Lipophilic drug absorption emulsions

Compared with classical emulsions, SEDDS are physically more stable and easier to manufacture, being ready-to-use formulations to entrap lipophilic drugs with dissolution rate-limited absorption. Consequently, these systems may offer an improvement in the rate and extent of absorption, tailor pharmacokinetic profiles, and result in more reproducible blood-time profiles. 

Their mode of appearance in the lumen of the intestine is rather complicated and involves activation of trypsinogen secretion by enterokinase. Once trypsin is formed it activates chymotrypsinogen. Pancreatic lipase is also secreted into the lumen with the pancreatic fluid. The digestion process of fatty acids by their lipase-mediated hydrolysis is completed by bile salts, which are also secreted in the duodenum and are crucial for micellization of lipophilic compounds. The micelles formed in the duodenum enable the absorption of hydro-phobic drugs such as steroids. They pose, however, a serious constraint for the stability of drug delivery carriers such as liposomes and emulsions. 

Azone (laurocapram) is used extensively as a transdermal permeation enhancer, and has also found use in buccal drug delivery. It is a lipophilic surfactant in nature (Figure 10.4). Permeation of salicylic acid was enhanced by the pre-application of an Azone emulsion in vivo in a keratinized hamster cheek pouch model [35]. Octreotide and some hydrophobic compounds absorption have also been improved by the use of Azone [36], Azone was shown to interact with the lipid domains and alter the molecular moment on the surface of the bilayers [37], In skin it has been proposed that Azone was able to form ion pairs with anionic drugs to promote their permeation [38],... 

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