, so the residual space of the completed unit dosage form becomes an inert non-oxidizing atmosphere. The product thus produced is a long | 卩 -shaped gel with a convex surface and a frank surface. It contains oil-soluble Agent, indicating the distribution pattern of the emulsion in the mouth. This chlorophyll as a revealing agent is a feature that can be used as needed; when using chlorophyll, it indicates the area of the buccal mucosa containing the drug product. The features of the present invention are illustrated in Figures 1-4 It is obvious to those skilled in the art that the physical shape and form of the emulsifier in the package are also within the scope of the teaching of the present invention. TMl The aforementioned formula produces an elastic but rigid gel product. When the half key is placed on the upper side of the oral cavity The medial (superior palatal sinus) half-ingot is leveled and placed in one minute (please read the precautions on the back before filling this page). This paper size can be adapted to the CNS A4 specification (210X297) (28 mm) V. Description of the invention (28) J mouth melted and two knives. J Lichen has produced an emulsified substance covering the buccal mucosa. When placed on the upper cheek and buccal adhesion, the gel does not have any sensation, nor does it induce temptation. The need to swallow the agent. The covered buccal mucosa area can be confirmed before administration, 1 minute, 2 minutes after giving music, such as TZ 1 Γν \ Dao Lili and 10 Li Zhong or other convenient time photography records. This formulation is slightly characterized by chlorophyll taste. After placing the gel in place, it can be identified as a hop extract for as long as 10 knives. This confirms the existence of a "controlled release drug" in the oropharynx during this period. The distribution of color (1 minute ㈣, taste lasts up to 1G minutes) indicates that this type of formula is suitable as a vehicle for the administration of highly fat-soluble drugs such as cannabis extract or marijuana-like drugs. Tune can be used in clinical trials as a self-indicating safety The agent preparation. The figure indicates-the distribution of the semi-product in σ. The configuration of the product and the distribution area of the product during in-situ emulsification are shown in Figure 丨 _4. Figure 3 shows the original placement of the device. For clarity, the display product is placed on one side of the mouth. However, it can also be placed equally on both sides to ensure maximum distribution. Alternatively, products containing different active ingredients can be placed at the same time but in the mouth twice. Example 4 The device of Example 1 was sandwiched between two nylon meshes and attached to an ingot distribution equipment monitor (designed by BP) at 35 ° C. The gel is dispersed within 2 minutes to form a fine and uniform emulsion. Example 5 This example relates to the preparation of a dosage form containing a mixture of cannabis extracts. For convenience, the cannabis extract is referred to as cannabis-based medicinal extract (CBME). Obtained from a total of more than 90% of the cannabinoids that can be produced are cannabis. 1222882 A7 B7 V. Description of the invention (29) (Please read the notes on the back before filling this page) (CBD) The cannabis variant of the cannabis is super Critical fluid extraction of dried cannabis preparation. Called CBME-G5. Similarly, an extract with a high proportion (over 95%) of total cannabinoids is tetrahydrocannabinol (THC), which is called CBME-G1. The formula of this example can be modified to accommodate CBME containing larger or lesser amounts of cannabinoids, so as to achieve the desired THC to CBD and other cannabis ratios. Products containing different ratios of THC to CBD can be used to treat specific medical conditions. Mixture is made by melting the following ingredients: glyceryl monooleate 10 parts soybean egg fat 10 parts curcumin 0.1 part composition A 20 parts CBME-G5 obtains CBD 1 part CBME-G1 obtains THC 2 parts α-tocopherol 0.1 part ascorbic acid Base palmitate BP 0.1 parts sugar gelatin to make 100 parts of each component are gently heated on a water bath, mixed, stirred, and poured into a mold while hot. The product in the mold was completed as in Example 1 and sealed under an inert gas. In this formula, curcumin provides a bright yellow color to make the product distinguishable in the area of the mouth. Alpha-tocopherol and ascorbyl palmitate are antioxidants, which can be combined with glyceryl oleate to obtain an effective antioxidant system. The size of this dosage form is quite large (1-2 grams), and a large amount of active ingredients can be mixed in the dosage form. The dosage of cannabidiol is 900 mg / day, and the dosage form allows this dose to be divided into 2-9 (preferably 2-4) doses per day. This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 mm) -32-A222882 5 parts 0.5 parts 79.3 parts 10 parts 5 parts 0.1 parts 0.1 parts 10 parts, the invention description (30) In terms of w / w, tetrahydrocannabinol is more active than cannabinol. If a smaller unit dose (THC) is required, this dose can be included in a conventional sublingual tablet. Example 6 illustrates this lozenge formulation. Monostearic acid glycerol vinegar (self-emulsifying grade) Polysorbate 80 lactose (direct compression grade)

可溶性殿粉 四氫大麻紛 抗壞血酸基棕櫊酸酉旨 OC-生育紛 乙醇(脫水)BP 一硬脂酸甘油酯、波利索貝、抗壞血酸基棕櫚酸酯、 心生月酚及THC分散溶解於醇。醇溶液噴乾於經過徹底滿 合的乾粉成分上。讓乙醇蒸發,顆粒灑上1%滑石粉且於習 知打錠機壓縮成重101毫克的目標錠。使用直徑7毫米或s 笔米的雙凸衝頭來製造具有高表面/重量比的錠劑。錠劑當 放置於接觸舌下黏膜或頰黏膜時吸水。溶解速率可經由變 更壓縮程度調整。壓縮至丨_3牛頓壓力製造的錠而於〇5一 分鐘時間分散。崩散係藉實例4所述方法測定,此種錠之崩 散時間少於4分鐘。 實例7 由自行乳化配方產生乳液非僅限於固體劑型。後文實 例中舉例說明三種適合舌下用的液體配方。經由將下列成 分(數量以重量份數表示)一起熔化(溫度不超過5〇。〇)製造 溶液劑·· 本紙張尺度適用中國國家標準(CNS) Α4規格(210Χ297公董) 33 (請先閱讀背面之注意事項再填寫本頁)Soluble powder tetrahydrocannabinol ascorbyl palmitate purpose OC-tocopherol (dehydrated) BP monoglyceryl stearate, polizobe, ascorbyl palmitate, cardanol and THC disperse in alcohol . The alcohol solution is spray-dried on the thoroughly dry powder ingredients. The ethanol was allowed to evaporate, the granules were sprinkled with 1% talc and compressed in a conventional tableting machine to a target tablet weighing 101 mg. Biconvex punches with a diameter of 7 mm or s pen meters are used to make lozenges with a high surface / weight ratio. Lozenges absorb water when placed in contact with the sublingual or buccal mucosa. The dissolution rate can be adjusted by changing the degree of compression. The ingots compressed to __3 Newton pressure were dispersed over a period of one minute. The disintegration was measured by the method described in Example 4. The disintegration time of this ingot was less than 4 minutes. Example 7 The production of emulsions from self-emulsifying formulations is not limited to solid dosage forms. The examples below illustrate three liquid formulations suitable for sublingual use. The following ingredients (quantity expressed in parts by weight) are melted together (temperature does not exceed 50.0) to produce a solution ... This paper size applies the Chinese National Standard (CNS) A4 specification (210 × 297 public directors) 33 (Please read first (Notes on the back then fill out this page)

1222882 A7 B7 五、發明説明(31 ) A B C 一硬脂酸甘油酯(自行乳化) 2 2 2 中鏈三酸甘油酯 5 - - 克摩佛RH40 30 26.5 - CBME 10 10 CBME-G1 獲得 THC 5 CBME-G5 獲得 CBD 5 α-生育紛 0.1 - - 抗壞血酸基棕櫚酸酯 0.1 - - 丙二醇 - - 44 乙醇ΒΡ 52.8 61.5 44 總量 100 100 100 (請先閲讀背面之注意事項再填寫本頁) 混合各成分獲得的產物以10毫升量配漿於玻璃小瓶 内使用幫浦作用的喷霧散開鈕封閉,每1毫升產物含100毫 克THC,每次引動幫浦可輸送細小喷霧直接導引至舌下黏 膜區。 單獨CBME於乙醇溶液通常不適合作為喷霧劑。純乙 醇溶劑的刺激性質常限制其施用於黏膜量,因可能造成病 人不適。出乎意外地添加自行乳化一次界面活性劑及增溶 劑將允許一單位劑型含有更大量類大麻酚。喷霧小量於舌 下或頰黏膜結果造成相當量的乙醇蒸散,如此製造的乳液 不具有刺激性,不會刺激吞σ燕反射。如此提供原位形成乳 液較長時間接觸舌下或頰黏膜。此種配方之特殊特性為中 鏈三酸甘油酯之助溶劑活性同時也作為二次乳化劑。 上列配方「Β」之黏度為100-350厘泊之範圍。 實例8 34 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) 1222882 A7 B7 五、發明説明(32 ) 固體劑型可為軟明膠膠囊劑,可被軋碎放出藥物而獲 得乳液。然後將膠囊吞嚥讓其餘劑量於胃腸道的其餘部分 吸收。軟明膠膠囊劑獲得藥物乳化形式可由胃腸道任何部 位吸收。膠囊物質可由下列成分製備: 一硬脂酸甘油酯(自行乳化) 5份 波利索貝80 1份 蜂蠟 5份 CBME G1 獲得THC 10份 CBME G5獲得CBD 10份 α-生育紛 〇·1份 抗壞血酸基棕櫚酸酯 0.1份 蛇麻子油製造 100份重量比 實例9 使用植物膠凝劑而非動物膠凝劑之頰用劑 後: 山梨糖醇 35份 阿拉伯膠 20份 一油酸甘油酯 10份 印磷_脂 10份 CBME-1獲得5毫克THC 5份 CBME-5獲得5毫克CBD 5份 生育酚 0.1份 抗壞血酸基棕櫚酸酯 0.1份 香草素 0.1份 ΒΗΤ 0.01 份 甘油 5.0份 水 適量 35 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 _____ B7 五、發明説明(33 ) 月曰〉谷性成分於7 〇 C温度 '丨谷化在一起。山梨糖醇混人 拉伯膠,分散於甘油,添加至其它固體成分。加水,物質 於彿水浴上加熱至均勻分散/溶解。趁著6(rc溫度將物質分 配於模具内(如實例1所述)。物質也可鑄製或軋製成為薄 片,較佳厚度2.5毫米。切下40毫米面積之卵形或六角形 塊’將各小片施用於大於小片之非沾黏性襯片,且覆蓋非 黏著性保護膜。如此形成的貼片於惰性氣體氣氛下密封於 可熱封積層箔製成的口袋内。如此製造的產品適合治療偏 頭痛、關節炎、癲癇、多發性硬化及其它類型神經病變疼 痛及神經原性疼痛病人,需要藥物釋放長達丨小時時間。此 配方之崩散時間大於90分鐘。 實例10 獲得各成分快速釋放以及進一步長期時間釋放其它 成分之產物可藉組合單位劑型獲得。使用實例8所述配方, 將定量加熱後的物質填裝入模具内或鑄造成薄膜讓其硬 化。然後將一層實例5所述材料鑄造於實例9所述明膠表 面。然後如本實例所述將複合凝膠包裝。兩層之物質比例 變化可獲得該單位劑型產生動力學側繪的修改。 某些情況下可能希望依時間相關順序投予兩種藥 物。出現成對藥物中之一種對另一種有保護效果。實例1〇 ㈣先前實例所述該型複合凝膠配方。實例n所述配方提 | 供CBD,其為抗氧化劑,6知對THC具有保護效果,因此 可恰在THC之前經由頰/舌下黏膜吸收。大麻二紛含於快速 釋放層’ THC係由延遲釋放層溶解。實例n說明具有不同 ^紙張尺度適财關家標準(⑽)爾格(2歌297公營) -----1222882 A7 B7 V. Description of the invention (31) ABC glyceryl monostearate (self-emulsifying) 2 2 2 medium chain triglyceride 5--CMOFO RH40 30 26.5-CBME 10 10 CBME-G1 obtained THC 5 CBME -G5 Obtain CBD 5 α-Tocopheryl 0.1--Ascorbyl palmitate 0.1--Propanediol--44 Ethanol BP 52.8 61.5 44 Total 100 100 100 (Please read the notes on the back before filling this page) Mix the ingredients The obtained product was sealed in a glass vial with a volume of 10 ml and closed with a pump spray opening button. Each 1 ml of the product contained 100 mg of THC. Each time the pump was pumped, a fine spray could be delivered directly to the sublingual mucosa Area. CBME alone in ethanol solution is generally not suitable as a spray. The irritating nature of pure ethanol solvents often limits the amount of mucosa that can be applied to it, as it may cause discomfort to the patient. The unexpected addition of self-emulsifying primary surfactants and solubilizers will allow a unit dosage form to contain larger amounts of cannabinoids. Spraying a small amount on the sublingual or buccal mucosa results in a considerable amount of ethanol evapotranspiration. The emulsion thus produced is not irritating and will not stimulate swallow sigma reflex. This provides a long-term formation of the emulsion in contact with the sublingual or buccal mucosa. The special feature of this formula is the solubilizing activity of medium-chain triglycerides, and it also acts as a secondary emulsifier. The viscosity of the above formula "B" is in the range of 100-350 centipoise. Example 8 34 This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of the invention (32) The solid dosage form can be a soft gelatin capsule, which can be crushed to release the drug to obtain an emulsion. The capsule is then swallowed to allow the remaining dose to be absorbed in the rest of the gastrointestinal tract. Soft gelatin capsules are available in pharmaceutical emulsified form and can be absorbed by any part of the gastrointestinal tract. Capsule material can be prepared from the following ingredients: glyceryl monostearate (self-emulsifying) 5 parts Polisobe 80 1 part beeswax 5 parts CBME G1 obtains THC 10 parts CBME G5 obtains CBD 10 parts α-fertility 0.1 · 1 ascorbic acid group 100 parts by weight of palmitic acid, 0.1 part of hop oil, Example 9 Cheek preparation using vegetable gelling agent instead of animal gelling agent: Sorbitol 35 parts Gum Arabic 20 parts Glyceryl monooleate 10 parts Phosphorus _ 10 parts of CBME-1, 5 mg of THC, 5 parts of CBME-5, 5 parts of CBD, 5 parts of tocopherol, 0.1 parts of ascorbyl palmitate, 0.1 parts of vanillin, 0.1 parts of BHT, 0.01 parts of glycerin, 5.0 parts of water, and 35 parts of water (read first Note on the back, please fill in this page again) This paper size is in accordance with Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 _____ B7 V. Description of the invention (33) Months> Valley ingredients at 70 ° C '丨Grain together. Sorbitol is mixed with labber gum, dispersed in glycerin, and added to other solid ingredients. Add water and heat the material on the Buddha's water bath to disperse / dissolve uniformly. Distribute the substance in the mold while at 6 (rc temperature (as described in Example 1). The substance can also be cast or rolled into thin slices, preferably 2.5 mm thick. Cut an oval or hexagonal block of 40 mm area ' Each piece is applied to a non-adhesive liner that is larger than the piece, and is covered with a non-adhesive protective film. The patch thus formed is sealed in a pocket made of heat-sealable laminated foil under an inert gas atmosphere. The product thus manufactured Suitable for treating patients with migraine, arthritis, epilepsy, multiple sclerosis and other types of neuropathic pain and neurogenic pain, requiring drug release for up to 丨 hours. The disintegration time of this formula is greater than 90 minutes. Example 10 Obtaining the ingredients The product of rapid release and further long-term release of other ingredients can be obtained by combining unit dosage forms. Using the formulation described in Example 8, the quantitatively heated substance is filled into a mold or cast into a film to harden. Then a layer of Example 5 The material was cast on the gelatin surface described in Example 9. Then the composite gel was packaged as described in this example. The unit ratio of the two layers can be changed to obtain this unit. Modification of the kinetic profile of the type. In some cases it may be desirable to administer two drugs in a time-dependent order. One of the paired drugs appears to have a protective effect on the other. Example 10—The compound described in the previous example Gel formula. The formula described in Example n provides CBD, which is an antioxidant and has a protective effect on THC, so it can be absorbed through the buccal / sublingual mucosa just before THC. Hemp II is contained in the fast-release layer ' THC is dissolved by the delayed release layer. Example n shows that there are different ^ paper standards for financially appropriate family standards (⑽) Erge (2 songs 297 public) -----

、tri (請先閲讀背面之注意事項再填寫本頁) 1222882 A7 B7 五、發明説明(34 ) 溶解特性之兩層組成的單位劑型。 實例11 一油酸甘油酉旨 7份 大豆卵礙脂 7份 阿拉伯膠 15份 四氫大麻紛 10份 α-生育盼 0.1份 木糖醇 5.1份 甘油 3份 純水 製成100份 (請先閲讀背面之注意事項再填寫本頁) 熔融物質係如先前實例製造,將整份於模具内鑄造或 鑄造成薄片。 (b) 一油酸甘油S旨 15份 大豆卵填脂 10份 組成分A 20份 α-生育盼 〇·1份 大麻二酚 20份 糖明膠製造 100份 質塊係如實例2所述製備。質塊於含一份配方(a)之模 具内被澆鑄作為第二層。於其界面兩種成分略微熔化及熔 接而形成黏附產物。若凝膠係於凹面模具鑄造,則產物有 個平坦面,其當接觸黏膜時首先分散,如此產生各成分吸 收先後順序。 一層配方(b)可澆鑄於配方(a)薄片表面上。兩種配方含 膠體組成分,帶有相反符號電荷且於熔化區段藉凝聚而產 生良好黏著。然後複合層切割成適合施用於口腔黏膜形 狀。產品如實例3所示包裝及保護不接觸空氣及光線。 37 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7B7 五、發明説明(35 ) 實例12 下述實例舉例說明意圖喷霧施用於頰黏膜之配方之 獨特特色、其施用方法、經由頰吸收比較舌下投藥產生的 血中濃度。 以下為適合頰投藥之液體配方範例。經由溶解(溫度不 超過50°C )下列成分製造溶液(定量細節係以份數重量比表 示): a b c d e 一硬脂酸甘油酯(自行乳化) 2 - 2 - 2 一油酸甘油酯(自行乳化) - 2 - 2 - 克摩佛RH40 20 30 30 20 30 CBME-G1 獲得 THC 5 10 - - - CBME-G5 獲得 CBD - - 5 10 - CBME-G1 及G5獲得THC & CBD - - - - 各為10 α-生育紛 0.1 0.1 0.1 0.1 0.1 抗壞血酸基棕櫚酸酯 0.1 0.1 0.1 0.1 0.1 乙醇ΒΡ製造 100 100 100 100 100 以大麻為主的藥物萃取物(CBME)為一種大麻萃取物 其製法例如使用液體二氧化碳浸潰,藉冷卻濃乙醇溶液至 -20t溫度去除碎屑,藉過濾或離心去除沈澱的惰性植物成 分。 將各成分混合製成的產物以每份6毫升量配漿於玻璃 小瓶内,使用幫浦作動喷霧器密封。使用時,劑量由散開 鈕或習知設計排放出。適合用於此項目的之專有裝置為法 洛斯製造的VP7型,但由其它製造商也可購得類似的設 計。小瓶可包封在二次包裝内讓喷霧被導引至頰黏膜特定 38 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 — —___B7 五、發明説明(36 ) 區。另外,可使用有延長部的專用鈕來導引喷霧至頰黏膜 較佳區域。 每1毫升產物含有50-100亳克A9-四氫大麻酚(THC)及/ 或大麻一盼(CBD)。每次作動幫浦送出一次噴霧,喷霧可 被導引至頰黏膜。於前述配方使用具有已知類大麻酚強度 之CBMEs。CBME-G1為得自THC高產量之大麻種系,= CBME-G5係得自CBD高產量變種。熟諳技藝人士顯然易知 經純化後的類大麻酚以及得自類大麻酚之萃取物可如前述 藉定量調整調配。 雖然單獨CBME於乙醇溶液可用作為喷霧,但類大麻 酚之輸送量受到作為溶劑的高濃度純乙醇的刺激性質所 限。如此限制可施用於黏膜而不會造成病人不適的用量。 一組病人接受於前述類型溶液劑之THC或CBD,將嘴霧導 引至舌下或導向頰黏膜,病人一致報告舌下施用時有刺痛 感,但當該溶液噴霧於頰黏膜時則無不適或輕度不適。進 一步出乎意外地發現添加自行乳化一次界面活性劑作為增 溶劑,將允許一單位劑量含更大量類大麻酚。噴霧小量此 型配方至頰黏膜,不會造成吞嚥反射出現可覺察的刺激。 如此提供原位形成乳液接觸頰表面經歷較長停駐時間。 配方投予一組13位病人,其經由舌下錠、舌下幫浦作 動喷霧、或頰途徑接受4毫克THC、4毫克CBD或安慰劑(單 獨媒劑)。 類大麻酚及一次代謝產物的吸收[吸收曲線下方面積 (AUC)]係以投藥後採血樣測定。下表列舉規度化平均值。 本紙張尺度適用中國國家標準(CNS) A4規格(21〇χ297公釐) 39 ----- * - (請先閲讀背面之注意事^再填窝本頁) •、一-T— 1222882 A7 B7 五、發明説明(37 ) 血漿被分析物 PAS舌下 舌下錠 投藥途徑 口咽 AUC AUC AUC THC 2158.1 1648.4 1575.0 11 OH THC 3097.6 3560.5 2601.1 CBD 912.0 886.1 858.0 結果顯示經舌下及頰(口咽)途徑吸收的類大麻酚總量 類似,但口咽(頰)投藥後偵測得11-0H代謝產物含量實質減 低(約減低25%)。此項發現係於頰用配方減少吞嚥(以及隨 後減少肝臟)代謝不一致。 已知THC 11-羥代謝產物的精神作用活性比親代化合 物更高。因此希望減少投藥期間此種代謝產物含量,而此 項目的可藉由使用可減少被吞嚥的頰用或舌下劑量的配方 及施用方法達成。幫浦作動喷霧劑顯然是減少被吞嚥而於 口咽高度以下從胃腸道吸收代謝物質量的有效手段。 實例13 使用幫浦動作配漿器,可將特定量的凝膠以需要的精 準度及藥物施用再現性配漿。凝膠係由下列成分製備而得 (份數重量比): 羧甲基纖維素鈉 2 一硬脂酸甘油醋 10 甘油 10 CBME-G1 及 G5 獲得 THC 及 CBD 5 乙醇 40 抗壞血酸 0.1 生育酚 0.1 水加至 100 40 (請先閱讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(38 ) 非水性成分於不高於50°C —起熔化至均勻懸浮。然後 加水製成黏稠乳酪狀凝膠,小心混合時不要引進空氣。產 物趁溫熱配漿於容器内且以幫浦配漿器頭(25 1/33 1型)密 封,由法洛斯公司提供。配漿器裝置的頭可送出一條凝膠, 而當壓力解除時,凝膠又充分回縮而確保凝膠粒子不會暴 露於外。定量凝膠被導引至頰表面而黏著於其上。當頰表 面返回其正常位置時,凝膠物質由唾液中吸收較大量水而 獲得其藥物電荷。 實例14 實驗顯示改變自行乳化劑含量以及帶負電及帶正電 增黏劑比例對口腔溶解/崩散時間的影響。 如實例1及2所述固體凝膠配方係經由將各成分於冬饮 波爐加熱至獲得均勻熔融質塊。熔融質塊使用吉伯森型滴 量管直接配漿至回收的塑膠泡胞,該泡胞已經使用70%酒 精洗滌及風乾。於BP型裝置測量崩散時間。 影響說明如後: 隨著質塊的增加崩散時間延長: G001/A(i) G001/A(ii) GOOl(iii) 質量(毫克) 586 807 2140Tri (please read the notes on the back before filling this page) 1222882 A7 B7 V. Description of the invention (34) A unit dosage form consisting of two layers of dissolution characteristics. Example 11 Glycerol monooleate, 7 parts soybean egg fat, 7 parts gum arabic, 15 parts tetrahydrocannabinoid, 10 parts α-tocopherol, 0.1 parts xylitol, 5.1 parts glycerin, 3 parts pure water, and 100 parts (read first Note on the back, please fill in this page again.) Molten material is manufactured as in the previous example, and the entire part is cast or cast into thin pieces in a mold. (b) Glycerol monooleate 15 parts Soy egg filling 10 parts Component A 20 parts α-tocopherol 0.1 part cannabidiol 20 parts Sugar gelatin 100 parts The mass was prepared as described in Example 2. The mass is cast as a second layer in a mold containing a portion of formula (a). At the interface, the two components are slightly melted and welded to form an adhesion product. If the gel is cast on a concave mold, the product has a flat surface, which first disperses when it comes into contact with the mucosa, so that the absorption sequence of each component is generated. A layer of formula (b) can be cast on the surface of the sheet of formula (a). Both formulations contain a colloidal component, with oppositely charged signs, and produce good adhesion by agglomeration in the melting section. The composite layer is then cut into a shape suitable for application to the oral mucosa. The product is packaged and protected from air and light as shown in Example 3. 37 This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7B7 V. Description of the invention (35) Example 12 The following example illustrates the unique features of the formula intended for spray application to the buccal mucosa and its application method 2. Compare the blood concentration produced by sublingual administration via buccal absorption. The following are examples of liquid formulations suitable for buccal administration. A solution is made by dissolving (temperature does not exceed 50 ° C) the following ingredients (quantitative details are expressed in parts by weight ratio): abcde glyceryl monostearate (self-emulsifying) 2-2-2 glyceryl monooleate (self-emulsifying )-2-2-Cmorford RH40 20 30 30 20 30 CBME-G1 obtained THC 5 10---CBME-G5 obtained CBD--5 10-CBME-G1 and G5 obtained THC & CBD----each 10 Alpha-fertility 0.1 0.1 0.1 0.1 0.1 Ascorbyl palmitate 0.1 0.1 0.1 0.1 0.1 Manufacture of ethanol BP 100 100 100 100 100 Hemp-based medicinal extract (CBME) is a cannabis extract. Its preparation method is, for example, using liquid The carbon dioxide is immersed, the debris is removed by cooling the concentrated ethanol solution to a temperature of -20t, and the precipitated inert plant components are removed by filtration or centrifugation. A product made by mixing the ingredients was prepared in a 6-ml portion in a glass vial and sealed with a pump-operated sprayer. When used, the dose is emitted by a dispersing button or a conventional design. A suitable device suitable for this project is the VP7 type manufactured by Faros, but similar designs are available from other manufacturers. The vial can be enclosed in a secondary package to allow the spray to be directed to the buccal mucosa specific 38 (please read the precautions on the back before filling this page) This paper size applies to China National Standard (CNS) A4 (210X297 mm) 1222882 A7 — —___ B7 V. Description of Invention (36) area. In addition, a special button with an extension can be used to guide the spray to the preferred area of the buccal mucosa. Each 1 ml product contains 50-100 g of A9-tetrahydrocannabinol (THC) and / or cannabis hope (CBD). The spray is delivered with each actuation of the pump, and the spray can be directed to the buccal mucosa. CBMEs with known cannabinoid-like strength were used in the aforementioned formulations. CBME-G1 is a high-yielding cannabis strain derived from THC, = CBME-G5 is a high-yielding variant of CBD. It is obvious to those skilled in the art that purified cannabinoids and extracts derived from cannabinoids can be formulated by quantitative adjustment as described above. Although CBME alone can be used as a spray in ethanol solution, the amount of cannabinoid delivered is limited by the irritating properties of high concentration pure ethanol as a solvent. Such restrictions limit the amount that can be applied to the mucosa without causing patient discomfort. One group of patients received THC or CBD in the aforementioned type of solution, and guided the mouth mist to the sublingual or buccal mucosa. The patients consistently reported a tingling sensation when administered sublingually, but not when the solution was sprayed on the buccal mucosa Discomfort or mild discomfort. It was further unexpectedly discovered that the addition of a self-emulsifying primary surfactant as a solubilizer would allow a unit dose to contain a greater amount of cannabinoid. Spray a small amount of this formula onto the buccal mucosa without causing noticeable irritation of swallowing reflexes. This provides that the emulsion formed in situ contacts the cheek surface for a longer dwell time. The formulation was administered to a group of 13 patients who received 4 mg THC, 4 mg CBD, or placebo (single vehicle) via sublingual tablets, sublingual pump spray, or buccal route. The absorption of cannabinoids and primary metabolites [area under the absorption curve (AUC)] was determined by taking blood samples after administration. The following table lists the normalized averages. This paper size is in accordance with Chinese National Standard (CNS) A4 specification (21〇χ297mm) 39 ----- *-(Please read the notes on the back ^ before filling in this page) • 、 一 -T— 1222882 A7 B7 V. Description of the invention (37) Plasma analyte PAS Sublingual sublingual tablet Administration route Oropharynx AUC AUC AUC THC 2158.1 1648.4 1575.0 11 OH THC 3097.6 3560.5 2601.1 CBD 912.0 886.1 858.0 Results show sublingual and buccal (oropharyngeal) The total amount of cannabinoids absorbed by the pathway is similar, but the level of 11-0H metabolites detected by the oropharynx (cheek) after administration is substantially reduced (about 25%). This finding stems from inconsistent metabolism of buccal formulations to reduce swallowing (and subsequently liver). It is known that the THC 11-hydroxy metabolite has a higher psychoactive activity than the parent compound. It is therefore desirable to reduce the amount of such metabolites during administration, and this project can be achieved by using formulations and application methods that reduce swallowed buccal or sublingual doses. The pump action spray is obviously an effective way to reduce the amount of metabolites absorbed from the gastrointestinal tract by swallowing below the height of the oropharynx. Example 13 Using a pump action dispenser, a specific amount of gel can be dispensed with the required accuracy and drug reproducibility. The gel is prepared from the following ingredients (parts by weight): sodium carboxymethyl cellulose 2 glycerol stearate 10 glycerol 10 CBME-G1 and G5 obtains THC and CBD 5 ethanol 40 ascorbic acid 0.1 tocopherol 0.1 water Add to 100 40 (Please read the notes on the back before filling in this page) This paper size is applicable to the Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of the invention (38) Non-aqueous ingredients are not too high Melt at 50 ° C until uniformly suspended. Then add water to make a viscous cheese-like gel. Be careful not to introduce air when mixing. The product is dispensed in the container while it is still warm and sealed with a pump dispenser head (25 1/33 1 type). It is provided by Faros. The head of the mixer device can send out a gel, and when the pressure is released, the gel is fully retracted to ensure that the gel particles are not exposed. The dosing gel is guided to the buccal surface and adheres to it. When the buccal surface returns to its normal position, the gel substance absorbs a larger amount of water from the saliva to obtain its drug charge. Example 14 The experiment showed the effect of changing the content of self-emulsifier and the ratio of negatively charged and positively charged tackifiers on oral dissolution / disintegration time. The solid gel formulations described in Examples 1 and 2 were obtained by heating the ingredients in a winter drink oven to obtain a homogeneous molten mass. The molten mass was directly blended into a recovered plastic cell using a Gibson burette, which was washed and air-dried with 70% alcohol. The disintegration time was measured on a BP device. The impact is explained as follows: With the increase of the mass, the disintegration time is extended: G001 / A (i) G001 / A (ii) GOOl (iii) Mass (mg) 586 807 2140

Tdis(m,s) 920 1230 2110 乳化劑含量增加可延長Tdis :Tdis (m, s) 920 1230 2110 Increased emulsifier content can prolong Tdis:

G001A G001B %乳化劑 10 20G001A G001B% emulsifier 10 20

Tdis 1345 8730 41 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 發明説明(39 ) 增加凝膠之明膠含量對Tdis之影響極小 : G001/A G001/B 質量(毫克) 1145 807 %明膠 14 25 Tdis 1345 1230 添加預膠化玉米澱粉(PGMS)降低Tdis : G002/A(ii) G003 質量(毫克) 807 751 %PGMS 0 2 Tdis 920 405 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 42 1222882 A7 B7 五、發明説明(4〇 ) 表1 :可涵括於本發明配方之藥物範例。 藥物類別 藥物範例 顛蘇(Belladonna atropa)之富含生物驗 萃取物 莨菪驗 東莨菪驗 颠另5驗 石蒜種屬(Gallanthus spp.)之富含生物驗 萃取物 水仙種屬(Narcissus spp.)之富含生物驗 萃取物 鴉片之富含生物驗萃取物 嗎啡 古柯鹼 戴嗎啡 毛果芸香之富含生物鹼萃取物 毛果芸香鹼水楊酸鹽 抗氣喘劑 特布塔林(Terbutaline) 抗菌劑 抗真菌劑 芙康納佐(Fluconazole) 抗炎劑 班吉達明(Benzidamine) 皮羅昔坎(Pyroxicam) 抗病毒劑 亞塞羅維(Acyclovir) 吉多芙定(Zidovudine) 貝克美沙松(Beclomethasone) 野生大麻及印度大麻及由其衍生之奇 摩變種之富含類大麻酚部分 類大麻紛 Δ9-四氫大麻酚(THC) 大麻—驗(CBD) 大麻酚(CBN) 含有THC、CBD或CBN以外之類大麻酚 作為最豐富組成之富含類大麻酚部分 心血管劑 尼菲帝屏(Nifedipine) 迪爾泰金(Diltiazem) 維拉帕米(Verapamil) 中樞作用止痛劑 布托菲諾(Butorphenol) 布培諾芬(Buprenorphine) 芬它尼(Fentanyl) 抗心絞痛劑 硝酸鹽 芙提卡松(F lut icasone)丙酸鹽 多未飽和脂肪酸三酸甘油酯類 n-3 及n-6 PUFAs S&基甘油 擬交感神經胺 薩布塔摩(Salbutamol) (請先閲讀背面之注意事項再填寫本頁) 43 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(41 化合物類別以粗體字表示。化合物範例意圖供舉例說 明而非囿限本發明。熟諳技藝人士了解單位劑量小於1〇毫 克之化合物可如實例6所述以小錠劑劑型最方便投藥。單位 Μ里較大的化合物最方便涵括於可容納較高單位劑量藥物 之凝膠配方。 44 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) 1222882 A7B7 五、發明説明(42 ) (請先閲讀背面之注意事項再填寫本頁) 表2 :可用於產生乳化、黏膜黏著、及提高黏度之化合物類 別及藥劑範例。為求方便標示為一次(1°)或二次(2°)乳化 劑。多種化學劑可單獨或組合使用用來滿足作為一次或二 次乳化劑的角色。 化合物類別/實例 較佳數量 % w/w 表面電荷 (已知) 法規核准 備註 阿拉伯膠 負 Μ 與帶正電凝膠如明膠形成 黏稠凝聚產物 醇類 鯨蠟基硬脂醇 1-20 F,M 二次乳化劑 硬脂醇 1-15 二次乳化劑 陰離子性乳化蠟 Μ 一次自行乳化劑 纖維素,經丙基 5-35 G,F,M,R 二次乳化劑,安定劑,增 黏劑 二乙醇胺(DEA) 1-10 M,F,R 一次自行乳化劑 明膠 40-70 正 F,M 膠化劑 一油酸甘油酉旨 1-30 g,f,r 一次自行乳化劑,增溶劑 一硬脂酸甘油酯 2-20 G,M,F,R 一次自行乳化劑,增溶 劑,録:劑潤滑劑 卵磷脂 2-15 G,M,F,R 二次乳化劑 中鏈三酸甘油酯類 M0 G,R 二次乳化劑,溶劑 曱基纖維素 1-5 G,M,F,R 二次乳化劑,增黏劑 非離子性乳化蠟 5-20 M,R 一次乳化劑,增黏劑 波洛薩瑪 2-10 M,F,R 二次乳化劑,增黏劑 聚右旋糖 負 增黏劑 聚乙氧化麻油 MO M,F,R 一次自行乳化劑,增溶 劑,安定劑 聚氧乙烯烷基醚類 10-20 M,R 一次自行乳化劑,增溶劑 聚氧乙婦醚(馬克格) 1-15 M,R 一次自行乳化劑,增溶 劑,濕潤劑 聚氧乙烯脂肪酸酯類 (波利索貝) 0.5-10 G,M,F,R 一次自行乳化劑,增溶劑 聚氧伸乙基硬脂酸酯 0.5-10 M,F,R 二次乳化劑,增溶劑 預膠化澱粉 1-20 負 g,f,r 與明膠凝聚,增黏劑 丙二醇褐藻酸酯 1-5 G,M,F,R 二次乳化劑,增黏劑 硫酸月桂酯鈉 0.5-2.5 G,M,F,R 一次自行乳化劑 聚山梨糖醇酯(聚山梨 糖醇脂肪酸酯) 0.1-15 食品, M,F,R 一次自行乳化劑,增黏劑 澱粉 2-15 負 G,M,F,R 增黏劑,錠劑稀釋劑,崩 散劑 擰檬酸三鈉 0.3-4 G,M,F,R 二次乳化劑,pH改性劑, 隔離劑 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) -45 - 1222882Tdis 1345 8730 41 (Please read the notes on the back before filling out this page) This paper size applies Chinese National Standard (CNS) A4 (210X297 mm) 1222882 A7 B7 Description of the invention (39) Increase the gelatin content of the gel to Tdis The effect is minimal: G001 / A G001 / B mass (mg) 1145 807% gelatin 14 25 Tdis 1345 1230 Adding pregelatinized corn starch (PGMS) reduces Tdis: G002 / A (ii) G003 mass (mg) 807 751% PGMS 0 2 Tdis 920 405 (Please read the notes on the back before filling out this page) This paper size applies to Chinese National Standard (CNS) A4 (210X297 mm) 42 1222882 A7 B7 V. Description of the invention (4〇) Table 1: Examples of drugs that can be included in the formulations of the invention. Drug Category Drug Example Belladonna atropa contains bioassay-rich extracts and other 5 lycoris species (Gallanthus spp.) Contain bioassay-rich narcissus species (Narcissus spp.) Bio-extract-rich opioid-rich morphine cocaine Daimorphine pomaceae-rich alkaloid-rich extract pilocarpine salicylate anti-asthma terbutaline antifungal antifungal agent Fluconazole Anti-inflammatory agent Benzidamine Pyroxicam Antiviral agent Acyclovir Zidovudine Beclomethasone Wild cannabis and India Cannabis and its derivatives of Chimo variants are rich in cannabinoids. Some cannabinoids are Δ9-tetrahydrocannabinol (THC). Cannabis—CBD. Cannabinol (CBN). The most abundant composition of cannabinoid-rich partial cardiovascular agent Nifedipine Diltiazem Verapamil Central-acting analgesic Butorphe nol) Buprenorphine Fentanyl anti-angina pectoris Flut icasone propionate polyunsaturated fatty acid triglycerides n-3 and n-6 PUFAs S & Glycerol-like sympathomimetic amine Salbutamol (Please read the precautions on the back before filling this page) 43 This paper size applies to Chinese National Standard (CNS) A4 (210X297 mm) 1222882 A7 B7 V. DESCRIPTION OF THE INVENTION (41 Compound classes are shown in bold type. Compound examples are intended to illustrate and not limit the invention. Those skilled in the art understand that compounds with unit dosages less than 10 mg can be most conveniently used as small tablets as described in Example 6. Dosing. Larger compounds in unit M are most conveniently included in gel formulations that can accommodate higher unit doses of drugs. 44 (Please read the notes on the back before filling out this page) This paper size applies to Chinese National Standards (CNS) Α4 specifications (210X297 mm) 1222882 A7B7 V. Description of the invention (42) (Please read the precautions on the back before filling out this page) Table 2: Can be used to produce emulsification, mucosal adhesion, and improve adhesion Examples of compound types and pharmaceuticals. For convenience, they are labeled as primary (1 °) or secondary (2 °) emulsifiers. Multiple chemical agents can be used alone or in combination to fulfill their role as primary or secondary emulsifiers. Compound category / example preferred amount% w / w Surface charge (known) Regulatory nuclear preparation Note that gum arabic negative M and positively charged gels such as gelatin form a viscous condensation product alcohol cetylstearyl alcohol 1-20 F, M Secondary emulsifier stearyl alcohol 1-15 secondary emulsifier anionic emulsifying wax M primary self-emulsifier cellulose, propyl 5-35 G, F, M, R secondary emulsifier, stabilizer, tackifier Diethanolamine (DEA) 1-10 M, F, R one-time self-emulsifier gelatin 40-70 positive F, M gelling agent monoolein glycerol purpose 1-30 g, f, r one-time self-emulsifier, solubilizer 1 Glyceryl stearate 2-20 G, M, F, R Primary self-emulsifier, solubilizer, recording agent: lubricant lubricant lecithin 2-15 G, M, F, R Secondary emulsifier medium chain triglyceride Class M0 G, R secondary emulsifier, solvent 曱 cellulose 1-5 G, M, F, R secondary emulsifier, tackifier nonionic emulsifying wax 5-20 M, R primary emulsifier, tackifier Agent Polosama 2-10 M, F, R Secondary emulsifier, Tackifier Polydextrose Negative Tackifier Polyethoxylated Sesame Oil MO M, F, R One-time self-milk Agent, solubilizer, stabilizer Polyoxyethylene alkyl ethers 10-20 M, R self-emulsifier, solubilizer polyoxyethyl ether (Marker) 1-15 M, R self-emulsifier, solubilizer, Wetting agent polyoxyethylene fatty acid esters (Polysobe) 0.5-10 G, M, F, R One-time self-emulsifier, solubilizer polyoxyethylene ethyl stearate 0.5-10 M, F, R secondary emulsification Agent, solubilizer pregelatinized starch 1-20 negative g, f, r coagulate with gelatin, tackifier propylene glycol alginate 1-5 G, M, F, R secondary emulsifier, tackifier sodium lauryl sulfate 0.5-2.5 G, M, F, R one-time self-emulsifier polysorbate (polysorbate fatty acid ester) 0.1-15 food, M, F, R one-time self-emulsifier, tackifier starch 2-15 Negative G, M, F, R Tackifier, pastille diluent, dispersant Trisodium citrate 0.3-4 G, M, F, R Secondary emulsifier, pH modifier, release agent Applicable to this paper size China National Standard (CNS) A4 Specification (210X297 mm) -45-1222882

Μ-重要要點單章 F-FDA非活性成分指南可接受 R-涵括於括弧的藥物,於英國或歐洲發證 G-通常被視為安全 TM11藥用大麻的ϋ 以純株形式於玻璃下 3週;如此維持植株於 藥用大麻植株係由萌芽後種子以g 於25t:±15t:於24小時光照之下生長3週 營養體狀態。藉每日曝光12小時經歷8_9週誘使開花。 未使用任何人卫農藥、除草劑、殺蟲劑或燻蒸劑。相 物係以有機方式栽種,以生物方式控制害蟲。 由種子直到獲得乾燥藥用大麻的主要步驟摘述如後: 取得種子 於英國(吉芳(G-Pharm))種子萌芽 1 對類大麻酚含量及笛壯程度選種 母株Μ-Important points Single chapter F-FDA Inactive Ingredients Guideline Acceptable R-Medicated parentheses, issued in the UK or Europe G- Usually considered safe TM11 Medicinal cannabisϋ Under pure glass as a strain 3 Week; thus maintaining the plant in a medicinal cannabis plant line from the germinated seed to 25t: ± 15t in the growth of vegetative state for 3 weeks under 24 hours light. By 12 hours of daily exposure to experience 8_9 weeks to induce flowering. No sanitary pesticides, herbicides, pesticides or fumigants were used. Phases are grown organically to control pests biologically. The main steps from seed to obtaining dried medicinal cannabis are summarized as follows: Obtaining seeds Germination in the UK (G-Pharm) seeds 1 Selection of cannabinoid content and degree of flute strength Mother plant

I 插接定根 於泥煤柱塞14-21日 25 C ’每日24小時長度 1 發根後的插枝盆栽於每盆5升預置堆肥 1 建立起幼株I Plugged and set roots on the peat plunger 14-21 days 25 C ’24 hours a day 1 After cutting, the cuttings were potted in 5 litres of compost per pot 1 Established young plants

3週,每曰24小時長度,25°C i 3週結束時去除較低樹枝3 weeks, 24 hours each, 25 ° C i Remove lower branches at the end of 3 weeks

1222882 A7 B7 五、發明説明(44 ) 用來產生新一代的插接 1 誘導開花 盆栽移到每日12小時長度來誘使開花 1 開花與成熟 於 25°C8-9 週 1 收穫 1 90%花及葉老化1222882 A7 B7 V. Description of the invention (44) Used to generate a new generation of plugs 1 Induced flowering pots are moved to a length of 12 hours per day to induce flowering 1 Flowering and maturity at 25 ° C 8-9 weeks 1 Harvest 1 90% of flowers Leaf aging

I 乾燥 於避光條件下 1 樂用大麻 實例16植株及萃取物中類大麻酚含量之測定 藉TLC識別 a)材料及方法 設備 用裝置可輸送準確控制容積之溶液以及1微升毛細 管或微升注射器。 有蓋的TLC顯影槽 熱吹風機 矽膠G TLC板(SIL N-HR/UV254),200微米厚度層於 聚酯撐體上有螢光指示劑。 顯影劑之浸潰槽。 動相 0%石油醚60 : 80/20%乙醚。 顯影劑0.1% w/v水性快速藍B( 100毫克於100毫升去離子 47 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(45 水)。另一種方法係於紫外光254及365毫微米掃描。 b)樣本之製備 (請先閱讀背面之注意事項再填寫本頁) i) 草藥原料 約200耄克經過細研乾燥的大麻稱重置於1 〇毫升容積 瓶。使用甲醇:氯仿(9:1)萃取溶劑調整至定容。 萃取物藉超音波處理15分鐘。傾析上清液,直接用於 層析。 ii) 草藥萃取物 秤量約50毫克萃取物入25毫升容積瓶。使用㈣ 調整至定容。激烈振搖溶解,然後直接用於層析。 C)標準品 、\吞 〇·1毫克/毫升Δ-9-THC於甲醇。 〇·1毫克/毫升CBD於甲醇。 標準溶液於各次使用間係儲存於-2(rc,初次準備後使 用長達12個月。 .4^- d)試驗溶液及方法 施用各點隔開至少10亳米。 i) 視情況需要適用5微升草藥萃取物或1微升草藥萃取物 溶液, ii) l〇微升0.1毫克/毫升△j-THC於甲醇標準溶液, ni)l〇微升0.1毫克/毫升CBD於甲醇標準溶液 洗提TLC板通過8厘米距離,然後取出板。讓溶劑由板 上氣化去除然後弟二次重複洗提(雙重顯影)。 板簡短浸泡於快速藍B試劑至開始顯現類大麻酚的特I Dry under light conditions syringe. Covered TLC developing tank Hot hair dryer Silicone G TLC board (SIL N-HR / UV254), 200 micron thick layer on polyester support with fluorescent indicator. Developer immersion tank. Mobile phase 0% petroleum ether 60: 80/20% ether. Developer 0.1% w / v water-based fast blue B (100 mg in 100 ml of deionized 47 (please read the precautions on the back before filling this page) This paper size applies to China National Standard (CNS) A4 (210X297 mm) 1222882 A7 B7 V. Description of the invention (45 water). Another method is scanning under UV light 254 and 365 nanometers. B) Preparation of samples (please read the precautions on the back before filling this page) i) about 200 herbal raw materials耄 Grains of dried and dried marijuana were weighed and replaced in 10 ml volumetric flasks. The solvent was extracted with methanol: chloroform (9: 1) and adjusted to a constant volume. The extract was treated with ultrasound for 15 minutes. The supernatant was decanted and used directly for chromatography. ii) Herbal extracts Weigh approximately 50 mg of the extract into a 25 ml volumetric flask. Use ㈣ to adjust to constant volume. Dissolve vigorously and use directly for chromatography. C) Standards, 0.1 mg / ml Δ-9-THC in methanol. 0.1 mg / ml CBD in methanol. The standard solution is stored at -2 (rc, used for up to 12 months after initial preparation. .4 ^-d) test solution and method. The application points are separated by at least 10 亳. i) 5 microliters of herbal extract or 1 microliter of herbal extract solution as needed, ii) 10 microliters of 0.1 mg / ml △ j-THC in methanol standard solution, ni) 10 microliters of 0.1 mg / ml The TLC plate was eluted with CBD in methanol standard solution through a distance of 8 cm, and then the plate was removed. The solvent was allowed to evaporate from the plate and then the elution was repeated twice (dual development). The plate was briefly immersed in the rapid blue B reagent until the characteristics of cannabinoids began to develop.

1222882 A7 B7 五、發明説明(46 ) 徵重複/橙色為止。取出板,讓板於暗處於周圍條件下乾燥。 藉數位掃描器(較佳選項)再現影像、或於示蹤紙上標 出點所在位置及色彩對結果作永久性記錄。 藉HPLC進行THC、THCA、CBD、CBDA及CBN檢定分析 a) 材料及方法 設備 HP 1100 HPLC帶有二極體陣列偵測器及自動 抽樣器。設備係根據廠内標準操作程序 (SOPlab037)架設及操作。 HPLC管柱迪可利(Discovery)C8 5微米,15x0.46厘米加金 索伯(Kingsorb)ODS2前管柱5微米3x0.46厘米。 動相 乙腈:甲醇:0.25%水性乙酸(16:7:6容積比) 管柱操作溫度25 °C 流速 1. 〇毫升/分鐘 注入容積 10微升 跑動時間 25分鐘 偵測 天然及酸性類大麻酚2 2 0毫微米(帶寬16毫微米) 參考波長400毫微米/帶寬16毫微米 裂隙4毫微米 酸性類大麻酚例行於3 10毫微米(帶寬16毫微米) 僅供定性確證及識別目的。 資料捕捉 HP Chemistation A7.01板軟體 b) 樣本準備 約40毫克以大麻為主的藥物萃取物溶解於25毫升甲 醇,此溶液以1比10稀釋於甲醇。稀釋液用於層析術。 49 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(47 ) 含於幫浦作動舌下喷霧單元的0.5毫升填裝溶液利用 玻璃滴量管抽樣。溶液稀釋於25毫升燒瓶内,以甲醇調整 至記號位置。200微升此溶液以800微升甲醇稀釋。 草藥樣本或樹脂樣本係藉抽樣100毫克且使用5或10 毫升甲醇/氯仿(9/1 w/v)處理。分散液於密封管内藉超音波 處理10分鐘,讓其冷卻,整份離心,適當使用甲醇稀釋隨 後層析。 c) 標準品 本方法使用外部標準化。THC、CBD及CBN備用標準 品於甲醇或乙醇之稀釋液係製作成最終工作標準準確達 0.1毫克/毫升。工作標準儲存於-20°C,初次準備後使用長 達12個月。 各標準品的注入係於注入試驗溶液前重複試驗三 次。於試驗溶液處理期間以適當間隔重複注入標準品。於 無可靠的CBDA及THCA標準品存在下,此等化合物分別使 用CBD及THC標準反應因數分析。 洗滌順序測得為CBD、CBDA、CBN、THC及THCA。 其它類大麻酚係使用此種標準檢測而可視需要識別及測 定。 d) 試驗溶液 稀試驗溶液於甲醇内調整至定量,含有被分析物於 0.02-0.2毫克/毫升線性工作範圍。 e) 層析術接受標準: 下列接受度標準應用於各序列結果,原因在於發現可 50 (請先閱讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 12228821222882 A7 B7 5. Description of the invention (46) Repeated sign / orange. Remove the plate and allow the plate to dry in the dark under ambient conditions. Use a digital scanner (preferred option) to reproduce the image, or mark the location and color of the point on the tracer paper to record the result permanently. THC, THCA, CBD, CBDA and CBN verification analysis by HPLC a) Materials and methods Equipment HP 1100 HPLC has a diode array detector and automatic sampler. The equipment is set up and operated in accordance with the standard operating procedures (SOPlab037) in the factory. HPLC column Discovery C8 5 micron, 15x0.46 cm plus gold Kingsorb ODS2 front column 5 micron 3x0.46 cm. Mobile phase acetonitrile: methanol: 0.25% aqueous acetic acid (16: 7: 6 volume ratio) column operating temperature 25 ° C flow rate 1.0 ml / min injection volume 10 microliters running time 25 minutes detection of natural and acidic cannabis Phenol 2 20 nm (bandwidth 16 nm) Reference wavelength 400 nm / bandwidth 16 nm crack 4 nm acidic cannabinoids routinely 3 10 nm (bandwidth 16 nm) For qualitative verification and identification purposes only . Data capture HP Chemistation A7.01 board software b) Sample preparation Approximately 40 mg of cannabis-based drug extract was dissolved in 25 ml of methanol. This solution was diluted 1 to 10 in methanol. The diluent is used for chromatography. 49 (Please read the precautions on the back before filling this page) This paper size is applicable to the Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of the invention (47) Contained in the pump action under the tongue spray The unit's 0.5 ml filling solution was sampled using a glass burette. The solution was diluted in a 25 ml flask and adjusted to the mark position with methanol. 200 microliters of this solution was diluted with 800 microliters of methanol. Herbal or resin samples were taken by sampling 100 mg and treated with 5 or 10 ml of methanol / chloroform (9/1 w / v). The dispersion was treated with ultrasound in a sealed tube for 10 minutes, allowed to cool, centrifuged in its entirety, diluted with methanol as appropriate, and then chromatographed. c) Standards This method uses external standardization. THC, CBD and CBN standby standards are prepared in methanol or ethanol diluent to make the final working standard accurate to 0.1 mg / ml. The working standard is stored at -20 ° C and can be used for up to 12 months after initial preparation. The injection of each standard was repeated three times before the test solution was injected. Standards were repeatedly injected at appropriate intervals during the test solution treatment. In the absence of reliable CBDA and THCA standards, these compounds were analyzed using CBD and THC standard response factors, respectively. The washing sequence was measured as CBD, CBDA, CBN, THC and THCA. Other cannabinoids are identified and tested using this standard test as needed. d) Test solution The dilute test solution is adjusted to quantification in methanol and contains the analyte in a linear working range of 0.02-0.2 mg / ml. e) Chromatographic acceptance criteria: The following acceptance criteria were applied to the results of each sequence, because it was found to be 50 (please read the notes on the back before filling out this page) This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 Mm) 1222882

48 獲行王邛被刀析物之適當解析度(包括兩種最緊密洗提的 被分析物CBD及CBDA) 0 各被刀析物的駐留時間窗: CBD 5_4-5.9分鐘 CBN 7·9-8.7分鐘 THC 9.6-10.6分鐘 ϋ)尖峰形狀(根據BP方法之對稱因素) CBD<1.30 CBN<1.25 THC<1.35 in)毛展出多種標準方法之修改方法來處理含有後 期洗提雜質尖峰的樣本,例如方法CBD2A將跑動 時間延長至50分鐘。全部溶液必須藉離心澄清後 才移到自動抽樣器小瓶内,使用鐵弗龍面隔膜封 及蓋密封。 iv)前管柱對層析術的品質具有關鍵重要性,當反壓 升高至高於巴及/或有關駐留時間及㈣度之 接受性標準超出規定限度以外時必須更換。 f)資料處理 ' 類大麻紛可在細分為中性及酸性類大麻紛,其定性分 析可使用DAD雙重波長模式進行。酸柹 ^性類大麻酚於220毫 微米-3 10毫微米區有強力吸收。中性麵 τ 大麻酚則僅於220 毫微米區有強力吸收。 例行僅使用於2 2 0宅微米5己錄的資料作定旦八析 -51 - 1222882 A7 ____B7 _ 五、發明説明(49 ) DAD也可用來做各尖峰的紫夕卜光光譜掃描,然後儲存 於光譜存庫用於識別用途。 (請先閱讀背面之注意事項再填寫本頁) 定量用之資料處理係利用惠普公司Chemstation批次 處理軟體。 a)樣本層析圖 提供HPLC樣本層析圖如後,分別為THC及CBD草藥萃 取物。 CBME CBD : J 4 c 9- 〇 ϊ CBD CBME範例層析圖(AC881) 0- 〇 V . , ' Ί -1' 〇 « 9 7;3 W ill tS 心 20 CBME THC: BA01 A. S^<20.t*e*MM〇〇ii*^>AMpLCDA.t,〇ATAVl〇〇j〇evCe〇Me21jjf THC CBME範例層析圖(AC882)48 Obtained the appropriate resolution of Wang's knife analytes (including the two most eluted analytes, CBD and CBDA) 0 The residence time window of each knife analyte: CBD 5_4-5.9 minutes CBN 7. · 9- 8.7 minutes THC 9.6-10.6 minutes ϋ) Spike shape (based on the symmetry factor of the BP method) CBD < 1.30 CBN < 1.25 THC < 1.35 in) Mao exhibited a variety of standard method modifications to process samples containing spikes with late elution impurities, For example, method CBD2A extends the running time to 50 minutes. All solutions must be clarified by centrifugation before being transferred to the autosampler vial, sealed with a Teflon face septum seal and a cap. iv) The front column is of critical importance to the quality of the tomography and must be replaced when the back pressure rises above Bar and / or the acceptance criteria for dwell time and temperature exceeds the prescribed limits. f) Data processing 'Cannabis species can be subdivided into neutral and acidic cannabis species, and their qualitative analysis can be performed using the DAD dual wavelength mode. Acidic cannabinoids have strong absorption in the 220 nm-3 10 nm region. Neutral plane τ Cannabinol is strongly absorbed only in the 220 nm region. Routinely use only the recorded data of 2 2 0 μm and 5 for Dingdan Bacheng -51-1222882 A7 ____B7 _ 5. Description of the invention (49) DAD can also be used to scan the spectrum of purple peaks of each peak Stored in spectral library for identification purposes. (Please read the precautions on the back before filling out this page.) The quantitative data processing uses HP Chemstation batch processing software. a) Sample chromatograms The chromatograms of HPLC samples are provided below. They are THC and CBD herbal extracts, respectively. CBME CBD: J 4 c 9- 〇ϊ CBD CBME example chromatogram (AC881) 0- 〇V., 'Ί -1' 〇 «9 7; 3 Will tS heart 20 CBME THC: BA01 A. S ^ < 20.t * e * MM〇〇ii * ^ > AMpLCDA.t, 〇ATAV100〇jevCe〇Me21jjf THC CBME example chromatogram (AC882)

實例17草藥萃取物之製備 以流程圖顯示由高THC及高CBD奇摩變種製造萃取物 之程序如後: 52 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 五、發明説明(5〇 ) 醫藥用大麻(高THC或高CBD) 1 切成主要為2至3毫米長短 i 於100至15(TC加熱一段足夠時間脫羧化類大麻酚酸性形 製造中性類大麻盼 1 使用規定容積之液態二氧化碳萃取6至8小時時間 藉減壓去除一氧化碳而回收粗製萃取物 「冬化」-溶解巧製萃取物於乙醇(歐洲藥典)接著急冷 (-20 C /48小時)而沈澱出非期望的蠟 / I 藉冷過濾去除非期望的蠟狀材料 於減壓下藉薄膜蒸發而由濾液中去除乙醇 f例18 高THC含量大麻於溫室於均溫21+2它相對濕 50-60%生長。&穫草藥於暗處於室溫於相對:二又 4〇-45%乾燥。乾燥時,葉及花頭由莖摘除,乾燥後的生: 物質稱作為「藥用大麻」。 藥用·大麻被研磨成粗粉(粒子可通過3毫米篩)填裝 超臨界流體萃取器腔室内。填裝密度為〇3,壓力_巴$ ^氧,碳於35X:溫度通過生物物質。進行超臨界萃取4小 日才’错逐步解除壓縮而回收萃取物於收集容器。所得綠褐 色油狀含樹脂的萃取物進-步經純化。溶解於乙醇阶⑽) 置於-2(TC溫度24小時’沉積物(由脂溶性壞狀物質組幻跑 出溶液之外藉過濾去除。溶劑係於旋轉蒸發器於低 度 度 於 之 壓去 C請先閱讀背面之注意事項再填寫本頁) •、η— 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公^ 1222882 A7 B7 五、發明説明(si ) 除。所得萃取物為軟性萃取物,含約60% THC及約6%其它 類大麻酚,其中1 -2%為大麻二酚而其餘為含大麻酚的次要 類大麻酚。定量結果為基於乾藥用大麻重量=9% w/w。 含高含量CBD奇摩變種以類似方式處理,獲得含約 60% CBD,帶有至多4%四氫大麻酚,其它類大麻酚總量於 60%以内之萃取物。萃取物係使用前述概略方法使用THCV 及CBDV奇摩變種獲得。 熟諳技藝人士 了解可使用其它溫度與壓力的組合(+10 t至35 °C及60-600巴之範圍)而於超臨界及次臨界條件下 製造萃取物。 實例19 美國及加勒比海國家生長的街道大麻(marijuana)典型 總大麻酚中含高百分比為THC ;歐洲大麻(通常被稱做「摩 洛根」大麻)所含THC及CBD約略等量。如此可說明某些臨 床研究大麻功效之報告間之衝突。申請人尋求以兩種方式 製造具特定類大麻酚比例;經由使用具特定萃取物之混合 物,以及經由使用得自單一奇摩變種的萃取物其產生適當 比例之類大麻酚。將其類大麻酚主要表現為一種化合物之 奇摩變種用來製備本發明之配方,但本案教示也可應用至 合成製造類大麻酚或純化大麻獲得的類大麻酚。 某些奇摩變種表現約50 : 50 THCV/CBDV比例。因此 方便使用單一植物萃取物來提供類大麻盼的比例。當植物 係藉插接生長時,基因型固定,而類大麻盼比例悝定。總 產率可改變,但其原因係用來製造特定量類大麻酚之萃取 54 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(52 ) 物用量。特別適合用於治療多發性硬化的配方之配方如後: 奇摩變種G10之CBME萃取物提供 0.208 5b 5c THCV 0.1 2.5 10 份 CBDV 0.1 2.5 10 份 喷乾乳糖 60 60 50 份 右旋酸酯 37.7 21.5 16.5 份 卵填脂 1 10 10 份 α_生育盼 0.1 2.5 2.5 份 硬脂酸鎂 1 1 1 份 (請先閲讀背面之注意事項再填寫本頁) CBME-G10萃取物溶解於5份乙醇,溶液用來將其它成 分製作成質塊。質塊加壓過篩,顆粒於低溫乾燥。乾燥時, 顆粒灑上硬脂酸鎂粉末且以1.5牛頓加壓製造適合舌下投 予多發性硬化、脊索受傷、周邊神經病變或其它神經原性 疼痛病人的錠劑。 實例20 為了製造THC之前利用的大麻二酚,發展出一種多層 劑型。本例中,得自合成或天然來源的THC含於旋芯。得 自天然來源之CBD如大麻奇摩變種萃取物或來自其它合成 材料的CBD存在於外塗層,外塗層首先溶解接著THC溶解。 由下列成分調製雙層錠。 内芯: CBME-G1 提供 THC 2 份 直接壓縮乳糖 66.9份 預膠化澱粉 30份 oc-生育酚 0.1份 硬脂酸鎂 1份 55 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(53 ) CBME溶解於足量乙醇,全體喷霧於其它乾燥成分 上。讓粉末於室溫乾燥及徹底混合。加入硬脂酸鎂,錠劑 打錠至6牛頓硬度。内芯方便使用帶有7毫米雙凸壓模的打 錠壓機壓縮。於BP型崩散裝置試驗時,錠芯崩散時間5-10 分鐘。 外層: 錠劑外層係由下列成分製備: CBME-G5 8 份 一硬脂酸甘油酯 5份 卵填脂 5份 直接壓縮乳糖 55份 預膠化澱粉 26.7份 α-生育紛 0.2份 薄荷油 0.1份 足量乙醇ΒΡ用來溶解CBME萃取物,然後喷霧於其它 乾燥成分上。讓乙醇於室溫氣化,乾顆粒經徹底混合及打 錠,半量進料送至9毫米壓模。該進料經輕輕壓縮(0.25牛 頓),將一顆如前述製備的錠芯加至各壓模内,將其餘錠顆 粒添加至壓模。將錠劑壓製成1.5牛頓硬度。 如此製造的錠劑具有柔軟外塗層,該外塗層被壓縮成 夠硬而可忍受有限的處置以及個別密封於泡胞包裝内來減 少脆變。錠劑置於舌下時,柔軟外層快速崩散而形成微膠 化質塊,獲得CBD。此塗層於ΒΡ型崩散裝置試驗之崩散時 間為1-4分鐘。含THC之較硬錠芯隨後溶解,然後於CBD之 後獲得THC,提供給舌下或頰黏膜。藉此方式使用雙層錠, 56 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) 1222882 A7 B7 五、發明説明(54 ) 可獲得類大麻酚之最理想呈現順序。先吸收的CBD具有試 管試驗及活體試驗之抗氧化劑活性,其有利於提升THC穩 定性及輔助THC的吸收。用來提供THC組成分之萃取物之 CBD組成分含相當小量CBD,CBD係用作為抗氧化劑,故 涵括額外生育盼來作為化學抗氧化劑。如此製造的鍵劑可 用於治療多發性硬化及其它神經原性疼痛。 該錠劑混合物壓縮至6牛頓硬度而以意圖吞嚥用的口 服製劑投藥時,也適合用於治療類風濕性關節炎及其它發 炎性腸病。 出乎意外地,雖然報告大麻可刺激食慾,但直接實驗 顯示高CBD萃取物可降低小鼠食物的攝取及體重的增加。 因此高CBD配方可用作為降低人類食慾方式。 實例21 特定奇摩變種(標示為G9)產生兩種主要類大麻盼 THCV : THC比例為85 : 1 5。此種奇摩變種產生相對少量Example 17 The preparation of herbal extracts is shown in a flow chart. The procedure for making extracts from high THC and high CBD Qimo variants is as follows: 52 This paper size applies the Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 V. Description of the invention (50) Medical cannabis (high THC or high CBD) 1 cut into mainly 2 to 3 mm in length i to 100 to 15 (TC heated for a sufficient time to decarboxylate cannabinoid acid form to make neutral cannabis 1 Extraction of liquid carbon dioxide of a specified volume for 6 to 8 hours by removing carbon monoxide under reduced pressure and recovering the crude extract "wintering"-dissolving the ingenious extract in ethanol (European Pharmacopoeia) followed by rapid cooling (-20 C / 48 hours) to precipitate Undesirable wax / I Remove undesired waxy material by cold filtration Evaporate ethanol from the filtrate by evaporation under reduced pressure f Example 18 High THC content cannabis in a greenhouse at an average temperature of 21 + 2 It is relatively wet 50-60 % Growth. &Amp; Obtained herbs in the dark at room temperature and relative: two and 40-50% dry. When dry, the leaves and flower heads are removed from the stem, and the dried raw materials are called "medicinal cannabis." Hemp is ground into coarse (Particles can pass through a 3 mm sieve) Fill the supercritical fluid extractor chamber. The packing density is 0, pressure_bar $ ^ oxygen, carbon at 35X: temperature passes through biological matter. Supercritical extraction is performed for 4 hours. The pressure was gradually decompressed and the extract was recovered in the collection container. The resulting green-brown oily resin-containing extract was further purified. Dissolved in ethanol step ⑽) Placed at -2 (TC temperature 24 hours' sediment (from fat-soluble The bad substance group is removed by filtering out of the solution. The solvent is removed from the rotary evaporator at a low pressure. (Please read the precautions on the back before filling out this page.) •, η— This paper size applies to China National Standard (CNS) A4 specification (210X297 public ^ 1222882 A7 B7 5. Except for the description of the invention (si). The obtained extract is a soft extract containing about 60% THC and about 6% of other cannabinols, of which 1-2% It is cannabidiol and the rest are minor cannabinoids containing cannabinol. Quantitative results are based on dry medicinal weight of cannabis = 9% w / w. Chimo variants with a high content of CBD are treated in a similar manner to obtain approximately 60% CBD With up to 4% tetrahydrocannabinol, others Extracts with a total amount of cannabinol of less than 60%. The extracts were obtained using the aforementioned general method using THCV and CBDV Chimo variants. Those skilled in the art know that other temperature and pressure combinations (+10 t to 35 ° C and 60- 600 bar) and extracts are produced under supercritical and subcritical conditions. Example 19 Street cannabis (marijuana) grown in the United States and the Caribbean countries typically contains a high percentage of THC; European cannabis (often referred to as "Morgen" cannabis) contains approximately the same amount of THC and CBD. This illustrates the conflict between some reports of clinical studies of the efficacy of cannabis. The applicant seeks to produce a specific ratio of cannabinoids in two ways; through the use of a mixture with a specific extract, and through the use of extracts from a single Kimo variant which produces the appropriate ratio of cannabinoids. The Chimo variant, whose cannabinoid is mainly expressed as a compound, is used to prepare the formulation of the present invention, but the teachings of this case can also be applied to the synthetic production of cannabinoid or the cannabinoid obtained from purified cannabis. Some Qimo variants exhibit a ratio of about 50:50 THCV / CBDV. It is therefore convenient to use a single plant extract to provide a hemp-like ratio. When the plant line was grown by plugging, the genotype was fixed and the cannabis-like ratio was uncertain. The total yield can be changed, but the reason is to produce a specific amount of cannabinoids. 54 (Please read the precautions on the back before filling out this page.) This paper size applies to China National Standard (CNS) A4 (210X297 mm). ) 1222882 A7 B7 V. Description of the invention (52) Material consumption. The formula especially suitable for the treatment of multiple sclerosis is as follows: CBME extract of Qimo variant G10 provides 0.208 5b 5c THCV 0.1 2.5 10 parts CBDV 0.1 2.5 10 parts spray-dried lactose 60 60 50 parts dextrose 37.7 21.5 16.5 Parts of egg filling 1 10 10 parts α_ fertility hope 0.1 2.5 2.5 parts of magnesium stearate 1 1 1 parts (please read the precautions on the back before filling this page) CBME-G10 extract is dissolved in 5 parts of ethanol. To make the other ingredients into a mass. The mass is sieved under pressure and the granules are dried at low temperature. When dry, the granules are sprinkled with magnesium stearate powder and pressurized at 1.5 Newtons to produce lozenges suitable for sublingual administration in patients with multiple sclerosis, chordal injuries, peripheral neuropathy or other neurogenic pain. Example 20 A multi-layered dosage form was developed for the manufacture of cannabidiol previously used in THC. In this example, THC obtained from synthetic or natural sources is contained in the core. CBDs derived from natural sources such as cannabis kimo variant extracts or CBDs from other synthetic materials are present in the outer coating, which is first dissolved followed by THC dissolution. A double-layered ingot was prepared from the following ingredients. Inner core: CBME-G1 provides THC 2 parts direct compression lactose 66.9 parts pregelatinized starch 30 parts oc-tocopherol 0.1 part magnesium stearate 1 part 55 This paper size applies Chinese National Standard (CNS) A4 specification (210X297 mm) ) 1222882 A7 B7 5. Description of the invention (53) CBME is dissolved in a sufficient amount of ethanol, and the whole is sprayed on other dry ingredients. Allow the powder to dry at room temperature and mix thoroughly. Add magnesium stearate and tablet to a 6 Newton hardness. The core is conveniently compressed using a spindle press with a 7mm biconvex die. In the BP type disintegration device test, the core disintegration time is 5-10 minutes. Outer layer: The outer layer of the tablet is prepared from the following ingredients: CBME-G5 8 parts glyceryl monostearate 5 parts egg filling 5 parts direct compression lactose 55 parts pregelatinized starch 26.7 parts alpha-fertility 0.2 parts mint oil 0.1 part A sufficient amount of ethanol BP was used to dissolve the CBME extract and then spray onto other dry ingredients. The ethanol was allowed to vaporize at room temperature. The dry granules were thoroughly mixed and pelletized, and a half feed was sent to a 9 mm die. This feed was lightly compressed (0.25 Newtons), one ingot core prepared as described above was added to each die, and the remaining ingot particles were added to the die. The tablets were pressed to a 1.5 Newton hardness. The lozenges thus produced have a soft outer coating that is compressed to be hard enough to withstand limited handling and individually sealed in a blister pack to reduce brittleness. When the lozenge is placed under the tongue, the soft outer layer quickly disintegrates to form a microgelled mass to obtain CBD. This coating has a disintegration time of 1-4 minutes in the PB-type disintegration device test. Harder cores containing THC are then dissolved and THC is obtained after CBD and provided to the sublingual or buccal mucosa. Using double-layer ingots in this way, 56 (Please read the notes on the back before filling this page) This paper size applies to China National Standard (CNS) A4 specifications (210X297 mm) 1222882 A7 B7 V. Description of the invention (54) Yes Get the best presentation order for cannabinoids. The pre-absorbed CBD has antioxidant activity in test tubes and in vivo tests, which is conducive to improving the stability of THC and assisting the absorption of THC. The CBD component used to provide the THC component extract contains a relatively small amount of CBD. CBD is used as an antioxidant, so it contains extra fertility as a chemical antioxidant. The bond thus made can be used to treat multiple sclerosis and other neurogenic pain. The lozenge mixture is also suitable for treating rheumatoid arthritis and other inflammatory bowel diseases when it is compressed to 6 Newton hardness and administered as an oral preparation intended for swallowing. Unexpectedly, although cannabis has been reported to stimulate appetite, direct experiments have shown that high CBD extracts reduce food intake and weight gain in mice. Therefore, high CBD formulations can be used as a way to reduce human appetite. Example 21 A specific variant of Kimo (labeled G9) produces two major cannabis-like THCV: THC ratios of 85:15. This Kimo variant produces a relatively small amount

CBD,如此造成THC : CBD比例極高。THCV獲得比THC 更快速的止痛效果,且宿醉可能減低。因此由此種萃取物 製備之藥劑適合治療鴉片劑有抗性的疼痛,此處希望快速 開始作用。舌下喷霧配方具如下配方。 CBME-G9萃取物提供THCV 85份THC 15份 克摩佛RH40 300份 α_生育酚 1份 乙醇ΒΡ製造 1,000份 成分溶解於乙醇及以10亳升量配漿於玻璃小瓶,使用 57 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐) 1222882 A7 B7 五、發明説明(55 ) 幫浦作動喷霧散開鈕封住。每1毫升產物含100毫克類大麻 酚,每次幫浦作動輸送100微升精細喷霧,喷霧劑被導引至 舌下黏膜區。 此製劑用作為偏頭痛、癌症疼痛及多發性硬化病人治 療的一部份。 實例22 前例所述配方係以CBME-G5(高CBD)取代製作而成。 此喷霧劑用來將病人打底,於投予高THC/THCV配方之前 5-10分鐘給予一劑CBD。 可取得專有二隔間/雙重壓力鈕,複合包裝含有本例及 前例所述溶液。方便地一包裝有兩種舌下溶液讓病人可調 整任一種組成分之劑量而獲得所需最理想療效。 CBD於試管内之抗氧化劑效果係於儲存於5±3°C之後 藉如下檢定分析驗證。資料係以占初步檢定分析值之百分 比報告。 表5 :高THC及高CBD及均衡比例CBD/THC、幫浦作動喷 霧劑(PAS)、及舌下錠之諳定性資料。 配方 經過一段時間後的檢定分析值 3個月(範圍) 6個月(範圍) PAS THC CBD THC CBD 高THC 98.2 95.6 (95.6-100.4) (93.7-98.5) 高CBD 100.6 101.0 (99.7-101.6) (98.3-103.6) 均衡比例 99.5 101.2 100.4 104.5 THC : CBD (98.3-101.5) (100.3-102.0) (99.3-102.8) (193.5-106.5) 58 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 B7 五、發明説明(56 )CBD, which results in an extremely high THC: CBD ratio. THCV achieves a faster analgesic effect than THC, and hangover may be reduced. Therefore, the medicament prepared from this extract is suitable for the treatment of opiate-resistant pain, and it is desirable to start the action quickly here. The sublingual spray formulation has the following formulation. The CBME-G9 extract provides THCV 85 parts THC 15 parts CMO RH40 300 parts α-tocopherol 1 part ethanol BP Manufacture 1,000 parts The ingredients are dissolved in ethanol and mixed into a glass vial at a rate of 10 liters, using 57 ( Please read the notes on the back before filling this page.) This paper size is in accordance with Chinese National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of the invention (55) Sealed by the pump operation spray dispersing button. Each milliliter of product contains 100 mg of cannabinoids. Each pump delivers 100 microliters of a fine spray. The spray is directed to the sublingual mucosal area. This preparation is used as part of the treatment of patients with migraine, cancer pain and multiple sclerosis. Example 22 The formula described in the previous example was made by replacing CBME-G5 (high CBD). This spray is used to prime the patient and give a dose of CBD 5-10 minutes before administering the high THC / THCV formula. Proprietary two-compartment / dual pressure buttons are available, and the compound package contains the solutions described in this and previous examples. Conveniently, there are two sublingual solutions in one package so that the patient can adjust the dosage of any one of the components to obtain the desired optimal effect. The antioxidant effect of CBD in a test tube is stored at 5 ± 3 ° C and verified by the following analysis. Data are reported as a percentage of the initial analytical value. Table 5: Qualitative data of high THC, high CBD and equilibrium ratio CBD / THC, pump action spray (PAS), and sublingual tablets. The analytical analysis value of the formula after a period of 3 months (range) 6 months (range) PAS THC CBD THC CBD High THC 98.2 95.6 (95.6-100.4) (93.7-98.5) High CBD 100.6 101.0 (99.7-101.6) ( 98.3-103.6) Equilibrium ratio 99.5 101.2 100.4 104.5 THC: CBD (98.3-101.5) (100.3-102.0) (99.3-102.8) (193.5-106.5) 58 (Please read the precautions on the back before filling this page) The paper size Applicable to China National Standard (CNS) A4 specification (210X297 mm) 1222882 A7 B7 V. Description of invention (56)

舌下錠儲存於5°C 高 THC 98.4 (2毫克) 高 CBD 99.0 (2毫克) 均衡比例 95.5 99.0 由上表顯然易知本發明之CBD具良好安定性,而THC 較不安定。含CBD及THC而其濃度為治療感興趣濃度之製 劑顯然具有保護作用,可提升具有均衡比例喷霧劑及錠劑 產品的安定性。 上列實例舉例說明本發明之教示,熟諳技藝人士顯然 易知得自不同配方之各元體也可調整適合製造寬廣範圍的 配方。此等配方適合用於治療某個範圍之治療適應症,各 個元體可得自前述任何實例而製造特定配方,其具有預定 開始作用速度以及作用持續時間於所述限度範圍内。 實例23 已知類大麻酚可用於治療發炎性腸病。但類大麻酚到 達下大腸(遠端迴腸及結腸)的數量位置。浣腸劑適合用於 發炎大腸局部用藥。如下配方為基於發泡浣腸劑配方,提 供局部用藥之寬廣比例的類大麻酚組合。 GBME-G1 提供 THC 4毫克 CBME-G5 提供 CBD 20毫克 朵卡賽(Docusate)納 100毫克 一硬脂酸甘油酯 2.5克 羧甲基纖維素 250毫克 水 250毫升 59 (請先閲讀背面之注意事項再填寫本頁) 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 1222882 A7 ___ B7 五、發明説明(57 ) CBME萃取物溶解於各成分且以前文指示順序混合。 每份50¾升配漿於可壓縮塑膠容器内,容器裝配有15〇毫升 浣腸噴嘴終端有個球體。使用前,容器激烈振搖而產生泡 沫。泡沫藉噴嘴注入,產生的泡沫數量典型可行進入下大 腸1-2米長度。泡洙可壓縮,比較不可壓縮的浣腸劑對病人 造成的不適感減至最低。處理方法可組合一系統性或以淀 腸劑劑型投予類固醇來治療發炎性腸病。 實例24 實例10所述產物置於上頷窩時,將組成分釋放於頰黏 膜,但也釋放入口腔内的唾液。將凝膠的凸面塗覆以一種 比凝膠本身物質更不可溶性物質,將使損失於唾液中的活 性成分數量減少,因而提高與頰黏膜接觸濃度。實例丨〇所 述配方可經進一步改性而提供凝膠,其中於凝膠凸面(近端 I 面或向内表面)上的塗層形成產品一體的一部份。該額外層 可延遲凝膠的溶解,為求方便稱作為水不溶性層(WIL)。 水不溶性層為熱固性凝膠,其係於50-8(rc溫度首先配漿於 模具内,然後趁熱將實例⑺或“所述配方以該例令所述方 式及所述順序配漿。當水不溶性層仍處於熔體狀態時配漿 熔化物貝可使水不溶性層展開於凹面模具周圍,結果於模 I 製後之凝膠之凸面侧形成一層。 於實例4所述方法試驗時,凝膠遠端部份溶解而水不 溶性層未溶解。 I 水不溶性層係由如下組成製成,其中實例11之阿拉伯 膠濃度提高而獲得更為剛硬的凝膠結構成分。 張尺度適财準(CNS) A4規格⑵〇χ297公釐) — --Sublingual tablets are stored at 5 ° C. High THC 98.4 (2 mg). High CBD 99.0 (2 mg). Equilibrium ratio 95.5 99.0. It is clear from the above table that the CBD of the present invention has good stability, while THC is less stable. Formulations containing CBD and THC at a concentration of therapeutic interest are clearly protective and can improve the stability of spray and lozenge products with a balanced ratio. The above examples illustrate the teachings of the present invention. It will be apparent to those skilled in the art that various components derived from different formulations can also be adjusted to produce a wide range of formulations. These formulations are suitable for treating a range of therapeutic indications, and each element can be obtained from any of the foregoing examples to produce a specific formulation that has a predetermined onset rate of action and duration of action within said limits. Example 23 It is known that cannabinoids can be used to treat inflammatory bowel disease. However, the amount of cannabinoids reaches the lower large intestine (distal ileum and colon). Ritual preparations are suitable for topical application to the inflamed large intestine. The formula below is based on a foaming raccoon formulation that provides a wide range of cannabinoid combinations for topical use. GBME-G1 Provide THC 4mg CBME-G5 Provide CBD 20mg Docusate Sodium 100mg Monostearate 2.5g Carboxymethyl cellulose 250mg Water 250ml 59 (Please read the precautions on the back first (Fill in this page again.) This paper size is in accordance with Chinese National Standard (CNS) A4 (210X297 mm) 1222882 A7 ___ B7 V. Description of the invention (57) The CBME extract is dissolved in the ingredients and mixed in the order previously indicated. Each 50¾ liter serving is filled in a compressible plastic container, which is equipped with a 150ml sacral nozzle with a ball at the end. Prior to use, the container was shaken vigorously to produce foam. Foam is injected through the nozzle, and the amount of foam produced is typically feasible to enter the lower intestine 1-2 meters in length. Foams are compressible, and the relatively incompressible coelenterate minimizes patient discomfort. The treatment can be combined with a systemic or enteric dosage form to administer steroids to treat inflammatory bowel disease. Example 24 When the product described in Example 10 was placed in the superior popliteal fossa, the components were released into the buccal mucosa, but saliva in the entrance cavity was also released. Coating the convex surface of the gel with a substance that is more insoluble than the substance of the gel itself will reduce the amount of active ingredients lost in saliva, thereby increasing the contact concentration with the buccal mucosa. The formula described in Example 丨 can be further modified to provide a gel, in which the coating on the convex surface of the gel (proximal I surface or inward surface) forms an integral part of the product. This additional layer delays the dissolution of the gel and is called a water-insoluble layer (WIL) for convenience. The water-insoluble layer is a thermosetting gel, which is first mixed in a mold at a temperature of 50-8 (rc temperature, and then the example ⑺ or "the formula is formulated in the manner and order described in this example while hot. When When the water-insoluble layer is still in the melt state, mixing the melted shellfish can spread the water-insoluble layer around the concave mold, and as a result, a layer is formed on the convex side of the gel after the mold I was made. The distal end of the gel is partially dissolved and the water-insoluble layer is not dissolved. I The water-insoluble layer is made of the following composition, where the gum arabic concentration of Example 11 is increased to obtain a more rigid gel structure component. CNS) A4 size (× 297mm)--

----------------------费! -·· (請先閲讀背面之注意事項再填寫本頁) •訂— 1222882 A7 B7 發明説明(58 ) 一油酸甘油酯 5份 大豆卵磷脂 5份 阿拉伯膠 30份 四氫大麻盼 10份 α-生育酚 0.1份 木糖醇 3份 甘油 3份 純水製造100份 各成分如實例11所述混合且加熱至溶化。整份配漿於 模具内或壓鑄成薄片。 配方之水不溶性層係與實例11所述該層類似,結果導 致界面略微混合,各成分黏結而形成内聚產物。 其它實例所述之類大麻酚類型及比例也可引進本例 所述多層產物。 堂例25 水不溶性層也可例如藉將5%乙基纖維素於乙醇溶液 喷霧於模具内表面上隨後引進實例1 〇所述第一組成分而於 凝膠上形成。醇溶液經罩蓋喷霧,該罩蓋保護模具意圖具 有始、封薄膜黏著層表面。讓溶劑氣化隨後引進實例1 〇所述 凝膠。此項程序有其額外優點,若有所需可減低模具内面 的生物負載。當模製組合物被引進模具内部時其強力黏著 於乙基纖維素且形成水不溶性層。藥物係藉澆鑄多層材料 於平坦©上形成,5%乙基麟素溶液噴霧於該表面上。溶 劑氣化後,將實例10所述複合層形成於其上。 ^尺 雇騰贊)—— -- (請先閲讀背面之注意事項再填寫本頁) 、tr— 1222882 A7 B7 五、發明説明(59 ) 參考文獻----------------------fee! -·· (Please read the notes on the back before filling this page) • Order — 1222882 A7 B7 Description of the Invention (58) Glyceryl monooleate 5 parts Soy lecithin 5 parts Gum arabic 30 parts Tetrahydrocannabis 10 parts α -Tocopherol 0.1 parts xylitol 3 parts glycerin 3 parts pure water 100 parts Each component was mixed as described in Example 11 and heated to dissolve. The whole batch is mixed in a mold or die-cast into flakes. The water-insoluble layer of the formula is similar to the layer described in Example 11, and as a result, the interface is slightly mixed, and the ingredients are bonded to form a cohesive product. The types and proportions of cannabinol described in other examples can also be introduced into the multilayer products described in this example. Example 25 A water-insoluble layer can also be formed on a gel by, for example, spraying 5% ethyl cellulose on an inner surface of a mold and then introducing the first component described in Example 10. The alcohol solution is sprayed through a cover that protects the mold intended to have the surface of the adhesive layer of the starting and sealing film. The solvent was allowed to vaporize and then the gel described in Example 10 was introduced. This procedure has the added benefit of reducing the bioburden on the inside of the mold if required. When the molding composition is introduced into the mold, it strongly adheres to ethyl cellulose and forms a water-insoluble layer. The drug is formed on a flat surface by casting a multilayer material, and a 5% ethyllin solution is sprayed on the surface. After the solvent was vaporized, the composite layer described in Example 10 was formed thereon. ^ Ruler Tengzan)--(Please read the notes on the back before filling this page), tr-1222882 A7 B7 V. Description of the invention (59) References

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The Development of Prescription Cannabis-Based Medicines (Jan 2001)The Development of Prescription Cannabis-Based Medicines (Jan 2001)

In-house Report GPA 002/000159 CBD Primary Screening Program (2000)In-house Report GPA 002/000159 CBD Primary Screening Program (2000)

Iversen L-L.Iversen L-L.

The Science of Marijuana/ Oxford University Press/ 48-49 (2000)The Science of Marijuana / Oxford University Press / 48-49 (2000)

Mechoulam R ed. 、, . 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 63 (請先聞讀背面之注意事項再填寫本頁) •訂— 1222882 A7 _____B7_五、發明説明(Μ ) Cannabinoids as Therapeutic Agents, CRC Press, Boca Raton,FL, New York (1976) Merck Index, 12th Edition, (1996) #1792 Merck's Manual (1899), Part 1, pg 26. Fate D· US Patent Application Number 08/919317, 28 August 1997 Pertwee R.G, (1998) Advances in Cannabinoid Receptor Pharmacology in Cannabis The Genus Cannabis (Ed· Brown D.T,) Harwood Publishers, 125-174 Petro D.J. (1980} Marijuana as a Therapeutic Agent for Muscle Spasm or Spasticity Psychosomatics 21(1), 81-85 Price M A P, and Notcutt W G Cannabis in Pain Relief In Cannabis : The Genus Cannabis (Ed Brown D T ) Harwood Publishers, 223 - 246 Raman A. The Cannabis Plant: Cultivation and Processing for Use In Cannabis: the genus Cannabis, 29— 54, Ed Brown D T Ram and Sett (1982) Zeitschrift fur pflanzenphysiologie, 107(1), 85-89 Samuelsson G Drugs of Natural Origin 15S-160Swedish Pharmaceutical (請先閲讀背面之注意事項再填寫本頁) 訂— 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) 64 1222882 A7 B7五、發明説明(62 )Mechoulam R ed. ,,. This paper size applies Chinese National Standard (CNS) A4 (210X297 mm) 63 (Please read the precautions on the back before filling out this page) • Order — 1222882 A7 _____B7_V. Description of the invention (Μ) Cannabinoids as Therapeutic Agents, CRC Press, Boca Raton, FL, New York (1976) Merck Index, 12th Edition, (1996) # 1792 Merck's Manual (1899), Part 1, pg 26. Fate D · US Patent Application Number 08/919317, 28 August 1997 Pertwee RG, (1998) Advances in Cannabinoid Receptor Pharmacology in Cannabis The Genus Cannabis (Ed Brown DT,) Harwood Publishers, 125-174 Petro DJ (1980} Marijuana as a Therapeutic Agent for Muscle Spasm or Spasticity Psychosomatics 21 (1), 81-85 Price MAP, and Notcutt WG Cannabis in Pain Relief In Cannabis: The Genus Cannabis (Ed Brown DT) Harwood Publishers, 223-246 Raman A. The Cannabis Plant: Cultivation and Processing for Use In Cannabis: the genus Cannabis, 29— 54, Ed Brown DT Ram and Sett (1982) Zeitschrift fur pflanzenphysiologie, 107 (1), 8 5-89 Samuelsson G Drugs of Natural Origin 15S-160Swedish Pharmaceutical (Please read the precautions on the back before filling out this page) Order — This paper size applies Chinese National Standard (CNS) A4 (210X297 mm) 64 1222882 A7 B7 Description of the invention (62)

Press, Stockholm, Sweden, Smiley K-A·, Karber R. and Turkanis S.A. (1976) Effect of Cannabinoids on the Perfussed Rat Heart Res· Comm· Chem· Pathol. Pharmacol, 14, 659^673 Tashkin D P, Shapiro B J, and Frank I M Acute pulmonary and physiological effects of smoked marijuana and oral delta-9-THC in healthy young men N Eng J Med, 289, 336-341 Touitou E US Patent 5,540,934 (July 30, 1996) Touitou E, Fabin B, Danny S and Almog S Transdermal Delivery of Tetrahydrocannabinol 工nt· J· of Pharmaceutics (1988) 43: 9-15 Whittle B Ά and Guy G W Formulations for sublingual delivery GB Patent Application 103638.3, Feb 14r 2001 Zuardi A-W. and Guimares F.S. (1991} Cannabidiol as an Anxiolytic and Antipsychotic in Cannabis: The Medicine Plant McFarland & Co, London: 133-141 (請先閱讀背面之注意事項再填寫本頁)Press, Stockholm, Sweden, Smiley KA ·, Karber R. and Turkanis SA (1976) Effect of Cannabinoids on the Perfussed Rat Heart Res · Comm · Chem · Pathol. Pharmacol, 14, 659 ^ 673 Tashkin DP, Shapiro BJ, and Frank IM Acute pulmonary and physiological effects of smoked marijuana and oral delta-9-THC in healthy young men N Eng J Med, 289, 336-341 Touitou E US Patent 5,540,934 (July 30, 1996) Touitou E, Fabin B, Danny S and Almog S Transdermal Delivery of Tetrahydrocannabinol Engineering J. of Pharmaceutics (1988) 43: 9-15 Whittle B Ά and Guy GW Formulations for sublingual delivery GB Patent Application 103638.3, Feb 14r 2001 Zuardi AW. And Guimares FS (1991) Cannabidiol as an Anxiolytic and Antipsychotic in Cannabis: The Medicine Plant McFarland & Co, London: 133-141 (Please read the notes on the back before filling this page)

、T 本紙張尺度適用中國國家標準(™s) A4規格(210X297公董) 65, T This paper size applies to Chinese National Standard (™ s) A4 specification (210X297)

Claims (1)

1222882_公告本 AfiBSss1222882_Announcement AfiBSss 、Ψ請尋利範圍 第91102626號專利申請案申請專利範圍修正本 修正日期·· 93年5# 1· 一種用於經由黏膜表面投予親脂藥物之醫藥配方,其白 含一或多種親脂藥物以及一或多種自行乳化劑,其中當 水合時,該配方形成含親脂藥物乳液,該乳液可黏著於 黏膜表面,且允許以控制方式釋放藥物。 2·如申請專利範圍第!項之配方,其非呈推進劑驅動氣霧 劑或推進劑驅動液體喷霧劑劑型。 3·如中料利範㈣丨或2項之配方,其包含—或多種增黏 劑。 4·如中请專利範圍第3項之配方,其中該增黏劑為氧乙烯 與氧丙烯之嵌段共聚物。 5·如申請專利範圍第3項之配方,其中該增黏劑非為非離 子性界面活性劑。 經濟部智慧財產局員工消賢合作社印^ 6·如申請專利範圍第5項之配方,其包含一或多種增黏劑 田水合時形成一種凝膠其帶有正表面電荷,以及一或 多種增黏劑其當水合時形成具有負表面電荷的凝膠。 如申《月專利範圍第6項之配方,其包含—或多種增霉占劑 其S水合時形成具有正表面電荷凝膠,該增黏劑為明膠 或糖明膠;以及一或多種增黏劑,其當水合時形成具有 負表面電荷凝膠,該增黏劑為澱粉、預膠化澱粉、阿拉 伯膠或聚右旋糖。 申明專利範圍第3項之配方,其中一或多種增黏劑係 、、&由唾液中存在之峰作用而增溶。 66 ㈣((:Ν5)Α:ϋ ^22882ΨPlease find the profit scope No. 91102626 Patent Application Application Patent Range Amendment Date of revision 5 · 93 · 5 # 1 · A pharmaceutical formula for the administration of lipophilic drugs through the surface of the mucosa, which contains one or more lipophiles Drugs and one or more self-emulsifiers, wherein when hydrated, the formulation forms a lipophilic drug-containing emulsion that can adhere to the surface of the mucosa and allows the drug to be released in a controlled manner. 2 · If the scope of patent application is the first! The formulation of this item is not a propellant-driven aerosol or propellant-driven liquid spray formulation. 3. The formula as described in Lifanfan or Item 2, which contains—or multiple tackifiers. 4. The formulation in item 3 of the patent scope, wherein the tackifier is a block copolymer of oxyethylene and oxypropylene. 5. The formulation according to item 3 of the patent application range, wherein the thickener is not a non-ionic surfactant. Printed by the Intellectual Property Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs ^ 6. If the formula in the scope of patent application No. 5 contains one or more tackifiers, a gel is formed when the field is hydrated, with a positive surface charge, and one or more additives are added. Adhesives form a gel with a negative surface charge when hydrated. For example, the formulation of item 6 of the "Monthly Patent Scope" includes-or more mold-increasing agents which form a gel with a positive surface charge when S is hydrated, the viscosity-increasing agent is gelatin or sugar gelatin; and one or more viscosity-increasing agents It forms a gel with a negative surface charge when hydrated. The tackifier is starch, pregelatinized starch, gum arabic or polydextrose. The formulation of the third item of the patent claim states that one or more of the tackifiers are solubilized by the peak action existing in saliva. 66 ㈣ ((: Ν5) Α: ϋ ^ 22882 '申請專利範圍 9.如中請專利範圍第旧之配方,其為固體劑型。 瓜如申請專利範圍第9項之配方,其為凝膠劑、麼製鍵劑 或膠囊劑。 】】·如申請專利範圍第9項之配方,其係呈凝_型用以透 過舌下或類黏膜或該二者投予親脂藥物,其中當接觸唾 液時,凝勝或凝膠喷霧劑形成含親脂藥物乳液而黏著於 舌下或頰黏膜或該二者。 12·如申凊專利範圍第9項之配方,其係呈愿製銳劑劑型用 以透過舌下或頰黏膜或該二者投予親脂藥物,其中當接 觸唾液時,鍵劑完全崩散而形成含親脂藥物之乳液,該 乳液以可逆方式黏著於舌下或頰黏膜或該二者。 13·如申請專利範圍第9或_之配方,其中涵括於配方之 增黏劑總量係高於配方之60% w/w。 k如申請專利範圍第之配方,其中該自行乳化劑 之存在量係占配方之至少5% w/w。 15.如申請專利範圍第14項之配方,其中該自行乳化劑之存 在量係占配方之至少10〇/〇 w/w。 K如申請專利範圍第項之配方,其含有一或多種溶 劑。 口.如申請專利範圍帛域2項之配方,其含有_或多種助产 劑。 岭 18·如申請專利範圍第Π項之配方,其中該助溶劑為一種辦 溶劑。 增 I9·如申請專利範圍第18項之配方,其中該增溶劑為聚氧伸 ^^先IB3續背&之注意事項再填寫本頁) •裝 二'll· 67 1222882 六 A8 B8 C8 _·______ D8 、申請專利範圍 乙基葱麻油衍生物。 20.如申請專利範圍第19項之配方,其中該聚氧伸乙基蓖麻 /由竹生物為克摩佛(crern〇ph〇r)。 21·如申請專利範圍第2〇項之配方,其中該聚氧伸乙基蓖麻 油衍生物為克摩佛RH4〇。 22·如申请專利範圍第丨6項之配方,其為一種凝膠噴霧劑。 23.如申請專利範圍第22項之配方,其係呈凝膠噴霧劑劑型 用以透過舌下或頰黏膜或該二者投予親脂藥物,其中凝 膠或凝膠噴霧劑接觸唾液時形成含親脂藥物乳液,該乳 液黏著於舌下或頰黏膜或該二者。 24·如申請專利範圍第16項之配方,其含有一或多種增黏 劑,其中涵括於配方之增黏劑總量係至少占配方之1〇/〇 w/w 〇 25·如申請專利範圍第16項之配方,其中該自行乳化劑之存 在量係占配方之至少2% w/w。 26.如申請專利範圍第25項之配方,其中該自行乳化劑之存 在量係占配方之至少5% w/w。 27·如申請專利範圍第丨項之配方,其包括一或多種選自一 油酸甘油酯、一硬脂酸甘油酯、及自行乳化級一硬脂酸 甘油酯之自行乳化劑。 8.如申請專利範圍第丨項之配方,其中該親脂藥物為一或 夕種大麻卒取物。 如申凊專利範圍第1項之配方,其中該親脂藥物包含一 或多種天然或合成類大麻酚。 及 —------------- ^ ^ !ΐ :ΐί- (CNS)A··! (2.1ϋ ^ 297 ) —··裝--------訂--------- (請先Mtt背&之注意事項再填寫本頁) 蛵^部智#?^產局員工消鸷合作>:1印心 68 •如申請專利範圍第29項之配方’其中該親脂藥物包含四 氫大麻酚、Δ9-四氫大麻酚、A9-四氫大麻酚呙基類似 物、大麻二酚、大麻二酚丙基類似物、大麻酚、大麻色 原烯、大麻色原稀丙基類似物及大麻吉紛(cannabiger〇i) 或其任一種混合物。 31·種經由黏膜表面投予親脂藥物之醫藥配方,該配方包 含一或多種親脂藥物以及一或多種自行乳化劑,其中當 水合時,該配方形成含親脂藥物乳液,其可黏著於黏膜 表面,且允許以控制方式釋放藥物,其中該親脂藥物為 一或多種得自大麻植物之萃取物。 32·種經由黏膜表面投予親脂藥物之醫藥配方,該配方包 含一或多種親脂藥物以及一或多種自行乳化劑,其中當 水合時,該配方形成含親脂藥物乳液,其可黏著於黏膜 表面,且允許以控制方式釋放藥物,其中該親脂藥物包 含兩種或兩種以上天然或合成類大麻酚的組合。 33·如申請專利範圍第32項之配方,其中該親脂藥物包含兩 種或兩種以上選自四氫大麻酚、A9_四氫大麻酚、A9·四 氫大麻酚丙基類似物、大麻二酚、大麻二酚丙基類似 物、大麻酚、大麻色原烯、大麻色原烯丙基類似物及大 麻吉紛之類大麻紛之任一種組合。 34· —種用於經由黏膜表面投予親脂藥物之醫藥配方,該配 方包含一或多種親脂藥物,一或多種溶劑,一或多種助 溶劑,以及一或多種自行乳化劑,其中當水合時,該配 方形成含親脂藥物之乳液,其可黏著於黏膜表面且允許 69 1222882 六 3 ----1-^^ 經濟部智^財產局員工消货合作社印;^ A8 B8 C8 D8 申請專利範圍 以控制方式釋放藥物,其特徵在於配方中溶劑及助溶劑 總量係大於配方之55% w/w。 35·如申請專利範圍第34項之配方,其中該溶劑加助溶劑於 配方之總存在量係高於配方之65% w/w。 36·如申請專利範圍第35項之配方,其中該溶劑加助溶劑於 配方之總存在量係高於配方之7〇% w/w。 37.如申請專利範圍第36項之配方,其中該溶劑加助溶劑於 配方之總存在量係高於配方之75% w/w。 38·如申請專利範圍第37項之配方,其中該溶劑加助溶劑於 配方之總存在量係高於配方之8 5 % w/w。 39·如申請專利範圍第35項之配方,其包含8〇%〜~至95% w/w之溶劑加助溶劑。 4〇.如申請專利範圍第34至39項中任一項之配方,其中該溶 劑為低碳烷基(CKC1)醇,及該助溶劑為丙二醇、甘油、 馬克格(macrogoh)或聚氧氫化蓖麻油。 41·如申請專利範圍第40項之配方,其中該溶劑為乙醇及該 助溶劑為丙二醇。 42·如申凊專利範圍第41項之配方,其中存在於配方之乙醇 對丙二醇之比為4: 1至1 : 4。 43·如申請專利範圍第42項之配方,其中存在於配方之乙醇 對丙二醇之比約1 : 1。 44·如申請專利範圍第40項之配方,其中該溶劑為乙醇及該 助溶劑為聚氧氫化蓖麻油。 45·如申請專利範圍第44項之配方,其中該助溶劑為克摩佛 (請先/53磧背面之注意事項再填寫本頁) 裝 ----訂------:——Φ 70 1 (CNS〉/V丨規格(2J0 1222882 8888 ABCD 經濟部智慧財產局員工消f合作钍印^ 六、申請專利範圍 RH40TM 〇 46.如申請專利範圍第44項之配方,其中該聚氧氣化萬麻油 於配方之存在量係占配方中存在的聚氧氫化蓖麻油加 乙醇總!之5 %至5 5 % w/w。 47·如申請專利範圍第46項之配方,其中該聚氧氫化蓖麻油 於配方之存在量係占配方中存在的聚氧氣化萬麻油加 乙醇總量之20%至40% w/w。 48·如申請專利範圍第47項之配方,其中該聚氧氫化蓖麻油 於配方之存在量係占配方中存在的聚氧氫化蓖麻油加 乙醇總量之約30% w/w。 49·如申请專利範圍第34項之配方,其中該自行乳化劑之存 在$係面於配方之1 % w/w。 5〇·如申請專利範圍第34項之配方,其包含一油酸甘油酯作 為自行乳化劑。 51. 如申請專利範圍第34項之配方,其中該親脂藥物為一或 多種大麻萃取物。 52. 如申請專利範圍第34項之配方,其中該親脂藥物包含一 或多種天然或合成類大麻紛。 53·如申請專利範圍第52項之配方,其中該親脂藥物包含四 氫大麻酚、Δ9-四氫大麻酚、A9·四氫大麻酚丙基類似 物、大麻二酚、大麻二酚丙基類似物、大麻酚、大麻色 原婦、大麻色原稀丙基類似物及大麻吉齡(cannabigerol) 或其任一種混合物。 54· 一種以大麻為主之醫藥配方,其包含大麻二酚(CBD)及 先 K1 背 面 之 注 t 事 項麄 再▼ 填 · 本^ 頁I ^ ! I I 1 ί I 1丁 I I I 鲁 71 1222882 ABCD 經濟部智慧財產局員工消貨合作社印糾·< 六、申請專利範圍 四氫大麻酚(THC)等類大麻酚,或次四氫大麻酚(THCV) 及次大麻二酚(CBDV)等類大麻酚,其等係呈預先界定 之重量比例。 55. 如申請專利範圍第5 1項之醫藥配方,其包含以重量計約 略等量之兩種類大麻紛:大麻二紛(CBD)及四氫大麻齡 (THC)。 56. 如申請專利範圍第51項之醫藥配方,其包含兩種類大麻 酚:大麻二酚(CBD)及四氫大麻酚(THC),其中THC以 重量計之存在量係大於CBD以重量計之存在量。 57. 如申請專利範圍第51項之醫藥配方,其包含兩種類大麻 酚:大麻二酚(CBD)及四氫大麻酚(THC),其中CBD以 重量計之存在量係大於THC以重量計之存在量。 58. 如申請專利範圍第57項之配方,其中CBD對THC之重量 比為大於2.5 : 1。 59. 如申請專利範圍第57或58項之配方,其中CBD對THC 之重量比為99 : 1至2.5 : 1。 60. 如申請專利範圍第59項之配方,其中CBD對THC之重量 比為約20 : 1至約2.5 : 1。 61. 如申請專利範圍第57項之配方,其中CBD對THC之重量 比為約19 ·· 1。 62. 如申請專利範圍第57項之配方,其中CBD對THC之重量 比係於約5 : 1至約3 : 1之範圍。 63. 如申請專利範圍第57項之配方,其實質上不含CBD及 THC以外之類大麻酚。 9*t---------IT--------- (¾先^纊背面之注意事項再填寫本頁) 72 1222882 六 A8 B8 C8 ^-----^_ 申請專利範圍 64·如申請專利範圍第63項之配方,其實質上不含出現大麻 種屬中的任何其它類大麻酚。 65·如申請專利範圍第57項之配方,其中該CBD及THC係呈 實質純質形式。 66·如申請專利範圍第57項之配方,其包含一或多種其它類 大麻酚。 67·如申請專利範圍第66項之配方,其中該一或多種其它類 大麻齡為次四氫大麻酚(THCV)或次大麻二酚(CBDV) 或二者皆是。 68.如申請專利範圍第57、66或67項中任一項之配方,其中 忒CBD及THC係衍生自一或多種大麻植株之一或多種 卒取物,該一或多種萃取物包含該植株之全部天然類大 麻酉分。 69·如申請專利範圍第綱之配方,其中該類大麻紛植株係 選自野生大麻(Cannabis sativa)、印度大麻(Cannabis indica)、其間之基因交錯、自行交錯或雜交種。 70. 如申請專利範圍第69項之配方,其中該大麻植株為野生 大麻,印度亞種且係選自印度變種及卡非瑞坦卡 (kafiristanica)變種。 71. 如申請專利範圍第68項之配方,其包含得自兩種或多種 不同大麻變種之萃取物,其中於最終所得配方,以重量 計’ CBD含量係高於thc含量。 72. 如申4專利㈣第68項之配方,其中該萃取物係經由超 臨界或次臨界流體萃取經乾燥之大麻植株製備。 丨丨_·裝--------訂---------0 (请先Mtt背面之;!*事項再填寫本頁) 經濟部智慧^屋局員工消費合作社印 .不 5.:;巧(CNS)A:!祕 73 1222882 AS B8 C8 -----_;___________ D8 六、申請專利範圍 73· —種製備以大麻為主之醫藥配方之方法,該配方包含 CBD及THC呈預先界定之重量比,該方法包含下列步 驟· a) 提供一或多種經乾燥的大麻植株,其cbd及THC 之以重量計的含量為已知; b) 製備該一或多種大麻植株萃取物; c) 將來自步驟(b)所製備的萃取物之材料配方,其 具有該預先界定之CBD對THC之比例;以及. d) 使用醫藥可接受性載劑或賦形劑將步驟產物 調配成醫藥配方。 74·如申叫專利範圍第73項之方法,其中該步驟⑻萃取物 係使用一或多種下列程序製備: ⑴浸潰 (ii)滲濾 (in)使用溶劑如eves醇類、諾佛藍(N〇rflurane)* HFA227萃取 (iv)次臨界或超臨界流體萃取。 經濟部智慧財產局員工消賢合作社印 75. 如申請專利範圍第73或74項之方法,其中於萃取前,該 經乾燥之大麻被加熱至約6(rc至約22代俾將萃取物存 在的任何類大麻酚之酸形式脫緩化。 76. 如申請專利範圍第75項之方法,其中於萃取前,該經乾 無之大麻被加熱至約⑺代至仙代俾將萃取物存在 的任何類大麻酚之酸形式脫幾化。 77·如申請專利範圍第73項 乃凌其包含使用超臨界或次 六、申請專利範圍 .. 臨界二氧化碳萃取一或多株大麻植株。 78·如申4專利&圍第73項之方法,其中於使用超臨界或次 臨界流體萃取後,萃取物接受「冬化」俾由萃取物中去 除虫鼠。 79·如申研專利範圍第73項之方法,其中於配方之CBD之重 量含量係高於THC之重量含量。 80. 如申請專利範圍第73項之方法,其中該以重量計,eBD 對THC之預先界定的比例為99 ·· 1至2·5 : 1。· 81. 如申明專利範圍第8〇項之方法,其中該以重量計,cBD 對THC之預先界定的比例為約2(^ j至約2·5 : j。 82. 如申请專利範圍第73項之方法,其中以重量計,cBD 對THC之預先界定的比例為約19 : i。 83·如申請專利範圍第73項之方法,其中以重量計CBD對 THC之預先界定的比例係於約5 :工至3 : i之範圍。 84.如申請專利範圍第73項之方法,其中該配方包含以重量 計約略等量CBD及THC。 85·如申請專利範圍第73項之方法,其中於該配方,THC 以重里计之含量係高於CBD以重量計之含量。 86. 如申請專利範圍第673項之方法,其中以重量計CBD對 THC之預先界定的比例為1 : ·· ι 5。 87. 如申請專利範圍第73項之方法,其中以重量計CBD對 THC之預先界定的比例為約丨:39。 88·如申請專利範圍第73項之方法,其中以重量計CBD對 THC之預先界定的比例為約丨:2。'Scope of patent application 9. If the oldest formula in the patent scope is requested, it is a solid dosage form. The formulation of Guarulone's patent application No. 9 is a gel, a bonding agent or a capsule. 】】 · For example, the formula in the scope of patent application No. 9 is a coagulation type for administering lipophilic drugs through the sublingual or mucosa-like or both, where when contacted with saliva, coagulation or gel spray The agent forms a lipophilic drug emulsion and adheres to the sublingual or buccal mucosa, or both. 12. The formula of item 9 in the scope of the patent of Shenyang, which is in the form of a sharp formulation for the administration of lipophilic drugs through the sublingual or buccal mucosa, or both, wherein the contact agent completely disintegrates when it comes into contact with saliva. A lipophilic drug-containing emulsion is formed which adheres to the sublingual or buccal mucosa or both in a reversible manner. 13. If the formula of patent application range 9 or _, the total amount of thickener included in the formula is higher than 60% w / w of the formula. k The formula according to the scope of patent application, wherein the self-emulsifier is present in an amount of at least 5% w / w. 15. The formulation according to item 14 of the patent application scope, wherein the self-emulsifier is present in an amount of at least 10/0 w / w. K is the formula in the scope of patent application, which contains one or more solvents. M. As for the formula in the patent application scope of domain 2, it contains one or more midwifery agents. Ling 18. The formulation according to item Π of the scope of patent application, wherein the co-solvent is an office solvent. Zinc I9 · If the formula in the scope of patent application is No. 18, where the solubilizer is polyoxyethylene ^^ IB3 Continued on the back & notes before filling out this page) • Pack two 'll · 67 1222882 Six A8 B8 C8 _ · ______ D8. Patent application ethyl onion sesame oil derivative. 20. The formulation according to item 19 of the scope of patent application, wherein the polyoxyethylene castor / bamboo is crnophor. 21. The formulation according to item 20 of the scope of patent application, wherein the polyoxyethylated castor oil derivative is Camofo RH40. 22. The formulation according to item 6 of the patent application, which is a gel spray. 23. The formulation according to item 22 of the patent application, which is in the form of a gel spray for administering lipophilic drugs through the sublingual or buccal mucosa, or both, wherein the gel or gel spray forms upon contact with saliva A lipophilic drug emulsion that adheres to the sublingual or buccal mucosa, or both. 24. If the formula in the scope of patent application No. 16 contains one or more viscosifiers, the total amount of viscosifiers included in the formula is at least 10 / 〇w / w 〇25. If the patent is applied for The formula of the range item 16, wherein the self-emulsifier is present in an amount of at least 2% w / w. 26. The formulation according to item 25 of the application, wherein the self-emulsifier is present in an amount of at least 5% w / w. 27. The formulation according to item 丨 of the patent application scope, which comprises one or more self-emulsifiers selected from the group consisting of monoolein, glyceryl monostearate, and self-emulsifying grade monoglyceryl stearate. 8. The formula according to the scope of application for patent, wherein the lipophilic drug is a marijuana stroke extract. For example, the formula of claim 1, wherein the lipophilic drug contains one or more natural or synthetic cannabinoids. And --------------- ^ ^! Ϊ́: ΐί- (CNS) A ··! (2.1ϋ ^ 297) — ·· 装 -------- Order- ------- (Please fill in this page with Mtt's notes before filling in this page) 蛵 ^ 部 智 #? ^ Industrial Bureau staff elimination cooperation >: 1 Initiation 68 • If you apply for patent scope item 29 Formulation 'wherein the lipophilic drug contains tetrahydrocannabinol, Δ9-tetrahydrocannabinol, A9-tetrahydrocannabinol analog, cannabidiol, cannabidiol propyl analog, cannabinol, cannabis chromogen Alkenes, cannabinol dipropyl analogs, and cannabigeroi or any mixtures thereof. 31. A pharmaceutical formula for administering lipophilic drugs via a mucosal surface, the formula comprising one or more lipophilic drugs and one or more self-emulsifiers, wherein when hydrated, the formula forms a lipophilic drug-containing emulsion that can adhere to The surface of the mucosa and allows controlled release of the drug, wherein the lipophilic drug is one or more extracts obtained from a cannabis plant. 32. A pharmaceutical formulation for administering lipophilic drugs via a mucosal surface, the formulation comprising one or more lipophilic drugs and one or more self-emulsifiers, wherein when hydrated, the formulation forms a lipophilic drug-containing emulsion that can adhere to Mucosal surface and allows controlled release of the drug, wherein the lipophilic drug comprises a combination of two or more natural or synthetic cannabinoids. 33. The formulation according to item 32 of the patent application scope, wherein the lipophilic drug comprises two or more selected from tetrahydrocannabinol, A9_tetrahydrocannabinol, A9 · tetrahydrocannabinol propyl analogue, cannabis Any combination of diphenol, cannabidiol propyl analog, cannabinol, cannabinol, cannabinol analog, and cannabis such as cannabis. 34 · —A pharmaceutical formula for administering lipophilic drugs through the mucosal surface, the formula comprising one or more lipophilic drugs, one or more solvents, one or more co-solvents, and one or more self-emulsifying agents, wherein when hydrated At the time, the formula formed an emulsion containing lipophilic drugs, which can adhere to the surface of the mucosa and allow 69 1222882 six 3 ---- 1-^^ Ministry of Economic Affairs Intellectual Property Bureau staff consumer goods cooperatives to print; ^ A8 B8 C8 D8 Application The patent scope releases the drug in a controlled manner, which is characterized in that the total amount of solvent and co-solvent in the formula is greater than 55% w / w of the formula. 35. The formulation of item 34 in the scope of patent application, wherein the total amount of the solvent plus co-solvent in the formulation is higher than 65% w / w of the formulation. 36. The formula as claimed in claim 35, wherein the total amount of the solvent plus co-solvent in the formula is higher than 70% w / w of the formula. 37. The formulation of claim 36, wherein the total amount of the solvent plus co-solvent in the formulation is higher than 75% w / w of the formulation. 38. The formulation of item 37 in the scope of patent application, wherein the total amount of the solvent plus the co-solvent in the formulation is higher than 85% w / w of the formulation. 39. The formulation according to item 35 of the scope of patent application, which comprises 80% to 95% w / w of solvent plus co-solvent. 40. The formulation according to any one of claims 34 to 39, wherein the solvent is a lower alkyl (CKC1) alcohol, and the co-solvent is propylene glycol, glycerin, macrogoh or polyoxyhydrogen. castor oil. 41. The formulation according to item 40 of the application, wherein the solvent is ethanol and the co-solvent is propylene glycol. 42. The formula as claimed in item 41 of the patent application, wherein the ratio of ethanol to propylene glycol present in the formula is 4: 1 to 1: 4. 43. The formulation according to item 42 of the application, wherein the ratio of ethanol to propylene glycol present in the formulation is about 1: 1. 44. The formulation according to item 40 of the application, wherein the solvent is ethanol and the co-solvent is polyoxyhydrogenated castor oil. 45 · If the formula of the scope of application for the item 44 of the patent, the co-solvent is Kemofo (please pay attention to the back of / 53 碛 before filling this page) Φ 70 1 (CNS> / V 丨 Specifications (2J0 1222882 8888 ABCD Employees of the Intellectual Property Office of the Ministry of Economic Affairs, cooperation and cooperation seals) 六 、 Applicable patent scope RH40TM 〇46. For the formula of patent scope item 44, where the oxygen The amount of wanseed sesame oil in the formula is 5% to 55% w / w of the polyoxyhydrogenated castor oil and ethanol present in the formula. 47. For example, the formula in the 46th area of the patent application, wherein the polyoxygen The amount of hydrogenated castor oil in the formula is 20% to 40% w / w of the total amount of polyoxygenated sesame oil plus ethanol present in the formula. 48. The formula according to item 47 of the patent application scope, wherein the polyoxygenated hydrogen The amount of castor oil in the formula is about 30% w / w of the total amount of polyoxygenated castor oil plus ethanol present in the formula. 49. If the formula for the scope of patent application No. 34, the presence of the self-emulsifier $ It is based on 1% w / w of the formula. 50. If the formula in the scope of patent application No. 34, its package Contains glyceryl monooleate as a self-emulsifier. 51. For example, the formula in the scope of patent application No. 34, wherein the lipophilic drug is one or more cannabis extracts. 52. In the formula, the scope of patent application No. 34, wherein the The lipophilic drug contains one or more natural or synthetic cannabinoids. 53. The formulation according to item 52 of the patent application, wherein the lipophilic drug contains tetrahydrocannabinol, Δ9-tetrahydrocannabinol, A9 · tetrahydrocannabinol Propyl analogs, cannabidiol, cannabidiol propyl analogs, cannabinol, cannabis color women, cannabis color propyl analogs, and cannabigerol or any mixture thereof. Marijuana-based medicinal formula, which contains cannabidiol (CBD) and the note on the back of K1. Then fill in this page ^ Page I ^! II 1 ί I 1 丁 III Lu 71 1222882 ABCD Intellectual Property Bureau, Ministry of Economic Affairs Employee Consumer Goods Cooperative Co., Ltd. < 6. Application for Patent Scope Cannabinol such as tetrahydrocannabinol (THC), or cannabinol such as hypotetrahydrocannabinol (THCV) and subcannabindiol (CBDV), etc. Pre-defined 55. For example, the medical formula of item 51 in the scope of patent application, which contains approximately two equal amounts of cannabis by weight: cannabis (CBD) and tetrahydrocannabis age (THC). 56. The medical formula of item 51 of the patent scope includes two types of cannabinol: cannabidiol (CBD) and tetrahydrocannabinol (THC), wherein the amount of THC present by weight is greater than the amount of CBD present by weight. 57. For example, the medical formula of item 51 of the patent application scope includes two types of cannabinol: cannabidiol (CBD) and tetrahydrocannabinol (THC), wherein the amount of CBD present by weight is greater than the amount of THC by weight Existing amount. 58. For example, the formula in the scope of patent application No. 57 wherein the weight ratio of CBD to THC is greater than 2.5: 1. 59. For example, the formulation of the 57th or 58th patent application range, wherein the weight ratio of CBD to THC is 99: 1 to 2.5: 1. 60. For example, the formulation of the 59th patent application, wherein the weight ratio of CBD to THC is about 20: 1 to about 2.5: 1. 61. For the formulation in the 57th patent application, the weight ratio of CBD to THC is about 19 ·· 1. 62. For example, the formulation of the scope of patent application No. 57 wherein the weight ratio of CBD to THC is in the range of about 5: 1 to about 3: 1. 63. For example, the formula in the 57th scope of the patent application is substantially free of cannabinols other than CBD and THC. 9 * t --------- IT --------- (¾ ^^ 纩 Notes on the back before filling this page) 72 1222882 Six A8 B8 C8 ^ ----- ^ _ Patent application range 64. The formula as claimed in item 63 of the patent application range does not substantially contain any other types of cannabinol in the cannabis species. 65. If the formulation of the scope of patent application No. 57, wherein the CBD and THC are in a substantially pure form. 66. A formulation according to item 57 of the application, which contains one or more other types of cannabinol. 67. The formulation according to item 66 of the application, wherein the one or more other types of cannabis are hypotetrahydrocannabinol (THCV) or hypocannabinol (CBDV) or both. 68. The formulation of any one of claims 57, 66, or 67, wherein the 申请 CBD and THC are derived from one or more stroke extracts of one or more cannabis plants, and the one or more extracts comprise the plant Of all natural cannabis. 69. If the formula of the scope of patent application is applied, the cannabis plant line is selected from wild cannabis (Cannabis sativa), Indian cannabis (Cannabis indica), gene interlaced, self-interlaced or hybrid. 70. For example, the formula for the scope of patent application No. 69, wherein the cannabis plant is wild cannabis, the Indian subspecies and is selected from the Indian variant and the kafiristanica variant. 71. The formulation according to item 68 of the patent application scope, which comprises extracts obtained from two or more different varieties of cannabis, wherein in the final formulation, the CBD content by weight is higher than the thc content. 72. The formula in item 68 of Patent 4, wherein the extract is prepared by supercritical or subcritical fluid extraction of dried cannabis plants.丨 丨 _Installation -------- Order --------- 0 (please fill in this page on the back of Mtt first!! * Matters and then fill out this page) Printed by the Ministry of Economic Affairs ^ Housing Bureau employee consumer cooperative. No 5.: ;; (CNS) A :! Secret 73 1222882 AS B8 C8 -----_; ___________ D8 VI. Application for Patent Scope 73 · — A method for preparing a medical formula based on hemp, the formula contains CBD and THC have a pre-defined weight ratio, and the method includes the following steps: a) providing one or more dried cannabis plants, the cbd and THC contents of which are known by weight; b) preparing the one or more cannabis Plant extracts; c) formulating the material from the extract prepared in step (b) with the pre-defined CBD to THC ratio; and. D) using a pharmaceutically acceptable carrier or excipient to step The product is formulated into a pharmaceutical formula. 74. As claimed in the method of patent scope item 73, wherein the step ⑻ extract is prepared using one or more of the following procedures: ⑴ dipping (ii) diafiltration (in) using a solvent such as eves alcohols, norfolk blue ( Norflurane) * HFA227 extraction (iv) subcritical or supercritical fluid extraction. Employees of the Intellectual Property Bureau of the Ministry of Economic Affairs, Xiaoxian Cooperative Association 75. If the method of applying for the scope of patents No. 73 or 74, before the extraction, the dried cannabis is heated to about 6 (rc to about 22 generations, the extract is present 76. The method according to item 75 of the patent application, wherein before extraction, the dried marijuana is heated to about the generation of the extract to the centipede. Deacidification of any acid form of cannabinoid. 77. If the scope of patent application is 73, it includes the use of supercritical or sub-sixth, patent application scope: critical carbon dioxide extraction of one or more cannabis plants. 78. Rushen 4 Patent & Method around item 73, wherein after using supercritical or subcritical fluid extraction, the extract is subjected to "wintering" and the pest is removed from the extract. Method, wherein the weight content of the CBD in the formula is higher than the weight content of THC. 80. The method of claim 73, wherein the pre-defined ratio of eBD to THC by weight is 99 ... 2.5: 1. 81. For example, the method of claiming the scope of patent 80, in which the pre-defined ratio of cBD to THC by weight is about 2 (^ j to about 2.5: j. 82. The method of scope of patent 73 Among them, the pre-defined ratio of cBD to THC by weight is about 19: i. 83. If the method of the scope of patent application is 73, the pre-defined ratio of CBD to THC by weight is about 5: work To 3: i. 84. If the method according to the scope of the patent application is 73, the formula contains approximately equal amounts of CBD and THC by weight. 85. If the method according to the scope of the patent application, 73 is in the formula, The content of THC by weight is higher than the content of CBD by weight. 86. If the method of the scope of patent application No. 673, the pre-defined ratio of CBD to THC by weight is 1: 5. 5. 87. For example, the method of applying for the scope of patent No. 73, in which the pre-defined ratio of CBD to THC by weight is about 丨: 39. 88. The method of applying for the scope of patent No. 73, wherein the CBD defines THC by weight in advance The ratio is about 丨: 2. -75 - 1222882 B8 C8 D8 六 經^部智#.?財產局員工消贽合作^印^ 甲請專利範圍 89·如申請專利範圍第73項之 万法,其中該配方係調配用以 經鼻、舌下、經頰、局部、 Α 口、經直腸、經靜脈、腹 内、肌肉、皮下、經皮、陰道内、尿道内、藉霧化器、 呈吸入蒸氣或藉直接安裝於膀胱輸送藥物。 见如申請專利範圍第73項之方法,其中該配方係調配成於 THC輪送前輸送CBD或提供以控制方式釋放之配方或 一者皆是。 91· 一種以大麻為主之醫華酴古,甘及,, _ ^ 甫糸配方,其係經由如申請專利範圍 第73至90項中任一項之方法獲得。 92·如申請專利範圍第54 ^貝又诸樂配方,其包含兩種類大麻 恥久四氫大麻酚(THCV)及次大麻二酚(CBDV),其中 以重量计該CBDV之存在量係大於THCV之存在量。 %如申請專利範圍第92項之配方,其包含⑽或thc或二 者皆是。 .如申明專利範圍第92項之配方,其中該(^]81:)乂對丁]9[(:丨 之重量比係高於1.5 : 1。 5·如申印專利範圍第92項之配方,其中該cbdV對THCV 之重量比係於約99 : 1至約1.5 : 1。 96. 如申請專利範圍第95項之配方,其中該CBDV對THCV 之重量比係於約2〇 : 1至約2.5 : 1之範圍。 97. 如申请專利範圍第92項之配方,其中該CBDV對THCV 之重量比約為9 : 1。 98·如申請專利範圍第92項之配方,其中該CBDV對THCV 之重量比為約5 : 1至3 : 1。 (请先fiatt背面之江意事項再填寫本5) .裝 ----訂·1-75-1222882 B8 C8 D8 Six classics ^ 部 智 #.? The staff of the property bureau eliminates cooperation ^ print ^ A please apply for the scope of the patent 89. If you apply for the 73rd method of the scope of the patent, the formula is formulated for nasal , Sublingual, buccal, topical, A mouth, transrectal, transvenous, intra-abdominal, muscular, subcutaneous, transdermal, intravaginal, intraurethral, by nebulizer, by inhalation of vapor or by direct installation in the bladder to deliver drugs . See the method in the scope of patent application No. 73, wherein the formula is formulated to deliver the CBD before the THC rotation or provide a controlled release formula or both. 91. A marijuana-based medical formula of Huaqiugu, Ganji, and _ ^ ^ 糸, which is obtained by a method such as any one of claims 73 to 90 of the scope of patent application. 92. For example, the patent application No. 54 ^ Beiyouzhule formula, which contains two types of cannabinol tetrahydrocannabinol (THCV) and subcannabinol (CBDV), wherein the amount of CBDB present is greater than THCV by weight Existed. % If the formulation of the scope of patent application No. 92, it contains ⑽ or thc or both. . As stated in the formula of the patent scope of item 92, where (^] 81 :) 乂 对 丁] 9 [(:: The weight ratio is higher than 1.5: 1. 5. As in the printed scope of the patent scope of formula 92 Wherein the weight ratio of cbdV to THCV is from about 99: 1 to about 1.5: 1. 96. For the formulation of item 95 of the patent application, wherein the weight ratio of CBDV to THCV is from about 20: 1 to about 2.5: 1. 97. If the formula of the scope of patent application is item 92, the weight ratio of the CBDV to THCV is about 9: 1. 98. If the formula of the scope of patent application item 92, the ratio of the CBDB to THCV is The weight ratio is about 5: 1 to 3: 1. (Please fill in the 5 items on the back of fiatt first) 76 1222882 六 3 -1-1-—_I___I.; 經濟部智慧財產局員工消f合作社印災 A8 BS C8 D8 申請專利範圍 99. 如申請專利範圍第92項之配方,其實質不含其它存在於 大麻種屬之類大麻紛。 100. 如申請專利範圍第92項之配方,其中該CBDV及THCV 構成得自大麻植株之萃取物之一部分,該萃取物包含該 植株天然出現的全部類大麻酚。 101. 如申請專利範圍第100項之配方,其中該大麻植株係選 自野生大麻、印度大麻或其間之基因交錯、自行交錯或 其雜交種。 102. —種如申請專利範圍第73項之方法的變化方法,其中 於步驟(a)提供一或多種經乾燥的大麻植株,其CBDV及 THCV含量為已知;以及製備一種醫藥配方其包含預定 重量比之CBDV比THCV替代CBD及THC。 103. —種醫藥配方,其包含兩種類大麻酚:THC及THCV, 其中以重量計該THCV之存在量係約略等於或大於THC 之含量。 104. 如申請專利範圍第103項之醫藥配方,其中該THCV對 THC之重量比為99 : 1至1.5 : 1。 105. 如申請專利範圍第103或104項之配方,其中該THCV對 THC之重量比為約17 : 3。 106. 如申請專利範圍第103項之配方,其也包含CBD或 CBDV或該二者而其含量以重量計係小於THCV含量。 107:如申請專利範圍第103項之配方,其中該THCV及THC 構成得自大麻植株之萃取物之一部分,該萃取物包含該 植株天然出現的全部類大麻酚。 77 gg iCNS)/V; (2J0 :> :χ ) • Γ * 裝·--- (请先Mts背面之α音V事項再填寫本Ϊ) - 1222882 六 經濟部智慧財產局員工消貨合作社印^ A8 B8 C8 D8 宇$寻利範圍 … 脈^申請專利範圍第m項之配方,其中該大麻植株係選 麻、印度大麻或其間之基因交錯、自行交錯或 其雜父種。 -種如中請專利範圍第73項之方法的變化方法,其中 於步驟⑷提供—或多種經乾燥的大麻植株,其THCV及 THC含量為已知;以及製備—種醫藥配方其包含預定重 量比之THCV比THC替代CBD比丁HC。 皿一種以大麻為主之醫藥配方,其係經由如申請專利範 圍第102或109項之方法獲得。 m·如申請專利範圍第54、91、102或110項中任一項之醫 藥配方,其係用於治療發炎疾病或任何於其病程中氧化 壓力扮演某種角色之疾病或病情。 112·如申請專利範圍第62或98項之醫藥配方,其係用於治 療類風濕性關節炎或發炎性腸病或克隆氏症。 113·如申請專利範圍第112項之醫藥配方,其中於配方中, CBD及THC或CBDV及THC V或該二者構成得自大麻植 株之萃取物之一部分,該萃取物包含該植株天然存在的 全部類大麻盼。 114.如申請專利範圍第61或97項之醫藥配方,其係用於治 療精神病症、癲癇、運動障礙、中風、頭部受傷或需要 壓抑食慾的疾病。 115:如申請專利範圍第114項之醫藥配方,其中於配方中, CBD及THC或CBDV及THCV或該二者構成得自大麻植 株之萃取物之一部分,該萃取物包含該植株天然存在的 78 (CNS)A^i (2JO76 1222882 Sat 3 -1-1 -—_ I___I .; Employees of the Intellectual Property Office of the Ministry of Economic Affairs, F8, BS, C8, D8, Patent Counseling 99. If you apply for the formula of the 92th patent scope, it does not contain other substances Cannabis species like cannabis. 100. The formulation according to item 92 of the patent application, wherein the CBDV and THCV form part of an extract obtained from a cannabis plant, and the extract contains all cannabinoids naturally occurring in the plant. 101. For the formulation of the scope of application for patent No. 100, the cannabis plant is selected from wild cannabis, Indian hemp, or genetically interleaved, self-interleaved, or hybrids thereof. 102. A method of variation such as the method of claim 73, wherein one or more dried cannabis plants are provided in step (a), the CBDV and THCV contents of which are known; and a pharmaceutical formula comprising a predetermined The weight ratio of CBDV to THCV replaces CBD and THC. 103. A pharmaceutical formula comprising two types of cannabinol: THC and THCV, wherein the amount of THCV present is approximately equal to or greater than the content of THC by weight. 104. For example, the pharmaceutical formula of item 103 of the patent application scope, wherein the weight ratio of THCV to THC is 99: 1 to 1.5: 1. 105. For example, the formulation of item 103 or 104 of the patent application scope, wherein the weight ratio of THCV to THC is about 17: 3. 106. If the formulation of the scope of patent application No. 103, it also contains CBD or CBDV or both and its content is less than THCV content by weight. 107: The formulation according to item 103 of the application, wherein the THCV and THC constitute a part of an extract obtained from a cannabis plant, and the extract contains all cannabinoids naturally occurring in the plant. 77 gg iCNS) / V; (2J0: >: χ) • Γ * equipment · --- (please fill in the alpha sound V on the back of Mts before filling in this card)-1222882 Six Consumer Goods Cooperatives, Intellectual Property Bureau, Ministry of Economic Affairs India ^ A8 B8 C8 D8 寻 Profit-seeking range ... The formula of item m in the patent application scope, where the hemp plant is selected from hemp, Indian hemp, or genetic interlacing, self-interlacing, or hetero-parent. -A method of variation such as the method in claim 73, wherein in step (i), one or more dried cannabis plants are provided, the THCV and THC content of which are known; and a preparation of a medical formula containing a predetermined weight ratio THCV is more than THC instead of CBD HC. A medical formula based on cannabis, which is obtained by methods such as patent application No. 102 or 109. m. The medical formula according to any one of claims 54, 91, 102, or 110, which is used to treat inflammatory diseases or any diseases or conditions that play a role in oxidative stress during their course. 112. A pharmaceutical formulation according to item 62 or 98 of the scope of patent application, which is used to treat rheumatoid arthritis or inflammatory bowel disease or Crohn's disease. 113. The pharmaceutical formula according to item 112 of the application, wherein in the formula, CBD and THC or CBDV and THC V or both constitute a part of an extract obtained from a cannabis plant, and the extract contains the plant naturally occurring All cannabis-like. 114. The pharmaceutical formula according to the scope of application of the patent No. 61 or 97, which is used for the treatment of mental disorders, epilepsy, dyskinesia, stroke, head injury or diseases requiring appetite suppression. 115: If the pharmaceutical formula of item 114 of the patent application scope, wherein in the formula, CBD and THC or CBDV and THCV or both constitute a part of an extract obtained from a hemp plant, the extract contains 78 naturally occurring in the plant (CNS) A ^ i (2JO 1222882 六 申請專利範圍 全部類大麻盼。 116.一種藉由申請專利範圍第73或102項之方法獲得之醫 藥配方,其包含約略等量CBD及THC或THCV及CBDV 用於治療多發性硬化、脊索受傷、周邊神經病變或其它 神經原性疼痛。 117·—種醫藥配方,其包含THC對CBD或THCV對CBDV之 重$比約39 : 1至約99 : 1用於治療癌症疼痛或偏頭痛或 用於刺激食慾。 118·如申請專利範圍第117項之醫藥配方,其中該THC對 CBD或THCV對CBDV之重量比約為39 : 1。 119·如申5月專利範圍第ip或118項之醫藥配方,其中於酉己方 中’ THC及CBD或THCV及CBDV或該二者構成得自大 麻植株之萃取物之一部分,該萃取物包含該植株天然存 在的全部類大麻齡。 120. 如申請專利範圍第ι〇3項之醫藥配方,其係用於治療癌 症疼痛或偏頭痛或用於刺激食慾。 121. —種具有延長的儲存壽命之醫藥產物,其包含大麻二 酴(CBD)以及一或多種其他生物活性組份。 122. 如申請專利範圍第121項之醫藥產物,其中該生物活性 組份為一種親脂性物質。 123·如申請專利範圍第122項之醫藥產物,其中該生物活性 .組份係選自大麻酚(CBN)、大麻吉酚(CBG)、丁HC、CBDV 及THCV 〇 124.如申請專利範圍第1項之醫藥配方,其包括如申請專利 (請先M續背面之·*:ij意事項再填寫本頁) -----訂--- 經濟部智慧財產局員工消货合作社印^ " 規格(2.K) 79 1222882 AS Βδ CS D81222882 VI Scope of Patent Application All types of cannabis hope. 116. A pharmaceutical formula obtained by the method of applying for the scope of patents 73 or 102, comprising approximately equal amounts of CBD and THC or THCV and CBDV for the treatment of multiple sclerosis, chordal injury, peripheral neuropathy or other neurogenicity pain. 117. A pharmaceutical formula comprising a weight ratio of THC to CBD or THCV to CBDV of about 39: 1 to about 99: 1 for treating cancer pain or migraine or for appetite stimulation. 118. The pharmaceutical formula according to item 117 of the patent application, wherein the weight ratio of THC to CBD or THCV to CBDV is about 39: 1. 119. The pharmaceutical formula of item ip or 118 in the patent scope of May, wherein 'THC and CBD or THCV and CBDV or both of them constitute a part of an extract obtained from a cannabis plant, and the extract contains the Plants are naturally cannabis-like. 120. The pharmaceutical formula according to the scope of patent application No. 03, which is used to treat cancer pain or migraine or to stimulate appetite. 121. A medicinal product with an extended storage life, comprising cannabis dihydrazone (CBD) and one or more other biologically active components. 122. The pharmaceutical product of claim 121, wherein the biologically active component is a lipophilic substance. 123. The pharmaceutical product of item 122 in the scope of patent application, wherein the biological activity. The component is selected from the group consisting of cannabinol (CBN), cannabinol (CBG), butan HC, CBDV and THCV. 124. 1 item of pharmaceutical formula, including if you apply for a patent (please continue with the *: ij on the back and fill in this page first) ----- Order --- Printed by the Consumer Goods Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs ^ " Specification (2.K) 79 1222882 AS Βδ CS D8 申寻利乾圍 範圍第54至72、91至1(Η、103至108或110項中任一項之 特色。 I25·一種幫浦作動喷霧劑,包含如申請專利範圍第1、54、 91、108或110項中任一項之醫藥配方,其中該配方係經 由喷嘴輸送,讓產生的粒子之平均氣體動力學直徑為i 5 至45微米。 126.—種用於經由黏膜表面投予之以大麻為主的醫藥配 方,其包含大麻二齡(CBD)及四氫大麻齡(tHC)等類大 麻酚,或次四氫大麻酚(THCV)及次大麻二酚(CBDV)等 類大麻酚,其中該配方係液體劑型而能產生具有平均氣 體動力學粒徑15至45微米之顆粒。 127·如中請專利範圍第126項之醫藥配方,其中該粒徑係介 於20至40微米。 128. 如申請專利範圍第126項之醫藥配方,其中該平均㈣ 係約33微米。 129. 如申請專利範圍第126項之醫藥配方,其中大麻二酚 (CBD)及四氫大麻紛(THC)等類大麻盼以重量計約略等 量。 130. 如申請專利範圍第126項之醫藥配方,其包含大麻二酚 (CBD)及四氫大麻盼(THC)等類大麻盼,其中thc以重 量計之存在量係大於CBD以重量計之存在量。 13L如中請專利範圍第126項之醫藥配方,其包含大麻二齡 (CBD)及四氫大麻盼(THC)等類大麻齡,其中cbd以重 量計之存在量係大於THC以重量計之存在量。 (CNS)A^; (2j〇 先 η 背 面 之 :ί I φ 再Τ 填 · 寫裝 本A 頁 I 訂 I I 經濟部智慧財產局員工消賢合作社印· 80 1222882 A8 B3 C8 D8 經濟部智慧对屋肩員工湞#合作社印$ 申請專利範圍 132.如申請專利範圍第126項之醫藥 ⑽及™:料之類大麻^ 133·如申請專利範圍第126項之醫藥配方,其實質上不含出 現於大麻種屬的任何其它類大麻酚。 134. 如申請專利範圍第126項之醫藥配方,其中該cbd及 THC係呈實質純質形式。 135. 如申請專利範圍第126項之醫藥配方,其包含—或多種 其他類大麻盼。 B6.如申請專利範圍第135項之醫藥配方,其中該—或多種 其他類大麻盼係次四氫大麻盼(THCV)或次大麻二紛 (CBDV)或兩者皆是。 137. 如申請專利範圍第126項之醫藥配方,其中該cbd及 THC係衍生自一或多種大麻植株之一或多種萃取物,該 一或多種萃取物包含該植株之全部天然類大麻酚。 138. 如巾請專利範圍第137項之醫藥配方,其中該大麻植株 係野生大麻(Cannabis sativa)、印度大麻(Cannabis indica)、其間之基因交錯、自行交錯或雜交種。 139. 如中請專利範圍第138項之醫藥配方,其中該大麻植株 為野生大麻,印度亞種且係選自印度變種及卡非瑞坦卡 (kafiristanica)變種。 H0.如中請專利範圍第137項之醫藥配方,其包含得自兩種 •或多種不同大麻變種之萃取物。 ⑷.如申請專利範圍第137項之醫藥酉己方,其中該萃取物係 經由超臨界或次臨界流體萃取經乾燥之大麻植株而製 (請先Mt5背面之注音V事項再填萬本頁) -裝 訂---------# II n 81 1222882Apply for the features of any one of the 54 to 72, 91 to 1 (Η, 103 to 108, or 110) scope of Liganwei. I25 · A pump action spray, including, for example, patent scope 1, 54, The pharmaceutical formula of any one of items 91, 108, or 110, wherein the formula is delivered through a nozzle, so that the average aerodynamic diameter of the particles produced is i 5 to 45 microns. 126.—for administration through a mucosal surface Its cannabis-based medical formula contains cannabinoids such as cannabis second age (CBD) and tetrahydrocannabinoid (tHC), or cannabis such as hypotetrahydrocannabinol (THCV) and subcannabindiol (CBDV) Phenol, where the formula is a liquid dosage form and can produce particles with an average aerodynamic particle size of 15 to 45 microns. 127. The pharmaceutical formula of item 126 in the patent claim, wherein the particle size is between 20 and 40 microns 128. For example, if you apply for a pharmaceutical formula under item 126, the average ㈣ is about 33 microns. 129. For example, if you apply for a pharmaceutical formula under item 126, which include cannabidiol (CBD) and tetrahydrocannabinol (THC) ) And other types of cannabis are expected to be approximately equal by weight. 130. The medical formula of the scope of application for patent No. 126 includes cannabinol (CBD) and tetrahydrocannabinol (THC) and other cannabinoids, in which the amount of thc is greater than the amount of CBD present by weight. 13L For example, the pharmaceutical formula of item 126 in the patent scope includes cannabis ages such as cannabis second age (CBD) and tetrahydrocannabin (THC), in which the amount of cbd by weight is greater than the amount of THC by weight. (CNS) A ^; (2j〇 First η Back: ί I φ then T Fill in, write this, page A, I order II, staff member of the Intellectual Property Bureau of the Ministry of Economic Affairs, Xiaoxian Cooperative Cooperative Seal · 80 1222882 A8 B3 C8 D8 Ministry of Economic Affairs Wisdom For the staff at the shoulder of the house ## 社 社 印 $ Application for a patent scope 132. If the patent scope of the patent application is No. 126 and ™: materials such as marijuana ^ 133 · If the patent scope of the patent application No. 126 of the medical formula, it is substantially free of Any other types of cannabinols that appear in the genus Cannabis. 134. If the pharmaceutical formula under the scope of patent application No. 126, the cbd and THC are in a substantially pure form. 135. If the pharmaceutical formula under the scope of patent application No. 126, It contains—or many other classes Cannabis. B6. If you apply for the pharmaceutical formula of item 135, the-or more other types of cannabis are hypotetrahydrocannabin (THCV) or hypocannabinol (CBDV) or both. 137. For example, the pharmaceutical formula of item 126 of the patent application, wherein the cbd and THC are derived from one or more extracts of one or more cannabis plants, and the one or more extracts contain all natural cannabinoids of the plant. 138. For example, please refer to the pharmaceutical formula of item 137, in which the cannabis plant is wild cannabis (Cannabis sativa), Indian cannabis (Cannabis indica), genetic interlacing, self-interlacing or hybrid. 139. The medical formula of item 138 in the patent application, wherein the cannabis plant is wild cannabis, the Indian subspecies and is selected from the Indian variant and the kafiristanica variant. H0. The pharmaceutical formulation under item 137 of the patent, which contains extracts from two or more different varieties of cannabis.如. For example, if you are applying for a medicine in the scope of patent application No. 137, the extract is made by extracting dried cannabis plants through supercritical or subcritical fluid (please note the note V on the back of Mt5 before filling in this page)- Binding --------- # II n 81 1222882 備。 142·如申請專利範圍第126項之醫藥配方,其容許每〇 i mi 的液體配方輸送至少1.0 mg的顧大麻酚。 143·如申請專利範圍第137項之醫藥配方,其係一製備自植 物性藥物物質之植物性藥物產品。 14=申請專利範圍第137項之醫藥配方,其中各萃取物係 传自一特定奇摩變種(chemovar)。 ⑷·如申請專利範圍第143項之醫藥配方,丨中該植物性藥 物物質具有一 HPLC曲線,該曲線中THC、CBD及CBN 具有駐留時間分別為9·6_10·6分鐘、5 4 5 9分鐘以及 7·9-8·7分鐘。 Η6.如申請專利範圍第145項之醫藥配方,其中該植物性藥 物物質包含- CBD植物性藥物萃取物具有約84%cbd 及約6%THC。 申請專利範圍第145項之醫藥配方,其中該植物性藥 物物質包含-THC植物性藥物萃取物具有約89%咖 及約6%CBD。 歐如申請專利範圍第126項之醫藥配方,其包含次四氫大 麻齡(THCV)及次大麻二盼(CBDV)等大麻齡,其中 CBDV以重量計之存在量係大於了卿以重量計之存在 量。 败如申請專利範圍第148項之醫藥配方,丨包含咖或 THC或兩者皆是。 150.如申請專利範圍第148項之醫藥配方,其實質上不 82Equipment. 142. The pharmaceutical formulation of item 126 of the scope of patent application, which allows delivery of at least 1.0 mg of guabinol per omi liquid formulation. 143. The pharmaceutical formula of item 137 of the scope of patent application is a plant-based pharmaceutical product prepared from a plant-based pharmaceutical substance. 14 = Pharmaceutical formula in the scope of patent application No. 137, where each extract is transmitted from a specific chemovar.如 If the medical formula of item 143 of the patent application scope, the botanical drug substance has an HPLC curve, and the residence time of THC, CBD and CBN in the curve is 9 · 6_10 · 6 minutes, 5 4 5 9 minutes And 7.9-8 · 7 minutes. Η6. The pharmaceutical formula according to item 145 of the patent application scope, wherein the botanical drug substance comprises-CBD botanical drug extract having about 84% cbd and about 6% THC. The medical formula of the scope of application for patent No. 145, wherein the botanical drug substance comprises -THC botanical drug extract having about 89% coffee and about 6% CBD. The pharmaceutical formula of No. 126 in the scope of patent application of Oru includes the cannabis age such as hypotetrahydrocannabinoid age (THCV) and secondary cannabis (CBDV). Among them, the amount of CBDB present by weight is greater than that by Qing Existing amount. Such as the application of the patent formula 148, including coffee or THC or both. 150. If the medical formula of the scope of patent application No. 148 is applied, it is not substantially 82 經濟部智慧財產局員工消賢合作社印¾Printed by Xiaoxian Cooperative of Employees of Intellectual Property Bureau, Ministry of Economic Affairs ¾ 1222882 經濟部智慧財產局員工消賢合作社印說 Λ8 B3 C8 D8 六、申請尋利範圍 現於大麻種屬的任何其它類大麻酚。 151. 如申明專利範圍第148項之醫藥配方,其中該及 THCV構成得自大麻植株之萃取物之—部分,該萃取物 包含該植株天然出現的全部類大麻酚。 152. 如中請專利範圍第151項之醫藥配方,其中該大麻植株 係野生大麻(Cannabis sativa)、印度大麻(Ca_bis mchca)、其間之基因交錯、自行交錯或雜交種。 153. 如f請專利範圍第148項之醫藥配方,其容許每〇i mi 的液體配方輸送至少1.0 mg的類大麻酚。 154. 如中請專利範圍第148項之醫藥配方,其係、一製備自植 物性藥物物質之植物性藥物產品。 ⑸.如申請專㈣圍第126項之醫藥配方,纟非呈推進劑驅 動氣霧劑或推進劑驅動液體噴霧劑劑型。 156.如申請專利範圍第126項之醫藥西己方,其係栗送作用喷 霧劑型。 157·—種製備以大麻為主之醫藥配方之方法,該配方包含 CBD及THC或CBDV及丁 HCV,該方法包含下列步驟: a) 提供一或多種經乾燥的大麻植株,該大麻植株含 有 CBD及 THC 或 CBDV及 THCV ; b) 製備該一或多種大麻植株萃取物; 0將一來自步驟(b)所製備的萃取物之材料配方; 以及 d)使用醫藥可接受性載劑或賦形劑將步驟(c)產物 調配成液體劑型之醫藥配方。1222882 Yinxian Cooperative, employee of the Intellectual Property Bureau of the Ministry of Economic Affairs, said Λ8 B3 C8 D8 VI. Application for profit-seeking Any other type of cannabinol present in the genus Cannabis. 151. As stated in the medical formula of item 148 of the patent, wherein the THCV and the THCV constitute part of an extract obtained from a cannabis plant, the extract contains all cannabinoids naturally occurring in the plant. 152. The pharmaceutical formula of item 151 in the patent application, wherein the cannabis plant is wild cannabis (Cannabis sativa), Indian cannabis (Ca_bis mchca), gene interlaced, self-interlaced or hybrid. 153. For example, the pharmaceutical formula of item 148 of the patent scope allows at least 1.0 mg of cannabinoid to be delivered per 10 mi of the liquid formula. 154. For example, the pharmaceutical formula of item 148 of the patent scope is a plant-based pharmaceutical product prepared from a plant-based pharmaceutical substance. ⑸. If you are applying for the pharmaceutical formula of item 126, do not present a propellant-driven aerosol or propellant-driven liquid spray formulation. 156. For example, the medicine Xiji Fang of the scope of application for patent No. 126, it is a pumping action spray formulation. 157 · —A method for preparing a medical formula based on hemp, the formula comprising CBD and THC or CBDV and DHCV, the method comprises the following steps: a) providing one or more dried cannabis plants, the cannabis plant contains CBD And THC or CBDV and THCV; b) preparing the one or more cannabis plant extracts; 0 using a material formula derived from the extract prepared in step (b); and d) using a pharmaceutically acceptable carrier or excipient The product of step (c) is formulated into a liquid pharmaceutical formulation. 83 1222882 A8 B3 C883 1222882 A8 B3 C8 六、申請尋利範圍 158·如η月專利範圍第157項之方法,纟中該d)步驟中液體 劑型之醫藥配方能產生具有平均氣體動力學粒徑15至 45微米之顆粒。 159.如申請專利範圍第157項之方法,其中該步驟⑻萃取物 係使用一或多種下列程序製備·· (0浸漬 (H)滲濾 (111)使用溶劑如Ci_C5醇類、諾佛藍(N〇rflurane)或 HFA227萃取 (iv)次臨界或超臨界流體萃取。 副.如申請專利範圍第157項之方法,其中於萃取前,該經 乾燥之大麻被加熱至約60t至約225它俾將萃取物存在 的任何類大麻酚之酸形式脫羧化。 亂如申請專利範圍第⑽項之方法,其中於萃取前,該經 乾燥之大麻被加熱至約1〇〇t至約15〇t俾將萃取物存 在的任何類大麻酚之酸形式脫羧化。 162. 如申請專利範圍第157項之方法,其包含使用超臨界或 次臨界二氧化碳萃取一或多株大麻植株。 163. 如申請專利範圍第162項之方法,其中於使用超臨界或 次臨界流體萃取後,萃取物接受「冬化」俾由萃取物中 去除蠟。 164:-種以大麻為主之醫藥配方,其係經由如申請專利範 圍第157項之方法獲得。 165.—種用於經由黏膜表面投予類大麻酚之醫藥配方,其 (請先Mtt背面之ii音V事項再填寫本頁) •裝---------訂- ¾6. Applying for a profit-seeking range 158. As in the method of item 157 of the η-month patent, the pharmaceutical formulation of the liquid dosage form in step d) can produce particles having an average aerodynamic particle size of 15 to 45 microns. 159. The method of claim 157, wherein the step , extract is prepared using one or more of the following procedures ... (0 impregnation (H) diafiltration (111) using a solvent such as Ci_C5 alcohols, Norfolk ( (Norflurane) or HFA227 extraction (iv) subcritical or supercritical fluid extraction. Vice. For example, the method of patent application No. 157, wherein before extraction, the dried cannabis is heated to about 60t to about 225 ° 俾Decarboxylate the acid form of any cannabinoid-like substance present in the extract. A method as described in item (1) of the patent application, wherein the dried cannabis is heated to about 100t to about 150t before extraction. Decarboxylation of any acidic form of cannabinoid present in the extract. 162. The method of claim 157, comprising extracting one or more cannabis plants using supercritical or subcritical carbon dioxide. 163. If the scope of the patent is claimed The method according to item 162, wherein after the extraction with supercritical or subcritical fluid, the extract is subjected to "wintering" and the wax is removed from the extract. 164: A medical formula based on hemp, which is obtained by applying Obtained by the method of item 157. 165.—A pharmaceutical formula for the administration of cannabinoids through the surface of the mucosa, (please fill in this page on the ii sound V on the back of Mtt) ---- Order-¾ 經濟部智慧財產局員工消f合作社印^ 1222882 A8 B3 C8 ____ D8 六、申請專利範圍 包含四氫大麻酚(THC)及大麻二酚(CBD)以及一基質包 含一或多種為自行乳化劑及類大麻酚增溶劑之藥劑,該 藥劑當水合時,形成含THC或CBD之乳液,該乳液可逆 地黏著於黏膜表面,且允許以控制方式釋放THc及 CBD 〇 166.如申请專利範圍第165項之配方,其中該為自行乳化劑 及類大麻酚增溶劑之藥劑係選自於以下所構成之組 合· 一油酸甘油酯、一硬脂酸甘油酯、中鏈三酸甘油酯、 聚氧伸乙基蓖麻油、聚氧乙烯烷基醚、聚氧乙烯醚、聚 氧乙烯脂肪酸酯、聚氧伸乙基硬脂酸酯及聚山梨糖醇 酉旨。 167·如申請專利範圍第166項之配方,其中該為自行乳化劑 及類大麻酚增溶劑之藥劑係聚氧伸乙基蓖麻油。 168. 如申請專利範圍第166項之配方,其中該為自行乳化劑 及類大麻紛增溶劑之藥劑係一克摩佛(cremophoj·)。 169. 如申請專利範圍第166項之配方,其包括乙醇且其中該 為自行乳化劑及類大麻紛增溶劑之藥劑係一克摩佛 (cremophor) 〇 170. 如申請專利範圍第165項之配方,其中該THC對CBD之 比例係選自於以下之組群:THC對CBD之比例係2: i、 THC對CBD之比例係1 ·· 1以及THC對CBD之比例係i :2。 171·如申請專利範圍第165項之配方,其中該基質包含—戈 多種增黏劑。 172.如申睛專利範圍第^項之配方,其中該基質包含一 (請先Mtt背面之α急事項再填寫本頁) - 85 1222882 A8 B3 C8 D8 六、申請專利範圍 多種增黏劑其當水合時形成一種凝膠其 ^ S ηχ JL> 、为正表面電 何,以及一或多種增黏劑其當水合時形成具有負 ^ 荷的凝膠。 、、、面電 173·如申請專利範圍第m項之配方, _ 4夕種增黏劑 係經由唾液中存在之酶作用而增溶。 174.如申請專利範圍第m項之配方,其中該增黏劑係一石山 水化合物。 & 175·如申請專利範圍第171項之配方,盆 、甲β i曰黏劑係;殿 176.如中請專利範圍第171項之配方,其為凝膠、壓製 或膠囊劑型。. < & W 177·如申請專利範圍第164項之配方,其係呈凝膠劑型用以 透過舌下或頰黏膜或該二者投予親脂藥物,其中當接觸 唾液時,凝膠或凝膠喷霧劑形成含親脂藥物乳液而黏著 於舌下或頻黏膜或該二者。 178.如申請專利範圍第164項之配方,其包括一或多種大廚 萃取物。 經濟部智慧財產局員工消貨合作社印^ 179·—種用於經由黏膜表面投予一或多種大麻萃取物之醫 藥配方’其包含一或多種大麻萃取物以及一基質,該萃 取物含有大麻二酚(CBD)及四氫大麻酚(THC)等類大麻 酉分,該基質包含一或多種為自行乳化劑及類大麻酚增溶 •劑之藥劑,該藥劑當水合時,形成含THC或CBD之乳 液,該乳液可逆地黏著於黏膜表面,且允許以控制方式 從该含有大麻二紛(CBD)及四氫大麻盼(THC)等類大麻 1222882 AS B8 C8 D8Employees of the Intellectual Property Bureau of the Ministry of Economic Affairs, Cooperative Cooperatives ^ 1222882 A8 B3 C8 ____ D8 6. The scope of patent applications includes tetrahydrocannabinol (THC) and cannabidiol (CBD) and a matrix containing one or more self-emulsifiers and similar Cannabinol solubilizing agent. When hydrated, this agent forms an emulsion containing THC or CBD. The emulsion reversibly adheres to the surface of the mucosa and allows controlled release of THc and CBD. 166. Such as the scope of application for patent 165 Formula, in which the self-emulsifying agent and cannabinoid-based solubilizing agent are selected from the group consisting of: glyceryl monooleate, glyceryl monostearate, glycerol medium chain triglyceride, polyoxyethylene Castor oil, polyoxyethylene alkyl ether, polyoxyethylene ether, polyoxyethylene fatty acid ester, polyoxyethylene ethyl stearate, and polysorbate. 167. The formulation according to item 166 of the patent application scope, wherein the agent is a self-emulsifier and a cannabinoid-based solubilizing agent is polyoxyethylene castor oil. 168. For example, the formula in the scope of application for patent No. 166, which is a self-emulsifying agent and a cannabis-like increasing solvent, is a cremophoj. 169. If the formula of the scope of patent application is No. 166, which includes ethanol and the pharmaceutical agent which is a self-emulsifying agent and a cannabis-like increasing solvent is a cremophor 〇170. If the formula of the scope of patent application No. 165 The ratio of THC to CBD is selected from the following groups: the ratio of THC to CBD is 2: i, the ratio of THC to CBD is 1 · 1 and the ratio of THC to CBD is i: 2. 171. The formulation according to item 165 of the application, wherein the matrix comprises a plurality of thickeners. 172. The formulation of item ^ in the patent scope of Shenyan, where the matrix contains one (please fill in this page first with the urgent matter on the back of Mtt)-85 1222882 A8 B3 C8 D8 A hydrate forms a gel when hydrated, ^ S ηχ JL>, is a positive surface charge, and one or more tackifiers form a gel with a load when hydrated. , ·, Surface electricity 173 · If the formula of the scope of application for the patent m, _ 4 viscidity agents are solubilized by the action of enzymes present in saliva. 174. The formulation according to item m of the patent application scope, wherein the thickener is a stone mountain water compound. & 175. If the formula in the scope of patent application is No. 171, the formula of the basin and a beta is viscose; 176. If the formula in the scope of patent No. 171 is requested, it is a gel, compressed or capsule dosage form. < & W 177. If the formulation of the scope of patent application No. 164, it is in the form of a gel for the administration of lipophilic drugs through the sublingual or buccal mucosa, or both, where the gel Or the gel spray forms a lipophilic drug-containing emulsion that adheres to the sublingual or mucous membrane or both. 178. A formulation according to item 164 of the application, which comprises one or more chef extracts. Printed by the Consumer Goods Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs ^ 179 · —A pharmaceutical formula for administering one or more cannabis extracts through a mucosal surface 'comprising one or more cannabis extracts and a matrix, the extracts containing cannabis II Cannabinoids such as phenol (CBD) and tetrahydrocannabinol (THC). The matrix contains one or more agents that are self-emulsifiers and cannabinoid solubilizers. When hydrated, the agent forms THC or CBD-containing agents. Emulsion, which reversibly adheres to the surface of the mucosa, and allows controlled release from the cannabis-like compound (CBD) and tetrahydrocannabis (THC) and other cannabis-like compounds 1228882 AS B8 C8 D8 六、申請專利範圍 酚之萃取物釋放該等類大麻酚。 肌如中請專利範圍第179項之醫藥配方,其中該為自行乳 化劑及類大麻紛增溶劑之单劑伤 K杀訓係逯自於以下所構成之 組合· 一油酸甘油酯、一硬脂酸甘油酯、中鏈三酸甘油 酿、聚氧伸乙基蓖麻油、聚氧乙烯烷基醚、聚氧乙烯醚、 t氧乙烯脂肪酸酯、聚氧伸乙基硬脂酸酯及聚山梨糖醇 酉Q (請先Mti背面之注*事項再填寫本頁) -裝 --------訂, 經濟部智慧財產局員工消貨合作社印¾ ii3 g λ:; 876. Scope of patent application The extract of phenol releases these types of cannabinol. Jiruo claims the pharmaceutical formula of item 179 of the patent, which is a single-agent injury killing system of self-emulsifier and cannabis-like increasing solvent. It is composed of the following combinations: glyceryl monooleate, monohard Glyceryl fatty acid esters, medium-chain triglycerides, polyoxyethylene castor oil, polyoxyethylene alkyl ethers, polyoxyethylene ethers, t-oxyethylene fatty acid esters, polyoxyethylene ethyl stearate, and polyoxyethylene fatty acid esters Sorbitol 酉 Q (please fill in this page with the notes on the back of Mti) --------- Order, printed by the Consumer Goods Cooperative of Intellectual Property Bureau of the Ministry of Economic Affairs ii3 g λ :; 87
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Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
GB0103638A GB0103638D0 (en) 2001-02-14 2001-02-14 Pharmaceutical formulations
US28004401P 2001-03-30 2001-03-30
US09/827,158 US6730330B2 (en) 2001-02-14 2001-04-05 Pharmaceutical formulations
GB0111597A GB2377633A (en) 2001-05-11 2001-05-11 Pharmaceutical compositions comprising the cannabinoids THC and CBD
GB0121715A GB2381194A (en) 2001-09-07 2001-09-07 Pharmaceutical formulations

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