Research ArticlesCospray Dried Antibiotics for Dry Powder Lung Delivery
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INTRODUCTION
Delivery of antibiotics via the pulmonary tract to treat respiratory infection, such as pneumonia, is advantageous over more conventional routes, since the lungs are directly targeted. Using targeted delivery, the therapeutic dose may be lower, leading to a decrease in potential drug resistance build-up and reduction in side effects, often associated with high oral doses. Currently antibiotic inhalation therapy is limited to small volume nebulisers,1 which are cumbersome, expensive and require
Materials
Ciprofloxacin and doxycycline (both hydrochlorides) were chosen as model antibiotics and used as supplied (MP, Biomedical Australasia Pty Limited, Seven Hills, NSW, Australia). Water was purified by reverse osmosis (MilliQ, Millipore, France). All solvents were obtained from Biolab (Clayton, Victoria, Australia) and were of analytical grade. The model bacteria used in this study were Staphylococcus aureus, Pseudomonas aeruginosa and Streptococcus pyogenes (all strains were obtained from the
RESULTS AND DISCUSSION
In order to understand the aerosol properties of the combination formulation the study was divided into two primary sections: (1) physical characterisation of formulation and (2) in vitro characterisation of the antibiotics formulation.
CONCLUSIONS
In this study the authors investigated the physical stability and aerosolisation efficiency of a cospray dried antibiotic formulation containing ciprofloxacin and doxycycline as a dry powder inhaler formulation providing a feasible and potentially attractive alternative to nebulisation or oral and systemic dosage. The combination of these particular two chemical entities as a cospray dried formulation suggested that a physically stable powder could be produced that facilitated simultaneous and
ACKNOWLEDGEMENTS
The authors would like to thank the Pharmacy Trust of New South Wales for the monetary support.
REFERENCES (36)
- et al.
A comparison of peak sputum tobramycin concentration in patients with cystic fibrosis using jet and ultrasonic nebulizer systems
Chest
(1997) - et al.
Efficacy of inhaled amikacin as adjunct to intravenous combination therapy (ceftazidime and amikacin) in cystic fibrosis
J Pediatr
(1987) - et al.
Aerosol carbenicillin and gentamicin treatment of Pseudomonas aeruginosa infection in patients with cystic fibrosis
Lancet
(1981) - et al.
Inhalation of tobramycin in cystic fibrosis. Part 1. The choice of a nebulizer
Int J Pharm
(1999) - et al.
Dry powder inhalation of antibiotics in cystic fibrosis therapy. Part 1. Development of a powder formulation with colistin sulfate for a special test inhaler with an air classifier as de-agglomeration principle
Eur J Pharm Biopharm
(2002) - et al.
Dry powder inhalation of antibiotics in cystic fibrosis therapy. Part 2. Inhalation of a novel colistin dry powder formulation: A feasibility study in healthy volunteers and patients
Eur J Pharm Biopharm
(2002) - et al.
Inhalation of a dry powder tobramycin PulmoSphere formulation in healthy volunteers
Chest
(2003) - et al.
Effect of nebulized colistin sulphate and colistin sulphomethate on lung function in patients with cystic fibrosis: A pilot study
J Cyst Fibros
(2004) - et al.
Dry powder inhalation of colistin sulphomethate in healthy volunteers: A pilot study
Int J Pharm
(2007) - et al.
Design and in vitro performance testing of multiple air classifier technology in a new disposable inhaler concept (Twincer®) for high powder doses
Eur J Pharm Sci
(2006)
Effect of design on the performance of a dry powder inhaler using computational fluid dynamics. Part 1. Grid structure and mouthpiece length
J Pharm Sci
Effect of design on the performance of a dry powder inhaler using computational fluid dynamics. Part 2. Air inlet size
J Pharm Sci
Inhalation of a dry powder tobramycin PulmoSphere formulation in healthy volunteers
Chest
Design and in vitro performance testing of multiple air classifier technology in a new disposable inhaler concept (Twincer®) for high powder doses
Eur J Pharm Sci
Effect of nebuliser type and antibiotic concentration on device performance
Pediatr Pulmonol
Influence of breathing pattern on lung deposition and bronchodilator response to nebulized salbutamol in patients with stable asthma
Thorax
Quantitative deposition of aerosolized gentamicin in cystic fibrosis
Am Rev Respir Dis
Evaluation of jet nebulisers for use with gentamicyn solution
Thorax
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