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[预先滴入的散瞳剂对局部用0.1%普拉洛芬眼内浓度及抗炎作用的影响(3)--通透性因子研究]

[Effects of pre-instilled mydriatics on the intraocular concentration and anti-inflammatory action of topical 0.1% pranoprofen (3)--study on permeability factor].

作者信息

Ogawa T, Ohara K, Shimizu H

机构信息

Department of Ophthalmology, Jichi Medical School, Tochigi, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 1992 Nov;96(11):1379-86.

PMID:1476068
Abstract

The authors studied a mechanism of an increase in intraocular concentration of topical 0.1% pranoprofen (PPF) induced by pre-instilled mydriatics (0.5% tropicamide and 0.5% phenylephrine) in rabbit eyes. Ingredient solutions of mydriatics were instilled 60 minutes prior to instillation of PPF. The PPF concentrations in the cornea, aqueous humor and iris-ciliary body did not increase with pre-instilled benzalkonium chloride, chlorobutanol and tropicamide. The PPF concentrations were increased by pre-instilled phenylephrine (PHE), and the concentrations were 2 to 3 times higher than those without mydriatics. The PHE concentration in the aqueous humor was increased about 3 times in the presence of PPF. The octanol/water partition coefficient of PPF was increased in the presence of PHE. These data indicate that the increase of intraocular PPF concentration by the pre-instilled mydriatics was caused by PHE, and the enhancement of transcorneal permeability to PPF may have resulted from the formation of ion-pair complexes between PPF, an anionic drug, and PHE, a cationic drug.

摘要

作者研究了在兔眼中,预先滴入散瞳剂(0.5%托吡卡胺和0.5%去氧肾上腺素)导致局部应用0.1%普拉洛芬(PPF)眼内浓度升高的机制。在滴入PPF前60分钟滴入散瞳剂溶液。预先滴入苯扎氯铵、三氯叔丁醇和托吡卡胺后,角膜、房水和虹膜睫状体中的PPF浓度并未升高。预先滴入去氧肾上腺素(PHE)可使PPF浓度升高,且浓度比未使用散瞳剂时高2至3倍。在存在PPF的情况下,房水中的PHE浓度升高约3倍。在存在PHE的情况下,PPF的正辛醇/水分配系数增加。这些数据表明,预先滴入的散瞳剂使眼内PPF浓度升高是由PHE引起的,PPF经角膜通透性的增强可能是由于阴离子药物PPF与阳离子药物PHE之间形成了离子对复合物。

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