Drug formulations for systemic drug delivery with improved stability and
rapid onset of action are described herein. The formulations may be
administered via buccal administration, sublingual administration,
pulmonary delivery, nasal administration, subcutaneous administration,
rectal administration, vaginal administration, or ocular administration.
In the preferred embodiments, the formulations are administered
sublingually or via subcutaneous injection. The formulations contain an
active agent and one or more excipients, selected to increase the rate of
dissolution. In the preferred embodiment, the drug is insulin, and the
excipients include a metal chelator such as EDTA and an acid such as
citric acid. Following administration, these formulations are rapidly
absorbed by the oral mucosa when administered sublingually and are
rapidly absorbed into the blood stream when administered by subcutaneous
injection. In one embodiment, the composition is in the form of a dry
powder. In another embodiment, the composition is in the form of a film,
wafer, lozenge, capsule, or tablet. In a third embodiment, a dry powdered
insulin is mixed with a diluent containing a pharmaceutically acceptable
carrier, such as water or saline, a metal chelator such as EDTA and an
acid such as citric acid. Devices for storing and mixing these
formulations are also described.