Efficacy and safety of nasal absorption enhancers depend on many diffe
rent parameters, such as their influence on nasal epithelial membrane
barriers, the enzymatic activities in the nasal cavity, and the mucoci
liary clearance. Large interspecies differences appear to exist in the
nasal absorption of drugs. Nasal absorption enhancers, although very
effective in some cases, differ substantially in efficacy and safety.
For a number of enhancers like surfactants, bile salts and fusidate de
rivatives a good relationship (similarity in rank order) can be establ
ished between the morphological damage and the influence on the ciliar
y beat frequency (CBF) of nasal epithelial tissue, making CBF measurem
ents a valuable tool in the search for safe nasal absorption enhancers
.