Stability of a novel Lidocaine, Adrenaline and Tetracaine sterile thermosensitive gel: A ready-to-use formulation.


Journal

European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences
ISSN: 1879-0720
Titre abrégé: Eur J Pharm Sci
Pays: Netherlands
ID NLM: 9317982

Informations de publication

Date de publication:
01 Aug 2019
Historique:
received: 06 03 2019
revised: 09 05 2019
accepted: 17 06 2019
pubmed: 25 6 2019
medline: 7 1 2020
entrez: 25 6 2019
Statut: ppublish

Résumé

Superficial wounds that require suturing are often the reason children visit the Paediatric Emergency Department. Suturing is usually accompanied by perilesional administration of lidocaine, a local anaesthetic drug that improves pain tolerance. In paediatric patients, this approach has a low compliance because lidocaine has to be injected, which in children generates fear and anxiety, a sterile anaesthetic gel could improve the child compliance. To develop a sterile and stable sterile gel capable of remaining in place over time for topical anaesthesia. Different formulations were analysed by HPLC, by UV and fluorimetric detection. Two different sterilisation methods were tested. To maintain the original stability of the gel also after sterilisation process. Four different gels were prepared and analysed; the most stable gel lasts over 3 months with a degradation less than 10%. The use of Poloxamer 407 guarantees stability of the preparation, showing a reduction in oxidative reaction, and gives the gel the right texture for application to a bleeding wound.

Sections du résumé

BACKGROUND BACKGROUND
Superficial wounds that require suturing are often the reason children visit the Paediatric Emergency Department. Suturing is usually accompanied by perilesional administration of lidocaine, a local anaesthetic drug that improves pain tolerance. In paediatric patients, this approach has a low compliance because lidocaine has to be injected, which in children generates fear and anxiety, a sterile anaesthetic gel could improve the child compliance.
OBJECTIVE OBJECTIVE
To develop a sterile and stable sterile gel capable of remaining in place over time for topical anaesthesia.
METHOD METHODS
Different formulations were analysed by HPLC, by UV and fluorimetric detection. Two different sterilisation methods were tested.
MAIN OUTCOME RESULTS
To maintain the original stability of the gel also after sterilisation process.
RESULTS RESULTS
Four different gels were prepared and analysed; the most stable gel lasts over 3 months with a degradation less than 10%.
CONCLUSION CONCLUSIONS
The use of Poloxamer 407 guarantees stability of the preparation, showing a reduction in oxidative reaction, and gives the gel the right texture for application to a bleeding wound.

Identifiants

pubmed: 31233867
pii: S0928-0987(19)30225-8
doi: 10.1016/j.ejps.2019.104962
pii:
doi:

Substances chimiques

Anesthetics, Local 0
Gels 0
Tetracaine 0619F35CGV
Lidocaine 98PI200987
Epinephrine YKH834O4BH

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104962

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Davide Zanon (D)

Department of Pharmacy and Clinical Pharmacology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy. Electronic address: davide.zanon@burlo.trieste.it.

Chiara Volpato (C)

Department of Pharmacy and Clinical Pharmacology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Riccardo Addobbati (R)

Department of Clinical Toxicology, Institute for Maternal and Child Health IRCCS "Burlo Garofolo", Trieste, Italy.

Stefano Loiacono (S)

Department of Pharmacy and Clinical Pharmacology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Alessandra Maestro (A)

Department of Pharmacy and Clinical Pharmacology, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Egidio Barbi (E)

Department of Pediatrics, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy; University of Trieste, Trieste, Italy.

Natalia Maximova (N)

Department Bone Marrow Transplantation, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Maria Grazia Mamolo (MG)

Department of Chemistry and Pharmaceutical Sciences, Piazzale Europa 1, University of Trieste, 34127 Trieste, Italy.

Daniele Zampieri (D)

Department of Chemistry and Pharmaceutical Sciences, Piazzale Europa 1, University of Trieste, 34127 Trieste, Italy.

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Classifications MeSH