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The promise of the nose-to-brain route in drug administration
1  FP-BHS (Biomedical and Health Sciences Research Unit), FP-I3ID (Instituto de Investigação, Inovação e Desenvolvimento), Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
2  UCIBIO, Laboratory of Pharmaceutical Technology, Faculty of Pharmacy, University of Porto, Porto, Portugal
3  Associate Laboratory i4HB Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, Porto, Portugal
Academic Editor: Maria Emília Sousa

Abstract:

The intranasal route has emerged as a promising alternative for the treatment of neurological
disorders, owing to its unique advantages, most notably the ability to deliver drugs directly from
the nasal cavity to the brain (nose-to-brain delivery). This approach bypasses the blood-brain
barrier and can enhance therapeutic efficacy.
In recent years, the potential of the nose-to-brain route to improve the management of
neurological disorders such as Alzheimer’s disease, epilepsy, and migraine has attracted
significant preclinical attention. The findings so far are encouraging, particularly when this route
is combined with nanosystem-based formulations, including solid lipid nanoparticles (SLN) and
nanostructured lipid carriers (NLC). Nevertheless, evidence supporting the clinical efficacy of the
nose-to-brain pathway remains limited, and further research is required before progressing to
clinical trials.

Keywords: Drug Administration; Nose-to-brain route;
Comments on this paper
Abdullah Farhan
A clear and insightful overview of the growing potential of the nose-to-brain route. The discussion on bypassing the blood–brain barrier and the synergy with nanosystem-based formulations highlights the strong therapeutic promise of this approach. Further clinical exploration will be essential, but the preclinical progress is truly encouraging. Excellent work.
Ana Silva
Many thanks!

Hamzah Qaid
Valuable information and wonderful performance thank you ??
Ana Silva
Many thanks!

زائد سلطان احمد عبدالله البريهي البريهي
Valuable information and wonderful performance thank you
Ana Silva
Many thanks!

Joshua Chidubem
Wow, this Nose -brain-route drug administration really poised to help circumvent some absorption difficulties prior to the routes through which drugs or even injections. This is very interesting , however, I have a question with regards to this analogy "In recent years, the potential of the nose-to-brain route to improve the management of neurological disorders such as Alzheimer’s disease, epilepsy, and migraine has attracted" based on the above emphasis, can epilepsy be cured permanently or managed for a period of time? If yes, what's therapeutic measure to it?
Ana Silva
Thank you for your question.
Epilepsy is a chronic neurological disorder, and in most cases it is managed rather than permanently cured. However, epileptic seizures can be more effectively controlled through therapeutic strategies such as intranasal (i.e. nose-to-brain) drug delivery, which can enhance the speed and efficiency of commonly used treatments.



 
 
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