Naloxone formulations for sublingual and/or buccal administration
Liquid, gel, and semi-solid compositions containing naloxone base, or isomers or derivatives thereof, with one or more non-aqueous solvents, and optional viscosity adjusting agents, are provided. Methods of treating an individual exhibiting symptoms of respiratory depression associated with known or suspected opioid overdose including administering a liquid, gel, or semi-solid formulation containing a solution of naloxone base, or an isomer or a derivative thereof, in one or more non-aqueous solvents, are also provided.
1. A method for treating an individual exhibiting symptoms of respiratory depression associated with known or suspected opioid overdose comprising
administering a pharmaceutical composition sublingually or buccally to the individual, wherein the pharmaceutical composition is a liquid, gel or semi-solid pharmaceutical composition comprising from about 1% to about 25% of naloxone base, or an isomer or a derivative thereof, by the total mass of the composition; and from about 50% to about 99% of one or more non-aqueous solvents selected from the group consisting of oleic acid, liquid polyethylene glycol, propylene glycol, and ethanol, or mixtures thereof, by the total mass of the composition; wherein the composition is substantially free of water; and wherein the naloxone base, or isomer or derivative thereof, is completely and homogeneously dissolved in the one or more non-aqueous solvents.
2. The method of claim 1 , wherein the pharmaceutical composition further comprises one or more viscosity adjusting agents.
3. The method of claim 2 , wherein the one or more viscosity adjusting agents are selected from the group consisting of calcium silicate, acacia, carbomers, carboxymethylcellulose sodium, silicon dioxide, hydroxyethyl cellulose, hydroxyethylmethyl cellulose, hydroxypropyl cellulose, hypromellose, methylcellulose, polyvinylpyrrolidone, polyvinyl alcohol, polyethylene glycol or mixtures thereof, by the total mass of the composition.
4. The method of claim 1 , further comprising
repeating administration of the pharmaceutical composition if the individual does not recover from respiratory depression within from about 2 to about 5 minutes following administration.
5. The method of claim 1 , wherein the plasma concentration of naloxone in the individual is at least about 1 ng/mL in less than about 10 minutes following administration.
6. The method of claim 1 , wherein the pharmaceutical composition is a liquid pharmaceutical composition.
7. The method of claim 1 , wherein the pharmaceutical composition is administered from a single unit dosage form container selected from the group consisting of a spray dispenser, an oral syringe, or a blow-fill-seal unit dose dispenser.