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Fiza Ur Rehman, Kifayat Ullah Shah, Shefaat Ullah Shah, Ikram Ullah Khan &
Gul Majid Khan
To cite this article: Fiza Ur Rehman, Kifayat Ullah Shah, Shefaat Ullah Shah, Ikram Ullah Khan
& Gul Majid Khan (2016): From nanoemulsions to self-nanoemulsions, with recent advances in
self-nanoemulsifying drug delivery systems (SNEDDS), Expert Opinion on Drug Delivery, DOI:
10.1080/17425247.2016.1218462
Article views: 6
Download by: [Kifayat Ullah Shah] Date: 07 August 2016, At: 08:56
Publisher: Taylor & Francis
DOI: 10.1080/17425247.2016.1218462
REVIEW
Fiza Ur Rehman1, Kifayat Ullah Shah1, Shefaat Ullah Shah2*, Ikram Ullah Khan3*, Gul
Majid Khan1
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1
Department of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan
2
Department of Pharmaceutics, Faculty of Pharmacy, Gomal University, D.I.Khan, KPK,
Pakistan
3
Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Government College
University Faisalabad, Pakistan
*
Corresponding Authors:
2
Department of Pharmaceutics, Faculty of Pharmacy, Gomal University, D.I.Khan, KPK,
Pakistan
Tel: 00923365140682, 00923482818735
Emails: shefaat-ullah.shah@univ-lorraine.fr
shefaatbu@gmail.com
ABSTRACT
Introduction: Lipid-based drug delivery systems (LBDDS) are the most promising technique to
formulate the poorly water soluble drugs. Nanotechnology strongly influences the therapeutic
performance of hydrophobic drugs and has become an essential approach in drug delivery
research. Self-nanoemulsifying drug delivery systems (SNEDDS) are a vital strategy that
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combines benefits of LBDDS and nanotechnology. SNEDDS are now preferred to improve the
formulation of drugs with poor aqueous solubility.
Areas covered: The review in its first part shortly describes the LBDDS, nanoemulsions and
clarifies the ambiguity between nanoemulsions and microemulsions. In the second part, the
review discusses SNEDDS and elaborates on the current developments and modifications in this
area without discussing their associated preparation techniques and excipient properties.
Expert opinion: SNEDDS have exhibit the potential to increase the bioavailability of poorly
water soluble drugs. The stability of SNEDDS is further increased by solidification. Controlled
release and supersaturation can be achieved, and are associated with increased patient
compliance and improved drug loads, respectively. Presence of biodegradable ingredients and
ease of large-scale manufacturing combined with a lot of “drug-targeting opportunities” give
SNEDDS a clear distinction and prominence over other solubility enhancement techniques.
Keywords: Colloidal dispersions, Drug targeting, Lipid based drug delivery system (LBDDS),
Nanoemulsions, Self nanoemulsifying drug delivery system (SNEDDS), Solubilization.
Article highlights box:
nanoemulsions by coping up the issues with nanoemulsions and lifting up the drug
bioavailability profile.
• Recently researchers have revealed novel applications and types of SNEDDS like
supersaturated SNEDDS, solid SNEDDS, controlled release SNEDDS, mucus
permeating SNEDDS, delivery of biomolecules, double emulsions and targeted
SNEDDS.
• Modern in-vitro dispersion and lipolysis tests for lipid formulations are more predictive
and provide reasonable in-vitro/in-vivo correlation. HLB-RSM is a novel formulation
strategy for SNEDDS and carries the potential to overcome the problems associated with
old conventional formulation techniques.
1. Introduction
In the last two decades, lipid based drug delivery system (LBDDS) has earned great
repute as the most promising approach to improve solubility, absorption and consequently
bioavailability of drugs showing poor aqueous solubility. The low water solubility of almost half
of the new chemical entities discovered is the most arduous challenge to the development of new
and improved pharmaceutical products [1-3]. This problem leads to dose variation, uncertain
absorption profile, low oral bioavailability, wide intra and inter subject variability and hence
poor therapeutic efficacy [4]. Various conventional techniques such as salt formation, pH
adjustment, permeation enhancers, use of surfactants, solid dispersions, cyclodextrin inclusion
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complexes, use of co-solvents, particle size reduction and prodrug formation have been
employed to improve solubility [5-11]. However, ‘lipid formulations’ have emerged as the most
successful mode of enhancing solubility of poorly soluble drugs, belonging to BCS class II and
IV [12].
Lipid based formulations for oral delivery show a lot of diversity ranging from ‘simple oil
solutions’ at lower side to complex ‘surfactant, co-surfactant or co-solubilizer and oil mixtures’
at the upper extreme [13]. LBDDS can be modified greatly according to the need by changing
their components as well as concentration of these excipients making them feasible for both
hydrophilic and hydrophobic drugs [14]. Their mechanism of enhancing bioavailability include
extended retention time in stomach, changes in physical barrier [15, 16], changes in biochemical
barrier [17, 18], improved solubilization [19] , decreased drug metabolism [18, 20] and
stimulation of lymphatic transport [21]. With time, these systems have been geared up to micro
and nano scales resulting in their improved therapeutic potential for BCS class II, and IV drugs
[22-25]. Among the various multifunctional nanocarriers which have been engineered these days
as pharmaceutical nanocarriers, lipid based nanocarriers enjoy the esteem of being least toxic in-
vivo [26-28]. Lipid nanocarriers include liposomes, solid lipid nanoparticles (SLNs), lipid-
polymer hybrid nanoparticles, microemulsions, nanoemulsions, lipid containing micells, nano
structured lipid carriers (NLC), self-micro emulsifying and nanoemulsifying drug delivery
systems (SMEDDS and SNEDDS) [28-32].
2. From nanoemulsions to self nanoemulsions
2.1 Nanoemulsions
Nanoemulsions are the emulsions which comprise nano sized droplets with
diameter below 300 nm, typically ranging from 20-200 nm [33-35]. These transparent,
heterogeneous dispersions of two immiscible liquids are thermodynamically at non equilibrium
state [36, 37]. As their destabilization kinetics is very slow reaching almost several months they
are kinetically stable systems [38]. Their bioavailability enhancing potential was explored almost
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Methods of fabrication of nanoemulsions are divided into two, including a) High energy
emulsification systems (involving high energy to increase surface area by size reduction)
comprising ultrasonification, using micro fluidizers and high pressure homogenizers, and b) Low
energy emulsification methods (take advantage of physicochemical properties of compounds)
consisting of Phase inversion temperature method, solvent displacement method and Phase
inversion composition method [49-51].
2.2 Misunderstandings between microemulsions and nanoemulsions
Nanoemulsions and microemulsions are the most famous colloidal dispersions.
Nanoemulsions are conventional emulsions with droplets in nanometric size range (strictly
below 200nm and generally below 300nm) [34, 36, 38]. Whereas, microemulsions are actually
“swollen micelle” systems in which dispersed phase is incorporated into the core of surfactant
micelles at some specific environmental conditions and composition [34, 52]. These two systems
are physicochemically different (Figure 1). Nevertheless, they are quite similar in their molecular
and structural aspects [34]. In some special circumstances like specific compositions and
selective temperature ranges microemulsions become much identical to nanoemulsions reaching
exactly the same length nano sized, spherical droplets [34]. There is a lot of confusion in
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Nanoemulsions and microemulsions are prepared from same materials. Both dispersions
comprise an aqueous phase, an oil phase, a surfactant and possibly a co-surfactant [3]. They
share almost common nanometric size range i.e. <300 nm for nanoemulsions and <100 nm for
microemulsions. These particles have same basic structure with hydrophilic and hydrophobic
parts which are arranged according to continuous phase. In o/w dispersions hydrophilic part
(surfactant heads) forms shell which surrounds the hydrophobic core (surfactant tails and oil
phase) [34]. Moreover, microemulsions are formed spontaneously and nanoemulsions need high
energy methods for their fabrication but both systems need some external energy to overcome
kinetic energy barriers and support mass transport [34, 42]. Ambiguity arises where
microemulsions need high activation energy hence high external energy for their formulation and
nanoemulsions need low activation energy demanding very low external energy [3]. Also,
nanoemulsions can be prepared through spontaneous emulsification methods as well, which
further perpetuates the mater [34, 35]. These close molecular aspects and their formulation
processes combined with occasional wrong interpretation of nanoemulsions as mini, ultrafine or
submicron emulsions are the major sources of generating confusion between these two
physically different colloidal systems [34, 53, 54].
spherical. Their shape and size depends upon the optimum curvature of the surfactant monolayer
and the amount of oil incorporated into hydrophobic core of surfactant micelles (o/w
microemulsion) [3, 38, 52]. At optimum curvature, minimum interfacial tension is present and
the spherical shape may or may not be present because different surfactants have different
molecular arrangements hence different interfacial tension and optimum curvatures. Interfacial
tension in nanoemulsion droplets is relatively higher which reduces the droplet radius and
enhances the Laplac pressure. This pressure produces the lowest interfacial area favoring the
spherical shaped nanoemulsion droplets (Figure 1) [34]. Fabrication of nanoemulsions involves
specific mixing order in which, surfactant must be mixed first with oil phase (Figure 3).
Microemulsions do not need any specific mixing order for their formulation [34, 52, 54].
The confusions in the basic concepts lead to erroneous detection and then invalid
characterization of the colloidal system influencing their fabrication methods, physical and
chemical properties and stability factors. Therefore, it is important to distinguish between them.
Some differences between nanoemulsions and microemulsions are summarized in the table 1.
Some principles and methods have been described to specify the true nature of the system, which
are as follows;
1. In their particle size distribution, microemulsions show a single narrow peak and
nanoemulsions have narrow or broad peaks which may be single or multiple (Figure 3).
2. Particle shape may be spherical or non-spherical for microemulsions but it is spherical for
nanoemulsions (Figure1).
3. Structure and properties of nanoemulsion change on long term storage but not for
microemulsions at same temperature, pressure and composition.
4. Dilution of the microemulsion sample with continuous phase disturbs the surfactant
concentration, changes the droplet size measured through dynamic light scattering (DLS) and
can even destroy micelles but the droplet size of nanoemulsion remains the same.
5. Temperature change slowly affects the nanoemulsion droplet structure but microemulsions
are strongly affected by temperature increase.
6. Structure and size of nanoemulsion droplets is dependent upon the fabrication method but
microemulsion droplets must be same whatever the method used to formulate them because
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These methods distinguish between nanoemulsions and microemulsions and are “in theory” or
“in principle” methods which will be fairly true when these colloidal systems behave “ideally”.
These are according to the basic and fundamental concepts of the two colloidal systems and in
practice these might not be possible always due to different conditions and hence different
behaviors [3, 34, 35].
These fine droplets contain drug already dissolved inside the oil phase and provide enhanced
interfacial surface area for dispersion into GI fluid [43, 58, 60].This increase in surface area
improves drug solubilization and permeation by influencing transport properties [43]. Nano sized
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droplets undergo quick digestion and hence quick drug absorption in gastrointestinal tract (GIT).
SNEDDS can administer dose ranging from less than 25mg to greater than 2g [61]. As SNEDDS
can be encapsulated into capsules as single dosage forms and do not contain water, they provide
improved physical and chemical stability, palatability and patient compliance [60]. They are
associated with the advantages of improved permeability and high drug loading capacity as
compared to lipid solutions as a result of high concentration of surfactant and co-surfactant [43,
62]. These lipidic nanocarriers can increase lymphatic uptake of highly lipophilic drugs (log P >5
and lipid solubility >50 mg/g), shrinking the first pass effect and cytochrome P450 enzymes
(CYP450) metabolism [5].Bypassing the elementary rate limiting step of dissolution due to pre-
dissolved drug, they produce rapid onset of action[60]. Further, lipophilic part of fatty food helps
in absorption of SNEDDS[62].Use of pharmaceutically acceptable and generally regarded as safe
excipients (GRAS)is another significant advantage [63]. So, not only they can elevate the
bioavailability, SNEDDS are also easy to manufacture and scale up [5, 64-69].3.Novel
applications of SNEDDS and recent developments
In the previous decade, SNEDDS has been employed extensively by the formulation
scientists to tackle the low solubility issues of various drugs and lift the bioavailability profile.
But the potential of SNEDDS is not limited to augment the dissolution profile only. Research is
now heading towards some novel applications of SNEDDS e.g. solid SNEDDS, super saturated
SNEDDS, self-double emulsions (w/o/w), controlled release SNEDDS, SNEDDS for
overcoming mucus gel barrier, delivery of biomolecules and even drug targeting [70-76].
Researchers are also interested in developing some reliable in-vitro/in-vivo correlation for these
formulations [77]. Next in the article, these novel applications are described briefly and recent
work is summarized in the tables accordingly.
surfactant decreases upon dilution. This is why most SNEDDS contain drug less than
equilibrium solubility (50-90% of Seq). In one such study, researchers concluded that presence
of higher quantity of hydrophilic surfactants also leads to greater drug precipitation [61, 65, 78].
To surmount this problem supersaturated SNEDDS (s-SNEDDS) containing hydrophilic
precipitation inhibitors have been introduced successfully.
Thermodynamically stable s-SNEDDS inhibit and minimize the nucleation process and
subsequent drug precipitation in GIT by achieving and then sustaining the metastable
supersaturated state [80]. This technology involves incorporation of polymeric precipitation
inhibitors (PPI’s) which are soluble in water and result in longer precipitation time as compared
to mean absorption time [68, 81]. Poly vinyl pyrrolidone (PVP), hydroxylpropyl methyl cellulose
(HPMC), sodium carboxymethyl cellulose (NaCMC) and methyl cellulose (MC) polymers are
some commonly used PPI’s [80, 82]. Hydrophobic HPMC can also be used and in fact
hydrophobic and high molecular weight HPMC polymers are more effective in maintaining
supersturable state [82]. Some drugs precipitate in amorphous form and show notable faster rates
of dissolution after precipitation when tested in-vitro. It implies that precipitation of drugs
showing such behavior, leads to increase the bioavailability, which remains to be illuminated and
clarified in-vivo[80, 83, 84].
s-SNEDDS improved stability, concentration vs. time profile, dissolution rate and extent of
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absorption, bioavailability, terminal half-life and performance of hydrophobic and less lipophilic
drugs [57, 82, 85-87]. Recently s-SNEDDS for ezetimibe, halofantrine, AMG 517, silybin,
docetaxel, trans-resveratrol, paclitaxel, hydrocortisone and simvastatin have been reported
showing comparatively increased bioavailability [68, 81-85, 87-90].
Adsorption of L-SNEDDS on some solid carrier is the most promising technique utilized for
solidification [93-96]. Aerosil, aeroperl, neusilin, coffee husk and avicel are frequently used solid
carriers used to adsorb L-SNEDDS which can produce dry powder, granules and even tablets
[74, 91, 94, 97]. Wet granulation, freeze drying, solvent evaporation, spray drying and extrusion
spheronization can be employed depending upon the physicochemical properties of excipients
and API’s, as well as resulting powder properties [75, 97]. Also dry powders and small granules
of S-SNEDDS can be filled in hard gelatin capsules [98].
A simple alternative of adsorption for solidification is the use of emulsifiers that are themselves
solid or semisolid. Examples of semisolid amphiphiles include Cithrol DPHS and Kolliphor HS
15 while Soluplus and Cithrol GSM 40 are solid amphiphiles [99, 100]. The excipient’s selection
for semisolid SNEDDS is based on their melting points, solubility of drug, HLB values, solid
character, toxicity, dispersibility and droplet size in different media [97, 100]. In one such
research tablet shaped semisolid SNEDDS formulation composed of Cithrol DPHS and Capmul
MCM in 2:1 with Kolliphor HS 15 produced pH independent nano scale dispersions [100].
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These formulations avoid co-solvents, are semisolid at room temperature but melt at body
temperature, less susceptible to oxidation and show considerable lipid mobility following
dilution [100].
Solidification of L-SNEDDS is achieved without compromising the drug loading capacity and
bioavailability. Komal et al. compared the in-vitro drug release of pure drug, L-SNEDDS, S-
SNEDDS and S-SNEDDS tablets. Drug release from these formulations did not show
considerable difference except that of pure drug. Results show that almost 99% drug was
released within 30 min from L-SNEDDS, S-SNEDDS and S-SNEDDS tablets but only 10%
from pure drug. The only difference observed among these formulations is the slightly faster
release rate for L-SNEDDS (99.6%, 97.8%, 96.4% and 5.7% after 15 minutes for L-SNEDDS,
S-SNEDDS, S-SNEDDS tablets and pure drug respectively). This might be attributed to the fact
that S-SNEDDS tablets require additional disintegration process and S-SNEDDS need
“SNEDDS releasing step” from the adsorbent materials. As solidification is introduced to
enhance stability and reduce interactions of drug and excipients, accelerated stability studies at
40 °C and RH 75% for 6 months showed no considerable change in parameters like self-
emulsification time, drug release and globule size [101]. Some current research is summarized in
table 3.
Various techniques for sustained release SNEDDS include microencapsulation, sustained release
(SR) pellets, gastro-retentive SR tablets, polymer coating, matrix based tablets and controlled
release osmotic pump tablets [115, 118-120]. Xi Zhang et al. prepared self nanoemulsifying
osmotic pump tablet (SNEOPT) of BCS class IV drug with low aqueous solubility and low
permeability. Solid SNEDDS of cyclosporine A were prepared and then coated them with
cellulose acetate with PEG4000 as plasticizer. Rate controlled release was obtained when
reconstituted nano sized emulsion droplets were released at nearly zero order from the surface
orifice of the coated tablet [110]. Different polymers have been used for developing sustained or
controlled release SNEDDS. These include hydroxy propyl methyl cellulose (HPMC),
microcrystalline cellulose (MCC), poly lactic glycolic acid (PLGA) and hydrophobic Gelucire
[110, 115, 119-121].
formulation with 450 nm droplet diameter (Figure 4A) [127]. Surface modification with
surfactants bearing both positive and negative charged moieties has resulted in improved
permeation [126]. Mucoadhesive polymers (e.g. HPMC hydroxypropyl methyl cellulose,
modified chitosan) can be used which can cover the droplet surface and bind to the mucus, hence
prolonging the residence time and chances of permeating the mucus layer [126, 128]. Also
composition of SNEDDS is important and among various components tested Friedl et al. showed
cremophor RH 40 and triacetin have greater mucus permeation enhancing ability. Further, the
permeation is strongly affected by the concentration of these excipients having permeation
enhancing ability as elaborated in the (Figure 4 B & C) [127].
structure and activity [135]. Theodora et al. used this technique and formed hydrophobic ion pair
of insulin with dimyristoyl phosphatidyl glycerol (DMPG). At acidic pH insulin acquires net
positive charge and it can undergo ion complexation with anionic part of amphiphilic molecules
like fatty acids, surfactants and phospholipids. This ion pair of insulin with DMPG was
incorporated into SNEDDS. These SNEDDS showed greater mucus permeation with much
decreased enzymatic degradation of insulin. Incubation in trypsin and chymotrypsin solutions
depicted that 70% insulin was degraded from insulin solution and insulin loaded SNEDDS, while
only 21% insulin was degraded from INS/DMPG hydrophobic complex loaded SNEDDS [136].
SNEDDS loaded with pDNA and proteins such as B-lactamase, insulin, leuprorelin (hormone)
have been successfully developed, demonstrating increased permeability and many folds reduced
enzymatic degradation [133-136].
Hydrophilic drugs like proteins and most of the anti-cancer drugs are difficult to administer
orally in the form of SNEDDS [72]. Findings suggest that thermodynamically stable (SEDDS)
self-double emulsifying drug delivery systems (w/o/w spontaneous emulsions) are also a
promising technique for the delivery of hydrophilic actives like peptide and protein drugs [137].
SDEDDS consist of hydrophilic surfactant and water in oil emulsion (comprising water as
dispersed phase, oil as continuous phase and surfactant) which produces w/o/w emulsion
spontaneously upon dilution with water and mild agitation. SDEDDS can save peptide and other
macromolecular drugs from enzymatic inactivation in gastrointestinal tract, improve efficiency
and decrease the dose volume [137-140].
be directed towards anionic membrane barriers [148]. These lipid based systems are taken by the
liver and spleen and it can be a smart way to target these organs [149]. Droplet surfaces can be
tailored for stealth properties by linking hydrophilic polymers [150].PEGylation is one such
technique in which Poly Ethylene Glycol can be linked to the surface of the nano droplet through
interaction with the surfactant molecules. As PEG is hydrophilic in nature it attracts water
making the surface of droplets slippery. This water layer inhibits the opsonins binding to the
surface of nanocarriers providing stealth properties [151]. It also provides steric hindrance by
forming barrier at the surface inhibiting enzyme degradation. These effects result in increased
stability and help nanocarriers reach the desired site [152]. Mucoadhesive polymers like HPMC
and thiolated chitosan are also an option to increase the retention of droplets in GIT. Thiolated
mucoadhesive polymerscan surround the nanoemulsion droplets as well as bind to the
subdomains of mucus glycoproteins which are rich in cysteine, through (S-S bonds) disulfide
linkages simultaneously [126, 128]. Active and passive targeting can be achieved by attaching
appropriate ligands (antibodies, peptides or nucleic acids) of target site receptors and using
enhanced permeation and retention effect (EPR), respectively [38, 146].
Several diseases including autoimmune diseases, leukemia, lymphoma and tissue rejection are
associated with lymphatic system for their progress [153]. Studies have shown that HIV
reservoirs include lymphoid organs, resting CD4+ T cells, follicular dendritic cells in lymph
nodes and macrophages [73, 154]. As SNEDDS are preferentially taken up into lymphatic
system, they can be used to target these sites. Targeting lymphatic system is also an opportunity
for targeting macrophages, an indirect way for increasing CNS drug levels [154, 155]. M2
phenotype macrophages are also involved in tumor cell activation, angiogenesis, anti-
inflammatory response and tissue remodeling [73, 156]. Interestingly, recent researches have
shown that lymphatic system is involved in tumor metastasis as well [157]. Therefore, these
targeted SNEDDS can be fruitful in future for attainment of therapeutic levels of hydrophobic
drugs at only desired targeted sites.
Despite enormous research work, very few SNEDDS products are available in the
market. This is due to poor understanding of biopharmaceutical and pharmacokinetic behavior of
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SNEDDS in-vivo and lack of reflective in-vitro tests. Knowledge of processes involved after
ingestion of LBDDS is the dark area which needs to be illuminated [158, 159]. Evaluation of in-
vitro dispersion/precipitation and lipolysis is the preferred testing here instead of dissolution, as
drug is already solubilized in excipients [160]. Currently, in-vitro models developed for
dispersion and lipid digestion are more predictive and reliable. In-vitro dispersion model rank-
orders the formulations between fast, slow and no precipitation. It allows precipitation
determination using a 96-well-plate-technique involving different durations and diluting factors
in biological fluids. But this rank-ordering is challenged if the precipitated drug is redissolved
due to pH change or drug’s state change, later in the GIT [161]. In-vitro lipolysis experiment
uses simulated in-vivo conditions including digestion buffers, bile salts, phospholipids and
lipases/co-lipases, categorizing the formulations according to their performance. Fasted and fed
conditions can be simulated and effect of food can also be determined [77]. These in-vitro
techniques have shown acceptable correlation with in-vivo findings [162, 163].
Commonly ‘Trial and Error’ and ‘Ternary Phase Diagram’ approaches are used
in the development of SNEDDS [164].Several errors and shortcomings are associated with these
‘titration’ based methods. This technique consists of fixing the oil, surfactant and co-surfactant
concentrations while varying the concentration of one parameter at one time and gradually
adding the aqueous phase to judge the nanoemulsion formation from the formulation
transparency [58, 71]. In this process when aqueous phase is limited then concentrated
nanoemulsions are generated which are milky, opaque and are not transparent. Further addition
of aqueous phase (mostly water) leads to a bluish, transparent and translucent nanoemulsion
formulations. This change from opaque to transparent formulation is referred to as ‘phase
transition’ which is wrong interpretation. These two systems are actually ‘concentrated’ and
‘diluted’ nanoemulsions respectively [34]. This misinterpretation raises questions about the
validity of ‘Ternary phase diagrams’ build this way. These techniques are time consuming,
costly and demand greater number of experiments [165].
Above mentioned problems emphasize the need for alternate approaches for SNEDDS’
development. Sagitani revealed that “hydrophilic lipophilic balance (HLB)” is a key parameter in
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the production of nanoemulsions. Minimum droplet size is achieved when the HLB values of
emulsifier and oil are matched [166]. It is shown that molecular structure of emulsifier is another
important factor in determining the droplet size of nanoemulsions [167, 168]. Lijuan et al.
investigated the effects of constituents’ concentration, structure and HLB values. Results suggest
that droplet size depends upon HLB values and structures of constituents. Minimum droplet size
was achieved with matched HLB values of oil and emulsifier. Hence, these factors might be used
for screening constituents as well as their optimized concentrations for nanoemulsion
development [169].
Bahloul et al. developed fenofibrate SNEDDS through an inexpensive, quick and robust
hydrophilic lipophilic balance-response surface methodology “HLB-RSM” strategy in order to
streamline the formulation approach [70]. HLB and response surface are introduced as
“determinant factors” in the development and optimization of SNEDDS. As optimal HLB is
demonstrated to be in correspondence with optimal concentration mixture, an experimental
domain of HLB (7.8-15) is selected [70, 164]. This domain is supposed to contain the optimal
HLB associated with optimal o/w selfemulsion [170]. HLB-RSM marks the minimal and
maximal concentration of excipients based on HLB, optimizing the formulation and could be an
efficient alternative to conventional approaches.
4. Conclusion
Low water solubility of BCS class II and IV drugs is responsible for poor oral absorption and has
been fixed through a “key strategy” called lipid based drug delivery system. LBDDS are
versatile carriers assuming different forms including emulsions. Nanoemulsions and
microemulsions are thermodynamically different systems having droplets in almost same
nanometric range. With the arrival of low energy and self-emulsification methods,
nanoemulsions have regained their importance as SNEDDS. SNEDDS have shown high drug
loading capacity, improve bioavailability and therapeutic efficiency of hydrophobic drugs. They
have been further modified as supersaturated, solid and even controlled release SNEDDS. Their
potential for carrying and delivering biomolecules such as insulin, leuprorelin etc. for improved
permeability and reduced enzymatic degradation is well established.SNEDDS are now well
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known for their mucus permeating capacity as well as their capability of enhancing lymphatic
uptake. As SNEDDS are suitable for surface functionalization, they can be designed for active
targeting to desired organs. Gap between SNEDDS and their commercial products is due to lack
of complete understanding of their in-vivo behavior and so far has been filled by development of
reflective in-vitro test. In recent times, some new SNEDDS development methods like HLB
response surface methodology have been adopted to surpass the drawbacks of old methodologies
and thus making SNEDDS an eminent and favorable drug delivery technique.
5. Expert opinion
Low aqueous solubility of drugs is a major challenge in their development as it leads to poor
bioavailability and low clinical response. Currently approximately 40% of marketed products
and many in developmental phase are poorly water soluble. These facts motivate scientists to
work on various methods to improve the solubility of drugs. Among them one of most promising
method is use of lipid based drug delivery systems. Use of lipids in drug carriers is based on
earlier observations that co administration of food and drugs such as griseofulvin, danazol,
halofantrine etc. enhances their absorption. Co administration of drugs and lipids utilizes several
mechanisms including increased solubilization, changes in biochemical and physical barriers and
utilization of endogenous lipid processing pathways to enhance drug absorption. LBDDS are
also preferred carriers due to their biocompatibility, versatility of pharmaceutical lipid excipients
and their compatibility with liquid, semi-solid, and solid dosage forms. Different lipid based
carriers such as self-emulsifying (SEDDS), self microemulsifying (SMEDDS) and self
nanoemulsifying (SNEDDS) are widely used to enhance bioavailability and dissolution rate of
poorly water soluble drugs. These systems share the advantage of spontaneous emulsification
without need for high energy processes. Commercial success of lipid based formulation such as
SandimuneNeoral, (Cyclosporine A), Lipirex (fenofibrate), Fortovase (Saquinavir), Norvir
(Ritonavir) etc. have encouraged further research in this area.
Previously SNEDDS were employed to tackle solubility and bioavailability related issues
of drugs. But scope of SNEDDS is far beyond dissolution and solubility issues. In recent times
they have evolved into supersaturated, solid, controlled and targeted SNEDDS to overcome
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issues related with simple SNEDDS and to make new modifications for different applications.
For instance supersaturated SNEDDS were developed to enhance drug loading capacity, solid
SNEDDS were used for ease of handling, manufacturing and enhance stability, controlled
SNEDDS avoided plasma drug fluctuations and targeted SNEDDS avoided side effects of drugs
on normal tissues. Furthermore, due to their small size, use of mucoadhesive and charged
surfactant coating, results in effective permeation of various mucus membranes in human body.
Encapsulation of nanodroplets with various polymers can provide diverse properties like
mucoadhesion, long GIT retention time, protection against enzymes, targeting lower GI tract and
providing sites for attaching specific targeting moieties. SNEDDS can also overcome poor
permeation, solubility and enzymatic degradation problem of bio macromolecules.
Despite above mentioned advancement and modifications in SNEDDS, still there are
areas which need to be focused to make SNEDDS future drug delivery carrier. Although
different efficient and predictive in-vitro tests were developed to understand SNEDDS but still
we lack enough in-vivo information. Apart from this, mechanism of generation of nanodroplets
especially when blended with polymer is not fully understood and needs clarification. Such
ingredients especially surfactants should be identified which are safe, effective and less toxic
even at higher concentrations. Adsorbents which can carry greater amounts of L-SNEDDS
should be searched. SNEDDS are prospective carrier for delivering bio macromolecules and
“difficult to formulate” phytochemicals and should be explored further as they can be an ideal
platform for such kind of drugs. In case of bio macromolecules we need further work on their
formulation ratio, loading capacity and effect of processing parameters on their stability. Another
issue is how to select a careful and optimum ratio of components in SNEDDS. One possible way
out is to replace traditional hit and trial method by HLB response surface technique. This
technique can minimize cost and cut short the number of formulations needed to identify the
optimum composition but still needs additional evaluation.
Acknowledgement
All authors thankfully acknowledge Higher Education Commission of Pakistan (HEC) for their
support in order to complete this review.
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Funding
Declaration of interest
The authors have no relevant affiliations or financial involvement with any organization or entity
with a financial interest in or financial conflict with the subject matter or materials discussed in
the manuscript. This includes employment, consultancies, honoraria, stock ownership or options,
expert testimony, grants or patents received or pending, or royalties.
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HP compared to
only 40 %
for
flurbiprofen
powder.
7. Valsartan Capmul Tablets Sylysia 350 3-3.5 fold [10
(anti-hypertensive) MCM, Increased 7]
Labrasol, dissolution
Tween 80 rate with
almost all
drug
released
within one
hr.
8. Docetaxel Capryol Spray dried Colloidal Silica 17 % [93]
(Chemotherapeutic 90, SNEDDS bioavailabili
agent) Labrasol, powder ty as
Transcutol compared to
HP 2.6% for
DCT sol.
with
decreased
toxicity
profile.
9. Lovastatin Capmul Hard gelatin Filled in hard 1.62 fold [98]
(Cholesterol MCM, capsules gelatin capsules Increased.
lowering agent) Nikkol filled with dissolution
HCO-50, SNEDDS with 7.4 fold
Lutrol formulation increased
F127 effective
permeability
10 Ritonavir Peppermin Self- Neusilin 72.6% in- [10
. (Anti-retroviral) t oil, nanoemulsify vitro drug 8]
Cremopho ing granules release
re, compared to
Transcutol 66.6% pure
drug.
11 Finasteride Labrafac Spray dried Maltodextrin/le 129.35 % [10
. (5-alpha reductase cc, Tween flow able ucin carrier relative 9]
inhibitor) 80, powder of system bioavailabili
Labrasol finasteride ty compared
SMEDDS with
commercial
tablet
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Table 4; Summary of some research articles describing sustained and controlled release
SNEDDS formulations;
BLM after 12
weeks, 33 %
transportation
rate across
MDCK
monolayer, 1.5
fold Inc. BA
in-vivo
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Fig. 1; Schematic diagram showing the structures of (A) Nanoemulsion droplet and (B)
Microemulsion droplet. Both are made up of surfactant, co surfactant and oil. Nanoemulsion
droplets are spherical and show polydispersity in their size (A) whereas microemulsion droplets
can be of a shape that is not necessarily spherical and all droplets are of same diameter and
shape (B).
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Fig. 2; Free energy differences between separated phases of microemulsion (A), nanoemulsion
(B), microemulsion (C) and separated phases of nanoemulsion (D).A and B have higher free
energies, while C and D have lower free energies. Nanoemulsions are thermodynamically
unstable but microemulsions are thermodynamically stable systems.
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Fig. 3; Fabrication of nanoemulsions involves specific mixing order in which, surfactant must be
mixed first with oil phase whereas microemulsions do not need any specific mixing order for
their formulation. Nanoemulsion particles have spherical shapes but different sizes (below 200
nm) within single formulation. *Particle size and shape of nanoemulsions is dependent on
fabrication method.
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Fig. 4; Amount of permeated fluorescein diacetate across mucus barrier, from different
SNEDDS\r\nformulations with different droplet sizes (A). Effect of varying concentrations of
Triacetin (B) and\r\nCremophor RH 40 (C) on permeation of SNEDDS spiked with FDA across
mucus layer (fluorescein\r\ndiacetate).