This document provides an overview of transdermal drug delivery systems (TDDS). It discusses the advantages and limitations of TDDS, skin structure, components of transdermal patches, types of patches, factors affecting transdermal permeability, polymers used, therapies that use TDDS, classification of TDDS, basic components, evaluation, and drug release mechanisms. The document contains detailed information on formulation, evaluation parameters, in vitro and in vivo testing of TDDS.
Controlled Release Oral Drug Delivery System
Controlled drug delivery is one which delivers the drug at a predetermined rate, for locally or systemically, for a specified period of time.
Transdermal Drug Delivery System (TDDS) is the one of the novel technology to deliver the molecules through the skin for long period of time.
Transdermal Drug Delivery System (TDDS) are defined as self contained, discrete dosage forms which are also known as “patches” 2, 3 when patches are applied to the intact skin, deliver the drug through the skin at a controlled rate to the systemic circulation
Controlled Release Oral Drug Delivery System
Controlled drug delivery is one which delivers the drug at a predetermined rate, for locally or systemically, for a specified period of time.
Transdermal Drug Delivery System (TDDS) is the one of the novel technology to deliver the molecules through the skin for long period of time.
Transdermal Drug Delivery System (TDDS) are defined as self contained, discrete dosage forms which are also known as “patches” 2, 3 when patches are applied to the intact skin, deliver the drug through the skin at a controlled rate to the systemic circulation
Formulation and evaluation of transdermal drug delivery system (TDDS)SanketPawar47
This is slide about formulation and evaluations of transdermal drugs delivery system . Introduction , general structure of TDDS , basic components of TDDS , approch for formulation of TDDS , manufacturing processes for TDDS ,and evaluations of TDDS
Gastro retentive drug delivery system (GRDDS)Shweta Nehate
Oral route is the most acceptable route for drug administration. Apart from conventional dosage forms several other forms were developed in order to enhance the drug delivery for prolonged time period and for delivering drug to a particular target site. Gastro-retentive drug delivery system (GRDDS) has gainned immense popularity in the field of oral drug delivery recently. it is a widely employed approach to retain the dosage form in the stomach for an extended period of time and release the drug slowly that can address many challenges associated with conventional oral delivery, including poor bioavailability. different innovative approaches are being applied to fabricate GRDDS. Gastroretentive drug delivery is an approach to prolong gastric residence time, there by targeting site-specific drugs release in the upper gastrointestinal tract (GIT) for local or systemic effects. It is obtained by retaining dosage form into stomach and by releasing the in controlled manner.
Factors affecting sustained release drug delivery system.Kavya S
contented and precise , Drug delivery system , sustained release preparation.factors like absorption, distribution ,metabolism , therapeutic window , absorption window.
Formulation and evaluation of transdermal drug delivery system (TDDS)SanketPawar47
This is slide about formulation and evaluations of transdermal drugs delivery system . Introduction , general structure of TDDS , basic components of TDDS , approch for formulation of TDDS , manufacturing processes for TDDS ,and evaluations of TDDS
Gastro retentive drug delivery system (GRDDS)Shweta Nehate
Oral route is the most acceptable route for drug administration. Apart from conventional dosage forms several other forms were developed in order to enhance the drug delivery for prolonged time period and for delivering drug to a particular target site. Gastro-retentive drug delivery system (GRDDS) has gainned immense popularity in the field of oral drug delivery recently. it is a widely employed approach to retain the dosage form in the stomach for an extended period of time and release the drug slowly that can address many challenges associated with conventional oral delivery, including poor bioavailability. different innovative approaches are being applied to fabricate GRDDS. Gastroretentive drug delivery is an approach to prolong gastric residence time, there by targeting site-specific drugs release in the upper gastrointestinal tract (GIT) for local or systemic effects. It is obtained by retaining dosage form into stomach and by releasing the in controlled manner.
Factors affecting sustained release drug delivery system.Kavya S
contented and precise , Drug delivery system , sustained release preparation.factors like absorption, distribution ,metabolism , therapeutic window , absorption window.
Transdermal Drug Delivery System [TDDS]Sagar Savale
Management of illness through medication has entered an era of rapid growth. A variety of means by which drugs are delivered to the human body for the therapy such as tablets, capsules, injections, aerosols, creams, ointments, suppositories, liquids etc. are referred as a conventional drug formulations. Among many pharmaceutical dosage forms, continuous intravenous infusion at preprogrammed rate has been recognized as a superior mode of drug delivery. At present, the most common form of delivery of drugs is the oral route. It has the notable advantage of easy administration.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
TDDS are topically administered medicaments in the form of patches that deliver drugs for systemic effects at predetermined and controlled rate.
Transdermal patch is an adhesive patch, that has a coating of medicine (drug), that is placed on the skin to deliver specific dose of the medicine, into the blood over a period of time.
ADVANTAGES
Avoidance of first-pass effect,
Long duration of action,
Comparable characteristics with IV infusion,
Ease of termination of drug action, if necessary,
No interference with gastric and intestinal fluids,
Suitable for administered of drug having- Very short half-life, e.g. nitroglycerine. Narrow therapeutic window.
DISADVANTAGES
Poor diffusion of large molecules,
Skin irritation,
Requires high drug load,
Unsuitable –If drug dose is large,
Absorption efficiency is vary with different sites of skin,
Skin has mainly 3 layers
Epidermis
Stratum Cornium
Stratum Granulosm
Stratum Spinosum
Stratum Basal
Dermis 3)Subcutaneous layer
EPIDERMIS
Stratum Cornium- consists of 25 to 30 layers of flattened dead keratinocytes. Which makes it water repellent.
Stratum Granulosm- consists of 3 to 5 layers and under goes Apoptosis. It contains granules known as Keratohyalin. These granules release Lipid rich secretion, which acts as the water repellent.
Stratum Spinosum- contains 8 to 10 layers of cells and it is closely arranged.
Stratum Basal- consists of single layer of cubical or columnar keratinocytes.
DERMIS
Composed of strong connective tissue containing collagen and elastic fibres, hence it can easily stretch and recoil easily.
Blood vessel, nerves gland and hair follicles are embedded in this layer.
SUBCUTANEOUS LAYER
It is also called as Hypodermis.
It is made up of loose connective tissue, including
Adipose tissue.
This helps to insulate the body by monitoring heat gain and heat loss.
The dermis is the layer of tissue that is Deeper and Thicker than epidermis.
CLASSIFICATION OF TDDS
Rate-Programmed Systems
Drug in Reservoir
Drug in Matrix
Drug in Adhesive
Drug in
Microreservoir
B. Physical Stimuli- Activated Systems
Structure-Based Systems
Electrically-Based Systems
Iontophoresis
Electroporation
Sonophoresis
Transdermal drug delivery system (TDDS) it's formulation and evaluationShritilekhaDash
Topics included:- Introduction; General structure and basic components of TDDS; Types of TDDS; Formulation; Evaluation and it's types; Market share; Examples; Merits and demerits;
formulation development of Transdermal drug delivery systems i.e. transdermal patches, compostion of transdermal patch, physical methods used to prepare tansdermal patch
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. TRANSDERMAL DRUG DELIVERY SYSTEM
1
MALLA REDDY COLLEGE OF
PHARMACY
GUI DANCE: Dr .YASMI N BEGUM
PRESENTI ED BY,
P.RAJ I THA
256213886026
2. CONTEN
TS
INTRODUCTION
ADVANTAGES AND LIMITATIONS
SKIN AND EPIDERMIS STRUCTURE
COMPONENTS OF TRANSDERMAL PATCH
TYPES OF TRANSDERMAL PATCH
FACTORS AFFECTING TRANSDERMAL PERMEABILITY
POLYMERS
THERAPIES THAT USE TRANSDERMAL DELIVERY OF DRUGS
CLASSIFICATION OF TDDS
BASIC COMPONENTS OF TDDS
EVALUATION
CONCLUSION
REFERENCE
2
3. I NTRODUCT
I ON Tr ansdermal deliver y r epr esent s an
at t r act ive alt er nat ive t o or al deliver y of
dr ugs and is poised t o pr ovide an alt er nat ive
t o hypodermic inj ect ion t oo.
For t housands of year s, people have placed
subst ances on t he skin f or t her apeut ic
ef f ect s.
Def init ion:
Tr ansdermal dr ug deliver y syst ems (pat ches)
ar e dosage f orms designed t o deliver a
t her apeut ically ef f ect ive amount of dr ug
3
acr oss a pat ient ’s skin also def ined as
4. 4
The Present Day
• 1970-- Alza Research (US) began first
development of the modern transdermal
• 1980-- Scopolamine first transdermal reached
US
• 2002– Many Rx and non-RX products in US
market.
• Transdermals deliver drugs from a few hours
up to 7 days.
09/30/14
5. Advant ages of
TDDS
Reduces f ir st -pass met abolism ef f ect
and GI incompat ibilit y
Sust ains t her apeut ic dr ug levels
Permit s self -administ r at ion
Non-invasive (no needles or
inj ect ions)
I mpr oves pat ient compliance
Reduces side ef f ect s
Allows r emoval of dr ug sour ce
Long act ing dr ug deliver y 5
6. Limit at ions of
TDDS
Poor dif f usion of lar ge molecules
Skin ir r it at ion
Only suit able f or ver y pot ent dr ugs
Mor e expensive t han or al dr ugs
6
8. Component s of Tr ansdermal
Pat ch.
1. Liner - Pr ot ect s t he pat ch dur ing
st or age.
2. Drug - Dr ug solut ion in dir ect cont act
wit h r elease liner .
3. Adhesive - Ser ves t o adher e t he
component s of t he pat ch t oget her along
wit h adher ing t he pat ch t o t he skin.
4. Membrane - Cont r ols t he r elease of
t he dr ug.
5. Backing - Pr ot ect s t he pat ch. 8
9. TYPES OF TRANSDERMAL PATCHES
(1) Single- layer Drug- in- Adhesive: The
adhesive layer of t his syst em also cont ains
t he dr ug.
(2) multi- layer drug in adhesive: One of t he
layer s is f or immediat e r elease of t he dr ug
and ot her layer is f or cont r ol r elease of dr ug
f r om t he r eser vior .
(3) Reservoir:
(4) Matrix: The Mat r ix syst em has a dr ug
layer of a semisolid mat r ix cont aining a dr ug
solut ion or suspension.
9
The dr ug layer is a liquid compar tment
cont aining a dr ug solut ion or suspension
separ at ed by t he adhesive layer
10. Fact or s ef f ect ing t r ansdermal
permeabilit y
(A) Physicochemical pr oper t ies of t he
penet r ant s:
1. Par t it ion coef f icient .
2. PH condit ions.
3 . Penet r ant concent r at ion.
(B) Physicochemical pr oper t ies of dr ug deliver y
syst ems:
1. Release char act er ist ics.
2. Composit ion of dr ug deliver y syst ems-
3. Enhancement of t r ansdermal penet r at ion.
(C) Physiological and pat hological condit ions of
t he skin
10
11. Polyme
Polyrmse:r s ar e t he backbone of a
t r ansdermal dr ug deliver y syst em.
Syst ems f or t r ansdermal deliver y ar e
f abr icat ed as mult i-layer ed polymer ic
laminat es in which a dr ug r eser voir or a
dr ug polymer mat r ix is sandwiched
bet ween t wo polymer layer s an out er
imper vious backing layer t hat pr event s
t he loss of dr ug t hr ough t he backing
sur f ace.
Examples :HPMC 100, CMC, Polyet hylene glycol,
polycar bonat e, PVA, Polycar bonat e, Sodium
11
12. Ther apies That Use
Tr ansdermal
Deliver y of
Dr ugs
12
Therapy Drug Delivered by
TDDS
Mot ion Sickness Scopolamine
Ant i-angina Nit r oglycer ine
Hypertension Clonidine
Smoking Cessat ion Nicot ine
Hormone Replacement
Ther apy
Est r adiol
Est r adiol/ Pr ogest in
Test ost er one
Pain Management Fent anyl
Lidocaine
13. Classif icat ion of
TDDS
13
1. Polymer membrane permeation-controlled.
2. Polymer matrix dif fusion-controlled
3. Drug reservoir gradient- controlled
4. Micro reservoir dissolution-controlled
14. Formulation of TDDS
1.Membrane-moderated or permeation controlled TDDS
• Drug reservoir(homogenous dispersion of drug with polymeric matrix or
suspension of drug in un leachable viscous liquid medium such as silicone fluid) is
encapsulated within drug impermeable metallic plastic laminate and a rate
controlling polymeric membrane(ethylene vinyl acetate co polymer)
• The cross sectional view of this system is shown in the following Fig.1
14
15. • A thin layer of silicone or poly acrylate adhesive may be applied to the external
surface of the rate controlling membrane to achieve intimate contact of the TDDS
and the skin surface
• Release rate of this TDDS depends upon the polymer composition,permeability co
efficient and thickness of the rate cotrolling membrane and adhesive
• The intrinsic rate of drug release from this TDDS is calculated by the following
formula.1
CR
dQ/dt= --------------------
1/Pm+1/Pa
CR-con.of drug in the reservoir compartment
Pm-permeability co efficient of rate controlling polymeric
membrane
Pa- permeability co efficient of adhesive
15
16. 2.Adhesive diffusion/dispersion-controlled TDDS
Drug reservoir
• homogenous dispersion of drug with adhesive polymer(poly(isobutylene) or poly
acrylate)
• Then spreading of this medicated adhesive polymer on flat sheet of drug
impermeable metallic plastic backing to form thin drug reservoir layer
• On top of the drug reservoir layer,thin layers of rate controlling adhesive polymer
of specific permeability and constant thickness are applied to produce an adhesive
diffusion/dispersion-controlled TDDS
• The cross sectional view of this system is shown in the following Fig.2
16
17. • The rate of drug release in this system is defined by
Ka/r.Da
dQ/dt= -----------------CR
ha
Where
Ka/r-partition co-efficient of drug bw adhesive layer and reservoir layer
Da-diffusion co-efficient of drug in the adhesive layer
ha-thickness of adhesive layer
Examples for this system
1.Iso sorbide dinitrate-releasing TDDS
2.Verapamil releasing TDDS
17
18. 18
• 3.Matrix diffusion-controlled TDDS
Drug reservoir
• homogenous dispersion of drug with hydrophilic or lipophilic polymer matrix by any one of
the following methods
• Homogenous dispersion of finely ground drug particles with liquid polymer or highly viscous
base polymer followed by cross linking of polymer chains
• Homogenous mixing of drug solid with rubbery polymer at an elevated temperature
• Dissolving the drug and polymer in a common solvent follwed by solvent evaporation in a
mould at an elevated temperature or under vaccum.
• Medicated polymer is moulded in to desired surface area and controlled thickness
• This medicated polymer disc is pasted on to an occlusive base plate with impermeable plastic
backing
• Then the adhesive polymer is spread along the circumference to form a strip of adhesive rim
around the medicated disc
19. • the rate of drug release from this sytem is defined as
A Cp Dp
Dq/dt = [ ---------------------] 1/2
2t
where
A initial drug loading dose
Cp and Dp are solubility and diffusivity of drug in poymer matrix
the rate of drug release from this system at steady state is defined as
Q/t1/2= [(2A-Cp) Cp Dp] 1/2
19
20. Example of this system are
1.Nitro glycerin releasing TDDS (Nitro-Dur and Nitro-Dur II /Key pharmaceuticals,USA)
2. Estradiol di acetate releasing TDDS
3. Verapamil releasing TDDS
The cross sectional view of this system is shown in the following Fig.3
20
21. 4.Micro reservoir type/micro sealed dissolution- controlled
TDDS
Combination of the reservoir and matrix diffusion
Drug reservoir
•suspension of drug with aqueous solution of water soluble liquid polymer
•Homogenous dispersion of drug suspension in a lipophilic polymer(silicone elastomer)
•As a result discrete un leachable microscopic spheres of drug reservoir is formed which is stabilized
by cross linking
•Medicated polymer is moulded in to desired surface area and controlled thickness and it is coated
with a layer of bio compatible polymer to modify mechanism and rate of drug release
•This medicated polymer disc is pasted on to an occlusive base plate with impermeable plastic backing
•Then the adhesive polymer is spread along the circumference to form a strip of adhesive rim around
the medicated disc
Example of this system are
1.Nitro glycerin releasing TDDS (Nitrodisc /searle,USA)
21
The cross sectional view of this system is shown in the following Fig.4
33. 33
Evaluation of adhesive
1} Peel adhesion
properties
It is the force required to remove adhesive from test substrate.
09/30/14
34. 34
2} Tack properties
It is the ability of the polymer to adhere to substrate with little contact
pressure.
2.1} Thumb tack test
2.2} Rolling ball tack test
09/30/14
37. Shear strength is the measurement of the cohesive strength of adhesive polymer.
37
3} Shear strength properties
09/30/14
38. 38
Tensile strength
09/30/14 Tensile strength= F/a.b (1+L/l)
F - the force required to break
a - width of film
b - thickness of film
L - length of film
l - elongation of film at break point
39. 39
In-vitro testing
The Paddle over Disc
The Cylinder modified USP Basket
The reciprocating disc
Diffusion Cells e.g. Franz Diffusion Cell and its modification Keshary-
Chien Cell
09/30/14
40. 40
In-vitro testing
Importance
(1)Defining skin permeation kinetic studies using a
diffusion cell system and cadaver skin during the drug
development process.
(2) in vitro drug release kinetics, to be used for batch-to-
batch release and as a compendial test.
09/30/14
41. Preparation of skin for permeation studies
• Intact Full thickness skin
• Separation of epidermis from full thickness
skin:
41
45. 45
In-vivo assessment
1} Animal model
Mouse, hairless rat, hairless dog, hairless rhesus monkey,
rabbit, guinea pig
09/30/14
46. 46
In-vivo assessment
2} Human model
. 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.
09/30/14
47. Skin irritation studies
• Group I was served as normal, without any
treatment.
• Group II, control, was applied with marketed
adhesive tape.
• Group III Transdermal systems (blank)
• Group IV Transdermal systems (drug loaded)
• Group V standard irritant .
47
Contact dermatitis
50. Study Storage conditions Time period
Temperature Relative
humidity
Long Term 25°C± 2°C
OR
30°C± 2°C
60%± 5%
OR
65%± 5%
12 months
Intermediate 30°C± 2°C 65%± 5% 6 months
Accelerated 40°C± 2°C 75%± 5% 6 months
50
51. Based on mechanism of act ion
TDDS-t ypes
(1) Solut ion in mat r ix
(2) Suspension in cont inuous mat r ix
(3) Suspension in por ous mat r ix
(4) Solut ion upst r eam of membr ane
(5) Suspension upst r eam of membr ane
(6) Laminat ed membr ane downst r eam
51
52. DRUG RELEASE
MECHANI SM
1) I ont ophor esis:
52
I t is an elect r ochemical met hod
t hat enhances t he t r anspor t of some
solut e molecules by cr eat ing a
pot ent ial gr adient t hr ough t he skin
wit h an applied elect r ical cur r ent or
volt age.
2)Elect r opor at ion:
I t is a met hod wher e high volt age
elect r ical pulses supplied t o t he skin.
53. I ont ophor esis
53
Non-invasive, needle-f r ee
Rapid onset and cessat ion kinet ics
Cont r olled, pr ogr ammable and
t it r at able dr ug deliver y capabilit ies
Abilit y t o pr ovide smoot h, var iable
or bolus plasma levels, singly or in
combinat ion, all in a single deliver y
syst em
Enhanced t r ansdermal deliver y f or a
br oad r ange of compounds, including
lar ge dr ug molecules such as
pept ides and oligonucleot ides
Minimal var iabilit y in t he deliver y
pr of iles among pat ient s and body
54. SCIENTIFIC BASIS OF
IONTOPHORESIS
The Ner nst -Planck equat ion, seen below, is t he
t r adit ional r elat ionship accept ed f or descr ibing
t r anspor t of an ionic species acr oss a membr ane:
J = DzVFC/ kT+ Cu - D(dC/ dx)
wher e J = molar f lux
D = dif f usivit y coef f icient
C = t he concent r at ion (molar )
u = t he convect ive f low of wat er
T = t emper at ur e
k = Bolt zman' s const ant
z = char ge on t he species
V = elect r ic f ield
54
55. Phonophor esis
Phonophor esis is t he int r oduct ion of subst ances int o t he
body by ult r asonic ener gy. Unlike iont ophor esis which
involves t he t r ansf er of ions int o t he t issue,
phonophor esis t r ansmit s molecules a dif f er ent pr ocess
alt hough similar in concept .
Some of t he common chemicals compounded f or
phonophor esis include:
55
·Bet amet hasone Dipr opionat e
·Dexamet hasone
·Dexamet hasone / Lidocaine
·Fluocinonide
·Hydr ocor t isone
·Hydr ocor t isone / Lidocaine
·Ket opr of en / Napr oxen
57. Conclusion:
Due t o t he r ecent advances in t echnology and
t he incor por at ion of t he dr ug t o t he sit e of
act ion wit hout r upt ur ing t he skin membr ane
t r ansdermal r out e is becoming t he most
widely accept ed r out e of dr ug administ r at ion.
I t pr omises t o eliminat e needles f or
administ r at ion of a wide var iet y of dr ugs in
t he f ut ur e.
To opt imize t his dr ug deliver y syst em,
gr eat er under st anding of dif f er ent
mechanism of biological int er act ions, and
polymer s ar e r equir ed.
57
58. Ref er ences:
1..Williams A. London: Pharmaceut ical Pr ess; 2003.
Tr ansdermal and Topical Dr ug Deliver y.
2. Pr ausnit z MR, Mit r agot r i S, Langer R. Cur r ent
st at us and f ut ur e pot ent ial of t r ansdermal dr ug
deliver y.t Rev Dr ug Discov. 2004;3:115–124.
3. Br onaugh RL, Maibach HI , edit or s. Edn. 4t h. New
Yor k: Mar cel Dekker ; 2005. Per cut aneous Absor pt ion.
4. Miller MA, Pisani E. The cost of unsaf e inj ect ions.
Bull Wor ld Healt h Or gan. 1999;77:808–811.
5. Ault on.M.E, Pharmaceut ics; The science of dosage
f orm design, second edit ion, Chur chill Livingst on,
Har cour t publisher s-2002.
6. Ansel.H.C, Loyd.A.V, Popovich.N.G, Pharmaceut ical
dosage f orms and dr ug deliver y syst ems, Sevent h
58
59. • Scheindlin Stanley Transdermal drug delivery: PAST,
PRESENT, FUTURE. Molecular interventions (2004),
4(6), 308-12 (see link in presentation).
• Prausnitz, Mark R.; Langer, Robert. Transdermal drug
delivery. Nature Biotechnology (2008), 26(11),
1261-1268 Link
• Sieg, A.; Wascotte, V. Diagnostic and therapeutic
applications of iontophoresis. Journal of Drug
Targeting, (2009); 17(9): 690-700.
• Graduate Students Only: Subedi, R. K. et al. Recent
Advances in Transdermal Drug Delivery. Archives of
Pharmal Research (2010), 33(3): 339-351.
59
This presentation provides an introduction to transdermal drug delivery.
Transdermal drug delivery (TDD) uses diffusion of the medication through the skin into the systemic circulation where it is distributed for therapeutic effect. Currently, most TDD systems use passive delivery.
Transdermal delivery offers a variety of advantages over oral delivery and injections. Because TDD enables the drug to bypass the digestive system, metabolism of the drug by the liver is avoided and more of the drug can enter the bloodstream. This is called avoiding the “first-pass effect.” There is also less chance of gastrointestinal side effects. Transdermal delivery can provide sustained therapeutic drug levels, currently up to seven days. TDD systems can be self-administered and are non-invasive, so they help improve patient compliance. Transdermal delivery can reduce the incidence of side effects because it reduces peak levels of drug in the plasma. TDD also permits removal of the drug source, if necessary.
TDD also has limitations. Currently, using TDD for diffusion of large molecules provides poor results. Some patients also may experience skin irritation in response to using TDD systems.
The greatest challenge for transdermal systems is penetrating the skin.
Transdermal systems are currently used to provide therapy for a variety of conditions including motion sickness, anti-angina, hypertension, smoking cessation, hormone replacement therapy and pain management.
For a standard transdermal patch of a given surface area, the critical predictor of delivery is the permeability coefficient.