Benefits of Cetalkonium Chloride Cationic Oil-in-water Nanoemulsions for Topical Ophthalmic Drug Delivery
Overview
Pharmacy
Affiliations
Objectives: Topical ocular administration is the most convenient route of administration of drugs for the treatment of eye diseases. However, the bioavailability of drugs following eye instillations of eye drops is very low. Over the past 20 years, extensive efforts have been put into research to improve drug bioavailability without compromising treatment compliance and patients' quality of life.
Key Findings: One of the most efficient ways to improve drug bioavailability is to increase the precorneal residence time of the eye drop formulations. As a result, new eye drops, with bioadhesive properties, have been developed based on the cationic oil-in-water (o/w) nanoemulsion technology. These low viscosity eye drop nanoemulsions have improved precorneal residence time through the electrostatic interactions between the positively charged oil nanodroplets and the negatively charged ocular surface epithelium.
Summary: This review is the first to present the benefits of this new strategy used to improve ocular drug bioavailability. The roles of the cationic agent in the stabilization of a safe cationic o/w nanoemulsion have been discussed, as well as the unexpected benefits of the cationic o/w nanoemulsion for the protection and restoration of a healthy tear film and corneal epithelium.
Baudouin C, Stalmans I, Bourne R, Larrosa J, Schmickler S, Seleznev A Eye (Lond). 2025; .
PMID: 40000909 DOI: 10.1038/s41433-025-03646-z.
Yoon S, Kim E, You I, Choi C, Kim J, Song J BMC Ophthalmol. 2025; 25(1):37.
PMID: 39844141 PMC: 11752847. DOI: 10.1186/s12886-025-03862-x.
Simvastatin is delivered to the brain by high-strength intranasal cationic SMEDDS and nanoemulsions.
Gama F, Meirinho S, Pires P, Tinoco J, Martins Gaspar M, Baltazar G Drug Deliv Transl Res. 2025; .
PMID: 39747745 DOI: 10.1007/s13346-024-01769-6.
Recent Advances in Nanotechnology for the Treatment of Dry Eye Disease.
Coco G, Buffon G, Taloni A, Giannaccare G Nanomaterials (Basel). 2024; 14(8).
PMID: 38668163 PMC: 11053557. DOI: 10.3390/nano14080669.
Recent progress of nanomedicine in managing dry eye disease.
Lv Z, Li S, Zeng G, Yao K, Han H Adv Ophthalmol Pract Res. 2024; 4(1):23-31.
PMID: 38356795 PMC: 10864857. DOI: 10.1016/j.aopr.2024.01.008.