Polymeric implants with drug-releasing capabilities: a mapping review of laboratory research

Current research status, applications and challenges of ketorolac-based sustained-release and controlled-release formulations

Ketorolac, a nonsteroidal anti-inflammatory drug, exhibits moderate antipyretic and anti-inflammatory properties, as well as potent analgesic effects. It is widely used in clinical practice for pain relief in cases of mild and severe pain such as postoperative pain, fractures, sprains, toothaches and cancer pain. Due to its relatively short half-life, patients experiencing pain often need frequent injections or oral medications, leading to poor patient compliance. Thus, it is crucial to create long-acting sustained-release formulations of ketorolac. This paper provides an overview of the research, applications, and challenges associated with ketorolac sustained-release formulations over the past decade, based on a comprehensive review of the literature. The aim is to provide fresh insights for the research and development of long-acting, sustained-release, and controlled-release formulations of ketorolac.

Characteristics and Challenges of Poly(ethylene-co-vinyl acetate) Solution Electrospinning

Poly(ethylene-co-vinyl acetate) (PEVA) is a versatile elastic, durable, and biocompatible copolymer, which can be processed by melt extrusion or solvent casting, while electrospinning has been reported as challenging. Here, a spinnability window should be identified using a total of 10 different PEVA materials with increasing vinyl acetate content (∼12-40 wt %) and molecular weights (∼60-130 kDa). Based on the solubility predictions by calculating Hansen solubility parameters, candidate solvents were experimentally evaluated. Spinning experiments with systematic alteration of solution composition and processing parameters revealed the causes of material deposition at the spraying nozzle and multijet spinning characteristics. By introducing a spinnability score that accounts for product characteristics and reproducibility, the spinnability of PEVA could be rationalized. Overall, it was demonstrated that PEVA solutions with an apparent viscosity of 920-3500 mPa·s can be spun to bead-free fibers of ∼10 μm. This size may allow suspension electrospinning of composite fibers in the future.

Evaluation of safety and effectiveness of NAD in different clinical conditions: a systematic review

Nicotinamide adenine dinucleotide (NAD+) is an essential pyridine nucleotide cofactor that is present in cells and in several important biological processes, including oxidative phosphorylation and production of adenosine triphosphate, DNA repair, calcium-dependent secondary messenger and gene expression. The purpose of this systematic review is to examine whether the coenzyme formulae NAD+ and NADH are safe and effective when acting as a supplement to humans. This systematic review of randomized clinical trials performed a search in six electronic databases: PubMed, MEDLINE (ovid), Embase, Cochrane CENTRAL (clinical trials), Web of Science, and Scopus. Secondary search included the databases (e.g., Clinical trials.gov, Rebec, Google Scholar - advance). Two reviewers assessed and extracted the studies independently. The risk of bias in studies was performed using version 2 of the Cochrane risk of bias tool for randomized trials. This review includes 10 studies, with a total of 489 participants. The studies included different clinical conditions, such as chronic fatigue syndrome (CFS), older adults, Parkinson's disease, overweight, postmenopausal prediabetes, and Alzheimer's disease. Based on studies, the supplementation with NADH and precursors was well tolerated and observed clinical results such as, a decrease in anxiety conditions and maximum heart rate was observed after a stress test, increased muscle insulin sensitivity, insulin signaling. Quality of life, fatigue intensity, and sleep quality among others were evaluated on patients with CFS. All studies showed some side effects, thus, the most common associated with NADs use are muscle pain, nervous disorders, fatigue, sleep disturbance, and headaches. All adverse events cataloged by the studies did not present a serious risk to the health of the participants. Overall, these findings support that the oral administration of NADH can be associated to an increase in general quality of life and improvement on health parameters (e.g., a decrease in anxiety, maximum heart rate, inflammatory cytokines in serum, and cerebrospinal fluid). NADH supplementation is safe and has a low incidence of side effects. Future investigations are needed to evidence the clinical benefits regarding specific diseases and doses administered.