Sm. Hou et Hy. Yu, COMPARISON OF SYSTEMIC ABSORPTION OF AQUEOUS AND LIPOSOMAL, LIDOCAINEFOLLOWING INTRAARTICULAR INJECTION IN RABBITS, Journal of the Formosan Medical Association, 96(2), 1997, pp. 141-143
Aqueous lidocaine is a local anesthetic that is frequently used in int
raarticular injection. However, aqueous lidocaine may be less than ide
al because of its rapid absorption. Liposomes call serve as drug carri
ers for encapsulating lidocaine. Both aqueous lidocaine and liposomal
lidocaine were injected into knee joints of adult rabbits and the phar
macokinetic changes were studied. The peak serum level of lidocaine fr
om the liposomal preparation was significantly lower than that from th
e aqueous preparation. The amount of lidocaine absorbed in 4 hours was
also significantly lower in the liposomal group. This phenomenon may
have been due to local accumulation of liposomal lidocaine and the slo
w release of lidocaine from liposomes. Intra-articular use of liposoma
l lidocaine may have advantages over the aqueous form because of its l
ower systemic serum concentration.