Surgical Technique: Intrathecal Medication Delivery System Implantation

2018 ◽  
pp. 537-542
Author(s):  
Joshua M. Rosenow
2015 ◽  
Vol 37 (8) ◽  
pp. 1-3
Author(s):  
Daniel Judkins ◽  
Sushma Thapa ◽  
Purushottam B. Thapa ◽  
Mohamed Ismaeil

Author(s):  
Vandana Gupta ◽  
Jaya Singh

Gastric emptying is a complicated process in the human body because it is very inconstant, resulting in ambiguous in vivo drug delivery system efficacy. To combat this variability, scientists have been working on developing a regulated medication delivery system with a long gastric residence period. This review article on gastroretentive drug delivery systems (GRDDS) focuses on numerous gastroretentive approaches that have recently emerged as a leading methodology in the field of site-specific orally administered controlled release drug administration. Gastroretentive medicines come in a variety of forms on the market, including tablets, granules, capsules, floating microspheres, laminated films, and powders. Floating microspheres are currently garnering more attention than previous techniques because of their benefits, which include more consistent drug absorption and a lower risk of local discomfort. The primary goal of this method is to increase gastric retention time in the GIT, which is defined as more than 12 hours in the stomach with an absorption window in the upper small intestine. Longer stomach retention improves bioavailability, reduces drug waste, and boosts solubility for medications that are less soluble in a high pH environment. The medicines are released into the stomach for a long time and consistently thanks to the floating microsphere systems. The current study compiles the most recent research on the techniques of production, characterization, and numerous aspects that impact the performance of floating microspheres for oral administration.


2021 ◽  
pp. 245-271
Author(s):  
Antônio Jorge Barbosa de Oliveira ◽  
Plinio Duarte Mendes ◽  
Gilberto de Almeida Fonseca Filho ◽  
Fabian C. Piedimonte

US Neurology ◽  
2011 ◽  
Vol 07 (02) ◽  
pp. 154 ◽  
Author(s):  
David E Jamison ◽  
Indy M Wilkinson ◽  
Steven P Cohen ◽  
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...  

Neuropathic pain represents a substantial burden on society. The treatment of neuropathic pain is challenging and typically involves multiple medication classes such as anticonvulsants, antidepressants, and opioids. The advent of intrathecal medication delivery in the late 1970s provided an additional option for the treatment of refractory neuropathic pain. This article presents a review of the evidence regarding intrathecal medications for neuropathic pain. There is strong evidence to support the use of intrathecal opioids in malignant pain of mixed characteristics, and moderate evidence for their use in non-malignant, neuropathic pain. The use of baclofen is strongly supported for spasticity, but there is only intermediate-level evidence for its use in neuropathic pain. With respect to clonidine and ziconotide, there is moderate evidence to support their use for neuropathic pain, although the effectiveness of the latter agent is limited by the high incidence of adverse effects. For steroids, there is weak evidence in favor of its use in neuropathic pain, predominantly in combination with opioids. The evidence is moderate to strong for the use of steroids in post-herpetic neuralgia, which must be weighed against the possibility of neurotoxicity if depot steroids are injected.


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