• Braz J Anesthesiol · Jan 2013

    Randomized Controlled Trial Comparative Study

    Pharmacodynamic evaluation and physical/chemical analysis of two formulations of propofol used in target-controlled infusion.

    • Ricardo Francisco Simoni, Luiz Eduardo de Paula Gomes Miziara, Luis Otávio Esteves, João Gilberto Ribeiro D'Castro, Carlos Alberto Morales, Carlos Eduardo Esqueapatti Sandrin, Thaís Costa Contente, and Diogo Oliveira-Silva.
    • TSA; MD; Co-responsible for Centro de Ensino e Treinamento (CET) from Sociedade Brasileira de Anestesiologia (SBA), Instituto Penido Burnier and Centro Médico de Campinas. Electronic address: ricaboss@gmail.com.
    • Braz J Anesthesiol. 2013 Jan 1; 63 (1): 59-65.

    Background And ObjectivesThere are several formulations of propofol available to the anesthesiologist for clinical use. The aim of this study was to analyze the physicochemical properties, pharmacodynamic effect, and pharmaceutical and clinical equivalence of the reference drug propofol as well as a similar formulation.MethodSixteen volunteers were enrolled in this randomized, double-blind, and paired study of Diprivan® and Propovan® formulations. Formulations were given as target-controlled infusion with target concentration of 3.0 μg.mL(-1) for 15 minutes. Variables studied were the area under the curve (AUC) of the bispectral index (BIS) graph regarding time, minimum BIS reached and time to reach it, and recovery time. The two formulations were sent to analysis of particle size of lipid emulsion, surface potential, and active principle quantification.ResultsThere was no difference between the formulations when comparing AUC, minimum BIS reached and time to reach it. The similar formulation recovery time was lower compared to the reference formulation (eight and 10 min, respectively, p = 0.014). Mean particle size of lipid emulsion, surface potential, and active ingredient quantification were similar for both formulations.ConclusionThere was no clinically significant difference between the use of propofol, reference Diprivan®, and the similar Propovan® during infusion. However, the recovery time was longer with the reference drug. Although analysis of both formulations studied show similar results regarding its physicochemical characterization, further studies should be conducted to justify this difference.Copyright © 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

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