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Review ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Pharmacol. | doi: 10.3389/fphar.2019.01196

Physiological and Pharmaceutical Considerations for Rectal Drug Formulations

  • 1School of Biomedical Sciences and Pharmacy, University of Newcastle, Australia
  • 2Hunter Medical Research Institute, University of Newcastle, Australia

Although the oral route is the most convenient route for drug administration, there a number of circumstances where this is not possible from either a clinical or pharmaceutical perspective. In these cases, the rectal route may represent a practical alternative and can be used to administer drugs for both local and systemic action. The environment in the rectum is considered relatively constant and stable and has low enzymatic activity in comparison to other sections of the gastrointestinal tract. In addition, drugs can partially bypass the liver following systemic absorption, which reduces the hepatic first-pass effect. Therefore, rectal drug delivery can provide significant local and systemic levels for various drugs, despite the relatively small surface area of the rectal mucosa. Further development and optimization of rectal drug formulations have led to improvements in drug bioavailability, formulation retention, and drug release kinetics. However, despite the pharmaceutical advances in rectal drug delivery, very few of them have translated to the clinical phase. This review will address the physiological and pharmaceutical considerations influencing rectal drug delivery as well as the conventional and novel drug delivery approaches. The translational challenges and development aspects of novel formulations will also be discussed.

Keywords: gastrointestinal, Rectal, Rectum, Drug delivery, Dosage form, Formulation strategies, Nanoparticles, drug formulation, physiological considerations, translation

Received: 06 Aug 2019; Accepted: 17 Sep 2019.

Copyright: © 2019 Hua. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Susan Hua, University of Newcastle, School of Biomedical Sciences and Pharmacy, Callaghan, 2308, Australia, Susan.Hua@newcastle.edu.au