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肺部给药在现代治疗中的作用:概述

The Role of Pulmonary Drug Delivery in Modern Therapeutics: An Overview.

作者信息

Kumar Subramani Prem, P N Remya, Narayanasamy Damodharan

机构信息

Pharmacy, SRM College of Pharmacy, SRM Institute of Science and Technology, Chennai, IND.

Pharmacy, SRM Institute of Science and Technology, Chennai, IND.

出版信息

Cureus. 2024 Sep 4;16(9):e68639. doi: 10.7759/cureus.68639. eCollection 2024 Sep.

Abstract

The pulmonary drug delivery system is a promising and evolving technology in which the prescribed medicine is breathed through the lungs, and subsequently, it enters the circulation via the alveolar epithelium. This category of pulmonary drug delivery system is an appealing and non-invasive administration method. Pulmonary drug delivery is most commonly utilized to treat airway problems by providing locally active medicines directly to their site of action. The dose required to have a pharmacological effect is reduced when medicines are delivered directly to their site of action. In addition to locally acting medications, the pulmonary route can be utilized to deliver compounds with systemic effects, such as in the case of insulin inhalation therapy for systemic absorption. Particle size, bioavailability, device compatibility, and other aspects must be addressed, including the formulation of drugs into an acceptable dosage for inhalation with sufficient stability. This formulation must also be used in conjunction with a suitable inhaler device that produces an aerosol with a particle or droplet size that assures deposition in the required targeted area of the pulmonary system. Recent advancements in pulmonary drug delivery include the development of targeted nanoparticles and inhalable biologics, which enhance drug absorption and efficacy while minimizing systemic side effects. Future directions focus on personalized medicine approaches and advanced inhalation technologies, although limitations such as variable patient adherence and the need for precise dosing continue to pose challenges.

摘要

肺部药物递送系统是一项很有前景且不断发展的技术,在该系统中,处方药物通过肺部吸入,随后经肺泡上皮进入血液循环。这类肺部药物递送系统是一种有吸引力的非侵入性给药方法。肺部药物递送最常用于通过直接将局部活性药物输送到其作用部位来治疗气道问题。当药物直接输送到其作用部位时,产生药理作用所需的剂量会降低。除了局部作用的药物外,肺部给药途径还可用于递送具有全身作用的化合物,例如胰岛素吸入疗法用于全身吸收的情况。必须解决粒径、生物利用度、装置兼容性等方面的问题,包括将药物制成具有足够稳定性的可接受吸入剂型。这种制剂还必须与合适的吸入装置配合使用,该装置产生的气雾剂的颗粒或液滴大小要确保在肺部系统所需的目标区域沉积。肺部药物递送的最新进展包括靶向纳米颗粒和可吸入生物制品的开发,它们可提高药物吸收和疗效,同时将全身副作用降至最低。未来的发展方向集中在个性化医疗方法和先进的吸入技术上,尽管诸如患者依从性不一和需要精确给药等限制仍然构成挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/861a/11451426/8b9d6a641c77/cureus-0016-00000068639-i01.jpg

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