Since their discovery, cyclodextrins and their ability to form inclusi
on complexes have fascinated chemists, formulators and recently, entre
preneurs. This mini-review has as its objective, a critical assessment
of the current status of cyclodextrins in the formulation and deliver
y of pharmaceuticals and commentary on their potential future uses. Th
e emphasis will be on answers to common questions often asked of pharm
aceutical scientists working in this area. Why use cyclodextrins for d
rug solubilization and stabilization when alternative techniques are a
vailable? Why the greater interest in modified cyclodextrins and not t
he parent cyclodextrins? If a drug forms a strong cyclodextrin inclusi
on complex, how is the drug released in vivo? Does the injection of a
cyclodextrin/drug complex alter the pharmacokinetics of the drug? Are
there drug products on the market which contain cyclodextrins? What is
the regulatory status of cyclodextrins? Although definitive answers t
o all these questions are not possible at this time, many of these que
stions are answerable, and educated and informed responses are possibl
e for the rest.