Formulation and efficacy studies of new topical anesthetic creams

Drug Dev Ind Pharm. 2003 May;29(5):505-12. doi: 10.1081/ddc-120018639.

Abstract

Local anesthetics (lidocaine or tetracaine) spontaneously melted at 25 degrees C when mixed with thymol and aqueous isopropyl alcohol solution (IPA) at proper ratios and formed novel two-phase melt systems (TMS). The TMS consisted of a homogeneous oil phase containing primarily a local anesthetic agent (lidocaine or tetracaine) and thymol, and a homogeneous aqueous phase containing primarily IPA and pH 9.2 buffer. The relationship between melting of the solid components and system composition was determined from the phase diagram obtained by a titration method. A select TMS of a local anesthetic agent (lidocaine or tetracaine) was directly emulsified to prepare an O/W cream and tested for the anesthetic efficacy on intact human skin. While both lidocaine (6%) and tetracaine (4%) creams were highly effective for dermal anesthesia with a similar onset time, the tetracaine cream exhibited a significantly longer duration of action than the lidocaine cream. An accelerated stability study indicated that lidocaine was significantly more stable than tetracaine in the creams.

MeSH terms

  • 2-Propanol / chemistry
  • Administration, Cutaneous
  • Adult
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / chemistry*
  • Anesthetics, Local / pharmacology
  • Drug Compounding
  • Drug Stability
  • Female
  • Humans
  • Lidocaine / administration & dosage
  • Lidocaine / chemistry
  • Lidocaine / pharmacology
  • Male
  • Middle Aged
  • Ointments
  • Particle Size
  • Skin / drug effects*
  • Solutions
  • Tetracaine / administration & dosage
  • Tetracaine / chemistry
  • Tetracaine / pharmacology
  • Thymol / chemistry
  • Viscosity

Substances

  • Anesthetics, Local
  • Ointments
  • Solutions
  • Tetracaine
  • Thymol
  • Lidocaine
  • 2-Propanol