Intranasal administration of acetylcholinesterase inhibitors
2008

Intranasal Delivery of Acetylcholinesterase Inhibitors for Alzheimer's Disease

publication Evidence: moderate

Author Information

Author(s): Costantino Henry R, Leonard Alexis Kays, Brandt Gordon, Johnson Paul H, Quay Steven C

Primary Institution: Nastech Pharmaceutical Company Inc.

Hypothesis

Does intranasal dosing reduce gastrointestinal-related side effects compared to oral dosing?

Conclusion

Intranasal delivery of galantamine is an effective option for treating Alzheimer's disease with fewer gastrointestinal side effects compared to oral administration.

Supporting Evidence

  • Intranasal administration avoids first pass metabolism, enhancing drug delivery.
  • Galantamine-lactate formulation showed increased solubility and low cytotoxicity.
  • IN dosing resulted in significantly fewer emetic responses compared to oral dosing.

Takeaway

This study shows that giving medicine through the nose can help people with Alzheimer's feel better without making them feel sick like taking pills can.

Methodology

The study involved in vitro screening and in vivo testing of intranasal formulations of galantamine.

Digital Object Identifier (DOI)

10.1186/1471-2202-9-S3-S6

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