NZ240731A - Pharmaceutical dosage from of almokalant in a complex with polystyrene sulphonate - Google Patents

Pharmaceutical dosage from of almokalant in a complex with polystyrene sulphonate

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Publication number
NZ240731A
NZ240731A NZ240731A NZ24073191A NZ240731A NZ 240731 A NZ240731 A NZ 240731A NZ 240731 A NZ240731 A NZ 240731A NZ 24073191 A NZ24073191 A NZ 24073191A NZ 240731 A NZ240731 A NZ 240731A
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NZ
New Zealand
Prior art keywords
almokalant
dosage form
tablets
complex
tablet
Prior art date
Application number
NZ240731A
Inventor
Kjell Hjalmar Andersson
Per Johan Gunnar Lundberg
Leif Roger Simonsson
Karin Helena Johans Wingstrand
Original Assignee
Astra Ab
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Astra Ab filed Critical Astra Ab
Publication of NZ240731A publication Critical patent/NZ240731A/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/795Polymers containing sulfur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/275Nitriles; Isonitriles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/56Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
    • A61K47/58Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. poly[meth]acrylate, polyacrylamide, polystyrene, polyvinylpyrrolidone, polyvinylalcohol or polystyrene sulfonic acid resin
    • A61K47/585Ion exchange resins, e.g. polystyrene sulfonic acid resin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/06Antiarrhythmics

Description

New Zealand Paient Spedficaiion for Paient Number £40731 240 7 3 Priority Do Com S *"6U3 Specification Fi.'ed: OfaAVAl. Baa.: PM (Oil Ij?, Wgj.. flW |t3jh.<W Publication Dats: ....?.?. fl ?J. „$93.
P.O. Journal, No: .... .I3>7l3v WflWWiW^ NEW ZEALAND THE PATENTS ACT 195 3 COMPLETE SPECIFICATION "SOLID DOSAGE FORMS OF ALMOKALANT AND PROCESSES FOR MANUFACTURE THEREOF" We, AKTIEBOLAGET ASTRA, a Swedish Company, of Kvarnbergagatan 16, S-151 85 Sodertalje, Sweden, hereby declare the invention, for which we pray that a patent may be granted to us, and the method by which it is to be performed, to be particularly described in and by the following statements: 1 (followed by 1A) lA * 24 0 73 1 Field of the invention This invention relates to solid dosage forms of the antiarrhythmic drug almokalant (p-INN) formulated as immediate release (IR) tablets and extended release (ER) tablets as well as processes for manufacture thereof.
Specifically the invention relates to the use of the polystyrene sulphonate complex of almokalant in solid dosage forms.
Background of the invention No solid dosage forms containing the polystyrene sulphonate complex of almokalant have been reported. The polystyrene sulphonate complex of almokalant is described in the European patent application EP 90850242.0 (published in the English language under No. 0 4 04 747}, which was not 15 puiDlically available at the time of filing the basic Swedish application of the present application.
Almokalant (p-INN), 4-[3-[ethyl[3-(propylsulfinyl)-propyl]amino]-2-hydroxypropoxy]-ben2onitrile free base is a viscous, sticky substance, problematic to handle in the 2 0 manufacture of solid dosage forms. It has a pronounced tendency to give a repellent odorous degradation product with a smell resembling old onions.
Several different ways were tested in order to prepare a solid dosage form of almokalant. Commonly used methods 25 had the following disadvantages.
Due to the instability of the base and its te I 24 0 7 3 1 worsen tablet binding properties, solid dosage forms of the free base are difficult to produce. See further reference example III.
Tablets prepared by conventional technique, with almokalant dissolved in an acidic granulating solution, have inferior stability properties and develop a repelling onion-like odour. See further reference examples I and III.
The use of complexes of drug substances with ion exchange resins in pharmaceutical formulation is described previously. A way to obtain a controlled release suspension containing codeine is described by Amsel L.P. * '4.5 et al "Unique Oral Controlled Release Systems": In-Vivo Drug Release Pattern pp 83-93 where a complex between codeine and an ion exchange resin is coated with a diffusion membrane and then formulated into a suspension. In addition, Pennwalt Corporation has published a series 20 of patents describing the use of ion exchange resins having pharmacologically active substances absorbed-thereon for use in controlled release preparations either as such or further coated with diffusion membranes (US Pat 4,221,778, EP 0171 528, EP 0 254 811). Other uses of 25 ion exchange resin complexes with drugs in pharmaceutical formulation is for example summarized by Raghunathan et' al. J Pharm Sci 1981, 7J3, (No 4), 379-384.
Description of the invention The aim of the present invention is to provide solid d®sage forms of the antiarrhythmic drug almokalant, fclsnulated as IR-tablets and ER-tablets with improved stability and\minimal odqjur. ER-tablets can be formulated 35 by a variety of formulation principles, such as for instance hydrophilic gel-matrix tablets, matrix tablets, merttorane diffusion controlled formulations, osmotic pressure controlled dosage forms etc. 240 7 3 1 As the use of solid substances in tablet manufacture in general is advantageous and facilitates the production different ways to prepare solid dosage forms were investigated.
As it had been noticed that the compound almokalant as such in acidic solutions has a good stability, which makes it possible to autoclave it without noteworthy degradation, the addition of acid compounds were tested.
Although complex-binding to ion-exchange resins of viscous, unstable, pharmacologically active agents, to form a stabile solid complex suitable for pharmaceutical processing has not been previously described, this was tested with almokalant.
Thus, it was tested to use the polystyrene sulfonate complex of almokalant in the formulation of pharmaceutical dosage forms. It was then unexpectedly found that almokalant polystyrene sulphonate complex (A-PSS), had a much better stability, less repelling odour and was much easier to handle in tablet manufacture.
To form ER tablets it is necessary to mix the formed complex with e.g. a hydrophilic matrix. It is especially preferable to use hydroxypropyl methylcellulose as the gel forming substance. It is further preferred to use a mixture of HPMC containing both low and high molecular weight HPMC.
The use of different mixtures of HPMC gives according to known technics (Journal of Controlled release, 5 (1987) 159-172), different release rates of the active ingredient almokalant.
EXAMPLES 4 240731 Example 1 Immediate release tablets of almokalant were prepared by mixing A-PSS 90 parts, lactose 85 parts, microcrystalline cellulose 91 parts and polyvinyl pyrrolidone 27 parts and then granulating the mixture with purified water.
After drying the granulate was milled and then mixed with sodium stearyl fumarate and compressed to tablets.
A reference preparation was produced by dissolving the free base in a 2M hydrochloric acid solution and using this solution to granulate the excipients.
A-PSS tablet Ref.
Ex 1 Ex I 1. A-PSS corresp. to almokalant Almokalant 50.0 50.0 2. Lactose pwd Lactose anhydrous Avicel® PH 101 Povidone® K-25 Polyvinyl pyrrolidone, cross-linked Aerosil® 84.5 91.3 26.8 106.8 114.0 7.1 3.6 3. Water, purified Hydrochloric acid 2M (corresp. to HCl) 105 71.2 (5.2) 4. Sodium stearyl fumarate Magnesium stearate Talcum Polyvinyl pyrrolidone, cross-linked .8 2.9 11.5 5.7 The A-PSS tablet was prepared by first mixing ingredients 1 and 2. The mixture was granulated with 3. After drying and milling 4 was admixed, whereupon compression to 240731 tablets was performed on a Korsch Pharmapress 100.
The reference tablet (Ref. ex. I) was prepared by making a granulating solution of the ingredients 1 and 3. The powders in 2 were mixed and then granulated with the prepared solution. After drying and milling the lubricant, glidant and disintegrant in 4 were admixed and tablets compressed on the same machine.
Punches: Tablet weight: Hardness: Disintegration: A-PSS tablet. Ex. 1 9 mm 298 mg 7.5 kP 1-2 min.
Ref.ex. I mm 307 mg 6.7 kP 1-2 min.
Ex. 1 Ref.
A-PSS tablet Ex. I Stability data of storage in glass bottles. Degradation measured as area sum of byproducts in a HPLC-system 0 month 1 month in 25°C 1 month in 50°C 3.5 months in 25°C 0.81 0.88 1.82 0.88 2.11 2.83 3.41 2.87 Example 2 Immediate release tablets of almokalant were prepared by mixing A-PSS 90 parts, lactose 85 parts, microcrystalline cellulose 91 parts and polyvinyl pyrrolidone 27 parts and then granulating the mixture with purified water. 35 After drying the granulate was milled and then mixed with the lubricant sodium stearyl fumarate whereupon compression to tablets was done. t 240 7 3 1 A reference preparation (Ref. ex. II) was produced by dissolving the free base in an aqueous tartaric acid solution and using this solution to granulate the excipients.
A-PSS tablet Ref. tablet Ex 2 Ex II 1. A-PSS corresp. to almokalant 50.0 Almokalant 2. Lactose pwd 84.5 Lactose anhydrous Avicel® PH 101 91.3 Polyvidone® K-25 26.8 3. Water, purified 105 Tartaric acid 4. Sodium stearyl fumarate 5.8 Talcum Polyvinyl pyrrolidone, cross-linked 50.0 110.7 114. 3 57.1 21. 5 6.0 12.0 12.0 Punches: Tablet weight: Hardness: Disintegration: 9 mm 298 mg 7.5 kP 1-2 min. 10mm 331mg 5. 9kP 8min.
The A-PSS tablets were prepared by first mixing ingredients 1 and 2. The mixture was granulated with 3. After drying and milling 4 was admixed, whereupon compression to tablets were performed on a Korsch Pharmapress 100.
The reference tablet (Ref. ex. II) was prepared by making a granulating solution of 1 and 3. The powders 2 were mixed and granulated with the solution. After drying and milling the lubricant, glidant and disintegrant in 4 were admixed and tablets were compressed on the same machine.
The odour intensity of the two formulations were compared 7 2 4 0 7 31" immediately after manufacturing and after 1 month of storage in glass bottles.
Odour intensity A-PSS tablets Ex. 2 Ref. Ex. II Freshly prepared (some smell, but not of onions.) ++ (pronounced smell of onions.) 1 month (some smell, but not of onions.) +++ (strong smell of of onions) Example 3 Immediate release tablets of almokalant can be prepared in suitable strengths.
In Ex. 1 and 2 a 50 mg preparation was described. Below are examples of 70 mg and 1.8 mg preparations shown.
Ex 3a 70 mg Ex 3b 1.8 mg 1. A-PSS Avicel PH 101 Polyvidone® K-90 Polyvidone® K-90 Polyvidone® K-25 Water, purified Avxcel PH102 coarse grade Polyvinyl pyrrolidone, cross-linked Sodium stearyl fumarate 127 148 35 10 161 3.3 29 4.7 19 107 1.6 4.3 1.4 t 8 240 7 3 f The A-PSS tablets were prepared by first mixing the ingredients 1. The mixture was granulated with a solution made of ingredients 2. After drying and milling ingredients 3 were admixed, whereupon compression to tablets were performed on a Korsch Pharmapress 100.
Punches: mm .5x10.5 mm Tablet weight: Hardness: Disintegration (without discs): 322 mg 9-10 kP 0.6-1.0 min. 150 mg 9-10 kP 0.2-0.4 min.
Example 4 Extended release tablets of almokalant were prepared by mixing A-PSS 95 parts, hydroxypropyl methylcellulose (HPMC) 50 cps 40 parts, HPMC 10000 cps 160 parts and hydroxypropyl cellulose (HPC) 50 parts and then granulating the mixture with ethanol 99.5%. After drying the granulate was milled and then mixed with sodium stearyl fumarate whereupon compression to tablets was done.
A reference preparation (Ref. ex. Ill) was made by dissolving the free base in ethanol (99.5%) and using this solution to granulate the dry excipients, and otherwise following the same way of production.
Example 4 Ref.ex. Ill Ingredient mg/tablet mg/tablet 1. A-PSS corresp. to almokalant Almokalant 2. HPMC 50 cps (Metolose® 60SH50) 50.0 40.0 50.0 40.0 t 2 4 0 7 31 3. HPMC 10000 cps (Methocel ElOMCR) 160.0 4. HPC LF (Klucel® LF) 50.0 . Ethanol 99.5% 261 (D 6. Sodium stearyl fumarate (Pruv ) 3.3 160.0 50.0 235 3.3 Ingredients 1 to 4 were mixed. The mixture was granulated with ethanol. After drying and milling the granulate was mixed with 6.
Compression to tablets was performed on a Korsch Pharmapress 100 with 11 mm circular punches. The tablet machine was equipped with compression force registration.
Tablet weight: 15 " compression force: " hardness: 348 mg 8.6 kN 5.5 kP 303 mg 12.3 kN 3.7 kP Tablets made using the free base have inferior binding properties.
Odour intensity A-PSS tablets (Ex. 4) Reference tablet (Ref.ex. Ill) Freshly prepared (some smell, but not of onions.) +++ (strong smell of onions.) The release rate was determined from 6 individual tablets using USP dissolution apparatus 2 with the paddle rotating at 100 r/min and the tablet placed in a stationary basket 35 above the paddle, 500 ml buffer solution pH 6.8 kept at 37°C was used as dissolution medium. t A-PSS tablet (Ex. 4) 240731 Ref. tablet (Ref.ex. Ill) hours cumulative % released average (min-max) cumulative % released average (min-max) 2 4 6 10 24 (14-15) 24 (23-25) 34 (33-35) 51 (48-52) 91 (87-93) 28 (28-29) 43 (42-43) 55 (54-56) 74 (72-75) 102(100-105) Example 5 Extended release tablets of almokalant can be prepared in suitable strengths and with different release rates.
In Ex. 4a preparation with 50 mg strength is described. Below follows examples of 10 mg and 100 mg. mg 100 mg Ex. 5a Ex. 5b Ingredient mg/tablet 1. A-PSS corresp. to almokalant 10.0 100.0 2. Lactose pwd 100.0 40.0 HPMC 50 cps (Metolose® 60SH50) 27.6 39.2 HPMC lOOOOcps (Methocel® E10MCR) 110.4 146.4 HPC LF (Klucel® LF) 25.0 3. Polyethylene glycol 20M (Carbowax® 20M) 30.0 Polyethylene glycol 6000 (Carbowax® 6000) - 42.0 4. Water, purified 70.0 98.1 . Sodium stearyl fumarate (Pruv®) 1.6 2.3 11 2407Sf 1 and 2 were mixed. The mixture was granulated with a solution made of 3 and 4. After drying and milling the granulate was mixed with 5.
Compression to tablets was performed on a Korsch Pharmapress 100. The tablet machine was equipped with compression force registration.
Punches, diameter: 10 mm 11 mm Tablet weight: 314 mg 459 mg " compression force (kN): 11.0 11.4 " hardness (kP): 8.2 5.4 The release rate was determined from 6 individual tablets using USP dissolution apparatus 2 with the paddle rotating at 100 r/min and the tablet placed in a stationary basket above the paddle. 500 ml buffer solution pH 6.8 kept at 37°C was used as dissolution medium. mg ER tablet 100 mg ER tablet hours Ex. 5a cumulative % released Ex. 5b cumulative % released average (min-max) average (min-max) 2 27 (27-28) 17 (17-18) 4 44 (43-45) 28 (26-29) 6 37 (35-39) 8 72 (70-75) - - - - - 55 (52-60) 12 105 (96-109) 91 (84-95) 24 100(99-101) 12 240731 Examples 6-7 Controlled release tablets were prepared by granulating 54.3 parts active substance, 30.0 parts mannitol, 154 parts HPMC 50 cps, 221 parts HPMC 10,000 cps, 37.5 parts HPC, 0.3 parts propyl gallate with a solution of 45 parts PEG 20,000 (Ex. 6) or PVP K-25 (Ex. 7) dissolved in 105 10 parts of water. The dried granulate was lubricated with 2.7 parts of sodium stearyl fumarate.
Example 6 Example 7 Ingredient mg/tablet 1.
A-PSS corresp. to almokalant . 0 . 0 2.
Mannitol pwd . 0 . 0 3.
HPMC (Metolose® 60SH50) 154. 0 154. 0 4.
HPMC (Methocel® E10MCR) 221. 0 221. 0 .
HPC (Klucel® LF) 37. 37. 6.
Propyl gallate 0. 3 0. 3 7.
PEG (Carbowax® 20M) 45. 0 - PVP (Povidone® K-25) - 45. 0 8. Water 105.0 105.0 9. Sodium stearyl fumarate (Pruv ) 2.7 2.7 Ingredients 1 to 6 were mixed. The mixture was granulated with a solution made of 7 and 8. After drying the 30 granulate was mixed with 9.
Compression to tablets were performed on a Korsch Pharmapress 100 with 11 mm circular punches. The tablet machine was equipped with compression force registration .
Example 6 Example 7 Tablet weight: 545 mg 545 mg 13 240 7 31 compression force (kN): 20 19 tablet hardness (kP): 7.7 12.2 The release rate was determined in USP dissolution apparatus 2 with the paddle rotating at 100 r/min and the tablet placed in a stationary basket above the paddle. 500 ml buffer solution pH 6.8 kept at 37°C was used as dissolution medium.
Cumulative % released Average (min-max) Example 6 Example 7 2h 17(17-18) 18(17-18) 4h 28(28-29) 28(28-29) 6h 38(38-39) 38(37-39) lOh 55(54-56) 54(53-56) 16h 74(73-76) 73(71-74) The examples show that PEG 20000 and PVP K-25 both function in the process.
Discussion From the examples it is quite obvious that the use of almokalant free base in pharmaceutical formulation - apart from the inconvenience of handling a sticky, viscous substance - results in dosage forms with inferior stability and palatability as well as in inferior technical properties. The use of almokalant polystyrene sulphonate complex in pharmaceutical formulation eases the handling and results in more stabile and more palatable dosage forms.
The best mode of carrying out the invention known at present is to prepare the formulation according to Examples 6-7.
The matter contained in each of the following claims is to be read as part of the general description of the present invention.

Claims (10)

WHAT WE CLAIM IS: 14 24 0 73 1
1. A pharmaceutical oral solid dosage form of almokalant wherein said almokalant.is in the form of a complex with polystyrene sulphonate, optionally mixed with pharmaceutical excipients.
2. A dosage form according to claim 1 wherein the pharmaceutical excipients contain a hydrophilic matrix.
3. A dosage form according to claim 2 wherein the hydrophilic matrix is hydroxypropyl methylcellulose.
4. A dosage form according to claim 3 wherein the hydroxypropyl methylcellulose contains both low and high molecular weight hydroxypropyl methylcellulose.
5. A process for the manufacture of a solid dosage form according to claim 1 wherein: a) almokalant is reacted with polystyrene sulphonic acid to form a complex; and b) the complex is mixed with pharmaceutical excipients, whereby an oral solid dosage form is prepared according to any known method.
6. A process according to claim 5, wherein the pharmaceutical excipients contain a hydrophilic matrix.
7. A process according to claim 6, wherein the hydrophilic matrix is hydroxypropyl methylcellulose.
8. A process according to claim 7, wherein the hydroxy-propyl methylcellulose contains both low and high molecular weight hydroxypropyl methylcellulose.
9. A solid dosage form according to claim--1-,..when prepared by the process of any one of claims 5 to 8. 15 240 731
10. A dosage form according to claim 1, substantially in accordance with any one of the practical examples. AKTIEBOLAG By Their Attoi HENRY HUG Per: ASTRA
NZ240731A 1990-12-07 1991-11-26 Pharmaceutical dosage from of almokalant in a complex with polystyrene sulphonate NZ240731A (en)

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SE9003902A SE9003902D0 (en) 1990-12-07 1990-12-07 SOLID DOSAGE FORMS OF A DRUG

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CN (1) CN1063039A (en)
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AU (1) AU8930791A (en)
BG (1) BG97851A (en)
CA (1) CA2097178A1 (en)
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FI (1) FI932554A (en)
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IE (1) IE914137A1 (en)
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NZ (1) NZ240731A (en)
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SE (1) SE9003902D0 (en)
SK (1) SK55693A3 (en)
TN (1) TNSN91117A1 (en)
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DE19602757A1 (en) 1996-01-26 1997-07-31 Boehringer Mannheim Gmbh Solid instant release dosage forms and processes for their manufacture
GB9611328D0 (en) * 1996-05-31 1996-08-07 Zeneca Ltd Pharmaceutical compositions
US6024981A (en) * 1997-04-16 2000-02-15 Cima Labs Inc. Rapidly dissolving robust dosage form
JP4504467B2 (en) * 1998-07-30 2010-07-14 佐藤製薬株式会社 Orally disintegrating tablets
JP7426685B2 (en) * 2018-06-14 2024-02-02 株式会社東洋新薬 tablet

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SE8705150D0 (en) * 1987-12-23 1987-12-23 Haessle Ab NOVEL ANTIARRHYTHMIC AGENTS
IL90245A (en) * 1988-05-11 1994-04-12 Glaxo Group Ltd Resin adsorbate comprising ranitidine together with a synthetic cation exchange resin, its preparation and pharmaceutical compositions containing it
SE8902236D0 (en) * 1989-06-20 1989-06-20 Haessle Ab NOVEL POLYSTYRENESULPHONATE

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FI932554A (en) 1993-06-08
MY106776A (en) 1995-07-31
EP0560821A1 (en) 1993-09-22
ZA919264B (en) 1992-08-26
PT99719A (en) 1992-10-30
MX9102325A (en) 1992-06-01
HU9301670D0 (en) 1993-09-28
SE9003902D0 (en) 1990-12-07
SK55693A3 (en) 1993-10-06
LTIP1717A (en) 1995-07-25
CN1063039A (en) 1992-07-29
TNSN91117A1 (en) 1992-10-25
JPH06503312A (en) 1994-04-14
HUT64217A (en) 1993-12-28
AP258A (en) 1993-06-03
YU186891A (en) 1994-04-05
MA22355A1 (en) 1992-07-01
AP9100338A0 (en) 1992-01-31
TW215057B (en) 1993-10-21
WO1992010172A1 (en) 1992-06-25
CZ103793A3 (en) 1994-02-16
BG97851A (en) 1994-04-29
IS3788A7 (en) 1992-06-08
IL100150A0 (en) 1992-08-18
FI932554A0 (en) 1993-06-04
IE914137A1 (en) 1992-06-17
AU8930791A (en) 1992-07-08
CA2097178A1 (en) 1992-06-08

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