Dubai Pharmacy College, Pharmaceutics and Pharmacy, Dubai, UAE.
Expert Opin Drug Deliv. 2011 Nov;8(11):1521-9. doi: 10.1517/17425247.2011.628311. Epub 2011 Oct 13.
Disease management of outdoor patients is mainly affected by patient compliance to the drug therapy, which in turn is governed by patient convenience. Failure to follow through with a treatment decision is one of the biggest causes of unsuccessful medical care. At present, different formulation options are available for various drugs, and hence, the decision is based on the most convenient dosage form for the patient, along with optimum therapeutic benefits.
This paper reviews various available formulation approaches, in the hope of improving patient convenience, compliance and the overall outcome of oral drug therapy.
While parenterals are valued for their speed and efficiency of delivery, these systems generally score low on patient satisfaction surveys. The oral route is the preferred route for drug delivery, although it renders multiple obstacles to formulate a patient-convenient platform, such as unfavorable taste and swallowing difficulties. Transdermal drug delivery also provides high patient satisfaction, but is effective only for the delivery of smaller, lipophilic molecules. The increasing development of biopharmaceutical therapies renders an increasing number of challenges for formulation scientists to develop a more patient-convenient means of drug delivery.
户外患者的疾病管理主要受患者对药物治疗的依从性影响,而这又取决于患者的方便性。未能坚持治疗决策是医疗失败的最大原因之一。目前,各种药物都有不同的剂型选择,因此,决策是基于患者最方便的剂型和最佳的治疗效果。
本文综述了各种可用的制剂方法,以期提高患者的便利性、依从性和口服药物治疗的整体效果。
虽然注射剂因其给药速度和效率而受到重视,但这些系统在患者满意度调查中的得分通常较低。口服途径是药物输送的首选途径,尽管它给患者方便的平台带来了多种障碍,如不良口感和吞咽困难。透皮药物输送也提供了很高的患者满意度,但仅对较小的脂溶性分子有效。生物制药治疗的不断发展给制剂科学家带来了越来越多的挑战,需要开发更方便患者的药物输送方式。