The prescription design and key properties of nasal gel for CNS drug delivery: A review

Eur J Pharm Sci. 2024 Jan 1:192:106623. doi: 10.1016/j.ejps.2023.106623. Epub 2023 Oct 26.

Abstract

Central nervous system (CNS) diseases are among the major health problems. However, blood-brain barrier (BBB) makes traditional oral and intravenous delivery of CNS drugs inefficient. The unique direct connection between the nose and the brain makes nasal administration a great potential advantage in CNS drugs delivery. However, nasal mucociliary clearance (NMCC) limits the development of drug delivery systems. Appropriate nasal gel viscosity alleviates NMCC to a certain extent, gels based on gellan gum, chitosan, carbomer, cellulose and poloxamer have been widely reported. However, nasal gel formulation design and key properties for alleviating NMCC have not been clearly discussed. This article summarizes gel formulations of different polymers in existing nasal gel systems, and attempts to provide a basis for researchers to conduct in-depth research on the key characteristics of gel matrix against NMCC.

Keywords: CNS; Drug delivery system; Gel; Nasal administration; Prescription design.

Publication types

  • Review

MeSH terms

  • Administration, Intranasal
  • Brain
  • Central Nervous System Agents
  • Drug Delivery Systems*
  • Gels
  • Nasal Mucosa*

Substances

  • Central Nervous System Agents
  • Gels