Sublingual apomorphine
The invention features sublingual formulations of apomorphine that is a mucoadhesive polymer film or a strip having a first portion including an acid addition salt of apomorphine and a second portion including a pH neutralizing agent, and methods of treating Parkinson's disease, sexual dysfunction, and depressive disorders by administering sublingually the film or strip.
1. A pharmaceutical composition in unit dosage form formulated for sublingual administration, wherein said unit dosage form is a film or a strip having a first layer and a second layer, said first layer comprising apomorphine particles comprising an acid addition salt of apomorphine and said second layer comprising a pH neutralizing agent that is an organic base, wherein (i) said unit dosage form is not effervescent, and (ii) said unit dosage form comprises a permeation enhancer.
2. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises a polysaccharide.
3. The pharmaceutical composition of claim 1 , wherein said film or a strip comprises a mucoadhesive polymer selected from carboxymethylcellulose, cellulose acetate, ethylcellulose, hydroxyethylcellulose, or hydroxypropylmethylcellulose.
4. The pharmaceutical composition of claim 1 , wherein said acid addition salt of apomorphine is apomorphine hydrochloride.
5. The pharmaceutical composition of claim 1 , further comprising an antioxidant.
6. The pharmaceutical composition of claim 1 , wherein said permeation enhancer is glycerol monostearate.
7. The pharmaceutical composition of claim 1 , wherein said first layer comprises apomorphine particles having an effective particle size of from 1 μm to 10 μm, wherein said apomorphine particles comprise an acid addition salt of apomorphine.
8. The pharmaceutical composition of claim 7 , wherein said apomorphine particles comprise apomorphine hydrochloride.
9. The pharmaceutical composition of claim 8 , wherein said unit dosage form comprises from 2 to 40 mg of an acid addition salt of apomorphine.
10. The pharmaceutical composition of claim 8 , wherein said unit dosage form comprises apomorphine particles in a mucoadhesive polymer.
11. The pharmaceutical composition of claim 8 , further comprising a third layer positioned between the first layer and the second layer.
12. The pharmaceutical composition of claim 9 , wherein said unit dosage form comprises from 12 to 30 mg of an acid addition salt of apomorphine.
13. The pharmaceutical composition of claim 9 , wherein said unit dosage form comprises 12±3 mg of an acid addition salt of apomorphine.
14. The pharmaceutical composition of claim 9 , wherein said unit dosage form comprises 22±4 mg of an acid addition salt of apomorphine.
15. The pharmaceutical composition of claim 9 , wherein said unit dosage form comprises 30±5 mg of an acid addition salt of apomorphine.
16. The pharmaceutical composition of claim 9 , wherein said unit dosage form comprises 35±5 mg of an acid addition salt of apomorphine.