Stabilized Zolpidem Pharmaceutical Compositions
Pharmaceutical compositions for buccal delivery of zolpidem comprising an effective amount of zolpidem and a carbonate and bicarbonate buffer system in an amount sufficient to raise the pH of saliva to at least 8.5 irrespective of starting pH, and wherein the carbonate forms a coating on the bicarbonate wherein the amount of carbonate coating is at least 30% (w/w) of the total buffer amount are described. Methods of treating insomnia in a subject are described, the method including the step of administering to the subject the pharmaceutical composition of the present invention, wherein the administering is on an as-needed basis. Method of treating MOTN insomnia in a subject are also described.
1 . A pharmaceutical composition for buccal and/or sublingual delivery of a therapeutic agent, said composition consisting essentially of:
an effective amount of zolpidem; and
a carbonate and bicarbonate buffer system in an amount sufficient to raise the pH of saliva to at least 8.5 irrespective of starting pH, and wherein the carbonate forms a coating on the bicarbonate wherein the amount of carbonate coating is at least 30% (w/w) of the total buffer amount.
2 . The pharmaceutical composition of claim 1 , wherein the zolpidem is zolpidem hemitartrate.
3 . The pharmaceutical composition of claim 2 , wherein the zolpidem hemitartrate is present in an amount of less than 5 mg.
4 . The pharmaceutical composition of claim 2 , wherein the zolpidem hemitartrate is present in an amount less than 1.30×10 −5 moles.
5 . The pharmaceutical composition of claim 2 , wherein the zolpidem hemitartrate is present in an amount sufficient to produce a plasma concentration between about 25 ng/ml and about 50 ng/ml within 20 minutes of administration, when evaluated in an appropriate patient population.
6 . The pharmaceutical composition of claim 1 , wherein the buffer system produces a pH of at least 8.5 in a patient's saliva.
7 . The pharmaceutical composition of claim 1 , wherein the carbonate coating is from 40% to 48% (w/w) of the total buffer amount.
8 . The pharmaceutical composition of claim 1 , wherein the buffer system is present in particles having an average diameter of from 60 to 90 microns.
9 . The pharmaceutical composition of claim 1 , wherein the buffer system is present in particles having an average diameter of from 70 to 80 microns.
10 . The pharmaceutical composition of claim 1 , wherein the buffer system comprises sodium carbonate and sodium bicarbonate.
11 . The pharmaceutical composition of claim 1 , wherein the composition is a quick-dissolving lozenge or tablet.
12 . The pharmaceutical composition of claim 1 , wherein the composition provides complete dissolution in about 6 minutes or less following administration.
13 . A method for treating insomnia in a subject, comprising the steps of:
administering to a subject a pharmaceutical composition comprising zolpidem in an effective amount and a buffer system in an amount sufficient to raise the pH of saliva to at least 8.5 irrespective of starting pH,
wherein the pharmaceutical composition provides delivery of zolpidem across the subject's oral mucosa, and
wherein the buffer system comprises carbonate and bicarbonate, wherein the carbonate forms a coating on the bicarbonate and wherein the amount of carbonate coating is at least 30% (w/w) of the total buffer system
14 . The method of claim 13 , wherein the subject has middle-of-the-night insomnia.
15 . The method of claim 13 , wherein the subject awakens from sleep and desires to resume sleep for less than 5 hours, and wherein said composition produces sleep within 30 minutes of dosing and the dose is such that it does not produce residual sedative effects when said subject is awakened at a time 4 hours after dosing.
16 . The method of claim 14 , wherein said subject administers said composition prophylactically before initial onset of sleep.
17 . The method of claim 13 , wherein the steps of administering to a subject is performed in the oral cavity.