Gastric retained gabapentin dosage form
View Patent ↗A method of treatment for epilepsy and other disease states is described, which comprises the delivery of gabapentin in a gastric retained dosage form.
1. An oral dosage form comprising gabapentin or a pharmaceutically acceptable salt thereof, wherein the dosage form comprises
(a) at least one component that contains a gas generating agent and the gabapentin, and
(b) at least one hydrophilic membrane in the form of a sachet, which contains component (a), and
wherein the hydrophilic membrane expands by inflation, floats on the aqueous phase in the stomach, and is permeable to gastric juice, and
wherein gabapentin is released from the dosage form into the upper gastrointestinal tract over about 5-12 hours at a rate sufficient to achieve a lower maximum plasma concentration than that provided by an immediate release dosage form comprising an equal amount of gabapentin, and bioavailability of gabapentin is at least 80% of that provided by the immediate release dosage form comprising an equal amount of gabapentin as measured by the area under the plasma concentration-time curve, AUC int .
2. The dosage form of claim 1 , wherein the gas-generating agent releases carbon dioxide or nitrogen.
3. The dosage form of claim 1 , further comprising a second therapeutic agent selected from the group consisting of a hydantoin, an iminostilbene, a valproate, a phenyltriazine, a barbiturate, a dexoybarbiturate, a benzodiazepine, a carbamate, an anticonvulsant other than gabapentin, a tricyclic antidepressant, levadopa, carbidopa, an opioid, lithium, carbamazepine, valproate, trifluoperazine, clonazepam, risperidone, lorazepam, venlafaxine, clozapine, olanzapine, a benzodiazepine, a neuroleptic, a serotonin reuptake inhibitor, buproprion, nefadone, venlaxatine, nefadone, diazepam, oxazepam, a dopaminergic agent, clonazepam, a triptine and ergotamine.
4. A method for administering a therapeutically effective amount of gabapentin or a pharmaceutically acceptable salt thereof to a subject, comprising administering a dosage form comprising the gabapentin, wherein the dosage form comprises
(a) at least one component that contains a gas generating agent and the gabapentin, and
(b) at least one hydrophilic membrane in the form of a sachet which contains component (a),
wherein the hydrophilic membrane expands by inflation, floats on the aqueous phase in the stomach, and is permeable to gastric juice, and
wherein gabapentin is released from the dosage form into the upper gastrointestinal tract over about 5-12 hours at a rate sufficient to achieve a lower maximum plasma concentration than that provided by an immediate release dosage form comprising an equal amount of gabapentin, and bioavailability of gabapentin is at least 80% of that provided by the immediate release dosage form comprising an equal amount of gabapentin as measured by the area under the plasma concentration-time curve, AUC int .
5. The method of claim 4 , wherein the gas-generating agent releases carbon dioxide or nitrogen.
6. The method of claim 4 , wherein the at least one hydrophilic membrane is in the form of a microporous membrane.
7. The method of claim 4 , wherein the dosage form is administered once-daily.
8. The method of claim 7 , wherein the dosage form is administered with a meal.
9. The method of claim 4 , wherein the dosage form is administered twice-daily.
10. The method of claim 9 , wherein each dosage form is administered with a meal.
11. The method of claim 4 , wherein the dosage form comprises between about 100 mg and 4800 mg gabapentin.
12. The method of claim 4 , wherein the dosage form comprises about 300 mg or about 600 mg gabapentin.
13. The method of claim 4 , wherein the dosage form further comprises a second therapeutic agent selected from the group consisting of a hydantoin, an iminostilbene, a valproate, a phenyltriazine, a barbiturate, a dexoybarbiturate, a benzodiazepine, a carbamate, an anticonvulsant other than gabapentin, a tricyclic antidepressant, levadopa, carbidopa, an opioid, lithium, carbamazepine, valproate, trifluoperazine, clonazepam, risperidone, lorazepam, venlafaxine, clozapine, olanzapine, a benzodiazepine, a neuroleptic, a serotonin reuptake inhibitor, buproprion, nefadone, venlaxatine, nefadone, diazepam, oxazepam, a dopaminergic agent, clonazepam, a triptine and ergotamine.
14. A method for treating a disorder, comprising administering a dosage form comprising the gabapentin or a pharmaceutically acceptable salt thereof, wherein the dosage forms comprises
(a) at least one component that contains a gas generating agent and the gabapentin, and
(b) at least one hydrophilic membrane in the form of a sachet which contains component (a),
wherein the hydrophilic membrane expands by inflation, floats on the aqueous phase in the stomach, and is permeable to gastric juice, and
wherein gabapentin is released from the dosage form into the upper gastrointestinal tract over about 5-12 hours at a rate sufficient to achieve a lower maximum plasma concentration than that provided by an immediate release dosage form comprising an equal amount of gabapentin, and bioavailability of gabapentin is at least 80% of that provided by the immediate release dosage form comprising an equal amount of gabapentin as measured by the area under the plasma concentration-time curve, AUC int .
15. The method of claim 14 , wherein the dosage form is administered once-daily or twice-daily.
16. The method of claim 14 , wherein the disorder is a neuropathic pain, epilepsy, a movement disorder, or a psychiatric disorder.