|
|

Title: Phenylbutazone carrier formulation
United States Patent: 6,022,563
Inventors: Gordon; Douglas J. (Pleasant Grove, UT)
Assignee: Superior Equine Pharmaceuticals, Inc. (Pleasant
Grove, UT)
Appl. No.: 240809
Filed: February 1, 1999
Abstract
A powdered carrier formulation for delivery of phenylbutazone to
animals contains phenylbutazone in combination with a flavoring agent and
an anticaking agent.
FIELD OF THE INVENTION
The invention relates to anti-inflammatory drugs and in
particular, to a new and improved carrier formulation for delivery of
phenylbutazone and functional homologues thereof. More specifically the
carrier is palatable to horses, provides improved absorption into the
horse's blood stream, and facilities new methods of preparing and
administering phenylbutazone to horses.
PROBLEM
Phenylbutazone, is one of the most popular and useful
nonsteroidal anti-inflammatory veterinary pharmaceuticals. It is typically
the drug of choice for equine treatment modalities when an illness or
injury necessitates the use of a painkiller or anti-inflammatory
medication. Phenylbutazone treats joint deterioration, swelling and
inflammation from injuries, founder, fevers, and various other pains
experienced by horses.
While phenylbutazone has been used to treat horses for more than thirty
years, the administration of phenylbutazone persists in being the source
of many problems. Despite its bitter taste, phenylbutazone is most often
administered orally. The horses often reject the bitter drug, which leads
to inconsistent dosages and extreme inconvenience suffered by those
administering the drug.
Phenylbutazone is typically available to horse owners and veterinarians in
one-gram tablets for oral administration. Horses do not willingly eat
phenylbutazone tablets. Absent physical force, most horses will not
swallow phenylbutazone tablets due to their bitterness. Thus,
administration involves first catching the horse and, depending on the
individual personality and training of the horse, applying various degrees
of restraints. Restraints range from a halter to prevent bobbing and
weaving of the head, to more extreme measures that prevent rearing and
kicking.
Horse owners and veterinarians have developed several means for the actual
delivery of phenylbutazone to horses. In simple cases the tablets are
crushed and mixed with the horse's food. This method is problematic
because the crushed tablets do not adhere to the horse's food. Powder or
granules sift to the bottom of the feeder as the horse eats. The amount of
sifting varies with each administration and results in inconsistent
dosages or diet problems due to the addition of feed to administer the
remaining medication.
Some horses reject the grain and drug mixture altogether, requiring the
additional step of mixing the crushed tablet with syrup or molasses before
adding the bitter drug to the horse's feed. This method is problematic for
several reasons. Syrup and molasses are very sticky, and the mixing
process leaves a mess in the surrounding area as well as in the mixing
container and feed trough or dish. In addition, the phenylbutazone is
insoluble in syrup and molasses making it impossible to obtain a
homogeneous mixture. If the mixture is not immediately administered to the
horse, the phenylbutazone settles resulting in an inconsistent dosage or
additional mixing requirements. Encapsulation of the crushed tablet matter
by the syrup or molasses also hinders the speed at which digestive fluids
can interact with the phenylbutazone and, consequently, blood absorption
of phenylbutazone is delayed through the digestive process.
In other cases the delivery means includes mixing the crushed tablets with
water in a slurried form for oral administration with a syringe. This
method of delivery often requires the person administering the dosage to
reach into the horse's mouth and exert pressure at certain points as
inducement for the horse to open its mouth for direct delivery of the drug
to the horse's throat by syringe. This activity is unpleasant for the
horse and the person, and can result in injury as the person administering
the drug is bitten, pawed or stepped on by a stubborn horse. Because the
slurry is still bitter, a horse will continue to reject the slurry with
efforts that increase in intensity over time. Ultimately, it becomes
difficult or impossible to catch the horse three times a day for delivery
of the drug and, if caught, the horse attempts to spit out the slurry
after it is delivered.
Paste and granulized formulations of phenylbutazone are available to
prevent those administering the drug from having to crush tablets, but the
granulized and past formulations still sustain the same problems
associated with tablets, namely, rejection, inconvenience, and
inconsistent dosages. For example, The paste is squeezed from a tube into
the rear of the oral cavity under the horse's tongue. Most horses make a
valiant effort to spit the paste out. Thus, the horse's mouth must be
empty during delivery so the paste adheres to the oral cavity to prevent
it from being spit out. If, as often is the case, the horse has hay or
grain residue in its mouth at the time of delivery, the paste will adhere
to it and is easily spit out along with the hay or grain. Some horses even
learn to rinse their mouth out after delivery causing owners to limit
access to water for approximately 15 minutes.
The described administration problems with phenylbutazone would be merely
inconvenient, except that they, in turn, cause serious problems, which are
related to effective dosages. The drug is intended to control potentially
chronic inflammation and pain, which can result in permanent soft tissue
lesions, such as scarring of other fibroid tissue growth, as a consequence
of long term chronic inflammation cycles. The drug provides relief from
chronic cycles of inflammation and pain, and eventually facilitates
increased range of motion without permanent loss of function. Thus, it is
important to provide a method of administration that avoids peaks and
valleys in the blood concentration levels of phenylbutazone arising from
inconsistent dosage due to rejection or an inability to catch the horse
for administration of the drug.
An important factor to consider in the delivery of phenylbutazone, in
addition to methods for oral administration of the drug, is the speed at
which the drug is absorbed into the horse's blood. Inflammation and pain
are more easily relieved when effective treatment concentrations are
attained more quickly. This is especially true when the inflammation is
potentially associated with hemorrhaging due to soft tissue injury.
Maintaining the proper blood concentration level, timing, and diet are
critical to the effectiveness of the drug. Even so, it is commonly
understood that mixing a drug with a carrier, such as a nutritional base
for delivery of the drug, has the disadvantage of slowing down the blood
absorption rate.
While a veterinarian should make the determination on an individual basis,
a moderate dose for a 1000 pound horse is 1-2 grams or 5-10 cc per
administration. Oral administration of phenylbutazone is slow to take
effect, requiring 3-5 hours to achieve an effective concentration level.
Three dosages per day should be administered to maintain the proper blood
concentration level. However, due to the problems with oral
administration, most horse owners and veterinarians settle for a double or
sometimes only a single dosage per day, as opposed to the ideal triple
dosage.
Another problem related to dosage is measuring the proper amount of
medication for the horse. Where the paste formulation is used, the person
administering it must pre-measure the paste or guess at the appropriate
amount as it is squeezed into the horse's mouth. Both techniques result in
an inconsistent dosage either from guesswork or due to loss of medication
from residue left behind as the paste is transferred from the measuring
device to administering device. In the tablet form, an odd dosage requires
splitting the tablet, which results in inconsistent dosages due to
crumbling of the tablets.
Administration and dosage problems are compounded where prolonged
treatments are required for treatment of chronic soft tissue injuries, and
these problems can result in significant health effects to the horse and
cost burden on the owner. Therefore, there is a need for an improved
carrier formulation of phenylbutazone that is palatable to horses, easily
administered in a proper dosages without special skills or alteration from
its manufactured state, and provides quicker absorption into the
bloodstream.
SOLUTION
The present invention overcomes the problems that are
outlined above and advances the art by providing an improved carrier
formulation for administering phenylbutazone in a palatable medium to
horses. The carrier formulation comprises a powdered carrier base
including at least one flavoring agent and at least one anti-caking agent
mixed to substantial homogeneity with a therapeutically effective amount
of phenylbutazone. The powder carrier base and phenylbutazone mixture is
palatable to horses providing owners and veterinarians with confidence
that their horse will consume the full dosage of medication.
Phenylbutazone is commonly known in the art and is described in U.S. Pat.
No. 2,562,830. Phenylbutazone is also known as
4-butyl-diphenyl-3,5-pyrazoidinedione, benzone, butadione, intrabutazone,
and numerous other common names. Phenylbutazone is widely understood to be
an effective veterinary anti-inflammatory and analgesic agent in treating
inflammation in horses and other animals. A review of the hematological
effects of phenylbutazone has been published by G. A. Faich in 7
Pharmacotherapy 25 (1987). There are numerous commercial suppliers of
phenylbutazone including, by way of example, Sigma Corporation located in
St. Louis, Mo.
The flavoring agent is an inactive ingredient comprising a flavoring agent
and an anticaking agent. The flavoring agent is a plurality of sweeteners
and flavor additives that make the powdered carrier formulation palatable
to horses as a food supplement and in its raw form. Horses consider that
phenylbutazone delivered with the carrier formulation as a treat, and they
aggressively ingest it
Sweeteners used in the flavoring agent may be any type of compatible
sweetener, either from a natural material or an artificially produced
sweetener. Artificial sweeteners such as saccharine and aspartame are
preferred for cost reasons, and because unlike natural sugars, they do not
promote significant tooth decay and contribute few if any calories to the
foods they sweeten. Commercial suppliers of Saccharine and aspartame
include Monsanto Corporation and its subsidiaries, such as Kelco
Corporation. In addition, because horses have preferred tastes,
combinations of sweeteners may be employed to ensure palatability in a
broader range of horses. Examples of sweeteners include but are not
limited to, sucrose, glucose, fructose, lactose, acesulfame-K, dextrose,
sucralose, saccharin, and aspartame.
Flavor additives used in the flavoring agent may also be products from a
natural material or synthetically produced products. Any flavor additive
palatable to horses including but not limited to, cinnamon, orange, or
apple, may be employed. Preferably, however, inventors have found
artificial green apple flavoring, such as that which is commercially
available from Professional Compounders Center of America, to be the most
palatable to the broadest range of horses. Additional examples of flavor
additives include but are not limited to cinnamon, cherry, strawberry, and
carrot.
The anti-caking agent is not a necessary ingredient to the carrier
formulation of the present invention, and is utilized for the practical
requirement of improving the manufacturing process. The preferred
anti-caking agent is silica dioxide sold under the trade name Flogard, an
example of which can be purchased from Pharmatech Inc. The anti-caking
agent improves the manufacturing process by preventing clotting and
balling of the product caused by the inherently tacky nature of the
flavoring ingredients. It should also be noted that, while the anti-caking
agent silica dioxide is added to the carrier formulation to improve
manufacturing, additional anti-caking agents are present as
sub-ingredients in some of the flavoring ingredients. For example, calcium
silicate is a sub-ingredient of the Fresh Green Apple flavoring
ingredient.
Despite common knowledge that dilution of a drug with a carrier for
delivery has the disadvantage of slowing down the blood absorption rate,
the dilution of the phenylbutazone active agent with the carrier
formulation of the present invention substantially improves blood
absorption during the initial hours after administration. Not only is the
initial delivery speed faster with the carrier formulation, but absorption
and metabolization of the phenylbutazone over subsequent intervals is
approximately equivalent to that of delivery of pure phenylbutazone.
The respective ingredients of the carrier formulation are provided as a
solid, powder, or particulate at room temperature, so that mixing of the
materials results in a finely divided powder. The powder has an
electrostatic affinity for the cellulosic substances that horses eat.
The carrier formulation is produced by causing particles of the at least
one flavoring agent and the at least one anti-caking agent to come into
high speed contact with particles of the therapeutically effective amount
of phenylbutazone by collision. During collision of the particles there is
a partial melting and fusion with each other to form an agglomerate of all
the particles in a substantial homogenous mixture of fine powder at room
temperature. Various apparatuses can be utilized to realize contact of the
ingredients, including but not limited to V shaped blenders, slant load
blenders, high efficiency powder mixers, and pneumatic high vortex
apparatuses and so on. It is possible to effect the colliding contact of
the ingredients by subjecting them to a single blending process.
Nevertheless, multiple blending obtains an increase in the melting,
fusion, and homogeneity performance yielding an overall better mixture.
Care must be paid here to determine the proper blending time, as the
blending times will vary depending on the device and its efficiency.
Blending is performed until the phenylbutazone is distributed to
substantial homogeneity in the carrier base. A suitable weight proportion
of phenylbutazone to achieve the advantages of the invention may be in the
range of 50% to 90% and preferably in the range of 70% to 90% of the total
formulation weight. An even more preferable weight is in the range of 75%
and 90% with an even more preferable range being 85% to 90%. A suitable
weight proportion of anti-caking agent is in the range of 0% to 10% but
preferably 4%, depending upon the type of anticaking agent that is used. A
suitable weight proportion of the flavoring ingredient may be in the range
of 10% to 50% but preferably ranges from 10% to 20%.
The carrier formulation of the present invention is administered to horse
orally in its raw form or as a feed supplement by spreading it over
conventional feed components, including but not limited to, grain, hay,
oats, barley, corn and so on. Advantageously, the sweetener ingredients
provide the carrier formulation with an inherently tacky property, such
that the carrier formulation adheres to feed when the it is administered
as a feed supplement. Thus, product is not lost due to sifting as the
horse eats.
Claim 1 of 11 Claims
1. A carrier formulation for delivery of phenylbutazone
and functional homologues thereof to horses, consisting essentially of:
a powdered carrier selected from the group consisting of sweeteners,
flavoring agents, anti-caking agents and combinations thereof; and
a therapeutically effective amount of phenylbutazone for the treatment of
equine ailments selected from the group consisting of joint deterioration,
swelling and inflammation, founder, and fevers,
said phenylbutazone being dispersed to homogeneity in said powdered
carrier in an amount ranging from 50% to 90% by weight of the formulation.
____________________________________________
If you want to learn more
about this patent, please go directly to the U.S.
Patent and Trademark Office Web site to access the full
patent.
|