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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 6 Issue 3, March-April 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 857
Transdermal Drug Delivery System: A Review
Akshay Kaware1
, Prof. Santosh Waghmare2
, Dr. Hemant Kamble3
1
Student, Department of Pharmaceutics, 2
Professor, Department of Pharmacy, 3
Principle,
1, 2, 3
Lokanete Shri Dada Patil Pharate College of Pharmacy, Mandavgan Pharate, Shirur, Maharashtra, India
ABSTRACT
Although transdermal drug administration has made a significant
contribution to medical practise, it has yet to realise its full potential
as an alternative to oral drug delivery and hypodermic injections. The
patch can essentially provide a controlled release of the medication
into the patient, usually through either a porous membrane covering a
reservoir of medication or through body heat melting thin layers of
medication embedded in the adhesive, which is an advantage of
transdermal drug delivery over other types of delivery systems such
as oral, topical, intravenous, intramuscular, and so on. The clinical
usage of first-generation transdermal delivery systems for the
delivery of tiny, lipophilic, low-dose medicines has increased
steadily. Chemical enhancers, non-cavitational ultrasound, and
iontophoresis have all been used in second-generation delivery
methods.
KEYWORDS: Study of Transdermal Drug Delivery System,
Approches of Transdermal Patches, Recent Advances in Transdermal
Patches
How to cite this paper: Akshay Kaware |
Prof. Santosh Waghmare | Dr. Hemant
Kamble "Transdermal Drug Delivery
System: A Review"
Published in
International Journal
of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-6 |
Issue-3, April 2022, pp.857-862, URL:
www.ijtsrd.com/papers/ijtsrd49639.pdf
Copyright © 2022 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
TRANSDERMAL DRUG DELIVERY SYSTEM:
Transdermal delivery systems (TDS) or transdermal
therapeutic systems are topical formulations
comprising medicines with systemic effect (TTS).
The distribution of a medicine through 'intact' skin so
that it reaches the systemic circulation in sufficient
quantity to be useful following administration of a
therapeutic dose is known as transdermal delivery.
Transdermal systems are appropriate for disorders
that need to be treated on a long-term basis. As a
result, anti-diabetic medicines used for both
therapeutic and preventive purposes have been
investigated transdermally.
Advantages:
A. Prevents gastrointestinal medication absorption
problems caused by gut pH, enzymatic activity,
and drug interactions with food, drink, and
other orally administered drugs.
B. Can be used to replace oral pharmaceutical
delivery when the route is not suitable, such as
in the case of vomiting or diarrhoea.
C. To prevent the first-pass effect, such as with
Transdermal Nitroglycerin. When taken orally,
it is rapidly metabolised by the liner.
D. Noninvasive, as opposed to parenteral therapy,
which is inconvenient.
E. They provided longer therapy with a single
application, resulting in better compliance than
alternative dosage forms that required more
frequent dose administration, such as
transdermal clonidine 7 day.
F. The activity of medications with a short half-
life is prolonged by the presence of a drug
reservoir in the therapeutic delivery system and
its controlled release. g) Drug therapy may be
necessary.
IJTSRD49639
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 858
Figure 1: Anatomy of Skin
Disadvantages:
A. Contact dermatitis from one or more of the
system components causes contact dermatitis at
the application site, prompting termination 1.
B. Because of the natural limits of drug entrance
imposed by the skin's impermeability, only
powerful medicines are suitable candidates for
transdermal patch.
C. Some medications, such as the scopolamine
transdermal patch worn behind the ear, are
unpleasant.
D. It's difficult to stick to a long period of time.
ANATOMY AND PHYSIOLOGY OF SKIN:
The skin has evolved into a highly effective barrier
that inhibits both excessive water loss and xenobiotic
invasion. It gives us the ability to tolerate a wide
range of environmental difficulties. The reasons
behind this are numerous, but for the sake of this
chapter, they can be stated briefly. Almost all
substances have a rate-controlling barrier in the
stratum corneum, which is the outer layer of the skin.
Corneocytes, which are dead, flattened, keratin-rich
cells, make up this structure.
These packed cells are surrounded by a complicated
intercellular lipid combination. Ceramides, free fatty
acids, cholesterol, and cholesterol sulphate are among
them. The fact that they are organised into categories
is the most crucial characteristic.
(1.4 g/cm2 in dry state) and low moisture of 15 to 20
percent, the skin, particularly the stratum corneum,
acts as a barrier to medication penetration. The barrier
function is aided further by the replacement of the
stratum corneum on a regular basis, lowering topical
and transdermal absorption. As a result, various
studies in the domain of penetration enhancement
have been done in recent years3. Slow penetration
rates, a lack of dosage flexibility, and a restriction to
relatively low dosage medicines are all drawbacks. 4.
Human skin is made up of three separate but
interdependent tissues.
PRINCIPLES OF TRANSDERMAL
PERMEATION:
Previously, skin was thought to be an impenetrable
protective barrier, but subsequent research has
demonstrated the value of skin as a route for systemic
administration. Because only a fraction of a
millimetre of tissue separates the surface of the skin
from the underlying capillary network, it is the most
intensive and easily accessible organ in the body. The
following are the numerous processes involved in
drug transport from the patch to the systemic
circulation: 5: 1. Drug diffusion from the drug
reservoir to the rate-regulating membrane. 2. Drug
diffusion from the rate-limiting membrane to the
stratum corneum. 3. Sorption through the stratum
corneum and penetration through the epidermis that is
still alive. 4. Drug uptake by the dermal papillary
layer's capillary network. 5. Impact on the organ of
interest
KINETICS OF TRANSDERMAL
PERMEATION:
The ability to understand skin penetration dynamics is
critical for the creation of successful transdermal
medicinal devices. The steps involved in transdermal
penetration of a medication are as follows:
1. Sorption through the stratum corneum 2. Drug
penetration through the epidermis. 3. Drug uptake in
the dermal papillary layer via the capillary network.
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 859
Only if the medicine has specific physiochemical
qualities will it be able to permeate the body. The rate
of permeation across the skin is calculated as follows:
dQ/dt = Ps (Cd– Cr), where Cd and Cr are the
concentrations of the skin penetrant in the donor
compartment, i.e. the stratum corneum surface, and
the receptor compartment, i.e. the body, respectively.
Ps is the skin tissue's total permeability coefficient to
the penetrant. The permeability coefficient is
calculated using the
For a skin penetrant, the coefficient Ps can be
assumed constant. It is obvious from the preceding
equation that a constant rate of drug permeation can
be achieved only when Cd >> Cr, that is, when the
drug concentration at the stratum corneum's surface
Cd is continuously and significantly more than the
drug concentration in the body Cr. dQ /dt= Ps Cd
becomes the equation. If the magnitude of Cd is
generally constant over the period of skin permeation,
the rate of skin permeation is constant. The drug
should be released from the device at a rate Rr, which
is either constant or greater than the rate of skin
uptake Ra, i.e. Rr >> Ra, to keep Cd constant. Since
Rr > Ra, the drug concentration on the skin is higher.
BIOPHARMACEUTICA L PARAMETERS IN
TRANSDERMAL PATCH 7 DRUG
SELECTION:
The dose should be kept modest, around 20mg per
day. The half-life should be shorter than 10 hours.
The molecular weight of the compound should be
400. The partition coefficient should be between 1.0
and 4 Log P (octanolwater). The permeability
coefficient of the skin should be 0.5 X 103cm/h. The
drug should not irritate or sensitise the skin in any
way. Bioavailability in the mouth should be low. The
therapeutic index should be as low as possible.
APPROACHES USED IN DEVELOPMENT OF TRANSDERMAL PATCH5:
Figure 2 Types of TDDS
A. Membrane moderated systems:
In this, the drug reservoir is totally encapsulated in a
shallow compartment molded from a drug
impermeable metallic plastic laminate and a rate
controlling polymeric membrane. In the drug
reservoir compartment, the drug solids are either
dispersed in a solid polymer matrix or suspended in
an unleachable, viscous liquid medium e.g. silicon
fluid. The rate controlling membrane can be micro
Figure 3 Representation of Membrane
moderated systems
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 860
A skin layer of medication, suitable hypo allergic
sticky polymer, or a porous or nonporous polymeric
membrane e.g. ethylene vinyl acetate copolymer on
the external surface of the polymeric membrane may
be applied to produce an intimate contact of TDDS
with the skin surface. TransdermNitro is a once-daily
system; TransdermScop is a three-day medicine
system; Catapres TTS is a weekly treatment system.
B. Adhesive diffusion controlled system:
Figure 4 Representation of adhesive diffusion
controlled system
It's the most basic version of membrane-moderated
drug delivery devices. The drug reservoir is created in
this technique by dispersing the drug directly in an
adhesive polymer and then solvent casting the
medicated adhesive onto a flat sheet of drug
impermeable metallic plastic backing to generate a
thin drug reservoir layer. Layers of nonmedicated rate
regulating sticky polymer of consistent thickness are
put on top of the reservoir layer. Single-layer or
multi-layer drug-in-adhesive patches are available.
The multi layer system differs from the single layer
method in that it includes an additional layer of drug-
in-adhesive, normally separated by a membrane. Due
of the convenience of remembering once weekly,
pharmacological characteristics in adhesive patches
may account for increased patient compliance.
C. Matrix dispersion:
Figure 5 Representation of matrix dispersion
The drug reservoir is created by dispersing the drug
particles uniformly in a hydrophilic or lipophilic
polymer matrix, and then moulding the medicated
polymer into a disc with a predetermined area and
thickness. The adhesive polymer is dispersed along
the circumference of the disc to produce a stripe of
adhesive rim around it, and it is attached onto an
occlusive base plate on the disc's surface.
The absence of dosage dumping, direct exposure of
polymeric matrix to the skin, and lack of adhesive
interference are all advantages of matrix patches.
D. Microreservoir system
Figure 6 Representation of microreservoir
system
These are classified as a mix of reservoir and matrix
dispersion. The drug reservoir is created by
suspending the drug particles in an aqueous solution
of a water soluble polymer and then homogeneously
dispersing the drug suspension in a lipophilic polymer
using high shear mechanical force to form
unleachable microscopic spheres of drug reservoir.
This dispersion is quickly stabilised by cross linking
the polymer chains, resulting in a medicated disc with
a consistent surface area and thickness. System that is
marketed: Nitrodisc®
ADVANCES IN THE FIELD OF
TRANSDERMAL PATCHES RECENTLY:
There have been several research projects in this
sector, and just a few are now underway.
The following are some of the most recent studies in
the realm of transdermal patches:
Protein delivery via patch technology:
Large amounts of medication can be delivered
through the skin. The skin's living tissues, diffusing
across a strong concentration gradient8.
Pain-free diabetic monitoring using transdermal
patches:
The initial prototype patch is around 1cm in diameter
and is constructed of polymers and thin metallic
sheets. The 55 sampling array, as well as their
metallic connectors, can be seen clearly. When the
skin's seal is broken, the interstitial fluid and the
biomolecules it contains become visible on the skin's
surface. A high-temperature heat pulse can be applied
locally, breaching the stratum corneum, using
microheating devices embedded into the structural
layer of the patch nearest to the skin surface. The skin
surface is exposed to temperatures of 130°C for 30
milliseconds during this ablation procedure. The
temperature rapidly drops from the skin's surface, yet
neither the live tissue nor the nerve endings are
impacted. This painless and bloodless procedure
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 861
causes a 40–50m diameter section of the brain to be
disrupted.
Testosterone transdermal patch system in young
women with spontaneous premature ovarian
failure:
In premenopausal women, daily testosterone
production is around 300 g, with half coming from
the ovaries and half from the adrenal glands. When
compared to normal ovulatory women, young women
with spontaneous premature ovarian failure (sPOF)
may have lower testosterone levels. The Testosterone
Transdermal Patch (TTP) was created to mimic the
normal ovarian testosterone production rate. In
women with sPOF, adding TTP to cyclic E2/MPA
treatment resulted in mean free testosterone levels
that were close to the upper limit of normal10
Transdermal patch of oxybutynin used in
overactive bladder:
The product is a transdermal patch containing
Oxybutynin HCl that is approved in the United States
and Europe under the brand names Oxytrol and
Kentera. OXYTROL is a thin, flexible, clear patch
that is applied twice weekly to the belly, hip, or
buttock and delivers oxybutynin in a continuous and
regular manner over a three to four day period.
OXYTROL provides OAB. Patient's continued
effective bladder control while avoiding some of the
oral formulation's adverse effects, such as dry mouth
and constipation. However, for the majority of
patients, these side effects are not bothersome9.
Nanotechnology gaining hold:
Microneedles are another enhancement that is gaining
popularity. This method combines the benefits of a
needle and a transdermal patch in one device. The
gadgets are dime-sized polymer chunks with
hundreds of hollow microneedles ranging in length
from 100 to 1,000 micrometres. These tiny needles
pierce the top layers of skin, allowing the medication
to easily pass through. This technology can be used in
conjunction with an electrically controlled
micropump that distributes the medicine at
predetermined intervals or on demand. These devices,
once approved by the FDA, would allow the patient
or physician to manage the time and dose of the drug
being given. These devices have the ability to
precisely deliver medications in the area where
particular immune cells reside, allowing these
treatments to modulate the immune system.
Pain treatment:
Transdermal patch technology is frequently used for
pain relief. The Duragesic patch is well-known to the
majority of readers. There are a slew of others on the
market right now. One of these is Lidoderm, a
lidocaine 5 percent patch used to treat postherpetic
neuralgia. The ETrans fentanyl HCl patch is another
promising innovation in pain management. This
credit card-sized patch is an active delivery system
with a self-contained batterythat administers fentanyl
HCl, a powerful narcotic, in pulses. This is similar to
the use of intravenous self-controlled analgesia
systems, which are expensive, inconvenient, and
require a lot of nursing care11.
Absorption enhancers, or chemicals:
that help medications pass through the stratum
corneum, have been the subject of extensive
investigation. Terpene derivatives, as well as terpenes
themselves Some phenols appear to help with
transdermal absorption. Linalool, alpha terpineol, and
carvacrol, for example, have been examined in
combination with haloperidol (a commonly
prescribed neuroleptic drug). Although all three
improved haloperidol absorption, only linalool
elevated it to a therapeutic level. Limonene,
menthone, and eugenol were reported to improve
tamoxifen transdermal absorption. The polyphenol
phloretin improved the absorption of lignocaine.
Absorption enhancement research has generally been
conducted on excised animal skin (pig or rabbit) or
human skin derived from cadavers or plastic surgery
procedures12
Technologies and approaches for the future:
Thermal poration is the process of creating water
channels through the stratum corneum using pulsed
heat. This method has been utilised to administer
conventional medications and to extract intestinal
fluid glucose from human subjects. 8,13.
Jet injectors are getting a lot of attention these
days, which is leading to better device design for
controlled, needle-free injection of medication
solutions across the skin and into deeper tissue.
Morphine has been delivered to humans using this
method. A small needle is placed a few
millimetres into skin, and drug solution is
pumped via the needle into the skin at controlled
rates using a microinfusion pump contained
within a big patch fastened to skin.
Several explanations have been proposed
throughout the last decade. nonpainful, safe and
effective alternative to current intramuscular or
subcutaneous vaccination methods
Altea Therapeutics is currently in clinical
development of a transdermal patch designed to
address a major unmet need by preventing ‘off’
periods and provide an improved therapeutic
option for managing Parkinson’s disease.
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 862
Conclusion:
In above study we studied principles, kinetics of
Transdermal Permeation. Also, we studied
parameters, approaches used, development and recent
advances in Transdermal patches.
REFERENCES:
[1] Mahato RA. Pharmaceutical dosage forms &
drug delivery’’ Published by CRS press, Taylor
& Froncrs Group, 6000 Broken Sound
Parkway, Sute 300, Boca Raton, 2002, 196-197
[2] Hadgraft J. Skin, the final frontier. Int J Pharm.
2001; 224(1–2):1–18.
[3] Joseph R, Robinson, Vincent HL. Controlled
drug delivery fundamentals and applications.
Revised and Expanded: Lee. Marcel Dekker,
Inc; 2005. p. 524.
[4] Moser K. Passive skin penetration enhancement
and its quantification in-vitro. Eur J Pharm
Biopharm. 2001; 52:103-112.
[5] Aggarwal G. Development, Fabrication and
Evaluation of Transdermal Drug Delivery‐ A
Review. Pharmainfo. net. 2009
[6] Hanumanaik M, Patil U, Kumar G, Patel S K,
Singh I, Jadatkar K, Design, Evaluation and
Recent Trends In Transdermal Drug Delivery
System: A Review, IJPSR, 2012; Vol. 3(8):
2393-2406
[7] Chandrashekhar N S, Shobha Rani R H.
Physicochemical and Pharmacokinetic
Parameters in Drug Selection and Loading of
Transdermal Drug Delivery. Indian Journal of
Pharmaceutical Sciences. 2008; 70(1): 94‐96.
[8] Levin G, Kornfeld J, Patel Y R, Damon S.
Transdermal Delivery: Success through a Deep
Understanding of the Skin. Corium. [Serial
Online]. 2007 [cited 2011 oct 08]. Available
online: URL:http://www.ondrugdelivery.com.
[9] Shah S. Transdermal Drug Delivery
Technology Revisited: Recent Advances.
Pharmainfo. net. 2008; 6(5)
[10] Joseph S D. Transdermal Patches: An
Innovative Drug Delivery System That Has
Raised Serious Safety Concerns. News Inferno.
[serial online]. 2006 [cited 2011 feb 22].
Available online:
URL:http://www.newsinferno.com.
[11] Morrow T. Transdermal Patches Are More
Than Skin Deep. Managed care. [serial online]
2004 [cited 2011 feb 4]. Available online:
URL: http://www.managedcaremag.com.
[12] Scheindlin S. Transdermal Drug Delivery: Past,
Present, Future. Molecular interventions. 2004;
4(6): 308‐312.
[13] Chandrashekhra N S. Current Status and Future
Prospects in Transdermal Drug Delivery.
Pharmainfo. net. 2008 (net access)

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Transdermal Drug Delivery System A Review

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 6 Issue 3, March-April 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 857 Transdermal Drug Delivery System: A Review Akshay Kaware1 , Prof. Santosh Waghmare2 , Dr. Hemant Kamble3 1 Student, Department of Pharmaceutics, 2 Professor, Department of Pharmacy, 3 Principle, 1, 2, 3 Lokanete Shri Dada Patil Pharate College of Pharmacy, Mandavgan Pharate, Shirur, Maharashtra, India ABSTRACT Although transdermal drug administration has made a significant contribution to medical practise, it has yet to realise its full potential as an alternative to oral drug delivery and hypodermic injections. The patch can essentially provide a controlled release of the medication into the patient, usually through either a porous membrane covering a reservoir of medication or through body heat melting thin layers of medication embedded in the adhesive, which is an advantage of transdermal drug delivery over other types of delivery systems such as oral, topical, intravenous, intramuscular, and so on. The clinical usage of first-generation transdermal delivery systems for the delivery of tiny, lipophilic, low-dose medicines has increased steadily. Chemical enhancers, non-cavitational ultrasound, and iontophoresis have all been used in second-generation delivery methods. KEYWORDS: Study of Transdermal Drug Delivery System, Approches of Transdermal Patches, Recent Advances in Transdermal Patches How to cite this paper: Akshay Kaware | Prof. Santosh Waghmare | Dr. Hemant Kamble "Transdermal Drug Delivery System: A Review" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-6 | Issue-3, April 2022, pp.857-862, URL: www.ijtsrd.com/papers/ijtsrd49639.pdf Copyright © 2022 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION TRANSDERMAL DRUG DELIVERY SYSTEM: Transdermal delivery systems (TDS) or transdermal therapeutic systems are topical formulations comprising medicines with systemic effect (TTS). The distribution of a medicine through 'intact' skin so that it reaches the systemic circulation in sufficient quantity to be useful following administration of a therapeutic dose is known as transdermal delivery. Transdermal systems are appropriate for disorders that need to be treated on a long-term basis. As a result, anti-diabetic medicines used for both therapeutic and preventive purposes have been investigated transdermally. Advantages: A. Prevents gastrointestinal medication absorption problems caused by gut pH, enzymatic activity, and drug interactions with food, drink, and other orally administered drugs. B. Can be used to replace oral pharmaceutical delivery when the route is not suitable, such as in the case of vomiting or diarrhoea. C. To prevent the first-pass effect, such as with Transdermal Nitroglycerin. When taken orally, it is rapidly metabolised by the liner. D. Noninvasive, as opposed to parenteral therapy, which is inconvenient. E. They provided longer therapy with a single application, resulting in better compliance than alternative dosage forms that required more frequent dose administration, such as transdermal clonidine 7 day. F. The activity of medications with a short half- life is prolonged by the presence of a drug reservoir in the therapeutic delivery system and its controlled release. g) Drug therapy may be necessary. IJTSRD49639
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 858 Figure 1: Anatomy of Skin Disadvantages: A. Contact dermatitis from one or more of the system components causes contact dermatitis at the application site, prompting termination 1. B. Because of the natural limits of drug entrance imposed by the skin's impermeability, only powerful medicines are suitable candidates for transdermal patch. C. Some medications, such as the scopolamine transdermal patch worn behind the ear, are unpleasant. D. It's difficult to stick to a long period of time. ANATOMY AND PHYSIOLOGY OF SKIN: The skin has evolved into a highly effective barrier that inhibits both excessive water loss and xenobiotic invasion. It gives us the ability to tolerate a wide range of environmental difficulties. The reasons behind this are numerous, but for the sake of this chapter, they can be stated briefly. Almost all substances have a rate-controlling barrier in the stratum corneum, which is the outer layer of the skin. Corneocytes, which are dead, flattened, keratin-rich cells, make up this structure. These packed cells are surrounded by a complicated intercellular lipid combination. Ceramides, free fatty acids, cholesterol, and cholesterol sulphate are among them. The fact that they are organised into categories is the most crucial characteristic. (1.4 g/cm2 in dry state) and low moisture of 15 to 20 percent, the skin, particularly the stratum corneum, acts as a barrier to medication penetration. The barrier function is aided further by the replacement of the stratum corneum on a regular basis, lowering topical and transdermal absorption. As a result, various studies in the domain of penetration enhancement have been done in recent years3. Slow penetration rates, a lack of dosage flexibility, and a restriction to relatively low dosage medicines are all drawbacks. 4. Human skin is made up of three separate but interdependent tissues. PRINCIPLES OF TRANSDERMAL PERMEATION: Previously, skin was thought to be an impenetrable protective barrier, but subsequent research has demonstrated the value of skin as a route for systemic administration. Because only a fraction of a millimetre of tissue separates the surface of the skin from the underlying capillary network, it is the most intensive and easily accessible organ in the body. The following are the numerous processes involved in drug transport from the patch to the systemic circulation: 5: 1. Drug diffusion from the drug reservoir to the rate-regulating membrane. 2. Drug diffusion from the rate-limiting membrane to the stratum corneum. 3. Sorption through the stratum corneum and penetration through the epidermis that is still alive. 4. Drug uptake by the dermal papillary layer's capillary network. 5. Impact on the organ of interest KINETICS OF TRANSDERMAL PERMEATION: The ability to understand skin penetration dynamics is critical for the creation of successful transdermal medicinal devices. The steps involved in transdermal penetration of a medication are as follows: 1. Sorption through the stratum corneum 2. Drug penetration through the epidermis. 3. Drug uptake in the dermal papillary layer via the capillary network.
  • 3. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 859 Only if the medicine has specific physiochemical qualities will it be able to permeate the body. The rate of permeation across the skin is calculated as follows: dQ/dt = Ps (Cd– Cr), where Cd and Cr are the concentrations of the skin penetrant in the donor compartment, i.e. the stratum corneum surface, and the receptor compartment, i.e. the body, respectively. Ps is the skin tissue's total permeability coefficient to the penetrant. The permeability coefficient is calculated using the For a skin penetrant, the coefficient Ps can be assumed constant. It is obvious from the preceding equation that a constant rate of drug permeation can be achieved only when Cd >> Cr, that is, when the drug concentration at the stratum corneum's surface Cd is continuously and significantly more than the drug concentration in the body Cr. dQ /dt= Ps Cd becomes the equation. If the magnitude of Cd is generally constant over the period of skin permeation, the rate of skin permeation is constant. The drug should be released from the device at a rate Rr, which is either constant or greater than the rate of skin uptake Ra, i.e. Rr >> Ra, to keep Cd constant. Since Rr > Ra, the drug concentration on the skin is higher. BIOPHARMACEUTICA L PARAMETERS IN TRANSDERMAL PATCH 7 DRUG SELECTION: The dose should be kept modest, around 20mg per day. The half-life should be shorter than 10 hours. The molecular weight of the compound should be 400. The partition coefficient should be between 1.0 and 4 Log P (octanolwater). The permeability coefficient of the skin should be 0.5 X 103cm/h. The drug should not irritate or sensitise the skin in any way. Bioavailability in the mouth should be low. The therapeutic index should be as low as possible. APPROACHES USED IN DEVELOPMENT OF TRANSDERMAL PATCH5: Figure 2 Types of TDDS A. Membrane moderated systems: In this, the drug reservoir is totally encapsulated in a shallow compartment molded from a drug impermeable metallic plastic laminate and a rate controlling polymeric membrane. In the drug reservoir compartment, the drug solids are either dispersed in a solid polymer matrix or suspended in an unleachable, viscous liquid medium e.g. silicon fluid. The rate controlling membrane can be micro Figure 3 Representation of Membrane moderated systems
  • 4. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 860 A skin layer of medication, suitable hypo allergic sticky polymer, or a porous or nonporous polymeric membrane e.g. ethylene vinyl acetate copolymer on the external surface of the polymeric membrane may be applied to produce an intimate contact of TDDS with the skin surface. TransdermNitro is a once-daily system; TransdermScop is a three-day medicine system; Catapres TTS is a weekly treatment system. B. Adhesive diffusion controlled system: Figure 4 Representation of adhesive diffusion controlled system It's the most basic version of membrane-moderated drug delivery devices. The drug reservoir is created in this technique by dispersing the drug directly in an adhesive polymer and then solvent casting the medicated adhesive onto a flat sheet of drug impermeable metallic plastic backing to generate a thin drug reservoir layer. Layers of nonmedicated rate regulating sticky polymer of consistent thickness are put on top of the reservoir layer. Single-layer or multi-layer drug-in-adhesive patches are available. The multi layer system differs from the single layer method in that it includes an additional layer of drug- in-adhesive, normally separated by a membrane. Due of the convenience of remembering once weekly, pharmacological characteristics in adhesive patches may account for increased patient compliance. C. Matrix dispersion: Figure 5 Representation of matrix dispersion The drug reservoir is created by dispersing the drug particles uniformly in a hydrophilic or lipophilic polymer matrix, and then moulding the medicated polymer into a disc with a predetermined area and thickness. The adhesive polymer is dispersed along the circumference of the disc to produce a stripe of adhesive rim around it, and it is attached onto an occlusive base plate on the disc's surface. The absence of dosage dumping, direct exposure of polymeric matrix to the skin, and lack of adhesive interference are all advantages of matrix patches. D. Microreservoir system Figure 6 Representation of microreservoir system These are classified as a mix of reservoir and matrix dispersion. The drug reservoir is created by suspending the drug particles in an aqueous solution of a water soluble polymer and then homogeneously dispersing the drug suspension in a lipophilic polymer using high shear mechanical force to form unleachable microscopic spheres of drug reservoir. This dispersion is quickly stabilised by cross linking the polymer chains, resulting in a medicated disc with a consistent surface area and thickness. System that is marketed: Nitrodisc® ADVANCES IN THE FIELD OF TRANSDERMAL PATCHES RECENTLY: There have been several research projects in this sector, and just a few are now underway. The following are some of the most recent studies in the realm of transdermal patches: Protein delivery via patch technology: Large amounts of medication can be delivered through the skin. The skin's living tissues, diffusing across a strong concentration gradient8. Pain-free diabetic monitoring using transdermal patches: The initial prototype patch is around 1cm in diameter and is constructed of polymers and thin metallic sheets. The 55 sampling array, as well as their metallic connectors, can be seen clearly. When the skin's seal is broken, the interstitial fluid and the biomolecules it contains become visible on the skin's surface. A high-temperature heat pulse can be applied locally, breaching the stratum corneum, using microheating devices embedded into the structural layer of the patch nearest to the skin surface. The skin surface is exposed to temperatures of 130°C for 30 milliseconds during this ablation procedure. The temperature rapidly drops from the skin's surface, yet neither the live tissue nor the nerve endings are impacted. This painless and bloodless procedure
  • 5. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 861 causes a 40–50m diameter section of the brain to be disrupted. Testosterone transdermal patch system in young women with spontaneous premature ovarian failure: In premenopausal women, daily testosterone production is around 300 g, with half coming from the ovaries and half from the adrenal glands. When compared to normal ovulatory women, young women with spontaneous premature ovarian failure (sPOF) may have lower testosterone levels. The Testosterone Transdermal Patch (TTP) was created to mimic the normal ovarian testosterone production rate. In women with sPOF, adding TTP to cyclic E2/MPA treatment resulted in mean free testosterone levels that were close to the upper limit of normal10 Transdermal patch of oxybutynin used in overactive bladder: The product is a transdermal patch containing Oxybutynin HCl that is approved in the United States and Europe under the brand names Oxytrol and Kentera. OXYTROL is a thin, flexible, clear patch that is applied twice weekly to the belly, hip, or buttock and delivers oxybutynin in a continuous and regular manner over a three to four day period. OXYTROL provides OAB. Patient's continued effective bladder control while avoiding some of the oral formulation's adverse effects, such as dry mouth and constipation. However, for the majority of patients, these side effects are not bothersome9. Nanotechnology gaining hold: Microneedles are another enhancement that is gaining popularity. This method combines the benefits of a needle and a transdermal patch in one device. The gadgets are dime-sized polymer chunks with hundreds of hollow microneedles ranging in length from 100 to 1,000 micrometres. These tiny needles pierce the top layers of skin, allowing the medication to easily pass through. This technology can be used in conjunction with an electrically controlled micropump that distributes the medicine at predetermined intervals or on demand. These devices, once approved by the FDA, would allow the patient or physician to manage the time and dose of the drug being given. These devices have the ability to precisely deliver medications in the area where particular immune cells reside, allowing these treatments to modulate the immune system. Pain treatment: Transdermal patch technology is frequently used for pain relief. The Duragesic patch is well-known to the majority of readers. There are a slew of others on the market right now. One of these is Lidoderm, a lidocaine 5 percent patch used to treat postherpetic neuralgia. The ETrans fentanyl HCl patch is another promising innovation in pain management. This credit card-sized patch is an active delivery system with a self-contained batterythat administers fentanyl HCl, a powerful narcotic, in pulses. This is similar to the use of intravenous self-controlled analgesia systems, which are expensive, inconvenient, and require a lot of nursing care11. Absorption enhancers, or chemicals: that help medications pass through the stratum corneum, have been the subject of extensive investigation. Terpene derivatives, as well as terpenes themselves Some phenols appear to help with transdermal absorption. Linalool, alpha terpineol, and carvacrol, for example, have been examined in combination with haloperidol (a commonly prescribed neuroleptic drug). Although all three improved haloperidol absorption, only linalool elevated it to a therapeutic level. Limonene, menthone, and eugenol were reported to improve tamoxifen transdermal absorption. The polyphenol phloretin improved the absorption of lignocaine. Absorption enhancement research has generally been conducted on excised animal skin (pig or rabbit) or human skin derived from cadavers or plastic surgery procedures12 Technologies and approaches for the future: Thermal poration is the process of creating water channels through the stratum corneum using pulsed heat. This method has been utilised to administer conventional medications and to extract intestinal fluid glucose from human subjects. 8,13. Jet injectors are getting a lot of attention these days, which is leading to better device design for controlled, needle-free injection of medication solutions across the skin and into deeper tissue. Morphine has been delivered to humans using this method. A small needle is placed a few millimetres into skin, and drug solution is pumped via the needle into the skin at controlled rates using a microinfusion pump contained within a big patch fastened to skin. Several explanations have been proposed throughout the last decade. nonpainful, safe and effective alternative to current intramuscular or subcutaneous vaccination methods Altea Therapeutics is currently in clinical development of a transdermal patch designed to address a major unmet need by preventing ‘off’ periods and provide an improved therapeutic option for managing Parkinson’s disease.
  • 6. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD49639 | Volume – 6 | Issue – 3 | Mar-Apr 2022 Page 862 Conclusion: In above study we studied principles, kinetics of Transdermal Permeation. Also, we studied parameters, approaches used, development and recent advances in Transdermal patches. REFERENCES: [1] Mahato RA. Pharmaceutical dosage forms & drug delivery’’ Published by CRS press, Taylor & Froncrs Group, 6000 Broken Sound Parkway, Sute 300, Boca Raton, 2002, 196-197 [2] Hadgraft J. Skin, the final frontier. Int J Pharm. 2001; 224(1–2):1–18. [3] Joseph R, Robinson, Vincent HL. Controlled drug delivery fundamentals and applications. Revised and Expanded: Lee. Marcel Dekker, Inc; 2005. p. 524. [4] Moser K. Passive skin penetration enhancement and its quantification in-vitro. Eur J Pharm Biopharm. 2001; 52:103-112. [5] Aggarwal G. Development, Fabrication and Evaluation of Transdermal Drug Delivery‐ A Review. Pharmainfo. net. 2009 [6] Hanumanaik M, Patil U, Kumar G, Patel S K, Singh I, Jadatkar K, Design, Evaluation and Recent Trends In Transdermal Drug Delivery System: A Review, IJPSR, 2012; Vol. 3(8): 2393-2406 [7] Chandrashekhar N S, Shobha Rani R H. Physicochemical and Pharmacokinetic Parameters in Drug Selection and Loading of Transdermal Drug Delivery. Indian Journal of Pharmaceutical Sciences. 2008; 70(1): 94‐96. [8] Levin G, Kornfeld J, Patel Y R, Damon S. Transdermal Delivery: Success through a Deep Understanding of the Skin. Corium. [Serial Online]. 2007 [cited 2011 oct 08]. Available online: URL:http://www.ondrugdelivery.com. [9] Shah S. Transdermal Drug Delivery Technology Revisited: Recent Advances. Pharmainfo. net. 2008; 6(5) [10] Joseph S D. Transdermal Patches: An Innovative Drug Delivery System That Has Raised Serious Safety Concerns. News Inferno. [serial online]. 2006 [cited 2011 feb 22]. Available online: URL:http://www.newsinferno.com. [11] Morrow T. Transdermal Patches Are More Than Skin Deep. Managed care. [serial online] 2004 [cited 2011 feb 4]. Available online: URL: http://www.managedcaremag.com. [12] Scheindlin S. Transdermal Drug Delivery: Past, Present, Future. Molecular interventions. 2004; 4(6): 308‐312. [13] Chandrashekhra N S. Current Status and Future Prospects in Transdermal Drug Delivery. Pharmainfo. net. 2008 (net access)