摘要:
Solid controlled-release oral dosage forms comprising a therapeutically effective amount of an opioid analgesic or a salt thereof which provide an extended duration of pain relief of about 24 hours, have a dissolution rate in-vitro of the dosage form, when measured by the USP Paddle Method of 100 rpm in 900 ml aqueous buffer at 37°C from about 12.5% to about 42.5% (by weight) active agent released after 1 hour, from about 25% to about 55% (by weight) active agent released after 2 hours, from about 45% to about 75% (by weight) opioid analgesic released after 4 hours and greater than about 60% (by weight) opioid analgesic released after 8 hours, the in-vitro release rate being substantially independent of pH and chosen such that the peak plasma level of active agent obtained in-vivo between about 2 and about 8 hours after administration of the dosage form.
摘要:
A solid, controlled release, oral dosage form, the dosage form comprising an analgesically effective amount of an opioid analgesic or a salt thereof, coated with a controlled-release coating or in a controlled-release matrix, wherein the dissolution rate in-vitro of the dosage form, when measured by the USP Paddle Method at 100 rpm at 900 ml aqueous buffer (pH between 1.6 and 7.2) at 37° C is from about 12.5% to about 42.5% (by wt) opioid released after 1 hour, from about 25% to about 65% (by wt) opioid released after 2 hours, from about 45% to about 85% (by wt) opioid released after 4 hours and greater than 60% (by wt) opioid released after 8 hours, the in-vitro release rate being substantially independent of pH and chosen such that the peak plasma level of said opioid obtained in-vivo occurs from about 2 to about 6 hours after administration of the dosage form.
摘要:
An oral sustained release opioid formulation comprises a plurality of substrates comprising a unit dose of an opioid analgesic which is tramadol or a salt thereof, each of said substrates comprising an inert bead coated with tramadol or a salt thereof and overcoated with a sustained release coating comprising a retardant material such that said unit dose provides therapeutically effective blood levels of said opioid analgesic for about 24 hours, said formulation providing an initially rapid rate of rise in the plasma concentration of said opioid characterised by providing an absorption half-life from 1 to 8 hours in the fasted state.
摘要:
Patients are treated with 24-hour oral sustained release opioid formulations which, upon administration, provide an initially rapid opioid absorption such that the minimum effective analgesic concentration of the opioid is more quickly achieved. These sustained release opioid formulations include an effective amount of at least one retardant material to cause said opioid analgesic to be released at such a rate as to provide an analgesic effect after oral administration to a human patient for at least about 24 hours, and are characterized by providing an absorption half-life from 1 to about 8 hours. A method of titrating a human patient utilizing these sustained release opioid formulations is also disclosed.
摘要:
An oral sustained release opioid formulation comprises a plurality of substrates comprising a unit dose of an opioid analgesic which is oxymorphone or a salt thereof and a retardant material such that said unit dose provides therapeutically effective blood levels of said opioid analgesic for about 24 hours, said formulation providing an initially rapid rate of rise in the plasma concentration of said opioid characterised by providing an absorption half-life from 1 to 8 hours in the fasted state.
摘要:
The use of a controlled release matrix material selected from the group consisting of hydrophilic and hydrophobic polymers, digestible long chain hydrocarbons and polyalkylene glycols in the manufacture of a solid oral dosage form comprising a therapeutically effective amount of an opioid analgesic in a controlled release matrix comprising at least one of said controlled release matrix materials, wherein said opioid analgesic is selected from the group consisting of hydromorphone oxycodone, morphine, levorphanol, methadone, meperidine, heroin, dihydrocodeine, codeine, dihydromorphine, buprenophine or a salt of any of the foregoing and mixtures of any of the forgoing, and wherein the dosage form provides an in-vitro dissolution rate being substantially independent of pH and wherein the dosage form provides a peak plasma level of opioid in-vivo from 2 to 8 hours after administration of the dosage form and the dosage form is suitable for administration on a once-a-day basis.