Tamper-resistant pharmaceutical compositions of opioids and other drugs
Tamper-resistant pharmaceutical compositions have been developed to reduce the likelihood of improper administration of drugs, especially drugs such as opioids. The tamper-resistant compositions retard the release of drug, even if the physical integrity of the formulation is compromised (for example, by chopping with a blade or crushing) and the resulting material is placed in water, snorted, or swallowed. However, when administered as directed, the drug is slowly released from the composition as the composition is passes through the GI tract.
1. A tamper resistant pharmaceutical composition comprising a plurality of substantially spherical solid particles each particle comprising:
(a) one or more drugs prone to abuse;
(b) one or more waxes, wax-like substances or mixtures thereof; and
(c) one or more fatty acids;
wherein the particles have a median particle size (D[0.5]) between about 200 microns and about 400 microns;
wherein the molar ratio of fatty acid to drug is about 6:1 to about 15:1;
wherein the drug is oxycodone or a pharmaceutically acceptable salt thereof and after oral administration as directed a therapeutically effective amount of drug is released over a period of 6-24 hours; and
wherein the composition maintains a slow release of drug even if the particles are crushed with a mortar and pestle and snorted.
2. The composition of claim 1 wherein the molar ratio of fatty acid to drug is about 7:1 to about 5:1.
3. The composition of claim 1 , wherein the drug and the one or more fatty acids interact ionically.
4. The composition of claim 1 , wherein the fatty acids are selected from the group consisting of linoleic acid, octanoic acid, capric acid, lauric acid, myristic acid, palmitic acid, stearic acid, oleic acid.
5. The composition of claim 4 , wherein the fatty acid is myristic acid.
6. The composition of claim 1 , wherein the one or more wax or wax-like substances are selected from the group consisting of beeswax, glycowax, castor wax, carnauba wax, paraffins, microcrystalline wax, and candelilla wax.
7. The composition of claim 6 , wherein the wax or wax-like substances are beeswax and carnauba wax.
8. The composition of claim 7 , wherein the wax or wax-like substances are beeswax and carnauba wax, and the fatty acid is myristic acid.
9. A method of treating pain comprising administering to a human subject in need thereof, a therapeutically effective amount of a tamper resistant pharmaceutical composition comprising a plurality of substantially spherical particles, each particle comprising:
(a) one or more drugs prone to abuse;
(b) one or more waxes, wax-like substances or mixtures thereof; and
(c) one or more fatty acids;
wherein the particles have a median particle size (D[0.5]) between about 200 microns and about 400 microns;
wherein the molar ratio of fatty acid to drug is about 6:1 to about 15:1;
wherein the drug is oxycodone or a pharmaceutically acceptable salt thereof and after oral administration as directed a therapeutically effective amount of drug is released over a period of 6-24 hours; and
the composition maintains a slow release of drug even if the particles are crushed with a mortar and pestle and snorted.
10. The method of claim 9 wherein the molar ratio of fatty acid to drug is about 7:1 to about 5:1.
11. The method of claim 9 , wherein the wax or wax-like substances are beeswax and carnauba wax and the fatty acid is myristic acid.
12. A method of making the tamper resistant pharmaceutical composition of claim 1 , comprising:
(a) dispersing or dissolving a drug prone to abuse in a mixture comprising one or more waxes, wax-like substances or mixtures thereof; and
(b) forming a plurality of particles wherein the drug is present as a solid dispersion or solid solution within the particles and wherein the particles have a median particle size (D[0.5]) between about 200 microns and about 400 microns.
13. The method of claim 12 , wherein said process comprises a spinning disc atomization process.
14. The composition of claim 1 , wherein the particles have a median particle size (D[0.5]) between about 250 microns and about 400 microns.
15. The method of claim 9 , wherein the particles have a median particle size (D[0.5]) between about 250 microns and about 400 microns.
16. The composition of claim 2 , wherein the wax or wax-like substances are beeswax and carnauba wax, and the fatty acid is myristic acid.
17. The composition of claim 1 wherein oxycodone is present at about 9% by weight, the fatty acid is myristic acid, and the molar ratio of fatty acid to drug is about 8:1.
18. The composition of claim 1 wherein oxycodone is present at about 9% by weight, the fatty acid is myristic acid, the molar ratio of fatty acid to drug is about 8:1, and the wax or wax-like substances are present at about 36% by weight.
19. The composition of claim 18 wherein the wax or wax-like substances are yellow beeswax and carnauba wax.