Journal of Controlled Release 104 (2005) 497 – 505
Controlled release of lidocaine hydrochloride from the
Zhijian Wua,b, Hyeonwoo Joob, Tai Gyu Leeb, Kangtaek Leeb,T
aCollege of Materials Science and Engineering, Huaqiao University, Quanzhou 362011, PR China
bDepartment of Chemical Engineering, Yonsei University, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-749, Korea
Received 23 August 2004; accepted 28 February 2005
We investigate the controlled release of lidocaine hydrochloride from the doped silica-based xerogels. In the xerogel
preparation, tetraethoxysilane (TEOS), methyltriethoxysilane (MTES), and propyltriethoxysilane (PTES) are used asprecursors, and a nonionic surfactant Igepal CO 720 is used as a dopant. The experimental results suggest that the releaseof lidocaine hydrochloride can be easily controlled by partially substituting TEOS with the organosilanes, and/or by adding thedopant. Adding the organosilane precursors lowers the release of both the drug and the surfactant in the order of TEOS, MTES/TEOS, and PTES/TEOS xerogels. The release from the PTES/TEOS xerogels is much lower than that from the other xerogels. The release of lidocaine hydrochloride is obviously suppressed by the addition of Igepal CO 720, while the release of Igepal CO720 is slightly promoted by the addition of the drug. The overall release process is found to be diffusion-controlled, and therelease behaviors can be well explained by considering the effects of the textual properties of the xerogels and the interactionsamong the drug, the surfactant, and the xerogel matrices. D 2005 Elsevier B.V. All rights reserved.
Keywords: Lidocaine hydrochloride; Igepal CO 720; Hybrid xerogel; Diffusion; Hydrophobic interaction; Mutual effect
microscopic porosity. It is also convenient to preparegel membrane by the sol–gel technique. After
Sol–gel derived silica xerogels have been inves-
gelation, the drugs in silica sols become uniformly
tigated as carrier materials for controlled drug delivery
distributed within the porous silica xerogel networks
These materials are room temperature pre-
that are biocompatible in vivo These materials
pared, silica-based, and amorphous, and have a high
cause no adverse tissue reactions and degrade in thebody to silicic acid, i.e. Si(OH)4, which is eliminatedthrough the kidney
Drug-release behavior from silica xerogels can be
T Corresponding author. Tel.: +82 2 2123 2760; fax: +82 2 312
affected to some extent by changing the sol–gel
E-mail address: [email protected] (K. Lee).
synthesis parameters (i.e. pH, the water/alkoxide ratio
0168-3659/$ - see front matter D 2005 Elsevier B.V. All rights reserved. doi:10.1016/j.jconrel.2005.02.023
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
temperature, type or concentration of the catalyst
) as well as drying and heating conditions. Drug release, though, is generally known to be
diffusion controlled and relatively fast in simpleTEOS-based xerogels without dopants It may be
The xerogels were prepared through a two-step sol–
helpful for an easy control of drug release to take
gel process. Tetraethoxysilane (TEOS; Aldrich), or the
advantage of the various interactions by partially
mixture of TEOS and organosilane, i.e. methyltrie-
replacing the TEOS with organosilanes and/or by
thoxysilane (MTES; Aldrich) or propyltriethoxysilane
adding dopants, usually surfactants.
(PTES; Aldrich), ethanol, 0.050 M lidocaine hydro-
In the drug release systems, matrix/dopant inter-
chloride (Sigma) in water, 1.71 mM Igepal CO 720 (a
actions may cause dramatic changes in the solubility
nonionic surfactant; Aldrich) in ethanol, doubly dis-
and diffusivity of the drug and the rheological
tilled and deionized water, and 0.010 M HCl solution
properties of the matrix. In consequence, incorpora-
were mixed and stirred to get uniform sols. All the sols
tion of the dopant opens a possibility for the
were hydrolyzed in a covered beaker for one day at
development of the controlled drug delivery systems
room temperature before 1.0 M ammonia was added.
The mutual effect of the drug and the dopant,
For the preparation of all the xerogels, the final molar
though, has not been clearly demonstrated to date.
ratio was (TEOS + organosilane):water:ethanol:drug:
Lidocaine hydrochloride is the most commonly
surfactant:HCl:NH3 =1:6:8:8 Â 10À4 : 8 Â 10À 4 : 8 Â
used local anesthetic in intradermal infiltration, topical
10À 5 : 6 Â 10À 3, where TEOS:organosilane = 4 : 1.
anesthesia, and peripheral nerve blocks It
After gelation the gels were dried at room temperature
presents a short duration, thus a long-action single-
for three days, and at 50 8C for one day. The irregular-
dose treatment would be of clinical importance
shaped xerogels with a diameter between 1 and 2 mm
For such purpose, lidocaine hydrochloride has been
were used for the release experiments. The sol
used in the forms of skin bioadhesive films
composition, gel time, and drug content in the final
hydrochloride is chosen as a model drug. We controlthe drug/matrix/dopant interactions by using different
2.2. Determination of the textural properties of the
types of oragnosilane precursors and nonionic surfac-
tant Igepal CO 720, and attempt to understand theeffect of the various interactions on the drug release
Textural properties of the xerogels were estimated
rate. This study should give insights on the design of
using nitrogen sorption experiments. The adsorption/
carrier materials in the controlled drug delivery by the
desorption isotherms of nitrogen at 77 K were
measured with an automated Micromeritics ASAP
Table 1Composition of the sols used in the experiments
The concentration of HCl solution is 0.01 M; the concentration of ammonia solution is 1.0 M; the concentration of drug in water is 0.050 mM;the concentration of surfactant in ethanol is 1.71 mM.
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
Table 2Gel time, drug content, and the textural properties of the gels
2020 apparatus. Prior to the measurements, the
drug and the surfactant concentration. Then, the
xerogels were degassed for 2 h at 160 8C. The
xerogels and the supernatant were transferred back
specific surface area was calculated from the BET
into the original vials for further release experiments.
equation and the average pore size was calculated by
The UV-160A UV-visible spectrophotometer was
BJH method based on the desorption branch of the
used to determine the concentrations of lidocaine
isotherms. The textural properties of the xerogels are
hydrochloride and surfactant in solution: i) the
concentration of surfactant was measured at 284 nmbecause the lidocaine hydrochloride does not have
absorption at 284 nm; ii) the concentration oflidocaine hydrochloride was determined directly at
Half a gram of xerogel was mixed with 10 ml of
262 nm for the xerogels without the surfactant, or by
0.050 M phosphate buffer solutions at pH 7.4 which is
subtracting the surfactant absorbance from the total
the pH used for lidocane hydrochloride release
absorbance of the drug and the surfactant at 262 nm
experiments The mixtures were stirred at 80
for the xerogels doped with both the drug and the
rpm in closed vials at 37 8C using a BS-06 shaking
surfactant (All the release experiments were
water bath. At different intervals, the aliquot of the
solution was centrifuged for 3 min at 10,000 rpm andthe supernatant was used for the determination of the
The textural properties of the xerogels are listed in
It is shown that the addition of the organo-
silane precursors affects the textural properties of the
xerogels. The PTES/TEOS xerogels (Gels 3, 6, 9)exhibit the lowest surface area and the smallest
average pore size, while the textural properties of
TEOS gels (Gels 1, 4, 7) are similar to those of the
Fig. 1. UV spectra of the solutions (1: 0.050 M phosphate buffer
solution at pH 7.4; 2: 0.748 mM lidocaine hydrochloride inphosphate buffer solution; 3: 0.520 mM Igepal CO 720 in phosphate
The fraction of drugs released (F) is shown as a
buffer solution; 4: 0.748 mM lidocaine hydrochloride and 0.520mM Igepal CO 720 in phosphate buffer solution).
function of time in The fraction released
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
Fig. 2. Release of lidocaine hydrochloride from the gels without
Fig. 4. Release of Igepal CO 720 from the gels without lidocaine
glycol (PEG) was also found to lower the release
organosilane precursors clearly lowers the release of
both lidocaine hydrochloride and Igepal CO 720 inthe order of TEOS, MTES/TEOS and PTES/TEOSgels. Note that the release from the PTES/TEOS gels
(Gels 3, 6, 9) is much lower than that from the othergels. These results are consistent with the work by
Matrix swelling, matrix dissolution, and the dif-
Kortesuo et al. in which partial substitution of the
fusion of the drug are the most important rate-
TEOS with tri-or dialkoxysilane reduced the release
controlling mechanisms of the commercially available
controlled release products Matrix swelling is acommon phenomenon in the organic hydrogels. The
3.3. Mutual effect of lidocaine hydrochloride and
inorganic gels, however, are reported to be difficult to
swell Furthermore, in the hybrid silicaxerogels used in this study, there are no organic
demonstrates that the release of lidocaine
groups incorporated into the siloxane bone structures
hydrochloride is suppressed by the addition of
(but the organic groups exist only as end
Igepal CO 720 in the xerogels, while the release
groups. Thus, it is reasonable to assume that the
of Igepal CO 720 is slightly promoted by the
swelling of xerogels is negligible in this study.
addition of the drug. It has been shown that
In aqueous solutions, silica solubility is known to
surfactants can be used to give a prolonged release
increase rapidly at pH N 10 This can cause the
from gels through the partition of nonionized drugs
dissolution of the xerogels, thereby leading to a
to micelles For the release of toremifene
decrease in surface area and the increase in pore size
citrate from silica xerogel, addition of polyethylene
Because the pH of the release medium is fixed at
Fig. 3. Release of lidocaine hydrochloride from the gels doped with
Fig. 5. Release of Igepal CO 720 from the gels doped with lidocaine
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
from poly(d,l-lactic acid) nanospheres at low load-
ings and the release of nifedipine trypsin
inhibitor and dexmedetomidine from silicaxerogels. For the release of metoprolol tartrate from
hydroxypropyl methylcellulose-based tablets, the
release was found to be diffusion-controlled with theexponent n ranging from 0.46 to 0.59 and the
investigated formulation and processing variables
did not alter the drug release mechanism
Overall processes in this study may involve the
Fig. 6. Comparison of the fraction released for lidocaine hydro-
following steps: i) initially water rapidly enters the
chloride and Igepal CO 720 after 54 h.
xerogels because of the steep water concentrationgradients at the xerogel/water interface; ii) due to the
7.4 in our experiments and the hybrid gels dissolve
concentration gradients lidocaine hydrochloride and
even more slowly than the pure silica gels the
Igepal CO 720 dissolve upon contact with water and
dissolution of the xerogels is negligible and would not
diffuse out of the xerogels; iii) the diffusivity of the
affect drug release. Thus, we expect that the release
drug and the surfactant increases substantially with
would not be controlled by the xerogel swelling and
increasing water content iv) textural properties
dissolution. Next, we test the diffusion-controlled
of the xerogels affect the release of the drug and the
surfactant; (v) the interactions among the drug, thesurfactant, and the xerogel matrices affect the release
of the drug and the surfactant. Thus, one can expectthat the differences in release behavior come mainly
from the textural properties and the interactions.
is used to test the diffusion-controlled releasemechanism:
4.2. Effect of the textural properties of the xerogels onthe release rate
Here, F is the fraction of the drug released at time t; k
shows that the PTES/TEOS gels (Gels 3, 6,
is a constant incorporating structural and geometric
9) have the lowest surface area and the smallest
feature of the xerogels; n is the release exponent
average pore size, while the textural properties of the
which is indicative of the release mechanism. In the
TEOS gels (Gels 1, 4, 7) are similar to those of the
diffusion-controlled release, n = 0.5, 0.45, and 0.43 forslab, cylinder, and sphere; in swelling-controlled
release, n = 1.0, 0.89, and 0.85 for slab, cylinder,
and sphere Thus, for irregular-shaped samples, n
is expected to be between 0.43 and 0.5 for diffusion-
( CH CH ) OH
controlled release; between 0.85 and 1.0 for swelling-
The fitting results using the above model are listed
in In all cases, the release exponent for both
the drug and the surfactant lies between 0.30 and 0.67,
suggesting diffusion-controlled release. Furthermore,
matrix swelling and dissolution are negligible as
discussed above. Thus, our results suggest that the
Fig. 7. Schematic diagram of the interactions between lidocaine
release appears to be diffusion-controlled regardless
cation, Igepal CO 720, and the xerogel matrix in Gel 9 (A: Igepal
of precursor types and surfactant. Diffusion-controlled
CO 720; B: lidocaine cation; (1) electrostatic attraction; (2)
release was also found for the release of lidocaine
hydrogen bonding; (3) hydrophobic attraction).
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
MTES/TEOS gels (Gels 2, 5, 8). According to
11 the xerogel surface in our experiments is
3, the release constant k of TEOS and MTES/TEOS
negatively charged at pH 7.4. In aqueous solutions
xerogels is always larger than that of PTES/TEOS
of pH near 7, though, lidocaine hydrochloride exists
xerogels, which suggests a faster release of the drug
mainly as lidocaine cations (proton ions may
and the surfactant from the TEOS and MTES/TEOS
associate with one of the two nitrogen atoms as in
gels. Thus, lowering the surface area and the average
pore size suppress the release of the drug and the
attraction between the drug and the surface of the
Since there are more silanol groups and the silanols
4.3. Effect of the interactions on the release rate
are more acidic in pure silica xerogels (Gels 1, 4, 7), itis expected that the pure silica xerogels are more
There can be three types of interactions that can
negatively charged at pH 7.4. Therefore, there should
affect the release rate: 1) electrostatic interactions; 2)
be a stronger electrostatic attraction between the
hydrogen bonding; 3) hydrophobic interactions.
lidocaine cations and the pure silica xerogel surface
Schematic of these interactions among the drug,
than that between the cations and the hybrid xerogel
the surfactant, and the xerogel matrices is given in
surface. However, the release experimental results
show that the release of drug is higher from the puresilica xerogels than from the hybrid xerogels, suggest-
ing that the electrostatic attraction is not as important
Bulk silica xerogels consist of siloxane units
as the other interactions and the textural properties of
joined together in a tetrahedral lattice. Different
functional groups can be present at the surface,depending on the preparation method of the
xerogels and (if in solution) the nature of medium.
Hydrogen bonding is a more common interaction.
Functional groups commonly associated with the
There exists a hydrogen bonding among the drug, the
silica surface are silanol groups and organic groups
surfactant, and all the xerogel matrices (Since
if organosilane precursors are used. The two-step
there are more silanol groups in pure silica xerogels, it
xerogels are reported to have higher contribution of
is expected that the drug and the surfactant have a
silanol groups than the acid-catalyzed single-step
stronger hydrogen bonding with pure silica xerogels
xerogels Charge on the silica surface changes
than with hybrid xerogels. The release experimental
as the silanol groups on the surface are protonated
results, though, show that there is more drug released
or deprotonated depending mainly on the solution
from the pure silica xerogels than from the hybrid
pH. Since the density of negative charges on the
xerogels. This suggests that hydrogen bonding is also
xerogel surface remains low until the solution pH
not important compared with the other interactions
reaches 6, but increases sharply between pH 6 and
and the textural properties of the gels.
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
importance of the hydrophobic interactions was also
Hydrophobic interactions which represent a ten-
proved by the reactivity of acid-base indicators in
dency of nonpolar groups to associate in aqueous
silica xerogels the release of organic dye from
solutions commonly occur in aqueous solutions of
hybrid silica xerogels and the organic dye
low-molecular organic substances as well as of
biological macromolecules The association is
accompanied by little change in enthalpy, but it is
electrostatic and hydrophobic interactions with
governed mainly by the entropic effects. Because any
surfactants and hybrid xerogels. By using hybrid
association (or dissociation) of systems is directly
xerogels, the release rate of the drugs can by
related to a negative (or positive) entropy change, this
reduced by the hydrophobic interactions between
entropy change is associated with the ordering of
the drugs and the organic groups on the hybrid
molecules that surround the hydrocarbon residues in
xerogel surface. By including a surfactant in the
formulation, the release rate can be further reduced
There are hydrophobic interactions among the
since hydrophobic interactions can take place
drug, the surfactant, and the hybrid xerogel surface
between the drug and both the gel matrix and the
surfactant is suppressed by partially replacing TEOSwith organosilanes, which may be caused by boththe textural property changes and the hydrophobic
interactions. Organic groups linked to the xerogelnetwork by covalent bonds can provide a modified
We have designed the doped hybrid xerogels for
hydrophobicity that can reduce the release of the
the controlled release of lidocaine hydrochloride to
drug. There have been several reports that support
understand the effects of the textural properties of the
the role of the hydrophobic interactions on the drug
xerogels and the drug/matrix/dopant interactions on
release. According to Kortesuo et al. increasing
the release rate. The experimental results can be
the number or length of the organic groups attached
to silicon reduced the release rate of dexmedetomi-dine from monoliths. In addition to drugs with low
(1) The release of lidocaine hydrochloride can
molecular weight, the release of macromolecules
easily be controlled by partially substituting
such as heparin was also suppressed from an alkyl-
TEOS with the organosilanes and/or by adding
substituted silica xerogel matrix In our experi-
the dopant. With the addition of the organo-
ments, the pure silica and the MTES/TEOS xerogels
silane precursors, the release of both the drug
have similar textural properties, but the fraction
and the surfactant decreases in the order of
released from the pure silica xerogels is always
TEOS, MTES/TEOS and PTES/TEOS xerogels.
higher than that from the MTES/TEOS xerogels,
The release from the PTES/TEOS xerogels is
confirming the importance of the hydrophobic
always much smaller than that from the other
(2) The release of lidocaine hydrochloride is obvi-
obviously suppressed by the addition of the surfac-
ously suppressed by the addition of Igepal CO
tant, while the surfactant release is slightly promoted
720 in the xerogels, while the release of Igepal
by the addition of the drug. It is suspected that this
CO 720 is slightly promoted by the addition of
may also be partly caused by the hydrophobic
interaction between the drug and the surfactant. By
(3) PTES/TEOS xerogels have the lowest surface
adding the micelle-forming surfactants in the for-
area and the smallest average pore size, while
mulation of some polymer gels, Paulsson et al.
the textural properties of TEOS xerogels are
observed a reduction in the diffusivity of
similar to those of the MTES/TEOS xerogels.
drug molecules because of the hydrophobic inter-
(4) The overall release process is diffusion-con-
actions between the drug and the micelle. The
trolled for both of the drug and the surfactant.
Z. Wu et al. / Journal of Controlled Release 104 (2005) 497–505
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Situation temporairement acceptable Syndrome de l’homme raide réfractaire aux anti-convulsivants ou insuffisamment contrôlé par les anti-épileptiques 1. PROTOCOLE THERAPEUTIQUE TEMPORAIRE Le protocole temporaire de traitement nécessite de se référer au Résumé des Caractéristiques du Produit (RCP) de l’AMM. Il est nécessaire d’informer le patient que la
COMMUNE DE SAINT DIDIER SOUS AUBENAS COMPTE RENDU DU CONSEIL MUNICIPAL DU LUNDI 26 MARS 2012 L’an deux mil douze et le lundi vingt six mars à vingt heures trente, le Conseil Municipal de cette commune, régulièrement convoqué, s’est réuni au nombre prescrit par la loi dans le lieu habituel de ses séances, sous la présidence de Richard M. BACCONNIER à R. ROURESSOL S. AUBOS