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Description  |
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This invention relates to a sustained-release percutaneous preparations and
more particularly to a sustained-release percutaneous preparation which
has at least two adhesive layers wherein a solid powder is contained as
dispersed in one of said adhesive layers other than the layer farthest
from the skin on application and a drug is contained at least in said
layer farthest from the skin on application. The preparations find
application in the field of health care.
Percutaneous drug delivery systems adapted to release a drug gradually to
achieve a sustained therapeutic effect and reduce the risk of side effect
have recently been a favorite subject of research, and there are known a
preparation such that the release of a drug is controlled by a polymeric
film (Japanese Examined Patent Application No. 9003/1976) and a
preparation such that the release of a drug is controlled by more than one
superimposed layers of dissimilar adhesive polymers (Japanese Unexamined
Patent Application KOKAI Nos. 7413/1982, 206516/1983 and 20374/1984.
Regarding the above preparation where the release of a drug is controlled
by a polymeric film, the presence of pinholes in the polymeric film would
result in a massive release of the drug at a time so that there are risks
of side effects developing depending on kinds of drugs.
As to the preparation such that the release of a drug is controlled by a
superimposion of adhesive layers of dissimilar types, there may be
incompatibility according to combinations of the drug and adhesive
polymers, thus imposing limitations on adhesive polymers that can be used.
Futhermore, since the release of a drug is dependent on the selected
combination of a drug with a polymeric base in both of the above types of
preparations, it is difficult to assure a controlled rate of drug release.
The intensive research by the present inventors for overcoming the above
disadvantages revealed that when the preparation is such that it contains
at least two adhesive layers, one of the layers other than the farthest
from the skin on application containing a solid powder as dispersed
therein and a drug being contained in the layer farthest from the skin on
application, the drug can be released at a controlled rate and even
according to zero-order kinetics and that by varying the quantity and type
of solid powder to be dispersed, the rate of release of the drug can be
varied as desired. This invention has been accomplished on virtue of the
above findings.
The drug to be contained in an adhesive layer of the sustained-release
percutaneous preparations according to this invention is preferably
soluble in the adhesive agent used. Thus, for example, corticosteroids,
anesthetics, antihistaminics, antibacterial agents, antifungal agents,
analgesic-antiinflammatory agents, keratolytics, vitamins, antispasmodics,
etc., as well as systemic drugs such as anticonvulsants, sedatives, sex
hormones, antidiabetics, antihypertensives, antibiotics, central nervous
system acting drugs, vasodilators, etc. may be mentioned. According to
their types, these drugs are used in appropriate amounts for achieving the
desired therapeutic effect.
Among said corticosteroids are prednisolone acetate, prednisolone,
hydrocortisone acetate, hydrocortisone, dexamethasone, fluocinolone
acetonide, betamethasone, beclometasone dipropionate, fludroxycortide,
fluocinonide and so on. The anesthetics include benzocaine, lidocaine,
ethyl aminobenzoate and so on. Among said antihistaminics are
diphenhydramine hydrochloride, isothipendyl hydrochloride,
diphenylimidazole and so on. On the other hand, benzalkonium chloride,
nitrofurazone, etc. may be mentioned as said antibacterial agents. The
antifungal agents include nystatin, undecylenic acid and so on. Among said
analgesic-antiinflammatory agents are indomethacin, methyl salicylate,
glycol salicylate, salicylamide, sodium salicylate and so on.
Regarding said keratolytic agents, vitamin A and antispasmodics, there may
be mentioned salicylic acid, vitamin A, atropine, methscopolamine bromide
and so on. As to said systemic drugs, hypertensives such as reserpine,
clonidine, propranolol, metoprolol tartarate, etc.; antibiotics such as
erythromycin, chloramphenicol, cefalexin, cefazolin, ceftizoxime,
tetracycline, neomycin sulfate, oxytetracycline, penicillin,etc.; central
nervous system acting drug such as barbiturate, diazepam, nitrazepam,
chlorpromazine, etc., and vasodilators such as nitroglycerin, nifedipine,
2-nitroxymethyl-6-chloropyridine and its .beta.-cyclodextrin inclusion
compound, isosorbide dinitrate, diltiazem hydrochloride, dipyridamole,
isosorbide dinitrate, etc. may be mentioned.
The solid powder may be any particles which does not cause the
incompatibility with the drug used and do not cause adverse effects on the
skin, but are preferably not soluble in the adhesive used. Thus, for
example, talc, kaolin, silica, sericite, metal oxides (for example,
titanium oxide, zinc oxide, magnesium oxide, etc.), inorganic salts (for
example, calcium carbonate, magnesium carbonate, sodium carbonate, calcium
sulfate, magnesium sulfate, calcium phosphate, etc.) and synthetic
polymers (for example, methacrylic resin, nylon, polyethylene, etc.), and
natural or semisynthetic polymers (for example, chitin, chitosan,
.beta.-cyclodextrin, etc.) may be mentioned.
There is no particular limitation on the particle size of such solid powder
but the range of about 0.5 to 30 .mu.m is preferred. The adhesive may be
any of those that can be used for the usual medical tapes. Thus, for
example, silicone adhesives (such as Silicone 355.RTM., Dow Corning
Corp.), rubber adhesives (such as JSR0585.RTM., Japan Synthetic Rubber
Co., Ltd. ), acrylic ester adhesives (Carbond.RTM., Dainippon Ink and
Chemicals, Inc.; Primal.RTM. N580S, Japan Acrylic Chemical Co.,Ltd., etc.)
and so on can be selectively employed.
The content of the drug or of the solid powder in the sustained-release
percutaneous preparations of the invention is practically optional and can
be selected in accordance with the properties of the drug, the desired
duration of action and other factors. Generally speaking, however, their
content may range from 0.1 to 50 weight percent and 5 to 80 weight
percent, respectively, and preferably from 1 to 30 weight percent and 10
to 60 weight percent, respectively.
For the purpose of improving the solubility and diffusibility of the drug
in the adhesive layer, the sustained-release percutaneous preparations
according to the invention may contain glycols (principally for increasing
the solubility of the drug), such as diethylene glycol, propylene glycol,
glycerol, polyethylene glycol, etc., oils and fats (primally for promoting
the diffusion of the drug), such as olive oil, squalene, lanolin, etc.,
alcohols such as ethyl alcohol, isopropyl alcohol, etc., esters such as
isopropyl myristate etc., and unsturated fatty acids such as oleic acid,
linolic acid and so on. Aside from these, various additives which are
generally incorporated in percutaneous preparations of this type can also
be added.
The sustained-release percutaneous preparations according to this invention
can be manufactured by the established procedures for the manufacture of
medical tapes in general.
For example, a mixture of the drug and an adhesive is applied on an
appropriate drug-impermeable support such as a synthetic resin film, a
composite synthetic resin-metal film or a metal (such as aluminum foil) to
give a first layer.
After drying of the layer, a mixture of a solid powder and an adhesive is
applied on top of the first layer to provide a second layer, which is then
dried. If necessary, for the purpose of improving the bond strength with
respect to the skin, an adhesive containing neither the drug nor the solid
powder is further coated to provide a third layer, which is then dried.
In this arrangement, the drug is generally incorporated in a layer other
than the layer in which said solid powder is dispersed, that is to say in
the layer to be disposed farthest from the skin on application, but where
a certain degree of early onset of action is desired according to the type
of drug, the drug may be advantageously incorporated in the layer in which
the solid powder is incorporated. The adhesive may be the same or
different for the respective layers.
It should be understood that by using different adhesives for the
respective layers, a percutaneous preparation further differing in the
rate of drug release can be manufactured.
Below set forth are results of a test carried out with representative
preparations, which illustrate the effects of the invention.
Release Test
Test Preparations
A: The preparation according to Example 1
B: The preparation according to Example 2
C: The preparation according to Example 3
D: The preparation according to Example 4
E: The preparation according to Example 5
F: The preparation according to Reference 1
G: The preparation according to Reference 2
Method
An in vitro ointment release test apparatus designed to allow a release
solvent maintained at a predetermined temperature to flow in contact with
the test preparation (3.6 cm.sup.2) in a constant direction was used as
the test setup. As the release solvent, distilled water at 35.degree. C.
was passed at a flow rate of 0.6 ml/min. The determination was made by the
ultraviolet method (268 nm).
Test Results
______________________________________
Test Release rate (%)
prepa-
0.5 1 2 3 4 6 8 22 24
ration
H H H H H H H H H
______________________________________
A 2.6 3.9 6.3 8.3 10.2 13.6 16.6 32.1 33.4
B 2.0 3.2 4.5 6.9 8.8 11.7 14.4 26.7 28.6
C 0.4 0.6 1.0 1.5 1.7 3.0 4.1 13.1 14.6
D 2.3 4.5 8.2 10.5 14.1 20.6 26.4 58.0 65.7
E 2.7 4.3 6.8 9.2 10.7 13.7 16.7 32.6 36.9
F 20.5 27.5 40.4 47.9 52.6 63.0 71.5 88.8 99.5
G 8.5 13.4 20.0 26.1 29.2 37.4 44.1 69.9 71.8
______________________________________
The above data indicate that the sustained-release percutaneous
preparations according to the invention (test preparations A through E)
release the drug more slowly than the preparations containing no solid
powder (test preparations F and G) and approximately release the drug
according to the zero-order kinetics.
It was also found that by varying the level of addition of solid powder (A
vs. B), the rate of release of the drug from the preparations of this
invention can be controlled as desired and that by varying the kind of
solid powder (B vs. C and D vs. E) and the kind of adhesive (B vs. D and C
vs. E), any desired rate of drug release can be obtained.
EXAMPLES
The following examples are further illustrative of the invention.
EXAMPLE 1
Using a knife coater, a mixture of 2-nitroxymethyl-6-chloropyridine (10 g)
and acrylic ester adhesive (Carbond.RTM., Dainippon Ink and Chemicals Co.,
Ltd.) (40 g) is coated on an aluminum foil support in a thickness of 0.5
mm to provide a first layer.
Then, a mixture of talc (16.7 g) and the same acrylic ester adhesive as
above (33.3 g) is coated on top of the first layer in a thickness of 0.5
mm to provide a second layer. The above procedure gives a
sustained-release percutaneous preparation having the following formula
per cm.sup.2.
______________________________________
[First layer]
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive 40 mg
[Second layer]
Talc 16.7 mg
Acrylic ester adhesive 33.3 mg
______________________________________
EXAMPLE 2
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive 40 mg
[Second layer]
Talc 25 mg
Acrylic ester adhesive 25 mg
______________________________________
EXAMPLE 3
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive 40 mg
[Second layer]
Methacrylic resin particles
25 mg
Acrylic ester adhesive 25 mg
______________________________________
EXAMPLE 4
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive (Carbond .RTM.)
40 mg
[Second layer]
Talc 25 mg
Silicone adhesive (Silicone 355 .RTM.)
25 mg
______________________________________
EXAMPLE 5
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive (Carbond .RTM.)
40 mg
[Second layer]
Methacrylic resin particles
25 mg
Silicone adhesive (Silicone 355 .RTM.)
25 mg
______________________________________
EXAMPLE 6
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
Inclusion compound of 2-nitroxymethyl-6-chlo-
ropyridine with .beta.-cyclodextrin
10 mg
Acrylic ester adhesive 40 mg
[Second layer]
Talc 25 mg
Acrylic ester adhesive 25 mg
______________________________________
EXAMPLE 7
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
Inclusion compound of 2-nitroxymethyl-6-
chloropyridine with .beta.-cyclodextrin
10 mg
Acrylic ester adhesive 40 mg
[Second layer]
Methacrylic resin particles
25 mg
Acrylic ester adhesive 25 mg
______________________________________
EXAMPLE 8
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
Inclusion compound of 2-nitroxymethyl-6-
chloropyridine with .beta.-cyclodextrin
10 mg
Acrylic ester adhesive (Carbond .RTM.)
40 mg
[Second layer]
Talc 25 mg
Silicone adhesive (Silicone 355 .RTM.)
25 mg
______________________________________
EXAMPLE 9
The same procedure as Example 1 was followed to provide a sustained-release
percutaneous preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
Inclusion compound of 2-nitroxymethyl-6-
chloropyridine with .beta.-cyclodextrin
10 mg
Acrylic ester adhesive (Carbond .RTM.)
40 mg
[Second layer]
Methacrylic resin particles
25 mg
Silicone adhesive Silicone 355 .RTM.)
25 mg
______________________________________
Reference 1
Using a knife coater, a mixture of 2-nitroxymethyl-6-chloropyridine (10 g)
and acrylic ester adhesive (Carbond.RTM., Dainippon Ink and Chemicals Co.,
Ltd.) (40 g) was coated on an aluminum foil support in a thickness of 0.5
mm to give a percutaneous preparation having the following formula per
cm.sup.2.
______________________________________
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive 40 mg
______________________________________
Reference 2
The procedure of Example 1 was followed to provide a first layer. Then, a
silicone adhesive (Silicone 355.RTM., Dow Corning Co.) was coated on top
of the first layer in a thickness of 0.5 mm to give a percutaneous
preparation having the following formula per cm.sup.2.
______________________________________
[First layer]
2-Nitroxymethyl-6-chloropyridine
10 mg
Acrylic ester adhesive 40 mg
[Second layer]
Silicone adhesive 50 mg
______________________________________
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Description  |
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