Académique Documents
Professionnel Documents
Culture Documents
Introduction Potential benefits Factors affecting TD route Mechanism of skin permeation Basic components Different types of transdermal patches Evaluation (physicochemical, invitro, invivo) Recent advancements Conclusion
Controlled drug delivery Maintain efficacious plasma drug levels for over 1-7 days Drug input can be promptly interrupted when toxicity occurs
Disadvantages
Drug that require high blood levels cannot be administered Drug or drug formulation may cause skin irritation or sensitization Adhesive may not adhere well to all types of skin Expensive
shellac, waxes, gums, natural rubber and chitosan etc. Synthetic Elastomers: e.g. polybutadiene, hydrin rubber, polyisobutylene, silicon rubber, nitrile, acrylonitrile, neoprene, butylrubber etc. Synthetic Polymers: e.g. polyvinyl alcohol, polyvinylchloride, polyethylene, polypropylene, polyacrylate, polyamide, polyurea, polyvinylpyrrolidone, polymethylmethacrylate etc
Drug Properties
Potency of the drug <=20 mg
Lipophilicity log P = 1-3 Molecular weight < 500 daltons
Non irritant
Melting point <200oc No immunogenicity
Activity of penetration enhancers Interaction with the polar head groups of lipid via hydrogen and ionic bonding Increase volume of the aqueous layer : swelling and hydration Alter the packing of the lipid tails disorder and traverse by a lipid-like penetrant Solvents
Cosolvent Azone (1-dodecylazacycloheptane-2-one) Cis-unsaturated oleic acid Additive : PG increase solubilizing ability for lipid-like materials Flip over to insert between the hydrophobic groups of the membrane lipids increasing fluidity of lipid
DMSO, propylene glycol, ethanol
Penetration Enhancers
Pressure-sensitive adhesive
ASTM (American Society for Testing and Materials) definition :
viscoelastic material which remains permanently tacky Remove from a surface without leaving a residue Natural or synthetic rubbers, polyacrylates, silicone
(easily removed) Paper, polystyrene or polyester films with coating of silicone, longchain branched polymers, chromium complex, fluorochemicals or various hard polymers
Backing Laminate: High flexibility Good oxygen transmission High moisture vapor transmission rate EG. vinyl, polyethylene and polyester films Other excipients: Various solvents such as chloroform, methanol, acetone, isopropanol and dichloromethane are used to prepare drug reservoir. In addition plasticizers such as dibutylpthalate, triethylcitrate, polyethylene glycol and propylene glycol are added to provide plasticity to the transdermal patch
Evaluation
Physicochemical evaluation.
Invitro studies
Invivo studies
Physicochemical evaluation
UNIFORMITY OF WEIGHT CONTENT UNIFORMITY THICKNESS
MOISTURE CONTENT
FOLDING ENDURANCE
TENSILE STRENGTH
TACK PROPERTIES
pH of the dissolution medium= 1-5 Temp = 320 C ( physiological skin temp. ) 100 rpm Concn of drug determined
Invivo studies :
Animal
models
mouse,
hairless rat, hairless dog, hairless rhesus monkey, rabbit, guinea pig etc
Human
volunteers
collection
of pharmacokinetic and pharmacodynamic data following application of the patch to human volunteers. Phase I,II.III.IV clinical trials
Stability studies
albino rats, mice or white rabbits are used to study any hypersensitivity reaction on the skin.
RECENT ADVANCES
Rolf
Amphoteric enhancers : SLS, lauryl amine oxide, Azone decylmethylsulfoxide, lauryl ethoxylate, octanol
Adhesive matrix, multilaminated PSA matrix Adverse interaction between the drug, exicipents, cosolvents and permeation enhancers in reservoir and matrix-type system Silicone PSA : tack, adhesion, cohesive strength Polydimethylsioxane PSA : biocompatibility and high permeability
Path with no drug as occlusive dressing Placed over topically applied corticosterids to enhance efficacy by promoting hydration of the stratum corneum
Steady-state blood levels for extended periods Two or four layers, including a backing membrane, the drug reservoir, a rate-controlling membrane, and an adhesive
Prodrug with isopropyl myristate, ethanol and ethanolwater readily penetrate the skin Enzymatic conversion, high solubility of prodrug in polar and apolar solvents
Trade Name
TransdermScop
Type of Devices
Reservoir Reservoir Monolithic Monolithic Reservoir and ethanol enhancer
Indication
Motion sickness Angina
Hormone treatment
Duragesic
Conclusion
Two mechanism that manipulate the diffusion of a drug across the skin
Change the degree of interaction between drug and vehicle (drugs thermodynamic activity) Changes in the stratum corneum that will affect its diffusional resistance (vehicle-barrier interaction)
Transdermal therapy
70% or more of all drugs : potentially delive.red by TDS Limitation : drug potency, skin permeability, topical reaction, cutaneous metabolism, delivery by small volume of skin Further TTS : use of prodrug, penetration enhancer and specific nontoxic enzyme inhibitors, Iontophoresis