[go: up one dir, main page]

CN103110643A - Powder injection of drug composition of ceftazidime for injection - Google Patents

Powder injection of drug composition of ceftazidime for injection Download PDF

Info

Publication number
CN103110643A
CN103110643A CN2013100738389A CN201310073838A CN103110643A CN 103110643 A CN103110643 A CN 103110643A CN 2013100738389 A CN2013100738389 A CN 2013100738389A CN 201310073838 A CN201310073838 A CN 201310073838A CN 103110643 A CN103110643 A CN 103110643A
Authority
CN
China
Prior art keywords
ceftazidime
metronidazole
injection
lipid microsphere
pharmaceutical composition
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN2013100738389A
Other languages
Chinese (zh)
Inventor
李彪
汪六一
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hainan Weikang Pharmaceutical Qianshan Co Ltd
Original Assignee
Hainan Weikang Pharmaceutical Qianshan Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hainan Weikang Pharmaceutical Qianshan Co Ltd filed Critical Hainan Weikang Pharmaceutical Qianshan Co Ltd
Priority to CN2013100738389A priority Critical patent/CN103110643A/en
Publication of CN103110643A publication Critical patent/CN103110643A/en
Pending legal-status Critical Current

Links

Classifications

    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Landscapes

  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The invention provides powder injection of a drug composition of ceftazidime for injection, relating to the fields of pharmaceutical preparations and preparation methods and mainly solving the problems that single preparations of ceftazidime and metronidazole in the prior art have great dosages, poor treatment effects after being combined and big side effects. The drug composition comprises main drugs such as ceftazidime and metronidazole lipid microspheres and an auxiliary material arginine, wherein the weight ratio of ceftazidime to metronidazole lipid microspheres is (100:3)-(100:10); the weight ratio of ceftazidime to arginine is 100:27; and the weight of the metronidazole lipid microspheres is based on metronidazole. The drug composition is prepared into powder injection. The pH value of water solution of the drug composition is 5.0-7.0. The powder injection of the drug composition provided by the invention not only has high curative effect but also can reduce the dosage of metronidazole by over 80%, thus greatly reducing or avoiding the toxic and side effects, especially gastrointestinal reactions including nausea, emesis, anorexia, abdominal cramp and neurotoxicity, of metronidazole and further reducing the occurrence rate of adverse reactions.

Description

The ceftazidime medicinal composition for injection injectable powder
Technical field:
The present invention relates to pharmaceutical preparation and preparation method field, relate in particular to a kind of ceftazidime medicinal composition for injection injectable powder and preparation method thereof.
Background technology:
Cefotaxime is third generation cephalosporin, and has a broad antifungal spectrum has powerful activity to gram-negative bacterias such as enterobacteriaceae lactobacteriaceae such as escherichia coli, proteus mirabilis, Klebsiella and Salmonellas.Proteus vulgaris and citrobacter genus also there is good action.Enterobacter cloacae, clostridium perfringen are compared drug resistance to this product.This product to pseudomonas aeruginosa and Bacillus alcaligenes without antibiotic activity.Cefotaxime all has powerful effect to hemophilus influenza, Diplococcus gonorrhoeae (comprise and produce the beta lactamase strain), Neisseria meningitidis and moraxelle catarrhalis etc.This product is relatively poor to the antibacterial activity of staphylococcus aureus, and strong to the activity of the gram positive coccus such as Hemolytic streptococcus, streptococcus pneumoniae, Enterococcus is to this product drug resistance.
Figure BDA0000289642881
Figure BDA0000289642882
1972, Tally found that first metronidazole has the effect of whole body anaerobe resistant, and was defined as the drug of first choice of anti anaerobic bacteria infection by World Health Organization (WHO) in 1978.In clinical extensive use, its purposes is widened day by day along with first nitre, and its advantage is: the scope of anaerobe resistant is wide, and sterilizing power is strong, and general avirulence has no drug resistance.It has tablet, injection, suppository, compound preparation, can be for oral, quiet notes and anus plug, also can be applied to intravenously administrable with other multiple antibacterials preparation, so, the requisite a kind of curative of clinical departments become.Recently studying its mechanism of action is, answers by its reduzate and bacterial cell DNA antisense, disturbs growth, the breeding of antibacterial, last kill bacteria.
Untoward reaction appears in nearly 15-30% case clinically, and is the most common with digestive tract reaction, comprises nauseating, vomiting, inappetence, abdominal colic, generally do not affect treatment; Neurological symptom has headache, dizzy, abnormal, the numb limbs and tense tendons of occasionally feeling, ataxia, polyneuritis etc., and heavy dose can cause tic.In the measles such as minority case generation, flushing, pruritus, cystitis, dysuria, mouth, metallic taste and leukopenia etc., all belong to reversibility, recovers voluntarily after drug withdrawal, and reviewing analysis shows that the main cause that untoward reaction occurs is the overdose medication.
infection in clinical operation usually is accompanied by the mixed infection that contains anaerobe and aerobe, rather than the infection of single anaerobe or aerobe, it is the clinical first-selected medication for the treatment of anaerobic infection because of metronidazole, ceftazidime commonly used and metronidazole drug combination contain the MOI of anaerobe for preventing post-operation infection and treatment clinically, but ceftazidime for inj and injection metronidazole are all as single product, during the difference medication, the consumption of metronidazole is very large, the toxic and side effects of metronidazole is very strong, the metronidazole of normal therapeutic dosage can produce digestive tract reaction, the most common comprise nauseating, vomiting, inappetence, abdominal colic and higher neurotoxicity.To this for clinical provide a kind of safe and effective, medicine that toxic and side effects is low is extremely urgent, Given this, proposes the present invention.
Summary of the invention:
Technical problem to be solved by this invention is to overcome the defective of prior art, provide a kind of curative effect high, safe, good stability, the ceftazidime medicinal composition that toxic and side effects is low, this pharmaceutical composition principal agent is: ceftazidime, the metronidazole lipid microsphere, adjuvant is arginine, and said composition can effectively be treated the MOI that contains anaerobe.
Technical problem to be solved by this invention realizes by the following technical solutions.
A kind of ceftazidime medicinal composition, it is characterized in that, the principal agent of this pharmaceutical composition is ceftazidime and metronidazole lipid microsphere, adjuvant is arginine, the weight ratio of ceftazidime and metronidazole lipid microsphere is 100:3-100:10, and ceftazidime and arginic weight ratio are 100:27, and wherein the weight of metronidazole lipid microsphere is in metronidazole, this pharmaceutical composition is prepared into powder ampoule agent for injection, and the pH value of the aqueous solution of this pharmaceutical composition is 5.0-7.0.
In this pharmaceutical composition, the preferred weight ratio of ceftazidime and metronidazole lipid microsphere is 100:5, and the weight of metronidazole lipid microsphere is in metronidazole, and the preferred pH value of the aqueous solution of this pharmaceutical composition is 5.8-6.5.
Another object of the present invention is to provide a kind of method that ceftazidime medicinal composition is prepared into powder ampoule agent for injection, it is characterized in that, the concrete steps of the method are:
(1) preparation metronidazole lipid microsphere, this goods mean diameter is less than 120nm, and pH value is between 5.8-6.5, and the absolute value of Zeta-potential is greater than 20mV.Envelop rate is more than 80%.
The crude drug component of preparation metronidazole lipid microsphere is:
Figure BDA0000289642883
The step of preparation metronidazole lipid microsphere is:
A) glycerol for injection and the poloxamer F-68 with recipe quantity is dissolved in water for injection, be placed in 80 ℃ of water bath with thermostatic control magnetic stirring apparatuss and be stirred to whole dissolvings, make mixture A, the injection water yield can be with abundant fused the getting final product of glycerol for injection and poloxamer F-68;
B) recipe quantity oleic acid is added in the oil phase that is consisted of by long-chain fat acid glyceride and medium chain length fatty acid triglyceride, forms and mix oil phase;
C) fabaceous lecithin and the metronidazole with recipe quantity adds in dehydrated alcohol 200ml, is stirred to fabaceous lecithin and metronidazole under 80 ℃ all after dissolving, and decompression volatilizes dehydrated alcohol, then adds the mixing oil phase, stirs and makes mixture B;
D) mixture A is added in mixture B, be placed in the 8000r/min of high-speed tissue mashing machine and stir 3 times, each 3min;
E) regulate pH value to 5.8-6.5, water for injection is settled to 1000ml, adds in high pressure homogenizer 70MPa homogenizing 8 times;
F) bottling, gland, 100 ℃ of sterilization 30min, the rapid cooling of ice-water bath and get final product, standby;
(2) ceftazidime, metronidazole lipid microsphere and arginine are dropped into respectively in proportion in the efficient asymmetric mixer of V-type, mix after 1.5 hours, listen by the aluminum that drain hole is put into after sterilization; Aluminum is listened rolled lid, labeling, packing;
(3) compound with step (2) adds in racking machine, adjusts loading amount according to batch production ordering, is distributed into cillin bottle, buckles butyl rubber plug, namely gets the ceftazidime medicinal composition injectable powder of injection through rolling lid, lamp inspection, packing.
The specification that described ceftazidime medicinal composition is prepared into powder ampoule agent for injection is 0.5g/ bottle, 1.5g/ bottle, 1.0g/ bottle and 2.0g/ bottle, by ceftazidime.
Pharmaceutical composition preparation technology of the present invention is simple, has guaranteed well the growth of related substance in the storage of the stability of active component and finished product.
The present invention is directed to treatment clinically and contain the MOI of anaerobe and propose, a kind of ceftazidime for inj composition powder injection is provided.The every consumption per day of ceftazidime list product preparation adult is the 4g left and right clinically, and the consumption that metronidazole list product preparation is grown up every day is the 2g left and right.in ceftazidime medicinal composition provided by the invention, ceftazidime, metronidazole lipid microsphere (take metronidazole) weight ratio (W/W) is 100:3-100:10, therefore the every consumption per day of ceftazidime is 4g, at twice during administration, the consumption of metronidazole every day is 120mg-400mg, each consumption is 60mg-200mg, be that 4000ml calculates by the normal adult total blood volume, after each administration, blood drug level is 15-50 μ g/ml, and the metronidazole effective blood drug concentration is 2-8 μ g/ml, the metronidazole lipid microsphere has slow releasing function, the effective blood drug concentration time can keep more than 12 hours in vivo.Pharmaceutical composition injectable powder provided by the invention not only has high curative effect thus, and can reduce metronidazole consumption (using more than 80% less), thereby greatly alleviate or avoided the toxic and side effects of metronidazole, digestive tract reaction particularly, comprise nauseating, vomiting, inappetence, abdominal colic and neurotoxicity, more reduced the incidence rate of untoward reaction.
The specific embodiment:
For technological means, creation characteristic that the present invention is realized, reach purpose and effect is easy to understand, below in conjunction with specific embodiment, further set forth the present invention.
For the concordance of guarantee test result, the embodiment of the present invention has been used raw material, adjuvant, cillin bottle and the plug of same batch, and has adopted consistent production technology to prepare the ceftazidime medicinal composition injectable powder of injection.
Embodiment one, ceftazidime for inj composition powder injection are in 1000
Prescription (specification: the 0.5g/ bottle):
Ceftazidime 500g
Metronidazole lipid microsphere (in metronidazole) 25g
Arginine 135g
Preparation technology:
Ceftazidime, metronidazole lipid microsphere and the arginine of recipe quantity are dropped into respectively in the efficient asymmetric mixer of V-type, mix after 1.5 hours, listen by the aluminum that drain hole is put into after sterilization; Aluminum is listened rolled lid, labeling, packing; Again mixed material is added in racking machine, adjust loading amount according to batch production ordering, be distributed into cillin bottle, buckle butyl rubber plug, namely get the ceftazidime medicinal composition injectable powder of injection through rolling lid, lamp inspection, packing.
Embodiment two, ceftazidime for inj composition powder injection are in 1000
Prescription (specification: the 1.0g/ bottle):
Ceftazidime 1000g
Metronidazole lipid microsphere (in metronidazole) 50g
Arginase 12 70g
Preparation technology:
Ceftazidime, metronidazole lipid microsphere and the arginine of recipe quantity are dropped into respectively in the efficient asymmetric mixer of V-type, mix after 1.5 hours, listen by the aluminum that drain hole is put into after sterilization; Aluminum is listened rolled lid, labeling, packing; Again mixed material is added in racking machine, adjust loading amount according to batch production ordering, be distributed into cillin bottle, buckle butyl rubber plug, namely get the ceftazidime medicinal composition injectable powder of injection through rolling lid, lamp inspection, packing.
Clinical data
In the patient who makes a definite diagnosis anaerobe and aerobe (to the aerobe of ceftazidime sensitivity) mixed infection, use A scheme (4 bottles/day of ceftazidime for inj composition powder injections (1.0g/ bottle)) and B scheme (ceftazidime 4g/ day+metronidazole 2g/ day) GP TH, each is organized and divides equally 2 venoclysises every day, and its curative effect and untoward reaction are as follows:
The Comprehensive Clinical curative effect
To curative effect judgement terminal point, total number of cases 98 examples of A scheme group, effective 90 examples, total effective rate is total number of cases 82 examples of 92%, B scheme group, effective 74 examples, total effective rate is 90%.
Adverse effect
Treat in 180 routine cases, the untoward reaction of varying degree appears in totally 30 examples, and the untoward reaction rate is 16.7%, wherein gastrointestinal reaction appears in the routine patient of A scheme group 8, the side effect incidence rate be 8%, B scheme group totally 21 examples the untoward reaction of varying degree appears, the side effect incidence rate is 25.6%.A scheme group adverse reaction rate and degree are all lower than B scheme group.
Above demonstration and described ultimate principle of the present invention, principal character and advantage of the present invention.The technical staff of the industry should understand; the present invention is not restricted to the described embodiments; what describe in above-described embodiment and description is only preference of the present invention; be not used for limiting the present invention; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications, and these changes and improvements all fall in the claimed scope of the invention.The claimed scope of the present invention is defined by appending claims and equivalent thereof.

Claims (4)

1. ceftazidime medicinal composition, it is characterized in that, the principal agent of this pharmaceutical composition is ceftazidime and metronidazole lipid microsphere, adjuvant is arginine, the weight ratio of ceftazidime and metronidazole lipid microsphere is 100:3-100:10, and ceftazidime and arginic weight ratio are 100:27, and wherein the weight of metronidazole lipid microsphere is in metronidazole, this pharmaceutical composition is prepared into powder ampoule agent for injection, and the pH value of the aqueous solution of this pharmaceutical composition is 5.0-7.0.
2. ceftazidime medicinal composition according to claim 1, it is characterized in that, in this pharmaceutical composition, the preferred weight ratio of ceftazidime and metronidazole lipid microsphere is 100:5, the weight of metronidazole lipid microsphere is in metronidazole, and the preferred pH value of the aqueous solution of this pharmaceutical composition is 5.8-6.5.
3. the described pharmaceutical composition of claim 1 or 2 is prepared into the method for powder ampoule agent for injection, it is characterized in that, the concrete steps of the method are:
(1) preparation metronidazole lipid microsphere
The crude drug component of preparation metronidazole lipid microsphere is:
Figure FDA0000289642871
The step of preparation metronidazole lipid microsphere is:
A) glycerol for injection and the poloxamer F-68 with recipe quantity is dissolved in water for injection, be placed in 80 ℃ of water bath with thermostatic control magnetic stirring apparatuss and be stirred to whole dissolvings, make mixture A, the injection water yield can be with abundant fused the getting final product of glycerol for injection and poloxamer F-68;
B) recipe quantity oleic acid is added in the oil phase that is consisted of by long-chain fat acid glyceride and medium chain length fatty acid triglyceride, forms and mix oil phase;
C) fabaceous lecithin and the metronidazole with recipe quantity adds in dehydrated alcohol 200ml, is stirred to fabaceous lecithin and metronidazole under 80 ℃ all after dissolving, and decompression volatilizes dehydrated alcohol, then adds the mixing oil phase, stirs and makes mixture B;
D) mixture A is added in mixture B, be placed in the 8000r/min of high-speed tissue mashing machine and stir 3 times, each 3min;
E) regulate pH value to 5.8-6.5, water for injection is settled to 1000ml, adds in high pressure homogenizer 70MPa homogenizing 8 times;
F) bottling, gland, 100 ℃ of sterilization 30min, the rapid cooling of ice-water bath and get final product, standby;
(2) ceftazidime, metronidazole lipid microsphere and arginine are dropped into respectively in proportion in the efficient asymmetric mixer of V-type, mix after 1.5 hours, listen by the aluminum that drain hole is put into after sterilization; Aluminum is listened rolled lid, labeling, packing;
(3) compound with step (2) adds in racking machine, adjusts loading amount according to batch production ordering, is distributed into cillin bottle, buckles butyl rubber plug, namely gets the ceftazidime medicinal composition injectable powder of injection through rolling lid, lamp inspection, packing.
4. ceftazidime medicinal composition according to claim 3 is prepared into the method for powder ampoule agent for injection, it is characterized in that: the specification that described ceftazidime medicinal composition is prepared into powder ampoule agent for injection is 0.5g/ bottle, 1.5g/ bottle, 1.0g/ bottle and 2.0g/ bottle, by ceftazidime.
CN2013100738389A 2013-03-08 2013-03-08 Powder injection of drug composition of ceftazidime for injection Pending CN103110643A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2013100738389A CN103110643A (en) 2013-03-08 2013-03-08 Powder injection of drug composition of ceftazidime for injection

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2013100738389A CN103110643A (en) 2013-03-08 2013-03-08 Powder injection of drug composition of ceftazidime for injection

Publications (1)

Publication Number Publication Date
CN103110643A true CN103110643A (en) 2013-05-22

Family

ID=48409044

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2013100738389A Pending CN103110643A (en) 2013-03-08 2013-03-08 Powder injection of drug composition of ceftazidime for injection

Country Status (1)

Country Link
CN (1) CN103110643A (en)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5250236A (en) * 1991-08-05 1993-10-05 Gasco Maria R Method for producing solid lipid microspheres having a narrow size distribution
CN102875576A (en) * 2012-10-31 2013-01-16 苏州致君万庆药业有限公司 Synthesis of antibiotic ceftazidime, ceftazidime for injection and preparation method of ceftazidime

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5250236A (en) * 1991-08-05 1993-10-05 Gasco Maria R Method for producing solid lipid microspheres having a narrow size distribution
CN102875576A (en) * 2012-10-31 2013-01-16 苏州致君万庆药业有限公司 Synthesis of antibiotic ceftazidime, ceftazidime for injection and preparation method of ceftazidime

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
L.A.M. FERREIRA ET AL: "Vehicle influence on in vitro release of metronidazole:role of w/o/w multiple emulsion", 《INTERNATIONAL JOURNAL OF PHARMACEUTICS》, no. 109, 31 December 1994 (1994-12-31), pages 251 - 259 *
YUTAKA MIZUSHIMA: "Lipid microspheres (lipid emulsions) as a drug carrier - An overview", 《ADVANCED DRUG DELIVERY REVIEW》, no. 20, 31 December 1996 (1996-12-31), pages 113 - 115 *
冯大林等: "脂质微球给药系统的研究进展", 《现代医药卫生》, vol. 28, no. 7, 15 April 2012 (2012-04-15), pages 1037 - 1039 *
邹明智等: "泰得欣在小儿急性阑尾炎中的应用", 《海南医学》, vol. 16, no. 10, 31 December 2005 (2005-12-31), pages 29 - 30 *

Similar Documents

Publication Publication Date Title
EP2124972B1 (en) Use of a composition made of mineral nutrients and optionally acetogenic and/or butyrogenic bacteria in order to avoid or reduce the formation of gas in the large intestine of a mammal and the resulting abdominal problems
US9950000B2 (en) Use of NADH or salt thereof in preparation of drugs or health-care products for treating phenylketonuria
CN111557949B (en) Medicine or health product containing hydrogen-rich water and/or NMN and preparation method thereof
CN105769928B (en) Application of clostridium butyricum in preparation for preventing and treating or assisting in treating hyperglycemia
CN105916510A (en) Vitamin D and antibacterial uses of composition thereof
CN101579347B (en) Udder perfusion agent for treating lactating dairy cow mastitis and preparation method thereof
CN102652744B (en) Modified injection containing 13 compound vitamins and preparation method thereof
CN103142587B (en) Amoxicillin sodium-potassium clavulanate pharmaceutical composition and preparation method thereof
CN101982115A (en) Composite for preventing and curing diabetes chronic sugar poisoning
CN102688244A (en) Compound preparation of cefotaxime sodium and sulbactam sodium as well as preparation method and application thereof
CN103127130A (en) Cefotaxime sodium pharmaceutical composition powder injection
CN103127129A (en) Cefuroxime sodium pharmaceutical composition and preparation method thereof
CN103110643A (en) Powder injection of drug composition of ceftazidime for injection
CN103142591A (en) Ticarcillin sodium-potassium clavulanate pharmaceutical composition powder injection
CN103110644A (en) Powder injection of drug composition of cefoperazone sodium and sulbactam sodium for injection
CN102614294A (en) Compound amoxicillin suspension injection and preparation method thereof
CN102397282A (en) Long-acting compound ceftiofur suspension injection and preparation method thereof
CN103142615A (en) Ceftriaxone sodium pharmaceutical composition and preparation method thereof
CN103127128A (en) Cefpirome sulfate pharmaceutical composition powder injection
CN103127127A (en) Cefoperazone sodium pharmaceutical composition and preparation method thereof
CN103156857A (en) Ceftezole sodium pharmaceutical composition powder injection
CN103110645A (en) Cefminox sodium drug composition and preparation method thereof
CN103027894A (en) Ceftazidime composition for injection and preparation method for ceftazidime composition
CN103142590A (en) Ampicillin sodium-cloxacillin sodium pharmaceutical composition and preparation method thereof
CN103142589A (en) Mezlocillin sodium pharmaceutical composition for injection and preparation method thereof

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C02 Deemed withdrawal of patent application after publication (patent law 2001)
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20130522