Novel lipid and preservative-free propofol formulation: properties and pharmacodynamics

François Ravenelle1, Sandra Gori, Dorothée Le Garrec

  • 1Labopharm Inc., 480 Blvd. Armand-Frappier, Laval, Québec, Canada, H7V 4B4. fravenelle@labopharm.com

Pharmaceutical Research
|November 22, 2007
PubMed
Abstract

Insights

New propofol formulations in polymeric micelles (Propofol-PM) show no microbial growth and similar pharmacodynamics to Diprivan. This offers potential for reduced pain on injection and improved stability for the anesthetic agent.

Area of Science:

  • Pharmaceutical Sciences
  • Drug Delivery Systems
  • Anesthesiology

Background:

  • Propofol, a common intravenous anesthetic, is formulated as a water-in-oil emulsion.
  • Current propofol formulations present drawbacks including pain on injection, susceptibility to microbial contamination, and stability issues.

Purpose of the Study:

  • To evaluate novel propofol formulations using poly (N-vinyl-2-pyrrolidone)-block-poly(D,L-lactide) (PVP-PLA) polymeric micelles, termed Propofol-PM.
  • To assess the microbiological and pharmacodynamic properties of Propofol-PM compared to a commercial propofol emulsion.

Main Methods:

  • Microbial growth inhibition was tested against Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli, and Candida albicans.
  • Pharmacodynamic profiles were assessed in female Sprague-Dawley rats, comparing Propofol-PM with Diprivan at a 10mg/kg dose, focusing on sleep and recovery parameters.

Main Results:

  • Propofol-PM formulations demonstrated no support for microbial growth.
  • No significant differences were found in the times to unconsciousness, awakening, righting reflex recovery, or full recovery between Propofol-PM and Diprivan.

Conclusions:

  • Propofol-PM exhibits no microbial growth support and improved stability compared to conventional formulations.
  • These findings suggest Propofol-PM as a promising alternative for propofol delivery, potentially mitigating pain on injection.

Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Local Anesthetics: Pharmacokinetics01:13

Local Anesthetics: Pharmacokinetics

The potency and duration of action of local anesthetics (LAs) are determined by their pharmacokinetics. Pharmacokinetics describes how LAs are absorbed, distributed, metabolized, and eliminated from the body. When administered to the vascular tissues, LAs are quickly absorbed and enter the systemic circulation, reducing their localized effects. Adding vasoconstrictors such as epinephrine to LAs reduces their absorption into the systemic circulation, making them clinically effective. The...
Factors Affecting Drug Distribution: Organ Perfusion Rate01:15

Factors Affecting Drug Distribution: Organ Perfusion Rate

Drug distribution within the body is a complex process influenced by several factors, including perfusion rate, the rate at which the bloodstream transports drugs to tissue. This limitation becomes particularly significant when dealing with highly lipophilic drugs. In such cases, the rate at which the drug can move across membranes is crucial, and if the membrane is highly permeable to the drug, distribution becomes rate-limited by perfusion.
Perfusion rate-limited distribution relies on the...
Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacokinetics01:11

Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacokinetics

All neuromuscular blocking agents are injected intravenously because they are poorly absorbed from the GI tract. Rapid onset is achieved with intravenous administration, although absorption is also adequate from an intramuscular injection. Since these agents are highly ionized, they do not readily penetrate cell membranes or cross the blood-brain barrier.
Instead, they are transported by the blood to different tissues. Muscles with a greater blood supply (arteries) and blood flow receive more...
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
Local Anesthetics: Mechanism of Action01:23

Local Anesthetics: Mechanism of Action

Local anesthetics (LAs) block sensory and motor impulses by inhibiting the sodium channels on the nerve cell membranes. This induces temporary loss of sensation, relieving pain in a specific body area.
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...