Lidocaine Hydrochloride Oral Topical Solution

2020 ◽  
Vol 134 (9) ◽  
pp. 826-829
Author(s):  
M Jog ◽  
I Zudovaite ◽  
M O'Dwyer ◽  
K Saeed ◽  
T Singh

AbstractObjectiveThis study investigated the risk of contamination of lidocaine hydrochloride 5 per cent w/v and phenylephrine hydrochloride 0.5 per cent w/v topical solution after modification of the application technique.MethodsThis paper reports a prospective basic sciences study involving 22 study samples and 1 control sample of the lidocaine hydrochloride and phenylephrine hydrochloride topical anaesthetic spray. The samples were assessed for microbiological contamination after a single use on patients using a modified application technique. The modification involves keeping the nozzle (actuator) pressed down whilst withdrawing the spray to at least 30 cm (1 ft) from the patient, before releasing the nozzle (actuator) and subsequently reapplying the spray.ResultsThree of the 23 samples confirmed bacterial growth in the bottle contents, but there was no growth in any of the samples from the pump. These bacteria are considered to be contaminants.ConclusionThere is a potential to use the lidocaine hydrochloride 5 per cent w/v and phenylephrine hydrochloride 0.5 per cent w/v topical solution as a multi-use spray by changing the actuator between patients. This would have significant beneficial cost implications without the attendant infection control risk.


2013 ◽  
Vol 127 (8) ◽  
pp. 799-801 ◽  
Author(s):  
M Jog ◽  
R Sachidananda ◽  
K Saeed

AbstractObjective:To investigate the risk of contamination of lidocaine hydrochloride 5 per cent weight/volume and phenylephrine hydrochloride 0.5 per cent weight/volume topical solution, both in patients (in vivo) and in the laboratory setting (in vitro).Methods:This paper reports a prospective study involving 10 samples of the lidocaine hydrochloride and phenylephrine hydrochloride topical anaesthetic spray. The samples were assessed for microbiological contamination after a single use on patients in a controlled laboratory environment. Additional samples were assessed for baseline contamination and later assessed for contamination in an in vitro setting.Results:In the in vivo setting, 2 of the 10 samples were positive for cultures from both the pump and the bottles. However, in the in vitro setting, the pump and the contents of the bottles were contaminated after a single use when the sterile solution was sprayed from distances of 1 and 2 cm.Conclusion:The lidocaine hydrochloride and phenylephrine hydrochloride topical solution assembly was contaminated in both in vivo and in vitro settings after a single use.


2020 ◽  
Vol 19 (10) ◽  
pp. 969-976
Author(s):  
Stacy Smith ◽  
Stephen Trying ◽  
Kimberly Grande ◽  
Joel Schlessinger ◽  
Michael Gold ◽  
...  

1995 ◽  
Vol 42 (4) ◽  
pp. 338-340 ◽  
Author(s):  
Michio Banzai ◽  
Satoshi Sato ◽  
Naohiro Tezuka ◽  
Hiromi Komiya ◽  
Tetsuro Chimura ◽  
...  

1985 ◽  
Vol 62 (3) ◽  
pp. 348-350 ◽  
Author(s):  
Colm P. Cole ◽  
Graham H. McMorland ◽  
James E. Axelson ◽  
Leonard C. Jenkins

2021 ◽  
Vol 901 ◽  
pp. 111-116
Author(s):  
Nuttawut Supachawaroj ◽  
Sucharat Limsitthichaikoon

Dry socket disease, a pocket wound caused by the tooth extraction that resulted in severe acute pain which requires a topical analgesic with rapidly pain reduction and suppress the pain until the wound healed. This study aimed to investigate factors affecting gelation temperature and gelation time of lidocaine hydrochloride (LH)-loaded polyelectrolyte complex (PEC) thermosensitivity gel for treating dry socket wound. The first factor was investigated the effects of the ratio of three different types of polymers as chitosan (CS), hyaluronic acid (HA) and poloxamer407 (P407) on the phase transition caused by temperature. The second factor was examined the effects of gel preparation methods. The results showed that increasing concentration of the cationic polymer as CS induced the separation of the solution to gel (sol-to-gel) system due to the charge of CS and the charge of PEC. The ratio of HA:P407 affected the gel forming which high concentration of P407 reduced the gelation temperature while low concentration of HA disturbed the sol-to-gel state causing coagulation. The viscosity, spreadability, and swelling were significantly increased due to the concomitant increased in each polymer, HA and P407. The particle of the formulation observed under microscope was found to be less than 1 µm. Phase inversion from sol-to-gel was found after a min at 23°C. Since gelation temperature of the purposed formula is supposed to form gel below 37°C within a short period of injection. The results of the study indicate the suitable sol-to-gel forming in the appropriate temperature and time which should be used for further investigation in the efficacy and safety.


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