胃保留给药系统中增加药物在胃中停留时间的最新进展综述

Abhishek Kumar, M. Bharkatiya
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引用次数: 0

摘要

口服给药的控释药物递送系统具有在人体胃中相对较短的停留时间以及高度可变的胃肠道(GI)转运时间的缺点。因此,可以观察到药物的生物利用度在个体内和个体间存在相当大的差异。有许多药物可能受益于延长和控制胃肠道通过时间。为了解决这一问题,研究人员开发了胃保留性给药系统(GRDDS),该系统具有延长胃停留时间(GRT)的特点。目前使用的几种方法包括浮式给药系统(FDDS)、肿胀和膨胀系统、聚合物生物粘合剂系统、修饰形状系统、高密度系统和其他延迟胃排空装置。在胃肠道上半部分具有吸收窗口的药物经这些技术配制后,生物利用度得到了提高。本文详细介绍了提高胃潴留的最新技术发展,包括影响胃潴留的生理和配方变量,专利给药系统,单单元和多单元漂浮系统的设计方法,以及它们的分类和配方方面。尽管在GRDDS领域进行了广泛的研究,但浮动装置的开发、生产和评估仍然具有挑战性。撰写这篇综述的目的是汇编最近关于提高胃停留时间(GRT)的药物方法的文献。增强胃的GRT,可以发掘胃作为药物吸收器官的新潜力。©2020全球研究与出版基金会。版权所有。
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A Review on Updates to Increase the Residence Time of Drug in the Stomach for Gastro Retentive Drug Delivery System
Orally-administered controlled-release drug delivery systems are associated with the shortcomings of relatively short residence times in the human stomach as well as highly variable gastrointestinal (GI) transit times. Thus, considerable intra-individual and inter-individual differences in the bioavailability of drugs are observable. There are numerous drug substances which may benefit from prolonged and controlled GI passage times. As a solution to the problem, gastroretentive drug delivery systems (GRDDS), which feature an enhanced gastric residence time (GRT), were developed. Several approaches are currently used including Floating Drug Delivery System (FDDS), swelling and expanding system, polymeric bioadhesive systems, modified-shape systems, high density system and other delayed gastric emptying devices. The drugs having absorption window in the upper part of Gastro Intestinal Tract (GIT) have enhanced bioavailability when formulated through these techniques. The recent technological development for enhancing GRT including the physiological and formulation variables affecting gastric retention, patented delivery systems, approaches to design single-unit and multiple-unit floating systems, and their classification and formulation aspects are covered in detail. Despite the extensive research performed in the field of GRDDS, the development, the production, and the evaluation of floating devices are still challenging. The purpose of writing this review was to compile recent literature on pharmaceutical approaches used in enhancing the Gastric Residence Time (GRT). Enhancing the GRT may explore new potentials of stomach as drug-absorbing organ. © 2020 iGlobal Research and Publishing Foundation. All rights reserved.
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