This document discusses iontophoresis, which is a non-invasive technique for transdermal drug delivery using electricity. It works by using an electric current to transfer ions across the skin layers. The summary is:
Iontophoresis is a painless, sterile technique that uses a small electric current to enhance delivery of ionized drugs through the skin. It works by using electrode placement and electric charge to drive positively or negatively charged drug ions into the body. The document discusses the principles, advantages, complications, mechanisms, equipment, and factors that influence iontophoresis drug delivery.
Short wave diathermy (s.w.d) electro therapyÂbhìšhék Singh
Electrotherapy topic shot wave diathermy ppt (physics)
Bachelor of physiotherapy topic swd . Swd introduction, and range of swd , indications and contraindications of swd
Iontophoresis is a process of transdermal drug delivery by use of a voltage gradient on the skin. Molecules are transported across the stratum corneum by electrophoresis and electroosmosis and the electric field can also increase the permeability of the skin.
Short wave diathermy (s.w.d) electro therapyÂbhìšhék Singh
Electrotherapy topic shot wave diathermy ppt (physics)
Bachelor of physiotherapy topic swd . Swd introduction, and range of swd , indications and contraindications of swd
Iontophoresis is a process of transdermal drug delivery by use of a voltage gradient on the skin. Molecules are transported across the stratum corneum by electrophoresis and electroosmosis and the electric field can also increase the permeability of the skin.
IONTOPHORESIS
INTRODUCTION
• Iontophoresis is the introduction of ionized medications into the subcutaneous tissues using a low-voltage DC.
• The amount of medication entering the tissues is based on the current density and the duration of the treatment.
• The medication types most commonly used for iontophoresis include anesthetics, analgesics, and anti-inflammatory agents.
• Iontophoresis is based on the principle that like charges repel, and that therefore a fixed charge electrode on the skin can promote the movement of charged ions of a drug through the skin by “pushing” them away.
• Based on the ionic reaction between the positive and negative poles of the generator, ionized medication molecules travel along the lines of force created by the current.
• At the positive electrode, positive ions are driven through the skin; negative ions are introduced through the skin using the negative pole.
• Iontophoresis has been shown to deliver the medication to depths of 6 to 20 mm below the skin.
• Iontophoresis can provide advantages over oral delivery, nasal delivery and over injections.
• For an electrical current to facilitate transdermal drug penetration, the current must be at least sufficient to overcome the combined resistance of the skin and the electrode being used.
• Studies have shown effective drug delivery with 40 to 80 mA-min treatments.
• To promote continuous delivery of the ionized drug, a direct current must be used for iontophoresis.
PARAMETERS
• Electrode Placement and Size- For iontophoresis, the drug delivery electrode is placed over the area of pathology.
• Polarity- For iontophoresis, the drug delivery electrode should have the same polarity as the active ion of the drug to be delivered.
• Current Amplitude- For iontophoresis, the amplitude should be determined by patient comfort and should be no greater than 4 mA.
• Treatment Time- For iontophoresis, the treatment time is affected by the current amplitude and should be adjusted to produce a total treatment dose of 40 to 80 mA-min, which is achieved by setting the amplitude to patient comfort and then setting, or having the device select, the treatment time to achieve the desired treatment dose
PHYSIOLOGICAL EFFECTS
• Ion penetration
• Acid/ alkaline reaction
• Hyperaemia
• Dissociation
THERAPEUTIC EFFECTS
• Local analgesia
• Relief of idiopathic hyperhidrosis
• Application of antibiotics
• Application of anti inflammatory drugs
• Neurogenic pain
• Oedema relief
• Ischemic ulcer
• Scar mobilization
INDICATIONS
• Acute inflammation
• Chronic inflammation
• Arthritis
• Myositis ossificans
• Myofascial pain syndromes
• As a vehicle for delivering local anaesthetics before injection or other minor invasive procedures
• Hyperhidrosis
CONTRAINDICATIONS
• Artificial pacemaker
• Unconscious patient
• Area of venous thrombosis
• Pregnancy
• Malignancy
• Infected wound
• Hemorrhage
It contains 2-3 acetyl groups per glucose unit and its adsorption capacity is less than that of paper.
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ADVANTAGE:
No tailing of proteins or hydrophilic materials.
Available in wide range of particle size and layer thickness.
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High voltage can be applied which will enhance the resolution.
Electrophoresis is the movement of charged particles through an electrode when subjected to an electric Field
Cations move towards cathode
Anions move towards anode
By this technique solutes are separated by their different rates of travel through an electric field.
Commonly used in biological analysis, particularly in the separations of proteins, peptides and nucleic acids
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1. IONTOPHORESIS: TRANSDERMAL
DRUG DELIVERY
Guided by,
Professor Kurian Varghese &
Asst.Professor Dinu Thomas
Submitted by,
Amrith Vijay V L
S7 EEE
Rollno-8
1
2. CCOONNTTEENNTTSS
INTRODUCTION
PRINCIPLES OF IONTOPHORESIS
ADVANTAGES OF IONTOPHORESIS
COMPLICATIONS IN IONTOPHORESIS
IONTOPHORESIS DIAGRAM
THREE MECHANISMS OF IONTOPHORESIS
IONTOPHORETIC GENERATOR
TREATMENT DURATION & PRECAUTION
CONCLUSION
REFERENCES
2
3. Introduction
• The term IONTOPHORESIS simply defined as
ion transfer (ionto= ion & phoresis=transfer).
• It is a Painless, Sterile, Noninvasive Technique
for injecting medicine to the body by the
influence of electricity.
• Iontophoresis is well classified for use in
transdermal drug delivery.
3
4. Principles of Iontophoresis
• Electrode placement is dependent on the electric charge of the
ion which you are trying to deliver into the tissue.
• A positive ion will be delivered from the positive electrode
and a negative ion will be delivered by the negative electrode.
• Electrical energy assists the movement of ions across the
stratum corneum according to the basic electrical principle
“like charges repel each other and opposite charges attract
each other.” So iontophoresis is done with the help of
electrostatic repulsion.
4
5. Advantages of Iontophoresis
• Painless technique if properly done.
• Provides option for patients unable to receive
injections.
• Reduced risk of infection due to non-invasive nature.
•Medications delivered directly to the treatment site.
• Minimizes potential for tissue trauma from an
injection.
5
6. Complications in iontophoresis
• Electric shocks may cause if excessive current
density occurs & usually results in pain.
• The high current density and time of application
would generate extreme pH, resulting in a
chemical burn.
• Iontophoresis cannot be done to patients with
cardiac pacemakers.
• Ionic form of drug in sufficient concentration is
necessary for iontophoretic delivery.
6
8. Iontophoresis enhances transdermal drug delivery
by three mechanisms
(a) Ion-electric field interaction provides an additional force
that drives ions through the skin.
(b) The flow of electric current increases the permeability
of the skin.
(c) Electro-osmosis produces bulk motion of solvent that
carries ions or neutral species with the solvent stream.
Electro-osmotic flow occurs in a variety of membranes and
is in the same direction as the flow of counter-ions. It may
assist or hinder drug transport.
8
9. Components needed for effective iontophoresis
delivery
• Power source for generating controlled direct
current.
• Electrodes that contain and disperse the drug.
• Negatively or positively charged aqueous
medication.
• A localized treatment site.
9
10. Movement of Ions In Tissue
Higher current intensities necessary to create ion movement in
areas where skin and fat layers are thick, further increasing
chance of burns around negative electrode.
Sweat ducts are primary paths by which ions move through
the skin.
Once the ions pass through skin they recombine with existing
ions and free radicals in the blood thus forming the necessary
new compounds for favorable therapeutic interactions.
10
11. Iontophoresis Generator
¨Produce continuous
direct
current in the order as per
the requirement.
¨Assures unidirectional
flow
of ions.
¨It also consist of a timer
for regulating the supply
of current.
11
12. ¨Intensity control
• 1 to 5 mA
• Constant voltage
output that adjusts to
normal variations in
tissue impedance thus
reducing the likelihood
of burns.
• Automatic shutdown if
skin impedance
reduces to preset limit.
¨Adjustable Timer for
giving the duration of
treatment
12
13. Current Intensity
• CI can be found out by
Maximum current(mA)=
Maximum Safe Current Density(mA/cm2) x Electrode Area(cm2)
• Recommended current intensity used for iontophoresis ranges
between 3-5 mA
• Low amperage currents appear to be more effective as a driving
force than currents with higher intensities (16 to 512μA)
• The frequency of current should be in the range of 500 Hz to
avoid shock hazards
13
14. Treatment Duration
Treatment duration ranges between 10-20 minutes with
15 minutes being an average.
Patient should be comfortable with no reported or visible
signs of pain or burning.
Check skin every 3-5 minutes looking for signs of skin
irritation.
Decrease intensity during treatment to accommodate
decrease in skin impedance to avoid pain or burning.
Usage of pulsed DC can be reduce the duration of
treatment 14
15. Treatment Precautions
¨Uses the most appropriate ions to accomplish the
treatment goal
¨Uses appropriate treatment parameters and
equipment set-up
¨Don’t use two chemicals under the same electrode
even if the they are of same polarity
15
16. Electrodes of iontophoresis
Active pad- This electrode have
a small chamber covered by a
semipermeable membrane into
which ionized solution may be
injected.
Dispersive pad- Also known as
Inactive pad. Dispersive pad
should be larger than active pad
to reduce the current density
leading to reduction of irritation
The polarity of these electrode
depends on the characterictics of
drugs and these electrodes self
adheres to the skin.
Active pad
Dispersive pad
16
18. Electrodes Material
The electrode materials used for iontophoretic delivery are
to be harmless to the body and sufficiently flexible to apply
closely to the body surface.
The most common electrodes used for iontophoretic drug
delivery are
Aluminum foil
Platinum and
Silver/Silverchloride
A better choice of electrode is silver/silver chloride
because it minimizes electrolysis of water during drug
delivery.
18
19. Electrode Preparation
To ensure maximum contact of
electrodes skin should be
shaved and cleaned prior to
attachment of the electrodes.
Do not excessively abrade
skin during cleaning since
damaged skin has lowered
resistance to current and a
burn might occur more
easily.
19
20. • Attach self-adhering
active electrode to skin.
• Inject ionized solution
into the chamber.
• Attach self-adhering
inactive electrode to
the skin and attach lead
wires from generator to
each.
20
21. Electrode Placement
• Size and shape of electrodes
can cause variation in
current density
(smaller = higher density)
• Inactive electrodes should
be separated by a distance
atleast the diameter of
active electrode
21
22. Factors Affecting Iontophoretic Delivery of the Drug
Operational Factors
I. Composition of formulation:
• Concentration of drug solution
• pH of donor solution
• Ionic strength
• Presence of co-ions
II. Physicochemical properties of the
permeant:
• Molecular size & Molecular weight
• Charge
• Polarity
III. Experimental conditions:
• Current density
• Duration of treatment
• Electrode material
• Polarity of electrodes
Biological Factors
• Regional blood flow
• Skin pH
• Condition of skin
22
23. Formula for iontophoresis:
The basic formula for using iontophoresis is:
I x T x ECE = grams of substance introduced
Where:
I: (Intensity) measured in amperes.
T: (Time) measured in hours.
ECE: (Electro-Chemical Equivalent) represents standardized
figures for ionic transfer with known currents and time
factors.
As the determination of the ECE for many complex
substances is very difficult, fewer milligrams of these complex
substances will penetrate the skin.
23
24. Conclusion
Iontophoretic drug delivery has developed a new
application system for dermal and transdermal delivery of
drugs that is electro-phoretically self-regulated device with
electronic indicator.
The iontophoretic delivery of macromolecules will open
the doors to non-invasive transdermal delivery of peptide-based
pharmaceuticals.
Iontophoresis has been explored for many dermatologic
and other medical conditions with reports of considerable
success.
24
25. REFERENCES
• Iontophoretic transport kinetics of ketorolac in vitro and in vivo:
Demonstrating local enhanced topical drug delivery to the muscle.
T. Gratieri, E. Pujol-Bello, G. M. Gelfuso, J. G. de Souza, R. F. V. Lopez, Y. N.
Kalia. Eur J Pharm Biopharm, 2014; 86: 219-226
• Artusi, M.; Nicoli, S.; Colombo, P.; Bettini, R.; Sacchi, A.; Sanli,P. J.
Pharm. Sci. 2004, 93 (10), 2431-8.
• Banga, A.K.; Chien, Y.W. J. Control. Release, 1988, 7(1), 1-24.
• Banga, A.K.; Bose, S.; Ghosh, T.K. Int. J. Pharm. 1999, 179(1), 1-19.
• Bertolucci, L.E. “Introduction of Anti-inflammatory Drugs by
Iontophoresis: Double Blind Study.” J Orthopedic and Sports Physical
Therapy. 1982;4:103-108 .
• Turning theory into practice: the development of modern transdermal drug
delivery systems and future trends.
O. Perumal, S. N. Murthy, Y. N. Kalia. Skin Pharmacol Physiol, 2013; 26:
331-342
• Controlled iontophoretic transport of huperzine A across skin in vitro and
in vivo: effect of delivery conditions and comparison of pharmacokinetic
models.
D. R. Kalaria, P. Patel, V. Merino, V. B. Patravale, Y. N. Kalia. Mol Pharm,
2013; 10(11): 4322-4329.
25