Ophthalmic compositions
Provided herein is an ophthalmic composition including a therapeutic active agent and an anti-inflammatory agent, in which the active agent is at least about 0.01% w/v of chlorhexidine, derivatives, or analogues of chlorhexidine, or a pharmaceutically acceptable salt, solvent, hydrate, or polymorph thereof. Methods for treating or preventing ocular disease or infection in a subject in need thereof are also provided. The method may include administering to an eye of a subject an ophthalmic composition including chlorhexidine, derivatives, or analogues of chlorhexidine, or a pharmaceutically acceptable salt, solvent, hydrate, or polymorph thereof, and an anti-inflammatory agent. The chlorhexidine, derivatives, or analogues of chlorhexidine, or a pharmaceutically acceptable salt, solvent, hydrate, or polymorph thereof and the anti-inflammatory agent are present in an amount effective to treat or prevent the ocular disease or infection in a subject in need thereof.
1. An ophthalmic formulation comprising chlorhexidine gluconate in an amount of from 0.05-0.20% w/v, prednisolone acetate and an ophthalmically acceptable carrier, wherein the chlorhexidine gluconate and prednisolone acetate are combined in the same formulation.
2. The ophthalmic formulation of claim 1 , wherein the prednisolone acetate is at a concentration of 0.025% w/v to 2.0% w/v.
3. The ophthalmic formulation of claim 1 , wherein the formulation further comprises a preservative.
4. The ophthalmic formulation of claim 3 , wherein the preservative comprises benzalkonium chloride, thimerosal, chlorobutanol, methyl paraben, propyl paraben, phenylethyl alcohol, edetate disodium, sorbic acid, or a combination thereof.
5. The ophthalmic formulation of claim 1 , wherein the formulation further comprises a co-solvent.
6. The ophthalmic formulation of claim 5 , wherein the co-solvent comprises polysorbate 20, polysorbate 60, polysorbate 80, Pluronic F-68, Pluronic F-84 Pluronic P-103, cyclodextrin, or a combination thereof.
7. The ophthalmic formulation of claim 6 , wherein the co-solvent is present in an amount of 0.01% w/v to 2.0% w/v.
8. The ophthalmic formulation of claim 1 , wherein the formulation further comprises a viscosity agent.
9. The ophthalmic formulation of claim 8 , wherein the viscosity agent comprises polyvinyl alcohol, polyvinyl pyrrolidone, methyl cellulose, hydroxy propyl methylcellulose, hydroxyethyl cellulose, carboxymethyl cellulose, hydroxy propyl cellulose, or a combination thereof.
10. The ophthalmic formulation of claim 9 , wherein the viscosity agent is present in an amount of 0.01% w/v to 2.0% w/v.
11. A method for treating an ocular disease or infection selected from the group consisting of conjunctivitis and blepharitis in a subject in need thereof comprising administering to an eye of the subject the ophthalmic formulation of claim 1 .
12. The method of claim 11 , wherein the ophthalmic formulation is a solution, suspension, semi-liquid, emulsion, ointment, cream, or foam gel.
13. The method of claim 11 , wherein the ophthalmic formulation is effective to treat infection following an ophthalmic surgery or an ophthalmic procedure.
14. The method of claim 11 , wherein the ophthalmic formulation is administered to the eye in a concentration of 0.001 mg to 5.0 mg of the active agent per eye.
15. The method of claim 11 , wherein the ophthalmic formulation is administered to the eye in an amount of 50 μL to 80 μL per eye.
16. The method of claim 11 , wherein the ocular disease or infection is of bacterial, mycobacterial, fungal, viral, or amoebal origin.
17. The ophthalmic formulation of claim 1 , wherein the ophthalmic formulation is a solution, suspension, semi-liquid, emulsion, ointment, cream, or foam gel.
18. The method of claim 11 , wherein the prednisolone acetate is at a concentration of 0.025% w/v to 2.0% w/v.
19. The method of claim 11 , wherein the ophthalmic formulation further comprises a preservative.
20. The method of claim 19 , wherein the preservative comprises benzalkonium chloride, thimerosal, chlorobutanol, methyl paraben, propyl paraben, phenylethyl alcohol, edetate disodium, sorbic acid, or a combination thereof.
21. The method of claim 11 , wherein the ophthalmic formulation further comprises a co-solvent.
22. The method of claim 21 , wherein the co-solvent comprises polysorbate 20, polysorbate 60, polysorbate 80, Pluronic F-68, Pluronic F-84, Pluronic P-103, or cyclodextrin, or a combination thereof.
23. The method of claim 22 , wherein the co-solvent is present in an amount of 0.01% w/v to 2.0% w/v.
24. The method of claim 11 , wherein the ophthalmic composition formulation further comprises a viscosity agent.
25. The method of claim 24 , wherein the viscosity agent comprises polyvinyl alcohol, polyvinyl pyrrolidone, methyl cellulose, hydroxy propyl methylcellulose, hydroxyethyl cellulose, carboxymethyl cellulose, or hydroxy propyl cellulose, or a combination thereof.
26. The method of claim 24 , wherein the viscosity agent is present in an amount of 0.01% w/v to 2.0% w/v.
27. The ophthalmic composition of claim 1 , wherein the prednisolone acetate is present in an amount of 0.05% w/v to 1.0% w/v.
28. The ophthalmic composition of claim 1 , wherein the prednisolone acetate is 1.0% w/v.
29. An ophthalmic formulation comprising chlorhexidine gluconate in an amount of from 0.05-0.20% w/v, prednisolone acetate and an ophthalmically acceptable carrier, wherein the chlorhexidine gluconate and prednisolone acetate are combined in the same formulation, and wherein the formulation further comprises a co-solvent and a viscosity agent.
30. The ophthalmic formulation of claim 29 , wherein the co-solvent is selected from polysorbate 20, polysorbate 60, polysorbate 80, Pluronic F-68, Pluronic F-84, Pluronic P-103, and cyclodextrin, or a combination thereof.
31. The ophthalmic formulation of claim 30 , wherein the viscosity agent is selected from polyvinyl alcohol, polyvinyl pyrrolidone, methyl cellulose, hydroxy propyl methylcellulose, hydroxyethyl cellulose, carboxymethyl cellulose, and hydroxy propyl cellulose, or a combination thereof.
32. The ophthalmic formulation of claim 31 , wherein the prednisolone acetate is at a concentration of 0.025% w/v to 2.0% w/v in the formulation.
33. The ophthalmic formulation of claim 32 , wherein the co-solvent comprises polysorbate 80 and the viscosity agent comprises one or both of methyl cellulose and hydroxy propyl methylcellulose.
34. A method for treating an ocular disease or infection selected from the group consisting of conjunctivitis and blepharitis in a subject in need thereof comprising administering to an eye of the subject the ophthalmic formulation of claim 32 .
35. The ophthalmic formulation of claim 32 , wherein the co-solvent consists of polysorbate 80 and the viscosity agent consists of one or both of methyl cellulose and hydroxy propyl methylcellulose.