CN101928263A - A kind of method for preparing eflurazine hydrochloride - Google Patents
A kind of method for preparing eflurazine hydrochloride Download PDFInfo
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Abstract
本发明公开了一种制备盐酸乙氟利嗪的方法。在溶剂中,以叔胺作为缚酸剂,碱金属卤化物或卤化四丁基铵作为催化剂,在上述条件下,1-[双(4-氟苯基)甲基]哌嗪和过量氯乙氧基乙酸衍生物加热缩合得2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸衍生物,再水解、酸化得盐酸乙氟利嗪。原料易得,操作简便,收率提高,成本下降,适合工业化生产。The invention discloses a method for preparing eflurazine hydrochloride. In the solvent, with tertiary amine as acid-binding agent, alkali metal halide or tetrabutylammonium halide as catalyst, under the above conditions, 1-[bis(4-fluorophenyl)methyl]piperazine and excess ethyl chloride Oxyacetic acid derivatives are heated and condensed to obtain 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetic acid derivatives, and then hydrolyzed and acidified to obtain ethyl hydrochloride Fluorizine. The raw material is easy to obtain, the operation is simple and convenient, the yield is increased, the cost is reduced, and the method is suitable for industrialized production.
Description
技术领域technical field
本发明涉及一种制备盐酸乙氟利嗪的方法,该化合物可治疗过敏性鼻炎、结膜炎。 The invention relates to a method for preparing eflurazine hydrochloride, and the compound can treat allergic rhinitis and conjunctivitis. the
背景技术Background technique
过敏性鼻炎(Allergic Rhinitis)又称变应性鼻炎,系机体对某种物质过敏而引起。其发病机理是由于过敏原使机体释放组织胺,,引起一系列过敏性症状出现。发病时鼻痒、连续打嚏、流大量水样性清涕,有时尚伴有眼结膜,上腭部甚至外耳道部的奇痒等为本病的临床特征。由于鼻粘膜的肿胀,患者常有鼻塞和嗅觉减退现象。患者通常全身症状不明显,但如并发鼻窦炎后可有发热,面颊部胀痛,乏力和纳滞等症状。 Allergic rhinitis (Allergic Rhinitis), also known as allergic rhinitis, is caused by the body's allergy to certain substances. Its pathogenesis is that allergens cause the body to release histamine, causing a series of allergic symptoms to appear. The clinical features of this disease include nasal itching, continuous sneezing, and a large amount of watery nasal discharge, sometimes accompanied by extreme itching in the conjunctiva, palate, and even the external auditory canal. Due to the swelling of the nasal mucosa, patients often have nasal congestion and hyposmia. Patients usually have no obvious systemic symptoms, but if complicated by sinusitis, they may have symptoms such as fever, cheek distending pain, fatigue and anorexia. the
本病的治疗原则为:①避免吸入可激发的过敏原;②应用适当的抗组胺药物;③抗原脱敏治疗。抗组胺药物在临床上已应用多年,其机理主要是通过阻断组织胺受体而起抗过敏作用,主要用于治疗过敏性鼻炎、过敏性结膜炎及过敏性皮肤病等。抗组胺药物分为第一代和第二代,第一代易透过血脑屏障,产生镇静和抗胆碱作用,第二代则无或弱的中枢作用,不会引起嗜睡等副作用,因此在过敏性疾病治疗中更有优势。常见的抗组胺药物有氯雷他定、非索非那丁、扑尔敏、西替利嗪、氮卓斯丁、息斯敏。 The treatment principles of this disease are: ① avoid inhalation of allergens that can be stimulated; ② apply appropriate antihistamine drugs; ③ antigen desensitization therapy. Antihistamines have been used clinically for many years. Their mechanism is mainly to block histamine receptors and play an anti-allergic effect. They are mainly used for the treatment of allergic rhinitis, allergic conjunctivitis and allergic skin diseases. Antihistamines are divided into the first generation and the second generation. The first generation easily penetrates the blood-brain barrier and produces sedative and anticholinergic effects. The second generation has no or weak central effects and does not cause side effects such as drowsiness. Therefore, it has more advantages in the treatment of allergic diseases. Common antihistamines are loratadine, fexofenadine, chlorpheniramine, cetirizine, azelastine, and astemizole. the
盐酸乙氟利嗪是比利时UCB SA公司研制开发的治疗过敏性鼻炎、结膜炎的抗组胺药,已完成三期临床试验而开始进入临床。本品为选择性组胺H1受体拮抗剂,无明显抗胆碱和抗5-羟色胺作用,中枢抑制作用较小,既可口服,也可外用。局部应用于粘膜,人体对鼻喷雾给药有良好的耐受性和安全性,尚未发现与药物有关的明显不良反应。 Eflurazine hydrochloride is an antihistamine drug developed by UCB SA in Belgium for the treatment of allergic rhinitis and conjunctivitis. It has completed phase III clinical trials and has begun to enter clinical practice. This product is a selective histamine H1 receptor antagonist, has no obvious anticholinergic and anti-serotonin effects, and has a small central inhibitory effect. It can be taken orally or externally. Topically applied to mucous membranes, the human body has good tolerance and safety to nasal spray administration, and no obvious adverse reactions related to drugs have been found. the
盐酸乙氟利嗪化学名为2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸二盐酸盐。英文化学名:2-[2-[4-[bis(4-fluorophenyl)methyl]-piperazinyl]ethoxy acetic acid dihydrochloride。结构式如下: The chemical name of eflurazine hydrochloride is 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetic acid dihydrochloride. English chemical name: 2-[2-[4-[bis(4-fluorophenyl)methyl]-piperazinyl]ethoxy acetic acid dihydrochloride. The structural formula is as follows:
在EP0058146中,阐述了两种盐酸乙氟利嗪合成方法。方法一:将1-[双(4-氟苯基)甲基]哌嗪(Ⅰ)与氯乙氧基乙酰胺(Ⅱ)在热二甲苯中,碳酸钠存在下缩合,生成2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪]乙氧基]-乙酰胺(Ⅲ),再用4N NaOH在乙醇中回流水解、酸化得盐酸乙氟利嗪。方法二:将1-[双(4-氟苯基)甲基]哌嗪(Ⅰ)与氯乙氧基乙酸甲酯(Ⅳ)在热二甲苯中, 碳酸钠存在下缩合,生成2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪]乙氧基]-乙酸甲酯(V),再用1NKOH在乙醇中回流水解、酸化得盐酸乙氟利嗪。合成路线如下: In EP0058146, two synthesis methods of eflurazine hydrochloride are described. Method 1: Condensation of 1-[bis(4-fluorophenyl)methyl]piperazine (I) and chloroethoxyacetamide (II) in hot xylene in the presence of sodium carbonate to generate 2-[2 -[4-[bis(4-fluorophenyl)methyl]-1-piperazine]ethoxyl]-acetamide (Ⅲ), then reflux hydrolysis and acidification with 4N NaOH in ethanol to obtain eflurazine hydrochloride . Method two: condense 1-[bis(4-fluorophenyl)methyl]piperazine (I) and methyl chloroethoxyacetate (IV) in hot xylene under the presence of sodium carbonate to generate 2-[ 2-[4-[bis(4-fluorophenyl)methyl]-1-piperazine]ethoxy]-acetic acid methyl ester (V), and then use 1NKOH in ethanol to reflux hydrolysis and acidification to obtain Eflurin hydrochloride Zinc. The synthetic route is as follows:
该反应将(Ⅱ)与(Ⅲ)或(Ⅳ)在二甲苯中,以碳酸钾为缚酸剂,加热下完成,反应收率根据卤乙氧基乙酸衍生物的不同呈中等或偏低。 The reaction is completed by combining (II) and (III) or (IV) in xylene with potassium carbonate as an acid-binding agent under heating, and the reaction yield is moderate or low according to the difference of haloethoxyacetic acid derivatives. the
根据专利WO009849报道,可用双(4-氟苯基)氯甲基(Ⅵ)与1-哌嗪乙醇(Ⅶ)缩合得2-[4-[双(4-氟苯基)甲基]-1-哌嗪]乙醇(Ⅷ),缩合产物用甲醇钠或氢化钠质子化后再与溴乙酸钠(Ⅸ)反应,最后酸化得目标产物——盐酸乙氟利嗪。合成路线如下: According to the report of patent WO009849, 2-[4-[bis(4-fluorophenyl)methyl]-1 - piperazine] ethanol (Ⅷ), the condensation product is protonated with sodium methoxide or sodium hydride and then reacted with sodium bromoacetate (Ⅸ), and finally acidified to obtain the target product - eflurazine hydrochloride. The synthetic route is as follows:
该路线的优点是第一步的缩合反应过程中选用Na2CO3或K2CO3与HCl中和,以降低成本、简化反应,用EtONa代替NaH做质子受体也使成本降低且操作安全,适合工业生产。缺点是要减压蒸馏纯化,三个反应的原料化合物价格都不便宜,且步骤较繁琐。因此现有技术需要一种低成本、易操作、高产率的盐酸乙氟利嗪制备方法。 The advantage of this route is that Na 2 CO 3 or K 2 CO 3 is neutralized with HCl in the first step of the condensation reaction to reduce costs and simplify the reaction. Using EtONa instead of NaH as a proton acceptor also reduces costs and is safe to operate. , suitable for industrial production. The disadvantage is that distillation and purification under reduced pressure are required, the price of the raw material compounds for the three reactions is not cheap, and the steps are cumbersome. Therefore prior art needs a kind of low-cost, easy-to-operate, high-yield preparation method of eflurazine hydrochloride.
发明内容Contents of the invention
本发明是一种关于盐酸乙氟利嗪的制备方法,其目的是降低成本,提高缩合反应收率,简化分离提纯操作。 The invention relates to a preparation method of eflurazine hydrochloride, the purpose of which is to reduce the cost, improve the condensation reaction yield and simplify the separation and purification operation. the
为实现上述发明目的,本发明提供的技术方案如下: In order to realize the above-mentioned purpose of the invention, the technical scheme provided by the present invention is as follows:
在溶剂中,以叔胺作为缚酸剂,碱金属卤化物或卤化四丁基铵作为催化剂,在上述条件下,1-[双(4-氟苯基)甲基]哌嗪(2)和过量氯乙氧基乙酸衍生物(3)加热缩合得2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸衍生物(4),水解得乙氟利嗪(5),再用盐酸酸化得盐酸乙氟利嗪(1)。 In solvent, with tertiary amine as acid-binding agent, alkali metal halide or tetrabutylammonium halide as catalyst, under the above conditions, 1-[bis(4-fluorophenyl)methyl]piperazine (2) and Excessive chloroethoxyacetic acid derivatives (3) are heated and condensed to obtain 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetic acid derivatives (4 ), hydrolyzed to obtain eflurazine (5), and then acidified with hydrochloric acid to obtain eflurazine hydrochloride (1). the
溶剂为极性和非极性溶剂如二甲基甲酰胺、甲苯、二甲苯中的一种,或一种以上混合物,最佳为二甲苯。 The solvent is one of polar and non-polar solvents such as dimethylformamide, toluene, and xylene, or a mixture of more than one, and the best is xylene. the
叔胺烷基为C1~4的烷基,最佳为C2~3的烷基。 The tertiary amine alkyl group is a C1-4 alkyl group, preferably a C2-3 alkyl group. the
催化剂碱金属卤化物碱金属为钠或钾,卤素为溴或碘;催化剂卤化四烷基铵中卤素为溴或碘,烷基为C1~4的烷基,最佳为C3~4的烷基。 The catalyst alkali metal halide alkali metal is sodium or potassium, the halogen is bromine or iodine; the halogen in the catalyst tetraalkylammonium halide is bromine or iodine, and the alkyl group is a C1-4 alkyl group, preferably a C3-4 alkyl group . the
反应温度为90~180℃,最佳为110~160℃. The reaction temperature is 90-180°C, preferably 110-160°C.
氯乙氧基乙酸衍生物为氯乙氧基乙酸酯,与氯乙氧基乙酸形成酯的醇为C1~4的醇,最佳为C1~2的醇。 The chloroethoxyacetic acid derivative is chloroethoxyacetic acid ester, and the alcohol forming an ester with chloroethoxyacetic acid is a C1-4 alcohol, preferably a C1-2 alcohol. the
1-[双(4-氟苯基)甲基]哌嗪与氯乙氧基乙酸衍生物的摩尔比为1∶1.0~2.0mol,最佳为1∶1.2~1.8mol。 The molar ratio of 1-[bis(4-fluorophenyl)methyl]piperazine to the chloroethoxyacetic acid derivative is 1:1.0-2.0 mol, preferably 1:1.2-1.8 mol. the
反应时间为6~30h,最佳为10~25h。 The reaction time is 6-30 hours, preferably 10-25 hours. the
本发明提供了制备盐酸乙氟利嗪的方法,包括以下步骤: The invention provides the method for preparing eflurazine hydrochloride, comprising the following steps:
(1)在溶剂中,以叔胺作为缚酸剂,碱金属卤化物或卤化四丁基铵作为催化剂,1-[双(4-氟苯基)甲基]哌嗪和氯乙氧基乙酸衍生物,加热回流6h后补加过量的氯乙氧基乙酸衍生物,继续回流8h,缩合得2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸衍生物。 (1) In a solvent, with tertiary amine as acid binding agent, alkali metal halide or tetrabutylammonium halide as catalyst, 1-[bis(4-fluorophenyl)methyl]piperazine and chloroethoxyacetic acid Derivatives, after heating to reflux for 6 hours, add excess chloroethoxyacetic acid derivatives, continue to reflux for 8 hours, and condense to obtain 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazine Base] ethoxy] acetic acid derivatives. the
(2)抽滤反应液,滤饼用溶剂洗涤,滤液旋蒸。 (2) The reaction solution was suction filtered, the filter cake was washed with a solvent, and the filtrate was rotary evaporated. the
(3)旋余液加入溶剂后无需纯化直接加入氢氧化钠水溶液水解。 (3) After adding the solvent, the raffinate is directly added to the aqueous sodium hydroxide solution for hydrolysis without purification. the
(4)分出水层,用氢氧化钠水溶液调节水相pH值至溶液浑浊,用二氯甲烷萃取,旋蒸。 (4) Separate the water layer, adjust the pH value of the water phase with aqueous sodium hydroxide until the solution becomes turbid, extract with dichloromethane, and spin evaporate. the
(5)旋余液用盐酸酸化得到盐酸乙氟利嗪。 (5) The residue was acidified with hydrochloric acid to obtain eflurazine hydrochloride. the
本发明提供的制备盐酸乙氟利嗪的方法的优点是: The advantage of the method for preparing eflurazine hydrochloride provided by the invention is:
(1)采用本发明的制备方法得到的产品纯度高,产率较高。 (1) The product obtained by the preparation method of the present invention has high purity and high yield. the
(2)本发明中的原料简单易得,成本较低,溶剂毒性较小且易回收。 (2) The raw materials in the present invention are simple and easy to obtain, the cost is low, the solvent is less toxic and easy to recycle. the
(3)本发明制备工艺简单,大大简化了后期的分离纯化操作。 (3) The preparation process of the present invention is simple, which greatly simplifies the separation and purification operation in the later stage. the
具体实施方式Detailed ways
实施例一 Embodiment one
2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸乙酯的制备 Preparation of ethyl 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetate
1-[双(4-氟苯基)甲基]哌嗪5.74g(0.02mol),氯乙氧基乙酸乙酯3.34g(0.02mol),三乙胺4.04g(0.04mol),二甲苯30ml,加热回流,反应10h后补加氯乙氧基乙酸乙酯0.67g(0.004mol)继续回流8h。停止反应,抽滤,滤饼用20ml的热甲苯洗涤,滤液旋蒸,旋余液无需纯化直接进行水解即可得到盐酸乙氟利嗪。收率68.5%。 1-[bis(4-fluorophenyl)methyl]piperazine 5.74g (0.02mol), ethyl chloroethoxyacetate 3.34g (0.02mol), triethylamine 4.04g (0.04mol), xylene 30ml , Heated to reflux, added 0.67 g (0.004 mol) of ethyl chloroethoxyacetate after 10 h of reaction and continued to reflux for 8 h. Stop the reaction, filter with suction, wash the filter cake with 20 ml of hot toluene, rotate the filtrate, and directly hydrolyze the residue without purification to obtain eflurizine hydrochloride. Yield 68.5%. the
实施例二 Example two
2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸甲酯的制备 Preparation of Methyl 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetate
1-[双(4-氟苯基)甲基]哌嗪5.74g(0.02mol),氯乙氧基乙酸甲酯3.05g(0.02mol),三异丙胺5.72g(0.04mol),四丁基碘化铵0.07g(0.2mmol),二甲苯30ml,加热回流,反应10h后补加氯乙氧基乙酸乙酯0.61g(0.004mol)继续回流8h。停止反应,抽滤,滤饼用20ml的热甲苯洗涤,滤液旋蒸,旋余液无需纯化直接进行水解即可得到盐酸乙氟利嗪。收率80.2%。 1-[bis(4-fluorophenyl)methyl]piperazine 5.74g (0.02mol), methyl chloroethoxyacetate 3.05g (0.02mol), triisopropylamine 5.72g (0.04mol), tetrabutyl Ammonium iodide 0.07g (0.2mmol), xylene 30ml, heated to reflux, reacted for 10h, added 0.61g (0.004mol) of ethyl chloroethoxyacetate and continued to reflux for 8h. Stop the reaction, filter with suction, wash the filter cake with 20 ml of hot toluene, rotate the filtrate, and directly hydrolyze the residue without purification to obtain eflurizine hydrochloride. Yield 80.2%. the
实施例三 Embodiment three
2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸乙酯的制备 Preparation of ethyl 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetate
1-[双(4-氟苯基)甲基]哌嗪5.74g(0.02mol),氯乙氧基乙酸乙酯3.34g(0.02mol),碘化钾0.033g(0.2mmol),三乙胺4.04g(0.04mol),二甲苯30ml,加热回流,反应10h后补加氯乙氧基乙酸甲酯0.67g(0.004mol)继续回流8h。停止反应,抽滤,滤饼用20ml的热甲苯洗涤,滤液旋蒸,旋余液无需纯化直接进行水解即可得到盐酸乙氟利嗪。收率75.3%。 1-[bis(4-fluorophenyl)methyl]piperazine 5.74g (0.02mol), ethyl chloroethoxyacetate 3.34g (0.02mol), potassium iodide 0.033g (0.2mmol), triethylamine 4.04g (0.04mol), xylene 30ml, heated to reflux, after 10h of reaction, added 0.67g (0.004mol) of methyl chloroethoxyacetate and continued to reflux for 8h. Stop the reaction, filter with suction, wash the filter cake with 20 ml of hot toluene, rotate the filtrate, and directly hydrolyze the residue without purification to obtain eflurizine hydrochloride. Yield 75.3%. the
实施例四 Embodiment four
2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸甲酯的制备 Preparation of Methyl 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetate
1-[双(4-氟苯基)甲基]哌嗪5.74g(0.02mol),氯乙氧基乙酸甲酯3.05g(0.02mol),四丁基碘化铵0.07g(0.2mmol),三乙胺4.04g(0.04mol),二甲苯30ml,加热回流,反应10h后补加氯乙氧基乙酸甲酯0.67g(0.004mol)继续回流8h。停止反应,抽滤,滤饼用20ml的热甲苯洗涤,滤液旋蒸,旋余液无需纯化直接进行水解即可得到盐酸乙氟利嗪。收率85.8%。 1-[bis(4-fluorophenyl)methyl]piperazine 5.74g (0.02mol), methyl chloroethoxyacetate 3.05g (0.02mol), tetrabutylammonium iodide 0.07g (0.2mmol), 4.04g (0.04mol) of triethylamine and 30ml of xylene were heated to reflux. After 10 hours of reaction, 0.67g (0.004mol) of methyl chloroethoxyacetate was added to continue to reflux for 8 hours. Stop the reaction, filter with suction, wash the filter cake with 20 ml of hot toluene, rotate the filtrate, and directly hydrolyze the residue without purification to obtain eflurizine hydrochloride. Yield 85.8%. the
实施例五 Embodiment five
2-[2-[4-[双(4-氟苯基)甲基]-1-哌嗪基]乙氧基]乙酸乙酯的制备 Preparation of ethyl 2-[2-[4-[bis(4-fluorophenyl)methyl]-1-piperazinyl]ethoxy]acetate
1-[双(4-氟苯基)甲基]哌嗪5.74g(0.02mol),氯乙氧基乙酸乙酯3.34g(0.02mol),四丁基溴化铵0.06g(0.2mmol),三异丙胺5.72g(0.04mol),二甲苯30ml,加热回流,反应10h后补加氯乙氧基乙酸乙酯0.67g(0.004mol)继续回流6h。停止反应,抽滤,滤饼用20ml的热甲苯洗涤,滤液旋蒸,旋余液无需纯化直接进行水解即可得到盐酸乙氟利嗪。收率83.1%。 1-[bis(4-fluorophenyl)methyl]piperazine 5.74g (0.02mol), ethyl chloroethoxyacetate 3.34g (0.02mol), tetrabutylammonium bromide 0.06g (0.2mmol), 5.72g (0.04mol) of triisopropylamine and 30ml of xylene were heated to reflux. After 10 hours of reaction, 0.67g (0.004mol) of ethyl chloroethoxyacetate was added to continue to reflux for 6 hours. Stop the reaction, filter with suction, wash the filter cake with 20 ml of hot toluene, rotate the filtrate, and directly hydrolyze the residue without purification to obtain eflurizine hydrochloride. Yield 83.1%. the
以上实施例是对本发明的进一步解释,但本发明并不仅仅局限于这些实施例,这些实施例不以任何方式限制本发明的保护范围。 The above examples are further explanations of the present invention, but the present invention is not limited to these examples, and these examples do not limit the protection scope of the present invention in any way. the
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CN104130211A (en) * | 2013-05-03 | 2014-11-05 | 重庆沃肯精细化工有限公司 | New technology for synthesizing cetirizine hydrochloride |
Citations (2)
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US4525358A (en) * | 1981-02-06 | 1985-06-25 | Ucb Pharmaceuticals, Inc. | 2-[4-(Diphenylmethyl)-1-piperazinyl]-acetic acids and their amides |
EP0952153A2 (en) * | 1998-04-23 | 1999-10-27 | Chemagis Ltd. | A process for the preparation of esters of [2-[4-[(4-chlorophenyl)phenylmethyl]-1-piperazinyl]-ethoxy]acetic acid |
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US4525358A (en) * | 1981-02-06 | 1985-06-25 | Ucb Pharmaceuticals, Inc. | 2-[4-(Diphenylmethyl)-1-piperazinyl]-acetic acids and their amides |
EP0952153A2 (en) * | 1998-04-23 | 1999-10-27 | Chemagis Ltd. | A process for the preparation of esters of [2-[4-[(4-chlorophenyl)phenylmethyl]-1-piperazinyl]-ethoxy]acetic acid |
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CN104130211A (en) * | 2013-05-03 | 2014-11-05 | 重庆沃肯精细化工有限公司 | New technology for synthesizing cetirizine hydrochloride |
CN104130211B (en) * | 2013-05-03 | 2016-04-13 | 重庆沃肯精细化工有限公司 | A kind of technique of synthetic hydrochloric acid cetirizine |
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