提高难溶性药物口服生物利用度的策略

A. Sushmitha
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摘要

生物利用度的定义是不变的药物从剂型进入体循环的吸收速度和程度。生物利用度差的药物是指水溶性差、在生物体液中溶解速度慢、药物在生理pH下溶解稳定性差、通过生物膜渗透性差、全身前代谢广泛的药物。口服给药是最方便和常用的给药途径,因为它易于给药,患者依从性高,成本效益好,无菌限制最小,剂型设计灵活。因此,许多仿制药公司更倾向于生产生物等效口服药物产品。提高水溶性差药物口服生物利用度的主要技术有固体分散体、微粉化、纳米化、固体脂质纳米颗粒和胶体给药系统等。胶体给药系统包括微乳、自乳化给药系统、脂质体、自微乳化给药系统(SMEDDS)。配制微乳剂、自乳化给药系统的挑战之一是具有GRAS(通常被认为是安全的)状态的制剂成分的生物利用度有限。药物的生物利用度是控制药物配方和治疗效果的最重要因素,因此是配方开发中最关键的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
STRATEGIES FOR ENHANCING ORAL BIOAVAILABILITY OF POORLY SOLUBLE DRUGS
Bioavailability is defined as the rate and extent of absorption of unchanged drug from its dosage form in to the systemic circulation. A drug with poor bioavailability is one with poor aqueous solubility, slow dissolution rate in biological fluids, poor stability of drug dissolved at physiological pH, poor permeation through biomembrane, extensive presystemic metabolism. Oral ingestion is most convenient and commonly employed route of drug delivery due to its ease of administration, high patient compliance, cost effectiveness, least sterility constraints, and flexibility in the design of dosage form. As a result, many of the generic drug companies are inclined more to produce bioequivalent oral drug products. The main technologies to achieve the enhanced oral bioavailability of drugs with poor aqueous solubility include the use of solid dispersions, micronization, nanonization, solid lipid nanoparticles and colloidal drug delivery systems etc. Colloidal drug delivery systems include microemulsions, self emulisifying drug delivery systems, liposomes, self micro emulsifying drug delivery systems (SMEDDS). One of the challenges in formulating micro emulsions, self emulsifying drug delivery systems is the limited bioavailability of formulation components with GRAS (generally regarded as safe) status. Bioavailability of the drug is the most important factor that controls the formulation of drug as well as the therapeutic efficacy of the drug, hence the most critical factor in the formulation development.
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