Sublingual films
The invention features sublingual film formulations of dopamine agonists and methods of treating Parkinson's disease, tremors, restless leg syndrome, sexual dysfunction, and depressive disorders therewith.
1. A pharmaceutical composition in unit dosage form formulated for sublingual administration, wherein said unit dosage form is a film comprising (i) from 25±5% to 40±5% (w/w) an acid addition salt of apomorphine and (ii) from 6±2% to 65±5% (w/w) a pH neutralizing agent that is an inorganic base selected from sodium phosphate monobasic, sodium phosphate dibasic, sodium phosphate tribasic, potassium phosphate monobasic, potassium phosphate dibasic, and potassium phosphate tribasic, wherein said film comprises particles comprising an acid addition salt of apomorphine and particles comprising said inorganic base.
2. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises from 6±2% to 25±5% (w/w) of said pH neutralizing agent.
3. The pharmaceutical composition of claim 2 , wherein said unit dosage form comprises from 6±2% to 10±2% (w/w) of said pH neutralizing agent.
4. The pharmaceutical composition of claim 1 , wherein said pH neutralizing agent is potassium phosphate dibasic.
5. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises from 2 to 60 mg of said acid addition salt of apomorphine.
6. The pharmaceutical composition of claim 1 , wherein said unit dosage form further comprises from 3 to 12% (w/w) plasticizing agent.
7. The pharmaceutical composition of claim 6 , wherein said plasticizing agent is a polyol, oleic acid, or triacetin.
8. The pharmaceutical composition of claim 7 , wherein said plasticizing agent is a polyol selected from sorbitol, mannitol, maltitol, xylitol, glycerol, propylene glycol, and polyethylene glycol.
9. The pharmaceutical composition of claim 1 , wherein said unit dosage form further comprises from 1 to 50% (w/w) hydrolyzed starch.
10. The pharmaceutical composition of claim 9 , wherein said hydrolyzed starch is a dextrin or a maltodextrin.
11. The pharmaceutical composition of claim 1 , wherein said unit dosage form further comprises an antioxidant.
12. The pharmaceutical composition of claim 1 , wherein said unit dosage form further comprises from 0.05 to 2.5% (w/w) metabisulfite.
13. The pharmaceutical composition of claim 1 , wherein said unit dosage form further comprises from 0.2 to 5% (w/w) of a permeation enhancer.
14. The pharmaceutical composition of claim 1 , wherein said unit dosage form further comprises from 0.2 to 5% (w/w) of glycerol monostearate.
15. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises carboxymethylcellulose, hydroxypropyl cellulose, hydroxypropyl methyl cellulose, hydroxyethyl cellulose, or methyl cellulose.
16. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises 4±1 mg of apomorphine hydrochloride.
17. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises 8±2 mg of apomorphine hydrochloride.
18. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises 10±3 mg of apomorphine hydrochloride.
19. The pharmaceutical composition of claim 1 , wherein said unit dosage form comprises 12±3 mg of apomorphine hydrochloride.
20. The pharmaceutical composition of claim 1 , wherein the pyridoxine is present in an amount such that a unit dosage form placed in 1 mL of unbuffered water at pH 7 results in a pH of between 2.5 and 8.0.
21. The pharmaceutical composition of claim 1 , wherein said acid addition salt of apomorphine is apomorphine hydrochloride.
22. The pharmaceutical composition of claim 1 , wherein said unit dosage form is a monolayer film.
23. A method of treating Parkinson's disease in a subject, said method comprising sublingual administration of the pharmaceutical composition of claim 1 in an amount effective to treat said subject.