School of Pharmacy, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, UK.
School of Pharmacy, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, UK.
Drug Discov Today. 2018 May;23(5):1026-1033. doi: 10.1016/j.drudis.2017.10.013. Epub 2017 Oct 23.
Long-acting drug nanosuspension formulations are coming to the fore as controlled release strategies for several medical conditions and as a preventative measure against HIV infection. However, such delivery systems must, by necessity, be given by hypodermic injection, typically into muscle. This poses problems for patients who are needle-phobic, given that injections have to be administered on a weekly or monthly basis. Needle-stick injuries, inappropriate reuse of needles, and poor disposal practices are major challenges in developing countries. Dissolving microneedles (MNs) are capable of delivering high drug doses, if suitably designed and formulated, and are also capable of delivering nanoparticles (NPs) into viable skin. Given that such microneedles are minimally invasive and self-disabling, the potential for major enhancement in patient care and compliance exists. In this review, we explore the key considerations in the development of these combination drug delivery systems.
长效药物纳米混悬剂制剂作为几种医疗状况的控释策略和预防 HIV 感染的措施正崭露头角。然而,此类给药系统必须通过皮下注射给药,通常是肌肉注射。对于那些害怕注射的患者来说,这带来了问题,因为这些注射必须每周或每月进行一次。在发展中国家,针具伤害、不当重复使用针具和处理不当是主要挑战。如果设计和配方得当,溶解微针 (MNs) 能够递送高剂量药物,并且还能够将纳米颗粒 (NPs) 递送至可存活的皮肤中。由于这些微针微创且自我失效,因此存在着极大地提高患者护理和顺应性的潜力。在这篇综述中,我们探讨了开发这些组合药物递送系统的关键考虑因素。