Immediate release abuse-deterrent granulated dosage forms
Described are immediate release oral dosage forms that contain abuse-deterrent features. In particular, the disclosed dosage forms provide deterrence of abuse by ingestion of multiple individual doses. In addition, the disclosed dosage forms provide protection from overdose in the event of accidental or intentional ingestion of multiple individual doses.
1. An immediate release abuse deterrent dosage form comprising:
core-shell particles comprising
a core comprising a gelling polymer, wherein the core does not include microcrystalline cellulose, a sugar sphere, or an active pharmaceutical agent;
an active pharmaceutical layer surrounding the core, the active pharmaceutical layer comprising a narcotic analgesic; and
at least one layer surrounding the active pharmaceutical layer, the at least one layer comprising a pH-sensitive film comprising a pH-sensitive polymer that is insoluble in water at a pH greater than 5 and is soluble in water at a pH below 5;
wherein the dosage form demonstrates an immediate release profile of the narcotic analgesic when administered to a human in therapeutic doses and an extended release profile of the narcotic analgesic when administered to a human in supratherapeutic doses.
2. The dosage form according to claim 1 , wherein the supratherapeutic dose is five or more tablets.
3. The dosage form according to claim 1 , wherein the dosage form is in a compressed tablet form.
4. The dosage form according to claim 1 , wherein at least 90 percent of the total amount of the narcotic analgesic in the core shell particles is contained in the active pharmaceutical layer.
5. The dosage form according to claim 1 , further comprising a second type of core-shell particles that do not contain an active pharmaceutical layer, the second type of core-shell particles comprising:
a core, the core comprising a gelling polymer, wherein the gelling polymer in the core is selected from a natural starch, a synthetic starch, a natural cellulose, a synthetic cellulose, an acrylate, a polyalkylene oxide, a carbomer and combinations thereof; and
at least one layer surrounding the core, the at least one layer comprising a pH-sensitive film comprising pH-sensitive polymer that is insoluble at a pH greater than 5 and is soluble at a pH below 5.
6. The dosage form according to claim 1 , wherein the narcotic analgesic is an opioid.
7. The dosage form according to claim 6 , wherein the dosage form further comprises a nonsteroidal analgesic drug.
8. The dosage form according to claim 6 , wherein the opioid is selected from buprenorphine, codeine, dihydrocodeine, dihydromorphine, hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone, and pharmaceutically acceptable salts thereof.
9. The dosage form according to claim 7 , wherein the nonsteroidal analgesic drug is selected from acetaminophen, aspirin, ibuprofen and naproxen.
10. The dosage form according to claim 1 , wherein the gelling polymer in the core is selected from ethylcellulose, cellulose acetate, cellulose acetate propionate, cellulose acetate butyrate, cellulose acetate phthalate, cellulose triacetate, cellulose ether, cellulose ester, cellulose ester ether, cellulose, hydroxypropyl methyl cellulose, hydroxy methyl cellulose, methyl cellulose, hydroxyethylmethyl cellulose, sodium carboxymethyl cellulose, a carbomer polymer, polyethylene oxide, and combinations thereof.
11. The dosage form according to claim 1 , further comprising a matrix.
12. The dosage form according to claim 11 , wherein the matrix comprises a gelling polymer.
13. The dosage form according to claim 12 , wherein the gelling polymer in the matrix is selected from a synthetic cellulose, a polyalkylene oxide, a carbomer, and combinations thereof.
14. The dosage form according to claim 12 , wherein the gelling polymer in the matrix is a carbomer.
15. The dosage form according to claim 12 , wherein, wherein the gelling polymer in the matrix is present in an amount from 0.5 to 15 weight percent based on the total weight of the dosage form.
16. The dosage form according to claim 1 , wherein the pH-sensitive polymer is a copolymer of dimethyl aminoethyl methacrylate, butyl methacrylate, and methyl methacrylate monomers.
17. The dosage form according to claim 1 , wherein the dosage form excludes an emetic, a nasal irritant, an opioid antagonist, and an effervescent.
18. The dosage form according to claim 1 , wherein the dosage form reduces the risk of an overdose of the narcotic analgesic by simultaneous oral ingestion of multiple units of the oral dosage form.
19. A method of reducing the potential for abuse by a human of a narcotic analgesic drug by simultaneous oral ingestion of multiple dosage units of said narcotic analgesic drug, the method comprising providing an immediate release abuse deterrent dosage form according to claim 1 .
20. The method according to claim 19 , wherein at least 90 percent of the total amount of the narcotic analgesic in the core shell particles is contained in the active pharmaceutical layer.
21. The method according to claim 19 , wherein the dosage form further comprises a second type of core-shell particles that do not contain an active pharmaceutical layer, the second type of core-shell particles comprising:
a core, the core comprising a gelling polymer, wherein the gelling polymer in the core is selected from a natural starch, a synthetic starch, a natural cellulose, a synthetic cellulose, an acrylate, a polyalkylene oxide, a carbomer and combinations thereof; and
at least one layer surrounding the core, the at least one layer comprising a pH-sensitive film comprising pH-sensitive polymer that is insoluble at a pH greater than 5 and is soluble at a pH below 5.
22. The method according to claim 19 , wherein the narcotic analgesic is an opioid.
23. The method according to claim 22 , wherein the dosage form further comprises a nonsteroidal analgesic drug.
24. The method according to claim 22 , wherein the opioid is selected from buprenorphine, codeine, dihydrocodeine, dihydromorphine, hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone, and pharmaceutically acceptable salts thereof.
25. The method according to claim 23 , wherein the nonsteroidal analgesic drug is selected from acetaminophen, aspirin, ibuprofen and naproxen.
26. The method according to claim 19 , wherein the gelling polymer in the core is selected from ethylcellulose, cellulose acetate, cellulose acetate propionate, cellulose acetate butyrate, cellulose acetate phthalate, cellulose triacetate, cellulose ether, cellulose ester, cellulose ester ether, cellulose, hydroxypropyl methyl cellulose, hydroxy methyl cellulose, methyl cellulose, hydroxyethylmethyl cellulose, sodium carboxymethyl cellulose, a carbomer polymer, polyethylene oxide, and combinations thereof.
27. The method according to claim 19 , wherein the dosage form further comprises a matrix comprising a gelling polymer, and wherein the gelling polymer in the matrix is a carbomer polymer.
28. The method according to claim 27 , wherein, wherein the gelling polymer in the matrix is present in an amount from 0.5 to 15 weight percent based on the total weight of the dosage form.
29. The method according to claim 19 , wherein the pH-sensitive polymer is a copolymer of dimethyl aminoethyl methacrylate, butyl methacrylate, and methyl methacrylate monomers.
30. The method according to claim 19 , wherein the dosage form excludes an emetic, a nasal irritant, an opioid antagonist, and an effervescent.
31. The method according to claim 19 , wherein the dosage form reduces the risk of an overdose of the narcotic analgesic by simultaneous oral ingestion of multiple units of the oral dosage form.
32. The method according to claim 19 , wherein the dosage form that demonstrates an immediate release profile when administered in therapeutic doses, but which demonstrates an extended release profile when administered in supratherapeutic doses.
33. The method according to claim 32 , wherein the supratherapeutic dose is five or more tablets.