Patent Application
20140171509
The present invention relates to a non-aqueous patch for medical and home use using lidocaine.
Lidocaine is used for the purpose of local anesthesia or topical anesthesia. The usage form of lidocaine is an external preparation comprising lidocaine or a patch comprising lidocaine. Examples of external preparations include ointment, cream, jelly, spray, etc., which are used, for example, for topical anesthesia of the skin in the treatment of postherpetic neuralgia. Examples of patches include aqueous base patches (cataplasms) and non-aqueous patches (tapes).
An example of aqueous base patches is Lidoderm (registered trademark of Endo Pharmaceuticals (U.S.)), which is mainly used for topical anesthesia of the skin in the treatment of postherpetic neuralgia, and is also used to relieve pain in various muscles. Aqueous base patches have thick plasters because they contain moisture; therefore, aqueous base patches are poorly compatible with the skin. Moreover, due to very little adhesion, aqueous base patches are difficult to be attached to the skin for a long period of time. Furthermore, the vaporization of moisture problematically causes changes in adhesion and physical properties. Additionally, in order to make lidocaine permeate into the muscle, it is necessary to dissolve lidocaine, and moisture is thus required to dissolve lidocaine.
Next, as a non-aqueous patch, for example, Patent Japanese Patent No. 3159688 (patent Document 1) discloses a technique for alleviating postherpetic neuralgia, in which 5 to 30 wt. % of lidocaine is added as a local anesthetic. Japanese Unexamined Patent Publication No. 7-215850 (Patent Document 2) discloses a technique relating to a percutaneous absorption tape for local anesthesia comprising 5 to 100 wt. % of lidocaine. Japanese Unexamined Patent Publication No. 9-315964 (Patent Document 3) and Japanese Unexamined Patent Publication No. 2001-392501 (Patent Document 4) disclose techniques relating to a patch comprising 0.5 to 5 mass % of lidocaine. WO 2009/060629 (Patent Document 5) discloses a technique relating to a patch comprising 10 to 40 mass % of lidocaine. These non-aqueous patches have poor permeability to the skin because the lidocaine is not dissolved and is present in a crystalline state.
In addition, the technique disclosed in Patent Document 5 uses a high concentration of lidocaine. It is pointed out that lidocaine has an adverse effect on the heart. Prolonged use of a high concentration of lidocaine causes side effects, such as shock, rubor, and irritating sensation. External preparations comprising more than 5 mass % of lidocaine are designated as powerful drugs, and cannot be used as household (nonprescription) medicine.
In contrast, the techniques disclosed in Patent Documents 3 and 4 use a small amount of lidocaine, and can be used for household use; however, even after the small amount of lidocaine is completely dissolved, the lidocaine cannot be stably released over a long period of time (e.g., 12 hours or more) and cannot permeate into the skin. Thus, there is a problem with the pain-relieving effect.
Using lidocaine, which has the effect of relieving pain in the skin when a needle is punctured, the present inventors focused on the development of a non-aqueous patch for relieving muscular pain through the skin.
For this purpose, the present inventors first focused on the use of a small amount of lidocaine, not a high concentration of lidocaine, in the plaster, and on the complete dissolution of lidocaine so that the small amount of lidocaine is percutaneously absorbed stably over a long period of time and permeates into the muscle. When these requirements are satisfied, lidocaine can be used as a non-aqueous patch that can relieve muscular pain over a long period of time.
Accordingly, in the present invention, a dissolving agent composed of an organic acid and a polyalcohol was used, and 0.5 to 7 mass % of lidocaine and/or its reactant was mixed in a plaster, thereby producing a non-aqueous patch in which the lidocaine is completely dissolved, and which is effective to relieve various muscle pains over a long period of time. The amount of lidocaine and/or its reactant in the plaster is preferably 0.1 to 1 mg/cm2.
The non-aqueous patch is required to have a low plaster mass. When the size of one patch is 14×10 cm, the plaster mass is 0.84 to 2.8 g. Because the lidocaine content of the plaster is 0.5 to 7 mass %, the amount of lidocaine per patch can be kept as 196 mg or less.
In order to make lidocaine present uniformly and stably in the plaster for effective use, the lidocaine content is set to be 0.5 to 7 mass %. The reason for this is that when the lidocaine content is less than 0.5 mass %, the effect of relieving various muscle pains is low, and the desired effectiveness cannot be achieved. In contrast, when the lidocaine content is more than 7 mass %, a large amount of dissolving agent is required to ensure the release of lidocaine. The adhesion of the patch is thereby reduced, and the physical properties of the patch cannot be maintained, failing to cause the patch to be sufficiently attached to the affected part. Another reason is that the lidocaine content is desired to be low.
According to the present invention, a small amount of lidocaine is efficiently dissolved, and thereby the lidocaine can be released stably and reliably over a long period of time.
Particularly, the present invention is focused on a dissolving agent that can efficiently dissolve lidocaine over a long period of time, revealing that a dissolving agent composed of a mixture of an organic acid and a polyalcohol allows continuous and reliable dissolution of lidocaine.
Examples of organic acids include acetic acid, oleic acid, isostearic acid, etc.
Examples of polyalcohols include 1,3-butylene glycol, propylene glycol, dipropylene glycol, polyethylene glycol, glycerin, etc.
The most effective proportion of dissolving agent and lidocaine is 0.5 to 5 mass % of dissolving agent relative to 1 mass % of lidocaine. In this proportion, lidocaine can be stably mixed in a dissolved state, increasing the release rate of the lidocaine to the skin, and causing the drug to effectively permeate into the muscle. Here, the reason for this proportion, i.e., 0.5 to 5 mass % of dissolving agent relative to 1 mass % of lidocaine, is as follows. When the amount of dissolving agent is less than 0.5 mass %, lidocaine cannot be stably dissolved and cannot therefore be favorably released. In contrast, when the amount of dissolving agent is more than 5 mass %, the adhesion of the patch decreases, and sufficient attaching power to the skin cannot be achieved.
Although general starting materials for non-aqueous patches can be used for the plaster, the patch can maintain moderate flexibility by using an elastomer as the base. As the elastomer usable as the base, for example, isoprene rubber, polyisobutylene, and styrene isoprene rubber are preferably used. The amount of elastomer is preferably 10 to 50 mass %, and more preferably 20 to 40 mass %, based on 100 mass % of the plaster.
Further, a tackifier resin for increasing adhesive power can be freely added. Usable examples thereof include rosin-based resin, synthetic petroleum resin, terpene resin, phenol resin, alicyclic petroleum resin, and other resins that are generally used in patches. Polybutene or liquid paraffin may be added as a softener, and menthol, camphor, or the like may be added as a skin stimulant. Moreover, anhydrous silicic acid, zinc oxide, or other inorganic substances, zinc stearate, polyvinylpyrrolidone, or the like can be used as a regulator. Furthermore, antioxidants, UV absorbers, preservatives, sequestrants, and other additives that are designed to prevent the degradation of preparations may be used.
The plaster prepared by mixing these starting materials is held by a substrate comprising nonwoven fabric, woven fabric, knitted fabric, film, or a combination thereof, which can be generally used for patches. As a peeling film covering the plaster surface, a film moderately subjected to a mold release treatment is generally used. Since the drug may be adsorbed to the substrate or peeling film, polyester is generally used as their material; however, any materials can be used unless they cause problems.
The mass of the plaster is preferably in the range of 60 to 200 g/m2, and more preferably 80 to 180 g/m2. When the plaster mass is less than 60 g/m2, it is necessary to increase the proportion of lidocaine to the entire plaster, in order to maintain the sufficient efficacy of lidocaine. In this case, however, lidocaine is not sufficiently dissolved and is crystallized; the crystallized lidocaine cannot be efficiently transferred to the skin. Additionally, it is difficult to control the adhesion of the patch, and the plaster is not flexible against the skin and fails to maintain moderate adhesion. In contrast, when the plaster mass is more than 200 g/m2, the plaster is so heavy that plaster dripping easily occurs.
The method of producing the non-aqueous patch of the present invention may be a general method that is conventionally used, such as a hot melt method or a solvent method.
The non-aqueous patch of the present invention allows the lidocaine in the plaster to ensure a release rate of 10% or more after the patch is attached to the skin for 12 hours. Moreover, the non-aqueous patch with a low lidocaine content does not lead to abnormal skin penetration or rapid increase in blood levels after a long period of attachment or in the damaged skin, etc., and results in fewer side effects. Thus, the non-aqueous patch has efficiency and safety as a patch for use in relieving various muscle pains.
Furthermore, in spite of a low lidocaine content, the non-aqueous patch can be used for topical anesthesia of the skin, because the lidocaine has good solubility.
Examples of the present invention are described with reference to Table 1.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 18 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 5 mass %
Hydrogenated rosin ester (trade name “Pinecrystal KE-311”, produced by Arakawa Chemical Industries, Ltd.): 12 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 10 mass %
Lidocaine: 7 mass %
1,3-butylene glycol (produced by Daicel Chemical Industries, Ltd.): 1.5 mass %
Oleic acid (“Purified Oleic Acid”, produced by NOF Corporation): 2 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 43.8 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.2 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, hydrogenated rosin ester, terpene resin, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the lidocaine, 1,3-butylene glycol, and oleic acid, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 140 g/m2. A polyester woven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm). In this preparation, the proportion of lidocaine and dissolving agent was 1:0.5 by mass ratio.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 15 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 10 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 20 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 48.3 mass %
Isostearic acid (produced by Kokyu Alcohol Kogyo Co., Ltd.): 1.5 mass %
Lidocaine: 3 mass %
1,3-butylene glycol (produced by Daicel Chemical Industries, Ltd.): 1.5 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.2 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, terpene resin, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the isostearic acid, lidocaine, and 1,3-butylene glycol, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 140 g/m2. A polyester woven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm). In this preparation, the proportion of lidocaine and dissolving agent was 1:1 by mass ratio.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 18 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 10 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 20 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 46.9 mass %
Isostearic acid (produced by Kokyu Alcohol Kogyo Co., Ltd.): 1.8 mass %
Dipropylene glycol (produced by NOF Corporation): 0.5 mass %
Lidocaine: 2 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.3 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, terpene resin, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the isostearic acid, lidocaine, and dipropylene glycol, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 140 g/m2. A polyester nonwoven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm). In this preparation, the proportion of lidocaine and dissolving agent was 1:1.15 by mass ratio.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 20 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 8 mass %
Hydrogenated rosin ester (trade name “Pinecrystal KE-311”, produced by Arakawa Chemical Industries, Ltd.): 20 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 48.2 mass %
Isostearic acid (produced by Kokyu Alcohol Kogyo Co., Ltd.): 1.5 mass %
Lidocaine: 0.5 mass %
1,3-butylene glycol (produced by Daicel Chemical Industries, Ltd.): 1 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.3 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, hydrogenated rosin ester, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the isostearic acid, lidocaine, and 1,3-butylene glycol, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 160 g/m2. A polyester nonwoven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm). In this preparation, the proportion of lidocaine and dissolving agent was 1:5 by mass ratio.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 18 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 5 mass %
Hydrogenated rosin ester (trade name “Pinecrystal KE-311”, produced by Arakawa Chemical Industries, Ltd.): 12 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 10 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 38.1 mass %
Isostearic acid (produced by Kokyu Alcohol Kogyo Co., Ltd.): 2.1 mass %
Lidocaine: 7 mass %
Dipropylene glycol (produced by NOF Corporation): 7 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.3 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, hydrogenated rosin ester, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the isostearic acid, lidocaine, and dipropylene glycol, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 100 g/m2. A polyester nonwoven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm). In this preparation, the proportion of lidocaine and dissolving agent was 1:1.3 by mass ratio.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 20 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 8 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 20 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 49.165 mass %
Isostearic acid (produced by Kokyu Alcohol Kogyo Co., Ltd.): 1.4 mass %
Lidocaine: 0.7 mass %
Dipropylene glycol (produced by NOF Corporation): 0.035 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.2 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, terpene resin, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the isostearic acid, lidocaine, and dipropylene glycol, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 150 g/m2. A polyester nonwoven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm). In this preparation, the proportion of lidocaine and dissolving agent was 1:2.05 by mass ratio.
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 20 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 5 mass %
Hydrogenated rosin ester (trade name “Pinecrystal KE-311”, produced by Arakawa Chemical Industries, Ltd.): 15 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 5 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 48.2 mass %
Polysorbate 80 (produced by NOF Corporation): 4 mass %
Lidocaine: 2 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.3 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisoprene, hydrogenated rosin ester, terpene resin, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. A solution separately prepared by mixing the Polysorbate 80 and lidocaine, followed by dissolution at 80° C., was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 140 g/m2. A polyester nonwoven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm).
Styrene-isoprene-styrene block copolymer (“Kraton D1161”, produced by Kraton JSR Elastomers K.K.): 15 mass %
Polyisobutylene (trade name “Himol 6H”, produced by JX Nippon Oil & Energy Corporation): 10 mass %
Terpene resin (trade name “YS resin 1150N”, produced by Yasuhara Chemical Co., Ltd.): 20 mass %
Liquid paraffin (trade name “Hicall”, produced by Kaneda Corporation): 51.3 mass %
Lidocaine: 3 mass %
Light anhydrous silicic acid (trade name “Sylysia 350”, produced by Fuji Silysia Chemical Ltd.): 0.5 mass %
Dibutylhydroxytoluene (trade name “BHT”, produced by Honshu Chemical Industry Co., Ltd.): 0.2 mass %
The production method using these materials according to the above formulation was as follows. The styrene-isoprene-styrene block copolymer, polyisobutylene, terpene resin, light anhydrous silicic acid, dibutylhydroxytoluene, and liquid paraffin were placed in a dissolution mixer and dissolved under heating at 150° C. The lidocaine was added thereto, and the mixture was mixed under heating at 140° C. until the mixture became homogeneous, thereby obtaining a plaster solution. The plaster solution was applied to a polyester film treated with silicon so that the plaster weight was 140 g/m2. A polyester nonwoven fabric was pasted thereto and cooled. The resultant was then cut into a rectangle (about 14 cm×10 cm).
The preparations obtained in Examples 1 to 6 and Comparative Examples 1 and 2 were subjected to the following tests.
Adhesion Test
A ball tack adhesion test was performed according to the test method described in Drug Approval and Licensing Procedures in Japan. As shown in Table 2, Examples 1 to 6 (hereinafter referred to the “invention products”) showed excellent adhesion. The adhesion of Comparative Example 1 was about half of those of the invention products. Comparative Example 2 had satisfactory adhesion, because no dissolving agent was used.
Drug Remaining Test
As shown in
The drug remaining ratio after attachment for 12 hours was 96 to 99% in the comparative examples, while the results of all of the invention products were 80% or less, and the amount of drug released into the human skin was 20% or more.
Blood Level Test
The preparations were attached to the human skin for 12 hours and then removed. 4 hours, 8 hours, and 12 hours after the attachment of the preparations, and 24 hours after the removal of the preparations, the blood was extracted, and the level of lidocaine in the blood was measured.
The results reveal that the preparations comprising a dissolving agent composed of isostearic acid and dipropylene glycol showed generally good results.
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/JP2011/060781 | 5/10/2011 | WO | 00 | 2/3/2014 |
