Atomoxetine formulations
The invention provides novel dosage forms of atomoxetine and its salts, particularly atomoxetine hydrochloride including wax dosage forms, press-coat dosage forms, and sprinkle dosage forms, and other novel dosage forms. The invention also provides sustained-release and pulsed-release dosage forms of atomoxetine and its salts. Methods of making novel atomoxetine dosage forms are given. Methods of treating senile dementias, including Alzheimer's dementia, attention deficit disorder and other neuropsychiatric disorders by administering an effective amount of the dosage forms disclosed herein, either alone or in combination with one or more other medicaments, are also provided by the invention.
1 . A solid dosage formulation comprising a matrix, wherein the matrix comprises:
a pharmaceutically effective amount of atomoxetine or a pharmaceutically acceptable salt thereof; and a wax material.
2 . The solid dosage formulation of claim 1 , wherein the matrix comprises a pharmaceutically effective amount of atomoxetine hydrochloride.
3 . The solid dosage formulation of claim 2 , wherein the wax material includes carnauba wax, glyceryl behenate, castor wax, or any combination thereof.
4 - 57 . (canceled)
58 . A chewable taste-masked dosage form, comprising:
a microcapsule of about 10 microns to about 1.5 mm in diameter having a core comprising a pharmaceutically active agent, which is atomoxetine or a pharmaceutically acceptable salt thereof, and
a polymer mixture coating having sufficient elasticity to withstand chewing;
the polymeric mixture coating comprising:
about 50% by weight of a polymer that forms a polymeric film at temperatures of at least about 30° C.; and
about 50% by weight of a low temperature film forming copolymer that forms a polymeric film at temperatures less than about 25° C.;
the polymeric mixture coating being adapted to release the pharmaceutically active agent in the stomach.
59 - 65 . (canceled)
66 . The taste-masked dosage form of claim 58 , wherein the active agent is atomoxetine hydrochloride.
67 - 74 . (canceled)
75 . An oral dosage form of claim 1 in controlled-release form which provides a maximum atomoxetine plasma concentration (C max ) and an atomoxetine plasma concentration at about 48 hours after administration to a patient (C 48 ), wherein the ratio of C max to C 48 is less than about 4:1.
76 . An oral dosage form of claim 1 in controlled-release form which provides a maximum atomoxetine plasma concentration (C max ) and an atomoxetine plasma concentration at about 24 hours after administration to a patient (C 24 ), wherein the ratio of C max to C 24 is less than about 4:1.
77 - 88 . (canceled)
89 . An oral dosage form of claim 1 in sustained-release form, which, at steady-state, provides a first maximum atomoxetine plasma concentration (C max1 ) between 0 hours and about 12 hours after administration, and a second maximum atomoxetine plasma concentration (C max2 ) between about 12 hours and about 24 hours after administration, wherein the ratio of C max1 and C max2 between about 1:4 and about 4:1.
90 . An oral dosage form of claim 1 in pulsed-release form, which at steady-state, provides a first maximum atomoxetine plasma concentration (C max1 ) between 0 hours and about 3 hours after administration, and a second maximum atomoxetine plasma concentration (C max2 ) between about 5 hours and about 9 hours after administration, wherein the ratio of C max1 and C max2 is between about 1:4 and about 4:1.
91 . (canceled)
92 . The oral dosage form of claim 89 , which, at steady-state, provides a first maximum atomoxetine plasma concentration (C max1 ) between 0 hours and about 12 hours after administration, a second maximum atomoxetine plasma concentration (C max2 ) between about 12 hours and about 24 hours after administration, and an atomoxetine plasma concentration at about 24 hours after administration (C 24 ), wherein the average atomoxetine plasma concentration between about C max1 and about C max2 is substantially equal to the average atomoxetine plasma concentration between about C max2 and about C 24 .
93 . The oral dosage form of claim 90 , which, at steady-state, provides a first maximum atomoxetine plasma concentration (C max1 ) and a first minimum atomoxetine plasma concentration (C min1 ) between 0 hours and about 5 hours after administration, a second maximum atomoxetine plasma concentration (C max2 ) between about 5 hours and about 9 hours after administration, and an atomoxetine plasma concentration at about 24 hours after administration (C 24 ), wherein the ratio of C max1 to C min1 is less than about 4:1 or the ratio of C max2 to C 124 is less than about 4:1.
94 . The oral dosage form of claim 89 , which, at steady-state, provides a first maximum atomoxetine plasma concentration (C max1 ) and a first minimum atomoxetine plasma concentration (C min1 ) between 0 hours and about 12 hours after administration, a second maximum atomoxetine plasma concentration (C max2 ), between 12 and 24 hours after administration, and an atomoxetine plasma concentration at about 24 hours after administration (C 24 ), wherein the ratio of C max1 to C min1 is less than about 4:1 or the ratio of C max2 to C 24 is less than about 4:1.
95 . The oral dosage form of claim 94 , wherein C max2 occurs about 12 to about 14 hours after administration.
96 . The oral dosage form of claim 93 , wherein C max2 occurs about 6 to about 8 hours after administration.
97 - 98 . (canceled)
99 . The sustained-release oral dosage form of claim 89 comprising a first subunit and a second subunit, wherein the first subunit comprises atomoxetine and a first release-retarding material and the second subunit comprises atomoxetine and a second release-retarding material, and wherein the first and second release-retarding material can be the same or different.
100 - 102 . (canceled)
103 . The dosage form of claim 1 which provides an AUC between 0 and 24 hours after administration that is more than 80 percent and less than 120 percent of the AUC provided by an equivalent weight of STRATTERA between 0 and 24 hours after ration.
104 . The dosage form of claim 1 which provides an AUC between 0 and 24 hours after administration that is more than 80 percent and less than 120 percent of the AUC provided by 2 times the equivalent weight of STRATTERA between 0 and 24 hours after administration.
105 . An oral dosage form of claim 1 in sustained-release form, which, at steady-state, provides a first AUC (AUC 1 ) between 0 and about 12 hours and a second AUC (AUC 2 ) between about 12 hours and about 24 hours, wherein difference between AUC 2 and AUC 1 is less than about 50%.
106 . The oral dosage form of claim 105 , wherein AUC 1 and AUC 2 are about equal.
107 . An oral dosage form comprising atomoxetine or a pharmaceutically acceptable salt thereof together with at least one active agent selected from methylphenidate, dextroamphetamine, amphetamine, pemoline, desipramine, imipramine, nortryptiline, bupropion, clonidine, guanfacine, lithium, valproate, carbamazepine, paroxetine, sertaline, and fluvoxamine.
108 . (canceled)