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CN118662507A - External composition for improving chloasma - Google Patents

External composition for improving chloasma Download PDF

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CN118662507A
CN118662507A CN202410713036.8A CN202410713036A CN118662507A CN 118662507 A CN118662507 A CN 118662507A CN 202410713036 A CN202410713036 A CN 202410713036A CN 118662507 A CN118662507 A CN 118662507A
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pimecrolimus
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冯杰
蔡蓓蕾
奥姆·桑巴吉·谢尔克
蔡振一
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Jiangsu Zhiyuan Pharmaceutical Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/4353Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/436Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
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    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/191Carboxylic acids, e.g. valproic acid having two or more hydroxy groups, e.g. gluconic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/20Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • A61K31/203Retinoic acids ; Salts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders

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Abstract

本发明是一种改善黄褐斑的外用组合物,包括吡美莫司、维A酸、壬二酸和皮肤病学上可接受的载体。吡美莫司、维A酸、壬二酸按质量浓度计浓度分别为0.05%‑5.0%、0.001%‑1%、5.0%‑25.0%。皮肤病学上可接受的载体为乳膏、软膏、凝胶、乳液、泡沫、局部混合物、溶液、乳剂或任何合适的局部剂型。皮肤病学上可接受的载体包括油相或水相或油相和水相的组合。外用组合物的pH值为5.0±2.0。本发明的优点:本外用组合物配方及制备方法设计合理,将此包含维A酸、壬二酸和吡美莫司作为主要有效活性药物成分的外用组合物用于改善黄褐斑,可长期局部使用,具有良好安全性和耐受性,可有效改善色素沉着。The present invention is a topical composition for improving chloasma, including pimecrolimus, tretinoin, azelaic acid and a dermatologically acceptable carrier. The concentrations of pimecrolimus, tretinoin and azelaic acid are 0.05%-5.0%, 0.001%-1% and 5.0%-25.0% respectively by mass concentration. The dermatologically acceptable carrier is a cream, an ointment, a gel, an emulsion, a foam, a local mixture, a solution, an emulsion or any suitable topical dosage form. The dermatologically acceptable carrier includes an oil phase or an aqueous phase or a combination of an oil phase and an aqueous phase. The pH value of the topical composition is 5.0±2.0. Advantages of the present invention: The formula and preparation method of the topical composition are reasonably designed, and the topical composition containing tretinoin, azelaic acid and pimecrolimus as the main effective active pharmaceutical ingredients is used to improve chloasma, can be used topically for a long time, has good safety and tolerability, and can effectively improve pigmentation.

Description

一种改善黄褐斑的外用组合物A topical composition for improving chloasma

技术领域Technical Field

本发明涉及的是一种外用组合物,具体涉及一种可有效治疗和改善面部黄褐斑的外用药物组合物。The invention relates to an external composition, in particular to an external medicinal composition which can effectively treat and improve facial chloasma.

背景技术Background Art

黄褐斑是一种常见的慢性后天性皮肤病,表现为双侧面颊、前额和下颌部色素沉着、形状不规则的黄斑,主要影响育龄妇女。这是一种非常常见的疾病,但其真实发病率尚不清楚。黄褐斑的发病与许多因素有关,但最重要的因素仍然是紫外线辐射、遗传倾向和内分泌功能失调。在亚洲育龄妇女中,黄褐斑的发病率高达30%,而且很容易复发,难以治愈。Melasma is a common, chronic, acquired skin disease that presents as irregularly shaped, pigmented yellow spots on the cheeks, forehead, and jawline, primarily affecting women of childbearing age. It is a very common disease, but its true incidence is unknown. The onset of melasma is associated with many factors, but the most important factors remain ultraviolet radiation, genetic predisposition, and endocrine dysfunction. The incidence of melasma in Asian women of childbearing age is as high as 30%, and it is prone to recurrence and difficult to cure.

对苯二酚及其衍生物是治疗黄褐斑的一线外用药物的黄金标准,浓度越高,药效越强。然而,其会对皮肤造成严重的刺激。这些药物的主要缺点是刺激性接触性皮炎和永久性色素沉着。Hydroquinone and its derivatives are the gold standard for first-line topical medications for the treatment of melasma. The higher the concentration, the stronger the efficacy. However, they can cause severe irritation to the skin. The main disadvantages of these drugs are irritant contact dermatitis and permanent pigmentation.

壬二酸目前用于治疗M型黄褐斑,外用成分的浓度为15%至20%,但由于使用浓度较高,1%至5%的患者会出现瘙痒、烧灼感、刺痛和麻木感,1%的患者会出现红斑、干燥、脱屑和接触性皮炎。维A酸类药物也被广泛用于治疗M型黄褐斑。吡美莫司是一种钙神经蛋白抑制剂免疫抑制剂,适用于治疗非免疫力低下的成人和2岁及以上儿童的轻度至中度特应性皮炎。Azelaic acid is currently used to treat M-type melasma, with the concentration of topical ingredients being 15% to 20%, but due to the high concentration used, 1% to 5% of patients experience itching, burning, stinging, and numbness, and 1% of patients experience erythema, dryness, desquamation, and contact dermatitis. Retinoic acid drugs are also widely used to treat M-type melasma. Pimecrolimus is a calcineurin inhibitor immunosuppressant indicated for the treatment of mild to moderate atopic dermatitis in non-immunocompromised adults and children aged 2 years and older.

US20090457731A公开了一种醋酸氟轻松、维A酸和对苯二酚组合物乳膏在黄褐斑持续治疗中的应用。然而,长期使用外用皮质类固醇激素的首要问题是,黄褐斑是一种复发性疾病,因此确实需要解决如何长期保持急性治疗后取得的疗效的问题。US20090457731A discloses the use of a fluocinolone acetonide, retinoic acid and hydroquinone composition cream for the sustained treatment of melasma. However, the primary problem with the long-term use of topical corticosteroids is that melasma is a recurrent disease, so it is indeed necessary to solve the problem of how to maintain the therapeutic effect achieved after acute treatment for a long time.

2021年,全球黄褐斑治疗市场规模为2.6732亿美元,预计到2031年将达到5.1621亿美元,预测期内年复合增长率为6.8%。近年来,由于黄褐斑发病率的上升以及人们对护肤和美容治疗的日益关注,全球黄褐斑治疗市场出现了显著增长。然而,尽管市场在增长,黄褐斑治疗领域仍然存在挑战。某些治疗方法的效果有限、潜在的副作用以及黄褐斑的复发仍然是患者和医护人员关注的问题。尽管如此,随着研发工作的不断深入,以及人们对护肤和皮肤病认识的不断提高,预计将推动黄褐斑治疗市场的进一步创新,从而有可能解决这些挑战,并为全球黄褐斑患者提供更好的解决方案。The global melasma treatment market size was valued at USD 267.32 million in 2021 and is expected to reach USD 516.21 million by 2031, at a CAGR of 6.8% during the forecast period. The global melasma treatment market has witnessed significant growth in recent years, driven by the rising incidence of melasma and the growing interest in skin care and beauty treatments. However, despite the market growth, challenges remain in the field of melasma treatment. The limited effectiveness of certain treatments, potential side effects, and the recurrence of melasma remain concerns for patients and healthcare professionals. Nonetheless, continued research and development efforts, as well as the growing awareness of skin care and skin diseases, are expected to drive further innovation in the melasma treatment market, making it possible to address these challenges and provide better solutions for melasma patients around the world.

发明内容Summary of the invention

本发明提出的是一种改善黄褐斑的外用组合物,其目的旨在克服现有技术存在的上述不足,提供一种可长期局部使用,既安全又可耐受且疗效好的外用组合物。The present invention provides an external composition for improving chloasma, the purpose of which is to overcome the above-mentioned deficiencies in the prior art and provide an external composition that can be used topically for a long time and is safe, tolerable and has good efficacy.

本发明的技术解决方案:一种改善黄褐斑的外用组合物,包括以下组分:The technical solution of the present invention is a topical composition for improving chloasma, comprising the following components:

组分a:免疫抑制剂分子或其药学上可接受的盐或酯;Component a: an immunosuppressant molecule or a pharmaceutically acceptable salt or ester thereof;

组分b:维生素A衍生物或其药学上可接受的盐或酯;Component b: vitamin A derivative or a pharmaceutically acceptable salt or ester thereof;

组分c:二羧酸或其衍生物或其药学上可接受的盐或酯;Component c: dicarboxylic acid or its derivative or its pharmaceutically acceptable salt or ester;

组分d:皮肤病学上可接受的载体。Component d: a dermatologically acceptable carrier.

优选的,所述的组分a是吡美莫司,组分b是维A酸,组分c是壬二酸。Preferably, the component a is pimecrolimus, the component b is tretinoin, and the component c is azelaic acid.

优选的,按质量浓度计,所述的吡美莫司浓度为0.05%-5.0%,维A酸浓度为0.001%-1%,壬二酸浓度为5.0%-25.0%。Preferably, in terms of mass concentration, the pimecrolimus concentration is 0.05%-5.0%, the retinoic acid concentration is 0.001%-1%, and the azelaic acid concentration is 5.0%-25.0%.

进一步优选的,所述的吡美莫司浓度为0.5%-2.5%,维A酸浓度为0.005%-0.5%,壬二酸浓度为10.0%-20.0%。More preferably, the concentration of pimecrolimus is 0.5%-2.5%, the concentration of retinoic acid is 0.005%-0.5%, and the concentration of azelaic acid is 10.0%-20.0%.

进一步优选的,所述的吡美莫司浓度为1.0%-2.0%,维A酸浓度为0.01%-0.25%,壬二酸浓度为14.0%-16.0%。More preferably, the concentration of pimecrolimus is 1.0%-2.0%, the concentration of retinoic acid is 0.01%-0.25%, and the concentration of azelaic acid is 14.0%-16.0%.

作为最优选的实施例,所述的吡美莫司浓度为1.0%,维A酸浓度为0.05%,,壬二酸浓度为15.0%。As the most preferred embodiment, the concentration of pimecrolimus is 1.0%, the concentration of retinoic acid is 0.05%, and the concentration of azelaic acid is 15.0%.

优选的,所述的皮肤病学上可接受的载体为乳膏、软膏、凝胶、乳液、泡沫、局部混合物、溶液、乳剂或任何合适的局部剂型。Preferably, the dermatologically acceptable carrier is a cream, ointment, gel, lotion, foam, topical mixture, solution, emulsion or any suitable topical dosage form.

进一步优选的,所述的皮肤病学上可接受的载体包括油相或水相或油相和水相的组合。Further preferably, the dermatologically acceptable carrier comprises an oil phase or an aqueous phase or a combination of an oil phase and an aqueous phase.

优选的,所述的外用组合物的pH值为5.0±2.0。Preferably, the pH value of the topical composition is 5.0±2.0.

优选的,所述的外用组合物以治疗有效量有效渗透,用于治疗患有黄褐斑和相关皮肤病的患者。Preferably, the topical composition is effectively penetrated in a therapeutically effective amount for treating patients suffering from melasma and related skin diseases.

本发明的优点:本外用组合物配方及制备方法设计合理,将此包含维A酸、壬二酸和吡美莫司作为主要有效活性药物成分的外用组合物用于改善黄褐斑,可长期局部使用,具有良好安全性和耐受性,可有效改善色素沉着。Advantages of the present invention: The formula and preparation method of the topical composition are reasonably designed. The topical composition containing retinoic acid, azelaic acid and pimecrolimus as main effective active pharmaceutical ingredients is used to improve chloasma, can be used topically for a long time, has good safety and tolerability, and can effectively improve pigmentation.

具体实施方式DETAILED DESCRIPTION

下面结合实施例和具体实施方式对本发明作进一步详细的说明。The present invention is further described in detail below with reference to examples and specific implementation methods.

本发明提供用于治疗黄褐斑及其复发等皮肤病的外用组合物及制备方法。下述内容中,除非另有说明,组合物成分的浓度单位为总组合物的重量百分比。The present invention provides an external composition for treating skin diseases such as chloasma and its recurrence and a preparation method thereof. In the following content, unless otherwise specified, the concentration unit of the composition components is the weight percentage of the total composition.

黄褐斑是一种常见的慢性皮肤病,表现为双侧面颊、前额和下颌部色素沉着、形状不规则的黄斑,主要影响育龄妇女。皮肤病、色素沉着、皮肤变黑或黑斑等术语也可用于描述黄褐斑。复发是指黄褐斑在完全消退一段时间后再次出现的情况。Melasma is a common, chronic skin disease that presents as hyperpigmented, irregularly shaped yellow spots on the cheeks, forehead and jawline, primarily affecting women of childbearing age. Terms such as skin disease, hyperpigmentation, darkening of the skin or dark spots may also be used to describe melasma. Relapse is when melasma reappears after a period of complete resolution.

一种改善黄褐斑的外用组合物,其组分包括:An external composition for improving chloasma, comprising:

(a)免疫抑制剂分子或其药学上可接受的盐或酯;(a) an immunosuppressant molecule or a pharmaceutically acceptable salt or ester thereof;

(b)维生素A衍生物或其药学上可接受的盐或酯;(b) a vitamin A derivative or a pharmaceutically acceptable salt or ester thereof;

(c)二羧酸或其衍生物或其药学上可接受的盐或酯。(c) a dicarboxylic acid or a derivative thereof, or a pharmaceutically acceptable salt or ester thereof.

作为优选的实施例,组分(a)免疫抑制剂是用于抑制个体免疫反应的药物,用于治疗自身免疫性疾病或器官移植,以抑制免疫并提高药物的接受度。免疫抑制剂可选自钙调素酶抑制剂、Janus激酶抑制剂、皮质类固醇、IMDH抑制剂、mTOR抑制剂、用于免疫抑制的生物制剂和单克隆抗体等亚类。As a preferred embodiment, component (a) immunosuppressant is a drug for suppressing individual immune response, used for treating autoimmune diseases or organ transplantation, to suppress immunity and improve the acceptance of the drug. The immunosuppressant can be selected from subclasses such as calmodulin enzyme inhibitors, Janus kinase inhibitors, corticosteroids, IMDH inhibitors, mTOR inhibitors, biological preparations for immunosuppression and monoclonal antibodies.

作为进一步优选的实施例,免疫抑制剂选自钙调素抑制剂。As a further preferred embodiment, the immunosuppressant is selected from calmodulin inhibitors.

作为进一步优选的实施例,免疫抑制剂选自吡美莫司或他克莫司。As a further preferred embodiment, the immunosuppressant is selected from pimecrolimus or tacrolimus.

作为最优选的实施例,免疫抑制剂选自吡美莫司。As the most preferred embodiment, the immunosuppressant is selected from pimecrolimus.

作为优选的实施例,组分(b)维生素A衍生物即维A酸类药物,选自任何一代维A酸类药物,如第1、2、3或4代维A酸类药物。As a preferred embodiment, component (b) vitamin A derivatives, i.e., tretinoin drugs, are selected from any generation of tretinoin drugs, such as 1st, 2nd, 3rd or 4th generation tretinoin drugs.

作为进一步优选的实施例,维A酸药物选自第1代维A酸。As a further preferred embodiment, the tretinoin drug is selected from the first generation tretinoin.

作为进一步优选的实施例,维A酸药物选自维A酸、视黄醛和异维A酸。As a further preferred embodiment, the retinoic acid drug is selected from retinoic acid, retinal and isotretinoin.

作为最优选的实施例,维A酸药物选自维A酸。As the most preferred embodiment, the retinoic acid drug is selected from retinoic acid.

作为优选的实施例,组分(c)二羧酸衍生物选自具有抗微生物和消炎作用的酸类,这类酸可温和地去除角质、淡化色素沉着和镇静泛红的皮肤。As a preferred embodiment, the dicarboxylic acid derivative of component (c) is selected from acids having antimicrobial and anti-inflammatory effects, which can gently exfoliate, lighten pigmentation and calm redness of the skin.

作为最优选的实施例,二羧酸衍生物选自壬二酸,它具有抗微生物和消炎的作用,能温和地去除角质、淡化色素沉着和镇静皮肤红肿。As the most preferred embodiment, the dicarboxylic acid derivative is selected from azelaic acid, which has antimicrobial and anti-inflammatory effects, can gently exfoliate, lighten pigmentation and calm skin redness.

作为优选的实施例,一种改善黄褐斑的外用组合物,是由包括质量浓度0.05%-5.0%的组分(a)、质量浓度0.001%-1%的组分(b)、5.0%-25.0%的组分(c)配置成的外用组合物,如膏霜、软膏、凝胶、乳液、溶液、乳剂、泡沫、酊剂或糊剂等,并将该组合物用于治疗皮肤病或病症,如黄褐斑和黄褐斑复发。As a preferred embodiment, a topical composition for improving chloasma is a topical composition composed of a component (a) with a mass concentration of 0.05%-5.0%, a component (b) with a mass concentration of 0.001%-1%, and a component (c) with a mass concentration of 5.0%-25.0%, such as a cream, ointment, gel, lotion, solution, emulsion, foam, tincture or paste, etc., and the composition is used to treat skin diseases or conditions, such as chloasma and recurrence of chloasma.

作为进一步优选的实施例,组分(a)质量浓度0.5%-2.5%,组分(b)质量浓度0.005%-0.5%,组分(c)质量浓度10.0%-20.0%。As a further preferred embodiment, the mass concentration of component (a) is 0.5%-2.5%, the mass concentration of component (b) is 0.005%-0.5%, and the mass concentration of component (c) is 10.0%-20.0%.

作为进一步优选的实施例,组分(a)质量浓度1.0%-2.0%,组分(b)质量浓度0.01%-0.25%,组分(c)质量浓度14.0%-16.0%。As a further preferred embodiment, the mass concentration of component (a) is 1.0%-2.0%, the mass concentration of component (b) is 0.01%-0.25%, and the mass concentration of component (c) is 14.0%-16.0%.

作为最优选的实施例,组分(a)质量浓度1.0%,组分(b)质量浓度0.05%,组分(c)质量浓度15.0%。As the most preferred embodiment, the mass concentration of component (a) is 1.0%, the mass concentration of component (b) is 0.05%, and the mass concentration of component (c) is 15.0%.

作为优选的实施例,还包括pH依赖性或pH非依赖性的增稠剂,配制成凝胶。As a preferred embodiment, it further comprises a pH-dependent or pH-independent thickener and is formulated into a gel.

增稠剂用于增加组合物的体积。本发明外用组合物可适当含有增稠剂,为制剂提供粘度。增稠剂与水性或非水性流体混溶或可溶于水性或非水性流体为佳,但不必须。适合的增稠剂的非限制性实施例包括金合欢、藻酸及其盐类、透明质酸及其盐类、卡波姆(也称作羧基乙烯聚合物,是交联聚丙烯酸)、羧甲基纤维素、乙基纤维素、凝胶、羧基乙烯聚合物(也称作羧基乙烯聚合物,是交联聚丙烯酸)、乙基纤维素、明胶、羟乙基纤维素、羟丙基纤维素、羟丙基甲基纤维素、甲基纤维素、多羟胺、聚乙烯吡咯烷酮、聚乙烯醇、黄原胶、硅酸铝镁和膨润土。增稠剂也可以存在于配方中的油或亲脂部分。合适的亲脂性增稠剂包括十六烷醇、硬脂醇、硬脂酸甘油酯、白蜂蜡、微晶蜡、氢化聚异丁烷聚合物和乳化蜡。Thickener is used to increase the volume of composition.Topical composition of the present invention can suitably contain thickener, provides viscosity for preparation.Thickener is miscible with aqueous or non-aqueous fluid or soluble in aqueous or non-aqueous fluid is preferred, but not necessary.Non-limiting embodiments of suitable thickener include acacia, alginic acid and its salts, hyaluronic acid and its salts, carbomer (also referred to as carboxyvinyl polymer, is cross-linked polyacrylic acid), carboxymethyl cellulose, ethyl cellulose, gel, carboxyvinyl polymer (also referred to as carboxyvinyl polymer, is cross-linked polyacrylic acid), ethyl cellulose, gelatin, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropyl methyl cellulose, methyl cellulose, polyhydroxyamine, polyvinyl pyrrolidone, polyvinyl alcohol, xanthan gum, magnesium aluminum silicate and bentonite.Thickener can also be present in the oil or lipophilic part in the formula.Suitable lipophilic thickener includes cetyl alcohol, stearyl alcohol, glyceryl stearate, white beeswax, microcrystalline wax, hydrogenated polyisobutane polymer and emulsifying wax.

作为优选的实施例,增稠剂是碳聚物,如和聚卡波非(路博润公司)。均聚物是丙烯酸与烯丙基蔗糖或季戊四醇烯丙基醚交联的聚合物。Carbopol共聚物是丙烯酸和C10-C30丙烯酸烷基酯与季戊四醇烯丙基醚交联的聚合物。嵌段聚合物是卡波姆均聚物或共聚物,含有聚乙二醇和长链烷基酸酯的嵌段共聚物。聚卡波非是一种与二乙烯基乙二醇交联的丙烯酸聚合物。As a preferred embodiment, the thickener is a carbon polymer, such as and polycarbophil (The Lubrizol Corporation). Homopolymers are polymers of acrylic acid crosslinked with allyl sucrose or pentaerythritol allyl ether. Carbopol copolymers are polymers of acrylic acid and C10-C30 alkyl acrylate crosslinked with pentaerythritol allyl ether. The block polymer is a carbomer homopolymer or copolymer, containing a block copolymer of polyethylene glycol and a long chain alkyl acid ester. Polycarbophil is an acrylic acid polymer cross-linked with divinyl glycol.

或者,作为优选的实施例,增稠剂是与pH值无关的聚丙烯酰胺系列增稠剂,如SEPPIC公司以SIMULGEL 600出售的丙烯酰胺/丙烯酰二甲基叔酸钠共聚物和异十六烷及聚山梨醇酯80的混合物、聚丙烯酰胺与异链烷烃C13-12和月桂醇聚醚-7的混合物,例如,SEPPIC公司以SEPIGEL 305为名出售的产品,丙烯酸聚合物系列与疏水链的结合、如以ACULYN 44名称出售的PEG-150/decyl/SMDI共聚物(聚缩聚物,其成分至少包括含有150或180摩尔环氧乙烷的聚乙二醇、癸醇和亚甲基双(4-环己基异氰酸酯)(SMDI)、在丙二醇(39%)和水(26%)的混合物中含量为35%(按重量计)的改性淀粉系列,如以StructureSolanace名义销售的改性马铃薯淀粉,或其混合物。Alternatively, as a preferred embodiment, the thickener is a pH-independent polyacrylamide thickener, such as a mixture of acrylamide/sodium acryloyldimethyl tert-butyl copolymer and isohexadecane and polysorbate 80 sold by SEPPIC as SIMULGEL 600, a mixture of polyacrylamide with isoparaffin C13-12 and laureth-7, for example, the product sold by SEPPIC under the name SEPIGEL 305, a combination of acrylic polymers with hydrophobic chains, such as PEG-150/decyl/SMDI copolymer (polycondensate, whose ingredients include at least polyethylene glycol containing 150 or 180 moles of ethylene oxide, decyl alcohol and methylene bis(4-cyclohexyl isocyanate) (SMDI) sold under the name ACULYN 44, a modified starch series with a content of 35% (by weight) in a mixture of propylene glycol (39%) and water (26%), such as the modified potato starch sold under the name StructureSolanace, or a mixture thereof.

作为进一步优选的实施例,与pH值相关增稠剂可选自卡波姆均聚物类型A、B和C的单一或组合,而与pH值无关的增稠剂可选自羟丙基甲基纤维素、羟丙基纤维素、羟乙基纤维素和新型聚合物。As a further preferred embodiment, the pH-dependent thickener can be selected from single or combination of carbomer homopolymer types A, B and C, and the pH-independent thickener can be selected from hydroxypropyl methylcellulose, hydroxypropyl cellulose, hydroxyethyl cellulose and novel polymers.

作为进一步优选的实施例,增稠剂包括作为粘度调节剂、质地调节剂或改善配方外观的新型聚合物组合。新型聚合物可选自Sepineo DERM(丙烯酸羟乙酯/丙烯酰二甲基牛磺酸钠共聚物)、Duo(丙二醇单月桂酸酯(和)乙基纤维素(和)丙二醇异硬脂酸酯)、SEPINEOTMP 600(丙烯酰胺/丙烯酰二甲基牛磺酸钠共聚物/异十六烷和聚山梨醇酯80),但不限于此。As a further preferred embodiment, the thickener includes a novel polymer combination as a viscosity modifier, a texture modifier or a novel polymer combination for improving the appearance of the formulation. The novel polymer can be selected from Sepineo DERM (hydroxyethyl acrylate/sodium acryloyldimethyl taurate copolymer), Duo (propylene glycol monolaurate (and) ethylcellulose (and) propylene glycol isostearate), SEPINEO P 600 (acrylamide/sodium acryloyldimethyl taurate copolymer/isohexadecane and polysorbate 80), but are not limited thereto.

作为优选的实施例,还包括渗透促进剂(渗透增强剂)。As a preferred embodiment, a penetration enhancer (penetration enhancer) is also included.

渗透促进剂指能提高活性药物分子通过皮肤或粘膜的渗透率的化合物,例如暂时降低皮肤或粘膜的不透性。一般来说,渗透促进剂是一种用于提高类固醇通过皮肤或粘膜的渗透率的成分,如暂时降低皮肤或粘膜的不透性。渗透促进剂也被称为"加速剂"和"吸收促进剂"。A penetration enhancer is a compound that increases the permeability of an active drug molecule through the skin or mucous membranes, such as by temporarily reducing the impermeability of the skin or mucous membranes. In general, a penetration enhancer is an ingredient used to increase the permeability of a steroid through the skin or mucous membranes, such as by temporarily reducing the impermeability of the skin or mucous membranes. Penetration enhancers are also known as "accelerators" and "absorption enhancers."

作为进一步优选的实施例,渗透促进剂包括但不限于多元醇、乙二醇(丙二醇除外)、醚、乙二醇醚、酯、硫醚、脂肪酸、脂肪酸酯、脂肪醇、精油、萜烯、萜类化合物、聚乙二醇化脂肪酸、聚乙二醇化脂肪酸酯、聚乙二醇化脂肪醇及其混合物,包括聚乙二醇、聚乙二醇单月桂酸酯和丁二醇;硫醚,包括二乙二醇单乙醚和二乙二醇单甲醚;脂肪酸,包括月桂酸、油酸和戊酸;脂肪酸酯,包括肉豆蔻酸异丙酯、棕榈酸异丙酯、丙酸甲酯和油酸乙酯;含氮化合物,包括尿素、二甲基乙酰胺、二甲基甲酰胺-2-吡咯烷酮、乙醇胺、甲基-2-吡咯烷酮、二乙醇胺和三乙醇胺;萜烯;萜类化合物;烷酮;有机酸,包括水杨酸、柠檬酸和琥珀酸;以及包含一种或多种上述材料的组合物。在某些实施方案中,本发明药物组合物中使用的渗透增强剂是二乙二醇单乙醚。在某些实施例中,渗透增强剂不是聚丙二醇。渗透促进剂可交替用作溶剂。As a further preferred embodiment, the penetration enhancer includes but is not limited to polyols, glycols (except propylene glycol), ethers, glycol ethers, esters, thioethers, fatty acids, fatty acid esters, fatty alcohols, essential oils, terpenes, terpenoids, polyethylene glycol fatty acids, polyethylene glycol fatty acid esters, polyethylene glycol fatty alcohols and mixtures thereof, including polyethylene glycol, polyethylene glycol monolaurate and butanediol; thioethers, including diethylene glycol monoethyl ether and diethylene glycol monomethyl ether; fatty acids, including lauric acid, oleic acid and valeric acid; fatty acid esters, including isopropyl myristate, isopropyl palmitate, methyl propionate and ethyl oleate; nitrogen-containing compounds, including urea, dimethylacetamide, dimethylformamide-2-pyrrolidone, ethanolamine, methyl-2-pyrrolidone, diethanolamine and triethanolamine; terpenes; terpenoids; alkanones; organic acids, including salicylic acid, citric acid and succinic acid; and compositions comprising one or more of the above materials. In certain embodiments, the penetration enhancer used in the pharmaceutical composition of the present invention is diethylene glycol monoethyl ether. In certain embodiments, the penetration enhancer is not polypropylene glycol. The penetration enhancer can be used as a solvent alternately.

作为优选的实施例,还包括表面活性剂或乳化剂。As a preferred embodiment, a surfactant or an emulsifier is also included.

作为进一步优选的实施例,表面活性剂或乳化剂包括但不限于椰油酰胺二乙酸酯二钠、氧乙烯化甘油椰油酸酯(7 EO)、PEG-20十六烯基琥珀酸酯、PEG-15硬脂基醚、蓖麻油单乙醇酰胺单磺酸基琥珀酸盐、含60个环氧乙烷单元的氧乙烯氢化蓖麻油甘油三酯,如巴斯夫公司以RH 60或RH 40(聚氧乙烯40氢化蓖麻油)商标销售的产品、聚合物,如聚醚酰胺(环氧乙烷和环氧丙烷的嵌段共聚物),以及室温下的非固体脂肪物质,如芝麻油、甜杏仁油、杏核油、葵花籽油、棕榈酸辛氧基甘油酯(或棕榈酸2-乙基己基甘油醚)、山崳酸辛氧基甘油酯(或山崳酸2-乙基己基甘油醚)、己二酸二辛酯和支链二醇的酒石酸盐。山梨醇脂肪酸酯是一系列山梨醇及其单酸酐和二酸酐与脂肪酸的部分酯的混合物。山梨醇酯包括20、ARLACEL 40、ARLACEL 60、ARLACEL 80、ARLACEL83、ARLACEL 85、ARLACEL 987和ARLACELC等产品、PEG-6硬脂酸酯、硬脂酸甘油酯和PEG-32硬脂酸酯(63)、PEG-6硬脂酸酯和PEG-32硬脂酸酯(1500)、硬脂酸甘油酯和PEG 100硬脂酸酯(165)以及它们的混合物。硬脂酸聚乙二醇醚是另一类可用于乳液的乳化剂。硬脂酸聚乙二醇醚的例子包括但不限于硬脂烷-2、硬脂烷-4、硬脂烷-6、硬脂烷-7、硬脂烷-10、硬脂烷-11、硬脂烷-13、硬脂烷-15、硬脂烷-20、硬脂醇聚乙二醇醚(硬脂烷21)及其任何混合物。其他乳化剂包括十二烷基硫酸钠、十六烷基三烷基溴化铵、聚氧乙烯山梨糖醇脂肪酸酯及其混合物。As a further preferred embodiment, the surfactant or emulsifier includes but is not limited to disodium cocamide diacetate, oxyethylated glyceryl cocoate (7 EO), PEG-20 hexadecene succinate, PEG-15 stearyl ether, castor oil monoethanolamide monosulfosuccinate, oxyethylene hydrogenated castor oil triglyceride containing 60 ethylene oxide units, such as BASF's RH 60 or Products sold under the trademark RH 40 (polyoxyl 40 hydrogenated castor oil), polymers such as polyetheramides (block copolymers of ethylene oxide and propylene oxide), and fatty substances that are not solid at room temperature, such as sesame oil, sweet almond oil, apricot kernel oil, sunflower seed oil, octoxyglyceryl palmitate (or 2-ethylhexylglyceryl palmitate), octoxyglyceryl behenate (or 2-ethylhexylglyceryl behenate), dioctyl adipate and tartrates of branched glycols. Sorbitan fatty acid esters are a series of mixtures of sorbitol and its mono- and dianhydrides with partial esters of fatty acids. Sorbitan esters include 20, ARLACEL 40, ARLACEL 60, ARLACEL 80, ARLACEL 83, ARLACEL 85, ARLACEL 987 and ARLACELC products, PEG-6 stearate, glyceryl stearate and PEG-32 stearate ( 63), PEG-6 stearate and PEG-32 stearate ( 1500), glyceryl stearate and PEG 100 stearate ( 165) and their mixtures. Stearic acid polyethylene glycol ether is another type of emulsifier that can be used for emulsions. Examples of stearic acid polyethylene glycol ether include but are not limited to stearane-2, stearane-4, stearane-6, stearane-7, stearane-10, stearane-11, stearane-13, stearane-15, stearane-20, stearyl alcohol polyethylene glycol ether (stearane 21) and any mixture thereof. Other emulsifiers include sodium lauryl sulfate, hexadecyl trialkyl ammonium bromide, polyoxyethylene sorbitol fatty acid esters and mixtures thereof.

作为进一步优选的实施例,乳化剂为非离子乳化剂,包括可广泛定义为长链醇(如C8-30醇)与糖或淀粉聚合物(即苷)的缩合产物的乳化剂。各种糖包括但不限于葡萄糖、果糖、甘露糖和半乳糖,各种长链醇包括但不限于癸基醇、十六烷基醇、硬脂醇、月桂醇、肉豆蔻醇、油醇及其混合物。其他有用的非离子乳化剂包括氧化亚烷基与脂肪酸的缩合产物,如脂肪酸的氧化亚烷基酯。其他非离子表面活性剂包括氧化亚烷基与2摩尔脂肪酸的缩合产物,如脂肪酸的氧化亚烷基二酯。As a further preferred embodiment, the emulsifier is a nonionic emulsifier, including an emulsifier that can be broadly defined as a condensation product of a long-chain alcohol (such as a C8-30 alcohol) and a sugar or starch polymer (i.e., a glycoside). Various sugars include, but are not limited to, glucose, fructose, mannose, and galactose, and various long-chain alcohols include, but are not limited to, decyl alcohol, hexadecyl alcohol, stearyl alcohol, lauryl alcohol, myristyl alcohol, oleyl alcohol, and mixtures thereof. Other useful nonionic emulsifiers include condensation products of oxyalkylene with fatty acids, such as oxyalkylene esters of fatty acids. Other nonionic surfactants include condensation products of oxyalkylene with 2 moles of fatty acids, such as oxyalkylene diesters of fatty acids.

作为进一步优选的实施例,乳化剂还可包括本领域已知的各种阳离子、阴离子、齐聚阳离子和两性表面活性剂中的任何一种。阴离子乳化剂的例子包括但不限于烷基异硫酸盐、烷基和烷基醚硫酸盐及其盐类、烷基和烯基醚磷酸盐及其盐类、烷基甲基牛磺酸盐和脂肪酸皂(如碱金属盐和钠盐或钾盐)。两性和齐聚物乳化剂的例子包括那些被广泛描述为脂肪族仲胺和叔胺衍生物的乳化剂,其中脂肪族基可以是直链或支链,其中一个脂肪族取代基含有约8至约22个碳原子,一个含有阴离子水溶性基团,例如羧基、磺酸基、硫酸基、磷酸基或膦酸基。具体例子包括但不限于烷基亚氨基乙酸酯、亚氨基二烷酸酯和氨基烷酸酯、咪唑啉铵和铵衍生物。其他合适的两性和齐聚物乳化剂包括甜菜碱、苏打酸、羟基苏打酸、烷基肌氨酸盐和烷酰基肌氨酸盐。As a further preferred embodiment, the emulsifier may also include any of the various cationic, anionic, oligomeric cationic and amphoteric surfactants known in the art. Examples of anionic emulsifiers include, but are not limited to, alkyl isosulfates, alkyl and alkyl ether sulfates and their salts, alkyl and alkenyl ether phosphates and their salts, alkyl methyl taurates and fatty acid soaps (such as alkali metal salts and sodium or potassium salts). Examples of amphoteric and oligomeric emulsifiers include those broadly described as derivatives of aliphatic secondary and tertiary amines, wherein the aliphatic radical may be straight or branched, wherein one aliphatic substituent contains from about 8 to about 22 carbon atoms and one contains an anionic water-soluble group, such as carboxyl, sulfonic acid, sulfate, phosphoric acid or phosphonic acid. Specific examples include, but are not limited to, alkyl iminoacetic acid esters, iminodialkanoic acid esters and aminoalkanoic acid esters, imidazoline ammonium and ammonium derivatives. Other suitable amphoteric and oligomeric emulsifiers include betaines, soda acid, hydroxy soda acid, alkyl sarcosinates and alkanoyl sarcosinates.

作为进一步优选的实施例,乳化剂是有机硅乳化剂,通常是有机改性有机聚硅氧烷,有时也称为有机硅表面活性剂。有用的有机硅乳化剂包括二甲基硅氧烷共聚醇。这些材料是聚二甲基硅氧烷,经过改性后包括聚醚侧链,例如聚环氧乙烷链、聚环氧丙烷链、这些链的混合物,以及含有源自环氧乙烷和环氧丙烷的分子的聚醚链。As a further preferred embodiment, the emulsifier is a silicone emulsifier, typically an organically modified organopolysiloxane, sometimes also referred to as a silicone surfactant. Useful silicone emulsifiers include dimethicone copolyols. These materials are polydimethylsiloxanes that have been modified to include polyether side chains, such as polyethylene oxide chains, polypropylene oxide chains, mixtures of these chains, and polyether chains containing molecules derived from ethylene oxide and propylene oxide.

作为进一步优选的实施例,乳化剂是聚合物乳化剂,如商品名为PemulenTM(路博润公司,俄亥俄州威克利夫)的聚合物乳化剂。它们是丙烯酸聚合物,由长链(C10-C30)烷基丙烯酸酯改性,并与季戊四醇烯丙基醚交联。As a further preferred embodiment, the emulsifier is a polymeric emulsifier such as those sold under the trade name Pemulen (The Lubrizol Corporation, Wickliffe, Ohio) which are acrylic polymers modified with long chain (C10-C30) alkyl acrylates and crosslinked with pentaerythritol allyl ether.

作为进一步优选的实施例,乳化剂是辅助乳化剂或二级乳化剂,包括但不限于聚氧乙烯甘油酯,如油酰巨甘油酯(M 1944CS)、亚油酰巨甘油酯(M 2125CS)、辛酰巨甘油酯鲸蜡醇(和)鲸蜡醇醚-20(和)硬脂醇醚-20(EMULCIRETM61 WL 2659)、甘油硬脂酸酯(和)PEG-75硬脂酸酯(64)、d-α-生育酚聚乙二醇1000丁二酸酯(TPGS)及其混合物。As a further preferred embodiment, the emulsifier is a secondary emulsifier or a secondary emulsifier, including but not limited to polyoxyethylene glycerides, such as oleoyl macroglycerol ( M 1944CS), linoleyl macroglyceride ( M 2125CS), Capryloyl Macroglycerol Cetyl Alcohol (and) Ceteth-20 (and) Steareth-20 (EMULCIRE TM 61 WL 2659), Glyceryl Stearate (and) PEG-75 Stearate ( 64), d-α-tocopheryl polyethylene glycol 1000 succinate (TPGS) and mixtures thereof.

作为进一步优选的实施例,乳化剂可根据油相所需的HLB值从非离子或离子表面活性剂中选择。具体来说,亲水表面活性剂和亲油表面活性剂的组合是为了更好地满足低HLB值和高HLB值的要求。更具体地说,乳化剂的组合选自山梨醇酐脂肪酸酯和聚氧乙烯山梨醇酐脂肪酸酯。聚氧乙烯20山梨糖醇酐单棕榈酸酯、聚氧乙烯20山梨糖醇酐单硬脂酸酯、聚氧乙烯(4)山梨糖醇酐单硬脂酸酯、聚氧乙烯20山梨糖醇酐三硬脂酸酯、聚氧乙烯20山梨糖醇酐单油酸酯、聚氧乙烯(5)山梨糖醇酐单油酸酯、聚氧乙烯20山梨糖醇酐三油酸酯、聚氧乙烯20山梨糖醇酐单异硬脂酸酯。As a further preferred embodiment, the emulsifier can be selected from nonionic or ionic surfactants according to the HLB value required for the oil phase. Specifically, the combination of hydrophilic surfactants and lipophilic surfactants is to better meet the requirements of low HLB value and high HLB value. More specifically, the combination of emulsifiers is selected from sorbitan fatty acid esters and polyoxyethylene sorbitan fatty acid esters. Polyoxyethylene 20 sorbitan monopalmitate, polyoxyethylene 20 sorbitan monostearate, polyoxyethylene (4) sorbitan monostearate, polyoxyethylene 20 sorbitan tristearate, polyoxyethylene 20 sorbitan monooleate, polyoxyethylene (5) sorbitan monooleate, polyoxyethylene 20 sorbitan trioleate, polyoxyethylene 20 sorbitan monoisostearate.

作为优选的实施例,还包括油相。As a preferred embodiment, an oil phase is also included.

作为进一步优选的实施例,油相可选自脂肪油或含碳量较高的醇类,但不限于中链甘油三酯、肉豆蔻酸异丙酯、矿物油、鲸蜡醇、硬脂醇、鲸蜡硬脂醇、油醇。As a further preferred embodiment, the oil phase can be selected from fatty oils or alcohols with a higher carbon content, but is not limited to medium chain triglycerides, isopropyl myristate, mineral oil, cetyl alcohol, stearyl alcohol, cetearyl alcohol, and oleyl alcohol.

作为进一步优选的实施例,中链甘油三酯选自橄榄油、椰子油或棕榈仁油的中链甘油三酯。中链醇最好是椰子油的中链甘油三酯。在本发明的另一个实施方案中,脂肪酸酯选自高等脂肪酸,如油酸、异硬脂酸、月桂酸、肉豆蔻酸、棕榈酸、硬脂酸、山嵛酸和十一烯酸。脂肪酸酯最好是肉豆蔻酸异丙酯或棕榈酸异丙酯。或者,油相组分可选自硬质石蜡、白色软质石蜡和低粘度或高粘度液体石蜡。As a further preferred embodiment, the medium chain triglyceride is selected from the medium chain triglyceride of olive oil, coconut oil or palm kernel oil. The medium chain alcohol is preferably the medium chain triglyceride of coconut oil. In another embodiment of the present invention, the fatty acid ester is selected from higher fatty acids, such as oleic acid, isostearic acid, lauric acid, myristic acid, palmitic acid, stearic acid, behenic acid and undecylenic acid. The fatty acid ester is preferably isopropyl myristate or isopropyl palmitate. Alternatively, the oil phase component can be selected from hard paraffin, white soft paraffin and low viscosity or high viscosity liquid paraffin.

作为优选的实施例,还包括保湿剂。As a preferred embodiment, a moisturizer is also included.

保湿剂指的是一种吸湿性物质,通常是一种带有多个亲水基团(最常见的是羟基)的分子,但也会遇到胺和羧基(有时是酯化的);与水分子形成氢键的亲和力在这里至关重要。作为进一步优选的实施例,保湿剂选自甘油、丙二醇、山梨醇、甘露醇、木糖醇、麦芽糖醇、聚合多元醇(如聚葡萄糖)或天然提取物(如紫苏、乳酸或尿素),或其任何比例的稀释溶液。在一个实施方案中,用于保湿效果的保湿剂选自尿囊素、胆固醇、角鲨烯、脂肪酸、脂肪醇、透明质酸钠或多种保湿剂的组合。在其他实施方案中,多元醇选自聚乙二醇、丙二醇、己二醇、丁二醇、甘油、赤藓糖醇或山梨醇。多元醇最好是丙二醇或己二醇。A humectant refers to a hygroscopic substance, usually a molecule with multiple hydrophilic groups (most commonly hydroxyl groups), but amine and carboxyl groups (sometimes esterified) are also encountered; the affinity for forming hydrogen bonds with water molecules is crucial here. As a further preferred embodiment, the humectant is selected from glycerol, propylene glycol, sorbitol, mannitol, xylitol, maltitol, polymerized polyols (such as polydextrose) or natural extracts (such as perilla, lactic acid or urea), or diluted solutions thereof in any proportion. In one embodiment, the humectant for moisturizing effect is selected from allantoin, cholesterol, squalene, fatty acids, fatty alcohols, sodium hyaluronate or a combination of multiple humectants. In other embodiments, the polyol is selected from polyethylene glycol, propylene glycol, hexylene glycol, butylene glycol, glycerol, erythritol or sorbitol. The polyol is preferably propylene glycol or hexylene glycol.

作为优选的实施例,还包括防腐剂。As a preferred embodiment, a preservative is also included.

作为进一步优选的实施例,防腐剂选自由苯氧乙醇、对羟基苯甲酸酯如对羟基苯甲酸甲酯和对羟基苯甲酸丙酯、苯甲酸钠、苯扎氯铵、丙二醇、山梨酸盐、苯甲醇、丁基羟基甲苯、脲衍生物如重氮茚基脲等组成的组或它们的任何组合。As a further preferred embodiment, the preservative is selected from the group consisting of phenoxyethanol, parabens such as methylparaben and propylparaben, sodium benzoate, benzalkonium chloride, propylene glycol, sorbate, benzyl alcohol, butylhydroxytoluene, urea derivatives such as diazolidinyl urea, etc., or any combination thereof.

作为优选的实施例,还包括抗氧化剂。As a preferred embodiment, an antioxidant is also included.

抗氧化剂指的是抑制氧化或抑制由氧或过氧化物促进的反应的物质。作为进一步优选的实施例,抗氧化剂包括但不限于:α-生育酚、TPGS、谷胱甘肽、抗坏血酸、硫辛酸、尿酸、山梨酸、胡萝卜素、丁基羟基苯甲醚(BHA)、丁基羟基甲苯(BHT)、单硫代甘油、焦亚硫酸钾、抗坏血酸钠、亚硫酸氢钠、硫代硫酸钠、焦亚硫酸钠、亚硫酸钠、泛醇、苯甲酸钠、没食子酸丙酯和特丁基对苯二酚。在某些实施方案中,药物组合物包含BHT、α-生育酚和硫代硫酸钠作为抗氧化剂。在某些实施方案中,一种或多种抗氧化剂的含量为组合物重量的约0.05%至约1%。Antioxidants refer to substances that inhibit oxidation or inhibit reactions promoted by oxygen or peroxides. As a further preferred embodiment, antioxidants include, but are not limited to, alpha-tocopherol, TPGS, glutathione, ascorbic acid, lipoic acid, uric acid, sorbic acid, carotene, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), monothioglycerol, potassium pyrosulfite, sodium ascorbate, sodium bisulfite, sodium thiosulfate, sodium pyrosulfite, sodium sulfite, panthenol, sodium benzoate, propyl gallate, and tert-butylhydroquinone. In certain embodiments, the pharmaceutical composition comprises BHT, alpha-tocopherol, and sodium thiosulfate as antioxidants. In certain embodiments, the content of one or more antioxidants is about 0.05% to about 1% of the weight of the composition.

作为优选的实施例,还包括润湿剂。As a preferred embodiment, a wetting agent is also included.

润湿剂用于帮助活性剂在水性载体中分散或悬浮。作为进一步优选的实施例,润湿剂是一种表面活性剂,如非离子表面活性剂。包括但不限于多聚甲醛钠、辛辛醇-9、壬辛醇-9、聚山梨醇酯20、聚山梨醇酯40、聚山梨醇酯60、聚山梨醇酯80、聚氧乙烯酰胺、山梨糖醇酐单月桂酸酯、山梨糖醇酐单油酸酯、山梨糖醇酐单棕榈酸酯、山梨糖醇酐单硬脂酸酯和山梨糖醇酐三油酸酯。在某些实施方案中,药物组合物包含作为润湿剂的多聚甲醛钠。Wetting agent is used to help active agent disperse or suspend in aqueous carrier.As further preferred embodiment, wetting agent is a surfactant, such as nonionic surfactant.Including but not limited to sodium paraformaldehyde, octanol-9, nonyl octanol-9, polysorbate 20, polysorbate 40, polysorbate 60, polysorbate 80, polyoxyethylene amide, sorbitan monolaurate, sorbitan monooleate, sorbitan monopalmitate, sorbitan monostearate and sorbitan trioleate.In certain embodiments, pharmaceutical composition comprises sodium paraformaldehyde as wetting agent.

作为优选的实施例,还包括pH调节剂。As a preferred embodiment, a pH adjuster is also included.

作为进一步优选的实施例,pH调节剂将药物组合物的pH值保持在4-8左右。合适的pH调节剂包括但不限于三乙醇胺、氢氧化钠、氢氧化钾、盐酸、磷酸、柠檬酸。在某些实施例中,包含用于调节和维持pH值的酸碱组合。As a further preferred embodiment, the pH adjusting agent maintains the pH value of the pharmaceutical composition at about 4-8. Suitable pH adjusting agents include, but are not limited to, triethanolamine, sodium hydroxide, potassium hydroxide, hydrochloric acid, phosphoric acid, and citric acid. In certain embodiments, an acid-base combination for adjusting and maintaining the pH value is included.

上述某些辅料在组合物中可以具有一种以上的功能。例如,辅料可以既是溶剂又是渗透促进剂,或者既是溶剂又是载体。上述辅料分类不应被理解为任何形式的限制或约束。Some of the above excipients may have more than one function in the composition. For example, an excipient may be both a solvent and a penetration enhancer, or both a solvent and a carrier. The above classification of excipients should not be construed as any form of limitation or restriction.

实施例1:凝胶Example 1: Gel

制备步骤:Preparation steps:

(a)聚合物相:将苯甲酸和乙二胺四乙酸二钠溶解在纯水、聚山梨醇酯80和甘油的混合物中。在更高的温度下将对羟基苯甲酸甲酯溶解在丙二醇中,并加入水相中。在搅拌下分散卡波姆980和透明质酸钠,必要时加热。(a) Polymer phase: Dissolve benzoic acid and disodium edetate in a mixture of purified water, polysorbate 80 and glycerol. Dissolve methylparaben in propylene glycol at a higher temperature and add to the aqueous phase. Disperse carbomer 980 and sodium hyaluronate under stirring and heating if necessary.

(b)药物(油)相:在搅拌下混合油醇、山梨醇油酸酯、苄醇和中链甘油三酯。加入丁基羟基甲苯,搅拌溶解。加入吡美莫司,在搅拌、均质或两者结合的条件下混合20分钟。加入维A酸,在搅拌、均质或两者结合的情况下混合10分钟。必要时加热。(b) Drug (Oil) Phase: Mix oleyl alcohol, sorbitan oleate, benzyl alcohol, and medium chain triglycerides with stirring. Add butylated hydroxytoluene and stir to dissolve. Add pimecrolimus and mix for 20 minutes with stirring, homogenization, or a combination of both. Add tretinoin and mix for 10 minutes with stirring, homogenization, or a combination of both. Heat if necessary.

(c)乳化:将油相加入聚合物相,在搅拌或均质或两者结合的情况下混合20-30分钟。在搅拌或均质或二者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the polymer phase and mix for 20-30 minutes while stirring or homogenizing or a combination of both. Cool to a target temperature of 50±5°C while stirring or homogenizing or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中加入壬二酸30分钟。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both.

(e)pH调节:在搅拌下加入10%氢氧化钠溶液将pH调节至4-6。(e) pH adjustment: 10% sodium hydroxide solution was added under stirring to adjust the pH to 4-6.

实施例2:凝胶Example 2: Gel

制备步骤:Preparation steps:

(a)水相:将苯甲酸和乙二胺四乙酸二钠溶于纯净水、丙二醇和甘油的混合物中。(a) Aqueous phase: Dissolve benzoic acid and disodium EDTA in a mixture of purified water, propylene glycol and glycerin.

(b)药物(油)相:在搅拌下混合油醇、肉豆蔻酸异丙酯和中链甘油三酯。加入丁基羟基甲苯,搅拌溶解。加入吡美莫司,在搅拌、均质或两者结合的条件下混合20分钟。加入维A酸,在搅拌、均质或两者结合的情况下混合10分钟。必要时加热。(b) Drug (Oil) Phase: Mix oleyl alcohol, isopropyl myristate, and medium chain triglycerides with stirring. Add butylated hydroxytoluene and stir to dissolve. Add pimecrolimus and mix for 20 minutes with stirring, homogenization, or a combination of both. Add tretinoin and mix for 10 minutes with stirring, homogenization, or a combination of both. Heat if necessary.

(c)乳化:将油相加入水相,在搅拌或均质或两者结合的情况下混合20-30分钟。在搅拌或均质或二者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase and mix for 20-30 minutes while stirring or homogenizing or a combination of both. Cool to a target temperature of 50±5°C while stirring or homogenizing or a combination of both.

(d)添加壬二酸:在搅拌或均化或两者结合的情况下将壬二酸加入乳液中30分钟。(d) Addition of Azelaic Acid: Azelaic acid was added to the emulsion for 30 minutes with stirring or homogenization or a combination of both.

(e)加入聚合物:加入Sepineo P600并均化,然后搅拌30分钟。(e) Add polymer: Add Sepineo P600 and homogenize, then stir for 30 minutes.

实施例3:凝胶Example 3: Gel

制备步骤:Preparation steps:

(a)水相:将苯甲酸和乙二胺四乙酸二钠溶于纯净水、丙二醇和甘油的混合物中。(a) Aqueous phase: Dissolve benzoic acid and disodium EDTA in a mixture of purified water, propylene glycol and glycerin.

(b)药物(油)相:在搅拌下混合油醇、肉豆蔻酸异丙酯和中链甘油三酯。加入丁基羟基甲苯,搅拌溶解。加入吡美莫司,在搅拌、均质或两者结合的条件下混合20分钟。加入维A酸,在搅拌、均质或两者结合的情况下混合10分钟。必要时加热。(b) Drug (Oil) Phase: Mix oleyl alcohol, isopropyl myristate, and medium chain triglycerides with stirring. Add butylated hydroxytoluene and stir to dissolve. Add pimecrolimus and mix for 20 minutes with stirring, homogenization, or a combination of both. Add tretinoin and mix for 10 minutes with stirring, homogenization, or a combination of both. Heat if necessary.

(c)乳化:将油相加入水相,在搅拌或均质或两者结合的情况下混合20-30分钟。在搅拌或均质或二者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase and mix for 20-30 minutes while stirring or homogenizing or a combination of both. Cool to a target temperature of 50±5°C while stirring or homogenizing or a combination of both.

(d)添加壬二酸:在搅拌或均化或两者结合的情况下将壬二酸加入乳液中30分钟。(d) Addition of Azelaic Acid: Azelaic acid was added to the emulsion for 30 minutes with stirring or homogenization or a combination of both.

(e)加入聚合物:加入Sepineo DERM并均化,然后搅拌30分钟。(e) Add polymer: Add Sepineo DERM and homogenize, then stir for 30 minutes.

实施例4:凝胶Example 4: Gel

制备步骤:Preparation steps:

(a)聚合物相:将乙二胺四乙酸二钠溶于纯净水、丙二醇和甘油的混合物中。加入卡波姆,在搅拌下水合40分钟。(a) Polymer phase: Disodium EDTA was dissolved in a mixture of purified water, propylene glycol and glycerol. Carbomer was added and hydrated for 40 minutes under stirring.

(b)药物(油)相:在搅拌下混合中链甘油三酯、油醇、Oleique CC 497、Duo。加入丁基羟基甲苯并在搅拌下溶解。加入吡美莫司,在搅拌、均质或两者结合的条件下混合20分钟。加入维A酸,在搅拌、均质或两者结合的情况下混合10分钟。必要时加热。(b) Drug (oil) phase: Mix medium chain triglycerides, oleyl alcohol, Oleique CC 497, and Duo. Add butylated hydroxytoluene and dissolve with stirring. Add pimecrolimus and mix for 20 minutes with stirring, homogenizing, or a combination of both. Add tretinoin and mix for 10 minutes with stirring, homogenizing, or a combination of both. Heat if necessary.

(c)乳化:向聚合物相中加入油相,在搅拌或均质或两者结合的方式下混合20-30分钟。在搅拌或均质或两者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the polymer phase and mix for 20-30 minutes under stirring or homogenization or a combination of both. Cool to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌、均质或两者结合的情况下,冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

(e)加入苯甲酸钠:将苯甲酸钠溶于纯净水中并加入,搅拌混合30分钟。(e) Adding sodium benzoate: Dissolve sodium benzoate in purified water and add, stirring and mixing for 30 minutes.

实施例5:凝胶Example 5: Gel

与实施例4区别在于组分中不含维A酸。The difference from Example 4 is that the components do not contain retinoic acid.

实施例6:凝胶Example 6: Gel

与实施例4区别在于组分中不含吡美莫司。The difference from Example 4 is that the components do not contain pimecrolimus.

实施例7:凝胶Example 7: Gel

与实施例4区别在于组分中不含壬二酸。The difference from Example 4 is that the composition does not contain azelaic acid.

实施例8:凝胶Example 8: Gel

与实施例4区别在于组分中不含维A酸和吡美莫司。The difference from Example 4 is that the components do not contain tretinoin and pimecrolimus.

实施例9:凝胶Example 9: Gel

与实施例4区别在于组分中不含维A酸和壬二酸。The difference from Example 4 is that the components do not contain retinoic acid and azelaic acid.

实施例10:凝胶Example 10: Gel

与实施例4区别在于组分中不含吡美莫司和壬二酸。The difference from Example 4 is that the components do not contain pimecrolimus and azelaic acid.

实施例11:乳霜Example 11: Cream

制备步骤:Preparation steps:

(a)油相:在70±5℃的温度下,在搅拌下加热并混合Crodamol CAP、CBS和Arlacel 983。加入丁基羟基甲苯并在搅拌下溶解。在搅拌下逐一加入吡美莫司和维A酸混合液,直至均匀。(a) Oil phase: Heat and mix Crodamol CAP, CBS and Arlacel 983. Add butylated hydroxytoluene and dissolve under stirring. Add pimecrolimus and tretinoin mixture one by one under stirring until uniform.

(b)水相:在70±5℃的温度下,将苯甲酸溶解在丙二醇和纯净水的混合物中。(b) Water phase: Dissolve benzoic acid in a mixture of propylene glycol and purified water at 70±5°C.

(c)乳化:在搅拌、均质或两者结合的情况下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,将乳液冷却至50±5℃的目标温度:(c) Emulsification: Add the oil phase to the water phase for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 50 ± 5 °C while stirring, homogenizing, or a combination of both:

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌、均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

(e)调整pH值:用10%的氢氧化钠溶液或柠檬酸纯水溶液将乳霜的pH值调至4.0-6.0,然后在搅拌下混合30分钟。(e) Adjusting pH: The pH of the cream was adjusted to 4.0-6.0 with 10% sodium hydroxide solution or pure citric acid solution, and then mixed for 30 minutes under stirring.

实施例12:乳霜Example 12: Cream

制备步骤:Preparation steps:

(a)水相:混合纯净水和丙二醇。在搅拌下加入并溶解鲸蜡硬脂醇硫酸钠。加热至70±5℃。(a) Water phase: Mix purified water and propylene glycol. Add and dissolve sodium cetearyl sulfate while stirring. Heat to 70±5℃.

(b)油相:加热并熔化油醇、鲸蜡醇、硬脂醇、单,双甘油脂肪酸酯、中链甘油三酯和苄醇。加入丁基羟基甲苯,搅拌溶解。逐一加入吡美莫司和维A酸,在搅拌下混合直至均匀。(b) Oil phase: Heat and melt oleyl alcohol, cetyl alcohol, stearyl alcohol, mono- and di-glycerol fatty acid esters, medium chain triglycerides and benzyl alcohol. Add butylated hydroxytoluene and stir to dissolve. Add pimecrolimus and tretinoin one by one and mix under stirring until uniform.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌、均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

(e)调整pH值:用10%的氢氧化钠溶液或柠檬酸纯水溶液将乳霜的pH值调至4.0-6.0,然后在搅拌下混合30分钟。(e) Adjusting pH: The pH of the cream was adjusted to 4.0-6.0 with 10% sodium hydroxide solution or pure citric acid solution, and then mixed for 30 minutes under stirring.

实施例13:乳霜Example 13: Cream

制备步骤:Preparation steps:

(a)水相:在室温下将黄原胶分散在甘油中30分钟。加入纯净水使其水合30分钟,然后加热至70±5℃的温度。将山梨酸和对羟基苯甲酸甲酯分别溶解在温度为70±5℃的纯净水中,然后加入聚合物相中。(a) Water phase: Disperse xanthan gum in glycerol at room temperature for 30 minutes. Add purified water to hydrate for 30 minutes and then heat to 70±5°C. Dissolve sorbic acid and methyl paraben in purified water at 70±5°C and then add to the polymer phase.

(b)油相:将硬脂酸、肉豆蔻酸异丙酯、聚氧乙烯40硬脂酸酯和硬脂醇在70±5℃的温度下加热熔化。加入丁基羟基甲苯并在搅拌下溶解。在搅拌下逐一加入吡美莫司和维A酸混合,直至均匀。(b) Oil phase: Heat and melt stearic acid, isopropyl myristate, polyoxyethylene 40 stearate and stearyl alcohol at 70±5°C. Add butylated hydroxytoluene and dissolve under stirring. Add pimecrolimus and tretinoin one by one under stirring and mix until uniform.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌或均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

实施例14:乳霜Example 14: Cream

制备步骤:Preparation steps:

(a)水相:在搅拌下将苯甲酸溶于甘油和纯净水的混合物中,然后将溶液加热至70±5℃。(a) Aqueous phase: Dissolve benzoic acid in a mixture of glycerol and purified water under stirring, and then heat the solution to 70±5°C.

(b)油相:在70±5℃的温度下,在搅拌下加热、混合并熔化Labrasol、鲸蜡硬脂醇、肉豆蔻酸异丙酯、聚氧乙烯40硬脂酸酯、山梨糖醇单硬脂酸酯和油醇。加入丁基羟基甲苯并在搅拌下溶解。在搅拌下逐一加入吡美莫司和维A酸混合直至均匀。(b) Oil phase: Heat, mix and melt Labrasol, cetearyl alcohol, isopropyl myristate, polyoxyethylene 40 stearate, sorbitan monostearate and oleyl alcohol at 70±5°C with stirring. Add butylated hydroxytoluene and dissolve with stirring. Add pimecrolimus and tretinoin one by one with stirring and mix until uniform.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,冷却至50±5℃的目标温度(c) Emulsification: Add the oil phase to the water phase for 30 minutes while stirring, homogenizing or a combination of both. Cool to a target temperature of 50 ± 5 °C while stirring, homogenizing or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌或均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

实施例15:乳液Example 15: Emulsion

制备步骤:Preparation steps:

(a)水相:在70±5℃的温度下搅拌加热纯净水、辛醇-9和甘油。依次加入苯甲酸、羟苯甲酯和对羟基苯甲酸丙酯,并在搅拌下溶解。在搅拌下逐一加入透明质酸钠、可溶性胶原蛋白、Pemulen TR-1和Carbopol 981,使其均匀溶解或分散。(a) Water phase: Stir and heat purified water, octanol-9 and glycerin at 70±5°C. Add benzoic acid, methylparaben and propylparaben in sequence and dissolve under stirring. Add sodium hyaluronate, soluble collagen, Pemulen TR-1 and Carbopol 981 one by one under stirring and dissolve or disperse them uniformly.

(b)油相:苄醇和将丁基羟基甲苯溶于矿物油和肉豆蔻酸异丙酯的混合物中,温度为70±5℃。在搅拌下逐一加入吡美莫司和维A酸混合液,直至均匀。(b) Oil phase: Benzyl alcohol and butyl hydroxytoluene are dissolved in a mixture of mineral oil and isopropyl myristate at a temperature of 70±5° C. Pimecrolimus and tretinoin are added one by one under stirring until the mixture is uniform.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,将散装物冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool the bulk to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌或均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

(e)pH值调整:用纯净水稀释的三乙醇胺将pH值调至5.0-6.0。(e) pH adjustment: Adjust the pH to 5.0-6.0 using triethanolamine diluted with purified water.

实施例16:乳液Example 16: Emulsion

制备步骤:Preparation steps:

(a)水相:在70±5℃的温度下搅拌加热纯净水和甘油。依次加入乙二胺四乙酸二钠、硫代硫酸钠和对羟基苯甲酸甲酯,并在搅拌下溶解。在搅拌下逐一加入Pemulen TR-1和Carbopol 971,使其均匀溶解或分散。(a) Water phase: Stir and heat purified water and glycerin at 70±5°C. Add disodium ethylenediaminetetraacetate, sodium thiosulfate and methyl paraben in sequence and dissolve under stirring. Add Pemulen TR-1 and Carbopol 971 one by one under stirring to make them evenly dissolved or dispersed.

(b)油相:在70±5℃的温度下,将丁基羟基甲苯溶解于中链甘油三酯中。(b) Oil phase: Dissolve butylated hydroxytoluene in medium chain triglycerides at 70±5°C.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相30分钟。(c) Emulsification: Add the oil phase to the water phase under stirring, homogenization or a combination of both for 30 minutes.

(d)药物相:在苯甲醇、Labrasol、PEG 400、维生素E和二乙二醇单乙醚的混合物中逐一加入吡美莫司和维A酸,搅拌直至均匀。(d) Drug phase: Pimecrolimus and tretinoin were added one by one to the mixture of benzyl alcohol, Labrasol, PEG 400, vitamin E and diethylene glycol monoethyl ether and stirred until homogeneous.

(e)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中加入壬二酸30分钟。在搅拌、均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(e) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

(f)pH值调整:用纯净水稀释的氢氧化钠将pH值调至5.0-6.0。(f) pH adjustment: Adjust the pH to 5.0-6.0 using sodium hydroxide diluted with purified water.

实施例17:乳液Example 17: Emulsion

制备步骤:Preparation steps:

(a)水相:混合纯净水、丙二醇和甘油。加入鲸蜡硬脂醇硫酸钠和乙二胺四乙酸二钠,在70±5℃的温度下搅拌溶解。(a) Water phase: Mix purified water, propylene glycol and glycerin. Add sodium cetearyl sulfate and disodium EDTA and stir to dissolve at 70±5℃.

(b)油相:油醇、鲸蜡醇、硬脂醇、单,双甘油脂肪酸酯、中链甘油三酯和苯甲醇。在搅拌下加入并溶解丁基羟基甲苯。在搅拌下逐一加入吡美莫司和维A酸混合液,直至均匀。(b) Oil phase: oleyl alcohol, cetyl alcohol, stearyl alcohol, mono- and di-glycerol fatty acid esters, medium-chain triglycerides and benzyl alcohol. Add and dissolve butylated hydroxytoluene under stirring. Add pimecrolimus and retinoic acid mixture one by one under stirring until uniform.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌、均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

(e)pH调整:将无水柠檬酸和氢氧化钠调整至4.0-6.0。(e) pH adjustment: adjust the pH to 4.0-6.0 with anhydrous citric acid and sodium hydroxide.

实施例18:乳液Example 18: Emulsion

制备步骤:Preparation steps:

(a)水相:在搅拌下加热并混合纯净水和丙二醇,逐一加入乙二胺四乙酸二钠、对羟基苯甲酸甲酯和对羟基苯甲酸丙酯并搅拌溶解。加入十二烷基硫酸钠和柠檬酸钠并在搅拌下溶解。(a) Water phase: Heat and mix purified water and propylene glycol under stirring, add disodium ethylenediaminetetraacetate, methylparaben and propylparaben one by one and stir to dissolve. Add sodium lauryl sulfate and sodium citrate and dissolve under stirring.

(b)加热并熔化硬脂酸甘油酯SE、硬脂酸山梨醇酯、鲸蜡醇、硬脂醇、轻矿物油和油醇。在搅拌下逐一加入吡美莫司和维A酸混合物,直至均匀。(b) Heat and melt glyceryl stearate SE, sorbitan stearate, cetyl alcohol, stearyl alcohol, light mineral oil and oleyl alcohol. Add pimecrolimus and tretinoin mixture one by one under stirring until uniform.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相30分钟。在搅拌或均质或两者结合的情况下,冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌或均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38 ± 2 °C while stirring, homogenizing, or a combination of both.

实施例19:软膏Example 19: Ointment

制备步骤:在70±5℃的温度下加热、熔化并混合单、双甘油酯、矿物油和白凡士林。加入丁基羟基甲苯,在搅拌下分散软膏基质。将软膏基质冷却至50±5℃的温度。加入维A酸,在搅拌、均质或两者结合的条件下分散软膏基质。加入吡美莫司,在搅拌或均质或两者结合的条件下分散软膏基质。加入壬二酸,在搅拌、均质或两者结合的条件下分散膏剂基质。Preparation steps: Heat, melt and mix mono- and diglycerides, mineral oil and white petrolatum at a temperature of 70 ± 5 ° C. Add butylated hydroxytoluene and disperse the ointment base under stirring. Cool the ointment base to a temperature of 50 ± 5 ° C. Add retinoic acid and disperse the ointment base under stirring, homogenization or a combination of the two. Add pimecrolimus and disperse the ointment base under stirring or homogenization or a combination of the two. Add azelaic acid and disperse the ointment base under stirring, homogenization or a combination of the two.

实施例20:软膏Example 20: Ointment

制备步骤:在70±5℃的温度下加热、熔化并混合油醇、中链甘油三酯、山梨醇倍半油酸酯、微晶蜡和矿物油。加入丁基羟基甲苯,在搅拌下分散软膏基质。将软膏基质冷却至50±5℃的温度。加入维A酸,在搅拌、均质或两者结合的条件下分散软膏基质。加入吡美莫司,在搅拌或均质下分散软膏基质,或两者结合使用。加入壬二酸,在搅拌、均质或两者结合的条件下分散膏剂基质。Preparation steps: Heat, melt and mix oleyl alcohol, medium chain triglycerides, sorbitan sesquioleate, microcrystalline wax and mineral oil at a temperature of 70±5°C. Add butylated hydroxytoluene and disperse the ointment base under stirring. Cool the ointment base to a temperature of 50±5°C. Add retinoic acid and disperse the ointment base under stirring, homogenization or a combination of both. Add pimecrolimus and disperse the ointment base under stirring or homogenization or a combination of both. Add azelaic acid and disperse the ointment base under stirring, homogenization or a combination of both.

实施例21:软膏Example 21: Ointment

制备步骤:在70±5℃的温度下加热、熔化并混合油醇、单、双甘油酯、中链甘油三酯、乳化蜡、白蜂蜡、苯甲醇、矿物油和白凡士林。加入丁基羟基甲苯,在搅拌下分散软膏基质。将软膏基质冷却至50±5℃的温度。加入维A酸,在搅拌、均质或两者结合的条件下分散软膏基质。加入吡美莫司,在搅拌或均质下分散软膏基质,或两者结合使用。加入壬二酸,在搅拌、均质或两者结合的条件下分散膏剂基质。Preparation steps: Heat, melt and mix oleyl alcohol, mono- and di-glycerides, medium-chain triglycerides, emulsifying wax, white beeswax, benzyl alcohol, mineral oil and white petrolatum at a temperature of 70 ± 5 ° C. Add butylated hydroxytoluene and disperse the ointment base under stirring. Cool the ointment base to a temperature of 50 ± 5 ° C. Add retinoic acid and disperse the ointment base under stirring, homogenization or a combination of the two. Add pimecrolimus and disperse the ointment base under stirring or homogenization, or a combination of the two. Add azelaic acid and disperse the ointment base under stirring, homogenization or a combination of the two.

实施例22:软膏Example 22: Ointment

制备步骤:在70±5℃的温度下熔化聚乙二醇软膏基质。加入维A酸,在搅拌、均质或二者结合的条件下将软膏基质分散。加入吡美莫司,在搅拌、均质或两者结合的条件下分散膏剂基质。加入壬二酸,在搅拌、均质或两者结合的条件下分散膏剂基质。Preparation steps: Melt the polyethylene glycol ointment base at a temperature of 70±5°C. Add retinoic acid and disperse the ointment base under stirring, homogenization or a combination of the two. Add pimecrolimus and disperse the ointment base under stirring, homogenization or a combination of the two. Add azelaic acid and disperse the ointment base under stirring, homogenization or a combination of the two.

实施例23:泡沫Example 23: Foam

制备步骤:Preparation steps:

(a)油相:在70±5℃的温度下加热熔化鲸蜡醇、白凡士林、Polyoxyl 20Cetostearyl Ether、轻矿物油、dl-α-生育酚、肉豆蔻酸异丙酯、油醇和硬脂醇。在搅拌下逐一加入吡美莫司和维A酸混合液,直至均匀。(a) Oil phase: melt cetyl alcohol, white petrolatum, Polyoxyl 20Cetostearyl Ether, light mineral oil, dl-α-tocopherol, isopropyl myristate, oleyl alcohol and stearyl alcohol at 70±5°C. Add pimecrolimus and tretinoin mixture one by one under stirring until uniform.

(b)水相:在搅拌下加热并混合丙二醇和纯净水。加入乙二胺四乙酸二钠和磷酸氢二钠,搅拌溶解。(b) Water phase: Heat and mix propylene glycol and purified water while stirring. Add disodium EDTA and disodium hydrogen phosphate and stir to dissolve.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或两者结合的情况下,将散装物冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool the bulk to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌或均质或两者结合的情况下,冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool to a target temperature of 38±2°C while stirring, homogenizing, or a combination of both.

(e)填充:装入容剂,并将推进剂丙烷、二甲醚和丁烷装入容剂。密封容剂并检查密封完整性。(e) Filling: Load the container and the propellants propane, dimethyl ether and butane into the container. Seal the container and check the seal integrity.

实施例24:泡沫Example 24: Foam

制备步骤:Preparation steps:

(a)油相:在70±5℃的温度下加热熔化鲸蜡硬脂醇、异山梨醇二甲酯、中链甘油三酯、单、双甘油酯、硬脂酸聚烃氧(40)酯和聚山梨醇酯80。在搅拌下逐一加入吡美莫司和维A酸混合液,直至均匀。(a) Oil phase: Heat and melt cetearyl alcohol, dimethyl isosorbide, medium chain triglycerides, mono- and di-glycerides, polyoxyl (40) stearate and polysorbate 80 at 70±5°C. Add pimecrolimus and tretinoin mixture one by one under stirring until uniform.

(b)水相:在搅拌下加热纯净水。在搅拌下加入苯甲酸并溶解。在搅拌下加入丙二醇中的甲基纤维素和黄原胶,并在搅拌下加入聚合物分散液中的水使其水合。(b) Water phase: Heat purified water while stirring. Add benzoic acid and dissolve it while stirring. Add methylcellulose and xanthan gum in propylene glycol while stirring, and add water from the polymer dispersion while stirring to hydrate it.

(c)乳化:在搅拌、均质或二者结合的条件下,将油相加入水相中30分钟。在搅拌或均质或二者结合的情况下,将散体冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of the two. Cool the dispersion to a target temperature of 50±5°C under stirring or homogenization or a combination of the two.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。在搅拌、均质或两者结合的情况下,将乳液冷却至38±2℃的目标温度。(d) Adding azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Cool the emulsion to a target temperature of 38±2°C while stirring, homogenizing, or a combination of both.

(e)pH调整:用氢氧化钠将pH值调至4.0-6.0。(e) pH adjustment: Adjust the pH to 4.0-6.0 with sodium hydroxide.

(f)填充:装入容剂,并将推进剂丙烷、丁烷和异丁烷装入容剂。密封容剂并检查密封是否完好。(f) Filling: Load the container and the propellants propane, butane and isobutane into the container. Seal the container and check whether the seal is intact.

实施例25:泡沫Example 25: Foam

制备步骤:Preparation steps:

(a)油相:在70±5℃的温度下搅拌加热并熔化白凡士林、矿物油、肉豆蔻酸异丙酯、环甲基硅氧烷、鲸蜡醇、月桂酸山梨醇酯和鲸蜡硬脂醇聚醚-20。在搅拌下逐一加入吡美莫司和维A酸混合物,直至均匀。(a) Oil phase: Stir and heat to melt white petrolatum, mineral oil, isopropyl myristate, cyclomethicone, cetyl alcohol, sorbitan laurate and ceteareth-20 at 70±5°C. Add pimecrolimus and tretinoin mixture one by one under stirring until uniform.

(b)水相:加热并混合纯化水和丙二醇。加入柠檬酸和柠檬酸钾,在70±5℃的温度下搅拌溶解。(b) Water phase: Heat and mix purified water and propylene glycol. Add citric acid and potassium citrate and stir to dissolve at 70±5°C.

(c)乳化:在搅拌、均质或两者结合的条件下,将油相加入水相30分钟。在搅拌或均质或两者结合的情况下,将乳化液冷却至50±5℃的目标温度。(c) Emulsification: Add the oil phase to the water phase for 30 minutes under stirring, homogenization or a combination of both. Cool the emulsion to a target temperature of 50±5°C under stirring or homogenization or a combination of both.

(d)添加壬二酸:在搅拌、均质或两者结合的情况下,在乳液中添加壬二酸30分钟。加入苯氧乙醇,继续搅拌10分钟。在搅拌或均质或两者结合的情况下,冷却至38±2℃的目标温度。(d) Add azelaic acid: Add azelaic acid to the emulsion for 30 minutes while stirring, homogenizing, or a combination of both. Add phenoxyethanol and continue stirring for 10 minutes. Cool to a target temperature of 38 ± 2 °C while stirring or homogenizing, or a combination of both.

(e)填充:装入容器并将推进剂P70装入容器。密封容器并检查密封完整性。(e) Filling: Fill the container and charge the propellant P70 into the container. Seal the container and check the seal integrity.

实施例26:泡沫Example 26: Foam

制备步骤:Preparation steps:

(a)油相:将大豆油、椰子油、轻矿物油、环甲基硅氧烷、鲸蜡硬脂醇、硬脂酸、肉豆蔻醇、氢化蓖麻油、蜂蜡、硬脂醇和苯乙醇在70±5℃的温度下加热、熔化并混合。在搅拌下加入二氧化硅,并在搅拌下充分分散。(a) Oil phase: heat, melt and mix soybean oil, coconut oil, light mineral oil, cyclomethicone, cetearyl alcohol, stearic acid, myristyl alcohol, hydrogenated castor oil, beeswax, stearyl alcohol and phenylethyl alcohol at 70±5° C. Add silicon dioxide under stirring and fully disperse under stirring.

(b)药物相:在搅拌下加入维A酸,在搅拌或均质或两者结合的条件下混合10分钟。在搅拌下加入吡美莫司,在搅拌或均质或两者结合的情况下混合10分钟。在搅拌下加入壬二酸,在搅拌或均质下或两者结合下混合30分钟。(b) Drug phase: Add retinoic acid under stirring and mix for 10 minutes under stirring or homogenization or a combination of both. Add pimecrolimus under stirring and mix for 10 minutes under stirring or homogenization or a combination of both. Add azelaic acid under stirring and mix for 30 minutes under stirring or homogenization or a combination of both.

(c)灌装:装入容器,加入推进剂,密封容器。(c) Filling: Putting into container, adding propellant and sealing the container.

实施例27Embodiment 27

制备步骤:Preparation steps:

(a)在70±5℃的温度下加热、熔化并混合鲸蜡醇、油醇、硬脂醇、单、双甘油酯、中链甘油三酯和矿物油。(a) Heat, melt and mix cetyl alcohol, oleyl alcohol, stearyl alcohol, mono- and di-glycerides, medium chain triglycerides and mineral oil at 70±5°C.

(b)在70±5℃的温度下,搅拌下在油相中加入并溶解吡美莫司。(b) Add and dissolve pimecrolimus in the oil phase at 70±5°C with stirring.

(c)在搅拌下将壬二酸加入并溶解在丙二醇、苯甲醇和Labrasol中,直至形成清澈的溶液。加入主相,在搅拌或均质或两者结合的情况下混合。(c) Add and dissolve Azelaic Acid in Propylene Glycol, Benzyl Alcohol and Labrasol under stirring until a clear solution is formed. Add the Main Phase and mix under stirring or homogenization or a combination of both.

(d)冷却:在搅拌、均质或两者结合的情况下,将主体冷却至40±2℃的温度。(d) Cooling: Cool the body to a temperature of 40±2°C under stirring, homogenization or a combination of both.

(e)在室温下,在异丙醇中搅拌下加入并溶解维A酸。加入主相并在搅拌或均质或两者结合的情况下混合。(e) Add and dissolve the retinoic acid in isopropanol at room temperature with stirring. Add the main phase and mix with stirring or homogenization or a combination of both.

实施例28Embodiment 28

制备步骤:Preparation steps:

(a)将丙二醇、油醇、二甲基异山梨醇、鲸蜡硬脂醇和聚乙二醇在70±5℃的温度下加热、熔化并混合。(a) Propylene glycol, oleyl alcohol, dimethyl isosorbide, cetearyl alcohol and polyethylene glycol are heated at 70±5°C, melted and mixed.

(b)在70±5℃的温度下,在搅拌、均质或两者结合的情况下,在油相中加入并溶解吡美莫司。(b) adding and dissolving pimecrolimus in the oil phase at 70±5°C under stirring, homogenization or a combination of both.

(c)在搅拌或均质或两者结合的情况下,将壬二酸加入并溶解在二乙二醇单乙醚、二甲亚砜、苯甲醇和Labrasol中,直至形成清澈的溶液。(c) Azelaic acid is added and dissolved in diethylene glycol monoethyl ether, dimethyl sulfoxide, benzyl alcohol and Labrasol under stirring or homogenization or a combination of both until a clear solution is formed.

加入主相并搅拌10分钟Add the main phase and stir for 10 minutes

(d)冷却:在搅拌、均质或二者结合的情况下,将主体冷却至40±2℃的温度。(d) Cooling: Cool the body to a temperature of 40±2°C under stirring, homogenization or a combination of both.

(e)室温下,在异丙醇中搅拌下加入并溶解维A酸。加入主相,在搅拌或均质或两者结合的条件下混合。(e) Add and dissolve the retinoic acid in isopropanol at room temperature with stirring. Add the main phase and mix under stirring or homogenization or a combination of both.

实施例29Embodiment 29

制备步骤:在搅拌、均质或两者结合的情况下,在乙醇中加入维A酸。在主相中加入吡美莫司,在搅拌或均质下混合,或两者结合使用。在主相中加入壬二酸,在搅拌或均质下混合,或两者结合使用。Preparation steps: Add retinoic acid to ethanol while stirring, homogenizing, or a combination of the two. Add pimecrolimus to the main phase and mix while stirring or homogenizing, or a combination of the two. Add azelaic acid to the main phase and mix while stirring or homogenizing, or a combination of the two.

实施例30Embodiment 30

制备步骤:在搅拌下混合乙醇和异丙醇。在搅拌、均质或两者结合的情况下,加入维A酸溶液。在主相中加入吡美莫司,在搅拌或均质下混合,或两者结合使用。在主相中加入壬二酸,在搅拌或均质下混合,或两者结合使用。Preparation steps: Mix ethanol and isopropanol under stirring. Add retinoic acid solution under stirring, homogenization, or a combination of both. Add pimecrolimus to the main phase and mix under stirring or homogenization, or a combination of both. Add azelaic acid to the main phase and mix under stirring or homogenization, or a combination of both.

实施例31:疗效研究Example 31: Efficacy Study

一项在不同中心进行的随机、多中心、研究者盲法对照研究,共招募了100名患有中度至重度黄褐斑的受试者。受试者被分为四组,每组25人。每天睡前在受影响的面部区域局部涂抹一次各实施例制备的外用组合物,为期8周。没有受试者失去随访机会,所有受试者都表示遵守了治疗方案。在急性治疗期间,每天至少涂抹两次(上午和中午)SPF60的防晒霜。如果无法避免阳光照射,则每两小时重新涂抹一次。要求受试者在治疗4周和8周后对黄褐斑的使用情况进行自我评估,评分标准为"非常满意"、"满意"、"既不满意也不不满意"、"不满意"和"非常不满意"。A randomized, multicenter, investigator-blind controlled study conducted in different centers recruited a total of 100 subjects with moderate to severe melasma. The subjects were divided into four groups, each with 25 people. The topical composition prepared in each embodiment was applied topically to the affected facial area once a day before going to bed for 8 weeks. No subject lost the opportunity for follow-up, and all subjects indicated compliance with the treatment regimen. During acute treatment, apply SPF60 sunscreen at least twice a day (morning and noon). If sun exposure cannot be avoided, reapply every two hours. Subjects were asked to self-assess the use of melasma after 4 and 8 weeks of treatment, with the scoring criteria being "very satisfied", "satisfied", "neither satisfied nor dissatisfied", "dissatisfied" and "very dissatisfied".

受试者人数Number of subjects 2525 2525 2525 2525 组别Group 实施例4Example 4 实施例5Example 5 实施例6Example 6 实施例7Example 7 非常满意Very satisfied 30%30% 4%4% 12%12% 4%4% 满意satisfy 58%58% 44%44% 36%36% 16%16% 既不满意也不不满意Neither satisfied nor dissatisfied 8%8% 32%32% 40%40% 48%48% 不满意Dissatisfied 4%4% 12%12% 8%8% 20%20% 非常不满意Very dissatisfied 0%0% 8%8% 4%4% 12%12%

结果以人群的百分比表示。同时含有壬二酸、吡美莫司和维A酸的三联组合组的所有受试者都表示在所有组别中效果最好,25名受试者中只有1名受试者(4%)不满意,2名受试者既不满意也不不满意(8%)。与其他三组产品相比,含有壬二酸、吡美莫司和维A酸的三联组合产品的效果非常令人满意。除了色素沉着明显减少外,他们还报告说皮肤质量和质地得到了改善,皮肤毛孔也缩小了。没有发现严重的副作用。只有两名志愿者表示在使用凝胶后的几天内有刺激或灼烧感,但几分钟后症状就自然消失了。The results are expressed as a percentage of the population. All subjects in the triple combination group containing azelaic acid, pimecrolimus and tretinoin reported the best results among all groups, with only 1 subject (4%) dissatisfied and 2 subjects neither satisfied nor dissatisfied (8%). The triple combination product containing azelaic acid, pimecrolimus and tretinoin showed very satisfactory results compared to the other three groups of products. In addition to a significant reduction in pigmentation, they also reported an improvement in skin quality and texture, and a reduction in skin pores. No serious side effects were found. Only two volunteers reported irritation or burning within a few days of using the gel, but the symptoms disappeared naturally after a few minutes.

结果表明,同时含有壬二酸、吡美莫司和维A酸的三联组合组的三联疗法对治疗黄褐斑有效,并能保持以往治疗方法所取得的黄褐斑改善效果。The results showed that the triple combination therapy containing azelaic acid, pimecrolimus and tretinoin was effective in treating melasma and could maintain the improvement of melasma achieved by previous treatments.

以上所述的仅是本发明的优选实施方式,应当指出,对于本领域的普通技术人员来说,在不脱离本发明创造构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。The above is only a preferred embodiment of the present invention. It should be pointed out that a person skilled in the art can make several modifications and improvements without departing from the inventive concept of the present invention, which all fall within the protection scope of the present invention.

Claims (10)

1. A topical composition for improving chloasma is characterized by comprising the following components:
component a: an immunosuppressant molecule or a pharmaceutically acceptable salt or ester thereof;
Component b: a vitamin a derivative or a pharmaceutically acceptable salt or ester thereof;
a dicarboxylic acid or a derivative thereof or a pharmaceutically acceptable salt or ester thereof;
Component d, a dermatologically acceptable carrier.
2. A topical composition for improving chloasma according to claim 1, wherein component a is pimecrolimus, component b is tretinoin and component c is azelaic acid.
3. The composition for external use for improving chloasma according to claim 2, wherein the pimecrolimus concentration is 0.05% -5.0%, the tretinoin concentration is 0.001% -1% and the azelaic acid concentration is 5.0% -25.0% by mass concentration.
4. A topical composition for improving chloasma as claimed in claim 3, wherein the pimecrolimus concentration is 0.5% -2.5%, the tretinoin concentration is 0.005% -0.5% and the azelaic acid concentration is 10.0% -20.0%.
5. The composition for external use for improving chloasma according to claim 4, wherein the pimecrolimus concentration is 1.0% -2.0%, the tretinoin concentration is 0.01% -0.25% and the azelaic acid concentration is 14.0% -16.0%.
6. The composition for external use for improving chloasma according to claim 5, wherein the pimecrolimus concentration is 1.0%, the tretinoin concentration is 0.05%, and the azelaic acid concentration is 15.0%.
7. A topical composition for improving chloasma according to any one of claims 1 to 6, wherein the dermatologically acceptable carrier is a cream, ointment, gel, emulsion, foam, topical mixture, solution, emulsion or any suitable topical formulation.
8. A topical composition for improving chloasma according to claim 7, wherein said dermatologically acceptable carrier comprises an oil phase or a water phase or a combination of oil and water phases.
9. The topical composition for improving chloasma according to claim 8, wherein the pH of the topical composition is 5.0±2.0.
10. A topical composition for improving chloasma as claimed in claim 9, wherein said topical composition is effective for penetration in a therapeutically effective amount for the treatment of patients suffering from chloasma and related skin disorders.
CN202410713036.8A 2024-06-04 2024-06-04 External composition for improving chloasma Pending CN118662507A (en)

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