Developing topical
sildenafil for local treatment of
erectile dysfunction has been of great interest in pharmaceutical research.
Sildenafil citrate (SC) exhibited a well-documented success for treatment of several types of
erectile dysfunction. However, its oral use is limited by serious adverse effects, poor bioavailability, delayed onset, and
drug-drug interactions. This work is the first to design and assess
sildenafil-loaded bilosomes for topical local treatment of
erectile dysfunction. Different
sildenafil-loaded bilosomes were prepared and characterized. Permeability of selected formulations was conducted through full-thickness human skin. Optimized bilosomes integrating
sodium tauroglycocholate (STGC) showed spherical shape with good particle size (133 nm), high zeta potential (-53.6 mV) and high entrapment efficiency (87.45%). Ex-vivo permeability study revealed that about 39% of the applied dose permeated within 15 min. Furthermore, in-vivo appraisal of therapeutic efficacy was performed using aged male Sprague-Dawley rats. After single application of 2 mg/kg
sildenafil loaded in STGC-bilosomes, behavioral and biochemical evaluation was carried out. Behavioral assessment recorded an increased rats' potency manifested
as 2 folds increase in intromission frequency and intromission ratio compared to untreated group. That was accompanied by significant increase in cGMP concentration in corpora cavernosa (P < 0.0001) confirming increased potency. In conclusion, STGC-bilosomes could provide topical treatment of
impotence with 20% of the oral dose and fast onset of action (10 min).