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Comprehensive review highlights SMEDDS' impact on bioavailability in poorly soluble drugs, suggesting innovations in formulation design and stability challenges.
Self-microemulsifying drug delivery systems (SMEDDS) formulations have emerged as crucial methods for improving the bioavailability of poorly water-soluble drugs. However, they exhibit several limitations, including oxidation of unsaturated fatty acids, restricted lymphatic absorption, handling challenges, in vivo drug precipitation, a lack of predictive in vitro research—and their high surfactant content can cause gastrointestinal irritation. These factors can impede their broader application. Incorporating precipitation inhibitors or polymers within lipid-based formulations helps maintain drug supersaturation after dispersion, thereby reducing exposure variability and enhancing bioavailability. Converting liquid SMEDDS into solid forms also addresses issues related to liquid handling and stability. This review highlights recent developments, such as the use of nanotechnology, innovative excipients, and solidification techniques in the formulation of herbal SMEDDS. It also evaluates their advantages and drawbacks in drug delivery, with a particular focus on key performance parameters like droplet size, zeta potential, and stability. Additionally, self-nanoemulsifying drug delivery systems (SNEDDS) show considerable promise for improving the bioavailability and solubility of poorly water-soluble herbal extracts by encapsulating them in nanoemulsions. In summary, SMEDDS offer a viable oral platform for administering poorly soluble medications and herbal extracts, with the potential to significantly enhance therapeutic outcomes. For wider clinical adoption, however, challenges related to formulation stability, scalable manufacturing, and regulatory compliance must be addressed. Future research should aim to overcome these barriers and expand SMEDDS applications across diverse therapeutic areas.
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Ansari et al. (2025) studied this question.
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