Tamper resistant dosage form with bimodal release profile

1. A pharmaceutical dosage form comprising:

(i) a plurality of formed segments (S 1 ), each of which contains a first pharmacologically active ingredient (A 1 ) and provides prolonged release thereof, said first pharmacologically active ingredient A 1 being selected from the group consisting of opioids and physiologically acceptable salts thereof; and

(ii) a plurality of formed segments (S 2 ), each of which contains a second pharmacologically active ingredient (A 2 ) and provides immediate release thereof, said second pharmacologically active ingredient A 2 being selected from the group consisting of non-opioid analgesics and physiologically acceptable salts thereof;

wherein the plurality of formed segments (S 1 ) and the plurality of further segments (S 2 ) are oligoparticulate, wherein the plurality of formed segments (S 1 ) do not contain any non-opioid analgesics or physiologically acceptable salts thereof, wherein the plurality of further segments (S 2 ) do not contain any opioids or physiologically acceptable salts thereof, wherein the plurality of formed segments (S 1 ) exhibit a higher breaking strength than the plurality of further segments (S 2 ), and wherein the plurality of formed segments (S 1 ) exhibit a breaking strength of more than 500 N.

2. The pharmaceutical dosage form according to claim 1 , wherein the plurality of further segments (S 2 ) exhibit a breaking strength of at most 500 N.

3. The pharmaceutical dosage form according to claim 1 , wherein the second pharmacologically active ingredient (A 2 ) is selected from the group consisting of acetylsalicylic acid, aloxiprin, choline salicylate, sodium salicylate, salicylamide, salsalate, ethenzamide, morpholine salicylate, dipyrocetyl, benorilate, diflunisal, potassium salicylate, guacetisal, carbasalate calcium, imidazole salicylate, phenazone, metamizole sodium, aminophenazone, propyphenazone, nifenazone, paracetamol, phenacetin, bucetin, propacetamol, rimazolium, glafenine, floctafenine, viminol, nefopam, flupirtine, ziconotide, methoxyflurane, nabiximols, dihydroergotamine, ergotamine, methysergide, lisuride, flumedroxone, sumatriptan, naratriptan, zolmitriptan, rizatriptan, almotriptan, eletriptan, frovatriptan, pizotifen, clonidine, iprazochrome, dimetotiazine, oxetorone, phenylbutazone, mofebutazone, oxyphenbutazone, clofezone, kebuzone, indomethacin, sulindac, tolmetin, zomepirac, diclofenac, alclofenac, bumadizone, etodolac, lonazolac, fentiazac, acemetacin, difenpiramide, oxametacin, proglumetacin, ketorolac, aceclofenac, bufexamac, piroxicam, tenoxicam, droxicam, lornoxicam, meloxicam, ibuprofen, naproxen, ketoprofen, fenoprofen, fenbufen, benoxaprofen, suprofen, pirprofen, flurbiprofen, indoprofen, tiaprofenic acid, oxaprozin, ibuproxam, dexibuprofen, flunoxaprofen, alminoprofen, dexketoprofen, naproxcinod, mefenamic acid, tolfenamic acid, flufenamic acid, meclofenamic acid, celecoxib, rofecoxib, valdecoxib, parecoxib, etoricoxib, lumiracoxib, nabumetone, niflumic acid, azapropazone, glucosamine, benzydamine, glucosaminoglycan polysulfate, proquazone, orgotein, nimesulide, feprazone, diacerein, morniflumate, tenidap, oxaceprol, chondroitin sulfate, oxycinchophen, sodium aurothiomalate, sodium aurotiosulfate, auranofin, aurothioglucose, aurotioprol, penicillamine and bucillamine.

4. The pharmaceutical dosage form according to claim 1 , wherein the first pharmacologically active ingredient (A 1 ) is hydrocodone or a physiologically acceptable salt thereof and the second pharmacologically active ingredient (A 2 ) is paracetamol.

5. The pharmaceutical dosage form according to claim 1 , wherein the first pharmacologically active ingredient (A 1 ) is embedded in a prolonged release matrix comprising a synthetic or natural polymer (C).

6. The pharmaceutical dosage form according to claim 5 , wherein

(i) the content of the synthetic or natural polymer (C) is at least 30 wt.-% relative to the total weight of the formed segments (S 1 ); and/or

(ii) the synthetic or natural polymer (C) is selected from acrylic polymers and polyalkylene oxides.

7. The pharmaceutical dosage form according to claim 1 , which under in vitro conditions in 600 mL 0.1 N HCl, using the basket method according to Ph. Eur. at 75 rpm, after 1 h under physiological conditions has released at most 50% of the first pharmacologically active ingredient (A 1 ) relative to the total amount of A 1 originally contained in the pharmaceutical dosage form.

8. The pharmaceutical dosage form according to claim 1 , which under in vitro conditions in 600 mL 0.1 N HCl, using the basket method according to Ph. Eur. at 75 rpm, after 1 h under physiological conditions has released at least 60% of the second pharmacologically active ingredient (A 2 ) relative to the total amount of the second pharmacologically active ingredient (A 2 ) originally contained in the pharmaceutical dosage form.

9. The pharmaceutical dosage form according to claim 1 , wherein the plurality of formed segments (S 1 ) are tamper resistant and provide resistance against grinding and/or resistance against solvent extraction and/or resistance against dose-dumping in aqueous ethanol.

10. The pharmaceutical dosage form according to claim 1 , which is selected from the group consisting of capsules, sugar-coated tablets, dry-coated tablets, mantle tablets, and layered tablets.

11. The pharmaceutical dosage form according to claim 1 , wherein the plurality of formed segments (S 1 ) are thermoformed.

12. The pharmaceutical dosage form according to claim 1 , wherein the formed segments (S 1 ) have an extension in any direction of at least 2.0 mm.

13. The pharmaceutical dosage form according to claim 1 , which is to be administered orally.

14. The pharmaceutical dosage form according to claim 1 , which is to be administered as a whole.

15. A process for the production of a pharmaceutical dosage form according to claim 1 comprising the steps of:

(i) thermoforming a plurality of formed segments (S 1 ) comprising a first pharmacologically active ingredient (A 1 ) and a natural or synthetic polymer (C);

(ii) providing a plurality of further segments (S 2 ) comprising a second pharmacologically active ingredient (A 2 ); and

(iii) combining the plurality of formed segments (S 1 ), the plurality of further segments (S 2 ) and optionally further excipients.

16. A method of treating pain in a patient in need of such treating, said method comprising orally administering to said patient a pharmaceutical dosage form according to claim 1 , wherein the dosage form is swallowed by said patient as a whole.