Cited by 75Advanced Drug Delivery SystemsInflammatory Bowel DiseaseDrug Solubulity and Delivery Systems

Review article: issues in oral administration of locally acting glucocorticosteroids for treatment of inflammatory bowel disease

Friend·1998·Alimentary Pharmacology & Therapeutics

Abstract

Inflammatory bowel diseases are treated in some cases by local administration of anti‐inflammatory drugs. Local delivery of drugs in the colon following oral administration may lead to improved efficacy/side‐effect profiles and may improve patient compliance. This review covers a number of issues important in the design of oral delivery systems of glucocorticosteroids for local therapy of colonic inflammation. The choice of specific glucocorticosteroids is based on the drug’s physicochemical and pharmacological properties. The conditions under which an orally administered glucocorticosteroid (or other drug) must be delivered to treat ulcerative colitis are also discussed. These conditions include variations in local pH, transit throughout the gastrointestinal tract, the potential role of gut microflora, and drug dissolution in both the healthly and diseased large intestine. The effective delivery of topically‐active glucocorticosteroids in ulcerative colitis and Crohn’s colitis patients is complex, but if successful could improve their usefulness.

Integrity signals

Registry

Crossref · 10.1046/j.1365-2036.1998.00348.x

Cites

109 of 109 references verified0 citation errors · 0 not checkable

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Authors
Friend
Affiliations
Cibus (United States) (US)
Corresponding author
Friend
Venue
Alimentary Pharmacology & Therapeutics
Publisher
Wiley
Published
1998-07
Volume
12
Issue
7
Pages
591-603
ISSN
  • 0269-2813 (ISSN-L)
  • 1365-2036
OpenAlex
W2090479893
Cited by
75
References
112
Citations by year
2025: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 1 · 2012: 1
FWCI
0.20
Type
journal article
Language
en
Open access
closed
Locations
  • Alimentary Pharmacology & Therapeutics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Drug Solubulity and Delivery Systems
Keywords
inflammatory bowel disease, ulcerative colitis, Crohn's disease, oral drug delivery, local drug delivery, glucocorticoids, colon-targeted drug delivery, colonic inflammation, local pH, gut microbiota, drug dissolution, gastrointestinal transit, medication adherence
MeSH terms
Administration, Oral, Administration, Rectal, Anti-Inflammatory Agents, Gastric Emptying, Glucocorticoids, Half-Life, Humans, Inflammatory Bowel Diseases, Area Under Curve, Budesonide

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