The present invention relates to a preparation containing a drug used for an iontophoretic device which is used for administering a physiologically active substance via the skin or mucosa by means of an electric energy, and this system is mainly used in medical field.
There have been many studies for absorbing a physiologically active substance such as a medicament via the skin or mucosa and many drugs prepared by utilizing these techniques have been commercialized.
However, as part of the skin and mucosa covers the most outer surface of a body and works as a barrier to protect invasion of foreign substances, the permeability of the substance is little. Therefore, it is difficult to deliver a physiologically active substance into a body in an amount enough to show the therapeutic effect by only applying the said substance to the skin or mucosa. As such, there are many studies on methods for enhancement of the absorption such as utilizing absorption enhancers or outer energy.
As a method for utilizing outer energy, there is reported iontophoresis which uses electric energy (Journal of Pharmaceutical Science, Vol. 6, p. 341, 1987, U.S. Pat. No. 4,141,359). Iontophoresis is a system that generally a preparation containing an electrode and a drug such as a physiologically acceptable substance (a drug reservoir) and a counter electrode containing an electrode and ion such as sodium chloride are applied to the skin in a distance of several cm or several ten cm, and electric current from some microampere to some milliampere between both electrodes is applied for several minutes to several hours. By the electric current then occurred, a drug such as a physiologically active substance is delivered from the skin or mucosa into a body. According to this technique, not only an ionic lower molecule weight substance, but also a nonionic and aqueous substance such as mannitol or a high molecular weight substance such as calcitonin can be absorbed.
An iontophoretic device containing a local anesthetic, lidocaine in a drug reservoir has been sold in USA.
However, in such a preparation, usually a drug, etc. are dissolved or partially dissolved in a solvent containing mainly water and therefore, the stability of those substances are anxious. Therefore, developed is the preparation that the substances are kept in dry without dissolving in the solvent and the substances are dissolved when using (WO 98/13099). According to such a preparation, it is necessary to dissolve the substances in need and it is troublesome for a patient to utilize it. Depending on the substances in dry, it may be necessary to increase the rate of the solubility.
With regard to the commercialized device mentioned above, unstable epinephrine is contained therein in order to enhance the activity of lidocaine, and a stabilizer such as disulfite for unstable epinephrine is also contained to cause decrease of the absorption rate of a main drug, lidocaine.
As mentioned above, in the preparation containing such a drug as becoming unstable under iontophoresis, it was a problem to construct a preparation that even if water and an unstable substance co-exist, the stability is maintained and the absorption rate of a main drug is not reduced.
The present inventors, in order to obviate the problem, have selected epinephrine as an unstable substance in the presence of water and lidocaine as a main drug, and have studied additives to stabilize epinephrine and not to affect (decrease) the absorption of lidocaine under iontophoresis, and as a result, have found that by adding chlorobutanol thereto, epinephrines is unexpectedly stabilized, and the absorption rate of lidocaine is not reduced. Thus the present invention was completed.
In addition, when the preparation composition for iontophoresis is air-tightly sealed under an atmosphere of oxygen 5% or less, or is air-tightly sealed with a deoxidant, it was found that the effect on chlorobutanol is further strengthened.
“Air-tightly sealed” means that a content layer containing the preparation and its outside are completely separated by a sealing material such as aluminum sheet and there is no exchange of air between the content layer and its outside.
The present invention relates to a preparation composition containing a drug for an iontophoretic device, and said preparation composition stabilized by adding chlorobutanol to the preparation containing an unstable substance in the presence of water, and which does not reduce the absorption rate of a main drug under iontophoresis, and the preparation composition containing a substance (may be also a main drug) stabilized by chlorobutanol and a main drug for iontophoresis.
The present inventions are illustratively shown below.
(1) A preparation containing a drug used for iontophoresis for absorbing a physiologically active substance via the skin or mucosa by means of an electric driving force, and said preparation containing a local anesthetic, epinephrine or its salt, water and chlorobutanol.
(2) The preparation described in (1) wherein the local anesthetic is lidocaine or its salt.
(3) The preparation described in (1) or (2) wherein the content of chlorobutanol is 0.3 to 1.0 w/w %.
(4) The preparation described in any one of (1) to (3) wherein at least one additive selected from disulfite (pyrosulfite), hydrogensulfite (bisulfite), edetic acid and edetate is further contained.
(5) The preparation described in (4) wherein the additive is sodium pyrosulfite.
(6) The preparation described in (4) wherein the additive is sodium bisulfite.
(7) The preparation described in any one of (1) to (6) wherein polyvinyl alcohol is further contained.
(8) The preparation described in any one of (1) to (7) wherein a deoxidant is together enclosed when the preparation is air-tightly sealed.
(9) The preparation described in any one of (1) to (7) wherein the preparation is air-tightly sealed under an atmosphere of 5% or less oxygen.
(10) In the preparation containing a local anesthetic, especially lidocaine, epinephrine or a salt thereof, and water for iontophoresis, a stabilizing method of the said preparation which is characterized by adding chlorobutanol thereto.
(11) In the preparation containing a local anesthetic, especially lidocaine, epinephrine or a salt thereof, and water for iontophoresis, a stabilizing method of the said preparation which is characterized by adding chlorobutanol thereto, and by air-tightly sealing the preparation with a deoxidant.
(12) In the preparation containing a local anesthetic, especially lidocaine, epinephrine or a salt thereof, and water for iontophoresis, a stabilizing method of the said preparation which is characterized by adding chlorobutanol thereto, and by air-tightly sealing the preparation under an atmosphere of 5% or less oxygen.
(13) In the preparation containing a local anesthetic, especially lidocaine, epinephrine or a salt thereof, and water for iontophoresis, a stabilizing method of the said preparation which is characterized by adding chlorobutanol and at least one additive selected from disulfite, hydrogensulfite, edetic acid and edetate thereto.
(14) In the preparation containing a local anesthetic, especially lidocaine, epinephrine or a salt thereof, and water for iontophoresis, a stabilizing method of the said preparation which is characterized by adding chlorobutanol and at least one additive selected from disulfite, hydrogensulfite, edetic acid and edetate thereto, and by air-tightly sealing the preparation with a deoxidant.
(15) In the preparation containing a local anesthetic, especially lidocaine, epinephrine or a salt thereof, and water for iontophoresis, a stabilizing method of the said preparation which is characterized by adding chlorobutanol and at least one additive selected from disulfite, hydrogensulfite, edetic acid and edetate thereto, and by air-tightly sealing the preparation under an atmosphere of 5% or less oxygen.
The present invention has an effect to stabilize a substance readily resolved in the presence of water without reducing the absorption rate of a main drug in a preparation used for iontophoresis.
Chlorobutanol is used as an antibacterial agent for a solution, for example, as an antibacterial agent for an injection containing epinephrine, but chlorobutanol has been neither used as a stabilizer nor reported to have been used in a preparation for iontophoresis.
In general, by adding an additive in a preparation for iontophoresis, the absorption rate of a main drug is reduced. In addition, in case of a usual additive, the absorption rate of a main drug is reduced in proportion to increase of the content of the additive. However, it was surprisingly found that in case of chlorobutanol, the addition of it does not only affect the absorption rate of a main drug, and the increase of the amount of it does not also affect the absorption rate.
As an iontophoretic device for which the preparation of the present invention is used a known conventional device is utilized.
As an electrode for an iontophoretic device is used a known electrode, and a polarized one such as a carbon electrode may be used, but preferably such a nonpolarized one as having a silver electrode on anode (positive electrode).
As a negative electrode may be used a polarized electrode such as a carbon electrode, but preferably a non polarized electrode such as silver/silver chloride electrode may be used.
A substance which is unstable in co-existence of water includes epinephrine or its salt. Epinephrine is usually contained in order to enhance the activity of a local anesthetic, but as it is unstable in the presence of water, such a preparation has often troublesome.
As a main drug, a local anesthetic is used lidocaine hydrochloride, dibucaine or tetracaine, especially preferably lidocaine hydrochloride.
The amount of chlorobutanol is not limited, but usually 0.1˜1.5%, preferably 0.3˜1.0 w/w %.
When in the preparation of the present invention, chlorobutanol and other known additive such as disulfite, or hydrogensulfite, especially sodium hydrogensulfite or sodium pyrosulfite are contained together, the stabilization effect increases.
In case of combination, the absorption rate of a main drug, lidocaine is reduced comparing with in case of no additive, but in case of addition of chlorobutanol, the absorption rate of lidocaine is not reduced comparing with in case of addition of sodium hydrogensulfite or sodium pyrosulfite, alone. Therefore, the reduction of the absorption rate of lidocaine is due to other stabilizer such as sodium hydrogensulfite or sodium pyrosulfite, etc., not due to chlorobutanol. In addition in case of addition of edetic acid or its salt, the same can be said.
When such an additive is used together with chlorobutanol, the additive is desirable to reduce the amount of the additive as possible, because the additive affects the absorption rate of a main drug. For example, in case of sodium hydrogensulfite, the amount is 1% or less, preferably 0.3% or less. In case of sodium pyrosulfite, the amount is 1% or less, preferably 0.75% or less, more preferably 0.3% or less.
The preparation used for iontophoresis of the present invention is characterized by containing chlorobutanol, but the preparation may also contain following additives in addition to above additives.
For example, as ingredients for a base, are used hydrophilic substances such as polyvinyl alcohol, polyvinyl pyrrolidone, carboxyvinyl polymer, agar, xanthan gum, locust bean gum, and so on, preferably to prepare a gel preparation of the present invention. Polyvinyl alcohol is preferably used therefore. Other additives which are usually used in the preparation may be added thereto, if necessary, such as pH controller (citric acid, its salt, phosphoric acid, its salt, tartaric acid, its salt, acetic acid, its salt, boric acid, its salt, carbonate), benzoate, parahydroxybenzoates, ethanol, urea, glycerin, lactose, ascorbic acid, its esters, cysteine, tocopherol, thioglycolates, and so on. However, such additives as prohibiting the activity of chlorobutanol should be naturally avoided.
The present invention is explained below by illustrating examples and experiments, but the present invention should not be limited only by them.
Preparations of the present invention having ingredients shown in the following table 1-1 (Examples 1 to 8) were prepared.
Preparations of the present invention having ingredients shown in the following table 1-2 (Examples 9 to 15) were prepared.
Preparations of the present invention having ingredients shown in the following tables 1-3 and 1-4 (Examples 16 to 24) were prepared. Namely, lidocaine hydrochloride, and polyvinyl alcohol and if necessary, glycerin, sodium pyrosulfite, or disodium edetate are mixed with a buffer in a sealed flask, and the mixture was heated for 20 minutes in a 80° C. oil bath. After cooling to 30° C. or less, thereto were added epinephrine tartrate dissolved in each buffer and chlorobutanol dissolved in ethanol, and the mixture was well mixed. A preparation thus prepared was weighting and about 1 g of it was poured into a cavity shown in
Preparations of the present invention having ingredients shown in the following table 1-5 (Examples 25 and 26) were prepared in the similar manner as Examples 16 to 24. However, wrapping was carried out without any deoxidant. The preparation for Example 25 was carried out under an ordinal condition in a laboratory (at room temperature, oxygen content, 18%), and the preparation for Example 26 was carried out with heat-sealing under an atmosphere filled with nitrogen gas and oxygen content, 5% or less in a globe box.
Preparations having ingredients shown in the following table 2 (Comparative examples 1 to 11) were prepared and the preparations were subjected to the following experiments.
Lidocaine hydrochloride (4.62%), epinephrine tartrate (0.091%), n-propyl gallate (0.2%) and water (residue) were mixed to prepare a solution and then, was subjected to the comparative experience.
A gel preparation (Example 16) containing lidocaine hydrochloride (4.62%), epinephrine (0.091%), polyvinyl alcohol (15%) and water (residue) were prepared in the same manner as Example 16, and be subjected to the comparative experiment below.
Usefulness on chlorobutanol in a preparation composition used for iontophoresis is explained by illustrating the stabilization effect against epinephrine and the effect on permeability of lidocaine.
The following experiment 1 was carried out on the effect on permeability of lidocaine.
As shown in
As shown in
Furthermore, the effect on the rate of the permeability of lidocaine by addition of chlorobutanol and other additive was shown in
The following experiments 2 and 3 were conducted on the effect on the stability on epinephrine.
The solutions (each 1 ml) of Examples 1, 6 and Comparative examples 2, 6, 11, and 12 were poured into an ampoule and sealed. The preparation was maintained at such severe conditions as at 60° C., relative humidity 75% for 4 weeks and then the amount of epinephrine in the ampoule was measured, and its residual amount to its initial amount was calculated.
As shown in
Polyvinyl alcohol-suspensions containing the ingredients shown in Examples 9 to 13 were prepared and after weighing the weight, the suspensions were heated at 120° C. for 20 minutes to give viscous solutions. Thereto was added the same amount of water as distilled water, and the mixtures were cooled to room temperature to give gel preparations.
Each of the gels was added to a cavity of the preparation-support constructed with adhesive foam (52, 54, 63) and a silver electrode (53, 62) as shown in
In any of Examples 9 to 13, there was obtained a preparation with suitable viscosity used for iontophoresis. A preparation used for iontophoresis as shown in
The following experiment 4 was carried out on a relation ship between the content of chlorobutanol and the stability of epinephrine.
In the same manner as Experiment 2, the residual rate of epinephrine was tested on Examples 2 to 4, 14 and 15.
The residual rate of epinephrine after maintaining at 60° C. for 4 weeks was shown in
The following experiment 5 was carried out the stability on epinephrine for a longer term.
Experiment 5
Preparations (Examples 16 to 24) were maintained at 40° C., and relative humidity 75% for 6 months. Then the content of epinephrine in the preparations was measured to study its stability. Extracting method of epinephrine from the gel and measuring method of epinephrine were shown below.
To the gel weighted were added 60 mM phosphate buffer (pH2.0) and an inner standard solution (methylparaben: 150 mg/ml), and the mixture was agitated at 80° C. for 1 hour in an incubator to dissolve the gel. After being cooled, thereto was added methanol until its amount became more than 80%, and the mixture was agitated at room temperature for 30 minutes so as the precipitates do not aggregate. The definite amount was taken and measured and after filtration was subjected to a sample for HPLC.
The amount of epinephrine was measured by HPLC system (LC-10A: Shimadzu Corporation).
Column: Tosoh TSKgel ODS-100V (250 mm long×4.6 mm i.d.)
Mobile phase solution: Phosphate buffer 35% (pH2.1) containing acetonitrile
65% and 10 mM sodium dodecylsulfate
Flow rate: 1.5 mL/min.
Detection: Ultraviolet detector (Shimadzu SPD-10A) The amount was measured at 281 nm.
Preparations (Comparative example 13) was maintained at 40° C., and relative humidity 75% for 2 months. Then epinephrine was extracted and was measured to study its stability, in the same manner as Example 16.
The result was shown in
As shown in
Preparations (Examples 24 to 26) were maintained at 40° C., and relative humidity 75% for 2 months. Then epinephrine was extracted and the residual amount of epinephrine was measured in the same manner as Experiment 5.
As shown in
Filing Document | Filing Date | Country | Kind | 371c Date |
---|---|---|---|---|
PCT/JP2006/322373 | 11/9/2006 | WO | 00 | 5/13/2008 |
Number | Date | Country | |
---|---|---|---|
60735830 | Nov 2005 | US |