Mustafa Ghulam, Rasul Akhtar, Abbas Ghulam, Shah Shahid, Mehmood Yasir
Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Government College University Faisalabad, Pakistan.
Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Government College University Faisalabad, Pakistan.
J Pharm Sci. 2025 Feb;114(2):1077-1086. doi: 10.1016/j.xphs.2024.11.019. Epub 2024 Nov 29.
Depression is a mental disorder that often comes with symptoms like irritability, rage, changes in appetite or weight, hopelessness, and loss of interest in day-to-day activities. Venlafaxine (VLF) is a medication used to treat depression. When taken orally, only about 45 % of VLF enters the systemic circulation due to liver metabolism. However, if VLF is administered nasally, it can bypass the liver and be absorbed more efficiently. The nose has a strong blood supply and a high concentration of microvilli, which can speed up the absorption process and is not subject to first pass metabolism. To create a nasal spray for VLF, a combination of cholesterol, a nonionic surfactant, and a palmitic acid-lysine (PA-LYS) conjugation were used to make VLF-loaded novasomes. The optimal formulation, NPV3 consisted of cholesterol, brij35, and the PA-LYS conjugate. The size, surface charge, and PDI values of formulations ranged from 149 to 167 nm, -1.00 to -1.23 and 0.342 to 0.967, respectively. VLF was evenly and uniformly distributed within the novasomes, as indicated by the results of DSC and TGA investigations. The novasomes had adherence time of 7.9 h, with 65 to 95 % and 85.5 % VLF release and penetration, respectively. Compared to the commercially available Effexor® tablets, the trans-nasal injection of the NPV3 formulation resulted in a 1-fold increase in VLF bioavailability and an improved antidepressant effect. Therefore, the nasal delivery of VLF-loaded novasomes could be a significant improvement in the treatment of depression.
抑郁症是一种精神障碍,常伴有易怒、愤怒、食欲或体重变化、绝望以及对日常活动失去兴趣等症状。文拉法辛(VLF)是一种用于治疗抑郁症的药物。口服时,由于肝脏代谢,只有约45%的VLF进入体循环。然而,如果经鼻给药,VLF可以绕过肝脏并更有效地被吸收。鼻子有丰富的血液供应和高浓度的微绒毛,这可以加速吸收过程且不受首过代谢的影响。为了制备VLF鼻喷雾剂,使用胆固醇、非离子表面活性剂和棕榈酸-赖氨酸(PA-LYS)缀合物的组合来制备载有VLF的纳米脂质体。最佳配方NPV3由胆固醇、聚山梨醇酯35和PA-LYS缀合物组成。制剂的大小、表面电荷和多分散指数(PDI)值分别为149至167纳米、-1.00至-1.23和0.342至0.967。差示扫描量热法(DSC)和热重分析法(TGA)研究结果表明,VLF在纳米脂质体内均匀分布。纳米脂质体的粘附时间为7.9小时,VLF的释放率和渗透率分别为65%至95%和85.5%。与市售的怡诺思®片剂相比,经鼻注射NPV3制剂使VLF的生物利用度提高了1倍,并改善了抗抑郁效果。因此,载有VLF的纳米脂质体经鼻给药可能是抑郁症治疗的一项重大进展。