In vivo evaluation
of a novel liposomal lidocaine formulation
Ana Cláudia P. de Almeida, Fernanda D. G. F. Carvalho,
Cíntia M. S. Cereda and Eneida de Paula.
Departamento
de Bioquímica, Instituto de Biologia, Universidade Estadual de Campinas
(UNICAMP), C.P. 6109, CEP 13083-970, Campinas,
SP.
A
great challenge in anesthesia for the present days consists in increasing local
anesthetic (LA) effect but not its toxicity. Lidocaine (LDC) is a
moderate-action local anesthetic commonly used in dentistry, mainly in
association with vasoconstrictors, added in order to increase duration of
anesthesia. Nevertheless, the use of vasoconstrictors is either not recommended
or contraindicated, in many cases. The delivery of LA in liposomes has been
investigated as another approach to reach prolonged anesthetic action, without
increasing the systemic toxicity induced by it. We have previously reported
(Brunetto, G.B. et al, XXXIII SBBq Annual Meeting, abstract H-67, 2004)
the preparation of a liposomal formulation of lidocaine, which presented an
enhanced analgesic effect, in comparison to LDC in water. Here we describe a
novel liposomal formulation for lidocaine, prepared with hydrogenated soy
phosphatidylcholine, cholesterol and mannitol (3:1:1.25 mole %); after spray-dryer
processing the solid particles were hydrated with 20 mM HEPES buffer plus 150mM
NaCl, pH 7.4. The nonciceptive effect of this soya-liposome lidocaine (SL-LDC)
formulation was compared to that of lidocaine solutions (with and without
vasoconstrictor), through the rat infraorbital-nerve blockade test. The
analgesic effects of SL-LDC did not surpass those of the lidocaine plus
epinephrine solution (p<0.001, Mann-Whitney test), what could
be assigned to the intrinsic vasodilator activity of lidocaine, that counterbalanced
the long-lasting release of the LA from the liposomes and favours its
clearance, leaving less LDC molecules available for neural blockade. By the
other hand, SL-LDC
produced an increase in the anesthetic effect (66%) and in the time for recovery
(55%) of infraorbital-nerve blockade, in comparison to LDC without epinephrine
(p<0.001), that must be related to the longer residence-time of the
liposomal formulation in the site of injection. These
results suggest that SL-LDC could be used in dentistry’s
analgesia procedures, when vasoconstrictor usage is either not recommended or
contraindicated. Supported by CAPES
and CNPq.
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