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chitosan and plga microspheres as drug delivery ... - UniCA Eprints

chitosan and plga microspheres as drug delivery ... - UniCA Eprints

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1. General Introductionintermittent administration. Exfoliative dermatitis is more frequent in HIV-positive TBpatients. Temporary oliguria, dyspnoea <strong>and</strong> haemolytic anaemia have also been reported inpatients taking the <strong>drug</strong> three times weekly. These reactions usually subside if the regimen ischanged to one with daily dosage. However, dose-related hepatitis can occur which ispotentially fatal.RFP induces hepatic enzymes, <strong>and</strong> may incre<strong>as</strong>e the dosage requirements of <strong>drug</strong>smetabolized in the liver. These include corticosteroids, steroid contraceptives, oralhypoglycaemic agents, oral anticoagulants, phenytoin, cimetidine, cyclosporin <strong>and</strong> digitalisglycosides.1.6. Microspheres <strong>as</strong> Controlled Delivery SystemsDrug <strong>delivery</strong> systems (DDS) that can precisely control the rele<strong>as</strong>e rates or target <strong>drug</strong>s to <strong>as</strong>pecificbody site have had an enormous impact on the healthcare system. The l<strong>as</strong>t two decades in thepharmaceutical industry have witnessed an avant-garde interaction among the fields ofpolymer <strong>and</strong> material science, resulting in the development of novel <strong>drug</strong> <strong>delivery</strong> systems(128). Carrier technology offers an intelligent approach for <strong>drug</strong> <strong>delivery</strong> by coupling the <strong>drug</strong>to a carrier particle such <strong>as</strong> <strong>microspheres</strong>, nanoparticles, liposomes, etc. which modulates therele<strong>as</strong>e <strong>and</strong> absorption characteristics of the <strong>drug</strong>.Conventional <strong>drug</strong> administration does not usually provide rate-controlled rele<strong>as</strong>e or targetspecificity. In many c<strong>as</strong>es, conventional <strong>drug</strong> <strong>delivery</strong> provides sharp incre<strong>as</strong>es of <strong>drug</strong>concentration at potentially toxic levels. Following a relatively short period at the therapeuticlevel, <strong>drug</strong> concentration eventually drops off until re-administration.Today new methods of <strong>drug</strong> <strong>delivery</strong> are possible: desired <strong>drug</strong> rele<strong>as</strong>e can be provided byrate-controlling membranes or by implanted biodegradable polymers containing dispersedmedication. Over the p<strong>as</strong>t 25 years much research h<strong>as</strong> also been focused on degradablepolymer <strong>microspheres</strong> for <strong>drug</strong> <strong>delivery</strong>. Microspheres constitute an important part of theseparticulate DDS by virtue of their small size <strong>and</strong> efficient carrier characteristics.Administration of medication via such systems is advantageous because <strong>microspheres</strong> can beingested, injected or inhaled; they can be tailored for desired rele<strong>as</strong>e profiles <strong>and</strong> in somec<strong>as</strong>es can even provide organ-targeted rele<strong>as</strong>e. The idea of controlled rele<strong>as</strong>e from polymersdates back to the 1960s through the employment of silicone rubber (129) <strong>and</strong> polyethylene(130). The lack of degradability in these systems implies the requirement of eventual surgical26

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