PHARMACEUTICAL COMPOSITIONS COMPRISING MELOXICAM
Disclosed herein are compositions comprising an NSAID such as meloxicam and/or rizatriptan in combination with a cyclodextrin and/or a carbonate or a bicarbonate. These compositions may be orally administered, for example, to improve the bioavailability or pharmacokinetics of the NSAID for the treatment of pain such as migraine, arthritis, and other conditions. Also disclosed herein are methods of treating pain, such as migraine, comprising administering meloxicam and rizatriptan to a human being suffering from pain, such as migraine. For migraine, these methods may be particularly useful when the meloxicam and rizatriptan are administered while the human being is suffering from an acute attack of migraine pain or migraine aura. In some embodiments, the combination of meloxicam and rizatriptan may be administered in a manner that results in a T max of meloxicam of 3 hours or less.
1 . A method of treating migraine, comprising orally administering a dosage form containing a meloxicam and a rizatriptan to a human being in need thereof, wherein the human being has an mTOQ-4 score of 1 to 3 before the dosage form is orally administered, wherein the human being experiences a reduction in pain at about 2 hours after the dosage form is orally administered.
2 . The method of claim 1 , wherein the dosage form contains about 20 mg of the meloxicam free acid, or a molar equivalent amount of a salt form of meloxicam.
3 . The method of claim 1 , wherein the dosage form contains about 10 mg of rizatriptan or a molar equivalent amount of a salt form of rizatriptan.
3 . The method of claim 1 , wherein the dosage form further comprises a bicarbonate.
4 . The method of claim 1 , wherein the dosage form further comprises a cyclodextrin.
5 . The method of claim 4 , wherein the cyclodextrin is a sulfobutylether-β-cyclodextrin (SBEβCD).
6 . The method of claim 5 , wherein the SBEβCD has about 6 to about 7 sulfobutyl ether groups for each molecule of β-cyclodextrin.
7 . The method of claim 6 , wherein the molar ratio of the meloxicam to the SBEβCD is about 0.8-1.2.
8 . The method of claim 6 , wherein the molar ratio of the meloxicam to the SBEβCD is about 1.
9 . The method of claim 3 , wherein the bicarbonate is sodium bicarbonate.
10 . The method of claim 1 , wherein the dosage form is a tablet.
11 . The method of claim 10 , wherein the dosage form is a monolayer tablet.
12 . The method of claim 3 , wherein the bicarbonate is present in an amount that is effective to increase the dissolution rate of meloxicam.
13 . The method of claim 12 , wherein the bicarbonate is sodium bicarbonate.
14 . The method of claim 13 , wherein about 400 mg to about 600 mg of sodium bicarbonate is present in the dosage form.
15 . The method of claim 1 , wherein the meloxicam is in the free acid form.
16 . The method of claim 1 , wherein the rizatriptan is in a salt form.
17 . The method of claim 16 , wherein the rizatriptan is rizatriptan benzoate.
18 . The method of claim 1 , wherein the human being has acute pain.
19 . The method of claim 1 , wherein the human being experiences a reduction in pain in less than 1 hour after the dosage form is orally administered.
20 . The method of claim 1 , wherein the human being achieves pain freedom at about 2 hours to about 3 hours after the dosage form is orally administered.
21 . The method of claim 1 , wherein the human being achieves pain freedom at about 3 hours to about 4 hours after the dosage form is orally administered.
22 . The method of claim 1 , wherein the human being achieves pain freedom at about 4 hours to about 6 hours.
23 . The method of claim 1 , wherein the human being achieves pain freedom at about 6 hours to about 8 hours after the dosage form is orally administered.
24 . The method of claim 1 , wherein the human being achieves pain freedom at about 8 hours to about 10 hours after the dosage form is orally administered.
25 . The method of claim 1 , wherein the human being achieves pain freedom at about 10 hours to about 12 hours after the dosage form is orally administered.
26 . The method of claim 1 , wherein the human being achieves pain freedom at about 12 hours to about 16 hours after the dosage form is orally administered.
27 . The method of claim 1 , wherein the human being achieves pain freedom at about 16 hours to about 20 hours after the dosage form is orally administered.
28 . The method of claim 1 , wherein the human being achieves pain freedom at about 20 hours to about 24 hours after the dosage form is orally administered.