WO2005115353A1

WO2005115353A1 - Pharmaceutical suspension composition

Info

Publication number: WO2005115353A1
Application number: PCT/US2005/018189
Authority: WO
Inventors: Jay R. Dickerson; William Mark; Annabelle Trimmer; David Jaeger; Amanda R. Alley
Original assignee: Wyeth
Priority date: 2004-05-25
Filing date: 2005-05-23
Publication date: 2005-12-08
Also published as: TW200600118A; EP2465497A1; US20090176884A1; US20140142187A1; US20050266031A1; MXPA06013481A; EP1748765A4; US10238640B2; US20170065567A1; ZA200504239B; CA2567075C; EP1748765A1; TR200501948A2; CA2567075A1; CN1988893A

Abstract

An aqueous oral liquid pharmaceutical composition system with reduced propensity for agglomeration and phase separation which is particularly amendable to the suspension of one or more pharmaceutical actives that are substantially insoluble in water. The oral liquid pharmaceutical composition may further comprise pharmaceutical actives that are soluble in water and dissolve in the aqueous medium. In the composition of the invention both suspended and any dissolved active agents are distributed homogeneously.

Description

PHARMACEUTICAL SUSPENSION COMPOSITION

FIELD OF INVENTION An aqueous, oral liquid pharmaceutical composition comprising a suspension of a pharmaceutically active compound or compounds is provided. The composition is particularly well suited for the relief of cold, cough, flu, fever, headache, pain, body ache, migraine and allergy symptoms in pediatric patients. BACKGROUND OF INVENTION Orally administered pharmaceutical compositions are provided to patients in many dosage forms, including solid forms such as capsules, caplets or tablets and liquid forms such as solutions, emulsions or suspensions. Pharmaceutical compositions administered in solid form are usually intended to be swallowed whole. Children, older persons and many other persons including disabled or incapacitated patients often have trouble swallowing tablets or capsules. For many such patients, including pediatric and geriatric patients, a liquid dose form is preferable because of the ease with which it may be swallowed. Pharmaceutically acceptable liquid excipient suspension systems have been described in the literature. For example, in U. S. Patent No. 5,759,579, Singh et al. describe a xanthan gum and hydroxypropylmethyl cellulose liquid excipient for suspending solid pharmaceutically active compounds. Blase et al. in U. S. Patents 5,272,137 and 5,409,907 describe and claim a liquid suspension system for the substantially water soluble pharmaceutical active, acetaminophen. Although such suspensions are known, the known systems frequently manifest the undesirable properties of irreversible agglomeration and/or phase separation particularly if a pharmaceutical active with a limited solubility in water is used. Hence, it would be desirable to have a liquid excipient suspension system with reduced propensity for occurrence of irreversible agglomeration and/or phase separation that is suitable for the suspension of pharmaceutical actives substantially insoluble in water. SUMMARY OF THE INVENTION The invention is directed to an oral liquid pharmaceutical composition comprising a suspending system which comprises in a preferred embodiment an aqueous composition, which includes about O.lg/lOOmL to about 1.0 g/lOOmL xanthan gum and about 0.5 g/lOOmL to about 3.0 g/lOOmL microcrystalline cellulose/carboxymethylcellulose sodium in an aqueous base (or "aqueous medium") and at least one pharmaceutical active (also referred to herein as "at least one pharmaceutical active compound" or "at least one first pharmaceutical active"), that is substantially insoluble in water (or the aqueous base). The suspending system is also referred to herein as an "aqueous based suspending system" or an "aqueous composition". The pharmaceutical active is suspended in the aqueous composition and a density adjusting agent is employed to balance or match the true density of the suspended ingredients (typically the pharmaceutical active) with the specific gravity of the suspending medium. In an exemplary embodiment, the density adjusting agent comprises about 10 g/lOOmL to about 50 g/lOOmL glycerin and about 10 g/lOOmL to about 50 g/lOOmL sorbitol. Alternatively, conventional sugars and/or other polyols may be used for density adjusting. However, in some embodiments it is preferable to prepare a sugar free composition, avoiding the use of conventional sugars. Optionally, about 0.1 g/l OOmL to about 1.5 g/lOOmL of a surface modifying agent such as a surfactant may be included in the liquid pharmaceutical composition. The pharmaceutical active that is substantially insoluble in the aqueous composition may comprise ibuprofen, naproxen, ketoprofen or loratadine, or a mixture thereof, for example. In one embodiment the pharmaceutical composition may further comprise at least one second pharmaceutical active which is soluble in the aqueous composition and whereby the at least one second pharmaceutical active remains in solution in the aqueous medium. The second pharmaceutical active may include one or more of pseudoephedrine, chlorpheniramine, dextromethorphan, brompheniramine, guaifenesin and diphenhydramine, for example. The invention provides a method of preparing an oral liquid pharmaceutical composition comprising: preparing a suspending system, suspending at least one substantially insoluble pharmaceutical active in the suspending system and matching the true density of the substantially insoluble pharmaceutical active with the specific gravity of the aqueous medium. The suspending system may comprise an aqueous composition which includes about 0.1 g/lOOmL to about 0.5 g/1 OOmL xanthan gum and about 0.5 g/lOOmL to about 3.0 g/lOOmL microcrystalline cellulose/carboxymethylcellulose sodium and an aqueous medium. In some embodiments the method may further comprise dissolving at least one soluble pharmaceutical active in the aqueous medium and/or adding a surface modifying agent to the pharmaceutical composition. DETAILED DESCRIPTION OF THE INVENTION The invention provides an oral (and aqueous) liquid pharmaceutical composition system with reduced propensity for irreversible agglomeration and phase separation and is particularly amenable to the suspension of one or more pharmaceutical actives that are substantially insoluble in water. The oral liquid pharmaceutical composition may further comprise pharmaceutical actives that are soluble in water and which dissolve in the aqueous medium. In the composition of the invention both suspended and any dissolved components of the composition are distributed substantially homogeneously. The pharmaceutical composition comprises a suspending system, one or more suspended pharmaceutical actives and a density adjusting agent. The suspending system is based on a thixotropic gum system in an aqueous medium where sufficient shear (upon shaking) permits mobility of the suspension. In one preferred embodiment, the suspending system comprises xanthan gum and microcrystalline cellulose/carboxymethylcellulose sodium in an aqueous base. This combination yields thixotropic properties such that the viscosity of the undisturbed base increases over time. Such increase in viscosity is believed to facilitate minimization of the migration of the suspended active (or actives) upon storage over time. Upon shear (shaking), the viscosity decreases to allow easy dispensing of the drug product. Additionally, the invention further offers the advantage that it is preferably formulated using polyols. The inventors believe, without wishing to be bound to the theory, that the use of polyols facilitates stability in the suspension by equilibrating the true density of the suspended ingredients with the specific gravity of the suspending medium. This is believed to minimize the migration of suspended pharmaceutical active over time. The preferred polyols for use in the practice of the invention are a mixture of glycerin and sorbitol. The sorbitol may be in pure form or a sorbitol solution, such as a 70% sorbitol in water solution, for example. Likewise pure glycerin, or a glycerin in water solution, such as 96% glycerin in water may be used. Conventional sugars, such as cane sugar or sucrose, fructose, or corn syrup alone or in combination with other sugars and/or polyols may be used as the density adjusting agent. However, in embodiments intended for administration to a young child or diabetic geriatric patient, avoidance of conventional sugars is preferable. In some embodiments surface modifying agents, such as a surfactant, are used in the pharmaceutical composition to modify the surface of the suspended components. Such surface modification is believed to facilitate diminished irreversible aggregation of the suspended particles. The aqueous-based suspending system may be used to suspend one or more pharmaceutically active compounds which are substantially insoluble in water or the aqueous medium. In some embodiments the aqueous suspending system may suspend one or more substantially insoluble pharmaceutical active compounds and further comprise one or more other pharmaceutically active compounds which are soluble in water and which are dissolved in the aqueous medium. In the pharmaceutical composition of the invention the pharmaceutical active compounds (i.e., active ingredients), both the suspended substantially insoluble active ingredients and any soluble active ingredients dissolved in the aqueous medium, are distributed to form a substantially homogeneous distribution of active ingredients in the pharmaceutical composition. As used in this description and the appended claims, a pharmaceutical active that is substantially insoluble in the aqueous composition includes Ibuprofen, Ketoprofen, Naproxen, Celecoxib, Rofecoxib, Valdecoxib, Nabumetone, Glimepiride, Diclofenac, Piroxicam and Meloxican. For pharmaceutical actives not specified on this list a pharmaceutical active substantially insoluble in the aqueous composition means a pharmaceutical active designated as relatively insoluble or insoluble in water by the Merck Index. A pharmaceutical active designated to be soluble in the aqueous composition includes Fexofenadine (HO), Chlorpheniramine (maleate), Brompheniramine (maleate), Diphenhydramine (HC1, Citrate), Cetirizine (HC1), Carbinoxamine (maleate), Loratadine, Desloratadine, Guaifenesin, Pseudoephedrine (HCL, Sulfate), Phenylpropanolamine (HC1), Ephedrine (HC1, Sulfate), Dextromethorphan (HBr), Codine (Phosphate) and Hydrocodone (bitartrate). For pharmaceutical actives not specified on this list, soluble pharmaceutical active means a pharmaceutical active indicated to be soluble in water by the Merck Index. Unless otherwise specified, amounts designated in g/lOOmL means grams per 100 milliliters of the pharmaceutical composition. For example, 10 g/lOOmL ibuprofen means 10 g of ibuprofen in 100 mL of the oral liquid pharmaceutical composition. A designation of mg/5mL means milligrams per 5 milliliters of the pharmaceutical composition. For example, a designation of 10 mg/5mL ibuprofen means 10 mg of ibuprofen would be found in 5 milliliters of the composition. The preferred dosage unit is 5 mL, to be administered to the patient as a single dosage unit or multiples thereof, based on age and weight. The term "medium density matching" (or "density matching") means balancing the true density of the suspended components (ingredients) in the composition with the specific gravity of the suspending medium. Density matching is accomplished using a "density adjusting agent" which may be comprised of one or more components. Typically, the desired amount of suspended component and its density is determined and the amount of density adjustment agent needed to adjust the specific gravity of the medium to match the density of the suspended compound is determined by calculation. Calculations of density and specific gravity are well known to those skilled in the art. In some instances it is desirable to make density and specific gravity measurements, which are familiar to those skilled in the art, and use the information obtained to experimentally correct the amounts of components in the density adjusting agent and/or amount of water to account for deviation between theoretical amounts calculated and actual properties manifested by the composition. In one exemplary embodiment the density matching is accomplished using the density adjusting agent of sorbitol, or a sorbitol/water solution, and glycerin, or a glycerin/water solution, in combination with adjusting the amount of water in the composition. For a representative example in which ibuprofen was the substantially insoluble pharmaceutically active agent, the desired density matching was achieved using a ratio of water: sorbitol (70% solution in water): glycerin (96% in water) of about 5.6:2:3. In some embodiments propylene glycol may be used in combination with sorbitol and/or glycerin for density balancing. Although polyols other than conventional sugars are preferred in some embodiments of the invention, conventional sugars, mixtures of sugars or mixtures of sugars with other polyols may be used in the invention. The "density adjusting agent" comprises the component or components (typically one or more polyols), excluding water, added to achieve density matching. "Microcrystalline cellulose/carboxymethylcellulose sodium" means a dried coprecipitated microcrystalline of cellulose and sodium carboxymethylcellulose. Microcrystalline cellulose/carboxymethylcellulose sodium is a typical example of a coprecipitate in microcrystalline cellulose which may be used in the practice of the invention. The suspending system of the invention is an aqueous based system including xanthan gum and/or microcrystalline cellulose/carboxymethylcellulose sodium incorporated therein. While either xanthan gum or microcrystalline cellulose/carboxymethylcellulose sodium may be used alone in the practice of the invention, in a preferred embodiment the combination is used. Xanthan gums suitable for use in the present invention are high molecular weight polysaccharides such as the xanthan gum produced by Xanthamonas capestris, for example. Xanthan gum is an article of commerce and is available, for example, from manufacturers such as: Rhodia, Inc. under the brand name Rhodigel™ and from Kelco™, a division of Merck. Rhodigel™ 80 Pharm Grade is exemplary of one specific commercial product suitable for use in the practice of the invention. The xanthan gum is present in the liquid pharmaceutical composition in an amount of about 0.1 g/lOOmL to about 1.0 g/lOOmL. More preferably the xanthan gum is present in an amount of about 0.1 g/lOOmL to about 0.3 g/lOOmL and most preferably about 0.2 g/lOOmL xanthan gum is used. It is preferable that the gum be dispersed in glycerin and hydrated in water prior to the addition of other components to the gum system. A microcrystalline cellulose/carboxymethylcellulose sodium suitable for use in the practice of the invention is a coprecipitated microcrystalline cellulose and sodium carboxymethylcellulose. It is preferable that the microcrystalline cellulose/carboxymethylcellulose sodium comprises sodium carboxymethylcellulose in the range of from about 8 weight percent to about 19 weight percent and more preferably about 8 to about 15 weight percent sodium carboxymethylcellulose. Microcrystallinecellulose/carboxymethylcellulose sodium is commercially available, e.g., from FMC under the trademark Avicel™ . Suitable Avicels™ include but are not limited to Avicel™ CL-61 1 ; Avicel™ RC-581; and Avicel™ RC-591. Avicel™ CL-61 1 is the preferred Avicel™ for use in the suspending system. The oral pharmaceutical composition preferably comprises about 0.5 g/lOOmL to about 3.0 g/lOOmL, more preferably about 1 g/l OOmL to about 2 g/lOOmL, and most preferably about 1.5 g/lOOmL microcrystalline cellulose/carboxymethylcellulose sodium. When used in combination with xanthan gum, it is preferable that the weight of microcrystalline cellulose/carboxymethylcellulose sodium used be about 5 to about 10 times that of the weight of xanthan gum used and more preferable that the weight of microcrystaline cellulose/carboxymethylcellulose sodium be about 7.5 times that of the weight of xanthan gum when used in combination. The pharmaceutically active compounds useful in the practice of the present invention include non-steroidal anti-inflammatory drugs (NSAIDS), antihistamines, decongestants, antitussives, expectorants and analgesic drugs such as acetaminophen and phencetin. Amounts of pharmaceutically active compounds incorporated are conventional dosages known to those skilled in the art. Further, for pharmaceutical compositions intended for use in the United States, amounts of pharmaceutical actives are preferably in compliance with applicable FDA regulation regarding dosage of such compounds. Non-steroidal anti-inflammatory drugs (NSAIDS) which may be used in the practice of the invention include, but are not limited to: propionic acid derivatives such as ibuprofen, naproxen, ketoprofen, flurbiprofen, fenoprofen, suprofen, fluprofen and fenbufen; acetic acid derivatives such as tolmetin sodium, zomepirac, sulindac, and indomethacin; fenamic acid derivatives such as mefenamic acid and meclofenamate sodium; biphenyl carboxylic acid derivatives such as diflunisal and flufenisal and oxicams such as piroxicam, sudoxicam and isoxicam. Antihistamines useful in the practice of the present invention (along with their preferred salt form) include, but are not limited to, chlorpheniramine (maleate), brompheniramine (maleate); dexchlorpheniramine (maleate), dexbrompheniramine (maleate), triprolidine (HCl), diphenhydramine (HCl), doxylamine (succinate), tripelenamine (HCl), cyproheptatine (HCl), bromodiphenhydramine (HCl), phenindamine (tartrate), pyrilamine (maleate, tannate), azatadine (maleate); acrivastine, astemizole, azelastine, cetirizine, ebastine, fexofenadine, ketotifen, carbinoxamine (maleate), desloratadine, loratadine, mizolastine and terfenadine. Antitussives useful in the practice of the present invention (along with their preferred salt form) include, but are not limited to, caramiphen (ediylate), dextromethorphan (HBr), codeine (phosphate, sulfate) and Hydrocodone. Decongestants useful in the practice of the invention (along with their preferred salt form) include, but are not limited to, pseudoephedrine (HCl), Ephedrine (HCl,

Sulfate), phenylephrine (bitartarate, tannate, HBr, HCl, and phenylpropenolamine (HCl). Expectorants which may be used in the practice of the invention (along with their preferred salt form) include but are not limited to terpin hydrate, guaifenesin (glycerol, guaiacolate), potassium (iodide, citrate) and potassium guaicolsulfonate. Cox 2 inhibitors which may be used in the practice of the invention include Celecoxib, Rofecoxib and Valdecoxib. Other Pharmaceutical actives which are substantially insoluble and may be suspended in the suspending system of the invention include nabumetone, glimepiride, diclofenac, piroxicam and meloxican. Of the pharmaceutically active compounds described above, those which are particularly preferred are set forth below along with preferred ranges for their inclusion into the claimed pharmaceutical composition. Ibuprofen may be used in amounts of up to about 3 grams per 100 mL. Preferably ibuprofen is present in amounts of between about 1 g/lOOmL and about 3 g/lOOmL. Most preferably, ibuprofen is present in amounts of about 2 g/lOOmL of the pharmaceutical composition. Naproxen may be used in amounts of about 1 g/lOOmL to about 5 g/l OOmL of the pharmaceutical composition. Preferably naproxen, when used in the pharmaceutical composition, is present in amounts of between about 2 g/lOOmL and about 3 g/lOOmL of the pharmaceutical composition. Chlorpheniramine may be used in the pharmaceutical composition in amounts between about 0.01 g/lOOmL and about 0.05 g/l OOmL. Preferably chlorpheniramine, when used in the pharmaceutical composition, is present in the amount of about 0.01 g/lOOmL to 0.03 g/l OOmL. Pseudoephedrine may be used in the pharmaceutical composition in amounts between about 0.1 g/l OOmL and about 0.6 g/lOOmL of the suspension. Preferably, pseudoephedrine, when used in the composition, is present in amounts of about 0.2 g/l OOmL to about 0.4 g/lOOmL of the pharmaceutical composition. Chlorpheniramine maleate may be used in the pharmaceutical composition, preferably in the amount of about 0.01 g/lOOmL to about 0.03 g/lOOmL. Brompheniramine maleate may be used in the pharmaceutical composition, preferably in the amount of about 0.01 g/lOOmL to about 0.03g/100mL. Dextromethorphan HBr may be used in the pharmaceutical composition, preferably in the amount of about 0.05 g/lOOmL to about 0.250 g/lOOmL. Diphenhydramine may be used in the pharmaceutical composition, preferably in an amount of about 0.10 g/lOOmL to about 0.40 g/l OOmL. The pharmaceutically active compounds are preferably of N.F. (National Formulary) or U.S. P. (United States Pharmacopeia) grade. Excipients known by those skilled in the art may be useful in the practice of the present invention. Such excipients may include but are not limited to humectants such as glycerin and propylene glycol, defoaming agents, buffers, electrolytes, preservatives such as sodium benzoate and disodium edetate, sweeteners, taste masking agents and various flavoring and coloring agents. It is preferable to use "non-sugar" sweeteners, e.g. avoidance of the use of conventional sugars such as cane sugar or sucrose, and corn syrup, or fructose is preferred. Preferred sweeteners include sucralose, acesulfame K, saccharin sodium, and sorbitol. To the extent that polyols are intended for use as excipients, this use should be accounted for in the density matching e.g., addition of polyols not accounted for in the medium density matching is typically not desirable. Examples of suitable flavoring agents include, but are not limited to, natural and artificial flavors such as mints (i.e., peppermint, etc.), menthol, cinnamon, vanilla, artificial vanilla, chocolate, artificial chocolate, bubblegum, both artificial and natural fruit flavors (i.e., cherry, grape, orange, strawberry, etc.) and combinations of two oi^¬ more thereof. Flavoring agents are generally provided as a minor component of the suspension in amounts effective to provide palatable flavor to the compositions. Typically, flavoring agents are present in amounts in the range of about 0 grams to about 5 grams per 100 ml of the composition. Preservatives useful in the present invention include but are not limited to sodium benzoate, potassium sorbate, salts of edetate (also known as salts of ethylenediaminetetraacetic acid or EDTA, such as disodium edetate) benzaldionium chloride and parabens (such as methyl, ethyl, propyl, and butyl p-hydroxybenzoic acid esters). Preservatives listed above are exemplary, but each preservative must be evaluated on an experimental basis, in each formulation to assure compatibility and efficacy of the preservative. Methods for evaluating the efficacy of preservatives in pharmaceutical formulations are known to those skilled in the art. Sodium benzoate and disodium edetate are the presently preferred preservative ingredients. Preservatives are generally present in amounts of up to one gram per 100 ml of the pharmaceutical composition. Preferably the preservatives are present in amounts in the range of from about 0.1 g/lOOmL to about 0.4 g/l OOmL of the composition. Typically, the preservative sodium benzoate would be present in the range of about 0.2 g/1 OOmL to about 0.3 g/1 OOmL of the composition. Sodium benzoate is typically used in a concentration of about 0.25 g/lOOml of the composition. Coloring agents may also be incorporated in the pharmaceutical composition to provide an appealing color to the composition. The coloring agents should be selected to avoid chemical incompatibilities with other ingredients in the suspension. Suitable coloring agents are well known to those skilled in the art. Typically, water is added in the process of making the pharmaceutical composition in portions with various components. During the process of preparation of the pharmaceutical composition, amounts of added water are believed to be particularly important in three instances. Sufficient water should be available when soluble active ingredient(s) and soluble salts are added to permit them to dissolve, a sufficient amount of water should be available in combination with the density adjusting agent to achieve medium density matching, and sufficient water should be available to hydrate the water soluble/dispersible gums. Preferably, the specific gravity of the liquid portion (i.e., the suspending medium) of the suspension should be balanced with the true density of the suspended actives. This may be accomplished by adding a density adjusting agent. For a typical example, a density adjusting agent comprising about 10 g/1 OOmL to about 50 g/1 OOmL glycerin and about 10 g/1 OOmL to about 50 g/1 OOmL sorbitol may be added to the pharmaceutical composition to achieve the desired density balance. In an exemplary embodiment containing ibuprofen as a substantially insoluble active, the desired balance was achieved using about 30 g/1 OOmL glycerin (96% in water) and 20 g/1 OOmL sorbitol (70% solution in water). The use of the polyol, sorbitol, is preferred in some embodiments as it also offers the additional advantage of sweetening the composition. It will be understood by those skilled in the art that as liquids other than water are included in the liquid portion of the pharmaceutical composition, the amounts of the components including water used to balance the specific gravity of the liquid portion with the true density may need to be adjusted to achieve the desired balance. Optionally about 0.1 g/1 OOmL to 1.5 g/1 OOmL surfactant may be added to the suspending system to further stabilize the pharmaceutical composition. The inventors believe, without wishing to be bound to the theory, that the surfactant modifies the surface of suspended actives and facilitates diminished irreversible aggregation of the suspended particles. The surfactant may be an ionic or non-ionic surfactant or mixtures thereof. Exemplary surfactants include but are not limited to polysorbates (tweens), Spans™, togats, lecithin, polyoxyethylene-polyoxypropylene block copolymers and medium chain mono/di-glycerides. In an exemplary embodiment in which ibuprofen was the active agent, polysorbate 80 was used in an amount of about 0.3 g/1 OOmL. For an exemplary embodiment of the pharmaceutical composition, the pFI is about 3.5 to about 4.5 and the disturbed viscosity (e.g. viscosity measured after mixing under specified conditions) at 25° C will be about 1500 to about 4500 cps. EXAMPLE 1 The following Example discloses a pharmaceutical composition (which is a suspension) comprising ibuprofen as a substantially insoluble active and a process for manufacturing this composition. The composition of the suspension of Example 1 is provided in Table 1 below:

As indicated in the header of Table 1, amounts are stated in grams per 100 milliliter aliquot of the final composition. Density matching was accomplished by first calculating theoretical amounts of components of density adjusting agent based on the density of the insoluble active and specific gravity of the aqueous based medicine, preparing the composition based on calculated amounts, then making experimental measurements on the composition, and making final adjustment of component amounts of density matching agents for desired matching of specific gravity of the medium with the true density of suspended component based on experimental measurements. Amounts of density matching agent components for the Example disclosed in Table 1 were determined using this approach prior to manufacture of the composition. The composition of Example 1 was prepared by placing a portion of the glycerin in a first stainless steel mixing vessel equipped with variable speed mixer and gradually adding the xanthan gum with mixing to thoroughly disperse the xanthan gum. An aliquot of water (an amount less than the final amount of water) was added to a second stainless steel mixing vessel (main vessel) equipped with a variable speed mixer and the microcrystalline cellulose/carboxymethyl cellulose sodium was added with mixing to hydrate the microcrystalline cellulose/carboxymethyl cellulose sodium. The thoroughly mixed glycerin/xanthan gum and microcrystalline cellulose/carboxymethyl cellulose sodium/water dispersions were then combined in the main vessel with mixing. Edetate disodium was then added and mixing was continued until the composition was uniform. Sorbitol solution (70% sorbitol in water) was placed in a third stainless steel vessel equipped with a mixer. Polysorbate 80 was added to the sorbitol solution and mixed thoroughly. Ibuprofen was then added to the sorbitol/polysorbate 80 solution and mixed thoroughly to uniformly disperse the ibuprofen. Sodium benzoate, sodium citrate, sucralose micronized powder and coloring agents were dissolved in an aliquot of purified water and then added to the contents of the main vessel with mixing. Following the addition of the sodium benzoate, sodium citrate, sucralose and coloring agent mixture, the sorbitol/polysorbate 80/ibuprofen dispersion was added to the contents of the main vessel with mixing. Upon completion of transfer of the sorbitol/polysorbate 80/ibuprofen dispersion to the main vessel and mixing of the resulting composition, a citric acid solution in purified water was prepared and added to the contents of the main vessel. Soluble actives, pseudoephedrine HCl and chlorpheniramine maleate in this example, were dissolved in a water/glycerin mixture and then added to the contents of the main vessel with mixing. Assembly of the composition of Example 1 was completed by adding flavor to the contents of the main vessel and adding sufficient purified water to adjust batch volume to the final batch size. After the final addition of components, mixing was continued for an additional 30 minutes with the composition being re-circulated through a 40-mesh filter. The composition was de-aerated by subjecting it to a vacuum prior to packaging and/or storage. EXAMPLE 2 The composition of Example 2 is provided in Table 2 below:

l o Example 2 is prepared in a manner similar to Example 1. The propyl gallate is dispersed in glycerin prior to addition of water, then combined with the soluble actives prior to addition to the main vessel. After the addition of the soluble actives and propyl gallate to the main vessel, flavor is then added followed by the adjustment of the final volume with water. Although the foregoing invention has been described in some detail by way of illustration and examples for purposes of clarity of understanding, it will be obvious that certain changes and modifications, may be practiced within the scope of the appended claims. Modifications of the above-described modes of practicing the invention that are obvious to persons of skill in the art are intended to be included within the scope of the following claims.

Claims

IN THE CLAIMS:

1. An oral liquid pharmaceutical composition comprising: a. a suspending system which comprises an aqueous composition which includes an aqueous medium, about 0.1 g/1 OOmL to about 0.5 g/lOOmL xanthan gum and about 0.5 g/lOOmL to about 3.0 g/lOOmL microcrystalline cellulose/carboxymethylcellulose sodium; b. at least one first pharmaceutical active which is substantially insoluble in the aqueous composition; and c. a density adjusting agent.

2. The pharmaceutical composition of Claim 1 further comprising at least one second pharmaceutical active which is soluble in the aqueous composition.

3. The pharmaceutical composition of Claim 1 wherein the density adjusting agent comprises one or more polyol.

4. The pharmaceutical composition of Claim 1 wherein the density adjusting agent comprises one or more of sorbitol, glycerin, propylene glycol, or a mixture thereof.

5. The pharmaceutical composition of Claim 4 wherein the density adjusting agent comprises 10 g/1 OOmL to about 50 g/1 OOmL glycerin and about 10 g/1 OOmL to about 50 g/1 OOmL sorbitol.

6. The pharmaceutical composition of Claim 1 further comprising about 0.1 g/lOOmL to about 1.5 g/lOOmL of a surface modifying agent.

7. The pharmaceutical composition of Claim 1 wherein the at least one first pharmaceutical active is selected from the group consisting of Ibuprofen, Ketoprofen, Naproxen, Celecoxib, Rofecoxib, Valdecoxib, Nabumetone, Glimepiride, Diclofenac, Piroxicam, Meloxican and a mixture thereof.

8. The pharmaceutical composition of Claim 1 wherein the at least one first pharmaceutical active is selected from the group consisting of ibuprofen, naproxen, ketoprofen, loratadine and a mixture thereof.

9. The pharmaceutical composition of Claim 2 wherein the at least one second pharmaceutical active is selected from the group consisting of Fexofenadine (HCl), Chlorpheniramine (maleate), Brompheniramine (maleate), Diphenhydramine (HCl, Citrate), Cetirizine (HCl), Carbinoxamine (maleate), Loratadine, Desloratadine, Guaifenesin, Pseudoephedrine (HCL, Sulfate), Phenylpropanolamine (HCl), Ephedrine (HCl, Sulfate), phenylephrine Dextromethorphan (HBr), Codine (Phosphate) and Hydrocodone (bitartrate) and a mixture thereof.

10. The pharmaceutical composition of Claim 2 wherein the at least one second pharmaceutical active is selected from the group consisting of pseudoephedrine, phenylephrine, chlorpheniramine, dextromethorphan, brompheniramine, diphenhydramine and a mixture thereof.

1 1. The pharmaceutical composition of Claim 2 further comprising about 0.1 g/1 OOmL to about 1.5 g/1 OOmL of a surface modifying agent.

12. The pharmaceutical composition of Claim 11 wherein the surface modifying agent is a polysorbate.

13. An oral liquid pharmaceutical composition comprising: a. a suspending system which comprises an aqueous composition which includes an aqueous medium, about 0.1 g/lOOmL to about 1.0 g/lOOmL xanthan gum and about 0.5 g/1 OOmL to about 3.0 g/1 OOmL microcrystalline cellulose/carboxymethylcellulose sodium; b. at least one first pharmaceutical active suspended in the aqueous composition; c. at least one second pharmaceutical active soluble in the aqueous composition; and d. a density adjusting agent.

14. The pharmaceutical composition of Claim 1 wherein the at least one first pharmaceutical active is selected from the group consisting of Ibuprofen, Ketoprofen, Naproxen, Celecoxib, Rofecoxib, Valdecoxib, Nabumetone, Glimepiride, Diclofenac, Piroxicam, Meloxican and a mixture thereof.

15. The pharmaceutical composition of Claim 13 wherein the at least one suspended first pharmaceutical active is selected from the group consisting of ibuprofen, naproxen, ketoprofen, loratadine, and a mixture thereof.

16. The pharmaceutical composition of Claim 15 wherein ibuprofen is the suspended pharmaceutical active and is present in the pharmaceutical composition in an amount of about 1 g/1 OOmL to about 3 g/1 OOmL.

17. The pharmaceutical composition of Claim 13 wherein the at least one second pharmaceutical active is selected from the group consisting of Fexofenadine (HCl), Chlorpheniramine (maleate), Brompheniramine (maleate), Diphenhydramine (HCl, Citrate), Cetirizine (HCl), Carbinoxamine (maleate), Loratadine, Desloratadine,

Guaifenesin, Pseudoephedrine (HCL, Sulfate), phenylephrine, Phenylpropanolamine (HCl), Ephedrine (HCl, Sulfate), Dextromethorphan (HBr), Codine (Phosphate) and Hydrocodone (bitartrate) and a mixture thereof.

18. The pharmaceutical composition of Claim 13 in which the at least one second pharmaceutical active soluble in the aqueous composition is selected from the group consisting of pseudoephredine, phenylephrine, chlorpheniramine, dextromethorphan, brompheniramine, diphenhydramine and a mixture thereof.

19. The pharmaceutical composition of Claim 18 wherein the at least one second pharmaceutical active soluble in the aqueous composition includes pseudoephredrine in the amount of about .0.2 g/lOOmL to about 0.4 g/lOOmL and chlorpheniramine in the amount of about 0.01 g/1 OOmL to about 0.03g/100mL.

20. The pharmaceutical composition of Claim 13 wherein the density adjusting agent comprises 10 g/lOOmL to about 50 g/lOOmL glycerin and about 10 g/lOOmL to about 50 g/1 OOmL sorbitol.

21. The pharmaceutical composition of Claim 13 further comprising about 0.1 g/1 OOmL to about 1.5 g/1 OOmL of a surface modifying agent.

22. The pharmaceutical composition of Claim 21 wherein the surface modifying agent is a polysorbate.

23. An oral liquid pharmaceutical composition comprising: a. a suspending system which comprises an aqueous composition which includes an aqueous medium, and at least one of about 0.1 g/1 OOmL to about 0.5 g/1 OOmL xanthan gum and about 0.5 g/lOOmL to about 3.0 g/lOOmL microcrystalline cellulose/carboxymethylcellulose sodium; b. at least one first pharmaceutical active which is substantially insoluble in the aqueous composition; and c. a density adjusting agent.

24. A method for treatment of pain and discomfort associated with at least one of headache, body ache, cold symptoms, flu symptoms, and allergy symptoms in humans comprising the administration to a human of a safe and effective amount of the pharmaceutical composition of Claim 1, 13 or 23.

25. A method of preparing an oral liquid pharmaceutical composition comprising: a. preparing a suspending system, including suspended components in an aqueous medium; b. suspending at least one substantially insoluble first pharmaceutical active in the suspending system; and c. matching the true density of the at least one substantially insoluble first pharmaceutical active and the suspended components of the suspending system with the specific gravity of the aqueous medium.

26. The method of Claim 25 further comprising de-aerating the composition by subjecting it to vacuum.

27. The method of Claim 25 further comprising dissolving in the aqueous medium at least one second pharmaceutical active soluble in the aqueous medium.

28. The method of Claim 26 further comprising adding a surface modifying agent to the pharmaceutical composition.