Stable nimodipine parenteral formulation
A nimodipine injection concentrate and diluted formulation comprises nimodipine (base or salt), an effective amount of a hydrophilic surfactant, and a pharmaceutically acceptable carrier for injection which is an aqueous solution substantially free of organic solvent, such that the nimodipine is substantially contained in a concentrated injection solution, suspension, emulsion or complex as a micelle or a colloidal particle or an inclusion complex and the formulation is stable and clear. In certain embodiments, the hydrophilic surfactant is polysorbate 80.
1. A nimodipine concentrate formulation, consisting of:
(a) an aqueous carrier,
(b) nimodipine base or a pharmaceutically acceptable salt of nimodipine at a concentration from about 10 mg/ml to about 50 mg/ml in the aqueous carrier,
(c) an effective amount of a hydrophilic surfactant consisting of polysorbate 80,
(d) from about 0 to about 0.5% organic solvent,
(e) an optional preservative, and
(f) an optional buffering agent,
wherein the nimodipine in the concentrate formulation is contained in micelles, and the concentrate formulation is clear, colorless, stable, and without crystalline nimodipine precipitate.
2. The nimodipine concentrate formulation of claim 1 , wherein the median particle size of micelles ranges from about 0.5 nm to about 350 nm.
3. The nimodipine concentrate formulation of claim 1 , wherein the total volume of the nimodipine formulation is from about 0.5 ml to about 10 ml.
4. The nimodipine concentrate formulation of claim 3 , wherein the polysorbate 80 comprises from about 40% to about 99% of the nimodipine formulation.
5. The nimodipine concentrate formulation of claim 1 , which contains from about 0 to about 300 mg organic solvent.
6. The nimodipine concentrate formulation of claim 1 , which contains from about 0 to about 100 mg of the organic solvent per dose per 10 mg dose of nimodipine and the organic solvent is alcohol.
7. The nimodipine concentrate formulation of claim 5 , wherein the organic solvent is dehydrated alcohol and the aqueous carrier is water for injection.
8. The nimodipine concentrate formulation of claim 7 , which contains from about 0 to about 100 mg of the dehydrate alcohol per dose per 10 mg dose of nimodipine.
9. The nimodipine concentrate formulation of claim 1 , which is stored in a container wherein the dissolved oxygen content is about 2 ppm and the head space oxygen content is less than 5%.
10. The nimodipine concentrate formulation of claim 1 , which (i) is stable for at least 3 months when stored under ICH accelerated conditions (ACC) at 40° C.±2° C./75% RH±5% RH, or (ii) is stable for at least 6 months when stored under ICH room temperature conditions (CRT) at 25° C.±2° C./60% RH±5% RH, or (iii) both (i) and (ii).
11. The nimodipine concentrate formulation of claim 1 , which can be diluted in an aqueous carrier to a concentration from about 0.001 mg/ml to about 0.5 mg/ml without crystalline nimodipine precipitate.
12. A nimodipine infusion formulation, consisting of
(a) a nimodipine,
(b) a pharmaceutically acceptable aqueous carrier for injection,
(c) an effective amount of a hydrophilic surfactant consisting of polysorbate 80,
(d) from about 0 to about 0.5% an organic solvent,
(e) an optional preservative, and
(f) an optional buffering agent,
wherein the nimodipine in the nimodipine infusion formulation is contained in micelles at a concentration from about 0.001 mg/ml to about 0.5 mg/ml, and the nimodipine infusion formulation is clear, colorless, stable, and without crystalline nimodipine precipitate, and
wherein the nimodipine infusion formulation is prepared by diluting a nimodipine concentrate formulation with the pharmaceutically acceptable aqueous carrier for injection to render the nimodipine infusion formulation suitable for administration at an infusion rate of nimodipine from about 0.5 mg/hr to about 2.5 mg/hr and such that the infusion does not provide alcohol in an amount of more than 6 mg/kg/day when infused into a human patient,
the nimodipine concentrate formulation consists of nimodipine base or a pharmaceutically acceptable salt of nimodipine, a hydrophilic surfactant consisting of polysorbate 80, from about 0 to about 0.5% of an organic solvent, an optional preservative, an optional buffering agent, and
wherein the nimodipine in the nimodipine concentrate formulation is contained in micelles at a concentration from about 10 mg/ml to about 50 mg/ml.
13. The nimodipine infusion formulation of claim 12 , wherein the polysorbate 80 comprises from about 40% to about 99% of the nimodipine concentrate formulation and the polysorbate 80 comprises less than 1% of the nimodipine infusion formulation.
14. The nimodipine infusion formulation of claim 13 , wherein the organic solvent in the nimodipine concentrate formulation is dehydrated alcohol and the aqueous carrier is selected from the group consisting sodium chloride injection, Ringers injection, isotonic dextrose injection, sterile water for injection, dextrose, Lactated Ringers injection, and total parenteral nutrition (TPN).
15. The nimodipine concentrate of claim 1 , wherein the nimodipine concentrate formulation consists of the nimodipine base or the pharmaceutically acceptable salt of nimodipine, the hydrophilic surfactant consisting of polysorbate 80, the aqueous carrier and the organic solvent, wherein the organic solvent is an alcohol.