To quantify the rate of redispersion of three commercially available o
pthalmic preparations as well as the drug content of single drops duri
ng the course of emptying a full container of suspension eyedrops. Set
ting: Department of Ophthalmology, University of Koln, and Department
of Pharmaceutical Technology, University of Bonn, Germany. Methods: In
a computer-controlled test apparatus used to simulate the shaking and
dropping behavior oi humans under strictly reproducible conditions, w
e studied the rate oi redispersion of three ophthalmic suspensions: 50
mg indomethacin, 50 mg prednisolone-21-acetate, and 50 mg dexamethaso
ne in 5 mL aqueous fluid. The degree of shaking intensity essential fo
r the redispersion of the ophthalmic suspensions was quantified in hea
lthy persons and patients by an acceleration sensor. Results: The mean
dose delivered and the coefficient oi variation of prednisolone were
satisfactory, However, only 25% of the dexamethasone was available for
administration; the rest remained in the bottle as a cake of sediment
, Also, the variability oi the drug content between drops was unaccept
ably high. The mean dose of indomethacin was adequate, but the between
-drop variability was excessive. Conclusion: The dose uniformly oi sus
pension eyedrops depends on their homogeneity immediately before admin
istration. Among the formulation factors studied, particle size appear
s to be the most important. The various redispersion rates of the thre
e drugs underline their clinical profile.