Synergy between surfactants and mucoadhesive polymers enhances the transbuccal permeation of local anesthetics from freeze-dried tablets

Mater Sci Eng C Mater Biol Appl. 2020 Mar:108:110373. doi: 10.1016/j.msec.2019.110373. Epub 2019 Nov 2.

Abstract

We report on the advance of freeze-dried mucoadhesive orodispersible tablets (ODTs) loaded with prilocaine (PRC) and lidocaine (LDC) hydrochlorides, aiming to promote noninvasive buccal anesthesia. The influences of combining biocompatible polymers (pullulan and HPMC K100 LV) and a blend of surfactants (oleic acid, polysorbate 80 and propylene glycol) acting as chemical enhancers on the permeation of such drugs through the esophageal porcine epithelium and in vitro mucoadhesion were investigated. The ODTs were also characterized in terms of average weight, thickness, pH, drug content, in vitro release, thermal behavior and scanning electronic microscopy. A dissolution test showed fast drug release within one hour. The drug release data for all ODTs fitted first order. No significant influence of the type of mucoadhesive polymer on release was observed, while the drug release from ODTs decreased in the presence of chemical enhancers. For the ODT containing pullulan the drug release mechanism was anomalous transport, whist for all others it was case-II transport. A remarkable synergic effect between pullulan and chemical enhancers on the permeation flux, lag time, and permeability coefficient of both drugs, but mainly for PRC was observed. Pullulan together with permeation enhancers also substantially improved the work of mucoadhesion as compared to HPMC. In contrast, HPMC improved drug retention in the epithelium. The novel drug delivery platform achieved by combining a freeze-drying technique, mucoadhesive biocompatible polymers, and chemical permeation enhancers displayed an effective strategy for the transbuccal delivery of PRC and LDC that can be used to improve needle-free buccal anesthesia.

Keywords: Anesthesia; Biocompatible materials; Freeze drying; Hydroxypropyl methylcellulose; Orodispersible tablets; Pullulan.

MeSH terms

  • Adhesiveness
  • Anesthetics, Local / pharmacology*
  • Animals
  • Calorimetry, Differential Scanning
  • Drug Liberation
  • Epithelium / drug effects
  • Esophagus / drug effects
  • Freeze Drying
  • Kinetics
  • Lidocaine / pharmacology
  • Mouth Mucosa / drug effects*
  • Mucus / chemistry*
  • Permeability
  • Polymers / pharmacology*
  • Prilocaine / pharmacology
  • Surface-Active Agents / pharmacology*
  • Swine
  • Tablets
  • Temperature

Substances

  • Anesthetics, Local
  • Polymers
  • Surface-Active Agents
  • Tablets
  • Prilocaine
  • Lidocaine