Compositions and kits for omeprazole suspension
Disclosed herein are liquid diluents, formulations, and kits for preparing reconstituted suspensions of a proton pump inhibitor (e.g., omeprazole). The present disclosure also provides formulations for liquid diluents that do not have a tendency for gel formation following exposure to freeze-thaw cycles.
1. A method of treating a gastrointestinal disorder in a subject in need thereof, the method comprising:
administering a reconstituted proton pump inhibitor oral liquid formulation to the subject, wherein the reconstituted proton pump inhibitor oral liquid formulation comprises a proton pump inhibitor and a liquid diluent, and wherein the liquid diluent comprises:
a poloxamer, sodium carboxymethylcellulose (CMC), sodium bicarbonate, a buffering agent, simethicone emulsion, a preservative, a sweetener, water, and optionally one or more excipients selected from a flavoring agent and a coloring agent,
wherein the liquid diluent is stable for at least 30 days at 5±3° C.
2. The method of claim 1 , wherein the liquid diluent consisting essentially of:
1.0%-4.0% w/v of the poloxamer, wherein the poloxamer is poloxamer 188;
1.0%-2.0% w/v of sodium carboxymethylcellulose (CMC);
8.0%-8.8% w/v of sodium bicarbonate;
0.5%-1.5% w/v of the buffering agent, wherein the buffering agent is sodium citrate;
0.1%-0.3% w/v of simethicone emulsion;
0.35%-3.5% w/v of the sweetener;
0.4%-0.6% w/v of the preservative; and
water;
wherein the liquid diluent is stable for at least 30 days at 5±3° C. and is resistant to gel formation for at least one freeze-thaw cycle.
3. The method of claim 1 , wherein the poloxamer is present in the liquid diluent at 1% w/v, 2% w/v, or 4% w/v.
4. The method of claim 1 , wherein the sodium bicarbonate is present in the liquid diluent at 8.4% w/v.
5. The method of claim 1 , wherein the liquid diluent comprises about 1% w/v of a citrate salt.
6. The method of claim 1 , wherein the simethicone emulsion is present in the liquid diluent at 0.15% w/v.
7. The method of claim 1 , wherein the sweetener comprises 70% sorbitol solution and sucralose.
8. The method of claim 7 , wherein the 70% sorbitol solution is present in the liquid diluent at 2.5% w/v and the sucralose is present in the liquid diluent at 0.4% w/v.
9. The method of claim 1 , wherein the liquid diluent is resistant to gel formation for at least one freeze-thaw cycle.
10. The method of claim 1 , wherein the liquid diluent is stable for at least 30 days at 25±5° C.
11. The method of claim 1 , wherein the preservative is benzyl alcohol.
12. The method of claim 11 , wherein the liquid diluent comprises about 0.5% w/v of benzyl alcohol.
13. The method of claim 1 , wherein the preservative is a paraben or a mixture of parabens.
14. The method of claim 1 , wherein the sodium bicarbonate is present in the liquid diluent at 4.0%-20% w/v.
15. The method of claim 1 , wherein the sodium bicarbonate is present at 10% w/v to 20% w/v in the liquid diluent.
16. The method of claim 1 , wherein the poloxamer is poloxamer 188.
17. The method of claim 1 , wherein the preservative comprises benzyl alcohol, ascorbic acid, ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), citric acid, sodium benzoate, benzoic acid, sodium bisulfate, sodium metabisulfite, sodium sulfite, parabens, potassium sorbate, vanillin, any pharmaceutically acceptable salts thereof, or any combination thereof.
18. The method of claim 1 , wherein the buffering agent comprises citric acid, sodium citrate, sodium tartrate, sodium acetate, sodium carbonate, phosphoric acid, sodium polyphosphate, potassium polyphosphate, sodium pyrophosphate, potassium pyrophosphate, disodium hydrogen phosphate, dipotassium hydrogen phosphate, trisodium phosphate, tripotassium phosphate, sodium acetate, potassium metaphosphate, magnesium carbonate, calcium acetate, calcium glycerophosphate, lactate, calcium carbonate, or any combination thereof.
19. The method of claim 1 , wherein the liquid diluent consisting essentially of:
0.5%-4.0% w/v of the poloxamer;
1.0%-5.0% w/v of the suspending agent, wherein the suspending agent is (i) sodium carboxymethylcellulose (CMC) or (ii) a combination of sodium CMC and microcrystalline cellulose;
4.0%-20% w/v of sodium bicarbonate;
0.1%-0.3% w/v of simethicone emulsion;
0.2%-1.2% w/v of the preservative;
water;
a buffering agent, wherein the buffering agent maintains a pH of 8 to 9.5;
a sweetener; and
optionally one or more excipients selected from a coloring agent and a flavoring agent;
wherein the liquid diluent is stable for at least 30 days at 5±3° C. and is resistant to gel formation for at least one freeze-thaw cycle.
20. The method of claim 1 , wherein the proton pump inhibitor is omeprazole, esomeprazole, lansoprazole, rabeprazole, pantoprazole, or dexlansoprazole.
21. The method of claim 1 , wherein the proton pump inhibitor is lansoprazole.
22. The method of claim 1 , wherein the proton pump inhibitor is omeprazole.
23. The method of claim 22 , wherein the omeprazole is present at 2 mg/mL.
24. The method of claim 1 , wherein the gastrointestinal disorder relates to a production of excess stomach acid.
25. The method of claim 1 , wherein the subject has a gastric ulcer or is a critical care patient at a risk of ulceration and upper gastrointestinal tract bleeding.