Water-soluble composition for forming an aqueous isotonic nitrog

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A61K 3104

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044812205

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BRIEF SUMMARY
The invention relates to a preparation that can be dissolved in water to form an approximately isotonic nitroglycerine solution having a concentration of approximately 1 mg of nitroglycerine/ml of solution, and to an approximately isotonic aqueous nitroglycerine solution having a content of approximately 1 mg of nitroglycerine/ml of solution.
It should be possible to manufacture the approximately isotonic nitroglycerine solution having a concentration of approximately 1 mg of nitroglycerine/ml of solution from the preparation according to the invention by dissolving the preparation in water. This nitroglycerine solution could be used for infusions. The concentration of 1 mg of nitroglycerine/1 ml of solution would offer the user a simple basis for calculating amounts infused and further dilutions. Further advantages would be that patients would be subjected to relatively small infusion volumes and that, in the case of intensive treatment, infusion piston pumps would rarely need to be changed.


TABLE 1 __________________________________________________________________________ Known nitroglycerine solutions Solvent After dilution with water to Nitroglycerine 1 mg nitro- concentration glycerine/ml No. (mg/ml) solution Remarks Literature __________________________________________________________________________ 1 1 approx. 100% ethanol -- a,b Rote Liste 1980 2 5 approx. 100% ethanol 20% ethanol + a,b " 80% water 3 5 approx. 100% ethanol 20% ethanol + a,b " 80% water 4 3.1 1,2-propylene glycol + ? a,b " (unspecified) ethanol 5 0.63 1,2-propylene glycol + impossible c " (unspecified) ethanol 6 ? approx. 100% ethanol a,b Trissel, "Handbook of Injectable D ugs" 2nd Edition, 1980 7 0.15 water impossible c Trissel, "Handbook of Injectable D ugs" 2nd Edition, 1980 8 10 approx. 100% ethanol 10% ethanol + a,b,d Gstirner, "Grund- stoffe und Verfahren der Arzneibereitung" P. 387, Stuttgart 1960 9 10 90% ethanol + 9% ethanol + a,b,d Martindale 10% water 91% water p. 1646, London 10 10 approx. 100% ethanol 10% ethanol + a,b,d Dean and Baun, 90% water Am. J. Hospital Pharm. 32 (1975) 1036 11 0.4 4% ethanol + -- c Dean and Baun, 96% water Am. J. Hospital Pharm. 32 (1975) 1036 __________________________________________________________________________ Remarks: a: toxicologically undesirable; see, for example, Kuhn and Loogen, Internist, 19 (1978) 97-106 b: Not isotonic; an isotonic solution contains only 1.28% ethanol or 2.0% propylene glycol c: concentration too low d: Risk of nitroglycerine precipitation


TABLE 2 __________________________________________________________________________ Dissolution of tablets (NG = Nitroglycerine) NG NG total Tablets concen- amount (mg NG/ Solution tration (mg)/ No. tablet) solution medium (mg/ml) mixture Remarks Literature __________________________________________________________________________ 1 0.6 water 0.15 ? c Flaherty et al., Circulation, 51 (1975) 132 2 0.4 0.9% NaCl + 0.4 8 c Kaplan et al., 99.1% water Anesthesiology, 45 (1976) 14 3 0.6 water 1 ? hypertonic Cottrell and approx. 17% Turndorf, Am. solids in case Heart J., 96 of 100 mg (1978) 550 tablet 4 water 0.4 ? c Sturek et al., 5 5% dextrose + 0.4 ? c Am. J. Hosp. 0.4 95% water Pharm., 35 6 0.9% NaCl + 0.4 ? c (1978) 537 99.1% water 7 0.4 0.9% NaCl + 0.08 87.2 c McNiff et al., 99.1% water Am. J. Hosp. Pharm. 36 (1979) 173 8 0.4 (a) 0.9% NaCl + 0.03 8 c 99.1% water + (b) 5% dextrose + 95% water (a):(b) = 10:240 or 20:230 9 0.4 0.9% NaCl + 1 40 hypertonic Swerling, 99.1% water approx. 25% Hosp. Pharm., solids in case 14 (1979) of 100 mg 420 tablet __________________________________________________________________________


TABLE 3 _______________

REFERENCES:
patent: 3789119 (1974-01-01), Fusari et al.
Merck Index, (1976), 9th Ed., p. 1017.

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