A. Paavola et al., CONTROLLED-RELEASE AND DURA-MATER PERMEABILITY OF LIDOCAINE AND IBUPROFEN FROM INJECTABLE POLOXAMER-BASED GELS, Journal of controlled release, 52(1-2), 1998, pp. 169-178
Epidural administration of drugs is becoming more common in the treatm
ent of severe forms of pain. To improve present therapies, a long-acti
ng single-dose gel injection would be beneficial. The present study in
vestigated the use of three different polymers as additives in injecta
ble poloxamer gel in controlling the drug release. The release of lido
caine . HCl and ibuprofen Na from 25% poloxamer (PO) gel and poloxamer
gel with hydroxypropylmethylcellulose (HPMC), sodium carboxymethylcel
lulose (CMC), or dextran (DE) was studied in vitro. Cellulose additive
s significantly prolonged ibuprofen release, whereas additives were fo
und to have a slight release-increasing effect on lidocaine as compare
d with the PO gel. The structural differences of the gels, more than t
he macroviscosity, seem to regulate the release of drugs. The drug per
meation-prolonging effect of the respective gels, along with the contr
ol solutions, was evaluated in vitro using porcine dura mater membrane
. The compact gel depot acted as the rate-limiting step, and significa
ntly prolonged the dural permeation of both drugs in comparison with c
ontrol solutions. The difference in the drug release and permeation-re
ducing effects of the gels demonstrated the possibility for interactio
ns between dural membrane and the gel. The findings are promising for
further experimental in vivo animal testing of these injectable poloxa
mer-based gels. (C) 1998 Elsevier Science B.V.