Sublingual formulation of riluzole
Disclosed is sublingual administration of riluzole. In particular, a method for treating a neuropsychiatric disorder or symptom by administering a sublingual formulation of riluzole is provided. In addition, a method of relieving or reducing oral pain using the sublingual formulation of riluzole is disclosed.
1. A method for treating a neuropsychiatric disorder, the method comprising administering a tableted pharmaceutical composition comprising a pharmaceutically effective amount of riluzole or pharmaceutically acceptable salt thereof, gelatin as a tablet binder in an amount of 1-10% based on the total weight of the pharmaceutical composition, mannitol or sorbitol as a bulking agent in an amount of 2-4% based on the total weight of the pharmaceutical composition, and docusate sodium as a solubilizing agent in an amount of 0.01-0.5% based on the total weight of the pharmaceutical composition.
2. The method according to claim 1 , wherein the pharmaceutical composition provides sublingual absorption of riluzole.
3. The method according to claim 2 , wherein the pharmaceutical composition that provides sublingual absorption of riluzole is a lyophilized pharmaceutical composition.
4. The method according to claim 1 , wherein the neuropsychiatric disorder is an anxiety disorder, a mood disorder, a neurodegenerative disorder, a pain disorder, ALS, a cognitive disorder, Huntington's disease, Parkinson's disease, supranuclear palsy, frontotemporal dementia, frontotemporal lobar degeneration, delirium, Alzheimer's disease, mild cognitive impairment, mild cognitive impairment due to Alzheimer's disease, ataxia, hereditary ataxia, depression, mania, attention deficit disorder, drug addiction, dementia, agitation, apathy, anxiety, psychoses, post-traumatic stress disorder, irritability, and disinhibition, learning disorder, memory loss, mental retardation, Rett Syndrome, tinnitus, a personality disorder, a bipolar disorder, an obsessive-compulsive disorder, an eating disorder, a conduct disorder in DSM-5, and or a combination thereof.
5. The method according to claim 4 , wherein the neuropsychiatric symptom is anxiety, depression, stress, fatigue, feeling of panic, fear, uneasiness, problem in sleeping, cold or sweaty hands and/or feet, mood liability, mania, impaired concentration or attention, a cognitive problem, obsession, compulsion, repetitive behavior, aggression, social phobias or impairment, stage fight, shortness of breath, heart palpitations, an inability to be still and calm, dry mouth, numbness or tinging in the hands or feet, nausea, muscle tension, dizziness apathy, elation, disinhibition, irritability, wandering, irritable bowel, belly pain, belly discomfort, diarrhea, change in bowel habits, abdominal bloating, abdominal gas, abdominal bloating, constipation or a combination thereof.
6. The method according to claim 1 , wherein the pharmaceutical composition further comprises a sweetener.
7. The method according to claim 6 , wherein the sweetener comprises sucralose.
8. The method according to claim 1 , wherein the pharmaceutical composition further comprises a flavoring agent.
9. The method according to claim 1 , wherein the formulation provides an AUC at a dose of 35 mg of from 110% to 180% of the AUC of an oral tablet formulation at a dose of 50 mg, said AUC being measured at 0.5 hours, 1 hour or 2 hours after administration.
10. The method according to claim 1 , wherein the formulation produces a rapid therapeutic onset of action within about 10 minutes after administration.
11. The method according to claim 1 , wherein the formulation is associated with minimal or no oral numbness, or said oral numbness dissipates in less than 30 minutes.
12. The method according to claim 1 , wherein the liver function abnormalities side effects of riluzole are attenuated relative to those which are associated with the orally administered riluzole.
13. The method according to claim 1 , wherein the formulation is dosed at or below about 50 mg/day.
14. The method according to claim 1 , wherein the formulation is dosed at or below about 35 mg/day.