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- Title
Repurposing Disulfiram as an Antifungal Agent: Development of a New Disulfiram Vaginal Mucoadhesive Gel.
- Authors
Lajarin-Reinares, Maria; Naveira-Souto, Iria; Mallandrich, Mireia; Suñer-Carbó, Joaquim; Llagostera Casas, Montserrat; Calvo, Maria Angels; Fernandez-Campos, Francisco
- Abstract
Alternative formulations need to be developed to improve the efficacy of treatments administered via the vaginal route. Mucoadhesive gels with disulfiram, a molecule that was originally approved as an antialcoholism drug, offer an attractive alternative to treat vaginal candidiasis. The aim of the current study was to develop and optimize a mucoadhesive drug delivery system for the local administration of disulfiram. Such formulations were composed of polyethylene glycol and carrageenan to improve the mucoadhesive and mechanical properties and to prolong the residence time in the vaginal cavity. Microdilution susceptibility testing showed that these gels had antifungal activity against Candida albicans, Candida parapsilosis, and Nakaseomyces glabratus. The physicochemical properties of the gels were characterized, and the in vitro release and permeation profiles were investigated with vertical diffusion Franz cells. After quantification, it was determined that the amount of the drug retained in the pig vaginal epithelium was sufficient to treat candidiasis infection. Together, our findings suggest that mucoadhesive disulfiram gels have the potential to be an effective alternative treatment for vaginal candidiasis.
- Subjects
ANTIFUNGAL agents; DISULFIRAM; VULVOVAGINAL candidiasis; DRUG delivery systems; POLYETHYLENE glycol; CANDIDA albicans
- Publication
Pharmaceutics, 2023, Vol 15, Issue 5, p1436
- ISSN
1999-4923
- Publication type
Article
- DOI
10.3390/pharmaceutics15051436