Extended release amphetamine tablets
An oral amphetamine extended release solid dose is described. The compositions contain a combination of an uncoated amphetamine-cation exchange resin complex, a barrier coated amphetamine-cation exchange resin complex-matrix, and an uncomplexed amphetamine, wherein one or more of these components contains blends of different forms of amphetamines. Either the modified release coated and/or the uncoated amphetamine-cation exchange resin complex may have two forms of amphetamine in a complex with a single cation exchange resin. Following administration of a single dose of the composition, a therapeutically effective amount of amphetamine is reached by about one hour and the composition provides at least a thirteen hour effect post-dose.
1. A once-daily amphetamine tablet, wherein the tablet provides an immediate release and a modified release profile for d-amphetamine and for 1-amphetamine through 13 hours, a single plasma concentration peak for d-amphetamine and for 1-amphetamine, and wherein the tablet further comprises:
(A) a modified release amphetamine component which comprises at least one modified release barrier coated amphetamine-cation exchange resin complex-optional matrix which comprises (i) (d,l)-amphetamine and l-amphetamine bound to the same cation exchange resin or each bound to a different cation exchange resin, wherein when the optional matrix is present, the amphetamine-cation exchange resin complex-matrix further comprises a hydrophilic polymer or copolymer or a hydrophobic polymer and (ii) a water-insoluble, water-permeable, pH-independent, barrier coating which provides a modified release to the amphetamines, wherein the barrier coating comprises polyvinyl acetate and a plasticizer; and
wherein the ratio of d-amphetamine to l-amphetamine is about 3.2 to about 1;
(B) immediate release amphetamine components which comprise greater than 60% w/w of the total amphetamines based on the total weight of free amphetamine base in the tablet, and wherein the immediate release amphetamine components are (i), (ii) and (iii):
(i) an immediate release amphetamine—cation exchange resin complex in an optional matrix, wherein the amphetamine—cation exchange resin complex—optional matrix comprises (d,l)-amphetamine and l-amphetamine both bound to the same cation exchange resin; and
(ii) an amphetamine aspartate; and
(iii) a dextroamphetamine sulfate.
2. The tablet according to claim 1 , wherein the table is scored and chewable.
3. The tablet according to claim 1 , wherein the tablet comprises a dose of 5 mg amphetamine, as calculated based on the amount of free amphetamine base.
4. The tablet according to claim 1 , wherein the tablet comprises a dose of 20 mg amphetamine, as calculated based on the amount of free amphetamine base.
5. A method of treating attention deficit hyperactivity disorder comprising providing the once-daily amphetamine tablet of claim 1 to an ADHD patient in the morning.
6. The method according to claim 5 , wherein the therapeutic effect in a patient under 18 years old is determined using a SKAMP assessment.