School of Pharmacy, University of Nottingham Malaysia, Jalan Broga, 43500-Semenyih, Malaysia.
Neuropharmacology Research Laboratory, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Selangor, Malaysia.
CNS Neurol Disord Drug Targets. 2022;21(10):994-1003. doi: 10.2174/1871527321666211221162104.
Epilepsy is known as one of the major challenges for medical science. The sudden appearance of a seizure has been a significant health emergency as it may lead to further complications. Although key advancements have been achieved in terms of pharmacological approaches for epilepsy, many issues remain uncertain. Lipid carriers have been at the forefront, especially in neurodegenerative diseases, such as epilepsy, Alzheimer's, dementia, etc. The blood-brain barrier still appears to be a major impediment in the successful treatment of epileptic seizures. This is mainly due to the limited bioavailability of most anti-convulsant drugs. The present review encompasses the issues underlying the current approach for epilepsy drug treatment and highlights the newer, novel, and more precise drug delivery system to manage seizures. The advantage of using a lipidbased delivery system is its superior absorption in the brain cells. Ample evidence shows that reducing the particle size also infuses the drug easily through the blood-brain barrier. The application of liposomes, polymeric nanoparticles, metallic nanoparticles, and solid lipid nanoparticles for the treatment and management of epilepsy has been highlighted in the present review. This review provides an overview of the current status of the treatment and recent advances in the treatment of epilepsy.
癫痫被认为是医学科学面临的主要挑战之一。癫痫发作的突然出现是一个重大的健康紧急情况,因为它可能导致进一步的并发症。尽管在癫痫的药物治疗方法方面取得了重大进展,但仍有许多问题尚不确定。脂质载体一直处于前沿地位,特别是在神经退行性疾病中,如癫痫、阿尔茨海默病、痴呆症等。血脑屏障似乎仍然是成功治疗癫痫发作的主要障碍。这主要是由于大多数抗惊厥药物的生物利用度有限。本综述涵盖了当前癫痫药物治疗方法的基础问题,并强调了用于管理癫痫发作的更新、新颖和更精确的药物传递系统。使用基于脂质的传递系统的优点是其在脑细胞中的吸收更好。大量证据表明,减小颗粒尺寸也可以使药物更容易通过血脑屏障。本综述重点介绍了脂质体、聚合物纳米粒子、金属纳米粒子和固体脂质纳米粒子在癫痫治疗和管理中的应用。本综述提供了癫痫治疗现状和最新进展的概述。