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  • Development of a Sildenafil Citrate Microemulsion-Loaded Hydrog

  • The paper that is critical analysed and evaluated further on in this document is about Development of a Sildenafil Citrate Microemulsion-Loaded Hydrogel as a Potential System for Drug Delivery to the Penis and Its Cellular Metabolic Mechanism.
  • The discovery of Sildenafil began in 1980 through a research programme developed by Pfizer in Sandwich in the United Kingdom (A.
  • Ghofrani et al. 2006).
  • In the same place, several vasodilators were discovered, for example, prazosin (Minipress), doxazosin (Cardura) and amlodipine (Norvasc).
  • After exploring PDE5 as a target for several cardiovascular disorders, mainly hypertension and Angina, (K. Terrett, S.
    • Bell, Brown and Ellis, 1998), they discovered that PDE5 was the dominant hydrolysis pre-enzyme in the cytosolic fraction of the cavernous human body and suggested that one of its synthesised inhibitors, Sildenafil, which is a potent, selective inhibitor PDE5 may be useful as an oral medicine in the treatment of erectile dysfunction.
    • Sildenafil Citrate is known as a PDE5 enzyme-inhibiting drug.
    • PDE5 is responsible for the degradation of cGMP in the cavernous body of the penis.
    • The molecular structure of Sildenafil is very similar to cGMP, this ends up causing a mechanism of competition for PDE5.
    • Sildenafil then binds to PDE5, which causes cGMP to circulate more. cGMP induces several reactions that cause a decrease in the amount of intracellular calcium and promote smooth muscle relaxation and improvement in blood flow and, consequently, penile erection.
    • They said in the article that oral sildenafil has low availability and many side effects, for this reason, the authors and researchers have formulated a hydrogel microemulsion system to administer sildenafil transdermally.
    • According Smith II et al., 2013, adverse effects most often reported with the use of PDE5 medications are: headache, flushing, dyspepsia, nasal congestion, visual disturbance and myalgia.
  • Visual disturbances are almost exclusively associated with sildenafil, and back pain with tadalafil.
    • In the same article, the authors say that sildenafil is only available in the form of pills and that some studies show that PDE-inhibiting drugs can be administered topically.
    • One of the important aspects in pharmaceutical technology is the existence of the interaction of drugs with interfaces of supramolecular aggregates in compounds that are amphiphilic.
    • This aspect is relevant due to the biological changes that take place in the presence of these compounds in pharmaceutical formulas.
  • For Baek and Cho, 2015 there are few studies done in the area of transdermal delivery system (TDDS).
    • TDDS is an attractive alternative to traditional oral and hypodermic delivery, as it overcomes the limitation of first-pass hepatic metabolism found by oral administration and has many advantages, such as safe, painless and easy to use, in contrast to intravenous injection.
    • With this in mind, the authors of the article formulated a microemulsion using isopropyl myristate, tween 80, PEG400, and water (30: 20: 40: 10) with 2% hydrogel w / w poloxamer 188.
    • This would be a good alternative to oral administration.
    • What attracted the researchers was the many advantages of micro emulsions such as thermodynamic stability, spontaneous formation, greater availability, appearance, penetration through biological membranes.
    • They wanted to test different formulations for the microemulsion system and see which would be the most suitable in terms of solubility, spreadability, concentration, permeability, toxicity and other variants.
    • Delivery of drugs directly to the penis in a controlled manner would be a good option for men who cannot for some reason use oral medications, such as men who have many adverse effects.
    • The authors also took into account the fact that topical therapy in comparison with systemic therapy is less effective, which is an important limitation, especially in more severe cases.
    • In the article evaluated in this dissertation, the researchers used a system of transdermal delivery system.
    • It was made and analysed in the following steps: visual inspection, particle size, pH, spread ability, cell membrane permeability, sildenafil drug content and viscosity.
    • It is very important to have knowledge about the mechanism of action of sildenafil to understand how to evaluate drug efficacy or how to develop formulations systems.
    • In my personal opinion, the idea of develop a Sildenafil Micro emulsion is very good idea because in the market there is not transdermal formulation of sildenafil till date and has a good potency because take ral medicine brings different types of adverse effects, allergic reactions or interactions with other medications or long-term adverse effects., also, topic medicines have a lot advantages if we compare it with oral medicine, like I already wrote about above.
    • A micro emulsion is easy to apply and easy to the patients understand how to administer it by themselves, besides being a way to administer a drug in a contr

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