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CN105769755A - Methyhaaltrexone bromide injection and preparation method thereof - Google Patents

Methyhaaltrexone bromide injection and preparation method thereof Download PDF

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Publication number
CN105769755A
CN105769755A CN201410808984.6A CN201410808984A CN105769755A CN 105769755 A CN105769755 A CN 105769755A CN 201410808984 A CN201410808984 A CN 201410808984A CN 105769755 A CN105769755 A CN 105769755A
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injection
weight portion
bromide
glycine
methyhaaltrexone
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易崇勤
孟宏涛
李育巧
郭欲晓
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Peking University Founder Group Co Ltd
PKU Healthcare Industry Group
PKUCare Pharmaceutical R&D Center
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Peking University Founder Group Co Ltd
PKU Healthcare Industry Group
PKUCare Pharmaceutical R&D Center
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Abstract

The invention provides a methyhaaltrexone bromide injection, which comprises a methyhaaltrexone bromide bulk drug and a proper amount of auxiliary materials. The invention also provides a preparation method of the methyhaaltrexone bromide injection. The injection is highly stable, and is basically stable under situations such as illumination, high temperature, and the like.

Description

一种溴甲纳曲酮注射液及其制备方法A kind of methylnaltrexone bromide injection and preparation method thereof

技术领域technical field

本发明涉及一种溴甲纳曲酮注射液及其制备方法,属于化学药物制剂技术领域。The invention relates to methylnaltrexone bromide injection and a preparation method thereof, belonging to the technical field of chemical pharmaceutical preparations.

背景技术Background technique

溴甲纳曲酮(溴化甲基纳曲酮、MNTX),英文名:Methylnaltrexonebromid,是一种选择性μ阿片受体拮抗剂。作为一种季铵盐,限制了溴甲纳曲酮通过血脑屏障的能力,使溴甲纳曲酮作为一种外周作用的阿片受体拮抗剂,作用于如胃肠道组织中,因此,溴甲纳曲酮减少了阿片类药物的便秘作用,同时而不影响阿片类药物对中枢神经系统的镇痛作用。Methylnaltrexone bromide (MNTX), English name: Methylnaltrexonebromid, is a selective mu opioid receptor antagonist. As a quaternary ammonium salt, it limits the ability of methylnaltrexone bromide to pass through the blood-brain barrier, allowing methylnaltrexone bromide to act as a peripherally acting opioid receptor antagonist in tissues such as the gastrointestinal tract. Therefore, Methylnaltrexone bromide reduces the opioid-constipating effects without affecting the analgesic effects of opioids on the central nervous system.

溴甲纳曲酮有以下特点:1)作用于外周的μ受体,并不激活中枢神经系统的阿片受体,可能起的是竞争性拮抗作用;2)安全,一系列试验均没发现其有严重毒副作用,常见不良反应为腹痛、腹泻、胃肠胀气及眩晕;3)作用快,数分钟即可起效;4)治疗便秘比大便通泻剂和软化剂疗效好;5)作用途径不唯一,可直接与胃肠道上的阿片受体结合起效,也可经血液分布全身与阿片受体结合。因此,溴甲基纳曲酮不仅可治疗阿片类药物的胃肠副作用,也可治疗胃肠外不良反应;6)不通过血脑屏障,不减弱阿片剂的中枢镇痛作用。Methylnaltrexone bromide has the following characteristics: 1) It acts on peripheral μ receptors, but does not activate opioid receptors in the central nervous system, and may play a competitive antagonistic role; 2) It is safe, and a series of tests have not found its It has serious toxic and side effects, and the common adverse reactions are abdominal pain, diarrhea, flatulence and dizziness; 3) the effect is fast, and it can take effect within a few minutes; 4) the effect of treating constipation is better than that of stool laxatives and softeners; 5) the route of action Not only, it can directly bind to opioid receptors on the gastrointestinal tract, and can also bind to opioid receptors throughout the body through blood distribution. Therefore, bromomethylnaltrexone can not only treat gastrointestinal side effects of opioids, but also treat parenteral adverse reactions; 6) it does not pass through the blood-brain barrier and does not weaken the central analgesic effect of opiates.

溴甲纳曲酮结构式如下:The structural formula of methylnaltrexone bromide is as follows:

原研生产企业:WyethPharmaceuticalsInc.。溴甲纳曲酮注射液已被FDA和EMEA作为阿片外周受体拮抗剂批准上市,目前在国内未有上市。Original research manufacturer: Wyeth Pharmaceuticals Inc. Methylnaltrexone bromide injection has been approved by the FDA and EMEA as an opioid peripheral receptor antagonist, but it is not currently on the market in China.

发明内容Contents of the invention

本发明的目的在于提供一种溴甲纳曲酮注射液,包括溴甲纳曲酮原料药和适量辅料。本发明还提供所述溴甲纳曲酮注射液的制备方法。The object of the present invention is to provide a kind of bromidenaltrexone injection, comprising bromidenaltrexone crude drug and appropriate amount of auxiliary materials. The invention also provides a preparation method of the methylnaltrexone bromide injection.

本发明的技术方案如下:Technical scheme of the present invention is as follows:

一种溴甲纳曲酮注射液,由溴甲纳曲酮原料药和辅料组成,其中辅料包括乙二胺四乙酸二钠和抗氧剂甘氨酸。The invention discloses a methylnaltrexone bromide injection, which is composed of a methylnaltrexone bromide raw material and auxiliary materials, wherein the auxiliary materials include disodium edetate and glycine, an antioxidant.

优选的,本发明的溴甲纳曲酮注射液由溴甲纳曲酮原料药和辅料组成,辅料包括氯化钠、乙二胺四乙酸二钠、甘氨酸和注射用水。Preferably, the methylnaltrexone bromide injection of the present invention is composed of methylnaltrexone bromide crude drug and auxiliary materials, and the auxiliary materials include sodium chloride, disodium edetate, glycine and water for injection.

更优选的,本发明的溴甲纳曲酮注射液主要由以下原料药和辅料组成:溴甲纳曲酮12重量份、氯化钠3~5重量份、乙二胺四乙酸二钠0.1~0.3重量份、甘氨酸0.1~0.2重量份,注射用水加至600体积份,重量与体积的单位比是g∶mL。More preferably, the methylnaltrexone bromide injection of the present invention is mainly composed of the following raw materials and auxiliary materials: 12 parts by weight of methylnaltrexone bromide, 3-5 parts by weight of sodium chloride, 0.1-5 parts by weight of disodium edetate 0.3 parts by weight, 0.1-0.2 parts by weight of glycine, water for injection is added to 600 parts by volume, and the unit ratio of weight to volume is g:mL.

进一步的,本发明的溴甲纳曲酮注射液主要由以下原料药和辅料组成:溴甲纳曲酮12重量份、氯化钠3.5~4.5重量份、乙二胺四乙酸二钠0.2~0.25重量份、甘氨酸0.1~0.15重量份,注射用水加至600体积份,重量与体积的单位比是g∶mL。Further, the methylnaltrexone bromide injection of the present invention mainly consists of the following raw materials and auxiliary materials: 12 parts by weight of methylnaltrexone bromide, 3.5-4.5 parts by weight of sodium chloride, 0.2-0.25 parts by weight of disodium edetate Parts by weight, glycine 0.1-0.15 parts by weight, water for injection is added to 600 parts by volume, and the unit ratio of weight to volume is g:mL.

进一步的,本发明的溴甲纳曲酮注射液主要由以下原料药和辅料组成:溴甲纳曲酮12重量份、氯化钠3.9重量份、乙二胺四乙酸二钠0.22重量份、甘氨酸0.12重量份,注射用水加至600体积份,重量与体积的单位比是g∶mL。Further, the methylnaltrexone bromide injection of the present invention mainly consists of the following raw materials and auxiliary materials: 12 parts by weight of methylnaltrexone bromide, 3.9 parts by weight of sodium chloride, 0.22 parts by weight of disodium edetate, glycine 0.12 parts by weight, water for injection is added to 600 parts by volume, and the unit ratio of weight to volume is g:mL.

优选的,本发明溴甲纳曲酮注射液,每1000支注射液由以下原料药和辅料组成:溴甲纳曲酮12g、氯化钠3.9g、乙二胺四乙酸二钠0.22g、甘氨酸0.12g,注射用水加至600mL。Preferably, methylnaltrexone bromide injection of the present invention, every 1000 injections are made up of the following raw materials and auxiliary materials: methylnaltrexone bromide 12g, sodium chloride 3.9g, disodium edetate 0.22g, glycine 0.12g, add water for injection to 600mL.

本发明溴甲纳曲酮注射液的制备方法,包括以下步骤:The preparation method of methylnaltrexone bromide injection of the present invention comprises the following steps:

(1)将氯化钠、乙二胺四乙酸二钠、甘氨酸加入到注射用水中,搅拌溶解;(1) adding sodium chloride, disodium edetate, and glycine to water for injection, and stirring to dissolve;

(2)加入溴甲纳曲酮,搅拌溶解;(2) add methylnaltrexone bromide, stir and dissolve;

(3)粗滤:加入0.05%(W/V)的针用活性炭,50~70℃搅拌吸附,滤膜过滤除活性炭;(3) Coarse filtration: Add 0.05% (W/V) activated carbon for needles, stir and adsorb at 50-70°C, and filter to remove activated carbon;

(4)精滤:将粗滤后的滤液调节pH值至3.0~5.0,用滤膜精滤;(4) Fine filtration: adjust the pH value of the filtrate after the coarse filtration to 3.0-5.0, and use a filter membrane for fine filtration;

(5)将精滤滤液灌装、封口、灭菌。(5) Filling, sealing and sterilizing the fine filter filtrate.

上述步骤(3)粗滤用0.45μm滤膜过滤;步骤(4)精滤用0.22μm滤膜过滤。The above-mentioned step (3) uses a 0.45 μm filter membrane for coarse filtration; step (4) uses a 0.22 μm filter membrane for fine filtration.

优选的,上述步骤(4)用1mol/L的盐酸或1mol/L的氢氧化钠溶液调节pH值至4.0。Preferably, the above step (4) uses 1 mol/L hydrochloric acid or 1 mol/L sodium hydroxide solution to adjust the pH value to 4.0.

本发明的优点是:The advantages of the present invention are:

1、本发明采用金属络合剂乙二胺四乙酸二钠和抗氧剂甘氨酸的组合,取得了意想不到的注射剂稳定的效果。本发明注射剂高度稳定,即使在光照高温等情况下,本发明注射剂也基本稳定;在不同pH条件下,也基本稳定。1. The present invention adopts the combination of the metal complexing agent edetate disodium and the antioxidant glycine to achieve an unexpected stable effect of the injection. The injection of the present invention is highly stable, even under the conditions of high temperature and light, the injection of the present invention is also basically stable; it is also basically stable under different pH conditions.

2、本发明注射液成本低,所采用辅料均为国内常用药用辅料。2. The cost of the injection of the present invention is low, and the auxiliary materials used are domestic commonly used pharmaceutical auxiliary materials.

3、本发明注射液制作工艺简单,产品质量高。3. The preparation process of the injection solution of the present invention is simple, and the product quality is high.

具体实施方式detailed description

下面从处方筛选和pH值选择方面对本发明做具体说明,并通过实施例详细描述本发明的技术方案,但这并非是对本发明的限制,本领域技术人员根据本发明的基本思想,可以做出各种修改或改进,但是只要不脱离本发明的基本思想,均在本发明的范围之内。The present invention is specifically described below from the aspects of prescription screening and pH value selection, and describes the technical solution of the present invention in detail through examples, but this is not a limitation of the present invention. Those skilled in the art can make Various modifications or improvements are within the scope of the present invention as long as they do not depart from the basic idea of the present invention.

一、处方筛选:1. Prescription screening:

1、抗氧剂选择及用量筛选:1. Antioxidant selection and dosage screening:

从溴甲纳曲酮原料药的氧化强制降解试验可以看出,溴甲纳曲酮溶液在强氧化环境中易发生氧化而降解,因此在制剂处方中应加入一定量的抗氧化剂。As can be seen from the oxidative forced degradation test of methylnaltrexone bromide naltrexone bulk drug, bromethylnaltrexone solution is prone to oxidation and degradation in a strong oxidative environment, so a certain amount of antioxidant should be added to the formulation prescription.

考虑能用于注射液中作为抗氧剂的辅料并不多,且一般均有一定的药理活性或毒副作用,因此选用甘氨酸作为抗氧剂,并对其用量进行筛选,用于评价不同甘氨酸对制剂的保护能力,以优化出最佳甘氨酸用量。Considering that there are not many excipients that can be used as antioxidants in injections, and generally have certain pharmacological activities or side effects, glycine is selected as an antioxidant, and its dosage is screened to evaluate the effect of different glycines on The protective ability of the preparation to optimize the optimal glycine dosage.

方法:按处方设计表加入主辅料,按制剂一般工艺规程操作,适当加入H2O2作为氧原子来源,在80℃高温下进行加速试验,分别于0,2,4小时取样,按溴甲纳曲酮原料药拟定有关物质方法测定杂质变化情况,用于筛选合适的甘氨酸用量,结果见下。Method: add the main and auxiliary materials according to the prescription design table, operate according to the general process regulations of the preparation, add H2O2 as the source of oxygen atoms appropriately, carry out the accelerated test at a high temperature of 80 ℃, take samples at 0, 2 , and 4 hours respectively, and measure according to the methyl bromide Naltrexone raw material drug has developed a related substance method to measure the change of impurities, which is used to screen the appropriate dosage of glycine. The results are shown below.

甘氨酸用量筛选表Glycine Dosage Screening Table

溴甲纳曲酮抗氧剂用量筛选试验结果Screening test results of brommethylnaltrexone antioxidant dosage

结论:处方中加入甘氨酸时,可提高制剂的抗氧化能力;在氧化破坏环境下,充氮工艺及不加甘氨酸工艺抗氧能力均较弱。因此选用12mg的甘氨酸作为本处方抗氧剂,即每支注射液中含甘酸量为0.12mg。Conclusion: Adding glycine to the prescription can improve the antioxidant capacity of the preparation; under the oxidative damage environment, the antioxidant capacity of the nitrogen filling process and the process without adding glycine are weak. Therefore, 12 mg of glycine is selected as the antioxidant of this prescription, that is, the glycine content in each injection is 0.12 mg.

2、金属络合剂选择及用量筛选:2. Selection and dosage screening of metal complexing agents:

由于溴甲纳曲酮注射液在生产过程中,易与金属器物接触,而引入金属离子。为验证金属离子对溴甲纳曲酮注射液的稳定性影响,进行金属离子络合剂及用量进行筛选。Because methylnaltrexone bromide injection is easy to contact with metal utensils during the production process, metal ions are introduced. In order to verify the influence of metal ions on the stability of methylnaltrexone bromide injection, the metal ion complexing agent and dosage were screened.

方法:按处方设计表加入主辅料,按制剂一般工艺规程操作,并在处方中适当加入FeCl3溶液作为金属离子来源,并在60℃高温下进行加速试验,分别于0,4,8小时取样,按溴甲纳曲酮原料药拟定有关物质方法测定杂质变化情况,用于筛选金属离子络合剂及用量。Method: add the main and auxiliary materials according to the formula design table, operate according to the general process regulations of the preparation, and properly add FeCl 3 solution as the source of metal ions in the prescription, and conduct accelerated tests at a high temperature of 60°C, and take samples at 0, 4, and 8 hours respectively According to the related substance method of methylnaltrexone bromide raw materials, the change of impurities is determined, which is used to screen the metal ion complexing agent and its dosage.

结果如下:The result is as follows:

金属络合剂用量筛选试验结果Screening test results of metal complexing agent dosage

结论:由试验结果可知,金属离子可引起溴甲纳曲酮的不稳定性;加入金属离子络合剂,可增加制剂的稳定性;络合剂的用量与制剂稳定性成正相关性;EDTA-2Na的效果好于枸橼酸钠,选用EDTA-2Na作为本制剂络合剂,用量为每支0.22mg。Conclusion: As can be seen from the test results, metal ions can cause the instability of methylnaltrexone bromide; adding a metal ion complexing agent can increase the stability of the preparation; the amount of complexing agent is positively correlated with the stability of the preparation; EDTA- The effect of 2Na is better than that of sodium citrate. EDTA-2Na is selected as the complexing agent of this preparation, and the dosage is 0.22 mg per tube.

二、pH值选择2. pH value selection

将处方量的氯化钠、EDTA二钠、甘氨酸加入注射水中,搅拌溶解。将处方量的溴甲纳曲酮加入到辅料溶液中,搅拌溶解。将注射液分成三份,用1mol/L盐酸分别调pH3.0、4.0、5.0。Add the prescribed amount of sodium chloride, disodium EDTA, and glycine into the water for injection, and stir to dissolve. Add the prescribed amount of methylnaltrexone bromide into the auxiliary material solution, and stir to dissolve. Divide the injection solution into three parts and adjust the pH to 3.0, 4.0 and 5.0 with 1 mol/L hydrochloric acid respectively.

取上述溶液分别于0、2、4、6、8、24h按拟定溴甲纳曲酮有关物质检测方法测定,考察溴甲纳曲酮在不同pH值溶液中的稳定性。结果如下:The above solution was taken at 0, 2, 4, 6, 8, and 24 hours for determination according to the proposed detection method for related substances of methylnaltrexone bromide, and the stability of methylnaltrexone bromide in solutions with different pH values was investigated. The result is as follows:

在不同pH条件下溴甲纳曲酮注射液杂质情况考察结果Investigation results of impurities in methylnaltrexone bromide injection under different pH conditions

结论:通过以上测得的数据,可知溴甲纳曲酮注射液在pH3.0、4.0、5.0条件下,主峰面积、杂质、外观均无明显变化。故控制本品的pH值在3.0~5.0之间。Conclusion: Based on the above measured data, it can be seen that bromidenaltrexone injection has no significant changes in the main peak area, impurities, and appearance under the conditions of pH 3.0, 4.0, and 5.0. Therefore, the pH value of this product should be controlled between 3.0 and 5.0.

实施例1:Example 1:

制备过程:making process:

(1)氯化钠、乙二胺四乙酸二钠、甘氨酸加入到600mL的注射用水中,搅拌使溶解。(1) Add sodium chloride, disodium edetate, and glycine into 600mL of water for injection, and stir to dissolve.

(2)加入溴甲纳曲酮,搅拌使溶解。(2) Add methylnaltrexone bromide and stir to dissolve.

(3)粗滤:加入0.05%(W/V)的针用活性炭,70℃下搅拌吸附30分钟,0.45μm滤膜过滤除活性炭。(3) Coarse filtration: add 0.05% (W/V) activated carbon for needles, stir and adsorb at 70° C. for 30 minutes, and filter out activated carbon with a 0.45 μm filter membrane.

(4)精滤:用1mol/L的盐酸或1mol/L的氢氧化钠溶液调节pH值至4.0,用0.22μm滤膜精滤。(4) Fine filtration: adjust the pH value to 4.0 with 1 mol/L hydrochloric acid or 1 mol/L sodium hydroxide solution, and fine filter with a 0.22 μm filter membrane.

(5)灌装、封口、灭菌。(5) Filling, sealing, and sterilization.

稳定性对比实验:Stability comparison experiment:

将样品进行影响因素试验,测第10天的杂质总量。The sample is subjected to the influence factor test, and the total amount of impurities on the 10th day is measured.

样品:sample:

1、本发明实施例11. Embodiment 1 of the present invention

2、依照中国专利200780009723.6说明书上标27页第1个表格第2列处方,及200780009723.6中的方法,制作对比例。2. According to the prescription in column 2 of the first table on page 27 of the superscript of Chinese patent 200780009723.6 and the method in 200780009723.6, a comparative example was prepared.

将样品溴化甲基纳曲酮注射液的样品,分别置于光照、40℃和60℃影响因素试验箱内考察10天,测定其杂质总量变化情况,并与0天进行对比,具体数据见表格:The samples of methylnaltrexone bromide injection were placed in the light, 40°C and 60°C influencing factor test chambers for 10 days to measure the changes in the total amount of impurities, and compared with 0 days, the specific data See the table:

从上述实验结果可以看到,本发明实施例稳定性优于对比例。It can be seen from the above experimental results that the stability of the embodiment of the present invention is better than that of the comparative example.

Claims (10)

1. a methyhaaltrexone bromide injection, is made up of methylnaltrexone bromide crude drug and adjuvant, and wherein adjuvant includes metal chelating agent disodiumedetate and antioxidant glycine.
2. methyhaaltrexone bromide injection according to claim 1, it is characterised in that adjuvant includes sodium chloride, disodiumedetate, glycine and water for injection.
3. methyhaaltrexone bromide injection according to claim 2, it is characterized in that, mainly comprising of this injection is as follows: methylnaltrexone bromide 12 weight portion, sodium chloride 3~5 weight portion, disodiumedetate 0.1~0.3 weight portion, glycine 0.1~0.2 weight portion, water for injection adds to 600 parts by volume, and wherein weight is g: mL with the unit ratio of volume.
4. methyhaaltrexone bromide injection according to claim 3, it is characterized in that, mainly comprising of this injection is as follows: methylnaltrexone bromide 12 weight portion, sodium chloride 3.5~4.5 weight portion, disodiumedetate 0.2~0.25 weight portion, glycine 0.1~0.15 weight portion, water for injection adds to 600 parts by volume, and the unit ratio of weight and volume is g: mL.
5. methyhaaltrexone bromide injection according to claim 4, it is characterized in that, mainly comprising of this injection is as follows: methylnaltrexone bromide 12 weight portion, sodium chloride 3.9 weight portion, disodiumedetate 0.22 weight portion, glycine 0.12 weight portion, water for injection adds to 600 parts by volume, and the unit ratio of weight and volume is g: mL.
6. the methyhaaltrexone bromide injection according to any one in Claims 1 to 5, it is characterised in that the pH value of this injection is between 3.0~5.0.
7. methyhaaltrexone bromide injection according to claim 6, it is characterised in that the pH value of this injection is 4.0.
8. the preparation method of methyhaaltrexone bromide injection described in any one in claim 1~7, comprises the following steps:
1) sodium chloride, disodiumedetate and glycine are joined in water for injection, stirring and dissolving;
2) methylnaltrexone bromide, stirring and dissolving are added;
3) coarse filtration: in step 2) gained solution adds the needle-use activated carbon of 0.05% (W/V), 50~70 DEG C of stirring and adsorbing, with membrane filtration except activated carbon;
4) fine straining: coarse filtration gained filtrate is regulated pH value to 3.0~5.0, use filter membrane fine straining;
5) by fine straining filtrate fill, sealing, sterilizing.
9. preparation method according to claim 8, it is characterised in that described step 4) sodium hydroxide solution of the hydrochloric acid of middle 1mol/L or 1mol/L regulates pH value to 4.0.
10. preparation method according to claim 8, it is characterised in that step 3) coarse filtration is with 0.45 μm of membrane filtration;Step 4) fine straining is with 0.22 μm of membrane filtration.
CN201410808984.6A 2014-12-23 2014-12-23 Methyhaaltrexone bromide injection and preparation method thereof Pending CN105769755A (en)

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CN101732243A (en) * 2008-11-26 2010-06-16 重庆医药工业研究院有限责任公司 Stable methyl naltrexone injection and preparation method thereof
CN102525911A (en) * 2012-03-20 2012-07-04 南京臣功制药股份有限公司 Methyhaaltrexone bromide injection and preparation method thereof

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CN101405031A (en) * 2006-08-04 2009-04-08 惠氏公司 Formulations for parenteral delivery of compounds and uses thereof
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CN110960486A (en) * 2018-09-29 2020-04-07 北京凯因科技股份有限公司 Methylnaltrexone bromide injection composition
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