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口腔黏膜膜制剂:以患者为中心和制造工艺的考虑要点。

Oromucosal film preparations: points to consider for patient centricity and manufacturing processes.

机构信息

a Institute of Pharmaceutics and Biopharmaceutics , Heinrich-Heine-University Düsseldorf , Düsseldorf , Germany.

b Department of Pharmaceutical Technology and Biopharmacy , University of Groningen , Groningen , The Netherlands.

出版信息

Expert Opin Drug Deliv. 2016;13(4):493-506. doi: 10.1517/17425247.2016.1118048. Epub 2015 Dec 8.

Abstract

INTRODUCTION

According to the European Pharmacopoeia, oromucosal films comprise mucoadhesive buccal films and orodispersible films. Both oral dosage forms receive considerable interest in the recent years as commercially available pharmaceutical products and as small scale personalized extemporaneous preparations.

AREAS COVERED

In this review, technological issues such as viscosity of the casting liquid, mechanical properties of the film, upscaling and the stability of the casting solution and produced films will be discussed. Furthermore, patient-related problems like appearance, mucosal irritation, taste, drug load, safety and biopharmaceutics are described. Current knowledge and directions for solutions are summarized.

EXPERT OPINION

The viscosity of the casting solution is a key factor for producing suitable films. This parameter is amongst others dependent on the polymer and active pharmaceutical ingredient, and the further excipients that are used. For optimal patient compliance, an acceptable taste and palatability are desirable. Safe and inert excipients should be used and appropriate packaging should be provided to produced films. Absorption through the oral mucosa will vary for each active compound, formulation and patient, which gives rise to pharmacokinetic questions. Finally, the European Pharmacopoeia needs to specify methods, requirement and definitions for oromucosal film preparations based on bio-relevant data.

摘要

简介

根据欧洲药典,口腔黏膜膜剂包括粘膜粘附颊膜剂和口腔速溶膜剂。近年来,这两种口服剂型作为商业上可获得的药物产品以及小规模的个体化临时制剂,受到了相当大的关注。

涵盖领域

在这篇综述中,将讨论技术问题,如铸膜液的粘度、膜的机械性能、放大和铸膜液及所制得的膜的稳定性。此外,还描述了与患者相关的问题,如外观、粘膜刺激、味道、药物负荷、安全性和生物药剂学。总结了当前的知识和解决方案方向。

专家意见

铸膜液的粘度是生产合适膜剂的关键因素。该参数除其他外取决于聚合物和活性药物成分以及所使用的其他赋形剂。为了达到最佳的患者顺应性,需要可接受的口感和味道。应使用安全和惰性的赋形剂,并为所制得的膜提供适当的包装。每种活性化合物、制剂和患者的经口腔黏膜吸收情况各不相同,这引发了药代动力学问题。最后,欧洲药典需要根据生物相关数据,为口腔黏膜膜剂制剂规定方法、要求和定义。

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