Dual drug dosage forms with improved separation of drugs
View Patent ↗Drug tablets that include a prolonged-release core and an immediate-release layer or shell are prepared with a thin barrier layer of drug-free polymer between the prolonged-release and immediate-release portions of the tablet. The barrier layer is penetrable by gastrointestinal fluid, thereby providing full access of the gastrointestinal fluid to the prolonged-release core, but remains intact during the application of the immediate-release layer, substantially reducing or eliminating any penetration of the immediate-release drug into the prolonged-release portion.
1. A dosage form for delivering a first drug that is immediately released upon ingestion and a second drug that is released by prolonged release, comprising
a prolonged-release portion comprising the second drug dispersed in a solid matrix comprising a first polymer, wherein the matrix (i) swells upon imbibition of fluid to a size that promotes retention of the dosage form in a stomach and (ii) releases substantially all of the second drug within about 10 hours upon immersion of the dosage form in fluid;
a polymeric film adhering to a surface of the prolonged-release portion, wherein the polymeric film is devoid of the first drug and the second drug and wherein the film comprises a second polymer having a molecular weight which is lower than the molecular weight of the first polymer and is dissolved in gastrointestinal fluid upon ingestion; and
an immediate-release portion comprising a solid layer adhering to the polymeric film, the solid layer comprising the first drug for immediate release upon immersion of the dosage form in fluid;
wherein the weight ratio of polymer in the polymeric film to polymer in the solid matrix is from 0.005:1 to 0.2:1.
2. The dosage form of claim 1 , wherein at least about 40% of the second drug remains unreleased one hour after ingestion.
3. The dosage form of claim 1 , wherein the first polymer is selected from the group consisting of celluloses, substituted celluloses, microcrystalline cellulose, polysaccharides, substituted polysaccharides, polyl(alkylene oxide)s, poly(vinyl alcohol), starch, starch-based polymers, crosslinked poly(acrylic acid)s, and substituted crosslinked poly(acrylic acid)s.
4. The dosage form of claim 1 , wherein the first polymer is selected from the group consisting of poly(ethylene oxide), hydroxypropyl methyl cellulose, and combinations of poly(ethylene oxide) and hydroxypropyl methyl cellulose.
5. The dosage form of claim 1 , wherein the polymeric film comprises a member selected from the group consisting of poly(ethylene oxide), hydroxypropyl methyl cellulose, polyvinyl alcohol, combinations of poly(ethylene oxide) and hydroxypropyl methyl cellulose, and combinations of polyvinyl alcohol and poly(ethylene oxide).
6. The dosage form of claim 1 , wherein the weight ratio of polymer in the polymeric film to polymer in the solid matrix is from about 0.01:1 to about 0.1:1.
7. The dosage form of claim 1 , wherein the weight ratio of polymer in the polymeric film to polymer in the solid matrix is from about 0.01:1 to about 0.08:1.
8. The dosage form of claim 1 , wherein the polymeric film and the immediate-release portion constitute a shell that fully encases the prolonged-release portion.
9. The dosage form of claim 1 , wherein the particle size of the first drug is between about 0.3 microns and 10 microns.
10. The dosage form of claim 1 , wherein the first and/or second drug is highly soluble in water.
11. The dosage form of claim 1 , wherein the first and/or second drug is poorly soluble in water.
12. The dosage form of claim 1 , wherein the first and/or second drug is selected from the group consisting of metformin hydrochloride, vancomycin hydrochloride, captopril, lisinopril, erythromycin lactobionate, ranitidine hydrochloride, sertraline hydrochloride, ticlopidine hydrochloride, baclofen, amoxicillin, cefuroxime axetil, cefaclor, clindamycin, levodopa, doxifluridine, tramadol, fluoxetine hydrochloride, bupropion, potassium chloride, and esters of ampicillin.
13. The dosage form of claim 1 , wherein the first and/or second drug is selected from the group consisting of saguinavir, ritonavir, nelfinavir, thiamphenicol, ciprofloxacin hydrochloride, calcium carbonate, clarithromycin, azithromycin, ceftazidime, acyclovir, ganciclovir, cyclosporin, digoxin, paclitaxel, iron salts, topiramate, ketoconazole, glimepiride, glyburide, and glipizide.
14. The dosage form of claim 1 , wherein the first drug is glimepiride and the second drug is metformin hydrochloride.
15. The dosage form of claim 1 , wherein the first drug is glyburide and the second drug is metformin hydrochloride.
16. The dosage form of claim 1 , wherein the first drug is glipizide and the second drug is metformin hydrochloride.
17. The dosage form of claim 1 , wherein the first drug is a glitazone, and the second drug is metformin hydrochloride.
18. The dosage form of claim 1 , wherein the first drug is a sulfonylurea selected from the group consisting of glimepiride, glyburide, and glipizide, and the second drug is metformin hydrochloride.
19. The dosage form of claim 1 , wherein one of the first and second drugs is a diuretic and the other is a member selected from the group consisting of angiotensin converting enzyme inhibitors and angiotensin II antagonists.