Archana
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Comprehensive Journal of Pharmaceutical Sciences Vol. 1(1), pp. 1 - 10, Feb. 2013
Copyright 2013 Knowledgebase Publishers.
Reviewed Article
The conventional oral dosage forms have significant setbacks of poor bioavailability due to hepatic first
pass metabolism. To improve characters of transdermal drug delivery system (TDDS) was emerged,
which will improve the therapeutic efficacy and safety of drugs by specific sites within the body,
thereby reducing both the size and number of doses. Skin is an effective medium from which
absorption of the drug takes place and enters into systematic circulation over a period of time. The
present article reviews the selection of drug candidates and polymers suitable to be formulated as
transdermal system, advantages, disadvantages of formulation design and the methods of evaluation.
Key words: Transdermal drug delivery system (TDDS), bioavailability, hepatic first pass metabolism.
INTRODUCTION
Recently, the use of transdermal patches for continuous input of drugs with short biological half-lives,
pharmaceuticals has been limited because only a few and eliminates pulsed entry into systemic circulation
drugs have proven to be effectively delivered through the which often causes undesirable side effects.
skin, typically cardiac drugs such as nitroglycerin and
hormones such as estrogen. A skin patch uses a special
membrane to control the rate at which the liquid drug Advantages
contained in the reservoir within the patch can pass
through the skin and into the bloodstream. The basic 1. They can avoid gastrointestinal drug absorption
components of any transdermal delivery system include difficulties caused by gastrointestinal pH, enzymatic
the drug(s) dissolved or dispersed in a reservoir or inert activity, and drug interactions with food, drink, and other
polymer matrix; an outer backing film of paper, plastic, or orally administered drugs.
foil, and a pressure-sensitive adhesive that anchors the 2. They can substitute for oral administration of
patch to the skin. The adhesive is covered by a release medication when that route is unsuitable, as with vomiting
liner which needs to be peeled off before applying the and diarrhea (Finnin and Morgan, 1999).
patch to the skin. Drugs administered via skin patches 3. They avoid the first-pass effect, that is, the initial
include scopolamine, nicotine, estrogen, nitroglycerin, passage of s drug substance through the systemic and
and lidocaine. portal circulation following gastrointestinal absorption,
Transdermal delivery not only provides controlled, possibly avoiding the deactivation by digestive and liver
constant administration of the drug, but also allows enzymes (Allen et al., 2005; Barry, 2002).
2 Compr . J. Pharm. Sci.
4. They are non invasive, avoiding the inconvenience of remainder of the epidermis, also called viable epidermis,
Parenteral therapy (Allen et al., 2005; Barry, 2002). cover a major area of skin (Tortora and Grabowski,
5. They provide extended therapy with a single 2006).
application, improving compliance over other dosage
forms requiring more frequent dose administration (Allen Stratum corneum: This is the outermost layer of skin,
et al., 2005). also called horney layer. It is approximately 10 mm thick
6. The activity of drugs having s short half-life is when dry but swells to several times this thickness when
extended through the reservoir of drug in the therapeutic fully hydrated. It contains 10 to 25 layers of parallel to the
delivery system and its controlled release (Barry, 2002; skin surface, lying dead, keratinized cells, called
Cleary). corneocytes. It is flexible but relatively impermeable. The
7. Drug therapy may be terminated rapidly by removal of stratum corneum is the principal barrier for penetration.
its application from the surface of the skin (Barry, 2002). The barrier nature of the horney layer depends critically
8. They are easily and rapidly identified in emergencies on its constituents: 75 to 80% proteins, 5 to 15% lipids,
(for example, unresponsive, unconscious, or comatose and 5 to 10% ondansetron material on a dry weight basis.
patient) because of their physical presence, features, and Protein fractions predominantly contain alpha-keratin
identifying markings. (70%) with some beta-keratin (10%) and cell envelope
At the same time, transdermal drug delivery has few (5%). Lipid constituents vary with body site (neutral lipids,
disadvantages that are limiting the use of transdermal sphingolipids, polar lipids, cholesterol). Phospholipids are
delivery (Barry, 2002). largely absent, a unique feature of mammalian
membrane (Tortora and Grabowski, 2006; Wilson and
Waugh, 1996).
Disadvantages
1. Only relatively potent drugs are suitable candidates for Viable epidermis: This is situated beneath the stratum
transdermal delivery because of the natural limits of drug corneum and varies in thickness from 0.06 mm on the
entry imposed by the skins impermeability (Allen et al., eyelids to 0.8 mm on the palms. Going inwards, it
2005; Barry, 2002). consists of various layers as stratum lucidum, stratum
2. Some patients develop contact dermatitis at the site of granulosum, stratum spinosum, and the stratum basale.
application from one or more of the system components, In the basale layer, mitosis of the cells constantly renews
necessitating discontinuation (Barry, 2002). the epidermis and this proliferation compensates the loss
3. The delivery system cannot be used for drugs requiring of dead horney cells from the skin surface. As the cells
high blood levels (Allen et al., 2005). produced by the basale layer move outward, they alter
4. The use of transdermal delivery may be uneconomical morphologically and histochemically, undergoing
(Barry, 2002). keratinization to form the outermost layer of
stratumcorneum (Tortora and Grabowski, 2006; Wilson
For better understanding of transdermal drug delivery, and Waugh, 1996).
the structure of skin should be briefly discussed along
with penetration through skin and permeation pathways
(Barry, 2002; Vyas and Khar, 2002). This is shown in Dermis
Figure 1- 3
Dermis is a 3 to 5 mm thick layer and is composed of a
matrix of connective tissue which contains blood vessels,
Anatomy and physiology of skin lymph vessels, and nerves. The continuous blood supply
has essential function in regulation of body temperature.
Human skin comprises of three distinct but mutually It also provides nutrients and oxygen to the skin while
dependent tissues (Tortora and Grabowski, 2006; Wilson removing toxins and waste products. Capillaries reach to
and Waugh, 1996), namely: within 0.2 mm of skin surface and provide sink conditions
for most molecules penetrating the skin barrier. The
1. The stratified, a vascular, cellular epidermis; blood supply thus keeps the dermal concentration of
2. Underlying dermis of connective tissues and; permeate very low, and the resulting concentration
3. Hypodermis. difference across the epidermis provides the essential
driving force for transdermal permeation (Tortora and
Grabowski, 2006; Wilson and Waugh, 1996).
Epidermis
Figure 2. Simplified diagram of skin structure and macro routes of drug barrier at a penetration. Source: Allen et al. (2005).
This layer helps to regulate temperature, provides layers is desired (Tortora and Grabowski, 2006; Wilson
nutritional support and mechanic protection. It carries and Waugh, 1996).
principal blood vessels and nerves to skin and may
contain sensory pressure organs. For transdermal drug
delivery, the drug has to penetrate through all these three ROUTES OF PENETRATION
layers and reach into systemic circulation while in case of
topical drug delivery, only penetration through stratum The diffusant has two potential entry routes to the blood
corneum is essential and then retention of drug in skin vasculature; through the epidermis itself or diffusion
4 Compr . J. Pharm. Sci.
Figure 3. Simplified model of the human skin for mechanistic analysis of skin permeation. Source: Cleary (1984).
through shunt pathway, mainly hair follicles with their The route through which permeation occurs is largely
associated sebaceous glands and the sweat ducts dependent on physico-chemical characteristics of
(Barry, 1987). Therefore, there are two major routes of penetrant, most importantantly being the relative ability to
penetration (Bodde et al., 1991; Heisig et al., 1996). partition into each skin phase. The transdermal
permeation can be visualized as composite of a series in
sequence as:
Transcorneal penetration
1. Adsorption of a penetrant molecule onto the surface
Intra cellular penetration layers of stratum corneum.
2. Diffusion through stratum corneum and through viable
Drug molecule passes through the cells of the stratum epidermis.
corneum. It is generally seen in case of hydrophilic drugs. 3. Finally through the papillary dermis into the
As stratum corneum hydrates, water accumulates near microcirculation.
the outer surface of the protein filaments. Polar
molecules appear to pass through this immobilized water. The viable tissue layer and the capillaries are relatively
permeable and the peripheral circulation is sufficiently
rapid. Hence diffusion through the stratum corneum is the
Intercellular penetration rate-limiting step (Scheuplein, 1965). The stratum
corneum acts like a passive diffusion medium. So for
Non-polar substances follow the route of intercellular transdermal drug diffusion, the various skin tissue layers
penetration. These molecules dissolve in and diffuse can be represented by a simple multilayer model as
through the non- aqueous lipid matrix imbibed between shown in Figure 2.
the protein filaments.
FORMULATION DESIGN
Transappendegeal penetration
A transdermal therapeutic system is essentially a
This is also called as the shunt pathway (Bodde et al., multilaminate structure that is composed of following
1991; Heisig et al., 1996). In this route, the drug molecule constituents:
may transverse through the hair follicles, the sebaceous
pathway of the pilosebaceous apparatus or the aqueous 1. Drug;
pathway of the salty sweat glands (Barry, 1987). The 2. Polymer matrix;
transappendegeal pathway is considered to be of minor 3. Penetration enhancers;
importance because of its relatively smaller area (less 4. Adhesives;
than 0.1% of total surface). However this route may be of 5. Backing membrane;
some importance for large polar compounds. 6. Release linear.
Archana Gaikwad. 5
The peel strip prevents the loss of the drug that has
Percentage moisture content
migrated into the adhesive layer during storage and
protects the finished device against contamination. The prepared patches are to be weighed individually and
Polyesters foils and other metalized laminates are typical to be kept in a desiccator containing fused calcium
materials which are commonly used. chloride at room temperature. After 24 h, the films are to
be reweighed and the percentage moisture content
determined by below formula (Reddy et al., 2003):
EVALUATION METHODS
Percentage moisture content (%) = [Initial weight - Final
The evaluation methods for transdermal dosage form can weight / Final weight] 100
be classified into following types: Physicochemical
evaluation, In vitro evaluation and In vivo evaluation Percentage moisture uptake
between 85 to 115% of the specified value and one has plate with an adhesive. The glass plate was then placed
content not less than 75 to 125% of the specified value, in a 500 ml of the dissolution medium or phosphate buffer
then transdermal patches pass the test of content (pH 7.4), and the apparatus was equilibrated to 32
uniformity. But if 3 patches have content in the range of 0.5C. The paddle was then set at a distance of 2.5 cm
75 to 125%, then additional 20 patches are tested for from the glass plate and operated at a speed of 50 rpm.
drug content. If these 20 patches have range from 85 to Samples (5 ml aliquots) can be withdrawn at appropriate
115%, then the transdermal patches pass the test (Wolff, time intervals up to 24 h and analyzed by UV
2000). spectrophotometer or HPLC. The experiment was
performed in triplicate and the mean value calculated
(Singh et al., 1993).
Flatness test
In vitro skin permeation studies
Three longitudinal strips were cut from each film at
different portion like one from the center, other one from An in vitro permeation study can be carried out by using
the left side, and another one from the right side. The diffusion cell on thick abdominal skin of male Wistar rats
length of each strip was measured, and the variation in weighing 200 to 250 g. Hair from the abdominal region is
length because of non-uniformity in flatness was removed carefully by using an electric clipper; the dermal
measured by determining percentage constriction, with side of the skin was thoroughly cleaned with distilled
0% constriction equivalent to 100% flatness (Lec et al., water to remove any adhering tissues or blood vessels,
1991). equilibrated for an hour in dissolution medium or
phosphate buffer pH 7.4 before starting the experiment,
Constriction (%) = I1 - I2 100 I1 and was placed on a magnetic stirrer with a small
magnetic needle for uniform distribution of the diffusant.
Where, I1 = initial length of each strip. I2 = final length of The temperature of the cell was maintained at 32 0.5C
each strip. using a thermostatically controlled heater. The isolated
rat skin piece was mounted between the compartments
of the diffusion cell, with the epidermis facing upward into
Percentage elongation break test the donor compartment. Sample volume of definite
volume was removed from the receptor compartment at
The percentage elongation break was determined by regular intervals, and an equal volume of fresh medium
noting the length just before the break point and was replaced. Samples were filtered through filtering
determined from the formula (Lec et al., 1991). medium and analyzed spectrophotometrically or using
HPLC. Flux was determined directly as the slope of the
Elongation percentages = L1 - L2 / L2 100 curve between the steady-state values of the amount of
drug permeated (mg cm2) versus time in hours, and
Where L1 = final length of each strip; L2 = initial length of permeability coefficients were deduced by dividing the
each strip. flux by the initial drug load (mg cm 2) (Singh et al., 1993).