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开发利多卡因涂层微针产品,实现快速、安全和持久的局部镇痛作用。

Development of lidocaine-coated microneedle product for rapid, safe, and prolonged local analgesic action.

机构信息

3M Drug Delivery Systems Division, St. Paul, Minnesota 55144, USA.

出版信息

Pharm Res. 2012 Jan;29(1):170-7. doi: 10.1007/s11095-011-0524-4. Epub 2011 Jul 7.

Abstract

PURPOSE

To demonstrate rapid (~1 min) lidocaine delivery using 3M's solid microstructured transdermal system (sMTS) for prolonged, local analgesic action.

METHODS

Polymeric microneedles were fabricated via injection molding and then dip-coated using an aqueous lidocaine formulation. The amount of lidocaine coated onto the microneedles was determined by high performance liquid chromatography (HPLC). To assess drug delivery and dermal pharmacokinetics, lidocaine-coated microneedles were inserted into domestic swine. Skin punch biopsies were collected and analyzed to determine lidocaine concentration in skin using HPLC-mass spectrometry (LC-MS). Commercial lidocaine/prilocaine EMLA (Eutectic Mixture of Local Anesthetic) cream was used as comparative control.

RESULTS

Lidocaine dissolves rapidly off the microneedles and into skin such that the 1-min wear time achieves or exceeds lidocaine tissue levels needed to cause analgesia. This therapeutic threshold (100 ng/mg) was estimated by measuring the total amount of lidocaine and prilocaine in skin following a 1 h EMLA application. When co-formulated with 0.03 wt% vasoconstrictor-epinephrine, the concentration of lidocaine in tissue was maintained above 100 ng/mg for approximately 90 min.

CONCLUSIONS

3M's sMTS can be used to provide rapid delivery of lidocaine for local analgesia up to 90 min.

摘要

目的

展示 3M 的固态微结构透皮系统(sMTS)如何实现利多卡因的快速(~1 分钟)传递,以达到长时间的局部镇痛作用。

方法

通过注塑成型制造聚合物微针,然后使用利多卡因制剂进行浸涂。通过高效液相色谱法(HPLC)测定涂覆在微针上的利多卡因的量。为了评估药物传递和皮肤药代动力学,将涂有利多卡因的微针插入家猪体内。采集皮肤冲孔活检,并通过 HPLC-质谱法(LC-MS)分析以确定皮肤中的利多卡因浓度。商业利多卡因/丙胺卡因 EMLA(局部麻醉剂的共晶混合物)乳膏用作比较对照。

结果

利多卡因迅速从微针上溶解并进入皮肤,使得 1 分钟的佩戴时间达到或超过了引起镇痛所需的利多卡因组织水平。通过测量 EMLA 应用 1 小时后皮肤中利多卡因和丙胺卡因的总量来估计这个治疗阈值(100ng/mg)。当与 0.03wt%的血管收缩剂肾上腺素联合使用时,组织中的利多卡因浓度在大约 90 分钟内保持在 100ng/mg 以上。

结论

3M 的 sMTS 可用于提供快速传递利多卡因以实现长达 90 分钟的局部镇痛。

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