Formulations, Release and Skin Penetration of Topical Anesthetics

Welin-Berger, K., 2001. Formulations, Release and Skin Penetration of Topical Anesthetics. Acta Universitatis Upsaliensis. Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy 258. 53 pp. Uppsala. ISBN 91-554-5115-2. This thesis describes certain critical aspects of the development of semisolid topical anesthetic formulations requiring a fast onset of action. Furthermore, local anesthetics were investigated regarding their phase interaction with membrane lipids. A new long acting and topically effective local anesthetic/analgesic agent, isopropylmethyl-[2-(3-propoxy-phenoxy)-ethyl]-amine (amino diether, AD), was used as the model compound. The nonionized form of AD is liquid oil at room temperature with low water solubility. A submicron o/w emulsion with Newtonian flow property was prepared with AD as the disperse phase. The kinetic stability of this emulsion was increased to prevent Ostwald ripening by addition of small amounts of a hydrophobic excipient to the disperse phase. The emulsion allowed a high in vitro release and permeation rate of AD as well as a sufficient in vivo efficacy. To achieve a plastic property, hydrophilic polymers were added to the o/w emulsion resulting in a significant reduction of the release and permeation rate of AD. In order to avoid the addition of these polymers, a semisolid w/o emulsion was evaluated with AD as the continuous phase. The inherent plastic property of this formulation allows sufficient skin adhesion. Furthermore, the release and permeation rate of AD from this formulation is comparable to that of the Newtonian submicron o/w emulsion. A close correlation between the in vitro permeation studies and the in vivo human plasma profiles was observed using the convolution/deconvolution method. Furthermore, x-ray and calorimetric data indicated that local anesthetics are able to interact with skin lipids both by increasing the chain fluidity of the crystalline lipids and by probably producing phase inversions in the grain borders of the stratum corneum lipid multilayers. It was also shown that this lipid interaction was not directly correlated with the different levels of skin permeation and/or topical efficacy of the investigated compounds. Katayoun Welin-Berger, AstraZeneca R&D Södertälje, SE-151 85 Södertälje, Sweden and Department of Pharmacy, Uppsala Biomedical Centre, Box 580, SE-751 23 Uppsala, Sweden © Katayoun Welin-Berger 2001 ISSN 0282-7484 ISBN 91-554-5115-2 Printed in Sweden by Uppsala University, Tryck & Medier, Uppsala 2001