RT Journal Article T1 Formulation Strategies to Improve Nose-to-Brain Delivery of Donepezil. A1 Espinoza, Lupe Carolina A1 Silva-Abreu, Marcelle A1 Clares, Beatriz A1 Rodríguez-Lagunas, María José A1 Halbaut, Lyda A1 Cañas, María-Alexandra A1 Calpena, Ana Cristina K1 Alzheimer’s disease K1 Donepezil K1 Pluronic F-127 K1 mucoadhesion K1 nanoemulsion K1 nose-to-brain AB Donepezil (DPZ) is widely used in the treatment of Alzheimer's disease in tablet form for oral administration. The pharmacological efficacy of this drug can be enhanced by the use of intranasal administration because this route makes bypassing the blood⁻brain barrier (BBB) possible. The aim of this study was to develop a nanoemulsion (NE) as well as a nanoemulsion with a combination of bioadhesion and penetration enhancing properties (PNE) in order to facilitate the transport of DPZ from nose-to-brain. Composition of NE was established using three pseudo-ternary diagrams and PNE was developed by incorporating Pluronic F-127 to the aqueous phase. Parameters such as physical properties, stability, in vitro release profile, and ex vivo permeation were determined for both formulations. The tolerability was evaluated by in vitro and in vivo models. DPZ-NE and DPZ-PNE were transparent, monophasic, homogeneous, and physically stable with droplets of nanometric size and spherical shape. DPZ-NE showed Newtonian behavior whereas a shear thinning (pseudoplastic) behavior was observed for DPZ-PNE. The release profile of both formulations followed a hyperbolic kinetic. The permeation and prediction parameters were significantly higher for DPZ-PNE, suggesting the use of polymers to be an effective strategy to improve the bioadhesion and penetration of the drug through nasal mucosa, which consequently increase its bioavailability. SN 1999-4923 YR 2019 FD 2019-02-01 LK https://hdl.handle.net/10668/28137 UL https://hdl.handle.net/10668/28137 LA en DS RISalud RD Apr 8, 2025