PROBLEM TO BE SOLVED: To provide a pharmaceutical composition with a high efficacy, a high selectivity and a low adverse reaction used for the treatment of diseases, symptoms, or conditions associated with T-type calcium ionic channel.SOLUTION: The pharmaceutical composition contains a therapeutically effective amount of the compound of following formula, a salt thereof, or an ester. The diseases, symptoms, or conditions are selected from acute pain, chronic pain, neuropathic pain, inflammatory pain, post-surgical pain, visceral pain, osteoarthritis pain, nociceptive pain, tonic pain, persistent pain, postoperative pain, and chemical-induced pain. These pains are alleviated by acting on T-type calcium ion channel.【課題】T型カルシウムイオンチャネルに関連する疾患、症状、または状態の治療に用いる高い効力、高い選択性及び低い副作用を有する医薬組成物の提供。【解決手段】下記式の化合物、またはその塩、もしくはエステルの治療的有効量を含む、薬学的組成物。【効果】疾患、症状、または状態が、急性疼痛、慢性疼痛、神経障害性疼痛、炎症性疼痛、手術後痛、内臓痛、骨関節症性疼痛、侵害受容疼痛、緊張性疼痛、持続痛、術後痛および化学物質誘発性疼痛から選択されるT型カルシウムイオンチャンネルに作用して、疼痛を柔らげる。【選択図】図2