The current cyclodextrin (CD) literature is reviewed concerning synthe
sis, characterization, and pharmaceutical relevant applications of CD
derivatives. Although natural CDs have been used extensively to improv
e pharmaceutical properties, the effects of chemically modified CDs on
the solubility, dissolution rate, and stability of drugs are overprop
ortional. Concerning the parenteral application, the major interest is
focussed on highly water-soluble, randomly substituted hydroxyalkyl d
erivatives of beta- and gamma-CD such as 2-hydroxypropyl-beta-cyclodex
trin (2-HP-beta-CD). Although the heptakis-(2,6-di-O-methyl)beta-cyclo
dextrin is applied in the pharmaceutical field, 2HP-beta-CD is predest
ined as a parenteral drug carrier owing to its weak hemolytic activity
and intrinsically amorphous character. A minimal average degree of su
bstitution is especially preferred when 2-HP-beta-CD is used as solubi
lizer of pharmaceuticals for the use in parenteral applications. The i
nfluence of the type, degree, and pattern of substitution of the CDs,
as well as substituent effects of the guest molecule is elucidated.