Liposomal-based lidocaine formulation for the improvement of infiltrative buccal anaesthesia

Abstract

This study describes the encapsulation of the local anaesthetic lidocaine (LDC) in large unilamellar liposomes (LUV) prepared in a scalable procedure, with hydrogenated soybean phosphatidylcholine, cholesterol and mannitol. Structural properties of the liposomes were assessed by dynamic light scattering, nanoparticle tracking analysis and transmission electron microscopy. A modified, two-compartment Franz-cell system was used to evaluate the release kinetics of LDC from the liposomes. The in vivo anaesthetic effect of liposomal LDC 2% (LUV) was compared to LDC 2% solution without (LDC) or with the vasoconstrictor epinephrine (1:100 000) (LDC), in rat infraorbital nerve blockade model. The structural characterization revealed liposomes with spherical shape, average size distribution of 250 nm and low polydispersity even after LDC incorporation. Zeta potential laid around -30 mV and the number of suspended liposomal particles was in the range of 10 vesicles/mL. Also the addition of cryoprotectant (mannitol) did not provoke structural changes in liposomes properties. In vitro release profile of LDC from LUV fits well with a biexponential model, in which the LDC encapsulated (EE% = 24%) was responsible for an increase of 67% in the release time in relation to LDC (p < 0.05). Also, the liposomal formulation prolonged the sensorial nervous blockade duration (∼70 min), in comparison with LDC (45 min), but less than LDC (130 min). In this context, this study showed that the liposomal formulations prepared by scalable procedure were suitable to promote longer and safer buccal anaesthesia, avoiding side effects of the use of vasoconstrictors.

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“…11c. 290 Like a previous in vivo study, liposomal articaine injected locally to infraorbital foramen caused the anesthetic affect in uninflamed tissue, but the combination of liposomal articaine and epinephrine performed better for the This journal is © The Royal Society of Chemistry 2023 inflammed tissue. 291 Similar observations have been reported for other drugs such as prilocaine, ropivacaine administered locally or applied as a gel encapsulated in lipid nanostructures at pulpal, gingival, palatal, or mucosal oral membrane in vivo or human study groups.…”