Abstract
Lidocaine hydrochloride ophthalmic gel is a novel ophthalmic preparation for topical ocular anesthesia. The study is aimed at evaluating the ocular and systemic pharmacokinetics of lidocaine hydrochloride 3.5 % ophthalmic gel in rabbits after ocular topical administration. Thirty-six rabbits were randomly placed in 12 groups (3 rabbits per group). The rabbits were quickly killed according to their groups at 0 (predose), 0.0833, 0.167, 0.333, 0.667, 1, 1.5, 2, 3, 4, 6, and 8 h postdose and then the ocular tissue and plasma samples were collected. All the samples were analyzed by a validated LC–MS/MS method. The test result showed that the maximum concentration (C max) of lidocaine in different ocular tissues and plasma were all achieved within 20 min after drug administration, and the data of C max were (2,987 ± 1814) μg/g, (44.67 ± 12.91) μg/g, (26.26 ± 7.19) μg/g, (11,046 ± 2,734) ng/mL, and (160.3 ± 61.0) ng/mL for tear fluid, cornea, conjunctiva, aqueous humor, and plasma, respectively. The data of the elimination half-life in these tissues were 1.5, 3.2, 3.5, 1.9, and 1.7 h for tear fluid, cornea, conjunctiva, aqueous humor, and plasma, respectively. The intraocular lidocaine levels were significantly higher than that in plasma, and the elimination half-life of lidocaine in cornea, conjunctiva, and aqueous humor was relatively longer than that in tear fluid and plasma. The high intraocular penetration, low systemic exposure, and long duration in the ocular tissues suggested lidocaine hydrochloride 3.5 % ophthalmic gel as an effective local anesthetic for ocular anesthesia during ophthalmic procedures.
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References
Bardocci A, Lofoco G, Perdicaro S, Ciucci F, Manna L (2003) Lidocaine 2% gel versus lidocaine 4% unpreserved drops for topical anesthesia in cataract surgery: a randomized controlled trial. Ophthalmology 110(1):144–149
Barequet IS, Soriano ES, Green WR, O’Brien TP (1999) Provision of anesthesia with single application of lidocaine 2% gel. J Cataract Refract Surg 25(5):626–631
Busbee BG, Alam A, Reichel E (2008) Lidocaine hydrochloride gel for ocular anesthesia: results of a prospective, randomized study. Ophthalmic Surg Lasers Imaging 39(5):386–390
Chan ST, Tham CS (1995) The effects of 2% lignocaine gel on incidence of retching with the use of the laryngeal mask airway. Anaesthesia 50(3):257–258
Donaldson D, Gelskey SC, Landry RG, Matthews DC, Sandhu HS (2003) A placebo-controlled multi-centred evaluation of an anaesthetic gel (Oraqix((R))) for periodontal therapy. J Clin Periodontol 30(3):171–175. doi:10.1034/j.1600-051X.2003.00017.x
Gaudana R, Ananthula HK, Parenky A, Mitra AK (2010) Ocular drug delivery. AAPS J 12(3):348–360. doi:10.1208/s12248-010-9183-3
Ghate D, Edelhauser HF (2008) Barriers to glaucoma drug delivery. J Glaucoma 17(2):147–156. doi:10.1097/IJG.0b013e31814b990d
Jarvinen K, Jarvinen T, Urtti A (1995) Ocular absorption following topical delivery. Adv Drug Deliv Rev 16(1):3–19. doi:10.1016/0169-409x(95)00010-5
Kafali H, Cengiz M, Demir N (2003) Intrauterine lidocaine gel application for pain relief during and after hysterosalpingography. Int J Gynaecol Obstet 83(1):65–67
Koevary SB (2003) Pharmacokinetics of topical ocular drug delivery: potential uses for the treatment of diseases of the posterior segment and beyond. Curr Drug Metab 4(3):213–222
Mainardes RM, Urban MC, Cinto PO, Khalil NM, Chaud MV, Evangelista RC, Gremiao MP (2005) Colloidal carriers for ophthalmic drug delivery. Curr Drug Targets 6(3):363–371
Mallick S, Humbert M, Braud F, Fofana M, Blanchet P (2004) Local anesthesia before transrectal ultrasound guided prostate biopsy: comparison of 2 methods in a prospective, randomized clinical trial. J Urology 171(2):730–733. doi:10.1097/01.ju.0000108125.96072.ff
Maurice D (1995) The effect of the low blink rate in rabbits on topical drug penetration. J Ocular Pharmacol Ther 11(3):297–304
Paavola A, Yliruusi J, Kajimoto Y, Kalso E, Wahlstrom T, Rosenberg P (1995) Controlled release of lidocaine from injectable gels and efficacy in rat sciatic nerve block. Pharm Res 12(12):1997–2002
Page MA, Fraunfelder FW (2009) Safety, efficacy, and patient acceptability of lidocaine hydrochloride ophthalmic gel as a topical ocular anesthetic for use in ophthalmic procedures. Clin Ophthalmol 3:601–609
Shah H, Reichel E, Busbee B (2010) A novel lidocaine hydrochloride ophthalmic gel for topical ocular anesthesia. Local Reg Anesth 3:57–63
Shin SC, Cho CW, Yang KH (2004) Development of lidocaine gels for enhanced local anesthetic action. Int J Pharm 287(1–2):73–78. doi:10.1016/j.ijpharm.2004.08.012
Sinha R, Chandralekha, Batra M, Ray BR, Mohan VK, Saxena R (2013) A randomised comparison of lidocaine 2% gel and proparacaine 0.5% eye drops in paediatric squint surgery. Anaesthesia 68(7):747–752. doi:10.1111/anae.12286
Soliman MM, Macky TA, Samir MK (2004) Comparative clinical trial of topical anesthetic agents in cataract surgery: lidocaine 2% gel, bupivacaine 0.5% drops, and benoxinate 0.4% drops. J Cataract Refract Surg 30(8):1716–1720. doi:10.1016/j.jcrs.2003.12.034
Urtti A, Salminen L (1993) Minimizing systemic absorption of topically administered ophthalmic drugs. Surv Ophthalmol 37(6):435–456
US FDA, DHHS, CDER (2001) Guidance for industry: bioanalytical method validation. U.S. Food and Drug Administration, Department of Health and Human Services, Center for Drug Evaluation and Research (CDER), Center for Veterinary Medicine (CV). http://www.fda.gov/cder/guidance/index.htm
Wong DH (1993) Regional anaesthesia for intraocular surgery. Can J Anaesth 40(7):635–657. doi:10.1007/BF03009701
Young AL, Leung GY, Cheng LL, Lau TT, Lam PT, Lam DS (2009) Randomised controlled trial on the effectiveness of lidocaine gel vs tetracaine drops as the sole topical anaesthetic agent for primary pterygium surgery. Eye 23(7):1518–1523. doi:10.1038/eye.2008.319
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All authors participated in the analysis and interpretation of data and in the writing of the manuscript, and approved the final manuscript. The authors thank the team at Centre for New Drug Safety Evaluation and Research of China Pharmaceutical University for conducting the study.
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Liu, B., Ding, L., Xu, X. et al. Ocular and systemic pharmacokinetics of lidocaine hydrochloride ophthalmic gel in rabbits after topical ocular administration. Eur J Drug Metab Pharmacokinet 40, 409–415 (2015). https://doi.org/10.1007/s13318-014-0218-5
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DOI: https://doi.org/10.1007/s13318-014-0218-5