Niloofar Babanejad
1 
, Umadevi Kandalam
2, Yadollah Omidi
1 , Hamid Omidian
1* 1 College of Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA
2 Woody L. Hunt School of Dental Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA
Abstract
Introduction: Poly(ethylene oxide) (PEO) is the most common polymer used in commercial abuse-deterrent tablets. Due to its vulnerability to high-temperature manipulation, we investigated abuse-deterrent capability and the toxicity of this polymer upon thermal treatments at 80°C and 180°C for 1 hour.
Methods: Tablets (200 mg PEO and 300 mg Avicel®) were directly compressed under 2000 lb. The thermally manipulated PEOs were evaluated for their viscosity, crushability, structural changes, and cell toxicity.
Results: Our findings showed that 180°C-treated tablets underwent some degrees of oxidative degradation with profound toxicity in both mesenchymal stem cells and MG63 cells. The 180°C-treated tablets exhibited almost no resistance against crushing and were prone to abuse. While thermal processing of PEO at around its melting temperature is a common approach to enhance crush resistance of its dosage forms, thermal manipulation at close to the PEO’s oxidation temperature can lead to structural changes, dramatic loss of crush and extraction resistance, and significant cell toxicity.
Conclusion: Similar to the low molecular weight PEO, when thermally manipulated at its thermo-oxidative temperature, the high molecular weight PEO loses its deterrence performance and causes severe cell toxicity.