To provide a solid pharmaceutical preparation which is easy to take even for elderly people, children, even severely ill patients with decreased swallowing power. Also provided is a solid pharmaceutical preparation having an appearance shape with less sense of resistance and less pressure.SOLUTION: In a solid pharmaceutical preparation having an elliptical outer peripheral shape, it is preferable that a groove is formed on at least one surface along an elliptical short axis and that the groove bottom has a groove angle of 91 to 120 Features One or more medicinal ingredients selected from the group consisting of a compound having a content per solid pharmaceutical preparation of 150 mg or more and a pharmaceutically acceptable salt thereof and one or more medicinal ingredients selected from the group consisting of 1.6-And 10% by mass of hydroxypropyl-substituted cellulose.BACKGROUND OF THE INVENTION【課題】高齢者、小児、嚥下力が低下した重病患者であっても服用しやすい固形医薬製剤を提供する。また、抵抗感や圧迫感の少ない外観形状を有する固形医薬製剤を提供する。【解決手段】外周形状が楕円形を有する固形医薬製剤において、少なくとも一方の面に、楕円形の短軸に沿って溝を形成し、当該溝底の溝角が91~120°であることを特徴とする。1つの固形医薬製剤あたりの含有量が150mg以上である化合物及びその薬学的に許容可能な塩からなる群から選択される1種又は2種以上の薬効成分、及び固形医薬製剤中1.6~10質量%のヒドロキシプロピル置換セルロースを含有する造粒物を含むことを特徴とする。【選択図】図1