CA2183952C - Granular product or tablet containing an effervescent system and an active pharmaceutical substance, as well as a method for its preparation - Google Patents

Abstract

In accordance with this invention, there is provided a granular product with an effervescent system which comprises acid-sensitive pharmaceutically active substances, such as, for example, beta-carotene, cimetidine, ranitidine or cisapride, which is specially useful to prevent antacid action, having an acid-binding capacity below about 5meq, at a weight of about 1.6 to about 2.3 grams. The effervescent grains are made from carrier crystals of at least one solid, edible organic acid, preferably citric acid, and are present as a granular product, separate from the pharmaceutically active substance, and are coated with at least one layer of a neutral substance which is soluble in water and/or alcohol and which is able to bring about a melting point depression of the acid grains at their surface, such as, for example, a water-soluble polymer, a higher alcohol, a carbohydrate and/or hydrocolloid. A second coating contains at least a part of the alkali and/or alkaline earth carbonate or bicarbonate provided for the total dosage.

Description

Lv ~a~Pc aSOZ~~ - ~ -218~~52 Granular product or tablet containing an effervescent system and an active pharmaceutical substance, as well as a method for its preparation r~ 1d of the Invention 'this invention relates to a granular pharmaceutical preparation or more particulary a tablet containing an effervescent system and a - preferably acid-sensitive -pharmaceutical substance, such as cisapride, beta-carotene, an H2 Mocker such as cimetidine or ranitidin.e, and/or a substance which is to be administered in an effervescent pharmaceutical preparation with comparatively small amounts of effervescent components or a comparatively low acid-~~»traliz~nQ capacity.
Heretofore it has been possible only with difficulty to incorporate acid-sensitive drugs in stable fc>rm into effervescent tablets or effervescent instant granular products, since in contact with the acid of the effervescent system such compositions hydrolyze or decompose, i.e. they are not shelf-stable. Furthermore, whenever ~;uch a substance 2~ also affects the surface tension of water, frothing occurs which is highly undesirable for the consumption of the effervescent solution, or in any event, hydrophobic particles of the drug tend to creep upward on the glass. On the other hand, in certain cases, the antacid side-effect of an effervescent tablet is undesirable for many drugs.
Therefore an object of this invention is to F>rovide an effervescent system which will avoid the aforesaid disadvantages and offer the possibility of administering to a patient, pharmaceutical substances, inclusive of acid-3~ sensitive substances which have hydrophobic properties or properties influencing the surface tension of water, in pleasant-to-drink effervescent solutions. It is a further object of this invention to create an effervEacent tablet or AMENc~ED SHEET

an instant effervescent granular product with an acid-binding capacity of less than 5 meq (measurement according to test Nr. 301 from The United States Pharmacopoeia 23, National Formulary 18), in order to avoid undesired antacid effects. This is especially advantageous for all H2 blockers. Lastly, it is desired that the tablet or granular product is to dissolve rapidly in water at a temperature of about 15-20°C in less than about 2 minutes.
Summary of the Invention The solution to the aforesaid problems can be achieved in a surprisingly simple, cost-effective and efficient manner in accordance with this invention e.g. by first substantially coating acid particles with a composition comprising at least one neutral substance which causes a depression of the melting point of the acid grains at their surface, and thereafter anchoring thereon at least one second coating which contains an alkali and/or alkaline earth carbonate and/or bicarbonate, and optionally a partial reaction product of the carbonate or bicarbonate with the same or a different organic acid.
The invention is more fully discussed in detail below along with a detailed discussion and illustration of several preferred embodiments.
Detailed Description Neutral substances within the meaning of this invention include polymers soluble in water and/or alcohol, such as e.g. polyvinylpyrrolidone, carbohydrates, such as saccharose, pentaerythritol, glucose, and fructose (although the latter two, under the influence of the only slightly alkaline effervescent-grain surface due to the bicarbonate coating, are subject to a Maillard reaction tending to make them yellow and therefore they are not particularly preferred herein), hydrocolloids, such as maltodextrin, dextrin and 95021 7 - 3 - ~ ~ ~ ~ ~ ~'. 8a2PC
the like; especially preferred are higher alcohols, such as xylitol, mannitol and sorbitol.
various embodiments of the invention are described in the defining clauses of the dependent claims.
:Lt is true that W093/00886 discloses that a foreign acid, possibly gluconic acid delta-lactone, which hydrolyzes to gluconic acid, can be incorporated at the surface of acid i0 vehicle crystals, with the result that the crystal lattice :is disturbed and a melting point depression is achieved.
However, such a measure cannot of course provide adequate protection for acid-sensitive active substances. It has therefore also been impossible hitherto to use the invention is of W093/00886 for acid-sensitive active substances in practice.
.Lt has also been proposed (British Patent 1,270,781) to coat acid vehicle crystals for effervescent tablets with a thin 20 polymer layer, such as, for example, with polyvinyl-pyrrolidone, carboxymethylcellulose or the like. However, ..his results in an undesirable retardation of the dissolution time and, in the case of the 1 to 5~ by weight of polyvinylpyrrolidone described there in the Examples, 25 foam formation problems; furthermore, some acid is always transferred from the vehicle crystal to the layer in solution when the coating is applied by means of ethanolic or aqueous solution, whereby the acid-sensitive active substances would not be protected sufficiently. In addition, 30 however, those skilled in the art have for over 20 years been unable satisfactorily to solve the problem of accommodating acid-sensitive active substances in effervescent systems not only in a shelf-stable manner but also in relatively small tablet weights with 'very low acid-35 ~LeutralizinQ capacity and short dissolution time. An effervescent tablet is generally defined as being particularly rapid when the dissolution (or complete ..- ~. n . -..---r rc t~=~ _._ ~y0 95123594 21$ ~ ~ ~ ~ PCT/EP9510(~650 suspending) of the tablet components takes .less than 120 sec, preferably 90 sec or less.
According to the invention, however, after (preferably only a small amount of) the neutral substance ha:~ been applied to the acid grains, alkali and/or earth alkaline carbonate and/or bicarbonate particles are anchored on the grain surface in order to prohibit an interaction between the acid and the active substance.
Furthermore, the process proposed in EP-A1-415 326_.for coating acid vehicle crystals with several times the amount of sugar in order, in combination with bicarbonate, to achieve a slightly prickling effect, for a chewable tablet or lozenge has not been able to solve the combination of the problems or tasks: such a system would not be sufficiently reactive to dissolve an effervescent tablet in water within a reasonable time. It was the aim of the said EP-A1 to slow down the reaction between acid and carbonate: in order not to produce an undesired high effervescent effeca in the mouth.
If, as disclosed in the prior art (US-A-4 i27 645), a tablet having a core of acid, bicarbonate and calcium were coated with a neutral substance, for example with sorbitol in an ZS aqueous, alcoholic or in a water/alcohol-solution, such a tablet would not provide reliable protection for acid-sensitive active substances contained in the core. However, if the mixture were pressed with a neutral substance (e. g.
maltodextrin, if necessary as a mixture with sugar, US-A-4 650 669; sorbitol with vitamins, US-A-5 223 264, only suitable as a prickling chewable tablet) to give tablets, then either both reactants would be coated together or undesirable agglomerated granules would occur. In both cases, the reaction on dissolution of the tablet would take place too slowly and the dissolution time would thus be undesirably increased, or the solution would contain undesirably large amounts of sugar. Furthermore, it is very 950217 - 5 - ?189?-PC
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probable that, in agglomerated granules, acid particles too would be present unprotected at the surface of the granules;
however, this results i.n greater instability for acid-sensitive active substances.
In U.S. Patent No. 4,867,942, a method is des>cribed in which vehicle crystals of a solid, edible organic acid are covered or. their surface with a pre-reacted solution serving as buffer, particularly an acid alkali and/or a7_kaline earth salt of a solid, edible organic acid. Thereafter, more of the acid crystals and amounts of carbonate on bicarbonate are anchored side by side on this coating. Water which is released in the various neutralization partial reactions is removed by a final treatment with alcohol and vacuum drying.
Such a process is disadvantageous, however, in that, for acid-sensitive drugs, on the acid crystal surface an additional acid simultaneously enters into a reaction with the alkali carbonate, and the reaction thus proceeds too fast and consequently not sufficiently uniformly. Therefore, the product that forms from this method cannc>t completely prevent the reaction of an acid-sensitive drug mixed in with it, due to the acid crystals lying on the surface of the ~~ranules.
In contrast, the structure of the effervescent system according to this invention not only prevents direct contact of an acid-sensitive drug with the acid crystals thereby providing an effervescent tablet or granular product with substantially more shelf-stability, but it also permits the preparation of substantially smaller tablets, i.e., those with smaller amounts of effervescent components which, when dissolved, result in a buffer system. Thus, the present Tablets according to the invention, in contrast to buffer :systems of antacid effervescent preparations, can remain at far 1 ess than 5 meq of acid-ri.~~xcapacity. Also, in terms of product preparation, a retarded reaction and better compressibility into tablets is obtained. With the aid of ,G'.r~'~''=J ~=~-i~_ .

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this invention, an effervescent tablet can beg prepared which for the first time contains an acid-sensitive drug, such as cisapride, or an H2 blocker such as cimetidin.e, and which has an acid-neutralizing capacity of less than 5 meq for a tablet (or granular product) weight of only 1.6 to 2.3 g.
Further, in accordance with an especially advantageous embodiment of this invention, after the acid crystals have been covered with a coating of neutral substance, at least a portion of the carbonate and/or bicarbonate particles intended for a full dose can be applied to this coating, so that effervescent grains are formed from acid. crystals on which a first coating of neutral substance has formed, and thereon a second coating of carbonate and/or bicarbonate, which has partially reacted with the acid in some cases.
The invention can be particularly expediently used for products or processes as described, for example, in EP-B1-76 340, US-A-4 867 942 and W093/00886, and whose description ZO and claims are herein regarded as having been disclosed.
The application of the neutral substance, especially a sorbitol solution, for example, causes a depression of the melting point on the surface of the citric acid crystals.
Thus, on the one hand, the adhesive force for the next coating containing alkali or alkaline earth carbonates and/or bicarbonates increases, and at the same time this signifies.a.slower and therefore more uniform reaction of the citric acid crystal surface~and better passivation, so that the acid-sensitive drugs are less attacked by the effervescent grains. On the other hand, the melting point depression protracts the recrystallization time of the citric acid or of the citrates that have formed, which signifies bette~ compressibility of the effervescent 3~ ~~ranules over a longer period of time.

~~020~ - 7 - 218952 The amount of neutral substance applied to the acid vehicle crysta=s depends on the amount of solvent with which the acid can be wet, since a maximum of 50 - 70 ~ by weight can be dissolved in ar~ aqueous solution. It is therefore preferably added in an amount of 0.05 to ,.0, in particular 0.07 to 0.8, ~ by weight, based on the acid. Additions of less than 0.07 have only a weak effect and those of less than 0.05 have no effect which is relevant according to the invention: the shelf-stability of acid-sensii~ive active substances is reduced. Additions of over 0.8 generally begin to have an interfering effect, and at above 'I.0 the reactivity of citric acid and of the effervec:ent system is consie=ably slowed down.
however, this may be less troublesome in the case of granules since a longer dissolution time tends to be ~e=--=~'° ~:~ere in order to allow the granules tc sink on introcuction into water and only thereafter to undergo a reaction for dissolution. Otherwise, however, the amounts of neutral substance which can be applied to, for example, citric acid are determined by the amount of solution with which the citric acid can be wet, since the neutral substances are in fact applied in solution, a.nd a 50 to max.
'~0~ solution can be prepared. The citric acid crystals 2~ c:annot be wet with an infinitely large amount of water and thence solvent .
~::~ certain circumstances, the neutral coating, especially if c_--rbonate and/or bicarbonate particles are anchored on it, ca.~ a=so contain small amounts of a solid, edible organic acid, and in some cases an acid different from the one of wh ic: t'~s vehicle crystals consist - as disclosed per se in another context - but here also in order to intensify the melting point depression and/or to control the effervescent reaction and rate of dissolution.
~t~~F'VDEC~ S?-iEET

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Each such effervescent grain is, taken by itself, actually a small effervescent "tablet", and effervesces by itself.
'Therefore, if desired, a short dissolving time, small quantity and low acid-neutralizing capacity can be achieved.
:Experiments thus far towards achieving a fast-acting, small effervescent tablet by the use of monosodium citrate instead «f citric acid have failed, because this greatly slows the effervescent reaction, since the monosodium citrate reacts l0 more slowly with sodium bicarbonate, and such tablets usually have an acid consuming capacity exceeding 5 mEq.
On the other hand, a very thin monosodium citrate coating in accordance with this invention, especially as a third or fourth layer, which can contain an additional neutral substance if desired, acts advantageously because 1 mol of rnonosodium citrate binds 1 mol of water of crystallization and thus contributes to the drying or to maintenance of dryness. Furthermore, in any case, uncovered citric acid ~~urfaces can be covered again or more completEely with bicarbonate.
Additionally, since many substances exhibit some form of taste sensation of which many are unpleasant, especially those exhibiting bitterness, it is desirable t:o keep the final effervescent solution, especially since it is in beverage form, within the pH range of 3.8 to 4.6. Experience has shown that within this range paricularly bitter substances can be more effectively masked.
While not obligatory, it is preferable to remove residual water from the reaction granules in the course of their preparatibn by a final treatment with alcohol. Alcohol may disrupt the bonding of water of crystallization, because during drying the residual moisture is removed along with the alcohol by evaporation. Small amounts of an antifoaming ~rp 95123594 ~ ~ ~ (~ ~ ~ PCT/EP95/00650 _ g _ agent can also be added to the alcohol in order to accelerate the dissolution of the final tablet.
Many of the aforementioned drugs, especially cimetidine and cisapride, often cause frothing in an effervescent~tablet.
This is not due, however, to foaming such as that caused by tensides. That is to say, the active agents themselves, when stirred into water, do not foam. Instead, when the effervescent particles in the tablet dissolve, bubbles of carbon dioxide form.
These bubbles burst and leave the COZ on the surface. Now, if a less soluble or more hydrophobic substance is present, the undissolved particles envelop the C02 bubbles, and by forming such a film successfully prevent rapid bubble bursting, so that the bubbles with this film on the surface collect and thus a "foam" is formed. However, the "foam"
already forming between the effervescent grains interferes with the continued reaction, and thus with the rapid dissolution of the tablet or granules. This circumstance is combatted according to the invention by the additon of very small amounts of at least one antifoaming agent with the result that any "foam" that forms as the effervescent reaction begins immediately collapses.

The antifoaming agent is preferably added in an amount of 0.005 bis 0.5~ by weight, based on the total amount including any fillers, flavors, etc., or 0.05 - 2.0~ by weight, based on active substance. Additions of less than 0.005 have no effect relevant according to the invention;
additions of more than 0.5 give rise to troublesame or unacceptable side effects.
In the case of active substances which are soluble, although not too freely soluble, as in the case of cimitidine, a percentage of simethicone of 0.1 - 0.3~s by weight, based on active substance, is used, which is equivalent to the use of W O 95!23594 218 3 ~ r 2 P~~p95/00650 0.016 - 0.028 percent (about 0.030 based on the total tablet weight. The situation is somewhat different in the case of an insoluble hydrophobic active substance, such as cisapride (the monohydrate is used), where 1~k of simethicone is used, based on the active substance, but an amount of 0.006 results when based on the tablet weight of 1.6 g. It is evident that the cisapride, as a slightly soluble, hydrophobic active substance,.requires a larger amount of antifoaming agent for suppressing the foam, !but the required fillers and the effervescent base result in a substantially smaller amount of simethicone being used per tablet, so that the ratios are inverted.
In the case of the soluble active substances" such as cimetidine and ranitidine, the simethicone is required in smaller amounts, in order to suppress the smaller tendency ~o foaming in the local reaction on dissolution of the effervescent tablet, whereas in the case of c;isapride - as already mentioned - the tendency to foam is substantially greater and the principle is therefore also slightly different.
If larger amounts are used, film formation of simethicone occurs at the surface after dissolution of the effervescent tablet, by virtue of the fact that - especially in the case of insoluble active substances - particles of the active substance collect a.nd remain hanging and thus result in unattractive dissolution behavior, this film then additionally having the tendency to form a ring on the glass wall .
In some cases, however, very small amounts of a tenside, for example, docusate sodium, are also added. Due to their wettable nature, such drug particles dissolve more quickly and no longer adhere to the foam bubbles. The proportion of such substances must be determined very precisely to achieve the desired dissolving characteristics.

--- WO 95!23594 ~ Q ~ ~ PCT/EP95/00650 _ 11 _ Although in some cases the antifoaming agent can be applied to the effervescent system and/or to the drug, this is not preferred according to the invention. In the first case, it might cause undesirable slowing of the dissolution and reaction of the effervescent components unless very slight amounts of antifoaming agent sufficient for the achievement of the desired effect are used. In the second case, only those drugs are involved which, when the ant:ifoaming agent i0 is drawn onto them from a solution in a solvent (e. g., methyl ethyl ketone and acetone) at 40°C, do not lose any of their solubility or stability. Additionally, in the course of production with the use of finely powdered drugs the addition of antifoaming agents may lead to poor distribution because of drug particles attaching themselves to the antifoaming agent droplets.
It is therefore preferred, in accordance with this invention, that first the formation of a typical granular product from antifoaming agents and a neutral substance is undertaken, which product is thereafter mixed with the effervescent system and the drug, plus additional adjuvants if desired (e.g., perfumes, sweeteners and the like) and the mixture then compressed into tablet form.
The moisture released in the preparation of the effervescent system by the neutralization reaction, and not entirely removed by heating and/or vacuum treatment, as well as moisture picked up from the air during storage, can best be bound by the addition of a moisture-binding agent, especially anhydrous sodium carbonate (which can absorb 10 mols of water per mol) or sodium sulfate. The agent can be bound either by applying it to one or more of the coatings applied to the vehicle crystals, or by adding it to the total mixture. This improves shelf life because the reaction of the acid-sensitive active agent with the acid is further suppressed or completely prevented by the reduction of 218 ~ ~ ~ ~ PCT/EP95/00650 _ 12 _ moisture. However, excessive amounts of such moisture-binding agent, for example sodium carbonate, are not desirable as it may retard the effervescent reaction.
$ Sodium carbonate as a drying agent, therefore, should not be used for completely covering the effervescent grains, since it is preferable to operate with only small quantities effective to merely dry the residual moisture, or to retard the reaction during manufacture, and to avoid undesirably lengthening the dissolving time of the tabled. Therefore, the final addition of sodium carbonate should not be used for complete coverage (or a tablet coating), due to both the quantity and the grain size (approx. 0.1 - 0.05 mm), and it is therefore not suitable for producing a continuous coating on the bicarbonate already present. However, it can be partially hooked onto the effervescent grains. It is also possible, however, not to add the sodium carbonate until after the drying operation.
In principle, the percentage amount of sodium carbonate per tablet depends on several factors, such as, for example, the amount of effervescent base used, the amount and type of the fillers used, the presence of other carbonates, such as, for example, calcium carbonate, etc.
The moisture-binding agent, in particular sodium carbonate, is preferably added in an amount of between 1 and 10, in particular 4 - 6, ~ by weight (based on the total amount, including any fillers, flavors, etc.). Additions of less than 4 have only a weak effect, and with thosE~ of less than 1,. the drying effect and increase in stabilit5r is too small, they have no effect relevant according to the invention.
Additions of over 6 generally begin to have a troublesome effect because sodium carbonate dissolves more: slowly and reacts more poorly; above 10~ the dissolution time is already significantly lengthened, since sodium. carbonate first absorbs water (up to 10 molecules of water of WO 95123594 ~ ~ ~ PCTlEP95/00650 crystallization) on dissolution of the effervescent tablet, i.e. is calcined and only then reacted with the citric acid.
Here it is to be emphasized that 1 mol of water of ~~rystallization can be bound per mol by sodium citrate alone developing in or on the sorbitol layer, and :in spite of any residual moisture present the sorbitol layer prevents or hinders any acid harm to the drug.
If all of the prescribed steps are followed in accordance with the invention, effervescent tablets can be produced, even with the difficult substances referred t:o, which at a i:ablet weight of, e.g., 1.6 g,will attain a dissolving time of less than 100 seconds. It is also to be noted that ZS especially cimetidine, due to its hydrophobic; character, further lengthens the dissolving time in comparison with other drugs, under otherwise equal condition's.
Granulation with sorbitol solution permits rapid dissolution without the incorporation of an extraneous acid that is otherwise necessary, for example, according to W093/00886.
Furthermore, during the preparation of the effervescent systems of this invention, and in any case of the tablets themselves, the steps taken according to the invention will enable the control of reactions which take place at the surface of individual crystals or granules, which thus constitutes a local mechanism, while also during dissolution the above-described desired advantages will be achieved throughout.
The system is also extraordinarily well suited for the processing of substances which are both acid-sensitive dud sparingly soluble in water. Such substances, such as cisapride for example, exhibit very unpleasant behavior in suspension, since, as mentioned above, they tend to froth together with the effervescent system, adhere to a glass wall, form unpleasant rings and tend to agglomerate on the surface of the drink.
All the aforesaid problems can be effectively combatted by preparing separate granules. For this purpose in yet another embodiment of this invention, there is provided a vehicle which can consist of an Aerosil and/or a neutral substance, on which the drug is applied preferably with the surface of its grains partially dissolved, and/or with binding agents and/or tensides if desired, and dried, or is bound to the vehicle surface by means of binders.
The amount of the suspended substance is limited to at most 8, preferably at most 4.5, o by weight (based on the total mixture), for example for cisapride, since larger amounts would result in increased sinking of the granule particles after dissolution of the tablet. On the other hand, the amount of binder used is likewise limited to to by weight, since it otherwise leads to undesirable agglomerated granules of active substance, suspended substance and binder, which dissolve only with difficulty and then sink to the bottom, i.e. prevent the desired suspension.
The invention will now be more fully described and understood with reference to the following examples of preferred embodiments. However these examples are for illustrative purposes only, and many other embodiments and variations will be readily apparent to those persons skilled in the relevant art and are not intended to limit the scope of this invention or the claims or the spirit thereof.
Alternatively, the drug can also be dissolved in the methyl ethyl ketone or in acetone and coated onto mannitol, Aerosil~R~ and sodium bicarbonate.

WO 95/23594 ~ PCT/EP95/00650 Example 1: Preparation of effervescent tablets containing 200 mg of cimetidine a) Preparation of the effervescent system 102 parts by weight of coarse citric acid and 25 parts by weight of finely powdered citric acid (the latter is preferable for improving build-up to effervescent grains on the vehicle crystal as the powder particles provide a rough surface on which up to about 30$ of bicarbonate can be anchored) or tartaric acid are aspirated into a preheated vacuum tank and heated to approx. 60°C with stirring. Next, 0.85 parts by weight of a solution 1, which has been formed from 36 parts by weight each of water and sorbitol, 21 parts ;by weight of citric acid and 7 parts by weight of sodium bicarbonate, is aspirated and distributed on the citric acid by mixing. Thereafter, 52.5 parts by weight of sodium bicarbonate and 4.4 parts by weight of aspartame are added t.o this mixture, which is then stirred and dried by a vacuum of up to 200 mbar, after which 1.9 parts by weight of sodium carbonate are aspirated and distributed in the mixture by stirring, and the mixture is then dried by a vacuum of up to 15 mbar.
Next, a further 0.6 parts by weight of said solution are aspirated and distributed in the mixture by mixing. The resultant effervescent grains are dried in a 'vacuum of up to 20 mbar with stirring. If necessary, 0.25 parts by weight of 96~ ethanol are also employed to dry the mixture, and aspirated. Then, again 9.3 parts by weight of sodium carbonate are bound onto the effervescent grain surface.
After another final drying, the product is removed through a sieve.
b) Preparation of the granulated antifoaming agent In a vacuum mixing tank with a jacket temperai:ure of 80°C, 7.7 parts by weight of sorbitol powder are added and heated to 50°C. Then, 0.2 parts by weight of simethic:one in a 30~

WO 95/23594 2, PCT/EP95/00550 butanone/acetone mixture (5:3) are aspirated in, stirred by vibrational mixing and dried under full vacuum down to 15 mbar at a temperature of at least 45°C.
c) Preparation of the total mixture In a mixer, 20 parts by weight of cimetidine, with 21.1 parts by weight of sorbitol powder if desired, are mixed for 70 minutes at 6 rpm With 178.4 parts by weight of the effervescent system prepared in a). Then 7 parts by weight of the antifoaming agent granules prepared i.n b) and screened through a 0.6 mm sieve, and 4.5 parts by weight of lemon flavoring, are added, mixed for another 5 minutes at 6 rpm. The final mixture is pressed into tablets which weigh 2.3 g, contain 200 mg of cimetidine, and have a hardness of 6-8 kp.
Example 2: Preparation of effervescent tablets containing 200 mg of cimetidine, and citric and malic acid 2o in the effervescent grains:
102 parts by weight of coarse citric acid, 25. parts by weight of powdered citric acid and 1.1 parts by weight of malic acid are heated to 60°C with stirring in a preheated vacuum tank. A solution consisting of 0.4 parts by weight of water, 0.22 parts by weight of sorbitol and 0.22 parts by weight of malic acid is then aspirated in and distributed onto the citric acid by mixing. 52.5 parts by weight of sodium bicarbonate and 4.4 parts by weight of aspartame are next added to the mixture and dried by stirring, in a vacuum of: up to 200 mbar. Next, 1.9 parts by weight of sodium carbonate are aspirated in and distributed in the mixture by stirring, and then vacuum drying is performed down to 15 mbar. Finally, a final drying can be performed. with ethanol, and then 9.3 parts by weight of sodium carbonate are added to the mixture. The rest of the procedure is similar to Example 1.

WO 95/23594 218 3 9 5 2 p~~~5J00650 _ 17 _ Example 3: Effervescent tablets containing 400 mg of cimetidine, and rnannitol as a neutral substance 49 parts by weight of citric acid are aspirated into a preheated vacuum tank and heated with stirring to 50°C.
Then, 0.45 parts by weight of.a solution 1, which has been prepared from 0.25 parts by weight of water and,0.20 parts by weight of mannitol, is aspirated in and distributed on the citric acid by mixing, whereupon 14.7 parts by-weight of sodium bicarbonate and 3.2 parts by weight o:f aspartame are then added. Reaction is started with stirring and then drying is performed with a vacuum up to 200 .mbar. 0.5 parts by weight of sodium carbonate are next aspirated and distributed in the mixture by stirring, and 'then drying is performed with a vacuum to 15 mbar. Then 0.5 parts by weight of a solution 2, which has been prepared from solution 1 by the addition of 0.16 parts by weight of monosodium citrate, .is aspirated into the mixture and distributed by mixing. The effervescent grains obtained therefrom are then dried by vacuum and stirring to 20 mbar, and finally :?.8 parts by weight of sodium carbonate are added. To this mixture is then added 17.3 parts by weight of cimetidine, 4.3 parts by weight of mannitol, 8 parts by weight of sorbitol, 0.9 parts by weight of flavoring, and 4 parts by weight of antifoaming agent granules prepared according to Example 1 b), until distribution is uniform.
Example 4: Effervescent tablets containing 300 mg of cimetidine, as well as maltodextrin as a neutral ~~ubs t ance .
Similarly to Example 3, for a 300 mg cimetidine effervescent tablet, a 50~ solution of maltodextrin is selected, which is ~'O 95/23594 2 1 8 ~ 9 ~ ~ P~~pg5100650 _ 18 then used in the same amount as in the case of the 400 milligram form.
In all of the examples in which the tablets contain 100 to 400 mg of cimetidine, the tablet weight can be 2.3 g. The tablets have a dissolving time of preferably 60 to 150 seconds and a buffering capacity below 5 mec~, measured according to USP XXII, by back-titration (with 0.5 N NaOH) of an effervescent tablet dissolved in 70 m3. of_ water and with 30 ml of 1.0 N HCl added.
The figures given in the following table 1 are the percentages of individual ingredients in the particular total mixture of the illustrated preferred embodiments, which therefore are in the following preferred ranges.
Table 1 Cimetidine 2 30~ (cooresponds to an effervescent -tablet containing 50 to 600 mg of cimetidine) Citric acid 30 60~ sorbitol 5-20~
-Sodium bicarbonate 10 30~ mannitol 2-10$
-:>odium carbonate 2 10~ simethicone 0.005-0.5~
-Aspartame 1-4$ flavoring 0.1-3~

A preferred percentage composition of cimetidine effervescent tablets or bags of granules containing 100, 400, 300 and 400 mg of cimetidine, with a total weight of 2.31 grams, is summarized below in table 2:

218~~52 _ 19 _ Table 2 100 mg 200 mg 300 mg 400 mg Cimetidine 4.30 8.70 13 17.3 Citric acid 50 50 48.2 48.2 Sodium 0.04 0.04 0.04 0.04 citrate Aspartame 1.74 1.64 . 2.54 3.24 Sorbitol 12.5 12_5 12.8 8.00 Sodium 20.7 20.7 14.7 14.7 bicarbonate Sodium 4.4 4.4 3,5 3.3 carbonate Manntiol 4.3 4.3 4.3 HI~tA Lemon 2.0 2.0 0.9 0.9 flavoring Simethicone 0.02 0.02 0.02 0.02 Example 5: Cisapride effervescent tablets a) Preparation of the effervescent grains 655 parts by weight of crystalline citric acid, 70 parts by weight of citric acid powder and 8 parts by weight of sodium saccharin sodium are heated while mixing to ~60°C. Then 2.8 parts by weight of a solution consisting of 0.6 parts by weight of sorbitol, 0.3 parts by weight of t:risodium citrate, 0.5 parts by weight of citric acid and 1.6 parts by weight of water are aspirated into this mixture and distributed by mixing. Next, 340 parts by weight of sodium bicarbonate as well as 2 parts by weight of aspartame are added and reacted. Before drying, 77 parts b~~ weight of sodium carbonate are added, whereupon the mixture is vacuum dried with slow stirring to 15 mbar.

95021 7 - 20 - 2 ~ g ~ 9 ~ ~ F 1832PC
b) Preparation of the granulated drug Insoluble and hydrophobic cisapride is attached to a suspending substance by means of a binder and a small amount of a tenside as follows: A solution of 10 pax:ts by weight of cisapride, 2 parts by weight of polyvinylpyrx-olidone and 0.8 part by weight of docusate sodium in 1 part by weight of ethanol and 40 parts by weight of acetone is applied to 10 parts by weight of Aerosil~R~, uniformly distributed and then dried while stirring. The granules are sieved to 0.1 -0.3 mm.
c) Preparation of the final mixture To 1152 parts by weight of effervescent grains are added 50 parts by weight of maltodextrin, 100 parts by weight of 1~ lactose, 184 parts by weight of mannitol, 40 parts by weight of flavoring, 50.2 parts by weight of anti-foaming granules (0.2 parts by weight of simethicone coated onto 50 parts by vweight of mannitol), as well as the granulated drug prepared in b), mixing is carried out for 15 minutes for uniform distribution and the mixture is then pressed to form tablets of 1.6 g, which have an acid-~.utrag capacity of only 2 meq. Cisapride effervescent tablets having such a low acid-neutrali,,~ing capacity are unknown to date.
Example 6: Beta-carotene effervescent: tablets With this extremely acid- and oxidation-sensitive aubstance, attention must be paid to an especially good covering of. the acid. The surface and the contact zone on the beta-carotene must be kept alkaline. Therefore the effervescent grains are covered at least in part with calcium carbonate, thus insuring an alkaline surface. This, however, does result in a. slightly longer dissolving time, which in this case is e.esirable, because the beta-carotene needs time to suspend while the tablet is dissolving. Large amounts of sorbitol, as in US-A-5 223 264 mentioned at the outset, are by no W p 95/23594 ~ PCT/Ep95/00650 means suitable for a beta-carotene effervescent tablet which is intended to be dissolved or suspended in water.
a) Preparation of the effervescent grains 1315 parts by weight of citric acid, 7 parts by weight of sodium saccharin and 45 parts by weight of sodium cyclamate are heated in a vacuum tank to 50°C. Then 16.8 parts by 'weight of a solution prepared .from 3.6 parts by weight of calcium carbonate, 19 parts by weight of citric acid, 12 i0 parts by weight of sorbitol, and 45 parts by weight of water are stirred in and distributed onto the citric acid.-by mixing. Next, 400 parts by weight of calcium carbonate and 190 parts by weight of citric acid are added and the mixture Jzeated with stirring to 60°C. Then follows th.e second granulation with 44 parts by weight of the above-mentioned solution, and after distributing and mixing, 403 parts by weight of sodium bicarbonate are added, and also, before drying, 52 parts by weight of sodium carbonate. The mixture is then vacuum-dried to 15 mbar with slow min;ing.
b) Preparation of the final mixture 130 parts by weight of sorbitol and 540 parts. by weight of mannitol and 50 parts by weight of flavoring, an encapsulated beta-carotene suspendable in water and corresponding to 2 to 15 parts by weight of 100 beta-carotene, plus, if desired, 50 to 250 parts by weight of vitamin C and/or a solid tocopheryl acetate suspendable in water (corresponding to 10 to 75 parts by weight of 100 t.ocopheryl acetate), plus still other vitamins if desired, are mixed with 2415 parts by weight of the effervescent grains prepared according to a). The product has a tablet weight of 3.3 g and its dissolving time is 60 to 90 seconds.

95021 7 - 22 - ~ ~ ~ ~ ~ P '~ ~92PC
Example 7: Ranitidine effervescent tablets a) Preparation of the effervescent grains 840 parts by weight of crystalline citric acid, 210 parts by weight of citric acid powder, 45 parts by weight of sodium cyclamate, and 4 parts by weight of sodium saccharin ar=
heated in a vacuum mixing tank at 60°C. Then a solution consisting of 6 parts by weight of water, 1 part by weight of sodium citrate, and 3 parts by weight of sorbitol is aspirated in and distributed by stirring. 500 parts by weight of sodium bicarbonate are next added and allowed to react, and thereafter 370 parts by weight of monosodium citrate are added, which are also allowed to react. Lastly, 100 parts by weight of sodium carbonate are <added and the i5 granules are dried with slow stirring up to '15 mbar.
b) Preparation of the final mixture To the effervescent grains thus prepared, 16'7 parts by weight of ranitidine hydrochloride, 125 parts by weight of mannitol plus 100.4 parts by weight of a granulated antifoaming agent (consisting of 100 parts by weight of mannitol and 0.4 parts by weight of simethicone) and the flavoring agent are added. This mixture is m_Lxed for 15 minutes for uniform distribution, and then pressed to tablets of 2.5 g. The tablets have a dissolving time of 60 to 80 seconds and an acid-tl~.l~a.capac~~.ty of about 2 meq and~contain (in percent by weight) 6.8 ranitidine hydrochloride, 42.0 citric acid, 14.8 monosodium citrate, 20.0 sodium bicarbonate, 4.0 sodium carbonate, 2.0 sweeteners, 5.0 mannitol, 0.1 sorbitol, 4.0 granulated antifoaming agent (containing 0.016 diemthylpolysiloxane) and 1.2 flavoring.

95021 7 - 23 - ~ ~ ~ ~ ~ ~ P~ 3q2PC
Example 8:
545 parts by weight of crystalline citric acid and 133 parts by weight of powdered citric or tartaric acid are mixed while heating to 60°C. Then, as the first coating, a solution which consists of 6 parts by weight of water and 4 parts by weight of sorbitol is distributed on the surface by stirring. Next, 222 parts by weight of sodiunn bicarbonate are made to react on the surface of the citric acid, and finally 80 parts by weight of sodium bicarbonate are added.
The product is dried with slow stirring. The granules are screened to 1.5 mm, and then mixed for 10 minutes at 10 rpm with 167 parts by weight of ranitidine hydrochloride, 100 parts by weight of anti-foaming granules (containing 0.4 parts by weight of simethicone and 100 parts by weight of lactose), plus ~4 parts by weight of sweetener and 40 parts by weight of flavoring, until uniform distribution is obtained. The mixture is then pressed to tablets weighing 1.43 g and having a dissolving time of 65-70 sec, a hardness of 8, and an acid-~utra~izinQ capacity of about 1.5 meq_ 'rhe product contains no monosodium citrate_ Ranitidine effervescent tablets having such a low acid-neutralizing capacity have not been disclosed to date.
Example 9:
:38.2 of citric acid is heated with 0.26 of sodium saccharin to 60°C, then two-thirds of a solution which consists of, with respect to the final mixturE~, 0.6~ water, C).18~ sorbitol, and 0.12$ sodium citrate is applied. The ~;olution is distributed for 5 minutes by mixing at 10 rpm.
Then 16.2~s of sodium bicarbonate and 2.9$ of aspartame are added and anchored on the surface of the citr~.c acid by reaction on the neutral substance coating. Then follows a second wetting with the third one-third of the solution;
then 12.9 monosodium citrate and, finally, 5.2~ sodium ptVic.:f~j:=~- ~. :.__ 24 - P.8o2PC
carbonate are added. The effervescent grains are dried while mixing them slowly by applying a vacuum, at a temperature of at least 50°C, to 15 mbar. The basic effervescent granular product is screened to 1.5 mm and mixed with 11.0 of :~anitidine hydrochloride, 6.5~ of mannitol, 6.5$ of anti-foaming granules plus 0.2~ of flavoring, and pressed to i=ablets of 1.55 g, which have a dissolving time of 50 sec at a hardness of 7.3 and an acid-n,~:utrali~,inq capacity of less t=han 2 meq .
Example 10: Vehicle crystal grains coated only with a neutral substance :>ince cisapride, for example, in comparison to ranitidine, i.s not as highly sensitive to acid, it is nevertheless also possible by the procedure to be described below to achieve ~>rotection against the acid, all the more so wince the drug is embedded in granules.
a) Preparation of the acid crystals coated with a neutral substance 593 parts by weight of crystalline citric acid plus 70 parts by weight of citric acid powder are heated to 60°C. Then a solution of 4 parts by weight of sorbitol in 4 parts by weight of water is applied and distributed onto the surface of the citric acid by mixing. Finally the citric acid thus coated is vacuum dried at 50 to 60°C.
In the case of both the form of effervescent product presented here and that of effervescent grain_~ which contain a second alkali or alkali earth carbonate coating, it is possible to protect cisapride, for example, against attack by the citric acid in the drug granules by they addition of sodium bicarbonate.

WO 95!23594 5 ~ PCTlEP95/00650 b) Preparation of the drug granules 160 parts by weight of mannitol, 10 parts by weight of cisapride, 5 parts by weight of aerosil and 10 parts by weight of sodium bicarbonate are heated with mixing to 60°C.
Then half of a solution of 27 parts by weight of methyl ethyl ketone (or 45 parts by weight of acetone), 2 parts by weight of alcohol, 2 parts by weight of polyvinyl pyrrolidone) K30, 1 part by weight of propylene glycol and 0.8 parts by weight of docusate sodium are added and 1o distributed for 5 minutes for the purpose of uniform wetting. The mixture is dried to 0.8 bar, the second part of this solution is aspirated, and again distributed by stirring for 5-10 minutes, and finally vacuum dried.
The active agent granules are then screened to 0.3 mm and already have an enhanced protection against acid attack simply due to the sodium bicarbonate they contain. They can then be mixed with the acid crystals coated 'with neutral substance, the remaining carbonates and bicarbonates, as well as the other tablet ingredients, and pressed to give tablets.
c) Preparation of the final mixture The citric acid dried and coated according to a) is then mixed with the drug granules prepared according to b), 50 parts by weight of sweetener, 80 parts by weight of sodium carbonate, 430 parts by weight of sodium bicarbonate, and 50 parts by weight of rnaltodextrin, 100 parts b:Y Weight of lactose, 150 parts by weight of mannitol, 50 parts by weight of an antifoaming granulate, and 20 parts by weight of flavoring, and then pressed to tablets of about 1.6 g, which have a dissolving time of 60 to 70 seconds a'~t a hardness of 7.

W O 95!23594 ~ ~ ~ 2 PCT'IEP95100650 -ZS-Example 1i: Cisapride effervescent tablets a) Preparation of the effervescent granules:
Citric acid, consisting of an amount of 300 parts by weight of granules, 80 parts by weight of fine granules and 40 parts by weight of powder, together with 5 ;parts by weight of saccharin sodium, is uniformly wet at 60°C with 2.2 parts by weight of a solution which,contains 0.4 ;part by weight of sorbitol, 0.15 part by weight of sodium bic.arbona~e, 0.45 part by weight of citric acid and 1.2 parts by weight of water. 12 parts by weight of malic acid are then aspirated in and uniformly anchored on the sorbitol layer formed on the citric acid crystals. Finally, 205 parts by weight of sodium bicarbonate and 1.2 parts by weight of aspartame are aspirated in and once again uniformly distributed. Finally, the material is covered with 46 parts by weight of sodium carbonate, vacuum-dried and discharged through a 1.2 mm sieve.
b) Preparation of the active ingredient granules:
12 parts by weight of polyvinylpyrrolidone are dissolved in 12 parts by weight of ethanol 6 parts by weight of propylene glycol and 6 parts by weight of docusate sodium are then added and the mixture is diluted with 165 parts by weight of ethyl methyl ketone. Half of this solution is distributed over a mixture of 960 parts by weight of mannitol, 30 parts by weight of Aerosil~R~, 60 parts by weight of sodium bicarbonate and 61 parts by weight of cisapride, which is heated to 60°C. Partial drying is then carried out in vacuo, and further wetting i,s effected with the second half of the solution, followed b;y complete drying and dicharge through a 0.3 mm sieve.
The final mixture is prepared analogously t~o Example 5.

Claims (56)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:

1. An effervescent product in granular or tablet form for preparing an aqueous solution or suspension of one or more pharmaceutically active substances for oral administration, comprising effervescent grains obtained from carrier crystals of at least one solid, edible organic acid, said crystals being substantially covered by at least one first coating containing at least one neutral substance soluble in water and/or alcohol, wherein said neutral substance is applied in a - relative to the acid grains -small amount and is effective for depressing the melting point of the acid crystals on their surface, and at least one second coating containing at least one substance selected from the group consisting of alkali carbonate, alkali bicarbonate, alkaline earth carbonate, alkaline earth bicarbonate, alkali salt of at least one solid edible organic acid, and alkaline earth salt of at least one solid edible organic acid;
wherein optionally the granular product is for pressing into tablets.

2. The granular product or tablet according to claim 1, wherein the neutral substance is selected from the group consisting of a water-soluble polymer, a higher alcohol, a carbohydrate and a hydrocolloid, and which neutral substance is present in an amount of from about 0.05 to about 1.0 % by weight.

3. The granular product or tablet according to claim 1 or 2, wherein the neutral substance is present in an amount from about 0.07 to about 0.8% by weight.

4. The granular product or tablet according to claim 1 or 2, wherein a moisture-binding agent is anchored on said effervescent grains.

5. The granular product or tablet according to claim 4, wherein the moisture-binding agent is selected from the group consisting of anhydrous sodium carbonate and sodium sulfate.

6. The granular product or tablet according to claim 4 or 5, wherein the moisture-binding agent is applied in an amount of from about 4 to about 10 % by weight with respect to the total mixture.

7. The granular product or tablet according to any one of claims 1 to 6, wherein on the effervescent grains at least one additional coating is applied, comprising a substance selected from the group consisting of alkali salts and/or alkaline earth salts of at least one solid, edible, organic acid as buffer and, optionally, comprising an additional neutral substance.

8. The granular product or tablet according to claim 7, wherein at least one of the coatings contains an antifoaming agent.

9. The granular product or tablet according to any one of claims 1 to 8, wherein the granular product, or said granular product compressed in tablet form, further comprises at least one antifoaming agent present in a granular product of its own.

10. The granular product or tablet according to any one of claims 7 or 9, wherein the antifoaming agent is selected from the group consisting of dimethicone and simethicone and is applied in an amount of from about 0.005 to about 0.5 % by weight with respect to the total mixture or from about 0.05 to about 2.0 % by weight with respect to the pharmaceutically active substance.

11. The granular product or tablet according to any one of claims 1 to 10, wherein it has an acid-binding capacity of less than 5, measured according to test 301 of USP XXIII.

12. The granular product or tablet according to claim 10, wherein the acid-binding capacity is less than 3 meq.

13. The granular product or tablet according to any one of claims 1 to 12, wherein, at a total weight of no more than 2.5, in water at room temperature, it has a dissolving time of less than 180.

14. The granular product or tablet according to claim 13, wherein the total weight is less than 2.0 grams.

15. The granular product or tablet according to claim 13 or 14, wherein the dissolving time is less than 120 seconds.

16. The granular product or tablet according to any one of claims 1 to 15, comprising a pharmaceutically active substance which is hydrophobic and wherein the hydrophobic substance is present in granules separate from the effervescent components, in which granules the hydrophobic substance is coated or anchored onto at least one substance selected from the group consisting of suspending agents and neutral substances.

17. The granular product or tablet according to claim 14, wherein the neutral substances are selected from the group consisting of mannitol and sorbitol.

18. The granular product or tablet according to claim 16 or 17, wherein the granules also contain at least one component selected from the group consisting of binders, small amounts of a tenside, alkali and/or alkaline earth carbonate and/or bicarbonate.

19. The granular product or tablet according to claim 18, wherein the binder is polyvinylpyrrolidone (PVP).

20. The granular product or tablet according to claim 19, wherein the small amounts of tenside are selected from the group consisting of dioctyl sodium sulfosuccinate and sodium lauryl sulfate.

21. The granular product or tablet according to any one of claims 1 to 20, wherein it contains, with respect to the total mixture, about 2 to about 30 % by weight of cimetidine; about 30 to about 60 % by weight of a solid, edible organic acid; about 12 to about 40 % by weight of at least one alkali or alkaline earth carbonate or bicarbonate (of which about 2 to about 10 % by weight is sodium carbonate as moisture-binding agent); about 1 to about 4 %
by weight of a sweetener; about 0.01 to about 30 % by weight of a neutral substance (of which about 0.01 to about 0.05 % by weight is for the neutral substance coating);

about 0.005 to about 0.5 % by weight of an antifoaming agent, and about 0.1 to about 3 % by weight of flavouring agent.

22. The granular product or tablet according to claim 21, wherein the weight with respect to the total mixture of the neutral substance is about 3 to about 20 % by weight of sorbitol and about 2 to about 10 % by weight of mannitol.

23. The granular product or tablet according to any one of claims 1 to 20, wherein it contains, with respect to the total mixture, the following components: about 0.4 to about 4.5 % by weight of cisapride; about 0.4 to about 4.5 % by weight of suspending agent; about 0.1 to about 1 % by weight of binder; about 0.03 to about 0.35 % by weight of tenside; about 30 to about 55 % by weight of a solid, edible organic acid; about 12 to about 40 % by weight of at least one alkali or alkaline earth carbonate or bicarbonate (of which about 2 to about 10 % by weight is sodium carbonate as moisture-binding agent); about 0.3 to about 2.5 % by weight of sweetener; about 0.02 to about 55 % by weight of neutral substance (of which about 0.02 to about 0.1 % by weight is for the neutral substance coating);
about 0.005 to about 0.05 % by weight of antifoaming agent;
and about 0.2 to about 5 % by weight of flavouring.

24. The granular tablet or product according to claim 23, wherein the binder is polyvinylpyrrolidone (PVP).

25. The granular tablet or product according to claim 23 or 24, wherein the tenside is dioctyl sodium sulfosuccinate.

26. The granular tablet or product according to any one of claims 23 to 25, wherein the edible organic acid is citric acid.

27. The granular tablet or product according to any one of claims 23 to 26, wherein the neutral substance is selected from the group consisting maltodextrin, lactose and mannitol.

28. The granular tablet or product according to any one of claims 23 to 27, wherein the antifoaming agent is selected from the group consisting of dimethicone and simethicone.

29. The granular product or tablet according to any one of claims 1 to 20, wherein it contains, with respect to the total mixture, the following components:
about 0.1 to about 0.5 % by weight of beta-carotene (100%);
about 0 to about 2 % by weight of tocopheryl acetate (100%);
about 35 to about 70 % by weight of solid, edible organic acid;
about 11 to about 38 % by weight of at least one alkali or alkaline earth carbonate or bicarbonate;
about 1 to about 4 % by weight of sweetener;
about 0.1 to about 35.0 % by weight of neutral substance (of which about 0.1 to about 0.5 % by weight is for the neutral substance coating); and about 0.3 to about 3 % by weight of flavouring.

30. The granular product or tablet according to claim 29, wherein the organic acid is about 0 to about 10 % by weight of ascorbic acid, about 35 to about 55 % by weight of citric acid, and about 0 to about 5 % by weight of malic acid.

31. The granular product or tablet according to claim 29 or 30, wherein the alkali or alkaline earth carbonate or bicarbonate is about 5 to about 15% by weight of calcium carbonate and about 5 to about 20 % by weight of sodium bicarbonate.

32. The granular product or tablet according to any one of claims 29 to 31, wherein the neutral substance is about 1 to about 10 % by weight of sorbitol and about 5 to about 25 % by weight of mannitol.

33. The granular product or tablet according to any one of claims 1 to 20, wherein it contains, with respect to the total mixture, the following components: about 3 to about 14 % by weight of ranitidine hydrochloride (75 - 300 mg per dose); about 30 to about 50 % by weight of citric acid;
about 0 to about 20 % by weight of mono-sodium citrate;
about 10 to about 30 % by weight of sodium bicarbonate;
about 2 to about 10 % by weight of sodium carbonate; about 1 to about 3 % by weight of sweetener; about 0.05 to about 0.2 % by weight of neutral substance for the first coating as well as about 0 to about 15 % by weight of additional neutral sub-stances; about 0 to about 8 % by weight of antifoaming granules, and about 0.1 to about 4 % by weight of flavouring.

34. An effervescent tablet containing at least one pharmaceutically active substance and an effervescent system comprising at least one solid, edible, organic acid, at least one alkali metal carbonate or bicarbonate as a gas-forming component and at least one alkali metal salt of the acid, at least two layers being applied to carrier crystals consisting of the at least one acid, wherein the first layer contains at least one other, solid, edible, organic acid or the alkali metal salt of this other acid, or both, whereas the second layer contains at least one alkali metal salt of said at least one acid, and wherein the first layer additionally contains a neutral substance soluble in water and/or alcohol selected from the group consisting of a water-soluble polymer, a higher alcohol, a carbohydrate and a hydrocolloid.

35. A granular product or tablet, with an effervescent system according to any one of claims 1 to 34, and cisapride as the pharmaceutically active substance, wherein, at a total weight of less than 2 grams, it has an acid-binding capacity of less than 5 meq.

36. The granular product or tablet according to claim 35, wherein the total weight is less than about 1.6 grams.

37. The granular product or tablet according to claim 35 or 36, wherein the acid-binding capacity is less than 3 meq.

38. A granular product or tablet, with an effervescent system according to any one of claims 1 to 34, and cimetidine as the pharmaceutically active substance, wherein, at a total weight of less than 2.5 grams, it has an acid-binding capacity of less than 5 meq.

39. The granular product or tablet according to claim 38, wherein the total weight is less than 2.0 grams.

40. The granular product or tablet according to claim 38 or 39, wherein the acid-binding capacity is less than 3 meq.

41. A granular product or tablet, with an effervescent system according to any one of claims 1 to 34, and ranitidine as the pharmaceutically active substance, wherein, at a total weight of less than 2.6 grams, it has an acid-binding capacity of less than 3 meq.

42. The granular product or tablet of claim 41, wherein the total weight is less than 2.0 grams.

43. The granular product or tablet of claim 41 or 42, wherein the acid-binding capacity is less than 2 meq.

44. A method for the preparation of a granular product or of a tablet as defined in any one of claims 1 to 43, wherein crystals of at least one solid, edible organic acid are wet with an aqueous solution of a neutral substance, and then, before complete drying, an alkali and/or alkaline earth carbonate and/or bicarbonate in powder form is uniformly distributed and anchored on the moist surface layer by mixing, whereupon the effervescent grains thus prepared are dried and mixed with a pharmaceutically active substance and pharmaceutically acceptable adjuvants, and optionally compressed into tablets.

45. The method of claim 44, wherein the pharmaceutically active substance is an acid-sensitive one.

46. The method according to claim 45, wherein the acid sensitive pharmaceutically active substance is selected from the group consisting of H2-blockers, cimetidine, ranitidine, cisapride and beta-carotene.

47. The method according to any one of claims 44 to 46, wherein, on the effervescent grains, at least one additional coating is applied by wetting the grains with the solution of a buffer substance.

48. The method according to claim 47, wherein the buffer substance is selected from the group consisting of alkali carbonate, alkali bicarbonate, alkaline earth carbonate, alkaline earth bicarbonate, alkali salt of at least one solid edible organic acid and alkaline earth salt of at least one solid edible organic acid.

49. The method according to claim 44 or 48, wherein the solution further comprises a neutral substance selected from the group consisting of a water-soluble polymer, a higher alcohol, a carbohydrate and a hydrocolloid.

50. The method according to any one of claims 46 to 48, wherein, in addition to a drug, the effervescent grains are also mixed with a granular product which has been made by applying an antifoaming agent in solvent to the surface of neutral substance particles, and drying the solvent.

51. The method according to any one of claims 44 to 48, wherein dried effervescent grains are wetted with ethanol, and are dried again, by evaporating the ethanol, to remove residual moisture.

52. The method according to claim 51, wherein the ethanol contains an antifoaming agent dissolved.

53. The method according to any one of claims 20 to 24, wherein the pharmaceutically active substance, before ad-mixing it to the effervescent system, is - together with a binding agent and/or a tenside - applied in solution to and uniformly distributed on the grains of a suspension agent and dried.

54. The method according to any one of claims 20 to 25, wherein the pharmaceutically active substance, before ad-mixing it to the effervescent system, is mixed with at least one neutral substance, at least one suspension agent and at least one substance selected from the group of alkali carbonate, alkali bicarbonate, alkaline earth carbonate, alkaline earth bicarbonate, alkali salt of at least one solid edible organic acid, alkaline earth salt of at least one solid edible organic acid, whereafter a solution of at least one binding agent and/or a tenside is at least once applied to, distributed on the grains of the mixture and dried.

55. A process for the manufacture of effervescent granules from a powdered or granular mixture of a solid, edible, organic acid and the carbonate and/or bicarbonate of an alkali and/or alkaline earth metal under vacuum, wherein, for the passivation of the surface of at least one of the components to a state of strong inertia to the reaction, there is added to the heated mixture during the treatment under vacuum a metered quantity of a polar solvent, the difference in pressure caused by development of carbon dioxide through the addition of solvent during the reaction being determined up to a maximum of 10 5 Pa (1000 mbar), the volume and mass of the carbon dioxide liberated being ascertained from this difference in pressure, and the heat treatment being repeated, after rapid drying of the mixture, as many times as necessary to obtain passivation of the surface as indicated by an evident slowing down of the reaction and by a reduced development of gas, and wherein in said polar solvent there is dissolved a neutral substance selected from the group consisting of a water-soluble polymer, a higher alcohol, a carbohydrate and a hydrocolloid.

56. A process for the preparation of an effervescent granular material containing at least one solid, crystalline edible organic acid and at least one carbonate of an alkali metal or an alkaline earth metal which splits off CO2 upon reaction with said organic acid in aqueous solution, which comprises:
pre-reacting a portion of said organic acid and said carbonate in solution in water and/or alcohol to form a pre-reaction product, adding said pre-reaction product to an additional portion of said organic acid in crystalline form with thorough mixing to form a first coating by reaction with said organic acid crystals and liberation of the resulting water of crystallization, applying at least one additional coating including said carbonate onto the organic acid crystals with said first coating adhering thereto, and terminating the reaction after the last coating has been applied by drying, wherein to said pre-reaction product there is added a neutral substance selected from the group consisting of a polymer soluble in water and/or alcohol, a higher alcohol, a carbohydrate and a hydrocolloid.