Opioid agonist / antagonist combination dosage forms
The presently disclosed subject matter provides a solid, immediate release, pharmaceutical multi-particulate dosage form containing at least one population of Opioid Particulates comprising one or more opioids; at least one population of Naloxone Particulates; and a population of Triggering Particulates. Each population of particulates is designed for a specific function to accomplish the desired combination of abuse deterrence and overdose protection.
1. A multi-particulate, solid, oral, immediate release, opioid and naloxone combination dosage form with overdose protection properties comprising:
Opioid Particulates comprising a therapeutically effective amount of oxycodone hydrochloride embedded in a polymer matrix, wherein the Opioid Particulates are coated with an acid labile coat;
Triggering Particulates comprising an alkaline agent; and
Naloxone Particulates comprising naloxone hydrochloride, wherein the Naloxone Particulates are enteric coated,
wherein the ratio of oxycodone hydrochloride to naloxone hydrochloride is about 1:2.5,
wherein the naloxone is present in an amount of between about 4 mg and about 12.5 mg,
wherein, when three or more units of the dosage form are consumed together by a subject, the alkaline agent from the Triggering Particulates increases the gastric fluid pH to release naloxone hydrochloride from the enteric coated Naloxone Particulates and increase oral bioavailability of naloxone hydrochloride by saturating first-pass metabolism, thereby making available a pharmacologically effective amount of naloxone to block binding of oxycodone hydrochloride to central opioid receptors
for about 20 minutes to about 90 minutes.
2. The dosage form of claim 1 , wherein the pharmacologically effective amount of naloxone hydrochloride comprises a plasma concentration of from about 0.7 ng/ml to about 2 ng/ml.
3. The dosage form of claim 1 , wherein the enteric coated Naloxone Particulates provide dose-dependent oral bioavailability of naloxone hydrochloride comprising an increase in oral bioavailability of naloxone hydrochloride per dosage unit, when three or more units of the dosage form are consumed together.
4. The dosage form of claim 1 , wherein oxycodone hydrochloride is embedded in a polymer matrix comprising a cationic copolymer based on dimethylaminoethyl methacrylate, butyl methacrylate, and methyl methacrylate.
5. The dosage form of claim 1 , wherein the enteric coated Naloxone Particulates comprise an enteric coating of at least one polymer selected from the group consisting of a copolymer of methacrylic acid and methyl methacrylate (1:1), a copolymer of methacrylic acid and methyl methacrylate (1:2), a copolymer of methacrylic acid and ethyl acrylate (1:1), hydroxypropyl methylcellulose acetate succinate, hydroxypropyl methylcellulose phthalate, cellulose acetate phthalate, crosslinked polyacrylic polymers, and polyvinyl acetate phthalate.
6. The dosage form of claim 1 , wherein naloxone hydrochloride is not coreleased with oxycodone hydrochloride when one or two dosage units are consumed together.