Review article: issues in oral administration of locally acting glucocorticosteroids for treatment of inflammatory bowel disease
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.
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DEX is a synthetic, more potent GC routinely used as an anti-inflammatory, immunosuppressive agent.
“Dexamethasone (DEX), a synthetic, more potent GC, has been routinely used as an anti-inflammatory, immunosuppressive agent.17”
From Using Corticosteroids to Reshape the Gut Microbiome: Implications for Inflammatory Bowel Diseases (2015) · cites this paper as [17]
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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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