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Topical Route of Drug 
Administration And 
Dosage Forms 
Dr. Mansij Biswas, FYR 
Department of Pharmacology & Therapeutics 
Seth G S Medical College & KEM Hospital 
1
 defined as the application of a drug containing 
formulation to the skin or mucous membrane, to treat 
specific cutaneous disorders (e.g. acne) or cutaneous 
manifestations of a generalised disease (e.g. 
psoriasis), with the intent of containing the 
pharmacological effect of the drug only to the surface 
or within the layers of skin or mucous membrane. 
Ansel H.C., Allen L.V., “Pharmaceutical Dosage Forms and Drug Delivery System”, 7th edition, Lippincott 
Willlams and Wilkens, Baltimore, 2000, 244-246,249-251, 253-255,264-265 
2
 Includes two basic types: 
A) External- that are spread or dispersed on the cutaneous surface 
covering the affected area. 
B) Internal- that are applied to the mucous membrane of eye 
(conjunctiva), ear, oropharyngeal cavity, nasal cavity, vagina 
or anorectal region for local activity. 
Classification Based on physical state- 
(A) Solid: 
Powder, Aerosol, Plaster 
(B) Liquid: 
Lotion, Liniment, Solution, Emulsion, Suspension, Aerosol 
(C) Semi-solid: 
Ointment, Cream, Paste, Gel, Jelly, Suppository 
3
Advantages of Topical Drug 
Delivery System: 
Avoidance of first pass metabolism 
Easy application 
Avoidance of the risks and inconveniences of administration and the 
varied conditions of absorption, like pH changes, presence of 
enzymes, gastric emptying time etc in enteral or parenteral routes 
Achievement of efficacy with lower total daily dosage of drug by 
continuous drug input 
Avoids fluctuation in drug levels, inter- and intra-patient variations 
Easy termination of medications, when needed 
4
Advantages: contd… 
Relatively large area of application 
Drug can be delivered more selectively to a specific site 
Avoidance of gastro-intestinal incompatibility 
Provide utilization of drugs with short biological half-life & 
narrow therapeutic window 
Improved physiological and pharmacological response 
Improved patient compliance 
Suitable for self-medication 
Surver, C. and Davis, F.A., Bioaviability and Bioequivalence, In Walter, K.A..(Ed. ) , Dermatological and Transdermal 
Formulation, Marcal Dekker, INC. NewYork , 119,2002,pp. 403,323,326,327,403 
5
Disadvantages of Topical Drug 
Delivery System: 
Skin irritation/contact dermatitis due to drug and/or excipients 
Poor permeability of some drugs through the skin 
Possibility of allergic reactions 
Can be used only for those drugs which require low plasma 
concentration for action 
Enzymes in epidermis may denature the drugs 
Drugs with larger particle size are difficult to get absorbed 
through the skin 
6
Cross Section of Human Skin: 
7
Absorption through skin: 
Two principal absorption route are identified: 
A) Trans-epidermal absorption: 
Principally responsible for diffusion across the skin. The resistance 
encountered along this pathway mostly arises in the stratum corneum. 
Maybe trans-cellular or inter-cellular. 
B) Trans-follicular (shunt pathway) absorption: 
The skin’s appendages, mainly sebaceous glands, sweat glands, hair 
follicles offer secondary avenues for permeation, which are considered as 
shunts bypassing the trans-epidermal route. 
 Basic principle of permeation-initial 
transient stage- shunt pathway predominates, but when a steady state has been 
reached, diffusion through stratum corneum becomes the dominant pathway. 
8
Factors Affecting the Extent and Rate of 
Topical and Percutaneous Drug Absorption 
and Transportation:- 
 skin physiology & pathology:- hydration, blood flow, lipid content 
 physico-chemical properties of drugs and excipients:- 
• Partition coefficient 
• pH-condition 
• Drug solubility 
• Concentration 
• Particle size 
• Polymorphism 
• Molecular weight 
 fabrication and design of the delivery systems:- 
release characteristics, composition, nature of vehicle, presence of penetration 
enhancers 
The rate of drug transport across the stratum corneum follows Fick’s Law 
of Diffusion 
9
Topical Dosage Forms:- 
Ointment:- 
Viscous semisolid preparation 
Applied externally to skin or mucous membrane (eye, nose, 
vagina, rectum) 
10
Vehicle of an ointment is known as ointment base 
1) Hydrocarbon (oleaginous) bases: 
Emollient, occlusive, greasy, non water washable, prolonged contact period 
E.g.- white/yellow petrolatum 
2) Absorption (anhydrous) bases: 
Permits the incorporation of additional quantities of aqueous solutions 
E.g.- Lanolin 
3) Water removable Bases: 
Oil in water type, non occlusive, less greasy, creamy in appearance, water-washable. 
4) Water soluble Bases: 
Do not contain oleaginous components, completely water-washable, greaseless, mostly 
used for the incorporation of solid substances. 
E.g.- Polyethylene Glycol 
5) Simple base: 
Wool fat (5%) + hard paraffin (10%) + yellow soft paraffin (85%) 
11
Evaluation 
of ointments 
Penetration 
Rate of release of 
medicaments 
Absorption of 
medicaments into 
blood stream 
Irritant effect 
12
13 
Methods of preparation of ointments: 
a) Trituration: finely subdivided insoluble medicaments are 
evenly distributed by grinding with a small amount of the 
base followed by dilution with gradually increasing amounts 
of the base. 
b) Fusion: the ingredients are melted together in descending 
order of their melting points and then stirred to ensure 
homogeneity. 
 Difficult to measure precise dose- by weighing the tube before 
& after use or measuring the length of the ribbon squeezed. 
 Only the medicine that is touching the skin will work, so thin 
layer is always preferred to thick layer.
Cream: 
Viscous semisolid emulsion- medicaments dissolved or suspended in 
water removable bases. 
Applied to skin or mucous membrane (vagina, rectum) 
 Most are O/W (small droplets of oil dispersed in a continuous 
aqueous phase), only cold creams and emollients are W/O (small 
droplets of water dispersed in a continuous oily phase). 
 O/W (vanishing) - water washable, non greasy, non occlusive, more 
cosmetically acceptable. 
W/O (oily) - for some hydrophobic drugs, more emollient. 
14
Advantages over ointment:- 
1. Less greasy 
2. Spreads easily 
3. Soothing sensation 
4. Easily washable 
• Uses:- 
1. Physical or chemical barrier to protect the skin e.g. sunscreens 
2. Cleansing agent 
3. Emollient 
4. Retention of moisture (especially water-in-oil creams) 
5. Vehicle for drug substances such as local anaesthetics, anti-inflammatory 
agents, hormones, steroids, antibiotics, 
antifungals or counter-irritants 
15
16 
Evaluation of 
cream 
Rheology 
Sensitivity 
Biological 
testing
Paste:- 
 Pastes are basically ointments into which a high percentage of 
insoluble solids have been added 
Less greasy than ointments 
 Provide protective coating on skin due to it’s stiff consistency 
 Poorly occlusive, so suited for application around moist areas 
Absorb secretion from the oozing lesions 
 Forms an unbroken, water impermeable, opaque film on the skin 
17 
 Effective sun filter & prevent excessive wind dehydration (windburn)
Evaluation of 
paste 
Abrasiveness 
Particle size 
Cleansing 
property 
Consistency 
pH of the 
product 
Foaming 
character 
Limit test for 
arsenic and lead 
Volatile matters 
and moisture 
Effect of special 
ingredients 
18
Gels & Jellies: 
Semisolid systems- dispersions of small or large molecules in an 
aqueous liquid vehicle by addition of gelling agent 
Gelling agents- either Synthetic macromolecules (Carbomer 934) or 
Cellulose derivatives (Carboxymethylcellulose) 
 Non greasy, moisture rich 
Compatible with many substances 
 May contain penetration enhancers for anti-inflammatory and some 
other medications 
19
Types:- 
·Single phase: macromolecules are uniformly distributed throughout a 
liquid with no apparent boundaries between the dispersed macromolecules 
and the liquid. 
·Double phase: Gel mass consists of floccules of small distinct particles, 
often referred to as a magmas. 
Gel rich in liquid is called jelly 
 Prepared from either natural gums such as pectin, alginate etc. or from 
synthetic derivatives of natural substance such as methylcellulose 
20
Applications: 
 sustained-release delivery system 
 dressings for healing of burn or other hard-to-heal wounds 
 reservoirs in topical drug delivery, particularly ionic drugs, 
delivered by iontophoresis 
e.g. Diclofenac gel, Lignocaine jelly 
21
22 
Evaluation 
of gel 
Drug content 
Homogeneity 
of drug 
content 
Measurement 
of pH 
Viscosity 
Spreadability 
Extrudability
Lotion: 
 Clear solution/suspension/emulsion containing 25-50% alcohol 
 Low to medium viscosity 
May contain extract of witchhazel, menthol, glycerin, boric acid, 
alum, chloroform etc but NOT camphor 
 Applied without friction 
 Can be applied on abraded/wounded skin or on mucous membrane 
 Antiseptic, anti inflammatory, astringent, emollient, cooling, 
moisturizing or protective actions 
e.g. Calamine lotion 
23
24 
Evaluation 
of lotion 
Antiseptic 
property 
Determination of 
alcohol content
Liniment (Balm): 
Low- to medium-viscosity emulsions 
 Formulated from quickly evaporating solvents, contain aromatic 
chemical compounds 
 As a rule contain camphor 
 Always applied with friction 
 Applied only on unbroken skin, never on mucus membrane 
Mechanism of action: 
• Rubefacient 
• Local irritant 
• Counter irritant 
Typically used to relieve pain and stiffness such as from sore muscle 
cramp or arthritis 
 e.g. Turpentine 
25
Poultices/Cataplasms:- 
 Now obsolete 
 Heated & spread on dressing & applied as hot as the patient can bear 
 Heat is retained, soothing in pain and inflammation 
 Ingredients may have counter-irritant/ absorptive properties 
 e.g. Kaolin poultice 
26
Solution: 
 Solutions are liquid preparations of soluble chemicals dissolved in 
solvents such as water, alcohol or propylene glycol 
E.g: 
· Tincture of iodine 
· Sterile Indian ink for surgical procedures 
27
Emulsion: 
 Two-phase preparations - the dispensed (internal) phase is finely 
dispersed in the continuous (external) phase 
 Because there are two incompatible phases in close conjunction, a 
physical stabilizing system is needed- surfactant (ionic or nonionic), 
polymers, polyelectrolytes etc 
 Types- 
· Water-in-oil emulsion 
· Oil-in-water emulsion 
· Water-in-oil-in-water emulsion 
· Oil-in-water-in-oil emulsion 
28
29 
Evaluation of 
emulsions 
Phase separation 
Globule size 
Rheological 
properties 
Effect of thermal 
stresses
Suspension: 
 Heterogeneous system consisting of two phases: 
1. The continuous or external phase is generally a liquid or semisolid 
2. The disperse or internal phase is made up of particulate matter that 
is dispersed throughout the continuous phase 
 Almost all suspension systems get separated on standing, the rate of 
settling and ease of resuspendability is the concern 
 A satisfactory suspension must remain sufficiently homogenous for at 
least the time necessary to remove and administer the dose after shaking 
its container 
 Types: 
· Flocculated 
· Deflocculated 
30
Evaluation of 
suspension 
Sedimentation 
volume 
Rheologic 
methods 
Electrokinetic 
techniques 
Particle size 
changes 
31
Medicated shampoos:- 
e.g. Selenium sulphide, Cetrimide, Ketoconazole 
Paints:- 
 Applied to broken skin/mucus membrane 
 Applied in throat with an applicator 
 e.g. Mandl’s paint 
Nail lacquers:- 
e.g. Amorolfine (a newer antifungal) for tinea unguium 
32
33 
Collodion:- 
• Protective, occlusive, water repellant film on the skin 
surface following evaporation of the solvent 
• Seals small cuts and scratches 
• Occlusion prolongs contact with active medicaments 
• Contains pyroxylone (a nitrocellulose) in an ether alcohol 
mixture 
• Applied using a brush or applicator 
• e.g. Salicylic acid collodion
Eye/Ear Drops:- 
 Solution/ suspension 
 Relatively brief contact time with absorbing surface 
 pH, tonicity, viscosity important for local comfort. 
 Sterile; require aseptic handling 
 Use droppers with attached or separate plastic nozzle, avoid touching 
the application surface 
 Use: to prevent or treat infections 
 E.g. Ciprofloxacin eye/ear drop, Artificial tear 
34
Ophthalmic strips:- 
 Used for delivering diagnostic 
dyes topically for eye, by simply 
touching the conjunctival surface 
 e.g. Fluorescein sodium 
Ocular insertion:- 
 Continuous release multilayered 
polymeric insertion in 
conjunctival fornix 
 Ocusert (pilocarpine- for 
treatment of glaucoma), Lacrisert 
(artificial tear substitute- for 
treatment of dry eye) 
 Not available in India 
31
Medicated plaster, dressing, sticks:- 
36 
Belladonna plaster, Keratolytic plaster, neocapsicum plaster 
Framycetin dressing
Suppository: 
Solid dosage forms intended to deliver medicine into rectal, 
vaginal or urethral orifice 
Prepared by cold compression or fusion technique 
An appropriate base is selected for its compatibility, stability, 
melting point, and aesthetics. Commonly used bases are cocoa 
butter, glycerin, hydrogenated vegetable oils, and polyethylene 
glycol 
37
Advantages: 
 Bypasses first pass metabolism 
 Suitable when oral route cannot be used (e.g. patient unconscious, 
excessive nausea, vomiting, malabsorption disorder) 
 Suitable when drug is not suitable for oral use (unstable in GI tract, 
degraded by digestive enzymes ) 
Disadvantages: 
 Absorption slower & unpredictable (BA ~50%) 
 Inconvenient & embarrassing 
 The contained fat often melts at the high temperatures of the tropics 
 Used in kids only where controlled delivery possible 
38
39 
Rectal Suppository: 
 Tapered at one or both ends (torpedo shape is most common), 
weight= 2g 
 They are meant for local (e.g. OTC preparation for hemorrhoids 
containing a moisturizer or vasoconstrictor; Glycerin or Bisacodyl 
as laxative ) and for systemic (e.g. Paracetamol, Aminophylline, 
Promethazine) effects 
 Active ingredient(s) usually mixed with a suitable base which is 
solid at room temperature to assist insertion, but melts at body 
temperature to enable dispersion
Vaginal suppositories/pessaries: 
 Globose or oviform, weight=5g 
 Mostly meant for local effects (clotrimazole, miconazole, metronidazole) 
Urethral suppository/bougies: 
 Cylindrical, longer for males than for females, obsolete now a days 
40
41 
Evaluation of 
suppository 
Melting range 
test 
Dissolution 
test 
Liquefaction or 
softening time 
test
Douche:- 
 Douche is a device used to rinse any 
body cavity but usually applies to 
vaginal irrigation 
 Vaginal douches may consist of water, 
water mixed with vinegar, or even 
antiseptic chemicals 
 Disadvantage: Can lead to irritation, 
pelvic inflammatory disease (PID), 
fertility problems 
 Use - Treatment of bacterial vaginosis 
with a vaginal douche containing a 
strain of L. acidophilus 
42
Medicated Vaginal Rings:- 
 Doughnut-shaped polymeric drug delivery devices designed to provide controlled 
release of drugs to the vagina over extended periods of time 
 Vaginal ring products are used for the treatment of vaginal atrophy, relief of hot 
flashes and as a contraceptive 
 Vaginal ring technology is currently being developed for the controlled release of 
microbicides and vaccines for the prevention of HIV/HPV infection 
43
Intra uterine Devices:- 
 An intrauterine device is a small 
contraceptive device, often 'T'- 
shaped, containing either copper 
(Cu-T) or levonorgestrel (LNG-IUS), 
inserted into the uterus 
 most effective types of reversible 
birth control 
44
Aerosol: 
 A system that depends on the power of compressed or liquefied gas to expel the 
contents from the container. 
 Topical pharmaceutical aerosols utilize hydrocarbon (propane, butane, and 
isobutene) and compressed gases such as nitrogen, carbon dioxide, and nitrous 
oxide. 
Advantages: 
• Rapid onset 
• at site delivery 
• Less amount of drug required 
• Less systemic absorption – less side effects 
• No first pass effect 
• Dose titration possible 
• Acceptable & convenient to patient 
45
Disadvantages: 
• Difficult to maintain particle size ≈ 2-8 microns and moisture content ≈ 100-300 
ppm 
• Only 10-20% drug is deposited at site 
• Aerosol droplets facilitate microbial invasion 
• Propellants can cause ADR 
• Proper technique is difficult to maintain 
Devices: 
 MDI ± Spacer 
 Nebuliser 
 Rotahaler 
 Inhaled insulin device 
46
47 
Evaluation of aerosol 
Flame projection 
Flash point 
Vapor pressure 
Density 
Moisture 
Aerosol valve discharge 
rate 
Spray patterns 
Dosage with metered valves 
Net contents 
Foam stability 
Particle size determination
Dusting Powder:- 
 Free flowing 
 Applied on skin, wounds, ulcers 
Very fine particle size produces large surface area per unit weight 
 Mechanical protective action against irritation/itching due to friction 
 Dries the skin by absorbing water & adsorbs toxic material 
 Medicated powders are used for prickly heat or preventing 
microbial growth on skin 
e.g. Starch, Talc 
48
49 
Evaluation of powder 
Shade control and lighting 
Pressure testing 
Breakage test 
Flow property 
Particle size and abrasiveness 
Dispersion of color
Intranasal Drug Delivery:- 
 This route involves administration of drugs directly into the nose 
 Agents include nasal decongestants such as xylometazoline & 
corticosteroid like mometasone furoate. 
 Desmopressin is administered intranasally in the treatment of diabetes 
insipidus 
 Calcitonin, a peptide hormone used in the treatment of osteoporosis, is 
also available as a nasal spray 
 Ketorolac nasal spray for pain management 
 The abused drug, cocaine, is generally taken by intranasal sniffing 
 Applied via drops/sprays/powder or aerosols 
 Advantages of nasal delivery 
• Lower dose needed 
• More rapid attainment of therapeutic blood levels 
• Quicker onset of pharmacological activity 
• Fewer side effects 
50
Transdermal Drug Delivery 
System (TDDS):- 
51
52 
Topically administered medicaments in the form of patches or other 
techniques, that deliver drugs for systemic effects at a 
predetermined and controlled rate. 
Transderm Scop® Patch, Novartis,1979- first FDA approved-opened 
the door to the current TDDS as a successful alternative to 
systemic drug delivery. 
TDDS use the percutaneous route for systemic drug delivery, but 
the skin is not the primary target organ, active ingredient is moved 
across the layers of skin for subsequent systemic distribution.
Advantages of TDDS:- 
 
Consistent serum drug levels as IV 
 The lack of peaks in plasma concentration 
Drugs that require relatively consistent plasma levels are very good 
candidates 
 Convenience and high adherence 
• non invasive 
• usually once weekly /once in 15/30 days application 
• removal of the patch in case of toxicity 
 Avoids FPM and GI irritation 
 Great advantage in patients who are nauseated or unconscious 
 Useful for drugs that are degraded by the enzymes and acids in the 
gastrointestinal system 
53
Disadvantages:- 
 local irritation 
• rotation to minimize 
• if severe allergic reactions- discontinue 
 skin's low permeability limits the number of drugs that can be 
delivered 
 after removal, most patches contain at least 95% of the total amount 
of drug initially in the patch 
- patients must exercise care when disposing of patches 
Damage to a transdermal patch 
• patients should be advised to discard a patch if the outer 
packaging or the patch itself appears damaged or altered in any 
way 
54
Design of TDDS: 
 Patch design is the first & commonest type 
 Factors influencing:- 
1. Properties of the drug- Systemic absorption of transdermal is better 
with 
• low dose 
• low molecular weight 
• lipid soluble drugs 
2. Desired delivery profile 
3. Target patient group 
-- determine which design is best for a given application 
55
Components of a TD patch:- 
 Liner - protects the patch during storage, removed prior to use 
 Drug reservoir- drug solution in direct contact with release liner 
 Adhesive - adhere the components of the patch together and to the skin 
 Membrane – controls release of the drug from reservoir and multi-layer patches 
 Backing - protects the patch from the outer environment 
56
Types of TD patch:- 
 Single layer drug in adhesive 
 Multi -layer drug in adhesive 
- immediate drug release layer 
 Vapour patch 
- for releasing of essential oils in decongestion 
 Reservoir system 
- liquid drug solution containing reservoir is embedded between an impervious 
backing layer and a rate controlling semi permeable membrane 
 Matrix system 
- similar to that of the reservoir, but the drug is instead provided as a semisolid 
formulation, and there is no membrane layer 
57
Evaluation 
of patch 
21-day 
cumulative 
irritancy patch 
test 
Kligman 
“maximization” 
test 
Draize-shelanski 
repeat-insult 
patch test
Advanced designs for TDDS:- 
 Jet injectors:- 
Jet injectors are hand-held devices that deliver a high-pressure liquid stream 
through a small nozzle orifice 
59
Iontophoresis:- 
• Technique involving the transport of ionic or charged molecules into tissue 
by the passage of direct or periodic electric current through an electrolyte 
solution 
• Limitations: Hair follicle damage is possible 
• E.g. Pilocarpine Iontophoresis in sweat test for Cystic Fibrosis 
60
Ultrasound (Phonophoresis / Sonophoresis):- 
Skin is made permeable under the influence of ultrasonic waves 
• Sonophoresis: involves the usage of the low frequency ultrasound waves. The 
ultrasonic energy disturbs the lipid packing in stratum corneum by cavitation 
• Phonophoresis: movement of drugs through living intact skin and into soft 
tissues under the ultrasound perturbation. The technique involves placing an 
ultrasound-coupling agent on the skin over the area to be treated and massaging 
the area with an ultrasound source 
61
Microfabricated Microneedles Technology:- 
This technology employs micron-sized needles (10 to 200 μm in height and 10 to 
50 μm in width) made of silicon. These microneedles after insertion into the skin 
create conduits for transfer of drug through the stratum corneum. The drug after 
crossing stratum corneum diffuses rapidly through deeper tissues and are taken up 
by capillaries for systemic action 
62
Penetration or Permeation Enhancers:- 
 Chemical penetration enhancers: 
• reversibly reduce the barrier resistance of the stratum corneum without 
damaging the skin cells 
• E.g. Dimethyl sulphoxides, long chain alkanes, pyrrolidone, urea, alcohol, 
surfactants 
 Skin ablation: 
• doubling of the TEWL (Trans Epidermal Water Loss) using surgical tapes 
• Microsecond thermal ablation- a promising mechanism to increase 
permeability of the skin's outer barrier layer of stratum corneum while 
sparing deeper living tissues to aid skin permeation 
63
Novel Topical Drug Delivery System: 
Aerosol Foams:- 
• becoming increasingly popular 
topical formulation 
• vehicle base is of liquid or semi-solid, 
sharing the same physicochemical 
characteristics of conventional 
vehicles 
• maintains desirable properties such as 
moisturizing/ fast-drying effects, 
higher drug bioavailability 
• aerosol is dispensed through a gas-pressurized 
can 
• In acne, foams may be preferred for 
application on large hairy surfaces or 
on the face as they are easy to apply 
64
Liposomes:- 
• frequently used as vehicle for controlled and optimized delivery to skin layers 
• spherical phospholipid vesicles whose membrane consists of amphiphilic lipid 
(hydrophilic on outer side and lipophilic on the inner side) that enclose an 
aqueous core 
• thus they may encapsulate hydrophilic substances in their aqueous core and 
lipophilic substances in their lipid bilayer. 
• unique dual release capability enables the delivery of two types of substances 
simultaneously once they are applied on the skin, which may enhance the 
desired therapeutic benefit 
65
66
Niosomes:- 
 Niosomes are microscopic lamellar structures composed of non-ionic surfactants 
and cholesterol 
Carrier + surfactant = Proniosomes 
Proniosomes + water = Niosomes 
 Niosomes and liposomes have similar application in drug delivery but chemically 
differ in structure units. Niosomes constitute of non-ionic surfactant whereas 
liposomes comprise of phospholipids 
 Mixture of acorbyl palmitate, cholesterol and highly charged lipid diacetyl 
phosphate leads to the construction of vesicles named aspasomes. Aspasomes 
are first hydrated with water/aqueous solution and then sonicated to attain the 
niosomes 
67
Nano-emulsions:- 
• class of emulsions - water-in-oil or oil-in-water, dispersion of very 
small- sized droplets (5-200 nm) when mixed 
• require unique thermodynamic conditions, specialized manufacturing 
processes, and specific surfactants that can stabilize the nano droplets 
• suitable for the transport of lipophilic compounds into the skin- ideal 
vehicle for use in acne to increase the penetration of the active 
compounds inside the lipophilic environment 
• in addition, they do not clog the pores & can produce additional 
therapeutic effects, such as increased skin hydration and 
viscoelasticity 
68
Polymers:- 
• large molecules consisting of repeating structural units or monomers connected 
by covalent chemical bonds 
• in pharmaceutical industry, there are new acrylic-acid polymers that turn into a 
gel in the presence of water by trapping water into microcells. Inside these 
aqueous microcells, hydrophilic compounds can remain in a solution, whereas 
hydrophobic compounds may be dispersed in suspension. The result is a stable 
gel like formulation that is easy to use and releases the active compound(s) once 
they are applied on the skin. 
• moreover, these polymer-based gels can be mixed with other excipients, such as 
moisturizers and emollients, to provide additional clinical benefits. 
• recently introduced anti-acne formulations that combine clindamycin 1% with 
benzoyl peroxide 5% utilize this novel polymer-based gel technology that 
exhibits efficacy and excellent tolerability. 
69
Microsponges:- 
• biologically inert particles 
• made of synthetic polymers with the capacity to store a volume of an active 
agent up to their own weight 
• the particles serve to protect the entrapped active compound from physical and 
environmental degradation 
• more frequently manufactured as gels 
• once applied on the skin, they slowly release the active agent(s) 
70
Emulsifier-free Formulations:- 
• growing area of development for dermatologic and cosmetic products 
• most skin care products are emulsions - mixture of 2 or more materials 
that are not miscible with each other, thus requiring addition of 
surfactants (emulsifiers) that stabilize the formulation to guarantee an 
adequate shelf life 
• once these surfactant agents are applied on the skin, they tend to 
emulsify and remove the natural lipids of the epidermis 
• consequently, the pharmaceutical industry has been developing 
surfactant-free emulsions as alternatives by using stabilizers, in order to 
yield sufficiently stable products with a cosmetically pleasant appearance 
71
Fullerenes:- 
 molecules composed entirely of carbon that resemble a hollow sphere 
 Rouse, et al., showed that once fullerenes come into contact with the skin, they 
migrate through the skin intercellularly, as opposed to moving through cells 
 therefore, a fullerene could be used to “trap” active compounds and then release 
them into the epidermis once they are applied on the skin 
 moreover, fullerenes, themselves, are thought to be potentially potent 
antioxidants 
 they are well tolerated & hold substantial promise in dermatologic and cosmetic 
applications. 
Rouse JG, Yang J, Ryman-Rasmussen JP, et al. Effects of mechanical flexion on the penetration of fullerene amino acid- derivatized 
peptide nanoparticles through skin. Nano Lett 7(1):155-60 (2007 Jan) 
72
73 
Conclusion:- 
• Topical preparations are used for the localized effects at the site of their 
application by virtue of drug penetration into the underlying layers of skin 
or mucous membranes 
• The main advantage of topical delivery system is to bypass first pass 
metabolism 
• Avoidance of the risks and inconveniences of parenteral therapy and of the 
varied conditions of absorption, like pH changes, presence of enzymes, 
gastric emptying time are other advantage of topical preparations 
• Iontophoresis, Electroporation, Sonophoresis, Phonophoresis, Vesicular 
concept and Microfabricated microneedles technology are some advanced 
technique which are being used to increase delivery through skin 
• Semi-solid formulation in all their diversity dominate the system for topical 
delivery, but foams, spray, medicated powders, solution, and medicated 
adhesive patches are also widely used
Topical route_Dr. Mansij Biswas

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Topical route_Dr. Mansij Biswas

  • 1. Topical Route of Drug Administration And Dosage Forms Dr. Mansij Biswas, FYR Department of Pharmacology & Therapeutics Seth G S Medical College & KEM Hospital 1
  • 2.  defined as the application of a drug containing formulation to the skin or mucous membrane, to treat specific cutaneous disorders (e.g. acne) or cutaneous manifestations of a generalised disease (e.g. psoriasis), with the intent of containing the pharmacological effect of the drug only to the surface or within the layers of skin or mucous membrane. Ansel H.C., Allen L.V., “Pharmaceutical Dosage Forms and Drug Delivery System”, 7th edition, Lippincott Willlams and Wilkens, Baltimore, 2000, 244-246,249-251, 253-255,264-265 2
  • 3.  Includes two basic types: A) External- that are spread or dispersed on the cutaneous surface covering the affected area. B) Internal- that are applied to the mucous membrane of eye (conjunctiva), ear, oropharyngeal cavity, nasal cavity, vagina or anorectal region for local activity. Classification Based on physical state- (A) Solid: Powder, Aerosol, Plaster (B) Liquid: Lotion, Liniment, Solution, Emulsion, Suspension, Aerosol (C) Semi-solid: Ointment, Cream, Paste, Gel, Jelly, Suppository 3
  • 4. Advantages of Topical Drug Delivery System: Avoidance of first pass metabolism Easy application Avoidance of the risks and inconveniences of administration and the varied conditions of absorption, like pH changes, presence of enzymes, gastric emptying time etc in enteral or parenteral routes Achievement of efficacy with lower total daily dosage of drug by continuous drug input Avoids fluctuation in drug levels, inter- and intra-patient variations Easy termination of medications, when needed 4
  • 5. Advantages: contd… Relatively large area of application Drug can be delivered more selectively to a specific site Avoidance of gastro-intestinal incompatibility Provide utilization of drugs with short biological half-life & narrow therapeutic window Improved physiological and pharmacological response Improved patient compliance Suitable for self-medication Surver, C. and Davis, F.A., Bioaviability and Bioequivalence, In Walter, K.A..(Ed. ) , Dermatological and Transdermal Formulation, Marcal Dekker, INC. NewYork , 119,2002,pp. 403,323,326,327,403 5
  • 6. Disadvantages of Topical Drug Delivery System: Skin irritation/contact dermatitis due to drug and/or excipients Poor permeability of some drugs through the skin Possibility of allergic reactions Can be used only for those drugs which require low plasma concentration for action Enzymes in epidermis may denature the drugs Drugs with larger particle size are difficult to get absorbed through the skin 6
  • 7. Cross Section of Human Skin: 7
  • 8. Absorption through skin: Two principal absorption route are identified: A) Trans-epidermal absorption: Principally responsible for diffusion across the skin. The resistance encountered along this pathway mostly arises in the stratum corneum. Maybe trans-cellular or inter-cellular. B) Trans-follicular (shunt pathway) absorption: The skin’s appendages, mainly sebaceous glands, sweat glands, hair follicles offer secondary avenues for permeation, which are considered as shunts bypassing the trans-epidermal route.  Basic principle of permeation-initial transient stage- shunt pathway predominates, but when a steady state has been reached, diffusion through stratum corneum becomes the dominant pathway. 8
  • 9. Factors Affecting the Extent and Rate of Topical and Percutaneous Drug Absorption and Transportation:-  skin physiology & pathology:- hydration, blood flow, lipid content  physico-chemical properties of drugs and excipients:- • Partition coefficient • pH-condition • Drug solubility • Concentration • Particle size • Polymorphism • Molecular weight  fabrication and design of the delivery systems:- release characteristics, composition, nature of vehicle, presence of penetration enhancers The rate of drug transport across the stratum corneum follows Fick’s Law of Diffusion 9
  • 10. Topical Dosage Forms:- Ointment:- Viscous semisolid preparation Applied externally to skin or mucous membrane (eye, nose, vagina, rectum) 10
  • 11. Vehicle of an ointment is known as ointment base 1) Hydrocarbon (oleaginous) bases: Emollient, occlusive, greasy, non water washable, prolonged contact period E.g.- white/yellow petrolatum 2) Absorption (anhydrous) bases: Permits the incorporation of additional quantities of aqueous solutions E.g.- Lanolin 3) Water removable Bases: Oil in water type, non occlusive, less greasy, creamy in appearance, water-washable. 4) Water soluble Bases: Do not contain oleaginous components, completely water-washable, greaseless, mostly used for the incorporation of solid substances. E.g.- Polyethylene Glycol 5) Simple base: Wool fat (5%) + hard paraffin (10%) + yellow soft paraffin (85%) 11
  • 12. Evaluation of ointments Penetration Rate of release of medicaments Absorption of medicaments into blood stream Irritant effect 12
  • 13. 13 Methods of preparation of ointments: a) Trituration: finely subdivided insoluble medicaments are evenly distributed by grinding with a small amount of the base followed by dilution with gradually increasing amounts of the base. b) Fusion: the ingredients are melted together in descending order of their melting points and then stirred to ensure homogeneity.  Difficult to measure precise dose- by weighing the tube before & after use or measuring the length of the ribbon squeezed.  Only the medicine that is touching the skin will work, so thin layer is always preferred to thick layer.
  • 14. Cream: Viscous semisolid emulsion- medicaments dissolved or suspended in water removable bases. Applied to skin or mucous membrane (vagina, rectum)  Most are O/W (small droplets of oil dispersed in a continuous aqueous phase), only cold creams and emollients are W/O (small droplets of water dispersed in a continuous oily phase).  O/W (vanishing) - water washable, non greasy, non occlusive, more cosmetically acceptable. W/O (oily) - for some hydrophobic drugs, more emollient. 14
  • 15. Advantages over ointment:- 1. Less greasy 2. Spreads easily 3. Soothing sensation 4. Easily washable • Uses:- 1. Physical or chemical barrier to protect the skin e.g. sunscreens 2. Cleansing agent 3. Emollient 4. Retention of moisture (especially water-in-oil creams) 5. Vehicle for drug substances such as local anaesthetics, anti-inflammatory agents, hormones, steroids, antibiotics, antifungals or counter-irritants 15
  • 16. 16 Evaluation of cream Rheology Sensitivity Biological testing
  • 17. Paste:-  Pastes are basically ointments into which a high percentage of insoluble solids have been added Less greasy than ointments  Provide protective coating on skin due to it’s stiff consistency  Poorly occlusive, so suited for application around moist areas Absorb secretion from the oozing lesions  Forms an unbroken, water impermeable, opaque film on the skin 17  Effective sun filter & prevent excessive wind dehydration (windburn)
  • 18. Evaluation of paste Abrasiveness Particle size Cleansing property Consistency pH of the product Foaming character Limit test for arsenic and lead Volatile matters and moisture Effect of special ingredients 18
  • 19. Gels & Jellies: Semisolid systems- dispersions of small or large molecules in an aqueous liquid vehicle by addition of gelling agent Gelling agents- either Synthetic macromolecules (Carbomer 934) or Cellulose derivatives (Carboxymethylcellulose)  Non greasy, moisture rich Compatible with many substances  May contain penetration enhancers for anti-inflammatory and some other medications 19
  • 20. Types:- ·Single phase: macromolecules are uniformly distributed throughout a liquid with no apparent boundaries between the dispersed macromolecules and the liquid. ·Double phase: Gel mass consists of floccules of small distinct particles, often referred to as a magmas. Gel rich in liquid is called jelly  Prepared from either natural gums such as pectin, alginate etc. or from synthetic derivatives of natural substance such as methylcellulose 20
  • 21. Applications:  sustained-release delivery system  dressings for healing of burn or other hard-to-heal wounds  reservoirs in topical drug delivery, particularly ionic drugs, delivered by iontophoresis e.g. Diclofenac gel, Lignocaine jelly 21
  • 22. 22 Evaluation of gel Drug content Homogeneity of drug content Measurement of pH Viscosity Spreadability Extrudability
  • 23. Lotion:  Clear solution/suspension/emulsion containing 25-50% alcohol  Low to medium viscosity May contain extract of witchhazel, menthol, glycerin, boric acid, alum, chloroform etc but NOT camphor  Applied without friction  Can be applied on abraded/wounded skin or on mucous membrane  Antiseptic, anti inflammatory, astringent, emollient, cooling, moisturizing or protective actions e.g. Calamine lotion 23
  • 24. 24 Evaluation of lotion Antiseptic property Determination of alcohol content
  • 25. Liniment (Balm): Low- to medium-viscosity emulsions  Formulated from quickly evaporating solvents, contain aromatic chemical compounds  As a rule contain camphor  Always applied with friction  Applied only on unbroken skin, never on mucus membrane Mechanism of action: • Rubefacient • Local irritant • Counter irritant Typically used to relieve pain and stiffness such as from sore muscle cramp or arthritis  e.g. Turpentine 25
  • 26. Poultices/Cataplasms:-  Now obsolete  Heated & spread on dressing & applied as hot as the patient can bear  Heat is retained, soothing in pain and inflammation  Ingredients may have counter-irritant/ absorptive properties  e.g. Kaolin poultice 26
  • 27. Solution:  Solutions are liquid preparations of soluble chemicals dissolved in solvents such as water, alcohol or propylene glycol E.g: · Tincture of iodine · Sterile Indian ink for surgical procedures 27
  • 28. Emulsion:  Two-phase preparations - the dispensed (internal) phase is finely dispersed in the continuous (external) phase  Because there are two incompatible phases in close conjunction, a physical stabilizing system is needed- surfactant (ionic or nonionic), polymers, polyelectrolytes etc  Types- · Water-in-oil emulsion · Oil-in-water emulsion · Water-in-oil-in-water emulsion · Oil-in-water-in-oil emulsion 28
  • 29. 29 Evaluation of emulsions Phase separation Globule size Rheological properties Effect of thermal stresses
  • 30. Suspension:  Heterogeneous system consisting of two phases: 1. The continuous or external phase is generally a liquid or semisolid 2. The disperse or internal phase is made up of particulate matter that is dispersed throughout the continuous phase  Almost all suspension systems get separated on standing, the rate of settling and ease of resuspendability is the concern  A satisfactory suspension must remain sufficiently homogenous for at least the time necessary to remove and administer the dose after shaking its container  Types: · Flocculated · Deflocculated 30
  • 31. Evaluation of suspension Sedimentation volume Rheologic methods Electrokinetic techniques Particle size changes 31
  • 32. Medicated shampoos:- e.g. Selenium sulphide, Cetrimide, Ketoconazole Paints:-  Applied to broken skin/mucus membrane  Applied in throat with an applicator  e.g. Mandl’s paint Nail lacquers:- e.g. Amorolfine (a newer antifungal) for tinea unguium 32
  • 33. 33 Collodion:- • Protective, occlusive, water repellant film on the skin surface following evaporation of the solvent • Seals small cuts and scratches • Occlusion prolongs contact with active medicaments • Contains pyroxylone (a nitrocellulose) in an ether alcohol mixture • Applied using a brush or applicator • e.g. Salicylic acid collodion
  • 34. Eye/Ear Drops:-  Solution/ suspension  Relatively brief contact time with absorbing surface  pH, tonicity, viscosity important for local comfort.  Sterile; require aseptic handling  Use droppers with attached or separate plastic nozzle, avoid touching the application surface  Use: to prevent or treat infections  E.g. Ciprofloxacin eye/ear drop, Artificial tear 34
  • 35. Ophthalmic strips:-  Used for delivering diagnostic dyes topically for eye, by simply touching the conjunctival surface  e.g. Fluorescein sodium Ocular insertion:-  Continuous release multilayered polymeric insertion in conjunctival fornix  Ocusert (pilocarpine- for treatment of glaucoma), Lacrisert (artificial tear substitute- for treatment of dry eye)  Not available in India 31
  • 36. Medicated plaster, dressing, sticks:- 36 Belladonna plaster, Keratolytic plaster, neocapsicum plaster Framycetin dressing
  • 37. Suppository: Solid dosage forms intended to deliver medicine into rectal, vaginal or urethral orifice Prepared by cold compression or fusion technique An appropriate base is selected for its compatibility, stability, melting point, and aesthetics. Commonly used bases are cocoa butter, glycerin, hydrogenated vegetable oils, and polyethylene glycol 37
  • 38. Advantages:  Bypasses first pass metabolism  Suitable when oral route cannot be used (e.g. patient unconscious, excessive nausea, vomiting, malabsorption disorder)  Suitable when drug is not suitable for oral use (unstable in GI tract, degraded by digestive enzymes ) Disadvantages:  Absorption slower & unpredictable (BA ~50%)  Inconvenient & embarrassing  The contained fat often melts at the high temperatures of the tropics  Used in kids only where controlled delivery possible 38
  • 39. 39 Rectal Suppository:  Tapered at one or both ends (torpedo shape is most common), weight= 2g  They are meant for local (e.g. OTC preparation for hemorrhoids containing a moisturizer or vasoconstrictor; Glycerin or Bisacodyl as laxative ) and for systemic (e.g. Paracetamol, Aminophylline, Promethazine) effects  Active ingredient(s) usually mixed with a suitable base which is solid at room temperature to assist insertion, but melts at body temperature to enable dispersion
  • 40. Vaginal suppositories/pessaries:  Globose or oviform, weight=5g  Mostly meant for local effects (clotrimazole, miconazole, metronidazole) Urethral suppository/bougies:  Cylindrical, longer for males than for females, obsolete now a days 40
  • 41. 41 Evaluation of suppository Melting range test Dissolution test Liquefaction or softening time test
  • 42. Douche:-  Douche is a device used to rinse any body cavity but usually applies to vaginal irrigation  Vaginal douches may consist of water, water mixed with vinegar, or even antiseptic chemicals  Disadvantage: Can lead to irritation, pelvic inflammatory disease (PID), fertility problems  Use - Treatment of bacterial vaginosis with a vaginal douche containing a strain of L. acidophilus 42
  • 43. Medicated Vaginal Rings:-  Doughnut-shaped polymeric drug delivery devices designed to provide controlled release of drugs to the vagina over extended periods of time  Vaginal ring products are used for the treatment of vaginal atrophy, relief of hot flashes and as a contraceptive  Vaginal ring technology is currently being developed for the controlled release of microbicides and vaccines for the prevention of HIV/HPV infection 43
  • 44. Intra uterine Devices:-  An intrauterine device is a small contraceptive device, often 'T'- shaped, containing either copper (Cu-T) or levonorgestrel (LNG-IUS), inserted into the uterus  most effective types of reversible birth control 44
  • 45. Aerosol:  A system that depends on the power of compressed or liquefied gas to expel the contents from the container.  Topical pharmaceutical aerosols utilize hydrocarbon (propane, butane, and isobutene) and compressed gases such as nitrogen, carbon dioxide, and nitrous oxide. Advantages: • Rapid onset • at site delivery • Less amount of drug required • Less systemic absorption – less side effects • No first pass effect • Dose titration possible • Acceptable & convenient to patient 45
  • 46. Disadvantages: • Difficult to maintain particle size ≈ 2-8 microns and moisture content ≈ 100-300 ppm • Only 10-20% drug is deposited at site • Aerosol droplets facilitate microbial invasion • Propellants can cause ADR • Proper technique is difficult to maintain Devices:  MDI ± Spacer  Nebuliser  Rotahaler  Inhaled insulin device 46
  • 47. 47 Evaluation of aerosol Flame projection Flash point Vapor pressure Density Moisture Aerosol valve discharge rate Spray patterns Dosage with metered valves Net contents Foam stability Particle size determination
  • 48. Dusting Powder:-  Free flowing  Applied on skin, wounds, ulcers Very fine particle size produces large surface area per unit weight  Mechanical protective action against irritation/itching due to friction  Dries the skin by absorbing water & adsorbs toxic material  Medicated powders are used for prickly heat or preventing microbial growth on skin e.g. Starch, Talc 48
  • 49. 49 Evaluation of powder Shade control and lighting Pressure testing Breakage test Flow property Particle size and abrasiveness Dispersion of color
  • 50. Intranasal Drug Delivery:-  This route involves administration of drugs directly into the nose  Agents include nasal decongestants such as xylometazoline & corticosteroid like mometasone furoate.  Desmopressin is administered intranasally in the treatment of diabetes insipidus  Calcitonin, a peptide hormone used in the treatment of osteoporosis, is also available as a nasal spray  Ketorolac nasal spray for pain management  The abused drug, cocaine, is generally taken by intranasal sniffing  Applied via drops/sprays/powder or aerosols  Advantages of nasal delivery • Lower dose needed • More rapid attainment of therapeutic blood levels • Quicker onset of pharmacological activity • Fewer side effects 50
  • 51. Transdermal Drug Delivery System (TDDS):- 51
  • 52. 52 Topically administered medicaments in the form of patches or other techniques, that deliver drugs for systemic effects at a predetermined and controlled rate. Transderm Scop® Patch, Novartis,1979- first FDA approved-opened the door to the current TDDS as a successful alternative to systemic drug delivery. TDDS use the percutaneous route for systemic drug delivery, but the skin is not the primary target organ, active ingredient is moved across the layers of skin for subsequent systemic distribution.
  • 53. Advantages of TDDS:-  Consistent serum drug levels as IV  The lack of peaks in plasma concentration Drugs that require relatively consistent plasma levels are very good candidates  Convenience and high adherence • non invasive • usually once weekly /once in 15/30 days application • removal of the patch in case of toxicity  Avoids FPM and GI irritation  Great advantage in patients who are nauseated or unconscious  Useful for drugs that are degraded by the enzymes and acids in the gastrointestinal system 53
  • 54. Disadvantages:-  local irritation • rotation to minimize • if severe allergic reactions- discontinue  skin's low permeability limits the number of drugs that can be delivered  after removal, most patches contain at least 95% of the total amount of drug initially in the patch - patients must exercise care when disposing of patches Damage to a transdermal patch • patients should be advised to discard a patch if the outer packaging or the patch itself appears damaged or altered in any way 54
  • 55. Design of TDDS:  Patch design is the first & commonest type  Factors influencing:- 1. Properties of the drug- Systemic absorption of transdermal is better with • low dose • low molecular weight • lipid soluble drugs 2. Desired delivery profile 3. Target patient group -- determine which design is best for a given application 55
  • 56. Components of a TD patch:-  Liner - protects the patch during storage, removed prior to use  Drug reservoir- drug solution in direct contact with release liner  Adhesive - adhere the components of the patch together and to the skin  Membrane – controls release of the drug from reservoir and multi-layer patches  Backing - protects the patch from the outer environment 56
  • 57. Types of TD patch:-  Single layer drug in adhesive  Multi -layer drug in adhesive - immediate drug release layer  Vapour patch - for releasing of essential oils in decongestion  Reservoir system - liquid drug solution containing reservoir is embedded between an impervious backing layer and a rate controlling semi permeable membrane  Matrix system - similar to that of the reservoir, but the drug is instead provided as a semisolid formulation, and there is no membrane layer 57
  • 58. Evaluation of patch 21-day cumulative irritancy patch test Kligman “maximization” test Draize-shelanski repeat-insult patch test
  • 59. Advanced designs for TDDS:-  Jet injectors:- Jet injectors are hand-held devices that deliver a high-pressure liquid stream through a small nozzle orifice 59
  • 60. Iontophoresis:- • Technique involving the transport of ionic or charged molecules into tissue by the passage of direct or periodic electric current through an electrolyte solution • Limitations: Hair follicle damage is possible • E.g. Pilocarpine Iontophoresis in sweat test for Cystic Fibrosis 60
  • 61. Ultrasound (Phonophoresis / Sonophoresis):- Skin is made permeable under the influence of ultrasonic waves • Sonophoresis: involves the usage of the low frequency ultrasound waves. The ultrasonic energy disturbs the lipid packing in stratum corneum by cavitation • Phonophoresis: movement of drugs through living intact skin and into soft tissues under the ultrasound perturbation. The technique involves placing an ultrasound-coupling agent on the skin over the area to be treated and massaging the area with an ultrasound source 61
  • 62. Microfabricated Microneedles Technology:- This technology employs micron-sized needles (10 to 200 μm in height and 10 to 50 μm in width) made of silicon. These microneedles after insertion into the skin create conduits for transfer of drug through the stratum corneum. The drug after crossing stratum corneum diffuses rapidly through deeper tissues and are taken up by capillaries for systemic action 62
  • 63. Penetration or Permeation Enhancers:-  Chemical penetration enhancers: • reversibly reduce the barrier resistance of the stratum corneum without damaging the skin cells • E.g. Dimethyl sulphoxides, long chain alkanes, pyrrolidone, urea, alcohol, surfactants  Skin ablation: • doubling of the TEWL (Trans Epidermal Water Loss) using surgical tapes • Microsecond thermal ablation- a promising mechanism to increase permeability of the skin's outer barrier layer of stratum corneum while sparing deeper living tissues to aid skin permeation 63
  • 64. Novel Topical Drug Delivery System: Aerosol Foams:- • becoming increasingly popular topical formulation • vehicle base is of liquid or semi-solid, sharing the same physicochemical characteristics of conventional vehicles • maintains desirable properties such as moisturizing/ fast-drying effects, higher drug bioavailability • aerosol is dispensed through a gas-pressurized can • In acne, foams may be preferred for application on large hairy surfaces or on the face as they are easy to apply 64
  • 65. Liposomes:- • frequently used as vehicle for controlled and optimized delivery to skin layers • spherical phospholipid vesicles whose membrane consists of amphiphilic lipid (hydrophilic on outer side and lipophilic on the inner side) that enclose an aqueous core • thus they may encapsulate hydrophilic substances in their aqueous core and lipophilic substances in their lipid bilayer. • unique dual release capability enables the delivery of two types of substances simultaneously once they are applied on the skin, which may enhance the desired therapeutic benefit 65
  • 66. 66
  • 67. Niosomes:-  Niosomes are microscopic lamellar structures composed of non-ionic surfactants and cholesterol Carrier + surfactant = Proniosomes Proniosomes + water = Niosomes  Niosomes and liposomes have similar application in drug delivery but chemically differ in structure units. Niosomes constitute of non-ionic surfactant whereas liposomes comprise of phospholipids  Mixture of acorbyl palmitate, cholesterol and highly charged lipid diacetyl phosphate leads to the construction of vesicles named aspasomes. Aspasomes are first hydrated with water/aqueous solution and then sonicated to attain the niosomes 67
  • 68. Nano-emulsions:- • class of emulsions - water-in-oil or oil-in-water, dispersion of very small- sized droplets (5-200 nm) when mixed • require unique thermodynamic conditions, specialized manufacturing processes, and specific surfactants that can stabilize the nano droplets • suitable for the transport of lipophilic compounds into the skin- ideal vehicle for use in acne to increase the penetration of the active compounds inside the lipophilic environment • in addition, they do not clog the pores & can produce additional therapeutic effects, such as increased skin hydration and viscoelasticity 68
  • 69. Polymers:- • large molecules consisting of repeating structural units or monomers connected by covalent chemical bonds • in pharmaceutical industry, there are new acrylic-acid polymers that turn into a gel in the presence of water by trapping water into microcells. Inside these aqueous microcells, hydrophilic compounds can remain in a solution, whereas hydrophobic compounds may be dispersed in suspension. The result is a stable gel like formulation that is easy to use and releases the active compound(s) once they are applied on the skin. • moreover, these polymer-based gels can be mixed with other excipients, such as moisturizers and emollients, to provide additional clinical benefits. • recently introduced anti-acne formulations that combine clindamycin 1% with benzoyl peroxide 5% utilize this novel polymer-based gel technology that exhibits efficacy and excellent tolerability. 69
  • 70. Microsponges:- • biologically inert particles • made of synthetic polymers with the capacity to store a volume of an active agent up to their own weight • the particles serve to protect the entrapped active compound from physical and environmental degradation • more frequently manufactured as gels • once applied on the skin, they slowly release the active agent(s) 70
  • 71. Emulsifier-free Formulations:- • growing area of development for dermatologic and cosmetic products • most skin care products are emulsions - mixture of 2 or more materials that are not miscible with each other, thus requiring addition of surfactants (emulsifiers) that stabilize the formulation to guarantee an adequate shelf life • once these surfactant agents are applied on the skin, they tend to emulsify and remove the natural lipids of the epidermis • consequently, the pharmaceutical industry has been developing surfactant-free emulsions as alternatives by using stabilizers, in order to yield sufficiently stable products with a cosmetically pleasant appearance 71
  • 72. Fullerenes:-  molecules composed entirely of carbon that resemble a hollow sphere  Rouse, et al., showed that once fullerenes come into contact with the skin, they migrate through the skin intercellularly, as opposed to moving through cells  therefore, a fullerene could be used to “trap” active compounds and then release them into the epidermis once they are applied on the skin  moreover, fullerenes, themselves, are thought to be potentially potent antioxidants  they are well tolerated & hold substantial promise in dermatologic and cosmetic applications. Rouse JG, Yang J, Ryman-Rasmussen JP, et al. Effects of mechanical flexion on the penetration of fullerene amino acid- derivatized peptide nanoparticles through skin. Nano Lett 7(1):155-60 (2007 Jan) 72
  • 73. 73 Conclusion:- • Topical preparations are used for the localized effects at the site of their application by virtue of drug penetration into the underlying layers of skin or mucous membranes • The main advantage of topical delivery system is to bypass first pass metabolism • Avoidance of the risks and inconveniences of parenteral therapy and of the varied conditions of absorption, like pH changes, presence of enzymes, gastric emptying time are other advantage of topical preparations • Iontophoresis, Electroporation, Sonophoresis, Phonophoresis, Vesicular concept and Microfabricated microneedles technology are some advanced technique which are being used to increase delivery through skin • Semi-solid formulation in all their diversity dominate the system for topical delivery, but foams, spray, medicated powders, solution, and medicated adhesive patches are also widely used

Editor's Notes

  1. Sebaceous/sweat gland – dermis, stratum corneum - epidermis