Appeal No. 2002-0783 Page 5 Application No. 09/268,957 Rashidy, the apomorphine dose required to achieve a significant erectile response is usually accompanied by nausea or other serious undesirable side effects such as hypertension, flushing and diaphoresis. [El-Rashidy, Background of the Invention, column 2, lines 24-27] and The present invention provides compositions that release water- soluble drugs relatively slowly over an extended time period. The composition is suitable for dosage forms that deliver drugs by the sublingual or buccal routes. In the practice of this invention with its application to the pharmacological agent, apomorphine, a sublingual tablet formulation that includes particular constituents permits the drug to achieve its effective therapeutic plasma concentration which is below a plasma concentration where undesirable side effects such as nausea and vomiting occur. In addition to this major improvement arising from the present invention, the added benefit of drug release over a longer period of time from the tablet can increase the duration of the therapeutic activity for the drug. The composition, in the form of a tablet, delivers the pharmacological agent, such as apomorphine, at a controlled rate to produce the desired physiological effect of the drug while preventing or diminishing the side effects such as hypotension, nausea and vomiting that have been associated with apomorphine. Such a composition thus provides the therapeutic benefits of apomorphine, as for example, in the treatment of Male Erectile Dysfunction . . . with minimal side effects. [El-Rashidy, Summary of the Invention, column 3, lines 17-40]. We agree with the examiner that it would have been well within the skill of the art and obvious to a person having ordinary skill to apply the teachings of El-Rashidy to the active ingredient sildenafil. In his specification, page 6, lines 15 and 16, applicant describes sildenafil as water soluble. Further, at the time the invention was made, the oral use of the citrate salt of sildenafil had been approved by the U.S. Food and Drug Administration (FDA) for treating male erectile dysfunction (specification, page 2, lines 30-33). In dose-response studies, increasing doses of sildenafil (25 to 100 mg)Page: Previous 1 2 3 4 5 6 7 8 9 10 NextLast modified: November 3, 2007