Cocrystals of tuberculosis antibiotics: Challenges and missed opportunities

Int J Pharm. 2022 Jul 25:623:121924. doi: 10.1016/j.ijpharm.2022.121924. Epub 2022 Jun 20.

Abstract

Cocrystals have been extensively used to improve the physicochemical properties and bioavailability of active pharmaceutical ingredients. Cocrystals of anti-tuberculosis medications are among those commonly reported. This review provides a summary of the tuberculosis antibiotic cocrystals reported in the literature, providing the main results on current tuberculosis medications utilized in cocrystals. Moreover, anti-tuberculosis cocrystals limitations and advantages are described, including evidence for enhanced solubility, stability and effect. Opportunities to enhance anti-tuberculosis medications and fixed dose combinations using cocrystals are given. Several cocrystal pairs are suggested to enhance the effectiveness of anti-tuberculosis drugs.

Keywords: Anti-tuberculosis; Cocrystal; Drug-drug cocrystal; Multidrug-resistant; Solubility.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents*
  • Biological Availability
  • Crystallization / methods
  • Solubility

Substances

  • Anti-Bacterial Agents