N g h i e n CLFU - Ky t h u a t<br />
<br />
<br />
Nghien ciru anh htfong ciia hydroxypropyl-p-<br />
r f r<br />
<br />
cyclodextrin den do on dinh cua thuoc tiem<br />
dong kho pantoprazol<br />
Pham Xuan Chung, Nguyen Van Long,<br />
Dao Minh Huy, Nguyen Minh Trang<br />
Truang dai hoc Dugc Ha Noi<br />
<br />
Dat van de - Tu siy, tu vi khi hau CLIMACELL.<br />
Pantoprazol (PTZ) la mdt chit thude nhdm - May phan tieh nhiet vi sai SETARAM<br />
benzimidazol. Cung gidng nhu cae chit khac ciing DSC131.<br />
nhdm, PTZ khdng bin, d i bi phan huy trong mdi Phu'ang phap nghien eu'U<br />
trudng acid '^' ®' nen da cd nhiiu bien phap duge ap Phuang phap phan tich nhiet vi sai (DSC)<br />
dung d i lam tang do dn dinh cua ehung nhu: sii' Nghien ciru tinh c h i t nhiet hgc va tuang tac<br />
dung ta dugc kiim '^°' hoac hdn hgp ta duge kiim hda ly cua PTZ vdi ta duge, tir dd lya chgn<br />
'"*', sir dung cac chit chdng oxy hda, bao c h i dang duge cae ta duge lam tang tinh dn dinh cua<br />
vien bao tan trong rudt '^®' hoac dang thude tiem hoat chit trong edng thu'C thude tiem ddng khd<br />
ddng khd... Muc tieu eua nghien eiru nay la danh PTZ bing phuang phap phan tich nhiet vi sai<br />
gia anh hudng cua hydroxypropyl-p-cyclodextrin (DSC). Vdi eae d i i u kien:<br />
din do dn dinh eua thude tiem ddng khd PTZ. - T d e d g q u e t 10°C/phut<br />
Nguyen lieu, thiet bj va phu'O'ng -Khoang quet-25-250°C.<br />
- M i u chuan: nhdm hydroxyd.<br />
phap<br />
- Mdi trudng: khdng khi.<br />
Nguyen lieu<br />
Phuang phap dong kho<br />
- Natri pantoprazol sesquihydrat x u i t xir:<br />
Bao c h i thude tiem ddng khd PTZ 40 mg<br />
. Tay Ban Nha, dat tieu ehuin Dugc dien Chau<br />
Au (EP6). bing phuang phap ddng khd vdi cac thdng sd:<br />
-Ddng lanh: -70°C, thdi gian: 6 gid.<br />
- Cac ta duge: natri hydroxyd, manitol,<br />
arginin, dinatri EDTA (Trung Qudc), - s i y sa c i p : -15°C, thdi gian: 20 gid, tdc do<br />
hydroxypropyl-p-cyclodextrin (Trung Qudc) dat gia nhiet 0,5°C/1 phut.<br />
tieu ehuin nha san x u i t - s i y thir c i p : +25°C, thdi gian: 20 gid, tde<br />
- Cae hda chit tinh khiit phan tich: acetonltril, do gia nhiet: 0,25°C/1 phut<br />
natri dihydrophosphat dinatri hydrophosphat Phu'O'ng phap sac ky long hieu nang cao<br />
dikali hydrophosphat va acid phosphoric (Merck), (HPLC)<br />
dat tieu chuan nha san x u i t Xae dinh ham lugng PTZ va ty le tap c h i t<br />
- Niit nhdm (Viet Nam), nut cao su f^isc), Ig trong c h i p h i m thude tiem ddng khd bing<br />
thuy tinh trung tinh i^uic), dat tieu ehuin nha phuang phap HPLC. Vdi cac d i i u kien:<br />
san xuit. - Pha ddng: Acetonltril va dem phosphat pH7.<br />
T h i i t bj - Cot HPLC: C I 8 (5 |j.m) 4,6 X 150mm.<br />
- May ddng khd LABCONCO. - Detector tu" ngoai: bude sdng 290nm.<br />
- May Ige mang SATORIUS vdi mang Ige ed - T h i t i e h tiem: 20pl.<br />
kich thude 0,2ijm. - Tdc do ddng: 1 ml/phut<br />
- May do pH Inonab pH 370. Phu'O'ng phap lao hoa cap toe<br />
- May s i c ky Idng hieu nang cao hieu Danh gia mgt sd chi tieu chit lugng eua thude<br />
SHIMADZU 10AVP. tiem ddng khd nhu: hinh thu'C cua bgt ddng khd;<br />
<br />
TAP CHI DUOC HOC - 12/2010 (SO 416 NAM 50) 19<br />
Nghien CLFU - Ky thuat<br />
mau sic, do trong eiia dung djch pha lai; ham nhiet manh khoang 160-170°C (tuang irng diem<br />
lugng PTZ, ty le tap chit. Vdi cac diiu kien: chay eua manitol), mdt pic tda nhiet khdng dac<br />
• - Cudng birc: trong tu 100°C. tarng khoang 190°C (tuang U'ng nhiet do phan<br />
- Trong tu vi khi hau: nhiet do 40°C ± 2, do huy eua PTZ) cd cudng do tuang irng (8mW va<br />
i m 75 ± 5%. 21,4mW) thip han so vdi pic tda nhiet ciia PTZ<br />
trong hon hgp M l (53mW) va PTZ ty do<br />
- D i i u kien phdng thi nghiem: nhiet do 25 -<br />
(130mW). Diiu nay cd the dugc giai thieh nhu<br />
35°C, do i m 55% - 85%.<br />
sau: HP-p-Cyd la ta dugc cd kha nang dn djnh<br />
K§t qua nghien CIFU va ban luan cac hoat chit khdng b i n , do tao ra cae khung bao<br />
Kit qua nghien CLPU anh hu'O'ng cua bgc xung quanh phan tu hoat chit cho nen han<br />
hydroxypropyl-p-cyclodextrin d i n do 6n ehi sy tiip xue eua hoat chit vdi mdi trudng xung<br />
djnh cua PTZ quanh, tuy nhien day ehi la hdn hgp vat ly nen vin<br />
Danh gia anh hudng cua hydroxypropyl-p- edn cac phan tir PTZ ty do, trong qua trinh gia<br />
cyclodextrin (HP-p-Cyd) d i n do dn dinh cua nhiet ehi nhO'ng phan tCr PTZ tiip xiic vdi HP-p-<br />
PTZ trong cac hdn hgp vat ly M l , M2, M3 gdm: Cyd mdi tao phu'c hdn hgp PTZ - HP-p-Cyd, hdn<br />
PTZ, manitol va HP-p-Cyd bing phuang phap hgp nay b i n vu'ng vdi nhiet han so vdi PTZ ty do<br />
DSC vdi eae diiu kien dugc ghi d phin trong khoang nhiet do da khao sat, do dd cudng<br />
Phu'O'ng phap phan tich nhiet vl sal. K i t qua do pic chi giam di nhieu chir khdng m i t (Jdng thdi<br />
dugc trinh bay trong bang 1 va hinh 1: cudng do eua pic cung phu thugc vao ty le HP-p-<br />
Cyd ed trong hdn hgp.<br />
Bang 1: Thanh phin hdn hap vat ly<br />
Thanh phan Ml M2 M3 Nhu vay, trong hdn hgp vat ly vdi manitol va<br />
Manitol (mg) 120 120 120 HP-p-Cyd, PTZ b i n vu'ng vdi nhiet han, ty le HP-<br />
p-Cyd ed trong hdn hgp cang Idn, PTZ cang bin<br />
PTZ (mg) 50 50 50<br />
virng. K i t qua nay cung phii hgp vdi nghien eiru<br />
HP-(3-Cyd (mg) 50 150<br />
eua M.EI-Badry va cdng sy v i anh hudng eua ty<br />
Ty le PTZ:HP-p-Cyd 1:0 1:1 1:3<br />
le HP-p-Cyd trong hdn hgp (omeprazol:HP-p-Cyd)<br />
d i n do dn dinh cua omeprazol (mdt chit trong<br />
nhdm benzimidazol)'^l<br />
Kit qua danh gia anh hu'ong cua HP-P-Cyd<br />
din do 6n djnh ciia thude tiem dong kho PTZ<br />
Tren ca sd k i t qua thu dugc tir phuang phap<br />
DSC vdi hdn hgp vat ly, tiin hanh bao c h i thude<br />
tiem ddng khd PTZ vdi m i u CT233 ed HP-p-Cyd<br />
va m i u CT234 khdng cd HP-P-Cyd. Mdi me ddng<br />
khd 200 Ig theo ciing mdt quy trinh.<br />
Danh gia bang cam quan va bang phuvng<br />
phap HPLC<br />
San phim sau khi ddng khd duge theo ddi<br />
Hinh 1: Dwang biiu diin phan tich nhiet vi trong diiu kien cudng birc, eu the: Cae m i u<br />
sai (DSC) cua PTZ (1), manitol (2), HP-^-Cyd duge 6§ trong tu 100°C. Mdi 2 gid, kiem tra hinh<br />
(3), hdn hap Ml (4), M2 (5) va M3 (6). thirc, mau s i c cua banh thude; mau s i c , do due<br />
Kit qua hinh 1 eho thiy: Dudng nhiet cua eae eua dung dich pha lai vdi 2,5ml nude c i t pha<br />
hdn hgp vat ly M2, M3 gdm PTZ, manitol, HP-P- tiem; ham lugng hoat c h i t va ty le tap chit<br />
Cyd ed pic rdng trong khoang 50-100°C (tuang dugc xac djnh b i n g phuang phap HPLC. Kit<br />
U'ng vdi sy mit nude cua HP-p-Cyd), mdt pic thu qua dugc trinh bay trong bang 2 va 3:<br />
Bang 2: Anh hwang cua HP-^-Cyd din hinh thuc bdt va dung dich pha lai cua thude tiem ddng khd PTZ<br />
Bgt dong kho Dung dich pha lai<br />
Thai gian<br />
CT233 CT234 CT233 CT234<br />
0 gid Hinh banh thuoc,trang, min Hinh banh thu6c,trang, min Trong, kh6ng mau Trong, kh6ng mau<br />
Sau 2 gid Hinh banh thuic, tring, min Hinh banh thuic, tring, min Trong, kh6ng mau Trong, khong mau<br />
Sau 4 gid Hinh banh thuic, tring, min Hinh banh thu6c, Trong, kh6ng mau Trong, mau vang<br />
vang, kh6ng min nhat<br />
<br />
<br />
20 TAP CHI Dl/OC HOC - 12/2010 (SO 416 NAM 50)<br />
• Nghien CLFU -• Ky thuat<br />
Bang 3: Anh hwang cua HP-P-Cyd din dodn dinh cua thude tiemddng khd PTZ<br />
Ham Iwg'ng (%) PTZ Ty le (%) tap chat<br />
Thcyi gian<br />
CT233 CT234 CT233 CT234<br />
0 gid 103,01 104,92% 0,06% 0,09%<br />
Sau 2 gid 99,51 99,05% 0,71% 1,32%<br />
So sanh Giam 3,50% Giam 5,87% Tang 10,8 l l n Tang 14,6 lan<br />
Sau 4 gid 97,96% 95,73% 1,56% 4,51%<br />
So sanh Giam 5,05% Giam 8,19% Tang 26 lan Tang 50,1 lan<br />
<br />
K i t qua bang 3 cho thiy: sau 2 gid d i d d i i u 234 d i u eho pie thu nhiet tai khoang tir 160-<br />
kien cudng birc (nhiet do 100°C), ham lugng 170°C tuang irng vdi nhiet do ndng chay<br />
PTZ trong san phim pha c h i theo edng thire manitol (cudng do tuang u'ng la-90mW va -<br />
233 giam it han so vdi san phim ddng khd theo 138mW) va ngay sau khi ndng ehay la mgt trang<br />
cdng thu'C 234 (3,05% va 5,87%), trong khi ty le thai tda nhiet khdng dac trung (tuang quan vdi<br />
tap chit bj phan huy eung ft han (0,71% - tang nhiet do phan huy cua PTZ - 190°C) vdi cudng<br />
10,8 lin va 1,32% - tang 14,6 lin). Sau 4 gid, do tuang irng 34mW va 80mW, chu'ng td sau khi<br />
tuang u-ng la (5,05% va 8,19%) va (1,56% - ddng khd PTZ khdng edn d dang tinh t h i ma da<br />
tang 26 lin va 4,15% - tang 50,1 lin). chuyin sang dang vd djnh hinh. Tuy nhien, cudng<br />
Danh gia bang phwcrng phap DSC do cua eae pie tren dudng nhiet eua san phim<br />
Cae san phim ddng khd theo edng thu'C 233 ddng khd theo edng thirc 233 d i u thip han cudng<br />
va 234 dugc danh gia bing phuang phap DSC do cac pic tuang u'ng tren dudng nhiet cua san<br />
vdi cac diiu kien dugc ghi d phin Phu'ang phim ddng khd theo cdng thire 234.<br />
phap phan tich nhiet vi sal. K i t qua duge trinh Nhu vay, k i t qua tu* phuang phap DSC phu<br />
bay trong hinh 2: hgp vdi kit qua thu duge tu" phuang phap HPLC,<br />
ca hai phuang phap d i u eho thiy bdt ddng khd<br />
theo edng thire 233 b i n virng vdi nhiet han bdt<br />
ddng khd theo edng thu-c 234, diiu nay chu'ng td<br />
ring HP-P-Cyd da lam tang do dn djnh vdi nhiet<br />
ciia thude tiem ddng khd PTZ.<br />
K i t qua nay eung phii hgp vdi nghien eu'U<br />
ciia mgt sd tac gia tren t h i gidi v i anh hudng<br />
cua HP-P-Cyd vdi mdt sd c h i t trong nhdm<br />
benzimidazol [^-^•^".<br />
Tu' k i t qua thu dugc, cac me t i i p theo sir<br />
dung HP-p-Cyd lam ta dugc de dn djnh thude<br />
tiem ddng khd PTZ.<br />
Kit qua nghien eu'U anh hu'O'ng eua ty le<br />
HP-P-Cyd d i n do 6n dinh eua thude tiem<br />
Hinh 2: Dwang biiu diin phan tich nhiet vi sai ddng kho PTZ<br />
(DSC) cua PTZ (1), manitol (2), HP-^-Cyd (3), bdt T i i n hanh ddng khd vdi eiing mgt quy trinh<br />
ddng khd cua cdng thirc 234 (4) va 233 (5) ky thuat cac edng thire ed eung ta dugc k i i m , ta<br />
Kit qua hinh 2 eho thiy: Dudng nhiet eua dugc tao khung, ta dugc chdng oxy hda, nhung<br />
san pham ddng khd theo cac cdng thirc 233, sir dung lugng HP-p-Cyd khac nhau:<br />
Bang 4: Khdi Iwang HP-p-Cyd sw dung trong cac cdng thirc thude tiem ddng khd PTZ<br />
Cong thii-c 306Y 3063 871 872 873 3182 2872 1971 7972 ^973 1974 1975<br />
Kh6i lugng<br />
HP-p-Cyd 50 100 150 200 300 350 400 450 600 750 900 1050<br />
sir dung (mg)<br />
<br />
<br />
<br />
TAP CHI DUOC HOC - 12/2010 (SO 416 NAM 50) 21<br />
Nghien CLFU - Ky thuat<br />
Danh gia bing cam quan va bing phipcmg nay khdng t i n hanh danh gia cae chT tieu khac.<br />
phap HPLC - San phim sau khi ddng khd theo cae edng<br />
vi cam quan thu^ 3061; 3063; 871; 872; 873: 3182: 2872 cd<br />
- Cac m i u pha e h i Iheo cdng thire 1972; 1973; hinh banh thude dep, mjn, cho nen tiip tuc danh gia<br />
1974; 1975 khdng ddng lanh, khdng thanh hinh cae chi fieu khae nhu ham lugng hoat c h i t ty le tap<br />
banh thude hoac banh thude cd t>i mat khdng mjn, chat Tiin hanh lao hda cudng birc vdi cae diiu<br />
cd tach Idp. khdng xdp (cdng thire 1971). VI vay, kien nhu d phin Phipong phap lao hoa cip tdc.<br />
eae san phim sau ddng khd theo cac cdng thirc K i t qua dugc trinh bay trong bang 5 va hinh 3:<br />
Bang 5: Ham Iwang (%) PTZ va tyle (%,) tap chitcua thude tiem ddng khd PTZ trong cac cdng thirc<br />
Thai gian CT3061 CT3063 CT871 CT872 CT873 CT3182 CT2872<br />
0 gid 100,01 99,89 106,70 102,30 106,70 100,08 107,6<br />
<br />
Ham Iwang Sau 2 gid 95,51 96.38 103,49 99,28 104,14 97,95 105,55<br />
(%) So sanh (giam %) 4,50 3,51 3,21 3,02 2,56 2,13 2,15<br />
pantoprazol Sau 4 gid 93,96 94,33 102,20 98,30 103,19 97,06 104,48<br />
So sanh (giam %) 6,05 5,56 4,50 4,00 3,51 3,02 3,12<br />
Ogid 0,12 0,13 0,12 0,12 0,09 0,08 0,09<br />
Sau 2 gid 1,21 1,13 1,01 0,99 0,59 0,43 0,51<br />
Ty le (/a) So sanh (lln) 10,08 8,69 8,42 8,25 6,56 5,38 5,67<br />
tap chat<br />
Sau 4 gid 2.51 2,00 1,71 1,53 1,01 0,89 0,91<br />
So sanh (lln) 20.92 15.38 14.25 12,75 11.22 11.13 10,11<br />
<br />
3 -<br />
<br />
j<br />
1 2,5- ,<br />
(%)<br />
<br />
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• " I ? - '"»<br />
o<br />
\^<br />
— • — Sau 2 gicT<br />
Q. 1.5 - •^. -^ -Sau2opcr<br />
— » — Sau4gicr Sau4^<br />
~-*^ "~ —*-<br />
1<br />
P *^^\ "^^^'^ *<br />
j 0.5-<br />
<br />
0 -<br />
0 50 100 150 200 250 300 350 4O0)4S0<br />
450 () 50 100 150 200 250 300 350 4O0 450<br />
<br />
Ltpcmg h f - p - C y d SLP d u n g i LifOTig rP-p-Cyd si> dung<br />
!<br />
s<br />
(b)<br />
<br />
Hinh 3: Dd thi bieu diin sw phu thude cua ty le tap chat va do giam ham Iwang PTZ<br />
vao Iwgng HP-fi-Cyd trong thanh phin thude tiem ddng khd PTZ<br />
(a)- Bp giam ham lugng PTZ sau 2 va 4 gid; (b).'Fy le tap chit trong bot dong kh5 sau 2 va 4 gid<br />
K i t qua tren eho t h i y vdi ciing thanh phin la (6,05%) va (2,51% - tang 20.92 lin). Trong<br />
trong cdng thirc, do dn dinh eua thude tiem ddng khi dd n i u lugng HP-P-Cyd sir dung la<br />
khd PTZ 40mg phu thude vao lugng HP-p-Cyd 350mg/lg, san p h i m ddng khd sau 2 gid d i d<br />
su= dung. Lugng HP-P-Cyd sir dung cang nhiiu nhiet do 100°C, ham iugng PTZ trong san phim<br />
do dn dinh cua thude tiem ddng khd PTZ cang pha e h i theo cdng thu'C 3182 chT giam (2,13%),<br />
cao. Vdi lugng HP-p-Cyd sir dung la 50mg/lg, ty le tap chit (0,43% - tang 5,38 lin), sau 4 gid,<br />
san phim ddng khd sau 2 gid de d nhiet do tuang irng la (3,02%) va (0,89% - tang 11,13<br />
100°C, ham lugng PTZ trong san p h i m pha e h i lin). Tuy nhien, n i u t i i p tuc tang lugng HP-P-<br />
theo cdng thire 3061 giam (4,5%i), ty le tap c h i t Cyd SLf dung trong cdng thuc thi khdng nhung<br />
(1,21% - tang 10,08 lin), sau 4 gid, tuang irng do dn ^ n h cua thude tiem ddng khd PTZ khdng<br />
<br />
<br />
22 TAP CHi DU'OC HOC - 12/2010 (SO 416 NA.M 50)<br />
N g h i e n CLFU - Ky t h u a t<br />
tang (nhu san phim bao e h i theo edng thirc P-Cyd ed trong cdng thire. Trong nghien ciru<br />
2872) ma cdn khdng ddng khd duge (nhu dung nay, thude tiem ddng khd PTZ 40mg dn djnh<br />
djch pha c h i theo cae cdng thuc 1972; 1973; han ea khi su" dung 350mg/lg HP-p-Cyd.<br />
1974; 1975) hoic hinh thue x i u (khdng thanh - K i t qua danh gia do dn djnh cua thude tiem<br />
hinh banh thude, khdng xdp) nhu san phim ddng PTZ bing phuang phap HPLC phu hgp<br />
ddng khd theo cdng thire 1971. vdi k i t qua tu- phuang phap DSC.<br />
Danh gia bang phuveng phap DSC<br />
Cae san pham ddng khd duge danh gia bing Summary<br />
phuang phap HPLC ddng thdi eung duge danh Hydroxypropyl-p-cyclodextrin increase the<br />
gia bing phuang phap DSC vdi eae diiu kien stability of pantoprazole in lyophilized injectable<br />
dugc ghi d phin Phu'ang phap phan tich nhiet powder. However, the stability depends on the<br />
vl sai. Kit qua duge trinh bay trong hinh 4: proportion of hydroxypropyl-P-cydodextrin in the<br />
formulation. The research indicates that,<br />
pantoprazole lyophilized injectable powder is the<br />
most stability with hydroxypropyl-p-cyclodextrin<br />
350mg/vial. The pantoprazole stability were<br />
evaluated by method DSC and HPLC.<br />
A formulation consists of pantoprazole sodium<br />
sesquihydrate, sodium hydroxide, mannitol,<br />
disodium EDTA, hydroxypropyl-p-cyclodextrin with<br />
reasonable proportion and water for injection were<br />
improved. Pantoprazole lyophilized injectable<br />
powder was prepared in laboratory scale, each<br />
batch comprised 200 vials.<br />
Hinh 4: Dwang biiu diin phan tich nhiet vi<br />
sai (DSC) cua PTZ (1), manitol (2), HP-p-Cyd Tai lieu tham khao<br />
(3), bot dong khd theo cdng thirc 3061 (4), 871 1. A.KristI, Acido-basic properties of proton pump<br />
(5), 873(6) va 3182 (7). : inhibitors in aqueus solutions, Drug Dev. Ind. Pharm.,<br />
Kit qua hinh 4 eho thiy: Dudng nhiet ciia (2009), 35, p. 114-117.<br />
san phim ddng khd theo cae edng thire 3061; 2. Ana Figueiras et al. Solid-state characterization<br />
871; 873; 3182 d i u khdng ed pie phan hiiy cua and dissolution profiles of the inclusion complexes of<br />
PTZ, tuy nhien cudng do eiia eae pic thu nhiet omeprazole with native and chemically modified beta-<br />
cyclodextrin, Eur J. Pharm. Biopharm., (2007), 67,<br />
khae nhau phu thugc vao lugng HP-p-Cyd cd<br />
p.531-539.<br />
trong edng thire, trong dd bdt ddng khd theo<br />
3. Ana Figueiras et al, In vitro evaluation of natural<br />
edng thuc 3182 (su- dung HP-p-Cyd 350mg/lg)<br />
and methylated cyclodextrins as buccal permeation<br />
ed cudng do pic thip n h i t enhancing system for omeprazole delivery, Eur. J.<br />
Nhu vay, k i t qua tu' phuang phap DSC eung Phanv. Biophanv., (2009), 71, p. 339-^45, .<br />
phii hgp vdi k i t qua thu dugc tu' phuang phap 4. Ana Figueiras et al, The role of 1-arginine in<br />
HPLC, ea hai phuang phap d i u cho t h i y bdt inclusion complexes of omeprazole with cyclodextrins,<br />
ddng khd theo cdng thu'C 3182 su' dung HP-p- AAPS PhamiSciTech., (2010), 11,1, p. 233-240.<br />
Cyd 350mg/lg b i n vu'ng vdi nhiet han ca, d i i u 5. Chantal Holvoet et al. Development of an<br />
nay eung phii hgp vdi k i t qua nghien ciru anh omeprazole parenteral formulation with<br />
hudng eua ty le HP-p-Cyd d i n do dn djnh cua hydroxypropyl-beta-cyclodextrin, Pharm. Dev.<br />
Teehnol., 12, p.327-336, (2007).<br />
PTZ trong hdn hgp vat ly.<br />
6. M.EI-Badry et al. Effects of Kollicoat IR and<br />
Kit l,uan hydroxypropyl-beta-cyclodextrin on the dissolution<br />
Tu' nhirng k i t qua nghien ciru, thye nghiem rate of omeprazole from its microparticles and enteric-<br />
thu duge, riit ra mdt sd k i t luan: coated capsules, Phanv. Dev. Teehnol., (2010), 15,<br />
- HP-p-Cyd lam tang do dn djnh PTZ. Tuy 5, p.500-510.<br />
nhien, mu'C do dn djnh phu thude vao lugng HP- >•; • (Xem tiep trang 13)<br />
<br />
TAP CHi DUOC HOC - 12/2010 (SO 416 NAM 50) 23<br />
Nghien CLFU - Ky thuat<br />
Ket luan san xuit dugc 5% thiit bj y t i hien dai.<br />
v i mang lu'ai phan phdi TTB y t§ Phin ldn TTB y t i tap trung d cae benh vien<br />
He thdng phan phdi TTB y t i dugc hinh Idn d thanh phd Idn nhu Ha Ngi, TP Hd Chi<br />
thanh tir TW d i n dja phuang va dugc m d rdng Minh, Da Ning... la nhO'ng nai cd he thdng y t i<br />
vdi sy tham gia cua nhiiu thanh phin kinh t i phat triin, dan sd ddng va giao thdng thuan Igi.<br />
nhu: Doanh nghiep nha nude, cdng ty TNHH, Summary<br />
cac cdng ty lien doanh... trong dd eae cdng ty To complete our medical facilities supply<br />
TNHH ludn ehiim ty le cao nhit. Nam 2008 ed system which Is aimed to improve the quality of<br />
751 cdng ty TNHH tham gia kinh doanh TTB y heathycare service and disease prevention for<br />
t i . Pham vi hoat ddng cua eae DN nay r i t rdng, our people, by retrospective method, we have<br />
duge quyin kinh doanh cac mat hang do Bd Y done a survey on the whole system and come to<br />
t i quy djnh. the findings as follow: the medical facilities<br />
sd lugng cac ca sd san x u i t TTB y t i tang supply system is widespread and has a pool of<br />
nhanh qua cac nam g i n day, nam 2008 ed 56 1.157 teachnical staff (in2007). In 2008, there<br />
ea sd, tang 16,7 % so vdi nam 2007 were 751 companies, most of which are liability<br />
limited ones, involving in this system. In 2008,<br />
Nam 2008 ca nude cd 13.433 ea sd y t i sir<br />
the number of medical facilities importing<br />
dung TTB y t i , trong dd cac benh vien ehiim<br />
companies was 650 in group 4,2%, and 10,85%<br />
6,73% tren tdng sd nhung gia trj d i u tu TTB y<br />
up as compared with 2007 and 2006<br />
t i lai r i t Idn.<br />
respestively. The import value of medical<br />
v i c l u ngudn nhan lye trong nganh TTB<br />
facilities was 202,5 milion USD, in 2008<br />
y t§<br />
increased by 5,6% against 2007, etc.<br />
Nhin Chung cdn thiiu can bd du nang lye<br />
The Ministry of health and Department of<br />
quan ly chuyen mdn ky thuat va nghiep vu<br />
Medical facilities and Works continue to provide<br />
thuang mai. Sy phan bd ngudn nhan lye khdng<br />
instructions on the implementation of the<br />
diu, ehu y i u tap trung d cae thanh phd Idn.<br />
National medical facilities policy and the Project<br />
V§ cc c l u va s y phan bd TTB y t i tren thj on the reseach and manufacturing of medical<br />
tru'd'ng facilities with a focus on strengthening State<br />
Trang thiit bj y t i nude ta da phin la duge management over medical facilities and human<br />
cac cdng ty nhap khiu tir nhiiu nude tren t h i development for medical facilities.<br />
gidi. Nam 2007 cd 70 thj trudng eung c i p TTB y Tai lieu tham khao<br />
t i cho Viet Nam, tdng gia trj nhap khau dat<br />
1. Bp Cdng thuong, Tong quan thi trudng trang<br />
- 191,7 trieu USD. Nam 2008, ed 53 qudc gia x u i t<br />
thiit bj Y te. Tap chi Thong tin Thwang mai, (2008),<br />
khiu TTB y t i vao Viet Nam, tdng gia trj nhap Sd ra thang 10 nam 2008<br />
khiu dat 209,5 trieu USD, tang 5,6%o so vdi nam 2. Bd Y t i , Nghien ciru che tao va san xult trang<br />
2007. Nhat Ban v i n d i n d i u v i kim ngaeh x u i t thiit bj y t i Ha Ndi, NXB Y hgc (2005)<br />
khiu TTB y t i vao Viet Nam, ehiim tren 16%> thj 3. Bd Y te, Ky yeu hdi nghj trien khai chinh sach<br />
phin. Trong dd san xuit trong nude mdi dap qudc gia ve TTB y t i giai doan 2004-2008, Ha Ndi,<br />
irng dugc khoang 40% nhu c i u sir dung va mdi (2008).<br />
<br />
<br />
<br />
N g h i e n e u ' U . . . (Tiip theo trang 23)<br />
7. R.P.Raffin et al, Gastro-resistant microparticles 9. T.Comoglu et al. Development and in vitro<br />
containing sodium pantoprazole: Stability studies and evaluation of pantoprazole-loaded micropheres. Drug<br />
in vivo anti-ulcer activity, The Open Dnig J., (2007), 1, Del., 15, p. 295-298, (2008).<br />
p. 28-35. 10. Wei He et al. Influences of sodium carbonate<br />
8. R.P.Raffin et al, Pharmacokinetics evaluation of on physicochemical properties of lanzoprazole in<br />
soft agglomerates for prompt delivery of enteric designed multiple coating pellets, AAPS<br />
pantoprazole-loaded microparticles, Eur J. Phanri. PharmSciTech., inpress, (2010).<br />
Biophamn., 74, p.275-280, (2010).<br />
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TAP CHi DUOC HOC - 12/2010 (SO 416 NAM 50) 13<br />