SUSPENSIONS AND DILUENTS FOR METRONIDAZOLE AND BACLOFEN
Suspensions of metronidazole or baclofen and/or salts or ester derivative thereof, such as metronidazole benzoate, are disclosed. The suspension my include metronidazole or baclofen, and/or a salt or ester derivative thereof a hydrocolloid stabilizer, simethicone emulsion, a buffer, such as sodium citrate, (dihydrate), a preservative, a thickening agent, a sweetener, and water.
1 . A liquid oral pharmaceutical composition of baclofen or a salt thereof, comprising:
a) 5 mg/ml of baclofen or a salt thereof;
b) a hydrocolloid stabilizer or a thickening agent;
c) simethicone emulsion;
d) a buffer;
e) a preservative;
f) a sweetener; and
g) water,
wherein the pH of the liquid oral pharmaceutical composition is no more than 6.5, and wherein the liquid oral pharmaceutical composition retains less than +/−5% variation of baclofen concentration measured by a USP assay for at least 30 days when stored at room temperature.
2 . The liquid oral pharmaceutical composition of claim 1 , wherein the hydrocolloid stabilizer or the thickening agent is selected from propylene glycol, xanthan gum, hydroxyethyl cellulose, microcrystalline cellulose and carboxymethylcellulose sodium.
3 . The liquid oral pharmaceutical composition of claim 1 , wherein the thickening agent is present at 0.005-0.2% (w/v).
4 . The liquid oral pharmaceutical composition of claim 2 , wherein the propylene glycol is present at 5% (w/v).
5 . The liquid oral pharmaceutical composition of claim 1 , wherein the hydrocolloid stabilizer is present at 0.5% (w/v).
6 . The liquid oral pharmaceutical composition of claim 1 , wherein the simethicone is a 30% simethicone emulsion and is present at 0.15-0.25% (w/v).
7 . The liquid oral pharmaceutical composition of claim 1 , wherein the buffer is selected from citrate, tartrates, acetates, carbonates, phosphates, metaphosphates, glycerophosphates, polyphosphates, pyrophosphates, and any pharmaceutically acceptable combination of anions and cation salts thereof.
8 . The liquid oral pharmaceutical composition of claim 7 , wherein the buffer is carbonate salt or phosphate salt.
9 . The liquid oral pharmaceutical composition of claim 1 , wherein the buffer is a pharmacologically acceptable combination of: cations selected from sodium, potassium, magnesium, calcium, and aluminum; and anions selected from bicarbonate, hydroxide, gluconate, glycinate, and amino acid salts.
10 . The liquid oral pharmaceutical composition of claim 1 , wherein the buffer comprises a citrate.
11 . The liquid oral pharmaceutical composition of claim 1 , wherein the buffer is present at 0.1-0.9% (w/v).
12 . The liquid oral pharmaceutical composition of claim 1 , wherein the preservative is selected from benzyl alcohol, ascorbic acid, ascrobyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), citric acid, sodium benzoate, benzoic, sodium bisulfate, sodium metabisulfite, sodium sulfite, parabens, potassium sorbate, vanillin, or any pharmaceutically acceptable salts thereof.
13 . The liquid oral pharmaceutical composition of claim 12 , wherein the preservative is parabens or a pharmaceutically acceptable salt thereof.
14 . The liquid oral pharmaceutical composition of claim 1 , wherein the preservative is present at 0.1-0.2% (w/v).
15 . The liquid oral pharmaceutical composition of claim 1 , wherein the sweetener is one or more of glucose, fructose, sucrose, xylitol, maltodextrin, polydextrose, glycerin, inulin, maltol, acesulfame, alitame, aspartame, neotame, cyclamate, saccharin, or pharmaceutically acceptable salts thereof.
16 . The liquid oral pharmaceutical composition of claim 1 , wherein the sweetener is one or more of ammonium glycyrrhizate, sucralose, and saccharin sodium.
17 . The liquid oral pharmaceutical composition of claim 1 , wherein the sweetener is present at 0.05-0.2% (w/v) or0.01-0.05% (w/v).
18 . The liquid oral pharmaceutical composition of claim 1 , wherein the liquid oral pharmaceutical composition retains less than +/−5% variation of baclofen concentration measured by a USP assay for at least 30 days when stored at 38-42° C.
19 . The liquid oral pharmaceutical composition of claim 1 , wherein the liquid oral pharmaceutical composition retains less than +/−5% variation of baclofen concentration measured by a USP assay for at least 30 days when stored at 15-30° C.
20 . The liquid oral pharmaceutical composition of claim 1 , wherein the liquid oral pharmaceutical composition retains less than +/−2% variation of baclofen concentration measured by a USP assay for at least 30 days when stored at room temperature.
21 . The liquid oral pharmaceutical composition of claim 1 , wherein the pH of the liquid oral pharmaceutical composition is between 3.0 and 6.0.
22 . The liquid oral pharmaceutical composition of claim 1 , wherein the liquid oral pharmaceutical composition further comprises a coloring agent, a flavoring agent, or a combination thereof.
23 . The liquid oral pharmaceutical composition of claim 1 , wherein the baclofen or a salt thereof is baclofen.