Disclosure of Invention
In view of the above, the present application first provides a piperacillin-tazobactam composition-containing suspension oil for injection
Specifically, the method is realized through the following scheme:
a suspension oil agent for injection comprises piperacillin and tazobactam, wherein the mass ratio of the piperacillin to the tazobactam is 8:1 or 4:1, and the suspension oil agent further comprises a liquid medium and an antioxidant, wherein the liquid medium is oil for injection, and the ratio of the piperacillin to the tazobactam is as follows: the liquid medium is 1:5-1: 20.
In the suspension oil agent, piperacillin and tazobactam are isolated by a liquid medium of oil for injection in a solid form, do not contact with acid, alkali, water, oxygen and the like, are not degraded basically, and have stability superior to that of piperacillin sodium and tazobactam sodium for injection. The compound antioxidant is used for intramuscular injection, and the stability of piperacillin and tazobactam preparations is improved.
Further, as preferable:
the liquid medium is any one of soybean oil for injection, medium-chain oil (namely triglyceride) and castor oil; the main function is also as a suspension medium to isolate water and air, and improve stability.
The piperacillin: the liquid medium is 1:7-1: 9.
The suspending agent is any one of lecithin, polyoxyethylene castor oil and tween 80, so that the suspending effect is met, and the selected suspending agent is an auxiliary material which can be dissolved in oil and is matched with a liquid medium to realize the effect.
The antioxidant is any one of vitamin E, tert-butyl p-hydroxyanisole (BHA) and ditert-butyl hydroxy cresol (BHT). The antioxidant can prevent unsaturated fatty acid in grease, especially vegetable oil from being oxidized, and the antioxidant is oil soluble and has good compatibility with liquid medium.
The analgesic also comprises an analgesic, the local irritation is relieved, and the oily solvent which is a suspension is more irritant than a common injection, so that the analgesic adopts benzyl alcohol.
Meanwhile, the application also provides a preparation method of the suspension oil agent for injection, which comprises the following steps: adding the suspending agent and the antioxidant into a liquid medium, stirring and dissolving, carrying out hot-pressing sterilization or aseptic filtration, crushing the aseptic piperacillin and tazobactam, and adding the piperacillin: the solvent is 1:5-1: 20.
The production environment is an aseptic production environment, the suspending agent, the antioxidant and the local analgesic are added into a liquid medium to be stirred and dissolved, the aseptic guarantee is met through hot-pressing sterilization or aseptic filtration, the piperacillin and the tazobactam are added into a solvent to be stirred and uniformly dispersed, and the mixture is encapsulated after being detected to be qualified.
Further, as preferable:
the particle size of the piperacillin and tazobactam is required to be D90 (equivalent diameter of the largest particle with 90% cumulative distribution in a particle size distribution curve) less than 40 μm, preferably D90 less than 15 μm by mechanical crushing or airflow crushing. The piperacillin and tazobactam with the particle size range are beneficial to reducing the sedimentation of suspension solid, so that particles are easier to suspend and disperse, and the uniformity of the content of the preparation is improved.
The piperacillin: the liquid medium is 1:7-1: 9.
The analgesic is added into a liquid medium, stirred and dissolved, and the analgesic is benzyl alcohol.
In the scheme, the antioxidant, the suspending agent and the analgesic are all in the common dosage range specified by the industry.
Meanwhile, the application also provides a preparation method of the suspension oil agent for injection, which comprises the following steps: adding the sterilized piperacillin and tazobactam into a liquid medium after crushing, wherein the weight ratio of piperacillin: the solvent is 1:5-1:20, and then the suspending agent and the antioxidant are added to form the suspension oil agent.
Further, as preferable:
the particle size of the piperacillin and tazobactam is required to be D90 (equivalent diameter of the largest particle with 90% cumulative distribution in a particle size distribution curve) less than 40 μm, preferably D90 less than 15 μm by mechanical crushing or airflow crushing.
The piperacillin: the solvent is 1:7-1: 9.
The analgesic is a benzyl alcohol suspension.
The above statement provides two preparation schemes with different adding sequences at normal temperature, and compared with salification and freeze-drying processes, the method has the advantages of simple process, short production period, lower energy consumption and the like.
The two preparation methods can be summarized as follows: material crushing → oil solvent preparation → sterilization, or sterilization → suspension preparation → detection → filling; the raw material medicine cannot resist high temperature and can not be subjected to terminal sterilization, and suspension is not suitable for final sterilization filtration, so that the sterilization and the sterilization are both performed on auxiliary materials such as oil for injection and the like, and the operation can be realized by adopting the two procedures.
Detailed Description
Specific examples of the present application are described in detail below to facilitate a further understanding of the invention.
All experimental procedures used in the following examples are conventional unless otherwise specified. Materials, reagents and the like used in the following examples are commercially available unless otherwise specified.
Example 1
Table 1 shows the formulation of the oil suspension for injection in this example.
TABLE 1 formulation constitution of suspension for injection of this example
The preparation process comprises the following steps:
(1) respectively crushing piperacillin and tazobactam by a high-speed crusher to obtain particles with the particle size D90 smaller than 40 μm for later use;
(2) respectively weighing BHA, BHT and injection medium-chain oil in the prescribed amount, adding BHA and BHT into the injection medium-chain oil, and stirring for dissolving;
(3) filling the oil solution into a sealed pressure-resistant container (such as an infusion bottle), sterilizing at 121 ℃ under hot pressure for 15 minutes, taking out and cooling;
(4) weighing the crushed piperacillin and tazobactam according to the prescription amount, adding the weighed materials into the sterilized oil solution, and stirring for 2 hours;
(5) sampling and detecting the content, filling into an ampoule bottle, filling about 11 ml/bottle, and sealing to obtain the product.
Example 2
Table 2 shows the formulation of the oil suspension for injection in this example.
TABLE 2 formulation constitution of suspension for injection of this example
The preparation process comprises the following steps:
(1) respectively crushing piperacillin and tazobactam by a high-speed crusher to obtain particles with the particle size D90 smaller than 40 μm for later use;
(2) respectively weighing BHA, BHT, polyoxyethylene castor oil and middle-chain oil for injection in a prescribed amount, adding the BHA, BHT and polyoxyethylene castor oil into the middle-chain oil for injection, and stirring for dissolving;
(3) filling the oil solution into a sealed pressure-resistant container (such as an infusion bottle), sterilizing at 121 ℃ under hot pressure for 15 minutes, taking out and cooling;
(4) weighing the crushed piperacillin and tazobactam according to the prescription amount, adding the weighed materials into the sterilized oil solution, and stirring for 2 hours;
(5) sampling, detecting content, filling into ampoule bottle, filling 7.7 ml/bottle, and sealing.
Example 3
Table 3 shows the formulation of the oil suspension for injection in this example.
TABLE 3 formulation constitution of suspension for injection of this example
The preparation process comprises the following steps:
(1) respectively crushing piperacillin and tazobactam by a high-speed crusher to obtain particles with the particle size D90 smaller than 40 μm for later use;
(2) respectively weighing BHA, BHT, polyoxyethylene castor oil, Tween 80 and soybean oil for injection, adding BHA, BHT, Tween 80 and polyoxyethylene castor oil into soybean oil for injection, and stirring for dissolving;
(3) filling the oil solution into a sealed pressure-resistant container (such as an infusion bottle), sterilizing at 121 ℃ under hot pressure for 15 minutes, taking out and cooling;
(4) weighing the crushed piperacillin and tazobactam according to the prescription amount, adding the weighed materials into the sterilized oil solution, and stirring for 2 hours;
(5) sampling, detecting content, filling into ampoule bottle, filling 6.8 ml/bottle, and sealing.
Example 4
Table 4 shows the formulation of the oil suspension for injection in this example.
TABLE 4 formulation constitution of suspension for injection of this example
The preparation process comprises the following steps:
(1) respectively crushing piperacillin and tazobactam by using an airflow crusher, wherein the particle size D90 is less than 15 mu m for later use;
(2) respectively weighing BHA, BHT, Tween 80, lecithin and soybean oil for injection in a prescription amount, adding the BHA, BHT, Tween 80 and lecithin into the soybean oil for injection, and stirring for dissolving;
(3) filtering the oil solution with 0.22 μm microporous membrane for sterilization;
(4) weighing the crushed piperacillin and tazobactam according to the prescription amount, adding the weighed materials into the sterilized oil solution, and stirring for 2 hours;
(5) sampling, detecting content, filling into ampoule bottle, filling 9.9 ml/bottle, and sealing.
Example 5
Table 5 shows the formulation of the oil suspension for injection in this example.
TABLE 5 formulation constitution of suspension for injection of this example
The preparation process comprises the following steps:
(1) respectively crushing piperacillin and tazobactam by using an airflow crusher, wherein the particle size D90 is less than 15 mu m for later use;
(2) respectively weighing BHA, BHT, polyoxyethylene castor oil, lecithin and soybean oil for injection, adding BHA, BHT, Tween 80 and lecithin into soybean oil for injection, and stirring for dissolving;
(3) filtering the oil solution with 0.22 μm microporous membrane for sterilization;
(4) weighing the crushed piperacillin and tazobactam according to the prescription amount, adding the weighed materials into the sterilized oil solution, and stirring for 2 hours;
(5) sampling and detecting the content, filling into a penicillin bottle, filling 10 ml/bottle, pressing a plug, and tying a cover.
Example 6
Table 6 shows the formulation of the oil suspension for injection in this example.
TABLE 6 formulation constitution of suspension for injection of this example
The preparation process comprises the following steps:
(1) respectively crushing piperacillin and tazobactam by using an airflow crusher, wherein the particle size D90 is less than 15 mu m for later use;
(2) respectively weighing vitamin E, lecithin, benzyl alcohol and soybean oil for injection according to the prescription amount, adding the vitamin E, the lecithin and the benzyl alcohol into the soybean oil for injection, and stirring for dissolving;
(3) filtering the oil solution with 0.22 μm microporous membrane for sterilization;
(4) weighing the crushed piperacillin and tazobactam according to the prescription amount, adding the weighed materials into the sterilized oil solution, and stirring for 2 hours;
(5) sampling and detecting the content, filling into a penicillin bottle, filling 10 ml/bottle, pressing a plug, and tying a cover.
Comparative example: salt-forming freeze-drying process
The formulation and preparation of the lyophilization process are shown in table 7.
TABLE 7 formulation constitution of the reagents of the comparative examples
The preparation process comprises the following steps:
(1) taking 100ml of water for injection, adding piperacillin and tazobactam with the prescribed amount, and stirring and dispersing;
(2) slowly adding the sodium bicarbonate with the prescription amount, reacting to generate a large amount of bubbles, continuously stirring until the bubbles disappear, and completely dissolving the piperacillin and the tazobactam;
(3) adjusting the pH value to 5.5-6.7 by using 0.1mol/L hydrochloric acid or sodium hydroxide, and adding water for injection to fix the volume to 500 ml;
(4) filtering the solution through a 0.22 μm microporous filter membrane for sterilization;
(5) sampling and detecting the content, filling into a penicillin bottle, filling about 5 ml/bottle, and half-pressing and plugging;
(6) the samples were placed in a freeze dryer for freeze drying:
pre-freezing: the temperature of the plate layer is-50 ℃, and the plate layer is kept for 4 hours;
② sublimation: the temperature of the plate layer is increased to-10 ℃ and kept for 28 hours;
analysis and drying: raising the temperature of the plate layer to 30 ℃, and keeping the temperature for 8 hours;
(7) and (5) after the freeze-drying procedure is finished, performing vacuum corking, discharging out of the box, and bundling a cover to obtain the freeze-dried powder.
The agents prepared in the above examples and comparative examples were subjected to stability lofting and analysis, as shown in table 8.
TABLE 8 comparison of test results of various examples
The results show that:
(1) and (3) stability: the samples of the compositions containing piperacillin and tazobactam in each embodiment of the invention are placed at 40 ℃ for 30 days, the related substances slightly rise, and the content is basically unchanged; the comparative example is placed at 40 ℃ for 30 days, the related substances obviously rise, and the content is reduced; therefore, the injection suspension oil agent containing the piperacillin and tazobactam composition in the embodiment has obvious advantage in stability.
(2) The process aspect is as follows: the salt-forming freeze-drying process of the comparative example not only relates to dispersion and dissolution, but also needs to carry out salt forming and freeze drying, needs to be switched among different reaction vessels, is complex to operate, needs to consume a large amount of heat energy to realize state change, can only produce one to twenty thousand bottles in one batch, and has a production period of more than 3 days per batch. The preparation process of the suspension oil for injection only relates to the processes of crushing, mixing, sterilizing or degerming, and is simple; the production cycle is short and the batch is large, the time consumption of one production process is generally not more than 12 hours, and the batch can reach hundreds of thousands of bottles; the preparation process only needs to provide mechanical energy for crushing and mixing, and the energy consumption of the sterilization process or the filter membrane treatment necessary for sterilization is low.