通过肺部向肺部输送抗生素:当前状况和未来前景
Yahya H Dallal Bashi1,2, Rachel Mairs1, Rand Murtadha1
1School of Pharmacy, Queen's University Belfast, Belfast BT9 7BL, UK.
Pharmaceutics
|January 25, 2025
概括
开发有效的肺部抗生素输送系统面临障碍. 本综述涵盖了当前的文献,临床试验和批准的产品,突出了改善抗生素吸入疗法的挑战和未来前景.
科学领域:
- 药物通过肺部输送.
- 呼吸系统药物 呼吸系统药物
- 抗生素治疗是一种抗生素治疗.
背景情况:
- 科学文献中描述了许多潜在的抗生素输送系统用于肺部感染.
- 然而,很少有这些系统成功转化为临床用途的销售产品.
- 显著的挑战阻碍了这些疗法的广泛采用.
研究的目的:
- 综合审查现有的文献,临床试验和已批准的产品,用于将抗生素输送到肺部.
- 确定阻碍这些药物输送系统的开发和监管批准的关键挑战.
- 探索优化抗生素肺部输送的潜在方法和未来前景.
主要方法:
- 科学出版物的文献评论.
- 对临床试验数据的分析.
- 检查监管部门批准的用于肺部抗生素输送的产品.
主要成果:
- 报告的潜在交付系统和实际销售的产品之间存在很大的差距.
- 高剂量的抗生素通常需要有效,增加潜在的副作用.
- 挑战包括吸入器-粉末配方的兼容性和精确的输送到目标呼吸道区域.
结论:
- 克服剂量优化,输送效率和安全方面的挑战对于监管批准至关重要.
- 需要对新的输送方法进行进一步的研究,以改善抗生素的肺部输送.
- 解决副作用和改善临床试验结果将为新的治疗选择铺平道路.
相关概念视频
Additional Routes of Drug Administration
2.7K
Choosing the appropriate route of drug administration is significantly influenced by two key factors: the therapeutic objectives and the inherent properties of the drug being used.
Administering drugs via inhalation allows for the direct delivery of gaseous, volatile substances or droplets to different parts of the respiratory tract. One of the advantages of the inhalation route is the rapid absorption of drugs into the circulatory system, which is possible because of the large surface area of...
Administering drugs via inhalation allows for the direct delivery of gaseous, volatile substances or droplets to different parts of the respiratory tract. One of the advantages of the inhalation route is the rapid absorption of drugs into the circulatory system, which is possible because of the large surface area of...
2.7K
COPD: Management Using Bronchodilators and Corticosteroids
174
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
174
Pulmonary Tuberculosis V
170
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
170
Inhaled Medications
234
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
234
Drug Delivery: Overview
276
The selection of a drug's delivery route depends upon its physicochemical properties, including lipid or water solubility and ionization, as well as the therapeutic requirement, such as immediate or sustained effect. These routes can be divided into three primary categories: enteral, parenteral, and topical.
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
276
Drug Delivery: Miscellaneous Routes
305
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
305


