Composition for the oral administration of magnesium, in association with a composition for treating type 2 diabetes or the complications thereof
The invention relates to a specific composition for oral administration of magnesium, for use in the treatment of type 2 diabetes or the complications thereof, in association with a composition for treating type 2 diabetes or the complications thereof.
1. A method for delaying the onset or progression of long term type 2 diabetes complications selected from diabetic nephropathy, diabetic retinopathy, or diabetic cardiovascular disease comprising orally administering a magnesium matrix composition to a patient in need thereof thereby increasing intestinal and renal tolerance of long-term magnesium intake, wherein said magnesium matrix composition is a tablet consisting of the following components:
a)
MgCl 2 •n(H 2 O)
725.0 mg;
HPMC
183.0 mg;
mono-diglyceride behenate
20.0 mg;
anhydrous lactose
11.0 mg;
anhydrous colloidal silica
11.0 mg;
and
a protective coating which slows down the dissolution of the magnesium at the gastric level, where n is a whole or fractional real number greater than 0 and less than or equal to 6;
b)
MgCl 2 •9/2H 2 O
725.0 mg;
HPMC
185.2 mg;
mono-diglyceride behenate
19.8 mg;
anhydrous lactose
11.0 mg;
anhydrous colloidal silica
11.0 mg;
and
a protective coating which slows down the dissolution of the magnesium at the gastric level;
c)
MgCl 2 •9/2H 2 O
725.0 mg;
HPMC
185.0 mg;
mono-diglyceride behenate
20.0 mg;
anhydrous lactose
11.0 mg;
anhydrous colloidal silica
11.0 mg;
and
a protective coating which slows down the dissolution of the magnesium at the gastric level;
d)
MgCl 2 •9/2H 2 O
725.0 mg;
HPMC
183.0 mg;
mono-diglyceride behenate
20.0 mg;
anhydrous lactose
11.0 mg;
anhydrous colloidal silica
11.0 mg;
and
a protective coating which slows down the dissolution of the magnesium at the gastric level; or
e)
MgCl 2 •9/2H 2 O
725.0 mg;
HPMC
190.0 mg;
mono-diglyceride behenate
21.5 mg;
anhydrous lactose
10.0 mg;
anhydrous colloidal silica
10.0 mg;
pyridoxine hydrochloride
6.0 mg;
and
a protective coating which slows down the dissolution of the magnesium at the gastric level.
2. The method of claim 1 , wherein the protective coating is a film-coating with one or more layers.
3. The method of claim 1 , wherein said protective coating is a film-coating with one or more layers and represents 1.3% to 7.5% by weight relative to the weight of the matrix composition.
4. The method of claim 1 , wherein said protective coating is:
(a) a monolayer film-coating of shellac, or
(b) a two-layer film-coating, each layer comprising a substance chosen from shellac, cellulose ethers, and mixtures thereof.
5. The method of claim 1 , wherein said tablet is:
(I) a tablet with a homogeneous structure containing the magnesium chloride hydrate, or
(II) a tablet with a composite structure comprising:
(a) a core structure which is gastroresistant, or housed in a gastroresistant shell, said core structure containing 80% to 40% of the magnesium chloride hydrate, and
(b) an external layer that is hydrophilic, which dissolves in the stomach and contains 20% to 60% of the magnesium chloride hydrate.
6. The method of claim 1 , wherein n is between 2 and 6.
7. The method of claim 1 , wherein the magnesium matrix composition is administered in combination with a composition comprising, in a pharmaceutically acceptable medium, at least one pharmaceutically active agent selected from the group consisting of agents which stimulate insulin secretion, insulin sensitizers, agents which decrease glucogenesis, dipeptidyl peptidase-4 inhibitors and alpha-glucosidase inhibitors.
8. The method of claim 7 , wherein the composition comprises at least two pharmaceutically active agents.
9. The method of claim 1 , said method delaying the onset or progression of diabetic nephropathy.
10. The method of claim 1 , said method delaying the onset or progression of diabetic retinopathy.
11. The method of claim 1 , said method delaying the onset or progression of diabetic cardiovascular disease.
12. The method of claim 1 , wherein n is between 3 and 11/2.
13. The method of claim 1 , wherein n is 6/2, 7/2, 8/2, 9/2 or 10/2.
14. The method of claim 1 , wherein n is 9/2.
15. The method of claim 7 , wherein said magnesium matrix composition and said composition are administered simultaneously, separately or in a manner spread out over time.