TWI326601B - Granule formulation - Google Patents

Granule formulation Download PDF

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TWI326601B
TWI326601B TW91123931A TW91123931A TWI326601B TW I326601 B TWI326601 B TW I326601B TW 91123931 A TW91123931 A TW 91123931A TW 91123931 A TW91123931 A TW 91123931A TW I326601 B TWI326601 B TW I326601B
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Taiwan
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patient
dose
granules
sodium
substrate
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TW91123931A
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Chinese (zh)
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Down Brian
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Merck Frosst Canada Ltd
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Description

1326601 A7 _____B7 五、發明説明(丨 ) 發明背景 蒙鐵盧卡斯特(montelukast)鈉(SINGULAIR®)為公認用 於治療成人氣喘病及2歲小兒病患之白三缔受體拮挽劑。 該藥物目前係研究用於治療季節性過敏性鼻炎,以及年輕 至6個月大小孩可能之用途。蒙鐵盧卡斯特(m〇ntelukast)鈉 目前係以用於成人之1 〇毫克塗佈薄膜之錠劑及用於小孩之 4毫克及5毫克之可哑》爵錠劑。 發明概要 本發明係關於一種粒狀粉末形式之蒙鐵盧卡斯特 (montelukast)鈉之新穎調配物,其可直接攝取或與其他食 。七,物或其他食品混合攝取。新穎之調配物適用於對於吞资或 吸°爵錠劑不適合或無法接受之病患。 發明之詳細敍述 本發明係提供一種可流動或可分散之醫藥組合物,該組 : 〃合物包括具有塗佈蒙鐵盧卡斯特(montelukast)鈉之基材及 潤滑劑之顆粒。本組合物之顆粒可藉由以蒙鐵盧卡斯特 (montelukast)鈉之水溶液塗佈基材(視情況先以醫藥可接受 之’洁合劑凝聚)製備。烘乾所得之藥物顆粒,且與醫藥可 接梵之潤滑劑掺合,製成適用於包裝之可流動及可分散组 合物。 本發明中,基材可為任一種醫藥可接受者;通常使用糖 如甘露醇、蔗糖、乳糖、木糖醇等。所用基材之較佳形式 為自由流動之形式,其特徵為可協助最終產物顆粒精確的 计里成市場銷售之單位劑量袋。若基材無法自由流動,則 I紙張尺度^^國國家標準(CNS) A4規格(·2ι〇χ297公釐/----- 1326601 A7 B7 五、發明説明(2 ) 需要將單獨顆粒凝聚成較大之顆粒。 顆粒之一具體例中,基材為噴霧乾燥之甘露醇,其可藉 ------ 由使用慣用之加工,喷霧乾燥甘露醇之水溶液製備。本發 明亦可使用市售噴霧乾燥之甘露醇(例如法國Roquette Freres之PEARLITOL® SD 200)。喷霧乾燥之甘露醇如 PEARLITOL® SD 200之單獨顆粒一般為球體,其可賦予該 材料自由流動之性質。較好使用甘露糖醇,因為其甜度、 冰涼之口味及無吸水性。基材一般包括組合物之約9 5至約 98 wt%。 當基材本身極易自由流動時,其可在未進一步凝聚下製 造藥物顆粒,或視情況,可先以醫藥可接受之結合劑凝聚 基材。適用之醫藥可接受結合劑為例如羥基丙基纖維素、 羥基丙基甲基纖維素、甲基纖維素、乙基纖維素及聚乙烯 基吡咯啶酮。基材顆粒之凝聚係藉由將結合劑之水溶液加 於基材之上進行。例如藉由將結合劑之溶液喷佈於基材之 流體床上。使用結合劑時通常包括組合物之約2至約5%。 烘乾所得凝聚基材顆粒且用於下一步驟中。 基材顆粒藉由例如將醫藥水溶液直接喷佈在基材之流體 床上,塗佈蒙鐵盧卡斯特(montelukast)納,製造醫藥顆 粒。造粒製程獲得塗佈醫藥之顆粒,隨後烘乾上膠,獲得 低於約850微米之顆粒。該上膠之顆粒與潤滑劑摻和。用 於充填最終之產物容器。 蒙鐵盧卡斯特(montelukast)納為已知之化合物,且其 備揭示於例如美國專利第5,565,473及5,614,632號中。針對 本紙張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)1326601 A7 _____B7 V. INSTRUCTIONS (丨) BACKGROUND OF THE INVENTION SINGULAIR® is recognized as a white-triad receptor agonist for the treatment of adult asthma and 2-year-old children. The drug is currently being studied for the treatment of seasonal allergic rhinitis and for possible use by young children up to 6 months of age. M〇ntelukast sodium is currently used as a tablet for 1 〇 mg of coated film for adults and 4 mg and 5 mg for children. SUMMARY OF THE INVENTION The present invention is directed to a novel formulation of montelukast sodium in the form of a granulated powder which can be ingested directly or in combination with other foods. Seven, mixed with food or other foods. The novel formulations are suitable for patients who are unsuitable or unacceptable for swallowing or inhaling lozenges. DETAILED DESCRIPTION OF THE INVENTION The present invention provides a flowable or dispersible pharmaceutical composition comprising: a composition comprising a substrate coated with montelukast sodium and a lubricant. The granules of the present compositions can be prepared by coating a substrate with an aqueous solution of montelukast sodium, optionally condensed with a pharmaceutically acceptable 'cleaning agent'. The resulting drug granules are dried and blended with a pharmaceutically acceptable lubricant to form a flowable and dispersible composition suitable for packaging. In the present invention, the substrate may be any pharmaceutically acceptable person; sugars such as mannitol, sucrose, lactose, xylitol and the like are usually used. The preferred form of substrate used is in the form of a free-flowing form which is characterized by a unit dose bag which assists in the accurate sale of the final product granules into the market. If the substrate is not free to flow, then I paper size ^ National Standard (CNS) A4 specification (·2ι〇χ297 mm/----- 1326601 A7 B7 V. Description of invention (2) Need to separate individual particles into Larger particles. In one specific example, the substrate is spray-dried mannitol, which can be prepared by using a conventionally processed, spray-dried aqueous solution of mannitol. Commercially available spray-dried mannitol (e.g., PEARLITOL® SD 200 from Roquette Freres, France). Spray-dried mannitol, such as PEARLITOL® SD 200, is typically a single particle that imparts free-flowing properties to the material. Mannitol, because of its sweetness, cold taste and non-absorbency. The substrate generally comprises from about 95 to about 98 wt% of the composition. When the substrate itself is extremely free flowing, it can be further agglomerated Manufacture of pharmaceutical granules or, where appropriate, coagulation of the substrate with a pharmaceutically acceptable binding agent. Suitable pharmaceutically acceptable binding agents are, for example, hydroxypropylcellulose, hydroxypropylmethylcellulose, methylcellulose, B Cellulose and poly Vinylpyrrolidone. The agglomeration of the substrate particles is carried out by applying an aqueous solution of the binder to the substrate, for example by spraying a solution of the binder onto the fluid bed of the substrate. The composition is about 2 to about 5%. The resulting agglomerated substrate particles are dried and used in the next step. The substrate particles are coated with Monferruca by, for example, spraying a pharmaceutical aqueous solution directly onto the fluid bed of the substrate. Montellukast, manufacturing pharmaceutical granules. The granulation process obtains granules coated with the medicinal material, followed by drying the sizing to obtain granules of less than about 850 microns. The sized granules are blended with the lubricant. The final product container. The montelukast is a known compound, and is disclosed in, for example, U.S. Patent Nos. 5,565,473 and 5,614,632. The Chinese National Standard (CNS) A4 specification (210X) is applied to the paper scale. 297 mm)

裝 訂Binding

線 -5 - 1326601 A7 _ B7___ 五、發明説明( ) ' " 3 本發明之應用,係在造粒製程中使用蒙鐵盧卡斯特 (montelukast)鈉之水溶液。蒙鐵盧卡斯特(montelukast)> 一般包括約0,4%至約5%之組合物,使各單位劑量包裝含 每劑量約2毫克至約20毫克所需量之蒙鐵盧卡斯特 (montelukast)納。 熟習本技藝者應了解其他惰性成分亦可添加於組合物 中,以賦予最終產物所需之性質,如口味或外觀;例如増 甜劑如甜味劑、調味化合物及食品色素均可使用。 烘乾及定尺寸之醫藥顆粒與潤滑劑滚動摻和,以協助產 物在單位劑量形成之充填操作過程中之流動,且避免該操 作過程中移動金屬成分之結合。適用之潤滑劑為醫藥可接 受且包含(但不限)硬脂酸鎂、滑石等β潤滑劑一般包括組 合物之約0.25至約1%。 潤滑劑顆粒係用於充填最終之單位劑量包裝,其需提供 醫藥顆粒光及水氣保護。適當包裝之一實例為金屬箔(例 如鋁)包或袋。金屬箔可以與作為抗兒童(刺入或撕裂)保護 用之外部聚酯膜積層。内層線性低密度聚乙埽積層材作為 藥包之熱密封成分。 蒙鐵盧卡斯特(montelukast)鈉為白三烯受體擷抗劑且因 此可用於治療及預防白三烯調節之疾病及失調。白三埽擷 抗劑係用於治療氣喘、過敏性鼻炎(包含季節性及常年)、 遺傳性過敏性皮膚炎、慢性蓴麻疹、鼻竇炎、鼻内息肉、 慢性阻塞肺病、包含曱性結膜炎之結膜炎 '偏頭痛、葉胞 性纖維症、及其喘併發之病毒(如呼吸併發之病毒)細支氣 -----6- 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐) ------ A7 B7 1326601 五、發明説明( 管炎等。 對於氣喘〈治療,可藉由直接置於病患之口中或藉由與 ?性食物如蘋果醬等預混合,將本組合物投藥於病患。氣 而用之鐵盧卡斯特(mQntelukas_之確定劑量_般成人 勺每天10¾克,且小孩每日約2至約5毫克。然而,劑量之 多寡隨著欲治療症狀之性質及嚴重性、年齡、重量及個別 病患足反應而變;熟習本技藝之醫師應可依病患個別特徵 及需求為準,向上或向下調節一般之劑量,提出適當之劑 量及投藥之時間表。 對於過敏性鼻炎(包含季節性及常年性)之治療,可藉由 直接置於病患之口中或藉由與食物如蘋果醬等預混合,將 本組合物投藥於病患。過敏性鼻炎用之蒙鐵盧卡斯特 (montelukast)鈉之劑量成人約每天1〇毫克,且小孩每日約2 至約5笔克》然而’劑量之多寡隨著欲治療症狀之性質及 嚴重性、年齡、重量及個別病患之反應而變;熟習本技藝 之醫師應可依病患個別特徵及需求為準,向上或向下調節 一般之劑量’提出適當之劑量及投藥之時間表。 對於遺傳性過敏症皮膚炎之治療,可藉由直接置於病患 之口中或藉由與食物如蘋果醬等預混合,將本組合物投藥 於病患。遺傳性過敏症皮膚炎用之蒙鐵盧卡斯特 (montelukast)鈉劑量成人約每天1〇毫克,且小孩每日約2至 約5毫克。然而,劑量之多寡隨著欲治療症狀之性質及嚴 重性、年齡、重量及個別病患之反應而變;熟習本技藝之 醫師應可依病患個別特徵及需求為準,向上或向下調節一 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)Line -5 - 1326601 A7 _ B7___ V. INSTRUCTION DESCRIPTION ( ) ' " 3 The application of the present invention uses an aqueous solution of montelukast sodium in a granulation process. Montelukast> generally comprises from about 0% to about 5% of the composition, such that each unit dose package contains from about 2 mg to about 20 mg per dose of Montiel Lucas (montelukast). Those skilled in the art will appreciate that other inert ingredients may also be added to the composition to impart the desired properties, such as taste or appearance, to the final product; for example, sweeteners such as sweeteners, flavoring compounds, and food colors may be used. The dried and sized medical particles are melt blended with the lubricant to assist in the flow of the product during the filling operation of the unit dose formation and to avoid the combination of moving metal components during the operation. Suitable lubricants are pharmaceutically acceptable and include, but are not limited to, beta stearates such as magnesium stearate, talc, and the like, generally comprising from about 0.25 to about 1% of the composition. Lubricant particles are used to fill the final unit dose package, which provides medical particle light and moisture protection. An example of a suitable package is a metal foil (e.g., aluminum) bag or bag. The metal foil can be laminated with an outer polyester film for protection against children (piercing or tearing). The inner layer of linear low-density polyethylene sulphide is used as a heat seal component of the drug pack. Montelukast sodium is a leukotriene receptor antagonist and can therefore be used to treat and prevent leukotriene-regulated diseases and disorders. Baisanzhi anti-drug is used to treat asthma, allergic rhinitis (including seasonal and perennial), hereditary allergic dermatitis, chronic urticaria, sinusitis, intranasal polyps, chronic obstructive pulmonary disease, including spastic conjunctivitis Conjunctivitis 'migraine, cytoplasmic fibrosis, and its asthmatic virus (such as respiratory complications) fine suffocation-----6- This paper scale applies to China National Standard (CNS) A4 specification (210X297 mm) ------ A7 B7 1326601 V. Description of the invention ( tube inflammation, etc. For asthma treatment, this combination can be placed directly in the mouth of the patient or by premixing with a sexual food such as applesauce The drug is administered to the patient. Iron Lucaster (mQntelukas_ determines the dose _ ordinary adult spoon 103⁄4 grams per day, and the child daily about 2 to about 5 mg. However, the dose is as much as the symptoms to be treated The nature and severity, age, weight and individual patient's foot response; physicians familiar with the art should be able to adjust the general dose up or down according to the individual characteristics and needs of the patient, and propose appropriate doses and medications. Timetable The treatment of allergic rhinitis (including seasonal and perennial) can be administered to a patient by directly placing it in the mouth of the patient or by premixing with food such as applesauce, etc. Allergic rhinitis The dose of sodium montelukast is about 1 mg per day for adults, and about 2 to about 5 grams per day for children. However, the dose is as much as the nature and severity of the symptoms to be treated, age, weight. And the response of individual patients; physicians familiar with the art should be able to adjust the general dose up or down according to the individual characteristics and needs of the patient's request for appropriate dosage and schedule of administration. For atopic The treatment of dermatitis can be administered to a patient by directly placing it in the mouth of the patient or by premixing with food such as applesauce, etc. Atherosic dermatitis for Montepulcated (montelukast) sodium dose is about 1 mg per day for adults and about 2 to about 5 mg per day for children. However, the dose varies with the nature and severity of the symptoms to be treated, age, weight, and individual patient response. Cooked Physicians of the art should be able to adjust the paper size up or down according to the individual characteristics and needs of the patient. The Chinese National Standard (CNS) A4 specification (210 X 297 mm) is applicable.

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13266011326601

般之劑量,提出適當之劑量及投藥之時間表。 對於杈性蓴麻療之治療,可藉由直接置於病患之口中或 藉由與食物如蘋果醬等預混合,將本組合物投藥於病患。 慢性葬麻疹用之蒙鐵盧卡斯特(montelukast)鈉劑量成人約 每天1 〇毫克’且小孩每曰約2至約5毫克。然而,劑量之多 寡隨著欲治療症狀之性質及嚴重性、年齡、重量及個別病 患之反應而變;熟習本技藝之醫師應可依病患個別特徵及 需求為準,向上或向下調節一般之劑量,提出適當之劑量 及投藥之時間表。 對於鼻竇炎之治療,可藉由直接置於病患之口中或藉由 與食物如蘋果醬等預混合,將本組合物投藥於病患。鼻竇 炎用之蒙鐵盧卡斯特(m〇ntelukast)鋼劑量成人約每天1 〇毫 克,且小孩每日約2至約5毫克。然而,劑量之多寡隨著欲 治療症狀之性質及嚴重性、年齡、重量及個別病患之反應 而變;熟習本技藝之醫師應可依病患個別特徵及需求為 準’向上或向下調節一般之劑量,提出適當之劑量及投藥 之時間表。 對於鼻内息肉之治療,可藉由直接置於病患之口中或藉 由與食物如蘋果醬等預混合,將本組合物投藥於病患。鼻 内息肉用之蒙鐵盧卡斯特(m〇ntelukast)納劑量成人每天約 1 〇毫克,且小孩每日約2至約5毫克。然而,劑量之多寡隨 著欲治療症狀之性質及嚴重性、年齡、重量及個別病患之 反應而變;熟習本技藝之醫師應可依病患個別特徵及需求 為準,向上或向下調節一般之劑量,提出適當之劑量及投 -____ -8- 本紙浪尺度通財® s家料(CNS) A4規格(210X297公釐) 1326601 A7 _____________B7_____ 五、發明説明(6 ) — 藥之時間表。 對於慢性阻塞肺炎症狀(C〇pD)之治療,可藉由直接置 於病患之口中或藉由與食物如蘋果醬等預混合,將本組合 物投藥於病患。慢性阻塞肺炎病症(c〇PD)用之蒙鐵盧卡 斯特(montelukast)鈉劑量成人每天約丨〇毫克,且小孩每曰 約2至約5毫克。然而,劑量之多寡隨著欲治療症狀之性質 及嚴重性、年齡、重量及個別病患之反應而變;熟習本技 藝之醫師應可依病患個別特徵及需求為準,向上或向下調 節一般之劑量,提出適當之劑量及投藥之時間表。 對於結膜炎(包含甲性結膜炎)之治療,可藉由直接置於 病患之口中或藉由與食物如蘋果醬等預混合,將本組合物 投藥於病患。結膜炎用之蒙鐵盧卡斯特(m〇ntelukast)鈉劑 量成人每天約10毫克’且小孩每日約2至約5毫克。然而, 劑量之多寡隨著欲治療症狀之性質及嚴重性、年齡 '重量 及個別病患之反應而變;熟習本技藝之醫師應可依病患個 別特徵及需求為準’向上或向下調節一般之劑量,提出適 當之劑量及投藥之時間表。 對於葉狀纖維化之治療’可藉由直接置於病患之口中或 藉由與食物如蘋果醬等預混合,將本組合物投藥於病患。 葉狀纖維化用之蒙鐵盧卡斯特(m〇nte丨ukast)鈉劑量成人約 每天1 0毫克,且小孩每曰約2至約5毫克。然而,劑量之多 寡隨著欲治療症狀之性質及嚴重性、年齡、重量及個別病 患之反應而變;熟習本技藝之醫師應可依病患個別特徵及 需求為準,向上或向下調節一般之劑量,提出適當之劑量 _____ 本紙張尺度適用中國國家標竿(CNS) Α4規格(210 X 297公爱) 1326601 五 、發明説明(7 及投藥之時間表。 對於乳%小㈣發症或氣喘繼發性病毒(如呼吸併發之 病母)之’·‘田支轧管炎《治療,可藉由直接置於病患之口中 或藉由〃與食物如蘋果醬等預混合’將本組合物投藥於病 。此等症狀用之▲鐵盧卡斯特(则则心叫鋼齋!量成人 約每天1〇觉克’且小孩每日約2至約5毫克。然而,劑量之 多寡隨著欲治療症狀之性質及嚴重性、年齡、重量及個別 病心之反應而變’熟習本技藝之醫師應可依病患個別特徵 及需求為準’向上或向下調節一般之劑量,提出適當之劑 量及投藥之時間表。 製備本醫藥組合物之下列敍述僅用於舉例,並不以任何 方式限制本發明之範圍。 針對藥物顆粒之製備,一般係將基材加於裝置上噴霧噴 嘴之流體床造粒機中。以特定速率將結合劑水溶液嘴怖於 流體化基材上’形成粒狀。顆粒經烘乾,且以蒙鐵盧卡斯 特(montelukast)鈉水溶液噴佈烘乾之顆粒。所得藥物顆粒 經烘乾,且使烘乾之顆粒尺寸<850微米,接著以滚動摻和 與潤滑劑摻和。潤滑之顆粒再充填於藥包之前再摻和。 實例1 蒙鐵盧卡斯特(montelukast)納口服顆粒之製備 宜·蓋糖醇之造粒將純水USP( 102公斤)置於裝置高剪力 授拌器之適當大小不銹鋼容器中;在約3〇〇 rpm攪拌下添 加羥基丙基纖維素LF(HPC,4.16公斤)。在300 rpm下持續 混合直到目視檢視羥基丙基纖維素完全溶解為止。使用前 本纸張尺度適用中國國家標準(CNS> A4規格(210 X 297公釐) 10- 1326601 A7 B7 輸入空氣體積 輸入空氣溫度 輸入空氣之露點 霧化空氣流動 喷佈速率 輸入空氣體積 輸入空氣溫度 輸入空氣之露點 霧化空氣流動 五、發明説明( 使溶液完全消泡;在製造72小時内使用結合劑溶液。 將670升造粒之碗狀甘露糖醇(Pearlitol SD 200, Roquette Freres, 194公斤)移到流體床造粒機中,且使用下 列加工參數,將先前製備之HPC溶液(106公斤)噴佈於管柱 中之甘露糖醇上: 約 25 00 scfm 約 68°C 約 12〇C 約 46 scfm 約13 10克/分鐘 溶液輸送完成後,使用下列加工參數,烘乾管柱中之產 物至終點SO_5%LOD(烘乾損耗): 約 2500 scfm 約 68°C 約 12〇C 約 30 scfm 將烘乾之產物排入非連線之不銹鋼桶中。 藥物溶液之製備將純水USP(49.0公斤,理論量)置於裝 置高剪力攪拌器之適當大小不銹鋼容器中;在約230 rpm 攪拌下添加蒙鐵盧卡斯特(montelukast)鈉(1.70公斤,理論 量)。在230 rpm下持續混合直到目視檢視蒙鐵盧卡斯特 (montelukast)鋼完全溶解為止。使用前使溶液完全消泡(在 製造24小時内使用藥物溶液)。藥物溶液之製備反應出對 喷佈烘乾超過理論之2%。若製程之塗佈效率改變,則可調 -11 - 本纸張尺度適用中國國家標準(CNS) A4規格(21〇x 297公釐) 装 訂 1326601 A7 B7 五、 發明説明(9 整所需塗佈溶液之量。 藥物塗層/烘乾將670升造粒球體烘乾之甘露糖醇顆粒 (198公斤,理論量)移入流體床造粒機中。使用下列程序 參數,以蒙鐵盧卡斯特.(111〇1^61111^51)鈉溶液(50.7公斤,理 論量)塗佈管柱中之顆粒: 輸入空氣體積 輸入空氣溫度 輸入空氣露點 霧化之空氣流動The appropriate dose, the appropriate dosage and schedule of administration. For the treatment of spastic ramie, the composition can be administered to a patient by placing it directly in the mouth of the patient or by premixing with food such as applesauce or the like. The sodium dose of montelukast used for chronic burial of measles is about 1 mg per day for adults and about 2 to 5 mg per litter for children. However, the amount of the dose varies with the nature and severity of the condition to be treated, age, weight, and the response of the individual patient; physicians skilled in the art should adjust to the individual characteristics and needs of the patient, up or down. The general dose, the appropriate dosage and schedule of administration. For the treatment of sinusitis, the composition can be administered to a patient by placing it directly in the mouth of the patient or by premixing with food such as applesauce or the like. For sinusitis, the steel of m〇ntelukast is about 1 gram per day for adults and about 2 to about 5 mg per day for children. However, the amount of the dose varies with the nature and severity of the condition to be treated, age, weight, and the response of the individual patient; physicians skilled in the art should be able to adjust up or down depending on the individual characteristics and needs of the patient. The general dose, the appropriate dosage and schedule of administration. For the treatment of intranasal polyps, the composition can be administered to a patient by placing it directly in the mouth of the patient or by premixing with food such as applesauce or the like. For intranasal polyps, m〇ntelukast is administered in an amount of about 1 mg per day for adults and from about 2 to about 5 mg per day for children. However, the amount of the dose varies with the nature and severity of the condition to be treated, age, weight, and the response of the individual patient; physicians skilled in the art should adjust to the individual characteristics and needs of the patient, up or down. The general dose, the appropriate dose and investment -____ -8- This paper wave scale Tongcai® s household material (CNS) A4 specification (210X297 mm) 1326601 A7 _____________B7_____ V. Invention description (6) - drug schedule. For the treatment of chronic obstructive pneumonia symptoms (C〇pD), the composition can be administered to a patient by placing it directly in the mouth of the patient or by premixing with food such as applesauce or the like. The chronic sodium obstructive pneumonia condition (c〇PD) uses a montelukast sodium dose of about 丨〇 mg per day for adults and about 2 to about 5 mg per litter for children. However, the amount of the dose varies with the nature and severity of the condition to be treated, age, weight, and the response of the individual patient; physicians skilled in the art should adjust to the individual characteristics and needs of the patient, up or down. The general dose, the appropriate dosage and schedule of administration. For the treatment of conjunctivitis (including nail conjunctivitis), the composition can be administered to a patient by directly placing it in the mouth of the patient or by premixing with food such as applesauce or the like. The sodium dosage of m〇ntelukast for conjunctivitis is about 10 mg per day for adults and about 2 to about 5 mg per day for children. However, the dose varies with the nature and severity of the condition to be treated, the age's weight, and the response of individual patients; physicians skilled in the art should be able to adjust up or down depending on the individual characteristics and needs of the patient. The general dose, the appropriate dosage and schedule of administration. The treatment for foliar fibrosis can be administered to a patient by placing it directly in the mouth of the patient or by premixing with food such as applesauce or the like. The sodium dose of m〇nte丨ukast for phyllodes fibrosis is about 10 mg per day for adults and about 2 to about 5 mg per litter for children. However, the amount of the dose varies with the nature and severity of the condition to be treated, age, weight, and the response of the individual patient; physicians skilled in the art should adjust to the individual characteristics and needs of the patient, up or down. The general dose, the appropriate dose is proposed _____ This paper scale applies China National Standard (CNS) Α 4 specifications (210 X 297 public) 1326601 V. Description of the invention (7 and the schedule of administration. For the milk% (four) disease Or the asthmatic secondary virus (such as the respiratory co-mother) of the '·' field branch tube inflammation "treatment, can be placed directly in the mouth of the patient or pre-mixed with food such as applesauce, etc." The composition is administered to the disease. These symptoms are used by ▲ iron Lucaster (then the heart is called steel fast! The amount of adult is about 1 每天 per day) and the child is about 2 to about 5 mg per day. However, the dose Depending on the nature and severity of the symptoms to be treated, the age, weight and the response of the individual's heart, the physician who is familiar with the skill should be able to adjust the general dose up or down depending on the individual characteristics and needs of the patient. Propose appropriate dose and cast The following description of the preparation of the present pharmaceutical composition is for illustrative purposes only and does not limit the scope of the invention in any way. For the preparation of pharmaceutical particles, the substrate is generally applied to a fluid bed granulation of a spray nozzle on a device. In the machine, the aqueous solution of the binder is smashed on the fluidized substrate at a specific rate to form granules. The granules are dried and granulated by spraying with a solution of sodium montelukast sodium. The granules were dried and the dried granules were sized < 850 microns, and then blended with the lubricant by rolling blending. The lubricated granules were refilled prior to filling the pack. Example 1 Montepulciano (montelukast) preparation of oral granules suitable for granulation of capitol: Pure water USP (102 kg) is placed in a suitably sized stainless steel container with a high shear agitator; hydroxyl is added at about 3 rpm with stirring Propylcellulose LF (HPC, 4.16 kg). Continue mixing at 300 rpm until the hydroxypropylcellulose is completely dissolved by visual inspection. The paper size is applicable to the Chinese National Standard (CNS> A4 specification (210 X 297 gong) before use. ) 10 1326601 A7 B7 Input Air Volume Input Air Temperature Input Air Dew Point Atomized Air Flow Spray Rate Input Air Volume Input Air Temperature Input Air Dew Point Atomized Air Flow V. Description of the Invention (To Complete Defoaming of Solution; The binder solution was used within 72 hours. 670 liters of granulated bowl of mannitol (Pearlitol SD 200, Roquette Freres, 194 kg) was transferred to a fluid bed granulator and the previously prepared HPC was processed using the following processing parameters. The solution (106 kg) was sprayed onto the mannitol in the column: about 25 00 scfm about 68 ° C about 12 〇 C about 46 scfm about 13 10 g / min After the solution was transferred, use the following processing parameters to dry Product in the column to the end point SO_5% LOD (drying loss): about 2500 scfm about 68 ° C about 12 〇 C about 30 scfm The dried product is discharged into a non-wired stainless steel drum. Preparation of the drug solution Pure water USP (49.0 kg, theoretical amount) was placed in a suitably sized stainless steel container equipped with a high shear stirrer; montelukast sodium (1.70 kg) was added with stirring at approximately 230 rpm. , theoretical quantity). Continue mixing at 230 rpm until visual inspection of the montelukast steel is completely dissolved. The solution was completely defoamed before use (the drug solution was used within 24 hours of manufacture). The preparation of the drug solution reflects the drying of the spray cloth by more than 2% of theory. If the coating efficiency of the process changes, it is adjustable-11 - This paper scale is applicable to China National Standard (CNS) A4 specification (21〇x 297 mm) Binding 1326661 A7 B7 V. Description of invention (9 required coating) The amount of cloth solution. Drug Coating/Drying 670 liters of granulated sphere-dried mannitol granules (198 kg, theoretical amount) were transferred to a fluid bed granulator. The following procedure parameters were used to Montelukas. Special (111〇1^61111^51) sodium solution (50.7 kg, theoretical amount) coated particles in the column: input air volume input air temperature input air dew point atomized air flow

約 2500 scfm 約 68〇C 約 12〇C 約 3 5 scfm 噴佈速率 約13 10克/分鐘 溶液輸送完成後,使用下列加工參數,烘乾管柱中之產 物至終點S 0.5%LOD :Approximately 2500 scfm approx. 68〇C approx. 12〇C approx. 3 5 scfm spray rate approx. 13 10 g/min After the solution has been transferred, use the following processing parameters to dry the product in the column to the end point S 0.5% LOD:

輸入空氣體積 約2500 scfm 輸入空氣溫度 約6 8 °C 輸入空氣之露點 約12°C 霧化空氣流動‘ 約25 scfm 烘乾後使乾燥顆粒(200公斤,理論量)經#20-網目(約850 微米)篩網過篩。儲存通過在未連線不銹鋼容器中之20網 目(約850微米)篩網,直到潤滑之顆粒。 所列出之藥物溶液之量超過喷佈乾燥理論量之2.14%。 若製程之塗佈效率改變,則可調整所需塗佈溶液之量。另 外,喷佈之實際藥物溶液量可以以烘乾甘露糖醇造粒之產 氣為準調整。上述藥物溶液之量為可喷佈之最大量(假設 100%甘露糖醇造粒之產率)。 • 12- 本纸張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐) 1326601 A7 B7 五、發明説明(10 ) 潤滑將過篩之顆粒(200公斤,理論量)及硬脂酸鎂(已 先經#30網目(約600微米篩網)過篩,0.500公斤)添加於600 升容器中。在約6 rpm下掺和該600升容器約1 0分鐘。將潤 滑之摻合物排入未連線之不銹鋼桶中。 再摻合將潤滑之顆粒加入600升容器中,且在約6 rpm 下摻合600升容器10分鐘。在密閉容器中儲存再摻合之顆 粒直到充填藥包為止。 藥包之充填將含有再摻合顆粒之600升容器置於藥包充 填線之上。以雙螺旋充填器將再摻合之顆粒充填於金屬箔 藥包中。平均充填重量:目標0.500克/藥包^ Sin.gulairTM 口服顆粒之組合物4毫克如下所示: 成分 毫克/藥包 來源或供應商 蒙鐵盧卡斯特鈉 4.16* Merck & Co. 甘露糖醇(Pearlitol SD200) 484.9 Roquette Freres 羥基丙基纖維素LFNF 10.4 Hercules Inc. 純水USP (374)** Merck & Co. 硬脂酸鎂NF 1.25 Mallinckrodt 合計 500.0 藥袋金屬箔 Algroup Lawson Mardon *相當於4.0毫克蒙鐵盧卡斯特鈉游離酸 **在加工過程中移除 -13- 本紙張尺度適用中国國家標準(CNS) A4規格(210 X 297公釐)The input air volume is about 2500 scfm. The input air temperature is about 6 8 °C. The input air dew point is about 12 °C. The atomizing air flows ' about 25 scfm. After drying, the dry particles (200 kg, theoretical amount) are passed through #20-mesh. Screened through a 850 micron screen. Store through a 20 mesh (approximately 850 micron) screen in an unwired stainless steel container until the particles are lubricated. The amount of the drug solution listed exceeds 2.14% of the theoretical amount of spray drying. If the coating efficiency of the process is changed, the amount of the coating solution required can be adjusted. In addition, the actual amount of the drug solution sprayed can be adjusted based on the gas produced by drying the mannitol granulation. The amount of the above drug solution is the maximum amount that can be sprayed (assuming 100% mannitol granulation yield). • 12- This paper size applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm) 1326601 A7 B7 V. INSTRUCTIONS (10) Lubricating sifted granules (200 kg, theoretical amount) and stearic acid Magnesium (which has been sieved through #30 mesh (approximately 600 micron screen), 0.500 kg) was added to a 600 liter vessel. The 600 liter container was blended at about 6 rpm for about 10 minutes. Drain the blended blend into an unwired stainless steel bucket. The blended particles were then blended into a 600 liter vessel and the 600 liter vessel was blended for 10 minutes at about 6 rpm. The re-blended particles are stored in a closed container until the drug pack is filled. The filling of the pack places the 600 liter container containing the re-blended particles on top of the pack filling line. The re-blended granules were filled in a metal foil pouch with a double screw filler. Average filling weight: target 0.500 g / drug pack ^ Sin.gulairTM Oral granule composition 4 mg as follows: Ingredient mg / drug source or supplier Monta Luccast Sodium 4.16* Merck & Co. mannose Alcohol (Pearlitol SD200) 484.9 Roquette Freres Hydroxypropyl Cellulose LFNF 10.4 Hercules Inc. Pure Water USP (374)** Merck & Co. Magnesium Stearate NF 1.25 Mallinckrodt Total 500.0 Bag Metal Foil Algroup Lawson Mardon * Equivalent 4.0 mg of Monteclamation sodium free acid** removed during processing-13- This paper scale applies to Chinese National Standard (CNS) A4 size (210 X 297 mm)

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TW91123931A 2002-10-17 2002-10-17 Granule formulation TWI326601B (en)

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