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技术策略在用于治疗神经系统疾病的药物经鼻腔给药的药物传递系统中的应用:综述。

Technological Strategies Applied to Pharmaceutical Systems for Intranasal Administration of Drugs Intended for Neurological Treatments: A Review.

机构信息

Postgraduate Program in Pharmaceutical Sciences, Laboratory of Research and Development of Drug Delivery Systems, Department of Pharmacy, State University of Maringa, Maringa, PR, Brazil.

出版信息

AAPS PharmSciTech. 2024 Nov 1;25(8):258. doi: 10.1208/s12249-024-02974-9.

Abstract

The complexity of treating neurological diseases has meant that new strategies have had to be developed to deliver drugs to the brain more efficiently and safely. Intranasal drug delivery is characterized by its ease of administration, safety, and rapid delivery directly from the nose to the brain. Several strategies have been developed to improve the delivery of drugs to the brain via nasal administration. These include the use of mucoadhesive and thermoresponsive polymers and their combination into polymer blends, as well as the use of liposomes, niosomes, and nano- and microemulsions. Therefore, this review focuses on technologies for developing pharmaceutical systems aimed at delivery via the nose to the brain, contributing to new treatments for difficult neurological disorders. Some of the most common and difficult-to-treat neurological conditions, the intranasal route of administration, and the anatomy of the nasal cavity have been discussed, as well as factors that may influence the absorption of drugs administered into the nose. The types of intranasal formulations and the devices that can be used to administer these products are also discussed in this review. Strategies for improving the transport of bioactive agents and increasing bioavailability are highlighted. The technologies discussed in this review can facilitate the development of formulations with improved properties, such as drug release and mucoadhesiveness, which have several advantages for patients requiring complex neurological treatments.

摘要

治疗神经疾病的复杂性意味着必须开发新的策略,以更有效地和更安全地将药物递送到大脑。鼻腔给药的特点是给药方便、安全,并且可以直接从鼻子快速递送到大脑。已经开发了几种策略来通过鼻内给药来改善药物向大脑的递送。这些策略包括使用粘弹性和温敏聚合物及其组合成聚合物共混物,以及使用脂质体、非离子体、纳米和微乳液。因此,本综述重点介绍了旨在通过鼻腔递送到大脑的药物系统的开发技术,为治疗困难的神经疾病提供了新的治疗方法。本文讨论了一些最常见和最难治疗的神经疾病、鼻腔给药途径和鼻腔解剖结构,以及可能影响鼻内给予药物吸收的因素。本文还讨论了鼻腔内制剂的类型和可用于给予这些产品的装置。本文强调了提高生物活性剂转运和增加生物利用度的策略。本综述中讨论的技术可以促进具有改善的性能的制剂的开发,例如药物释放和粘膜粘附性,对于需要复杂神经治疗的患者具有许多优势。

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