US20110046115A1 - Mirtazapine Solid Dosage Forms - Google Patents

Mirtazapine Solid Dosage Forms Download PDF

Info

Publication number
US20110046115A1
US20110046115A1 US12914478 US91447810A US2011046115A1 US 20110046115 A1 US20110046115 A1 US 20110046115A1 US 12914478 US12914478 US 12914478 US 91447810 A US91447810 A US 91447810A US 2011046115 A1 US2011046115 A1 US 2011046115A1
Authority
US
Grant status
Application
Patent type
Prior art keywords
weight
mirtazapine
mg
kp
tablet
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
US12914478
Inventor
Salah U. Ahmed
Gandha V. Naringrekar
Tahseen A. Chowdhury
Sudhir R. Gorukanti
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.)
Watson Laboratories Inc
Original Assignee
Watson Laboratories Inc
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

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL, OR TOILET 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 TOILET 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
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D223/00Heterocyclic compounds containing seven-membered rings having one nitrogen atom as the only ring hetero atom

Abstract

A non-effervescent, solid dosage form containing mirtazapine, which is used to form mirtazapine pharmaceutical tablets. The dosage form contains mirtazapine, a hydrophilic component, and at least one lubricant. In some embodiments, the dosage forms contain a salivating agent. Processes for producing mirtazapine orally disintegrating tablets are also provided.

Description

  • The application claims the benefit of U.S. Provisional Application No. 60/491,279, filed Jul. 31, 2003, which is herein incorporated by reference in its entirety.
  • BACKGROUND OF THE INVENTION
  • 1. Field of the Invention
  • The present invention is generally related to solid dosage forms of mirtazapine for the treatment of depression and other neurological disorders and diseases.
  • 2. Related Art
  • Mirtazapine is the common name of the isomeric compound 1,2,3,4,10,14β-hexahydro-2-methylpyrazino[2,1-a]pyrido[2,3-c]benzazepine. The use of mirtazapine is well known for the treatment of depression and the symptoms associated with depression including, memory loss, changes in mood, insomnia, lethargy, increase or decrease in weight, and anxiety.
  • Mirtazapine treats depression by antagonizing the adrenergic 5-HT2A, 5-HT3, and alpha 2 autoreceptors and alpha 2-heteroreceptors, and enhancing the release of norepinephrine and 5-HT1A-mediated serotonergic transmission. It is not known exactly how mirtazapine accomplishes this function. It is also being considered for the treatment of psychotic disorders and diseases such as schizophrenia and movement disorders such as Parkinson's tremors, as disclosed in U.S. Pat. No. 6,281,207. Mirtazapine can be administered alone or with other pharmaceuticals such as selective serotonin reuptake inhibitors (SSRIs), such as those described in U.S. Pat. No. 5,977,099, or antipsychotic agents, such as those described in U.S. Pat. No. 6,150,353.
  • Mirtazapine has been found to have limited drug interaction and few side effects associated with many antidepressants such as sexual dysfunction. The tetracylic compound is currently manufactured through the methods described in U.S. Pat. No. 4,062,848, forming a racemic mixture of isomeric compounds.
  • Oral administration in the form of a conventional tablet, pill or capsule constitutes the generally preferred route for administration of pharmaceuticals, such as mirtazapine, since this route is generally convenient and acceptable to patients. Unfortunately such compositions may be associated with certain disadvantages, particularly in the treatment of pediatric or geriatric patients, who may dislike or have difficulty in swallowing such compositions, or where administration of a conventional tablet, pill or capsule is not feasible. It is highly desirable, particularly in the treatment of acute conditions, that pharmaceutical compositions have a rapid and consistent onset of action combined with sustained activity and good bioavailability.
  • Since a solid preparation such as an oral tablet requires water for swallowing, a liquid dosage form is normally preferred for the elderly, infants or patients who have difficulty in swallowing. However, a liquid preparation has shortcomings regarding difficulties in handling, especially in measuring an accurate dosage, and that it is not suitable for drugs which are unstable in a moist environment. Thus, an effort has been made to develop a rapidly disintegrating tablet of drugs which can easily disintegrate by the action of saliva.
  • For example, oral dosage forms have been developed including effervescents which rapidly disintegrate in the mouth and provide taste-masking. See Wehling et al., U.S. Pat. No. 5,178,878. These dosage forms provide significant problems in terms of production, storage, transport and during consumer usage. They are also significantly more costly to produce than conventional tablets.
  • U.S. Pat. No. 5,178,878 discloses an effervescent tablet which comprises microparticles of various active ingredients. Effervescence is typically created by the formation of gas bubbles upon a reaction of an alkali metal carbonate or carbonate source with an acid or an acid source. The effervescence aids in the complete disintegration of the tablet upon oral administration.
  • Mirtazapine is currently available in an effervescent oral disintegrating tablet. However, effervescent tablets containing an alkalizing agent are usually moisture sensitive, may be incompatible with an acidic drug and require protection due to their sensitivity to humidity. In addition, the manufacture of effervescent tablets requires strict humidity controls.
  • Therefore, there is a need for an orally disintegrating tablet of a pharmaceutical composition that does not require an alkalizing agent such as a carbonate or bicarbonate; is compatible with an acidic drug; is physically stable under humid conditions; and is easier to manufacture.
  • SUMMARY OF THE INVENTION
  • In some embodiments, the invention provides a non-effervescent, solid dosage form adapted for oral administration to a mammal:
  • about 1 to about 60% by weight of mirtazapine;
  • about 1 to about 95% by weight of a hydrophilic component selected from the group consisting of a water-soluble component, a water-insoluble component, or combinations thereof, wherein the water-soluble component is selected from the group consisting of cellulose derivatives, polyol, water-soluble carbohydrate, a component having a —CHOH group, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, a component having a —CHCOOH group, tartaric acid, citric acid, malic acid, succinic acid, sodium and potassium salts thereof, or combinations thereof, wherein the water-soluble carbohydrate is selected from the group consisting of mannitol, xylitol, sorbitol, malitol, lacitol, erytritol, xylose, arabinose, pentose, galactose, dextrose, inositol, sucrose, trehalose, or combinations thereof, and wherein the water-insoluble component is selected from the group consisting of microcrystalline cellulose, crospovidone, croscarmelose sodium, sodium starch glycolate, AMBERLITE (Rohm and Haas, Philadelphia, Pa.), calcium silicate, calcium trisilicate, magnesium silicate, magnesium trisilicate, modified starches, or combinations thereof;
  • up to about 5% by weight of at least one lubricant selected from the group consisting of magnesium stearate, sodium stearyl fumarate, calcium stearate, sodium stearate, stearic acid, talc, hydrogenated vegetable oil, aluminum stearate, silica gel, colloidal silicon dioxide, or combinations thereof;
  • wherein said dosage form does not rely upon effervescence for disintegration of said dosage form;
  • wherein dissolution of said dosage form in a medium of 900 mL of 0.1 N HCl with a paddle speed of 50 rpm is greater than about 75% at five minutes; and
  • wherein the water-soluble and water-insoluble component are provided in a weight ratio from about 20:80 to about 95:5.
  • In some embodiments, the solid dosage form further comprises about 0.1 to about 30% by weight of at least one salivating agent selected from the group consisting of mannitol, xylitol, tartaric acid, citric acid, malic acid, fumaric acid, adipic acid, succinic acid, sodium and potassium salts thereof, and combinations thereof.
  • In some embodiments, the dosage form further comprises, about 1 to about 50% of a first hydrophilic component selected from a group consisting of cellulose derivatives, hydrophilic polymers, polyvinyl pyrrolidone, and combinations thereof. In some embodiments, the first hydrophilic component is selected from the group consisting of microcrystalline cellulose, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, and combinations thereof.
  • In some embodiments the dosage form comprises a component having a negative heat of solution, the component selected from the group consisting of mannitol, xylitol, sorbitol, sucrose, and combinations thereof.
  • The solid dosage forms of the present invention do not rely upon effervescence for release of the active agent since the present dosage forms lack the base necessary for the effervescent-causing reaction, i.e. the release of bicarbonate. In some embodiments, the solid dosage forms of the present invention have a have a dissolution of greater than 75% in five mins in a medium of 900 mL of 0.1 N HCl with a paddle speed of 50 rpm. In some embodiments, the solid dosage forms of the present invention have a have a dissolution of greater than 95% in five mins in a medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm.
  • In some embodiments, the invention provides a process of making a non-effervescent, solid dosage form adapted for oral administration which comprises:
  • a) mixing about 1 to about 60% by weight of mirtazapine;
  • about 1 to about 95% by weight of a hydrophilic component selected from the group consisting of a water-soluble component, a water-insoluble component, or combinations thereof, wherein the water-soluble component is selected from the group consisting of cellulose derivatives, polyol, a component having a —CHOH group, water-soluble carbohydrate, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, a component having a —CHCOOH group, tartaric acid, citric acid, malic acid, succinic acid, sodium and potassium salts thereof, and combinations thereof, wherein the water-soluble carbohydrate is selected from the group consisting of mannitol, xylitol, sorbitol, malitol, lacitol, erytritol, xylose, arabinose, pentose, galactose, dextrose, inositol, sucrose, trehalose, and combinations thereof, and wherein the water-insoluble component is selected from the group consisting of microcrystalline cellulose, crospovidone, croscarmelose sodium, sodium starch glycolate, AMBERLITE, calcium silicate, calcium trisilicate, magnesium silicate, magnesium trisilicate, modified starches, and combinations thereof; and
  • up to about 5% by weight of at least one lubricant selected from the group consisting of magnesium stearate, sodium stearyl fumarate, calcium stearate, sodium stearate, stearic acid, talc, hydrogenated vegetable oil, aluminum stearate, silica gel, colloidal silicon dioxide, and combinations thereof in an agitator to form a mixture;
  • b) followed by directly compressing the mixture to form a pharmaceutical tablet,
  • wherein said tablet does not rely upon effervescence for disintegration of said tablet, wherein dissolution of said dosage form in a medium of 900 mL of 0.1 N HCl with a paddle speed of 50 rpm is greater than about 75% at five minutes, and wherein the water-soluble and water-insoluble component are provided in a weight ratio from about 20:80 to about 95:5.
  • In some embodiments, the process further comprises mixing, about 1 to about 50% of a first hydrophilic component selected from a group consisting of cellulose derivatives, hydrophilic polymers, polyvinyl pyrrolidone, and combinations thereof. In some embodiments, the first hydrophilic component is selected from the group consisting of microcrystalline cellulose, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, and combinations thereof.
  • Pharmaceutical tablets formed from this process are also provided by the present invention. The solid dosage forms of the present invention do not rely upon effervescence for release of the active agent since the present dosage forms lack the base necessary for the effervescent-causing reaction, i.e. the release of bicarbonate. In some embodiments, the solid dosage forms of the present invention have a have a dissolution of greater than 75% in five mins in a medium of 900 mL of 0.1 N HCl with a paddle speed of 50 rpm. In some embodiments, the solid dosage forms of the present invention have a have a dissolution of greater than 95% in five mins in a medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm.
  • In some embodiments, the invention provides a method of treating neurological disorders and diseases including depression, symptoms associated with depression including suicidal thoughts, drowsiness, memory loss, anxiety, sleeplessness and others, psychotic disorders and diseases such as schizophrenia and movement disorders and diseases in a human which comprises administering the solid dosage form of the present invention to a mammal in need thereof.
  • Particularly, the present invention provides for mirtazapine orally disintegrating tablets which do not rely upon effervescence for release of the active agent. The non-effervescent, mirtazapine tablets have various advantages over effervescent tablets. For example, the present dosage form does not require an alkalizing agent such as a carbonate or bicarbonate; a non-effervescent, tablet is compatible with an acidic drug; the present pharmaceutical tablet is more physically stable, less sensitive to humidity, and thus are easier to package since they need not be protected from moisture at all times; and the manufacture of the present pharmaceutical tablets does not require the strict humidity controls that effervescent tablets typically do.
  • In some embodiments, the hardness of the non-effervescent, solid dosage forms is about 0.1 to about 5 kp. In some embodiments, the hardness of the dosage forms is about 0.1 to about 3 kp. In some embodiments, the hardness of the dosage forms is greater than about 1.0 kp after exposure for 24 hours at 25° C. and 60% relative humidity, and is greater than about 0.8 kp after exposure for 60 minutes at 40° C. and 75% relative humidity.
  • In some embodiments the invention provides a non-effervescent, solid dosage form, wherein the dosage form having a first hardness being the dosage form inside a closed space, wherein the dosage form having a second hardness being the dosage form exposed to about 25° C. and about 60% relative humidity for about 24 hours, and wherein the second hardness is at least about 50% of the first hardness. In some embodiments, the invention provides, a non-effervescent, solid dosage form, wherein the dosage form having a first hardness being the dosage form inside a closed space, wherein the dosage form having a second hardness being the dosage form exposed to about 40° C. and about 75% relative humidity for about 15 minutes, and wherein the second hardness is at least about 50% of the first hardness.
  • Thus, an orally disintegrating tablet of a mirtazapine pharmaceutical composition is provided which does not require an alkalizing agent such as a carbonate or bicarbonate; is compatible with an acidic drug; is physically stable under humid conditions; and is easier to manufacture. The mirtazapine dosage form of the present invention provides orally disintegrating tablets having a high tolerance of humidity; maintain their physical integrity when exposed to environmental conditions thus facilitating processing, compressing and packaging; are more stable under harsh conditions; and last longer when removed from packaging as compared to reference mirtazapine tablets.
  • BRIEF DESCRIPTION OF THE FIGURES
  • FIG. 1 is a flow chart illustrating a dry-mixing process of making some of the mirtazapine formulations according to the present invention.
  • FIG. 2 is a dry-mixing process of making some of the mirtazapine formulations of the present invention.
  • FIG. 3 is a graph showing the effect of temperature and humidity on the 15 mg mirtazapine orally disintegrating tablets provided in Table 8.
  • FIG. 4 is a graph showing the effect of temperature and humidity on the 30 mg mirtazapine orally disintegrating tablets provided in Table 8.
  • FIG. 5 is a graph showing the effect of temperature and humidity on the 45 mg mirtazapine orally disintegrating tablets provided in Table 8.
  • DETAILED DESCRIPTION OF THE INVENTION
  • Throughout the present document, all expressions of percentage, ratio, and the like, will be in weight units unless otherwise indicated.
  • The present invention contemplates solid oral dosage forms, such as a pharmaceutical tablet containing mirtazapine. The dosage forms of the present invention do not rely upon effervescence for release of the active agent. The mirtazapine formulations contemplated can employ a racemic mixture of mirtazapine or an enantiomeric excess of, or a substantially pure enantiomer, i.e., R-mirtazapine and S-mirtazapine. See U.S. Pat. No. 4,062,848. As will be appreciated by those skilled in the art, salts, hydrates, solvates, and the like, could be employed in the present invention to obtain the same beneficial effects as that provided by the base form mirtazapine. Accordingly, as used herein, the term “mirtazapine” contemplates all such forms, with a racemic mixture of mirtazapine being preferred.
  • As used herein, the term “pharmaceutically effective” refers to that amount of mirtazapine, which diminishes one or more symptoms of the disease or disorder being treated. For example, a pharmaceutically effective amount for the treatment of depression refers to the amount which when administered diminishes one or more symptoms of depression, such as insomnia or anxiety. The precise therapeutic dosage of mirtazapine necessary to be pharmaceutically active will vary with age, size, sex and condition of the subject, the nature and severity of the disorder or disease to be treated, and the like; thus, a precise pharmaceutically effective amount cannot be specified in advance and will be determined by a caregiver. However, appropriate amounts can be determined by routine experimentation with animal models. In general terms, an effective daily dose is about 5 to 50 milligrams (mg) per day per human subject of mirtazapine. In some embodiments, an effective daily dose is about 5 mg per day. In some embodiments, an effective daily dose is about 10 mg per day. In some embodiments, an effective daily dose is about 15 mg per day. In some embodiments, an effective daily dose is about 30 mg per day. In some embodiments, an effective daily dose is about 45 mg per day.
  • The term “tablet” as used herein is intended to encompass compressed pharmaceutical dosage formulations of all shapes and sizes, whether coated or uncoated.
  • As used herein, the term “excipient” refers to the additives used to convert an active compound into a form suitable for its intended purpose. For dosage forms of the present invention suitable for administration to humans, the term “excipient” is meant to include, but is not limited to, those ingredients described in Remington: The Science and Practice of Pharmacy, Lippincott Williams & Wilkins, 21st ed. (2004), which is herein incorporated by reference in its entirety.
  • As used herein, the term “disintegration” refers to the loss of integrity of the dosage forms of the invention to form granules or aggregates or particles, as generally described in Remington: The Science and Practice of Pharmacy, Lippincott Williams & Wilkins, 21st ed. (2004).
  • As used herein, “dissolution” refers to the process by which mirtazapine goes into solution from the solid dosage forms of the invention.
  • As used herein, a “closed space” refers to the space within a package or container such as a blister pack or foil-wrapped package containing the solid dosage forms of the invention.
  • As used herein, “low humidity” refers to the conditions provided by use of desiccated bags to control moisture or to conditions inside a package such as a blister pack containing the solid dosage forms of the invention.
  • In some embodiments, the invention provides a non-effervescent, solid dosage form adapted for oral administration to a mammal:
  • about 1 to about 60% by weight of mirtazapine;
  • about 1 to about 95% by weight of a hydrophilic component selected from the group consisting of a water-soluble component, a water-insoluble component, or combinations thereof, wherein the water-soluble component is selected from the group consisting of cellulose derivatives, polyol, water-soluble carbohydrate, a component having a —CHOH group, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, a component having a —CHCOOH group, tartaric acid, citric acid, malic acid, succinic acid, sodium and potassium salts thereof, or combinations thereof, wherein the water-soluble carbohydrate is selected from the group consisting of mannitol, xylitol, sorbitol, malitol, lacitol, erytritol, xylose, arabinose, pentose, galactose, dextrose, inositol, sucrose, trehalose, or combinations thereof, and wherein the water-insoluble component is selected from the group consisting of microcrystalline cellulose, crospovidone, croscarmelose sodium, sodium starch glycolate, AMBERLITE (Rohm and Haas, Philadelphia, Pa.), calcium silicate, calcium trisilicate, magnesium silicate, magnesium trisilicate, modified starches, or combinations thereof;
  • up to about 5% by weight of at least one lubricant selected from the group consisting of magnesium stearate, sodium stearyl fumarate, calcium stearate, sodium stearate, stearic acid, talc, hydrogenated vegetable oil, aluminum stearate, silica gel, colloidal silicon dioxide, or combinations thereof;
  • wherein said dosage form does not rely upon effervescence for disintegration of said dosage form;
  • wherein dissolution of said dosage form in a medium of 900 mL of 0.1 N HCl with a paddle speed of 50 rpm is greater than about 75% at five minutes; and
  • wherein the water-soluble and water-insoluble component are provided in a weight ratio from about 20:80 to about 95:5. In some embodiments, the dissolution of the dosage form in a medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm is greater than about 95% at five minutes.
  • In some embodiments, the dosage form further comprises about 0.1 to about 30% by weight of at least one salivating agent selected from mannitol, tartaric acid, citric acid, malic acid, fumaric acid, adipic acid, succinic acid, sodium and potassium salts thereof, and combinations thereof.
  • In some embodiments, the dosage form further comprises, about 1 to about 50% of a first hydrophilic component selected from a group consisting of cellulose derivatives, hydrophilic polymers, polyvinyl pyrrolidone, and combinations thereof. In some embodiments, the first hydrophilic component is selected from the group consisting of microcrystalline cellulose, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, and combinations thereof.
  • The dosage forms of the present invention do not rely upon effervescence for release of the active agent, need not contain an alkalyzing agent, but can contain any other additives, colorings and/or flavorings that are pharmaceutically acceptable. In some embodiments, the dissolution rate of dosage forms of the present invention, in a medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm, is greater than 95% at five minutes.
  • In some embodiments, the dosage form comprises about 0.5 to about 40% mirtazapine, up to about 30% of at least one salivating agent, about 5 to about 50% of a first hydrophilic component, about 10 to about 80% of a water-soluble carbohydrate, about 10 to about 50% of a disintegrating agent, and less than about 5% of at least one lubricant.
  • In some embodiments, the dosage form comprises about 0.5 to about 10% by weight of mirtazapine; up to about 10% by weight of at least one salivating agent; about 5 to about 15% by weight of a first hydrophilic component; about 35 to about 65% by weight of a water-soluble carbohydrate; about 15 to about 35% by weight of a disintegrating agent; and about 0.5 to about 4% by weight of at least one lubricant.
  • In some embodiments, the dosage form comprises about 6% mirtazapine, about 14.4% of one or more salivating agents, about 6% of a first hydrophilic component, about 44% of a water-soluble carbohydrate, about 24% of a disintegrating agent, and about 1.4% of at least two lubricants.
  • The present invention contemplates the use of at least one salivating agent source suitable for human consumption. Salivating agents include organic compounds such as polyols and mild acids. Examples of water-soluble carbohydrates and polyols which can be used as salivating agents in the present invention are xylitol and mannitol. Mild acids are used to adjust the pH, or acidity, of the pharmaceutical composition and in some cases to provide flavoring. A purpose of using a mild acid in the present composition is to provide for a sour taste to stimulate saliva secretion, which helps disintegrate the tablets. Acceptable mild acids are tartaric acid, citric acid, malic acid, fumaric acid, adipic acid, succinic acid, sodium and potassium salts thereof, and combinations thereof. Also contemplated is the use of acid anhydrides and acid salts such as sodium dihydrogen phosphate, disodium dihydrogen pyrophosphate, acid citrate salts, and sodium acid sulfite. It is preferred that either tartaric acid, citric acid, or both, or sodium or potassium salts thereof, or combinations thereof are used in the present formulation. Most preferred is a combination of tartaric acid, NF and citric acid USP Anhydrous Powder.
  • Preferred water-soluble carbohydrates for use in the present invention include but are not limited to mannitol, xylitol, sorbitol, malitol, lacitol, erytritol, xylose, arabinose, pentose, galactose, dextrose, inositol, sucrose, trehalose and mixtures thereof, most preferably, mannitol USP available under the trade name PARTECK M-200 (Merck KGaA, Darmstadt, Germany).
  • In some embodiments, the invention provides a solid dosage form which further comprises a component having a negative heat of solution selected from the group consisting of mannitol, xylitol, sorbitol, sucrose, and combinations thereof.
  • The mirtazapine dosage form of the present invention neither relies upon effervescence for release of the active agent nor aids in its complete disintegration. Instead, the present invention employs a disintegrating agent. Particularly useful disintegrating agents are super-disintegrating agents such as crospovidone, croscarmelose sodium, AMBERLITE (Rohm and Haas, Philadelphia, Pa.), and sodium starch glycolate. The preferred disintegrating agent is crospovidone, NF available under the trade name POLYPLASDONE XL (ISP Technologies, Wayne, N.J.). Microcrystalline cellulose also aids in disintegration by acting as a wicking agent. Wicking agents take moisture from the ambient conditions and draws it into the tablet to aid in dissolving the water soluble components. Types of AMBERLITE (Rohm and Haas, Philadelphia, Pa.) resins for use in the formulation include but are not limited to AMBERLITE IRP64, AMBERLITE IRP69, AMBERLITE IRP88, and combinations thereof The components of the present invention are sufficient for complete disintegration without the use of effervescent agents. In some embodiments, the dosage form further comprises an agent selected from the group consisting of calcium silicate, magnesium silicate, magnesium trisilicate, and combinations thereof. While not wishing to be bound by a specific theory, it appears that the agent, such as, calcium silicate, calcium trisilicate, magnesium trisilicate, magnesium silicate, and combinations thereof, might act by facilitating the disintegration action of the disintegrating agents such as crospovidone. In some embodiments, the weight ratio of the disintegrating agents such as crospovidone to that of agents such as calcium silicate can range from 9:1 to 1:9.
  • The present invention contemplates the use of at least one lubricant to assist in the removal of tablets from the dies during tablet compression and to reduce the friction of particles. Common hydrophobic lubricants suitable in the present formulation are: magnesium stearate, sodium stearyl fumarate, calcium stearate, sodium stearate, stearic acid, talc, hydrogenated vegetable oil, aluminum stearate, silica gel, such as colloidal silicon dioxide, and mixtures thereof The presence of at least one of the above mentioned lubricants is contemplated in the present invention. Preferred is a combination of magnesium stearate, NF and sodium stearyl fumarate, NF. Sodium stearyl fumarate is commonly available under the tradename PRUV (Penwest Pharmaceuticals Co., Patterson, N.Y.).
  • In addition to the above mentioned ingredients, other excipients can be added to the present composition. In particular, coloring agents and flavoring agents can be added. Any coloring suitable for oral ingestion, including natural synthetic coloring such as F.D.& C. dyes, are appropriate in the present invention. A natural or an artificial sweetener can be employed to improve the taste of the tablet upon disintegration, such as aspartame, sucralose, acesulfame potassium, sodium cyclamate, saccharin and the like. In some embodiments, the sweetener is aspartame. In addition, natural and artificial flavorings can be added. The citrus flavorings, including but not limited to orange, tangerine, lemon, lime, lemon-lime, citrus, and the like, are particularly suited to combat the bitter taste of mirtazapine. In some embodiments, orange flavor is preferred. In some embodiments, strawberry flavor is preferred.
  • The pharmaceutical dosage forms of the present invention are useful in the therapeutic treatment for patients suffering from DSM-IV diagnosable disorders such as schizophrenia, Alzheimer's Disease, autism, depression, benign forgetfulness, childhood learning disorders, close head injury, and attention deficit disorder. See U.S. Pat. No. 6,228,875. In addition, the mirtazapine of the present invention can be used in treating movement disorders such as Parkinsonian tremors, rubral tremors, post-traumatic tremors, drug-induced tremors (e.g. induced by lithium or other drug agents), cerebellar tremors associated with lesions of the cerebellum or cerebellar outflow pathway, Tourette's syndrome tremors and other peripheral neuropathy-associated tremors, akathisias, asterixis, athetosis, choreaathetosis, tics, chorea/choreaform movements, dystonias, spasticity, restless legs syndrome, hyperkinetic movement disorders, hemiballismus, myoclonus, tardive dyskinesia and other types of dyskinesia, and sleep apnea disorders. See U.S. Pat. Nos. 6,281,207 and 6,303,595.
  • In addition, the mirtazapine dosage form can be used to treat other mental disorders and diseases currently being treated by antidepressants, such as, but not limited to, selective serotonin reuptake inhibitors (SSRIs) such as depression (including major depression (single episode, recurrent, melancholic), atypical, dysthymia, subsyndromal, agitated, retarded, co-morbid with cancer, diabetes, or post-myocardial infarction, involutional, bipolar disorder, psychotic depression, endogenous, and reactive, obsessive-compulsive disorder, bulimia. In addition, the formulations can be used to treat people suffering from pain (given alone or in combination with other pain relievers), obsessive-compulsive personality disorder, post-traumatic stress disorder, hypertension, atherosclerosis, anxiety, anorexia nervosa, panic, social phobia, stuttering, sleep disorder, weight loss, agoraphobia, improving memory, amnesia, smoking cessation, nicotine withdrawal syndrome symptoms, disturbance of mood and/or appetite associated with pre-menstrual syndrome, depressed mood and/or carbohydrate craving associated with pre-menstrual syndrome, disturbance of mood, disturbance of appetite or disturbances which contribute to recidivism associated with nicotine withdrawal, circadian rhythm disorder, borderline personality disorder, hypochondriasis, pre-menstrual syndrome (PMS), late luteal phase dysphoric disorder, pre-menstrual dysphoric disorder, trichotillomania, symptoms following discontinuation of other antidepressants, aggressive/intermittent explosive disorder, compulsive gambling, compulsive spending, compulsive sex, psychoactive substance abuse disorder, sexual disorder, schizophrenia, premature ejaculation, or psychiatric symptoms such as stress, worry, anger, rejection sensitivity, and lack of mental or physical energy. See e.g., U.S. Pat. No. 6,150,353.
  • In some embodiments, the invention provides a process for preparing a pharmaceutical tablet, the process comprising:
  • In some embodiments, the invention provides a process of making a non-effervescent, solid dosage form adapted for oral administration which comprises:
  • a) mixing about 1 to about 60% by weight of mirtazapine;
  • about 1 to about 95% by weight of a hydrophilic component selected from the group consisting of a water-soluble component, a water-insoluble component, or combinations thereof, wherein the water-soluble component is selected from the group consisting of cellulose derivatives, polyol, a component having a —CHOH group, water-soluble carbohydrate, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, wherein the water-soluble carbohydrate is selected from the group consisting of mannitol, xylitol, sorbitol, malitol, lacitol, erytritol, xylose, arabinose, pentose, galactose, dextrose, inositol, sucrose, trehalose, and combinations thereof, a component having a —CHCOOH group, tartaric acid, citric acid, malic acid, succinic acid, sodium and potassium salts thereof, and combinations thereof, and wherein the water-insoluble component is selected from the group consisting of microcrystalline cellulose, crospovidone, croscarmelose sodium, sodium starch glycolate, AMBERLITE, calcium silicate, calcium trisilicate, magnesium silicate, magnesium trisilicate, modified starches, and combinations thereof; and
  • up to about 5% by weight of at least one lubricant selected from the group consisting of magnesium stearate, sodium stearyl fumarate, calcium stearate, sodium stearate, stearic acid, talc, hydrogenated vegetable oil, aluminum stearate, silica gel, colloidal silicon dioxide, and combinations thereof in an agitator to form a mixture;
  • b) followed by directly compressing the mixture to form a pharmaceutical tablet,
  • wherein said tablet does not rely upon effervescence for disintegration of said tablet, wherein dissolution of said dosage form in a medium of 900 mL of 0.1 N HCl with a paddle speed of 50 rpm is greater than about 75% at five minutes, and wherein the water-soluble and water-insoluble component are provided in a weight ratio from about 20:80 to about 95:5. In some embodiments, the dissolution of the dosage form in a medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm is greater than about 95% at five minutes.
  • In some embodiments, the process further comprises mixing, about 1 to about 50% of a first hydrophilic component selected from a group consisting of cellulose derivatives, hydrophilic polymers, polyvinyl pyrrolidone, and combinations thereof. In some embodiments, the first hydrophilic component is selected from the group consisting of microcrystalline cellulose, hydroxypropyl cellulose, methyl cellulose, hydroxypropyl methyl cellulose, polyvinyl pyrrolidone, and combinations thereof.
  • The non-effervescent, solid dosage forms formed from the present process have a hardness of from about 0.1 to about 5 kp. In some embodiments, the hardness of the dosage forms can be 0.1 to about 3 kp. In some embodiments, the hardness of the dosage forms is greater than about 1.0 kp after exposure for 24 hours at 25° C. and 60% relative humidity, and is greater than about 0.8 kp after exposure for 60 minutes at 40° C. and 75% relative humidity.
  • When the solid dosage forms of the invention such as the tablets come off a tablet press, they are kept under low humidity conditions by use of, e.g., desiccated bags to control the moisture around the tablets. The tablets stored under desiccated conditions are then packaged into blister packs under ambient controlled conditions at temperatures of about 25° C. and relative humidity ranging from about 35% to about 60% relative humidity, which results in a decrease in hardness of the tablet ranging from about 0.1 to about 0.5 kp. While not wishing to be bound by any specific theory, it is believed that because a low amount of air is trapped inside a blister pack and around a packaged tablet, the relative humidity of the atmosphere around a tablet inside a blister pack is low. Moreover, the packaging materials used for preparing the blister pack such as aluminum are impermeable to moisture and maintain the conditions of low humidity around the solid dosage forms for long periods of time.
  • When a user opens the package containing the solid dosage form to consume the dosage form, then the dosage form is exposed to conditions such as about 25° C. and about 60% relative humidity, or about 40° C. and about 75% relative humidity, or about 25° C. and about 35% relative humidity, or other ambient atmosphere, for periods of time whereby the hardness of the solid dosage form decreases. However, the formulation of the dosage form is such that even after exposure to conditions such as about 25° C. and about 60% relative humidity for about 24 hours, or about 40° C. and about 75% relative humidity for about 15 min, or about 25° C. and about 35% relative humidity for about 24 hours, or about 25° C. and about 35% relative humidity for about 6 hours, or about 25° C. and about 35% relative humidity for about 1 hr, the hardness of the exposed dosage form is at least about 50% of the hardness of the dosage form when packed inside a package. This physical property of the formulations of the invention whereby the dosage form retains its hardness for a period of time after its removal from a package is advantageous to users as patients do not have to consume the dosage form as soon as they open a package. In some embodiments, the package can be prepared under conditions including, but not limited to low humidity, controlled temperature, low oxygen, inert atmosphere, under nitrogen, in vacuum, and combinations thereof.
  • In some embodiments, the invention provides, a non-effervescent, solid dosage form, wherein the dosage form having a first hardness being the dosage form inside a closed space, wherein the dosage form having a second hardness being the dosage form exposed to about 25° C. and about 60% relative humidity for about 24 hours, and wherein the second hardness is at least about 50% of the first hardness. In some embodiments, the invention provides a non-effervescent, solid dosage form, wherein the dosage form having a first hardness being the dosage form inside a closed space, wherein the dosage form having a second hardness being the dosage form exposed to about 40° C. and about 75% relative humidity for about 15 minutes, and wherein the second hardness is at least about 50% of the first hardness.
  • The disintegrating tablets must be made under generally anhydrous conditions. To assist in the cohesion of dry ingredient, it is helpful to include a hydrophilic component, which includes water-soluble and water-insoluble components such as microcrystalline cellulose, hydroxypropyl cellulose, methylcellulose, hydroxypropyl methylcellulose, and polyvinyl pyrrolidone. In some embodiments, the hydrophilic component is microcrystalline cellulose, in particular, microcrystalline cellulose NF available under the trade name AVICEL PH 101 (FMC BioPolymer, Philadelphia, Pa.).
  • Some embodiments of the present invention are shown in Table 1.
  • TABLE 1
    Mirtazapine Formulations
    Preferred More Most
    Ingredient % (mg) Preferred/mg Preferred/mg
    Mirtazapine 6.0 1 to 60 1 to 30 1 to 10
    Tartaric Acid 6.0 0 to 20 0 to 15 0 to 10
    Microcrystalline 6.0 1 to 80 1 to 50 1 to 10
    Cellulose
    Citric Acid 8.4 0 to 20 0 to 15 0 to 10
    Aspartame 4.0 0.1 to 10 1 to 8 1 to 5
    Orange Flavor 0.6 0 to 2.4 0 to 1.2 0 to 0.6
    Mannitol 43.6 0 to 80 0 to 60 0 to 50
    Crospovidone 24.0 3 to 50 5 to 40 10 to 30
    Magnesium 0.6 0 to 5 0 to 3 0 to 1
    Stearate
    Sodium Stearyl 0.8 0 to 5 0 to 3 0 to 1
    Fumarate
  • A compressed tablet contemplated in the present invention has a hardness of from about 0.1 to about 5 kiloponds (kp). In some embodiments, the hardness of the tablets ranges from about 0.1 kp to about 3 kp. In some embodiments, the hardness of the tablet is about 2 kp.
  • FIG. 1 depicts a flow chart of a manufacturing process which can be used to form pharmaceutical tablets of the pharmaceutical composition of the present invention. Tartaric acid and microcrystalline cellulose are mixed in an agitator; citric acid, aspartame, orange flavoring, mirtazapine and mannitol are subsequently added and mixed to form a mixture; crospovidone is then transferred to the agitator and mixed in with the mixture followed by subsequent additions of sodium stearyl fumarate and magnesium stearate; the composition is mixed and the resultant mixture is compressed to form mirtazapine pharmaceutical tablets.
  • FIG. 2 depicts a flow chart of a dry mixing process to prepare mirtazapine orally disintegrating tablets. Mannitol and xylitol are mixed and passed through a screen, and then mixed in a tumble blender, e.g., GEMCO 20 cubic feet (General Machine Company of New Jersey Inc., Middlesex, N.J.). Mirtazapine and microcrystalline cellulose are subsequently added to the tumble blender and mixed. Crospovidone and polyvinyl pyrrolidone are added to the mixture. Strawberry flavor, aspartame and colloidal silicon dioxide are passed through a screen and then added to the tumble blender and mixed with the above mixture, then passed through a screen and then again transferred to a tumble blender. Sodium stearyl fumarate and magnesium stearate are passed through a screen, e.g. Russell Finex #30 (Russel Finex Inc., Pineville, N.C.), and added to the tumble blender, mixed and then the blend is compressed into tablets using a tablet press.
  • The disclosed mirtazapine dosage forms can be prepared as a solid oral dosage forms, preferably as orally disintegrating tablets, for medical administration. The preferred method of administration is in the form of a non-effervescent, orally disintegrating tablet compressed from a mixture of the dry ingredients. In some embodiments, mirtazapine is in the form of uncoated mirtazapine particles. The net weight of a compressed tablet comprising the mirtazapine dosage form of the present invention is from about 50 mg to about 1000 mg. Preferably, the mirtazapine dosage form would be made commercially available in two strengths, one about 250 mg and the other about 500 mg, each containing proportional doses of mirtazapine.
  • It has been unexpectedly found that mirtazapine tablets formed from the present pharmaceutical dosage form are physically stable at humid conditions although they have similar dissolution profiles to that of reference mirtazapine effervescent tablets.
  • Moreover, the mirtazapine tablets of the present invention are easier to package because they are more physically stable, less sensitive to moisture and are thus less fragile than reference mirtazapine tablets.
  • While not wishing to be bound by a specific theory, it is believed that upon oral administration to a patient, the dosage forms of the invention undergo disintegration to form granules or aggregates or fine particles, and subsequently most of the mirtazapine is released into solution.
  • The following examples of processing conditions and parameters are given for the purpose of illustrating the present invention and shall not be construed as being limitations on the scope or spirit of the invention.
  • Examples Example 1
  • FIG. 1 is a flow chart describing the process for making the mirtazapine formula of the present invention. Microcrystalline cellulose and tartaric acid are combined in a 20 cubic foot GEMCO blender (General Machine Company of New Jersey Inc., Middlesex, N.J.) for seven minutes with the agitator off. The mixture is then milled, e.g., through a FITZMILL (Fitzpatrick, South Plainfield, N.J.) fitted with a 1522-033 screen and a hammer forward. The mixture is then combined with citric acid, aspartame, orange flavor, mirtazapine, and mannitol and mixed again in the GEMCO blender (General Machine Company of New Jersey Inc., Middlesex, N.J.) with the agitator off. After 15 minutes, crospovidone is added and the mixture is blended for another 15 minutes. The mixture is then screened through #20 mesh and mixed again for 18 minutes. Sodium stearyl fumarate is then added and the mixture is mixed for seven more minutes. At which time, magnesium stearate, which has been passed through a #30 mesh screen, is added, and the mixing continues for a final seven minutes. The mixture is then compressed into tablets on a tablet press, e.g., KIKUSUI (Kikusui Tablet Press, Toms River, N.J.) using 13/32 inch flat-face bevel edge (FFBE) tooling for forming 15 mg mirtazapine orally disintegrating tablets, and 16/32 inch FFBE tooling for forming 30 mg mirtazapine orally disintegrating tablets.
  • Example 2
  • The procedure of Example 1 was used to make the following 15 mg mirtazapine orally disintegrating pharmaceutical tablet:
  • TABLE 2
    15 mg mirtazapine orally disintegrating tablet
    Milligrams/
    Ingredient Tablet %
    Mirtazapine 15 mg 6.0
    Tartaric Acid 15 mg 6.0
    Microcrystalline Cellulose 15 mg 6.0
    Citric Acid 21 mg 8.4
    Aspartame 10 mg 4.0
    Orange Flavor 1.5 mg 0.6
    Mannitol 109 mg 43.6
    Crospovidone 60 mg 24.0
    Magnesium Stearate 1.5 mg 0.6
    Sodium Stearyl Fumarate 2 mg 0.8
    Net Tablet weight 250 mg 100
  • Example 3
  • The procedure of Example 1 was also used to make the following 30 mg mirtazapine orally disintegrating pharmaceutical tablet:
  • TABLE 3
    30 mg mirtazapine orally disintegrating tablet
    Ingredient Milligrams/Tablet
    Mirtazapine 30 mg
    Tartaric Acid 30 mg
    Microcrystalline Cellulose 30 mg
    Citric Acid 42 mg
    Aspartame 20 mg
    Orange Flavor 3 mg
    Mannitol 218 mg
    Crospovidone 120 mg
    Magnesium Stearate 3 mg
    Sodium Stearyl Fumarate 4 mg
    Net Tablet weight 500 mg
  • Example 4
  • Table 4 depicts the comparative hardness (kp) for mirtazapine tablets for the 15 and 30 mg dosage forms tablets of Examples 2 and 3. The 15 mg and 30 mg tablets were determined to have a hardness from about 2.6 to about 1.8 and from 2.7 kp to about 1.7 kp, respectively, at 25° C. and 60% relative humidity (RH) when the tablets were exposed to the environment for up to 24 hours. Table 4 shows that at control room temperature, the hardness of the reference tablets decreased rapidly over a period of time (i.e. the tablet breaks down and gets mushy).
  • TABLE 4
    Comparative Hardness (Kp) data for Mirtazapine Tablets,
    15 and 30 mg Barr vs. Reference at 25° C./60% RH
    15 mg 30 mg
    Time (Example 2), Reference 1, (Example 3), Reference 2,
    (Hours) kp kp kp kp
    0 2.6 1.8 2.7 1.6
    2 1.2 0.6 1.2 0.5
    6 1.2 0.3 1.2 0.3
    24 1.2 0.3 1.2 Powder
    48 1.8 0.5 1.7 Powder
  • Table 5 shows that the hardness of the 15 mg and 30 mg dosage forms at 40° C. and 75% RH ranged from about 2.8 kp to about 0.8 kp and from about 2.7 kp to about 1.1 kp, respectively, when the tablets were exposed to the environment for up to one hour. Table 5 demonstrates that the physical integrity of the 30 mg mirtazapine tablet of the present invention is maintained under harsher conditions and is thus not spoiled. This physical property of the tablet is advantageous to users of the tablet in hot and humid climates.
  • TABLE 5
    Comparative Hardness (Kp) data for 15 mg and 30 mg
    Mirtazapine Tablets vs. Reference at 40° C./75% RH
    Time Barr Reference Barr Reference
    (Hours) (15 mg), kp (15 mg), kp (30 mg), kp (30 mg), kp
    0 2.8 1.9 2.7 1.9
    0.25 1.5 0.6 2.0 0.5
    0.5 1.5 0.4 1.4 0.4
    0.75 0.9 0.4 1.1 0.4
    1.0 0.8 0.4 1.1 0.4
  • Table 6 depicts the dissolution profile for the 15 mg dosage form, which was obtained in a dissolution medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm. The table shows that about 100% of the 15 mg dosage form dissolves in five minutes.
  • TABLE 6
    Comparative Dissolution Profile for 15 mg
    Mirtazapine Orally Disintegrating Tablets
    Dissolution Medium: 0.01 N HCl 900 mL, 50 rpm,
    Paddle (Percent Dissolved)
    15 mg Tablet
    Time Reference 1 (Example 2)
    (mins) 0010300046 202411001R
    0 0 0
    5 97 101
    10 103 101
    20 103 101
    30 103 101
    45 103 101
    60 103 101
  • Table 7 depicts the dissolution profile for a 30 mg dosage form of the present invention which was obtained in a dissolution medium of 900 mL of 0.01 N HCl with a paddle speed of 50 rpm. The table shows that about 99% of the 30 mg dosage form dissolves in five minutes.
  • TABLE 7
    Comparative Dissolution Profile for Mirtazapine
    Orally Disintegrating Tablets 30 mg Dissolution
    Medium: 0.01 N HCl 900 mL, 50 rpm, Paddle
    Dissolution Medium: 0.01 N HCl 900 mL, 50 rpm,
    Paddle (Percent Dissolved)
    30 mg Tablet
    Time Reference 1 (Example 3)
    (mins) 0010300046 202411001R
    0 0 0
    5 90 99
    10 101 99
    20 102 99
    30 102 99
    45 102 99
  • Example 5
  • Table 8 shows 15 mg, 30 mg and 45 mg mirtazapine orally disintegrating tablet formulations prepared by the process shown in FIG. 2.
  • TABLE 8
    Mirtazapine orally disintegrating tablets
    15 mg 30 mg 45 mg
    Tablet Tablet Tablet
    # INGREDIENT (mg) (mg) (mg) %
    1 Mirtazapine 15.00 30.00 45.00 9.375
    2 Microcrystalline cellulose, 10.00 20.00 30.00 6.25
    NF (AVICEL PH101)
    3 N-C NATURAL & 1.000 2.000 3.000 0.625
    ARTIFICIAL ORANGE
    FLAVOR (POWDER)
    4 Crospovidone, NF 42.00 84.00 126.0 26.25
    (POLYPLASDONE XL)
    5 Mannitol, USP (PARTECK 76.30 152.6 228.9 47.68
    M200)
    6 Colloidal Silicon Dioxide, 1.700 3.400 5.100 1.06
    NF (CAB-O-SIL)
    7 Magnesium stearate, NF 1.500 3.000 4.500 0.937
    8 Sodium stearyl fumarate, NF 1.500 3.000 4.500 0.937
    9 Xylitol (XYLISORB 300) 5.000 10.00 15.00 3.125
    10 Aspartame, USP (NUTRA 6.000 12.00 18.00 3.75
    SWEET powder)
    Total 160.0 320 480
  • Table 9 provides the disintegration time, friability and tablet hardness (kp) for the 15 mg, 30 mg and 45 mg formulations shown in Table 8. Friability, which is a measure of the crumbliness of the tablet is also provided. As seen in Table 8, friability of the tablets at a hardness lesser than about 1.5 kp is more than 2%.
  • TABLE 9
    Disintegration time and friability
    Tablet
    Hardness Disintegration time (sec) Friability (%)
    (kp) 15 mg 30 mg 45 mg 15 mg 30 mg 45 mg
    0.5 3.3 5.2 6.33 100 100 100
    1 4 5 6.4 100 100 100
    1.5 4.7 6.7 6.7 0.1 60.6 100
    2 5.7 6.3 5.7 <0.1 0.7 48
    2.5 7.7 7.3 7 <0.1 0.7 18
    3 7.33 8 <0.1 0.1 2
  • Tables 10, 11 and 12 provide the effect of temperature and moisture (also referred to as relative humidity or RH) on the hardness of the 15 mg, 30 mg and 45 mg formulations provided in Table 8. The results in Tables 10, 11 and 12 are graphically depicted in FIGS. 3, 4 and 5. As seen in Table 10, the hardness of 15 mg tablets exposed to 22° C./35% RH for 6 hr was about 64% of the hardness of the tablets exposed for 0 min, i.e., the hardness of the tablet after exposure to 22° C./35% RH for 6 hr was more than 50% of the hardness of the tablet exposed for 0 min. Further, the hardness of the 15 mg tablet exposed to 40° C./75% RH for 15 min was about 57% of the hardness after exposure for 0 min, i.e., the hardness of the tablet after exposure to 40° C./75% RH for 15 min was more than 50% of the hardness of the unexposed 15 mg tablet.
  • Table 11 shows that the hardness of the 30 mg after exposure to 22° C./35% RH for 6 hr, or to 40° C./75% RH for 15 min was more than 50% of the hardness of the 30 mg tablet exposed for 0 min to either condition.
  • Table 12 shows that the hardness of the 45 mg after exposure to 22° C./35% RH for 6 hr, or to 40° C./75% RH for 15 min was more than 50% of the hardness of the 45 mg tablet exposed for 0 min to either condition.
  • TABLE 10
    Effect of temperature/moisture on
    hardness of the 15 mg formulation
    Hardness (kp)
    Time 15 mg Tablet 15 mg Tablet 15 mg Tablet
    (min) 40° C./75% RH 22° C./35% RH 60° C.
    0 1.4 1.4 1.4
    5 1.0 1.4 1.3
    10 0.9 1.4 1.3
    15 0.8 1.4 1.3
    30 0.5 1.4 1.3
    45 0.5 1.2 1.3
    60 0.5 1.2 1.3
    120 0.2 1.1 1.4
    180 <0.1 0.9 1.3
    240 <0.1 0.9 1.4
    360 <0.1 0.9 1.4
  • TABLE 11
    Effect of temperature/moisture on
    hardness of the 30 mg formulation
    Hardness (kp)
    Time 30 mg Tablet 30 mg Tablet 30 mg Tablet
    (min) 40° C./75% RH 22° C./35% RH 60° C.
    0 1.9 1.9 1.9
    5 1.2 1.8 1.8
    10 1.1 1.9 1.8
    15 1.2 1.7 1.8
    30 0.9 1.7 1.6
    45 0.9 1.7 1.9
    60 0.9 1.8 1.7
    120 0.5 1.8 1.4
    180 0.3 1.9 1.3
    240 0.3 1.9 1.2
    360 0.2 1.8 1.2
  • TABLE 12
    Effect of temperature/moisture on
    hardness of the 45 mg formulation
    Hardness (kp)
    Time 45 mg Tablet 45 mg Tablet 45 mg Tablet
    (min) 40° C./75% RH 22° C./35% RH 60° C.
    0 1.9 1.9 1.9
    5 1.6 1.9 1.9
    10 1.2 1.9 1.9
    15 1.4 1.8 1.9
    30 1.2 1.8 1.9
    45 0.9 1.9 1.7
    60 0.8 1.9 1.7
    120 0.7 1.9 1.8
    180 0.4 2.1 1.6
    240 0.4 2.1 1.4
    360 0.3 2.0 1.3
  • Example 8
  • Table 13 shows 15 mg, 30 mg and 45 mg mirtazapine orally disintegrating tablets containing calcium silicate, which were prepared by the process shown in FIG. 2.
  • TABLE 13
    Mirtazapine orally disintegrating tablets containing calcium
    silicate
    15 mg 30 mg 45 mg
    INGREDIENT Tablet Tablet Tablet %
    1 Mirtazapine 15.00 30.00 45.00 9.375
    2 Microcrystalline cellulose, 10.00 20.00 30.00 6.25
    NF (AVICEL PH101)
    3 N-C NATURAL & 1.000 2.000 3.000 0.625
    ARTIFICIAL ORANGE
    FLAVOR (POWDER)
    4 Crospovidone, NF 21.00 42.00 63.00 13.125
    (POLYPLASDONE XL)
    5 Calcium Silicate (FM 1000) 21.00 42.00 63.00 13.125
    6 Mannitol, USP (PARTECK 76.30 152.6 228.9 47.6
    M200)
    7 Colloidal Silicon Dioxide, 1.700 3.400 5.100 1.06
    NF (CAB-O-SIL)
    8 Magnesium stearate, NF 1.500 3.000 4.500 0.937
    9 Sodium stearyl fumarate, NF 1.500 3.000 4.500 0.937
    10 Xylitol (XYLISORB 300) 5.000 10.00 15.00 3.125
    11 Aspartame, USP (NUTRA 6.000 12.00 18.00 3.75
    SWEET powder)
    Total 160.0 320.0 480.0 100
  • Table 14 provides the relationship between hardness of the 15 mg tablet of Table 10 and the disintegration time (DT).
  • TABLE 14
    Tablet disintegration time vs. hardness
    Tablet
    Hardness DT Friability
    (kp) (sec) (%)
    0.5 3.6 100
    1 3.3 100
    1.5 4 5.3
    2 3 0.1
    2.5 4.8 <0.1
    3 5.7 <0.1
    4 6.3 <0.1
    5 8.3 <0.1
  • One skilled in the art would understand that, despite the full description provided herein, the present invention can be performed within a wide and equivalent range of conditions, formulations, and other parameters without affecting the scope of the invention or any embodiment thereof. All patents and publications cited herein are fully incorporated by reference herein in their entirety.

Claims (13)

  1. 1-41. (canceled)
  2. 42. A method of treating neurological disorders and diseases which comprises administering a non-effervescent, orally disintegrating mirtazapine tablet comprising:
    i) about 0.5% to about 10% of mirtazapine;
    ii) about 35% to about 65% by weight of water-soluble carbohydrate selected from the group consisting of mannitol, xylitol, sorbitol, sucrose and combinations thereof;
    iii) about 15% to about 35% by weight of a disintegrating agent selected from the group consisting of crospovidone, croscarmelose sodium, sodium starch glycolate and combinations thereof;
    iv) about 5% to about 15% by weight of microcrystalline cellulose;
    v) about 0.5% to about 4% by weight of at least one lubricant;
    vi) 0 to about 10% by weight of a salivating agent;
    vii) optionally a coloring agent;
    viii) optionally a flavoring agent; and
    ix) optionally a sweetener.
  3. 43-51. (canceled)
  4. 52. The method of claim 42 wherein the tablet comprises 15 mg, 30 mg or 45 mg of mirtazapine and exhibits a hardness of about 1.5 kp to about 3 kp, a hardness greater than 1.0 kp after exposure for 24 hours at 25° C. and 60% relative humidity and greater than about 0.8 kp after exposure for 60 minutes at 40° C. and 75% relative humidity.
  5. 53. The method according to claim 42 wherein the tablet disintegrates in about 3 to about 8 seconds.
  6. 54. The method of claim 42 wherein the hardness of the tablet is about 2 kp to about 3 kp.
  7. 55. The method of claim 42 wherein the tablet comprises:
    i) about 0.5% to about 10% by weight of mirtazapine;
    ii) about 35% to about 65% by weight of mannitol;
    iii) about 15% to about 35% by weight of crospovidone;
    iv) about 5% to about 15% by weight of microcrystalline cellulose;
    v) about 0.5% to about 4% by weight of at least one lubricant;
    vi) 0 to about 10% by weight of a salivating agent;
    vii) colloidal silicon dioxide;
    viii) optionally a coloring agent;
    xi) optionally a flavoring agent; and
    x) optionally a sweetener.
  8. 56. The method of claim 55 wherein the tablet comprises 15 mg, 30 mg or 45 mg of mirtazapine and exhibits a hardness of about 1.5 kp to about 3 kp, a hardness greater than 1.0 kp after exposure for 24 hours at 25° C. and 60% relative humidity and greater than about 0.8 kp after exposure for 60 minutes at 40° C. and 75% relative humidity.
  9. 57. A method of treating neurological disorders and diseases which comprises administering a non-effervescent, orally disintegrating mirtazapine tablet prepared by a method consisting of:
    a) preparing a dry mixture consisting of:
    i) about 0.5% to about 10% by weight of mirtazapine;
    ii) about 35% to about 65% by weight of water-soluble carbohydrate selected from the group consisting of mannitol, xylitol, sorbitol, sucrose and combinations thereof;
    iii) about 15% to about 35% by weight of a disintegrating agent selected from the group consisting of crospovidone, croscarmelose sodium, sodium starch glycolate and combinations thereof;
    iv) about 5 to about 15% by weight of microcrystalline cellulose;
    v) about 0.5% to about 4% by weight of at least one lubricant;
    vi) 0 to about 10% by weight of a salivating agent;
    vii) optionally a coloring agent;
    viii) optionally a flavoring agent; and
    ix) optionally a sweetener; and
    b) compressing the dry mixture into 15 mg, 30 mg or 45 mg mirtazapine tablets.
  10. 58. The method of claim 57 wherein the tablet exhibits a hardness of about 1.5 kp to about 3 kp, a hardness greater than 1.0 kp after exposure for 24 hours at 25° C. and 60% relative humidity and greater than about 0.8 kp after exposure for 60 minutes at 40° C. and 75% relative humidity.
  11. 59. The method according to claim 57 wherein the tablet disintegrates in about 3 to about 8 seconds.
  12. 60. The method of claim 57 wherein the hardness of the tablet is about 2 kp to about 3 kp.
  13. 61. The method of claim 57 wherein the orally disintegrating mirtazapine tablet is prepared by a method consisting of:
    a) preparing a dry mixture consisting of:
    i) about 0.5% to about 10% by weight of mirtazapine;
    ii) about 35% to about 65% by weight of mannitol;
    iii) about 15% to about 35% by weight of crospovidone;
    iv) about 5 to about 15% by weight of microcrystalline cellulose;
    v) about 0.5% to about 4% by weight of at least one lubricant;
    vi) 0 to about 10% by weight of a salivating agent;
    vii) colloidal silicon dioxide;
    viii) optionally a coloring agent;
    xi) optionally a flavoring agent; and
    x) optionally a sweetener.
US12914478 2003-07-31 2010-10-28 Mirtazapine Solid Dosage Forms Abandoned US20110046115A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US49127903 true 2003-07-31 2003-07-31
US10902836 US7838029B1 (en) 2003-07-31 2004-08-02 Mirtazapine solid dosage forms
US12914478 US20110046115A1 (en) 2003-07-31 2010-10-28 Mirtazapine Solid Dosage Forms

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US12914478 US20110046115A1 (en) 2003-07-31 2010-10-28 Mirtazapine Solid Dosage Forms

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US10902836 Continuation US7838029B1 (en) 2003-07-31 2004-08-02 Mirtazapine solid dosage forms

Publications (1)

Publication Number Publication Date
US20110046115A1 true true US20110046115A1 (en) 2011-02-24

Family

ID=43087247

Family Applications (2)

Application Number Title Priority Date Filing Date
US10902836 Expired - Fee Related US7838029B1 (en) 2003-07-31 2004-08-02 Mirtazapine solid dosage forms
US12914478 Abandoned US20110046115A1 (en) 2003-07-31 2010-10-28 Mirtazapine Solid Dosage Forms

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US10902836 Expired - Fee Related US7838029B1 (en) 2003-07-31 2004-08-02 Mirtazapine solid dosage forms

Country Status (1)

Country Link
US (2) US7838029B1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104095824A (en) * 2013-04-09 2014-10-15 上海信谊万象药业股份有限公司 Mirtazapine sustained release tablet and preparation method thereof
US20150045345A1 (en) * 2012-02-22 2015-02-12 Toyama Chemical Co., Ltd. Solid pharmaceutical composition containing 1-(3-(2-(1-benzothiophen-5-yl)ethoxy)propyl)azetidin-3-ol or salt thereof

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2377522B1 (en) * 2010-04-15 2013-01-16 Sanovel Ilaç Sanayi Ve Ticaret Anonim Sirketi Orally disintegrating tablet formulations of mirtazapine and process for preparing the same

Citations (64)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4062848A (en) * 1975-04-05 1977-12-13 Akzona Incorporated Tetracyclic compounds
US5082864A (en) * 1987-12-06 1992-01-21 Akzo N.V. Stabilized solutions of psychotropic agents
US5112616A (en) * 1988-11-30 1992-05-12 Schering Corporation Fast dissolving buccal tablet
US5178878A (en) * 1989-10-02 1993-01-12 Cima Labs, Inc. Effervescent dosage form with microparticles
US5208261A (en) * 1989-12-06 1993-05-04 Akzo N.V. Stabilized solutions of psychotropic agents
US5238688A (en) * 1989-12-30 1993-08-24 Akzo N.V. Method for preparing a powdered particulate composition
US5464632A (en) * 1991-07-22 1995-11-07 Laboratoires Prographarm Rapidly disintegratable multiparticular tablet
US5725884A (en) * 1995-01-09 1998-03-10 Edward Mendell Co., Inc. Pharmaceutical excipient having improved compressibility
US5837292A (en) * 1996-07-03 1998-11-17 Yamanouchi Europe B.V. Granulate for the preparation of fast-disintegrating and fast-dissolving compositions containing a high amount of drug
US5955107A (en) * 1997-12-12 1999-09-21 Fmc Corporation Pharmaceutical suspension tablet compositions
US5958453A (en) * 1996-10-31 1999-09-28 Takeda Chemical Industries, Ltd. Solid pharmaceutical preparation with improved buccal disintegrability and/or dissolubility
US5977099A (en) * 1996-06-19 1999-11-02 Akzo Nobel, N.V. Pharmaceutical composition comprising mirtazapine and one or more selective serotonin reuptake inhibitors
US6024981A (en) * 1997-04-16 2000-02-15 Cima Labs Inc. Rapidly dissolving robust dosage form
US6040301A (en) * 1998-04-02 2000-03-21 Akzo Nobel, N.V. Oral liquid antidepressant solution
US6150353A (en) * 1997-03-27 2000-11-21 Akzo Nobel N.V. Therapeutic combinations of mirtazapine and antipsychotic agents, for the treatment or prophylaxis of psychotic disorders
US6211171B1 (en) * 1998-05-19 2001-04-03 Dalhousie University Use of antidepressants for local analgesia
US6228875B1 (en) * 1998-04-14 2001-05-08 The General Hospital Corporation Methods for treating neuropsychiatric disorders
US20010009678A1 (en) * 1997-05-27 2001-07-26 Shimizu Toshihiro Solid preparation
US20010010825A1 (en) * 1998-07-28 2001-08-02 Toshihiro Shimizu Rapidly disintegrable solid preparation
US6281207B1 (en) * 1999-09-15 2001-08-28 Reed Richter Treatment of movement disorders by administration of mirtazapine
US6294198B1 (en) * 1999-08-24 2001-09-25 Purepac Pharmaceutical Co. Pharmaceutical tablet formulation containing gabapentin with improved physical and chemical characteristics and method of making the same
US6303595B1 (en) * 1997-11-14 2001-10-16 Akzo Nobel N.V. Use of mirtazapine for treating sleep apneas
US6328994B1 (en) * 1998-05-18 2001-12-11 Takeda Chemical Industries, Ltd. Orally disintegrable tablets
US6376668B1 (en) * 1999-12-13 2002-04-23 Sumika Fine Chemicals Co., Ltd. Process for preparing pyridinemethanol compounds
US20020049233A1 (en) * 2000-08-18 2002-04-25 Kararli Tugrul T. Oral fast-melt dosage form of a cyclooxygenase-2 inhibitor
US20020052395A1 (en) * 2000-03-31 2002-05-02 Andrews Mark David Diphenyl ether compounds useful in therapy
US6399310B1 (en) * 2001-02-12 2002-06-04 Akzo Nobel N.V. Methods for improving the therapeutic response of humans having major depression and carrying the gene for apolipoprotein E4
US20020071864A1 (en) * 1999-03-25 2002-06-13 Yuhan Corporation Rapidly disintegrable tablet for oral administration
US20020091129A1 (en) * 2000-11-20 2002-07-11 Mitradev Boolell Treatment of premature ejaculation
US6482440B2 (en) * 2000-09-21 2002-11-19 Phase 2 Discovery, Inc. Long acting antidepressant microparticles
US20020183303A1 (en) * 2000-08-31 2002-12-05 Mark David Andrews Phenoxyphenylheterocyclyl derivatives as SSRIs
US6495685B1 (en) * 1999-09-30 2002-12-17 Sumika Fine Chemicals Co., Ltd. Process for preparing piperazine derivatives
US20030017202A1 (en) * 2001-06-29 2003-01-23 Bunick Frank J. Brittle-coating, soft core dosage form
US20030026835A1 (en) * 1999-02-15 2003-02-06 Sumitomo Pharmaceuticals Company Limited Tablets disintegrating rapidly in the oral cavity
US20030035833A1 (en) * 2000-12-06 2003-02-20 Xiaorong He Rapidly dispersing pharmaceutical composition
US20030054037A1 (en) * 2001-06-22 2003-03-20 Babcock Walter C. Pharmaceutical compositions of adsorbates of amorphous drug
US20030054038A1 (en) * 2001-06-22 2003-03-20 Crew Marshall D. Pharmaceutical compositions of drugs and neutralized acidic polymers
US20030060456A1 (en) * 2000-08-31 2003-03-27 Adam Mavis Diane Phenoxybenzylamine derivatives as SSRls
US6545149B2 (en) * 1999-04-19 2003-04-08 Teva Pharmaceutical Industries Ltd. Synthesis and crystallization of piperazine ring-containing compounds
US20030072801A1 (en) * 2001-06-22 2003-04-17 Pfizer Inc. Pharmaceutical compositions comprising drug and concentration-enhancing polymers
US6552189B2 (en) * 1999-11-24 2003-04-22 Sumika Fine Chemicals Co., Ltd. Anhydrous mirtazapine crystals and process for preparing the same
US6552014B2 (en) * 1999-05-17 2003-04-22 Heartdrug Research, L.L.C. Methods of inhibiting platelet activation with selective serotonin reuptake inhibitors
US20030099700A1 (en) * 2001-11-16 2003-05-29 Amina Faham Orodispersible tablets containing fexofenadine
US20030104063A1 (en) * 2001-06-22 2003-06-05 Babcock Walter C. Pharmaceutical compositions of dispersions of amorphous drugs mixed with polymers
US6589556B2 (en) * 2000-07-05 2003-07-08 Capricorn Pharma, Inc. Rapid-melt semi-solid compositions, methods of making same and methods of using same
US20030165566A1 (en) * 2002-01-10 2003-09-04 O'toole Edel Sedative non-benzodiazepine formulations
US20030170309A1 (en) * 2001-06-22 2003-09-11 Babcock Walter C. Pharmaceutical compositions containing polymer and drug assemblies
US6649605B2 (en) * 1996-11-05 2003-11-18 Head Explorer A/S Treatment of tension-type headaches with NMDA receptor antagonists
US20030224043A1 (en) * 2002-02-01 2003-12-04 Pfizer Inc. Immediate release dosage forms containing solid drug dispersions
US6660730B2 (en) * 2000-11-27 2003-12-09 Sumika Fine Chemicals Co., Ltd. Anhydrous mirtazapine and process for preparing the same
US20030229027A1 (en) * 2002-04-03 2003-12-11 Eissens Anko C. Stabilized natural cannabinoid formulation
US20030228358A1 (en) * 2002-02-01 2003-12-11 Pfizer Inc. Pharmaceutical compositions of amorphous dispersions of drugs and lipophilic microphase-forming materials
US20040028729A1 (en) * 2002-04-29 2004-02-12 Shojaei Amir H. Pharmaceutical formulations with improved bioavailability
US20040033258A1 (en) * 2000-10-06 2004-02-19 Masahiko Koike Solid preparations
US20040058896A1 (en) * 2000-12-07 2004-03-25 Rango Dietrich Pharmaceutical preparation comprising an active dispersed on a matrix
US20040097509A1 (en) * 2002-08-16 2004-05-20 Pfizer Inc. Diaryl compounds
US20040122106A1 (en) * 2001-03-06 2004-06-24 Motohiro Ohta Tablets quickly disintegrating in oral cavity
US20040138263A1 (en) * 2002-11-14 2004-07-15 D'angio Paul Pharmaceutical compositions and dosage forms of thalidomide
US20040142034A1 (en) * 2002-12-20 2004-07-22 Dynogen Pharmaceuticals, Inc. Methods of treating non-painful bladder disorders using alpha2delta subunit calcium channel modulators
US6774230B2 (en) * 2001-03-01 2004-08-10 Teva Pharmaceutical Industries, Ltd. Methods for the preparation of mirtazapine intermediates
US20050013857A1 (en) * 2003-05-07 2005-01-20 Yourong Fu Highly plastic granules for making fast melting tablets
US6946141B2 (en) * 2000-11-21 2005-09-20 Vivus, Inc. As-needed administration of tricyclic and other non-SRI antidepressant drugs to treat premature ejaculation
US20050208141A1 (en) * 2002-04-16 2005-09-22 Vitalstate Canada Ltd. Delivery systems for functional ingredients
US7390503B1 (en) * 2003-08-22 2008-06-24 Barr Laboratories, Inc. Ondansetron orally disintegrating tablets

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1987005804A1 (en) * 1986-04-01 1987-10-08 The Upjohn Company Methylprednisolone/sodium carboxymethyl starch tablet composition
WO2000054752A1 (en) * 1999-03-15 2000-09-21 Kaken Pharmaceutical Co., Ltd. Quickly disintegrating tablets and process for producing the same
EP1203580A4 (en) * 1999-06-18 2004-06-30 Takeda Chemical Industries Ltd Quickly disintegrating solid preparations
GB0204771D0 (en) * 2002-02-28 2002-04-17 Phoqus Ltd Fast disintegrating tablets

Patent Citations (74)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4062848A (en) * 1975-04-05 1977-12-13 Akzona Incorporated Tetracyclic compounds
US5082864A (en) * 1987-12-06 1992-01-21 Akzo N.V. Stabilized solutions of psychotropic agents
US5112616A (en) * 1988-11-30 1992-05-12 Schering Corporation Fast dissolving buccal tablet
US5178878A (en) * 1989-10-02 1993-01-12 Cima Labs, Inc. Effervescent dosage form with microparticles
US5208261A (en) * 1989-12-06 1993-05-04 Akzo N.V. Stabilized solutions of psychotropic agents
US5238688A (en) * 1989-12-30 1993-08-24 Akzo N.V. Method for preparing a powdered particulate composition
US5464632A (en) * 1991-07-22 1995-11-07 Laboratoires Prographarm Rapidly disintegratable multiparticular tablet
US5464632C1 (en) * 1991-07-22 2001-02-20 Prographarm Lab Rapidly disintegratable multiparticular tablet
US5725884A (en) * 1995-01-09 1998-03-10 Edward Mendell Co., Inc. Pharmaceutical excipient having improved compressibility
US5977099A (en) * 1996-06-19 1999-11-02 Akzo Nobel, N.V. Pharmaceutical composition comprising mirtazapine and one or more selective serotonin reuptake inhibitors
US5837292A (en) * 1996-07-03 1998-11-17 Yamanouchi Europe B.V. Granulate for the preparation of fast-disintegrating and fast-dissolving compositions containing a high amount of drug
US5958453A (en) * 1996-10-31 1999-09-28 Takeda Chemical Industries, Ltd. Solid pharmaceutical preparation with improved buccal disintegrability and/or dissolubility
US6649605B2 (en) * 1996-11-05 2003-11-18 Head Explorer A/S Treatment of tension-type headaches with NMDA receptor antagonists
US6150353A (en) * 1997-03-27 2000-11-21 Akzo Nobel N.V. Therapeutic combinations of mirtazapine and antipsychotic agents, for the treatment or prophylaxis of psychotic disorders
US6024981A (en) * 1997-04-16 2000-02-15 Cima Labs Inc. Rapidly dissolving robust dosage form
US20010009678A1 (en) * 1997-05-27 2001-07-26 Shimizu Toshihiro Solid preparation
US6303595B1 (en) * 1997-11-14 2001-10-16 Akzo Nobel N.V. Use of mirtazapine for treating sleep apneas
US5955107A (en) * 1997-12-12 1999-09-21 Fmc Corporation Pharmaceutical suspension tablet compositions
US6040301A (en) * 1998-04-02 2000-03-21 Akzo Nobel, N.V. Oral liquid antidepressant solution
US6114324A (en) * 1998-04-02 2000-09-05 Akzo Nobel, N.V. Oral liquid antidepressant solution
US6228875B1 (en) * 1998-04-14 2001-05-08 The General Hospital Corporation Methods for treating neuropsychiatric disorders
US20020142034A1 (en) * 1998-05-18 2002-10-03 Toshihiro Shimizu Orally disintegrable tablets
US6328994B1 (en) * 1998-05-18 2001-12-11 Takeda Chemical Industries, Ltd. Orally disintegrable tablets
US6211171B1 (en) * 1998-05-19 2001-04-03 Dalhousie University Use of antidepressants for local analgesia
US20010010825A1 (en) * 1998-07-28 2001-08-02 Toshihiro Shimizu Rapidly disintegrable solid preparation
US20030026835A1 (en) * 1999-02-15 2003-02-06 Sumitomo Pharmaceuticals Company Limited Tablets disintegrating rapidly in the oral cavity
US20020071864A1 (en) * 1999-03-25 2002-06-13 Yuhan Corporation Rapidly disintegrable tablet for oral administration
US6545149B2 (en) * 1999-04-19 2003-04-08 Teva Pharmaceutical Industries Ltd. Synthesis and crystallization of piperazine ring-containing compounds
US6576764B2 (en) * 1999-04-19 2003-06-10 Teva Pharmaceutical Industries Ltd Synthesis and crystallization of piperazine ring-containing compounds
US6552014B2 (en) * 1999-05-17 2003-04-22 Heartdrug Research, L.L.C. Methods of inhibiting platelet activation with selective serotonin reuptake inhibitors
US6294198B1 (en) * 1999-08-24 2001-09-25 Purepac Pharmaceutical Co. Pharmaceutical tablet formulation containing gabapentin with improved physical and chemical characteristics and method of making the same
US6281207B1 (en) * 1999-09-15 2001-08-28 Reed Richter Treatment of movement disorders by administration of mirtazapine
US6495685B1 (en) * 1999-09-30 2002-12-17 Sumika Fine Chemicals Co., Ltd. Process for preparing piperazine derivatives
US6723845B2 (en) * 1999-11-24 2004-04-20 Sumika Fine Chemicals Co., Ltd. Anhydrous mirtazapine crystals and process for preparing the same
US6552189B2 (en) * 1999-11-24 2003-04-22 Sumika Fine Chemicals Co., Ltd. Anhydrous mirtazapine crystals and process for preparing the same
US6376668B1 (en) * 1999-12-13 2002-04-23 Sumika Fine Chemicals Co., Ltd. Process for preparing pyridinemethanol compounds
US6437120B1 (en) * 1999-12-13 2002-08-20 Sumika Fine Chemicals Co., Ltd. Process for preparing pyridinemethanol compounds
US20020052395A1 (en) * 2000-03-31 2002-05-02 Andrews Mark David Diphenyl ether compounds useful in therapy
US6448293B1 (en) * 2000-03-31 2002-09-10 Pfizer Inc. Diphenyl ether compounds useful in therapy
US6589556B2 (en) * 2000-07-05 2003-07-08 Capricorn Pharma, Inc. Rapid-melt semi-solid compositions, methods of making same and methods of using same
US20020049233A1 (en) * 2000-08-18 2002-04-25 Kararli Tugrul T. Oral fast-melt dosage form of a cyclooxygenase-2 inhibitor
US6610747B2 (en) * 2000-08-31 2003-08-26 Pfizer Inc. Phenoxybenzylamine derivatives as SSRIs
US20020183303A1 (en) * 2000-08-31 2002-12-05 Mark David Andrews Phenoxyphenylheterocyclyl derivatives as SSRIs
US20030060456A1 (en) * 2000-08-31 2003-03-27 Adam Mavis Diane Phenoxybenzylamine derivatives as SSRls
US6630504B2 (en) * 2000-08-31 2003-10-07 Pfizer Inc. Phenoxyphenylheterocyclyl derivatives as SSRIs
US6482440B2 (en) * 2000-09-21 2002-11-19 Phase 2 Discovery, Inc. Long acting antidepressant microparticles
US20040033258A1 (en) * 2000-10-06 2004-02-19 Masahiko Koike Solid preparations
US20020091129A1 (en) * 2000-11-20 2002-07-11 Mitradev Boolell Treatment of premature ejaculation
US6946141B2 (en) * 2000-11-21 2005-09-20 Vivus, Inc. As-needed administration of tricyclic and other non-SRI antidepressant drugs to treat premature ejaculation
US6660730B2 (en) * 2000-11-27 2003-12-09 Sumika Fine Chemicals Co., Ltd. Anhydrous mirtazapine and process for preparing the same
US20030035833A1 (en) * 2000-12-06 2003-02-20 Xiaorong He Rapidly dispersing pharmaceutical composition
US20040058896A1 (en) * 2000-12-07 2004-03-25 Rango Dietrich Pharmaceutical preparation comprising an active dispersed on a matrix
US6399310B1 (en) * 2001-02-12 2002-06-04 Akzo Nobel N.V. Methods for improving the therapeutic response of humans having major depression and carrying the gene for apolipoprotein E4
US6774230B2 (en) * 2001-03-01 2004-08-10 Teva Pharmaceutical Industries, Ltd. Methods for the preparation of mirtazapine intermediates
US20040122106A1 (en) * 2001-03-06 2004-06-24 Motohiro Ohta Tablets quickly disintegrating in oral cavity
US20030072801A1 (en) * 2001-06-22 2003-04-17 Pfizer Inc. Pharmaceutical compositions comprising drug and concentration-enhancing polymers
US20030054037A1 (en) * 2001-06-22 2003-03-20 Babcock Walter C. Pharmaceutical compositions of adsorbates of amorphous drug
US20030104063A1 (en) * 2001-06-22 2003-06-05 Babcock Walter C. Pharmaceutical compositions of dispersions of amorphous drugs mixed with polymers
US20030054038A1 (en) * 2001-06-22 2003-03-20 Crew Marshall D. Pharmaceutical compositions of drugs and neutralized acidic polymers
US20030170309A1 (en) * 2001-06-22 2003-09-11 Babcock Walter C. Pharmaceutical compositions containing polymer and drug assemblies
US20030017202A1 (en) * 2001-06-29 2003-01-23 Bunick Frank J. Brittle-coating, soft core dosage form
US20030099700A1 (en) * 2001-11-16 2003-05-29 Amina Faham Orodispersible tablets containing fexofenadine
US6723348B2 (en) * 2001-11-16 2004-04-20 Ethypharm Orodispersible tablets containing fexofenadine
US20030165566A1 (en) * 2002-01-10 2003-09-04 O'toole Edel Sedative non-benzodiazepine formulations
US20030228358A1 (en) * 2002-02-01 2003-12-11 Pfizer Inc. Pharmaceutical compositions of amorphous dispersions of drugs and lipophilic microphase-forming materials
US20030224043A1 (en) * 2002-02-01 2003-12-04 Pfizer Inc. Immediate release dosage forms containing solid drug dispersions
US20030229027A1 (en) * 2002-04-03 2003-12-11 Eissens Anko C. Stabilized natural cannabinoid formulation
US20050208141A1 (en) * 2002-04-16 2005-09-22 Vitalstate Canada Ltd. Delivery systems for functional ingredients
US20040028729A1 (en) * 2002-04-29 2004-02-12 Shojaei Amir H. Pharmaceutical formulations with improved bioavailability
US20040097509A1 (en) * 2002-08-16 2004-05-20 Pfizer Inc. Diaryl compounds
US20040138263A1 (en) * 2002-11-14 2004-07-15 D'angio Paul Pharmaceutical compositions and dosage forms of thalidomide
US20040142034A1 (en) * 2002-12-20 2004-07-22 Dynogen Pharmaceuticals, Inc. Methods of treating non-painful bladder disorders using alpha2delta subunit calcium channel modulators
US20050013857A1 (en) * 2003-05-07 2005-01-20 Yourong Fu Highly plastic granules for making fast melting tablets
US7390503B1 (en) * 2003-08-22 2008-06-24 Barr Laboratories, Inc. Ondansetron orally disintegrating tablets

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
Anttila et al. "A Review of the Pharmacological and Clinical Profile of Mirtazapine" CNS Drug Reviews" 2001, vol. 7, no. 3, pp. 249-264. *
Timmer et al. "Mirtazapine Pharmacokinetics with Two Dosage Regimens and Two Pharmaceutical Formulations" Pharmaceutical Research, 1997, vol. 14, no. 1, pp. 98-102. *

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150045345A1 (en) * 2012-02-22 2015-02-12 Toyama Chemical Co., Ltd. Solid pharmaceutical composition containing 1-(3-(2-(1-benzothiophen-5-yl)ethoxy)propyl)azetidin-3-ol or salt thereof
US9872914B2 (en) * 2012-02-22 2018-01-23 Toyama Chemical Co., Ltd. Solid pharmaceutical composition containing 1-(3-(2-(1-benzothiophen-5-yl)ethoxy)propyl)azetidin-3-ol or salt thereof
CN104095824A (en) * 2013-04-09 2014-10-15 上海信谊万象药业股份有限公司 Mirtazapine sustained release tablet and preparation method thereof

Also Published As

Publication number Publication date Type
US7838029B1 (en) 2010-11-23 grant

Similar Documents

Publication Publication Date Title
US6645988B2 (en) Substituted benzimidazole dosage forms and method of using same
US5468504A (en) Effervescent pharmaceutical compositions
US6242002B1 (en) Effervescent formulations
US20040171646A1 (en) Novel substituted benzimidazole dosage forms and method of using same
US20060057207A1 (en) Fast-disintegrating dosage forms of 5,8,14-triazatetracyclo[10.3.1.02,11.04,9]-hexadeca-2(11),3,5,7,9-pentaene
US20050019398A1 (en) Flashmelt oral dosage formulation
US20020076437A1 (en) Flashmelt oral dosage formulation
US20040162333A1 (en) Rapid absorption selective 5-HT agonist formulations
US6245353B1 (en) Solid, rapidly disintegrating cetirizine formulations
US5814339A (en) Film coated tablet of paracetamol and domperidone
US20030161875A1 (en) Fast dissolving tablets of cyclooxygenase-2 enzyme inhibitors
US5888534A (en) Controlled release of drugs delivered by sublingual or buccal administration
US5624677A (en) Controlled release of drugs delivered by sublingual or buccal administration
Nagar et al. Orally disintegrating tablets: formulation, preparation techniques and evaluation
WO2004091585A1 (en) Orally disintegrating tablets
US20040127541A1 (en) Bicifadine formulation
EP1145711A1 (en) Flash-melt oral dosage formulation
US20070082048A1 (en) Sleep aid formulations
JP2002179558A (en) Solid preparation
US20030215503A1 (en) Palatable chewable tablet
WO2007074472A2 (en) Mouth dissolving pharmaceutical composition and process for preparing the same using a high amount of silicon dioxide
US20080131508A1 (en) Oral transmucosal nicotine dosage form
US20110318412A1 (en) Low dose doxepin formulations, including buccal, sublingual and fastmelt formulations, and uses of the same to treat insomnia
WO2003086361A1 (en) Rapidly dispersing solid oral compositions
JP2003034655A (en) Fast degradable solid tablet