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Orphan Formulations in Pediatric Schistosomiasis Treatment: Development and Characterization of Praziquantel
M A Gonzalez1,2, M V Ramírez Rigo1,2, N L Gonzalez Vidal3,4
1Departamento de Biología, Bioquímica y Farmacia, Universidad Nacional del Sur (UNS), San Juan 670, 8000, Bahía Blanca, Argentina.
Insights
This study developed a praziquantel dry nanosuspension for children, improving bioavailability and compliance. The novel formulation enhances drug dissolution and taste for effective schistosomiasis treatment.
Area of Science:
- Pharmaceutical Technology
- Drug Delivery Systems
- Pediatric Pharmacology
Background:
- Praziquantel is the primary treatment for schistosomiasis but suffers from poor solubility and taste, limiting pediatric use.
- Low bioavailability and poor patient compliance are significant challenges in pediatric praziquantel administration.
- Developing palatable and bioavailable praziquantel formulations is crucial for effective pediatric schistosomiasis control.
Purpose of the Study:
- To develop a dry nanosuspension of praziquantel for pediatric use.
- To improve praziquantel's bioavailability and patient compliance through taste masking and enhanced dissolution.
- To create an extemporaneously redispersible powdered formulation suitable for young children.
Main Methods:
- Combination of high-pressure homogenization and spray drying to create praziquantel nanoparticles.
- Characterization of formulations including particle size, crystallinity, morphology, and dissolution.
- Evaluation of sedimentation-redispersibility behavior of the dried nanosuspension.
- Optimization of stabilizer-to-drug ratios for nanosuspension development.
Main Results:
- Significant reduction in particle size achieved via high-pressure homogenization.
- Successful microencapsulation of nanoparticles using spray drying, yielding redispersible powders.
- Conserved nanometric particle size distribution and crystallinity after drying and redispersion.
- Enhanced in vitro dissolution performance maintained after the drying and redispersion process.
Conclusions:
- The developed nanoparticle-loaded powders offer a promising approach for administering praziquantel to preschool-age children.
- This formulation addresses key challenges of low solubility, poor taste, and bioavailability in pediatric praziquantel therapy.
- The technology facilitates extemporaneous preparation, improving compliance and therapeutic outcomes for pediatric schistosomiasis.
Abstract:
Praziquantel is a broad spectrum antihelmintic agent and represents the drug of choice for the treatment of schistosomiasis. However, its low aqueous solubility and strong bitter taste highly affect the bioavailability and compliance in pediatric patients. Thus, the purpose of this study was to develop a dry nanosuspension, by a combination of high-pressure homogenization and spray drying, intended for redispersion in a pleasant taste vehicle for extemporaneous use. Three formulations, varying stabilizers to drug ratio, were developed and characterized in terms of particle size distribution, crystallinity, morphology, in vitro dissolution, and sedimentation-redispersibility behavior. A significant reduction in particle size was achieved after the high-pressure homogenization process, and the nanoparticles were further microencapsulated by spray drying technique. The redispersed dried powders exhibited a conserved particle size distribution (in the nanometric range) and certain crystallinity extent, with satisfactory redispersion ability. Besides, the enhancement of the dissolution performance obtained after comminution was conserved, even after drying and redispersion of the extemporaneous powdered formulation. In conclusion, the developed nanoparticle-loaded powders comprise an interesting tool for the administration of praziquantel to preschool-age children.
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