The document provides information on transdermal therapeutic systems (TTS). It discusses the advantages and disadvantages of TTS, the structure of skin, permeation through skin, and factors affecting permeation. It also describes the basic components of TTS including polymer matrix, drug, permeation enhancers, and other excipients. Finally, it outlines various formulation approaches used in developing TTS such as membrane permeation controlled systems, adhesive dispersions, matrix diffusion controlled systems, and microreservoir or microsealed dissolution controlled systems.
the all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
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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.
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
A brief description of human skin structures and barriers. Its include elaborate description of skin structure and basics of skin barriers which prevent or control the trans dermal drug delivery.
Deals with the novel approaches of transdermal delivery systems, their manufacture, categories, advantages, disadvantages, applications, precautions and evaluation in detail.
1)Introduction
2)Advantages and Disadvantages
3)Structure of Skin
4)Permeation through skin
5)Factors affecting permeation
6)Basic Componentes of TDDS
7)Formulation approaches used in the development of TDDS
8)Evaluation of TDDS
9)Reference
the all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
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.
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
A brief description of human skin structures and barriers. Its include elaborate description of skin structure and basics of skin barriers which prevent or control the trans dermal drug delivery.
Deals with the novel approaches of transdermal delivery systems, their manufacture, categories, advantages, disadvantages, applications, precautions and evaluation in detail.
1)Introduction
2)Advantages and Disadvantages
3)Structure of Skin
4)Permeation through skin
5)Factors affecting permeation
6)Basic Componentes of TDDS
7)Formulation approaches used in the development of TDDS
8)Evaluation of TDDS
9)Reference
Transdermal drug delivery system- structure of skinAkankshaPatel55
Transdermal drug delivery systems (TDDS) have transcended the realm of simple nicotine patches and entered an exciting era of innovation. Gone are the days of bulky, uncomfortable adhesives; in their place stand sophisticated systems capable of delivering a myriad of therapeutic agents through the seemingly impregnable barrier of the skin. To truly understand the magic behind this technology, we delve deeper, exploring its intricate mechanisms and promising future. The journey begins with a microscopic waltz at the skin's outermost layer, the stratum corneum. Drug molecules, meticulously formulated into miniscule particles, are incorporated into a semi-permeable patch. This patch acts as a launchpad, adhering snugly to the skin and initiating the drug's odyssey. Guided by the principles of Fick's Law of Diffusion, the drug embarks on a clandestine mission. Driven by a concentration gradient, it permeates the intercellular lipids of the stratum corneum, navigating a labyrinthine path formed by keratinocytes. This passive journey, governed by factors like drug lipophilicity and skin thickness, determines the rate and extent of absorption. However, diffusion plays just the first act in this multi-part drama. Once traversing the stratum corneum, the drug encounters the viable epidermis, a dynamic landscape teeming with enzymes and metabolic pathways. Here, some compounds may undergo degradation, limiting their systemic bioavailability. To overcome this hurdle, scientists devise ingenious strategies:
Penetration Enhancers: Chemical agents like propylene glycol or oleic acid temporarily disrupt the skin's lipid packing, easing the drug's passage.
Iontophoresis: Electric current gently guides charged molecules through the skin, bypassing enzymatic barriers and boosting delivery.
Microneedle Technology: Tiny, painless needles create transient microchannels, facilitating the delivery of larger molecules like proteins and peptides. The Symphony of Controlled Release:
A key advantage of TDDS lies in their ability to sustain drug release over extended periods. This controlled release symphony is orchestrated by sophisticated reservoir systems:
Matrix Systems: The drug is homogeneously dispersed within a polymer matrix, gradually diffusing out over time.
Reservoir Systems: A distinct drug reservoir separates from the adhesive layer, allowing for precise and prolonged delivery.
Programmable Systems: Advanced patches incorporate microfluidic channels and microchips, enabling customized release profiles and even pulsatile delivery for specific therapeutic needs.
Benefits Beyond Convenience:
The charm of TDDS extends far beyond the mere convenience of avoiding needles. They offer distinct advantages over traditional oral and parenteral routes:
Enhanced Bioavailability: By bypassing first-pass metabolism in the liver, certain drugs achieve higher systemic concentrations through transdermal delivery.
Improved Patient Compliance: Continuous, hassle-free adminis
TDDS, Anatomy of Skin, Advantages and disadvantages,Permeation of Drug Molecule through Skin, Factors affecting Transdermal Permeation, Design of transdermal system, Evaluation of TDDS
Transdermal therapeutic system are defined as self contained, discrete dosage form which when applied to intact skin deliver the drug through the intact skin at a control rate to the systemic circulation and maintain the drug concentration within the therapeutic window for prolonged period of time. Recently, the use of transdermal drug delivery system for pharmaceuticals is limited because only a few drugs has proven to be effectively delivered through skin. in order to achieve the objective of systemic medication through topical application to the intact skin surface. They were exemplifies first with the development of to the intact skin surface. Transdermal uses a special membrane to control the release rate at which the liquid drug contained drug delivery system reservoir can pass through the skin and it not the blood stream. Transdermal delivery not only provide controlled, constant administration of the drug, but also allows continuous input of drugs with short biological half lives, and eliminates pulsed delivery into systemic circulation which is responsible for undesirable side effect
Transdermal drug delivery are defined as a self contained discrete dosage form which, when applied to the intact skin, will deliver the drug at a controlled rate to the systemic circulation.
its also known popularly as “patches”
HERBAL TRANSDERMAL PATCHES By SAILI. P. RAJPUT SailiRajput
Wound is the term which means the damage or tearing of cells and its anatomy and cell function. Wound are classified as surgical, traumatic, diabetic, venous, arterial wound and etc. The wound healing is a process which involves coagulation, Ephilization, granulation, and remodelling of tissue.
The proposed study was done and performed to evaluate the wound healing capacity of the herbs like ocimum sanctum (tulsi) and aloe vera when formulated in form of transdermal patches.
In this study Natural wound healing was enhanced by the various phytochemicals present in tulsi and aloe vera. The present study includes the drug delivery through transdermal patches for treating, curing, preventing various skin allergy, infection or wound healing.
The main aim of this study was to formulate the herbal transdermal patches in which tulsi plant extract is loaded in aloe vera patches which help to treat the skin infection like rashes, redness, and in wound healing.
Herbal formulation is still the mainstay about 75-80 % of world’s population in various country for health care because it has fewer side effects. And they also have better compatibility as compare to synthetic drugs.
Herbal formulation consists of the extract of herbs, plants and its part like root system and shoot system which are rich in various phytochemicals which helps to treat various injuries, disease or infection. In various study it has been seen and observed that the plants like tulsi and aloe have the wound healing activities.
Various Research Study and Surveys States that there are Topical and Transdermal Medicated Formulation for Dealing with Treatment of Skin Infections but this Study States the Transdermal Drug Delivery System has wide range of Advantages over Topical Formulation.
In Present Study the Advantage of Transdermal Formulation over Topical Formulation is briefly Discussed. And from various aspects its observed that the transdermal formulation has wide range of advantages over topical formulation. This TDDS has wide scope in future so it involves various New Approaches like Iontophoresis, Photomechanical waves etc.
The Transdermal Drug Delivery System Aims in Drug Targeting and Controlled Release of Drug.
Transdermal Drug Delivery system of Novel Drug Delivery System which also involves various drug delivery systems like Sustain Release system , Delayed release System, Targeted release system, Modified release system, Extended release system and many more.
The Transdermal drug delivery system is used to produce clinical effects like local anesthesia and anti-inflammatory activities.
TDDS has a very wide scope now-a-days because it has many advantages over old and traditional drug delivery systems.
There are wide scope for new innovations in TDDS as is its developing in medical field
TDDS tends to enhance the Bioavailability of and drug and also Bypass the First Pass Metabolism.
TDDS helps to maintain the drug concentration in given therapeutic
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
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.
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.
1. Submitted to: Dr. Ahmed Mahmood Mumtaz
Submitted By: Huzaifa Amjad – 38
Hassan Raza – 36
Affan Umar – 34
Yasir Bashir - 44
2. contents
■ Introduction
■ Advantages & Disadvantages
■ Structure of the skin
■ Permeation of the skin
■ Factors affecting permeation
■ Basic components of TDDS
■ Formulation approaches used in the development of TDDS
■ Evaluation of TDDS
■ Advances in TDDS
■ References
3. Introduction
■ Transdermal therapeutic systems are defined as “self contained,
self discrete dosage form, which when applied to the intact skin
deliver the drug at a controlled rate to the systemic circulation.
■ A simple patch that you stick on your skin like an adhesive
bandage, which utilize passive diffusion of drugs across the skin
as the delivery mechanism.
4. Advantages
■ It delivers a steady infusion of the drug over an extended period
of the time. Adverse effects and therapeutic failures can be
avoided.
■ It increases the therapeutic value of many drugs by avoiding
specific problems associated with the drug.
■ The simplified medication regimen leads to an improved patient
compliance and reduce their patient and intra patient
variability.
■ Self medication is possible with this type of system.
■ The drug input can be terminated at any point of time by
removing the patch.
5. Disadvantages
■ The drug must have desired physiochemical properties for
penetration through the Stratum Corneum.
■ Skin irritation or contact dermatitis due to excipient and
enhancers of the drug used to increase the percutaneous
absorption. Is the other limitation.
■ The barrier function of the skin changes from one site to
another on the same person. From person to person and with
age.
■ Heat, cold, sweating (perspiring) and showering prevent the
patch form sticking to the surface of the skin for mare than one
day. A new patch has to be applied daily.
■ The patches fall off during bathing and sleeping has resorted
using medical tape to help secure patches.
■ Patches fall off completely during bathing or swimming;
patches sometimes fall off during walking.
6. History
■ The first transdermal patch was approved in 1981 to prevent
the nausea and vomiting associated with motion sickness.
■ The FDA has approved, till 2003, more than 35 transdermal
patch products, spanning 13 molecules in USA.
■ The US transdermal market approached $1.2 billion in 2001.
■ It was based on 11 drug molecules; fentanyl, nitroglycerin,
estradiol, ethinylestradiol, norethindroneacetate, testosterone,
clonidine, nicotine, lidocaine, prilocaine and scopolamine.
■ Two new, recently approved transdermal patch products (a
contraceptive patch containing ethinylestradiol and nor
elgestromin, and a patch to treat overactive bladder containing
oxybutynin).
7. More than 35 TDD products have now been approved for sale in
US. And approximately 15 active ingredients are approved for use
in TDD products globally.
8. Where as 13 compounds
currently exist to approved
transdermal products in the
US.
Six new (i.e., new to the
transdermal market) low
molecular weight molecules
are currently in either
preclinical or clinical
development.
Another noteworthy element
of table 1 is that several of
the compounds
(macromolecules and
vaccines) in development are
outside of the normal niche
of TDD.
9. StructureoftheSkin
■ Anatomically the skin has many histological layers, but it is
divided into three layers:
Epidermis
Dermis
Subcutaneous Tissue
13. Epidermis
■ The epidermis is divided into following parts:
The stratum Corneum and stratum germinativum.
■ The stratum Corneum forms the outer most layer of the
epidermis and consists many layers of compacted, flattened,
dehydrated keratinized cells in the stratified layer.
■ Water content of stratum Corneum is around 20%.
■ The moisture required for stratum Corneum is around 10%
(w/w) to maintain flexibility and softness.
■ The stratum Corneum is responsible for the barrier function of
the skin and behaves as a primary barrier to the percutaneous
absorption.
■ It is made up of three layers in thicker parts – stratum
granulosum, stratum lucidum, stratum spinosum. Removal of
these layers results in increased permeability and water loss.
14. Dermis
■ The dermis is made up of regular network of robust collagen
fibres of fairly uniform thickness with regularly placed cross
striations.
■ This network of the gel structure is responsible for the elastic
properties of the skin.
■ Below the dermis there is a fat containing subcutaneous tissue.
■ Upper portion of the dermis is formed into ridges containing
lymphatics and nerve endings.
15. Subcutaneous
■ This is a sheet of the fat containing areolar tissue known as the
superficial fascia, attaching the dermis to underlying structures.
16. BiochemistryoftheSkin
-Epidermis
■ The main source of energy for the lower portions of the
epidermis is the glucose and the end product is the lactic acid.
■ Fatty acids are required for the cellular functions of the skin
and cells derives their energy from the degradation of the
phospholipids.
■ The energy derived used for the synthesis of proteins and
construction of the stratum Corneum.
■ Proteolytic enzymes are present in the stratum Corneum and
epidermis consists of specialized organelles like lysosomes.
17. -Dermis
■ Protein synthesis is a key factor in the dermal metabolism.
■ Fibroblast extracellularly deposit large quantities of collagen
and elastin.
■ Protein synthesis occur in hair follicles.
■ The sebaceous gland produce large quantities of lipids and
energy is derived from the intracellular aerobic carbohydrate
metabolism is used for cellular synthetic process.
18. -SkinSurface
■ The skin surface has a population of microorganisms and can
contribute to enzymology.
■ The diversity and abundance varies from individual to
individual.
■ The microorganism alter the skin surface lipid composition via
hydrolysis of secreted sebum
19. PermeationthroughSkin
The permeation through skin occurs by following routes:
■ Transepidermal absorption.
■ Transfollicular (shunt pathway absorption)
■ Clearance by local circulation.
21. TransepidermalAbsorption
■ Stratum Corneum is the main resistance for absorption through
this route.
■ Permeation involves partitioning of the drug into stratum
Corneum.
■ Permeation through the skin depends upon the o/w distribution
tendencies of the drug.
■ Lipophilic drug concentrate in and diffuse with relative ease.
■ Permeation through the dermis is through the interlocking
channels of the ground substance.
22. TransfollicularAbsorption
■ The skin appendages (sebaceous and eccrine glands) are
considered as shunts for by passing the stratum Corneum.
■ Follicular route is important for permeation because opening of
the follicular pore is relatively large and sebum aids in the
diffusion of the penetrant.
■ Partitioning into the sebum followed by the diffusion to the
depths of the epidermis is the mechanism.
23. ClearancebylocalCirculation
■ The earliest point of entry of drugs into the systemic circulation
is within the papillary plexus in the upper epidermis.
■ The process is thus regarded as the end point.
24. FactorsaffectingPermeationthroughSkin
■ Age has an effect on the permeation of drugs through the skin.
■ Blood flow (dermal clearance of the molecule transversing the
tissue) tends to decrease with age and could reduce transdermal
flux.
■ Stratum Corneum thickness.
■ Presence of hair follicles.
■ Injury or trauma to the skin.
■ Hydration of the skin.
■ Effect of humidity and temperature.
■ Chemical exposure.
■ Chronic use of certain drugs.
25. BasiccomponentsofTDDS
The components of transdermal drug delivery system include:
■ Polymer matrix or matrices
■ The drug
■ The permeation enhancers
■ Other excipients
26. PolymerMatrix
It releases the drug from the devices and should satisfy the
following criteria:
■ Molecular weight, chemical functionality of the polymer should
be such that specific drug diffuses properly and gets released
through it.
■ It should be stable, non reactive with the drug, easily
manufactured and fabricated by into the desired product.
■ The polymer and its degradation products must be non toxic or
not antagonistic to the host.
■ Synthetic elastomers-polybutadiene, hydrin rubber, poly
siloxane silicone rubber, nitrile, acrylonitrile, butyl rubber,
butadiene neoprene etc.
■ Synthetic polymers-polyvinyl chloride, polyethylene, poly
propylene, polyacrylate, polyamide, polyuria, polyvinyl
pyrrolidone, polymethyl methacrylate.
27. Drug
For successful development of a transdermal drug delivery, the
following are the desirable properties of a drug for transdermal
drug delivery.
■ Physiochemical properties
■ Biological properties
28. PhysiochemicalProperties
It is generally accepted that the best drug candidates for passive
adhesive transdermal patches must be:
■ Non-ionic
■ Low molecular weight (less than 500 Daltons)
■ Adequate solubility in oil and water
■ Low melting point (less than 200°C)
■ Potent (dose is less than 50mg per day, and ideally less than 10
mg per day).
29. BiologicalProperties
■ The drug should be potent with a daily dose of order of a few
mg per day.
■ The half life of a drug should be short.
■ The drug must not induce a cutaneous irritant or allergic
response.
■ Drugs degraded in the GIT or inactivated by the hepatic first
pass are suitable candidates for transdermal drug delivery.
30. PermeationEnhancers
■ These are compounds that promote skin permeability by
altering the skin as barrier to the flux of the desired penetrate.
■ The flux of the drug (J) is given by:
𝐉 = 𝐃
𝐝𝐜
𝐝𝐱
D = diffusion co-efficient
C = conc. Of the diffusing species.
X = spatial coordinate
32. OtherExcipients
Adhesives- the fastening of the transdermal device is usually done
by the adhesive. The adhesive should satisfy the following criteria.
■ Do not irritate or sensitize the skin.
■ Adhere to the skin during the dosing interval.
■ It should be easily removed.
■ It should not leave any unwashable residue.
33. Continued…
The face adhesive system should satisfy the following criteria:
■ It should be physically and chemically compatible with the
drug, excipients and the enhancers.
■ Permeation of the drug should not be affected.
■ The delivery of the permeation enhancers should not be
affected. Polymers used in the adhesives are polyisobutylenes,
acrylic and silicones.
34. BackingMembrane
■ They are flexible and provide a good bond to the drug reservoir,
prevent the drug from leaving the dosage form through top.
■ It is an impermeable membrane that protects the product
during the use on the skin.
■ Contains formulation throughout shelf life and during wear
period.
■ Must be compatible with formulation (non-adsorptive)
■ E.g.: metallic plastic laminate, plastic backing with adsorbent
pad adhesive foam pad.
36. Continued…
■ Transdermal drug delivery mechanism
■ Passive
■ Matrix (oxytrol)
■ Reservoir (Duragestic)
■ Active
■ Iontophoresis
■ Electroporation
■ Sonophoresis
■ Heat of thermal energy
■ Microneedles
37. FormulationApproachesusedinthedevelopment
ofTDDS
■ Membrane permeation – controlled systems
■ Adhesive Dispersions – type systems
■ Matrix diffusion – controlled systems
■ Microreservoir or microsealed dissolution – controlled systems
■ Poroplastic – type systems
■ Transdermal delivery of macromolecules
38. Membranepermeation–ControlledSystems
■ The drug reservoir is totally encapsulated in a shadow
compartment moulded form a drug – impermeable metallic
plastic laminate and a rate controlling polymeric membrane
which may be microporous or non-porous.
■ The rate of drug release from this type of TDDS can be tailored
by varying the composition of polymer, permeability co-
efficient, thickness of the rate limiting membrane and adhesive.
■ Example I) Nitroglycerine releasing transdermal system for
once a day medication in angina pectoris.
Example II) Scopolamine releasing transdermal system for 72
hours prophylaxis of motion sickness.
40. Continued…
■ The intrinsic rate of drug release from this type is…
𝐝𝐐
𝐝𝐭
=
𝐂𝐑
𝟏
𝐏𝐦
+ 𝟏
𝐏𝐚
… (1)
where, CR = Drug conc. In the reservoir compartment
Pa & Pm = permeability coefficients of adhesive & the rate
controlling membrane respectively.
41. Continued…
■ For microporous membrane, Pm is the sum of permeability
coefficients for simultaneous penetration across the pores and
polymeric material, hence…
𝐏𝐦 =
𝐊𝐦 𝐫 𝐃𝐦
𝐡𝐦
… (2) & 𝐏𝐚 =
𝐊𝐚 𝐫 𝐃𝐚
𝐡𝐚
… (3)
42. Continued…
■ In case of microporous membrane, the porosity of the
membrane should be taken in to the calculation of Dm and hm
values.
Substituting equation (2) and (3) in (1)…
𝐝𝐐
𝐝𝐭
=
𝐊𝐦 𝐫 𝐊𝐚 𝐦 𝐃𝐦 𝐃𝐚
𝐊𝐦 𝐫 𝐃𝐦 𝐡𝐚+ 𝐊𝐚 𝐦 𝐃𝐚 𝐡𝐚
𝐂𝐑 …… (4)
43. AdhesiveDispersions–TypeSystems
■ The drug reservoir is formulated by directly dispersing the drug
in an adhesive polymer & then spreading the medicated
adhesive by hot melt, on to a flat sheet of drug impermeable
metallic plastic backing to form a thin drug reservoir layer.
■ Example: Isosorbide dinitrate-releasing transdermal therapeutic
system for once a day medication of angina pectoris.
45. Continued…
■ The rate of drug release from this type is defined by…
𝐝𝐐
𝐝𝐭
=
𝐊𝐚 𝐫 𝐃𝐚
𝐡𝐚
𝐂𝐑
where, Ka/r = partition coefficient for the interfacial
partitioning of the drug from the reservoir layer to the adhesive
layer.
46. MatrixDiffusion–ControlledSystems
■ It is prepared by homogenously dispersing the drug particles
with a liquid polymer or a highly viscous base polymer
followed by cross linking of the polymer chains or
homogenously blending the drug solids with a rubbery polymer
at an elevated temperature.
■ It can also be prepared by dissolving the drug and polymer in a
common solvent followed by solvent evaporation in a mould at
an elevated temperature or in a vacuum. It is then pasted on to
an occlusive base plate in a compartment fabricated from a
drug impermeable plastic backing, the adhesive polymer is then
spread along the circumference to form a strip of adhesive rim
around the medicated disc.
48. Continued…
■ Example: Nitroglycerine releasing Transdermal system at a
daily dose of 0.5 g/cm2 for therapy of angina pectoris.
■ The rate of drug release from this type is given by…
𝐝𝐐
𝐝𝐭
=
𝐀𝐂𝐩𝐃𝐩
𝟐𝐭
𝟏
𝟐
Where, A = Initial drug loading dose dispersed in polymer
matrix.
Cp & Dp = Solubility and diffusivity of the drug in the polymer
respectively.
49. Microreservoirtypeormicrosealeddissolution-CS
■ This is the combination of reservoir and matrix diffusion type
drug delivery systems.
■ Drug reservoir is formed by first suspending the drug solids in
aqueous solution of a water soluble liquid polymer and then
dispersing the drug suspension homogenously in a lipophilic
polymer such as silicone elastomers by high dispersion
technique.
■ Example: Nitroglycerine-releasing transdermal system for once
a day therapy of angina pectoris.
51. Poroplastic–Typesystems
■ It is made utilizing the concept of the water coagulation of
cellulose triacetate solution in organic acids at low temperature.
■ The coagulation is performed under controlled condition.
■ The water may be exchanged subsequently for another vehicle
by a diffusional exchange process, and hence it is also known as
“solid composed mostly of liquid”.
52. TransdermalDeliveryofMacromolecules
■ Macromolecules such as hormones, interferons, bioactive
peptides can be deliver by transdermal delivery system.
■ The devices used for this purpose are divided into two
categories…
■ Devices based on ethylene vinyl acetate copolymers (EVAc)
■ Devices based on silicone elastomers
■ This both the systems utilize one common concept i.e. matrix must
have channels to facilitate the release of macromolecules.
■ These devices are used as implants.
55. EvaluationofTDDS
-EvaluationofAdhesives
Peel adhesion properties:
■ It is the force required to remove an
adhesive coating from a test substrate.
■ It is affected by the molecular weight of
the adhesive polymer, the type & amount
of additives and polymer composition.
■ It is tested by measuring the force
required to pull a single coated tape,
applied to a substrate, to an angle of
180°, no residue on the substrate
indicates ‘Adhesive failure’ signifying a
deficit of cohesive strength in the
coating.
56. Continued…
Tack properties
■ It is the ability of a polymer to adhere to a
substrate with little contact pressure.
■ It is dependant on the molecular weight
and composition of the polymer as well as
the use of tackifying resins in the
polymer.
■ It Includes:
Rolling ball tack test
■ It involves the measurement of the
distance that stainless steel ball travels
along an upward facing adhesive, less
tacky the adhesive, the further the ball
will travel.
57. Continued…
Quick-stick test:
■ The peel force required to break the bond
between an adhesive and substrate at
90°at a speed of 12 inch/min. the force
recorded as the tack value & is expressed
in ounces per inch width with higher
values indicating increasing tack.
58. Continued…
Probe tack test:
■ The force required to pull a probe away
from an adhesive at a fixed rate is
recorded as tack. It is expressed in grams.
59. Continued…
Shear Strength Properties
■ It is affected by molecular weight as well
as the type and amount of tackifier added.
■ Shear strength is determined by
measuring the time it takes to pull an
adhesive coated tape of stainless steel
plate when a specified weight is hung
from the tape in a direction parallel to the
plate.
60. Continued…
In-vitro drug release evaluation:
■ In these studies, excised skin is mounted on skin permeation
cells.
■ Skin of hairless mouse is used rather than human cadaver skin.
■ In-vitro systems should be designed in such a way that the
intrinsic rate of release or permeation which is theoretically
independent of the in-vitro design can be accurately
determined.
■ Several designs of the in-vitro membrane permeation apparatus
are in existence.
E.g. Valia-Chien (V.C) cell, Ghannam-Chien (G.C) membrane
permeation cell.
61. Continued…
Keshary-Chien (K.C) cell:
■ It has an effective receptor volume 12ml and a skin surface
area of 3014 cm2. the receptor solution is stirred by a star-head
magnet rotating at a constant speed of 600 rpm driven by 3 W
synchronous motor.
62. Continued…
In-vivo drug release evaluation:
A. Animal Models:
■ The species used for this are mouse, rat, guinea pig, rabbit,
hairless mouse, hairless cat, hairless dog, cat, dog, pig, goat
squirrel, monkey, rhesus monkey, chimpanzee.
■ The rhesus monkey is the most reliable model for in-vivo
evaluation of TDDS.
■ Standard radio tracer methodology is used.
■ The application site is usually the forearm or abdomen which
are less hairy sites on the animals body.
■ The compound is applied after light clipper shaving of the site.
63. Continued…
B. Human Volunteers:
■ Procedures for in-vivo evaluation in humans were first
described by Feldmann and Mailbach in 1974.
■ The involve the determination of cutaneous absorption by an
indirect method of measuring radioactivity in excreta following
topical application of the labelled drug.
■ This method is used since plasma level following transdermal
administration of a drug are too low to use chemical assay
procedure.
■ The % of dose absorbed transdermally is calculated by…
% 𝑜𝑓 𝑑𝑜𝑠𝑒 𝑎𝑏𝑠𝑜𝑟𝑏𝑒𝑑 =
𝑡𝑜𝑡𝑎𝑙 𝑟𝑎𝑑𝑖𝑜𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑦 𝑒𝑥𝑐𝑟𝑒𝑡𝑒𝑑 𝑎𝑓𝑒𝑡𝑟 𝑡𝑜𝑝𝑖𝑐𝑎𝑙 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑟𝑎𝑡𝑖𝑜𝑛
𝑇𝑜𝑡𝑎𝑙 𝑟𝑎𝑑𝑖𝑎𝑐𝑡𝑖𝑣𝑖𝑡𝑦 𝑎𝑥𝑐𝑟𝑒𝑡𝑒𝑑 𝑎𝑓𝑡𝑒𝑟 𝐼.𝑉 𝑎𝑑𝑚𝑖𝑛𝑖𝑠𝑡𝑟𝑎𝑡𝑖𝑜𝑛
× 100
65. AdvancesinTDDS
Active transdermal Systems
■ Micro structured transdermal systems is a state of the art micro
needle system for transcutaneous drug delivery that has
potential for providing a drug delivery solution for a wide
variety of molecules, including vaccines, proteins and peptides.
MTS provides targeted delivery to the dermal epidermal layers
of the skin.
■ Further MTS has the potential to enhance the efficacy of
vaccines while improving the overall delivery efficiency for
vaccines, proteins or peptides.
■ Finally, MTS is an easy to use system with the potential to
improve health care providers vaccine regimen.
66. Continued…
Find an appropriate place to put the patch
■ Choose a dry, unbroken, non-hairy part of your skin, buttocks,
lower abdomen, lower back, and upper arm are good choices. If
the area you choose has body hair, clip the hair close to the skin
with scissors.
■ Make sure that the area is clean. If there is any oil or powder,
the patch may not stick properly.
■ A stiff protective liner covers the sticky side of the patch – the
side that will be put on your skin. Hold the liner at the edge and
pull the patch from the liner. Try not to touch the adhesive side
of the patch. Throw away the liner.
■ Attach the adhesive side of the patch to your skin in the chosen
area.
67. Continued…
■ Press the patch firmly on your skin with the palm of your hand
for about 30 seconds. Make sure the sticks well to your skin,
especially around the edges. If the patch does not stick well or
loosens after you put it on, tape the edges down with first aid
tape.
■ Wash your hands after applying the patch.
68.
69. Reference
■ Y. W. Chien, novel drug delivery systems, 2nd edition, Revised
and expanded, Marcel Dekker, Inc., New York, 1992
■ N. K. Jain, controlled and novel drug delivery, CBS Publishers
and distributors, New Delhi, First edition, 1997
■ Controlled drug delivery devices by Pravin Tyle, Marcel Dekker,
Inc., New York, 1992, page no. 406-408.
■ Mechanisms of Transdermal Drug Delivery by Y. W. Chien,
Marcel Dekker, Inc., New York
■ www.google.com