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DOI:10.29090/psa.2020.03.019.0121
Review Article
KEYWORDS: 1. INTRODUCTION
Self-nanoemulsifying drug Oral administration is the most convenient and preferable
delivery systems; SNEDDS; Oral way for drug delivery owing to the high degree of patient
delivery; Nanoemulsions; Poor compliance. However, over 50% of drugs delivered by oral
bioavailability route have limited therapeutic efficacy due to their poor water
solubility1. The conventional techniques including salt formation,
micronization and solubilization using cosolvents, using of
permeation enhancers, and complexation; such as, cyclodextrin
have been employed to improve oral bioavailability. Nevertheless,
these techniques have shown limited utility and required
a specific drug candidate. In response to this lack in these
procedures, nanotechnology has dramatically generated much
interest in drug delivery research over the past few decades.
The application of nanotechnology has been recognized in the
provision of many benefits of drugs including enhancing the
solubility of hydrophobic drugs, increasing the permeability or
transport of poorly permeable drugs, improving drug stability,
controlling drug distribution and disposition in the body, and
targeting drug delivery to the site of action. Furthermore, several
nanoparticle approaches have been developed; for example,
microemulsions, nanoemulsions, solid lipid nanoparticles
https://www.pharmacy.mahidol.ac.th/journal/
© Faculty of Pharmacy, Mahidol University (SLN), nanostructured lipid carriers (NLC), polymeric micelles,
(Thailand) 2020 polymeric nanoparticles, and inorganic nanocarriers. Moreover,
B. Morakul Pharm Sci Asia 2020; 47 (3), 205-220
lipid-based drug delivery systems; such as, with gastric motility, the o/w nanoemulsions are
nanoemulsions have shown the successful rapidly and spontaneously formed with globules
potential in enhancing the solubility of poorly ranging in size from a few nanometers to less than
water soluble drugs, which have been categorized 200 nm15. The fine droplets of drug dissolved in
as drugs in the Biopharmaceutical Classification the oil phase produce the enhanced interfacial
System (BCS) classes II and IV2. The lipid-based surface area for dispersion into a gastrointestinal
drug delivery systems can be modified by changing fluid. The increment in the interfacial surface area
their components and concentrations to make them leads to an increase in drug solubilization and
more suitable for both hydrophilic and hydrophobic permeation16, 17. The nanosized SNEDDS could
actives3. They have the mechanism to enhance achieve rapid digestion and drug absorption in the
drug bioavailability by extending the drug retention gastrointestinal tract. SNEDDS can bypass the
time in the stomach, changing in the biophysical simple rate-limiting step of dissolution because
barrier4, 5, improving drug solubilization6, decreasing the drug would be pre-dissolved. Therefore, a rapid
drug metabolism7, 8, stimulating lymphatic transport9, onset of action could be achieved17. The lipid carrier
and having less toxicity in vivo10, 11. Nanoemulsions of the SNEDDS would lead to an increment in the
are the most prominent lipid-based drug delivery lymphatic uptake of a highly lipophilic drug and
systems as colloidal dispersions. They are optically the first pass metabolism could also be reduced18.
isotropic, transparent, thermodynamically unstable, The intestinal lymphatic system is a physiological
and kinetically stable systems of oil, surfactant, pathway for the absorption of dietary lipid digestion
and water with a nanoscopic droplet size. The products; such as, long chain fatty acids, triglycerides,
ability of nanoemulsions to improve the oral and cholesterol esters. In the enterocytes, long
bioavailability of poorly water soluble drugs has chain fatty acid and monoglyceride are esterified
been recognized for many decades12. However, into triglyceride. Before the triglycerides leave the
the use of nanoemulsions in oral delivery was enterocytes, they are incorporated into chylomicrons.
limited due to some drawbacks; such as, poor The large size of the chylomicrons are unable to
palatability according to their lipidic composition. pass through the blood capillaries, but they instead
Moreover, nanoemulsions are usually consumed enter the lymphatic capillaries, which can bypass
in a large volume to achieve the therapeutic the hepatic first passage. This hypothesis has been
concentration of the drugs which might limit utilized to explain the absorption of lipophilic
the patient compliance. Additionally, the high drugs. They can associate with the triglyceride of
water content of nanoemulsions results in the the chylomicrons in the enterocytes and pass
inability to be delivered through soft gelatin, hard through the systemic circulation via the lymphatic
gelatin, and HPMC capsules. The water content route. The lipid-based delivery system including
the SNEDDS can increase lymphatic drug transport.
in nanoemulsions would promote hydrolysis and
The oil phase used in the SNEDDS formulation
precipitation of drugs during storage, which would
is a significantly important component. Not only
affect their utility in oral delivery13. To solve the
can it facilitate the solubilization of a lipophilic
limitation of nanoemulsions, the approach of
compound, but can also promote the lymphatic
spontaneous self-nanoemulsification has been
transport of lipophilic drugs that circumvent
developed for oral drug delivery.
the hepatic portal vein route. Consequently, the
opportunity for hepatic first pass metabolism
2. Self-nanoemulsifying drug delivery systems
would be reduced19. Additionally, the ingestion of
(SNEDDS)
fatty food may help in the absorption of the SNEDDS
Self-nanoemulsifying drug delivery systems resulting in the elevation of the bioavailability19.
(SNEDDS) are nanoemulsion preconcentrates or In comparison to the conventional nanoemulsions,
an anhydrous form of nanoemulsions. The systems the SNEDDS offer improved advantages such as:
are anhydrous isotropic mixtures of oil, surfactant, - The formulation of the SNEDDS do not
active pharmaceutical ingredient, and hydrophilic contain water; therefore, the chemical and physical
co-surfactant or solubilizer14. Upon introduction stability should be improved during long-term
into the aqueous phase followed by gentle agitation storage.
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- SNEDDS are the aqueous-free formula- the function to solubilize the lipophilic drug,
tion, which are possible to be loaded into single facilitate self-emulsification, and increase the
unit dosage forms; such as, soft/hard gelatin or fraction of lipophilic drug transport through the
HPMC capsules. SNEDDS can be administered intestinal lymphatic system. Physicochemical
in dosages ranging from less than 25 mg to greater properties of oil including the molecular volume,
than 2 g20. These can provide commercial viability polarity, and viscosity potentially govern the
and patient compliance. spontaneity of the nanoemulsification process,
- The palatability issue can be discarded droplet size of the nanoemulsions, drug solubility,
by loading the SNEDDS into capsules. and biological fate of the nanoemulsions and
- SNEDDS are feasible to manufacture drug25-27. To achieve the maximum drug loading,
and can be scaled up18, 21, 22. the selected oil phase should have the maximum
drug solubilizing potential. Simultaneously, it should
3. Mechanism of self-emulsification provide the small droplet size of the nanoemulsions.
According to Reiss23, self-emulsification According to Sadurni et al.28, the lipophilicity of
occurs when the entropy change that favors the oil and concentration of the oily phase in the
dispersion is greater than the energy required to SNEDDS are directly proportional to the nanoemulsion
increase the surface area of the dispersion. The size. The oils with a highly long-chain hydrocarbon;
free energy of the conventional emulsion is a direct such as, soybean oil and long-chain triglycerides,
function of the energy required to create a new are difficult to nanoemulsify. Alternatively, oils
surface between the oil and water phases. This with medium-chain triglycerides and short-chain
can be described in Equation 1. fatty acids; such as, medium-chain monoglycerides
and fatty acid esters, e.g., ethyl oleate are easy to
ΔG = ΣNπr2σ Eq. 1 nanoemulsify26, 28. Modified or hydrolyzed vegetable
Where, ΔG is the free energy, N is the oils have been widely used because of the high
number of droplets of the radius r, and σ represents drug solubility and good emulsification properties
the interfacial energy. In case of the self-emulsifying that are compatible with a large number of surfactants
systems, the energy required to form the emulsion approved for oral administration. Semisynthetic
is very low; therefore, the emulsification process medium-chain derivatives; such as, medium-chain
can occur spontaneously. According to Wakerly triglycerides, e.g., caprylic/capric triglyceride,
et al.24, the addition of a binary mixture (oil/nonionic Miglyol® 812, and Captex® 355 have also been
surfactant) to water results in an interface formation highly developed. According to their structure as
between the oil and aqueous phases, followed by amphiphilic compounds with surfactant properties,
the solubilization of water within the oil phase owing they are of interest and effectively replacing the
to the aqueous penetration through the interface. regular medium-chain triglycerides29, 30. Furthermore,
This process would occur until the solubilization the degraded products of these oils resemble the
limit is close to the interface. natural end products of intestinal digestion. In some
cases, to achieve the optimal nanoemulsification
4. Composition of the SNEDDS formulation and drug delivery, the use of oil mixture is
acceptable to meet the optimal property of the
During the preparation of the SNEDDS, the
oily phase. For example, as shown in the study of
following components are involved and should be
Jumaa et al.31, a mixture of fixed oil and a medium-
taken into consideration.
chain triglyceride provided an appropriate balance
between the drug loading and emulsification.
4.1 Oil phase
Several oil components employed in the preparation
The oil phase is one of the most important of the SNEDDS for oral delivery are listed in
compositions in the SNEDDS formulation. It has Table 1.
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Table 1. Commonly employed oil components in the preparation of SNEDDS for oral delivery
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Table 2. Commonly employed surfactants in the preparation of SNEDDS for oral delivery
4.3 Co-surfactants, and solubilizers with a low melting point and low dose would be
generally suitable for the preparation of the SNEDDS40.
Co-surfactants and solubilizers are
incorporated in the SNEDDS for the purpose
of increasing the drug loading to the SNEDDS, 4.5 Aqueous phase
improving the self-emulsification time, and The properties of the aqueous phase where
modulating the droplet size of the nanoemulsions14, 38. the SNEDDS are administered would affect the
The use of co-surfactants and solubilizers in droplet size and stability of the nanoemulsions.
the SNEDDS could result in an expanded self- Therefore, the pH and ionic content of the aqueous
nanoemulsification region in the phase diagram. phase should be taken into consideration during
Co-surfactants and solubilizers that are mostly the preparation of the SNEDDS32, 41. The self-
employed in the preparation of the SNEDDS nanoemulsification property and characteristic
include propylene glycol, polyethylene glycol, of the obtained nanoemulsions of the SNEDDS
polyoxyethylene, LauroglycolTM, Transcutol®, etc. in different pH and electrolyte concentrations
of the aqueous phases should be evaluated in
4.4 Drug candidate accordance with their route of administration.
SNEDDS offer the potential to improve
the oral bioavailability of drugs, preferentially 5. Construction of the ternary phase diagram
those in BCS classes II and IV. The drug candidate After the selection of the appropriate
should be a poorly water soluble drug with an excipients for the formulation of the SNEDDS, to
intermediate partition coefficient (log P between identify the probable concentration of the components
2-4). The physicochemical properties; such as, log P, that could yield spontaneous nanoemulsions, the
pKa, molecular weight, ionization group, and ternary phase diagram between the surfactant, oil,
also the amount of drugs have an influence on the and solubilizer have to be plotted to identify the
performance of the prepared SNEDDS including self-emulsification region. The self-nanoemulsification
the phase behavior and final droplet size32, 34, 39. It region in the ternary phase diagram is evaluated
has been further accepted that the drug candidate by measuring the droplet size of the emulsions or
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nanoemulsions after diluting the various compositions plot but is displayed in a two-dimensional plot for
of the ternary phase diagram with the fixed amount uncomplicated illustration and interpretation. In
of water. The points that provide the spontaneous the ternary phase diagram, the relative percentage
nanoemulsions and the droplet size less than 200 of the three components is plotted to show that
nm indicate the self-nanoemulsification region. all three components have a total of 100% or are
The ternary phase diagram is a three-dimensional normalized to 100% (Figure 1).
Figure 1. Ternary phase diagram in two-dimensional plot (A, B, C illustrate three components of
SNEDDS including oil, surfactant, and co-surfactant)
The optimization of the SNEDDS can also techniques are employed to solidify or convert the
be accomplished using a statistical experimental conventional liquid SNEDDS into solid SNEDDS.
design or response surface methodology by The frequently used technique is the adsorption on
studying the effect of the numerous variables on carriers. The free-flowing powders containing the
the characteristics of the SNEDDS; such as, droplet SNEDDS were prepared by adsorption of liquid
size, self-nanoemulsification time, and in vitro SNEDDS on the porous powder material, which
dissolution. Once the mathematical correlation had a high surface area and oil adsorption capacity.
is found between the variables and the response, This s-SNEDDS powder could either be loaded in
the response surface methodology can be used a hard gelatin capsule or compressed into a tablet.
to develop the desired product that has a small The carrier materials used for the adsorption of
droplet size, reduced self-emulsification time, the SNEDDS are usually microporous inorganic
and high in vitro dissolution rate. substances, high surface area colloidal inorganic
adsorbent substances, cross-linked polymers, or
6. Preparation of solid SNEDDS (s-SNEDDS) nanoparticle adsorbents; such as, silicate, magnesium
trisilicate, magnesium aluminometasilicate
The conventional liquid form of the (Neusilin®), talcum, cross-povidone, cross-linked
SNEDDS may result in some restrictions sodium carboxymethylcellulose, and cross-linked
involving the interaction, stability, manufacturing, polymethyl methacrylate44-46. The alternative
and convenience of use. Therefore, solid SNEDDS of the adsorption for solidification is the use of
(s-SNEDDS) have been developed to solve these emulsifiers that are themselves solid or semisolid.
problems of the conventional liquid form. The The commonly used solid amphiphiles include
advantages of s-SNEDDS include increased Soluplus and Cithrol GSM 40, and the semisolid
solubility and bioavailability, enhanced stability, amphiphiles are those like Cithrol dipoly hydroxy
scalability and ability to be manufactured, stearate (DPHS) and Kolliphor HS 1547,48. For the
reproducibility, and robustness42, 43. Various selection of solid or semisolid amphiphiles, their
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The dissolved drug in the dissolution media the vesicles would be determined by mixing a
would be collected during a set period of time and certain amount of the formulation with a suitable
analyzed by an appropriate analytical method. solvent that would break down the vesicles and
Cumulative amounts of drug dissolved against dissolve the drug for producing a certain volume.
the times of the SNEDDS would be plotted The mixture would be stirred on a magnetic stirrer
compared with the pure drug. for a suitable period of time. The supernatant
would be filtered and analyzed by an appropriate
7.9 Drug loading efficiency analytical method. The drug loading efficiency
can be calculated from Equation 2.
The percentage of the drug entrapped in
Drug loading efficiency = [(Initial drug load – Amount of drug in the filtrate)/Initial drug load] x 100 Eq.2
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very fine nanoemulsions after being presented in 8.5 Change in the pharmacokinetic parameters
the gastrointestinal fluid. These very small droplets The improvement in oral absorption of
have a high surface area for absorption resulting the SNEEDS would result in the rapid onset of
in the quick absorption and the improvement of the action of drugs, which would be very beneficial
oral bioavailability. for many drugs requiring quick action. In the study
of Nepal et al.56, the pharmacokinetic parameters
8.2 Improve the permeability of poorly permeable of coenzyme Q10 SNEDDS were compared with
drugs a conventional formulation. The results showed
Therapeutic agents in the BCS class III that the tmax of the SNEDDS formulation was 6 h
have limited oral bioavailability according to their which was reduced by 2-fold as compared to the
conventional formulation (12 h) indicating the
poor permeability property. Various compositions
quick onset of action of the SNEDDS formulation.
in the SNEDDS including oily phases, surfactants,
Furthermore, the ability of the SNEDDS improved
and co-surfactants are known to help in the enhancing
the Cmax from 86.6 ng/mL in a powder formulation
of the membrane permeability, subsequently
to 480 ng/mL in a SNEDDS formulation, and
providing the ability of the SNEDDS to improve increased the oral bioavailability (AUC) from
the permeability and oral bioavailability of drugs. 1,110 ngh/mL in a powder formulation to 5,070
ngh/mL in a SNEDDS formulation. The results
8.3 Reduce the first pass metabolism or presystemic were related to the improvement in the therapeutic
metabolism of the drugs effects. An increment in the bioavailability of a
Various compositions of the SNEDDS have drug might produce a reduction in the drug dosage
the potential to inhibit the activity of cytochrome and dose-related side effects of some drugs.
P450 and gut metabolism enzymes. These
compositions include Gelucire® 44/14 (lauroyl 8.6 Reduction in food effects
macrogol glycerides) and Labrasol® (caprylo-caproyl The fed and fasted states dissolution media
macrogol glycerides)7, 8, 36. Additionally, some do not affect the droplet size of the SNEDDS.
lipid compositions including long-chain tri- and Therefore, the SNEDDS formulation could reduce
mono- glycerides, i.e., glyceryl monooleate have the bioavailability ratio between the fed and fasted
the potential to stimulate the intestinal lymphatic states and the reproducibility of the plasma profile
transport of hydrophobic drugs54. These two of the drugs in fed and fasted conditions could be
mechanisms are consequently associated with the obtained. As demonstrated by Nielsen et al.57, the
reduction in the first pass metabolism of the drugs bioavailability of probucol in minipigs showed
leading to an increase in oral bioavailability55. that the probucol SNEDDS were not affected by
the fed and fasted states. Alternatively, the variation
in the fed and fasted states bioavailability was
8.4 Inhibit P-glycoprotein efflux
significantly observed in the probucol powder
Some compositions of the SNEDDS formulation.
including lipids; such as, Peceol® (glyceryl
monooleate), Imwitor® 742 (monoglyceride of 8.7 Enhance mucus permeation
caprylic acid), and Akoline MCM® (diglyceride
The mucus layer is the barrier for
of caprylic acid), and surfactants; such as, Gelucire® drug permeation through the mucosa. Mucus is
44/14, Labrasol, Cremophor EL, and polysorbate composed of glycoproteins called mucins which
80 have the ability to inhibit the activity of a P- are negatively charged at a physiological pH.
glycoprotein efflux pump, which is the intestinal The rapid mucus secretion and faster clearance
efflux transporter. The entry of drugs from the rate of the mucus are the challenging barriers of
gastrointestinal tract to the systemic circulation the drug delivery systems to reach the epithelial
would be increased; thus, the bioavailability of surface and remain there for a sufficient period
drugs would be improved. of time. SNEEDS are the promising technology
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for mucus permeation. The interaction between chitosan, which was successful for oral insulin
self-emulsified nanoemulsions and the mucus is administration61. Solid dispersion is one technique
low because of their hydrophobic surface that can that hydrophilic proteins can be initially dissolved
cross the mucus layer without being entrapped. or adsorbed in phospholipids and subsequently
The very small vesicle size and shape deforming dissolved in oil to form the SNEDDS62. Another
potential of self-emulsified nanoemulsions help interesting technique is hydrophobic ion pairing
the SNEDDS to permeate through the mucus by replacing the counter ions of peptide drugs
layer58, 59. The modification of the SNEDDS with groups inducing lipophilicity without
surface with positively or negatively charged altering the structure of the drugs as observed in
surfactants could also result in the enhancement of the study of Karamanidou et al.63. From having an
mucus permeability. Additionally, a mucoadhesive acidic pH, insulin showed the net positive charge
polymer; such as, HPMC could be used by covering and could undergo ion complexation with the
the droplet surface of the SNEDDS and binding anionic part of the amphiphilic molecules; such
SNEDDS to the mucus, which would lead to as, surfactants, fatty acids, and phospholipids
prolonging the residence time for permeation58.
in order to be incorporated in the SNEDDS.
The hydrophobic ion pair of insulin and
8.8 Improve the oral delivery of bio-macro
dimyristoylphosphatidylglycerol (DMPG) was
molecules
developed and incorporated into the SNEDDS.
Bio-macromolecules include lipids, The insulin/DMPG SNEDDS exhibited increased
proteins, genes, and polysaccharides. These mucus permeability and a decreased enzymatic
macromolecules usually have low bioavailability, degradation of insulin. Furthermore, there
as a result of poor permeation according to the were several studies presenting the successful
large size and hydrophilicity of actives (proteins), development of SNEDDS loaded with pDNA
and the poor stability due to the enzymatic and proteins that could increase permeation and
degradation in the gastrointestinal environment60. reduce the enzymatic degradation of actives in
These problems are significant challenges for the gastrointestinal tract; such as, insulin and
drug delivery. SNEDDS also have the ability to β-lactamase60, 62, 63.
improve drug solubilization, increase the droplet
surface area, protect drugs from enzymatic
9. SNEDDS formulations in the market51
degradation, modify the gastrointestinal tract
retention time, and enhance permeation. Additionally, There are several drugs that have been
SNEDDS can incorporate a hydrophilic drug developed as SNEDDS. Some drugs are still in
in oil droplets through slight modifications. For the researching process, and some have enough
example, using the combined technology of a potential to be launched as marketed products.
polymer and SNEDDS, insulin was incorporated The exemplification of the marketed formulations
into the SNEDDS in the presence of thiolated of the SNEDDS are shown in Table 3.
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10. Advanced technology and trend of the inhibitors have been developed to resolve this
SNEDDS limitation. The hydrophilic precipitation inhibitor
in supersaturated SNEDDS inhibits the nucleation
10.1 Supersaturated SNEDDS
process and subsequent drug precipitation in the
The reduction in the lipid content of the gastrointestinal tract by achieving and sustaining
SNEDDS has resulted in the declining in vivo a metastable supersaturated state64. The polymeric
solubilizing capacity of the SNEDDS. Therefore, precipitation inhibitors that are commonly incorporated
the drugs precipitate. Drugs which are more soluble in the SNEDDS include polyvinyl pyrrolidone,
in the surfactant than the lipid phase are at risk of methyl cellulose, sodium carboxymethyl cellulose,
precipitation because of a decrease in the solvent and hydroxypropyl methyl cellulose64, 65. Super-
capacity of the surfactant upon dilution. For this saturated SNEDDS could improve the stability,
reason, SNEDDS usually contain drug less than dissolution rate, and bioavailability of drugs in
the equilibrium solubility. The supersaturated many studies; such as, simvastatin66, silybin65,
SNEDDS containing hydrophilic precipitation paclitaxel67, and hydrocortisone68.
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10.2 Self-double nanoemulsifying drug delivery polymers; such as, PEGylation by polyethylene
systems (SDEDDS) glycol78. Active and passive targeting can be
attained by attaching appropriate ligands; such as,
Proteins and hydrophilic macromolecules
antibodies and peptides of the target receptors 79.
are usually difficult to be administered orally in
the form of SNEDDS. Therefore, SDEDDS are
11. CONCLUSIONS
a promising technology that could resolve this
problem. SDEDDS are w/o/w spontaneous emulsions SNEDDS offer an enhancement of
that consist of hydrophilic surfactant and w/o absorption and dissolution rate for poorly water
emulsions where the w/o/w emulsions were soluble drugs, where the absorption is limited due to
spontaneously formed during dilution with water the rate of dissolution. Consequently, an improvement
at mild agitation. SDEDDS are applicable for in oral bioavailability could be obtained. The
peptides, proteins, and other macromolecular techniques and additives used to formulate SNEDDS
drugs; such as, insulin and nattokinase. They can are economic and simple. The ease of manufacturing
and good physical stability has resulted in SNEDDS
protect these macromolecules from enzymatic
to be of interest in several areas of research and
degradation in the gastrointestinal tract and
successful in many commercial products. As a future
improve drug efficacy69, 70.
perspective, advances in lipid and surfactant
technology and the modification of SNEDDS
10.3 Controlled release SNEDDS
with other technologies; such as, polymer sciences
SNEDDS can be employed as extended and biological targeting could result in SNEDDS
release delivery systems for poorly water soluble to be applicable and provide valuable advantages
drugs. Various techniques used for controlled to pharmaceutical research.
release SNEDDS include microencapsulation,
polymer coating, sustained release pellets, and 12. ACKNOWLEDGEMENT
controlled release osmotic pump. Different This research project was supported by
polymers are used in the preparation of controlled Mahidol University, Bangkok, Thailand.
release SNEDDS; such as, microcrystalline cellulose,
hydroxypropyl methyl cellulose (HPMC), poly Conflict of interest (If any)
lactic glycolic acid (PLGA), and Gelucire®71-73.
None to declared
From the study of Patil et al., an extended release
was observed from felodipine SNEDDS developed Funding
using Aerosil 200 as the gelling agent, and the None to declared
gelled SNEDDS were then entrapped in Gelucire®
43/0174. Ethical approval
None to declared
10.4 Targeted SNEDDS Article info:
SNEDDS have the ability to be a targeted Received November 6, 2019
drug delivery by surface functionalization. Received in revised form March 10, 2020
Nanoemulsion droplets have the ability to be Accepted March 30, 2020
maintained in the circulation for a long duration
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