TWI698258B - Pharmaceutical composition - Google Patents

Pharmaceutical composition Download PDF

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TWI698258B
TWI698258B TW108112937A TW108112937A TWI698258B TW I698258 B TWI698258 B TW I698258B TW 108112937 A TW108112937 A TW 108112937A TW 108112937 A TW108112937 A TW 108112937A TW I698258 B TWI698258 B TW I698258B
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pharmaceutical composition
present
composition
salt
aluminum phosphate
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TW108112937A
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TW201946612A (en
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金潤三
田炳旭
申東澈
黃用淵
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韓商保寧製藥股份有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/42Phosphorus; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/155Amidines (), e.g. guanidine (H2N—C(=NH)—NH2), isourea (N=C(OH)—NH2), isothiourea (—N=C(SH)—NH2)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/205Amine addition salts of organic acids; Inner quaternary ammonium salts, e.g. betaine, carnitine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/695Silicon compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/80Polymers containing hetero atoms not provided for in groups A61K31/755 - A61K31/795
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/06Aluminium, calcium or magnesium; Compounds thereof, e.g. clay
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/06Aluminium, calcium or magnesium; Compounds thereof, e.g. clay
    • A61K33/08Oxides; Hydroxides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/08Drugs for disorders of the alimentary tract or the digestive system for nausea, cinetosis or vertigo; Antiemetics

Abstract

The present invention relates to a pharmaceutical composition comprising aluminum phosphate gel, magnesium hydroxide, simethicone, DL-carnitine hydrochloride and chlorhexidine salt. The pharmaceutical composition of the present invention is excellent in a preservative efficacy, and thus may be efficiently utilized as the pharmaceutical composition.

Description

醫藥組合物Pharmaceutical composition

本發明係關於一種醫藥組合物,其包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽。The present invention relates to a pharmaceutical composition comprising aluminum phosphate gel, magnesium hydroxide, dimethicone, DL-carnitine hydrochloride and loxidine salt.

胃為一種器官,其精細地分解經歷食道之食物以便容易儲存及消化,且控制食物傳送至十二指腸中以與胰臟酶之分泌協調,藉此有助於食物之有效消化及吸收。在食物進入後,胃分泌強酸,亦即胃酸以便消化食物。彼時,胃黏膜保護層保護胃黏膜不受此類胃酸損傷。The stomach is an organ that finely decomposes food that goes through the esophagus for easy storage and digestion, and controls the delivery of food to the duodenum to coordinate with the secretion of pancreatic enzymes, thereby contributing to the effective digestion and absorption of food. After the food enters, the stomach secretes strong acid, that is, stomach acid to digest the food. At that time, the gastric mucosal protective layer protects the gastric mucosa from such gastric acid damage.

然而,胃黏膜保護層易受由來自各種因子之攻擊引起的損傷。作為代表性侵襲性因子,存在胃酸、酒精、吸菸、類固醇、諸如阿司匹林之非類固醇消炎藥(NSAID)、諸如幽門螺旋桿菌(Helicobacter pylori)等之細菌、刺激性食物、營養缺乏、壓力等。當胃黏膜層由此類因素所致而受損時,存在伴有侵蝕、發紅、出血或水腫之炎症之出現。在嚴重情況下,若損傷發展以在胃黏膜中形成孔且甚至損傷黏膜之底部及肌肉層,則出現胃潰瘍。However, the gastric mucosal protective layer is susceptible to damage caused by attacks from various factors. As representative aggressive factors, there are gastric acid, alcohol, smoking, steroids, non-steroidal anti-inflammatory drugs (NSAID) such as aspirin, bacteria such as Helicobacter pylori, irritating food, nutritional deficiency, stress, and the like. When the gastric mucosal layer is damaged by such factors, there is inflammation accompanied by erosion, redness, bleeding or edema. In severe cases, if the injury develops to form a hole in the gastric mucosa and even damage the bottom of the mucosa and the muscle layer, a gastric ulcer occurs.

為了預防及治療如上之胃損傷,有可能使用中和、吸收或抑制胃酸或經施加至胃黏膜以形成保護層之藥物。在市場中出售將磷酸鋁凝膠、鋁鎂加、褐藻酸等用作主要組分之產品。然而,根據患者之口味之多樣化,對在維持胃保護作用的同時,具有較溫和及較新鮮的攝入感覺之產品存在需求。In order to prevent and treat the above gastric injury, it is possible to use drugs that neutralize, absorb or inhibit gastric acid or are applied to the gastric mucosa to form a protective layer. Products that use aluminum phosphate gel, aluminum magnesium plus, and alginic acid as the main components are sold in the market. However, according to the diversification of the tastes of patients, there is a demand for products that have a milder and fresher intake sensation while maintaining gastric protection.

[[ 先前技術參考文獻Prior technical references ]]

[[ 專利文獻Patent literature ]]

(專利文獻1)韓國專利註冊號第10-0903743號(Patent Document 1) Korean Patent Registration No. 10-0903743

本發明之一目的係為了提供一種具有極佳防腐功效之醫藥組合物,其包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽。One purpose of the present invention is to provide a pharmaceutical composition with excellent antiseptic effect, which comprises aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and loxidine salt .

此外,本發明之目的係為了提供一種具有極佳防腐功效之用於預防或治療胃腸道失調的醫藥組合物,其包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽,以及一種用於製備其之方法。In addition, the purpose of the present invention is to provide a pharmaceutical composition with excellent antiseptic effect for preventing or treating gastrointestinal disorders, which comprises aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-meat Alkali hydrochloride and loxidine salt, and a method for preparing them.

本發明之另一目的係為了提供一種用於預防或治療胃腸道失調之方法,其包括向個體投與包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之醫藥組合物之步驟。Another object of the present invention is to provide a method for the prevention or treatment of gastrointestinal disorders, which comprises administering to an individual containing aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloric acid The steps of the pharmaceutical composition of salt and lohxidine salt.

此外,本發明之另一目的係為了提供一種包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之組合物的用途,其用於預防或治療胃腸道失調。In addition, another object of the present invention is to provide a use of a composition comprising aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and loxidine salt, which is used To prevent or treat gastrointestinal disorders.

此外,本發明之另一目的係為了提供一種包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之組合物的用途,其用於製備用於預防或治療胃腸道失調之藥物。In addition, another object of the present invention is to provide a use of a composition comprising aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and loxidine salt, which is used For the preparation of medicines for preventing or treating gastrointestinal disorders.

為達成以上目的,本發明人已繼續研究且因此鑑別出包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷及DL-肉鹼鹽酸鹽之醫藥組合物的抗菌程度可藉由包含洛赫西定鹽來提高,藉此完成本發明。In order to achieve the above objectives, the inventors have continued to study and have therefore identified that the antibacterial degree of the pharmaceutical composition containing aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane and DL-carnitine hydrochloride can be achieved by including Lohexidine salt is improved, thereby completing the present invention.

本發明提供包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之醫藥組合物。The present invention provides a pharmaceutical composition comprising aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and lohxidine salt.

本發明醫藥組合物顯示改善胃腸道失調之極佳活性,且達成組合物之極佳防腐功效、患者之良好喜愛度及藥療之新鮮感覺。The pharmaceutical composition of the present invention shows excellent activity for improving gastrointestinal disorders, and achieves the excellent antiseptic effect of the composition, the good preference of patients and the freshness of medicine treatment.

本發明醫藥組合物甚至在高pH下維持抗菌品質,使得極大抑制微生物之增殖。特定言之,即使在微生物滲入後,本發明之組合物亦可以較快速度殺滅此類微生物,使得組合物可穩定地保存長時間段不受微生物損害。舉例而言,本發明之組合物可顯示出長時間段抗金黃色葡萄球菌 (S. aureus )、綠膿桿菌 (P. aeruginosa )、大腸桿菌 (E. coli )、白色念珠菌 (C. albicans )、巴西麯黴 (A . brasiliensis )、環狀芽孢桿菌 (Bacillus circulans )及其類似物之極佳抗菌活性。The pharmaceutical composition of the present invention maintains antibacterial qualities even at high pH, so that the proliferation of microorganisms is greatly inhibited. In particular, even after the infiltration of microorganisms, the composition of the present invention can kill such microorganisms quickly, so that the composition can be stored stably for a long period of time without being damaged by microorganisms. For example, the composition of the present invention can exhibit long-term resistance to Staphylococcus aureus ( S. aureus ), Pseudomonas aeruginosa ( P. aeruginosa ), Escherichia coli ( E. coli ), and Candida albicans ( C. albicans ). ), Brazil Aspergillus (A. brasiliensis), Bacillus circulans (Bacillus circulans) and its analogs excellent antibacterial activity.

此外,本發明醫藥組合物可維持其中存在之微生物之低含量,即使此類組合物在製備製程期間曝露於外部持續較長時間段。結果,可能不需要對旨在在製備製程期間防止微生物滲入之管理作出巨大投資,使得組合物有利於大量生產及工業用途且在經濟上有效益。In addition, the pharmaceutical composition of the present invention can maintain a low content of microorganisms present therein, even if the composition is exposed to the outside for a long period of time during the preparation process. As a result, it may not be necessary to make a huge investment in management aimed at preventing the infiltration of microorganisms during the preparation process, so that the composition is beneficial for mass production and industrial use and is economically beneficial.

此外,本發明醫藥組合物可長時間維持防腐功效,無論使用何種類型之外部容器以容納組合物,且亦不會造成經吸收至容器之外壁上的問題。In addition, the pharmaceutical composition of the present invention can maintain the antiseptic effect for a long time, no matter what type of external container is used to contain the composition, it will not cause the problem of being absorbed onto the outer wall of the container.

在本發明中,該組合物可包含相對於組合物之總重量5 w/w%至30 w/w%之磷酸鋁凝膠;0.5 w/w%至10 w/w%之氫氧化鎂;0.001 w/w%至1 w/w%之聚二甲矽氧烷;0.1 w/w%至1.5 w/w%之DL-肉鹼鹽酸鹽;及0.001 w/w%至0.05 w/w%之洛赫西定鹽。特定言之,本發明之組合物可包含相對於組合物之總重量10 w/w%至15 w/w%之磷酸鋁凝膠;1 w/w%至5 w/w%之氫氧化鎂;0.01 w/w%至0.5 w/w%之聚二甲矽氧烷;0.4 w/w%至1 w/w%之DL-肉鹼鹽酸鹽;及0.001 w/w%至0.03 w/w%之洛赫西定鹽。In the present invention, the composition may comprise 5 w/w% to 30 w/w% aluminum phosphate gel; 0.5 w/w% to 10 w/w% magnesium hydroxide relative to the total weight of the composition; 0.001 w/w% to 1 w/w% polydimethylsiloxane; 0.1 w/w% to 1.5 w/w% DL-carnitine hydrochloride; and 0.001 w/w% to 0.05 w/w % Of lohxidine salt. In particular, the composition of the present invention may comprise 10 w/w% to 15 w/w% aluminum phosphate gel; 1 w/w% to 5 w/w% magnesium hydroxide relative to the total weight of the composition ; 0.01 w/w% to 0.5 w/w% polydimethylsiloxane; 0.4 w/w% to 1 w/w% DL-carnitine hydrochloride; and 0.001 w/w% to 0.03 w/ w% lohxidine salt.

在本發明中,磷酸鋁凝膠之含量可為相對於組合物之總重量5 w/w%至30 w/w%、較佳10 w/w%至15 w/w%。本發明之磷酸鋁凝膠可為滿足美國藥典之需求的一者。本發明之磷酸鋁凝膠在經由該含量範圍內之胃酸之脫酸及中和顯示胃黏膜保護作用的同時,可產生新鮮的攝入感覺。此外,該磷酸鋁凝膠在預防可由氫氧化鎂引起之腹瀉方面起作用。In the present invention, the content of aluminum phosphate gel may be 5 w/w% to 30 w/w%, preferably 10 w/w% to 15 w/w% relative to the total weight of the composition. The aluminum phosphate gel of the present invention can be one that meets the requirements of the United States Pharmacopoeia. The aluminum phosphate gel of the present invention exhibits a protective effect of gastric mucosa through deacidification and neutralization of gastric acid within the content range, and at the same time, it can produce a sense of fresh intake. In addition, the aluminum phosphate gel plays a role in preventing diarrhea that can be caused by magnesium hydroxide.

在本發明中,氫氧化鎂之含量相對於組合物之總重量可為0.5 w/w%至10 w/w%、較佳1 w/w%至5 w/w%。該氫氧化鎂可充當制酸劑且在中和胃腸道內之胃酸方面起作用。此外,該磷酸鋁凝膠在預防可由磷酸鋁凝膠引起之便秘方面起作用。In the present invention, the content of magnesium hydroxide can be 0.5 w/w% to 10 w/w%, preferably 1 w/w% to 5 w/w% relative to the total weight of the composition. The magnesium hydroxide can act as an antacid and play a role in neutralizing gastric acid in the gastrointestinal tract. In addition, the aluminum phosphate gel plays a role in preventing constipation that can be caused by the aluminum phosphate gel.

本發明醫藥組合物顯示中和胃腸道中之胃酸且藉助於磷酸鋁凝膠及氫氧化鎂維持胃中之高pH的緩衝作用,且不引起二級酸反彈。此外,本發明醫藥組合物以使得鋁鹽及鎂鹽以互補方式起作用之方式減少胃腸副作用的出現。The pharmaceutical composition of the present invention shows the buffering effect of neutralizing gastric acid in the gastrointestinal tract and maintaining high pH in the stomach by means of aluminum phosphate gel and magnesium hydroxide, and does not cause secondary acid rebound. In addition, the pharmaceutical composition of the present invention reduces the occurrence of gastrointestinal side effects in a way that the aluminum salt and the magnesium salt act in a complementary manner.

除磷酸鋁凝膠及氫氧化鎂之外,本發明醫藥組合物可進一步包含制酸劑。該額外制酸劑可為例如鋁鹽、鎂鹽、鈣鹽及鈉鹽,尤其氫氧化鋁、矽酸鋁、碳酸鎂、氧化鎂、碳酸鈣及碳酸氫鈉,但不限於此。In addition to aluminum phosphate gel and magnesium hydroxide, the pharmaceutical composition of the present invention may further include an antacid. The additional antacid may be, for example, aluminum salt, magnesium salt, calcium salt, and sodium salt, especially aluminum hydroxide, aluminum silicate, magnesium carbonate, magnesium oxide, calcium carbonate, and sodium bicarbonate, but is not limited thereto.

本發明醫藥組合物可進一步包含胃酸抑制劑。該胃酸抑制劑可為例如H2 受體拮抗劑及質子泵抑制劑,尤其組織胺拮抗劑(cimetidine)、雷尼替丁(ranitidine)、法莫替丁(famotidine)、尼紮替丁(nizatidine)、奧美拉唑(omeprazole)、埃索美拉唑(esomeprazole)、蘭索拉唑(lansoprazole)、泮托拉唑(pantoprazole)及拉貝拉唑(rabeprazole),但不限於此。The pharmaceutical composition of the present invention may further comprise a gastric acid inhibitor. The gastric acid inhibitor may be, for example, an H 2 receptor antagonist and a proton pump inhibitor, especially histamine antagonist (cimetidine), ranitidine (ranitidine), famotidine (famotidine), nizatidine (nizatidine) ), omeprazole, esomeprazole, lansoprazole, pantoprazole, and rabeprazole, but not limited thereto.

在本發明中,聚二甲矽氧烷之含量相對於組合物之總重量可為0.001 w/w%至1 w/w%、較佳0.01 w/w%至0.5 w/w%。該聚二甲矽氧烷藉由自胃移除氣體來消除腹脹及不適感。In the present invention, the content of polydimethylsiloxane relative to the total weight of the composition may be 0.001 w/w% to 1 w/w%, preferably 0.01 w/w% to 0.5 w/w%. The polydimethylsiloxane eliminates bloating and discomfort by removing gas from the stomach.

在本發明中,DL-肉鹼鹽酸鹽之含量相對於組合物之總重量可為0.1 w/w%至1.5 w/w%、較佳0.4 w/w%至1.0 w/w%。該DL-肉鹼鹽酸鹽可刺激胃液之分泌且促進胃腸道蠕動。In the present invention, the content of DL-carnitine hydrochloride relative to the total weight of the composition can be 0.1 w/w% to 1.5 w/w%, preferably 0.4 w/w% to 1.0 w/w%. The DL-carnitine hydrochloride can stimulate the secretion of gastric juice and promote gastrointestinal motility.

在本發明中,洛赫西定鹽可選自乙酸洛赫西定、葡糖酸洛赫西定、鹽酸洛赫西定或其組合,且較佳地可為乙酸洛赫西定(二乙酸洛赫西定),但不限於此。在本發明中,洛赫西定鹽之含量相對於組合物之總重量可為0.001 w/w%至0.05 w/w%、較佳0.001 w/w%至0.03 w/w%。該洛赫西定鹽可充當防腐劑。本發明醫藥組合物可藉由包含該洛赫西定鹽來顯示抗各種環境細菌之抗菌作用,使得本發明醫藥組合物在防腐功效方面極佳。本發明醫藥組合物甚至在洛赫西定鹽之低濃度下在防腐功效方面亦極佳。此外,本發明醫藥組合物可藉由包含該洛赫西定鹽來在高pH下,例如甚至在pH 7至9下之維持極佳的抗菌活性。此外,即使在微生物滲入後,本發明醫藥組合物可以較快速度殺滅此類微生物,使得組合物可穩定地保存長時間段不受微生物損害。此外,本發明醫藥組合物可維持其中存在之微生物之低含量,即使此類組合物在製備製程期間曝露於外部持續較長時間段。結果,可能不需要對旨在在製備製程期間防止微生物滲入之管理作出巨大投資,使得組合物有利於大量生產及工業用途且在經濟上有效益。In the present invention, the lohxidine salt may be selected from lohxidine acetate, lohxidine gluconate, lohxidine hydrochloride or a combination thereof, and preferably may be lohxidine acetate (diacetic acid Loxidine), but not limited to this. In the present invention, the content of lohxidine salt relative to the total weight of the composition may be 0.001 w/w% to 0.05 w/w%, preferably 0.001 w/w% to 0.03 w/w%. The loxidine salt can act as a preservative. The pharmaceutical composition of the present invention can exhibit antibacterial effects against various environmental bacteria by including the loxidine salt, so that the pharmaceutical composition of the present invention has an excellent antiseptic effect. The pharmaceutical composition of the present invention has excellent antiseptic efficacy even at low concentrations of loxidine salt. In addition, the pharmaceutical composition of the present invention can maintain excellent antibacterial activity at high pH, for example, even at pH 7 to 9, by including the loxidine salt. In addition, even after the infiltration of microorganisms, the pharmaceutical composition of the present invention can kill such microorganisms quickly, so that the composition can be stored stably for a long period of time without being damaged by microorganisms. In addition, the pharmaceutical composition of the present invention can maintain a low content of microorganisms present therein, even if the composition is exposed to the outside for a long period of time during the preparation process. As a result, it may not be necessary to make a huge investment in management aimed at preventing the infiltration of microorganisms during the preparation process, so that the composition is beneficial for mass production and industrial use and is economically beneficial.

除洛赫西定鹽以外,本發明醫藥組合物可進一步包含防腐劑。該額外防腐劑可為例如胺基苯甲酸、水合羊毛蠟、無水亞硫酸鈉、去水乙酸鈉、二丁基羥基甲苯、二氯苯甲醇、苯甲酸、苯甲酸鈉、苯甲醇、丁基羥基苯甲醚、丁基羥基甲苯、山梨酸鉀、山梨酸、對羥基苯甲酸甲酯、對羥基苯甲酸甲酯鈉、對羥基苯甲酸乙酯、對羥基苯甲酸丙酯、對羥基苯甲酸丙酯鈉、對羥基苯甲酸丁酯鈉及苯氧基乙醇,但不限於此。In addition to loxidine salt, the pharmaceutical composition of the present invention may further include a preservative. The additional preservative can be, for example, aminobenzoic acid, hydrated wool wax, anhydrous sodium sulfite, sodium acetate, dibutylhydroxytoluene, dichlorobenzyl alcohol, benzoic acid, sodium benzoate, benzyl alcohol, butylhydroxyanisole , Butylated hydroxytoluene, potassium sorbate, sorbic acid, methyl p-hydroxybenzoate, sodium methyl p-hydroxybenzoate, ethyl p-hydroxybenzoate, propyl p-hydroxybenzoate, sodium propyl p-hydroxybenzoate, Sodium butyl p-hydroxybenzoate and phenoxyethanol, but not limited to these.

本發明醫藥組合物可進一步包含黏度控制劑。該黏度控制劑可為例如瓊脂、果膠、硫酸鈣、三仙膠、聚乙烯吡咯啶酮、乙基纖維素、羧甲基纖維素鈉、中國魚膠、褐藻酸、褐藻酸鹽、單硬脂酸鋁、膨潤土、卡波姆、卡波姆共聚物、角叉菜膠、糊精、明膠、瓜爾膠及二氧化矽,但不限於此,且可較佳選自瓊脂、果膠、硫酸鈣、三仙膠或其組合。在本發明之一較佳實施例中,本發明醫藥組合物包含瓊脂、果膠、硫酸鈣及三仙膠。該等瓊脂及果膠可藉由與磷酸鋁凝膠相互作用來增強覆蓋胃黏膜之作用。該三仙膠可有效控制醫藥組合物之黏度。在本發明中,三仙膠相對於組合物之總重量之含量可為0.1 w/w%至1 w/w%、較佳0.1 w/w%至0.7 w/w%。本發明醫藥組合物具有如此適當的黏度,使得口腔中之殘餘物的量在其攝入後減少,且如此容易地經由咽喉吞咽,使得可增強患者對藥療之順應性。The pharmaceutical composition of the present invention may further include a viscosity control agent. The viscosity control agent can be, for example, agar, pectin, calcium sulfate, sanxian gum, polyvinylpyrrolidone, ethyl cellulose, sodium carboxymethyl cellulose, Chinese fish gum, alginic acid, alginate, monohard Aluminum fatty acid, bentonite, carbomer, carbomer copolymer, carrageenan, dextrin, gelatin, guar gum and silica, but not limited to these, and can be preferably selected from agar, pectin, Calcium sulfate, Sanxian gum or a combination thereof. In a preferred embodiment of the present invention, the pharmaceutical composition of the present invention comprises agar, pectin, calcium sulfate and sanxian gum. These agars and pectins can enhance the effect of covering gastric mucosa by interacting with aluminum phosphate gel. The sanxian gum can effectively control the viscosity of the pharmaceutical composition. In the present invention, the content of Sanxian gum relative to the total weight of the composition may be 0.1 w/w% to 1 w/w%, preferably 0.1 w/w% to 0.7 w/w%. The pharmaceutical composition of the present invention has such an appropriate viscosity that the amount of residues in the oral cavity is reduced after ingestion, and is so easily swallowed through the throat, so that the patient's compliance with medication can be enhanced.

本發明醫藥組合物可進一步包含甜味劑。該甜味劑可選自例如蔗糖素、白糖、酶改質之甜菊、木糖醇、糖精、糖精鹽、甜菊苷、山梨糖醇、右旋糖、甘草素或其組合,但不限於此,且可較佳選自蔗糖素、白糖、酶改質之甜菊糖或其組合。該甜味劑之量可由熟習此項技術者適當地選擇。在本發明之一較佳實施例中,本發明醫藥組合物包含白糖及蔗糖素作為甜味劑。與其他甜味劑相比,白糖具有如此極其純淨的口味,使得其可促成本發明醫藥組合物具有新鮮的攝入感覺。在本發明中,白糖相對於醫藥組合物之總重量之含量可為5 w/w%至20 w/w%、較佳5 w/w%至15 w/w%。在本發明之一較佳例示性實施例中,蔗糖素具有覆蓋洛赫西定之不合意的苦味之如此極佳作用,使得可增強本發明醫藥組合物之攝入感覺。該蔗糖素相對於醫藥組合物之總重量之含量可為0.001 w/w%至0.1 w/w%、較佳0.005 w/w%至0.03 w/w%。The pharmaceutical composition of the present invention may further include a sweetener. The sweetener can be selected from, for example, sucralose, white sugar, enzyme-modified stevia, xylitol, saccharin, saccharin salt, stevioside, sorbitol, dextrose, glycyrrhizin or a combination thereof, but is not limited thereto, And it can be preferably selected from sucralose, white sugar, enzyme-modified stevia or a combination thereof. The amount of the sweetener can be appropriately selected by those skilled in the art. In a preferred embodiment of the present invention, the pharmaceutical composition of the present invention contains white sugar and sucralose as sweeteners. Compared with other sweeteners, white sugar has such an extremely pure taste, so that it can promote the inventive pharmaceutical composition to have a fresh intake sensation. In the present invention, the content of white sugar relative to the total weight of the pharmaceutical composition may range from 5 w/w% to 20 w/w%, preferably from 5 w/w% to 15 w/w%. In a preferred exemplary embodiment of the present invention, sucralose has such an excellent effect of covering the undesirable bitterness of loxidine, so that it can enhance the sense of ingestion of the pharmaceutical composition of the present invention. The content of the sucralose relative to the total weight of the pharmaceutical composition may be 0.001 w/w% to 0.1 w/w%, preferably 0.005 w/w% to 0.03 w/w%.

本發明醫藥組合物可進一步包含調味劑。該調味劑可為例如合成香料油、天然油、植物萃取物及其類似物,尤其香蕉香料、蘋果香料、橙香料、香蕉混合物香料、葡萄柚香料、混合漿果香味、萊姆橙香料、薰衣草香料、檸檬香料、薄荷香料、胡椒薄荷香料及草莓香料,但不限於此。該調味劑之量可由熟習此項技術者適當地選擇。在本發明之一較佳實施實施例中,本發明醫藥組合物包含香蕉混合物香料作為調味劑。特定言之,該香蕉混合物香料可為香蕉香料與草莓香料之組合,且可為例如商業上分銷之香蕉混合物香料B-17026。The pharmaceutical composition of the present invention may further include a flavoring agent. The flavoring agent may be, for example, synthetic flavor oils, natural oils, plant extracts and the like, especially banana flavor, apple flavor, orange flavor, banana blend flavor, grapefruit flavor, mixed berry flavor, lime flavor, lavender flavor , Lemon flavor, mint flavor, peppermint flavor and strawberry flavor, but not limited to this. The amount of the flavoring agent can be appropriately selected by those skilled in the art. In a preferred embodiment of the present invention, the pharmaceutical composition of the present invention contains banana spice mixture as a flavoring agent. Specifically, the banana blend flavor can be a combination of banana flavor and strawberry flavor, and can be, for example, the commercially distributed banana blend flavor B-17026.

特定言之,本發明醫藥組合物之劑型可為經口液體組合物、較佳懸浮液。該懸浮液可包含水、較佳純化水作為賦形劑。該懸浮液之黏度在20℃下可為200 cps至2200 cps、較佳700 cps至1900 cps且更佳900 cps至1800 cps。患者之偏好可視對醫藥組合物之黏度的控制而變化。本發明醫藥組合物顯示如此適當的黏度,使得口腔中之殘餘物的量在其攝入後減少,且易於經由咽喉吞咽。因此,本發明醫藥組合物可增強患者對藥療之順應性且改善對藥療之堅持性。Specifically, the dosage form of the pharmaceutical composition of the present invention may be an oral liquid composition, preferably a suspension. The suspension may contain water, preferably purified water, as an excipient. The viscosity of the suspension can be 200 cps to 2200 cps at 20°C, preferably 700 cps to 1900 cps and more preferably 900 cps to 1800 cps. The patient's preference can be changed by controlling the viscosity of the pharmaceutical composition. The pharmaceutical composition of the present invention exhibits such an appropriate viscosity that the amount of residue in the oral cavity is reduced after ingestion, and it is easy to swallow through the throat. Therefore, the pharmaceutical composition of the present invention can enhance the patient's compliance with medication and improve the adherence to medication.

每本發明醫藥組合物之每單位劑型磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之量可由熟習此項技術者確定。The amount of aluminum phosphate gel, magnesium hydroxide, dimethicone, DL-carnitine hydrochloride, and loxidine salt per unit dosage form of the pharmaceutical composition of the present invention can be determined by those skilled in the art.

每本發明醫藥組合物之單位劑型磷酸鋁凝膠之量可較佳為每100 g醫藥組合物之單位劑型5 g至30 g、更佳10 g至15 g且最佳約12.5 g;氫氧化鎂之量可為每100 g醫藥組合物之單位劑型0.5 g至10 g、更佳1 g至5 g且最佳約2 g;聚二甲矽氧烷之量可為每100 g醫藥組合物之單位劑型0.001 g至1 g、更佳0.01 g至0.5 g且最佳約0.225 g;DL-肉鹼鹽酸鹽之量可為每100 g醫藥組合物之單位劑型0.1 g至1.5 g、更佳0.4 g至1.0 g且最佳約0.75 g;且洛赫西定鹽之量可為每100 g醫藥組合物之單位劑型0.001 g至0.05 g、較佳0.001 g至0.03 g且最佳約0.015 g。The amount of aluminum phosphate gel per unit dosage form of the pharmaceutical composition of the present invention may preferably be 5 g to 30 g, more preferably 10 g to 15 g, and most preferably about 12.5 g per 100 g unit dosage form of the pharmaceutical composition; The amount of magnesium can be 0.5 g to 10 g, more preferably 1 g to 5 g, and most preferably about 2 g per 100 g of the unit dosage form of the pharmaceutical composition; the amount of polydimethylsiloxane can be per 100 g of the pharmaceutical composition The unit dosage form of DL-carnitine is 0.001 g to 1 g, more preferably 0.01 g to 0.5 g, and most preferably about 0.225 g; the amount of DL-carnitine hydrochloride can be 0.1 g to 1.5 g per 100 g unit dosage form of the pharmaceutical composition, and more Preferably 0.4 g to 1.0 g and most preferably about 0.75 g; and the amount of loxidine salt can be 0.001 g to 0.05 g per 100 g of the unit dosage form of the pharmaceutical composition, preferably 0.001 g to 0.03 g and most preferably about 0.015 g.

本發明醫藥組合物包含每單位劑型該範圍之磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽,藉此顯示極佳的脫酸作用、脫氣作用及胃腸促動力作用,且亦顯示顯著高的抗菌活性,且因此顯示顯著極佳的防腐功效。The pharmaceutical composition of the present invention contains aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and lohxidine salt in the range of each unit dosage form, thereby showing excellent deacidification Action, degassing action and gastrointestinal prokinetic action, and also show significantly high antibacterial activity, and therefore show a significantly excellent antiseptic effect.

本發明醫藥組合物可進一步包含在不逐漸損害本發明之作用的範圍內之醫藥學上可接受之添加劑。該添加劑可為例如溶解助劑、穩定劑、懸浮劑、界面活性劑、抗氧化劑及pH調節劑,但不限於此。The pharmaceutical composition of the present invention may further include pharmaceutically acceptable additives within a range that does not gradually impair the effects of the present invention. The additives may be, for example, dissolution aids, stabilizers, suspending agents, surfactants, antioxidants and pH adjusters, but are not limited thereto.

本發明醫藥組合物可用於預防及治療胃腸道失調。特定言之,本發明醫藥組合物可藉由吸收及中和腸道氣體、細菌、毒素、病毒或其類似物來預防及治療胃腸道失調。特定言之,本發明醫藥組合物亦可用於藉由中和胃酸來預防及治療胃酸過多、胃灼熱、嗝出一點酸嘔吐物、胃不適或飲食過量。特定言之,本發明醫藥組合物亦可藉由自胃腸道移除氣體來緩解胃脹感或胃不適感。特定言之,本發明醫藥組合物亦刺激胃液之分泌且促進胃腸道蠕動,使得組合物可增強胃之消化能力且可用於預防及治療食慾不振及厭食症。特定言之,本發明醫藥組合物亦施用於胃黏膜上、沈積於其上且在潰瘍表面上形成保護層,使得組合物可用於預防及治療噁心、嘔吐或胃疼痛。The pharmaceutical composition of the invention can be used to prevent and treat gastrointestinal disorders. Specifically, the pharmaceutical composition of the present invention can prevent and treat gastrointestinal disorders by absorbing and neutralizing intestinal gas, bacteria, toxins, viruses or the like. In particular, the pharmaceutical composition of the present invention can also be used to prevent and treat hyperacidity, heartburn, hiccup, vomiting, stomach upset, or overeating by neutralizing gastric acid. In particular, the pharmaceutical composition of the present invention can also relieve the sensation of bloating or discomfort by removing gas from the gastrointestinal tract. In particular, the pharmaceutical composition of the present invention also stimulates the secretion of gastric juice and promotes gastrointestinal motility, so that the composition can enhance the digestive ability of the stomach and can be used to prevent and treat loss of appetite and anorexia. In particular, the pharmaceutical composition of the present invention is also applied to the gastric mucosa, deposited thereon, and forms a protective layer on the surface of the ulcer, so that the composition can be used to prevent and treat nausea, vomiting or stomach pain.

因此,本發明醫藥組合物可意欲用於預防或治療選自例如以下之胃腸道失調:胃酸過多、胃灼熱、胃不適感、胃脹感、胃不適、噁心、嘔吐、胃疼痛、嗝出一點酸嘔吐物、食慾不振、厭食症、消化不良、飲食過量或其組合。Therefore, the pharmaceutical composition of the present invention can be intended to prevent or treat gastrointestinal disorders selected from, for example, hyperacidity, heartburn, gastric discomfort, bloating, gastric discomfort, nausea, vomiting, stomach pain, hiccups Acid vomit, loss of appetite, anorexia, indigestion, overeating, or a combination thereof.

本發明醫藥組合物可藉由包含該洛赫西定鹽來顯著減少環境細菌之含量。因此,本發明醫藥組合物在防腐功效方面極佳。The pharmaceutical composition of the present invention can significantly reduce the content of environmental bacteria by including the loxidine salt. Therefore, the pharmaceutical composition of the present invention is excellent in antiseptic efficacy.

本發明醫藥組合物具有良好口味及適當黏度。因此,本發明醫藥組合物可藉助於輕度及新鮮的攝入感覺增強患者之喜愛度且提高患者對藥療之順應性及堅持性。The pharmaceutical composition of the invention has good taste and appropriate viscosity. Therefore, the pharmaceutical composition of the present invention can enhance the patient's liking with the light and fresh intake sensation and improve the patient's compliance and adherence to medication.

本發明提供一種用於製備用於預防或治療胃腸道失調之醫藥組合物之方法,該醫藥組合物包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽。The present invention provides a method for preparing a pharmaceutical composition for preventing or treating gastrointestinal disorders, the pharmaceutical composition comprising aluminum phosphate gel, magnesium hydroxide, dimethicone, DL-carnitine hydrochloride And lohxidine salt.

用於製備根據本發明醫藥組合物之方法可包括:將氫氧化鎂及聚二甲矽氧烷與純化水混合之第一混合步驟;加熱獲自該第一混合步驟之所得混合溶液,藉此溶解該混合溶液之步驟;將磷酸鋁凝膠添加至該溶液中,藉此混合該溶液之第二混合步驟;冷卻該混合物之步驟;將該經冷卻之混合物與洛赫西定鹽混合之第三混合步驟;及冷卻獲自該第三混合步驟之混合物之步驟;及將該經冷卻之混合物與DL-肉鹼鹽酸鹽混合之第四混合步驟。The method for preparing the pharmaceutical composition according to the present invention may include: a first mixing step of mixing magnesium hydroxide and polydimethylsiloxane with purified water; heating the resulting mixed solution obtained from the first mixing step, thereby The step of dissolving the mixed solution; the second mixing step of adding aluminum phosphate gel to the solution, thereby mixing the solution; the step of cooling the mixture; the second mixing step of mixing the cooled mixture with loxidine salt Three mixing steps; and a step of cooling the mixture obtained from the third mixing step; and a fourth mixing step of mixing the cooled mixture with DL-carnitine hydrochloride.

本發明提供一種預防或治療胃腸道失調之方法,其包括向有需要之個體投與包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之醫藥組合物的步驟。The present invention provides a method for preventing or treating gastrointestinal disorders, which comprises administering aluminum phosphate gel, magnesium hydroxide, dimethicone, DL-carnitine hydrochloride, and Lohesi to individuals in need The steps of determining the pharmaceutical composition of the salt.

該胃腸道失調意謂諸如胃酸過多、胃灼熱、胃不適感、胃脹感、胃不適、噁心、嘔吐、胃疼痛、嗝出一點酸嘔吐物、食慾不振、厭食症、消化不良、飲食過量等症狀。This gastrointestinal disorder means hyperacidity, heartburn, stomach upset, bloating, stomach upset, nausea, vomiting, stomach pain, hiccuping a little sour vomit, loss of appetite, anorexia, indigestion, overeating, etc. symptom.

該預防意謂減少胃腸道失調或由胃腸道失調引起之症狀之病理性出現者。該治療意謂改善胃腸道失調之至少一個症狀或停止其進展者,且可涵蓋習知使用之治療的含義。The prevention means reducing the pathological appearance of gastrointestinal disorders or symptoms caused by gastrointestinal disorders. The treatment means improving at least one symptom of gastrointestinal disorder or stopping its progression, and can encompass the meaning of conventionally used treatment.

該投藥可為經口投與。在向個體投與該醫藥組合物之情況下,此類組合物可以預防或治療胃腸道失調所必需的有效量投與。The administration may be oral administration. In the case of administering the pharmaceutical composition to an individual, such composition can be administered in an effective amount necessary to prevent or treat gastrointestinal disorders.

本發明提供一種包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之組合物的用途,其用於預防或治療胃腸道失調。The present invention provides a use of a composition comprising aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and lohxidine salt, which is used to prevent or treat gastrointestinal disorders.

本發明提供一種包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽之組合物的用途,其用於製備用於預防或治療胃腸道失調之藥物。用於製備根據本發明之藥物的組合物可與可接受之載劑混合等,且進一步包含其他藥劑。The present invention provides a use of a composition comprising aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, DL-carnitine hydrochloride and lohxidine salt, which is used for preparation for preventing or treating gastrointestinal Drugs for tract disorders. The composition for preparing the medicine according to the present invention may be mixed with an acceptable carrier, etc., and further contain other agents.

若不彼此矛盾,則本發明之組合物、治療方法及用途中提及之物質同樣適用。If there is no contradiction with each other, the substances mentioned in the composition, treatment method and use of the present invention are equally applicable.

有利作用 本發明醫藥組合物甚至在高pH下維持抗菌品質,使得極大抑制微生物之增殖。即使在微生物滲入後,組合物亦可以較快速度殺滅此類微生物,使得組合物可穩定地保存長時間段不受微生物損害。因此,本發明醫藥組合物在防腐功效方面顯著極佳。 Advantageous effects The pharmaceutical composition of the present invention maintains the antibacterial quality even at high pH, which greatly inhibits the proliferation of microorganisms. Even after the infiltration of microorganisms, the composition can kill such microorganisms quickly, so that the composition can be stored stably for a long period of time without being damaged by microorganisms. Therefore, the pharmaceutical composition of the present invention is significantly excellent in antiseptic efficacy.

此外,本發明醫藥組合物可長時間維持防腐功效,無論使用何種類型之外部容器以容納組合物,且亦不會造成經吸收至容器之外壁上的問題。In addition, the pharmaceutical composition of the present invention can maintain the antiseptic effect for a long time, no matter what type of external container is used to contain the composition, it will not cause the problem of being absorbed onto the outer wall of the container.

此外,本發明醫藥組合物可維持其中存在之微生物之低含量,即使此類組合物在製備製程期間曝露於外部持續較長時間段。結果,可能不需要對旨在在製備製程期間防止微生物滲入之管理作出巨大投資,使得組合物有利於大量生產及工業用途且在經濟上有效益。In addition, the pharmaceutical composition of the present invention can maintain a low content of microorganisms present therein, even if the composition is exposed to the outside for a long period of time during the preparation process. As a result, it may not be necessary to make a huge investment in management aimed at preventing the infiltration of microorganisms during the preparation process, so that the composition is beneficial for mass production and industrial use and is economically beneficial.

此外,本發明醫藥組合物具有不太苦的味道,亦具有如此適當的黏度,使得口腔中之殘餘物的量在其攝入後減少,且如此容易地經由咽喉吞咽,使得達成患者之高喜愛度且顯著增強對藥療之順應性及對藥療之堅持性。In addition, the pharmaceutical composition of the present invention has a not too bitter taste, and also has such an appropriate viscosity, so that the amount of residues in the oral cavity is reduced after its ingestion, and it is so easy to swallow through the throat, so that it is highly appreciated by patients Degree and significantly enhance the compliance and adherence to medication.

此外,本發明醫藥組合物顯示改善胃腸道失調之極佳活性。In addition, the pharmaceutical composition of the present invention shows excellent activity for improving gastrointestinal disorders.

因此,本發明醫藥組合物可有效用作醫藥組合物,因為其在防腐功效方面極佳;其製備製程有利於大量生產且經濟上有效益;增強對藥物之順應性及對藥物之堅持性;且改善胃腸道失調之活性亦極佳。Therefore, the pharmaceutical composition of the present invention can be effectively used as a pharmaceutical composition because of its excellent antiseptic effect; its preparation process is conducive to mass production and economically effective; it enhances drug compliance and adherence to drugs; And the activity of improving gastrointestinal disorders is also excellent.

本發明之最佳模式 在下文中,將經由具體例示性實施例較詳細地描述本發明。然而,僅出於說明本發明之目的提供以下例示性實施例,且因此本發明不限於此。 Best Mode of the Invention Hereinafter, the present invention will be described in more detail through specific exemplary embodiments. However, the following exemplary embodiments are provided only for the purpose of illustrating the present invention, and therefore the present invention is not limited thereto.

實例 1 將氫氧化鎂、聚二甲矽氧烷、瓊脂、果膠、三仙膠、硫酸鈣及白糖在25℃下以如下表1中所指示之此量混合於純化水中。將所得混合溶液加熱直至70℃,使得混合物溶解10分鐘至20分鐘。添加磷酸鋁凝膠且以如表1中所指示之此量將其混合至其中,且將混合物冷卻至50℃至60℃。添加乙酸洛赫西定且以如表1中所指示之此量混合於該經冷卻之混合物中。將乙酸洛赫西定(二乙酸洛赫西定)混合於其中,且冷卻至30℃或更低,其後以如下表1中所指示之此量向其中添加DL-肉鹼鹽酸鹽,且進一步添加適合量之蔗糖素(0.005 g至0.03 g)、混合且在室溫下冷卻。最後,以如表1中所指示之此量向其中添加香蕉混合物香料,其後將所得混合物混合、研磨且充裝以製備總計100 g之懸浮液。 [表1]

Figure 108112937-A0304-0001
Example 1 Magnesium hydroxide, dimethicone, agar, pectin, trixian gum, calcium sulfate, and white sugar were mixed in purified water at 25° C. at the amount indicated in Table 1 below. The resulting mixed solution is heated up to 70°C, so that the mixture is dissolved for 10 to 20 minutes. Aluminum phosphate gel was added and mixed into it in this amount as indicated in Table 1, and the mixture was cooled to 50°C to 60°C. Loxidine acetate was added and mixed in the cooled mixture in this amount as indicated in Table 1. Lohexidine acetate (lohexidine diacetate) was mixed therein and cooled to 30°C or lower, and then DL-carnitine hydrochloride was added thereto in the amount indicated in Table 1 below, And further add a suitable amount of sucralose (0.005 g to 0.03 g), mix and cool at room temperature. Finally, the banana mixture flavor was added thereto in the amount indicated in Table 1, and then the resulting mixture was mixed, ground, and filled to prepare a total suspension of 100 g. [Table 1]
Figure 108112937-A0304-0001

實例 2 及實例 3 藉助於與實例1中所示相同之方法製備懸浮液,例外為所用乙酸洛赫西定之含量分別為0.02 g及0.03 g。 Instance 2 And examples 3 The suspension was prepared by the same method as shown in Example 1, except that the content of loxidine acetate used was 0.02 g and 0.03 g, respectively.

實例 4 及實例 5 藉助於與實例1中所示相同之方法製備懸浮液,例外為以如下表2中所指示之此量將三仙膠進一步添加至純化水中。 [表2]

Figure 108112937-A0304-0002
Instance 4 And examples 5 The suspension was prepared by the same method as shown in Example 1, with the exception that Sanxian gum was further added to purified water in the amount indicated in Table 2 below. [Table 2]
Figure 108112937-A0304-0002

實驗實例 1 . 鑑別防腐功效 藉助於Korean Pharmacopoeia之一般測試方法之「防腐功效測試方法」鑑別根據實例1至3之組合物的防腐功效。為了確認防腐功效為足夠的,當用細菌接種時,細菌之數目應在接種之後14天中自經接種細菌之彼數目降低至10%或更低,且亦在之後28天中,細菌之數目應維持或減小至等於或低於在以上之後14天中所量測的細菌之彼含量的含量。且在真菌之情況下,已確認,若真菌之數目等於或低於在用真菌接種之後14天中經接種真菌之彼數目,且亦若真菌之數目等於或低於在之後28中經接種真菌之彼數目,則表現防腐功效。換言之,根據下式量測減少率(%),亦即,(經接種細菌之數目-活細菌之數目)/經接種細菌之數目 × 100。若減少率為90%或更高,則判定存在防腐劑之防腐功效。若在所有測試細菌中均存在防腐功效,則判定防腐功效為適合的。 Experimental Example 1. Identification of preservative efficacy by means of Korean "preservative efficacy test methods" Common test methods for the identification of the Pharmacopoeia preservative efficacy according to examples 1-3 combination of things. In order to confirm that the antiseptic effect is sufficient, when inoculating with bacteria, the number of bacteria should be reduced from the number of inoculated bacteria to 10% or less in 14 days after inoculation, and also in the following 28 days, the number of bacteria It should be maintained or reduced to a level equal to or lower than the amount of bacteria measured in the following 14 days. And in the case of fungi, it has been confirmed that if the number of fungi is equal to or lower than the number of fungi inoculated in 14 days after inoculation with fungi, and also if the number of fungi is equal to or lower than that of fungi inoculated in 28 days after inoculation The other number shows the antiseptic effect. In other words, the reduction rate (%) is measured according to the following formula, that is, (number of inoculated bacteria-number of live bacteria)/number of inoculated bacteria×100. If the reduction rate is 90% or higher, it is determined that the antiseptic effect of the preservative exists. If there is an antiseptic effect in all the tested bacteria, the antiseptic effect is judged to be suitable.

作為測試菌株,使用以下:標準細菌,亦即,金黃色葡萄球菌綠膿桿菌大腸桿菌 ;標準真菌,亦即,白色念珠菌巴西麯黴 (Aspergillus brasiliensis );及環境細菌,亦即,環狀芽孢桿菌 。在胰蛋白酶大豆瓊脂培養基中培養細菌,且在薩蒲洛氏右旋糖瓊脂(Sabouraud Dextrose Agar)培養基中培養真菌。As test strains, the following: Standard bacteria, i.e., Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli; Standard fungi, i.e., Candida albicans and A. brasiliensis (Aspergillus brasiliensis); and environmental bacteria, i.e., ring Bacillus spp . Bacteria were cultured in tryptic soy agar medium, and fungi were cultured in Sabouraud Dextrose Agar medium.

作為對防腐功效之該測試之結果,根據本發明之實例1的組合物不僅滿足關於所有該等菌株的防腐功效之準則,且亦顯示減少率為99%或更高之顯著極佳的抗菌活性。As a result of this test on the antiseptic efficacy, the composition according to Example 1 of the present invention not only satisfies the criteria for the antiseptic efficacy of all these strains, but also showed a remarkable excellent antibacterial activity with a reduction rate of 99% or higher .

Claims (14)

一種醫藥組合物,其包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及洛赫西定鹽(chlorhexidine salt),其中該洛赫西定鹽為乙酸洛赫西定。 A pharmaceutical composition comprising aluminum phosphate gel, magnesium hydroxide, dimethicone, DL-carnitine hydrochloride, and chlorhexidine salt, wherein the chlorhexidine salt is acetic acid Lohxidine. 如請求項1之醫藥組合物,其進一步包含甜味劑。 The pharmaceutical composition of claim 1, which further comprises a sweetener. 如請求項2之醫藥組合物,其中該甜味劑選自酶改質之甜菊、木糖醇、糖精、糖精鹽、甜菊苷、山梨糖醇、右旋糖、甘草素、白糖、蔗糖素或其組合。 The pharmaceutical composition of claim 2, wherein the sweetener is selected from enzyme-modified stevia, xylitol, saccharin, saccharin salt, stevioside, sorbitol, dextrose, glycyrrhizin, white sugar, sucralose or Its combination. 如請求項2之醫藥組合物,其中該甜味劑為白糖及蔗糖素。 The pharmaceutical composition of claim 2, wherein the sweetener is white sugar and sucralose. 如請求項4之醫藥組合物,其中白糖相對於該醫藥組合物之總重量之含量為5w/w%至20w/w%,且蔗糖素相對於該醫藥組合物之總重量之含量為0.001w/w%至0.1w/w%。 The pharmaceutical composition of claim 4, wherein the content of white sugar relative to the total weight of the pharmaceutical composition is 5w/w% to 20w/w%, and the content of sucralose relative to the total weight of the pharmaceutical composition is 0.001w /w% to 0.1w/w%. 如請求項1之醫藥組合物,其中選自瓊脂、果膠、硫酸鈣、三仙膠或其組合之黏度控制劑進一步包含於其中。 The pharmaceutical composition of claim 1, wherein a viscosity control agent selected from agar, pectin, calcium sulfate, sanxian gum or a combination thereof is further contained therein. 如請求項1之醫藥組合物,其進一步包含調味劑。 The pharmaceutical composition of claim 1, which further comprises a flavoring agent. 如請求項1之醫藥組合物,其中劑型為懸浮液。 The pharmaceutical composition according to claim 1, wherein the dosage form is a suspension. 如請求項8之醫藥組合物,其中該懸浮液之黏度在20℃下為700cps至1500cps。 The pharmaceutical composition of claim 8, wherein the viscosity of the suspension is 700 cps to 1500 cps at 20°C. 如請求項1之醫藥組合物,其中該組合物包含相對於該組合物之總重量10w/w%至15w/w%之磷酸鋁凝膠;1w/w%至5w/w%之氫氧化鎂;0.01w/w%至0.5w/w%之聚二甲矽氧烷;0.4w/w%至1.0w/w%之DL-肉鹼鹽酸鹽;及0.001w/w%至0.03w/w%之洛赫西定鹽。 The pharmaceutical composition of claim 1, wherein the composition comprises 10w/w% to 15w/w% of aluminum phosphate gel relative to the total weight of the composition; 1w/w% to 5w/w% of magnesium hydroxide ; 0.01w/w% to 0.5w/w% polydimethylsiloxane; 0.4w/w% to 1.0w/w% DL-carnitine hydrochloride; and 0.001w/w% to 0.03w/ w% lohxidine salt. 如請求項10之醫藥組合物,其中該洛赫西定鹽為乙酸洛赫西定。 The pharmaceutical composition according to claim 10, wherein the loxidine salt is loxidine acetate. 如請求項1之醫藥組合物,其中該組合物意欲用於預防或治療選自以下之胃腸道失調:胃酸過多、胃灼熱、胃不適感、胃脹感、胃不適、噁心、嘔吐、胃疼痛、隔出一點酸嘔吐物、食慾不振、厭食症、消化不良、飲食過量或其組合。 The pharmaceutical composition of claim 1, wherein the composition is intended for the prevention or treatment of gastrointestinal disorders selected from the group consisting of hyperacidity, heartburn, gastric discomfort, bloating, gastric discomfort, nausea, vomiting, and stomach pain , Isolate a little acid vomit, loss of appetite, anorexia, indigestion, overeating or a combination thereof. 如請求項1之醫藥組合物,其中該組合物意欲用於經口組合物。 The pharmaceutical composition of claim 1, wherein the composition is intended for oral composition. 一種醫藥組合物之用途,其用於製造用於預防或治療胃腸道失調之藥劑,其中該醫藥組合物包含磷酸鋁凝膠、氫氧化鎂、聚二甲矽氧烷、DL-肉鹼鹽酸鹽及乙酸洛赫西定。 A use of a pharmaceutical composition for the manufacture of a medicament for preventing or treating gastrointestinal disorders, wherein the pharmaceutical composition comprises aluminum phosphate gel, magnesium hydroxide, polydimethylsiloxane, and DL-carnitine hydrochloride Salt and loxidine acetate.
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