Zusammenfassung
Die Pharmakokinetik des vorderen Augenabschnittes umfasst die Applikation, Resorption, Bioverfügbarkeit, Metabolisierung und auch die Elimination vor allem topisch applizierter Medikamente. Dabei muss neben der Überwindung der natürlichen Barrieren in Form von Tränenfilm, Kornea, Konjunktiva und Sklera auch auf die korrekte Applikationstechnik geachtet werden. Es gibt verschiedene, meist noch sich in der experimentellen Phase befindliche Ansätze, um eine längere Verweildauer des Medikamentes an der Augenoberfläche zu gewährleisten und eine einfachere Applikation zu erreichen. Weiterhin gibt es viele Bestrebungen, neuere Konservierungsmittel zu verwenden, mit dem Ziel, weniger toxische Nebenwirkungen zu erzeugen.
Abstract
The pharmacokinetics of the anterior eye comprises the application, resorption, bioavailability, metabolization and elimination of topically administered drugs. In addition to the necessity of the penetration of the substance through the naturally occurring barriers of the eye in the form of the tear film, cornea, conjunctiva and sclera, the correct technique for administration is necessary for an optimal effect of the drug. Several new application devices have been described in the literature but most are still in an experimental phase. The main aims are to increase drug exposure time to the anterior surface of the eye and decrease problems in administration. Furthermore, new preservative agents are in use in order to produce less toxic side effects.
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Interessenkonflikt. K. Bell, N. Pfeiffer und F.H. Grus geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Bell, K., Pfeiffer, N. & Grus, F. Pharmakokinetik am vorderen Augenabschnitt. Ophthalmologe 111, 107–112 (2014). https://doi.org/10.1007/s00347-013-2931-x
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DOI: https://doi.org/10.1007/s00347-013-2931-x