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Advanced Formulation Approaches for Ocular Drug Delivery: State-Of-The-Art and Recent Patents

机译:眼部药物输送的先进配方方法:最新技术和最新专利

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摘要

The eye presents extensive perspectives and challenges for drug delivery, mainly because of the extraordinary capacity, intrinsic to this path, for drugs to permeate into the main circulatory system and also for the restrictions of the ocular barriers. Depending on the target segment of the eye, anterior or posterior, the specifications are different. The ocular route experienced in the last decades a lot of progresses related with the development of new drugs, improved formulations, specific-designed delivery and even new routes to administer a drug. Concomitantly, new categories of materials were developed and adapted to encapsulate drugs. With such advances, a multiplicity of parameters became possible to be optimized as the increase in bioavailability and decreased toxic effects of medicines. Also, the formulations were capable to easily adhere to specific tissues, increase the duration of the therapeutic effect and even target the delivery of the treatment. The ascending of new delivery systems for ocular targeting is a current focus, mainly because of the capacity to extend the normal time during which the drug exerts its therapeutic effect and, so, supplying the patients with a product which gives them fewer side effects, fewer number of applications and even more effective outcomes to their pathologies, surpassing the traditionally-used eye drops. Depending on the systems, some are capable of increasing the duration of the drug action as gels, emulsions, prodrugs, liposomes, and ocular inserts with hydrophilic properties, improving the absorption by the cornea. In parallel, other devices use as a strategy the capacity to sustain the release of the carried drugs by means of erodible and non-erodible matrices. This review discusses the different types of advanced formulations used for ocular delivery of therapeutics presenting the most recent patents according to the clinical applications.
机译:眼睛对药物输送提出了广泛的观点和挑战,这主要是因为该途径固有的非凡能力,药物渗透到主要循环系统中以及对眼屏障的限制。根据眼睛的目标部分(前眼或后眼),规格会有所不同。在过去的几十年中,眼科手术经历了许多进展,这些进展与新药的开发,改良的制剂,经过特殊设计的给药甚至是给药药物的新途径有关。随之而来的是,开发了新的材料类别,并将其用于封装药物。随着这样的进步,随着生物利用度的增加和药物毒性作用的降低,可以优化多个参数。而且,该制剂能够容易地粘附于特定组织,增加治疗效果的持续时间,甚至靶向治疗的递送。用于眼部靶向的新的递送系统的上升是当前的焦点,这主要是由于能够延长药物发挥其治疗作用的正常时间的能力,因此,为患者提供了给他们更少副作用,更少副作用的产品。数量众多,甚至病理结果更为有效,超过了传统上使用的眼药水。根据系统的不同,某些药物可以增加药物作用的持续时间,例如具有亲水性的凝胶,乳剂,前药,脂质体和眼用插入物,从而改善角膜的吸收。同时,其他设备将通过可侵蚀和不可侵蚀的基质来维持所载药物释放的能力作为策略。这篇综述讨论了用于眼部治疗的不同类型的高级制剂,根据临床应用,这些制剂具有最新专利。

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