Master of Science, University of Akron, 2019, Polymer Science
Adequate post-operative pain management has been proven to enhance the healing and recovery of patients following most major procedures.1 However, it remains significantly under managed and is a serious unmet need in the medical field. The mainstay of post-operative pain management is the prescription of oral opioids, which, although effective, have many pitfalls. Most notably, opioids prescriptions are currently based on a “one-size-fits-all” model, providing an imbalance of doses given to patients and leaving the medication at the risk for misuse and abuse.
Opioids are still in practice today ultimately due to a lack of a better solution. Herein, we propose a drug-loaded polymer film to control post-operative pain. Poly(ester urea)s were used to load drugs into solvent cast blade-coated films and tested for drug release of non-opioids agents. Specifically, etoricoxib, a selective cyclooxygenase isoform 2 (COX-2) was used to monitor the efficacy of delivery from these films both in vitro and in a rat model. To obtain different release profiles, film thickness, drug-load, and polymer composition was analyzed in order to get desired profile for analgesic release. The polymer analogs that were implemented for this study are copolymers, 10%, 20% and 30% 1-PHE-6 P(1-VAL-8), and homopolymers, P(1-VAL-8), P(1-VAL-10), and P(1-VAL-12). Moreover, a multi-modal analgesia model with bupivacaine (a local anesthetic) has been sought out to show the versatility of this device. The goal of this study was to study a controlled release system that will produce little to no inflammation while providing pain relief for 3-5 days following a surgical procedure. Ultimately, this device's intended purpose is to replace or minimize the need for prescription opioids. We hypothesize that by tuning the multiple factors available with PEUs that a variety of drug release profiles can be obtained to fit a number of different applications (i.e. acute to chronic pain).
Committee: Matthew Becker (Advisor); Andrey Dobrynin (Committee Member)
Subjects: Biomedical Research; Polymers