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The Technologies are Not <strong>the</strong> Problem …Nor are<br />

<strong>the</strong> Efficacy or Side Effects<br />

NDA 22-234 Remoxy Advisory Committee Briefing<br />

Alpharma FDA Advisory Committee Briefing Package<br />

Remoxy employs Durect’s Oradur technology in a sustained release<br />

oral gel-cap. Remoxy’s gelatinous formulation allows for <strong>the</strong><br />

controlled release of <strong>the</strong> active pharmaceutical ingredient,<br />

oxycodone, and may deter abuse of <strong>the</strong> drug.<br />

ALO-01 (Embeda) is comprised of individual pellets of<br />

morphine sulfate with a sequestered naltrexone<br />

hydrochloride inner core. When ALO-01 is taken as<br />

prescribed, morphine is released in an extended-release<br />

profile and naltrexone, an opioid antagonist, remains<br />

sequestered in <strong>the</strong> core.<br />

However, upon crushing, or complete chewing of <strong>the</strong><br />

pellets, both <strong>the</strong> morphine and naltrexone would be<br />

available and if taken orally, absorbed as an immediaterelease<br />

dosage form.<br />

© Defined Health, 2009<br />

Pain Insight Briefing<br />

53

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