Improving the ocular to systemic ratio of topical timolol by varying the dosing time.

作者: Shigehiro Ohdo , George M. Grass , Vincent H. L. Lee

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摘要: This study was performed to determine whether the ratio of ocular systemic absorption topically applied timolol in pigmented rabbit can be maximized by varying time drop instillation. Twenty-five microliters 0.65% maleate solutions were instilled into eye at 6 AM, 12 PM, or AM. The course concentration plasma and various tissues (conjunctiva, sclera, corneal epithelium, stroma, aqueous humor, iris-ciliary body, lens) monitored with use reversed phase high-performance liquid chromatography (HPLC). Ocular concentrations approximately twice as high when drug administered PM than whereas lowest PM. It may, therefore, possible maximize therapeutic index administering Moreover, influence dosing on extent must considered planning schedules for ophthalmic drugs. Invest Ophthalmol Vis Sci 32:27902798,1991 Absorption drugs via conjunctival nasal mucosae blood stream elicit side effects has been recognized a possibility therapy more 25 years.' Examples these include anticholinesterase agents, 2 epinephrine, 3 " 5 phenylephrine, 4 steroids. Depending physiochemical properties drug, extents occur. These range from 3% inulin 7 80% timolol. 8 Nevertheless, not attempts optimize until beta-blockers widely used patients glaucoma. 9 Several approaches have investigated relative reducing absorption, results positive. nasolacrimal occlusion without eyelid closure, 1011 microdrops, vehicles extended residence sac, 1213 coadministration vasocontrictors such phenylephrine 14 soft that are

参考文章(45)
Richard F. Brubaker, David A. Lee, Jone E. Topper, George R. Reiss, Aqueous humor flow during sleep. Investigative Ophthalmology & Visual Science. ,vol. 25, pp. 776- 778 ,(1984)
Norman Ballin, Bernard Becker, Melvin L. Goldman, Systemic Effects of Epinephrine Applied Topically to the Eye Investigative Ophthalmology & Visual Science. ,vol. 5, pp. 125- 129 ,(1966)
D S Gregory, R A Braslow, Adrenergic decentralization modifies the circadian rhythm of intraocular pressure. Investigative Ophthalmology & Visual Science. ,vol. 28, pp. 1730- 1732 ,(1987)
V H Lee, H Bundgaard, S C Chang, A Buur, Low dose O-butyryl timolol improves the therapeutic index of timolol in the pigmented rabbit. Investigative Ophthalmology & Visual Science. ,vol. 29, pp. 626- 629 ,(1988)
D S Gregory, Timolol reduces IOP in normal NZW rabbits during the dark only. Investigative Ophthalmology & Visual Science. ,vol. 31, pp. 715- 721 ,(1990)
D S Gregory, S D Smith, A circadian rhythm of aqueous flow underlies the circadian rhythm of IOP in NZW rabbits. Investigative Ophthalmology & Visual Science. ,vol. 30, pp. 775- 778 ,(1989)
Philip P. Ellis, Systemic Effects of Locally Applied Anticholinesterase Agents Investigative Ophthalmology & Visual Science. ,vol. 5, pp. 146- 151 ,(1966)
Gary D. Novack, Ophthalmic beta-blockers since timolol Survey of Ophthalmology. ,vol. 31, pp. 307- 327 ,(1987) , 10.1016/0039-6257(87)90116-0
C. G. WILSON, O. OLEJNIK, J. G. HARDY, Precorneal drainage of polyvinyl alcohol solutions in the rabbit assessed by gamma scintigraphy Journal of Pharmacy and Pharmacology. ,vol. 35, pp. 451- 454 ,(2011) , 10.1111/J.2042-7158.1983.TB04320.X
A URTTI, J PIPKIN, G RORK, T SENDO, U FINNE, A REPTA, Controlled drug delivery devices for experimental ocular studies with timolol 2. Ocular and systemic absorption in rabbits International Journal of Pharmaceutics. ,vol. 61, pp. 241- 249 ,(1990) , 10.1016/0378-5173(90)90215-P