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Transdermal Drug Delivery System
Skin
Drug Transport Through Skin
Transdermal Drug Delivery System
• A transdermal patch or skin patch is a medicated adhesive patch that is placed on
the skin to deliver a specific dose of medication through the skin and into the
bloodstream.
• Transdermal patch (Skin patch) uses a special membrane to control the rate at
which the liquid drug contained in the reservoir within the patch can pass
through the skin and into the bloodstream
When Transdermal patch is used ?
1)When the patient has intolerable side effects (including constipation) and who is unable
to take oral medication (dysphagia) and is requesting an alternative method of drug
delivery.
2) Where the pain control might be improved by reliable administration. This might be
useful in patients with cognitive impairment or those who for other reasons are not able
to self-medicate with their analgesia.
3) It can be used in combination with other enhancement strategies to produce synergistic
effects.
Advantages
1. Topical patches are a painless, noninvasive
way to deliver substances directly into the body.
2. Topical patches are a better way to deliver
substances that are broken down by the
stomach acids, not well-absorbed from the
gut, or extensively degraded by the liver.
3. Topical patches over a controlled, steady
delivery of medication over long periods
of time.
4. Topical patches have fewer side effects
than oral medications or supplements
.
5. Topical patches are easier to use and
remember.
6. Topical patches over an alternative to
people who cannot, or prefer not to take
medications or supplements orally.
7. Topical patches are cost-effective.
8. People prefer topical patches
Limitations
1. TDDS cannot deliver ionic drugs.
2. TDDS cannot achieve high drug levels in blood/plasma.
3. It cannot develop for drugs of large molecular size.
4. TDDS cannot deliver drugs in a pulsatile fashion.
5. TDDS cannot develop if drug or formulation causes
irritation to skin.
6. May cause allergic reaction.
7. Long time adherence is difficult
Components of Transdermal Patch
1. Liner - Protects the patch during storage. The
liner is removed prior to use.
2. Drug – Drug solution in direct contact with release
liner.
3. Adhesive - Serves to adhere the components of
the patch together along with adhering
the patch to the skin. Membrane - Controls
the release of the drug from the reservoir
and multi-layer patches.
4. Backing - Protects the patch from the outer
environment
Factors affecting Transdermal Bioavailability
Physiological factors Formulation factors
1. Stratum corneum layer of the skin
2. Anatomic site of application on the
body
3. Skin condition and disease
4. Age of the patient
5. Skin metabolism
6. Desquamation (peeling or flaking of
the surface of the skin)
7. Skin irritation and sensitization (7)
Race
1. Physical chemistry of transport
2. Vehicles and membrane used
3. Penetration enhancers used
4. Method of application
5. Device used
Factors affecting transdermal permeation
Biological factor
1. Skin conditions
2. Skin age
3. Blood Supply
4. Regional skin site
5. Skin metabolism
6. Species differences
Physicochemical factors
1. Skin hydration
2. Temperature and pH
3. Diffusion coefficient
4. Drug concentration
5. Partition coefficient
6. Molecular size and shape
Environmental factors
1. Sunlight
2. Cold Season
3. Air Pollution
4. Effect of Heat on Transdermal
patch
Formulation of transdermal drug delivery system
1. Drug substance
 Should have a molecular weight less than 1000 Daltons
 Drug should have low melting point
 Drug should have affinity for both lipophilic and hydrophilic phasea.
 The drug should be potent, having short half life and be non-irritating
 Should have short biological half life
 Stable when contact with the skin and not stimulate an immune reaction
 Dose should be less than 50 mg per day, and ideally less than 10 mg per day.
 Drug should not get extensively metabolized in the skin
2. Polymer matrix:
 It is multi layered polymeric laminate system in which a drug reservoir or a drug polymer
matrix is sandwiched between two polymeric layers,
a. an outer impervious backing layer that prevents the loss of drug through the backing
surface
b. and inner polymeric layer that functions as an adhesive, or rate controlled membrane
Natural Polymers
1. Cellulose
derivatives
2. Arabino Galactan
3. Zein
4. Gelatin
5. Proteins
6. Shellac
7. Strarch
Synthetic Elastomers
1. Polybutadiene
2. Hydrinrubber
3. Polysiloxane
4. Acrylonitrile
5. Neoprene
6. Chloroprene
7. Silicon rubber
Synthetic Polymers
1. Polyvinylalcohol
2. Polyethylene
3. Polyviny Chloride
4. Polyacrylates
5. Polyamide
6. Acetal copolymer
7. Polysyrene
3. Permeation enhancers
 These are compounds which promote the skin permeability by altering the skin as barrier to
the flux of a desired penetrate.
 They should be inert, compatible, non toic, non allergic and economical.
 Types of Permeation enhancers
Class Examples Mechanism
Surfactants Na-lauryl sulfate Polyoxyethylene-9-laurylether,
Na-deoxycholate Na-glycocholate Na-taurocholate
Transcellular
Paracellular
Fatty acids Oleic acid,
Short fatty acids
Transcellular
Paracellular
Cyclodextrins EDTA,
Polyacrylates
Transcellular
Paracellular
Positively charged
polymer
Chitosan salts, Trimethyl chitosan Paracellular
4. Other Excipients:
 solvents such as chloroform, methanol, acetone, isopropananol, and
dichloromethane, are used to prepare drug reservoir.
 plasticizers such as dibutylpthalate, propylene glycol are added to provide plasticity
Mechanism of action of transdermal patch
1. Iontophoresis
 Iontophoresis passes a few mili amperes of current through the electrode placed in
contact with the formulation, which facilitates drug delivery across the barrier.
 Mainly used of pilocarpine delivery to induce sweating as part of cystic fibrosis diagnostic
test.
 Iontophoretic delivery of lidocaine appears to be a promising approach for rapid onset of
anesthesia.
2. Electroporation
 Electroporation is a method of application of short, high-voltage electrical pulses to the skin.
 After electroporation, the permeability of the skin for diffusion of drugs is increased by 4
orders of magnitude.
 The electrical pulses forms transient aqueous pores in the stratum corneum, for drug
transport.
 It is safe and the electrical pulses can be administered painlessly.
3. Application by ultrasound
• Application of ultrasound, particularly low frequency ultrasound, has been shown to
enhance transdermal transport of various drugs including macromolecules.
• It is also known as sonophoresis.
4. Use of microscopic projection
• Transdermal patches with microscopic projections are called microneedles
• Needles ranging from approx. 10-100 μm in length are arranged in arrays.
• When pressed into the skin, the arrays make microscopic punctures that are large enough to
deliver macromolecules, but small enough that the patient does not feel the penetration or
pain.
• used in development of cutaneous vaccines for tetanus and influenza
Types of Transdermal Patches
1. Single-layer Drug-in-Adhesive
• The adhesive layer of this system also contains the drug.
• In this type of patch the adhesive layer not only serves to adhere to the skin, but is also
releases the drug.
• The adhesive layer is surrounded by a temporary liner and a backing.
2. Multi-layer Drug-in-Adhesive
• It is similar to the single-layer system where both adhesive layers are also responsible for
the releasing of the drug.
• The multi-layer system is different as it adds another layer of drug-in-adhesive, usually
separated by a membrane.
• This patch has a temporary liner-layer and a permanent backing.
3. Reservoir
• The reservoir transdermal system has a separate drug layer.
• The drug layer is a liquid compartment containing a drug solution or suspension separated
by the adhesive layer.
• This patch is also backed by the backing layer. In this type of system the rate of release is
zero order.
4. Matrix
• The Matrix system has a drug layer of a semisolid matrix containing a drug solution or
suspension.
• The adhesive layer in this patch surrounds the drug layer partially overlaying it.
• 5. Vapor Patch
• In this type the adhesive layer not only serves to adhere the various layers but also releases
vapor.
• The vapor patches are new on the market and they release essential oils for up to 6 hours.
• The vapors patches release essential oils and are used in cases of decongestion .
• Other vapor patches on the market are controller vapour patches that improve the quality
of sleep.
Evaluation of TDDS
1. Thickness: travelling microscope, dial gauge, screw gauge or micrometer at different points
of the film.
2. Uniformity of weight: weighing 10 randomly selected patches and calculating the average
weight .
3. Drug content determination :An accurately weighed portion of film (about 100 mg) is
dissolved in 100 mL of suitable solvent and estimated spectrophotometrically.
4. Content uniformity test:
 10 patches are selected.
 If 9 out of 10 patches have content between 85% to 115% of the specified value and one has
content not less than 75% to125% of the specified value.
5. Moisture content :
 films are weighed individually and kept in a desiccators containing calcium chloride
 The films are weighed again after a specified interval until they show a constant weight.
% Moisture content = Initial weight – Final weight X 100
6. Moisture Uptake:
 Weighed films are kept in a desiccator at room temperature for 24 h. films are then taken out
and exposed to 84% relative humidity using saturated solution of Potassium chloride.
 % moisture uptake = Final weight – Initial weight X 100
7.Folding Endurance
 Films are subjected to frequent extreme conditions of folding.
 Folding endurance is determined by repeatedly folding the film at the same place until it break
 The number of times the films could be folded at the same place without breaking is folding
endurance value.
8. Thumb tack test:
• The force required to remove thumb from adhesive is a measure of tack
9. Rolling ball test:
• This test involves measurement of the distance that stainless steel ball travels along an
upward facing adhesive. The less tacky the adhesive, the further the ball will travel.
10. In vitro release studies:
• Done using Franz diffusion cell
• the cell is composed of two compartments: donor and receptor. The receptor compartment
has a volume of 5-12ml and effective surface area of 1-5 cm2. The diffusion buffer is
continuously stirred by a magnetic bar.
In Vivo Studies of TDDS
1. Animal models:
 Considerable time and resources are required to carry out human studies, so animal
studies are preferred at small scale.
 The most common animal species used for evaluating transdermal drug delivery system
are mouse, hairless rat, hairless dog, hairless rhesus monkey, rabbit, guinea pig etc.
 Hairless animals are preferred over hairy animals in both in vitro and in vivo experiments.
 Rhesus monkey is one of the most reliable models for in vivo evaluation of transdermal
drug delivery in man
2. Human model
• Clinical trials have been conducted to assess the efficacy, risk involved, side effects, patient
compliance etc.
• Phase I clinical trials are conducted to determine mainly safety in volunteers.
• phase II clinical trials determine short term safety and mainly effectiveness in patients.
• Phase III trials indicate the safety and effectiveness in large number of patient population
• phase IV trials at post marketing surveillance are done for marketed patches to detect
adverse drug reactions.
• Human models best to assess the performance of the drug.
Transdermal Drug Delivery Patch System
Transdermal Drug Delivery Patch System

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Transdermal Drug Delivery Patch System

  • 4. Transdermal Drug Delivery System • A transdermal patch or skin patch is a medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin and into the bloodstream. • Transdermal patch (Skin patch) uses a special membrane to control the rate at which the liquid drug contained in the reservoir within the patch can pass through the skin and into the bloodstream
  • 5. When Transdermal patch is used ? 1)When the patient has intolerable side effects (including constipation) and who is unable to take oral medication (dysphagia) and is requesting an alternative method of drug delivery. 2) Where the pain control might be improved by reliable administration. This might be useful in patients with cognitive impairment or those who for other reasons are not able to self-medicate with their analgesia. 3) It can be used in combination with other enhancement strategies to produce synergistic effects.
  • 6. Advantages 1. Topical patches are a painless, noninvasive way to deliver substances directly into the body. 2. Topical patches are a better way to deliver substances that are broken down by the stomach acids, not well-absorbed from the gut, or extensively degraded by the liver. 3. Topical patches over a controlled, steady delivery of medication over long periods of time. 4. Topical patches have fewer side effects than oral medications or supplements . 5. Topical patches are easier to use and remember. 6. Topical patches over an alternative to people who cannot, or prefer not to take medications or supplements orally. 7. Topical patches are cost-effective. 8. People prefer topical patches
  • 7. Limitations 1. TDDS cannot deliver ionic drugs. 2. TDDS cannot achieve high drug levels in blood/plasma. 3. It cannot develop for drugs of large molecular size. 4. TDDS cannot deliver drugs in a pulsatile fashion. 5. TDDS cannot develop if drug or formulation causes irritation to skin. 6. May cause allergic reaction. 7. Long time adherence is difficult
  • 8. Components of Transdermal Patch 1. Liner - Protects the patch during storage. The liner is removed prior to use. 2. Drug – Drug solution in direct contact with release liner. 3. Adhesive - Serves to adhere the components of the patch together along with adhering the patch to the skin. Membrane - Controls the release of the drug from the reservoir and multi-layer patches. 4. Backing - Protects the patch from the outer environment
  • 9. Factors affecting Transdermal Bioavailability Physiological factors Formulation factors 1. Stratum corneum layer of the skin 2. Anatomic site of application on the body 3. Skin condition and disease 4. Age of the patient 5. Skin metabolism 6. Desquamation (peeling or flaking of the surface of the skin) 7. Skin irritation and sensitization (7) Race 1. Physical chemistry of transport 2. Vehicles and membrane used 3. Penetration enhancers used 4. Method of application 5. Device used
  • 10. Factors affecting transdermal permeation Biological factor 1. Skin conditions 2. Skin age 3. Blood Supply 4. Regional skin site 5. Skin metabolism 6. Species differences Physicochemical factors 1. Skin hydration 2. Temperature and pH 3. Diffusion coefficient 4. Drug concentration 5. Partition coefficient 6. Molecular size and shape Environmental factors 1. Sunlight 2. Cold Season 3. Air Pollution 4. Effect of Heat on Transdermal patch
  • 11. Formulation of transdermal drug delivery system 1. Drug substance  Should have a molecular weight less than 1000 Daltons  Drug should have low melting point  Drug should have affinity for both lipophilic and hydrophilic phasea.  The drug should be potent, having short half life and be non-irritating  Should have short biological half life  Stable when contact with the skin and not stimulate an immune reaction  Dose should be less than 50 mg per day, and ideally less than 10 mg per day.  Drug should not get extensively metabolized in the skin
  • 12. 2. Polymer matrix:  It is multi layered polymeric laminate system in which a drug reservoir or a drug polymer matrix is sandwiched between two polymeric layers, a. an outer impervious backing layer that prevents the loss of drug through the backing surface b. and inner polymeric layer that functions as an adhesive, or rate controlled membrane Natural Polymers 1. Cellulose derivatives 2. Arabino Galactan 3. Zein 4. Gelatin 5. Proteins 6. Shellac 7. Strarch Synthetic Elastomers 1. Polybutadiene 2. Hydrinrubber 3. Polysiloxane 4. Acrylonitrile 5. Neoprene 6. Chloroprene 7. Silicon rubber Synthetic Polymers 1. Polyvinylalcohol 2. Polyethylene 3. Polyviny Chloride 4. Polyacrylates 5. Polyamide 6. Acetal copolymer 7. Polysyrene
  • 13. 3. Permeation enhancers  These are compounds which promote the skin permeability by altering the skin as barrier to the flux of a desired penetrate.  They should be inert, compatible, non toic, non allergic and economical.  Types of Permeation enhancers Class Examples Mechanism Surfactants Na-lauryl sulfate Polyoxyethylene-9-laurylether, Na-deoxycholate Na-glycocholate Na-taurocholate Transcellular Paracellular Fatty acids Oleic acid, Short fatty acids Transcellular Paracellular Cyclodextrins EDTA, Polyacrylates Transcellular Paracellular Positively charged polymer Chitosan salts, Trimethyl chitosan Paracellular
  • 14. 4. Other Excipients:  solvents such as chloroform, methanol, acetone, isopropananol, and dichloromethane, are used to prepare drug reservoir.  plasticizers such as dibutylpthalate, propylene glycol are added to provide plasticity
  • 15. Mechanism of action of transdermal patch 1. Iontophoresis  Iontophoresis passes a few mili amperes of current through the electrode placed in contact with the formulation, which facilitates drug delivery across the barrier.  Mainly used of pilocarpine delivery to induce sweating as part of cystic fibrosis diagnostic test.  Iontophoretic delivery of lidocaine appears to be a promising approach for rapid onset of anesthesia.
  • 16. 2. Electroporation  Electroporation is a method of application of short, high-voltage electrical pulses to the skin.  After electroporation, the permeability of the skin for diffusion of drugs is increased by 4 orders of magnitude.  The electrical pulses forms transient aqueous pores in the stratum corneum, for drug transport.  It is safe and the electrical pulses can be administered painlessly.
  • 17. 3. Application by ultrasound • Application of ultrasound, particularly low frequency ultrasound, has been shown to enhance transdermal transport of various drugs including macromolecules. • It is also known as sonophoresis.
  • 18. 4. Use of microscopic projection • Transdermal patches with microscopic projections are called microneedles • Needles ranging from approx. 10-100 μm in length are arranged in arrays. • When pressed into the skin, the arrays make microscopic punctures that are large enough to deliver macromolecules, but small enough that the patient does not feel the penetration or pain. • used in development of cutaneous vaccines for tetanus and influenza
  • 19. Types of Transdermal Patches 1. Single-layer Drug-in-Adhesive • The adhesive layer of this system also contains the drug. • In this type of patch the adhesive layer not only serves to adhere to the skin, but is also releases the drug. • The adhesive layer is surrounded by a temporary liner and a backing.
  • 20. 2. Multi-layer Drug-in-Adhesive • It is similar to the single-layer system where both adhesive layers are also responsible for the releasing of the drug. • The multi-layer system is different as it adds another layer of drug-in-adhesive, usually separated by a membrane. • This patch has a temporary liner-layer and a permanent backing.
  • 21. 3. Reservoir • The reservoir transdermal system has a separate drug layer. • The drug layer is a liquid compartment containing a drug solution or suspension separated by the adhesive layer. • This patch is also backed by the backing layer. In this type of system the rate of release is zero order.
  • 22. 4. Matrix • The Matrix system has a drug layer of a semisolid matrix containing a drug solution or suspension. • The adhesive layer in this patch surrounds the drug layer partially overlaying it.
  • 23. • 5. Vapor Patch • In this type the adhesive layer not only serves to adhere the various layers but also releases vapor. • The vapor patches are new on the market and they release essential oils for up to 6 hours. • The vapors patches release essential oils and are used in cases of decongestion . • Other vapor patches on the market are controller vapour patches that improve the quality of sleep.
  • 24. Evaluation of TDDS 1. Thickness: travelling microscope, dial gauge, screw gauge or micrometer at different points of the film. 2. Uniformity of weight: weighing 10 randomly selected patches and calculating the average weight . 3. Drug content determination :An accurately weighed portion of film (about 100 mg) is dissolved in 100 mL of suitable solvent and estimated spectrophotometrically. 4. Content uniformity test:  10 patches are selected.  If 9 out of 10 patches have content between 85% to 115% of the specified value and one has content not less than 75% to125% of the specified value. 5. Moisture content :  films are weighed individually and kept in a desiccators containing calcium chloride  The films are weighed again after a specified interval until they show a constant weight. % Moisture content = Initial weight – Final weight X 100
  • 25. 6. Moisture Uptake:  Weighed films are kept in a desiccator at room temperature for 24 h. films are then taken out and exposed to 84% relative humidity using saturated solution of Potassium chloride.  % moisture uptake = Final weight – Initial weight X 100 7.Folding Endurance  Films are subjected to frequent extreme conditions of folding.  Folding endurance is determined by repeatedly folding the film at the same place until it break  The number of times the films could be folded at the same place without breaking is folding endurance value. 8. Thumb tack test: • The force required to remove thumb from adhesive is a measure of tack
  • 26. 9. Rolling ball test: • This test involves measurement of the distance that stainless steel ball travels along an upward facing adhesive. The less tacky the adhesive, the further the ball will travel. 10. In vitro release studies: • Done using Franz diffusion cell • the cell is composed of two compartments: donor and receptor. The receptor compartment has a volume of 5-12ml and effective surface area of 1-5 cm2. The diffusion buffer is continuously stirred by a magnetic bar.
  • 27. In Vivo Studies of TDDS 1. Animal models:  Considerable time and resources are required to carry out human studies, so animal studies are preferred at small scale.  The most common animal species used for evaluating transdermal drug delivery system are mouse, hairless rat, hairless dog, hairless rhesus monkey, rabbit, guinea pig etc.  Hairless animals are preferred over hairy animals in both in vitro and in vivo experiments.  Rhesus monkey is one of the most reliable models for in vivo evaluation of transdermal drug delivery in man
  • 28. 2. Human model • Clinical trials have been conducted to assess the efficacy, risk involved, side effects, patient compliance etc. • Phase I clinical trials are conducted to determine mainly safety in volunteers. • phase II clinical trials determine short term safety and mainly effectiveness in patients. • Phase III trials indicate the safety and effectiveness in large number of patient population • phase IV trials at post marketing surveillance are done for marketed patches to detect adverse drug reactions. • Human models best to assess the performance of the drug.