DIRECTLY COMPRESSIBLE HIGH LOAD ACETAMINOPHEN FORMULATIONS

Abstract: Direct compressed solid pharmaceutical dosage forms containing: a) from about 40 to about 95 % by weight acetaminophen; b) from about 1 to about 60 % by weight of a direct compression vehicle comprising microcrystalline cellulose; and c) from about 0.01 to about 4.0 % by weight of a pharmaceutically-acceptable lubricant are disclosed. The acetaminophen and direct compression vehicle are combined under high shear conditions which are sufficient to transform acetaminophen and direct compression vehicle into a homogenous granulate without degradation. In preferred aspects of the invention, the lubricant is also combined with the acetaminophen and direct compression vehicle under high shear conditions. Methods of preparing the directly compressed solid pharmaceutical dosage forms and methods of treatment with the dosage forms are also disclosed. The methods are particularly well suited for preparing directly compressed dosage forms containing high load (i.e., up to 80 % or greater) amounts of acetaminophen based on the weight of the total tablet.

Description: DIRECTLY COMPRESSIBLE HIGH LOAD ACETAMINOPHEN FORMULATIONS BACKGROUND OF THE INVENTION The present invention relates to methods of preparing solid dosage forms using direct compression techniques In particular, the present invention relates to methods of directly compressing tablets containing relatively high amounts of acetaminophen based on the total tablet weight In order to prepare a solid dosage form containing one or more active ingredients (such as drugs), it is necessary for the materials to be compressed into the dosage form possess certain physical characteristics which lend themselves to solid dosage form processing Among other things, the material to be compressed must be free-flowing, must be lubricated, and, importantly, must possess sufficient cohesiveness to insure that the solid dosage form remains intact after compression In the case of tablets, the tablet is formed by pressure being applied to the material to be tableted on a tablet press A tablet press includes a lower punch which fits into a die from the bottom and a upper punch having a corresponding shape and dimension which enters the die cavity from the top after the tabletting material fills the die cavity The tablet is formed by pressure applied on the lower and upper punches The ability of the material to flow freely into the die is important in order to insure that there is a uniform filling ofthe die and a continuous movement ofthe material from the source ofthe material, e g a feeder hopper The lubricity of the material is crucial in the preparation ofthe solid dosage forms since the compressed material must be readily ejected from the punch faces Since most drugs have none or only some of these properties, methods of tablet formulating have been developed to impart these desirable characteristics to the material(s) which is to be compressed into a solid dosage form Typically, excipients are added to the formulation which impart good flow and compression characteristics to the material as a whole which is to be compressed Such properties are typically imparted to these excipients via a pre-processing step such as wet granulation, slug¬ ging, spray drying, spheronization, or crystallization Useful direct compression excipients include processed forms of cellulose, sugars, and dicalcium phosphate dihydrate, among others Lubricants are typically added to avoid the material(s) being tabletted from sticking to the punches Commonly used lubricants include magnesium stearate and calcium stearate Such lubricants are commonly included in the final tabletted product in amounts usually less than 1% by weight In addition, solid dosage forms often contain diluents Diluents are frequently added in order to increase the bulk weight ofthe material to be tabletted in order to make the tablet a practical size for compression This is often necessary where the dose ofthe drug is relatively small Another commonly used class of excipients in solid dosage forms are binders Binders are agents which impart cohesive qualities to the powdered material(s) Commonly used binders include starch, and sugars such as sucrose, glucose, dextrose, and lactose Disintegrants are often included in order to ensure that the ultimately prepared compressed solid dosage form has an acceptable disintegration rate in an environment of use (such as the gastrointestinal tract) Typical disintegrants include starch derivatives and salts of carboxymethylcellulose There are three general methods of preparing the materials to be included in the solid dosage form prior to compression (1) dry granulation, (2) wet granulation, and (3) direct compression Dry granulation procedures may be utilized where one of the constituents, either the drug or the diluent, has sufficient cohesive properties to be tabletted The method includes mixing the ingredients with a lubricant, if required, slugging the ingredients, dry screening, lubricating and finally compressing the ingredients The wet granulation procedure includes mixing the powders to be incorporated into the dosage form in, e.g , a twin shell blender or double-cone blender under shear mixing conditions and thereafter adding solutions of a binding agent to the mixed powders to obtain a granulation. Thereafter, the damp mass is screened, e.g., in a 6- or 8-mesh screen and then dried, e.g., via tray drying or fluid-bed drying The wet granulating technique is rather time consuming due to its process steps and can also be considered to be relatively expensive. In addition, wet granulating has been known to reduce the compressibility of some pharmaceutical ingredients including microcrystalline cellulose Direct compression, on the other hand, is regarded as a relatively quick process wherein the powdered materials included in the solid dosage form are compressed directly without modifying their physical nature Usually, the active ingredient, direct compression vehicle and other ancillary substances, such as a glidant to improve the rate of flow ofthe tablet granulation and lubricant to prevent adhesion ofthe tablet material to the surface ofthe dies and punches ofthe tablet press, are blended in a twin shell blender or similar low shear apparatus before being compressed into tablets This type of mixing of the ingredients was believed to be essential in order to prepare pharmaceutically acceptable dosage forms For example, Remington's Pharmaceutical Sciences. 16th Edition (1980), Arthur Osol, Ed , cautions artisans that the manner in which a lubricant is added to a formulation must be carefully controlled Consequently, lubricants are usually added to a granulation by gentle mixing At page 1556, Remington's, warns "Prolonged blending of a lubricant with a granulation can materially affect the hardness and disintegration time for the resulting tablets " Further, those of ordinary skill in the art have long believed that excessive mixing of a lubricant with the granulate ingredients overcoats the granules and reduces the tablet hardness or tablet strength ofthe compressed tablets. Thus, for at least these reasons, high shear mixing conditions have not been used to prepare direct compression dosage forms Pharmaceutical manufacturers would often prefer to use direct compression techniques over wet or dry granulation techniques because of its processing time and cost advantages. Direct compression, however, is usually limited to those situations where the drug or active ingredient has a requisite crystalline structure and the physical characteristics required for formation of a pharmaceutically acceptable tablet Often, however, one or more excipients must be combined with the active ingredient before the direct compression method can be used since many active ingredients do not have the necessary properties Since each excipient added to formulation necessarily increases the tablet size ofthe final product, artisans were often limited to using direct compression techniques in formulations containing a rather low load of active ingredient per compressed tablet Solid dosage forms containing the drug to be administered in a relatively high load or dose (e g., the drug itself comprises a substantial portion of the total compressed tablet weight), could only be directly compressed if the drug itself had sufficient physical characteristics (e g , cohesiveness) for the ingredients to be directly compressed For example, acetaminophen, a widely used analgesic, is considered to be a high load active ingredient. Most commercial compressed tablet formulations include anywhere from 70 to 85% by weight acetaminophen per finished tablet This high load of active ingredient combined with its rather poor physical characteristics for direct compression have not allowed pharmaceutical manufacturers to use direct compression techniques to prepare the final tablets Previous attempts to directly compress acetaminophen with microcrystalline cellulose have failed to provide an acceptable product The final products tend to be soft, prone to capping and otherwise not commercially desirable, i e., difficult to swallow because of the large size Consequently, the more time consuming and expensive wet granulation techniques must be used. Thus, another limitation of direct compression as a method of tablet manufacturing is the potential size ofthe compressed tablet If the amount of active ingredient is high, a pharmaceutical formulator may choose to wet granulate the active with other excipients to attain an acceptably sized tablet with the desired amount of acetaminophen Usually the amount of filler/binder or excipients needed in wet granulation is less than that required for direct compression since the process of wet granulation contributes to some extent toward the desired physical properties of a tablet Microcrystalline cellulose, a processed cellulose, has been utilized extensively in the pharmaceutical industry as a direct compression vehicle for solid dosage forms Microcrystalline cellulose is commercially available under the tradename EMCOCEL® from Edward Mendell Co , Inc and as Avicel® from FMC Corp Compared to other directly compressible excipients, microcrystalline cellulose is generally considered to exhibit superior compressibility and disintegration properties as long as it is not wet granulated prior to compression Thus, despite the advantages of direct compression such as reduced processing times and costs, wet granulation is widely used in the industry to prepare solid dosage forms Currently, many skilled in the art also prefer wet granulation over direct com¬ pression because wet granulating has a greater probability of overcoming any problems associated with the physical characteristics of the various ingredients in the formulation, thereby providing a material which has the requisite flow and cohesive characteristics necessary to obtain an acceptable solid dosage form The popularity of the wet granulation process as compared to the direct compression process is based on at least three advantages First, wet granulation provides the material to be compressed with better wetting properties, particularly in the case of hydrophobic drug substances The addition of a hydrophilic excipient makes the surface of a hydrophobic drug more hydrophilic, easing disintegration and dissolution Second, the content uniformity of the solid dosage forms is generally improved with the wet granulation method because all ofthe granules obtained thereby usually contain approximately the same amount of drug Thus, segregation of the different ingredients of the material to be compressed (due to different physical characteristics such as density) is avoided Segregation is a potential problem with the direct compression method. Finally, the particle size and shape ofthe particles com¬ prising the granulate to be compressed are optimized via the wet granulation process This is due to the fact that when a dry solid is wet granulated, the binder "glues" par¬ ticles together, so that they agglomerate in the granules which are more or less spherical. In spite of the advantages afforded by wet granulation methods, many manufacturers would nonetheless welcome the opportunity to directly compress tablets containing acetaminophen, especially those containing high loads of acetaminophen and/or microcrystalline cellulose. Thus, there still remains a need in the industry for techniques and phar¬ maceutical excipients which would allow artisans to prepare direct compressed dosage forms containing relatively high amounts of acetaminophen by weight and thereby avoid the time and expense of wet granulations OBJECTS AND SUMMARY OF THE INVENTION It is an object of the present invention to provide improvements in direct compression techniques. It is a further object of the present invention to provide a cost effective alternative to wet granulating acetaminophen formulations in order to prepare solid dosage forms containing a relatively high proportion ofthe drug when compared to the total weight ofthe dosage form. It is a further object of the present invention to provide direct compressed acetaminophen oral solid dosage forms which disintegrate rapidly in vivo and in vitro A further object ofthe present invention is to provide direct compressed dosage forms which provide controlled release of acetaminophen without relying on fiuidized bed or wet granulating techniques. Another object ofthe present invention is to provide solid dosage forms which include acetaminophen and which are prepared according to the methods described herein. In accordance with the above objects and others which will be obvious to those skilled in the art, the present invention includes a direct compressed solid pharmaceutical dosage form containing: a) from about 40 to about 95% by weight acetaminophen, b) from about 1 to about 60% by weight of a direct compression vehicle comprising microcrystalline cellulose, and c) from about 0 01 to about 4 0% by weight of a pharmaceutically- acceptable lubricant The acetaminophen and direct compression vehicle included in the direct compressed dosage form are combined under shear mixing conditions which are sufficient to transform the acetaminophen and direct compression vehicle into a homogenous granulate without degradation In preferred embodiments of this aspect ofthe invention, the solid dosage form comprises from about 60% to about 85% by weight acetaminophen and the acetaminophen is in granular form The solid dosage forms accordingly can contain from about 10 to about 1000 milligrams of acetaminophen In a particularly preferred embodiment, the direct compression vehicle includes microcrystalline cellulose which has been coprocessed with from about 0 1 to about 20% by weight silicon dioxide so that the microcrystalline cellulose and sihcon dioxide are in intimate association with each other and provide enhanced compressibility properties for the direct compressed dosage forms An additional preferred embodiment includes preparing the direct compressed solid pharmaceutical dosage form to include from about 0 1 to about 1% by weight of a pharmaceutically acceptable lubπcant such as sodium stearyl fumarate The lubricant is included as part of the homogeneous mixture containing the acetaminophen and direct compression vehicle and is preferably admixed with these ingredients under the same or similar high shear conditions used to form the homogeneous mixture In another embodiment, the direct compressed dosage forms of the present invention include from about 0 1 to about 5 0% by weight silicon dioxide The silicon dioxide is preferably combined with the homogeneous mixture containing the acetaminophen and direct compression vehicle during the same high shear mixing conditions used to transform the ingredients into the homogeneous mixture In another embodiment ofthe invention, the direct compressed dosage forms include a disintegrant which has preferably been high shear mixed with the aforementioned acetaminophen, direct compression vehicle and lubricant. One particularly preferred solid dosage form of the present invention includes at least about 75% by weight acetaminophen and has an average tablet hardness of about 6.5 kP when the homogeneous granulate containing the acetaminophen and microcrystalline cellulose is direct compressed at a compression force of about 25 kN. The tablets ofthe present invention also have a relatively rapid disintegration rate which compares favorably with acetaminophen tablets prepared using wet granulation techniques. In certain preferred embodiments, the disintegration rate for the tablets ofthe present invention meets the requirements set forth in the USP 23 © 1994 United States Pharmacopeial Convention, Inc. Furthermore, the dissolution rate of the inventive tablets is also believed to compare favorably, and in certain embodiments, even exceed that of wet granulated APAP products. In certain preferred embodiments, the inventive tablets also meet the dissolution requirements for acetaminophen tablets as set forth in the USP 23 official monograph. For example, the direct compressed APAP tablets will preferably dissolve in 900 ml of pH 5.8 phosphate buffer in 30 minutes. The "dissolution requirements" and "disintegration requirements" referred to herein are conducted using the equipment and tests specified in the aforementioned USP 23. In another aspect of the present invention, there are provided methods of preparing direct compressed solid pharmaceutical dosage forms containing acetaminophen. This aspect of the invention includes first combining an effective amount of acetaminophen and a direct compression vehicle which comprises microcrystalline cellulose under shear conditions which are sufficient to transform the acetaminophen and direct compression vehicle into a first homogenous granulate without degradation. Next, the homogeneous granulate is combined with a pharmaceutically-acceptable lubricant, either by similar high shear or other dry mixing conditions, and thereafter compressing the resultant homogenous granulate containing the lubricant into solid pharmaceutical dosage forms Altemative aspects ofthe inventive methods described herein include forming a high shear mixture which includes silicon dioxide, preferably in the form of colloidal silicon dioxide One particularly preferred method includes forming a first high shear mixture containing acetaminophen and a direct compression vehicle which includes microcrystalline cellulose and silicon dioxide before adding the lubricant under high shear conditions A still further aspect of the inventive method includes preparing direct compression solid pharmaceutical dosage forms by preparing a first high shear mixture by combining the acetaminophen, direct compression vehicle and, optional silicon dioxide and/or disintegrant Next, the first high shear mixture is combined with a lubricant in a separate shear mixing step to form the final homogenous granulate In this aspect ofthe invention, however, the second shear mixing step is carried out under conditions which are milder than those used to carry out the first shear mixing step For purposes ofthe present invention, the term "high-load" is meant to indicate that the acetaminophen comprises a substantial portion ofthe solid oral dosage form on a weight basis Those of ordinary skill in the art recognize that compressed tablets containing at least about 40% by weight of acetaminophen are "high-load" tablets The term "granular" for purposes ofthe present invention is meant to connote particles having an average cross-sectional diameter of from about 50 to about 500 microns The granular particles are to be distinguished from powdered particles having a particle size of less than about 50 microns and more likely in the range of 10-20 microns The term "environmental fluid" is meant for purposes of the invention to encompass, e.g , an aqueous solution, or gastrointestinal fluid "Sustained release" is meant for purposes of the invention to mean that the acetaminophen is released from the solid dosage form at a controlled rate such that therapeutically beneficial blood levels (but below toxic levels) of the active ingredient are maintained over an extended period of time, e.g., providing a 12 hour or a 24 hour dosage form "Controlled release" is meant for purposes ofthe invention to mean that the acetaminophen is released from the solid dosage form at a predetermined rate such that therapeutically beneficial blood levels are maintained over a period of time By "bioavailable" it is meant for purposes of the invention that the acetaminophen is absorbed from the dosage form and becomes available in the body at the intended site of action By "primary particle size" it is meant for purposes of the invention that the particles are not agglomerated Agglomeration is common with respect to silicon dioxide particles, resulting in a comparatively average large agglomerated particle size The methods and compositions of the present invention provide several advantages to pharmaceutical formulators with regard to direct compression techniques For example, the methods provide artisans with the ability to include high- load amounts of acetaminophen in direct compression dosage forms In the past, high- load oral solid dosage forms containing acetaminophen could only be prepared using wet granulation techniques because the amount of additional excipients required to impart the necessary physical characteristics, such as hardness and size, rendered the final dosage forms unacceptable for both manufacturers and consumers A further advantage of the present invention is that it is now possible to increase the tablet hardness of acetaminophen-containing solid dosage forms by subjecting the formulation to high shear blending This technique is especially advantageous in situations where one or more of the formulation ingredients, such as an additional active ingredient, is incapable of undergoing wet granulation For a better understanding of the present invention, together with other and further objects, reference is made to the following description, taken together with the accompanying figures, and the scope of the invention will be pointed out in the appended claims BRIEF DESCRIPTION OF THE DRAWINGS The following drawings are illustrative of embodiments ofthe invention and are not meant to limit the scope ofthe invention as encompassed by the claims. Figure 1 graphically illustrates the tensile strengths of high load APAP tablets prepared in accordance with Examples 3-5,7,8, a control high load APAP tablets made in accordance with Example 6 and a second control prepared using prior art techniques. Figure 2 graphically illustrates a comparison ofthe tensile strength of tablets prepared in accordance with Examples 8 and 9-1 1 and that obtained for a control high load APAP formulation Figure 3 is a graphic illustration ofthe differences in the disintegration time for a batch of tablets prepared in accordance with the present invention and commercially available APAP tablets DETAILED DESCRIPTION OF THE INVENTION In one aspect ofthe invention, there are provided direct compressed solid pharmaceutical dosage forms comprising a) from about 40 to about 95% by weight acetaminophen, b) from about 1 to about 60% by weight of a direct compression vehicle comprising microcrystalline cellulose; and c) from about 0.01 to about 4.0% by weight of a pharmaceutically- acceptable lubricant. The acetaminophen and direct compression vehicle are combined under shear mixing conditions which are sufficient to transform the acetaminophen and direct compression vehicle into a homogenous granulate without degradation The lubricant included in the dosage forms is also combined with the homogeneous granulate. In this regard, high shear conditions are preferred although not required ACETAMINOPHEN The acetaminophen, hereinafter APAP, used in the direct compressed dosage forms ofthe present invention is preferably in granular form and has an average cross- sectional diameter of from about 50 to about 500 microns More preferably, however, the granular APAP has a cross sectional diameter of from about 250-300 microns Acetaminophen having these physical characteristics is available, for example from Mallinkrodt, St Louis, MO USA An alternative acetaminophen, also available from Mallinkrodt is DC-90 It is to be understood that the present invention is not limited to these types of granular APAP Other sources of APAP are also contemplated so long as the APAP has the granular characteristics set forth above The granular APAP preferably used in the dosage forms of the present invention is to be contrasted with powdered forms of the active ingredient Such powdered forms of APAP have a cross sectional diameter of from about 10-20 microns and are not contemplated for use herein While applicants are not bound by theory, it is believed that a critical particle size is required to successfully withstand the high shear mixing conditions which transform the APAP, in high load amounts, and direct compression vehicle into a flowable granulate which is capable of being direct compressed into solid dosage forms having sufficient hardness and other physical qualities associated with an acceptable dosage form In a preferred aspect of the invention, the solid dosage forms contain from about 60 to about 85% by weight acetaminophen Of course, the exact amount of acetaminophen included in the dosage forms ofthe present invention will depend upon the size of tablet and dosage amount contemplated by the artisan Currently, APAP tablets are frequently formulated to contain from about 160 to about 650 milligrams of the drug Tablets containing about 325 and about 500 milligrams are also commonly found Several other APAP formulations are also commercially available The tablets ofthe present invention contain from about 10 to about 1000 milligrams of APAP, preferably from about 80 to about 750 milligrams of APAP and most preferably from about 120 to about 650 milligrams of APAP In an altemative aspect ofthe invention the direct compressed acetaminophen tablets are prepared to contain an additional active ingredient such as those commonly found in APAP products A non-limiting list of suitable ingredients which may be combined with the APAP includes narcotic analgesics such as codeine phosphate, oxycodone and hydromorphone, sinus and/or nasal decongestant ingredients such pseudoephedrine and antihistamines such as diphenhydramine. DIRECT COMPRESSION VEHICLES The direct compression vehicles used in the solid dosage forms ofthe present invention represent from about 1 to about 60% by weight ofthe solid dosage form and include microcrystalline cellulose (MCC). Preferably, the solid dosage forms contain from about 2 to about 25 and most preferably about 5 to about 20% by weight direct compression vehicle Microcrystalline cellulose is a well-known tablet diluent and disintegrant Its chief advantage over other excipients is that it can be directly compressed into self- binding tablets which disintegrate rapidly when placed into water This widely-used ingredient is prepared by partially depolymerizing cellulose obtained as a pulp from fibrous plant material with dilute mineral acid solutions Following hydrolysis, the hydrocellulose thereby obtained is purified via filtration and the aqueous slurry is spray dried to form dry, white odorless, tasteless crystalline powder of porous particles of a broad size distribution Another method of preparing microcrystalline cellulose is disclosed in U.S. Patent No 3,141,875. This reference discloses subjecting cellulose to the hydrolytic action of hydrochloric acid at boiling temperatures so that amorphous cellulosic material can be removed and aggregates of crystalline cellulose are formed The aggregates are collected by filtration, washed with water and aqueous ammonia and disintegrated into small fragments, often called cellulose crystallites by vigorous mechanical means such as a blender. Microcrystalline cellulose is commercially available in several grades which range in average particle size from 20 to 200 microns Microcrystalline cellulose is water-insoluble, but the material has the ability to draw fluid into a tablet by capillary action. The tablets then swell on contact and the microcrystalline cellulose thus acts as a disintegrating agent The material has sufficient self-lubricating qualities so as to allow a lower level of lubricant as compared to other excipients. Typically, microcrystalline cellulose bulk powder has an apparent density of about 0.28 g/cm 3 and a tap density of about 0.43 g/cm 3 Handbook of Pharmaceutical Excipients, pages 53-55. When utilized in pharmaceutical applications, microcrystalline cellulose is typically used as a tablet binder/diluent in wet granulation and direct compression formulations in amounts of 5-30% ofthe formulation, or more However, it is known to use more or less microcrystalline cellulose in pharmaceutical products, depending upon the requirements ofthe formulation. In spite of it being known to include MCC in direct compression formulations, mere twin shell blending of APAP and MCC has not provided a mixture which could be direct compressed into an acceptable solid dosage form In one preferred embodiment ofthe invention, the direct compression vehicle includes a microcrystalline cellulose which has been coprocessed with from about 0 1 to about 20% silicon dioxide This coprocessed, direct compression vehicle is an agglomerate of microcrystalline cellulose and silicon dioxide in which the micro¬ crystalline cellulose and silicon dioxide are in intimate association with each other such as that described in commonly-assigned U.S Patent Application Serial No 08/370,576, the disclosure of which is incoφorated by reference herein Magnifications of these coprocessed particles indicate that the silicon dioxide is integrated with, or partially coats, the surfaces ofthe microcrystalline cellulose particles The exact relationship ofthe two ingredients in the excipient after coprocessing is not presently understood; however, for purposes of description, the coprocessed particles are described herein as including an agglomerate of microcrystalline cellulose and silicon dioxide in intimate association with each other By "intimate association", it is meant that the silicon dioxide has in some manner been integrated with the microcrystalline cellulose particles, e g , via a partial coating of the microcrystalline particles, as opposed to a chemical interaction ofthe two ingredients The term "in¬ timate association" is therefore deemed for puφoses ofthe present description as being synonymous with "integrated" or "united" The coprocessed particles are not necessarily uniform or homogeneous Rather, under magnification, e g , scanning electron microscope at 500x, the silicon dioxide at the preferred percent inclusion appears to be an "edge-coating" The compressed excipient has a bulk (Ioose) density ranging from about 0 2 g ml to about 0 6 g/ml, and most preferably from about 0 35 g/ml to about 0 55 g/ml The coprocessed excipient has a tapped density ranging from about 0 25 g/ml to about 0 65 g/ml, and most preferably from about 0 35 g/ml to about 0 55 g/ml The pH of the particles is most preferably about neutral, although granulates having a pH of from about 3 0 to about 8 5 are possible The moisture content ofthe excipient particles will broadly range from about 0 5% to about 15%, preferably from about 1 5% to about 7%, and most preferably from about 3 0% to about 5% by weight The coprocessed excipient can be used alone or in combination with "off-the- shelf MCC in any desired proportion to form the direct compression vehicle included in the novel dosage forms The silicon dioxide coprocessed with microcrystalline in this aspect of the invention preferably has an average primary particle size of from about 1 nm to 1,000 μm More preferably, however, the silicon dioxide has an average primary size of from about 5 nm to 40 μm The silicon dioxide coprocessed with the MCC is preferably derived from colloidal silicon dioxide and, preferably comprises from about 0 5 to 10% by weight ofthe coprocessed material based on the weight ofthe microcrystalline cellulose and, more preferably, comprises from about 1.25 to about 5% by weight ofthe agglomerate based on the weight ofthe microcrystalline cellulose LUBRICANTS The solid dosage forms ofthe present invention also include a sufficient amount of a lubricant In preferred aspects ofthe invention, the lubricant selected is sodium stearyl fumarate Alternatives, however, include magnesium stearate, hydrogenated vegetable oil, LUBRITAB® (Edward Mendell Co , Inc ), stearic acid, PEG, and other lubricants known to those of ordinary skill in the art In this regard, the lubricant will be present in amounts ranging from about 0 01 to about 4 0% by weight ofthe dosage form Amounts of from about 0 1 to about 1 0% by weight are preferred and amounts of from about 0.2 to about 0 45% are most preferred In accordance with the present invention, the lubπcant is combined with the homogeneous mixture containing the APAP and direct compression vehicle It has been suφrisingly found that high shear blending ofthe lubricant with the homogeneous granulate does not adversely affect the tablet hardness of direct compressed dosage forms While Applicants are not bound by theory, it is proposed that the high shear mixing conditions convey physical properties on the lubricant-containing granulate which are completely contrary to what was expected and which are desirable for direct compression ofthe granulation ADDITIONAL INGREDIENTS A Silicon Dioxide In certain preferred aspects of the invention, the direct compressed pharmaceutical dosage forms include silicon dioxide in an amount which is separate from and in addition to the silicon dioxide included with the coprocessed MCC (if used) In this regard, the silicon dioxide is preferably colloidal silicon dioxide and is present in an amount of from about 0 1 to about 5% by weight ofthe dosage form Preferably, however, the silicon dioxide is present in an amount of from about 0 15 to about 0 9% by weight and most preferably in an amount of from about 0 4 to about 0.75% by weight ofthe dosage form Silicon dioxide is obtained by insolubilizing dissolved silica in sodium silicate solution When obtained by the addition of sodium silicate to a mineral acid, the product is termed silica gel When obtained by the destabilization of a solution of sodium silicate in such a manner as to yield very fine particles, the product is termed precipitated silica Silicon dioxide is insoluble in water Silicon dioxide, and in particular colloidal silicon dioxide, is mainly used as a glidant and anti-adherent in tableting processes and encapsulation to promote the flowability of the granulation Handbook of Pharmaceutical Excipients. ©1986 American Pharmaceutical Association, page 255 This is due in part to the fact that increasing the amount of silicon dioxide in the mixture to be tableted causes the mixture to flow too well, causing a phenomena known to those skilled in the tableting art as "flooding" If the mixture flows too well, a varying tablet weight with uneven content uniformity can result Those skilled in the art will appreciate that the name and/or method of preparation ofthe silicon dioxide utilized in the present invention is not determinative ofthe usefulness ofthe product Rather, it has been surprisingly discovered that high shear mixing of SiO 2 with other formulation ingredients unexpectedly enhances tablet hardness in direct compression dosage forms The present invention encompasses all forms of silicon dioxide having an average primary particle size from about 1 nm to about 100 μm, and/or a surface area from about 10 m 2 /g to about 500 m 2 /g The silicon dioxide utilized in the invention is of the very fine particle size variety In the most preferred embodiments of the invention, the silicon dioxide utilized is a colloidal silicon dioxide Colloidal silicon dioxide is a submicron fumed silica prepared by the vapor-phase hydrolysis (e g , at 11 10° C) of a silicon compound, such as silicon tetrachloride The product itself is a submicron, fluffy, light, loose, bluish-white, odorless and tasteless amoφhous powder which is commercially available from a number of sources, including Cabot Coφoration (under the tradename Cab-O- Sil), Degussa, Inc (under the tradename Aerosil), E I DuPont & Co , and W R Grace & Co. Colloidal silicon dioxide is also known as colloidal silica, fumed silica, light an¬ hydrous silicic acid, silicic anhydride, and silicon dioxide fumed, among others A variety of commercial grades of colloidal silicon dioxide are produced by varying the manufacturing process These modifications do not affect the silica content, specific gravity, refractive index, color or amorphous form. However, these modifications are known to change the particle size, surface areas, and bulk densities of the colloidal silicon dioxide products The surface area of the preferred class of silicon dioxides utilized in the invention ranges from about 50 mVgm to about 500 rr? /gm The average primary particle diameter of the preferred class of silicon dioxides utilized in the invention ranges from about 5 nm to about 50 nm However, in commercial colloidal silicon dioxide products, these particles are agglomerated or aggregated to varying extents. The bulk density of the preferred class of silicon dioxides utilized in the invention ranges from about 20 g/1 to about 100 g/1. Commercially available colloidal silicon dioxide products have, for example, a BET surface area ranging from about 50 ± 15 m 2 /gm (Aerosil OX50) to about 400 ± 20 (Cab-O-Sil S-17) or 390 ± 40 m 2 /gm (Cab-O-Sil EH-5) Commercially available particle sizes range from a nominal particle diameter of 7 nm (e g , Cab-O-Sil S-l 7 or Cab-O-Sil EH-5) to an average primary particle size of 40 nm (Aerosil OX50) The density of these products range from 72 0 ± 8 g/1 (Cab-O-Sil S-17) to 36 8 g/1 (e g., Cab-O-Sil M-5) The pH ofthe these products at 4% aqueous dispersion ranges from pH 3.5-4.5 These commercially available products are described for exemplification purposes of acceptable properties ofthe preferred class of silicon dioxides only, and this description is not meant to limit the scope of the invention in any manner whatsoever In those aspects of the invention where the silicon dioxide is a part of the pharmaceutical dosage form, it is preferred that the silicon dioxide be combined with the acetaminophen, direct compression vehicle and lubricant under the same high shear conditions used to create the homogenous mixture of the solid dosage form ingredients Altematively, the silicon dioxide can be high shear blended with the acetaminophen and direct compression vehicle before the lubricant is combined therewith B. DISINTEGRANT A disintegrant may also be included with the other solid dosage form ingredients and subjected to the high shear mixing and, therefore, become part ofthe homogenous mixture In one preferred aspect of the invention, the disintegrant is sodium starch glycolate and will be present in amounts ranging from 0 01 to about 4 0% by weight ofthe dosage form, preferably from about 0 1 to about 2 0% and most preferably in amounts ranging from about 1 00 to about 1 50% by weight ofthe dosage form One particularly useful disintegrant is available under the trademark Explotab™ available from Edward Mendell Co , Inc Alternative disintegrants include, for example, carboxymethylcellulose, cross-linked polyvinyl pyrrolidones in amounts similar to that set forth above or starches, in amounts of from around 4 to about 5% C. ANCILLARY PHARMACEUTICAL INGREDIENTS The solid dosage form can also include an inert pharmaceutical filler such as a monosaccharide, a disaccharide, a polyhydric alcohol, inorganic phosphates, sulfates or carbonates, and/or mixtures thereof Examples of suitable inert pharmaceutical fillers include sucrose, dextrose, lactose, xylitol, fructose, sorbitol, calcium phosphate, calcium sulfate, calcium carbonate, mixtures thereof, and the like The amount of inert filler, if included, will be an amount which does not detract from the enhanced tablet hardness achieved by the novel process described herein In this regard, the amount will be less than 10% by weight of the tablet SHEAR MDCING CONDITIONS The present invention includes transforming acetaminophen, a direct compression vehicle and optionally, a pharmaceutically-acceptable lubricant into a homogenous granulate under shear conditions which do not degrade the ingredients For puφoses ofthe present invention, the shear conditions under which the ingredients are combined can generally be described as a set of conditions including a combination of temperature and mechanical forces which permit the formation ofthe homogenous granulate but do not break down the materials undergoing the processing For puφoses of the present invention, the conditions are described as high shear to distinguish them from the standard blending achieved by twin shell mixing or tumbling Suitable apparatus for carrying out the high shear mixing contemplated herein can include high speed mixers having an impeller or mixing blade rotating about a central shaft close to the bottom ofthe mixing bowl and a chopper or series of choppers which consist of fast rotating arms or knives which are inserted into the mixing bowl This combination of mixing and chopping confers a mechanical influence or force on the APAP and MCC which transforms them into a homogeneous mixture which can be direct compressed even if the APAP constitutes the majority of the granulate on a weight basis One high shear granulator having an impeller and high shear chopper is available from Baker-Perkins While such apparatus is usually used to prepare wet granulations, it has been found that when the apparatus is operating under dry mixing conditions, it is capable of transforming the solid dosage form ingredients under shear conditions into the homogenous mixture In this particular apparatus, the operation ofthe impeller in combination with the chopper creates the shear mixing environment One useful set of parameters with this apparatus for rendering the necessary high shear conditions includes operating the impeller at about 100 to 300 rpm and the chopper from about 200 to about 1,200 φm It will be understood, however, that the speeds ofthe impeller and chopper can extend beyond the ranges provided with regard to the illustrative device and that optimum operating conditions for alternative shear mixing apparatus will be apparent to those of ordinary skill without undue experimentation The simultaneous action of the impeller and chopper have been found to uniquely transform the solid dosage form ingredients into a mixture which can be directly compressed into sohd pharmaceutical dosage forms having sufficient hardness and size characteristics suitable for oral delivery of even high load-containing tablets It is to be understood, however, that the Baker-Perkins apparatus described above is merely illustrative ofthe type of apparatus useful in transforming the dosage form ingredients Those of ordinary skill in the art will realize that other high shear mixing devices can be used, such as a Patterson-Kelly twin shell mixing apparatus equipped with an intensifier bar to facilitate mixing, chopping, shear forces and counter rotating ofthe ingredients The Gral high shear mixer available from Machines Collette, Inc Totowa, NJ operating under dry conditions can also be used In another aspect of the invention, the shear mixing conditions used to transform the APAP and direct compression vehicle are expressed as a measurement of the vigorousness of the mechanical processing One such measurement is the relative swept volume, a ratio ofthe volume through which the impeller travels every second to the volume of the bowl The size of the swept volume is calculated by dividing the area of each impeller blade into vertical segments and on the impeller velocity, calculating the volume the impeller blades travel through per second In preferred aspects of the invention, the solid dosage forms of the present invention are prepared from a homogenous granulate prepared as a result of a two step, high shear mixing technique In the first step, the acetaminophen, direct compression vehicle, and, optionally, disintegrant and/or silicon dioxide, are combined under high shear conditions to form a first high shear mixture which preferably contains the ingredients in a homogenous distribution The second step includes combining the first high shear mixture with the lubricant under high shear conditions to form the final homogenous granulate. In preferred aspects of this embodiment, the shear force used to combine the lubricant with the first high shear mixture is less than that used to combine the ingredients ofthe first high shear mixture DIRECT COMPRESSION OF APAP GRANULATE The present invention also includes methods of preparing solid pharmaceutical dosage forms containing APAP via direct compression As pointed out above, direct compression techniques include compressing tablet ingredients directly without modifying the physical nature of any ofthe ingredients In this regard, therefore, the methods include a) combining from about 40 to about 95% by weight acetaminophen and from about 1 to about 60% by weight of a direct compression vehicle comprising microcrystalline cellose under shear conditions which are sufficient to transform the acetaminophen and direct compression vehicle into a first homogenous granulate, b) combining the first homogenous granulate with from about 0 01 to about 4 0% of a pharmaceutically-acceptable lubricant, and c) compressing the homogenous granulate containing the lubricant into a solid pharmaceutical dosage form It is to be understood that the combining steps described above are preferably carried out in the high shear mixing apparatus described above In preferred embodiments of the present invention, the APAP is in granular form having a particle size of from about 250 to about 500 microns and the direct compression vehicle includes co-processed MCC An altemative method in accordance with the present invention includes combining from about 0 1 to about 5% by weight silicon dioxide with the APAP and direct compression vehicle and subjecting this mixture to the shear mixing conditions described herein A disintegrant can also be included in this high shear mixture designated herein as a first homogeneous granulate The lubricant can be combined with the first homogeneous granulate either by additional high shear mixing or by other blending techniques such as twin shell blending It is preferred, however, that the lubricant be combined with the first homogeneous granulate by additional high shear mixing In this regard, it is preferred that the high shear blending used to incorporate the lubricant be carried out under shear conditions which are less than those used to prepare the first homogeneous granulate Thus, the lubricant will preferably be added under shear conditions which include one or more reductions in the mixing parameters i.e. lower mixing or chopping φm's and/or shorter mixing times The complete homogeneous high shear mixture, in an amount sufficient to make a uniform batch of tablets, is then subjected to tableting in a conventional production scale direct compression tableting machine at normal compression pressures for that machine, e g., about 1500-10,000 lbs/sq in The mixture should not be compressed to such a degree that there is subsequent difficulty in its hydration when exposed to gastric fluid As pointed out above, the solid dosage forms of the present invention will contain from 10 to about 1000 milligrams of APAP The average tablet size for the direct compressed tablets will therefore range from about 50 mg to 2000 mg Other formulations prepared in accordance with the present invention may be suitably shaped for other uses or locations, such as other body cavities, e g , periodontal pockets, surgical wounds, vaginally It is contemplated that for certain uses, e g , antacid tablets, vaginal tablets and possibly implants, that the tablet will be larger One particularly preferred solid dosage form ofthe present invention contains at least about 75% by weight APAP and has an average tablet hardness of about 6 5 kP when the homogeneous granulate is direct compressed at a compression force of about 25 kN In certain embodiments ofthe invention, the tablet is coated with a sufficient amount of a hydrophobic polymer to render the formulation capable of providing a release of the medicament such that a 12 or 24 hour formulation is obtained The hydrophobic polymer can be selected from materials well known to those of ordinary skill in the art such as acrylic acid derivatives In other embodiments of the present invention, the tablet coating may comprise an enteric coating material in addition to or instead or the hydrophobic polymer coating Examples of suitable enteric polymers include cellulose acetate phthalate, hydroxypropylmethylcellulose phthalate, polyvinylacetate phthalate, methacrylic acid copolymer, shellac, hydroxypropylmethyl¬ cellulose succinate, cellulose acetate trimellitate, and mixtures of any ofthe foregoing An example of a suitable commercially available enteric material is available under the trade name Eudragit™ L 100-555 In further embodiments, the dosage form may be coated with a hydrophilic coating in addition to or instead of the above-mentioned coatings An example of a suitable material which may be used for such a hydrophilic coating is hydroxy¬ propylmethylcellulose (e g , Opadry®, commercially available from Colorcon, West Point, Pennsylvania) The coatings may be applied in any pharmaceutically acceptable manner known to those skilled in the art For example, in one embodiment, the coating is applied via a fiuidized bed or in a coating pan For example, the coated tablets may be dried, e g , at about 60-70° C for about 3-4 hours in a coating pan The solvent for the hydrophobic polymer or enteric coating may be organic, aqueous, or a mixture of an organic and an aqueous solvent The organic solvents may be, e g , isopropyl alcohol, ethanol, and the like, with or without water The coatings which may be optionally applied to the compressed solid dosage form ofthe invention may comprise from about 0 5% to about 30% by weight ofthe final solid dosage form In additional embodiments of the present invention, a support platform is applied to the tablets manufactured in accordance with the present invention Suitable support platforms are well known to those skilled in the art An example of suitable support platforms is set forth, e g , in U S Patent No 4,839, 177, hereby incoφorated by reference In that patent, the support platform partially coats the tablet, and consists of a polymeric material insoluble in aqueous liquids The support platform may, for ex¬ ample, be designed to maintain its impermeability characteristics during the transfer of the therapeutically active medicament The support platform may be applied to the tablets, e.g , via compression coating onto part ofthe tablet surface, by spray coating the polymeric materials comprising the support platform onto all or part ofthe tablet surface, or by immersing the tablets in a solution ofthe polymeric materials The support platform may have a thickness of, e g , about 2 mm if applied by compression, and about 10 μm if applied via spray-coating or immersion-coating Generally, in embodiments ofthe invention wherein a hydrophobic polymer or enteric coating is applied to the tablets, the tablets are coated to a weight gain from about 1% to about 20%, and in certain embodiments preferably from about 5% to about 10% Materials useful in the hydrophobic coatings and support platforms of the present invention include derivatives of acrylic acid (such as esters of acrylic acid, methacrylic acid, and copolymers thereof) celluloses and derivatives thereof (such as ethylcellulose), polyvinylalcohols, and the like In certain embodiments of the present invention, the tablet core includes an additional dose of a medicament, i e APAP, included in either the hydrophobic or enteric coating, or in an additional overcoating coated on the outer surface ofthe tablet core (without the hydrophobic or enteric coating) or as a second coating layer coated on the surface of the base coating comprising the hydrophobic or enteric coating material This may be desired when, for example, a loading dose of APAP is needed to provide therapeutically effective blood levels when the formulation is first exposed to gastric fluid The loading dose of medicament included in the coating layer may be, e.g., from about 10% to about 40% ofthe total amount of medicament included in the formulation The solid formulations ofthe invention may also include other locally active agents, such as flavorants and sweeteners Generally any flavoring or food additive such as those described in Chemicals Used in Food Processing, pub 1274 by the National Academy of Sciences, pages 63-258 may be used Generally, the final product may include from about 0 1% to about 5% by weight flavorant The tablets of the present invention may also contain effective amounts of coloring agents, (e.g., titanium dioxide, F D & C and D & C dyes, see the Kirk- Othmer Encyclopedia of Chemical Technology, Vol 5, pp 857-884, hereby incorp- orated by reference), stabilizers, binders, odor controlling agents, and preservatives Altematively, the novel homogenous high shear granulate can be utilized in other applications wherein it is not compressed. For example, the granulate can be filled into capsules The granulate can further be molded into shapes other than those typically associated with tablets For example, the granulate together with acetaminophen can be molded to "fit" into a particular area in an environment of use (e.g , an implant) All such uses would be contemplated by those skilled in the art and are deemed to be encompassed within the scope ofthe appended claims A still further embodiment ofthe present invention is directed to a method of effecting analgesia in mammals This method includes administering a dosage form described herein containing an effective amount of APAP to a mammal in need of such treatment In preferred aspects of this embodiment, the dosage forms contain from about 10 to about 1000 milligrams of APAP and more preferably, from about 120 to about 750 milligrams of APAP For purposes of the present invention, the term "effective amount" shall be understood to include a generally accepted amount of APAP for purposes of effecting analgesia for mild to moderate pain The method of treatment can also include administering the effective amount as a single dose or as multiple doses administered every four to six hours as needed A still further aspect of the invention includes homogeneous high-shear granulates which are useful as pharmaceutical intermediates The granulates include a) from about 94 to about 99 99% by weight of a direct compression vehicle comprising microcrystalline cellulose, and b) from about 0 01 to about 6 0% by weight of a pharmaceutically- acceptable lubricant The direct compression vehicle and pharmaceutically-acceptable lubricant are combined under shear conditions which are sufficient to transform the direct compression vehicle and pharmaceutically-acceptable lubricant into a homogenous granulate without degradation The intermediates are thus suitable for admixture with one or more active ingredients such as by additional high shear mixing and thereafter direct compression into a solid pharmaceutical dosage form The shear conditions under which the intermediate ingredients are combined are similar to that used for the APAP formulations described above In addition, all other direct compression ingredients, such as disintegrants, etc , can also be included in the intermediate product as well DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The following examples illustrate various aspects of the present invention They are not to be construed to limit the claims in any manner whatsoever The examples set forth the preparation of pharmaceutical compositions containing a high load ofthe active ingredient acetaminophen (APAP) in combination with microcrystalline cellulose based excipients Tablets were prepared using each of the compositions and each of tablet preparations was tested for tensile strength EXAMPLES 1-2 PREPARATION OF COPROCESSED MCC-SiO, COMPOSITIONS AND GRANULATIONS THEREOF EXAMPLE 1 MCC-SiO, Product- 5% w/w SiO 7 In this example, about 6 2 kilograms of microcrystalline cellulose (MCC), (Mendell Co , Inc Patterson, NY) in the form of a wet cake was combined with 5 2 kilograms of water in a mix tank to form a slurry containing about 15% solids The pH was adjusted to about neutral with about 3 ml of ammonium hydroxide The slurry was allowed to mix for about 15 minutes before being combined with 5% w/w colloidal silicon dioxide (CSD), 200 Vg (CaboSil, PTG grade, available from Cabot Coφ , Tuscola, IL ) After allowing the materials to become intimately combined, the slurry was spray dried using a Niro Production Minor (Niro, Columbia, MD), inlet temperature-215°C, outlet temperature- 125 °C, atomizer wheel speed 22,300 φm, to provide MCC-SiO 2 having an average particle size of 40-60 microns EXAMPLE 2 MCC-SiO, Product- 2% w/w SiO, In this example, the process of Example 1 was repeated except that 2% w/w colloidal silicon dioxide was used to form the product EXAMPLES 3-11 In these examples, batches of compressed tablets containing granular acetaminophen (APAP) in high load (80% wt ) were prepared using the techniques described herein and compared to a high load (80% by weight) APAP formulation described above wherein all ingredients were V-blended before being compressed into tablets In each case, the tablets were prepared using a Korsch tablet press having a punch size of 3/8" and an aim weight of about 245 mg ± 5 mg Each ofthe foregoing granulations was included in five separate tableting runs using compression forces of 6, 12, 18, 24 and 30 kN, respectively Ten tablets from each run were weighed, measured for diameter and tested for thickness and hardness on the Erweka TBH 30 tablet hardness tester to determine tensile strength ofthe final product The results of the analyses are graphically illustrated in Figs 1-2 as a comparison of tensile strength versus compression force The batch formula for the comparative control tablets is set forth below COMPARATIVE BATCH GRAMS PER INGREDIENT BATCH % BATCH Microcrystalline cellulose (MCC) 17 80% 44 50 APAP 8000% 20000 Sodium starch glycolate (SSG) 2 00% 5 00 g Stearate 0 20% 0 50 TOTAL 100 00% 250 00 The MCC, APAP and SSG were added to a two quart V- blender and mixed for 15 minutes Thereafter, the Mg stearate was added to the blender and mixing was continued for an additional 5 minutes All mixing ofthe ingredients was carried out in a room having a relative humidity of about 10% The mixture was then removed from the blender and tableted in the same manner as that used to prepare the tablets ofthe invention EXAMPLE 3 In this example, compressed tablets containing APAP were prepared according to the batch formula set forth below The microcrystalline cellulose used was the MCC coprocessed with 5 0% SiO 2 as described in Example 1 GRAMS PER INGREDIENT BATCH % BATCH MCC coprocessed w/5% CSD 17 60% 8800 APAP 80 00% 400 00 Colloidal silicon dioxide (CSD) 0 50% 2 50 Sodium starch glycolate (SSG) 1 50% 7 50 Sodium stearyl fumarate (SSF) 040% 2 00 TOTAL 100 00% 500 00 The tablets were prepared according to the following procedure The coprocessed MCC was added to a Baker-Perkins IOL high shear granulator along with the APAP, CSD and SSG The CSD added was in addition to that included in the coprocessed MCC The ingredients are mixed under dry, high shear conditions for 3 minutes with the impeller set at 200 φm and the chopper at 1,000 φm Thereafter, the sodium stearyl fumarate, PRUV™, Edward Mendell Co , Inc , was added to the high shear granulator and mixing was continued for an additional 25 seconds with the impeller at 200 φm and the chopper at 500 rpm At the conclusion of this mixing step, the dry granulate was removed and directly compressed into tablets using the aforementioned Korsch PH-100 tablet press and compression forces EXAMPLE 4 In this example, the procedure of Example 3 was repeated except that the MCC used was "off-the-shelf * MCC (EMCOCEL®, Edward Mendell Co , Inc ) rather than the silicon dioxide coprocessed material of Example 1 The tablets were prepared using the following batch formula GRAMS PER INGREDIENT BATCH % BATCH MCC (off-the-shelf) 17 60% 88 00 APAP 80 00% 400 00 Colloidal silicon dioxide (CSD) 0 50% 2 50 Sodium starch glycolate (SSG) 1 50% 7 50 Sodium stearyl fumarate (SSF) 0 40% 2 00 TOTAL 100 00% 500 00 EXAMPLE 5 In this example, the procedure of Example 3 was repeated except that additional CSD was not included in the high shear mixing ofthe ingredients The batch formula set forth below was used GRAMS PER INGREDIENT BATCH % BATCH MCC coprocessed w/5% CSD 18 10% 90 50 APAP 80 00% 400 00 Sodium starch glycolate (SSG) 1 50% 7 50 Sodium stearyl fumarate (SSF) 0 40% 2 00 TOTAL 100 00% 50000 EXAMPLE 6 In this example an additional control granulation was prepared by V-blending mixing off-the-shelf MCC with the other ingredients in a controlled environment having a relative humidity of about 40%. The granulation also did not include any added silicon dioxide. The formulation was prepared according to the following batch formula: GRAMS PER INGREDIENT BATCH % BATCH MCC 18 10% 90 50 APAP 80 00% 400 00 Sodium starch glvcolale (SSG) 1.50% 7.50 Sodium stearvl fumarate (SSF) 0 40% 2 00 TOTAL 100 00% 500 00 EXAMPLE 7 In this example, the procedure of Example 3 was followed In this batch, however, the MCC used was the coprocessed product of Example 2 which contained 2.0% SiO 2 . The batch also did not include a separate amount of added CSD in the high shear mixture GRAMS PER INGREDIENT BATCH % BATCH MCC coprocessed w/2% CSD 18.10% 90 50 APAP 80.00% 400 50 Sodium starch glycolate (SSG) 1 50% 7 55 Sodium stearyl fumarate (SSF) 040% 2 00 TOTAL 10000% 500.00 EXAMPLE 8 In this example, the directly compressed tablets containing APAP were prepared using the procedure of Example 3 except that the MCC used was the coprocessed microcrystalline cellulose of Example 2 The batch formula set forth below was used. GRAMS PER INGREDIENT BATCH % BATCH MCC coprocessed w 2% CSD 17.60% 88 00 APAP 80 00% 400.00 Colloidal silicon dioxide (CSD) 0 50% 2.50 Sodium starch glycolate (SSG) 1 50% 7.50 Sodium stearvl fumarate (SSF) 0 40% 2 00 TOTAL 100 00% 500 00 DISCUSSION Referring now to Figure 1 , the results of the tensile strength tests for the directly-compressed high load tablets are discussed Each ofthe high load-containing APAP tablets made in accordance with the present invention had a desirable tablet hardness profile when compared to that ofthe V-blended comparative example It can also be seen that mere dry blending of the ingredients prior to direct compression did not provide acceptable tensile strength. Even in the case of Example 6, where humidity was increased to about 40%, the results failed to match that obtained by the high shear mixing of the present invention. Furthermore, the advantages of high shear blending the APAP and MCC-based compression vehicle is especially apparent at higher compression forces The results also point up the fact that those high load tablets prepared with MCC coprocessed with SiO 2 , i.e Examples 3 and 8 as well as those containing a separately added amount of SiO 2 , i.e Example 4, have a particularly desirable tablet hardness profile In general, the results obtained for the inventive compositions were completely unexpected since those of ordinary skill in the art are well aware of the problems associated with combining tablet lubricants such as sodium stearyl fumarate with the other tablet ingredients under high shear conditions Contrary to what was expected, the directly compressed high load tablets had higher rather than lower tensile strength Further, the overcoating of the granules with the lubricant which was expected and which would have significantly reduced the tablet hardness was not observed In addition, it was also unexpected that granular forms of APAP would provide the necessary physical characteristics to a formulation to allow formation of direct compressed high load tablets having acceptable levels of hardness Thus, it can be seen that the high shear mixing of MCC-based excipients as described herein directly addresses a shortcoming ofthe prior art techniques EXAMPLE 9 In this example, the tablets were prepared according to the following batch formula GRAMS PER INGREDIENT BATCH % BATCH MCC (coprocessed /2% CSD) 17 60% 8800 APAP 80 00% 400 0 Colloidal silicon dioxide (CSD) 0 50% 2 50 Sodium starch glycolate (SSG) 1 50% 7 50 Sodium stearvl fumarate (SSF) 0 40% 2 00 TOTAL 100 00% 500 00 In this example, the initial high shear mixing ofthe MCC, APAP, CSD, and SSG was carried out in the same manner as described above with regard to Example 4 (i e , using the high shear blender for 3 minutes at 200 φm for impeller and 1,000 φm for chopper) However, after this first high shear mixing step, all ingredients were removed and transferred to a 2 quart V-blender No further high shear mixing was undertaken Instead, the sodium stearyl fumarate was added to the mixture and V- blender mixing was carried out for 5 minutes The tablets were then made following the procedures described above EXAMPLE 10 The procedure of Example 1 1 was repeated except that an equal amount of magnesium stearate was substituted for the sodium stearyl fumarate used in Example 1 1 for the V-blending step prior to the direct compression ofthe tablets GRAMS PER INGREDIENT BATCH % BATCH MCC (coprocessed w/2% CSD) 17 60% 88 00 APAP 80 00% 400 0 Colloidal silicon dioxide (CSD) 0 50% 2 50 Sodium starch glycolate (SSG) 1 50% 7 50 Magnesium stearate 040% 2 00 TOTAL 100 00% 500 00 EXAMPLE 11 In this example, the two step high shear blending procedure of Example 4 was repeated except that magnesium stearate was substituted for the originally described sodium stearyl fumarate As was the case in Example 4, high shear mixing was used for both performing both the initial and final blends GRAMS PER INGREDIENT BATCH % BATCH MCC (off-the-shelf) 17 60% 88 00 APAP 80 00% 400 00 CSD 0 50% 2 50 SSG 1 50% 7 50 Magnesium stearate 0 40% 2 00 TOTAL 100 00% 50000 DISCUSSION Figure 2 graphically provides the results for the comparison of the two step high shear mixed, direct compressed tablets of Example 8 with the high shear, then low shear mixed formulations of Examples 9 and 10 and the V-blended control formulation The graph also provides the results for the two step high shear formulation of Example 1 1 , which included magnesium stearate instead of sodium stearyl fumarate in the second high shear mixing step In each case, it can be seen that improvements in tablet hardness can be realized even if the lubricant is combined under low shear conditions In all cases, the tablets prepared from granulations which were prepared using at least one high shear mixing step out-performed the completely V-blended control EXAMPLE 12 In this example, the average disintegration time for tablets prepared in accordance with Example 8 was determined and compared to that of commercially available APAP tablets sold under the Tylenol* brand The test was carried out according to the U.S P guidelines using a Van-Kel disintegration apparatus In particular, six tablets prepared according to the procedure of Example 8 as well as six Tylenol tablets were individually evaluated in the apparatus to determine disintegration time in deionized water at 37°C without using the basket disk ofthe apparatus The average disintegration time for the six tablets in each group was then calculated and illustrated as a graph which is set forth as Figure 3 As can be seen from the graph, the tablets prepared in accordance with the present invention had an average disintegration time of less than half of that required for the commercially sold formulation This rapid disintegration feature illustrates an additional advantage ofthe formulations ofthe present invention While there have been described what are presently believed to be the preferred embodiments of the invention, those skilled in the art will realize that changes and modifications may be made thereto without departing from the spirit ofthe invention It is intended to claim all such changes and modifications that fall within the true scope ofthe invention

Claims: WHAT IS CLAIMED IS 1 A direct compressed solid pharmaceutical dosage form, comprising a) from about 40 to about 95% by weight acetaminophen, b) from about 1 to about 60% by weight of a direct compression vehicle comprising microcrystalline cellulose, and c) from about 0 01 to about 4 0% by weight of a pharmaceutically- acceptable lubricant, said acetaminophen and said direct compression vehicle being combined under shear conditions sufficient to transform said acetaminophen and said direct compression vehicle into a homogenous granulate without degradation, and which has been directly compressed into a solid pharmaceutical dosage form 2 The solid dosage form of claim 1 , wherein said pharmaceutical dosage form comprises from about 60% to about 85% by weight of acetaminophen 3 The solid dosage form of claim 1, wherein said microcrystalline cellulose has been coprocessed with from about 0 1 to about 20% by weight silicon dioxide, whereby said microcrystalline cellulose and said silicon dioxide are in intimate association with each other 4 The solid dosage form of claim 3, wherein said silicon dioxide has an average primary particle size of from 1 nm to about 100 μm 5 The solid dosage form of claim 4, wherein said silicon dioxide is derived from colloidal silicon dioxide and wherein said silicon dioxide is present in an amount of from about 0.5 to about 10% by weight, based on the weight of said microcrystalline cellulose 6. The solid dosage form of claim 5, wherein said silicon dioxide is present in an amount of from about 1.25 to about 5% by weight, based on the weight of said microcrystalline cellulose 7 The solid dosage form of claim 1, wherein said lubricant is sodium stearyl fumarate and said lubricant is present in an amount of from about 0 1 to about 1 0% by weight 8. The solid dosage form of claim 1, wherein said homogeneous granulate further comprises silicon dioxide. 9. The solid dosage form of claims 3, 5 or 8, wherein said silicon dioxide has been combined with said acetaminophen and said direct compression vehicle under high shear conditions. 10 The solid dosage form of claim 8, wherein said silicon dioxide is colloidal silicon dioxide. 1 1 The solid dosage form of claim 8, wherein said amount of silicon dioxide is from about 0.1 to about 5% by weight of said dosage form 12 The solid dosage form of claim 1, further comprising a disintegrant and said disintegrant has been combined with said acetaminophen and said direct compression vehicle under high shear conditions 13. The solid dosage form of claim 12, wherein said direct compression vehicle is present in an amount of from about 2 to about 25% by weight of said solid dosage form 14. The solid dosage form of claim 5, wherein said silicon dioxide is combined with said acetaminophen and said direct compression vehicle to form a first high shear mixture and thereafter combining said first high shear mixture with said lubricant under said shear conditions to form said homogenous granulate 15 The solid dosage form of claim 1, wherein said acetaminophen comprises at least about 75% by weight of said solid dosage form and said solid dosage form has an average tablet hardness of about 6.5 kP when said homogeneous granulate is direct compressed at a compression force of about 25 kN 16. The solid dosage form of claim 1, wherein said pharmaceutical dosage form comprises from about 10 to about 1000 milligrams of acetaminophen. 17. A method of preparing a direct compressed solid pharmaceutical dosage form, comprising: a) combining from about 40 to about 95% by weight acetaminophen and from about 1 to about 60% by weight of a direct compression vehicle comprising microcrystalline cellose under shear conditions sufficient to transform said acetaminophen and said direct compression vehicle into a first homogenous granulate, b) combining said first homogenous granulate with from about 0 01 to about 4 0% of a pharmaceutically-acceptable lubricant, and c) compressing said homogenous granulate containing said lubricant into a solid phaπnaceutical dosage form 18 The method of claim 17, wherein said pharmaceutical dosage form comprises from about 60% to about 85% by weight acetaminophen 19 The method of claim 17, wherein said acetaminophen is in granular form 20 The method of claim 17, wherein said microcrystalline cellulose has been coprocessed with from about 0 1 to about 20% by weight silicon dioxide, whereby said microcrystalline cellulose and said silicon dioxide are in intimate association with each other 21 The method of claim 20, wherein said silicon dioxide is colloidal silicon dioxide and has an average primary particle size of from 1 nm to about 100 μ and said silicon dioxide is present in an amount of from about 0 5 to about 10% by weight, based on the weight of said microcrystalline cellulose 22 The method of claim 18, wherein said lubricant is sodium stearyl fumarate that is present in an amount of from about 0 01 to about 4 0% by weight 23 The method of claim 1, wherein said first homogeneous granulate further comprises silicon dioxide in an amount ranging from about 0 1 to about 5% by weight of said dosage form, and said silicon dioxide has been combined with said acetaminophen and said direct compression vehicle under said high shear conditions 24 The method of claim 22, wherein said silicon dioxide is colloidal silicon dioxide 25 The method of claim 18, further comprising combining a disintegrant with said acetaminophen and said direct compression vehicle under said high shear conditions 26 The method of claim 17, wherein said direct compression vehicle is present in an amount of from about 2 to about 25% by weight of said solid dosage form 27 The method of claim 23, wherein said silicon dioxide is combined with said acetaminophen and said direct compression vehicle to form a first high shear mixture prior to said combining of said lubricant

Inventors: HUNTER EDWARD A, SHERWOOD BOB E, ZELEZNLK JOSEPH A, HUNTER, EDWARD, A., SHERWOOD, BOB, E., ZELEZNLK, JOSEPH, A.
Applicants: MENDELL CO INC EDWARD, EDWARD MENDELL CO., INC.
Application year: 1996
Main classification: A61K9
IPC codes: A61K9, A61K31, A61K47, A61P29