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Title: Formulation for electrically assisted delivery of
lidocaine and epinephrine
United States Patent: 6,295,469
Inventors: Linkwitz; Andreas (San Carlos, CA); Chin; Ivan W.
(Belmont, CA); Gyory; J. Richard (North Oaks, MN); Thompson; Ronald V.
(Coon Rapids, MN); Urbanski; Paul J. (Minneapolis, MN)
Assignee: Alza Corporation (Mountain View, CA)
Appl. No.: 970697
Filed: November 14, 1997
Abstract
The invention relates to formulations for the electrically assisted
transdermal delivery of lidocaine and epinephrine. The present invention
further provides methods and devices for the electrically assisted
delivery of local anesthetics, preferably lidocaine.
DISCLOSURE OF THE INVENTION
The present invention relates to the electrically assisted transport of
lidocaine and epinephrine. Specifically, the invention provides
compositions for the electrically assisted delivery of lidocaine and
epinephrine. Preferably, the compositions comprise about 1-10% lidocaine
and about 0.01-0.2% epinephrine. In a preferred embodiment, both lidocaine
and epinephrine are positively charged. Preferably, the compositions
comprise lidocaine HCl and epinephrine bitartrate.
The compositions preferably further comprise one or more anti-oxidants,
metal chelators or other agents, which deter microbial growth and enhance
the stability of the epinephrine. Preferably, the antioxidant is sodium
metabisulfite. Preferably, the metal chelator is edetate bisodium
dihydrate.
The present invention further provides an electrotransport delivery device
for delivering one or more agents, preferably a local anesthetic, and
preferably lidocaine, by electrotransport through a body surface such as
skin. The device comprises a pair of electrode assemblies, at least one of
the assemblies comprising the agent to be delivered, and a source of
electrical power adapted to be electrically connected to the pair of
electrode assemblies. The device comprises a circuit means connecting the
pair of electrode assemblies and the source of electrical power, the
circuit means comprising an activation circuit and a current generating
circuit. The activation circuit, which comprises a body surface resistance
detection circuit and a current pulsing circuit, is electrically connected
to the power source. The activation circuit is responsive to the
completion of a circuit between the electrode assemblies, wherein upon
completion of the circuit, the resistance detection circuit detects the
resistance between the electrode assemblies (i.e., the electrical
resistance of the body surface). Where the resistance is equal to or
greater than a pre-determined threshold value, a pulsed voltage is
delivered across the electrode assemblies which is effective to reduce the
resistance of the body surface to a value less than the threshold value.
Where the resistance is less than the threshold value, whether initially
or as a result of being lowered by delivery of pulsed voltage, the
activation circuit activates the current generating circuit. The
generating circuit is electrically connected to the activation circuit for
generating current for delivering the agents and is selectively
activatable by the activating circuit. The activation circuit draws
substantially no power consumption when the circuit between the electrodes
assemblies is open, while the current generating circuit draws
substantially no power consumption when not activated.
Claim 1 of 18 Claims
What is claimed is:
1. An electrotransport delivery device for delivering an agent by
electrotransport through a body surface, said device comprising:
a pair of electrode assemblies, at least one of the assemblies comprising
the agent to be delivered;
a source of electrical power having a cell voltage and adapted to be
electrically connected to said pair of electrode assemblies;
a controller which regulates electrical power between the power source and
the electrode assemblies, said controller comprising an electrotransport
current generating circuit which provides an output current to said pair
of electrode assemblies and an activation circuit capable of detecting
resistance between said electrode assemblies and said activating circuit
capable of controlling the output current of the current generating
circuit;
said current generating circuit capable of generating pulsed and
non-pulsed output current and capable of providing said output current at
a voltage both at or below the cell voltage and at a voltage greater than
the cell voltage; and
said activating circuit adapted to cause the current generating circuit to
provide one or more pulses of output current at a voltage level greater
than the cell voltage and said activating circuit adapted to detect
resistance between said electrode assemblies any time during or after said
pulses of output current, and when said detected resistance falls below a
predetermined threshold value, said activating circuit causes the current
generating circuit to generate a non-pulsed output current.
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