Department of Pharmacy, The First Affiliated Chinese PLA General Hospital, Beijing, China.
Crit Rev Ther Drug Carrier Syst. 2013;30(5):411-34. doi: 10.1615/critrevtherdrugcarriersyst.2013007362.
Intranasal delivery is one of the most interesting and challenging endeavors facing pharmaceutical scientists. The conventional nasal drug delivery systems including solutions, suspensions, and ointments show drawbacks such as short residence in the nasal cavity, highly variable efficiency, low permeability, and inconvenient administration. In situ gel-forming systems are an interesting polymeric system that exists as flowing aqueous solution before administration and undergoes phase transition to form a viscoelastic gel in a physiologic environment. Benefiting from the merits of both a solution and a gel, an impressive number of in situ gel-forming systems induced by temperature, pH, and ions have been prepared for use in nasal drug delivery in the past few years. In situ gel-forming systems increase the retention of drugs in the nasal cavity, and some of them also show permeation-enhancing capabilities. This article reviews the in situ gel-forming systems used for nasal drug delivery and introduces their gelling mechanisms and other favorable features for intranasal delivery. It also describes the release patterns and drug stability of in situ gels as well as their in vivo performances and local safety following nasal administration.
鼻腔给药是制药科学家面临的最有趣和最具挑战性的工作之一。包括溶液、混悬剂和软膏在内的传统鼻腔给药系统存在一些缺点,如鼻腔内停留时间短、效率变化大、渗透性低以及使用不便。原位凝胶形成系统是一种有趣的聚合物系统,在给药前以流动的水溶液形式存在,在生理环境中发生相转变形成粘弹性凝胶。由于兼具溶液和凝胶的优点,在过去几年中,已经制备了大量由温度、pH 值和离子诱导的原位凝胶形成系统,用于鼻腔药物输送。原位凝胶形成系统增加了药物在鼻腔中的滞留时间,其中一些系统还表现出增强渗透的能力。本文综述了用于鼻腔药物输送的原位凝胶形成系统,介绍了它们的成胶机制和其他有利于鼻腔给药的特性。还描述了原位凝胶的释放模式和药物稳定性以及它们的体内性能和鼻腔给药后的局部安全性。