Systemic absorption of topical lidocaine in normal volunteers, patients with post-herpetic neuralgia, and patients with acute herpes zoster.

Abstract:

:Topical lidocaine has been recently marketed as a new treatment for post-herpetic neuralgia. The aim of our study was to characterize the absorption profile of and systemic exposure to lidocaine from patch and gel formulations in normal volunteers, patients with post-herpetic neuralgia, and patients with acute herpes zoster. The bioavailability of lidocaine from the patch formulation averaged 3%, and was similar after single and repeated doses. Systemic exposure to lidocaine and monoethylglycinexylidide (MEGX), the primary active metabolite of lidocaine, after application of lidocaine gel or patches was minimal in normal volunteers, patients with post-herpetic neuralgia, and patients with acute herpes zoster. Considering the benefit versus risk of topical lidocaine, systemic absorption and toxicity of lidocaine seems not to be a significant risk.

journal_name

J Pharm Sci

authors

Campbell BJ,Rowbotham M,Davies PS,Jacob P 3rd,Benowitz NL

doi

10.1002/jps.10133

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

1343-50

issue

5

eissn

0022-3549

issn

1520-6017

pii

S0022-3549(16)30997-2

journal_volume

91

pub_type

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