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Table 1 Problems in aerosol therapy and their solution (modified according to [4, 6, 13, 24]).

From: Novel devices for individualized controlled inhalation can optimize aerosol therapy in efficacy, patient care and power of clinical trials

Source of the problem

Type of the problem

Solution of the problem

Device

Low aerosol output

Vibrating mesh nebulizers

 

Aerosol distribution width

Dry powder inhalers (DPI)

 

Variability of aerosol particle spectrum

Metered dose inhalers (MDI)

 

Long treatment times for drug solutions

Vibrating mesh nebulizers

Compound

Formulation:

Optimisation of manufacturing:

 

   Chemical/physical stability

   Refinement of production processes

 

   Aerodynamic diameter

   Addition of stabilising excipients

 

   Adhesion force

 
 

   Electrical charge

 
 

Biology:

Improvement of galenics:

 

   Permeability

   Addition of absorption enhancers and

 

   Metabolism

   proteinase inhibitors and packing into

 

   Safety

   particles

 

   Immunogenicity