An immediate release solid oral dosage form comprising (i) an active ingredient selected from the group consisting of neramexane, optical isomers, diastereomers, enantiomers, hydrates, and pharmaceutically acceptable salts thereof, (ii) a pharmaceutically acceptable filler selected from microcrystalline cellulose, wherein the microcrystalline cellulose is present in a range from 20% w/w to 95% w/w, and (iii) a disintegrant, said dosage form exhibiting dose-proportionality and releasing said active ingredient at a rate of more than about 80% within about the first 60 minutes following entry of said form into a use environment, wherein said dosage form exhibits an average Tmax within the range of about 2 to about 8 hours with an active ingredient load within the range of about 2.5 to about 150 mg, and wherein said dosage form is free of lactose.