Overcoming the Challenges in Topical Delivery of Antifungal Agents for Skin Fungal Infections

被引:0
|
作者
Devi, Komal [1 ]
Agarwal, Shweta [1 ]
Kumari, Risha [1 ]
Saini, Vipin [2 ]
机构
[1] LR Inst Pharm, Dept Pharmaceut, Solan 173223, HP, India
[2] MM Coll Pharm, Dept Pharmaceut, Ambala, Haryana, India
关键词
Candidiasis; dermatophytes; microneedle-assisted drug delivery; electroporation; dermatomycoses; tinea versicolor; TRANSDERMAL DRUG-DELIVERY; LIPID NANOPARTICLES; AMPHOTERICIN-B; THERAPY; CRYOTHERAPY; SYSTEMS; EFFICACY; CARRIERS; BLIND; PARTS;
D O I
10.2174/0115748855307149240725103440
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Fungal infections of the skin are a major global health concern that requires specific and efficient treatment because of their resistant nature. Antifungal drugs used topically present a viable method for targeted therapy with less systemic adverse effects. Nevertheless, a number of challenges impede the effective distribution of these substances, such as restricted skin penetration, inadequate medication retention, and the rise of resistant strains. Overcoming these challenges is very much warranted to minimize the side effects associated with long-term systemic delivery of antifungal agents. This review examines recent developments and approaches to subdue these problems and improve topical antifungal therapy efficacy. The effectiveness of several formulation strategies, including nanotechnology -based treatments, nanostructures, vesicular carriers, Gelling Systems-Polymeric Carriers, and some enhanced targeted therapies in enhancing medication penetration across the epidermal barrier is discussed. Polyenes, azoles, allylamines, echinocandins, hydroxypyridone, and other antifungals are the primary types of antifungal medications. Novel formulation techniques, such as the use of nanostructures, lipid-based carriers, and microneedle technology, show great promise for enhancing medication penetration across the skin barrier and emphasizing the significance of effective topical drug delivery. These tactics not only improve antifungal agent distribution to the intended site but also create opportunities for more focused and effective therapy. This review outlines recent developments in novel strategies used in topical carriers to boost the therapeutic performance of anti-fungal drugs with minimal side effects as compared to systemic therapy.
引用
收藏
页数:15
相关论文
共 50 条
  • [31] Natural Oils Enhance the Topical Delivery of Ketoconazole by Nanoemulgel for Fungal Infections
    Ahmad, Irfan
    Farheen, Ms
    Kukreti, Ashish
    Afzal, Obaid
    Akhter, Md Habban
    Chitme, Havagiray
    Visht, Sharad
    Altamimi, Abdulmalik Saleh Alfawaz
    Alossaimi, Manal A.
    Alsulami, Ebtisam R.
    Jaremko, Mariusz
    Emwas, Abdul-Hamid
    ACS OMEGA, 2023, 8 (31): : 28233 - 28248
  • [32] Systematic review of topical treatments for fungal infections of the skin and nails of the feet
    Hart, R
    Bell-Syer, SEM
    Crawford, F
    Torgerson, DJ
    Young, P
    Russell, I
    BMJ-BRITISH MEDICAL JOURNAL, 1999, 319 (7202): : 79 - 82F
  • [33] Topical antifungal agents: An update
    Diehl, KB
    AMERICAN FAMILY PHYSICIAN, 1996, 54 (05) : 1687 - 1692
  • [34] TOPICAL AND SYSTEMIC ANTIFUNGAL AGENTS
    BODEY, GP
    MEDICAL CLINICS OF NORTH AMERICA, 1988, 72 (03) : 637 - 659
  • [35] Fungal infections and antifungal strategies
    Thevissen, K
    CURRENT DRUG TARGETS, 2005, 6 (08) : 847 - 847
  • [36] Antifungal agents and fungal biofilms
    Lopez-Ribot, J. L.
    Pierce, C. G.
    Uppuluri, P.
    Srinivasan, A.
    Ramasubramanian, A. K.
    MYCOSES, 2011, 54 : 38 - 39
  • [37] Antifungal Activity of Sodium Bicarbonate Against Fungal Agents Causing Superficial Infections
    Letscher-Bru, V.
    Obszynski, C. M.
    Samsoen, M.
    Sabou, M.
    Waller, J.
    Candolfi, E.
    MYCOPATHOLOGIA, 2013, 175 (1-2) : 153 - 158
  • [38] Antifungal agents and therapy for infants and children with invasive fungal infections: a pharmacological perspective
    Lestner, Jodi M.
    Smith, P. Brian
    Cohen-Wolkowiez, Michael
    Benjamin, Daniel K., Jr.
    Hope, William W.
    BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2013, 75 (06) : 1381 - 1395
  • [39] Antifungal Activity of Sodium Bicarbonate Against Fungal Agents Causing Superficial Infections
    V. Letscher-Bru
    C. M. Obszynski
    M. Samsoen
    M. Sabou
    J. Waller
    E. Candolfi
    Mycopathologia, 2013, 175 : 153 - 158
  • [40] Highly potent, broadly active antifungal agents for the treatment of invasive fungal infections
    Baugh, Simon D. P.
    Chaly, Anna
    Weaver, Damian G.
    Pelletier, Jeffrey C.
    Thanna, Sandeep
    Freeman, Katie B.
    Reitz, Allen B.
    Scott, Richard W.
    BIOORGANIC & MEDICINAL CHEMISTRY LETTERS, 2021, 33