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Published on: November 14, 2018
Intranasal delivery: physicochemical and therapeutic aspects
Henry R Costantino1, Lisbeth Illum, Gordon Brandt
1Nastech Pharmaceutical Company, Inc., Bothell, WA 98021, USA. rcostantino@Nastech.com
Intranasal (IN) drug delivery offers a non-invasive route with benefits like rapid onset and direct CNS access. This review explores therapeutic applications and formulation considerations for IN administration.
Area of Science:
- Pharmacology
- Drug Delivery Systems
- Nasal Therapeutics
Background:
- Intranasal (IN) administration is a growing non-invasive drug delivery route.
- The nasal mucosa provides advantages including large surface area, rapid absorption, and potential for direct central nervous system (CNS) delivery.
- IN delivery bypasses first-pass metabolism, enhancing bioavailability for various therapeutic compounds.
Purpose of the Study:
- To provide an in-depth review of the therapeutic aspects of intranasal drug delivery.
- To discuss key considerations for formulation scientists, including indication, regimen, patient population, and drug physicochemical properties.
- To illustrate the practical utility of IN dosing through case examples.
Main Methods:
- Literature review focusing on therapeutic applications of intranasal drug delivery.
- Analysis of factors influencing IN drug efficacy, including drug properties and administration parameters.
- Inclusion of case studies demonstrating successful IN drug administration.
Main Results:
- Intranasal delivery is suitable for a wide range of therapeutics, including large molecules like peptides and proteins, often with permeation enhancers.
- Successful IN administration depends on careful consideration of the intended therapeutic indication, dosing regimen, patient characteristics, and drug physicochemical properties.
- Case examples highlight the feasibility and benefits of IN dosing for various conditions.
Conclusions:
- Intranasal drug delivery presents a promising non-invasive therapeutic option with significant advantages.
- Successful formulation and implementation require a comprehensive understanding of both drug characteristics and delivery parameters.
- This review serves as a valuable resource for scientists exploring intranasal drug delivery strategies.
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