ABUSE-PROOFED DOSAGE FORM
20180243237 · 2018-08-30
Assignee
Inventors
Cpc classification
B29K2071/02
PERFORMING OPERATIONS; TRANSPORTING
A61P29/00
HUMAN NECESSITIES
A61K47/10
HUMAN NECESSITIES
A61K31/515
HUMAN NECESSITIES
B29C48/03
PERFORMING OPERATIONS; TRANSPORTING
A61K9/2077
HUMAN NECESSITIES
B29K2105/0035
PERFORMING OPERATIONS; TRANSPORTING
B29K2995/0089
PERFORMING OPERATIONS; TRANSPORTING
A61K36/81
HUMAN NECESSITIES
A61K31/135
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K9/205
HUMAN NECESSITIES
A61K9/2072
HUMAN NECESSITIES
B29C48/022
PERFORMING OPERATIONS; TRANSPORTING
A61K31/5513
HUMAN NECESSITIES
A61K9/2054
HUMAN NECESSITIES
A61K9/2027
HUMAN NECESSITIES
B29L2031/753
PERFORMING OPERATIONS; TRANSPORTING
A61K45/06
HUMAN NECESSITIES
A61K9/2031
HUMAN NECESSITIES
B29C48/40
PERFORMING OPERATIONS; TRANSPORTING
A61K36/81
HUMAN NECESSITIES
A61K9/2068
HUMAN NECESSITIES
B29C48/0011
PERFORMING OPERATIONS; TRANSPORTING
A61K31/5513
HUMAN NECESSITIES
A61K36/67
HUMAN NECESSITIES
A61K31/515
HUMAN NECESSITIES
A61K36/67
HUMAN NECESSITIES
International classification
A61K31/135
HUMAN NECESSITIES
A61K47/10
HUMAN NECESSITIES
A61K31/515
HUMAN NECESSITIES
A61K31/5513
HUMAN NECESSITIES
A61K36/81
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
A61K36/67
HUMAN NECESSITIES
Abstract
The invention relates to a dosage form that is thermoshaped without being extruded and that is safeguarded from abuse, comprising at least one synthetic or natural polymer having a breaking strength of at least 500 N in addition to one or more active substances that could be subject to abuse and optionally physiologically acceptable adjuvants. The invention also relates to a corresponding method for producing said dosage form.
Claims
1. An abuse-proofed dosage form thermoformed by extrusion without discoloration, wherein, in addition to one or more active ingredients with abuse potential (A) optionally together with physiologically acceptable auxiliary substances (B), it contains at least one synthetic or natural polymer (C) and optionally at least one wax (D), wherein component (C) and the optionally present component (D) exhibit a breaking strength of at least 500 N.
2. A dosage form according to claim 1, which is in the form of a tablet.
3. A dosage form according to claim 1, which is in multiparticulate form, optionally in the form of microtablets, micropellets, granules, spheroids, beads or pellets, optionally pressed into tablets or packaged in capsules.
4. A dosage form according no claim 1, which contains as polymer (C) at least one polymer selected from the group consisting of polyethylene oxide, polymethylene oxide, polypropylene oxide, polyethylene, polypropylene, polyvinyl chloride, polycarbonate, polystyrene, polyacrylate, copolymers and the mixtures thereof.
5. A dosage form according to claim 1, wherein the polyethylene oxide (C) has a molecular weight of at least 0.5 million.
6. A dosage according to claim 5, wherein the molecular weight of the polyethylene oxide (C) is at least 1 million.
7. a dosage form according to claim 6, wherein the molecular weight of the polyethylene oxide (C) is 1-15 million.
8. A dosage form according to claim 1, which contains as the wax (D) at least one natural, semi-synthetic or synthetic wax with a softening point of at least 60 C.
9. A dosage form according to claim 8, wherein the wax (D) is carnauba wax or beeswax.
10. A dosage form according to claim 1, wherein the component(s) (C) and optionally (D) is/are present in quantities such that the dosage form has a breaking strength of at least 500 N.
11. A dosage form according to claim 1, wherein the active ingredient (A) is at least one active ingredient selected from the group consisting of opioids, tranquillisers, stimulants, barbiturates and further narcotics.
12. A dosage form according to claim 1 which additionally comprises at least one of the following components a)-f): (a) at least one substance which irritates the nasal passages and/or pharynx, (b) at least one viscosity-increasing agent, which, with the assistance of a necessary minimum quantity of an aqueous liquid, forms a gel with the extract obtained from the dosage form, which gel optionally remains visually distinguishable when introduced into a further quantity of an aqueous liquid, (c) at least one antagonist for the active ingredient or active ingredients with abuse potential, (d) at least one emetic, (e) at least one dye as an aversive agent, (f) at least one bitter substance.
13. A dosage form according to claim 12, wherein the component (a) irritant substance causes burning, itching, an urge to sneeze, increased formation of secretions or a combination of at least two of these stimuli.
14. A dosage form according to claim 12, wherein the component (a) irritant substance is based on one or more constituents of at least one hot substance drug.
15. A dosage form according to claim 14, wherein the hot substance drug is at least one drug selected from the group consisting of Ailii sativi bulbus (garlic), Asari rhizoma cum herbs (Asarum root and leaves), Calami rhizoma (calamus root), Capsici fructus (capsicum), Capsici fructus acer (cayenne pepper). Curcumas longae rhizoma (turmeric root), Curcumae xanthorrhizae rhizoma (Javanese turmeric root), Galatgae rhizoma (galangal root), Myristicae semen (nutmeg), Piperis nigri fructus (pepper), Sinapis albae semen (white mustard seed), Sinapis nigri semen (black mustard seed), Zedcariae rhizoma (zedoary root) and Zingiberis rhizoma (ginger root).
16. A dosage form according to claim 14, wherein the constituent of the hot substance drug is an o-methoxy(methyl)phenol compound, an acid amide compound, a mustard oil or a sulfide compound or is derived from such a compound.
17. A dosage form according to claim 14, wherein the constituent of the hot substance drug is at least one constituent selected from the group consisting of myristicin, elemicin, isoeugenol, pasarone, safrole, gingerols, xanthorrhizol, capsaicinoids, capsaicin, piperine, glucosinolates, and compounds derived from these constituents.
18. A dosage form according to claim 12, wherein component (b) is at least one viscosity increasing agent selected from the group consisting of microcrystalline cellulose with 11 wt. % carboxymethylcellulose sodium (Avicel RC 591), carboxymethylcellulose sodium (Blanose, CMC-Na C300P, Frimulsion BLC-5, Tylose C300 P), polyacrylic acid (Carbopol 980 NF, Carbopol 981), locust bean flour (Cesagum LA-200, Cesagum LID/150, Cesagum LN-1), pectins from citrus fruit or apples (Cesapectin HM Medium Rapid Set), waxy maize starch (C*Gel 04201), sodium alginate (Frimulsion ALG (E401)), guar flour (Frimulsion BM, Polygum 26/1-75), iota carrageen (Frimulsion D0210), karaya gum, gellan gum (Kelcogel F, Kelcogel LT100), galactomannan (Meyprogat 150), tara bean flour (Polygum 43/1), propylene glycol alginate (Protanal-Ester SD-LBO), apple pectin, sodium hyaluronate, tragacanth, tara gum (Vidogum SP 200), fermented polysaccharide welan gum (K1A96), xanthan gum (Xantural 180).
19. A dosage form according to claim 12, wherein component (c) is at least one opioid antagonist selected from the group consisting of naloxone, naltrexone, nalmefene, nalid, nalmexone, nalorphine, naluphine and a corresponding physiologically acceptable compound.
20. A dosage form according to claim 12, wherein the component (c) used is at least one neuroleptic as a stimulant antagonist.
21. A dosage form according to claim 12, wherein the component (d) emetic is based on one or more constituents of ipecacuanha (ipecac) root and/or is apomorphine.
22. A dosage form according to claim 12, wherein component (e) is at least one physiologically acceptable dye.
23. A dosage form according to claim 12, wherein component (f) is at least one bitter substance selected from the group consisting of aromatic oils, preferably peppermint oil, eucalyptus oil, bitter almond oil, menthol and mixtures thereof, fruit aroma substances, denatonium benzoate and mixtures thereof comprising at least 2 components.
24. A dosage form according to claim 12, wherein the active ingredient or active ingredients (A) is/are spatially separated from component (c) and/or (d) and/or (f), optionally without direct contact, wherein the active ingredient or active ingredients (A) is/are optionally present in at least one subunit (X) and components (c) and/or (d) and/or (f) is/are present in at least one subunit (Y), and, when the dosage form is correctly administered, components (c) and/or (d) and/or (f) from subunit (Y) do not exert their effect in the body and/or on taking.
25. A dosage form according to claim 1, which contains at least one active ingredient at least partially in controlled release form.
26. A dosage form according to claim 25, wherein each of the active ingredients with abuse potential (A) is present in a controlled release matrix.
27. A dosage form according to claim 26, wherein component (C) and/or the optionally present component (D) also serve as a controlled release matrix material.
28. A process for the production of a dosage form according to claim 1, wherein, z) components (A), (B), (C) and the optionally present component (D) are mixed and the optionally present components a) to f) are co-mixed or, if necessary, are mixed separately with the addition of component (C) and optionally (D), y) the resultant mixture or the resultant mixtures is/are heated in the extruder at least up to the softening point of component (C) and extruded through the outlet orifice of the extruder by application of force, x) the still plastic extrudate is singulated and formed into the dosage form or w) the cooled and optionally reheated singulated extrudate is formed into the dosage form, wherein process steps y) and x) and optionally process steps z) and w) are performed under an inert gas atmosphere.
29. A process according to claim 28, wherein mixing of the components according z) also proceeds in the extruder under an inert gas atmosphere.
30. A process according to claim 28, wherein the mixtures according to z) are coextruded or separately extruded.
31. A process according to claim 28, wherein the mixture or the mixtures according to z) are extruded through a die with at least one bore.
32. A process according to claim 28, wherein the extrudate is singulated by chopping.
33. A process according to claim 28, wherein the extrudate is in the form of a strand and is shaped and singulated with the assistance of contrarotating calender rolls comprising opposing recesses in their outer sleeve.
34. A process according to claim 28, wherein the singulatable extrudate is pelletised or pressed into tablets.
35. A process according to claim 28, wherein nitrogen is used as the inert gas atmosphere.
36. A dosage form obtainable by a process according to claim 28.
Description
BRIEF DESCRIPTION OF THE DRAWING
[0137]
[0138] The tablets deemed to be resistant to breaking under a specific load include not only those which have not broken but also those which may have suffered plastic deformation under the action of the force.
[0139] In the case of the dosage forms according to the invention, breaking strength is determined in accordance with the stated method, dosage forms other than tablets also being tested.
[0140] The following Examples illustrate the invention purely by way of example and without rose rioting the general concept of the invention.
EXAMPLES
Example 1
[0141]
TABLE-US-00001 Components Per tablet Per batch Tramadol HCl 100.0 mg 1495.0 g Polyethylene oxide, NF, 167.8 mg 2508.6 g MW 7 000 000 (Polyox WSR 303, Dow Chemicals) Hydroxypropylmethylcellulose 33.5 mg 500.8 g 100 000 mpa .Math. s Polyethylene glycol (PEG 6000) 33.5 mg 500.8 g Butylhydroxytoluene (BHT) 0.2 mg 3.0 g Total weight 335.0 mg 5008.2 g
[0142] The stated quantity of BHT was dissolved in ethanol (96%), such that a 7.7% (mass/mass) ethanolic solution was obtained. This was mixed initially with 150 g of polyethylene oxide in a high speed mixer for 30 minutes and then the remaining quantity of polyethylene oxide was added and stirring continued for a further 30 minutes. The composition was dried for 12 h at 40 C.
[0143] All the further components were added and mixed for 15 min in a free-fall mixer. The powder mixture was apportioned into an extruder. Extrusion was performed using a model Micro 27 GL 40 D double screw extruder with a spindle diameter of 18 mm manufactured by Leistritz (Nrnberg). Screws with blunt ends were used, the hex socket at the end of the screws being closed with a cap. The die used is a heatable round die with a diameter of 8 mm. The entire process was performed under an N.sub.2 atmosphere.
[0144] The following parameters were selected for extrusion:
[0145] Screw speed: 100 rpm
[0146] Throughput: 4 kg/h
[0147] Product temperature: 125 C.
[0148] Casing temperature: 120 C.
[0149] The extrudate, which was still hot, was cooled under a nitrogen atmosphere. The cooled strand was singulated into biplanar tablets. The tablets did not break when exposed to a force of 500 N. The tablets could not be comminuted either with a hammer or with the assistance of a mortar and pestle.
[0150] The colour of the cooled strand or of the 10 tablets singulalated therefrom was determined at to 9.5/using the Munsell Book of Colour, such that the dosage form produced by the process according to the invention did not exhibit any discoloration due to the thermoforming with the assistance of an extruder.