干粉吸入器设计与颗粒技术在提高肺部药物沉积方面的应用:挑战与未来战略。

IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY DARU Journal of Pharmaceutical Sciences Pub Date : 2024-06-11 DOI:10.1007/s40199-024-00520-3
Nazrul Islam, Tan Suwandecha, Teerapol Srichana
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引用次数: 0

摘要

目标:干粉吸入器(DPI)配方的高效给药与设备设计、药物配方和患者吸力之间复杂的相互作用有关。要实现干粉吸入器配方的高效给药,需要解决一些难题,如配方的药物释放剂量有限、药物在肺深部的沉积量低且不稳定等。本研究的目的是回顾当前吸入给药技术面临的挑战,并找到提高干粉吸入器给药效率的方法:使用适当的关键词和短语作为搜索条件,从SciFinder、Web of Science、PubMed和Google Scholar数据库中已发表的文章中收集证据:由于肺部解剖结构复杂,DPIs 成功实现肺部给药非常具有挑战性,需要对颗粒技术、配方设计、设备设计和患者吸入力采取综合策略。目前正在开发的新型干粉吸入器性能有限,未来的设备设计将采用计算机模拟和工程技术来克服当前的挑战。药物配方挑战和微粒技术等许多问题都与药物从干粉吸入器分散到肺深部有关:这篇综述文章论述了如何根据患者的吸入动作设计适当的 DPI 装置和药物配方,以便从 DPI 配方中有效地输送药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Dry powder inhaler design and particle technology in enhancing Pulmonary drug deposition: challenges and future strategies.

Objectives: The efficient delivery of drugs from dry powder inhaler (DPI) formulations is associated with the complex interaction between the device design, drug formulations, and patient's inspiratory forces. Several challenges such as limited emitted dose of drugs from the formulation, low and variable deposition of drugs into the deep lungs, are to be resolved for obtaining the efficiency in drug delivery from DPI formulations. The objective of this study is to review the current challenges of inhaled drug delivery technology and find a way to enhance the efficiency of drug delivery from DPIs.

Methods/evidence acquisition: Using appropriate keywords and phrases as search terms, evidence was collected from the published articles following SciFinder, Web of Science, PubMed and Google Scholar databases.

Results: Successful lung drug delivery from DPIs is very challenging due to the complex anatomy of the lungs and requires an integrated strategy for particle technology, formulation design, device design, and patient inhalation force. New DPIs are still being developed with limited performance and future device design employs computer simulation and engineering technology to overcome the ongoing challenges. Many issues of drug formulation challenges and particle technology are concerning factors associated with drug dispersion from the DPIs into deep lungs.

Conclusion: This review article addressed the appropriate design of DPI devices and drug formulations aligned with the patient's inhalation maneuver for efficient delivery of drugs from DPI formulations.

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来源期刊
DARU Journal of Pharmaceutical Sciences
DARU Journal of Pharmaceutical Sciences PHARMACOLOGY & PHARMACY-
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期刊介绍: DARU Journal of Pharmaceutical Sciences is a peer-reviewed journal published on behalf of Tehran University of Medical Sciences. The journal encompasses all fields of the pharmaceutical sciences and presents timely research on all areas of drug conception, design, manufacture, classification and assessment. The term DARU is derived from the Persian name meaning drug or medicine. This journal is a unique platform to improve the knowledge of researchers and scientists by publishing novel articles including basic and clinical investigations from members of the global scientific community in the forms of original articles, systematic or narrative reviews, meta-analyses, letters, and short communications.
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