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TRANSDERMAL DRUG
    DELIVERY


               Arya Soman


         first year M.Pharm
Content
•   Anatomy of skin
•   Mechanism of skin permeation
•   TDDS
•   Advantages & disadvantages
•   Factors affecting skin permeation
•   Design of TDDS
•   Technologies for developing TDDS
•   Kinetic evaluation of TDDS
•   Optimization of TDDS
•   Advance in TDDS researches.


                                        2
ANATOMY OF SKIN

• Skin is a multilayered organ


• It is composed of three tissue layers mainly


   The epidermis


    The dermis


     Subcutaneous fat tissue


                                                 3
Basic diagram of skin structure.
                                   4
• Outer layer of the skin

• Composed of stratified squamous epithelial cells. These are held
    together mainly by highly convoluted interlocking bridges which are
    responsible for the unique integrity of skin .

    Microscopic section of epidermis shows two main parts mainly
     1.Stratum corneum

      2.Stratum germinativum



                                                                      5
DERMIS

• It is composed of network of collagen & elastic fibers

  embedded in a mucopolysaccharide matrix, which

  contain blood vessels, lymphatic & nerve endings, there

  by providing physiological support for epidermis


                                                        6
SUBCUTANEOUS TISSUE

• This is a sheet of fat containing areolar

 tissue, known as superficial fascia, attaching

 the dermis to underlying structure.


                                              7
MECHANISM OF SKIN
                   PERMEATION
• It consist of series of step in sequence…
            Sorption of a parenteral molecule on to the surface layers of stratum corneum




         Diffusion through it & viable epidermis & finally at the papillary layers of dermis




       The molecule is taken up into the microcirculation for subsequent systemic distribution




        The viable tissue layers & the capillaries are relatively permeable & the peripheral
        circulation is sufficiently rapid so that for the great majority of penetrant, diffusion
                      through the stratum corneum is often the rate limiting step


                                                                                                   8
Process of transdermal permeation.
                                     9
TRANSDERMAL DRUG DELIVERY
         SYSTEM
• Transdermal drug delivery is defined as self
 contained, discrete dosage forms which, when
 applied   to   the   intact   skin,    deliver   the
 drug, through the skin at controlled rate to the
 systemic circulation. Transdermal drug delivery
 system (TDDS) established itself as an integral
 part of novel drug delivery systems.

                                                    10
ADVANTAGES OF TDDS
1.   Avoidance of significant presystemic metabolism & the need

     therefore a lower daily dose.

2.   Recent inter & intra patient variability.

3.   Drug input can be terminated simply by removal of patch.

4.   Drug levels can be maintained in the systemic circulation, with in

     the therapeutic window for a prolonged period of time.

5.   Thus the duration of drug action can be extended & frequency of

     dosing is decreased.

6.   Improved patient compliance & acceptability of the drug therapy.

                                                                          11
DISADVANTAGES
1. It is limited only to potent drug molecule.

2. Pharmacokinetic & pharmacodynamic characteristics of
    the drug must be such that relatively sustained & slow
    input provided by transdermal delivery produces
    desirable therapeutic effect.

3. Drugs with short biological half lifes that are subject to
    large first pass metabolism.

4. Drugs must not be locally irritating or sensitizing.

                                                                12
FACTORS AFFECTING SKIN PERMEATION
– Age

– Physicochemical properties of penetrant (pKa, molecular size,

   stability, binding affinity, solubility, partition coefficient)

– Integrity and thickness of stratum corneum

– Density of sweat glands and follicles

– Skin hydration

– Metabolism

– Vehicle effects                                                    13
DESIGN OF TRANSDERMAL
           SYSTEM
 The components are :

1. Polymer matrix

2. The drug

3. Enhancers

4. Excipients

                           14
5. Adhesive
15
1.POLYMER MATRIX
• They are film or membrane with or without micro pores & consist of

     gelatin, gum acacia, ethyl cellulose, starch, shellac, natural

     rubber, neoprene, polystyrene, pvp…….

• The polymer must fulfill the following requirements.

1.    It must allow the diffusion of drug substance at desirable rates.

2.    It should be an inert drug carrier.

3.    It must not decompose on storage or during the life of the device.

4.    The polymer and its decomposed products should not be toxic

5.    The cost of polymer should not be excessively high

6.    The polymer must be easy to manufacture & fabricate into the desired
                                                                             16
      products.
• The selection of polymer depends on
i.    Proper diffusion & release of drug.
ii.   Compatibility
iii. Non toxic
iv.   Stability on storage
v.    Cost of storage
• The polymer which are most widely used in TDDS :
a.    Polypropylene.                        f. Polyethylene terphthalate
b.    Poly vinyl carbonate                  g. Hydroxypropyl cellulose
c.    Cellulose acetate nitrate             h.   polyester
d.    Polyacrylonitrile                     i. EVA poymer
e.    Ethylene vinyl acetate {EVAc} copolymer
                                                                         17
2. DRUG
•    Judicious choice of drug.
•    The important drug properties that affect its diffusion
     from devices as well as across the skin include:
a.   Molecular weight
b. Chemical functionality
c. Physical properties


                                                               18
It is generally accepted that the best drug candidates for
  transdermal patches must be :
• Non ionic
• Low molecular weight{less than 500 Dalton}
• Adequate solubility in oil & water
• Low melting point{less than 200ºc}
• Potent{dose is less than 50 mg per day &ideally less than
  10 mg per day}

                                                              19
• The drug should be non irritating & non allergic to human
     skin.
• The main factors that control drug absorption are
1.     Solubility
2.     Partition coefficient
3.     Particle size
4.     Diffusion coefficient
5.     Ionized or unionized form

                                                              20
3. EXCIPIENTS & ENHANCERS
•    It is an integral part of most of the transdermal formulation

     because of the barrier properties of stratum corneum.

•    The penetration enhancers have been classified broadly into 3

     main categories:

1.   Lipophilic solvent : increases the permeation of

     lipophilic drugs eg. Dimethyl sulfoxide

2. Two component system : mainly composed of oleic acid &

     propylene glycol. The system affect the multilaminate
                                                                     21
     hydrophilic layers as well as the continuous path of skin.
3. Surface-active agents :enhance the permeation of hydrophilic

  drugs

• In commercially available transdermal products, use of

  enhancers is not indicated, however many excipients may be

  additionally incorporated which could facilitate & support the

  permeation. They include : Propylene glycol

                             Glycerol

                              Ethanol

                              Silicone fluids

                              Isopropyl palmitate             22
4. ADHESIVES & PACKAGING
• pressure sensitive polymeric adhesive .

• The adhesive system should posses following characteristics:

1. It should not cause an irritation, sensitization or imbalance in
    the normal skin flora.

2. It should adhere to the skin strongly & should be easily
    removable without leaving any unwashable remains.

3. It should have intimate contact with the skin at both
    macroscopic & microscopic levels.
                                                                 23
5.BACKING MEMBRANE
 It is an impermeable membrane that protect the
  product during the use on the skin & prevent the drug
  from leaving the dosage form through the top.

 It contain formulation through out the shelf life &
  during wear period.

 Must be compatible with formulation.

     eg: metallic plastic laminate, plastic backing with
  adsorbent pad adhesive foam pad.                         24
6.RELEASE LINER
• During storage the patch is covered by a
  protective liner that is removed & discharged
  immediately before the application of the patch to
  the skin.
• It is there fore regarded as a part of primary
  packing material rather than a part of dosage form
  for delivering the drug.

                                                   25
TECHNOLOGIES FOR DEVELOPING
    TRANSDERMAL DELIVERY

• Based on the components the delivery systems could be

  essentially be classified as :

a) Membrane moderated

b) Adhesive diffusion controlled

c) Matrix dispersion type

d) Micro reservoir type

                                                          26
1.MEMBRANE MODERATED TDDS
     [RESERVOIR TYPE]

• The drug reservoir is encapsulated in a shallow

  compartment moulded from a drug impermeable metallic –

  plastic lamination whilst the drug delivery side is covered

  by controlling polymeric membrane.

• The drug molecules are released only through the rate

  controlling membrane.

                                                                27
Drug mixed with polymer
       solution



    Drug suspended in
    polymer solution



    Volume controlled
  injection pump system



 Molding as TDDS using
 primary packing material



 Packing machinery using
secondary packing material



 Transdermal therapeutic
         system
                             28
• The rate of drug release from this type of

  TDDS can be tailored by varying the polymer

  composition, permeability coefficient &

  thickness of the rate controlling membrane.


                                                29
30
• The intrinsic rate of drug release from this type
  of systems is defined as following:




                                                  31
2.ADHESIVE DISPERSION TYPE
               TDDS
•   It is the simplified form of membrane moderated drug delivery system

•   It is prepared by directly dispensing the drug in an adhesive polymer & then

    spreading the medicated adhesive by solvent film casting method over a flat sheet

    of drug impermeable metallic or plastic backing membrane, this forms a thin drug

    reservoir layer.




                                                                                   32
33
• The drug reservoir layer is then covered by a
  non medicated rate controlling adhesive
  polymer of constant thickness to produce an
  adhesion diffusion controlling drug delivery
  system.
• The rate of drug release is defined by:



                                                  34
3.MATRIX DIFFUSION CONTROLLED TDDS
           [MONOLITHIC DEVICE]
• It is formed by homogenously dispersing the drug in a mixture of

  hydrophilic – Lipophilic polymer{matrix} & the medicated

  polymer is moulded on the medicated disc of defined surface

  area & thickness .



• It is then glued over an occlusive base plate consisted of

  compartment fabricated using an impermeable plastic backing.


                                                                 35
36
• The adhesive polymer is applied along the
  circumference to form an adhesive rim around
  the medicated disc.

• The rate of drug release from this type of
  TDDS is defined as follows:




                                               37
MICRORESERVOIR TYPE TDDS
• It has features of both reservoir & matrix dispersion
  type drug delivery system.
• The drug reservoir is formed by suspending the drug
  solid in an aq. Solution of water soluble polymer.
• The drug suspension is dispersed homogenously in a
  Lipophilic polymer, by high shear mechanical agitation
  to form thousands of unleachable microspheres of drug.

                                                          38
39
40
EVALUTION OF TDDS
• It is evaluated by using a 2 – compartment diffusion cell

  assembly under identical conditions.



• It is carried out by mounting the freshly excised skin from

  either human or hairless mouse on diffusion cell assembly.



                                                                41
• Franz – diffusion cell is being commercialized & widely employed

  for studying the skin permeation profile by finite dosing technique.




• The full thickness abdominal skin freshly excised from either human

  cadaver or hairless mouse is mounted between the donor & receptor

  compartment .


                                                                         42
• The drug delivery systems are then applied with their drug releasing
   surface being in intimate contact with the stratum corneum surface of the
   skin.


• The permeation profile of the drug is assessed by sampling the receptor
   solution at predetermined intervals for definite duration & assessing the
   drug concentration in the sample using a sensitive analytical method.
• The release profile can also be investigated by using the same
   experimental setup with out skin.




                                                                               43
OPTIMIZATION OF TDDS
• To formulate a TDDS one should take into consider:
        The rate of drug delivery to the skin surface
            Rate of skin absorption of the drug.
• This is particularly important because of stratum
    corneum is known to be highly permeable to most
    drugs.



                                                         44
• A TDDS should ideally be designed to have a skin
  permeation rate determined the rate of drug
  delivery from the TDDS , not by the skin
  permeability to the drug to be delivered.
• In such a case, transdermal bioavailability of a
  drug become less dependent upon the intra & or
  inter – patient variability in the skin permeation.

                                                        45
• The rate of transdermal permeation of a
  drug at steady state (Rp)ss is
  mathematically related both i.e..., the
  actual rate of drug delivery from a TDDS
  (Rd)a to the skin surface & to maximum
  achievable rate of skin absorption (Ra)m
  by the following equation




                                         46
ADVANCES IN TRANSDERMAL
 CONTROLLED DRUG DELIVERY RESEARCH

• Transdermal rate controlled drug delivery offers

  the following potential biomedical benefits :

1. Avoid the risks & inconveniences of i.v therapy.

2. Bypass the variation in the absorption &

   metabolism associated with oral administration.

                                                     47
3. Permit continuous drug administration & the use of

   drugs with a short biological half lifes.

4. Increase the bioavailability & efficacy of drugs

   through the bypass of hepatic first pass elimination.

5. Decrease the chance of over or under dosing through

   the prolonged, preprogrammed delivery of drug at the

   required therapeutic rate.

                                                           48
5.   Provide a simplified therapeutic regime leading to better patient

     compliance.

6.   Permit a rapid termination of the medication, if needed , by simply

     removing the TDDS from the skin surface.

7.   The intensity of interest in the potential biomedical applications of

     rate controlled transdermal drug administration has been

     demonstrated by a substantial increase in the R & D activities in

     many health care institutions aiming to develop viable TDDS for

     the prolonged continuous transdermal infusion of therapeutic agent



                                                                         49
50
Table 1 Transdermal Controlled-
        Release Products and Devices
Drug             Trade Name      Type of Devices Indication

Scopolamine      Transderm-Scop Reservoir         Motion sickness

Nitroglycerine   Transderm-Nitro Reservoir        Angina

                 Nitro-Dur       Monolithic

                 Nitrodisc       Monolithic

Estradiol        Estraderm       Reservoir and    Hormone
                                 ethanol          treatment
                                 enhancer
                                                                51
Table 2 transdermal products under
              development
Drug            Trade name   Producer-Marketer

Minocycline     Sunstar      American Cyanamide, Takeda

Estradiol+Noret Estracombi   Ciba-Geigy, Alza
histerone       TIS
DHEA                         Pharmedic

Fentanyl

Triamcinolone                Whitby Pharm.
acetonide
                                                      52
REFERRENCE
• Controlled drug delivery by Lee, 2nd edition
  revised & expanded.
• Textbook of pharmaceutics by Aulton 2nd
  edition.
• Novel drug delivery by Y.M.Chein, 2nd edition.
• www.google.com



                                               53
THANK
        YOU
              54

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Transdermal drug delivery

  • 1. TRANSDERMAL DRUG DELIVERY Arya Soman first year M.Pharm
  • 2. Content • Anatomy of skin • Mechanism of skin permeation • TDDS • Advantages & disadvantages • Factors affecting skin permeation • Design of TDDS • Technologies for developing TDDS • Kinetic evaluation of TDDS • Optimization of TDDS • Advance in TDDS researches. 2
  • 3. ANATOMY OF SKIN • Skin is a multilayered organ • It is composed of three tissue layers mainly  The epidermis  The dermis  Subcutaneous fat tissue 3
  • 4. Basic diagram of skin structure. 4
  • 5. • Outer layer of the skin • Composed of stratified squamous epithelial cells. These are held together mainly by highly convoluted interlocking bridges which are responsible for the unique integrity of skin .  Microscopic section of epidermis shows two main parts mainly 1.Stratum corneum 2.Stratum germinativum 5
  • 6. DERMIS • It is composed of network of collagen & elastic fibers embedded in a mucopolysaccharide matrix, which contain blood vessels, lymphatic & nerve endings, there by providing physiological support for epidermis 6
  • 7. SUBCUTANEOUS TISSUE • This is a sheet of fat containing areolar tissue, known as superficial fascia, attaching the dermis to underlying structure. 7
  • 8. MECHANISM OF SKIN PERMEATION • It consist of series of step in sequence… Sorption of a parenteral molecule on to the surface layers of stratum corneum Diffusion through it & viable epidermis & finally at the papillary layers of dermis The molecule is taken up into the microcirculation for subsequent systemic distribution The viable tissue layers & the capillaries are relatively permeable & the peripheral circulation is sufficiently rapid so that for the great majority of penetrant, diffusion through the stratum corneum is often the rate limiting step 8
  • 9. Process of transdermal permeation. 9
  • 10. TRANSDERMAL DRUG DELIVERY SYSTEM • Transdermal drug delivery is defined as self contained, discrete dosage forms which, when applied to the intact skin, deliver the drug, through the skin at controlled rate to the systemic circulation. Transdermal drug delivery system (TDDS) established itself as an integral part of novel drug delivery systems. 10
  • 11. ADVANTAGES OF TDDS 1. Avoidance of significant presystemic metabolism & the need therefore a lower daily dose. 2. Recent inter & intra patient variability. 3. Drug input can be terminated simply by removal of patch. 4. Drug levels can be maintained in the systemic circulation, with in the therapeutic window for a prolonged period of time. 5. Thus the duration of drug action can be extended & frequency of dosing is decreased. 6. Improved patient compliance & acceptability of the drug therapy. 11
  • 12. DISADVANTAGES 1. It is limited only to potent drug molecule. 2. Pharmacokinetic & pharmacodynamic characteristics of the drug must be such that relatively sustained & slow input provided by transdermal delivery produces desirable therapeutic effect. 3. Drugs with short biological half lifes that are subject to large first pass metabolism. 4. Drugs must not be locally irritating or sensitizing. 12
  • 13. FACTORS AFFECTING SKIN PERMEATION – Age – Physicochemical properties of penetrant (pKa, molecular size, stability, binding affinity, solubility, partition coefficient) – Integrity and thickness of stratum corneum – Density of sweat glands and follicles – Skin hydration – Metabolism – Vehicle effects 13
  • 14. DESIGN OF TRANSDERMAL SYSTEM The components are : 1. Polymer matrix 2. The drug 3. Enhancers 4. Excipients 14 5. Adhesive
  • 15. 15
  • 16. 1.POLYMER MATRIX • They are film or membrane with or without micro pores & consist of gelatin, gum acacia, ethyl cellulose, starch, shellac, natural rubber, neoprene, polystyrene, pvp……. • The polymer must fulfill the following requirements. 1. It must allow the diffusion of drug substance at desirable rates. 2. It should be an inert drug carrier. 3. It must not decompose on storage or during the life of the device. 4. The polymer and its decomposed products should not be toxic 5. The cost of polymer should not be excessively high 6. The polymer must be easy to manufacture & fabricate into the desired 16 products.
  • 17. • The selection of polymer depends on i. Proper diffusion & release of drug. ii. Compatibility iii. Non toxic iv. Stability on storage v. Cost of storage • The polymer which are most widely used in TDDS : a. Polypropylene. f. Polyethylene terphthalate b. Poly vinyl carbonate g. Hydroxypropyl cellulose c. Cellulose acetate nitrate h. polyester d. Polyacrylonitrile i. EVA poymer e. Ethylene vinyl acetate {EVAc} copolymer 17
  • 18. 2. DRUG • Judicious choice of drug. • The important drug properties that affect its diffusion from devices as well as across the skin include: a. Molecular weight b. Chemical functionality c. Physical properties 18
  • 19. It is generally accepted that the best drug candidates for transdermal patches must be : • Non ionic • Low molecular weight{less than 500 Dalton} • Adequate solubility in oil & water • Low melting point{less than 200ºc} • Potent{dose is less than 50 mg per day &ideally less than 10 mg per day} 19
  • 20. • The drug should be non irritating & non allergic to human skin. • The main factors that control drug absorption are 1. Solubility 2. Partition coefficient 3. Particle size 4. Diffusion coefficient 5. Ionized or unionized form 20
  • 21. 3. EXCIPIENTS & ENHANCERS • It is an integral part of most of the transdermal formulation because of the barrier properties of stratum corneum. • The penetration enhancers have been classified broadly into 3 main categories: 1. Lipophilic solvent : increases the permeation of lipophilic drugs eg. Dimethyl sulfoxide 2. Two component system : mainly composed of oleic acid & propylene glycol. The system affect the multilaminate 21 hydrophilic layers as well as the continuous path of skin.
  • 22. 3. Surface-active agents :enhance the permeation of hydrophilic drugs • In commercially available transdermal products, use of enhancers is not indicated, however many excipients may be additionally incorporated which could facilitate & support the permeation. They include : Propylene glycol Glycerol Ethanol Silicone fluids Isopropyl palmitate 22
  • 23. 4. ADHESIVES & PACKAGING • pressure sensitive polymeric adhesive . • The adhesive system should posses following characteristics: 1. It should not cause an irritation, sensitization or imbalance in the normal skin flora. 2. It should adhere to the skin strongly & should be easily removable without leaving any unwashable remains. 3. It should have intimate contact with the skin at both macroscopic & microscopic levels. 23
  • 24. 5.BACKING MEMBRANE  It is an impermeable membrane that protect the product during the use on the skin & prevent the drug from leaving the dosage form through the top.  It contain formulation through out the shelf life & during wear period.  Must be compatible with formulation. eg: metallic plastic laminate, plastic backing with adsorbent pad adhesive foam pad. 24
  • 25. 6.RELEASE LINER • During storage the patch is covered by a protective liner that is removed & discharged immediately before the application of the patch to the skin. • It is there fore regarded as a part of primary packing material rather than a part of dosage form for delivering the drug. 25
  • 26. TECHNOLOGIES FOR DEVELOPING TRANSDERMAL DELIVERY • Based on the components the delivery systems could be essentially be classified as : a) Membrane moderated b) Adhesive diffusion controlled c) Matrix dispersion type d) Micro reservoir type 26
  • 27. 1.MEMBRANE MODERATED TDDS [RESERVOIR TYPE] • The drug reservoir is encapsulated in a shallow compartment moulded from a drug impermeable metallic – plastic lamination whilst the drug delivery side is covered by controlling polymeric membrane. • The drug molecules are released only through the rate controlling membrane. 27
  • 28. Drug mixed with polymer solution Drug suspended in polymer solution Volume controlled injection pump system Molding as TDDS using primary packing material Packing machinery using secondary packing material Transdermal therapeutic system 28
  • 29. • The rate of drug release from this type of TDDS can be tailored by varying the polymer composition, permeability coefficient & thickness of the rate controlling membrane. 29
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  • 31. • The intrinsic rate of drug release from this type of systems is defined as following: 31
  • 32. 2.ADHESIVE DISPERSION TYPE TDDS • It is the simplified form of membrane moderated drug delivery system • It is prepared by directly dispensing the drug in an adhesive polymer & then spreading the medicated adhesive by solvent film casting method over a flat sheet of drug impermeable metallic or plastic backing membrane, this forms a thin drug reservoir layer. 32
  • 33. 33
  • 34. • The drug reservoir layer is then covered by a non medicated rate controlling adhesive polymer of constant thickness to produce an adhesion diffusion controlling drug delivery system. • The rate of drug release is defined by: 34
  • 35. 3.MATRIX DIFFUSION CONTROLLED TDDS [MONOLITHIC DEVICE] • It is formed by homogenously dispersing the drug in a mixture of hydrophilic – Lipophilic polymer{matrix} & the medicated polymer is moulded on the medicated disc of defined surface area & thickness . • It is then glued over an occlusive base plate consisted of compartment fabricated using an impermeable plastic backing. 35
  • 36. 36
  • 37. • The adhesive polymer is applied along the circumference to form an adhesive rim around the medicated disc. • The rate of drug release from this type of TDDS is defined as follows: 37
  • 38. MICRORESERVOIR TYPE TDDS • It has features of both reservoir & matrix dispersion type drug delivery system. • The drug reservoir is formed by suspending the drug solid in an aq. Solution of water soluble polymer. • The drug suspension is dispersed homogenously in a Lipophilic polymer, by high shear mechanical agitation to form thousands of unleachable microspheres of drug. 38
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  • 41. EVALUTION OF TDDS • It is evaluated by using a 2 – compartment diffusion cell assembly under identical conditions. • It is carried out by mounting the freshly excised skin from either human or hairless mouse on diffusion cell assembly. 41
  • 42. • Franz – diffusion cell is being commercialized & widely employed for studying the skin permeation profile by finite dosing technique. • The full thickness abdominal skin freshly excised from either human cadaver or hairless mouse is mounted between the donor & receptor compartment . 42
  • 43. • The drug delivery systems are then applied with their drug releasing surface being in intimate contact with the stratum corneum surface of the skin. • The permeation profile of the drug is assessed by sampling the receptor solution at predetermined intervals for definite duration & assessing the drug concentration in the sample using a sensitive analytical method. • The release profile can also be investigated by using the same experimental setup with out skin. 43
  • 44. OPTIMIZATION OF TDDS • To formulate a TDDS one should take into consider:  The rate of drug delivery to the skin surface  Rate of skin absorption of the drug. • This is particularly important because of stratum corneum is known to be highly permeable to most drugs. 44
  • 45. • A TDDS should ideally be designed to have a skin permeation rate determined the rate of drug delivery from the TDDS , not by the skin permeability to the drug to be delivered. • In such a case, transdermal bioavailability of a drug become less dependent upon the intra & or inter – patient variability in the skin permeation. 45
  • 46. • The rate of transdermal permeation of a drug at steady state (Rp)ss is mathematically related both i.e..., the actual rate of drug delivery from a TDDS (Rd)a to the skin surface & to maximum achievable rate of skin absorption (Ra)m by the following equation 46
  • 47. ADVANCES IN TRANSDERMAL CONTROLLED DRUG DELIVERY RESEARCH • Transdermal rate controlled drug delivery offers the following potential biomedical benefits : 1. Avoid the risks & inconveniences of i.v therapy. 2. Bypass the variation in the absorption & metabolism associated with oral administration. 47
  • 48. 3. Permit continuous drug administration & the use of drugs with a short biological half lifes. 4. Increase the bioavailability & efficacy of drugs through the bypass of hepatic first pass elimination. 5. Decrease the chance of over or under dosing through the prolonged, preprogrammed delivery of drug at the required therapeutic rate. 48
  • 49. 5. Provide a simplified therapeutic regime leading to better patient compliance. 6. Permit a rapid termination of the medication, if needed , by simply removing the TDDS from the skin surface. 7. The intensity of interest in the potential biomedical applications of rate controlled transdermal drug administration has been demonstrated by a substantial increase in the R & D activities in many health care institutions aiming to develop viable TDDS for the prolonged continuous transdermal infusion of therapeutic agent 49
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  • 51. Table 1 Transdermal Controlled- Release Products and Devices Drug Trade Name Type of Devices Indication Scopolamine Transderm-Scop Reservoir Motion sickness Nitroglycerine Transderm-Nitro Reservoir Angina Nitro-Dur Monolithic Nitrodisc Monolithic Estradiol Estraderm Reservoir and Hormone ethanol treatment enhancer 51
  • 52. Table 2 transdermal products under development Drug Trade name Producer-Marketer Minocycline Sunstar American Cyanamide, Takeda Estradiol+Noret Estracombi Ciba-Geigy, Alza histerone TIS DHEA Pharmedic Fentanyl Triamcinolone Whitby Pharm. acetonide 52
  • 53. REFERRENCE • Controlled drug delivery by Lee, 2nd edition revised & expanded. • Textbook of pharmaceutics by Aulton 2nd edition. • Novel drug delivery by Y.M.Chein, 2nd edition. • www.google.com 53
  • 54. THANK YOU 54