What is it about?

Nitrofurantoin is an antimicrobial drug, highly effective in the treatment of critical or chronic bacterial infections of urinary tract and hence it is the first line choice of drug for the treatment of urinary tract infections (UTI here after). Although the molecule is legacy in nature, there are many challenges in terms of drug product formulation and efficacy thereof. The authors are mainly focused in this literature review on but not limited to, understanding the molecule in terms of physico chemical properties of the drug, pharmacokinetics and pharmacodynamics, approved and withdrawn formulations, challenges concerning drug formulation, the cause of drug shortage in the market, improvement areas in terms of formulation and its therapeutic effectiveness. The authors found during their widespread review that the major challenge in the existing conventional drug delivery system of nitrofurantoin is the fluctuation of plasma concentration owing to its variability in drug absorption. Further, they understood that the variability in absorption is due to inherent variability in particle size distribution. Based on the findings authors also explored the possibilities to deliver the drug in novel drug delivery systems such as nano self-emulsifying emulsions, nano emulsions and multiple emulsions where the drug can be presented in soluble form and hence the variability in absorption and fluctuation in plasma concentration of drug can be avoided and described briefly the salient features of each drug delivery in this review.

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Why is it important?

This review explains the disadvantages and limitations of existing drug delivery systems of nitrofurantoin and also explains the possible alternative options to overcome the challenges.

Perspectives

Writing this article was a great pleasure as it has co-authors with whom I have had long standing collaborations.

Gouriprasad Nanda
Charotar University of Science and Technology

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This page is a summary of: Nanoemulsion-Based Strategy for Maximizing Nitrofurantoin Absorption: In-vitro and In-vivo Investigations, Recent Advances in Drug Delivery and Formulation, September 2023, Bentham Science Publishers,
DOI: 10.2174/0126673878259374230921045432.
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