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, (ii) retains at least 40% of the second drug one hour after immersion in fluid, (iii) releases substantially all of the second drug within about 10 hours after immersion in fluid, and (iv) remains substantially intact until all of the second drug is released;
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 fluid upon ingestion, wherein the weight ratio of polymer in the polymeric film to polymer in the solid matrix is from about 0.005:1 to 0.2:1; 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 first and second drugs are selected from the group consisting of a diuretic, an angiotensin converting enzyme inhibitor, an angiotensin II antagonist, pyridoxine hydrochloride and a statin.
2. The dosage form of claim 1 , wherein the solid matrix 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.
3. The dosage form of claim 1 , wherein the solid matrix is selected from the group consisting of poly(ethylene oxide), hydroxypropyl methyl cellulose, and combinations of poly(ethylene oxide) and hydroxypropyl methyl cellulose.
4. The dosage form of claim 1 , wherein the polymeric film is 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).
5. The dosage form of claim 1 , wherein the weight ratio of the polymeric film to the unitary body is from about 0.01:1 to about 0.1:1.
6. The dosage form of claim 1 , wherein the weight ratio of the polymeric film to the unitary body is from about 0.01:1 to about 0.08:1.
7. The dosage form of claim 1 , wherein the polymeric film and the immediate-release section constitute a shell that fully encases the prolonged-release section.
8. The dosage form of claim 1 , wherein the polymeric film and the immediate-release section cover a portion of the surface of the prolonged-release section, leaving the remainder of the prolonged-release section exposed.
9. The dosage form of claim 1 , wherein one of the first and second drugs is a diuretic and the other is selected from the group consisting of angiotensin converting enzyme inhibitors and angiotensin II antagonists.
10. The dosage form of claim 9 , wherein the diuretic is a loop diuretic.
11. The dosage form of claim 10 , wherein the loop diuretic is selected from the group consisting of furosemide, torsemide, ethacrynic acid, and bumetanide.
12. The dosage form of claim 11 , wherein the diuretic is selected from the group consisting of chlorothiazide, bendoflumethazide, hydroflumethazide, trichlorthiazide, chlorthalidone, indapamide, metolazone, quinethazone and hydrochlorthiazide.
13. The dosage form of claim 9 , wherein the diuretic is a potassium-sparing diuretic.
14. The dosage form of claim 13 , wherein the potassium-sparing diuretic is selected from the group consisting of amiloride hydrochloride and triamterene.
15. The dosage form of claim 1 , wherein the first drug is selected from the group consisting of lisinopril, enalapril, captopril, fosinopril, quinapril, ramipril, and benazepril, losartan, valsartan, candesartan, irbesartan, telmisartan, and eprosartan, and the second drug is a diuretic.
16. The dosage form of claim 1 , wherein the first drug is pyridoxine hydrochloride, and the second drug is selected from the group consisting of atorvastatin, simvastatin, pravastatin, lovastatin, cerivastatin, rosuvastatin, and fluvastatin.
17. The dosage form of claim 1 , wherein the first drug is a diuretic and the second drug is selected from the group consisting of lisinopril, enalapril, captopril, fosinopril, quinapril, ramipril, and benazepril, losartan, valsartan, candesartan, irbesartan, telmisartan, and eprosartan.
18. The dosage form of claim 1 , wherein the first drug is a diuretic and the second drug is selected from the group consisting of losartan, valsartan, candesartan, irbesartan, telmisartan, and eprosartan.