Selective drug deposition in lungs through pulmonary drug delivery system for effective management of drug-resistant TB.

Abstract:

INTRODUCTION:The emergence of multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) is a major health issue and continues to be a global health concern. Despite significant advancements in treatment modalities, ~1.6 million deaths worldwide occur due to TB infection. This is because of tuberculosis reservoirs in the alveoli making it a challenge for the formulation scientist to target this. AREAS COVERED:This review recent investigations on the forefront of pulmonary drug delivery for managing MDR-TB and XDR-TB. Novel delivery systems like liposomes, niosomes, employing carbohydrate, and -coated molecules via conjugation to selectively deliver the drugs to the lung TB reservoir via pulmonary administration are discussed. EXPERT OPINION:Poor patient adherence to treatment due to side effects and extended therapeutic regimen leads to drug-resistant TB. Thus, it is essential to design novel strategies this issue by developing new chemical entities and/or new delivery systems for delivery to the lungs, consequently reducing the side effects, the frequency and the duration of treatment. Delivery of drugs to enhance the efficacy of new/existing anti-TB drugs to overcome the resistance and enhance patient compliance is underway.

journal_name

Expert Opin Drug Deliv

authors

Sankhe K,Khan T,Bhavsar C,Momin M,Omri A

doi

10.1080/17425247.2019.1609937

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

525-538

issue

5

eissn

1742-5247

issn

1744-7593

journal_volume

16

pub_type

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