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WO2007116916A1 - Liquid drug preparation for oral administration - Google Patents

Liquid drug preparation for oral administration Download PDF

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Publication number
WO2007116916A1
WO2007116916A1 PCT/JP2007/057595 JP2007057595W WO2007116916A1 WO 2007116916 A1 WO2007116916 A1 WO 2007116916A1 JP 2007057595 W JP2007057595 W JP 2007057595W WO 2007116916 A1 WO2007116916 A1 WO 2007116916A1
Authority
WO
WIPO (PCT)
Prior art keywords
liquid pharmaceutical
liquid
drugs
pharmaceutical preparation
discharge device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2007/057595
Other languages
French (fr)
Japanese (ja)
Inventor
Atsushi Matsuo
Hiroko Iwano
Hiroyuki Matsumura
Takashi Tsuboi
Hiroo Yamasaki
Hironobu Nakagawa
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Kobayashi Pharmaceutical Co Ltd
Original Assignee
Kobayashi Pharmaceutical Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kobayashi Pharmaceutical Co Ltd filed Critical Kobayashi Pharmaceutical Co Ltd
Publication of WO2007116916A1 publication Critical patent/WO2007116916A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • 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
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/485Morphinan derivatives, e.g. morphine, codeine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M11/00Sprayers or atomisers specially adapted for therapeutic purposes
    • A61M11/06Sprayers or atomisers specially adapted for therapeutic purposes of the injector type
    • 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
    • A61P1/06Anti-spasmodics, e.g. drugs for colics, esophagic dyskinesia
    • 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
    • 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
    • A61P1/10Laxatives
    • 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
    • A61P1/12Antidiarrhoeals
    • 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
    • A61P1/14Prodigestives, e.g. acids, enzymes, appetite stimulants, antidyspeptics, tonics, antiflatulents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/08Bronchodilators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/10Expectorants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/14Antitussive agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/02Drugs for disorders of the nervous system for peripheral neuropathies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/20Hypnotics; Sedatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/02Nutrients, e.g. vitamins, minerals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/08Antiallergic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P39/00General protective or antinoxious agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/04Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/0643Tongue

Definitions

  • Liquid pharmaceutical formulation for oral administration Liquid pharmaceutical formulation for oral administration
  • the present invention relates to a liquid pharmaceutical preparation for oral administration.
  • liquid preparations are promoted as pharmaceuticals and are actually sold.
  • These liquid preparations include, for example, oral drugs for oral administration (for example, Patent Documents 1 to 4), nasal sprays for nasal administration (for example, Patent Document 5), and external drugs for pharyngeal diseases (for example, Patent Document 6).
  • Liquid pharmaceutical preparations for oral administration are commercially available as "internal liquids” and “syrups”!
  • internal liquids and “syrups”!
  • the dose is inaccurate and a separate measuring cup is required for weighing when taking it immediately.
  • measuring the liquid and washing the cup after use is cumbersome and Speak.
  • Patent Document 1 JP-A-8-193023
  • Patent Document 2 Japanese Patent Laid-Open No. 10-265369
  • Patent Document 3 Japanese Patent Laid-Open No. 2000-273050
  • Patent Document 4 Japanese Patent Laid-Open No. 2003-206242
  • Patent Document 5 Japanese Patent Laid-Open No. 11 171762
  • Patent Document 6 JP-A-10-259124
  • An object of the present invention is to provide a liquid pharmaceutical formulation for oral administration that reduces the burden on patients and reduces the burden on patients and enables safe medication.
  • a liquid pharmaceutical preparation for oral administration accommodated in a container provided with a discharge device, which is non-contact from the discharge device on or around the tongue in the oral cavity.
  • the liquid pharmaceutical formulation is provided for administration by direct injection.
  • on or around the tongue includes, for example, dentition, gingiva, sputum, and the floor of the mouth, and by injecting into the area and taking the medicine, liquid droplets of liquid preparations into the trachea and lungs Inflow is prevented and safe oral administration is possible.
  • the liquid pharmaceutical formulation of the present invention is administered by injection onto the tongue.
  • the liquid pharmaceutical preparation of the present invention is a liquid pharmaceutical composition containing a solvent (for example, water, ethanol, glycerin, propylene glycol) that can be used as a component of the pharmaceutical preparation, and includes a solution, a suspension, It may be an emulsion or dispersion.
  • a solvent for example, water, ethanol, glycerin, propylene glycol
  • the liquid pharmaceutical preparation of the present invention may be an aqueous liquid preparation, for example, an aqueous solution.
  • water that can be used in the present invention include, for example, Japanese Pharmacopoeia purified water, and can be contained at a ratio of, for example, 10 to 99% by weight, preferably 45 to 98% by weight, based on the entire preparation.
  • the injection amount from the discharge device by one injection is, for example, 0.03 to 3 mL, preferably 0.1 to 2 mL, more preferably 0.3 to LmL.
  • the particles of the droplets at the time of ejection have a particle diameter that exceeds a certain level in terms of preventing inflow into the trachea and lungs.
  • the particle diameter of the droplet may be, for example, 100 to 5500 111, preferably 100 to 3600 ⁇ m, more preferably 100 to 1600 ⁇ m.
  • the particle size of the droplet can be adjusted by selecting the nozzle of the discharge device, the configuration of the liquid agent flow path near the injection port, or the configuration of the discharge device such as the length of the pushing stroke.
  • the viscosity of the liquid pharmaceutical preparation of the present invention is not particularly limited, but the viewpoint of the rapid delivery of the active ingredient to the absorption site (such as the small intestine) of the active ingredient after the dispensing device force, and 0 8 to 500 cP, preferably 0.9 to: LOOcP, more preferably 1.00 to 50.
  • LOOcP more preferably 1.00 to 50.
  • OcP more preferably 1.00 to 25 cP, and even more preferably 1.00 to 2.5 cP (digital viscosity) (Measured with a UL adapter at 25 ° C using a total DV— DV + (Brookfield)).
  • the active ingredient applicable to the liquid pharmaceutical preparation of the present invention is not particularly limited as long as it is a liquid pharmaceutical preparation for oral administration.
  • an active ingredient as an active ingredient, an antitussive, bronchodilator, expectorant, antiphlogistic, antipyretic analgesic, antihistamine, antibacterial agent, caffeine, gastric mucosal protective agent, neurostimulant, antistimulant, Plasmin drugs, hypnotic sedatives, blood circulation improving drugs, hemostatic drugs, antipruritic drugs, analgesic antispasmodic drugs, stomachic medicines, digestive drugs, live intestinal components, antidiarrheal drugs, anti-constipation drugs, vitamins, nourishing tonics, circulatory organs Selected from medicines, herbal medicines and herbal ingredients
  • an already defined liquid pharmaceutical formulation comprising one or more ingredients.
  • the active ingredient is codine phosphate, dihydrocodine phosphate, dextromethorphan hydrobromide, dl-methylephedrine hydrochloride, guaifenesin, potassium guaiacol sulfonate, lysozyme chloride, malein
  • an already defined liquid pharmaceutical formulation further comprising one or more selected from acid chlorfelamin and anhydrous caffeine.
  • a liquid pharmaceutical preparation for oral administration which contains one or more selected from codine phosphate and dihydrocodein phosphate as an active ingredient and is contained in a container equipped with a discharge device
  • the liquid pharmaceutical preparation is provided by being directly injected in a non-contact manner onto or around the tongue in the oral cavity.
  • the liquid pharmaceutical preparation of the present invention includes, for example, as an additional active ingredient, bronchodilators, expectorants, antiphlogistics, antipyretic analgesics, antihistamines, bactericides, caffeine, gastric mucosa protective agents. It may contain one or more selected from herbal ingredients and antitussives and vitamins.
  • the liquid pharmaceutical formulation of the present invention comprises dl-methylephedrine hydrochloride, guaifenesin, potassium guaiacol sulfonate, lysozyme chloride, chlorfelamine maleate, and anhydrous caffeine as additional active ingredients.
  • dl-methylephedrine hydrochloride guaifenesin, potassium guaiacol sulfonate, lysozyme chloride, chlorfelamine maleate, and anhydrous caffeine as additional active ingredients.
  • an already defined liquid pharmaceutical formulation comprising one or more flavoring or sweetening agents.
  • the corrigent or sweetener comprises amatya, reduced maltose starch, glycine, dipotassium glycyrrhizinate, disodium glycyrrhizinate, monoammonium glycyrrhizinate, fructose sugar, glucose water White sucrose granules, honey, simple syrup, lactose, glucose, maltose, maltose, man-toll, starch, sorbitol, caramel, aspartame, stevia extract, kanzo , Licorice extract, xylitol, brown sugar, liquid sugar, fructose, fructose glucose liquid sugar, saccharin
  • Saccharin sodium, sucrose, glycerin power may also be selected.
  • the masking agent is used in the present invention from the viewpoint of masking unpleasant taste derived from the active ingredient and preventing the generation of solids when the product is stored for a long period of time.
  • Sweeteners' flavoring agents are selected, for example, asunameme, saccharin sodium power 1 or more; stevia, caramel, kanzo power 1 or more selected; and sugar alcohol (sorbitol, maltose, maltose, mannitol, xylitol), glycerin One or more combinations selected from may be used.
  • the antitussive agent includes, for example, codine phosphate, dihydrocodine phosphate, hydrocodone, hydromorphone, methadone, morphine, oximetebanol, aloclamide hydrochloride, cloperastine hydrochloride, pentoxyberine citrate, ken Tipepidine acid, dibutanato sodium, dextromethorphan hydrobromide, dextromethorphan phenol phthalic acid, tipepidine hibenzate, cloperastine fendizoate, nospin, maou, nantenjit, clofedanol, levopropoxy
  • One or more force-selected ones such as phen, hominoben, oxerazine, pentoxyberine, benproberine, dimemorphane, dibutate, eprazinone, carbetapentane and isoamyl can be used.
  • the antitussive agent is codin phosphate, dihydrocodine phosphate, aloclamide hydrochloride, cloperastine hydrochloride, pentoxyberine citrate, tipepidine citrate, sodium dibutate, dextromethorphan hydrobromide, One or more selected from dextromethorphan phenol phthalic acid, tipepidine hibenzate, cloperastine fendizoate, noss force pin, maou and nantenji can be used.
  • examples of bronchodilators include ex-adrenergic receptor stimulators.
  • ⁇ -adrenergic receptor stimulators e.g., trimethquinol hydrochloride, methoxyphenamine hydrochloride
  • Dl-methylephedrine hydrochloride tyramine, ephedrine, methylephedrine saccharinate, amphetamine, methamphetamine, methoxyphenamine, orciprenaline, chlorprenalin, isoproterenol, donomine, dobutamine, isoprenaline, salbutamol, terbutaline, hex Soprenalin, allobuteronole, fenoteronore, pro force tellonore, pinolebuteronore, talenbuteronore,
  • ⁇ -adrenergic receptor stimulators e.g., trimethquinol hydrochloride, methoxyphenamine hydrochloride
  • tyramine ephedrine
  • methylephedrine saccharinate amphe
  • bronchodilators include ⁇ -adrenergic receptor stimulants (eg, trimethquinol hydrochloride, methoxyphenamine hydrochloride, methylephedrine hydrochloride) and xanthine derivatives (eg, aminophylline, diprofylline, theophylline, proxyphylline).
  • ⁇ -adrenergic receptor stimulants eg, trimethquinol hydrochloride, methoxyphenamine hydrochloride, methylephedrine hydrochloride
  • xanthine derivatives eg, aminophylline, diprofylline, theophylline, proxyphylline.
  • One or more can be used.
  • the expectorants include, for example, ammonium chloride, 1 menthol, ammonia, wikial, lysozyme chloride, ethyl cystine hydrochloride, methyl cystine hydrochloride, potassium guaiacol sulfonate, guaifenesin, crezo-one.
  • One or more selected forces may be used, such as potassium sulfonate, bromhexine hydrochloride, ambroquinol hydrochloride, L carbocystine, and hoodine.
  • the expectorants include salt-molybdenum, 1-menthol, ammonia 'wikial, lysozyme chloride, ethyristine hydrochloride, methylcystine hydrochloride, potassium guaiacol sulfonate, guaifenesin and potassium cresolol sulfonate.
  • One or more selected can be used.
  • the anti-inflammatory agent one or more selected from lysozyme chloride, glycyrrhizic acid, dipotassium glycyrrhizinate, sodium azulene sulfonate and the like can be used.
  • antipyretic analgesic for example, one or more selected from force such as acetaminophen, ibuprofen, aspirin, ethenzamide and the like can be used.
  • the antihistamines include, for example, isothipenzil hydrochloride, iproheptin hydrochloride, dipheterol hydrochloride, diphenylpyrroline hydrochloride, diphenhydramine hydrochloride, triprolidine hydrochloride, triberenamine hydrochloride, tonsylamine hydrochloride, phenetazine hydrochloride, and methazine hydrochloride.
  • Diphenhydramine salicylate carbinoxamine diphenol disulfonate, Almemazine tartrate, diphenhydramine tannate, phenetazine tannate, diferruleline teuroate, promethazine methylene disalicylate, carbinoxamine maleate, dl-chlorfelamine maleate, d-chlorfelamine maleate and phosphoric acid
  • One or more selected forces such as dipheterol can be used.
  • fungicide for example, one or more kinds selected from local fungicides such as salt cetylpyridium, decalyl chloride and chlorhexidine hydrochloride may be used.
  • caffeine for example, one or more selected from powers such as sodium benzoate caffeine, strength fein and anhydrous caffeine can be used.
  • the gastric mucosa protective agent includes, for example, aminoacetic acid, magnesium silicate, synthetic aluminum silicate, synthetic hydrotalcite, magnesium oxide, dihydroxy aluminum, amino acetate, hydroxyaluminum gel, and dry water.
  • One or more selected from the group consisting of a coprecipitation product of magnesium hydroxide and potassium aluminum sulfate, magnesium carbonate and magnesium aluminate metasilicate may be used.
  • the neurostimulant for example, one or more selected from caffeine, anhydrous caffeine, caffeine benzoate and the like can be used.
  • antiplasmin drug for example, one or more selected from tranexamic acid, aminocaproic acid and the like can be used.
  • hypnotic sedative one or more kinds selected from, for example, bromoreryl urea, allyl isopropylacetyl urea, diphenhydramine hydrochloride and the like may be used.
  • the blood circulation improving agent for example, one or more selected from force such as inositol hexanicotinate can be used.
  • hemostatic agent for example, one or more selected from the group consisting of tranexamic acid and sodium carbazochrome sulfonate can be used.
  • antipruritic agent for example, one or more kinds selected from force such as diphedol hydrochloride and scopolamine hydrobromide can be used.
  • analgesic and antispasmodic agent for example, one or more selected from the group consisting of ethyl aminobenzoate, methylbenactidium bromide, butylscopolamine bromide, funnel extract and the like can be used.
  • stomachic medicine for example, one or more selected from powers such as Keihi, Obata, Shokyo, and sempri can be used.
  • the digestive agent for example, one or more selected from the group consisting of ursodesoxycholic acid, fat digestive enzyme, starch digestive enzyme and the like can be used.
  • the live intestinal bacterium component for example, one or more kinds selected from lactic acid bacteria powder, bifidobacteria, butyric acid bacteria powder and the like can be used.
  • an antidiarrheal agent for example, one or more selected from oral peramide hydrochloride, albumin tannate, bismuth subgallate and the like can be used.
  • constipation therapeutic agent for example, one or more kinds of which power is also selected such as sennoside, senna, daio, Brantagovabata seed can be used.
  • the vitamin agent for example, one or more selected from the strengths such as tocopherol acetate, ascorbic acid, thiamine, pyridoxine, cyanobalamine may be used.
  • the nourishing tonic for example, one or more selected from power such as taurine, calcium pantothenate, nicotinamide, etc. can be used.
  • the circulatory organ agent for example, one or more selected by force such as ubidecarenone, carrot, and agate can be used.
  • the traditional Chinese medicine for example, one or more kinds, for which power is selected, such as kakachi, kazuka detoxification water, etc. can be used.
  • herbal medicine components include, for example, ziryu, sansoonin, ohhi, onji, kandu, kikiyou, kiyounin, shazenshi, shazenso, sexan, senega, tokon, baimo, azajak, wiki, ougon, caronin, kehi, go, Gomin, Saishin, Zion, Jiakou, Shajin, Shokiyo, Sohakuhi, Soyo, Chikusenjin, Chin
  • species such as pi, carrots, buttermonds, and roe, can be selected.
  • Examples of combinations of active ingredients in the liquid pharmaceutical preparation of the present invention include the following:
  • Dextromethorphan hydrobromide, guaifenesin and chlorpheniramine maleate Dextromethorphan hydrobromide, guaifenesin and chlorpheniramine maleate.
  • the liquid preparation of the present invention is used as a pharmaceutical for oral administration, and includes, for example, general cold medicine, cough, rhinitis, antipyretic analgesics, gastrointestinal drugs, antidiarrheals, motion sickness preventives or palliatives, etc.
  • a pharmaceutical for oral administration includes, for example, general cold medicine, cough, rhinitis, antipyretic analgesics, gastrointestinal drugs, antidiarrheals, motion sickness preventives or palliatives, etc.
  • Table 1 shows examples of active ingredient prescriptions when the present invention is used as a general cold medicine.
  • the active ingredients shown in Table 1 can be used as a solution in an appropriately selected solvent.
  • liquid pharmaceutical preparation containing the components shown in Table 1 as an active ingredient.
  • the liquid pharmaceutical composition of the present invention comprises, as optional ingredients, a flavoring agent, sweetening agent, preservative, flavoring agent, diluent, solubilizer, PH regulator, viscosity modifier, colorant, stabilizer, It may contain additives such as surfactants, suspension agents, antioxidants, cooling agents, flavoring agents, and fragrances.
  • a liquid pharmaceutical formulation as defined above comprising one or more flavoring or sweetening agents.
  • the corrigent and sweetener used in the present invention are not particularly limited, and for example, the corrigent and sweetener usually used in pharmaceutical preparations can be used.
  • Specific examples of flavoring and sweetening agents include fructose, glucose liquid sugar, sucrose, strength lamella, aspartame, neotame, stevia extract, licorice extract, brown sugar, saccharin sodium, sorbitol, and sugar alcohols (e.g. , Xylitol, erythritol, maltitol and latathitol) and glycerin.
  • one or more, preferably two or more selected from aspartame, neotame, stevia extract, licorice extract, brown sugar, sodium saccharin, caramel and sorbitol can be used as a corrigent or sweetener.
  • the blending amount of the sweetener and the flavoring agent contained in the liquid pharmaceutical preparation of the present invention is, for example, 2 to 95% by weight, preferably 2 to 50% by weight, more preferably 2 to 23% by weight.
  • the daily dose in the liquid preparation of the present invention is not particularly limited, and can be appropriately determined according to the daily dose of the active ingredient contained in the liquid preparation. From the viewpoint of the number of administrations per day and convenience at the time of administration, the daily dose may be, for example, 1.5 to 18 mL, preferably 3.0 to 15 mL, more preferably 6.0 to 9 mL. Good.
  • the single dose in the liquid preparation of the present invention is not particularly limited, and can be appropriately determined according to the daily dose of the active ingredient contained in the liquid preparation, the number of daily doses, and the like. From the viewpoint of the number of administrations per day and safety at the time of taking, it may be, for example, 0.5 to 5 mL, preferably 0.75 to 3 mL, and more preferably 1.0 to 2 mL. According to the present invention, since the ingestion is performed safely and reliably, the necessary amount of the active ingredient can be ingested in a small amount compared with a normal oral liquid pharmaceutical preparation.
  • the liquid pharmaceutical preparation of the present invention has the effect of eliminating complexity at the time of taking and reducing the burden on the patient in frequent administration, the present invention can take two or more times a day. Suitable for such drugs.
  • the number of doses of the liquid pharmaceutical preparation of the present invention is, for example, 1 to 6 times a day, Preferably, it may be 4 to 6 times.
  • the container used in the present invention is not particularly limited as long as it is normally used as a container for a liquid pharmaceutical preparation, and for example, a brown light-shielding glass container or the like may be used.
  • a discharge device that is capable of measuring a dose of a liquid pharmaceutical preparation with a substantially constant discharge amount at one time is used.
  • a device having a function capable of directly injecting a liquid pharmaceutical preparation on or around the tongue in the oral cavity without contact is used.
  • a discharge device that can be used in the present invention is not particularly limited, and a so-called push pump type discharge device, a so-called trigger type discharge device, and the like can be used.
  • the discharge device is a push pump type discharge device.
  • the push pump type discharge device includes, for example, a cylinder suspended in a container, and a stem that has a cylindrical piston at the lower end and is urged upward from the cylinder, By pushing down the stem, the pressure of the liquid stored in the internal space between the upper valve on the stem side and the lower valve on the cylinder side increases, and the liquid passes through the upper valve and is provided above the stem.
  • It may be a discharge device that is discharged from the outlet of the push-down head and configured to suck up the liquid in the container through the lower valve and into the cylinder by raising the stem.
  • the particle size of the liquid droplet at the time of liquid injection can be adjusted by the shape of the flow path of the liquid agent at the jet nozzle.
  • the discharge device in the present invention may be a spray type.
  • the ejection device may be configured such that the ejection port of the ejection device is closed by a valve member, and the ejection port is opened by the movement of the valve member when the medicine is injected. Good.
  • it is accommodated in a container equipped with a push pump type discharge device, and is directly injected in a non-contact manner onto or around the tongue in the oral cavity.
  • a liquid pharmaceutical formulation for oral administration that is already defined, wherein the discharge device is energized by an elastic force so as to occlude the jet port of the liquid pharmaceutical formulation. Sometimes by staking the elastic force and moving
  • the liquid pharmaceutical preparation which is a discharge device including a valve member that opens the spout.
  • Examples of the discharge device in the present invention include a so-called push-bump type discharge device which is widely used.
  • Japanese Utility Model Publication No. 58-9358 Japanese Utility Model Application Publication No. 2-95562, No. 5-13563, JP-A 8-169462, JP-A 9-15 5254, JP-A 2002-326044, JP-A 2001-171764, JP-A 2-004-359242, It is possible to use discharge devices disclosed in Japanese Unexamined Patent Publication Nos. 2004-359241, 2004-359238, 2004-352343, 2004-352333, and the like.
  • the discharge device may be attached to the mouth and neck of the container by fitting, and the fitting may be performed in a manner that makes the fitting difficult to remove.
  • the mating mode is considered to contribute to prevention of breakage of the container during transportation and carrying and prevention of accidental ingestion of the liquid pharmaceutical preparation of the present invention.
  • the fitting portion of the container neck of the container and the mounting cap of the discharge device includes an outer tooth formed on the outer peripheral surface of the container neck of the container forming the inner layer of the fitting portion.
  • the ratchet may be an annular fitting portion configured to prevent rotation in a direction in which the container neck and neck portion and the mounting cap are loosened.
  • the inner teeth and the outer teeth have a shape that allows rotation in the direction in which the screwing of the attachment cap and the container mouth neck is tightened but does not allow rotation in the loosening direction.
  • the tooth surface on the side that contacts and presses when the rotational force in the direction in which the screwing between the mounting cap and the container neck is loosened is perpendicular to the rotational force.
  • the tip of the tooth tip side may be inclined to the forward direction in the direction of the rotational force (or the opposite direction) as compared with the tooth base side.
  • Examples of the discharge device in the present invention include a discharge device having a pressing head described in JP-A-2004-834 (see FIGS. 4 to 7).
  • the pressing head is a pressing head that is attached to a pump in which the stem 2 is erected so that it can be pushed in an upward biased state.
  • the mounting cylinder 8 fitted to the upper end of the stem 2 is suspended from the bottom surface of the top plate 9 and the mounting cylinder member 3 is formed by standing the sliding cylinder 10 communicating with the inside of the stem 2 above the top plate 9;
  • a main body provided with a valve chamber having a spout 21 opened at the tip above the cylinder 16 fitted to the outer periphery of the sliding cylinder 10 so as to be slidable and capable of being pushed down with respect to the mounting cylinder member. 4 and a flow passage extending from the communication port 19 communicating with the inside of the cylinder to the jet port 21 while the rear outer circumference is slidably fitted to the valve chamber circumference, and the jet port 21 is closed in a forward biased state.
  • the upper end is linked to the rear end of the valve member 6 and the rear end of the valve member 6, the lower end is brought into contact with and locked to the upper surface of the top plate 9, and the valve member is pressed when the main body is pressed against the mounting cylinder member And a saddle member 7 pivotally attached to the main body so as to be swingable so as to be pulled out rearward.
  • the valve member 6 biased forward by the coil spring 26 always biases the upper part of the vertical plate portion 28 of the flange member 7 forward, and is mounted by pushing down the main body 4.
  • the top plate 9 of the cylindrical member 3 pushes up the inclined plate portion 29 and rotates the flange member 7, and the valve member portion 6 is pulled out against the front biasing force of the coil spring 26, so that a fluid flow path is secured. It is done.
  • the use of the discharge device including the pressing head described above prevents deterioration due to the chemical solution not coming into contact with the outside air, improves hygiene due to dripping, and improves the quantification of the chemical solution by improving the chemical solution.
  • the viewpoint power is also preferable.
  • a liquid pharmaceutical formulation for oral administration which is contained in a container equipped with the discharge device of the present invention and is administered by direct non-contact injection of the discharge device force on or around the tongue in the oral cavity.
  • the ejection device is biased by an elastic force so as to close the ejection port of the liquid pharmaceutical preparation, and is moved into an elastic state when the liquid pharmaceutical formulation is ejected to move to open the ejection port.
  • the liquid pharmaceutical preparation which is a discharge device including a valve member.
  • the pressing force of the main body against the stem 2 is configured to be smaller than the pressing force of the stem itself.
  • the pressing head is a pressing head that is mounted on a pump in which the stem 2 is erected so that it can be pushed in an upward biased state, and a mounting cylinder 8 that is fitted to the upper end of the stem 2 is attached to the top plate.
  • a mounting cylinder that is suspended from the bottom surface, and is provided with a sliding cylinder 10 that communicates with the inside of the stem 2 erected above the top plate 9 and a locking plate 12 that extends vertically on both sides of the top plate 9
  • the member 3 and the cylinder 16 fitted so as to be able to slide down on the outer periphery of the sliding cylinder 10 are It is suspended from the lower surface of the horizontal tube 15 that is open at the front end of the wall 14a and has a space around it, and engages with the outer surface of the locking plate so that both sides of the inner surface of the peripheral wall 14a cannot rotate and move up and down.
  • Main body 4 a cylindrical jetting member 5 fitted to the horizontal cylinder 15 and having an outlet 21 opened at the tip, and a rear wall 15a of the horizontal cylinder 15 and a seal cylinder 18 projecting from the front surface
  • the outer periphery of the rear part is slidably fitted to the periphery, the outlet 21 is closed in a forward biased state, and a flow path from the communication port 19 communicating with the inside of the cylinder to the outlet 21 is defined.
  • the upper end is linked to the valve member 6 and the rear end portion of the valve member 6 protruding rearward through the window hole 17 of the horizontal cylinder rear wall 15a, and the lower end portion is brought into contact with and locked to the upper surface of the top plate 9 And a collar member pivotally attached to the main body so that the valve member can be pulled out rearward when the main body is pressed against the mounting cylinder member 7 And the pressing resistance of the main body against the stem 2 is smaller than the pressing resistance of the stem itself.
  • the chemical liquid is ejected after opening the spout, which makes it easy to push down the head, and can be reliably ejected to an appropriate part in the oral cavity.
  • the distance between the valve member serving as the flow path and the ejection port is, for example, 0.1 to 1 mm
  • the cross-sectional area of the flow path of the chemical liquid at the time of ejection is, for example, 0.1 to 3.5 mm 2 .
  • the discharge amount of the liquid agent and the cross-sectional area of the flow path can be adjusted, and thereby the flow speed of the discharged chemical liquid and the particle diameter of the droplets can be controlled.
  • the liquid pharmaceutical preparation of the present invention is a liquid preparation having an advantage that a dose measured in a simple and accurate manner can be taken. Furthermore, the preparation of the present invention does not require water and can be safely taken, and is quickly delivered to the active ingredient absorption site after taking to exhibit a desired medicinal effect.
  • a liquid pharmaceutical preparation was prepared based on the following prescription and filled into a container equipped with a push pump type discharge device (with an on-off valve at the spout, SP500LR shut-off nozzle, purchased from Yoshino Kogyo Co., Ltd.).
  • the discharge volume was measured as the volume of chemical liquid (g) discharged at one time, and the volume (mL) of the chemical liquid discharged from the specific gravity (1.05) of the chemical liquid was converted. The results are shown in Table 3.
  • FIG. 1 is a graph showing an example of test results for confirming the drug efficacy of the drug of the present invention as an internal cough solution.
  • FIG. 2 is a graph showing an example of test results for confirming the efficacy of the drug of the present invention as a cough medication solution.
  • FIG. 3 is a cross-sectional view showing a structure for preventing removal of a fitting portion (screwing portion) of a container mouth neck portion and a mounting cap of a discharge device used in the present invention.
  • FIG. 4 is a longitudinal sectional view showing an example of a pressing head used in a discharge device used in the pharmaceutical composition of the present invention.
  • FIG. 5 is a longitudinal sectional view taken along line AA in FIG. 6 is a cross-sectional view taken along line BB in FIG.
  • FIG. 7 is a perspective view of a flange member used in the pressing head.
  • FIG. 8 is a longitudinal sectional view showing another example of the pressing head of the discharge device used in the pharmaceutical composition of the present invention.
  • FIG. 9 is a longitudinal sectional view of FIG.

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Abstract

[PROBLEMS] To provide a liquid drug preparation for oral preparation by which the labor at drug-taking can be saved to thereby reduce patient burden and which enables safe drug-taking. [MEANS FOR SOLVING PROBLEMS] A liquid drug preparation for oral preparation which is packaged in a container having a discharge unit and administered via direct discharge from the discharge unit onto the tongue or the vicinity thereof in the oral cavity without any contact.

Description

明 細 書  Specification

経口投与用液体医薬製剤  Liquid pharmaceutical formulation for oral administration

技術分野  Technical field

[0001] 本発明は、経口投与用の液体医薬製剤に関する。  [0001] The present invention relates to a liquid pharmaceutical preparation for oral administration.

背景技術  Background art

[0002] 現在、種々の液体製剤が医薬品として上巿され実際に販売されている。これらの液 体製剤は、例えば、経口投与用の内服薬 (例えば、特許文献 1〜4)のほか、経鼻投 与用の点鼻薬 (例えば、特許文献 5)および咽頭疾患用の外用薬 (例えば、特許文献 6)として用いられている。  [0002] At present, various liquid preparations are promoted as pharmaceuticals and are actually sold. These liquid preparations include, for example, oral drugs for oral administration (for example, Patent Documents 1 to 4), nasal sprays for nasal administration (for example, Patent Document 5), and external drugs for pharyngeal diseases (for example, Patent Document 6).

[0003] 経口投与用の液体医薬製剤は「内服液剤」や「シロップ剤」として市販されて!、るが 、液体であるため服用量が不正確となりやすぐ服用時には計量のために計量カップ が別途必要となる。また、液剤の計量および使用後のカップの洗浄は煩雑であり、患

Figure imgf000002_0001
ヽる。 [0003] Liquid pharmaceutical preparations for oral administration are commercially available as "internal liquids" and "syrups"! However, since it is a liquid, the dose is inaccurate and a separate measuring cup is required for weighing when taking it immediately. Also, measuring the liquid and washing the cup after use is cumbersome and
Figure imgf000002_0001
Speak.

[0004] さらに、 1日に複数回服用するために内服液剤を携行することが必要となる場合、 携帯時の液剤漏出のおそれ、および計量カップの汚染による衛生上の問題が生じる おそれがある。  [0004] Furthermore, if it is necessary to carry an internal solution to take multiple times a day, there is a risk of leakage of the liquid when it is carried, and sanitary problems due to contamination of the measuring cup.

特許文献 1:特開平 8— 193023号公報  Patent Document 1: JP-A-8-193023

特許文献 2:特開平 10— 265369号公報  Patent Document 2: Japanese Patent Laid-Open No. 10-265369

特許文献 3:特開 2000 - 273050号公報  Patent Document 3: Japanese Patent Laid-Open No. 2000-273050

特許文献 4:特開 2003 - 206242号公報  Patent Document 4: Japanese Patent Laid-Open No. 2003-206242

特許文献 5:特開平 11 171762号公報  Patent Document 5: Japanese Patent Laid-Open No. 11 171762

特許文献 6 :特開平 10— 259124号公報  Patent Document 6: JP-A-10-259124

発明の開示  Disclosure of the invention

発明が解決しょうとする課題  Problems to be solved by the invention

[0005] 本発明は、患者の負担を軽減するために服用時の煩雑さを軽減し、かつ安全な服 薬を可能にする経口投与用の液体医薬製剤の提供を目的とする。 [0005] An object of the present invention is to provide a liquid pharmaceutical formulation for oral administration that reduces the burden on patients and reduces the burden on patients and enables safe medication.

課題を解決するための手段 [0006] 本発明者は、上記の課題解決のために鋭意研究を行い、本発明を完成させた。 すなわち本発明の一つの側面によれば、吐出装置を備えた容器に収容される経口 投与用の液体医薬製剤であって、口腔内の舌上またはその周辺に前記吐出装置か ら非接触的に直接射出されることにより投与される前記液体医薬製剤が提供される。 ここで、舌上またはその周辺には、例えば、歯列、歯肉、頰、および口腔底などが含 まれ、当該個所に射出して服薬することにより、液体製剤の液滴の気管および肺へ の流入が防がれ、安全に経口投与をすることができる。好ましくは、本発明の液体医 薬製剤は舌上に射出して投与される。 Means for solving the problem [0006] The present inventor has intensively studied to solve the above problems and completed the present invention. That is, according to one aspect of the present invention, there is provided a liquid pharmaceutical preparation for oral administration accommodated in a container provided with a discharge device, which is non-contact from the discharge device on or around the tongue in the oral cavity. The liquid pharmaceutical formulation is provided for administration by direct injection. Here, on or around the tongue includes, for example, dentition, gingiva, sputum, and the floor of the mouth, and by injecting into the area and taking the medicine, liquid droplets of liquid preparations into the trachea and lungs Inflow is prevented and safe oral administration is possible. Preferably, the liquid pharmaceutical formulation of the present invention is administered by injection onto the tongue.

[0007] 本発明の液体医薬製剤は、医薬製剤の成分として使用可能な溶媒 (例えば、水、 エタノール、グリセリン、プロピレングリコール)を含む液体の医薬組成物であって、溶 液、懸濁液、乳液または分散液であってもよい。本発明の上記側面の 1つの態様とし て、本発明の液体医薬製剤は水性液体製剤であってもよぐ例えば水溶液であって もよい。本発明に使用されうる水の例としては、例えば日本薬局方精製水などが使用 され、製剤全体に対して、例えば 10〜99重量%、好ましくは 45〜98重量%の割合 で含まれうる。  [0007] The liquid pharmaceutical preparation of the present invention is a liquid pharmaceutical composition containing a solvent (for example, water, ethanol, glycerin, propylene glycol) that can be used as a component of the pharmaceutical preparation, and includes a solution, a suspension, It may be an emulsion or dispersion. As one embodiment of the above aspect of the present invention, the liquid pharmaceutical preparation of the present invention may be an aqueous liquid preparation, for example, an aqueous solution. Examples of water that can be used in the present invention include, for example, Japanese Pharmacopoeia purified water, and can be contained at a ratio of, for example, 10 to 99% by weight, preferably 45 to 98% by weight, based on the entire preparation.

[0008] 本発明において、 1度の射出による吐出装置からの射出量は、例えば 0. 03〜3m L、好ましくは 0. l〜2mL、より好ましくは 0. 3〜: LmLである。また、射出時の液滴の 粒子は、気管および肺への流入の防止の観点力 一定以上の粒子径を有する方が 好ましい。当該液滴の粒子径は、例ぇば100〜5500 111、好ましくは 100〜3600 μ m、より好ましくは 100〜1600 μ mであってもよい。液滴の粒子径は吐出装置のノ ズルの選択、噴射口付近の液剤の流路の構成、または押すストロークの長さなどの 吐出装置の構成によって調整することができる。  In the present invention, the injection amount from the discharge device by one injection is, for example, 0.03 to 3 mL, preferably 0.1 to 2 mL, more preferably 0.3 to LmL. In addition, it is preferable that the particles of the droplets at the time of ejection have a particle diameter that exceeds a certain level in terms of preventing inflow into the trachea and lungs. The particle diameter of the droplet may be, for example, 100 to 5500 111, preferably 100 to 3600 μm, more preferably 100 to 1600 μm. The particle size of the droplet can be adjusted by selecting the nozzle of the discharge device, the configuration of the liquid agent flow path near the injection port, or the configuration of the discharge device such as the length of the pushing stroke.

[0009] 本発明の液体医薬製剤の粘度は特に限定されないが、吐出装置力 の投薬の定 量性および投薬後の活性成分の吸収部位 (小腸など)への速やかな送達の観点力 、例えば 0. 8〜500cP、好ましくは 0. 9〜: LOOcP、より好ましくは 1. 00〜50. OcP、 さらに好ましくは 1. 00〜25cP、さらに好ましくは 1. 00〜2. 5cPである(デジタル粘 度計 DV— Π+ (ブルック フィールド社製)を用い、 25°Cの条件下で ULアダプター にて測定)。 [0010] 本発明の液体医薬製剤に適用可能な有効成分は、経口投与用の液体医薬製剤 であれば特に限定されない。本発明の 1つの態様において、有効成分として、鎮咳 薬、気管支拡張薬、去痰薬、消炎薬、解熱鎮痛薬、抗ヒスタミン薬、殺菌剤、カフエイ ン類、胃粘膜保護剤、神経興奮薬、抗プラスミン薬、催眠鎮静薬、血液循環改善薬、 止血薬、鎮暈薬、鎮痛鎮痙剤、健胃薬、消化薬、整腸生菌成分、止瀉薬、便秘治療 剤、ビタミン剤、滋養強壮薬、循環器官用剤、漢方薬および生薬成分から選択される[0009] The viscosity of the liquid pharmaceutical preparation of the present invention is not particularly limited, but the viewpoint of the rapid delivery of the active ingredient to the absorption site (such as the small intestine) of the active ingredient after the dispensing device force, and 0 8 to 500 cP, preferably 0.9 to: LOOcP, more preferably 1.00 to 50. OcP, more preferably 1.00 to 25 cP, and even more preferably 1.00 to 2.5 cP (digital viscosity) (Measured with a UL adapter at 25 ° C using a total DV— DV + (Brookfield)). [0010] The active ingredient applicable to the liquid pharmaceutical preparation of the present invention is not particularly limited as long as it is a liquid pharmaceutical preparation for oral administration. In one embodiment of the present invention, as an active ingredient, an antitussive, bronchodilator, expectorant, antiphlogistic, antipyretic analgesic, antihistamine, antibacterial agent, caffeine, gastric mucosal protective agent, neurostimulant, antistimulant, Plasmin drugs, hypnotic sedatives, blood circulation improving drugs, hemostatic drugs, antipruritic drugs, analgesic antispasmodic drugs, stomachic medicines, digestive drugs, live intestinal components, antidiarrheal drugs, anti-constipation drugs, vitamins, nourishing tonics, circulatory organs Selected from medicines, herbal medicines and herbal ingredients

1種以上の成分を含む、既に定義した液体医薬製剤が提供される。本発明の別の態 様において、有効成分として、リン酸コディン、リン酸ジヒドロコディン、臭化水素酸デ キストロメトルファン、 dl-塩酸メチルエフェドリン、グァイフェネシン、グアヤコールスル ホン酸カリウム、塩化リゾチーム、マレイン酸クロルフエ-ラミン、および無水カフェイン カゝら選択される 1種以上をさらに含む、既に定義された液体医薬製剤が提供される。 An already defined liquid pharmaceutical formulation comprising one or more ingredients is provided. In another embodiment of the present invention, the active ingredient is codine phosphate, dihydrocodine phosphate, dextromethorphan hydrobromide, dl-methylephedrine hydrochloride, guaifenesin, potassium guaiacol sulfonate, lysozyme chloride, malein There is provided an already defined liquid pharmaceutical formulation further comprising one or more selected from acid chlorfelamin and anhydrous caffeine.

[0011] 本発明の 1つの側面によれば、有効成分としてリン酸コディンおよびリン酸ジヒドロコ ディンから選択される 1以上を含有し、吐出装置を備えた容器に含まれる経口投与 用の液体医薬製剤であって、口腔内の舌上またはその周辺に前記吐出装置力 非 接触的に直接射出されることにより投与される前記液体医薬製剤が提供される。この 側面において、本発明の液体医薬製剤は、例えば、追加の有効成分として、気管支 拡張薬、去痰薬、消炎薬、解熱鎮痛薬、抗ヒスタミン薬、殺菌剤、カフェイン類、胃粘 膜保護剤、生薬成分および鎮咳薬、ビタミン類カゝら選択される 1種以上を含んでもよ い。この側面の別の態様によれば、本発明の液体医薬製剤は、追加の有効成分とし て、 dl-塩酸メチルエフェドリン、グァイフェネシン、グアヤコールスルホン酸カリウム、 塩化リゾチーム、マレイン酸クロルフエ-ラミン、および無水カフェインカ 選択される[0011] According to one aspect of the present invention, a liquid pharmaceutical preparation for oral administration which contains one or more selected from codine phosphate and dihydrocodein phosphate as an active ingredient and is contained in a container equipped with a discharge device The liquid pharmaceutical preparation is provided by being directly injected in a non-contact manner onto or around the tongue in the oral cavity. In this aspect, the liquid pharmaceutical preparation of the present invention includes, for example, as an additional active ingredient, bronchodilators, expectorants, antiphlogistics, antipyretic analgesics, antihistamines, bactericides, caffeine, gastric mucosa protective agents. It may contain one or more selected from herbal ingredients and antitussives and vitamins. According to another embodiment of this aspect, the liquid pharmaceutical formulation of the present invention comprises dl-methylephedrine hydrochloride, guaifenesin, potassium guaiacol sulfonate, lysozyme chloride, chlorfelamine maleate, and anhydrous caffeine as additional active ingredients. Inca selected

1種以上をさらに含んで 、てもよ 、。 Including one or more types.

[0012] 本発明の別の側面によれば、 1種以上の矯味剤または甘味剤を含む、既に定義し た液体医薬製剤が提供される。この側面の 1つの態様において、矯味剤または甘味 剤は、アマチヤ、還元麦芽糖水ァメ、グリシン、グリチルリチン酸二カリウム、グリチルリ チン酸ニナトリウム、グリチルリチン酸モノアンモ-ゥム、果糖液糖、ブドウ糖水ァ入 白糖球状顆粒、ハチミツ、単シロップ、乳糖、ブドウ糖、マルチトース、マルトース、マ ン-トール、水ァメ、ソルビトール、カラメル、アスパルテーム、ステビアエキス、カンゾ ゥ、カンゾゥエキス、キシリトール、黒砂糖、液糖、果糖、果糖ブドウ糖液糖、サッカリン[0012] According to another aspect of the present invention, there is provided an already defined liquid pharmaceutical formulation comprising one or more flavoring or sweetening agents. In one embodiment of this aspect, the corrigent or sweetener comprises amatya, reduced maltose starch, glycine, dipotassium glycyrrhizinate, disodium glycyrrhizinate, monoammonium glycyrrhizinate, fructose sugar, glucose water White sucrose granules, honey, simple syrup, lactose, glucose, maltose, maltose, man-toll, starch, sorbitol, caramel, aspartame, stevia extract, kanzo , Licorice extract, xylitol, brown sugar, liquid sugar, fructose, fructose glucose liquid sugar, saccharin

、サッカリンナトリウム、白糖、グリセリン力も選択される 1種以上であってもよい。 , Saccharin sodium, sucrose, glycerin power may also be selected.

[0013] 上記の甘味剤 '矯味剤のうち、活性成分由来の不快な味のマスキング、および本製 剤を長期に保存した場合の固形物の発生を防止する観点から、本発明に使用される 甘味剤'矯味剤は、例えばァスノ ルテーム、サッカリンナトリウム力も選択される 1以上 ;ステビア、カラメル、カンゾゥ力 選択される 1以上;および糖アルコール (ソルビトー ル、マルチトース、マルトース、マン-トール、キシリトール)、グリセリンから選択される 1以上の組み合わせであってもよい。 [0013] Among the above sweeteners, the masking agent is used in the present invention from the viewpoint of masking unpleasant taste derived from the active ingredient and preventing the generation of solids when the product is stored for a long period of time. Sweeteners' flavoring agents are selected, for example, asunameme, saccharin sodium power 1 or more; stevia, caramel, kanzo power 1 or more selected; and sugar alcohol (sorbitol, maltose, maltose, mannitol, xylitol), glycerin One or more combinations selected from may be used.

[0014] 本発明において、鎮咳薬としては、例えば、リン酸コディン、リン酸ジヒドロコディン、 ヒドロコドン、ヒドロモルホン、メサドン、モルヒネ、ォキシメテバノール、塩酸ァロクラミド 、塩酸クロペラスチン、クェン酸ペントキシベリン、クェン酸チぺピジン、ジブナートナト リウム、臭化水素酸デキストロメトルファン、デキストロメトルファンフエノールフタリン酸 、ヒベンズ酸チぺピジン、フェンジゾ酸クロペラスチン、ノス力ピン、マオゥ、ナンテンジ ッ、クロフェジァノール、レボプロポキシフェン、ホミノベン、ォキセラジン、ペントキシ ベリン、ベンプロべリン、ジメモルフアン、ジブナート、ェプラジノン、カルベタペンタン およびイソアミ-ルなど力 選択される 1種以上が使用されうる。好ましくは、鎮咳薬と しては、リン酸コディン、リン酸ジヒドロコディン、塩酸ァロクラミド、塩酸クロペラスチン 、クェン酸ペントキシベリン、クェン酸チぺピジン、ジブナートナトリウム、臭化水素酸 デキストロメトルファン、デキストロメトルファンフエノールフタリン酸、ヒベンズ酸チぺピ ジン、フェンジゾ酸クロペラスチン、ノス力ピン、マオゥおよびナンテンジッから選択さ れる 1種以上が使用されうる。 [0014] In the present invention, the antitussive agent includes, for example, codine phosphate, dihydrocodine phosphate, hydrocodone, hydromorphone, methadone, morphine, oximetebanol, aloclamide hydrochloride, cloperastine hydrochloride, pentoxyberine citrate, ken Tipepidine acid, dibutanato sodium, dextromethorphan hydrobromide, dextromethorphan phenol phthalic acid, tipepidine hibenzate, cloperastine fendizoate, nospin, maou, nantenjit, clofedanol, levopropoxy One or more force-selected ones such as phen, hominoben, oxerazine, pentoxyberine, benproberine, dimemorphane, dibutate, eprazinone, carbetapentane and isoamyl can be used. Preferably, the antitussive agent is codin phosphate, dihydrocodine phosphate, aloclamide hydrochloride, cloperastine hydrochloride, pentoxyberine citrate, tipepidine citrate, sodium dibutate, dextromethorphan hydrobromide, One or more selected from dextromethorphan phenol phthalic acid, tipepidine hibenzate, cloperastine fendizoate, noss force pin, maou and nantenji can be used.

[0015] 本発明において、気管支拡張薬としては、例えば、 ex—アドレナリン受容体刺激剤 In the present invention, examples of bronchodilators include ex-adrenergic receptor stimulators.

(例えば、フエ-ルプロパノールァミン、プソイドエフェドリン、フエ-レフリン、ノルェピ ネフリン、メトキサミン、ナファゾリン、キシロメタゾリン、クロ-ジンなど)、 β アドレナリ ン受容体刺激剤(例えば、塩酸トリメトキノール、塩酸メトキシフエナミン、 dl—塩酸メチ ルエフェドリン、チラミン、エフェドリン、メチルエフェドリンサッカリネート、アンフエタミ ン、メタンフェタミン、メトキシフエナミン、オルシプレナリン、クロルプレナリン、イソプロ テレノール、ドノ ミン、ドブタミン、イソプレナリン、サルブタモール、テルブタリン、へキ ソプレナリン、ッロブテロ一ノレ、フエノテローノレ、プロ力テロ一ノレ、ピノレブテロ一ノレ、タレ ンブテロ一ノレ、マブテロ一ノレ、ホルモテロール、サルメテロールなど)、キサンチン誘 導体 (例えば、アミノフィリン、ジプロフィリン、テオフィリン、プロキシフィリン、キサンチ ン、テオプロミン、ペントキシフィリンなど)またはその塩、抗コリン剤(例えば、ダッラエ キス、ベラドンナアルカロイド、ベラドンナ総アルカロイド、ベラドンナエキス、ロートェ キスなど)および副交感神経遮断剤(例えば、ヨウ化イソプロパミド、ィプラト口ピウム、 フルト口ピウム、ォキシトロピウムなど)など力も選択される 1種以上が使用されうる。好 ましくは、気管支拡張薬としては、 β—アドレナリン受容体刺激薬 (例えば、塩酸トリメ トキノール、塩酸メトキシフエナミン、塩酸メチルエフェドリン)およびキサンチン誘導体 (例えば、アミノフィリン、ジプロフィリン、テオフィリン、プロキシフィリン)から選択される(E.g., phenol propanolamine, pseudoephedrine, phe-ephedrine, norpinephrine, methoxamine, naphazoline, xylometazoline, clozine, etc.), β-adrenergic receptor stimulators (e.g., trimethquinol hydrochloride, methoxyphenamine hydrochloride) Dl-methylephedrine hydrochloride, tyramine, ephedrine, methylephedrine saccharinate, amphetamine, methamphetamine, methoxyphenamine, orciprenaline, chlorprenalin, isoproterenol, donomine, dobutamine, isoprenaline, salbutamol, terbutaline, hex Soprenalin, allobuteronole, fenoteronore, pro force tellonore, pinolebuteronore, talenbuteronore, mabuteronore, formoterol, salmeterol, etc., xanthine derivatives (e.g., aminophylline, diprofiline, theophylline, proxyphylline, proxytin, xanthine) , Theopromin, pentoxifylline, etc.) or salts thereof, anticholinergic agents (eg, dalla-equis, belladonna alkaloids, belladonna total alkaloids, belladonna extract, rotokis, etc.) and parasympatholytic agents (eg, isopropamide iodide, iprato mouthpium) One or more of which forces are also selected can be used, such as plutonium, plutonium, oxytropium, etc.). Preferably, bronchodilators include β-adrenergic receptor stimulants (eg, trimethquinol hydrochloride, methoxyphenamine hydrochloride, methylephedrine hydrochloride) and xanthine derivatives (eg, aminophylline, diprofylline, theophylline, proxyphylline). Selected

1種以上が使用されうる。 One or more can be used.

[0016] 本発明において、去痰薬としては、例えば、塩化アンモ-ゥム、 1 メントール、アン モユア.ウイキヨゥ精、塩化リゾチーム、塩酸ェチルシスティン、塩酸メチルシスティン 、グアヤコールスルホン酸カリウム、グァイフェネシン、クレゾ一ルスルホン酸カリウム、 塩酸ブロムへキシン、塩酸アンブロキノール、 L カルボシスティンおよびフドスティ ンなど力も選択される 1種以上が使用されうる。好ましくは、去痰薬としては、塩ィ匕アン モ-ゥム、 1—メントール、アンモニア 'ウイキヨゥ精、塩化リゾチーム、塩酸ェチルシス ティン、塩酸メチルシスティン、グアヤコールスルホン酸カリウム、グァイフェネシンお よびクレゾ一ルスルホン酸カリウムなど力 選択される 1種以上が使用されうる。  In the present invention, the expectorants include, for example, ammonium chloride, 1 menthol, ammonia, wikial, lysozyme chloride, ethyl cystine hydrochloride, methyl cystine hydrochloride, potassium guaiacol sulfonate, guaifenesin, crezo-one. One or more selected forces may be used, such as potassium sulfonate, bromhexine hydrochloride, ambroquinol hydrochloride, L carbocystine, and hoodine. Preferably, the expectorants include salt-molybdenum, 1-menthol, ammonia 'wikial, lysozyme chloride, ethyristine hydrochloride, methylcystine hydrochloride, potassium guaiacol sulfonate, guaifenesin and potassium cresolol sulfonate. One or more selected can be used.

[0017] 本発明において、消炎薬としては、塩化リゾチーム、グリチルリチン酸、グリチルリチ ン酸ニカリウム、ァズレンスルホン酸ナトリウムなど力 選択される 1種以上が使用され うる。  [0017] In the present invention, as the anti-inflammatory agent, one or more selected from lysozyme chloride, glycyrrhizic acid, dipotassium glycyrrhizinate, sodium azulene sulfonate and the like can be used.

[0018] 本発明において、解熱鎮痛薬としては、例えば、ァセトァミノフェン、イブプロフェン 、アスピリン、ェテンザミドなど力 選択される 1種以上が使用されうる。  [0018] In the present invention, as the antipyretic analgesic, for example, one or more selected from force such as acetaminophen, ibuprofen, aspirin, ethenzamide and the like can be used.

本発明において、抗ヒスタミン薬としては、例えば、塩酸イソチペンジル、塩酸ィプロ ヘプチン、塩酸ジフエテロール、塩酸ジフエ二ルビラリン、塩酸ジフェンヒドラミン、塩 酸トリプロリジン、塩酸トリべレナミン、塩酸トンジルァミン、塩酸フエネタジン、塩酸プ 口メタジン、サリチル酸ジフェンヒドラミン、ジフエ-ルジスルホン酸カルビノキサミン、 酒石酸ァリメマジン、タン-ン酸ジフェンヒドラミン、タン-ン酸フエネタジン、テオクル 酸ジフエ-ルビラリン、プロメタジンメチレンジサリチル酸塩、マレイン酸カルビノキサミ ン、 dl—マレイン酸クロルフエ-ラミン、 d—マレイン酸クロルフエ-ラミンおよびリン酸 ジフエテロールなど力 選択される 1種以上が使用されうる。 In the present invention, the antihistamines include, for example, isothipenzil hydrochloride, iproheptin hydrochloride, dipheterol hydrochloride, diphenylpyrroline hydrochloride, diphenhydramine hydrochloride, triprolidine hydrochloride, triberenamine hydrochloride, tonsylamine hydrochloride, phenetazine hydrochloride, and methazine hydrochloride. , Diphenhydramine salicylate, carbinoxamine diphenol disulfonate, Almemazine tartrate, diphenhydramine tannate, phenetazine tannate, diferruleline teuroate, promethazine methylene disalicylate, carbinoxamine maleate, dl-chlorfelamine maleate, d-chlorfelamine maleate and phosphoric acid One or more selected forces such as dipheterol can be used.

[0019] 本発明において、殺菌剤としては、例えば、塩ィ匕セチルピリジゥム、塩化デカリ-ゥ ムおよび塩酸クロルへキシジンなどの局所殺菌剤など力 選択される 1種以上が使用 されうる。 [0019] In the present invention, as the fungicide, for example, one or more kinds selected from local fungicides such as salt cetylpyridium, decalyl chloride and chlorhexidine hydrochloride may be used.

[0020] 本発明において、カフェイン類としては、例えば、安息香酸ナトリウムカフェイン、力 フェインおよび無水カフェインなど力 選択される 1種以上が使用されうる。  In the present invention, as the caffeine, for example, one or more selected from powers such as sodium benzoate caffeine, strength fein and anhydrous caffeine can be used.

本発明において、胃粘膜保護剤としては、例えば、ァミノ酢酸、ケィ酸マグネシウム 、合成ケィ酸アルミニウム、合成ヒドロタルサイト、酸化マグネシウム、ジヒドロキシアル ミニゥム.アミノ酢酸塩、水酸ィ匕アルミニウムゲル、乾燥水酸ィ匕アルミニウムゲル、水酸 化アルミニウム ·炭酸マグネシウム混合乾燥ゲル、水酸ィ匕アルミニウム ·炭酸水素ナト リウムの共沈生成物、水酸ィ匕アルミニウム.炭酸カルシウム ·炭酸マグネシウムの共沈 生成物、水酸ィ匕マグネシウム ·硫酸アルミニウムカリウムの共沈生成物、炭酸マグネシ ゥムおよびメタケイ酸アルミン酸マグネシウムなど力 選択される 1種以上が使用され うる。  In the present invention, the gastric mucosa protective agent includes, for example, aminoacetic acid, magnesium silicate, synthetic aluminum silicate, synthetic hydrotalcite, magnesium oxide, dihydroxy aluminum, amino acetate, hydroxyaluminum gel, and dry water. Acid-aluminum gel, aluminum hydroxide-magnesium carbonate mixed dry gel, hydroxide-aluminum-sodium bicarbonate co-precipitation product, hydroxide-aluminum hydroxide, calcium carbonate-magnesium carbonate co-precipitation product, One or more selected from the group consisting of a coprecipitation product of magnesium hydroxide and potassium aluminum sulfate, magnesium carbonate and magnesium aluminate metasilicate may be used.

[0021] 本発明において、神経興奮薬としては、例えば、カフェイン、無水カフェイン、安息 香酸カフェインなど力 選択される 1種以上が使用されうる。  [0021] In the present invention, as the neurostimulant, for example, one or more selected from caffeine, anhydrous caffeine, caffeine benzoate and the like can be used.

本発明において、抗プラスミン薬としては、例えば、トラネキサム酸、アミノカプロン 酸などから選択される 1種以上が使用されうる。  In the present invention, as the antiplasmin drug, for example, one or more selected from tranexamic acid, aminocaproic acid and the like can be used.

[0022] 本発明にお 、て、催眠鎮静薬としては、例えば、ブロムヮレリル尿素、ァリルイソプロ ピルァセチル尿素、塩酸ジフェンヒドラミンなど力 選択される 1種以上が使用されう る。 [0022] In the present invention, as the hypnotic sedative, one or more kinds selected from, for example, bromoreryl urea, allyl isopropylacetyl urea, diphenhydramine hydrochloride and the like may be used.

[0023] 本発明にお 、て、血液循環改善薬としては、例えば、イノシトールへキサニコチネ ートなど力 選択される 1種以上が使用されうる。  [0023] In the present invention, as the blood circulation improving agent, for example, one or more selected from force such as inositol hexanicotinate can be used.

本発明において、止血薬としては、例えば、トラネキサム酸、カルバゾクロムスルホ ン酸ナトリウムなど力 選択される 1種以上が使用されうる。 [0024] 本発明にお 、て、鎮暈薬としては、例えば、塩酸ジフエ-ドール、臭化水素酸スコ ポラミンなど力 選択される 1種以上が使用されうる。 In the present invention, as the hemostatic agent, for example, one or more selected from the group consisting of tranexamic acid and sodium carbazochrome sulfonate can be used. In the present invention, as the antipruritic agent, for example, one or more kinds selected from force such as diphedol hydrochloride and scopolamine hydrobromide can be used.

本発明において、鎮痛鎮痙剤としては、例えば、ァミノ安息香酸ェチル、臭化メチ ルべナクチジゥム、臭化ブチルスコポラミン、ロートエキスなど力 選択される 1種以上 が使用されうる。  In the present invention, as the analgesic and antispasmodic agent, for example, one or more selected from the group consisting of ethyl aminobenzoate, methylbenactidium bromide, butylscopolamine bromide, funnel extract and the like can be used.

[0025] 本発明において、健胃薬としては、例えば、ケィヒ、ォゥバタ、ショウキヨウ、センプリ など力 選択される 1種以上が使用されうる。  [0025] In the present invention, as the stomachic medicine, for example, one or more selected from powers such as Keihi, Obata, Shokyo, and sempri can be used.

本発明において、消化薬としては、例えば、ウルソデスォキシコール酸、脂肪消化 酵素、でんぷん消化酵素など力 選択される 1種以上が使用されうる。  In the present invention, as the digestive agent, for example, one or more selected from the group consisting of ursodesoxycholic acid, fat digestive enzyme, starch digestive enzyme and the like can be used.

[0026] 本発明において、整腸生菌成分としては、例えば、乳酸菌末、ビフィズス菌、酪酸 菌末など力 選択される 1種以上が使用されうる。 [0026] In the present invention, as the live intestinal bacterium component, for example, one or more kinds selected from lactic acid bacteria powder, bifidobacteria, butyric acid bacteria powder and the like can be used.

本発明において、止瀉薬としては、例えば、塩酸口ペラミド、タンニン酸アルブミン、 次没食子酸ビスマスなどから選択される 1種以上が使用されうる。  In the present invention, as an antidiarrheal agent, for example, one or more selected from oral peramide hydrochloride, albumin tannate, bismuth subgallate and the like can be used.

[0027] 本発明にお 、て、便秘治療薬としては、例えば、センノシド、センナ、ダイォゥ、ブラ ンタゴ ·ォバタ種子など力も選択される 1種以上が使用されうる。 [0027] In the present invention, as a constipation therapeutic agent, for example, one or more kinds of which power is also selected such as sennoside, senna, daio, Brantagovabata seed can be used.

本発明において、ビタミン剤としては、例えば、酢酸トコフエロール、ァスコルビン酸 、チアミン、ピリドキシン、シァノコバラミンなど力も選択される 1種以上が使用されうる  In the present invention, as the vitamin agent, for example, one or more selected from the strengths such as tocopherol acetate, ascorbic acid, thiamine, pyridoxine, cyanobalamine may be used.

[0028] 本発明において、滋養強壮薬としては、例えば、タウリン、パントテン酸カルシウム、 ニコチン酸アミドなど力 選択される 1種以上が使用されうる。 [0028] In the present invention, as the nourishing tonic, for example, one or more selected from power such as taurine, calcium pantothenate, nicotinamide, etc. can be used.

本発明において、循環器官用剤としては、例えば、ュビデカレノン、ニンジン、リュウ ノウなど力 選択される 1種以上が使用されうる。  In the present invention, as the circulatory organ agent, for example, one or more selected by force such as ubidecarenone, carrot, and agate can be used.

[0029] 本発明にお 、て、漢方薬としては、例えば、葛根湯、駆風解毒湯液など力も選択さ れる 1種以上が使用されうる。  [0029] In the present invention, as the traditional Chinese medicine, for example, one or more kinds, for which power is selected, such as kakkonto, kazuka detoxification water, etc. can be used.

本発明において、生薬成分としては、例えば、ジリュウ、サンソゥニン、ォゥヒ、オン ジ、カンゾゥ、キキヨウ、キヨウニン、シャゼンシ、シャゼンソゥ、セキサン、セネガ、トコン 、バイモ、ァセンャク、ウイキヨウ、ォゥゴン、カロニン、ケィヒ、ゴォゥ、ゴミン、サイシン 、シオン、ジヤコゥ、シャジン、ショウキヨウ、ソゥハクヒ、ソヨウ、チクセッ-ンジン、チン ピ、ニンジン、バタモンドウおよびノ、ンゲなど力も選択される 1種以上が使用されうる。 In the present invention, herbal medicine components include, for example, ziryu, sansoonin, ohhi, onji, kandu, kikiyou, kiyounin, shazenshi, shazenso, sexan, senega, tokon, baimo, azajak, wiki, ougon, caronin, kehi, go, Gomin, Saishin, Zion, Jiakou, Shajin, Shokiyo, Sohakuhi, Soyo, Chikusenjin, Chin One or more species, such as pi, carrots, buttermonds, and roe, can be selected.

[0030] 本発明の液体医薬製剤における有効成分の組み合わせの例としては、以下のもの が挙げられる: [0030] Examples of combinations of active ingredients in the liquid pharmaceutical preparation of the present invention include the following:

リン酸ジヒドロコディンおよびグアヤコールスルホン酸カリウム;  Dihydrocodine phosphate and potassium guaiacol sulfonate;

リン酸ジヒドロコディン、グァイフェネシンおよびマレイン酸クロルフエ-ラミン; リン酸コディン、 dl—塩酸メチルエフェドリンおよびマレイン酸クロルフエ二ラミン; 臭化水素酸デキストロメトルファン、グァイフェネシンおよびマレイン酸クロルフエ二 ラミン;  Dihydrocodine phosphate, guaifenesin and chlorfelamin maleate; codin phosphate, dl-methylephedrine hydrochloride and chlorpheniramine maleate; dextromethorphan hydrobromide, guaifenesin and chlorpheniramine maleate;

リン酸ジヒドロコディンおよびグアヤコールスルホン酸カリウム;  Dihydrocodine phosphate and potassium guaiacol sulfonate;

リン酸ジヒドロコディン、グァイフェネシンおよびマレイン酸クロルフエ-ラミン; リン酸コディン、 dl—塩酸メチルエフェドリンおよびマレイン酸クロルフエ二ラミン;な らびに  Dihydrocodine phosphate, guaifenesin and chlorfelamin maleate; codin phosphate, dl-methylephedrine hydrochloride and chlorpheniramine maleate; and

臭化水素酸デキストロメトルファン、グァイフェネシンおよびマレイン酸クロルフエ二 ラミン。  Dextromethorphan hydrobromide, guaifenesin and chlorpheniramine maleate.

[0031] 本発明の液体製剤は、経口投与用の医薬として使用され、例えば、総合感冒薬、 咳止め、鼻炎用内服薬、解熱鎮痛薬、胃腸薬、止瀉薬、乗り物酔い予防薬もしくは 緩和薬などとして使用することができる。例えば、本発明を総合感冒薬として使用す る場合の有効成分の処方例を以下の表 1に示す。表 1に示される有効成分は、適宜 選択される溶媒中の溶液として使用されうる。  [0031] The liquid preparation of the present invention is used as a pharmaceutical for oral administration, and includes, for example, general cold medicine, cough, rhinitis, antipyretic analgesics, gastrointestinal drugs, antidiarrheals, motion sickness preventives or palliatives, etc. Can be used as For example, Table 1 below shows examples of active ingredient prescriptions when the present invention is used as a general cold medicine. The active ingredients shown in Table 1 can be used as a solution in an appropriately selected solvent.

[0032] [表 1]  [0032] [Table 1]

Figure imgf000009_0001
すなわち、本発明の 1つの側面によれば、有効成分として、上記表 1に示す成分を 含む、既に定義された液体医薬製剤が提供される。 [0034] 本発明の液体医薬組成物は、任意成分として、矯味剤、甘味剤、防腐剤、矯臭剤、 希釈剤、可溶化剤、 PH調整剤、粘度調整剤、着色剤、安定化剤、界面活性剤、懸 濁剤、抗酸化剤、清涼化剤、着香剤、香料などの添加剤を含んでいてもよい。
Figure imgf000009_0001
That is, according to one aspect of the present invention, there is provided an already defined liquid pharmaceutical preparation containing the components shown in Table 1 as an active ingredient. [0034] The liquid pharmaceutical composition of the present invention comprises, as optional ingredients, a flavoring agent, sweetening agent, preservative, flavoring agent, diluent, solubilizer, PH regulator, viscosity modifier, colorant, stabilizer, It may contain additives such as surfactants, suspension agents, antioxidants, cooling agents, flavoring agents, and fragrances.

[0035] 本発明の 1つの態様において、 1種以上の矯味剤または甘味剤を含む既に定義し た液体医薬製剤が提供される。本発明で使用される矯味剤および甘味剤は、特に限 定されず、例えば医薬製剤において通常使用される矯味剤および甘味剤を使用す ることができる。矯味剤および甘味剤の具体例としては、果糖ブドウ糖液糖、白糖、力 ラメル、アスパルテーム、ネオテーム、ステビアエキス、カンゾゥエキス、黒砂糖、サッ カリンナトリウム、ソルビトール、および糖アルコール(例えば、マン-トール、キシロー ス、キシリトール、エリトリトール、マルチトールおよびラタチトール)およびグリセリンな どが挙げられる。好ましくは、アスパルテーム、ネオテーム、ステビアエキス、カンゾゥ エキス、黒砂糖、サッカリンナトリウム、カラメルおよびソルビトールから選択される 1種 以上、好ましくは 2種以上が矯味剤または甘味剤として使用されうる。本発明の液体 医薬製剤に含まれる甘味剤および矯味剤の配合量は、例えば 2〜95重量%、好まし くは 2〜50重量%、より好ましくは 2〜23重量%である。  [0035] In one embodiment of the present invention there is provided a liquid pharmaceutical formulation as defined above comprising one or more flavoring or sweetening agents. The corrigent and sweetener used in the present invention are not particularly limited, and for example, the corrigent and sweetener usually used in pharmaceutical preparations can be used. Specific examples of flavoring and sweetening agents include fructose, glucose liquid sugar, sucrose, strength lamella, aspartame, neotame, stevia extract, licorice extract, brown sugar, saccharin sodium, sorbitol, and sugar alcohols (e.g. , Xylitol, erythritol, maltitol and latathitol) and glycerin. Preferably, one or more, preferably two or more selected from aspartame, neotame, stevia extract, licorice extract, brown sugar, sodium saccharin, caramel and sorbitol can be used as a corrigent or sweetener. The blending amount of the sweetener and the flavoring agent contained in the liquid pharmaceutical preparation of the present invention is, for example, 2 to 95% by weight, preferably 2 to 50% by weight, more preferably 2 to 23% by weight.

[0036] 本発明の液体製剤における 1日の服用量は、特に限定されず、液体製剤中に含ま れる有効成分の日用量などに応じて適宜決定されうる。 1日の投与回数および投与 時の便宜性の観点から、 1日の服用量は、例えば 1. 5〜18mL、好ましくは 3. 0〜1 5mL、さらに好ましくは 6. 0〜9mLであってもよい。  [0036] The daily dose in the liquid preparation of the present invention is not particularly limited, and can be appropriately determined according to the daily dose of the active ingredient contained in the liquid preparation. From the viewpoint of the number of administrations per day and convenience at the time of administration, the daily dose may be, for example, 1.5 to 18 mL, preferably 3.0 to 15 mL, more preferably 6.0 to 9 mL. Good.

[0037] 本発明の液体製剤における 1回の服用量は、特に限定されず、液体製剤中に含ま れる有効成分の日用量、 1日の服用回数などに応じて適宜決定されうる。 1日の投与 回数および服用時の安全性の観点から、例えば 0. 5〜5mL、好ましくは 0. 75〜3m L、さらに好ましくは 1. 0〜2mLであってもよい。本発明によれば、摂取が安全かつ 確実に行われるため、通常の経口用液体医薬製剤に比べて少量の服用にて必要な 有効成分量を摂取することができる。  [0037] The single dose in the liquid preparation of the present invention is not particularly limited, and can be appropriately determined according to the daily dose of the active ingredient contained in the liquid preparation, the number of daily doses, and the like. From the viewpoint of the number of administrations per day and safety at the time of taking, it may be, for example, 0.5 to 5 mL, preferably 0.75 to 3 mL, and more preferably 1.0 to 2 mL. According to the present invention, since the ingestion is performed safely and reliably, the necessary amount of the active ingredient can be ingested in a small amount compared with a normal oral liquid pharmaceutical preparation.

[0038] 本発明の液体医薬製剤は、服用時の煩雑さを解消し、頻回投与における患者の負 担を軽減するという効果を有することから、本発明は 1日の服用回数が 2回以上であ る薬剤に適している。本発明の液体医薬製剤の服用回数は、例えば 1日 1回〜 6回、 好ましくは 4回〜 6回であってもよい。 [0038] Since the liquid pharmaceutical preparation of the present invention has the effect of eliminating complexity at the time of taking and reducing the burden on the patient in frequent administration, the present invention can take two or more times a day. Suitable for such drugs. The number of doses of the liquid pharmaceutical preparation of the present invention is, for example, 1 to 6 times a day, Preferably, it may be 4 to 6 times.

[0039] 本発明に用いられる容器は、通常、液体医薬製剤用の容器として使用されるもので あれば特に限定されず、例えば、褐色の遮光ガラス容器などが使用されうる。  [0039] The container used in the present invention is not particularly limited as long as it is normally used as a container for a liquid pharmaceutical preparation, and for example, a brown light-shielding glass container or the like may be used.

本発明において使用されうる吐出装置は、一回の吐出量がほぼ一定であり、液体 医薬製剤の服用量を計量することができるものが使用される。また、当該吐出装置は 、口腔内の舌上またはその周辺に液体医薬製剤を非接触的に直接射出することが できる機能を有するものが使用される。上記機能を有する限りにおいては、本発明に 使用されうる吐出装置は特に限定されず、いわゆるプッシュポンプ型の吐出装置、お よびいわゆるトリガータイプ型の吐出装置などが使用されうる。  As the discharge device that can be used in the present invention, a discharge device that is capable of measuring a dose of a liquid pharmaceutical preparation with a substantially constant discharge amount at one time is used. In addition, as the discharge device, a device having a function capable of directly injecting a liquid pharmaceutical preparation on or around the tongue in the oral cavity without contact is used. As long as it has the above function, a discharge device that can be used in the present invention is not particularly limited, and a so-called push pump type discharge device, a so-called trigger type discharge device, and the like can be used.

[0040] 本発明の 1つの側面によれば、前記吐出装置がプッシュポンプ型の吐出装置であ る既に定義した液体医薬製剤が提供される。ここでプッシュポンプ型の吐出装置とは 、例えば、容器内に垂設したシリンダと、下端部に筒状ピストンを有し上方付勢させて 前記シリンダ内から起立させたステムを含んでなり、前記ステムの押し下げにより前記 ステム側の上方弁と前記シリンダ側の下方弁との間の内部空間に貯留されている液 体の圧力が高まり、前記液体が当該上方弁を通過してステム上方に設けた押下へッ ドの噴出口から吐出され、前記ステムの上昇により前記容器内の液体を前記下方弁 を通過して前記シリンダ内に吸い上げるように構成されている吐出装置であってもよ い。当該吐出装置においては、前記噴出口における液剤の流路の形状により液剤 射出時の液滴の粒径を調節することができる。液剤が口腔内に適切に射出される機 能が担保される限りにお 、ては、本発明における吐出装置がスプレー式であってもよ い。  [0040] According to one aspect of the present invention, there is provided an already defined liquid pharmaceutical formulation, wherein the discharge device is a push pump type discharge device. Here, the push pump type discharge device includes, for example, a cylinder suspended in a container, and a stem that has a cylindrical piston at the lower end and is urged upward from the cylinder, By pushing down the stem, the pressure of the liquid stored in the internal space between the upper valve on the stem side and the lower valve on the cylinder side increases, and the liquid passes through the upper valve and is provided above the stem. It may be a discharge device that is discharged from the outlet of the push-down head and configured to suck up the liquid in the container through the lower valve and into the cylinder by raising the stem. In the discharge device, the particle size of the liquid droplet at the time of liquid injection can be adjusted by the shape of the flow path of the liquid agent at the jet nozzle. As long as the function of properly injecting the liquid into the oral cavity is ensured, the discharge device in the present invention may be a spray type.

[0041] 本発明における吐出装置は、該吐出装置の噴出口が弁部材により閉塞されており 、薬剤の射出時に弁部材が移動して前記噴出口が開状態となるように構成されてい てもよい。これに関連する本発明の 1つの側面によれば、プッシュポンプ型の吐出装 置を備えた容器に収容され、口腔内の舌上またはその周辺に前記吐出装置力 非 接触的に直接射出されることにより投与される、既に定義された経口投与用の液体 医薬製剤であって、前記吐出装置が、液体医薬製剤の噴出口を閉塞させるように弾 性力で付勢され、液体医薬製剤の吐出時に弾性力に杭して移動することにより当該 噴出口を開状態とする、弁部材を備える吐出装置である、前記液体医薬製剤もまた 提供される。 [0041] The ejection device according to the present invention may be configured such that the ejection port of the ejection device is closed by a valve member, and the ejection port is opened by the movement of the valve member when the medicine is injected. Good. According to one aspect of the present invention related to this, it is accommodated in a container equipped with a push pump type discharge device, and is directly injected in a non-contact manner onto or around the tongue in the oral cavity. A liquid pharmaceutical formulation for oral administration that is already defined, wherein the discharge device is energized by an elastic force so as to occlude the jet port of the liquid pharmaceutical formulation. Sometimes by staking the elastic force and moving There is also provided the liquid pharmaceutical preparation, which is a discharge device including a valve member that opens the spout.

[0042] 本発明における吐出装置の例としては、広く使用されているいわゆるプッシュボン プタイプの吐出装置が挙げられ、例えば、実開昭 58— 9358号公報、実開平 2— 95 562号公報、実開平 5— 13563号公報、特開平 8— 169462号公報、特開平 9— 15 5254号公報、特開 2002— 326044号公報、特開 2001— 171764号公報、特開 2 004— 359242号公報、特開 2004— 359241号公報、特開 2004— 359238号公 報、特開 2004- 352343号公報、特開 2004— 352333号公報などに開示されて いる吐出装置を使用することができる。  [0042] Examples of the discharge device in the present invention include a so-called push-bump type discharge device which is widely used. For example, Japanese Utility Model Publication No. 58-9358, Japanese Utility Model Application Publication No. 2-95562, No. 5-13563, JP-A 8-169462, JP-A 9-15 5254, JP-A 2002-326044, JP-A 2001-171764, JP-A 2-004-359242, It is possible to use discharge devices disclosed in Japanese Unexamined Patent Publication Nos. 2004-359241, 2004-359238, 2004-352343, 2004-352333, and the like.

[0043] 本発明の 1つの側面において、例えば、吐出装置は容器の口頸部に嵌合により装 着され、当該嵌合が取り外し困難な様式で施されていてもよい。当該嵌合様式は、運 搬時および携行時における容器の破損防止、本発明の液体医薬製剤の誤飲防止に 寄与するものと考えられる。  [0043] In one aspect of the present invention, for example, the discharge device may be attached to the mouth and neck of the container by fitting, and the fitting may be performed in a manner that makes the fitting difficult to remove. The mating mode is considered to contribute to prevention of breakage of the container during transportation and carrying and prevention of accidental ingestion of the liquid pharmaceutical preparation of the present invention.

[0044] 当該側面の 1つの態様として、容器口頸部と吐出装置の装着キャップの嵌合部は、 嵌合部の内側層をなす前記容器口頸部の外周面に外歯を形成した第 1のラチェット と、外側層を成す前記装着キャップの内周面に内歯を形成しかつ前記第 1のラチエツ トと歯合する第 2のラチヱットを備え、前記第 1のラチヱットと前記第 2のラチヱットとが、 前記容器口頸部と前記装着キャップの螺合をゆるめる方向の回転を防止するように 構成された環状嵌合部であってもよい。すなわち、前記内歯と前記外歯とは、前記装 着キャップと前記容器口頸部の螺合が締まる方向への回転は許容するが、ゆるむ方 向への回転は許容しない形状をなしている。さらに、上記環状結合部においては、 前記装着キャップと前記容器口頸部の螺合がゆるむ方向への回転力を受けたときに 当接して押圧しあう側の歯面が、前記回転力と垂直な方向より歯先側が歯元側に比 して前記回転力の方向(または逆の方向)に向力つて前進した状態に傾斜していても よい。  [0044] As one aspect of the side surface, the fitting portion of the container neck of the container and the mounting cap of the discharge device includes an outer tooth formed on the outer peripheral surface of the container neck of the container forming the inner layer of the fitting portion. A first ratchet and a second ratchet that forms inner teeth on the inner peripheral surface of the mounting cap that forms the outer layer and meshes with the first ratchet, the first ratchet and the second ratchet The ratchet may be an annular fitting portion configured to prevent rotation in a direction in which the container neck and neck portion and the mounting cap are loosened. That is, the inner teeth and the outer teeth have a shape that allows rotation in the direction in which the screwing of the attachment cap and the container mouth neck is tightened but does not allow rotation in the loosening direction. . Further, in the annular coupling portion, the tooth surface on the side that contacts and presses when the rotational force in the direction in which the screwing between the mounting cap and the container neck is loosened is perpendicular to the rotational force. The tip of the tooth tip side may be inclined to the forward direction in the direction of the rotational force (or the opposite direction) as compared with the tooth base side.

[0045] 本発明における吐出装置の例としては、例えば、特開 2004— 834に記載されてい る押下ヘッドを有する吐出装置が挙げられる(図 4〜7を参照)。当該押下ヘッドは、 上方付勢状態で押込み可能にステム 2を起立したポンプに装着する押下ヘッドであ つて、ステム 2上端部に嵌着させた装着筒 8を頂板 9下面より垂設するとともに、ステム 2内と連通する摺動筒 10を頂板 9上方へ立設してなる装着筒部材 3と、上記摺動筒 1 0外周に摺動下降可能に嵌合させたシリンダ 16上方に、先端に噴出口 21を開口し た弁室を備えるとともに、装着筒部材に対して押し下げ可能にして設けた本体 4と、 前記弁室内周に後部外周を摺動可能に嵌合させるとともに、前方付勢状態で噴出 口 21を閉塞し、且つ、シリンダ内と連通する連絡口 19より噴出口 21に至る流路を画 成してなる弁部材 6と、弁部材 6後端部に上端を連係させるとともに、下端部を上記 頂板 9上面に当接係止させ、且つ、装着筒部材に対する本体の押下時に弁部材を 後方へ引き出す如く揺動可能に本体に枢着した梃部材 7とを備える。当該押下へッ ドにおいては、コイルスプリング 26により前方付勢された弁部材 6により梃部材 7の垂 直板部 28上部の連係部分を常時前方へ付勢させており、本体 4の押し下げにより、 装着筒部材 3の頂板 9が傾斜板部 29を押し上げて梃部材 7を回動させ、コイルスプリ ング 26の前方付勢力に抗して弁材部 6を後方に引きだされ、液剤の流路が確保され る。本発明において、上記押下ヘッドを含む吐出装置を使用することは、薬液を外気 と接触させな ヽことによる変質の防止、液だれによる衛生面および薬液の切れをよく することによる薬液の定量性向上の観点力も好ましい。 [0045] Examples of the discharge device in the present invention include a discharge device having a pressing head described in JP-A-2004-834 (see FIGS. 4 to 7). The pressing head is a pressing head that is attached to a pump in which the stem 2 is erected so that it can be pushed in an upward biased state. Accordingly, the mounting cylinder 8 fitted to the upper end of the stem 2 is suspended from the bottom surface of the top plate 9 and the mounting cylinder member 3 is formed by standing the sliding cylinder 10 communicating with the inside of the stem 2 above the top plate 9; A main body provided with a valve chamber having a spout 21 opened at the tip above the cylinder 16 fitted to the outer periphery of the sliding cylinder 10 so as to be slidable and capable of being pushed down with respect to the mounting cylinder member. 4 and a flow passage extending from the communication port 19 communicating with the inside of the cylinder to the jet port 21 while the rear outer circumference is slidably fitted to the valve chamber circumference, and the jet port 21 is closed in a forward biased state. The upper end is linked to the rear end of the valve member 6 and the rear end of the valve member 6, the lower end is brought into contact with and locked to the upper surface of the top plate 9, and the valve member is pressed when the main body is pressed against the mounting cylinder member And a saddle member 7 pivotally attached to the main body so as to be swingable so as to be pulled out rearward. In the press-down head, the valve member 6 biased forward by the coil spring 26 always biases the upper part of the vertical plate portion 28 of the flange member 7 forward, and is mounted by pushing down the main body 4. The top plate 9 of the cylindrical member 3 pushes up the inclined plate portion 29 and rotates the flange member 7, and the valve member portion 6 is pulled out against the front biasing force of the coil spring 26, so that a fluid flow path is secured. It is done. In the present invention, the use of the discharge device including the pressing head described above prevents deterioration due to the chemical solution not coming into contact with the outside air, improves hygiene due to dripping, and improves the quantification of the chemical solution by improving the chemical solution. The viewpoint power is also preferable.

[0046] 本発明の吐出装置を備えた容器に収容され、口腔内の舌上またはその周辺に前 記吐出装置力 非接触的に直接射出されることにより投与される経口投与用の液体 医薬製剤であって、前記吐出装置が、液体医薬製剤の噴出口を閉塞させるように弾 性力で付勢され、液体医薬製剤の吐出時に弾性力に杭して移動することにより当該 噴出口を開状態とする、弁部材を備える吐出装置である、前記液体医薬製剤。  [0046] A liquid pharmaceutical formulation for oral administration which is contained in a container equipped with the discharge device of the present invention and is administered by direct non-contact injection of the discharge device force on or around the tongue in the oral cavity. The ejection device is biased by an elastic force so as to close the ejection port of the liquid pharmaceutical preparation, and is moved into an elastic state when the liquid pharmaceutical formulation is ejected to move to open the ejection port. The liquid pharmaceutical preparation, which is a discharge device including a valve member.

[0047] 上記押下ヘッドの 1つの態様において、ステム 2に対する本体の押下抗カはステム 自体の押下抗力より小となるように構成される。  [0047] In one embodiment of the pressing head, the pressing force of the main body against the stem 2 is configured to be smaller than the pressing force of the stem itself.

本発明の 1つの態様において、当該押下ヘッドは、上方付勢状態で押込み可能に ステム 2を起立したポンプに装着する押下ヘッドであって、ステム 2上端部に嵌着させ た装着筒 8を頂板 9下面より垂設するとともに、ステム 2内と連通する摺動筒 10を頂板 9上方へ立設し、且つ、頂板 9両側に於いて上下に延びる係止板 12を延設してなる 装着筒部材 3と、上記摺動筒 10外周に摺動下降可能に嵌合させたシリンダ 16を、周 壁 14a前部に前端を開口し且つ周囲にスペースをあけて突設した横筒 15下面より垂 設するとともに、周壁 14a内面両側を回動不能且つ上下動可能に上記係止板外面 に係合させた本体 4と、上記横筒 15に嵌着させて先端に噴出口 21を開口させた筒 状の噴出ロ部材 5と、上記横筒 15の後壁 15a前面より突設したシール筒 18内周に 後部外周を摺動可能に嵌合させるとともに、前方付勢状態で噴出口 21を閉塞し、且 つ、シリンダ内と連通する連絡口 19より噴出口 21に至る流路を画成してなる弁部材 6 と、上記横筒後壁 15aの窓孔 17を介してその後方へ突出した弁部材 6後端部に上 端を連係させるとともに、下端部を上記頂板 9上面に当接係止させ、且つ、装着筒部 材に対する本体の押下時に弁部材を後方へ引き出す如く揺動可能に本体に枢着し た梃部材 7とを備え、ステム 2に対する本体の押下抗力がステム自体の押下抗力より 小であることを特徴とする構成を有してもよい。これにより、ヘッドの押し下げが容易に なるだけでなぐ噴出口の開放後に薬液が射出され、口腔内の適切な部位への確実 な射出を可能とする。 In one aspect of the present invention, the pressing head is a pressing head that is mounted on a pump in which the stem 2 is erected so that it can be pushed in an upward biased state, and a mounting cylinder 8 that is fitted to the upper end of the stem 2 is attached to the top plate. 9 A mounting cylinder that is suspended from the bottom surface, and is provided with a sliding cylinder 10 that communicates with the inside of the stem 2 erected above the top plate 9 and a locking plate 12 that extends vertically on both sides of the top plate 9 The member 3 and the cylinder 16 fitted so as to be able to slide down on the outer periphery of the sliding cylinder 10 are It is suspended from the lower surface of the horizontal tube 15 that is open at the front end of the wall 14a and has a space around it, and engages with the outer surface of the locking plate so that both sides of the inner surface of the peripheral wall 14a cannot rotate and move up and down. Main body 4, a cylindrical jetting member 5 fitted to the horizontal cylinder 15 and having an outlet 21 opened at the tip, and a rear wall 15a of the horizontal cylinder 15 and a seal cylinder 18 projecting from the front surface The outer periphery of the rear part is slidably fitted to the periphery, the outlet 21 is closed in a forward biased state, and a flow path from the communication port 19 communicating with the inside of the cylinder to the outlet 21 is defined. The upper end is linked to the valve member 6 and the rear end portion of the valve member 6 protruding rearward through the window hole 17 of the horizontal cylinder rear wall 15a, and the lower end portion is brought into contact with and locked to the upper surface of the top plate 9 And a collar member pivotally attached to the main body so that the valve member can be pulled out rearward when the main body is pressed against the mounting cylinder member 7 And the pressing resistance of the main body against the stem 2 is smaller than the pressing resistance of the stem itself. As a result, the chemical liquid is ejected after opening the spout, which makes it easy to push down the head, and can be reliably ejected to an appropriate part in the oral cavity.

[0048] 上記の押下ヘッドにおいて、カバー部 14を押し下げると、装着筒部材 3に対して本 体 4が下降する。この際、梃部材 7の下端部が装着筒部材 3の頂板 9上面に押し上げ られて枢着軸 32を中心に回動し、その上端部が後方へ回動して弁部材 6をコイルス プリング 26の弹発力に杭して後方へ移行させ、噴出口 21が開く。次いでステム 2が 下降し、該ステムの下降によりポンプ内の液がステム 2よりシリンダ 16を通り、連絡口 1 9から流路を介して噴出口 21より外部へ噴出する。その際、流路となる弁部材と噴出 口との間隔は、例えば 0. l〜lmmであり、噴出の際の薬液の流路の断面積は、例え ば 0. 1〜3. 5mm2であってもよい。吐出装置に関する既知の技術に基づけば、液剤 の吐出量および流路の断面積を調節することができ、それにより吐出する薬液の流 速や液滴の粒子径を制御することができる。 In the above-described pressing head, when the cover portion 14 is pressed down, the main body 4 is lowered with respect to the mounting cylinder member 3. At this time, the lower end portion of the flange member 7 is pushed up to the upper surface of the top plate 9 of the mounting cylinder member 3 and pivots about the pivot shaft 32, and the upper end portion thereof pivots rearward so that the valve member 6 is coiled. Pile to the repulsive force and move backward, and the spout 21 opens. Next, the stem 2 descends, and as the stem descends, the liquid in the pump passes through the cylinder 16 from the stem 2 and is ejected from the ejection port 21 to the outside through the communication port 19 through the flow path. At that time, the distance between the valve member serving as the flow path and the ejection port is, for example, 0.1 to 1 mm, and the cross-sectional area of the flow path of the chemical liquid at the time of ejection is, for example, 0.1 to 3.5 mm 2 . There may be. Based on a known technique related to the discharge device, the discharge amount of the liquid agent and the cross-sectional area of the flow path can be adjusted, and thereby the flow speed of the discharged chemical liquid and the particle diameter of the droplets can be controlled.

[0049] 本発明の液体医薬製剤は、簡便かつ正確に計量された薬量を服用することができ るという利点を有する液体製剤である。さらに、本発明の製剤は水などを必要とせず かつ安全に服用することができ、服用後に速やかに活性成分の吸収部位に送達さ れ望まれる薬効を発現する。  [0049] The liquid pharmaceutical preparation of the present invention is a liquid preparation having an advantage that a dose measured in a simple and accurate manner can be taken. Furthermore, the preparation of the present invention does not require water and can be safely taken, and is quickly delivered to the active ingredient absorption site after taking to exhibit a desired medicinal effect.

実施例 [0050] 以下、本発明の好適な実施例についてさらに詳細に説明する力 本発明はこれら の実施例に限定されるものではない。なお、以下に示すパーセントの値は、特に言 及がなければ重量パーセントを表すものとする。 Example [0050] In the following, the power for explaining the preferred embodiments of the present invention in more detail The present invention is not limited to these embodiments. The percentage values shown below represent weight percentages unless otherwise specified.

[0051] 実施例 1〜8  [0051] Examples 1-8

以下の表 2に示す処方に従って、咳止め内服液としての有効成分を含む実施例 1 〜8の液剤を調製した。表中の数値は gを表す。各処方の全体量はすべて lOOmLで あり、残部として蒸留水を使用した。得られた液剤を吐出装置(SP500LRシャットォ フノズル、株式会社吉野工業所より購入)付き容器に充填し、噴射量および噴射時の 粒子径を測定した。なお、噴射時の粒子径の測定は、粒度分布測定器 LDSA- 2 400型 (東日コンピューターアプリケーションズ株式会社製)を用い、噴射口力も約 10 cmの距離における粒径分布を測定した。  According to the formulation shown in Table 2 below, solutions of Examples 1 to 8 containing an active ingredient as a cough medication solution were prepared. The numbers in the table represent g. The total amount of each formulation was lOOmL, and distilled water was used as the balance. The obtained liquid was filled in a container equipped with a discharge device (SP500LR shutoff nozzle, purchased from Yoshino Kogyo Co., Ltd.), and the injection amount and the particle size at the time of injection were measured. The particle size at the time of jetting was measured using a particle size distribution analyzer LDSA-2400 (manufactured by Tohnichi Computer Applications Co., Ltd.), and the jet port force was measured at a distance of about 10 cm.

[0052] さらに各液剤の粘度は、デジタル粘度計 DV—II+ (ブルック フィールド社製)を用 V、、 25°Cの条件下で ULアダプタ一にて粘度を測定した。  [0052] Further, the viscosity of each liquid was measured with a UL adapter using a digital viscometer DV-II + (manufactured by Brookfield) under the conditions of V and 25 ° C.

[0053] [表 2] [0053] [Table 2]

Figure imgf000016_0001
Figure imgf000016_0001

[0054] 実飾 I9 [0054] Decorative I9

下記の処方に基づき液体医薬製剤を調製し、プッシュポンプ型吐出装置付きの容 器 (噴出口の開閉弁付き、 SP500LRシャットオフノズル、株式会社吉野工業所より 購入)に充填した。  A liquid pharmaceutical preparation was prepared based on the following prescription and filled into a container equipped with a push pump type discharge device (with an on-off valve at the spout, SP500LR shut-off nozzle, purchased from Yoshino Kogyo Co., Ltd.).

[0055] リン酸ジヒドロコディン 280mg [0055] dihydrocodine phosphate 280mg

グアヤコールスルホン酸カリウム 2500mg アスパルテーム 180mg Potassium guaiacol sulfonate 2500mg Aspartame 180mg

グリセリン 16g  Glycerin 16g

プロピレングリコーノレ 480mg  Propylene glycolate 480mg

カラメノレ 330mg  Caramenore 330mg

カンゾゥエキス 150mg  Sweet potato extract 150mg

ステビア 170mg  Stevia 170mg

D—ソルビトール 2000mg  D—sorbitol 2000mg

安息香酸ナトリウム 140mg  Sodium benzoate 140mg

、お  ,

防腐剤 遒里  Antiseptic

pH調整剤 、お  pH adjuster

遒里  Yuri

、お  ,

香料 遒里  Perfume Yuri

精製水 単.  Purified water alone.

A斗  A doo

O B I lOOmL  O B I lOOmL

当該製剤を加速試験条件 (温度 40 ± 1°C、湿度 75± 5%RH)にて 1ヶ月間保存し 、保存前と保存後の吐出量を測定し比較した (n=6)。なお、吐出量は 1回当たりに 吐出される薬液量 (g)を測定し、薬液の比重(1. 05)から吐出された薬液の体積 (m L)を換算した。結果を表 3に示す。  The preparation was stored for 1 month under accelerated test conditions (temperature 40 ± 1 ° C, humidity 75 ± 5% RH), and the discharge amount before and after storage was measured and compared (n = 6). The discharge volume was measured as the volume of chemical liquid (g) discharged at one time, and the volume (mL) of the chemical liquid discharged from the specific gravity (1.05) of the chemical liquid was converted. The results are shown in Table 3.

[表 3] [Table 3]

Figure imgf000018_0002
Figure imgf000018_0003
Figure imgf000018_0002
Figure imgf000018_0003

Figure imgf000018_0004
Figure imgf000018_0001
Figure imgf000018_0004
Figure imgf000018_0001

[0057] 保存後の 1回目の吐出については吐出量の減少が確認された力 その後の吐出に ついては特に影響が認められず、 3回の吐出の合計量は規定量の 1. 5mL± 10% の範囲内であることが確認された。 [0057] The force at which a decrease in the discharge amount was confirmed for the first discharge after storage No particular effect was observed for the subsequent discharges, and the total amount of the three discharges was 1.5 mL ± 10% of the specified amount It was confirmed that it was within the range.

[0058] 試験例 1  [0058] Test Example 1

Drugs Exp Clin Res 肌 vol. 18 No. 7 p303— 309 (1992)を参考として 以下の試験を行った。非喫煙者の男性健常人の中から 3重量%以下のクェン酸水溶 液をジェット式ネブライザ一(NE— C16、オムロン社製)で吸入したとき 10回以上の 咳を惹起できる人を選抜し、 2群に分け、本試験の被検者とした (各群 n= 6)。シャツ トオフノズルを備える吐出装置付き容器に実施例 9の処方の液体医薬製剤を充填し 、 1. 5mL (3プッシュ分)を、一方の群の被験者の舌上またはその周辺部分に射出す ることにより投与した。他方の群の被験者には同様の方法により生理食塩水を投与し た。投与から 30分後にジェット式ネブライザ一を用い、クェン酸水溶液により被験者 に咳を惹起させ、その咳の回数をカウントした (45秒間)。結果を図 1に示す。実施例 9の薬液を投与した群において、咳回数の有意な減少が確認され、舌上およびその 周辺部分における液体医薬製剤の射出により望まれる薬効が速やかに (約 30分)発 現することが確認された。 The following tests were conducted with reference to Drugs Exp Clin Res skin vol. 18 No. 7 p303-309 (1992). From non-smokers who are healthy males, select a person who can cause more than 10 coughs when inhaled 3% by weight or less quenate aqueous solution with a jet nebulizer (NE-C16, manufactured by OMRON). Divided into 2 groups, the subjects in this study (n = 6 in each group). A container with a discharge device equipped with a shirt-off nozzle is filled with the liquid pharmaceutical preparation of Example 9. 1.5 mL (3 pushes) was administered by injection onto or around the tongue of subjects in one group. The other group of subjects received saline in the same manner. Thirty minutes after administration, the subject was caused to cough by using a jet nebulizer, and the number of coughs was counted (45 seconds). The results are shown in Figure 1. In the group to which the drug solution of Example 9 was administered, a significant decrease in the number of coughs was confirmed, and the desired drug effect appeared quickly (approximately 30 minutes) by injection of the liquid pharmaceutical preparation on the tongue and its surroundings. confirmed.

[0059] 試験例 2 [0059] Test Example 2

モルモット Hartley系ォス(5週齢)を 1週間馴化後に試験に使用した。モルモットを 2群 (n=6)に分け、一方の群には実施例 9の薬液を胃ゾンデにより投与し、もう一方 を対照群として生理食塩水を投与した。被験物質投与 30分後、モルモットをボディ ーホノレダー内【こ 、れ、 Kohrogiらの方法「J. Clin. Invest.第 82卷、第 2063〜206 8頁(1988)」に従い、容器の前面力も超音波ネブライザ一を用いて 0. 3molZLのク ェン酸を 15分間噴霧し、咳を惹起させた。その 15分間のボディーホルダー内の内圧 の変化を咳曲線としてレコーダー上に記録し、咳回数をカウントした(15分間)。結果 を図 2に示す。実施例 9の薬液を投与した群において、咳回数の有意な減少が確認 され、本発明に係る医薬組成物の生体内での主たる吸収部位が胃以降の消化管で あることが確認された。  Guinea pig Hartley males (5 weeks old) were used for the study after acclimation for 1 week. Guinea pigs were divided into 2 groups (n = 6), the chemical solution of Example 9 was administered to one group with a stomach tube, and physiological saline was administered to the other group as a control group. 30 minutes after administration of the test substance, the guinea pig was placed in the body-honoreder according to the method of Kohrogi et al., “J. Clin. Invest. 82, 2063-206 8 (1988)”. Using a nebulizer, 0.3 mol ZL of citrate was sprayed for 15 minutes to induce cough. The change in internal pressure in the body holder during the 15 minutes was recorded on the recorder as a cough curve, and the number of coughs was counted (15 minutes). The result is shown in figure 2. In the group to which the drug solution of Example 9 was administered, a significant decrease in the number of coughs was confirmed, and it was confirmed that the main absorption site in the living body of the pharmaceutical composition according to the present invention was the digestive tract after the stomach.

図面の簡単な説明  Brief Description of Drawings

[0060] [図 1]本発明の薬剤の咳止め内服液としての薬効を確認するための試験結果の一例 を示すグラフである。  [0060] FIG. 1 is a graph showing an example of test results for confirming the drug efficacy of the drug of the present invention as an internal cough solution.

[図 2]本発明の薬剤の咳止め内服液としての薬効を確認するための試験結果の一例 を示すグラフである。  FIG. 2 is a graph showing an example of test results for confirming the efficacy of the drug of the present invention as a cough medication solution.

[図 3]本発明に使用する容器口頸部と吐出装置の装着キャップの嵌合部 (螺合部)の 取り外し防止構造を示す横断面図である。  FIG. 3 is a cross-sectional view showing a structure for preventing removal of a fitting portion (screwing portion) of a container mouth neck portion and a mounting cap of a discharge device used in the present invention.

[図 4]本発明の医薬組成物に使用する吐出装置に使用する押下ヘッドの 1例を示す 縦断面図である。  FIG. 4 is a longitudinal sectional view showing an example of a pressing head used in a discharge device used in the pharmaceutical composition of the present invention.

[図 5]図 4の A— A線に沿う縦断面図である。 [図 6]図 4の B— B線に沿う横断面図である。 FIG. 5 is a longitudinal sectional view taken along line AA in FIG. 6 is a cross-sectional view taken along line BB in FIG.

[図 7]上記押下ヘッドに使用される梃部材の斜視図である。  FIG. 7 is a perspective view of a flange member used in the pressing head.

[図 8]本発明の医薬組成物に使用する吐出装置の押下ヘッドの別の例を示す縦断 面図である。  FIG. 8 is a longitudinal sectional view showing another example of the pressing head of the discharge device used in the pharmaceutical composition of the present invention.

[図 9]図 8の縦断面図である。  FIG. 9 is a longitudinal sectional view of FIG.

符号の説明 Explanation of symbols

1:押下ヘッド, 2:ステム, 3:装着筒部材, 4:本体, 5, 5A:噴出口部材, 6:弁部材 , 7:梃部材, 8:装着筒, 9:頂板, 10:摺動筒, 11:案内筒, 12:係止板, 13:係合 凹溝, 14:カバー部, 14a:周壁, 14a:頂壁, 15:横筒, 15a:後壁, 16:シリンダ, 1 7:窓孔, 18:シール筒, 19:連絡口, 20:係合突条, 21:噴出口, 22:環状突起, 23 :リブ, 24:スカート状部, 25:逆スカート状部, 26:横筒 15の後壁 15a前面とスカート 状部 24の分岐部分とに介在させ弁部材 6を前方付勢するコイルスプリング, 27:梃部 材係合用の環状凹部, 28:垂直板部, 29:二股の傾斜板部, 30:垂直板部 28の上 端部中央に設けた切欠部, 31:垂直板部 28後面上端部に正面視矩形状の凹部, 3 2:屈折部分両側に突設した枢着軸, 33:取付板 34の下面後部より所定間隔をあけ て一対垂設した軸受, 34:横筒 15直下に嵌着させた取付板, 36:周壁 14a内周に 突設した係止突起 36, 37:シール部, 38:連絡孔, 39:大外径部, 40:小外径部, 4 1:横筒後壁 15a前面より突設した嵌合筒, 101:嵌合取り外し防止構造, 102:容器 口頸部, 103:装着キャップ, 104:外歯, 105:内歯, 106:面  1: Pressing head, 2: Stem, 3: Mounting cylinder member, 4: Main body, 5, 5A: Outlet member, 6: Valve member, 7: Saddle member, 8: Mounting cylinder, 9: Top plate, 10: Sliding Cylinder, 11: Guide cylinder, 12: Locking plate, 13: Engaging groove, 14: Cover part, 14a: Perimeter wall, 14a: Top wall, 15: Horizontal cylinder, 15a: Rear wall, 16: Cylinder, 17 : Window hole, 18: Seal tube, 19: Contact port, 20: Engagement ridge, 21: Spout, 22: Annular projection, 23: Rib, 24: Skirt, 25: Reverse skirt, 26: Coil spring that urges the valve member 6 forward, interposed between the rear wall 15a front of the horizontal tube 15 and the branch part of the skirt-like part 24, 27: Annular recess for engaging the flange member, 28: Vertical plate part, 29: Bifurcated inclined plate part, 30: Notch part provided in the center of the upper end of the vertical plate part 28, 31: Vertical plate part 28, a concave part with a rectangular shape in the front view at the rear upper end part, 32: Projected on both sides of the refracted part Pivoting shaft, 33: A pair of bearings suspended from the rear of the lower surface of the mounting plate 34 at a predetermined interval, 34: Horizontal cylinder 15 Mounting plate fitted directly below, 36: Locking protrusion protruding on the inner periphery of the peripheral wall 14a 36, 37: Seal part, 38: Connection hole, 39: Large outer diameter part, 40: Small outer diameter part, 4 1: Fitting cylinder protruding from the front of the horizontal cylinder rear wall 15a, 101: Mating / detaching prevention structure, 102: Container neck and neck, 103: Mounting cap, 104: External teeth, 105: Internal teeth, 106: Surface

Claims

請求の範囲 The scope of the claims [I] 吐出装置を備えた容器に収容される経口投与用の液体医薬製剤であって、口腔 内の舌上またはその周辺に前記吐出装置力 非接触的に直接射出されることにより 投与される前記液体医薬製剤。  [I] A liquid pharmaceutical preparation for oral administration contained in a container equipped with a discharge device, which is administered by direct non-contact injection of the discharge device force on or around the tongue in the oral cavity Said liquid pharmaceutical formulation. [2] 水性液体製剤である、請求項 1に記載の液体医薬製剤。  [2] The liquid pharmaceutical preparation according to claim 1, which is an aqueous liquid preparation. [3] 前記吐出装置による 1度の射出による射出量が 0. 03〜3mLである、請求項 1また は 2に記載の液体医薬製剤。  [3] The liquid pharmaceutical preparation according to claim 1 or 2, wherein an injection amount of one injection by the discharge device is 0.03 to 3 mL. [4] 射出時の液滴の粒子径が 100〜5500 μ mである、請求項 1〜3に記載の液体医 薬製剤。 [4] The liquid pharmaceutical preparation according to any one of claims 1 to 3, wherein the droplet diameter upon ejection is 100 to 5500 μm. [5] 25°Cにおける粘度が 0. 8〜500cPである、請求項 1〜4に記載の液体医薬製剤。  [5] The liquid pharmaceutical formulation according to claims 1 to 4, wherein the viscosity at 25 ° C is 0.8 to 500 cP. [6] 有効成分として、鎮咳薬、気管支拡張薬、去痰薬、消炎薬、解熱鎮痛薬、抗ヒスタミ ン薬、殺菌剤、カフェイン類、胃粘膜保護剤、神経興奮薬、抗プラスミン薬、催眠鎮 静薬、血液循環改善薬、止血薬、鎮暈薬、鎮痛鎮痙剤、健胃薬、消化薬、整腸生菌 成分、止瀉薬、便秘治療剤、ビタミン剤、滋養強壮薬、循環器官用剤、漢方薬および 生薬成分力 選択される 1種以上を含む、請求項 1〜5のいずれか 1項に記載の液 体医薬製剤。  [6] As active ingredients, antitussives, bronchodilators, expectorants, antiphlogistics, antipyretic analgesics, antihistamines, bactericides, caffeine, gastric mucosa protective agents, neurostimulants, antiplasmin drugs, hypnosis Sedatives, blood circulation improving drugs, hemostatic drugs, antipruritic drugs, analgesic antispasmodic drugs, stomachic drugs, digestive drugs, live colonic fungi ingredients, antistatic drugs, anti-constipation drugs, vitamins, nourishing tonics, cardiovascular drugs, Chinese medicine 6. The liquid pharmaceutical preparation according to any one of claims 1 to 5, comprising one or more selected from herbal ingredients. [7] 1種以上の矯味剤または甘味剤を含む、請求項 1〜6のいずれ力 1項に記載の液 体医薬製剤。  [7] The liquid pharmaceutical preparation according to any one of claims 1 to 6, which comprises one or more flavoring agents or sweetening agents. [8] ソルビトール、カラメル、アスパルテーム、ステビアエキス、カンゾゥ、カンゾゥエキス [8] Sorbitol, caramel, aspartame, stevia extract, licorice, licorice extract 、グリシン、キシリトール、エリスリトール、黒砂糖、液糖、果糖、果糖液糖、果糖ブドウ 糖液糖、サッカリン、サッカリンナトリウム、白糖、トレハロース、グリセリン力も選択され る 1種以上を含む、請求項 1〜7のいずれ力 1項に記載の液体医薬製剤。 Glycine, xylitol, erythritol, brown sugar, liquid sugar, fructose, fructose liquid sugar, fructose grape sugar liquid sugar, saccharin, sodium saccharin, sucrose, trehalose, glycerin, including at least one selected from claims 1 to 7. Any one of the liquid pharmaceutical preparations according to 1. [9] 1回の服用量力 0. 5〜5mLである、請求項 1〜8のいずれ力 1項に記載の液体医 薬製剤。  [9] The liquid pharmaceutical preparation according to any one of claims 1 to 8, which has a single dose power of 0.5 to 5 mL. [10] 1日の服用量が、 1. 5〜18mLである、請求項 1〜9のいずれか 1項に記載の液体 医薬製剤。  [10] The liquid pharmaceutical preparation according to any one of claims 1 to 9, wherein the daily dose is 1.5 to 18 mL. [II] 1日に 2回以上服用する、請求項 1〜10のいずれ力 1項に記載の液体医薬製剤。  [II] The liquid pharmaceutical preparation according to any one of claims 1 to 10, which is taken at least twice a day. [12] 吐出装置が、プッシュポンプ型の吐出装置である、請求項 1〜: L 1のいずれ力 1項に 記載の液体医薬製剤。 [12] The discharge device is a push-pump type discharge device. The liquid pharmaceutical formulation as described. 吐出装置が、トリガータイプ型の吐出装置である、請求項 1〜: L 1のいずれか 1項に 記載の液体医薬製剤。  The liquid pharmaceutical preparation according to any one of claims 1 to L1, wherein the discharge device is a trigger-type discharge device.
PCT/JP2007/057595 2006-04-04 2007-04-04 Liquid drug preparation for oral administration Ceased WO2007116916A1 (en)

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JP2013058650A (en) 2011-09-09 2013-03-28 Renesas Electronics Corp Semiconductor device
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JPH0956820A (en) * 1995-08-21 1997-03-04 Toshihiro Handa Portable container variably adjustable in spraying rate and pharmaceutical and dietetic composition capable of exhibiting effect by being packed into this container
JPH10167944A (en) * 1996-12-12 1998-06-23 Kao Corp Oral composition
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