A new formulation (HYA) based on timolol hyaluronate and pilocarpine h
yaluronate salts has been shown to improve the bioavailability of the
drugs and to extend the duration of their action. Extent of the intrao
cular pressure lowering effect, duration of action and aqueous bioavai
lability of timolol and pilocarpine of HYA were compared with a commer
cial preparation. Ocular hypertension in the rabbit was induced by alp
ha-chymotrypsin or by water loading. The hypotensive effect of HYA tre
atment was significantly greater and longer than that observed in rabb
it eyes treated with the commercial preparation both in the normotensi
ve and in the hypertensive animals. Furthermore, we evaluated the miot
ic response; due to pilocarpine, normotensive rabbits showed a greater
miotic response and an extended duration when the eyes were treated w
ith HYA. The new formulation increased the aqueous availability of tim
olol and pilocarpine compared to the commercial preparation as determi
ned by HPLC. The pharmacodynamic and pharmacokinetic profiles of HYA i
ndicate an increase in efficacy and duration of action along with an i
ncrease in bioavailability of timolol and pilocarpine in comparison wi
th the commercial preparation.