WO2019158043A1 - Stable chloral hydrate solution, preparation method thereof, and use thereof - Google Patents
Stable chloral hydrate solution, preparation method thereof, and use thereof Download PDFInfo
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- WO2019158043A1 WO2019158043A1 PCT/CN2019/074833 CN2019074833W WO2019158043A1 WO 2019158043 A1 WO2019158043 A1 WO 2019158043A1 CN 2019074833 W CN2019074833 W CN 2019074833W WO 2019158043 A1 WO2019158043 A1 WO 2019158043A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/045—Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
- A61K31/047—Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates having two or more hydroxy groups, e.g. sorbitol
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/11—Aldehydes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/12—Carboxylic acids; Salts or anhydrides thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0087—Galenical forms not covered by A61K9/02 - A61K9/7023
- A61K9/0095—Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/08—Solutions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/20—Hypnotics; Sedatives
Definitions
- the invention belongs to the technical field of pharmaceutical preparations, and particularly relates to a sedative and hypnotic pharmaceutical preparation, and more particularly to a chloral hydrate solution suitable for oral use in a child patient after dilution. Further, the present invention relates to a method for preparing the hydrated chloral solution and the use of the hydrated chloral solution in the preparation of a sedative and hypnotic drug.
- chloral hydrate oral solution is generally used as a sedative hypnotic for pediatric examination.
- Hydrated chloral hydrate mainly inhibits the up-regulation system of brainstem reticular structure, causing near-physiological sleep. It has a fast onset, long duration of action, does not shorten rapid eye movement sleep, has mild effect, no accumulation in the body, and less adverse reactions.
- chloral hydrate oral solution is the longest application, the most widely used, the most mature application, the largest amount of sedative and hypnotic drugs in pediatric examinations in China. It has become the drug of choice for sedation and hypnosis in clinical pediatric examination in China. There are no suitable alternatives.
- the present invention provides a hydrated chloral solution comprising chloral hydrate, a pharmaceutically acceptable acid and water, wherein the chloral hydrate has a mass concentration of 40% to 80%.
- the pH of the chloral hydrate solution is preferably from 1.0 to 2.9.
- the present invention provides a stable chloral hydrate solution comprising the following components: chloral hydrate, monohydrate or anhydrous citric acid, and purified water, wherein the chloral hydrate The mass concentration is from 44% to 80%, and the pH of the chloral hydrate solution is from 1.0 to 2.9.
- the present invention provides a method for preparing a chloral hydrate solution, characterized in that the preparation steps include:
- the present invention provides a method for preparing the stabilized chloral hydrate solution, the preparation steps of which include:
- citric acid solution having a pH of 1.0 to 2.9;
- the invention provides the use of a chloral hydrate solution of the invention in the manufacture of a medicament for use as a sedative hypnotic formulation.
- the invention provides a chloral hydrate solution of the invention for use as a sedative hypnotic formulation.
- the invention provides the use of sedative and hypnotic in a patient, particularly a pediatric patient, comprising administering to the patient an effective amount of a chloral hydrate solution of the invention.
- the beneficial effects of the invention are that the chloral hydrate solution of the invention effectively improves the product stability of the chloral hydrate solution by reducing the pH value of the solution while increasing the concentration of chloral hydrate (for example, reducing the generation of degradants) The traits did not change after storage, no crystals were precipitated).
- Figure 1 shows the effect of different pH values on the amount of chloroform formed in a chloral hydrate solution.
- the present invention provides a chloral hydrate solution comprising chloral hydrate, a pharmaceutically acceptable acid, and water (preferably purified water), wherein the chloral hydrate has a mass concentration of 40% to 80% (For example, 44%-80%, 44%-70%, 44%-60% or 44%-50%), the pH of the chloral hydrate solution is preferably 1.0-2.9.
- the present invention provides a hydrated chloral solution, wherein the pharmaceutically acceptable acid is an inorganic or organic acid, wherein
- the inorganic acid is selected from the group consisting of hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, nitric acid, boric acid, phosphoric acid, and any combination thereof;
- the organic acid is selected from the group consisting of formic acid, acetic acid, acetic anhydride, acetoacetic acid, trifluoroacetic acid, propionic acid, pyruvic acid, butyric acid, caproic acid, heptanoic acid, undecanoic acid, lauric acid, stearic acid, palmitic acid, Oxalic acid, malonic acid, succinic acid (succinic acid), glutaric acid, adipic acid, maleic acid, fumaric acid, lactic acid, malic acid, citric acid, tartaric acid, tartaric acid, ascorbic acid, gallic acid, benzene
- the present invention provides a hydrated chloral solution, wherein the pharmaceutically acceptable acid is hydrochloric acid, sulfuric acid, phosphoric acid, acetic acid, lactic acid, malic acid, tartaric acid, fumaric acid, citric acid monohydrate Or anhydrous citric acid.
- the pharmaceutically acceptable acid is hydrochloric acid, sulfuric acid, phosphoric acid, acetic acid, lactic acid, malic acid, tartaric acid, fumaric acid, citric acid monohydrate Or anhydrous citric acid.
- the invention provides a hydrated chloral solution, wherein the pharmaceutically acceptable acid is monohydrate or anhydrous citric acid.
- the present invention provides a chloral hydrate solution comprising the following components: chloral hydrate, monohydrate or anhydrous citric acid, and purified water, wherein the quality of the chloral hydrate The concentration is from 44% to 80%, and the pH of the chloral hydrate solution is from 1.0 to 2.9.
- the chloral hydrate solution has a pH of from 1.0 to 2.0.
- the chloral hydrate solution has a pH of from 1.2 to 1.6.
- the chloral hydrate has a mass concentration of 75%.
- the pH of the chloral hydrate solution is from 1.31 to 2.0.
- the chloral hydrate solution has a pH of from 1.61 to 2.0.
- the monohydrate or anhydrous citric acid is present in a concentration of from 0.5% to 1%, preferably from about 0.7% to about 0.1%.
- the present invention provides a method for preparing a hydrated chloral solution, characterized in that the preparation steps include:
- the pH of the acid solution prepared in step 1) of the process is from 1.0 to 2.0, preferably from 1.2 to 1.6.
- the pH of the acid solution prepared in step 1) of the process is from 1.31 to 2.0.
- the pH of the acid solution prepared in step 1) of the process is from 1.61 to 2.0.
- the present invention provides a method for preparing the hydrated chloral solution, the preparation steps of which include:
- the pH of the citric acid solution prepared in step 1) of the process is from 1.0 to 2.0, preferably from 1.2 to 1.6.
- the pH of the citric acid solution prepared in step 1) of the process is from 1.31 to 2.0.
- the pH of the citric acid solution prepared in step 1) of the process is from 1.61 to 2.0.
- step 2) of the process stirring is carried out at a rotational speed of from 100 to 500 r/min, preferably 300 r/min, to completely dissolve the chloral hydrate.
- the amount of the degradant (for example, chloroform or trichloroacetic acid) is expressed in the form of the amount ( ⁇ g) of the degradation product per 1 g of chloral hydrate.
- the present invention dissolves chloral hydrate in an aqueous solution of citric acid of different pH values to prepare chloral hydrate having the same concentration.
- Solution concentration of about 10%
- chloral hydrate solution with different pH values and potting in a clear glass bottle, placed in an environment of 60 ° C ⁇ 2 ° C for 5 days, after testing its degradation product chloroform
- Figure 1 shows the relationship of this change. According to the results shown in Fig. 1, the amount of the degradation product chloroform increased as the pH of the chloral hydrate solution increased, and the pH at the critical point of the change was about 2.9.
- the chloral hydrate solution preferably has a pH of 1.0 to 2.9.
- the present invention prepares a chloral hydrate solution having a pH of 2.0 with different concentrations of chloral hydrate, and potting in a transparent glass bottle, placed at 60 ° C After 5 days in an environment of ⁇ 2 ° C, the contents of the degradation products of chloroform and trichloroacetic acid in the solution were measured, and the results are shown in Table 1.
- the chloral hydrate solution of the present invention has a lower pH value and a higher concentration, this will result in a poor mouthfeel of the product and a certain irritation, which is not suitable for direct administration. Therefore, before taking the chloral hydrate solution of the present invention, it can be diluted with a single syrup, water or juice as a diluent to improve the mouthfeel and reduce irritation.
- the chloral hydrate content refers to the percentage relative to the labeled amount (i.e., the theoretical content of chloral hydrate per label or the labeling content of each formulation unit).
- a chloral hydrate solution (pH 1.98) having a mass concentration of 50% was prepared in a manner similar to the above.
- a chloral hydrate solution (pH 2.01) having a mass concentration of 50% was prepared according to a method similar to the above.
- Example 2 The chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared in Example 1 - Example 3 of the present invention are respectively placed under high temperature (60 ° C ⁇ 2 ° C) and illumination (4500 lx ⁇ 500 lx). The product traits were observed on day 0 and day 10, respectively, and the pH, degradation products and contents were examined. The results are shown in Table 2.
- the chloral hydrate solution prepared in Examples 4-8 was placed under high temperature (60 ° C ⁇ 2 ° C), and the chloral hydrate content and the degradation product content were observed on the 0th day and the 5th day, and the results are shown in the following table. .
- the chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared in Examples 1 to 3 of the present invention are placed at 40 ⁇ 2 ° C according to the provisions of the accelerated stability test in the Chinese Pharmacopoeia 2015 edition. Accelerated stability test was carried out under the condition of RH 75% ⁇ 5%, and samples were taken at 0, 1, 2, 3, and 6 months, respectively, and pH value, degradant and content were observed, and the results are shown in Table 3.
- the chloral hydrate solution provided by the invention can be stored for a period of up to 24 months at room temperature, and the amount of the degradation product chloroform is less than 60 ⁇ g/g. It has excellent stability and controllability, effectively solves the problem of poor stability in conventional conventional preparations, and is suitable for commercial mass production.
- Example 1 Using a single syrup as a diluent, the present invention, Example 1, and Example 3 of the present invention were respectively prepared to prepare a chloral hydrate solution having a specification of 1 ml: 100 mg.
- the chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared by using the first embodiment of the present invention, the second embodiment of the present invention or the third embodiment of the present invention were used for clinical trials to observe the sedative and hypnotic effects.
- a total of 360 children who underwent sedation were enrolled.
- the age ranged from 1 month to 3 years old.
- the children who were allergic to chloral hydrate and severe liver and kidney dysfunction were randomly divided into Nanjing *** hospital preparation group.
- the groups were fed according to the doctor's prescription before the examination.
- the sedative and hypnotic effects of each group were observed and compared.
- the sedative effect was expressed by efficiency (the ratio of the number of successful examinations to the total number of people). The results are shown in Table 5.
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Abstract
Description
本发明属于药物制剂技术领域,具体涉及一种镇静催眠类药物制剂,更具体涉及一种稀释后适用于儿童患者口服使用的水合氯醛溶液。此外,本发明还涉及一种所述水合氯醛溶液的制备方法以及所述水合氯醛溶液在制备用作镇静催眠药物中的用途。The invention belongs to the technical field of pharmaceutical preparations, and particularly relates to a sedative and hypnotic pharmaceutical preparation, and more particularly to a chloral hydrate solution suitable for oral use in a child patient after dilution. Further, the present invention relates to a method for preparing the hydrated chloral solution and the use of the hydrated chloral solution in the preparation of a sedative and hypnotic drug.
发明背景Background of the invention
儿童疾病的诊断和治疗通常需要进行多种医学检查,如核磁共振、CT、心电图、脑电图、眼科检查、牙科检查等。而儿童作为特殊群体,心理发育尚未成熟,在诊疗过程中对自身情绪和行为的控制能力远不如成人,容易产生恐惧、不安、烦躁、焦虑乃至躁动,进而发生逃避或拒绝治疗等现象,使得诊疗过程难以进行。一旦疾病诊治不能正常进行,则往往会影响诊疗质量,延误疾病的诊治时机,给儿童身心健康造成伤害,严重者甚至会影响到患者的生命安全。为此,在诊疗前,常常需要儿童服用镇静催眠剂来使其保持镇静,减轻焦虑和恐惧,以保障诊疗过程顺利进行。The diagnosis and treatment of childhood diseases usually requires a variety of medical examinations, such as nuclear magnetic resonance, CT, electrocardiogram, electroencephalography, ophthalmology, dental examination and so on. As a special group, children's psychological development is not yet mature. In the process of diagnosis and treatment, their ability to control their emotions and behaviors is far less than that of adults. It is prone to fear, anxiety, irritability, anxiety and even agitation, and then escape or refuse treatment. The process is difficult to carry out. Once the diagnosis and treatment of the disease cannot be carried out normally, it often affects the quality of diagnosis and treatment, delays the diagnosis and treatment of the disease, and causes harm to the child's physical and mental health. In severe cases, it may even affect the patient's life safety. Therefore, before the treatment, children are often required to take sedative hypnotics to keep them calm, reduce anxiety and fear, and ensure the smooth progress of the diagnosis and treatment process.
目前,我国尚未有国家药监局批准的适用于儿童检查的镇静催眠制剂,而临床上一般采用水合氯醛口服溶液医院制剂作为儿科检查的镇静催眠药。水合氯醛主要抑制脑干网状结构上行激活系统,引起近生理性睡眠,其起效快,作用时间长,不缩短快速眼动相睡眠,作用温和,体内无蓄积,且不良反应少。实地调查国内多家医院,水合氯醛口服溶液是我国医院儿科检查中应用时间最长、应用最为广泛、应用最为成熟、用量最大的镇静催眠药物,已成为我国临床儿科检查镇静催眠首选药物,目前尚未有合适的替代药物。At present, there is no sedative and hypnotic preparation approved by the State Food and Drug Administration for child examination in China, and the hospital preparation of chloral hydrate oral solution is generally used as a sedative hypnotic for pediatric examination. Hydrated chloral hydrate mainly inhibits the up-regulation system of brainstem reticular structure, causing near-physiological sleep. It has a fast onset, long duration of action, does not shorten rapid eye movement sleep, has mild effect, no accumulation in the body, and less adverse reactions. Field investigation of many hospitals in China, chloral hydrate oral solution is the longest application, the most widely used, the most mature application, the largest amount of sedative and hypnotic drugs in pediatric examinations in China. It has become the drug of choice for sedation and hypnosis in clinical pediatric examination in China. There are no suitable alternatives.
但是,水合氯醛医院制剂质量标准一般低于商业化产品。据文献报道,所述产品稳定性非常差,5%浓度产品需要冷藏,有效期仅30天,10%浓度产品室温(25℃)下储存,有效期为35天左右。文献报道,尝试在水合氯醛口服溶液中加入β-环糊精,来制 备包合物,以提高稳定性。但该产品有效期仅提高至46.63天(宋永熙,李丽莹,李倩梅.水合氯醛胶浆剂的制备及稳定性预测[J].天津药学,2002,14(2):48-48),未有实质性的改善。因此,有效提高水合氯醛口服溶液稳定性成为难题,一直未有有效的方法报道。此外,医院制剂仅限于该制剂医院使用,不得对外销售,对于不具备制剂条件的广大中小型医院和基层医院,难以获得水合氯醛制剂,临床医生经常会不得已选择毒副作用大的苯巴比妥钠、丙泊酚、氯胺酮注射剂等药物。与口服药物相比,注射剂需要专业人员给药,使用不方便,增加儿童的恐惧感和痛苦感,依从性差。However, the quality standards for chloral hydrate hospital preparations are generally lower than commercial products. According to reports in the literature, the stability of the product is very poor. The 5% concentration product needs to be refrigerated, and the effective period is only 30 days. The 10% concentration product is stored at room temperature (25 ° C), and the effective period is about 35 days. It has been reported in the literature that β-cyclodextrin is added to a chloral hydrate oral solution to prepare an inclusion compound to improve stability. However, the effective period of the product only increased to 46.63 days (Song Yongxi, Li Liying, Li Qianmei. Preparation and stability prediction of chloral hydrate syrup [J]. Tianjin Pharmaceutical, 2002, 14 (2): 48-48), without substance Sexual improvement. Therefore, effectively improving the stability of chloral hydrate oral solution has become a difficult problem, and there has been no effective method reported. In addition, hospital preparations are limited to the use of the preparation hospital, and may not be sold externally. For large and medium-sized hospitals and primary hospitals that do not have the preparation conditions, it is difficult to obtain chloral hydrate preparations, and clinicians often have to choose phenobarbital with high side effects. Sodium, propofol, ketamine injections and other drugs. Compared with oral drugs, injections require professional administration, which is inconvenient to use, increases children's fear and pain, and poor compliance.
发明概述Summary of invention
本发明的目的在于克服现有技术的不足,提供一种具有高稳定性的水合氯醛溶液。此外,本发明的另一目的在于提供一种所述水合氯醛溶液的制备方法。It is an object of the present invention to overcome the deficiencies of the prior art and to provide a chloral hydrate solution having high stability. Further, another object of the present invention is to provide a process for preparing the hydrated chloral solution.
为实现上述目的,在一方面中,本发明提供水合氯醛溶液,其包含水合氯醛、药学上可接受的酸和水,其中所述水合氯醛的质量浓度为40%-80%,所述水合氯醛溶液的pH值优选为1.0-2.9。In order to achieve the above object, in one aspect, the present invention provides a hydrated chloral solution comprising chloral hydrate, a pharmaceutically acceptable acid and water, wherein the chloral hydrate has a mass concentration of 40% to 80%. The pH of the chloral hydrate solution is preferably from 1.0 to 2.9.
在另一方面中,本发明提供一种稳定的水合氯醛溶液,该溶液包括以下成分:水合氯醛、一水枸橼酸或无水枸橼酸以及纯化水,其中,所述水合氯醛的质量浓度为44%-80%,且该水合氯醛溶液的pH值为1.0-2.9。In another aspect, the present invention provides a stable chloral hydrate solution comprising the following components: chloral hydrate, monohydrate or anhydrous citric acid, and purified water, wherein the chloral hydrate The mass concentration is from 44% to 80%, and the pH of the chloral hydrate solution is from 1.0 to 2.9.
在另一方面中,本发明提供一种水合氯醛溶液的制备方法,其特征在于:其制备步骤包括:In another aspect, the present invention provides a method for preparing a chloral hydrate solution, characterized in that the preparation steps include:
1)将药学上可接受的酸与水混合,搅拌溶解后得到pH值为1.0-2.9的酸溶液;以及1) mixing a pharmaceutically acceptable acid with water, stirring to dissolve to obtain an acid solution having a pH of 1.0 to 2.9;
2)边搅拌边向所述酸溶液中加入水合氯醛,搅拌至完全溶解,即得所述水合氯醛溶液,其中,水合氯醛的质量浓度为40%-80%。2) adding chloral hydrate to the acid solution while stirring, stirring until completely dissolved, that is, the chloral hydrate solution is obtained, wherein the chloral hydrate has a mass concentration of 40% to 80%.
在另一方面中,本发明提供所述稳定的水合氯醛溶液的制备方法,其制备步骤包括:In another aspect, the present invention provides a method for preparing the stabilized chloral hydrate solution, the preparation steps of which include:
1)将一水枸橼酸或无水枸橼酸与纯化水混合,搅拌溶解后得到pH值为1.0-2.9的 枸橼酸溶液;以及1) mixing monohydrate or anhydrous citric acid with purified water, and dissolving and dissolving to obtain a citric acid solution having a pH of 1.0 to 2.9;
2)边搅拌边向该枸橼酸溶液中加入水合氯醛,搅拌至完全溶解,即得所述水合氯醛溶液,其中,该水合氯醛的质量浓度为44%-80%。2) adding chloral hydrate to the citric acid solution while stirring, and stirring until completely dissolved, that is, the chloral hydrate solution is obtained, wherein the chloral hydrate has a mass concentration of 44% to 80%.
在另一方面中,本发明提供本发明的水合氯醛溶液在制备用作镇静催眠制剂的药物中的用途。In another aspect, the invention provides the use of a chloral hydrate solution of the invention in the manufacture of a medicament for use as a sedative hypnotic formulation.
在另一方面中,本发明提供本发明的水合氯醛溶液,其用作镇静催眠制剂。In another aspect, the invention provides a chloral hydrate solution of the invention for use as a sedative hypnotic formulation.
在另一方面中,本发明提供将患者(特别是儿童患者)镇静催眠的用途,其包括向所述患者给药有效量的本发明的水合氯醛溶液。In another aspect, the invention provides the use of sedative and hypnotic in a patient, particularly a pediatric patient, comprising administering to the patient an effective amount of a chloral hydrate solution of the invention.
本发明的有益效果在于,本发明的水合氯醛溶液,通过降低溶液的pH值同时提高水合氯醛的浓度,有效地提高了水合氯醛溶液的产品稳定性(例如减少降解物的产生,同时在储存后性状不发生改变,无晶体析出)。The beneficial effects of the invention are that the chloral hydrate solution of the invention effectively improves the product stability of the chloral hydrate solution by reducing the pH value of the solution while increasing the concentration of chloral hydrate (for example, reducing the generation of degradants) The traits did not change after storage, no crystals were precipitated).
附图简要说明BRIEF DESCRIPTION OF THE DRAWINGS
图1示出了不同的pH值对水合氯醛溶液中三氯甲烷生成量的影响。Figure 1 shows the effect of different pH values on the amount of chloroform formed in a chloral hydrate solution.
发明详述Detailed description of the invention
在一些实施方案中,本发明提供水合氯醛溶液,其包含水合氯醛、药学上可接受的酸和水(优选为纯化水),其中所述水合氯醛的质量浓度为40%-80%(例如44%-80%、44%-70%、44%-60%或44%-50%),所述水合氯醛溶液的pH值优选为1.0-2.9。In some embodiments, the present invention provides a chloral hydrate solution comprising chloral hydrate, a pharmaceutically acceptable acid, and water (preferably purified water), wherein the chloral hydrate has a mass concentration of 40% to 80% (For example, 44%-80%, 44%-70%, 44%-60% or 44%-50%), the pH of the chloral hydrate solution is preferably 1.0-2.9.
在优选的实施方案中,本发明提供水合氯醛溶液,其中所述药学上可接受的酸为无机酸或有机酸,其中In a preferred embodiment, the present invention provides a hydrated chloral solution, wherein the pharmaceutically acceptable acid is an inorganic or organic acid, wherein
所述无机酸选自盐酸、氢溴酸、氢碘酸、硫酸、硝酸、硼酸、磷酸及其任意组合;The inorganic acid is selected from the group consisting of hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, nitric acid, boric acid, phosphoric acid, and any combination thereof;
所述有机酸选自甲酸、醋酸、乙酸酐、乙酰乙酸、三氟乙酸、丙酸、丙酮酸、丁酸、己酸、庚酸、十一烷酸、月桂酸、硬脂酸、棕榈酸、草酸、丙二酸、丁二酸(琥珀酸)、 戊二酸、己二酸、马来酸、富马酸、乳酸、苹果酸、枸橼酸、酒石酸、偏酒石酸、抗坏血酸、没食子酸、苯甲酸、水杨酸、肉桂酸、萘甲酸、扑酸、烟酸、乳清酸、植酸、甲基硫酸、十二烷基硫酸、甲磺酸、三氟甲磺酸、乙二磺酸、羟乙基磺酸、1,5-萘二磺酸、2-萘磺酸、樟脑磺酸、氨基磺酸、谷氨酸、天冬氨酸、葡糖酸、葡糖醛酸及其任意组合。The organic acid is selected from the group consisting of formic acid, acetic acid, acetic anhydride, acetoacetic acid, trifluoroacetic acid, propionic acid, pyruvic acid, butyric acid, caproic acid, heptanoic acid, undecanoic acid, lauric acid, stearic acid, palmitic acid, Oxalic acid, malonic acid, succinic acid (succinic acid), glutaric acid, adipic acid, maleic acid, fumaric acid, lactic acid, malic acid, citric acid, tartaric acid, tartaric acid, ascorbic acid, gallic acid, benzene Formic acid, salicylic acid, cinnamic acid, naphthoic acid, pamoic acid, nicotinic acid, orotic acid, phytic acid, methyl sulfuric acid, dodecyl sulfuric acid, methanesulfonic acid, trifluoromethanesulfonic acid, ethanedisulfonic acid, Isethionine, 1,5-naphthalenedisulfonic acid, 2-naphthalenesulfonic acid, camphorsulfonic acid, sulfamic acid, glutamic acid, aspartic acid, gluconic acid, glucuronic acid, and any combination thereof .
在更优选的实施方案中,本发明提供水合氯醛溶液,其中所述药学上可接受的酸为盐酸、硫酸、磷酸、醋酸、乳酸、苹果酸、酒石酸、富马酸、一水枸橼酸或无水枸橼酸。In a more preferred embodiment, the present invention provides a hydrated chloral solution, wherein the pharmaceutically acceptable acid is hydrochloric acid, sulfuric acid, phosphoric acid, acetic acid, lactic acid, malic acid, tartaric acid, fumaric acid, citric acid monohydrate Or anhydrous citric acid.
在最优选的实施方案中,本发明提供水合氯醛溶液,其中所述药学上可接受的酸为一水枸橼酸或无水枸橼酸。In a most preferred embodiment, the invention provides a hydrated chloral solution, wherein the pharmaceutically acceptable acid is monohydrate or anhydrous citric acid.
在一些实施方案中,本发明提供一种水合氯醛溶液,该溶液包括以下成分:水合氯醛、一水枸橼酸或无水枸橼酸以及纯化水,其中,所述水合氯醛的质量浓度为44%-80%,且该水合氯醛溶液的pH值为1.0-2.9。In some embodiments, the present invention provides a chloral hydrate solution comprising the following components: chloral hydrate, monohydrate or anhydrous citric acid, and purified water, wherein the quality of the chloral hydrate The concentration is from 44% to 80%, and the pH of the chloral hydrate solution is from 1.0 to 2.9.
在优选的实施方案中,所述水合氯醛溶液的pH值为1.0-2.0。In a preferred embodiment, the chloral hydrate solution has a pH of from 1.0 to 2.0.
在优选的实施方案中,所述水合氯醛溶液的pH值为1.2-1.6。In a preferred embodiment, the chloral hydrate solution has a pH of from 1.2 to 1.6.
在优选的实施方案中,所述水合氯醛的质量浓度为75%。In a preferred embodiment, the chloral hydrate has a mass concentration of 75%.
在优选的实施方案中,所述水合氯醛溶液的pH值为1.31-2.0。In a preferred embodiment, the pH of the chloral hydrate solution is from 1.31 to 2.0.
在优选的实施方案中,所述水合氯醛溶液的pH值为1.61-2.0。In a preferred embodiment, the chloral hydrate solution has a pH of from 1.61 to 2.0.
在优选的实施方案中,所述一水枸橼酸或无水枸橼酸的质量浓度为0.5%-1%,优选为约0.7%±0.1%。In a preferred embodiment, the monohydrate or anhydrous citric acid is present in a concentration of from 0.5% to 1%, preferably from about 0.7% to about 0.1%.
在一些实施方案中,本发明提供水合氯醛溶液的制备方法,其特征在于:其制备步骤包括:In some embodiments, the present invention provides a method for preparing a hydrated chloral solution, characterized in that the preparation steps include:
1)将药学上可接受的酸与水混合,搅拌溶解后得到pH值为1.0-2.9的酸溶液;以及1) mixing a pharmaceutically acceptable acid with water, stirring to dissolve to obtain an acid solution having a pH of 1.0 to 2.9;
2)边搅拌边向所述酸溶液中加入水合氯醛,搅拌至完全溶解,即得所述水合氯醛 溶液,其中,水合氯醛的质量浓度为40%-80%(例如44%-80%、44%-70%、44%-60%或44%-50%)。2) adding chloral hydrate to the acid solution while stirring, stirring until completely dissolved, that is, the chloral hydrate solution is obtained, wherein the concentration of chloral hydrate is 40%-80% (for example, 44%-80) %, 44%-70%, 44%-60% or 44%-50%).
在优选的实施方案中,所述方法步骤1)中制备的酸溶液的pH为1.0-2.0,优选1.2-1.6。In a preferred embodiment, the pH of the acid solution prepared in step 1) of the process is from 1.0 to 2.0, preferably from 1.2 to 1.6.
在优选的实施方案中,所述方法步骤1)中制备的酸溶液的pH为1.31-2.0。In a preferred embodiment, the pH of the acid solution prepared in step 1) of the process is from 1.31 to 2.0.
在优选的实施方案中,所述方法步骤1)中制备的酸溶液的pH为1.61-2.0。In a preferred embodiment, the pH of the acid solution prepared in step 1) of the process is from 1.61 to 2.0.
在另一些实施方案中,本发明提供所述水合氯醛溶液的制备方法,其制备步骤包括:In other embodiments, the present invention provides a method for preparing the hydrated chloral solution, the preparation steps of which include:
1)将一水枸橼酸或无水枸橼酸与纯化水混合,搅拌溶解后得到pH值为1.0-2.9的枸橼酸溶液;以及1) mixing monohydrate or anhydrous citric acid with purified water, and stirring to obtain a citric acid solution having a pH of 1.0 to 2.9;
2)边搅拌边向该枸橼酸溶液中加入水合氯醛,搅拌至完全溶解,即得本发明的水合氯醛溶液,其中,该水合氯醛溶液中,水合氯醛的质量浓度为44%-80%,且该水合氯醛溶液的pH值为1.0-2.9。2) adding chloral hydrate to the citric acid solution while stirring, and stirring until completely dissolved, thereby obtaining a chloral hydrate solution of the present invention, wherein the chloral hydrate has a mass concentration of chloral hydrate of 44%. -80%, and the pH of the chloral hydrate solution is 1.0-2.9.
在优选的实施方案中,所述方法步骤1)中制备的枸橼酸溶液的pH为1.0-2.0,优选1.2-1.6。In a preferred embodiment, the pH of the citric acid solution prepared in step 1) of the process is from 1.0 to 2.0, preferably from 1.2 to 1.6.
在优选的实施方案中,所述方法步骤1)中制备的枸橼酸溶液的pH为1.31-2.0。In a preferred embodiment, the pH of the citric acid solution prepared in step 1) of the process is from 1.31 to 2.0.
在优选的实施方案中,所述方法步骤1)中制备的枸橼酸溶液的pH为1.61-2.0。In a preferred embodiment, the pH of the citric acid solution prepared in step 1) of the process is from 1.61 to 2.0.
在优选的实施方案中,在所述方法的步骤2)中,在100-500r/min,优选300r/min的转速下搅拌以使水合氯醛完全溶解。In a preferred embodiment, in step 2) of the process, stirring is carried out at a rotational speed of from 100 to 500 r/min, preferably 300 r/min, to completely dissolve the chloral hydrate.
在本申请中,降解物(例如三氯甲烷或三氯乙酸)的量以每1g水合氯醛中降解物的量(μg)的形式表示。In the present application, the amount of the degradant (for example, chloroform or trichloroacetic acid) is expressed in the form of the amount (μg) of the degradation product per 1 g of chloral hydrate.
为研究水合氯醛溶液的pH值与降解物三氯甲烷的生成量之间的关系,本发明将水合氯醛溶解于不同pH值的枸橼酸水溶液中,制备具有相同质量浓度的水合氯醛溶液(浓度约10%),但具有不同pH值的水合氯醛溶液,并灌封于透明玻璃瓶中,置于60℃±2℃ 的环境下5天之后,检测其降解物三氯甲烷的生成量。图1显示该变化关系曲线。根据图1所示的结果可知,降解物三氯甲烷的生成量随着水合氯醛溶液pH值的升高而增加,该变化的临界点处的pH值约为2.9。当水合氯醛溶液的pH值大于2.9时,三氯甲烷的生成量随着水合氯醛溶液的pH值的升高而急剧增加。由此可知,较低的pH值有利于提高水合氯醛的稳定性,但一味地降低水合氯醛溶液的pH值并不能更好地降低三氯甲烷的生成量,且过低的pH值也不利于水合氯醛溶液的商业化生产、保存以及使用,为此,在本发明中,所述水合氯醛溶液优选的pH值为1.0-2.9。In order to study the relationship between the pH value of the chloral hydrate solution and the amount of chloroform produced by the degradation product, the present invention dissolves chloral hydrate in an aqueous solution of citric acid of different pH values to prepare chloral hydrate having the same concentration. Solution (concentration of about 10%), but chloral hydrate solution with different pH values, and potting in a clear glass bottle, placed in an environment of 60 ° C ± 2 ° C for 5 days, after testing its degradation product chloroform The amount generated. Figure 1 shows the relationship of this change. According to the results shown in Fig. 1, the amount of the degradation product chloroform increased as the pH of the chloral hydrate solution increased, and the pH at the critical point of the change was about 2.9. When the pH of the chloral hydrate solution is greater than 2.9, the amount of chloroform formed increases sharply as the pH of the chloral hydrate solution increases. It can be seen that a lower pH value is beneficial to improve the stability of chloral hydrate, but simply lowering the pH of the chloral hydrate solution does not reduce the amount of chloroform produced, and the pH is too low. It is not conducive to the commercial production, storage and use of the chloral hydrate solution. For this reason, in the present invention, the chloral hydrate solution preferably has a pH of 1.0 to 2.9.
此外,为研究不同浓度的水合氯醛溶液的稳定性,本发明配制了具有不同水合氯醛质量浓度的pH值为2.0的水合氯醛溶液,并灌封于透明玻璃瓶中,置于60℃±2℃的环境下5天后,检测溶液中降解物三氯甲烷及三氯乙酸的含量,结果见表1。In addition, in order to study the stability of different concentrations of chloral hydrate solution, the present invention prepares a chloral hydrate solution having a pH of 2.0 with different concentrations of chloral hydrate, and potting in a transparent glass bottle, placed at 60 ° C After 5 days in an environment of ±2 ° C, the contents of the degradation products of chloroform and trichloroacetic acid in the solution were measured, and the results are shown in Table 1.
表1 不同浓度水合氯醛溶液的稳定性检测结果Table 1 Stability test results of different concentrations of chloral hydrate solution
从表1的检测结果可知,随着水合氯醛浓度的升高,降解物三氯甲烷以及三氯乙酸的生成量明显下降,水合氯醛溶液的稳定性明显提高。It can be seen from the test results in Table 1 that as the concentration of chloral hydrate increases, the formation of the degradation products chloroform and trichloroacetic acid decreases significantly, and the stability of the chloral hydrate solution is significantly improved.
考虑到本发明的水合氯醛溶液具有较低的pH值以及较高的浓度,这将导致产品的口感较差,并且具有一定的刺激性,不适合于直接服用。因此,在服用本发明的水合氯醛溶液之前,可采用单糖浆、水或者果汁等作为稀释液对其进行稀释后再服用,以便改善口感,减少刺激。In view of the fact that the chloral hydrate solution of the present invention has a lower pH value and a higher concentration, this will result in a poor mouthfeel of the product and a certain irritation, which is not suitable for direct administration. Therefore, before taking the chloral hydrate solution of the present invention, it can be diluted with a single syrup, water or juice as a diluent to improve the mouthfeel and reduce irritation.
下面结合具体实施例对本发明的具体实施方案做进一步说明。若无特别说明,本发明中所采用的各组分均可通过市场购买得到。Specific embodiments of the present invention are further described below in conjunction with specific embodiments. Unless otherwise stated, the components used in the present invention are commercially available.
在实验例中,水合氯醛含量是指相对于标示量(即每个制剂单位水合氯醛的理论含量或标签标示含量)的百分比。In the experimental examples, the chloral hydrate content refers to the percentage relative to the labeled amount (i.e., the theoretical content of chloral hydrate per label or the labeling content of each formulation unit).
实施例1Example 1
向玻璃烧杯中加入12g无水枸橼酸以及一定量的纯化水,搅拌溶解后得到pH值为1.64的枸橼酸溶液,随后边搅拌边加入738g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为44%的水合氯醛溶液。Add 12 g of anhydrous citric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a citric acid solution having a pH of 1.64, and then add 738 g of chloral hydrate (14-24 mesh) with stirring at 300 r. Stir at a speed of /min until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 44%.
实施例2Example 2
向玻璃烧杯中加入12g无水枸橼酸以及一定量的纯化水,搅拌溶解后得到pH值为1.61的枸橼酸溶液,随后边搅拌边加入1007g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为60%的水合氯醛溶液。Add 12g of anhydrous citric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a citric acid solution with a pH of 1.61, and then add 1007g of chloral hydrate (14-24 mesh) with stirring at 300r. Stir at a speed of /min until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 60%.
实施例3Example 3
向玻璃烧杯中加入12g无水枸橼酸以及一定量的纯化水,搅拌溶解后得到pH值为1.31的枸橼酸溶液,随后边搅拌边加入1342g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为80%的水合氯醛溶液。Add 12g of anhydrous citric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a citric acid solution with a pH of 1.31, and then add 1342g of chloral hydrate (14-24 mesh) with stirring at 300r. Stir at a speed of /min until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 80%.
实施例4Example 4
向玻璃烧杯中加入1.7ml磷酸以及一定量的纯化水,搅拌溶解后得到pH值为2.03的磷酸溶液,随后边搅拌边加入745.7g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为44.44%的水合氯醛溶液。Add 1.7 ml of phosphoric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a phosphoric acid solution with a pH of 2.03, and then add 745.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 44.44% was obtained.
依照与上述类似的方法,制备得到质量浓度为50%的水合氯醛溶液(pH值为2.00)。According to a method similar to the above, a chloral hydrate solution (pH 2.00) having a mass concentration of 50% was prepared.
实施例5Example 5
向玻璃烧杯中加入4.2ml盐酸以及一定量的纯化水,搅拌溶解后得到pH值为1.99的盐酸溶液,随后边搅拌边加入1118.7g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为66.67%的水合氯醛溶液。Add 4.2 ml of hydrochloric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a hydrochloric acid solution having a pH of 1.99, and then add 1118.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 66.67% was obtained.
向玻璃烧杯中加入6.4ml盐酸以及一定量的纯化水,搅拌溶解后得到pH值为2.00的盐酸溶液,随后边搅拌边加入745.7g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为44.44%的水合氯醛溶液。Add 6.4 ml of hydrochloric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a hydrochloric acid solution having a pH of 2.00, and then add 745.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 44.44% was obtained.
依照与上述类似的方法,制备得到质量浓度为50%的水合氯醛溶液(pH值为1.98)。A chloral hydrate solution (pH 1.98) having a mass concentration of 50% was prepared in a manner similar to the above.
实施例6Example 6
向玻璃烧杯中加入14.0ml醋酸以及一定量的纯化水,搅拌溶解后得到pH值为2.03的醋酸溶液,随后边搅拌边加入1118.7g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为66.67%的水合氯醛溶液。Add 14.0 ml of acetic acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain an acetic acid solution with a pH of 2.03, and then add 1118.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 66.67% was obtained.
向玻璃烧杯中加入21.3ml醋酸以及一定量的纯化水,搅拌溶解后得到pH值为2.04的醋酸溶液,随后边搅拌边加入745.7g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为44.44%的水合氯醛溶液。Add 21.3 ml of acetic acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain an acetic acid solution with a pH of 2.04, and then add 745.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 44.44% was obtained.
依照与上述类似的方法,制备得到质量浓度为50%的水合氯醛溶液(pH值为2.02)。According to a method similar to the above, a chloral hydrate solution (pH 2.02) having a mass concentration of 50% was prepared.
实施例7Example 7
向玻璃烧杯中加入3.2ml硫酸以及一定量的纯化水,搅拌溶解后得到pH值为2.00的硫酸溶液,随后边搅拌边加入745.7g水合氯醛(14-24目),于300r/min的转速下搅拌至完全溶解,即得质量浓度为44.44%的水合氯醛溶液。Add 3.2 ml of sulfuric acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a sulfuric acid solution with a pH of 2.00, and then add 745.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 44.44% was obtained.
依照与上述类似的方法,制备得到质量浓度为50%的水合氯醛溶液(pH值为2.01)。A chloral hydrate solution (pH 2.01) having a mass concentration of 50% was prepared according to a method similar to the above.
实施例8Example 8
向玻璃烧杯中加入21.3ml乳酸以及一定量的纯化水,搅拌溶解后得到pH值为2.04的乳酸溶液,随后边搅拌边加入745.7g水合氯醛(14-24目),于300r/min的转速下搅 拌至完全溶解,即得质量浓度为44.44%的水合氯醛溶液。Add 21.3 ml of lactic acid and a certain amount of purified water to a glass beaker, stir to dissolve to obtain a lactic acid solution having a pH of 2.04, and then add 745.7 g of chloral hydrate (14-24 mesh) with stirring at 300 r/min. The mixture was stirred until completely dissolved, that is, a chloral hydrate solution having a mass concentration of 44.44% was obtained.
依照与上述类似的方法,制备得到质量浓度为50%的水合氯醛溶液(pH值为2.02)。According to a method similar to the above, a chloral hydrate solution (pH 2.02) having a mass concentration of 50% was prepared.
实验例Experimental example
实验例1 稳定性测试Experimental Example 1 Stability Test
将国内不同医院的水合氯醛制剂以及本发明的实施例1-实施例3中制得的水合氯醛溶液,分别置于高温(60℃±2℃)和光照(4500lx±500lx)条件下,于第0天和第10天分别观察产品性状,检测pH、降解物和含量,结果见表2。The chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared in Example 1 - Example 3 of the present invention are respectively placed under high temperature (60 ° C ± 2 ° C) and illumination (4500 lx ± 500 lx). The product traits were observed on day 0 and day 10, respectively, and the pH, degradation products and contents were examined. The results are shown in Table 2.
表2 稳定性检测结果Table 2 Stability test results
从表2的结果可看出,在高温或者光照条件下,各医院的制剂的性状无显著变化,但pH值下降,主药存在不同程度的降解,有不同量三氯甲烷以及三氯乙酸生成,特别是在高温条件下降解加速,含量达不到标示量的90%。而本发明实施例1-实施例3中制得的水合氯醛溶液,在同等条件下,其产品性状、pH值以及含量等无显著变化,且三氯甲烷以及三氯乙酸的生成量远低于医院制剂。可见,本发明的水合氯醛溶液的稳定性显著高于现有的医院制剂。From the results in Table 2, it can be seen that under high temperature or light conditions, the properties of the preparations of the hospitals did not change significantly, but the pH value decreased, the main drug had different degrees of degradation, and different amounts of chloroform and trichloroacetic acid were produced. In particular, the degradation is accelerated under high temperature conditions, and the content does not reach 90% of the labeled amount. However, the chloral hydrate solution prepared in Examples 1 to 3 of the present invention has no significant change in product properties, pH value and content under the same conditions, and the production amount of chloroform and trichloroacetic acid is far lower. In hospital preparations. It can be seen that the stability of the chloral hydrate solution of the present invention is significantly higher than that of existing hospital preparations.
将实施例4-8制备得到的水合氯醛溶液置于高温(60℃±2℃)条件下,于第0天和第5天观察水合氯醛含量和降解物含量,结果如下表中所示。The chloral hydrate solution prepared in Examples 4-8 was placed under high temperature (60 ° C ± 2 ° C), and the chloral hydrate content and the degradation product content were observed on the 0th day and the 5th day, and the results are shown in the following table. .
实验例2 加速稳定性测试Experimental Example 2 Accelerated Stability Test
将国内不同医院的水合氯醛制剂以及本发明的实施例1-实施例3中制得的水合氯 醛溶液,按照《中国药典》2015年版中加速稳定性试验的规定,置于40±2℃,RH 75%±5%条件下进行加速稳定性试验,分别于第0、1、2、3、6月取样,分别观察检测pH值、降解物和含量,结果见表3。The chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared in Examples 1 to 3 of the present invention are placed at 40±2 ° C according to the provisions of the accelerated stability test in the Chinese Pharmacopoeia 2015 edition. Accelerated stability test was carried out under the condition of RH 75%±5%, and samples were taken at 0, 1, 2, 3, and 6 months, respectively, and pH value, degradant and content were observed, and the results are shown in Table 3.
表3 加速稳定性测试结果Table 3 Accelerated Stability Test Results
从表3的测试结果可知,本发明的水合氯醛溶液的pH值以及含量在加速6个月后无显著变化。虽然,本发明的水合氯醛溶液的三氯甲烷的量在加速6个月后升高,但其值低于ICH的60μg/g限量规定。相反,医院制剂发生显著降解,生成大量三氯甲烷。可见,本发明水合氯醛溶液稳定性显著优于医院制剂。From the test results of Table 3, it was found that the pH and content of the chloral hydrate solution of the present invention did not change significantly after 6 months of acceleration. Although the amount of chloroform of the chloral hydrate solution of the present invention increased after an acceleration of 6 months, the value was lower than the 60 μg/g limit of ICH. In contrast, hospital preparations undergo significant degradation, producing large amounts of chloroform. It can be seen that the stability of the chloral hydrate solution of the invention is significantly better than that of the hospital preparation.
实验例3 长期稳定性试验Experimental Example 3 Long-term stability test
将国内不同医院的水合氯醛制剂以及本发明的实施例1-实施例3中制得的水合氯醛溶液,按照《中国药典》2015年版中长期稳定性试验的规定,置于25±2℃,RH 60%±5%条件下进行长期稳定性试验,分别于第0、3、6、9、12、18、24月取样,分别检测pH、降解物和含量,结果见表4。The chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared in Examples 1 to 3 of the present invention were placed at 25±2 ° C according to the provisions of the Chinese Pharmacopoeia 2015 edition medium- and long-term stability test. Long-term stability test was carried out under the condition of RH 60%±5%, and samples were taken at 0, 3, 6, 9, 12, 18, and 24 months, respectively, to detect pH, degradation products and contents, and the results are shown in Table 4.
表4 长期稳定性测试结果Table 4 Long-term stability test results
从表4的结果可知,在长期稳定性测试中,本发明的水合氯醛溶液的pH值、三氯甲烷以及三氯乙酸的含量均未发生显著变化,其长期稳定性明显优于现有的各医院制剂。From the results of Table 4, in the long-term stability test, the pH value of the chloral hydrate solution of the present invention, the content of chloroform and trichloroacetic acid did not change significantly, and the long-term stability was significantly better than the existing one. Hospital preparations.
相对于现有产品中30天的储存有效期,本发明所提供的水合氯醛溶液,其在室温 条件下的储存有效期可长达24个月,且降解物三氯甲烷的量小于60μg/g,具有优良的稳定性和可控性,有效解决了现有常规制剂中稳定性差的问题,适用于商业化批量生产。Compared with the 30-day storage expiration date in the prior product, the chloral hydrate solution provided by the invention can be stored for a period of up to 24 months at room temperature, and the amount of the degradation product chloroform is less than 60 μg/g. It has excellent stability and controllability, effectively solves the problem of poor stability in conventional conventional preparations, and is suitable for commercial mass production.
实施例5:药效学试验Example 5: Pharmacodynamic test
采用单糖浆作为稀释液,分别取本发明实施例1、本发明实施例2、本发明实施例3,制成规格为1ml∶100mg的水合氯醛溶液。Using a single syrup as a diluent, the present invention, Example 1, and Example 3 of the present invention were respectively prepared to prepare a chloral hydrate solution having a specification of 1 ml: 100 mg.
选用国内不同医院的水合氯醛制剂以及如上述使用本发明的实施例1、本发明实施例2或本发明实施例3制得的水合氯醛溶液进行临床试验,观察比较镇静催眠效果。The chloral hydrate preparations of different hospitals in China and the chloral hydrate solution prepared by using the first embodiment of the present invention, the second embodiment of the present invention or the third embodiment of the present invention were used for clinical trials to observe the sedative and hypnotic effects.
选取接受检查需实施镇静的患儿360例,年龄1月龄-3岁,患儿中排除了对水合氯醛过敏史及严重肝肾功能不全者,随机分为南京***医院制剂组、新疆***医院制剂组、上海***医院制剂组、本发明实施例1组、本发明实施例2组、本发明实施例3组,每组60例。根据患儿体重计算用量,各组遵医嘱于检查前喂服,观察比较各组的镇静催眠效果,镇静效果以有效率表示(顺利完成检查的人数与总人数之比),结果见表5。A total of 360 children who underwent sedation were enrolled. The age ranged from 1 month to 3 years old. The children who were allergic to chloral hydrate and severe liver and kidney dysfunction were randomly divided into Nanjing *** hospital preparation group. The Xinjiang *** hospital preparation group, the Shanghai *** hospital preparation group, the first embodiment of the present invention, the second embodiment of the present invention, and the third embodiment of the present invention, each group of 60 cases. According to the weight of the children, the groups were fed according to the doctor's prescription before the examination. The sedative and hypnotic effects of each group were observed and compared. The sedative effect was expressed by efficiency (the ratio of the number of successful examinations to the total number of people). The results are shown in Table 5.
表5 水合氯醛口服溶液镇静催眠效果比较Table 5 Comparison of sedative and hypnotic effects of oral chloral hydrate solution
从表5的结果可知,本发明实施例与国内不同医院制剂比较,催眠镇静有效率无显著性差异,作用效果相当。From the results of Table 5, it can be seen that the embodiments of the present invention have no significant difference in hypnotic sedation efficiency compared with different hospital preparations in China, and the effect is equivalent.
本发明所描述的具体实施例只是对本发明所述的水合氯醛溶液的具体实施方案的详细描述,而不是对其的限定。任何对本发明实施方案的修饰与改良,在专利范围或范畴内同类或相近物质的替代与使用,均属于本发明专利保护范围。The specific embodiments described herein are only a detailed description of the specific embodiments of the chloral hydrate solution of the present invention, and are not intended to be limiting thereof. Any modification or modification of the embodiments of the present invention, the substitution and use of the same or similar substances within the scope or scope of the patents, are all within the scope of the invention.
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| GAN ZHIPING ET AL.: "Improvement Chloral Hydrate Solution Formulation", CHINESE JOURNAL OF HOSPITAL PHARMACY, vol. 19, no. 6, 31 December 1999 (1999-12-31), pages 371 * |
| SHENGCUN: "Toward better understanding of chloral hydrate stability in water:Kinetics, pathways, and influencing factors", CHEMOSPHERE, vol. 157, 31 December 2016 (2016-12-31), pages 18 - 24, XP029569111, ISSN: 0045-6535 * |
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