Rohan L C, Devlin B, Yang H
Department of Pharmaceutical Sciences, School of Pharmacy, University of Pittsburgh Magee Women's Research Institute, Pittsburgh, PA, USA,
Curr Top Microbiol Immunol. 2014;383:27-54. doi: 10.1007/82_2013_357.
Microbicides are topically applied, user controlled dosage forms that are being developed to prevent the transmission of HIV during coitus. Early candidates focused on coitally dependent dosage forms such as gels and creams. More recent development has focused on broadening the coitally dependent options through the introduction of films and fast dissolving tablets. Additionally, it has become important to have longer acting products to minimize the burden of user compliance and thus vaginal rings have been developed providing sustained delivery of antiretroviral drugs. This chapter discusses the history of microbicides along with a detailed description of coitally dependent products, gels, films, tablets diaphragms, as well as coitally independent dosage forms such as vaginal rings and the introduction of a new technology, electrospun fibers.
杀微生物剂是局部应用、由使用者控制剂量的剂型,目前正在研发用于预防性交期间艾滋病毒的传播。早期的候选产品主要集中在性交依赖剂型,如凝胶和乳膏。最近的发展重点是通过引入薄膜和速溶片来扩大性交依赖型产品的选择范围。此外,开发作用时间更长的产品以减轻使用者的依从负担变得很重要,因此已经开发出了能持续释放抗逆转录病毒药物的阴道环。本章讨论了杀微生物剂的历史,并详细描述了性交依赖型产品、凝胶、薄膜、片剂、子宫托,以及性交非依赖型剂型,如阴道环,还介绍了一种新技术——电纺纤维。