Department of Chemistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Pharmaceutical Technology, Faculty of Pharmacy, Istanbul University, Istanbul, Turkey.
CNS Neurol Disord Drug Targets. 2020;19(5):360-373. doi: 10.2174/1871527319666200618150046.
Alzheimer's disease is a neuropathological disease with symptoms such as language problems, confusion as to place or time, loss of interest in activities, which were previously enjoyed, behavioral changes, and memory loss. Alzheimer's disease and other types of dementia affect almost 46.8 million people globally and are estimated to strike about 131.5 million people in 2050. It has been reported that Alzheimer's is the sixth main cause of mortality. The most used drugs, which are currently approved by the Food, and Drug Administration for Alzheimer's disease are donepezil, rivastigmine, galantamine, memantine, and the combination of donepezil and memantine. However, most of the drugs present various adverse effects. Recently, the transdermal drug delivery route has gained increasing attention as an emerging tool for Alzheimer's disease management. Besides, transdermal drug delivery systems seem to provide hope for the management of various diseases, due to the advantages that they offer in comparison with oral dosage forms. Herein, the current advancements in transdermal studies with potent features to achieve better Alzheimer's disease management are presented. Many researchers have shown that the transdermal systems provide higher efficiency since the first-pass hepatic metabolism effect can be avoided and a prolonged drug release rate can be achieved. In summary, the transdermal administration of Alzheimer's drugs is an interesting and promising topic, which should be further elaborated and studied.
阿尔茨海默病是一种神经病理学疾病,其症状包括语言问题、地点或时间混淆、对以前喜欢的活动失去兴趣、行为改变和记忆力减退。全球有近 4680 万人患有阿尔茨海默病和其他类型的痴呆症,预计到 2050 年将有 1.315 亿人受到影响。据报道,阿尔茨海默病是第六大主要死因。目前,食品和药物管理局批准用于治疗阿尔茨海默病的最常用药物有多奈哌齐、加兰他敏、利斯的明、美金刚和多奈哌齐与美金刚的联合制剂。然而,大多数药物都存在各种不良反应。最近,经皮给药途径作为一种治疗阿尔茨海默病的新兴工具,引起了越来越多的关注。此外,经皮给药系统由于其与口服剂型相比具有优势,似乎为各种疾病的治疗提供了希望。在此,介绍了具有治疗阿尔茨海默病潜力的经皮研究的最新进展。许多研究人员已经表明,经皮系统提供了更高的效率,因为可以避免首过肝代谢效应,并可以实现更长的药物释放速率。总之,阿尔茨海默病药物的经皮给药是一个有趣且有前途的课题,应该进一步阐述和研究。