Xu Y, Chen Z, Song J, Zhang J, Xie L
Henan Institute of Ophthalmology, Zhengzhou 450003.
Zhonghua Yan Ke Za Zhi. 1999 Nov;35(6):446-8.
To compare the pharmacokinetics of pilocarpine micron emulsion with generic pilocarpine solution in the aqueous humor.
60 albino rabbits were used and were divided into 20 groups, each consisting of 3 animals. 10 groups received 2% generic pilocarpine 50 microl as controls; 10 groups received 50 microl of 2% pilocarpine micron emulsion in the conjunctival sac. The aqueous humor was withdrawn at 5, 10, 30, 40, 60, 90, 120, 180, 240 and 360 min. after instillation. The drug was extracted from aqueous humor with dichloromethane. The drug was analyzed by reversed phase high pressure liquid chromatography (HPLC).
Pilocarpine micron emulsion therapy gave higher aqueous humor concentration of the drug than drops at all time periods tested except 5 min. time point (P = 0.0003 - 0.042). The area under curve of micron emulsion was 3 times as much as that of drops. There was a two-fold increase in ocular bioavailability of pilocarpine due to the therapy with micron emulsion. Measurable amounts of drug following 2% micron emulsion were still observed at 360 min. while drug levels at 180 min. following 2% drop therapy were nil.
Our study results demonstrated significantly increase in ocular bioavailability of pilocarpine due to the therapy with micron emulsion. Our finding indicates that a novel topical preparation of pilocarpine incorporated in micron emulsion might serve as a long acting antiglaucoma agent, and less frequent applications are necessary with it than with conventional drops.
比较毛果芸香碱微乳剂与普通毛果芸香碱溶液在房水中的药代动力学。
使用60只白化兔,分为20组,每组3只动物。10组接受2%普通毛果芸香碱50微升作为对照;10组在结膜囊中接受50微升2%毛果芸香碱微乳剂。滴入后5、10、30、40、60、90、120、180、240和360分钟抽取房水。用二氯甲烷从房水中提取药物。通过反相高效液相色谱(HPLC)分析药物。
除5分钟时间点外,在所有测试时间段内,毛果芸香碱微乳剂治疗后的房水药物浓度均高于滴眼液(P = 0.0003 - 0.042)。微乳剂的曲线下面积是滴眼液的3倍。由于微乳剂治疗,毛果芸香碱的眼部生物利用度提高了两倍。在360分钟时仍可观察到2%微乳剂后有可测量的药物量,而2%滴眼液治疗180分钟后的药物水平为零。
我们的研究结果表明,微乳剂治疗可显著提高毛果芸香碱的眼部生物利用度。我们的发现表明,一种新型的毛果芸香碱微乳剂局部制剂可能作为一种长效抗青光眼药物,与传统滴眼液相比,使用频率更低。