Rezaiezadeh Hojjat, Ranjbar Tavakoli Marziyeh, Langarizadeh Mohammad Amin, Saeedi Garaghani Zahra, Karami-Mohajeri Somayyeh
Student Research Committee, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran.
Department of Medicinal Chemistry, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.
Sex Med Rev. 2024 Sep 25;12(4):720-730. doi: 10.1093/sxmrev/qeae059.
Erectile dysfunction is among the most prevalent urologic issues affecting men globally and is characterized by a high incidence rate. This condition significantly affects the quality of life of patients and their sexual partners.
Due to the interactions, contraindications, and side effects associated with systemic drugs, recent research has increasingly focused on topical and transdermal medications for the treatment of erectile dysfunction.
Based on previous studies, this article examines papaverine in terms of local effectiveness, methods of increasing therapeutic efficiency, possible local side effects, and evaluation of its various formulations.
Among these approaches, notable strategies include using novel formulations and nanoformulations as compared with classic ones, employing permeation enhancers, and combining treatments with other oral and topical drugs with synergistic mechanisms. These methods aim to improve transdermal papaverine's bioavailability and therapeutic efficacy while minimizing side effects and enhancing patient compliance.
Transdermal papaverine may not be as effective as its injectable form, but the treatment path is more pleasant, with less pain and fewer side effects for patients. For this reason, using solutions that remove the penile skin and fascial absorption barrier can be very effective.
勃起功能障碍是全球影响男性的最常见泌尿系统问题之一,发病率很高。这种情况会显著影响患者及其性伴侣的生活质量。
由于全身性药物存在相互作用、禁忌证和副作用,近期研究越来越关注局部和经皮药物治疗勃起功能障碍。
基于以往研究,本文从局部有效性、提高治疗效率的方法、可能的局部副作用以及对其各种制剂的评估等方面对罂粟碱进行了研究。
在这些方法中,显著的策略包括与传统制剂相比使用新型制剂和纳米制剂、采用渗透促进剂以及将治疗与具有协同作用机制的其他口服和局部药物联合使用。这些方法旨在提高经皮罂粟碱的生物利用度和治疗效果,同时将副作用降至最低并提高患者的依从性。
经皮罂粟碱可能不如其注射剂型有效,但治疗过程对患者来说更舒适,疼痛更少且副作用更少。因此,使用去除阴茎皮肤和筋膜吸收屏障的溶液可能非常有效。