KR101458670B1 - Pharmaceutical composition comprising branched chain amino acids as active ingredients and the preparation method thereof - Google Patents
Pharmaceutical composition comprising branched chain amino acids as active ingredients and the preparation method thereof Download PDFInfo
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- KR101458670B1 KR101458670B1 KR1020120032806A KR20120032806A KR101458670B1 KR 101458670 B1 KR101458670 B1 KR 101458670B1 KR 1020120032806 A KR1020120032806 A KR 1020120032806A KR 20120032806 A KR20120032806 A KR 20120032806A KR 101458670 B1 KR101458670 B1 KR 101458670B1
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- branched chain
- chain amino
- amino acids
- liquid suspension
- agent
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- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
- A61K31/198—Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
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- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
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Abstract
본 발명은, 분지쇄아미노산 및 다양한 약물을 유효성분으로 함유하고, 유효성분의 고미가 은폐된 약제학적 액상현탁조성물 및 제조방법에 관한 것이다.
구체적으로는, 본 발명은 분지쇄아미노산 3종 이소류신, 류신 및 발린을 유효성분으로 함유하고, 유효성분의 고미가 은폐된 약제학적 액상현탁조성물 및 이의 제조방법에 관한 것이다.
더욱 구체적으로는, 본 발명은 입도분포를 조절한 분지쇄아미노산 3종 이소류신, 류신 및 발린을 유효성분으로 함유하고, 특정의 점증제 또는 특정의 점증제의 조합, 감미제, 향료, 그리고, pH절제를 함유한 약제학적 액상현탁조성물 및 그 제조방법에 관한 것이다.The present invention relates to a pharmaceutical liquid suspension composition containing a branched chain amino acid and various drugs as an active ingredient, wherein the active ingredient is scarce, and a process for producing the same.
Specifically, the present invention relates to a pharmaceutical liquid suspension composition containing three branched branched amino acids isoleucine, leucine and valine as an active ingredient, wherein the active ingredient is scarce, and a process for producing the same.
More specifically, the present invention relates to a pharmaceutical composition containing a branched chain amino acid isoleucine, leucine and valine as an active ingredient with controlled particle size distribution, and a combination of a specific thickening agent or a specific thickening agent, a sweetening agent, And a method for preparing the same.
Description
본 발명은, 분지쇄아미노산을 유효성분으로 함유하고, 유효성분의 고미가 은폐된 약제학적 액상현탁조성물 및 제조방법에 관한 것이다. The present invention relates to a pharmaceutical liquid suspension composition containing a branched chain amino acid as an active ingredient, wherein the active ingredient is scarce, and a process for producing the same.
구체적으로는, 본 발명은 분지쇄 아미노산 3종, 구체적으로는, 이소류신, 류신 및 발린을 유효성분으로 함유하고, 유효성분의 고미가 은폐된 약제학적 액상현탁조성물 및 이의 제조방법에 관한 것이다.Specifically, the present invention relates to a pharmaceutical liquid suspension composition containing three kinds of branched chain amino acids, specifically, isoleucine, leucine and valine as active ingredients, and hiding the active ingredient thereof, and a method for producing the same.
더욱 구체적으로는, 본 발명은 입도분포를 조절한 분지쇄아미노산 3종, 구체적으로는, 이소류신, 류신 및 발린을 유효성분으로 함유하고, 특정의 점증제 또는 특정의 점증제의 조합을 포함하는 우수한 분산능을 갖는 액상현탁조성물 및 이의 제조방법에 관한 것이다.More specifically, the present invention relates to a pharmaceutical composition containing three kinds of branched chain amino acids having controlled particle size distribution, specifically, isoleucine, leucine and valine as an active ingredient, and is characterized by comprising a combination of a specific thickener or a specific thickener To a liquid suspension composition having a dispersing ability and a process for producing the same.
나아가, 본 발명은 상기 액상현탁조성물의 상업적 이용을 위한 대량생산에서 분지쇄아미노산 3종을 특정 순서에 따라 특정한 온도조건에서 투입하는 것을 특징으로 하는 액상현탁조성물의 제조방법에 관한 것이다.Furthermore, the present invention relates to a process for preparing a liquid suspension composition, characterized in that in the mass production for the commercial use of the liquid suspension composition, the three branching amino acids are introduced in a specific sequence under specific temperature conditions.
약제학적으로 허용되는 액상현탁조성물은 환자 또는 건강한 사람의 영양 상태를 개선하기 위해서 사용되는 것이고, 의료 분야 등에서 널리 이용되고 있으며, 통상 물 등의 용제에 용해 또는 현탁된 상태로 복용된다. 그러나, 분지쇄아미노산 3종을 함유하는 약제학적 액상현탁조성물은 쓴 맛이 있고, 그 때문에 이것을 복용하는 환자 등에게 부담이 되고 있다.The pharmaceutically acceptable liquid suspension composition is used for improving the nutritional status of a patient or a healthy person, and is widely used in medical fields and the like, and is usually dissolved or suspended in a solvent such as water. However, a pharmaceutical liquid suspension composition containing three branched-chain amino acids has a bitter taste, which makes it burdensome for patients taking it.
한편, 이소류신, 류신 및 발린의 3종의 분지쇄아미노산을 포함하는 현탁제가 제안되었다. On the other hand, a suspension containing three branched chain amino acids of isoleucine, leucine and valine has been proposed.
일본 공개특허공보 제2002-114674호 (2002년 4월 16일 공개)는 분지쇄아미노산 및 산미제로서 적어도 1종의 유기산을 포함하는 의약용 현탁액을 개시하고 있다. 그러나, 단지 유기산을 첨가하는 것만으로는 쓴맛의 마스킹 효과가 충분치 않고, 따라서 상업적으로 실용화하기는 어렵다.Japanese Laid-Open Patent Publication No. 2002-114674 (published on April 16, 2002) discloses a pharmaceutical suspension containing at least one organic acid as a branched chain amino acid and an acidic agent. However, merely adding an organic acid does not have a sufficient bitter taste masking effect, and therefore, it is difficult to commercialize it.
공개특허 10-2005-0095833 (2005년 10월 04일 공개)에서는 실제로 쓴맛이 억제된 경구용 조성물을 얻기 위해서는 분지쇄아미노산 혼합물을 용액 또는 현탁액으로 제조한 직후에 복용해야 한다고 기술하고 있으므로, 사용자가 복용시에 직접 용액 또는 현탁액을 제조해야 하므로 복용시 번거로울 뿐만 아니라 사용자에 따라 물의 양, 섞는 시간, 섞는 방법 등이 다르므로 동일하고 효과적인 약효를 기대하기 힘들다. It is disclosed in U.S. Patent No. 10-2005-0095833 (published October 04, 2005) that, in order to obtain a bitter taste suppressed oral composition, a branched chain amino acid mixture should be taken immediately after preparation of a solution or suspension, It is difficult to expect the same effective efficacy because the amount of water, mixing time, and mixing method are different according to the user as well as troublesome when taking the solution or suspension.
등록특허 10-0927254 (2009년 11월 10일 등록)에서는 3종의 분지쇄아미노산에 알로에베라, 검류 및 산미제를 혼합함으로써 분지쇄아미노산 특유의 쓴맛 등 불쾌한 맛과 느낌을 경감시키는 동시에 분지쇄아미노산을 액상현탁조성물로 제형화함으로써 복용상 편리성을 개선하였다고 기술하고 있다. 그러나 상업적으로 이용할 경우 현탁제는 일정한 용량 또는 중량으로 제조하여 파우치로 판매되며, 보통 5mL~20mL (액상의 비중 0.8~1.2 g/mL) 단위이다. 그러나, 이 특허 문헌에서는 분지쇄아미노산의 용량이 20mL 당 이소류신 474mg, 류신 952mg, 발린 572mg으로, 치료용 제제인 리박트 과립 (LIVACT GRANULE)의 1회 복용량 이소류신 952mg,, 류신 1,904mg, 발린 1,144mg에 비해 사용량이 현저히 적다. 이는 이 문헌의 제시하는 방법 즉, 분지쇄아미노산 3종을 50~150 메쉬로 사용할 경우에는 의약용의 분지쇄아미노산 액상현탁조성물을 제조하기가 어렵다는 것을 보여주는 사례라고 볼 수 있다. 또한 알로에베라의 쓴맛으로 아미노산의 쓴맛을 마스킹한 제제이기 때문에 불쾌한 맛을 근본적으로 감추는 것이 아니라는 기술적인 한계가 있다. In Registration No. 10-0927254 (registered on November 10, 2009), aloe vera, gum, and acidifier are mixed with three kinds of branched chain amino acids to reduce unpleasant taste and feeling such as bitter taste characteristic of branched chain amino acids, Is formulated into a liquid suspension composition, thereby improving convenience in dosing. However, when used commercially, the suspension is manufactured in a certain volume or weight and sold in pouches, usually in the range of 5 mL to 20 mL (specific gravity of liquid phase 0.8 to 1.2 g / mL). However, in this patent document, the dose of branched chain amino acids is 474 mg of isoleucine, 952 mg of leucine and 572 mg of valine per 20 mL, and 952 mg of isoleucine dose of 1 LIVACT GRANULE as treatment agent, 1,904 mg of leucine and 1,144 mg of valine The amount of use is considerably less than that of This is an example showing that it is difficult to prepare a branched chain amino acid liquid suspension composition for medicines when the three kinds of branched chain amino acids are used in the range of 50 to 150 mesh. In addition, the bitter taste of aloe vera is masked with the bitter taste of amino acids, so there is a technical limitation that it does not fundamentally hide unpleasant taste.
현재 분지쇄아미노산 3종을 포함하는 액상현탁 제제로서 시판중인 제품은 없는 실정이다. Currently, there are no commercially available liquid suspension preparations containing three kinds of branched chain amino acids.
이는 현탁액을 구성하는 분지쇄아미노산 3종의 1회 복용량이 많기 때문에 통상적인 방법으로는 치료용으로 적합한 액상현탁조성물의 구성을 완성하지 못하는 것으로 사료된다. 이는 또한 쓴맛은폐 뿐만 아니라, 분말에서 유래되는 구강내의 이물감, 상업적 판매를 위한 대량생산공정상의 트러블 등을 완전히 해결하지 못한 결과라고 사료된다.It is believed that this is because a single dose of three kinds of branched chain amino acids constituting the suspension is large, so that it is considered that the conventional method does not complete the composition of the liquid suspension composition suitable for treatment. This is also the result of not completely solving not only bitter concealment but also foreign matter in the mouth derived from the powder and troubles in mass production process for commercial sale.
이소류신, 류신 및 발린으로 이루어지는 3종의 분지쇄아미노산을 유효성분으로 함유하는 의약용 제제는 간 질환에 효과적인 치료약으로 알려져 있다. 이들 분지쇄아미노산은 간경변 환자의 혈장 아미노산의 불균형을 시정하여 질소평형을 개선시키는 효과가 있다. 또한, 간경변 환자의 복수, 피로감 등의 자각 및 타각 증상을 개선시키고, 혈장 단백질 및 알부민의 증가, 단백 영양 상태를 개선하며, 근단백 분해 및 간분비성 단백 저하를 억제하며 혈소판수의 감소를 방지하는 효과를 나타낸다. Pharmaceutical preparations containing three kinds of branched chain amino acids consisting of isoleucine, leucine and valine as effective ingredients are known as therapeutic drugs effective for liver diseases. These branched chain amino acids have the effect of improving nitrogen balance by correcting the imbalance of plasma amino acid in cirrhotic patients. In addition, it improves the awareness of the ascites and fatigue of liver cirrhosis patients, increases the plasma protein and albumin, improves the protein nutritional status, inhibits muscle protein degradation and hepatic secretion protein depression, and prevents the platelet count from decreasing .
현재 이들 3종의 분지쇄아미노산은 고형 제제인 과립제로 제형화되어 리박트 과립 (LIVACT GRANULE)으로 시판되고 있다. 그러나, 시판 중인 과립제의 경우, 복용시 아미노산 특유의 쓴맛으로 인해 불쾌감이 있고, 입 안에 과립제가 달라붙어 불편하다. Currently, these three kinds of branched chain amino acids are formulated into granules, which are solid preparations, and are marketed as LIVACT GRANULE. However, in the case of commercially available granules, there is a discomfort due to the bitter taste unique to amino acids upon administration, and granules are uncomfortable in the mouth.
또한, 과립제는 일반적으로 함량 균일성의 확보 및 용해성 향상 등의 요구를 만족시키기 위해 유효성분을 잘게 분쇄하여 사용하는 경우가 많은데, 특히, 당해 3종의 분지쇄아미노산의 입자를 함유하는 고형 제제의 경우, 원료 아미노산 입자의 입도 (粒度)만을 감소시켜 대처하고자 하면, 이의 비용적 (specific volume)이 커져 결과적으로 1회 복용량당 용적이 커져 복용시에 입안에서 부피가 커져 삼키기가 어렵다는 난점이 있고, 액상의 현탁제로 제형화 할 경우도 동일한 문제점이 발생하게 된다.In general, in order to satisfy the requirements such as ensuring the uniformity of the contents and improving the solubility, the granules are often finely pulverized and used. Particularly, in the case of the solid preparation containing the particles of the three kinds of branched chain amino acids , The specific volume of the raw amino acid particles is reduced, and as a result, the volume per volume is large, resulting in a volume in the mouth which is difficult to swallow when taken. The same problem also occurs when formulating into a suspension.
예를 들면, 함량 균일성의 확보 및 용해성 향상 등의 요구를 만족시키기 위해서 유효성분을 50㎛ 이하로 분쇄하여 사용하는 경우, 이와 같이 제조된 과립은 통상적으로 이의 비용적 (specific volume)이 2.0mL/g 또는 그 이상이 되며, 분지쇄아미노산의 1회 용량이 4 내지 5g 정도이므로 50㎛ 이하로 분쇄하여 과립 제제를 제조하면, 이의 용적은 8 내지 10mL 정도가 되어 입안에서 부피가 커져 매우 삼키기 어렵게 된다. For example, when the active ingredient is pulverized to 50 mu m or less in order to satisfy the requirements of ensuring the uniformity of the content and improving the solubility, the granules thus produced usually have a specific volume of 2.0 mL / g or more, and the amount of the branched chain amino acid is about 4 to 5 g, so that when the granule preparation is pulverized to 50 탆 or less, its volume becomes about 8 to 10 mL, which makes the volume in the mouth large and difficult to swallow very much .
현탁제로 제형화 할 경우는 복용 및 휴대의 간편성을 위해 병 또는 파우치로 포장할 경우가 많은데, 파우치 포장을 예로 들면, 통상 5mL~20mL (비중 0.8~1.2 g/mL)의 용적으로 시판되지만, 분지쇄아미노산 3종 (이소류신, 류신 및 발린) 이 미분화되면 복용 시 용이하게 먹을 수 있는 유동성 있는 액상제제가 충분한 농도로 만들어지지 않고, 복용 시 물과 함께 복용해야 하며, 이때 물을 과도하게 섭취하면 복부 팽만의 부작용을 가져올 수 있고, 분지쇄아미노산 제제가 복수 등 수분조절이 필요한 간 질환자에게 투여되는 경우 수분조절의 어려움은 환자의 증상이 오히려 악화되는 원인이 될 수 있다. 분지쇄아미노산을 포함하는 의약용 제제가 주로 장기복용을 요하는 간경변 환자에게 투여됨을 고려할 때, 이러한 복용상의 어려움은 환자들이 중도에 복용을 중단하는 원인이 될 수도 있다. 따라서, 기 판매중인 현재의 과립제가 가지고 있는 복용상 문제점에 대한 개선이 절실한 실정이다. In the case of formulation as a suspension, it is often packaged in a bottle or pouch for ease of taking and carrying. In the case of a pouch package, it is usually commercially available in a volume of 5 mL to 20 mL (specific gravity 0.8 to 1.2 g / mL) When three kinds of chain amino acids (isoleucine, leucine and valine) are undifferentiated, a fluid liquid preparation which can be easily eaten when it is taken is not made to a sufficient concentration, and it should be taken together with water when taking it. It may lead to side effects of bloating, and when a branched-chain amino acid preparation is administered to a liver disease patient who needs to control the water such as plural, the difficulty in controlling the moisture may cause the symptoms of the patient to deteriorate rather. Considering that pharmaceutical preparations containing branched chain amino acids are administered mainly to patients with cirrhosis who require long-term use, such difficulties in taking can cause the patients to stop taking the medication. Therefore, there is an urgent need to improve the dosage of the present granule currently in sale.
결론적으로 이소류신, 류신 및 발린으로 이루어지는 3종의 분지쇄아미노산은 강한 쓴맛과 특유의 아미노산 냄새가 있다는 점과 1회 적절한 유동성을 가지면서도 복용용적이 크지 않아야 한다는 점이 제제화하는데 어려움이 있어 이를 해결하는 것이 상업적 이용에 있어서 과제가 되고 있다. In conclusion, the three branched chain amino acids of isoleucine, leucine and valine are difficult to formulate because they have a strong bitter taste and distinctive odor of amino acid, and that they should not be large in dosage while having appropriate fluidity once. And has become a problem in commercial use.
본 발명은 이소류신, 류신 및 발린의 3종의 분지쇄아미노산을 포함하는 액상현탁조성물 및 이의 제조방법에 관한 것으로, 3종의 분지쇄아미노산에 점증제, pH조절제 및 감미제를 혼합하여 분지쇄아미노산 특유의 쓴맛 등 불쾌한 맛과 느낌을 경감시키는 액상현탁조성물을 제공함에 그 목적이 있다. The present invention relates to a liquid suspension composition comprising three branched chain amino acids of isoleucine, leucine and valine, and a process for producing the same, wherein the branched chain amino acid is obtained by mixing an aging agent, a pH adjusting agent and a sweetener, And to provide a liquid suspension composition which alleviates an unpleasant taste and feeling such as a bitter taste of the liquid.
또한 상업적 판매를 위한 대량생산공정상의 트러블을 해결하여 분지쇄아미노산 3종 (이소류신, 류신 및 발린) 을 액상현탁조성물로 제형화하는 것을 또 하나의 과제로 한다. Another object of the present invention is to solve the problems in the mass production process for commercial sale and to formulate three kinds of branched chain amino acids (isoleucine, leucine and valine) into a liquid suspension composition.
위 과제의 해결수단으로서, 본 발명에서는, 이소류신, 류신 및 발린의 3종의 분지쇄 아미노산, 점증제, pH 조절제 및 약제학적으로 허용가능한 첨가제를 포함하는 경구투여 가능한 액상현탁조성물에 있어서, 상기 분지쇄 아미노산의 입도가 35메쉬 내지 100메쉬인 것을 특징으로 하는 액상현탁조성물이 제공된다.As a means for solving the above problems, the present invention provides an orally administrable liquid suspension composition comprising three kinds of branched chain amino acids, isoleucine, leucine and valine, an increasing agent, a pH adjusting agent and a pharmaceutically acceptable additive, Wherein the chain amino acid has a particle size of 35 mesh to 100 mesh.
또한, 상기 액상현탁조성물에 있어서, 상기 점증제는 히드록시프로필셀룰로오스, 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨 및 폴리비닐피롤리돈으로 이루어지는 군으로부터 선택되는 것을 특징으로 하는 액상현탁조성물이 제공된다.In addition, in the liquid suspension composition, the thickening agent is selected from the group consisting of hydroxypropylcellulose, microcrystalline cellulose, carboxymethylcellulose sodium, and polyvinylpyrrolidone.
또한, 상기 액상현탁조성물에 있어서, 상기 pH 조절제는 시트르산 및 무수인산수소나트륨으로 이루어지는 군으로부터 선택되는 것을 특징으로 하는 액상현탁조성물이 제공된다.Further, in the liquid suspension composition, the pH adjusting agent is selected from the group consisting of citric acid and anhydrous sodium hydrogen phosphate.
또한, 상기 액상현탁조성물에 있어서, pH범위가 5 내지 7인 것을 특징으로 하는 액상현탁조성물이 제공된다.Also, in the liquid suspension composition, a liquid suspension composition characterized by a pH range of 5 to 7 is provided.
또한, 상기 액상현탁조성물에 있어서, 히드록시프로필셀룰로오스를 액상현탁조성물 중량대비 0.2 내지 2.0% (w/w), 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨을 액상현탁조성물 중량대비 1.0 내지 3.4% (w/w), 폴리비닐피롤리돈을 액상현탁조성물 중량대비 2.0 내지 4.0% (w/w) 를 함유하는 액상현탁조성물이 제공된다. In addition, in the above liquid suspension composition, hydroxypropyl cellulose may be added in an amount of 0.2 to 2.0% (w / w) based on the weight of the liquid suspension composition, 1.0 to 3.4% (w / w) of microcrystalline cellulose / carboxymethylcellulose sodium, ), And 2.0 to 4.0% (w / w) based on the weight of the liquid suspension composition of polyvinylpyrrolidone.
마지막으로, 상기 액상현탁조성물을 제조하는 방법으로서, 실온 또는 미온의 정제수에 히드록시프로필셀룰로오스, 미결정셀룰로오스카르복시메칠셀룰로오스나트륨 및 폴리비닐피롤리돈으로 이루어지는 군으로부터 선택되는 점증제를 용해 또는 현탁시키는 단계; 상기 현탁용액에 이소류신, 류신 및 발린으로부터 선택되는 1종의 아미노산을 첨가하고 분산시키는 단계; 상기 현탁용액에 나머지 아미노산 2종을 50℃이하에서 첨가하고, 70 내지 90℃로 승온 및 분산시키는 단계; 상기 현탁용액에 보존제, 감미제, pH조절제를 첨가하여 용해시키는 단계를 포함하는 것을 특징으로 하는 이소류신, 류신 및 발린의 3종의 분지쇄아미노산을 포함하는 경구투여 가능한 액상현탁조성물의 제조방법이 제공된다.Finally, as a method for producing the liquid suspension composition, there is a method of dissolving or suspending a thickening agent selected from the group consisting of hydroxypropyl cellulose, microcrystalline cellulose carboxymethylcellulose sodium and polyvinylpyrrolidone in purified water at room temperature or low temperature ; Adding and dispersing one kind of amino acid selected from isoleucine, leucine and valine to the suspension solution; Adding the remaining two amino acids to the suspension solution at 50 DEG C or lower, raising and lowering the temperature to 70 to 90 DEG C; There is provided a method for preparing an orally administrable liquid suspension composition comprising three kinds of branched chain amino acids of isoleucine, leucine and valine, which comprises the step of adding a preservative, a sweetener and a pH controlling agent to the suspension solution and dissolving .
본 발명의 약제학적 액상현탁조성물은 약 20mL 정도의 용적에 분지쇄아미노산 3종을 4g~5g 포함할 수 있으므로 치료목적으로 환자에게 복용이 편리한 용략과 고미가 최소화된 맛의 액상현탁조성물을 제공한다. 또한 일반적으로 고미은폐에 이용되는 주성분 코팅 등의 공정이 없어 저비용 단순화된 제법으로 쉽게 제조할 수 있다. Since the pharmaceutical liquid suspension composition of the present invention can contain 4g to 5g of three kinds of branched chain amino acids in a volume of about 20mL, it is convenient to take to the patient for therapeutic purposes and provides a liquid suspension composition having a taste with minimal taste . In addition, since there is no process such as coating of the main component which is generally used for scum concealment, it can be easily manufactured at a low cost in a simplified manufacturing method.
도 1은 본 발명의 제조방법의 제조공정도를 나타낸 도이다.
도 2는 제조공정에 따른 뭉침현상을 비교한 도이다.BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a diagram showing a manufacturing process of a production method of the present invention. Fig.
FIG. 2 is a view comparing the aggregation phenomenon according to the manufacturing process.
본 발명의 조성물은 의약품 제조에 통상적으로 사용되는 첨가제, 예를 들면, 산미제, 감미제, 풍미제, 결합제, 소포제, 분산제, 현탁화제, 안정화제, 부형제, 보존제 등을 1종 이상 함유하는 액상 현탁조성물 제조에 적합한 양으로 포함할 수 있다.The composition of the present invention may be used in the form of a liquid suspension containing at least one kind of additive commonly used in the manufacture of medicines such as an acidic agent, a sweetener, a flavoring agent, a binder, a defoamer, a dispersant, a suspending agent, a stabilizer, May be included in an amount suitable for the preparation of the composition.
분지쇄아미노산Branched chain amino acids
본 발명의 약제학적 액상현탁조성물에 함유되어 있는 분지쇄아미노산은 통상적으로 의약품이나 식품 등에 사용되는 이소류신, 류신 및 발린을 들 수 있다. 종래부터, 이소류신, 류신 및 발린의 3종의 아미노산으로 이루어지는 분지쇄아미노산은 단백질을 증가시키는 작용이나, 운동 시의 에너지원으로 중요한 역할을 하는 것이 알려져, 여러 가지 분지쇄아미노산을 함유하는 의약품, 식품 등이 개발되어 출시되었다. The branched chain amino acids contained in the pharmaceutical liquid suspension composition of the present invention include isoleucine, leucine and valine, which are conventionally used in pharmaceuticals and foods. BACKGROUND ART [0002] It has been conventionally known that branched chain amino acids composed of three kinds of amino acids, isoleucine, leucine and valine play an important role as an energy source during exercise and increase the protein. Thus, various pharmaceutical substances containing branched chain amino acids, Have been developed and released.
하지만, 일반적으로, 분지쇄아미노산을 함유하는 의약품, 식품 등은 분지쇄아미노산으로부터 유래하는 특유의 쓴 맛·냄새가 있고, 또한, 1회의 복용량이 다른 의약품, 식품 등과 비교하여 다량이기 때문에, 그 복용감은 그다지 양호하다고는 하기 어려운 것이다.However, in general, pharmaceuticals and foods containing branched chain amino acids have a unique bitter taste and smell originating from branched chain amino acids, and since the dosage is one dose larger than those of other medicines, foods and the like, It is hard to say that the sense is so good.
한편, 아미노산은 L-체, D-체, DL-체 중 어느 것이라도 사용 가능하지만, 바람직하게는, L-체, DL-체이며, 더욱 바람직하게는, L-체이다. 또한, 아미노산은, 유리체 뿐만 아니라, 염의 형태라도 사용할 수 있고, 본 발명에 있어서, 아미노산은 유리체, 염의 양자를 포함하는 개념이다. 염의 예로서는, 산 부가염이나 염기와의 염 등을 들 수 있고, 아미노산의 의약으로서 허용될 수 있는 염을 선택하는 것이 바람직하다.On the other hand, the amino acid can be any of an L-isomer, a D-isomer and a DL-isomer, preferably an L-isomer or a DL-isomer, and more preferably an L-isomer. The amino acid can be used in the form of a salt as well as a vitreous body. In the present invention, the amino acid is a concept including both a vitreous body and a salt. Examples of the salt include an acid addition salt and a salt with a base, and it is preferable to select a salt which is acceptable as a medicine of amino acid.
아미노산에 부가하여 의약으로서 허용될 수 있는 염을 형성하는 산으로서는, 예를 들면, 염화수소, 브롬화수소, 황산, 인산 등의 무기산; 아세트산, 락트산, 시트르산, 타르타르산, 말레산, 푸말산, 모노메틸황산 등의 유기산을 들 수 있다. 아미노산의 의약으로서 허용될 수 있는 염을 형성하는 염기의 예로서는, 예를 들면, 나트륨, 칼륨, 칼슘 등의 금속의 수산화물 또는 탄산화물, 또는 암모니아 등의 무기염기; 에틸렌디아민, 프로필렌디아민, 에탄올아민, 모노알킬에탄올아민, 디알킬에탄올아민, 디에탄올아민, 트리에탄올아민 등의 유기 염기를 들 수 있다.Examples of the acid which forms a pharmaceutically acceptable salt in addition to an amino acid include inorganic acids such as hydrogen chloride, hydrogen bromide, sulfuric acid and phosphoric acid; And organic acids such as acetic acid, lactic acid, citric acid, tartaric acid, maleic acid, fumaric acid, and monomethylsulfuric acid. Examples of the base which forms a salt which is acceptable as a medicine of an amino acid include inorganic bases such as hydroxides or carbonates of metals such as sodium, potassium and calcium, and ammonia; And organic bases such as ethylenediamine, propylenediamine, ethanolamine, monoalkylethanolamine, dialkylethanolamine, diethanolamine, triethanolamine and the like.
본 발명의 약제학적 액상현탁조성물은 이소류신, 류신 및 발린의 분지쇄아미노산 3종을 함께 함유하며, 약제학적 액상현탁조성물 중량대비 바람직하게는 19%~21% (w/w) 범위로 함유된다.The pharmaceutical liquid suspension compositions of the present invention contain three branched amino acids of isoleucine, leucine and valine, preferably in the range of 19% to 21% (w / w) relative to the weight of the pharmaceutical liquid suspension composition.
점증제Incrementer
본 발명의 약제학적조성물은 점증제를 함유할 수 있다. 메틸셀룰로오스, 하이드록시프로필셀룰로오스, 하이드록시프로필메틸셀룰로오스, 하이드록시프로필메틸셀룰로오스프탈레이트 등의 셀룰로오스 유도체: 옥수수 전분, 밀 전분 등의 전분류: 폴리비닐피롤리돈, 폴리비닐알코올, 아크릴산 중합체 등의 합성 고분자류: 한천, 잔탄검, 아라비아 고무, 젤라틴 등의 천연고분자류, 미결정셀룰로오스, 셀룰로오스중합체, 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨 등을 들 수 있다. 한편, 본 발명자의 연구에 의하면, 예기치 않게도, 점증제의 조합에 따라서 현택액의 품질이 일정하지 않음을 알았고, 특히, 점증제로서 폴리비닐프롤리돈, 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨 및 히드록시프로필셀룰로오스를 조합하여 사용할 때 현탁상태가 우수함을 발견하였다. 또한, 점증제의 함유량은 통상의 액상현탁조성물 제조가 가능한 범위 내면 좋은데, 바람직하게는, 히드록시프로필셀룰로오스를 액상현탁조성물 중량대비 0.2 내지 2.0% (w/w), 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨을 액상현탁조성물 중량대비 1.0 내지 3.4% (w/w), 폴리비닐피롤리돈을 액상현탁조성물 중량대비 2.0 내지 4.0% (w/w)포함하는 것이 좋다.The pharmaceutical composition of the present invention may contain an increasing agent. Cellulose derivatives such as methyl cellulose, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, hydroxypropylmethyl cellulose phthalate and the like: starches such as corn starch and wheat starch: synthetic such as polyvinylpyrrolidone, polyvinyl alcohol and acrylic acid polymers Polymers such as natural polymers such as agar, xanthan gum, gum arabic and gelatin, microcrystalline cellulose, cellulose polymer, microcrystalline cellulose, carboxymethylcellulose sodium and the like. On the other hand, according to the study by the present inventors, it was unexpectedly found that the quality of the present solution was not constant depending on the combination of the thickeners. Particularly, as the thickener, polyvinylpyrrolidone, microcrystalline cellulose, carboxymethylcellulose sodium, Hydroxypropylcellulose was used in combination, it was found that the suspension state was excellent. The content of the thickening agent may be within a range in which a conventional liquid suspension composition can be prepared. Preferably, hydroxypropylcellulose is added in an amount of 0.2 to 2.0% (w / w) based on the weight of the liquid suspension composition, microcrystalline cellulose / sodium carboxymethylcellulose (W / w) based on the weight of the liquid suspension composition and 2.0 to 4.0% (w / w) based on the weight of the liquid suspension composition of polyvinyl pyrrolidone.
pHpH 조절제Modulator
본 발명의 약제학적조성물은 pH조절제를 함유할 수 있다. 대한약전 제9개정에는 pH를 조절할 수 있는 인산수소이나트륨시트르산완충액의 제조법이 개시되어 있다. 이에 한정되는 것은 아니지만, 시트르산과 무수인산수소나트륨과 같은 pH조절제를 적절히 사용하여 pH3.0 내지 pH9.0 범위, 바람직하게는 pH4.0 내지 pH8.0, 더욱 바람직하게는 pH5.0 내지 pH7.0 범위로 제조할 수 있다. The pharmaceutical composition of the present invention may contain a pH adjusting agent. The 9th revision of the Korean Pharmacopoeia discloses a process for preparing disodium hydrogenphosphate citrate buffer which can control pH. Although not limited thereto, a pH adjusting agent such as citric acid and anhydrous sodium hydrogen phosphate is appropriately used to adjust the pH to the range of pH 3.0 to pH 9.0, preferably pH 4.0 to pH 8.0, more preferably pH 5.0 to pH 7. 0 < / RTI >
본 발명의 분지쇄아미노산 3종은 pH5.0~7.0 부근에서 안정한 경향을 보이고, 또한 같은 범위에서 쓴맛 내지는 불쾌한 맛이 최소화된다. The three branched-chain amino acids of the present invention show a stable tendency at around pH 5.0 to 7.0, and the bitter taste or unpleasant taste is minimized in the same range.
산미제Acidic
사용할 수 있는 산미제로서는 의약품 제조에 사용가능한 것이면 어떠한 것이라도 양호하지만, 풍미를 개선하고 쓴맛을 감소시킨다는 관점에서 아스코르브산, 시트르산 (구연산) 및 말산이 바람직하다. 산의 첨가량에는 특별한 제한은 없고, 단독으로 아미노산 혼합물에 사용될 수 있으며 다른 첨가제와 함께 첨가될 수도 있다. 사용가능한 풍미제로는 사과향 또는 딸기향 등의 냄새 개선제를 들 수 있다.Any acidic agent that can be used is acceptable as long as it can be used in the production of pharmaceuticals. However, ascorbic acid, citric acid (citric acid) and malic acid are preferable from the viewpoint of improving flavor and decreasing bitter taste. There is no particular limitation on the amount of acid to be added, and it can be used alone in an amino acid mixture and may be added together with other additives. Examples of the flavor agent that can be used include an odor improving agent such as apple or strawberry flavor.
감미제Sweetener
본 발명의 약제학적조성물은 감미제를 함유할 수 있다. 감미제로서는 설탕, 포도당, 말토스, 올리고당, 갈락토스, 물엿, 솔비톨, 말티톨, 전화당, 자일리톨, 에리스리톨, 수첨물엿, 만니톨, 트레할로스, 아스파탐, 아세설팜염, 슈크랄로스, 사카린염, 네오타임, 타오마틴, 토마틴혼합물, 사이클라메이트염, 타우마틴, 나한과 추출물, 감초 추출물, 스테비오사이드, 효소처리스테비오사이드, 네오헤스페리딘 및 모넬린로 이루어진 군에서 선택되는 하나 이상의 고감미 감미료일 수 있다. The pharmaceutical composition of the present invention may contain a sweetening agent. Examples of the sweetening agent include sugar, glucose, maltose, oligosaccharide, galactose, starch, sorbitol, maltitol, phytonutrients, xylitol, erythritol, hydrogenated starch syrup, mannitol, trehalose, aspartame, acesulfam salt, sucralose, saccharin salt, And may be one or more high sweetening sweeteners selected from the group consisting of tartaric acid, tartaric acid, tartaric acid, neomycin, martin, tomutin mixture, cyclamate salt, tau martin, nahan and extract, licorice extract, stevioside, enzyme treated stevioside, neohesperidin and monelin.
소포제Defoamer
소포제로서는 미리스트산, 팔미트산, 시메티콘, 실리콘 소포제 등 의약용 소포제로서 일반적으로 공지된 것 중 에서 적절히 선택할 수 있으며, 사용량은 유효성분의 조성에 따라 달라질 수 있다. As the antifoaming agent, antifoaming agents such as myristic acid, palmitic acid, simethicone, and silicone antifoaming agents can be appropriately selected from those generally known and the amount to be used may vary depending on the composition of the active ingredient.
보존제Preservative
본 발명의 액상현탁조성물은 안전성을 위해 액상 제제에 통상적으로 사용되는 보존제를 포함할 수 있다. 사용할 수 있는 보존제로는 소르빈산 및 이의 염, 안식향산 및 이의 염, 및 파라옥시안식향산 및 이의 염 등을 들 수 있다.The liquid suspension compositions of the present invention may contain preservatives commonly used in liquid preparations for safety reasons. Preservatives that can be used include sorbic acid and its salts, benzoic acid and its salts, and p-hydroxybenzoic acid and salts thereof.
향료Spices
본 발명의 약제학적조성물은 또한 향료를 포함할 수 있다. 본 발명의 약제학적조성물은 구강을 통해 복용하는 제품이므로 적절한 향을 가할 필요가 있다. 상기 향료는 천연 향료, 인공향료 또는 이들의 혼합물일 수 있다. 천연 향료는 식물의 잎, 꽃, 열매 등으로부터의 추출물, 식물의 오일 등일 수 있다. 식물의 오일은 스피어민트오일, 계피오일, 페퍼민트 오일, 레몬 오일, 정향 (clove) 오일, 베이 (bay) 오일, 백리향 (thyme) 오일, 삼나무잎 (cedar leaf) 오일, 육두구 (nutmeg) 오일, 세이지 (sage) 오일 및 아몬드 (almond) 오일 등을 포함한다. 또한 인공 향료로는 레몬, 오렌지, 포도, 라임, 딸기 등의 과일의 인공합성 과일향 및 바닐라, 초코렛, 커피, 코코아, 솔잎, 인삼, 홍삼, 시트러스와 같은 인공 합성향이 사용될 수 있다. The pharmaceutical compositions of the present invention may also contain flavoring agents. Since the pharmaceutical composition of the present invention is a product to be taken through the oral cavity, it is necessary to add an appropriate flavor. The fragrance may be a natural fragrance, an artificial fragrance or a mixture thereof. Natural spices can be plant leaves, flowers, extracts from fruits and the like, vegetable oils and the like. The vegetable oils may be selected from the group consisting of spearmint oil, cinnamon oil, peppermint oil, lemon oil, clove oil, bay oil, thyme oil, cedar leaf oil, nutmeg oil, sage oil and almond oil. Artificial flavors include artificial synthetic fruit flavors such as lemon, orange, grape, lime and strawberry, and artificial synthetic flavors such as vanilla, chocolate, coffee, cocoa, pine leaf, ginseng, red ginseng and citrus.
색소Pigment
본 발명의 약제학적조성물은 제품에 알맞은 색소를 포함할 수 있다. 색소는 필요에 따라 그 함량을 적절히 조절할 수 있으며, 일반적으로 약제학적 액상현탁조성물 중량 대비, 0.1 ~ 1.0 중량% (w/w) 첨가될 수 있다. 상기 색소는 천연 또는 합성 색소일 수 있다.The pharmaceutical composition of the present invention may contain a pigment suitable for the product. The pigment may be appropriately adjusted in its content as required, and may be added in an amount of 0.1 to 1.0% by weight (w / w) based on the weight of the pharmaceutical liquid suspension composition. The pigment may be a natural or synthetic pigment.
청량제Refreshing agent
본 발명의 약제학적조성물은 또한 청량제를 추가로 포함할 수 있다. 청량제는 제한되는 것은 아니나, 예를 들어, l-멘톨, WS3, WS23 또는 퀘스타이스-엘 일 수 있다. 청량제는 필요에 따라 그 함량을 적절히 조절할 수 있으며, 일반적으로 약제학적조성물 전체중량 대비, 10 중량% (w/w) 이하로 첨가될 수 있다. The pharmaceutical composition of the present invention may further comprise a refreshing agent. The refreshing agent may be, for example, but is not limited to, l-menthol, WS3, WS23 or quat-t-el. The refreshing agent can appropriately control the content thereof, if necessary, and may be generally added in an amount of 10 wt% (w / w) or less based on the total weight of the pharmaceutical composition.
구취제거제Bad breath remover
본 발명의 약제학적조성물은 구강악취를 경감시키는 구취제거제가 추가로 포함될 수 있다. 상기 구취 제거제는 금속염일 수 있다. 상기 금속염은 예를 들어, 클로라이트의 금속염, 카퍼 글루코네이트, 징크 클로라이드, 징크 시트레이트 및 징크 글루코네이트로 이루어진 군으로부터 선택되는 하나 이상의 성분일 수 있다. 또 다른 하나의 예로는 늄 클로라이드, 홍삼 추출물, 녹차 추출물, 해조 추출물, 한방추출물, 그레이프후르트 추출물, 사과 추출물, 타임오일, 티몰, 항생제, 게라니올, 카르바크롤, 시트랄, 히노키티올, 유칼립톨, 카테콜, 메틸살리실레이트 및 과산화수소로 이루어진 군으로부터 선택되는 하나 이상의 성분일 수 있다. 이러한 하나 이상의 구취 제거제 성분은 상기 하나 이상의 금속염과 함께 또는 독립적으로 사용될 수 있다. The pharmaceutical composition of the present invention may further include a bad breath removing agent for alleviating the oral odor. The bad breath removing agent may be a metal salt. The metal salt may be, for example, one or more components selected from the group consisting of metal salts of chlorite, capper gluconate, zinc chloride, zinc citrate and zinc gluconate. Another example is an extract of green tea, red ginseng extract, green tea extract, seaweed extract, herbal extract, grapefruit extract, apple extract, time oil, thymol, antibiotic, geraniol, carbachol, citral, hinokitiol, Eucalyptol, catechol, methyl salicylate, and hydrogen peroxide. Such at least one bad breath remover component may be used with the at least one metal salt or independently.
이하, 본 발명의 조성물을 제조하는 방법을 하기의 비교예 및 실시예를 통해 상세히 설명하지만, 본 발명의 범위가 이에 한정되는 것은 아니다.Hereinafter, the method for preparing the composition of the present invention will be described in detail with reference to the following Comparative Examples and Examples, but the scope of the present invention is not limited thereto.
점도측정:Viscosity measurement:
내경 약 3cm, 50mL의 원심분리 튜브에 약제학적 액상현탁액 약 40mL을 담아 62번 스핀들을 이용하여 점도를 측정하였다. (BROOKFIELD, 모델명: DV-2+ Pro, USA, 측정법: cup and bob, 측정온도: 실온)About 40 mL of the pharmaceutical liquid suspension was placed in a 50 mL centrifuge tube, about 3 cm in inner diameter, and the viscosity was measured using a No. 62 spindle. (BROOKFIELD, model: DV-2 + Pro, USA, measurement method: cup and bob, measurement temperature: room temperature)
입도분급Granular classification ::
분지쇄아미노산 3종의 입도분급에는 표준체 (TESTING SIEVE, 청계상공社, 대한민국)와 Sieve shaker (동서과학社, 모델명: CG-211-8, 대한민국)를 사용하여 5분간 흔들어 (shaking) 분급한 뒤, 각각의 표준체망 및 받침대 (pan)에 잔류하는 분말를 수거하여 사용하였다. 대량생산에서는 별도의 설비를 사용하여 수동분급을 진행하였다. Shaking and classification were carried out for 5 minutes using a standard (TESTING SIEVE, Cheonggye Commercial Company, Korea) and a sieve shaker (Model: CG-211-8, Korea) , And the powder remaining on each of the standard nets and the pan was collected and used. In mass production, manual classification was carried out using separate equipment.
쓴 맛bitter 평가 점수: Rating Score:
하기 사항에 관하여 25세~40세 남녀 10명의 평균값을 계산하였다. The average value of 10 persons aged 25 to 40 years was calculated for the following items.
1: 쓴맛이 전혀 없음 2: 쓴맛이 거의 없음 1: No bitter taste 2: Almost no bitter taste
3: 쓴맛이 보통임 4: 쓴맛이 있어 약간 불쾌함3: Bitter taste is common 4: Bitter taste is slightly unpleasant
5: 쓴맛이 강하여 매우 불쾌함 5: Very bitter and very unpleasant
이물감 평가 점수:However,
하기 사항에 관하여 25세~40세 남녀 10명의 평균값을 계산하였다. The average value of 10 persons aged 25 to 40 years was calculated for the following items.
1: 이물감이 전혀 없음 2: 이물감이 거의 없음 1: No foreign object 2: Almost no foreign object
3: 이물감이 보통임 4: 이물감이 있어 약간 불쾌함3: A foreign object is common 4: A foreign object is slightly unpleasant
5: 이물감이 강하여 매우 불쾌함5: Very unpleasant due to strong foreign body
온도의 정의 (대한약전 제 Definition of temperature (Korean Pharmacopoeia 9개정9 revision 통칙 인용) Quoting the axiom)
1. 20℃는 표준온도 2. 15~25℃는 상온 1. Standard temperature is 20 ℃. 2. Normal temperature is 15 ℃ ~ 25 ℃.
3. 1~30℃는 실온 4. 30~40℃는 미온3. At room temperature of 1 ~ 30 ℃ 4. At room temperature of 30 ~ 40 ℃
분지쇄아미노산Branched chain amino acids 함유 contain 약제학적조성물의Of the pharmaceutical composition 제조 Produce
비교예1Comparative Example 1 ::
정제수10g 및 D-소르비톨4.8g 의 혼합물에 히드록시프로필셀룰로오스200mg, 폴리비닐피롤리돈200mg 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨 (Microcrystalline and carboxymethylcellulose Sodium)200mg 을 고르게 분산시킨 뒤, 분지쇄아미노산 3종 (L-이소류신952mg, L-류신1,904mg, L-발린1,144mg) 을 넣고 교반현탁시킨 뒤, 가온하여 70~90℃로 1시간 유지시키면서, 파라옥시벤조산메틸1.6mg, 파라옥시베조산프로필0.4mg을 투입하고, 이어서 시트르산120mg 및 무수인산수소나트륨 400mg을 넣어서 pH를 조절한 뒤, 냉각시켜 정제수로 표선하여 20g의 분지쇄아미노산 현탁액을 수득하였다. 200 mg of hydroxypropylcellulose, 200 mg of polyvinylpyrrolidone and 200 mg of microcrystalline and carboxymethylcellulose sodium were evenly dispersed in a mixture of 10 g of purified water and 4.8 g of D-sorbitol, and then 3 kinds of branched chain amino acids ( Isoleucine, 1,904 mg of L-leucine and 1,144 mg of L-valine) were added and stirred, and the mixture was heated and maintained at 70 to 90 ° C for 1 hour. Then, 1.6 mg of methyl paraxybenzoate and 0.4 mg Followed by the addition of 120 mg of citric acid and 400 mg of anhydrous sodium hydrogenphosphate to adjust the pH, followed by cooling and drawing with purified water to obtain 20 g of a branched chain amino acid suspension.
이때의 분지쇄아미노산 3종의 입도는 별도의 분급없이 상업적으로 판매되고 있는 원료를 그대로 사용하였으며, 혼합한 3종의 분지쇄아미노산은 18mesh 이상의 굵은 입자와 100mesh 이하의 미세한 입자가 넓게 분포하였다. The three kinds of branched chain amino acids used in this study were commercial raw materials without any classification. As a result, three kinds of branched chain amino acids were mixed with coarse particles of 18mesh or more and fine particles of 100mesh or less.
상기의 공정을 통하여 제조된 현탁액은 상분리가 발생하고, 아미노산 특유의 불쾌한 쓴맛 및 오취가 있다. The suspension produced through the above process undergoes phase separation and has an unpleasant bitter taste and odor peculiar to amino acids.
비교예Comparative Example 및 And 실시예Example
비교예2Comparative Example 2 내지 19 To 19 , , 실시예1Example 1 내지 3 To 3
분지쇄아미노산 3종 이외의 성분을 비교예1과 동일한 처방과 순서로 액상현탁조성물을 제조하되, 주성분인 분지쇄아미노산 3종의 입도분포를 표1과 같이 표준체망 (TESTING SIEVE, 청계상공사, 한국)을 사용하여 분급하여 각 입도별로 액상현탁조성물을 제조하였다. 비교예1의 경우 주성분 3종을 별도의 분급없이 상업적으로 판매되고 있는 원료를 그대로 사용하였으며, 비교예2 내지 8의 경우 L-이소류신만 분급하여 제조하였고, 비교예9 내지 12의 경우 L-류신만 분급하여 제조하였고, 비교예13 내지 17의 경우 L-발린만 분급하여 제조하였다.The components other than the three kinds of branched chain amino acids were prepared in the same manner as in Comparative Example 1 and the liquid suspension compositions were prepared in the same manner as in Comparative Example 1 except that the particle size distributions of the three kinds of branched chain amino acids as the main components were measured as TESTING SIEVE, Korea) to prepare a liquid suspension composition for each particle size. In the case of Comparative Example 1, the three main components were used as raw materials sold commercially without separate classification, and in Comparative Examples 2 to 8, only L-isoleucine was classified. In Comparative Examples 9 to 12, L-leucine And in the case of Comparative Examples 13 to 17, L-valine was produced by classification.
비교예18, 비교예19, 실시예1 내지 3의 경우 분지쇄아미노산 3종을 각각 분급하여 L-이소류신 : L-류신 : L-발린 = 1 : 2 : 1.2 의 비율 (소수점 둘째자리 반올림) 로 각각 20g의 약제학적 액상현탁액을 제조하였다. 제조한 액에 대하여 현탁상태, 점도, 쓴 맛 및 이물감을 상기한 평가기준에 맞춰 평가하였다.In the case of Comparative Example 18, Comparative Example 19, and Examples 1 to 3, the three kinds of branched chain amino acids were separately classified into a ratio of L-isoleucine: L-leucine: L-valine = 1: 2: 1.2 (two decimal places rounded) 20 g of each of the pharmaceutical liquid suspensions was prepared. Suspension, viscosity, bitterness and foreign body sensation of the prepared liquid were evaluated according to the above evaluation criteria.
놀라웁게도, 표1에서 알 수 있는 바와 같이, 분지쇄 아미노산 3종은 35mesh 내지 100mesh의 입도를 이용하면 (실시예1 내지 실시예3), 기존의 분지쇄아미노산 3종을 이용한 현탁액제 공지기술로는 기대 할 수 없었던 제제 즉, 우수한 현탁상태를 가지고, 또한 동시에 분지쇄아미노산 자체의 쓴맛도 개선되면서 이물감도 개선되어 복용하기에 적절한 의약용 내용 현탁액제를 만들 수 있는 것을 발견하였다. 이때의 점도는 120cp 내지 400cp 임을 확인할 수 있었다. Surprisingly, as can be seen from Table 1, the three kinds of branched chain amino acids were prepared by using the conventional branched-chain amino acid three kinds of suspension technology (Examples 1 to 3) using a particle size of 35 mesh to 100 mesh The present inventors have found that a pharmaceutical suspending agent for medicines suitable for taking medicines can be prepared by improving the bitterness of the branched chain amino acid itself and improving the foreign body sensation at the same time. It was confirmed that the viscosity at this time was 120 cp to 400 cp.
실시예4Example 4 내지 17 To 17
비교예1과 동일한 공정 (처방은 표 2에 기재) 으로 액상현탁조성물을 제조하되, 이때의 분지쇄아미노산 3종의 입도를 표준체망 (TESTING SIEVE, 청계상공사, 한국)을 사용하여 분급하여 35mesh 통과 100mesh에 잔류한 분지쇄아미노산 3종으로 액상현탁조성물을 제조하였다. 또한 분지쇄 아미노산 현탁액을 제조하기 위하여 표2에 기재된 바와 같이 히드록시프로필셀룰로오스, 폴리비닐피롤리돈, 히드록시프로필메틸셀룰로오스 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨(Microcrystalline and carboxymethylcellulose Sodium) 군에서 선택되는 하나 또는 둘이상의 점증제를 사용하였다. 예기치 않게도, 점증제의 조합에 따라 현탁액의 품질이 일정하지 않았고, 결과적으로는 점증제로서 PVPK30, AvicelRC591, HPC-L 조합하여 사용할 때 현탁상태가 우수함을 알 수 있었다.
The liquid suspension composition was prepared in the same process as in Comparative Example 1 (prescription is shown in Table 2), and the particle size of the three kinds of branched chain amino acids was classified using a standard mesh (TESTING SIEVE, Cheonggye Sangyo KK, Korea) Three kinds of branched chain amino acids remaining in 100mesh were prepared to prepare a liquid suspension composition. In order to prepare branched chain amino acid suspensions, as shown in Table 2, one of the groups selected from the group of hydroxypropylcellulose, polyvinylpyrrolidone, hydroxypropylmethylcellulose and microcrystalline cellulose and carboxymethylcellulose sodium Or two or more thickeners were used. Unexpectedly, the quality of the suspension was not constant depending on the combination of thickeners, and as a result, it was found that the suspension state was excellent when PVPK30, AvicelRC591 and HPC-L were used in combination as thickening agents.
실시예Example 18 내지 34 18 to 34
비교예1과 동일한 공정 (처방은 표 3에 기재) 으로 액상현탁조성물을 제조하였고, 이때의 분지쇄아미노산 3종의 입도를 표준체망 (TESTING SIEVE, 청계상공사, 한국)을 사용하여 분급하여 35mesh 통과 100mesh에 잔류한 분지쇄아미노산 3종으로 액상현탁조성물을 제조하였다. 표2에서 선정된 PVPK30, AvicelRC591 및 HPC-L 을 가지고 적절한 구성성분 비를 찾기 위하여 하기 표3에 기재된 바와 같이 제조하고, 현탁상태를 평가하였다.The liquid suspension composition was prepared by the same procedure as in Comparative Example 1 (prescription is shown in Table 3), and the particle size of the three branched amino acids was classified using 35 mesh Three kinds of branched chain amino acids remaining in 100mesh were prepared to prepare a liquid suspension composition. The PVPK30, AvicelRC591 and HPC-L selected in Table 2 were prepared as described in Table 3 below to find the appropriate constituent ratio and the suspended state was evaluated.
시험 결과를 면밀히 관찰한 결과인 표3로부터, 점증제로서 PVPK30을 약제학적 액상현탁조성물 중량대비 2.0 내지 4.0%(w/w), AvicelRC591을 약제학적 액상현탁조성물 중량대비 1.0 내지 3.4%(w/w), HPC-L을 약제학적 액상현탁조성물 중량대비 0.2 내지 2.0%(w/w) 조합하여 사용할 때에 그 현탁상태가 우수함을 발견할 수 있었다.
From the results of a close examination of the test results, it can be seen from Table 3 that PVPK30 as a thickener is 2.0 to 4.0% (w / w) based on the weight of the pharmaceutical liquid suspension, 1.0 to 3.4% (w / w) of AvicelRC591 based on the weight of the pharmaceutical liquid suspension, w) and HPC-L in combination with 0.2 to 2.0% (w / w) based on the weight of the pharmaceutical liquid suspension composition.
비교예20Comparative Example 20 ~~ 비교예23Comparative Example 23 , , 실시예35Example 35
상업적 이용을 위해서는 공장에서의 대량생산이 필수적이며 생산 scale은, 제조처, 판매처의 상황 또는 허가와 관련한 별도의 scale 규정에 따를 수 있다. For commercial use, mass production at the factory is essential, and the scale of production may be subject to separate scale requirements relating to the circumstances of the manufacturer or the place of purchase or permission.
일반적으로 실험실규모에서 상업적 판매를 위한 대량생산으로 scale up이 되면서 소규모 실험실규모에서 발생되지 않은 또는 예상하지 못한 공정트러블이 발생하기도 한다. In general, scale up from laboratory scale to mass production for commercial sale may result in unexpected or unexpected process problems in small laboratory scale.
본 발명의 최종 마무리단계인 대량생산을 위한 scale up 과정에서는, 실온 또는 미온에서 용해되었던 히드록시프로필셀룰로오스가, 약제학적액상현탁조성물의 멸균을 위해 온도를 승온 시킬 때, 물질 자체의 특이적 성질에 의해 다시 뭉치는 현상이 발생하였다. (그림 2의 (a))In the scale-up process for mass production, which is the final step of the present invention, hydroxypropylcellulose, which has been dissolved at room temperature or at low temperature, is heated to a temperature for sterilization of the pharmaceutical liquid suspension composition, There was a phenomenon of re-accumulation. (Figure 2 (a))
뭉침현상이 발생한 약제학적 액상현탁액을 그대로 제품화할 경우, 1)액상현탁조성물의 고른 점도를 유지하기가 어렵고, 2)성상 불량, 3)복용시 이물감, 4)함량불균일 발생, 5)경시적 안정성 (경화, 침전, 상분리) 문제가 발생하게 된다. 이 때문에 상품성이 뛰어난 약제학적 액상현탁조성물 제조가 불가능하여, 상업적으로 이용가능한 대량생산의 제조공정을 찾고자 하였다. When the pharmaceutical liquid suspension in which the aggregation occurs is commercialized as it is, it is difficult to maintain the uniform viscosity of the liquid suspension composition, 2) defective properties, 3) foreign body sensation when taking the product, 4) (Curing, sedimentation, phase separation). Therefore, it is not possible to produce a pharmaceutical liquid suspension composition having excellent commercial properties, and thus a commercially available mass production process has been sought.
하기 표4에 기재된 바와 같이 아래에 설명하는 비교예20 내지 비교예23 및 실시예35와 같은 공정으로 분지쇄아미노산 3종을 포함하는 약제학적 액상현탁액을 제조비교하고, 이에 발생하는 문제를 가지고 평가하였다. 비교예20 내지 비교예23은 실온 또는 미온에서 용해되었던 히드록시프로필셀룰로오스가 물질자체의 특이적 성질 때문에 공정도중 다시 뭉치는 현상이 발생되었다. As shown in the following Table 4, pharmaceutical liquid suspensions containing three kinds of branched chain amino acids were prepared and compared in the same processes as Comparative Examples 20 to 23 and Example 35 described below, Respectively. In Comparative Examples 20 to 23, hydroxypropyl cellulose, which had been dissolved at room temperature or at low temperature, was reunited during the process due to the specific property of the material itself.
비교예20 내지 23의 결과 및 히드록시프로필셀룰로오스의 고온 가열시 뭉침현상이라는 공지 사실에서는 전혀 예기치 않았음에도 불구하고, 아래의 실시예35에 기재된 제조공정으로 제조하였을 때에는, 그 문제를 해결할 뿐 아니라, 상업적으로 이용가능한 제품을 수득할 수 있음을 발견하였다. 실시예35의 제조공정을 설명하기 위하여 그림1로 도식화하여 나타내었고, 히드록시프로필셀룰로오스의 뭉침현상을 그림 2의 (a)에 나타내었고, 이를 해결한 약제학적 액상현탁조성물의 실시예35의 제조과정을 그림 2의 (b)에 나타내었다. Although the results of Comparative Examples 20 to 23 and the known fact that the hydroxypropylcellulose was aggregated upon heating at high temperature were not at all unexpected, the production process described in Example 35 below solves the problem, A commercially available product can be obtained. 1 to illustrate the manufacturing process of Example 35, and the aggregation phenomenon of hydroxypropylcellulose is shown in FIG. 2 (a), and the preparation of the pharmaceutical liquid suspension composition of Example 35 The process is shown in Figure 2 (b).
아래에는 비교예20 내지 비교예23 및 실시예35의 제조방법을 나타내었다. 여기에 사용한 분지쇄아미노산 3종의 입도는 35메쉬 내지 100메쉬로 분급한 원료를 사용하였다. 본 발명의 범위는 비교예 및 실시예의 범위로 한정되는 것은 아니며 35메쉬보다 큰 입자나 100메쉬보다 작은 입자가 상대적으로 소량 혼합된 것으로도 유사한 효과를 얻을 수 있다. 그러나 아미노산의 입자도 범위는 상기한 35메쉬에서 100메쉬 사이의 입자도를 가진 것을 사용하는 것이 가장 바람직하다.The manufacturing methods of Comparative Examples 20 to 23 and Example 35 are shown below. Three kinds of branched chain amino acids used herein were raw materials classified into 35 mesh to 100 mesh. The scope of the present invention is not limited to the range of Comparative Examples and Examples, and a similar effect can be obtained even when a relatively small amount of particles larger than 35 mesh or smaller than 100 mesh are mixed. However, it is most preferable to use the amino acid having a particle size ranging from 35 mesh to 100 mesh as described above.
비교예20Comparative Example 20
표4의 제조공정 1Production process 1 of Table 4
세척한 조제탱크에 D-sorbitol 72kg 및 미리 승온시킨 50℃ 이상의 정제수 130kg을 넣고 교반하면서, 여기에 히드록시프로필셀룰로오스4kg, 폴리비닐피롤리돈8kg 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨9kg를 넣고 교반한다. 상기 조제탱크 내부에서 뭉침현상이 발생하였다. 분지쇄아미노산 3종 (L-이소류신 14.280kg, 28.560kg 및 17.160kg)을 추가하여도 뭉침 덩어리가 붕해되지 않아 더 이상 공정을 진행할 수 없다. 승온과정은 덩어리 뭉침과 밀접한 관계가 있으나 멸균적 조건으로 제조해야하는 공업적 특성상 반드시 거쳐야하는 과정이다.72 kg of D-sorbitol and 130 kg of purified water having a temperature of 50 ° C or higher which had been previously warmed were added to a cleaned preparation tank, and 4 kg of hydroxypropylcellulose, 8 kg of polyvinylpyrrolidone and 9 kg of microcrystalline cellulose carboxymethylcellulose sodium were added thereto while stirring and stirred . A lump occurred in the preparation tank. Addition of three kinds of branched chain amino acids (L-isoleucine 14.280 kg, 28.560 kg and 17.160 kg) does not disintegrate the agglomerated lumps and the process can no longer be carried out. The heat-up process is closely related to agglomeration, but it is a process that must be done due to the industrial nature to be manufactured under sterile conditions.
비교예21Comparative Example 21
표4의 제조공정 1Production process 1 of Table 4
세척한 조제탱크에 실온 또는 미온의 정제수 130kg 및 D-sorbitol 72kg 를 넣고 교반하면서, 여기에 히드록시프로필셀룰로오스4kg, 폴리비닐피롤리돈8kg 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨9kg를 넣고 교반한다.To the cleaned preparation tank, 130 kg of purified water at room temperature or low temperature and 72 kg of D-sorbitol are added, and while stirring, 4 kg of hydroxypropyl cellulose, 8 kg of polyvinyl pyrrolidone and 9 kg of microcrystalline cellulose carboxymethyl cellulose sodium are added and stirred.
표4의 제조공정 2Production process 2 of Table 4
온도를 90±5℃로 셋팅하여 승온시킨다. 상기 조제탱크 내부의 조제액의 온도가 45~50℃ 부근에서 뭉침현상이 발생하기 시작한다. 분지쇄아미노산 3종 (L-이소류신 14.280kg, 28.560kg 및 17.160kg)을 추가하여도 뭉침 덩어리가 붕해되지 않아 더 이상 공정을 진행할 수 없다.Set the temperature to 90 ± 5 ℃ and raise the temperature. A lump phenomenon starts to occur at a temperature in the vicinity of 45 to 50 DEG C of the liquid preparation in the preparation tank. Addition of three kinds of branched chain amino acids (L-isoleucine 14.280 kg, 28.560 kg and 17.160 kg) does not disintegrate the agglomerated lumps and the process can no longer be carried out.
비교예22Comparative Example 22
표4의 제조공정 1Production process 1 of Table 4
세척한 조제탱크에 실온 또는 미온의 정제수 130kg 및 D-sorbitol 72kg 를 넣고 교반하면서, 여기에 히드록시프로필셀룰로오스4kg 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨9kg를 넣고 교반한다.130 kg of purified water at room temperature or low temperature and 72 kg of D-sorbitol are added to the prepared preparation tank, and 4 kg of hydroxypropyl cellulose and 9 kg of microcrystalline cellulose · carboxymethyl cellulose sodium are added thereto while stirring.
표4의 제조공정 2Production process 2 of Table 4
온도를 90±5℃로 셋팅하여 승온시킨다.Set the temperature to 90 ± 5 ℃ and raise the temperature.
표4의 제조공정 3Production process 3 of Table 4
상기의 조제탱크에 폴리비닐피롤리돈8kg넣고 교반한다. (40℃ 부근) 상기 조제탱크 내부의 조제액의 온도가 45~50℃ 부근에서 뭉침현상이 발생하기 시작한다. 분지쇄아미노산 3종 (L-이소류신 14.280kg, 28.560kg 및 17.160kg)을 추가하여도 뭉침 덩어리가 붕해되지 않아 더 이상 공정을 진행할 수 없다.8 kg of polyvinylpyrrolidone is added to the above preparation tank and stirred. (Around 40 DEG C) The lump phenomenon starts to occur at a temperature of 45 to 50 DEG C in the preparation liquid in the preparation tank. Addition of three kinds of branched chain amino acids (L-isoleucine 14.280 kg, 28.560 kg and 17.160 kg) does not disintegrate the agglomerated lumps and the process can no longer be carried out.
비교예23Comparative Example 23
표4의 제조공정 1Production process 1 of Table 4
세척한 조제탱크에 실온 또는 미온의 정제수 130kg 및 D-sorbitol 72kg 를 넣고 교반하면서, 여기에 히드록시프로필셀룰로오스4kg 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨9kg를 넣고 교반한다.130 kg of purified water at room temperature or low temperature and 72 kg of D-sorbitol are added to the prepared preparation tank, and 4 kg of hydroxypropyl cellulose and 9 kg of microcrystalline cellulose · carboxymethyl cellulose sodium are added thereto while stirring.
표4의 제조공정 2Production process 2 of Table 4
상기의 조제탱크에 분지쇄아미노산 1종을 투입하고 교반한다.One of the branched chain amino acids is added to the above preparation tank and stirred.
표4의 제조공정 3Production process 3 of Table 4
온도를 90±5℃로 셋팅하여 승온시킨다.Set the temperature to 90 ± 5 ℃ and raise the temperature.
표4의 제조공정 4Production process 4 of Table 4
상기의 조제탱크 내의 조제액의 온도가 50~70℃인 부근에서 분지쇄아미노산 2종을 투입하고 교반한다. 상기 조제탱크 내부의 조제액의 온도가 70~90℃ 부근에서 뭉침현상이 발생하기 시작한다.Two kinds of branched chain amino acids are added in the vicinity of the temperature of the preparation liquid in the above preparation tank at 50 to 70 ° C and stirred. A lump phenomenon starts to occur at a temperature of the preparation liquid in the preparation tank near 70 to 90 占 폚.
실시예35Example 35
표4의 제조공정 1Production process 1 of Table 4
세척한 조제탱크에 실온 또는 미온의 정제수 130kg 및 D-sorbitol 72kg 를 넣고 교반하면서, 여기에 히드록시프로필셀룰로오스4kg, 폴리비닐피롤리돈8kg 및 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨9kg를 넣고 교반한다.To the cleaned preparation tank, 130 kg of purified water at room temperature or low temperature and 72 kg of D-sorbitol are added, and while stirring, 4 kg of hydroxypropyl cellulose, 8 kg of polyvinyl pyrrolidone and 9 kg of microcrystalline cellulose carboxymethyl cellulose sodium are added and stirred.
표4의 제조공정 2Production process 2 of Table 4
상기의 조제탱크에 분지쇄아미노산 1종 (L-이소류신) 을 투입하고 교반한다.One branching amino acid (L-isoleucine) is added to the preparation tank and stirred.
표4의 제조공정 3Production process 3 of Table 4
상기의 조제탱크에 분지쇄아미노산 2종 (L-류신, L-발린) 을 투입하고 교반한다. (50℃ 이하)Two kinds of branched chain amino acids (L-leucine, L-valine) are added to the above preparation tank and stirred. (50 DEG C or less)
표4의 제조공정 4Production process 4 of Table 4
온도를 90±5℃로 셋팅하여 승온시킨다. 상기 조제탱크 내부의 조제액의 온도가 90℃ 까지 상승해도 뭉침현상이 발생하지 않는다. 상기의 제조공정 2 및 3에 투입하는 분지쇄아미노산 3종의 순서를 상호 바꾸었을 때에도 동일한 성상의 약제학적 액상현탁조성물을 얻을 수 있다. Set the temperature to 90 ± 5 ℃ and raise the temperature. Even if the temperature of the preparation liquid in the preparation tank is raised up to 90 DEG C, no aggregation phenomenon occurs. When the order of the three kinds of branched chain amino acids to be added to the above-mentioned production steps 2 and 3 is reversed, the same pharmaceutical phase liquid pharmaceutical suspension composition can be obtained.
본 발명은, 상기한 실시례들에서 설명된 바와 같이 입도분포를 조절한 분지쇄아미노산 3종 이소류신, 류신 및 발린을 유효성분으로 함유하고, 특정의 점증제 또는 특정의 점증제의 조합, 특정의 감미제 그리고, 특정범위의 pH를 조절함으로써 쓴맛과 이물감을 은폐하면서도 환자가 복용하기에 적절한 용적으로 약제학적 액상현탁조성물을 제공한다. 또한 본 발명은, 상업적 이용을 위한 대량생산에서 발생한 점증제의 뭉침현상을 해결하여 멸균적 조건으로 상업화 가능한 약제학적 액상현탁조성물의 바람직한 제조 공정을 제공한다.The present invention relates to a pharmaceutical composition containing a branched chain amino acid isoleucine, leucine and valine as an active ingredient with controlled particle size distribution as described in the above embodiments, and a combination of a specific thickening agent or a specific thickening agent, Sweeteners, and pharmaceutical liquid suspension compositions in a volume suitable for the patient to take, while concealing bitter and foreign sensations by controlling a certain range of pH. The present invention also provides a preferred process for the preparation of pharmaceutical liquid suspension compositions which can be commercialized under sterile conditions by solving the buildup of thickening agents that occur in mass production for commercial use.
본 발명의 약제학적 조성물 및 이의 제조방법을 이용하면, 고미를 지닌 다양한 아미노산류를 함유한 액상현탁조성물을 환자에게 투여하기 용이한 맛과 용적이 개선된 우수한 약제학적 액상현탁조성물을 구성할 수 있으며, 공업적 규모로 생산할 수 있다. The pharmaceutical composition of the present invention and the method for producing the same can constitute a pharmaceutical liquid suspension composition having improved taste and volume which is easy to be administered to patients in the form of a liquid suspension composition containing various amino acids having a bitterness , And can be produced on an industrial scale.
Claims (6)
상기 조성물의 pH가 5 내지 7이며,
상기 조성물은 20ml 용적에 상기 3종의 분지쇄 아미노산을 4g 이상 포함하며,
히드록시프로필셀룰로오스, 미결정셀룰로오스·카르복시메칠셀룰로오스나트륨 및 폴리비닐피롤리돈으로 이루어지는 군으로부터 선택되는 점증제를 포함하는 것을 특징으로 하는 액상현탁조성물.Three branched chain amino acids such as isoleucine, leucine and valine; Increasing agent; A pH control agent and a pharmaceutically acceptable excipient, wherein the branched chain amino acid has a particle size of 35 mesh to 100 mesh,
Wherein the pH of said composition is between 5 and 7,
Wherein said composition comprises at least 4 g of said three branched chain amino acids in a volume of 20 ml,
A thickening agent selected from the group consisting of hydroxypropylcellulose, microcrystalline cellulose, carboxymethylcellulose sodium, and polyvinylpyrrolidone.
상기 현탁용액에 이소류신, 류신 및 발린으로부터 선택되는 1종의 아미노산을 첨가하고 분산시키는 단계;
상기 현탁용액에 나머지 아미노산 2종을 50℃이하에서 첨가하고, 70 내지 90℃로 승온 및 분산시키는 단계;
상기 현탁용액에 보존제, 감미제, pH조절제를 첨가하여 용해시키는 단계
를 포함하는 것을 특징으로 하는 이소류신, 류신 및 발린의 3종의 분지쇄아미노산을 포함하는 경구투여 가능한 액상현탁조성물의 제조방법.Dissolving or suspending an enhancer selected from the group consisting of hydroxypropylcellulose, microcrystalline cellulose, carboxymethylcellulose sodium and polyvinylpyrrolidone in purified water at room temperature or low temperature;
Adding and dispersing one kind of amino acid selected from isoleucine, leucine and valine to the suspension solution;
Adding the remaining two amino acids to the suspension solution at 50 DEG C or lower, raising and lowering the temperature to 70 to 90 DEG C;
Adding a preservative, a sweetener, and a pH adjusting agent to the suspension solution and dissolving
Or a pharmaceutically acceptable salt, solvate, or prodrug thereof. The method of claim 1,
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JP3341766B2 (en) * | 2000-10-10 | 2002-11-05 | 味の素株式会社 | Pharmaceutical suspension containing branched-chain amino acids |
KR100675081B1 (en) * | 2003-03-06 | 2007-01-26 | 주식회사 서울제약 | Acetylcysteine oral dosage forms |
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