US2115491A - Methods of preparing pharmaceutical products adapted for injection into the human body - Google Patents
Methods of preparing pharmaceutical products adapted for injection into the human body Download PDFInfo
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- US2115491A US2115491A US76701A US7670136A US2115491A US 2115491 A US2115491 A US 2115491A US 76701 A US76701 A US 76701A US 7670136 A US7670136 A US 7670136A US 2115491 A US2115491 A US 2115491A
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- oil
- injection
- human body
- fatty acids
- solution
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- 238000000034 method Methods 0.000 title description 33
- 238000002347 injection Methods 0.000 title description 23
- 239000007924 injection Substances 0.000 title description 23
- 241000282414 Homo sapiens Species 0.000 title description 19
- 239000000825 pharmaceutical preparation Substances 0.000 title description 19
- 229940127557 pharmaceutical product Drugs 0.000 title description 17
- 239000003921 oil Substances 0.000 description 42
- 235000019198 oils Nutrition 0.000 description 42
- 235000014113 dietary fatty acids Nutrition 0.000 description 26
- 229930195729 fatty acid Natural products 0.000 description 26
- 239000000194 fatty acid Substances 0.000 description 26
- 150000004665 fatty acids Chemical class 0.000 description 26
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 21
- 239000000243 solution Substances 0.000 description 21
- 235000010451 Plantago psyllium Nutrition 0.000 description 19
- 244000090599 Plantago psyllium Species 0.000 description 19
- WVDDGKGOMKODPV-UHFFFAOYSA-N Benzyl alcohol Chemical compound OCC1=CC=CC=C1 WVDDGKGOMKODPV-UHFFFAOYSA-N 0.000 description 18
- 239000002253 acid Substances 0.000 description 16
- 150000003839 salts Chemical class 0.000 description 16
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 16
- 150000007513 acids Chemical class 0.000 description 15
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- 210000001519 tissue Anatomy 0.000 description 14
- 239000000725 suspension Substances 0.000 description 11
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 10
- 239000000203 mixture Substances 0.000 description 10
- 239000012153 distilled water Substances 0.000 description 8
- 235000011121 sodium hydroxide Nutrition 0.000 description 8
- 235000019441 ethanol Nutrition 0.000 description 7
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- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 4
- 239000004359 castor oil Substances 0.000 description 4
- 235000019438 castor oil Nutrition 0.000 description 4
- ZEMPKEQAKRGZGQ-XOQCFJPHSA-N glycerol triricinoleate Natural products CCCCCC[C@@H](O)CC=CCCCCCCCC(=O)OC[C@@H](COC(=O)CCCCCCCC=CC[C@@H](O)CCCCCC)OC(=O)CCCCCCCC=CC[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-XOQCFJPHSA-N 0.000 description 4
- 239000012535 impurity Substances 0.000 description 4
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- 239000008149 soap solution Substances 0.000 description 4
- 159000000000 sodium salts Chemical class 0.000 description 4
- 241001127637 Plantago Species 0.000 description 3
- 244000134552 Plantago ovata Species 0.000 description 3
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- 239000012670 alkaline solution Substances 0.000 description 3
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- 239000007864 aqueous solution Substances 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 235000012716 cod liver oil Nutrition 0.000 description 3
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- 241001465754 Metazoa Species 0.000 description 2
- BAVYZALUXZFZLV-UHFFFAOYSA-N Methylamine Chemical compound NC BAVYZALUXZFZLV-UHFFFAOYSA-N 0.000 description 2
- LOUPRKONTZGTKE-WZBLMQSHSA-N Quinine Chemical compound C([C@H]([C@H](C1)C=C)C2)C[N@@]1[C@@H]2[C@H](O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-WZBLMQSHSA-N 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 230000002421 anti-septic effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000003610 charcoal Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 239000002085 irritant Substances 0.000 description 2
- 231100000021 irritant Toxicity 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 230000017074 necrotic cell death Effects 0.000 description 2
- KJFMBFZCATUALV-UHFFFAOYSA-N phenolphthalein Chemical compound C1=CC(O)=CC=C1C1(C=2C=CC(O)=CC=2)C2=CC=CC=C2C(=O)O1 KJFMBFZCATUALV-UHFFFAOYSA-N 0.000 description 2
- 230000002062 proliferating effect Effects 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 238000010517 secondary reaction Methods 0.000 description 2
- 239000002904 solvent Substances 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 238000003756 stirring Methods 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 239000001648 tannin Substances 0.000 description 2
- 229920001864 tannin Polymers 0.000 description 2
- 235000018553 tannin Nutrition 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 238000005406 washing Methods 0.000 description 2
- NWONKYPBYAMBJT-UHFFFAOYSA-L zinc sulfate Chemical compound [Zn+2].[O-]S([O-])(=O)=O NWONKYPBYAMBJT-UHFFFAOYSA-L 0.000 description 2
- 235000009529 zinc sulphate Nutrition 0.000 description 2
- 239000011686 zinc sulphate Substances 0.000 description 2
- TUSDEZXZIZRFGC-UHFFFAOYSA-N 1-O-galloyl-3,6-(R)-HHDP-beta-D-glucose Natural products OC1C(O2)COC(=O)C3=CC(O)=C(O)C(O)=C3C3=C(O)C(O)=C(O)C=C3C(=O)OC1C(O)C2OC(=O)C1=CC(O)=C(O)C(O)=C1 TUSDEZXZIZRFGC-UHFFFAOYSA-N 0.000 description 1
- VHUUQVKOLVNVRT-UHFFFAOYSA-N Ammonium hydroxide Chemical class [NH4+].[OH-] VHUUQVKOLVNVRT-UHFFFAOYSA-N 0.000 description 1
- 235000001258 Cinchona calisaya Nutrition 0.000 description 1
- 239000001263 FEMA 3042 Substances 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 206010018910 Haemolysis Diseases 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- LRBQNJMCXXYXIU-PPKXGCFTSA-N Penta-digallate-beta-D-glucose Natural products OC1=C(O)C(O)=CC(C(=O)OC=2C(=C(O)C=C(C=2)C(=O)OC[C@@H]2[C@H]([C@H](OC(=O)C=3C=C(OC(=O)C=4C=C(O)C(O)=C(O)C=4)C(O)=C(O)C=3)[C@@H](OC(=O)C=3C=C(OC(=O)C=4C=C(O)C(O)=C(O)C=4)C(O)=C(O)C=3)[C@H](OC(=O)C=3C=C(OC(=O)C=4C=C(O)C(O)=C(O)C=4)C(O)=C(O)C=3)O2)OC(=O)C=2C=C(OC(=O)C=3C=C(O)C(O)=C(O)C=3)C(O)=C(O)C=2)O)=C1 LRBQNJMCXXYXIU-PPKXGCFTSA-N 0.000 description 1
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N Phenol Chemical compound OC1=CC=CC=C1 ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- 208000034189 Sclerosis Diseases 0.000 description 1
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Triethanolamine Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 description 1
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 1
- 206010046996 Varicose vein Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 206010000269 abscess Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 230000001476 alcoholic effect Effects 0.000 description 1
- 239000003513 alkali Substances 0.000 description 1
- 235000011114 ammonium hydroxide Nutrition 0.000 description 1
- 229940124326 anaesthetic agent Drugs 0.000 description 1
- 229940064004 antiseptic throat preparations Drugs 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 235000013877 carbamide Nutrition 0.000 description 1
- 239000003518 caustics Substances 0.000 description 1
- LOUPRKONTZGTKE-UHFFFAOYSA-N cinchonine Natural products C1C(C(C2)C=C)CCN2C1C(O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-UHFFFAOYSA-N 0.000 description 1
- 238000005352 clarification Methods 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 208000031513 cyst Diseases 0.000 description 1
- 230000002939 deleterious effect Effects 0.000 description 1
- 238000007865 diluting Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000000416 exudates and transudate Anatomy 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 235000001727 glucose Nutrition 0.000 description 1
- 238000000227 grinding Methods 0.000 description 1
- 230000008588 hemolysis Effects 0.000 description 1
- 230000002949 hemolytic effect Effects 0.000 description 1
- 208000014617 hemorrhoid Diseases 0.000 description 1
- 206010020488 hydrocele Diseases 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 235000010755 mineral Nutrition 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- 210000003200 peritoneal cavity Anatomy 0.000 description 1
- 239000008177 pharmaceutical agent Substances 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 235000011118 potassium hydroxide Nutrition 0.000 description 1
- 229960000948 quinine Drugs 0.000 description 1
- 230000035802 rapid maturation Effects 0.000 description 1
- 239000003229 sclerosing agent Substances 0.000 description 1
- 210000002966 serum Anatomy 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 239000000021 stimulant Substances 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- LRBQNJMCXXYXIU-NRMVVENXSA-N tannic acid Chemical compound OC1=C(O)C(O)=CC(C(=O)OC=2C(=C(O)C=C(C=2)C(=O)OC[C@@H]2[C@H]([C@H](OC(=O)C=3C=C(OC(=O)C=4C=C(O)C(O)=C(O)C=4)C(O)=C(O)C=3)[C@@H](OC(=O)C=3C=C(OC(=O)C=4C=C(O)C(O)=C(O)C=4)C(O)=C(O)C=3)[C@@H](OC(=O)C=3C=C(OC(=O)C=4C=C(O)C(O)=C(O)C=4)C(O)=C(O)C=3)O2)OC(=O)C=2C=C(OC(=O)C=3C=C(O)C(O)=C(O)C=3)C(O)=C(O)C=2)O)=C1 LRBQNJMCXXYXIU-NRMVVENXSA-N 0.000 description 1
- 229940033123 tannic acid Drugs 0.000 description 1
- 235000015523 tannic acid Nutrition 0.000 description 1
- 229920002258 tannic acid Polymers 0.000 description 1
- 208000027185 varicose disease Diseases 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/68—Plantaginaceae (Plantain Family)
Definitions
- This invention relates to methods of preparing,
- compositions of this general character have been known and used for some time past in the treatment of various physical defects. For example, they have been injected into, and into the neighborhood of hernia] defects for the purpose of closing the defects and strengthening contiguous structures by producing or stimulating proliferation of connective and/or fibrous tissue.
- Such injections set up a mild tissue irritation in the margins of the ring or canal through which the hernia protrudes and thus cause these tissues to throw out young fibrous tissue cells orfibro blasts which mature into tough adult fibrous tissue and ultimately close or obliterate the ring orcanal, thereby prohibiting the protrusion of the hernia.
- These medicinal agents are also commonly used for the obliteration of varicose veins by injecting them into the lumen of the veins and thereby producing an inflammatory reaction resulting in occlusion of the vessel lumen.
- obliteration of hemorrhoids and of naevi by sclerosis of the vascular structures thereof and for the shrinkage or obliteration of cavities such as hydrocele sacs, bursae, and various types of cysts, as well as soft tissue sinuses.
- Another object is to provide an efiective method for making a pharmaceutical product of novel composition which maybe safely injected into the human body without danger of harmful reaction and which will serve in a remarkably efiective manner as a means of stimulating, the repair of body abnormalities of the types previously mentioned.
- a further object is to provide a novel method for preparing a medicinal agent i of new and, unusual character which is especially well adapted for use in the injection treatment of hernia.
- Still another object is to provide .a method whereby a new product of the character described may be easily and economically prepared from readily obtainable materials.
- the oil is preferably obtained from the'psyllium seeds by grinding and milling and then extracting the oil with suitable fat solvents in any desired manner.
- the oil may also be obtained from parts of the milled seeds such as the hulls which are an article of commerce.
- the oil is saponified with an alcoholic alkali in the customary manner to produce salts of the fatty acids of the oil. These salts are then acidified, as with hydrochloric acid. Upon acidification the fatty acids are liberated in the form of an oily layer and, being insoluble in water, may be readilycollected and purified by washing with water.
- the purified fatty acids are next converted to water soluble salts or soaps by combination with an inorganic basic ingredient such as sodium, potassium, or ammonium hydroxides, or with an organic basic ingredient such as triethanolamine or methylamine.
- the salts may be treated with organic solvents to further remove impurities.
- the resultant purified salts or soaps are preferably prepared for commercial use in the form of aqueous solutions which may, if desired, also include a small amount of some antiseptic or anaesthetic such as benzyl alcohol.
- the final solution is usually filtered with animal charcoal before being bottled.
- psyllium seed oil 1200 grams are placed in suspension in 2750 cc. of ethyl alcohol and the mixture is heated in a water bath until the internal temperature is about 50 0. During this operation, it is probable that some of the oil is dissolved.
- the psyllium seed oil used may be obtained in any suitable manner, as by extraction with fat solvents from milled psyllium seed hulls as previously mentioned. 325 cc. of a cold 50% solution (by weight) of sodium hydroxide are then poured slowly into the heated oil and alcohol while the same is stirred.
- the resulting mixture is permitted to stand with occasional shaking for approximately fifteen minutes, at the end of which time distilled water is added until the total volume equals 6 liters.
- the soap solution thus produced is then poured into a solution of 2000 cc. of distilled water and 600 cc. of concentrated hydrochloric acid, accompanied by vigorous stirring.
- the fatty acids which are insoluble in water rise to the surface and may be readily siphoned of! from the aqueous layer.
- the fatty acids are then washed with 5 liters of hot distilled water, separated from the washing water, and filtered to remove impurities. 700 grams of the fatty acids thus obtained and 300 grams of benzyl alcohol are then placed in suspension in 13,000 cc.
- the present invention a novel and useful method for the preparation of a pharmaceutical product which is particularly well adapted for the treatment of various abnormalities of the human body.
- the product of this method is different from and superior to those hitherto known and used for similar purposes in that it can be injected intravenously in massive doses without harm, as contrasted with the dangers attending intravenous injection of caustic or escharotic agents, tannins, resins, or metallic salts such as zinc sulphate. Consequently, accidental escape from the site of injection into the general circulation of the body cannot cause serious injury as often results when these other agents are used.
- the preparation produced by the method of the present invention is less prone to cause hemolysis than are salts prepared from the acids of other oils such as castor oil or cod liver oil, and hence is less likely to cause harm should some of the injected solution find its way into the blood stream.
- Another of the more important distinctions between the product of the present process and those of the prior art resides in the fact that injection into the body of a solution containing salts of the fatty acids of psyllium seed oil produces a primary proliferation and rapid maturation of connective tissue, whereas the injection of previously known agents produces first an exudative reaction accompanied by tissue necrosis, the proliferation of tissue coming only as a secondary reaction to the primary destruction caused by the injected agent.
- the product of the present method comprises an approximately 5% aqueous solution of the sodium salts of the fatty acids of psyllium seed oil containing a small amount of be'nzyl alcohol as an anaesthetic
- other salts or soaps of the acids may be used, that the benzyl alcohol may be either omitted or replaced by other anaesthetics or antiseptics, and that the concentration of the solution may be varied as desired within those limits which are satisfactory to the medical profession.
- the specifically disclosed product of the method of the present invention which is thesubject matter of application, Serial No. 76,702, filed April .27, 1936, is not to be considered as limitative of the scope of the invention represented by the method. Reference is therefore to be had to the appended claims for a definition of the limits of the invention.
- a method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming an aqueous suspension of the fatty acids of the oil obtained from psyllium seeds, and then converting said acids to water soluble salts by adding to the suspension a soluble basic ingredient.
- a method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming an aqueous suspension of the fatty acids of the oil obtainedfrom psyllium seeds, and thenconverting said acids to their sodium salts by adding to the suspension a dilute solution of sodium hydroxide.
- a method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming an aqueous suspension of the fatty acids obtained from psyllium seed oil, and then neutralizing said acids by adding to the suspension a solubleorganic or inorganic basic ingredient until the pH of the resulting solution is approximately 8.3.
- a method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming a suspension of the fatty acids obtained from psyllium seed oil and benzyl alcohol in water,'and then neutralizing said acids by adding to the suspension sodium hydroxide in such amount as to bring the pH of the resulting solution to approximately 8.3.
- A'method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of saponifying the oil obtained from psyllium seeds, liberating the fatty acids of said saponified oil by acidification, and
- a method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of saponifying the oil obtained from psyllium seeds, liberating the fatty acids of said saponified oil by acidification,
- a method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of saponifying the oil obtained from psyllium seeds, liberating the fatty acids of said saponified oil by acidification, collecting and purifying the fatty acids thus obtained, and then converting said acids into their sodium salts.
- a method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of extracting from psyllium seed hulls the oil contained therein, mixing said oil with alcohol and heating said mixture, saponifying said oil by adding to said mixture an alkaline solution, acidifying the resulting soap solution and collecting the fatty acids thus produced, forming an aqueous suspension of said fatty acids, and then converting said acids to soluble salts by adding to the suspension a soluble basic ingredient.
- a method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of extracting from psyllium seed hulls the oil contained therein, mixing said oil with ethyl alcohol and heating said mixture, saponifying said oil by adding to said mixture 9. cold alkaline solution, acidifying the resulting soap solution and collecting the fatty acids thu's produced, suspending approximately 'l00 grams of said acids and 300 grams of benzyl alcohol in about 13,000 cc. of distilled water, and then adding to the suspension sodium hydroxide solution until the pH of the resulting solution is approximately 8.3.
- a method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of extracting from psyllium seed hulls the oil contained therein, mixing said oil with ethyl alcohol and heating said mixture, saponifying said oil by adding'to said mixture a cold alkaline solution, acidifying the resulting soap solution and collecting the fatty acids thus produced, suspending approximately 700 grams of said acids and 300 grams of benzyl alcohol in about 13,000 cc. of distilled water, adding to the suspension sodium hydroxide solution until the pH of the resulting solution is approximately 8.3, diluting the resulting solution with distilled water to avolume of about 15.000 cc., and removing the undesired impurities therefrom.
Description
Patented Apr. 26, 1938 UNITED STATES METHODS OF PREPARING PHARMACEUTI- CAL PRODUCTS ADAPTED FOR INJECTION INTO THE HUMAN BODY Philip A. Kober, Evanston, 111., assignor to G. D.
Searle & 00., Chicago, Ill., a corporation or Illinois No Drawing. Application April 2'1, 1936, Serial No.- 76,701
12 Claims.
This invention relates to methods of preparing,
pharmaceutical products, and more particularly to processes for the production of medicinal agents in the nature of irritants adapted for introduction, as by injection, into various regions of the human body for the purpose of correcting structural abnormalities through the production of changes in the tissues involved or in contiguous tissues.
Pharmaceutical preparations of this general character have been known and used for some time past in the treatment of various physical defects. For example, they have been injected into, and into the neighborhood of hernia] defects for the purpose of closing the defects and strengthening contiguous structures by producing or stimulating proliferation of connective and/or fibrous tissue. Such injections set up a mild tissue irritation in the margins of the ring or canal through which the hernia protrudes and thus cause these tissues to throw out young fibrous tissue cells orfibro blasts which mature into tough adult fibrous tissue and ultimately close or obliterate the ring orcanal, thereby prohibiting the protrusion of the hernia. These medicinal agents are also commonly used for the obliteration of varicose veins by injecting them into the lumen of the veins and thereby producing an inflammatory reaction resulting in occlusion of the vessel lumen. for the obliteration of hemorrhoids and of naevi by sclerosis of the vascular structures thereof, and for the shrinkage or obliteration of cavities such as hydrocele sacs, bursae, and various types of cysts, as well as soft tissue sinuses.
Among the different agents which have been used for these purposes are phenol, alcohol, zinc sulphate, glucose,. strong sodium chloride solution, tannic acid and extracts containing tannins, urea, quinine, irritating resins and extracts containing them, and irritating mineral acids. Probably the most innocuous agents have been the salts or soaps of the fatty acids of various well known oils, particularly cod liver oil and castor oil. However, all of the substances heretofore studied possess the common serious disadvantage that the reparativeor proliferative process brought about by their injection is secondary to an exudative reaction which is sometimes accompanied by necrosis and even abscess formation. These agents first exert upon the tissue injected a severe irritating action which causes the tissue to throw out a serous exudate or an accumulation of serum containing a large number of polymorphonuclear cells, and repair comes only as a secondary reaction to the initial tissue destruction. Another disadvantageoi the preparations previously known resides in the fact that these agents are in general harmful if introduced into the blood stream, a result which is not unlikely to occur accidentally during their use. For example, it is known that certain of these agents, particularly the soaps made from castor oil and cod liver oil, are hemolytic in character and that their introduction into the circulation is therefore undesirable. It is also known that the acids of castor oil are pharmacologically active and thattheir effects may be deleterious should they find their way into the general circulation. Still another disadvantage of the hernial solutions previously used is that serious complications may'reault from their injection into the peritoneal cavity orinto the hernial sac.
It is therefore one of the objects or the present invention to provide a method capable of producing a pharmaceutical preparation particularly adapted for use in the injection treatment oi structural abnormalities of the human body which will be both highly effective in its intended action and also free of the disadvantages of the various agents hitherto known and used for similar purposes.
Another object is to provide an efiective method for making a pharmaceutical product of novel composition which maybe safely injected into the human body without danger of harmful reaction and which will serve in a remarkably efiective manner as a means of stimulating, the repair of body abnormalities of the types previously mentioned.
A further object is to provide a novel method for preparing a medicinal agent i of new and, unusual character which is especially well adapted for use in the injection treatment of hernia.
Still another object is to provide .a method whereby a new product of the character described may be easily and economically prepared from readily obtainable materials.
These and other objects will appear more fully upon a consideration of the detailed description of the preferred embodiment of the invention which follows.
It has been discovered that a pharmaceutical product of the character sought, possessing unusually desirable features and free from the various disadvantages of the preparations previously known and used for similar purposes, can be produced in a novel and practical manner from the oil of various seeds of the Plantago family, es-
. pecially the blond psyllium seeds known as Plantago ovate or Plantago ispaghula. By setting free the fatty acids of this oil, purifying them, and then causing them to combine with an inorganic or organic basic ingredient to form salts or soaps of the acid and the basic ingredient, a product is obtained which, as has been thoroughly demonstrated by clinical tests, is particularly well adapted for the repair of those abnormalities of the human body which are treated by injecting into the body medicinal agents in the nature of irritants which serve as proliferative stimulants for connective and fibrous tissue, or as obliterative and sclerosing agents for vascular tissue. Although the exact chemical composition of this new product cannot be stated with certainty, it has been determined that its effectiveness as a pharmaceutical agent for the injection treatment of these various physical conditions is due to the presence therein of the salts or soaps of the fatty acids of the oil derived froin psyllium seeds.
In preparing this product, the oil is preferably obtained from the'psyllium seeds by grinding and milling and then extracting the oil with suitable fat solvents in any desired manner. The oil may also be obtained from parts of the milled seeds such as the hulls which are an article of commerce. After clarification the oil is saponified with an alcoholic alkali in the customary manner to produce salts of the fatty acids of the oil. These salts are then acidified, as with hydrochloric acid. Upon acidification the fatty acids are liberated in the form of an oily layer and, being insoluble in water, may be readilycollected and purified by washing with water. The purified fatty acids are next converted to water soluble salts or soaps by combination with an inorganic basic ingredient such as sodium, potassium, or ammonium hydroxides, or with an organic basic ingredient such as triethanolamine or methylamine. The salts may be treated with organic solvents to further remove impurities. The resultant purified salts or soaps are preferably prepared for commercial use in the form of aqueous solutions which may, if desired, also include a small amount of some antiseptic or anaesthetic such as benzyl alcohol. The final solution is usually filtered with animal charcoal before being bottled.
Although it will be recognized by those skilled in the art that the specific steps of the method of the present invention may be varied in certain respects, the following procedure has been found preferable in the practice of the invention. 1200 grams of psyllium seed oil are placed in suspension in 2750 cc. of ethyl alcohol and the mixture is heated in a water bath until the internal temperature is about 50 0. During this operation, it is probable that some of the oil is dissolved. The psyllium seed oil used may be obtained in any suitable manner, as by extraction with fat solvents from milled psyllium seed hulls as previously mentioned. 325 cc. of a cold 50% solution (by weight) of sodium hydroxide are then poured slowly into the heated oil and alcohol while the same is stirred. The resulting mixture is permitted to stand with occasional shaking for approximately fifteen minutes, at the end of which time distilled water is added until the total volume equals 6 liters. The soap solution thus produced is then poured into a solution of 2000 cc. of distilled water and 600 cc. of concentrated hydrochloric acid, accompanied by vigorous stirring. As a result of the acidification, the fatty acids which are insoluble in water rise to the surface and may be readily siphoned of! from the aqueous layer. The fatty acids are then washed with 5 liters of hot distilled water, separated from the washing water, and filtered to remove impurities. 700 grams of the fatty acids thus obtained and 300 grams of benzyl alcohol are then placed in suspension in 13,000 cc. of distilled water, after which a 10% solution (by weight) of sodium hydroxide is added slowly, accompanied by stirring, until the pH of the resulting solution is 8.3 as determined with phenolphthalein as indicator. The solution thus produced is then diluted with distilled water to a volume of 15,000 cc. and finally filtered with animal charcoal to remove any remaining impurities. This final solution, which may be characterized as an approximately 5% aqueous solution of the sodium salts of the fatty acids of an oil of the type obtained from psyllium seeds, is then bottled in sterile containers or otherwise suitably prepared for marketing.
There is thus provided by the present invention a novel and useful method for the preparation of a pharmaceutical product which is particularly well adapted for the treatment of various abnormalities of the human body. The product of this method is different from and superior to those hitherto known and used for similar purposes in that it can be injected intravenously in massive doses without harm, as contrasted with the dangers attending intravenous injection of caustic or escharotic agents, tannins, resins, or metallic salts such as zinc sulphate. Consequently, accidental escape from the site of injection into the general circulation of the body cannot cause serious injury as often results when these other agents are used. It has also been found that the preparation produced by the method of the present invention is less prone to cause hemolysis than are salts prepared from the acids of other oils such as castor oil or cod liver oil, and hence is less likely to cause harm should some of the injected solution find its way into the blood stream. Another of the more important distinctions between the product of the present process and those of the prior art resides in the fact that injection into the body of a solution containing salts of the fatty acids of psyllium seed oil produces a primary proliferation and rapid maturation of connective tissue, whereas the injection of previously known agents produces first an exudative reaction accompanied by tissue necrosis, the proliferation of tissue coming only as a secondary reaction to the primary destruction caused by the injected agent. Clinical tests of this product on human beings have proven that it is highly effective in its action, that it can be freely used without serious ill effects, and that its use causes little or no pain to the patient. These and other advantages of the product, together with the simplicity, ease and economy of the procedure by which it is made, are indicative of the novelty, usefulness and practical importance of the method herein disclosed.
Although only one specific embodiment of the method of the present invention has been described in detail, it will be understood that the invention is not limited to the precise procedure described, but is capable of variation in a number of respects. For example, although it has been found preferable to utilize as the starting material the oil extracted from blond psyllium seeds, the oils obtained from various other seeds of the Plantago family may also be used. It is also contemplated that an oil possessing the same characteristics as psyllium seed oil may be produced synthetically or artificially and used instead of the natural oil. Furthermore, while in its preferred form the product of the present method comprises an approximately 5% aqueous solution of the sodium salts of the fatty acids of psyllium seed oil containing a small amount of be'nzyl alcohol as an anaesthetic, it will be obvious to those skilled in the art that other salts or soaps of the acids may be used, that the benzyl alcohol may be either omitted or replaced by other anaesthetics or antiseptics, and that the concentration of the solution may be varied as desired within those limits which are satisfactory to the medical profession. Moreover, the specifically disclosed product of the method of the present invention, which is thesubject matter of application, Serial No. 76,702, filed April .27, 1936, is not to be considered as limitative of the scope of the invention represented by the method. Reference is therefore to be had to the appended claims for a definition of the limits of the invention.
What is claimed is:
1. A method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming an aqueous suspension of the fatty acids of the oil obtained from psyllium seeds, and then converting said acids to water soluble salts by adding to the suspension a soluble basic ingredient.
2. A method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming an aqueous suspension of the fatty acids of the oil obtainedfrom psyllium seeds, and thenconverting said acids to their sodium salts by adding to the suspension a dilute solution of sodium hydroxide.
3. A method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming an aqueous suspension of the fatty acids obtained from psyllium seed oil, and then neutralizing said acids by adding to the suspension a solubleorganic or inorganic basic ingredient until the pH of the resulting solution is approximately 8.3.
4. A method of preparing a pharmaceutical product adapted for injection into the human body including the steps of forming a suspension of the fatty acids obtained from psyllium seed oil and benzyl alcohol in water,'and then neutralizing said acids by adding to the suspension sodium hydroxide in such amount as to bring the pH of the resulting solution to approximately 8.3.
5. A'method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of saponifying the oil obtained from psyllium seeds, liberating the fatty acids of said saponified oil by acidification, and
' then converting said acids'into soluble salts.
6. A method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of saponifying the oil obtained from psyllium seeds, liberating the fatty acids of said saponified oil by acidification,
, collecting and purifying the fatty acids thus obtained, and then converting said acids into solubie salts.
7. A method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of saponifying the oil obtained from psyllium seeds, liberating the fatty acids of said saponified oil by acidification, collecting and purifying the fatty acids thus obtained, and then converting said acids into their sodium salts.
8. A method of preparing a pharmaceutical product adapted for injection into the human saponified oil by acidification, forming an aqueous suspension of said fatty acids, and then neutralizing said acids by adding to the suspension sodium hydroxide in such amount as to bring the pH of the resulting solution to approximately 8.3.
10. A method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of extracting from psyllium seed hulls the oil contained therein, mixing said oil with alcohol and heating said mixture, saponifying said oil by adding to said mixture an alkaline solution, acidifying the resulting soap solution and collecting the fatty acids thus produced, forming an aqueous suspension of said fatty acids, and then converting said acids to soluble salts by adding to the suspension a soluble basic ingredient.
11. A method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of extracting from psyllium seed hulls the oil contained therein, mixing said oil with ethyl alcohol and heating said mixture, saponifying said oil by adding to said mixture 9. cold alkaline solution, acidifying the resulting soap solution and collecting the fatty acids thu's produced, suspending approximately 'l00 grams of said acids and 300 grams of benzyl alcohol in about 13,000 cc. of distilled water, and then adding to the suspension sodium hydroxide solution until the pH of the resulting solution is approximately 8.3.
12. A method of preparing a pharmaceutical product adapted for injection into the human body comprising the steps of extracting from psyllium seed hulls the oil contained therein, mixing said oil with ethyl alcohol and heating said mixture, saponifying said oil by adding'to said mixture a cold alkaline solution, acidifying the resulting soap solution and collecting the fatty acids thus produced, suspending approximately 700 grams of said acids and 300 grams of benzyl alcohol in about 13,000 cc. of distilled water, adding to the suspension sodium hydroxide solution until the pH of the resulting solution is approximately 8.3, diluting the resulting solution with distilled water to avolume of about 15.000 cc., and removing the undesired impurities therefrom.
PHILIP A. KOBER.
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