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Title: Organoleptically pleasant in-mouth rapidly
disintegrable potassium chloride tablet
United States Patent: 6,365,182
Inventors: Khankari; Rajendra K. (Maple Grove, MN); Hontz;
John (Plymouth, MN); Chastain; Sara J. (Maple Grove, MN)
Assignee: Cima Labs Inc. (Eden Prairie, MN)
Appl. No.: 132837
Filed: August 12, 1998
Abstract
The present invention relates to a potassium containing dosage form
which is capable of rapidly disintegrating in a patient's mouth to form an
easy to swallow slurry.
SUMMARY OF THE INVENTION
The present invention solves this need by providing an orally
disintegrable tablet suitable for use in the delivery of potassium. The
tablet contains between about 50 and about 80% coated potassium chloride
crystals by weight of the tablet. These coated potassium chloride crystals
have a particle size ranging from between about 100 to about 2,000 microns
and include between about 10 and about 20% of a coating based on the
weight of the coated potassium chloride crystals. The coating is generally
an extended release coating. The tablet also includes between about 5 and
about 35% of a rapidly dissolvable sugar or sugar alcohol filler. The
rapidly dissolvable sugar or sugar alcohol filler has a particle size
selected to be complementary to the particle size of the coated potassium
chloride crystals and generally ranges between about 300 and about 1,500
microns. The tablet also includes between about 0 and about 15% of a
binder, including insoluble filler-binders, between about 1 and about 10%
of a disintegrant; and between about 0 and about 15% of an effervescent
couple. The sugar or sugar alcohol, binder disintegrant and effervescent
couple are all provided in amounts based on the weight of the finished
tablet.
In a particularly preferred embodiment, the tablet of the present
invention weighs between about 1200 and about 3000 mg and contains between
about 5 and about 25 milliequivalents (mEq) of potassium. More preferable,
the tablet will weigh between about 1300 and about 2800 mg and contain
between about 10 and about 20 mEq of potassium.
The present invention solves the aforementioned problems by using some
rather counterintuitive insights. First, the instructions approved by the
Food and Drug Administration for use of potassium chloride tablets
specifically direct one not to crush, chew or suck on such supplements.
However, by employing just such a suckable formulation, it has been
unexpectedly found that one is able to obtain an organoleptically pleasing
dosage form--one that can enhance compliance. Second, one of the more
daunting aspects of current potassium supplements is their relative size,
chalkiness and desiccating nature. Particularly for older patients, such
tablets present a significant problem. To overcome the problem of a large
chalky tablet, one would seek to use either an entirely different dosage
form (liquid, etc.), or find a way of reducing the tablet's size and
volume. However, it has now been found that by actually increasing the
amount of material administered, and to some lesser extent, the size of
the resulting tablet, one is nonetheless able to obtain a dosage form
which overcomes the difficulties and inabilities of the patients most
likely to use same. It is indeed ironic that while one would think of
making the potassium containing tablet lighter and/or smaller to overcome
compliance issues, the answer was actually found by going in the
completely opposite direction.
Third and even more surprisingly, if one were to ignore the instructions
of the manufacturer, take a commercially available potassium chloride
supplement tablet, and allow it to dissolve in their mouth, two things
would happen. First, the tablet which contains upwards of 90% or more
coated potassium chloride would take between about 40 seconds and a minute
to actually disintegrate. Second, because the tablet contains such a
significant quantity of insoluble coated active material, the results of
disintegration would the formation of a "sandbox" in the
patient's mouth; a most unpleasant sensation to say the least. This would
be both unpleasant in the mouth and difficult to swallow.
It has now been found that by decreasing the relative proportion of active
ingredients and supplementing with a rapidly water dissolvable filler, by
selecting fillers and materials having relatively similar particle size to
the coated active, one is actually able to obtain a tablet which is
rapidly disintegrable in the mouth without the objectionable organoleptic
properties of present formulations. Moreover, despite the fact that the
size and volume of the tablet have actually been increased, the
disintegration time is maintained and preferably decreased. A commercially
available 10 milliequivalent potassium chloride tablet can dissolve in the
mouth between 30 seconds and a minute as previously stated. In truth,
disintegration times of about 45 seconds or more are to be expected. An
otherwise equivalent formulation of the present invention, despite being
50% greater in overall weight nonetheless can substantially disintegrate
in under 30 seconds.
The use of organoleptically pleasing ingredients such as a mild level of
effervescence to stimulate the production of saliva and accentuate
disintegration, and rapidly dissolving filler such as mannitol (mannitol
has a negative heat of solution which further adds to the organoleptically
pleasing nature of the formation), one obtains a dosage form which rapidly
disintegrates and forms a watery slurry which is much more
organoleptically pleasing and very easy to swallow. Claim
1 of 24 Claims We claim:
1. An orally disintegrable tablet suitable for use in the delivery of
potassium comprising: between about 50 and about 80% coated potassium
chloride crystals by weight of the tablet, said coated potassium crystals
having a particle size ranging from between about 100 to about 2,000
microns and including between about 10 and about 20% of an extended
release coating based on the weight of the coated potassium chloride
crystals; between about 10 and about 35% of a rapidly dissolvable sugar or
sugar alcohol filler by weight of the tablet, said rapidly dissolvable
sugar or sugar alcohol filler having a particle size selected to be
complementary to the particle size of said coated potassium chloride
crystals and being between about 150 and about 1,500 microns; between
about 0 and about 15% of a binder by weight of the tablet; between about 3
and about 10% of a disintegrant by weight based on the weight of the
tablet; and optionally between about 0 and about 15% of an effervescent
couple based on the weight of the tablet wherein the tablet contains
between about 5 and about 25 millieguivalents of potassium.
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