A Celecoxib-Loaded Emulsion Gel for Enhanced Drug Delivery and Prevention of Postoperative Adhesion
<b>Background:</b> Postoperative adhesions are a common complication following abdominal surgery, affecting over 90% of patients and leading to significant morbidity. Current anti-adhesion strategies, such as the use of physical and chemical barriers, have limitations such as short reten...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-03-01
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| Series: | Pharmaceutics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1999-4923/17/4/427 |
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| Summary: | <b>Background:</b> Postoperative adhesions are a common complication following abdominal surgery, affecting over 90% of patients and leading to significant morbidity. Current anti-adhesion strategies, such as the use of physical and chemical barriers, have limitations such as short retention time, mechanical fragility, and inefficient drug delivery. This study developed a pectin-based emulsion gel loaded with celecoxib to prevent adhesions and provide localized pain relief. <b>Methods</b>: Formulations (F1–F4) with different pectin concentrations were evaluated for rheological properties, mucoadhesion, degradation rate, and celecoxib release. In vivo efficacy was evaluated in Sprague−Dawley rats via a standardized model of peritoneal abrasion, in which the formulations were compared to a commercially available anti-adhesion barrier. <b>Results</b>: The optimized emulsion gel (F4) exhibited improved mucoadhesion (9009 mPa·s), prolonged retention, and controlled celecoxib release over 14 days, reaching 80% release by day 9. In vivo, formulation F4 significantly reduced adhesions compared to a commercially available product. Pharmacokinetic analysis showed rapid absorption (T<sub>max</sub> = 2 h) and sustained celecoxib plasma levels, confirming its effectiveness as a localized drug-delivery system. The celecoxib-loaded pectin-based gel successfully prevented postoperative adhesions and provided sustained pain relief. <b>Conclusions</b>: These findings suggest its potential clinical utility, though further preclinical and clinical evaluations are required. |
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| ISSN: | 1999-4923 |