JP3635653B2 - Method for producing solid dialysis agent - Google Patents
Method for producing solid dialysis agent Download PDFInfo
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- JP3635653B2 JP3635653B2 JP21032398A JP21032398A JP3635653B2 JP 3635653 B2 JP3635653 B2 JP 3635653B2 JP 21032398 A JP21032398 A JP 21032398A JP 21032398 A JP21032398 A JP 21032398A JP 3635653 B2 JP3635653 B2 JP 3635653B2
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- aqueous solution
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Description
【0001】
【発明の属する技術分野】
本発明は固形の重炭酸型透析用剤およびその製造方法に関する。本発明の透析用剤は1剤の中に必要な成分を全て含んでいる。
【0002】
【従来の技術】
透析用剤として一般的に使用されている重炭酸型透析用剤は、電解質、ブドウ糖及び酸からなるA剤と炭酸水素ナトリウムからなるB剤からなっている。A剤、B剤ともその剤型は水溶液と固形の場合があり、固形のA剤には1剤型と2剤型の2種類がある。
A剤、B剤共に水溶液の場合、一般にA液、B液と呼ばれ、液量約10Lの濃厚溶液がそれぞれポリエチレン製容器に充填された状態で販売されており、このA液及びB液に水を加えて稀釈混合して透析液を作製している。一方、A剤またはB剤が固形の場合、通常、一旦水に溶解してA液またはB液と呼ばれる濃厚溶液を作製する必要がある。
重炭酸型透析用剤としては一般に次の通りの組成のものが使用されている。
Na+ 130 〜150 mEq/L
K+ 1.0〜 3.0 mEq/L
Ca+ 2.0〜 4.0 mEq/L
Mg+ 0 〜 2.0 mEq/L
Cl- 100 〜125 mEq/L
HCO3 - 20 〜 40 mEq/L
CH3 COO- 2 〜 12 mEq/L
ブドウ糖 0 〜 2.0 mEq/L
【0003】
液状の重炭酸型透析用剤は、重量および容積が大きいため運搬や保管に不便であり、また透析液調製時の取扱いにおいても過大な労力を要するものである。また、使用後の多量の大型ポリエチレン製タンクの廃棄の問題もある。
A剤もB剤も固形の場合には上記の問題は解決できるが、透析液を調製する前に一旦水溶液に調製する必要があるため、2剤または3剤の容器を開封して溶解しなければならない。従って、病院での患者数が多いと開封作業が煩雑であり、溶解数量を間違う危険性も大きい。
そこで、透析用剤を固形かつ1剤にすることが考えられるが、この場合、使用原料に酢酸または塩酸といった液体酸が含まれているため、液体酸が炭酸水素ナトリウムと反応し、この反応により生成された水が媒介となってブドウ糖の分解が生じたり、水に不溶の炭酸塩を生成してしまうという問題がある。
【0004】
【発明が解決しようとする課題】
本発明は如上の事情に鑑みてなされたもので、長期保存に対して安定であり、透析液調製時に炭酸塩の生ずることのない、取扱いが容易な1剤型の固形透析用剤を、経済的かつ歩留りよく製造する方法を提供することを目的とする。
【0005】
【課題を解決するための手段】
本発明者等は、上記の課題を解決するために鋭意検討の結果、塩化ナトリウム、ブドウ糖および炭酸水素ナトリウムを核粒子とすることにより、容易にpH調整剤(クエン酸)が直接炭酸水素ナトリウムと接触しないようにすることができることに想到し、本発明を完成した。すなわち本発明は、(1)核粒子の塩化ナトリウムに塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程、(2)工程(1)の生成物に塩化カリウムとクエン酸の混合水溶液をスプレーし乾燥する工程、(3)工程(2)の生成物にブドウ糖と炭酸水素ナトリウムを混合する工程、の各工程を含んでなる固形透析用剤の製造方法である。また、本発明は、(1)核粒子の塩化ナトリウムに塩化カリウムと塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程、(2)工程(1)の生成物にクエン酸の水溶液をスプレーし乾燥する工程、(3)工程(2)の生成物にブドウ糖及び炭酸水素ナトリウムを混合する工程、の各工程を含んでなる固形透析用剤の製造方法である。さらにまた、本発明は、(1)核粒子の塩化ナトリウムに塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程、(2)工程(1)の生成物にクエン酸の水溶液をスプレーし乾燥する工程、(3)工程(2)の生成物にブドウ糖と炭酸水素ナトリウムを混合する工程、(4)工程(3)の混合物に塩化カリウムの水溶液をスプレーし乾燥する工程、の各工程を含んでなる固形透析用剤の製造方法である。そしてさらに本発明は、上記の各方法で得られた混合物に、さらに、酢酸ナトリウムまたはクエン酸ナトリウム水溶液をスプレーし乾燥する工程を含んでなるものである。
【0006】
【発明の実施の形態】
本発明の固形透析用剤の製造方法は、(1)核粒子の塩化ナトリウム(図1参照)に塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程、(2)工程(1)の生成物に塩化カリウムとクエン酸の水溶液をスプレーし乾燥する工程、(3)工程(2)の生成物(図2参照)にブドウ糖と炭酸水素ナトリウムを混合する工程、の各工程を含んでなる。但し、塩化カリウムは工程(2)の水溶液に混合せず工程(1)の水溶液に混合してもよく、また、工程(4)として、工程(3)の生成物に塩化カリウムの水溶液をスプレーし乾燥してもよい。
本発明の方法によって製造された固形透析用剤は図3に示すような1剤型であり、溶解タンクがあれば単に水を加えて溶解し稀釈するだけの操作で容易に重炭酸型透析液を調整することができる。
透析用剤はこれに水を加えて溶解して一旦濃厚液を作製しておき、使用時にこれを所定比率で稀釈して重炭酸型透析液を調整してもよい。ただし、この場合、不溶性炭酸塩を生じさせることのないよう、固形透析用剤の透析液全体に閉める割合は10W/V%以下に抑える必要がある。
【0007】
〔実施例1〕
転動流動造立乾燥装置(マルチプレックス、MP−01型、パウレックス社製)に、平均粒子径約0.4mmの塩化ナトリウム96.1kgを入れ、吸気温度80℃の条件下で、塩化カルシウム2.9kgと塩化マグネシウム1.6kgの混合水溶液11Lを70分間スプレーし、同時に乾燥した。
次に、塩化カリウム2.35kgとクエン酸2.74kgの混合水溶液20Lを130分間スプレーし、同時に乾燥後、さらに60分間乾燥した。
次に、ブドウ糖15.75kgと炭酸水素ナトリウム37.1kgを混合した後、酢酸ナトリウム水溶液20Lを170分間スプレーし、同時に乾燥した。スプレー終了後さらに60分間乾燥した後、60分間冷却して最終造粒物を得た。
得られた造粒物から任意に3回、10.5gを採り、これに水を加えて熔解し、1000mLとした液について成分含量を測定したところ表1に示すような安定した結果が得られた。
また、得られた造粒物から任意に10.5gのサンプルを2個採り、1個を乾燥条件下でガスバリアー性の袋に密閉し、40℃、75%RHの雰囲気で3カ月保存したところ、着色や各成分含量に変化は認められなかった。また、液は澄明であり、pHの変化も認められなかった。
【0008】
【表1】
【0009】
【発明の効果】
以上説明してきたことから明らかなように、本発明は、湿潤状態では反応性を有する塩化カルシウムおよび塩化マグネシウムの層をクエン酸および/または塩化カリウムの層で被覆し、また、湿潤状態ではクエン酸と反応性を有するブドウ糖および炭酸水素ナトリウムを核粒子として混合しているので、得られた透析用剤は長期保存に対して安定であり、また、使用時の透析液調製に際して炭酸塩を生ずることがない。
【図面の簡単な説明】
【図1】 塩化ナトリウムの立方晶粒子の電子顕微鏡写真(200倍)である。
【図2】 塩化ナトリウム粒子の表面に塩化カリウム、塩化カルシウム、塩化マグネシウムおよびクエン酸を付着させた粒子の電子顕微鏡写真(200倍)である。
【図3】 図3に示す粒子にブドウ糖粒子および炭酸水素ナトリウム粒子を複数個結合させた状態を示す電子顕微鏡写真(200倍)である。[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a solid bicarbonate-type dialysis agent and a method for producing the same. The dialysis agent of the present invention contains all necessary components in one agent.
[0002]
[Prior art]
A bicarbonate type dialysis agent generally used as a dialysis agent is composed of an A agent composed of an electrolyte, glucose and an acid, and a B agent composed of sodium hydrogen carbonate. The dosage forms of both agent A and agent B may be aqueous solutions and solids, and there are two types of solid agent A, one-drug type and two-drug type.
When both the A and B agents are aqueous solutions, they are generally called A and B solutions, and are sold in a state where a concentrated solution of about 10 L is filled in a polyethylene container. The dialysate is made by adding water and diluting to mix. On the other hand, when agent A or agent B is solid, it is usually necessary to dissolve in water once to prepare a concentrated solution called solution A or solution B.
As a bicarbonate type dialysis agent, one having the following composition is generally used.
Na + 130 to 150 mEq / L
K + 1.0 to 3.0 mEq / L
Ca + 2.0 to 4.0 mEq / L
Mg + 0 to 2.0 mEq / L
Cl - 100 to 125 mEq / L
HCO 3 - 20 ~ 40 mEq / L
CH 3 COO - 2 ~ 12 mEq / L
Glucose 0-2.0 mEq / L
[0003]
The liquid bicarbonate type dialysis agent is inconvenient to transport and store due to its large weight and volume, and requires excessive labor in handling when preparing the dialysate. There is also a problem of disposal of a large amount of large polyethylene tank after use.
If both agent A and agent B are solid, the above problem can be solved, but it is necessary to prepare the solution once before preparing the dialysate, so the two-agent or three-agent container must be opened and dissolved. I must. Therefore, if the number of patients in the hospital is large, the opening operation is complicated, and there is a high risk of mistakenly dissolving the quantity.
Therefore, it is conceivable that the dialysis agent is a solid and one agent. In this case, since the raw material used contains a liquid acid such as acetic acid or hydrochloric acid, the liquid acid reacts with sodium hydrogen carbonate. There is a problem in that the generated water is used as a medium to cause degradation of glucose or to generate carbonate insoluble in water.
[0004]
[Problems to be solved by the invention]
The present invention has been made in view of the above circumstances, and is a one-part solid dialysis agent that is stable for long-term storage, does not produce carbonate during dialysis solution preparation, and is easy to handle. It is an object to provide a method for producing a product efficiently and with high yield.
[0005]
[Means for Solving the Problems]
As a result of intensive studies to solve the above-mentioned problems, the present inventors have made sodium chloride, glucose and sodium hydrogen carbonate as core particles, so that the pH adjuster (citric acid) can be easily combined with sodium hydrogen carbonate. The present invention has been completed by conceiving that contact can be avoided. That is, the present invention includes (1) a step of spraying and drying a mixed aqueous solution of calcium chloride and magnesium chloride on sodium chloride as a core particle, and (2) spraying a mixed aqueous solution of potassium chloride and citric acid on the product of step (1). It is a manufacturing method of the agent for solid dialysis which comprises each process of the process dried and (3) The process of mixing glucose and sodium hydrogencarbonate with the product of process (2). The present invention also includes (1) a step of spraying and drying a mixed aqueous solution of potassium chloride, calcium chloride and magnesium chloride on sodium chloride as a core particle, and (2) spraying an aqueous solution of citric acid on the product of step (1). It is a manufacturing method of the agent for solid dialysis which comprises each process of the process dried and (3) the process which mixes glucose and sodium hydrogencarbonate with the product of process (2). Furthermore, the present invention includes (1) a step of spraying and drying a mixed aqueous solution of calcium chloride and magnesium chloride on sodium chloride as a core particle, and (2) spraying and drying an aqueous solution of citric acid on the product of step (1). (3) a step of mixing glucose and sodium hydrogen carbonate with the product of step (2), (4) a step of spraying an aqueous solution of potassium chloride to the mixture of step (3) and drying. It is a manufacturing method of the solid dialysis agent which consists of these. Further, the present invention further comprises a step of spraying and drying a sodium acetate or sodium citrate aqueous solution on the mixture obtained by each of the above methods .
[0006]
DETAILED DESCRIPTION OF THE INVENTION
The method for producing a solid dialysis agent of the present invention comprises (1) a step of spraying and drying a mixed aqueous solution of calcium chloride and magnesium chloride on sodium chloride as a core particle (see FIG. 1), and (2) formation of step (1). The step comprises spraying an aqueous solution of potassium chloride and citric acid onto the product and drying, and (3) mixing glucose and sodium bicarbonate with the product of step (2) (see FIG. 2). However, potassium chloride may be mixed with the aqueous solution of step (1) without being mixed with the aqueous solution of step (2), and as the step (4), an aqueous solution of potassium chloride is sprayed on the product of step (3). And may be dried.
The solid dialysis agent produced by the method of the present invention is of a one-part type as shown in FIG. 3, and if there is a dissolution tank, it can be easily dissolved and diluted by simply adding water to dilute the bicarbonate-type dialysate. Can be adjusted.
The dialysis agent may be prepared by adding water thereto to dissolve it once to prepare a concentrated solution, and diluting it at a predetermined ratio at the time of use to prepare a bicarbonate type dialysate. However, in this case, it is necessary to keep the ratio of the solid dialysis agent closed to the entire dialysate to 10 W / V% or less so as not to generate insoluble carbonate.
[0007]
[Example 1]
Put 96.1 kg of sodium chloride with an average particle diameter of about 0.4 mm in a tumbling fluidized drying apparatus (multiplex, MP-01 type, manufactured by Paulex), and under conditions of an intake air temperature of 80 ° C., calcium chloride 2 Sprayed 11 L of a mixed aqueous solution of 0.9 kg and 1.6 kg of magnesium chloride for 70 minutes and simultaneously dried.
Next, 20 L of a mixed aqueous solution of 2.35 kg of potassium chloride and 2.74 kg of citric acid was sprayed for 130 minutes, simultaneously dried, and further dried for 60 minutes.
Next, 15.75 kg of glucose and 37.1 kg of sodium bicarbonate were mixed, and then 20 L of an aqueous sodium acetate solution was sprayed for 170 minutes and simultaneously dried. After the completion of spraying, the mixture was further dried for 60 minutes and then cooled for 60 minutes to obtain a final granulated product.
The obtained granulated product was arbitrarily taken 3 times, 10.5 g was taken, and water was added to this to melt, and when the component content was measured for 1000 mL of liquid, stable results as shown in Table 1 were obtained. It was.
Also, two 10.5 g samples were arbitrarily taken from the obtained granulated material, one was sealed in a gas barrier bag under dry conditions, and stored for 3 months in an atmosphere of 40 ° C. and 75% RH. However, there was no change in coloring or content of each component. Moreover, the liquid was clear and the change of pH was not recognized.
[0008]
[Table 1]
[0009]
【The invention's effect】
As can be seen from the above description, the present invention covers a layer of calcium chloride and magnesium chloride that is reactive in the wet state with a layer of citric acid and / or potassium chloride, Glucose and sodium hydrogen carbonate, which are reactive with each other, are mixed as core particles, so that the resulting dialysis agent is stable for long-term storage, and also produces carbonate when preparing dialysate for use. There is no.
[Brief description of the drawings]
FIG. 1 is an electron micrograph (200 ×) of cubic particles of sodium chloride.
FIG. 2 is an electron micrograph (200 ×) of particles having potassium chloride, calcium chloride, magnesium chloride and citric acid attached to the surface of sodium chloride particles.
3 is an electron micrograph (200 ×) showing a state in which a plurality of glucose particles and sodium hydrogen carbonate particles are bound to the particles shown in FIG. 3. FIG.
Claims (3)
(1)核粒子の塩化ナトリウムに塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程。
(2)工程(1)の生成物に塩化カリウムとクエン酸の混合水溶液をスプレーし乾燥する工程。
(3)工程(2)の生成物にブドウ糖と炭酸水素ナトリウムを混合する工程。
(4)工程(3)の混合物に酢酸ナトリウムまたはクエン酸ナトリウムの水溶液をスプレーし乾燥する工程。 The manufacturing method of the agent for solid dialysis which comprises the process of following (1)-( 4 ).
(1) A step of spraying and drying a mixed aqueous solution of calcium chloride and magnesium chloride on sodium chloride as a core particle.
(2) A step of spraying and drying a mixed aqueous solution of potassium chloride and citric acid on the product of step (1).
(3) A step of mixing glucose and sodium hydrogen carbonate with the product of step (2).
(4) A step of spraying and drying an aqueous solution of sodium acetate or sodium citrate on the mixture of step (3).
(1)核粒子の塩化ナトリウムに塩化カリウムと塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程。(1) A step of spraying and drying a mixed aqueous solution of potassium chloride, calcium chloride and magnesium chloride on sodium chloride as a core particle.
(2)工程(1)の生成物にクエン酸の水溶液をスプレーし乾燥する工程。(2) A step of spraying and drying an aqueous solution of citric acid on the product of step (1).
(3)工程(2)の生成物にブドウ糖と炭酸水素ナトリウムを混合する工程。(3) A step of mixing glucose and sodium hydrogen carbonate with the product of step (2).
(4)工程(3)の混合物に酢酸ナトリウムまたはクエン酸ナトリウムの水溶液をスプレーし乾燥する工程。(4) A step of spraying and drying an aqueous solution of sodium acetate or sodium citrate on the mixture of step (3).
(1)核粒子の塩化ナトリウムに塩化カルシウムと塩化マグネシウムの混合水溶液をスプレーし乾燥する工程。(1) A step of spraying and drying a mixed aqueous solution of calcium chloride and magnesium chloride on sodium chloride as a core particle.
(2)工程(1)の生成物にクエン酸の水溶液をスプレーし乾燥する工程。(2) A step of spraying and drying an aqueous solution of citric acid on the product of step (1).
(3)工程(2)の生成物にブドウ糖と炭酸水素ナトリウムを混合する工程。(3) A step of mixing glucose and sodium hydrogen carbonate with the product of step (2).
(4)工程(3)の混合物に塩化カリウムの水溶液をスプレーし乾燥する工程。(4) A step of spraying and drying an aqueous solution of potassium chloride on the mixture of step (3).
(5)工程(4)の生成物に酢酸ナトリウムまたはクエン酸ナトリウムの水溶液をスプレーし乾燥する工程。(5) A step of spraying and drying an aqueous solution of sodium acetate or sodium citrate on the product of step (4).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP21032398A JP3635653B2 (en) | 1998-07-09 | 1998-07-09 | Method for producing solid dialysis agent |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP21032398A JP3635653B2 (en) | 1998-07-09 | 1998-07-09 | Method for producing solid dialysis agent |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2000026280A JP2000026280A (en) | 2000-01-25 |
| JP3635653B2 true JP3635653B2 (en) | 2005-04-06 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP21032398A Expired - Lifetime JP3635653B2 (en) | 1998-07-09 | 1998-07-09 | Method for producing solid dialysis agent |
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Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2005194199A (en) * | 2003-12-26 | 2005-07-21 | Shimizu Pharmaceutical Co Ltd | Solid dialysis agent and method for producing the same |
| EP1714657A1 (en) * | 2004-02-09 | 2006-10-25 | Nipro Corporation | Solid formulation for dialysis and process for producing the same |
| JP2005239618A (en) * | 2004-02-26 | 2005-09-08 | Ajinomoto Co Inc | Method for producing powdery dialysis preparation |
| JPWO2005094918A1 (en) * | 2004-03-30 | 2008-02-14 | ニプロ株式会社 | Dialysis solid preparation |
| US7544301B2 (en) * | 2004-08-19 | 2009-06-09 | Hhd Llc | Citrate-based dialysate chemical formulations |
| WO2015072494A1 (en) * | 2013-11-12 | 2015-05-21 | 扶桑薬品工業株式会社 | Novel sodium diacetate crystal and solid dialysis preparation comprising said crystal |
-
1998
- 1998-07-09 JP JP21032398A patent/JP3635653B2/en not_active Expired - Lifetime
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| Publication number | Publication date |
|---|---|
| JP2000026280A (en) | 2000-01-25 |
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