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痤疮局部给药系统的进展:解决浓度依赖性刺激和干燥问题的新方法

Advances in topical delivery systems in acne: new solutions to address concentration dependent irritation and dryness.

作者信息

Ceilley Roger I

机构信息

Department of Dermatology, University of Iowa, Carver College of Medicine, West Des Moines, USA.

出版信息

Skinmed. 2011 Jan-Feb;9(1):15-21.

PMID:21409958
Abstract

Formulation development is key to the successful treatment of acne. There has been significant progress over the past few years, but not all developments can be universally applied. An effective topical formulation must provide chemical stability and enhanced penetration of active ingredients at optimal concentrations for efficacy and safety; be cosmetically acceptable; and not add side effects of its own. Both retinoids and fixed combinations containing benzoyl peroxide are commonly used to treat acne, but both have the potential to cause troublesome dose-dependent irritation and dryness. Excipients such as surfactants and alcohol have added to the problem. Two products have recently been introduced where a combination of micronization skills and well-chosen excipients has minimized irritation and dryness without compromising efficacy. Results from two major studies are discussed in this article.

摘要

剂型开发是成功治疗痤疮的关键。在过去几年中已经取得了重大进展,但并非所有的进展都能普遍适用。一种有效的局部用剂型必须提供化学稳定性,并在最佳浓度下增强活性成分的渗透,以确保疗效和安全性;在美容上是可接受的;并且不会产生自身的副作用。维甲酸类药物和含有过氧化苯甲酰的固定复方制剂都常用于治疗痤疮,但两者都有可能引起令人烦恼的剂量依赖性刺激和干燥。表面活性剂和酒精等辅料加剧了这一问题。最近推出了两种产品,其中微粉化技术和精心挑选的辅料相结合,在不影响疗效的情况下将刺激和干燥降至最低。本文讨论了两项主要研究的结果。

相似文献

1
Advances in topical delivery systems in acne: new solutions to address concentration dependent irritation and dryness.痤疮局部给药系统的进展:解决浓度依赖性刺激和干燥问题的新方法
Skinmed. 2011 Jan-Feb;9(1):15-21.
2
How patients experience and manage dryness and irritation from acne treatment.患者如何体验和应对痤疮治疗引起的干燥和刺激。
J Drugs Dermatol. 2011 Jun;10(6):605-8.
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The development and optimization of a fixed combination of clindamycin and benzoyl peroxide aqueous gel.克林霉素与过氧化苯甲酰水凝胶固定组合的研制与优化
J Drugs Dermatol. 2009 Jul;8(7):634-8.
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Safety and efficacy of micronized tretinoin gel (0.05%) in treating adolescent acne.微粉化维甲酸凝胶(0.05%)治疗青少年痤疮的安全性和有效性。
J Drugs Dermatol. 2011 Jun;10(6):647-52.
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Combination topical therapy in the treatment of acne.联合外用疗法治疗痤疮
Cutis. 2006 Aug;78(2 Suppl 1):5-12.
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Benzoyl peroxide development, pharmacology, formulation and clinical uses in topical fixed-combinations.过氧化苯甲酰的研发、药理学、制剂及局部固定复方制剂的临床应用
J Drugs Dermatol. 2010 May;9(5):482-7.
7
Comparison of clindamycin/benzoyl peroxide, tretinoin plus clindamycin, and the combination of clindamycin/benzoyl peroxide and tretinoin plus clindamycin in the treatment of acne vulgaris: a randomized, blinded study.克林霉素/过氧化苯甲酰、维甲酸加克林霉素以及克林霉素/过氧化苯甲酰与维甲酸加克林霉素联合用药治疗寻常痤疮的比较:一项随机、盲法研究。
J Drugs Dermatol. 2005 Sep-Oct;4(5):611-8.
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Fixed-combination products in the management of acne vulgaris.固定复方制剂在寻常痤疮治疗中的应用
Cutis. 2010 Mar;85(3):160-7.
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Benzoyl peroxide microsphere cream as monotherapy and combination treatment of acne.过氧化苯甲酰微球乳膏作为痤疮的单一疗法和联合治疗方法。
J Drugs Dermatol. 2008 Jun;7(6):590-5.
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Combining clindamycin 1%-benzoyl peroxide 5% gel with multiple therapeutic options.将1%克林霉素-5%过氧化苯甲酰凝胶与多种治疗方案相结合。
Cutis. 2006 Aug;78(2 Suppl 1):13-20.

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