US20020192281A1 - Beta-lactam antibiotic-containing tablet and production thereof - Google Patents

Beta-lactam antibiotic-containing tablet and production thereof Download PDF

Info

Publication number
US20020192281A1
US20020192281A1 US10/154,904 US15490402A US2002192281A1 US 20020192281 A1 US20020192281 A1 US 20020192281A1 US 15490402 A US15490402 A US 15490402A US 2002192281 A1 US2002192281 A1 US 2002192281A1
Authority
US
United States
Prior art keywords
tablet
tablets
synthetic sweetener
weight
lactam antibiotic
Prior art date
Legal status (The legal status 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 status listed.)
Abandoned
Application number
US10/154,904
Inventor
Hisami Yamaguchi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fujisawa Pharmaceutical Co Ltd
Original Assignee
Fujisawa Pharmaceutical Co Ltd
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 Fujisawa Pharmaceutical Co Ltd filed Critical Fujisawa Pharmaceutical Co Ltd
Priority to US10/154,904 priority Critical patent/US20020192281A1/en
Publication of US20020192281A1 publication Critical patent/US20020192281A1/en
Priority to US10/346,120 priority patent/US20030129227A1/en
Priority to US11/678,945 priority patent/US20070134325A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/54Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/542Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/545Compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins, cefaclor, or cephalexine
    • A61K31/546Compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins, cefaclor, or cephalexine containing further heterocyclic rings, e.g. cephalothin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/54Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/542Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/545Compounds containing 5-thia-1-azabicyclo [4.2.0] octane ring systems, i.e. compounds containing a ring system of the formula:, e.g. cephalosporins, cefaclor, or cephalexine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0056Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
    • 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
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • 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
    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • 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
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents

Definitions

  • This invention relates to ⁇ -lactam antibiotic-containing tablets and a method of producing the same. More particularly, it relates to tablets of the above variety which can be orally taken either as such or, for taking by, for example, the aged who have difficulties in swallowing, as a dispersion available upon dropping the same into water in a glass for self-disintegration, and to a method of producing the same.
  • the present inventor attempted to provide a dosage form with improved administrability by reducing the tablet size as much as possible to thereby facilitate the taking of tablets by the recipient and at the same time to provide a dosage form capable of being taken in the form of a dispersion resulting from rapid self-disintegration upon its being simply dropped into water or the like in a glass, for instance, to thereby make said dosage form administrable to persons of advanced age or children having difficulties in swallowing the dosage form as such.
  • rapidly self-disintegration means that when the preparation is dropped into a glass containing a liquid such as water, the tablet form spontaneously collapses generally within 3 minutes, preferably within 1 minute, so that said preparation can be orally taken in dispersion form without awaiting long before taking.
  • said first disintegrator which is used in a large amount, increases the tablet size.
  • the proportion of a binder component for wet granulation is as low as 0 to 0.1% by weight based on the antibiotic, hence is substantially nil.
  • a binder renders tablets extremely poor in self-disintegrating properties.
  • a special method of insuring an integrity of the artefact which comprises mixing the antibiotic bulk substance with microcrystalline cellulose and kneading the mixture with the aid of water under application of a great deal of force, without using any alcohol.
  • large lumps are formed inevitably and they are milled in the wet state and then dried, followed by further milling to provide granules for tableting. It is a problem that these steps are very inefficient.
  • tablets containing amoxicillin which is a ⁇ -lactam antibiotic
  • amoxicillin which is a ⁇ -lactam antibiotic
  • Flemoxin Solutab 500 from Brocades Pharma (Netherlands), the patentee to whom said European patent has been granted.
  • Said tablets each contains 500 mg potency (about 570 mg) of amoxicillin and weighs about 970 mg, hence is very large and not entirely suited for oral administration.
  • ⁇ -lactam antibiotics are bitter. Therefore, aqueous dispersions prepared from tablets containing them, when orally taken, give a bitter taste, although the tablets, when taken as such, taste not so bitter.
  • a sweetener preferably a synthetic sweetener which is effective at low addition levels and thus suited for tablet miniaturization.
  • a commercial synthetic sweetener is incorporated, a problem arises, namely the self-disintegrating properties of tablets become poor, since synthetic sweeteners are soluble in water and become viscous and sticky.
  • the present inventor made investigations concerning the disintegrator species to be used, the level of addition thereof, the binder addition level, the synthetic sweetener particle size and the method of incorporating the same, among others and, as a result, the inventor invented ⁇ -lactam antibiotic-containing tablets which are small-sized, show good self-disintegrating properties and can be produced by a conventional method.
  • the ⁇ -lactam antibiotic-containing tablets of this invention contain, per tablet, 60 to 85% by weight of an ⁇ -lactam antibiotic, 1 to 10% by weight of low-substituted hydroxypropylcellulose and/or crosslinked polyvinylpyrrolidone as a disintegrator, and 0.5 to 2% by weight of a binder.
  • the ⁇ -lactam antibiotic-containing tablets of this invention further contain, per tablet, 0.5 to 15% by weight of a synthetic sweetener and/or a granulated synthetic sweetener.
  • the ⁇ -lactam antibiotic-containing tablet production method of this invention is characterized in that the above-specified respective proportions of a ⁇ -lactam antibiotic, the disintegrator and a binder, optionally together with one or more excipients, are granulated using ethanol, isopropyl alcohol or an aqueous solution of ethanol or isopropyl alcohol, the granulation product is mixed with the above-specified proportion of a synthetic sweetener and/or a granulated synthetic sweetener, optionally together with one or more other additives, and the resulting mixture is compressed.
  • the ⁇ -lactam antibiotic to be used in the practice of this invention is one capable of producing a beneficial effect upon oral administration and includes, for example, cefixime and cefdinir respectively represented by the structural formulas shown below as well as cefaclor, cefroxadine, cefadroxil, cefaloglycin, cefalexin, cefradine, amoxicillin, ampicillin and the like.
  • Each tablet contains such ⁇ -lactam antibiotic in a proportion of 60 to 85% by weight, preferably 65 to 80% by weight.
  • low-substituted hydroxypropylcellulose and crosslinked polyvinylpyrrolidone are incorporated in tablets independently, although both may be used combinedly.
  • Such disintegrator is used in a proportion of 1 to 10% by weight, preferably 3 to 8% by weight, on a per-tablet basis.
  • binders there may now be mentioned, for example, polyvinylpyrrolidone, hydroxypropylcellulose, preferably low-viscosity type (L-type) hydroxypropylcellulose, hydroxy-propylmethylcellulose, methylcellulose, starch, pregelatinized starch, partly pregelatinized starch, gum arabic, dextrin, pullulan and the like.
  • L-type low-viscosity type
  • polyvinylpyrrolidone, hydroxypropylcellulose and hydroxypropylmethylcellulose are more preferred, and polyvinylpyrrolidone is most preferred.
  • these binders are used in an amount of 0.5 to 2% by weight, preferably 0.8 to 1.5% by weight, on a per-tablet basis, tablets which can self-disintegrate rapidly can be produced by a conventional production method.
  • the sweetener is incorporated in tablets generally in a proportion of 0.5 to 15% by weight, preferably 1 to 10% by weight.
  • the commercial synthetic sweetener products are generally small, i.e. less than 150 ⁇ m, in mean particle size, with particle not smaller than 150 ⁇ m accounting for at most 4% of the whole. Incorporation of such products markedly reduces the rate of disintegration of tablets.
  • the prior art employs a method which comprises incorporating a large amount of an excipient such as microcrystalline cellulose.
  • incorporation of a large amount of such excipient according to said method results in an increase in tablet size, thereby making the tablets difficult to take with ease.
  • the present inventor found that when the particle size of a synthetic sweetener is increased or when a granulated mixture of a synthetic sweetener and light anhydrous silicic acid, hydrated silicon dioxide or the like is added, the rate of disintegration can be improved, namely prevented from retardation.
  • an invention was made of miniaturized tablets which can be easily taken as such and, when dropped into water in a glass, can rapidly self-disintegrate, enabling administration thereof in dispersion form.
  • a synthetic sweetener as saccharin, a salt thereof (e.g. saccharin calcium, saccharin sodium), cyclamic acid or a salt thereof (e.g. sodium cyclamate, calcium cyclamate, ammonium cyclamate)
  • said sweetener is required to be not less than 150 ⁇ m in mean particle size, preferably not less than 150 ⁇ m in particle size.
  • a sweetener capable of producing a satisfactory bitter-masking effect in small amounts, for example aspartame it is not always necessary that the mean particle size be not less than 150 ⁇ m, since the disintegrability of tablets is little affected.
  • the synthetic sweetener may be incorporated either in the form of crystalline grains having a mean particle size of not less than 150 ⁇ m or in the form of a granulation product meeting the particle size requirement as obtained by wet granulation from the powder form small in mean particle size or by wet granulation or dry granulation from such powder together with a color additive and/or microcrystalline cellulose or a like excipient.
  • ingredients to be used in producing the tablets of this invention the same ingredients or additives as used conventionally in the production of solid preparations may be mentioned.
  • excipients such as microcrystalline cellulose, lactose, mannitol, starch, etc.
  • flowability improvers such as light anhydrous silicic acid, hydrated silicon dioxide, etc.
  • lubricants such as magnesium stearate, stearic acid, talc, etc.
  • flavoring agents and other agents may be incorporated unless the self-disintegrating properties are adversely affected.
  • the ⁇ -lactam antibiotic has a large particle size, it may be ground prior to use. In this case, however, wet or dry granulation is required to improve the powder flowability in the step of compression.
  • the thus-obtained ⁇ -lactam antibiotic-containing tablets of this invention are small in size.
  • a tablet containing 400 mg potency (about 449 mg) of cefixime may weigh not more than 650 mg and a tablet containing 300 mg potency (about 307 mg) of cefdinir not more than 450 mg. They can be orally taken as such with ease. When they are to be taken by the aged, for instance, complaining of some difficulty in swallowing, in an aqueous dispersion form, the tablets can be rapidly disintegrated and dispersed in water.
  • the granules sieved out were mixed with light anhydrous silicic acid, magnesium stearate, strawberry powder flavor and commercial saccharin calcium, the large particle size saccharin calcium prepared in Example 1 to be mentioned later herein or the granulated mixture of saccharin calcium and light anhydrous silicic acid prepared in Example 2 to be mentioned later herein, in the respective specified proportions, followed by compressing on a single-punch tablet machine to give tablets each having the specified weight and a diameter of 11 mm.
  • the tablets produced by using the saccharin calcium not less than 150 ⁇ m in particle size or the granulated mixture of saccharin calcium and light anhydrous silicic acid are positively shorter in disintegration time than the tablets produced by using the commercial saccharin calcium smaller than 150 ⁇ m in mean particle size.
  • Test Example 4 Influence of the composition of the solution for granulation on the dispersibility of tablets
  • a 2,200 ml portion of water or an aqueous solution of ethanol was used to granulate a mixture of 4,566 g of cefixime bulk substance micronized by a pin-type mill, 405 g of microcrystalline cellulose, 405 g of low-substituted hydroxypropylcellulose and 50.6 g of polyvinylpyrrolidone in a high speed shear mixer and, after drying under flowing air at 40° C. for 17 hours, the granulation product was sized using a 500- ⁇ m sieve.
  • the granules sieved out were mixed with 50.6 g of light anhydrous silicic acid, 101.2 g of magnesium stearate, 75.9 g of strawberry powder flavor and 202.6 g of saccharin calcium (particle size: 150-840 ⁇ m), followed by compressing on a rotary tablet machine to give oblong tablets each weighing 579 mg.
  • the disintegration time evaluation was made in 1,000 ml of water (20 ⁇ 1° C.) using a Japanese Pharmacopeia disintegration tester, but without using any disk, with 30 cycles per minute of basket ascending and descending. Dispersibility after standing of dispersions prepared
  • Test preparations A Tablets produced in Example 1 to be mentioned later.
  • B Tablets produced in Example 7 to be mentioned later.
  • C Tablets produced in Example 8 to be mentioned later.
  • Test method The disintegration time evaluation was performed in distilled water at 20 ⁇ 1° C. with 4 cycles per minute of basket ascending and descending, using an apparatus prescribed in the Japanese Pharmacopeia (12th edition) under Disintegration Test. Test results A: 1.13 minutes B: 1.30 minutes C: 1.02 minutes
  • test results indicate that the test preparations A to C of this invention each shows good disintegrability.
  • micronized cefixime bulk substance, microcrystalline cellulose, low-substituted hydroxypropylcellulose (L-HPC) and polyvinylpyrrolidone were weighed and mixed together, water was then added, and the mixture was granulated.
  • the granulation product was dried under flowing air at 40° C. for 17 hours and then sized using a 500- ⁇ m sieve.
  • the granules sieved out were mixed with magnesium stearate, light anhydrous silicic acid, strawberry flavor and the above-mentioned granulated saccharin calcium according to the formulation shown below, followed by compressing on a single-punch tablet machine to give tablets each having the specified weight.
  • Saccharin calcium and light anhydrous silicic acid were mixed together in a ratio of 20:1 and then water was added.
  • the resultant mixture was granulated by a conventional method, followed by drying and sizing to give a granulated mixture of saccharin calcium and light anhydrous silicic acid (75-500 ⁇ m in particle size).
  • Example 1 tablets were produced following the procedure of Example 1 except that 21 mg of the above granulated mixture was used in lieu of 20 mg of saccharin calcium (Example 1, Table 8).
  • Saccharin calcium and hydrated silicon dioxide were mixed together in a ratio of 20:1 and then water was added.
  • the resultant mixture was granulated by a conventional method, followed by drying and sizing to give a granulated mixture of saccharin calcium and hydrated silicon dioxide (75-500 ⁇ m in particle size).
  • Example 1 tablets were produced following the procedure of Example 1 except that 21 mg of the above granulated mixture was used in lieu of 20 mg of saccharin calcium (Example 1, Table 8).
  • Tablets each containing 400 mg (potency) of cefixime were produced in the same manner as in Example 1 except that polyvinylpyrrolidone of Example 1 (Table 8) was replaced by the same amount of hydroxypropylcellulose (HPC-L; Nippon Soda).
  • Tablets each containing 400 mg (potency) of cefixime were produced in the same manner as in Example 1 except that polyvinylpyrrolidone of Example 1 (Table 8) was replaced by the same amount of hydroxypropylmethylcellulose (TC-5RTM; Shin-Etsu Chemical).
  • Example 1 The granules sieved out were mixed with magnesium stearate, light anhydrous silicic acid, strawberry flavor and the granulated saccharin calcium prepared in Example 1 (not less than 150 ⁇ m in particle size) and the resultant mixture was compressed on a single-punch tablet machine to give tablets having the same composition as that in Example 1 (Table 8).
  • cefdinir-containing tablets were produced in the same manner as in Example 7. TABLE 9 Micronized cefdinir bulk 306.8 mg (300 mg potency) substance Microcrystalline cellulose 29.2 mg (Avicel PH101) L-HPC 29.2 mg (LH-21) Polyvinylpyrrolidone 3.7 mg (Kollidon 30) Light anhydrous silicic acid 0.9 mg (Aerosil) Magnesium stearate 4.4 mg Saccharin calcium 15.0 mg (not less than 150 ⁇ m in particle size) Strawberry flavor 5.6 mg Total 394.8 mg

Abstract

This invention provides β-lactam antibiotic-containing tablets capable of being orally taken either as such owing to their being small-sized, hence still easily swallowable, or, in the case of administration to the aged encountering some difficulty in swallowing, in the form of dispersions resulting from easy self-disintegration upon being dropped into water in a glass as well as a method of producing the same. The tablets of this invention comprise, on the per-tablet basis, 60-85% by weight of a β-lactam antibiotic, 1-10% by weight of low-substituted hydroxypropylcellulose and/or crosslinked polyvinylpyrrolidone as a disintegrator, and 0.5-2% by weight of a binder. Granules to be compressed for tableting are prepared using water or an aqueous solution of ethanol or the like.

Description

    TECHNICAL FIELD
  • This invention relates to β-lactam antibiotic-containing tablets and a method of producing the same. More particularly, it relates to tablets of the above variety which can be orally taken either as such or, for taking by, for example, the aged who have difficulties in swallowing, as a dispersion available upon dropping the same into water in a glass for self-disintegration, and to a method of producing the same. [0001]
  • BACKGROUND TECHNOLOGY
  • Particularly in Europe and America, where β-lactam antibiotics such as cefixime and cefdinir are administered generally in single doses of as great as 200 mg to 400 mg potency, unit dosage forms, whether they are capsules or tablets, have to be considerably large in size. When 400 mg potency capsules are prepared, for instance, the capsule size reaches approximately No. 0, so that not only patients having difficulties in swallowing but also ordinary adult patients become reluctant to take them or get a repulsive sensation in taking them. Such capsules are indeed difficult to take. In the case of tablets, too, 400 mg potency tablets generally weigh 700 to 1,000 mg per tablet and accordingly are large-sized. [0002]
  • The problems encountered in taking such large dosage forms give an unnecessary sensation of oppression to patients on the occasion of taking them. Improvements in their administrability have thus been required. [0003]
  • Therefore, the present inventor attempted to provide a dosage form with improved administrability by reducing the tablet size as much as possible to thereby facilitate the taking of tablets by the recipient and at the same time to provide a dosage form capable of being taken in the form of a dispersion resulting from rapid self-disintegration upon its being simply dropped into water or the like in a glass, for instance, to thereby make said dosage form administrable to persons of advanced age or children having difficulties in swallowing the dosage form as such. The expression “rapid self-disintegration” as used herein means that when the preparation is dropped into a glass containing a liquid such as water, the tablet form spontaneously collapses generally within 3 minutes, preferably within 1 minute, so that said preparation can be orally taken in dispersion form without awaiting long before taking. [0004]
  • It is indeed easy to produce tablets capable of self-disintegrating very rapidly by incorporating an effervescent agent comprising a combination of sodium hydrogen carbonate and tartaric acid, for instance. However, when such tablets are orally taken, they give off bubbles in the oral cavity, so that patients feel a discomfort or an unnecessary sensation of anxiety. For securing a good shelf-life in a humid environment, it is necessary to use a moisture-proof packaging material, which increases the production cost. Therefore, in developing the dosage form which the present invention is intended to provide, it has been a tough problem to find out a formulation enabling very rapid self-disintegration without the aid of any effervescent component. [0005]
  • For producing β-lactam antibiotic-containing tablets which can be easily ingested as they are and be also ingested in the form of a dispersion resulting from self-disintegration thereof, a technology is described in European Patent EP 0281200 B (corresponding Japanese patent application: Kokai Tokkyo Koho S63-301820), which comprises adding 24 to 70% by weight, based on the weight of the β-lactam antibiotic, of microcrystalline cellulose or microfine cellulose as a first disintegrator and 2 to 20% by weight, on the same basis, of low-substituted hydroxypropylcellulose or the like as a second disintegrator. [0006]
  • However, said first disintegrator, which is used in a large amount, increases the tablet size. In addition, the proportion of a binder component for wet granulation is as low as 0 to 0.1% by weight based on the antibiotic, hence is substantially nil. This is because the use of a binder renders tablets extremely poor in self-disintegrating properties. In the process for producing these tablets, in which no binder is used, a special method of insuring an integrity of the artefact is employed which comprises mixing the antibiotic bulk substance with microcrystalline cellulose and kneading the mixture with the aid of water under application of a great deal of force, without using any alcohol. As a result, large lumps are formed inevitably and they are milled in the wet state and then dried, followed by further milling to provide granules for tableting. It is a problem that these steps are very inefficient. [0007]
  • Meanwhile, tablets containing amoxicillin, which is a β-lactam antibiotic, are commercially available under the trade name of Flemoxin Solutab 500 from Brocades Pharma (Netherlands), the patentee to whom said European patent has been granted. Said tablets each contains 500 mg potency (about 570 mg) of amoxicillin and weighs about 970 mg, hence is very large and not entirely suited for oral administration. [0008]
  • Most β-lactam antibiotics are bitter. Therefore, aqueous dispersions prepared from tablets containing them, when orally taken, give a bitter taste, although the tablets, when taken as such, taste not so bitter. For masking the bitter taste, it thus becomes necessary to incorporate a sweetener, preferably a synthetic sweetener which is effective at low addition levels and thus suited for tablet miniaturization. However, when a commercial synthetic sweetener is incorporated, a problem arises, namely the self-disintegrating properties of tablets become poor, since synthetic sweeteners are soluble in water and become viscous and sticky. [0009]
  • DISCLOSURE OF THE INVENTION
  • In an attempt to develop a method of improving the rate of self-disintegration of tablets and at the same time miniaturizing the same, the present inventor made investigations concerning the disintegrator species to be used, the level of addition thereof, the binder addition level, the synthetic sweetener particle size and the method of incorporating the same, among others and, as a result, the inventor invented β-lactam antibiotic-containing tablets which are small-sized, show good self-disintegrating properties and can be produced by a conventional method. [0010]
  • Furthermore, the inventor found that when granulation is performed using ethanol, isopropyl alcohol or an aqueous solution of ethanol or isopropyl alcohol, tablets showing better dispersibility upon self-disintegration can be obtained. [0011]
  • The β-lactam antibiotic-containing tablets of this invention contain, per tablet, 60 to 85% by weight of an β-lactam antibiotic, 1 to 10% by weight of low-substituted hydroxypropylcellulose and/or crosslinked polyvinylpyrrolidone as a disintegrator, and 0.5 to 2% by weight of a binder. [0012]
  • Preferably, the β-lactam antibiotic-containing tablets of this invention further contain, per tablet, 0.5 to 15% by weight of a synthetic sweetener and/or a granulated synthetic sweetener. [0013]
  • The β-lactam antibiotic-containing tablet production method of this invention is characterized in that the above-specified respective proportions of a β-lactam antibiotic, the disintegrator and a binder, optionally together with one or more excipients, are granulated using ethanol, isopropyl alcohol or an aqueous solution of ethanol or isopropyl alcohol, the granulation product is mixed with the above-specified proportion of a synthetic sweetener and/or a granulated synthetic sweetener, optionally together with one or more other additives, and the resulting mixture is compressed. [0014]
  • The β-lactam antibiotic to be used in the practice of this invention is one capable of producing a beneficial effect upon oral administration and includes, for example, cefixime and cefdinir respectively represented by the structural formulas shown below as well as cefaclor, cefroxadine, cefadroxil, cefaloglycin, cefalexin, cefradine, amoxicillin, ampicillin and the like. [0015]
    Figure US20020192281A1-20021219-C00001
  • Each tablet contains such β-lactam antibiotic in a proportion of 60 to 85% by weight, preferably 65 to 80% by weight. [0016]
  • As a result of investigations concerning the disintegrator species to be used in the practice of this invention and the level of addition thereof, it was found that, as compared with such salt type disintegrators as ECG 505 (trademark; carboxymethylcellulose calcium), Ac-Di-Sol (trademark; crosslinked carboxymethylcellulose sodium) and Primojel (trademark; starch glycolic acid sodium), nonion type disintegrators, such as low-substituted hydroxypropyl-cellulose (L-HPC) and crosslinked polyvinylpyrrolidone, can produce a very good disintegrating effect even when they are added in small proportions. Low-substituted hydroxypropylcellulose is a product derived from cellulose by partial substitution with the 2-hydroxypropoxy group, the degree of substitution being not higher than 25%, preferably 7 to 16%. [0017]
  • Generally, low-substituted hydroxypropylcellulose and crosslinked polyvinylpyrrolidone are incorporated in tablets independently, although both may be used combinedly. [0018]
  • Such disintegrator is used in a proportion of 1 to 10% by weight, preferably 3 to 8% by weight, on a per-tablet basis. [0019]
  • The tablets of this invention further contain binder as an essential constituent. The addition of a binder has an adverse effect on the self-disintegrating properties of tablets, hence is not desirable from the self-disintegration viewpoint. However, the production of tablets without adding any binder give such inconveniences as mentioned herein-before. [0020]
  • The inventor of this invention made investigations in search of binder species which would not give adverse effects on the self-disintegrating properties of tablets as well as investigations concerning the addition level thereof. As preferred binders, there may now be mentioned, for example, polyvinylpyrrolidone, hydroxypropylcellulose, preferably low-viscosity type (L-type) hydroxypropylcellulose, hydroxy-propylmethylcellulose, methylcellulose, starch, pregelatinized starch, partly pregelatinized starch, gum arabic, dextrin, pullulan and the like. Among these binders, polyvinylpyrrolidone, hydroxypropylcellulose and hydroxypropylmethylcellulose are more preferred, and polyvinylpyrrolidone is most preferred. When these binders are used in an amount of 0.5 to 2% by weight, preferably 0.8 to 1.5% by weight, on a per-tablet basis, tablets which can self-disintegrate rapidly can be produced by a conventional production method. [0021]
  • Since β-lactam antibiotics, for example cefixime and cefdinir, have a strongly bitter taste, it is necessary to add a synthetic sweetener in cases where tablets are to be taken in the form of dispersions after self-disintegration in water, for instance, though this is not always necessary in cases where tablets are to be taken as such. [0022]
  • As regards the synthetic sweetener addition level, which may vary according to the synthetic sweetener species and the active ingredient β-lactam antibiotic, the sweetener is incorporated in tablets generally in a proportion of 0.5 to 15% by weight, preferably 1 to 10% by weight. [0023]
  • The commercial synthetic sweetener products are generally small, i.e. less than 150 μm, in mean particle size, with particle not smaller than 150 μm accounting for at most 4% of the whole. Incorporation of such products markedly reduces the rate of disintegration of tablets. To improve the disintegration rate, the prior art employs a method which comprises incorporating a large amount of an excipient such as microcrystalline cellulose. However, incorporation of a large amount of such excipient according to said method results in an increase in tablet size, thereby making the tablets difficult to take with ease. The present inventor found that when the particle size of a synthetic sweetener is increased or when a granulated mixture of a synthetic sweetener and light anhydrous silicic acid, hydrated silicon dioxide or the like is added, the rate of disintegration can be improved, namely prevented from retardation. [0024]
  • As a result, an invention was made of miniaturized tablets which can be easily taken as such and, when dropped into water in a glass, can rapidly self-disintegrate, enabling administration thereof in dispersion form. [0025]
  • When such a synthetic sweetener as saccharin, a salt thereof (e.g. saccharin calcium, saccharin sodium), cyclamic acid or a salt thereof (e.g. sodium cyclamate, calcium cyclamate, ammonium cyclamate) is used, said sweetener is required to be not less than 150 μm in mean particle size, preferably not less than 150 μm in particle size. In the case of a sweetener capable of producing a satisfactory bitter-masking effect in small amounts, for example aspartame, it is not always necessary that the mean particle size be not less than 150 μm, since the disintegrability of tablets is little affected. [0026]
  • The synthetic sweetener may be incorporated either in the form of crystalline grains having a mean particle size of not less than 150 μm or in the form of a granulation product meeting the particle size requirement as obtained by wet granulation from the powder form small in mean particle size or by wet granulation or dry granulation from such powder together with a color additive and/or microcrystalline cellulose or a like excipient. [0027]
  • The granulation product containing light anhydrous silicic acid or hydrated silicon dioxide in addition to a synthetic sweetener can be produced by mixing the synthetic sweetener with 1 to 30% by weight, relative to the synthetic sweetener weight, of light anhydrous silicic acid or hydrated silicon dioxide and granulating the mixture in the conventional manner, if necessary using a binder and/or one or more other additives in common use. It was found that in the case of granulation products containing a synthetic sweetener together with light anhydrous silicic acid or hydrated silicon dioxide, the particle size is not critical, with the result that the self-disintegrating properties are never adversely affected even when the mean particle size is below 150 μm. As regards other ingredients to be used in producing the tablets of this invention, the same ingredients or additives as used conventionally in the production of solid preparations may be mentioned. Thus, in addition to the above-mentioned synthetic sweetener or granulated synthetic sweetener, excipients such as microcrystalline cellulose, lactose, mannitol, starch, etc., flowability improvers such as light anhydrous silicic acid, hydrated silicon dioxide, etc., lubricants such as magnesium stearate, stearic acid, talc, etc., flavoring agents and other agents may be incorporated unless the self-disintegrating properties are adversely affected. When the μ-lactam antibiotic has a large particle size, it may be ground prior to use. In this case, however, wet or dry granulation is required to improve the powder flowability in the step of compression. [0028]
  • In a preferred process for producing the tablets of the present invention, the above-specified disintegrator and binder, optionally together with other ingredients, are added to the β-lactam antibiotic, the mixture is granulated by a conventional method, the above-mentioned synthetic sweetener and/or granulated synthetic sweetener, optionally together with one or more other ingredients (e.g. flowability improver, lubricant, flavor), are then further added, and the resulting mixture is subjected to tableting. [0029]
  • When, in the above production process, water is used for granulation in the granulation step, tablets with good self-disintegrating properties are generally obtained. In this connection, the inventor of this invention further found that when ethanol, isopropyl alcohol or a mixture of water and ethanol or isopropyl alcohol is used for granulation, tablets with good self-disintegrating properties and with very good dispersibility upon allowing dispersion in water can be obtained. The concentration of the aqueous solution of ethanol or isopropyl alcohol, which is suited for use, is 3 to 99% (volume/volume), preferably 10 to 60% (volume/volume). [0030]
  • INDUSTRIAL APPLICABILITY
  • The thus-obtained β-lactam antibiotic-containing tablets of this invention are small in size. For example, a tablet containing 400 mg potency (about 449 mg) of cefixime may weigh not more than 650 mg and a tablet containing 300 mg potency (about 307 mg) of cefdinir not more than 450 mg. They can be orally taken as such with ease. When they are to be taken by the aged, for instance, complaining of some difficulty in swallowing, in an aqueous dispersion form, the tablets can be rapidly disintegrated and dispersed in water. [0031]
  • Moreover, the use of ethanol, isopropyl alcohol or an aqueous solution of ethanol or isopropyl alcohol for granulation in the granulation step makes it possible to obtain tablets with still better dispersibility in water. Test Example 1 (Disintegrator effect) [0032]
  • According to the formulation shown below in Table 1, cefixime bulk substance, microcrystalline cellulose, one of the disintegrators, light anhydrous silicic acid and magnesium stearate, taken in the respective specified proportions, were mixed up and the mixture was compressed on a single-punch tablet machine to give tablets having a diameter of 11 mm. [0033]
  • The tablets produced by the above method were evaluated for disintegration time in 1,000 ml of water (20±1° C.) using a Japanese Pharmacopeia disintegration tester, but without using any disk, with 30 cycles per minute of basket ascending and descending. The disintegration time data thus obtained are shown in Table 2. [0034]
    TABLE 1
    Cefixime bulk substance 448.9 (400 mg potency)
    Microcrystalline cellulose  38.9
    Disintegrator  38.9
    Light anhydrous silicic acid  1.2
    Magnesium stearate  5.9
    Total 533.8 mg
  • [0035]
    TABLE 2
    Disintegration time (min.)
    Disintegrator n = 6
    Carboxymethylcellulose 1.2-1.3
    calcium
    Starch glycolic acid 1.0-1.2
    sodium
    Crosslinked carboxymethyl- 0.8-1.1
    cellulose sodium
    Low-substituted 0.3-0.4
    hydroxypropylcellulose
    Crosslinked polyvinyl- 0.3-0.4
    pyrrolidone
  • As is evident from Table 2, those tablets which contain low-substituted hydroxypropylcellulose or crosslinked polyvinylpyrrolidone in accordance with the present invention disintegrate very rapidly. [0036]
  • Test Example 2 (Binder study) [0037]
  • According to the formulation shown below in Table 3, cefixime bulk substance micronized by a pin-type mill, microcrystalline cellulose and one of the binders, together with 50% (by volume) ethanol, were granulated in a high speed shear mixer, followed by drying under flowing air at 40° C. for 17 hours and sizing through a 500-μsieve. The granules sieved out were mixed with low-substituted hydroxypropylcellulose, light anhydrous silicic acid and magnesium stearate, in the respective specified proportions, followed by compression on a single-punch tablet machine, to give tablets each having the specified weight and a diameter of 11 mm. [0038]
  • The tablets produced by the above method were evaluated for disintegration time under the same conditions as in Test Example 1. The disintegration time data thus obtained are shown in Table 4. [0039]
    TABLE 3
    Cefixime 448.9 (400 mg potency)
    Microcrystalline cellulose  38.9
    Binder  4.9 (14.6)
    Low-substituted  38.9
    hydroxypropylcellulose
    Light anhydrous silicic acid  1.2
    Magnesium stearate  5.9
    Total 538.7 mg (548.4 mg)
  • [0040]
    TABLE 4
    Disintegration
    % addition level time (min.)
    Binder (weight in mg) n = 6
    Polyvanylpyrrolidone 0.9 (4.9) 0.6-0.8
    Polyvinylpyrrolidone 2.7 (14.6) 2.1—2.1
    Hydroxypropylcellulose 0.9 (4.9) 1.4-2.0
    (L type)
    Hydroxypropylmethyl- 0.9 (4.9) 1.0-1.5
    cellulose
  • As is evident from Table 4, the tablets produced by using polyvinylpyrrolidone, hydroxypropylcellulose (L type) or hydroxypropylmethylcellulose as the binder disintegrate rapidly. [0041]
  • Test Example 3 (Synthetic sweetener particle size study) [0042]
  • According to the formulation shown below in Table 5, cefixime bulk substance micronized by a pin-type mill, microcrystalline cellulose, low-substituted hydroxypropylcellulose and polyvinylpyrrolidone, together with 50% (by volume) ethanol, were granulated in a high speed shear mixer, followed by drying under flowing air at 40° C. for 17 hours and sizing using a 500-μm sieve. The granules sieved out were mixed with light anhydrous silicic acid, magnesium stearate, strawberry powder flavor and commercial saccharin calcium, the large particle size saccharin calcium prepared in Example 1 to be mentioned later herein or the granulated mixture of saccharin calcium and light anhydrous silicic acid prepared in Example 2 to be mentioned later herein, in the respective specified proportions, followed by compressing on a single-punch tablet machine to give tablets each having the specified weight and a diameter of 11 mm. [0043]
  • The tablets produced by the above method were evaluated for disintegration time under the same conditions as in Test Example 1. The disintegration time data thus obtained are shown in Table 6. [0044]
    TABLE 5
    Cefixime 448.9 (400 mg potency)
    Microcrystalline cellulose  38.9
    Low-substituted  38.9
    hydroxypropylcellulose
    Polyvinylpyrrolidone  4.9
    Light anhydrous silicic acid  1.2
    Magnesium stearate  5.9
    Strawberry powder flavor  7.5
    Saccharin calcium or 20.0
    granulated saccharin calcium
    Total 566.2 mg
  • [0045]
    TABLE 6
    Mean disintegration
    Synthetic sweetener time (min.), n = 6
    Saccharin calcium 3.0
    (mean particle size < 150 μm)
    Saccharin calcium 0.6
    (particle size 150-840 μm)
    Saccharin calcium-light anhydrous 1.3
    silicic acid mixture granulated
    (particle size 75-500 μm)
  • As is evident from Table 6, the tablets produced by using the saccharin calcium not less than 150 μm in particle size or the granulated mixture of saccharin calcium and light anhydrous silicic acid are positively shorter in disintegration time than the tablets produced by using the commercial saccharin calcium smaller than 150 μm in mean particle size. [0046]
  • Test Example 4 (Influence of the composition of the solution for granulation on the dispersibility of tablets) [0047]
  • A 2,200 ml portion of water or an aqueous solution of ethanol was used to granulate a mixture of 4,566 g of cefixime bulk substance micronized by a pin-type mill, 405 g of microcrystalline cellulose, 405 g of low-substituted hydroxypropylcellulose and 50.6 g of polyvinylpyrrolidone in a high speed shear mixer and, after drying under flowing air at 40° C. for 17 hours, the granulation product was sized using a 500-μm sieve. The granules sieved out were mixed with 50.6 g of light anhydrous silicic acid, 101.2 g of magnesium stearate, 75.9 g of strawberry powder flavor and 202.6 g of saccharin calcium (particle size: 150-840 μm), followed by compressing on a rotary tablet machine to give oblong tablets each weighing 579 mg. [0048]
  • The tablets produced by the above method were evaluated, by the method mentioned below, for disintegration time as well as for dispersibility for use in dispersion form. Disintegration time [0049]
  • The disintegration time evaluation was made in 1,000 ml of water (20±1° C.) using a Japanese Pharmacopeia disintegration tester, but without using any disk, with 30 cycles per minute of basket ascending and descending. Dispersibility after standing of dispersions prepared [0050]
  • One tablet was dropped into 20 ml of water placed in a 50-ml beaker and the whole was allowed to stand for 5 minutes for self-disintegration. Then, the beaker was shaken gently for stirring and thereafter allowed to stand for 1 minute, followed by observation of the appearance. [0051]
    TABLE 7
    Disintegration Dispersibility
    time (sec.) after standing
    Granulation 39 a
    using 50% ethanol
    Granulation 84 a
    using 10% ethanol
    Granulation 62 b
    using water
    Flemoxin Solutab 500 46 b
    (commercial product)
  • The tablets derived from the granules prepared using ethanol are still better in dispersibility after standing as compared with those derived from the granules prepared using water. [0052]
  • Test Example 5 (Disintegration test) [0053]
  • Test preparations A: Tablets produced in Example 1 to be mentioned later. B: Tablets produced in Example 7 to be mentioned later. C: Tablets produced in Example 8 to be mentioned later. [0054]
  • Test method The disintegration time evaluation was performed in distilled water at 20±1° C. with 4 cycles per minute of basket ascending and descending, using an apparatus prescribed in the Japanese Pharmacopeia (12th edition) under Disintegration Test. [0055]
    Test results
    A: 1.13 minutes
    B: 1.30 minutes
    C: 1.02 minutes
  • The disintegration test results indicate that the test preparations A to C of this invention each shows good disintegrability.[0056]
  • EXAMPLE Example 1
  • Water was added to saccharin calcium and the mixture was granulated by a conventional method, followed by drying, sieving and sizing to give saccharin calcium granules not less than 150 μm in particle size. [0057]
  • According to the formulation shown below, micronized cefixime bulk substance, microcrystalline cellulose, low-substituted hydroxypropylcellulose (L-HPC) and polyvinylpyrrolidone were weighed and mixed together, water was then added, and the mixture was granulated. The granulation product was dried under flowing air at 40° C. for 17 hours and then sized using a 500-μm sieve. The granules sieved out were mixed with magnesium stearate, light anhydrous silicic acid, strawberry flavor and the above-mentioned granulated saccharin calcium according to the formulation shown below, followed by compressing on a single-punch tablet machine to give tablets each having the specified weight. [0058]
    TABLE 8
    Micronized cefixime bulk 448.9 mg (400 mg potency)
    substance
    Microcrystalline cellulose  38.9 mg
    (Avicel ™ PH101; Asahi Chemical Industry)
    L-HPC  38.9 mg
    (LH-21; Shin-Etsu Chemical)
    Polyvinylpyrrolidone  4.9 mg
    (Kollidon ™ 30; BA3F)
    Light anhydrous silicic acid  1.2 mg
    (Aerosil ™; Tomita Seiyaku)
    Magnesium stearate  5.9 mg
    Saccharin calcium  20.0 mg
    (not less than 150 μm in particle size)
    Strawberry flavor  7.5 mg
    Total 566.2 mg
  • Example 2
  • Saccharin calcium and light anhydrous silicic acid were mixed together in a ratio of 20:1 and then water was added. The resultant mixture was granulated by a conventional method, followed by drying and sizing to give a granulated mixture of saccharin calcium and light anhydrous silicic acid (75-500 μm in particle size). [0059]
  • Then, tablets were produced following the procedure of Example 1 except that 21 mg of the above granulated mixture was used in lieu of 20 mg of saccharin calcium (Example 1, Table 8). [0060]
  • Example 3
  • Saccharin calcium and hydrated silicon dioxide were mixed together in a ratio of 20:1 and then water was added. The resultant mixture was granulated by a conventional method, followed by drying and sizing to give a granulated mixture of saccharin calcium and hydrated silicon dioxide (75-500 μm in particle size). [0061]
  • Then, tablets were produced following the procedure of Example 1 except that 21 mg of the above granulated mixture was used in lieu of 20 mg of saccharin calcium (Example 1, Table 8). [0062]
  • Example 4
  • Tablets each containing 400 mg (potency) of cefixime were produced in the same manner as in Example 1 except that L-HPC of Example 1 (Table 8) was replaced by the same amount of crosslinked polyvinylpyrrolidone (Kollidon™ CL; BASF). [0063]
  • Example 5
  • Tablets each containing 400 mg (potency) of cefixime were produced in the same manner as in Example 1 except that polyvinylpyrrolidone of Example 1 (Table 8) was replaced by the same amount of hydroxypropylcellulose (HPC-L; Nippon Soda). [0064]
  • Example 6
  • Tablets each containing 400 mg (potency) of cefixime were produced in the same manner as in Example 1 except that polyvinylpyrrolidone of Example 1 (Table 8) was replaced by the same amount of hydroxypropylmethylcellulose (TC-5R™; Shin-Etsu Chemical). [0065]
  • Example 7
  • According to the same formulation as that shown in Example 1 (Table 8), micronized cefixime bulk substance, microcrystalline cellulose, L-HPC and polyvinylpyrrolidone were weighed and mixed together, 50% aqueous ethanol was added, and the mixture was granulated. The granulation product was dried under flowing air at 40° C. for 17 hours and then sized using a 500-μm sieve. The granules sieved out were mixed with magnesium stearate, light anhydrous silicic acid, strawberry flavor and the granulated saccharin calcium prepared in Example 1 (not less than 150 μm in particle size) and the resultant mixture was compressed on a single-punch tablet machine to give tablets having the same composition as that in Example 1 (Table 8). [0066]
  • Example 8
  • According to the formulation shown below, cefdinir-containing tablets were produced in the same manner as in Example 7. [0067]
    TABLE 9
    Micronized cefdinir bulk 306.8 mg (300 mg potency)
    substance
    Microcrystalline cellulose  29.2 mg
    (Avicel PH101)
    L-HPC  29.2 mg
    (LH-21)
    Polyvinylpyrrolidone  3.7 mg
    (Kollidon 30)
    Light anhydrous silicic acid  0.9 mg
    (Aerosil)
    Magnesium stearate  4.4 mg
    Saccharin calcium  15.0 mg
    (not less than 150 μm in particle size)
    Strawberry flavor  5.6 mg
    Total 394.8 mg

Claims (10)

What is claimed is:
1. A β-lactam antibiotic-containing tablet which comprises 60 to 85% by weight of a β-lactam antibiotic, 1 to 10% by weight of low-substituted hydroxypropylcellulose and/or crosslinked polyvinylpyrrolidone as a disintegrator and 0.5 to 2% by weight of a binder per tablet.
2. A tablet as claimed in claim 1, wherein the binder is polyvinylpyrrolidone, hydroxypropylcellulose or hydroxypropylmethylcellulose.
3. A tablet as claimed in claim 1 or 2 which further comprises 0.5 to 15% by weight of a synthetic sweetener and/or a granulated synthetic sweetener.
4. A tablet as claimed in claim 3, wherein the synthetic sweetener or the granulated synthetic sweetener has an mean particle size of not less than 150 μm.
5. A tablet as claimed in claim 4, wherein the synthetic sweetener or the granulated synthetic sweetener is not less than 150 μm in particle size.
6. A tablet as claimed in claim 3, wherein the granulated synthetic sweetener comprises a synthetic sweetener, and light anhydrous silicic acid and/or hydrated silicon dioxide.
7. A tablet as claimed in any of claims 1 to 6, wherein the β-lactam antibiotic is cefixime or cefdinir.
8. A tablet as claimed in claim 7 which contains 400 mg potency of cefixime, the tablet weight being not greater than 650 mg.
9. A tablet as claimed in claim 7 which contains 300 mg potency of cefdinir, the tablet weight being not greater than 450 mg.
10. A method of producing β-lactam antibiotic-containing tablets which comprises admixing a synthetic sweetener and/or a granulated synthetic sweetener, optionally i together with one or more other additives, with a granulation product prepared from the β-lactam antibiotic, disintegrator and binder specified in claim 1, optionally together with one or more excipients, by using ethanol, isopropyl alcohol or an aqueous solution of ethanol or isopropyl alcohol, and then tableting the resulting mixture.
US10/154,904 1996-02-29 2002-05-28 Beta-lactam antibiotic-containing tablet and production thereof Abandoned US20020192281A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US10/154,904 US20020192281A1 (en) 1996-02-29 2002-05-28 Beta-lactam antibiotic-containing tablet and production thereof
US10/346,120 US20030129227A1 (en) 1996-02-29 2003-01-17 Beta-lactam antibiotic-containing tablet and production thereof
US11/678,945 US20070134325A1 (en) 1996-02-29 2007-02-26 Beta-lactam antibiotic-containing tablet and production thereof

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
JP4274396 1996-02-29
JP8-42743 1996-02-29
JP32026496 1996-11-29
JP8-320264 1996-11-29
US09/117,295 US6423341B1 (en) 1996-02-29 1997-02-21 β-lactam antibiotic-containing tablet and production thereof
US10/154,904 US20020192281A1 (en) 1996-02-29 2002-05-28 Beta-lactam antibiotic-containing tablet and production thereof

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
PCT/JP1997/000509 Continuation WO1997031639A1 (en) 1996-02-29 1997-02-21 TABLETS CONTAINING β-LACTAM ANTIBIOTIC AND PROCESS FOR PRODUCING THE SAME
US09/117,295 Continuation US6423341B1 (en) 1996-02-29 1997-02-21 β-lactam antibiotic-containing tablet and production thereof

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US10/346,120 Division US20030129227A1 (en) 1996-02-29 2003-01-17 Beta-lactam antibiotic-containing tablet and production thereof

Publications (1)

Publication Number Publication Date
US20020192281A1 true US20020192281A1 (en) 2002-12-19

Family

ID=26382481

Family Applications (4)

Application Number Title Priority Date Filing Date
US09/117,295 Expired - Fee Related US6423341B1 (en) 1996-02-29 1997-02-21 β-lactam antibiotic-containing tablet and production thereof
US10/154,904 Abandoned US20020192281A1 (en) 1996-02-29 2002-05-28 Beta-lactam antibiotic-containing tablet and production thereof
US10/346,120 Abandoned US20030129227A1 (en) 1996-02-29 2003-01-17 Beta-lactam antibiotic-containing tablet and production thereof
US11/678,945 Abandoned US20070134325A1 (en) 1996-02-29 2007-02-26 Beta-lactam antibiotic-containing tablet and production thereof

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US09/117,295 Expired - Fee Related US6423341B1 (en) 1996-02-29 1997-02-21 β-lactam antibiotic-containing tablet and production thereof

Family Applications After (2)

Application Number Title Priority Date Filing Date
US10/346,120 Abandoned US20030129227A1 (en) 1996-02-29 2003-01-17 Beta-lactam antibiotic-containing tablet and production thereof
US11/678,945 Abandoned US20070134325A1 (en) 1996-02-29 2007-02-26 Beta-lactam antibiotic-containing tablet and production thereof

Country Status (24)

Country Link
US (4) US6423341B1 (en)
EP (2) EP0890359B1 (en)
JP (1) JP3180350B2 (en)
KR (1) KR20040058360A (en)
CN (2) CN1136853C (en)
AR (1) AR006012A1 (en)
AT (2) ATE287218T1 (en)
AU (1) AU724946B2 (en)
BR (1) BR9707780A (en)
CA (1) CA2248179C (en)
DE (2) DE69732312T8 (en)
DK (2) DK1166651T3 (en)
EA (1) EA001089B1 (en)
ES (2) ES2173420T3 (en)
HK (1) HK1015684A1 (en)
HU (1) HU227821B1 (en)
IL (1) IL125214A0 (en)
MX (1) MX9806265A (en)
NZ (2) NZ330864A (en)
PT (2) PT1166651E (en)
TR (1) TR199801680T2 (en)
TW (1) TW473393B (en)
WO (1) WO1997031639A1 (en)
ZA (1) ZA971584B (en)

Families Citing this family (64)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6746105B2 (en) 1997-07-15 2004-06-08 Silverbrook Research Pty. Ltd. Thermally actuated ink jet printing mechanism having a series of thermal actuator units
US5948440A (en) * 1997-12-17 1999-09-07 Ranbaxy Laboratories Limited Modified release matrix formulation of cefaclor and cephalexin
EP2263660B1 (en) 1998-05-18 2017-09-27 Takeda Pharmaceutical Company Limited Orally disintegrable tablets
EP1561458B1 (en) * 1998-07-28 2010-09-15 Takeda Pharmaceutical Company Limited Rapidly disintegrable solid preparation
US20070160675A1 (en) * 1998-11-02 2007-07-12 Elan Corporation, Plc Nanoparticulate and controlled release compositions comprising a cephalosporin
US20080113025A1 (en) * 1998-11-02 2008-05-15 Elan Pharma International Limited Compositions comprising nanoparticulate naproxen and controlled release hydrocodone
EP1226138B1 (en) * 1999-10-08 2004-12-29 Affinium Pharmaceuticals, Inc. Fab i inhibitors
CA2311734C (en) 2000-04-12 2011-03-08 Bristol-Myers Squibb Company Flash-melt oral dosage formulation
FR2814679B1 (en) * 2000-09-29 2003-04-11 Cll Pharma DISPERSIBLE PHARMACEUTICAL COMPOSITIONS BASED ON CEPHALOSPORINS, PROCESS FOR THEIR PREPARATION AND THEIR USE
WO2003088897A2 (en) * 2001-04-06 2003-10-30 Affinium Pharmaceuticals, Inc. Fab i inhibitors
GB0123400D0 (en) 2001-09-28 2001-11-21 Novartis Ag Organic compounds
GB0209265D0 (en) 2002-04-23 2002-06-05 Novartis Ag Organic compounds
JP4526247B2 (en) * 2002-07-08 2010-08-18 第一三共株式会社 Oral cephalosporins
TW200404550A (en) * 2002-07-08 2004-04-01 Sankyo Co Cepharospolin formulation for oral use
WO2004016623A1 (en) * 2002-08-13 2004-02-26 Sandoz Ag A cefdinir intermediate
EP1575951B1 (en) 2002-12-06 2014-06-25 Debiopharm International SA Heterocyclic compounds, methods of making them and their use in therapy
CA2519429C (en) * 2003-03-17 2013-08-06 Affinium Pharmaceuticals, Inc. Pharmaceutical compositions comprising inhibitors of fab i and further antibiotics
WO2004085443A1 (en) * 2003-03-24 2004-10-07 Acs Dobfar S.P.A. Novel crystal of 7-[2-(2-aminothiazole-4-yl)-2-hydroxyiminoacetamido-3-vinyl-3-cephem-4-carboxylic acid (syn isomer) and method for preparation thereof
JP4505859B2 (en) * 2003-08-08 2010-07-21 味の素株式会社 Nateglinide-containing preparation
US20050059819A1 (en) * 2003-09-12 2005-03-17 Duerst Richard W. Cefdinir pyridine salt
US20050113355A1 (en) * 2003-09-12 2005-05-26 Duerst Richard W. Cefdinir pyridine salt
US20050059818A1 (en) * 2003-09-12 2005-03-17 Duerst Richard W. Polymorph of a pharmaceutical
JP2005162696A (en) * 2003-12-04 2005-06-23 Nichiko Pharmaceutical Co Ltd Cefditoren pivoxil pharmaceutical preparation excellent in dissolution property
US20050131079A1 (en) * 2003-12-10 2005-06-16 Pujara Chetan P. Cefdinir oral suspension
US20080139528A1 (en) * 2003-12-10 2008-06-12 Pujara Chetan P Cefdinir oral suspension
US20060142261A1 (en) * 2004-03-16 2006-06-29 Devalina Law Crystalline anhydrous cefdinir and crystalline cefdinir hydrates
US20060142563A1 (en) * 2004-03-16 2006-06-29 Devalina Law Crystalline anhydrous cefdinir and crystalline cefdinir hydrates
US20060211676A1 (en) * 2004-03-16 2006-09-21 Devalina Law Crystalline anhydrous cefdinir and crystalline cefdinir hydrates
US20060069079A1 (en) * 2004-09-27 2006-03-30 Sever Nancy E Stable amorphous cefdinir
US9149482B2 (en) * 2004-05-10 2015-10-06 Lupin Ltd. Pharmaceutical formulation of cefixime for enhanced bioavailability
CN1767818A (en) * 2004-05-31 2006-05-03 三亚药品株式会社 Dispersible tablet comprising beta lactam antibiotics and process for preparing the same
PT1828167E (en) * 2004-06-04 2014-10-08 Debiopharm Int Sa Acrylamide derivatives as antibiotic agents
US20060099253A1 (en) * 2004-10-20 2006-05-11 Wyeth Antibiotic product formulation
IL169678A (en) 2005-07-14 2010-11-30 Innova Sa Sweetener compositions
EP1973902A2 (en) * 2005-12-05 2008-10-01 Affinium Pharmaceuticals, Inc. 3-heterocyclylacrylamide compounds as fabi inhibitors and antibacterial agents
US20070128268A1 (en) * 2005-12-07 2007-06-07 Herwig Jennewein Pharmaceutical compositions comprising an antibiotic
US20090197855A1 (en) * 2006-05-01 2009-08-06 Makarand Krishnakumar Avachat Pharmaceutical compositions of cefdinir
JP5468899B2 (en) 2006-07-20 2014-04-09 アフィニウム ファーマシューティカルズ, インク. Acrylamide derivatives as FABI inhibitors
KR101442862B1 (en) * 2006-12-07 2014-09-22 다이이찌 산쿄 가부시키가이샤 Solid medicinal preparation containing mannitol or lactose
EP2100608A4 (en) * 2006-12-07 2009-12-09 Daiichi Sankyo Co Ltd Method for producing solid preparation
JP5274261B2 (en) * 2006-12-07 2013-08-28 第一三共株式会社 Pharmaceutical composition containing low substituted hydroxypropylcellulose
WO2008098374A1 (en) 2007-02-16 2008-08-21 Affinium Pharmaceuticals, Inc. Salts, prodrugs and polymorphs of fab i inhibitors
TR200909786A1 (en) 2009-12-25 2011-07-21 Bi̇lgi̇ç Mahmut Effervescent tablet and granule formulation containing cefixime.
US8614315B2 (en) 2009-12-25 2013-12-24 Mahmut Bilgic Cefdinir and cefixime formulations and uses thereof
EP2515859B1 (en) * 2009-12-25 2015-09-16 Mahmut Bilgic Rapidly dispersing effervescent formulation
TR200909785A1 (en) * 2009-12-25 2011-07-21 Bi̇lgi̇ç Mahmut Pharmaceutical compositions containing cefdinir as the active agent.
TR201000686A1 (en) * 2010-01-29 2011-08-22 B�Lg�� Mahmut Water-soluble cefdinir and clavulanic acid formulations for the treatment of bacterial infections.
TR201000687A1 (en) * 2010-01-29 2011-08-22 Bi̇lgi̇ç Mahmut Effervescent formulations containing cefixime and clavulanic acid as active ingredient
TR201001417A1 (en) * 2010-02-25 2011-09-21 Sanovel İlaç San. Ve Ti̇c. A. Ş. Cefdinir formulation with improved dissolution rate
EP2566448B1 (en) * 2010-05-04 2015-06-17 Mahmut Bilgic Efervescent formulations comprising cefdinir
WO2011142731A2 (en) * 2010-05-14 2011-11-17 Mahmut Bilgic Formulations comprising a third generation cephalosporin and clavulanic acid
EA021874B1 (en) * 2010-09-13 2015-09-30 ЛИМОНОВ, Виктор Львович Pharmaceutical composition with antimicrobial activity for parenteral administration and process for preparing same
TR201009166A2 (en) * 2010-11-05 2012-05-21 Bi̇lgi̇ç Mahmut Production method for cefdinir-containing pharmaceutical composition
TR201010212A2 (en) * 2010-12-08 2012-06-21 Bi̇lgi̇ç Mahmut Solid oral dosage form containing cefdinir.
BR112014031635B1 (en) 2012-06-19 2022-01-11 Debiopharm International Sa PRO-Drug DERIVATIVES OF (E)-N-METHYL-N-((3-METHYLBENZOFURAN-2-YL) METHYL)-3-(7-OXO-5,6,7,8-TETRAHYDRO-1,8- NAFTIRINDIN-3-IL) ACRYLAMIDE
WO2014051532A1 (en) * 2012-09-28 2014-04-03 Bilgic Mahmut Pharmaceutical tablet formulations comprising cefdinir
LT2903457T (en) * 2012-10-02 2018-03-26 Montero Gida Sanayi Ve Ticaret A.S. Mogroside formulation and a production process thereof
EP2906203B1 (en) 2012-10-11 2018-01-03 Sanovel Ilac Sanayi Ve Ticaret Anonim Sirketi Effervescent cefdinir formulation
EP2815743A1 (en) 2013-06-21 2014-12-24 Sanovel Ilac Sanayi ve Ticaret A.S. Ceftibuten formulations
US20160242439A1 (en) 2014-04-04 2016-08-25 Douxmatok Ltd Method for producing sweetener compositions and sweetener compositions
US10231476B2 (en) 2014-04-04 2019-03-19 Douxmatok Ltd Sweetener compositions and foods, beverages, and consumable products made thereof
US10207004B2 (en) 2014-04-04 2019-02-19 Douxmatok Ltd Method for producing sweetener compositions and sweetener compositions
CN108778286A (en) 2016-02-26 2018-11-09 德彪药业国际股份公司 Drug for treating infection in diabetic foot
CN115607514B (en) * 2021-07-16 2023-12-12 广州白云山天心制药股份有限公司 Preparation method of cefdinir-containing particles

Family Cites Families (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3098749A (en) * 1960-11-16 1963-07-23 Abbott Lab Sweetening agent and process of producing the same
US3336199A (en) * 1963-07-03 1967-08-15 Warner Lambert Pharmaceutical Tablet composition
DE2251250C3 (en) * 1972-10-19 1981-06-25 Hoechst Ag, 6230 Frankfurt Process for the production of high-dose antibiotic tablets
US4039673A (en) * 1973-10-30 1977-08-02 Bayer Aktiengesellschaft Penicillins and cephalosporins and their production
JPS5438167B2 (en) * 1974-04-27 1979-11-19
US4248894A (en) * 1979-01-17 1981-02-03 Life Savers, Inc. Long-lasting flavored chewing gum containing non-sugar sweetener codried on chalk or other filler and method
US4384005A (en) * 1980-09-26 1983-05-17 General Foods Corporation Non-friable, readily-soluble, compressed tablets and process for preparing same
JPS57150361A (en) * 1981-03-10 1982-09-17 Ajinomoto Co Inc Granule of dipeptide sweetener
US4352821A (en) * 1981-07-21 1982-10-05 Shaklee Corporation Sweet tableting agent
EP0080862B1 (en) * 1981-12-02 1985-09-25 Beecham Group Plc Pharmaceutical formulation comprising beta-lactam antibiotics
JPS58198268A (en) * 1982-05-14 1983-11-18 Ajinomoto Co Inc Preparation of sweetener granule or cube
US4600579A (en) * 1983-06-07 1986-07-15 Mallinckrodt, Inc. N-acetyl-p-aminophenol compositions containing partially gelatinized starch and method for preparing same
US4752485A (en) * 1984-10-05 1988-06-21 Warner-Lambert Company Novel sweetener delivery systems
US4722845A (en) * 1986-12-23 1988-02-02 Warner-Lambert Company Stable cinnamon-flavored chewing gum composition
EP0281200B1 (en) * 1987-03-02 1994-01-19 Yamanouchi Europe B.V. Pharmaceutical composition, pharmaceutical granulate and process for their preparation
US4915948A (en) * 1987-08-31 1990-04-10 Warner-Lambert Company Tablets having improved bioadhesion to mucous membranes
JPH01206969A (en) * 1987-10-30 1989-08-21 Takeda Chem Ind Ltd Production of sweetener granule
JPH01149728A (en) * 1987-12-04 1989-06-12 Fujisawa Pharmaceut Co Ltd Antiulcerative agent
FR2634355B1 (en) * 1988-07-25 1990-09-14 Beghin Say Sa NOVEL FOOD SWEETENER BASED ON SUCROSE AND INTENSE SWEETENER AND PROCESS FOR PREPARING THE SAME
US5085876A (en) * 1988-11-16 1992-02-04 The Nutrasweet Company Fast dissolving sweetening agent including caramel
US5114929A (en) * 1989-03-21 1992-05-19 Beecham Group P.L.C. Pharmaceutical formulation
FR2669221B1 (en) * 1990-11-15 1993-01-15 Rhone Poulenc Sante PROCESS FOR THE PREPARATION BY DIRECT COMPRESSION OF TABLETS OF CEPHALOSPORANIC ACID DERIVATIVES.
GB9109862D0 (en) * 1991-05-08 1991-07-03 Beecham Lab Sa Pharmaceutical formulations
EP0553777B1 (en) * 1992-01-29 2002-04-24 Takeda Chemical Industries, Ltd. Fast dissolving tablet and its production
ES2059260B1 (en) * 1992-10-06 1995-04-16 Espanola Prod Quimicos PROCEDURE FOR THE PREPARATION OF TABLETS CONTAINING DICLOFENACO; DISPERSIBLE IN WATER.
JP3063438B2 (en) * 1992-12-24 2000-07-12 田辺製薬株式会社 Dopamine derivative-containing formulation for oral administration
KR0177894B1 (en) * 1993-07-28 1999-03-20 아만 히데아키 Antidepressant
DE4418957A1 (en) * 1994-05-31 1995-12-07 Merck Patent Gmbh Cefixime preparation
JP2994956B2 (en) * 1994-05-31 1999-12-27 信越化学工業株式会社 Low-substituted hydroxypropylcellulose, composition thereof and tablet thereof
ES2082723B1 (en) * 1994-07-20 1996-10-01 Lilly Sa PHARMACEUTICAL FORMULATION OF FLUOXETINE IN A DISPERSIBLE FORM.
FR2722984B1 (en) * 1994-07-26 1996-10-18 Effik Lab PROCESS FOR THE PREPARATION OF DRY PHARMACEUTICAL FORMS AND THE PHARMACEUTICAL COMPOSITIONS THUS PRODUCED
ES2079327B1 (en) * 1994-12-13 1996-08-01 Lilly Sa PHARMACEUTICAL FORMULATIONS OF CEFACLOR.

Also Published As

Publication number Publication date
HUP9901877A3 (en) 2000-04-28
NZ330864A (en) 2001-07-27
EP0890359A1 (en) 1999-01-13
CN1212626A (en) 1999-03-31
AR006012A1 (en) 1999-07-21
BR9707780A (en) 1999-07-27
CN1136853C (en) 2004-02-04
DE69712332T2 (en) 2002-10-02
EP0890359A4 (en) 1999-01-13
CA2248179C (en) 2007-09-18
MX9806265A (en) 1998-12-31
EA199800775A1 (en) 1999-02-25
KR20040058360A (en) 2004-07-03
AU1734797A (en) 1997-09-16
HUP9901877A1 (en) 1999-12-28
IL125214A0 (en) 1999-03-12
CA2248179A1 (en) 1997-09-04
AU724946B2 (en) 2000-10-05
HU227821B1 (en) 2012-03-28
CN1409995A (en) 2003-04-16
ATE287218T1 (en) 2005-02-15
DE69732312D1 (en) 2005-02-24
ZA971584B (en) 1997-09-10
PT1166651E (en) 2005-04-29
DE69732312T8 (en) 2006-07-27
PT890359E (en) 2003-03-31
EP1166651B1 (en) 2005-01-19
ES2231369T3 (en) 2005-05-16
DK1166651T3 (en) 2005-05-30
EA001089B1 (en) 2000-10-30
US6423341B1 (en) 2002-07-23
HK1015684A1 (en) 1999-10-22
DK0890359T3 (en) 2002-07-01
DE69732312T2 (en) 2006-04-06
JP3180350B2 (en) 2001-06-25
ATE216887T1 (en) 2002-05-15
EP1166651A1 (en) 2002-01-02
ES2173420T3 (en) 2002-10-16
NZ512609A (en) 2003-03-28
DE69712332D1 (en) 2002-06-06
WO1997031639A1 (en) 1997-09-04
TW473393B (en) 2002-01-21
TR199801680T2 (en) 1999-02-22
US20070134325A1 (en) 2007-06-14
EP0890359B1 (en) 2002-05-02
US20020051816A1 (en) 2002-05-02
US20030129227A1 (en) 2003-07-10

Similar Documents

Publication Publication Date Title
US6423341B1 (en) β-lactam antibiotic-containing tablet and production thereof
CA1338467C (en) Pharmaceutical composition, pharmaceutical granulate and process for their preparation
AP328A (en) Pharmaceutical formulations for oral administration in the treatment of bacterial infections and process for their preparation.
JP2000515538A (en) Dosage form
US5851550A (en) Pharmaceutical formulations of compacted granulates of β-Lactam antibiotics
EA001918B1 (en) Swallow tablets comprising paracetamol
US20070014850A1 (en) Process for the preparation of dispersible tablets of cephalexin
AU762545B2 (en) Synthetic sweeteners, their production and uses thereof
NO176347B (en) Process for the preparation of a pharmaceutical tablet containing a tetracycline
KR100466608B1 (en) β-lactam antibiotic containing tablets and preparation method thereof

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION