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ABSTRACT
Transdermal drug delivery system are topically administered medicaments. Transdermal
patches are pharmaceutical preparation of varying sizes, containing, one or more active
ingredient, intended to be applied to the unbroken skin in order to deliver the active
ingredient to the systemic circulation after passing through the skin barriers, and it avoid
first pass effect. Transdermal patches delivers the drugs for systemic effects at a
predetermined and controlled rate. Through a diffusion process, the drug enters the
bloodstream directly though the skin. Since there is high concentration on the patch and
low concentration in the blood, the drug will keep diffusing into the blood, the drug will
keep diffusing into the blood for a long period of time, maintaining the constant
concentration of drug in the blood flow. Characterization of transdermal patch is use to
check it’s quality, size, time of onset & duration, adhesive property, thickness, weight of
patch, moisture of content, uniformity & cutaneous toxicological studies. The market for
transdermal products has been in a significant upward trend that is likely to continue for
the foreseeable future. An increasing number of TDD products continue to deliver real
therapeutic benefit to patients around the world. More than 35 TDD products have now
been approved for sale in the US, and approximately 16 active ingredients are approved
for use in TDD products globally.
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unbroken skin in order to deliver the active limits of drug entry imposed by the skin's
ingredient to the systemic circulation after imperability.
passing through the skin barriers. iii) Some drugs e.g. scopolamine transdermal
These devices allow for pharmaceuticals to be patch placed behind the ear, it is
delivered across the skin barrier. Theoretically, uncomfortable.
transdermal patches works in a very simple iv) Long time adhere is difficult.
way. A drug is applied in a relatively high
dosage to the inside of patch, which is worn on COMPONENTS OF TRANSDERMAL
the skin for an extended period of time. Though PATHCHES
a diffusion process, the drug enters the (I) Polymer Matrix1
bloodstream directly though the skin. Since The polymer controls the release of the drug
there is high concentration on the patch and low from the device. The following criteria should
concentratin in the blood, the drug will keep be satisfied for a polymer to be used in
diffusing into the blood, the drug will keep transdermal patches.
diffusing into the blood for a long period of (a) Molecular weight, chemical functionality
time, maintaining the constant concentration of of the polymer should be such that the
drug in the blood flow. specific drug diffuses properly and gets
Nicotin patch was the very first transdermal released through it.
patch in market of India. The first transdermal (b) The polymer should be stable.
patch, scopolamine was approved in 1979. (c) The polymer should be nontoxic
(d) The polymer should be easily of
ADVANTAGE AND manufactured
DISADVANTAGE Advantages7 (e) The polymer should be inexpensive
i) They can avoid gastrointestinal drug (f) The polymer and its deagration product
absorption difficulties covered by must be non toxic or non-antagonistic to the
gastrointestinal pH, enzymatic activity and host.
drug interaction with food, drink and other (g) Large amounts of the active agent are
orally administration drug. incorporated into it.
ii) They can substitute for oral administration
of medication when the route is unsuitable as Types of polymer
with vomiting and diarrhea. (a) Natural polymers
iii) To avoid the first pass effect e.g. Cellulose derivative, Gelatin, Waxes, Proteins,
Transdermal Nitroglycerin. It is rapidly Gum, Shellac, Natural rubber, starch.
metabolized by the liner when taken orally. (b)Synthetic Elastomers
iv) They are noninvasive, avoiding the Hydrin rubber, silicone rubber, Nitrile,
inconvenience of parenteral therapy. Acrylonitrile,Neoprene.
v) They provided extended therapy with a (b) Synthetic polymers
single application, improving compliance Polyvinyl alcohol, polyvinyl chloride,
over other dosage forms requiring more polyethylene, polypropylene, polyamiode,
frequent dose administration e.g. Tradermal polyurea, epoxy.
clonidine 7 day.
vi) The activity of drugs having a start half (II) Drug
life is extended through the reservoir of drug Drug solution in direct contact with release
in the therapeutic delivery system and its liner.
controlled release.
vii) Drug therapy may be terminated rapidly Physiochemical properties
by removal of the application from the surface (a) The drug should have a molecular weight
of the skin. less than 1000 Daltons.
(b) The drug should have affinity for both
Disadvantages lipophilic and hydrophilic phases.
i) Some patients7 develop contact dermatitis at (c) The drug should have a low melting point.
the site of application from one or more of the
system components, necessitating
discontinuation. Biological properties
ii) Only potent drugs are suitable candidates (a) The drug should be potent with a daily
for transdermal patch because of the natural dose of the order of a few mg/day.
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(b) The half life (t½) of the drug should be (b) Miscellaneous Chemicals
short. (c) Enhance the permeation eg. Urea,
(c) The drug must not produce allergic calcium thioglycolate.
response.
(d) Tolerance to the drug must not develop (IV) Other excipients
under the near zero-order release profile of (a) Adhesives
transdermal patches. The pressure sensitive adhesive can be
positioned on the face of the device or in the
(III) Permeation Enhancer back of the device.
The flux J. of drug across the skin can be write i) It should not be irritant
ii) It should be easily removed
As iii) It should not leave an un washable residue
J = D dc/dx on the skin
iv) It should have excellent contact with the
J = The Flux skin.
D = diffusion coefficient v) Physical & chemical compatibility with the
C = Concentration of the diffusing drug
spectes X = Spatial coordinate vi) Permeation of drug should not effected.
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(2) Adhesive dispersion type system is evaporated from the adhesive mars by
The manufacturing process these systems can running the coated web through a drying
be divided into following parts. channel using a transport system like cranked
shaft, conveyor belt.
(I) Preparation of individual matrix solution
Raw material [Polymer, tackifier, saftening (I) Building the multilayer laminate
agent] is dissolved in an organic solvent to Lamination is used to build up the multilayer
obtain a standard or stock soln. The matrix matrix system. Here two matrix layers, each
solution then prepared from the stock adhering to one side of the web are laminated.,
solution by mixing it with ingredients Then a carrier material of this two layer laminate
specified by the formulation. The active is removed and a third layer, with the laminated
ingradient and other non-soluble additives side to the laminated side of the two layer
are added. laminate is pressed. This procedure is repeated
until the final laminate is complete.
(II) Coating the individual matrix layers
The individual layers are made by coating the (II) Separating unit of the multilayer
solution (above). On the smooth paper or film laminate
web and removing the solvent by drying The bulk product is slit longitudinally and the
using coating machine. individual unit is punched quit from the
This machine consists of two units (A) the narrow rolls so obtained. Precision of the
coating unit (B) drying unit. operations is of paramount importance here
hence it affects the release rate of the active
(a) Coating unit ingredient. Then the liner is applied with the
The solvent based formulations are coated necessary release aids to the system.
onto the appropriate web. Depending on the
viscosity, solid contents, flow ability and (III) Packaging
surface tension of the matrix solution. Primary packaging is done using sealed, four
cornered while secondary packaging in
(b) Drying Unit cardboard boxes precedes shipment.
Closed to the environment and is directly
connected to the drying unit to avoid solvent
and this active agent evaporation. The solvent
(III) Matrix diffusion controlled system chloride in an organic solvent and granulated
The drug is dispersed in an insoluble matrix waxy matrix is prepared by dispersing the
of rigid non swellable hydrophobic material. drug in molten fat followed by congealing.
Materials used for rigid matrix are insoluble The granules are then compressed into tablets
plastics such as PVC and fatty and materials swellable matrix system are popular for
like stearic and beewax. sustaining the release of highly water soluble
With the plastic materials the drug is generally drug. The material for such matrices are
kneaded with the solution of Polyvinyl generally hydrophilic gums and may be of
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Fig. 13: Simple11 Glass Diffusion Cell Suitable for Human Skin
Fig. 14: Glass11 Cell with Continously Circutliating Donor and Receptor Solution
D = Donor Compartment; R =receptor compartment; M =membrane; TS= Teflon Support
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methodology used. The application site is is applied after light clipper showing of the
generally the abdomen which are the least hairy site.
site on the animals body. The compound
.
Fig.15: Diffusion11 cells for simulation of in vivo conditions (not to scale).(a) Teflon and glass cell. (b) Glass cell with stainless
steel support for the membrane. (c) Stainless steel cell with flow through receptor solution. D, donor compartment; R, receptor
compartment; M, membrane; P, sampling port; BM, bar magnet;S, polyethylene sail;SS, stainless steel support .
ii)Human models
Human subjects should give pertinent labeled drug. 14C is generally used for radio
information with minimum risk to the subjects labeling. Determination of absorption
within responsible period. It is first described by following topical administration requires the
Fieldman and Maibach. They includes investigator to know the amount of
determination of percutaneous absorption by an radioactivity retained in the body or excreted
indirect method of measuring radioactivity in by routes. The percentage of dose absorbed
excreta following topical application of the transdermally is then calculated as.
The procedure takes 5-7 days for completion. Other following method.
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dermatitis involves use of animals like rabbis (b)Evaporative water loss measurement
and guinea pig. A major part of the screening Contact irritation also disturb the skin barrier
deals with testing in humans. Two types of and causes an excessive water loss from the
protocols are used. damaged surface than can be measured by
means of evaporimetry.
a.)I Ten day primary skin irritation test
A panel of ten subjects has the test agent (c)Contact allergic dermatitis
applied daily for two weeks at the site to be Contact allergic dermatitis involves a fast
used in clinical situation. The test agent is left immunological reaction to an antigen. The
in place over the weekend between the first antigen is viewed to be a complex formation
and second five days of repeated application, an externally applied compound and skin
Adverse reaction consists of erythemia and proteins. The reaction easily distinguished
scaling which are graded daily prior to the re- clinically from contact irritation types of
application of the agent on a 0 to 3 scale of reaction. Two protocols are employed-
none, mild, moderate and servers or a 0 to 6 (I) 25 volunteers and low grade dermatitis is
scale to permit more discrimination. included in them by application of 1- 5%
Sodium lauryl sulphate to enhancer
a.)II Twenty one day skin irritation test penetration and maximize any allergic
Same procedure as about is repeated but there potential. In first 5 day in two weeks and
are 25 volunteers and application is on a daily closed test is performed.
basis for 5 day a week for 21 day. The (II) 75-200 volunteers under occlusive patch
following test are the never methodologies for test for 5 applications. The test agent is
assessing cutaneous toxicity and are applied in between 24 hr. rest or 48 hr.
noninvasive procedure. without rest. After 7-10 day rest period,
challenge is done by closed patch testing,
(a)Laser Doppler interpretation of result. Agent show an
This test is based upon the fact that as a laser allergenic potential may still be used by
light beam passes through a specimen. It is millions of patients with adverse effect.
scattered when it impinges (strike or fall
against) upon either static structure or TRANSDERMAL PATCHES IN PRESENT
moving object. Light beam scattered in static SCINERIO: MARKETED PRODUCTS
tissue will not undergo any frequency shift The market10 for transdermal products has
while those encountering moving object will. been in a significant upward trend that is
Doppler effect by illuminating the skin with a likely to continue for the future. An increasing
monochromatic laser light and electronically number of TDD products continue to deliver
process. the frequency mix of the back real therapeutic benefit to patients around the
scattered light collected by a photo editor world. More than 35 TDD products have now
system at the skin surface, a continuous been approved for sale in the US, and
measure of the red cell flux. In the micro- approximately 16 active ingredients are
vascular bed can be obtained. The irritation approved for use in TDD products globally.
will lead to an increase in cutaneous flow and The table gives detail information of the
thus increased red cell flux. different drugs which are administered by
this route and the common names by which
they are marketed, it also gives the conditions
for which the individual system is used.
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TDDS MARKETED PRODUCTS
Name
Alora Estradiol TheraTech/Proctol and Gamble Postmenstrual
syndrome
Androderm Testosterone TheraTech/GlaxoSmithKline Hypogonadism in
males
Catapres-TTS Clonidine Alza/Boehinger Ingelheim Hypertension
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