Sustained release injectable neurosteroid formulations
A steroid, neurological technology, applied in nervous system diseases, medical preparations with non-active ingredients, and medical preparations containing active ingredients, etc., can solve the problems of low water solubility, limited preparation options, etc.
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[0129] The present disclosure also provides methods of treating CNS disorders or conditions including anxiety, generalized anxiety disorder, social anxiety disorder, panic disorder, anxiety or agitation due to Alzheimer's dementia, schizophrenia, substance withdrawal syndrome symptoms (alcohol, benzodiazepines barbiturates and cocaine), post traumatic stress disorder (PTSD), tremor, essential tremor, spasticity due to cerebral palsy, depression (including major depression, major depressive disorder, major depression, single depression, unipolar disorder, or recurrent depression), postpartum or postpartum depression, atypical depression, melancholic depression, psychotic major depression (PMD), catatonic depression, seasonal affective disorder (SAD), dysthymia, bipolar Depression, depressive personality disorder (DPD), recurrent transient depression (RBD), mild depressive disorder, bipolar or manic depressive disorder, posttraumatic stress disorder, postmenopausal depression, ...
specific Embodiment approach 1
[0141] Specific embodiments 1. A sustained release injectable neurosteroid formulation comprising neurosteroid particles with a D50 of less than 10 microns, said neurosteroid particles comprising:
[0142] a) a neurosteroid of formula I or a pharmaceutically acceptable salt thereof:
[0143] in:
[0144] is a double bond or a single bond;
[0145] X is O, S or NR 11 ;
[0146] R 1 is hydrogen, hydroxy, optionally substituted alkyl, optionally substituted heteroalkyl, optionally substituted heteroaryl, optionally substituted heteroarylalkyl, optionally substituted Substituted aryl, or optionally substituted arylalkyl;
[0147] R 4 is hydrogen, optionally substituted alkyl, optionally substituted cycloalkyl, or optionally substituted (cycloalkyl)alkyl, or -OR 40 , where R 40 is hydrogen, optionally substituted alkyl, optionally substituted cycloalkyl, or optionally substituted (cycloalkyl)alkyl, or optionally substituted C 3 -C 6 carbon ring;
[0148] R 4a is hydro...
specific Embodiment approach 8
[0170] Embodiment 8. The formulation of any one of embodiments 1 to 6, further comprising one or more of the following:
[0171] (a) 0.5% to 1.5% sodium chloride (percentage by weight);
[0172] (b) buffering agents;
[0173] (c) preservatives, wherein the preservatives are benzyl alcohol, chlorobutanol, 2-ethoxyethanol, parabens (including methyl, ethyl, propyl, butyl, and combinations), Benzoic acid, sorbic acid, chlorhexidine, phenol, 3-cresol, thimerosal, phenylmercury salts, or mixtures of any of the foregoing.
[0174] Embodiment 9. The formulation of embodiment 1, wherein:
[0175] The neurosteroid is ganaxolone or prepregnanolone;
[0176] The at least one surface stabilizer is a polymer surface stabilizer selected from hydroxyethyl starch, dextran, povidone, and a mixture of any of the foregoing, wherein the neurosteroid and the polymer surface stabilizer ( wt:wt) in a ratio of about 4:1 to about 0.2:1; and the formulation comprises an additional surface stabilize...
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Abstract
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