TWI756547B - Nano eye drops and manufacturing method thereof - Google Patents

Nano eye drops and manufacturing method thereof Download PDF

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TWI756547B
TWI756547B TW108124929A TW108124929A TWI756547B TW I756547 B TWI756547 B TW I756547B TW 108124929 A TW108124929 A TW 108124929A TW 108124929 A TW108124929 A TW 108124929A TW I756547 B TWI756547 B TW I756547B
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eye drops
nano
ethanol
mixture
cyclodextrin
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TW202103684A (en
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鄭珮妏
陳瑛瑛
曾清俊
顏峰霖
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高雄榮民總醫院
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Abstract

The present invention relates to nano eye drops and manufacturing method thereof. The method includes the steps of: mixing monosodium glucose co-transporter inhibitor (e.g., dapagliflozin) with hydroxypropyl-β-cyclodextrin and polyvinylpyrrolidone to form a mixture, wherein a weight ratio of the monosodium glucose is between 0.8 and 1.2, a weight ratio of the hydroxypropyl-β-cyclodextrin is between 16 and 24, and a weight ratio of the polyvinylpyrrolidone is between 16 and 24, and wherein the powder of the above three components has a particle diameter of between 100 nm and 1000 nm; adding the mixture in ethanol and stirring to evenly dissolve the mixture in ethanol, and then removing the ethanol to obtain a uniformly-mixed powder; and dissolving the uniformly-mixed powder in eye drop excipient to form the nano eye drops. The nano eye drops of the present invention are effective for treating ocular cataract diseases caused by diabetes.

Description

奈米眼藥水及其製造方法 Nano eye drops and manufacturing method thereof

本發明係有關於一種奈米眼藥水及其製造方法,特別是指將用於治療糖尿病之鈉葡萄糖協同轉運蛋白抑制劑(例如達格列嗪,Dapagliflozin)製成奈米眼藥水之發明,以治療糖尿病引起之眼部白內障疾病。 The present invention relates to a kind of nanometer eye drops and its manufacture method, especially refers to the invention that the sodium glucose cotransporter inhibitor (such as dapagliflozin, Dapagliflozin) used for treating diabetes is made into nanometer eye drops. Treatment of ocular cataracts caused by diabetes.

二十一世紀出現了幾種新的抗糖尿病藥物,一種是鈉葡萄糖協同轉運蛋白(SGLT)-2抑制劑,其中達格列嗪(Dapagliflozin)是這類新療法中的第一個,用於治療2型糖尿病患者。達格列嗪(Dapagliflozin)通過抑制腎臟中的轉運蛋白SGLT2,減少腎臟葡萄糖重吸收,使尿糖排泄和血糖水平降低,達到治療2型糖尿病的效果。 The twenty-first century has seen several new antidiabetic drugs, one being a sodium-glucose cotransporter (SGLT)-2 inhibitor, of which Dapagliflozin is the first of this new class of treatments for Treatment of patients with type 2 diabetes. Dapagliflozin has the effect of treating type 2 diabetes by inhibiting the transporter SGLT2 in the kidney, reducing the reabsorption of glucose in the kidney, and reducing the excretion of urine and blood sugar.

另外,糖尿病等代謝疾病會引起白內障已被證實,而全球失明人口數的50%是由白內障所導致,近年來的相關研究更發現代謝性疾病的患者發生白內障的年齡層有下降的趨勢。 In addition, it has been confirmed that metabolic diseases such as diabetes can cause cataracts, and 50% of the global blind population is caused by cataracts. In recent years, related studies have found that the age group of patients with metabolic diseases has a downward trend in developing cataracts.

基於上述問題,本發明擬將鈉葡萄糖協同轉運蛋白抑制劑製作為眼藥水,使鈉葡萄糖協同轉運蛋白抑制劑直接作用於眼部減少眼睛對糖份的吸收,可降低糖化血色素,以治療糖尿病引起之白內障。 Based on the above problems, the present invention intends to make the sodium-glucose co-transporter inhibitor into eye drops, so that the sodium-glucose co-transporter inhibitor can directly act on the eyes to reduce the absorption of sugar by the eyes, and can reduce the glycated hemoglobin, so as to treat diabetes caused by diabetes. of cataracts.

爰此,本發明提出一種奈米眼藥水製造方法,包括下列步驟: 取重量份介於0.8至1.2之間的一鈉葡萄糖協同轉運蛋白抑制劑,重量份介於16至24之間的一羥丙基-β-環糊精,及重量份介於16至24之間的一聚乙烯基吡咯烷酮,將三者混合成一混合物,其中上述各成分之粉末粒徑介於100奈米至1000奈米之間。將該混合物溶於一乙醇中,攪拌使其均勻溶解,之後去除該乙醇以獲得一均勻混合粉末。將該均勻混合粉末溶於一眼藥水賦形劑,成為一奈米眼藥水。 Therefore, the present invention proposes a method for manufacturing nanometer eye drops, comprising the following steps: Take the monosodium glucose cotransporter inhibitor between 0.8 and 1.2 parts by weight, the monohydroxypropyl-β-cyclodextrin between 16 and 24 parts by weight, and the part by weight between 16 and 24 A polyvinyl pyrrolidone is placed in between, and the three are mixed into a mixture, wherein the powder particle size of the above-mentioned components is between 100 nanometers and 1000 nanometers. The mixture was dissolved in an ethanol, stirred to dissolve uniformly, and then the ethanol was removed to obtain a uniformly mixed powder. The uniformly mixed powder was dissolved in an eye drop excipient to obtain a nano eye drop.

進一步,該鈉葡萄糖協同轉運蛋白抑制劑為達格列嗪(Dapagliflozin)。 Further, the sodium glucose cotransporter inhibitor is Dapagliflozin.

進一步,該達格列嗪(Dapagliflozin)、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的混合重量比例為1:20:20。 Further, the mixing weight ratio of the Dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is 1:20:20.

進一步,該達格列嗪(Dapagliflozin)、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的粉末粒徑為小於200奈米。 Further, the powder particle size of the Dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is less than 200 nm.

進一步,該混合物溶於該乙醇時,以磁石進行攪拌。 Further, while the mixture was dissolved in the ethanol, it was stirred with a magnet.

進一步,該眼藥水賦形劑包含一親水性載體。 Further, the eye drop vehicle comprises a hydrophilic carrier.

本發明再提出一種奈米眼藥水,該奈米眼藥水係使用前述之奈米眼藥水之製造方法所製成。 The present invention further provides a nano eye drop, which is prepared by using the above-mentioned manufacturing method of the nano eye drop.

根據上述技術特徵可達成以下功效: According to the above technical features, the following effects can be achieved:

1.本發明的奈米眼藥水可以將鈉葡萄糖協同轉運蛋白抑制劑直接作用於眼部減少眼睛對糖份的吸收,可降低糖化血色素,以治療糖尿病引起之白內障的效果。 1. The nano eye drops of the present invention can directly act on the eyes of the sodium-glucose cotransporter inhibitor to reduce the absorption of sugar in the eyes, and can reduce the glycosylated hemoglobin, so as to treat the effect of cataract caused by diabetes.

2.將鈉葡萄糖協同轉運蛋白抑制劑、羥丙基-β-環糊精及聚乙烯基吡咯烷酮混合溶於乙醇中並以磁石攪拌,可以獲得均勻混合粉末,可使其均勻分散於眼藥水中。 2. Mix and dissolve sodium glucose cotransporter inhibitor, hydroxypropyl-β-cyclodextrin and polyvinylpyrrolidone in ethanol and stir with a magnet to obtain a uniform mixed powder, which can be uniformly dispersed in eye drops .

3.將鈉葡萄糖協同轉運蛋白抑制劑、羥丙基-β-環糊精及聚乙烯基吡咯烷酮以奈米粉末混合,可以增加眼部的吸收效果,藉以獲得更佳的治療功效。 3. Mixing sodium-glucose cotransporter inhibitor, hydroxypropyl-β-cyclodextrin and polyvinylpyrrolidone with nano-powder can increase the absorption effect of the eye, so as to obtain a better therapeutic effect.

[第一圖]係為本發明製造方法的流程圖。 [Figure 1] is a flow chart of the manufacturing method of the present invention.

[第二圖]係為本發明實施例中,未治療之白內障小鼠及以本發明之眼藥水進行治療之白內障小鼠,其眼部之糖化血色素之值隨時間變化的長條圖。 [Fig. 2] is a bar graph showing the changes of the glycated hemoglobin value in the eyes of the untreated cataract mice and the cataract mice treated with the eye drops of the present invention with time in the example of the present invention.

[第三圖]係為本發明實施例中,未治療之白內障小鼠及以本發明之眼藥水進行治療之白內障小鼠,其體重隨時間變化的長條圖。 [Figure 3] is a bar graph of changes in body weight over time of untreated cataract mice and cataract mice treated with the eye drops of the present invention in the example of the present invention.

[第四圖]係為本發明實施例中,未治療之白內障小鼠及以本發明之眼藥水進行治療之白內障小鼠,其白內障指數隨時間變化的長條圖。 [FIG. 4] is a bar graph showing the changes of cataract index over time in the untreated cataract mice and the cataract mice treated with the eye drops of the present invention in the example of the present invention.

綜合上述技術特徵,本發明之奈米眼藥水及其製造方法的主要功效將可於下述實施例清楚呈現。 In view of the above technical features, the main effects of the nano eye drops of the present invention and the manufacturing method thereof will be clearly presented in the following examples.

參閱第一圖所示,本實施例之奈米眼藥水製造方法包括:取重量份介於0.8至1.2之間的一鈉葡萄糖協同轉運蛋白抑制劑,重量份介於16至24之間的一羥丙基-β-環糊精,及重量份介於16至24之間的一聚乙烯基吡咯烷酮,將三者混合成一混合物,其中上述各成分之粉末粒徑介於100 奈米至1000奈米之間。在本實施例中,該鈉葡萄糖協同轉運蛋白抑制劑使用達格列嗪(Dapagliflozin),且該達格列嗪(Dapagliflozin)、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的混合重量比例為1:20:20,而本實施例上述各成分的粉末粒徑使用小於200奈米。 Referring to the first figure, the manufacturing method of the nano eye drops of the present embodiment includes: taking the monosodium glucose cotransporter inhibitor between 0.8 and 1.2 parts by weight, and taking a part by weight between 16 and 24 parts Hydroxypropyl-β-cyclodextrin, and a polyvinyl pyrrolidone between 16 and 24 parts by weight, the three are mixed into a mixture, wherein the powder particle size of the above components is between 100 between nanometers and 1000 nanometers. In this embodiment, the sodium glucose cotransporter inhibitor uses Dapagliflozin, and the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone are The mixing weight ratio is 1:20:20, and the powder particle size of each of the above components in this embodiment is less than 200 nanometers.

將該混合物溶於一乙醇中,攪拌使其均勻溶解,之後去除該乙醇以獲得一均勻混合粉末。具體而言,該混合物溶於該乙醇時,放入磁石,並在轉速1200rpm下攪拌1小時後,再將上述液體以減壓濃縮機抽乾成粉狀。而溶於乙醇,以及以該磁石攪拌均有助於各成分粉末均勻混合。 The mixture was dissolved in an ethanol, stirred to dissolve uniformly, and then the ethanol was removed to obtain a uniformly mixed powder. Specifically, when the mixture is dissolved in the ethanol, a magnet is placed, and the mixture is stirred at a rotational speed of 1200 rpm for 1 hour, and then the above-mentioned liquid is dried by a vacuum concentrator into powder. Dissolving in ethanol and stirring with the magnet will help the powder of each component to be uniformly mixed.

再將該均勻混合粉末溶於一眼藥水賦形劑,成為一奈米眼藥水,而該眼藥水賦形劑包括習知眼藥水的成分。其中,該眼藥水賦形劑進一步包含一親水性載體,以利於眼部吸收。 The uniformly mixed powder is then dissolved in an eye drop excipient to form a nano eye drop, and the eye drop excipient includes the components of conventional eye drops. Wherein, the eye drop excipient further comprises a hydrophilic carrier to facilitate eye absorption.

以6週齡雄性Sprague-Dawley(SD)大鼠(300±15g)進行實驗,該大鼠購自國家實驗動物中心,並安置在高雄榮民總醫院的動物房內。此外,飼養在高雄榮民總醫院動物室內的大鼠在無特定病原體(SPF)室中進食。SPF設施旨在將囓齒動物保持在沒有致病和/或能夠干擾研究目標的某些傳染性生物的環境中。將大鼠保持在光控室(12小時光照/12小時黑暗循環)中的單獨籠中,溫度保持在23℃至24℃之間。給大鼠餵食正常的大鼠飼料(Purina;St.Louis,MO)和自由飲水。 The experiments were performed with 6-week-old male Sprague-Dawley (SD) rats (300±15 g), which were purchased from the National Laboratory Animal Center and housed in the animal room of Kaohsiung Veterans General Hospital. In addition, rats housed in the animal room of Kaohsiung Veterans General Hospital were fed in a specific pathogen-free (SPF) room. SPF facilities are designed to keep rodents in an environment free of disease-causing and/or certain infectious organisms capable of interfering with research objectives. Rats were kept in individual cages in a light-controlled room (12 hr light/12 hr dark cycle) maintained at a temperature between 23°C and 24°C. Rats were fed normal rat chow (Purina; St. Louis, MO) and water ad libitum.

Streptozotocin(STZ)為一種glucosamine衍生物,由Streptomyces acromogenes分離所得之毒素,具有破壞胰臟蘭氏小島β-cell作用,可作為誘發糖尿病藥劑之一。該動物模式是由Ohno等人(1998)提出,此動物模式之優點為,此動物保留靈長類演化過程之特性,因此其特性與人類之差距較小,且 誘發方式簡單,誘發率在雄性動物可高達100%。此動物模式有助於糖尿病第二型-胰島素依賴型(IDDM)及他其類型糖尿病之研究。因此本實驗以STZ誘導大鼠(SD rats)之動物模式,以單一劑量65mg/kg腹腔注射(ip)大鼠,經2天後,檢測空腹(non fasted)之血糖值濃度

Figure 108124929-A0305-02-0007-5
200mg/dl則屬於誘導糖尿病成功的動物模式。為了提申動物福祉,每周一次腹腔注射胰島素(1IU/kg),使動物維持舒適的生活狀態。每兩周檢測一次糖化血色數(HBA1c)與使用裂隙燈檢測大鼠眼睛白內障程度。待大鼠白內障程度經眼科醫師評估達到1級霧化程度,給予前述奈米眼藥水(Dapagliflozin)治療。 Streptozotocin (STZ) is a glucosamine derivative, a toxin isolated from Streptomyces acromogenes, which has the effect of destroying pancreatic islet β-cell, and can be used as one of the drugs for inducing diabetes. The animal model was proposed by Ohno et al. (1998). The advantages of this animal model are that the animal retains the characteristics of the primate evolution process, so its characteristics are less different from those of humans, and the induction method is simple, and the induction rate is lower in males. Animals can be as high as 100%. This animal model facilitates the study of diabetes type 2-insulin-dependent (IDDM) and other types of diabetes. Therefore, in this experiment, the animal model of STZ induced rats (SD rats) was injected intraperitoneally (ip) with a single dose of 65 mg/kg. After 2 days, the blood glucose concentration of non-fasted was detected.
Figure 108124929-A0305-02-0007-5
200mg/dl is a successful animal model for inducing diabetes. In order to improve the animal's well-being, insulin (1IU/kg) was injected intraperitoneally once a week to keep the animals in a comfortable living state. The glycated hemoglobin (HBA1c) was detected every two weeks and the cataract degree of the rat eyes was detected by slit lamp. When the cataract degree of the rats reached the first-level atomization degree as assessed by an ophthalmologist, the aforementioned nano eye drops (Dapagliflozin) were given for treatment.

參閱第二圖及第三圖所示,糖化血色素(HbA1c)的檢測是提供臨床醫師評估糖尿病患血糖控制的標準,與調整藥物或改變治療方向一個簡單而實用的方法。HbA1c正常非糖尿病為3.5-5.5%,糖尿病控制良好者,值約6.5%,而現在一般是希望能控制在7%以下,如果超過8%則為警戒值。在第二圖中顯示,經過本發明之奈米眼藥水治療的白內障大鼠,其糖化血色素(HbA1c)明顯較未經過治療的白內障大鼠降低,且治療時間越久,其糖化血色素(HbA1c)降低的程度越明顯。在第三圖中則顯示,治療與未治療之白內障大鼠,其體重沒有顯著差異,代表治療未產生重大的副作用。 Referring to Figures 2 and 3, the detection of glycated hemoglobin (HbA1c) is a simple and practical method for clinicians to assess blood sugar control in diabetic patients, and to adjust drugs or change the direction of treatment. Normal non-diabetic HbA1c is 3.5-5.5%. For those with well-controlled diabetes, the value is about 6.5%. Now, it is generally hoped that it can be controlled below 7%. If it exceeds 8%, it is a warning value. The second figure shows that the glycated hemoglobin (HbA1c) of the cataract rats treated with the nano eye drops of the present invention is significantly lower than that of the untreated cataract rats, and the longer the treatment time, the lower the glycated hemoglobin (HbA1c) the more obvious the degree. In the third figure, it is shown that there was no significant difference in body weight between treated and untreated cataract rats, indicating that the treatment did not produce major side effects.

參閱第四圖所示,從實驗開始至結束10周的時間當中,我們每兩週使用裂隙燈檢查STZ注射後白內障的發展,並予白內障程度為一級混濁程度時給予藥物治療。觀察發現,不予治療的白內障大鼠在第四周時白內障程度達到一級,預計給藥治療的白內障大鼠則是在第五周時白內障指數達到一級,因此在第五周時開始滴眼藥做治療。結果發現,給藥治療一周的白內障大鼠與未治療的白內障大鼠相比,白內障指數並無明顯差異。但隨著時間增長,未治療 的白內障大鼠在8至10周時,白內障指數為2至3級,而給藥治療的白內障大鼠,其白內障指數為1至2級。因此可知,利用本發明之奈米眼藥水治療糖尿病引起之白內障可以顯著的減緩白內障惡化程度。 Referring to Figure 4, during the 10-week period from the beginning to the end of the experiment, we used a slit lamp every two weeks to examine the development of cataracts after STZ injection, and gave drug treatment when the cataract degree was first-degree opacity. It was observed that the cataract degree of the untreated cataract rats reached the first grade at the fourth week, and the cataract index of the cataract rats treated with administration was expected to reach the first grade at the fifth week, so eye drops were started at the fifth week. do treatment. It was found that there was no significant difference in the cataract index between cataract rats treated for one week and untreated cataract rats. But over time, untreated The cataract rats of 8 to 10 weeks had a cataract index of grade 2 to 3, while the cataract rats treated with drug treatment had a cataract index of grade 1 to 2. Therefore, it can be known that using the nano eye drops of the present invention to treat cataract caused by diabetes can significantly slow down the deterioration of cataract.

綜合上述實施例之說明,當可充分瞭解本發明之操作、使用及本發明產生之功效,惟以上所述實施例僅係為本發明之較佳實施例,當不能以此限定本發明實施之範圍,即依本發明申請專利範圍及發明說明內容所作簡單的等效變化與修飾,皆屬本發明涵蓋之範圍內。 Based on the descriptions of the above embodiments, one can fully understand the operation, use and effects of the present invention, but the above-mentioned embodiments are only preferred embodiments of the present invention, which should not limit the implementation of the present invention. Scope, that is, simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the contents of the description of the invention, all fall within the scope of the present invention.

Claims (6)

一種奈米眼藥水之製造方法,包括下列步驟:取重量份介於0.8至1.2之間的一鈉葡萄糖協同轉運蛋白抑制劑,重量份介於16至24之間的一羥丙基-β-環糊精,及重量份介於16至24之間的一聚乙烯基吡咯烷酮,將三者混合成一混合物,其中上述各成分之粉末粒徑介於100奈米至1000奈米之間,其中,該鈉葡萄糖協同轉運蛋白抑制劑為達格列嗪;將該混合物溶於一乙醇中,攪拌使其均勻溶解,之後去除該乙醇以獲得一均勻混合粉末;將該均勻混合粉末溶於一眼藥水賦形劑,成為一奈米眼藥水。 A method for producing nano eye drops, comprising the steps of: taking the monosodium glucose cotransporter inhibitor in parts by weight between 0.8 and 1.2, and the monohydroxypropyl-β- Cyclodextrin and 16 to 24 parts by weight of a polyvinyl pyrrolidone, the three are mixed into a mixture, wherein the powder particle size of the above components is between 100 nanometers to 1000 nanometers, wherein, The sodium-glucose cotransporter inhibitor is dapagliflozin; the mixture is dissolved in ethanol, stirred to dissolve uniformly, and then the ethanol is removed to obtain a uniformly mixed powder; the uniformly mixed powder is dissolved in an eyedrop Formed into a nano eye drop. 如請求項1所述之奈米眼藥水之製造方法,其中,該達格列嗪、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的混合重量比例為1:20:20。 The method for producing nano eye drops according to claim 1, wherein the mixing weight ratio of the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is 1:20:20. 如請求項1所述之奈米眼藥水之製造方法,其中,該達格列嗪、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的粉末粒徑為小於200奈米。 The method for producing nano eye drops as claimed in claim 1, wherein the powder particle size of the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is less than 200 nanometers. 如請求項1所述之奈米眼藥水之製造方法,其中,該混合物溶於該乙醇時,以磁石進行攪拌。 The method for producing nano eye drops according to claim 1, wherein when the mixture is dissolved in the ethanol, it is stirred with a magnet. 如請求項1所述之奈米眼藥水之製造方法,其中,該眼藥水賦形劑包含一親水性載體。 The method for producing nano eye drops as claimed in claim 1, wherein the eye drops excipient comprises a hydrophilic carrier. 一種奈米眼藥水,係使用如請求項1至5任一項所述之奈米眼藥水之製造方法所製成。 A nano-eye drop is prepared by using the manufacturing method of the nano-eye drop described in any one of claims 1 to 5.
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Publication number Priority date Publication date Assignee Title
TW201818943A (en) * 2016-11-29 2018-06-01 冰島商歐庫利斯有限公司 Preparation of cyclodextrin nanoparticles for ophthalmic drug delivery

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Publication number Priority date Publication date Assignee Title
TW201818943A (en) * 2016-11-29 2018-06-01 冰島商歐庫利斯有限公司 Preparation of cyclodextrin nanoparticles for ophthalmic drug delivery

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Title
Herat, Lakshini Y., et al. "Focusing on sodium glucose cotransporter-2 and the sympathetic nervous system: potential impact in diabetic retinopathy." International journal of endocrinology 2018 (2018). *
Takakura, Shoji, et al. "Effect of ipragliflozin, an SGLT2 inhibitor, on progression of diabetic microvascular complications in spontaneously diabetic Torii fatty rats." Life sciences 147 (2016): 125-131.; *

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