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Buccal Transmucosal Controlled Drug Delivery System: Emerging Strategy For Oral Antidiabetic Therapy - A Review
Pragati Kumar1, Akanksha Singh Tomar1, Ashwani Gupta1
1PSIT-Pranveer Singh Institute of Technology (Pharmacy), Bhauti Kanpur, Uttar Pradesh, India.
Buccal drug delivery offers a promising alternative for diabetes treatment, improving medication absorption and patient convenience. This method bypasses common oral drug limitations, enhancing therapeutic outcomes for conditions like diabetes mellitus.
Area of Science:
- Pharmacology and Pharmaceutics
- Biomedical Engineering
- Endocrinology
Background:
- Standard oral diabetes medications face challenges including poor absorption, hepatic first-pass metabolism, and poor patient compliance.
- Buccal drug delivery presents an alternative route, utilizing the oral mucosa for systemic drug absorption.
- Gastrointestinal side effects from oral antidiabetics like metformin and alpha-glucosidase inhibitors can impede treatment adherence.
Purpose of the Study:
- To review the potential of buccal drug delivery systems for managing diabetes mellitus.
- To analyze the anatomical and physiological characteristics of the buccal mucosa relevant to drug absorption.
- To explore various buccal delivery systems and strategies for enhancing drug permeation.
Main Methods:
- Comprehensive literature review of buccal mucosa structure, function, and drug absorption.
- Analysis of different buccal dosage forms (tablets, films, gels, patches) and permeation enhancers.
- Examination of the pharmacokinetic and clinical implications of buccal delivery for antidiabetic drugs (e.g., Metformin, Glibenclamide).
Main Results:
- Buccal delivery offers controlled release and avoids hepatic first-pass metabolism, potentially improving bioavailability of diabetes medications.
- Various delivery systems and permeation enhancement techniques are available for buccal administration.
- While convenient, buccal delivery has limitations including poor absorption, salivary washout, and limited surface area.
Conclusions:
- Buccal drug delivery is a viable and convenient alternative for diabetes treatment, potentially overcoming limitations of oral administration.
- Further research and technological advancements are needed to optimize buccal systems and address existing challenges for wider clinical application.
- This delivery route holds potential to improve patient compliance and therapeutic efficacy for managing diabetes mellitus.
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