Institute of Pharmaceutical Technology and Regulatory Affairs, Faculty of Pharmacy, University of Szeged, Eötvös St. 6, Szeged H-6720, Hungary; Faculty of Pharmacy, Hasanuddin University, Makassar 90245, Indonesia.
Institute of Pharmaceutical Technology and Regulatory Affairs, Faculty of Pharmacy, University of Szeged, Eötvös St. 6, Szeged H-6720, Hungary.
Eur J Pharm Sci. 2024 Nov 1;202:106897. doi: 10.1016/j.ejps.2024.106897. Epub 2024 Sep 5.
Orally administered amoxicillin is recommended as the first-line treatment of acute bacterial rhinosinusitis (ABR) and given in a high-dose regimen. However, the risk of various systemic adverse reactions and low oral bioavailability are unbearable, increasing the threat of antibiotic resistance. Therefore, nasal delivery of amoxicillin can be a potential approach for effectively treating ABR locally, as well as overcoming those drawbacks. In a way to guarantee the effectiveness for local therapy in nasal cavity, the permeation and retention properties are of significant importance considerations. Accordingly, the present work aimed to investigate the characteristics with respect to the nasal applicability of the in situ gelling amoxicillin trihydrate (AMT) and further evaluate its permeability and retention properties through human nasal mucosa. The lyophilized formulations were characterized utilizing the Differential Scanning Calorimetry (DSC) and X-ray Powder Diffraction (XRPD), and also evaluated for its polarity, reconstitution time, droplet size distribution, mucoadhesive properties, and ex vivo permeability and retention studies. The results confirmed that the in situ gelling AMT formulations possess adequate mucoadhesive behavior, especially the formulation containing 0.3 % of gellan gum. Substantially, the in situ gelling AMT formulations were able to retain the drug on the surface of nasal mucosa instead of permeating across the membrane; thus, suitable for treating nasal infections locally. Altogether, the in situ gelling systems demonstrates promising abilities as a delivery platform to enhance local application of AMT within the nasal cavity.
口服阿莫西林被推荐为急性细菌性鼻-鼻窦炎(ABR)的一线治疗药物,并采用高剂量方案给药。然而,各种全身不良反应的风险和低口服生物利用度是难以承受的,这增加了抗生素耐药性的威胁。因此,鼻内给予阿莫西林可能是一种局部有效治疗 ABR 的潜在方法,同时克服了这些缺点。为了保证鼻腔局部治疗的有效性,渗透和保留特性是需要考虑的重要因素。因此,本工作旨在研究原位凝胶化阿莫西林三水合物(AMT)的鼻腔适用性特征,并通过人鼻黏膜进一步评估其渗透性和保留特性。通过差示扫描量热法(DSC)和 X 射线粉末衍射(XRPD)对冻干制剂进行了表征,并评估了其极性、再形成时间、粒径分布、粘膜粘附性能以及体外渗透保留研究。结果证实,原位凝胶化 AMT 制剂具有足够的粘膜粘附性能,特别是含有 0.3%的结冷胶的制剂。实际上,原位凝胶化 AMT 制剂能够将药物保留在鼻黏膜表面,而不是穿透膜,因此适合局部治疗鼻腔感染。总之,原位凝胶系统作为一种给药平台,具有增强 AMT 在鼻腔内局部应用的潜力。
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