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Hydromorphone therapy

a technology of hydromorphone and hydromorphone, which is applied in the field of hydromorphone therapy, can solve the problems of changing the release rate of hydromorphone from polyalkylene oxide, conventional dosage forms, and a lack of pharmaceutical and medical arts, so as to suppress anxiety and apprehension, relieve pain, and lessen pain for patients

Inactive Publication Date: 2001-11-08
MERRILL SONYA +3
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0015] Another object of the invention is to provide both a novel dosage form and a novel dosage composition, which in both form, delivers hydromorphone as an analgesic to relieve pain by altering the psychological response to pain and suppress anxiety and apprehension in a patient.
[0016] Another object of the invention is to provide a method for administering hydromorphone to a patient for lessening a patient's pain.
[0019] Another object of the invention is to provide a dosage form that delivers hydromorphone that reduces and / or eliminates the unwanted influences of a gastrointestinal environment on the delivery of hydromorphone from the dosage form in the gastrointestinal tract of a human.

Problems solved by technology

A pharmaceutically-acceptable dosage form for oral administering hydromorphone to provide analgesic therapy beyond its short half-life at a controlled-rate over an extended period of time appears to be lacking in the pharmaceutical and medical arts.
For example, the hydromorphone could become immobile and trapped in the polyalkylene oxide, also, the polyalkylene oxide could exhibit unacceptable swelling in the presence of aqueous including biological fluid and thereby change the rate of release of the hydromorphone from the polyalkylene oxide.
The concentration differences in dosing patterns are related to the presence and absence of administered drug, which is a major disadvantage associated with conventional dosage forms.
These conventional dosage forms and their accompanying peaks and valleys do not provide for dose-regulated drug therapy over an extended period of time.
The hydromorphone as delivered by the prior art is often dosed two or more times a day, which does not lend itself to controlled and sustained therapy.

Method used

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Examples

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example 2

[0054] The therapeutic compositions manufactured by following the above example provide compositions comprising 1 to 500 mg of a member selected from the group consisting of hydromorphone, hydromorphone base, hydromorphone salt and hydromorphone derivative; at least one polymeric carrier for the hydromorphone selected from 20 to 375 mg of poly(alkylene oxide) comprising a 50,000 to 750,000 molecular weight represented by poly(methylene oxide), poly(ethylene oxide), poly(propylene oxide), poly(isopropylene oxide) and poly(butylene oxide), or a polymeric carrier for the hydromorphone consisting of 20 to 375 mg of carboxymethylcellulose having a 10,000 to 175,000 molecular weight represented by a member selected from the group consisting of alkali carboxymethylcellulose, sodium carboxymethylcellulose and postassium carboxymethylcellulose; 0.01 to 25 mg of poly(vinyl) polymer possessing a 5,000 to 350,000 molecular weight represented by poly(vinyl pyrrolidone), copolymer of poly(vinyl p...

example 3

[0055] The therapeutic composition provided by the invention can be dry compressed into an orally administrable dosage form. For example, a mixture of dry-powder ingredients comprising a hydromorphone pharmaceutically acceptable base or a hydromorphone pharmaceutically acceptable salt as represented by: hydrochloride, hydrobromide, sulfate, bisulfate, acetate, valerate, oxalate, oleate, laureate, borate, benzoate, lactate, phosphate, tosylate, citrate, maleate, fumarate, succinate, tartrate and napsylate; a tablet excipient represented by 0 to 200 mg of microcrystalline cellulose; 20 to 375 mg of sodium carboxymethylcellulose of 10,000 to 175,000 molecular weight; 0.01 to 25 mg of a binder agent represented by poly(vinyl pyrrolidone) of 5,000 to 350,000 molecular weight, a hydroxypropylmethylcellulose of 9,200 to 75,000 molecular weight, and gelatin; and 0 to 10 mg of a lubricant, such as stearic acid, calcium stearate or magnesium stearate; are dried, sieved and mixed with other op...

example 4

[0056] A dosage form, adapted, designed and shaped as an osmotic drug delivery device is manufactured as follows: First, 175 g of hydromorphone hydrochloride, 647.5 g of poly(ethylene oxide) possessing a 200,000 molecular weight, and 43.75 g of poly(vinyl pyrrolidone) having a 40,000 molecular weight are added to a mixer and mixed for ten minutes. Then, 331 g of denatured anhydrous alcohol is added to the blended materials, with continuous mixing for ten minutes. Then, the wet granulation is passed through a 20-mesh screen, allowed to dry at room temperature for 20 hours. and then passed through a 16-mesh screen. Next, the granulation is transferred to the mixer, mixed, and lubricated with 8.75 g of magnesium stearate.

[0057] Then, a displacement or push composition for pushing the therapeutic hydromorphone composition from the dosage form is prepared as follows: First, 3910 g of hydroxypropylmethylcellulose possessing a 11,200 molecular weight is dissolved in 45,339 g of water. Then...

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Abstract

A hydromorphone composition, a hydromorphone dosage form and a method for administering hydromorphone are disclosed, indicated for the management of pain.

Description

[0001] This application is application is a division of U.S. application Ser. No. 08 / 935,223 filed on Sep. 22, 1997, which application Ser. No. 08 / 935,223 is a continuation-in-part of U.S. application Ser. No. 08 / 611,294 filed on Mar. 5, 1996 now U.S. Pat. No. 5,702,725 issued Dec. 30, 1997, which application Ser. No. 08 / 935,223 is a continuation of U.S. application Ser. No. 08 / 271,593 filed Jul. 7, 1994 and now U.S. Pat. No. 5,529,787 issued on Jun. 25, 1996.[0002] This invention pertains to a novel dosage form comprising hydromorphone for the management of pain. The invention concerns also a novel therapeutic composition comprising hydromorphone indicated for treating pain. The invention relates additionally to a method for the management of pain by administering continuously release-rate controlled doses of hydromorphone over an extended time to produce analgesic therapy.[0003] Hydromorphone is an analgesic with its principal therapeutic effect, the relief of pain. The precise me...

Claims

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Application Information

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IPC IPC(8): A61K9/00A61K9/20A61K9/22A61K31/485
CPCA61K9/0004A61K9/2027A61K9/2031A61K9/2054A61K31/485A61P25/00
Inventor MERRILL, SONYAAYER, ATUL D.CHADHA, NAVJOTKUCZYNSKI, ANTHONY L.
Owner MERRILL SONYA
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