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International Journal of Pharma Research & Review, Oct 2015; 4(10):41-50 ISSN: 2278-6074

Review Article

A Novel Approach: Transdermal Gel


*Darshan Kaur1, Rajinder Singh2

1. ASBASJSM College of Pharmacy, Bela, Ropar, Punjab, India.


2. Punjabi University, Patiala, India.
ABSTRACT
The skin forms the bodys defensive perimeter against what is in reality the biologically hostile
environment we humans live in. The delivery of drug through skin has been beneficial for long time due
to large surface area of skin which is exposed to vast number of circulatory and lymphatic networks and
the routes is easy to access. A topical delivery is one that is applied directly to any external body surface
and they are only for localized action. Transdermal drug delivery systems (TDDS) are dosage forms
designed to deliver a therapeutically effective amount of drug across a patients skin. However both
topical and transdermal products are intended for external use. But topical products are intended for
localized action on one or more layers of the skin whereas transdermal drug delivery systems use the
percutaneous route for systemic effect. The delivery of drugs through the skin provides several important
advantages over traditional oral and intravenous delivery routes. Transdermal drug delivery system
(TDDS) provides a means to sustain drug release as well as reduce the intensity of action and thus reduce
the side effects associated with its oral therapy. The main objective of transdermal drug delivery system
is to deliver drugs into systemic circulation through the skin at predetermined rate with minimal inter
and intra patient variability. The discovery of TDDS is a major breakthrough in the field of controlled drug
delivery systems. The ability of TDDS to deliver drugs for systemic effect through intact skin while
bypassing first pass hepatic metabolism has accelerated transdermal drug delivery research in
pharmaceutics.

Keywords: Gelling agents, pecutaneous penetration of drug, penetration enhancers, transdermal drug
delivery, transdermal gel

Received 20 August 2015 Received in revised form 8 Sept 2015 Accepted 10 Sept 2015

*Address for correspondence:


Darshan Kaur,
ASBASJSM College of Pharmacy, Bela, Ropar, Punjab, India.
E-mail: kaurdarshan89@gmail.com
_________________________________________________________________________________________________________________________
INTRODUCTION
In pharmaceutical industry developing a deliver a sufficient amount of drug
controlled dosage form has become transdermally is in which the drug agent is
increasingly important. Therefore various applied to skin in a patch and another one is
forms of Novel drug delivery system such as by incorporating a drug in a gel. From both
Transdermal drug delivery systems, patches and transdermal gels medicament is
Controlled release systems, Transmucosal delivered in a controlled diffusion
delivery systems etc. has been developed. mechanism. Excitement dwindled to
Transdermal delivery has been emerged as a disappointment, when the limitations of the
novel tool over injectables and oral routes as existing transdermal technology became
it increases the patient compliance and evident. Factors such as local skin irritation
avoids the first pass hepatic metabolism. In associated with certain drugs, limitation on
transdermal drug delivery system the drug the dose of the drug to be delivered
is delivered in a controlled rate into systemic transdermally, lag time associated with the
circulation through the skin [1,2]. The intact delivery of the drug across the skin and
skin is used as a port to administer a drug in variation of the absorption rate based on a
transdermal gels but skin act as a barrier to site of application, caused interest in
ingress the material, it only allows a small transdermal technology to decline [3]. But
material to penetrate over a period of time many technology companies have generated
into systemic circulation. The one way to additional clinical data that shows the

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International Journal of Pharma Research & Review, Oct 2015; 4(10):41-50 ISSN: 2278-6074

potential of advanced transdermal dimensional polymeric matrix of natural or


technology in spite of its limitations to cure synthetic gums in which a high degree of
so many diseases. physical or chemical cross linking has been
Advantages of transdermal gels over established. Gels are defined as a
patches [4] substantially dilute cross-linked system,
Heat, cold, sweating and showering which exhibits no flow when in the steady-
prevent the patch from adhering to the state [5]. The USP defines gel as semisolid
skin surface. Therefore a new patch has to system consisting of either suspension of
be applied daily. small inorganic particles or large organic
If patch doesnt adhere after a first day, molecules within the liquid. Gels have higher
then doctor often give them various types aqueous component which allows greater
of tapes and bandages to use, but none of dissolution of drugs, which in turn easily
them have proven to be satisfactory. migrate the drug through a vehicle,
The patches repeatedly fall off, therefore a compared to ointment and creams.
patient has to increase the number of Therefore, they are superior in terms of use
refills in a month. and patient compliance [6]. Transdermal
There are reports of loss of efficacy of gels are designed to deliver a therapeutically
patches due to unreliable adhesive effective amount of drug across a patients
properties. skin. However both topical and transdermal
Patches pulled skin away which cause gels are intended for external use. But
bleeding and inflammation. The skin topical gels are intended for localized action
beneath the skin patch becomes abraded on one or more layers of the skin whereas
and wet to tough. When patch is removed, transdermal gels use the percutaneous route
skin get adhered to it and left an open sore. for systemic effect. Gel formulations provide
Most patches depend on concentration faster drug release as compared to the
gradient of drug within the matrix or ointments and creams in which the drug is
reservoir to drive active drug through skin. dispersed as fine particles, but dissolution is
As a result, a high percentage of dose can inadequate because of their limited water
remain within the patch when delivery get content. Gels have a higher aqueous
stopped or slow down. component that permits greater dissolution
For elderly or patients with psychiatric of drugs, and also permit easier migration of
disorders, the medication through patches the drug through a vehicle that is essentially
also proves to be challenging as they rip a liquid, compared with the ointment or
them off which must be kept in place for cream bases. Gels are generally considered
hours or even days. superior in terms of use and patient
TRANSDERMAL GELS compliance.
Gels are semisolid systems in which a liquid Topical versus Transdermal gels [7]
phase is constrained within a three

Table1: comparison between topical and transdermal gels


Topical gels Transdermal gels
Topical delivery is designed to deliver drug into Transdermal delivery is designed to deliver
the skin for treating dermal disorders. drug through the skin (percutaneous
absorption) to the general circulation for
systemic effect.
Target site: Target site:
skin Site other than skin
Must penetrate stratum corneum (10-15microns
thick) to deliver drug to capillary beds between
epidermis (50-150 microns) and dermis.
These are developed to minimize flux of drug It is maximize the flux through the skin into
through skin while maximizing its retention in systemic circulation and simultaneously
the skin. minimize the retention and metabolism of drug in
the skin.

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Advantages of transdermal gels [8, 9] because of the natural limits of drugs entry
1. Avoids the first pass hepatic metabolism imposed by skins impermeability.
2. Drug delivery can be easily eliminated in Many drugs with a hydrophilic structure
case of toxicity. permeate the skin too slowly are of less
3. Fewer side effects as there is reduced therapeutic effect.
plasma concentrations of drugs. Desirable properties of gels:
4. Dosing frequency get reduced which It should be inert, compatible with other
increases the patient compliance. additives and non-toxic.
5. Through transdermal gels drug is It should be stable at storage condition.
delivered in a steady rate over an extended It should be free from microbial
period of time. contamination.
6. Conventional dosage forms follow a peak It should maintain all rheological
and valley pattern of drug release kinetics properties of gel.
in blood and tissue. Transdermal drug It should be washable with water and free
delivery system is designed to release from staining nature.
drugs at a predetermined rate and It should not affect biological nature of
continuously avoiding unnecessarily high drug.
peaks and sub therapeutic troughs in It should be convenient in handling and its
plasma drug levels. application.
7. Increases the therapeutic value of many It should possess properties such as
drugs as it avoids the problems associated
thixotropic, greaseless, emollient, non-
with drugs e.g. GI irritation, nausea, staining etc.
vomiting, heartburn and increased
Classification of gels [10]
appetite after oral therapy. 1. On the basis of phase system:
8. Provides ease of rapid identification of
Two phase system: The gel may consist of
medication in emergencies, non-
floccules of small molecules rather than
responsive patients, unconscious or
large molecules. The gel structure is not
comatose patients.
always stable in these systems. These gels
9. Equivalent therapeutic effect with lower
may be thixotropic, semi-solid on standing
dose of drug can be achieved than is
and become liquid on agitation.
necessary when drug is given orally.
Single phase system.
10. Drugs that are degraded by enzymes and
2. On the basis of chemical nature:
acids in the gastrointestinal system can
be administrated by incorporating in Inorganic gel
transdermal gels. Organic gel
11. Continuity of drug administration 3. On the basis of structure:
permitting the use of a drug with short Physical gels: unstable at high temperature
biological half-life. or in solvents.
Limitations of transdermal gels Chemical gels: not tough due to uneven
Transdermal gels are unsuitable for drugs temperature.
that irritate or sensitize the skin. Slide ring gels: in that polymer chains are
Transdermal gels are not suitable for covalently cross did not link nor
drugs which have very low or high attractively interacted rather they are
partition coefficient. Drug should have interlocked.
favourable partition coefficient (logP 1-3). ORGANOGELS [11]
For heavy drug molecules (>500Da) it Organogel, a viscoelastic system, is a semi-
becomes to penetrate the stratum cornea. solid preparation which has an immobilized
external apolar phase. Organogels are
Transdermal gels are not favorable for
thermodynamically stable in nature and
drugs which are extensively metabolized
regarded as matrices for the delivery of
in skin.
bioactive agents. The thermodynamic
Only relatively potent drugs are suitable
behavior of the organogels results in the
candidates for transdermal delivery
formation of fibrous structure because of

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which organogels resides in a low energy thermostablesystem. Due to the inherent


state. thermostability of the organogels, they
Advantages [12] have been proposed as a delivery vehicle
They dont form semisolid preparation on for bioactive agents and for cosmetic
standing. applications where a longer shelf-life is
Organogels decreases the diffusion rate of desirable.
drugs because the drug is dissolved in 5. Chirality- Thermoreversibility of the gels
polymer and transported between chains. formed due to the formation of the
Disadvantages selfassembled solid-fiber network which
When a gel stands for some time, it shrinks is associated with the chirality. In general,
naturally and some of its liquid is pressed it has been found that a good solid-fiber
out, known as syneresis. gelator has a chiral center whereas
Properties of organogels chirality does not have any effect on fluid-
1. Viscoelasticity- Organogels are formed fiber gelators. Due to the presence of
due to physical interactions among the chiral centres within the gelators, gelators
gelator molecules. When the stress is form compact molecular packing which
increased, the physical interaction forces provides the thermodynamic and kinetic
between the fibres starts getting stability to the organogels.
weakened until the shear stress is more 6. Biocompatibility- Initially, organogels
enough to completely disrupt the were formed by using various non
interactions amonst the fibres, when the biocompatibleorganogels which make the
organogels starts flowing. organogelsnonbiocompatible. Of late,
2. Non-birefringence- The organogels research on organogels using various
when viewed under polarized light biocompatible constituents has opened
appears as dark matrix. This is due to the up new dimensions for the use of the
isotropic nature of organogels which does same in various biomedical applications.
not allow the polarized light to pass HYDROGELS [13]
through the matrix. This property of Hydrogels are water swollen polymer
organogels of doesnt allow the polarized matrices, with a huge tendency to absorb
light to pass through the matrix is called water. Their ability to swell, under
non-birefringent. physiological conditions, makes them an
3. ThermoreversibilityWhen the ideal material for biomedical
organogels are heated above a critical applications. The hydrophilicity of the
temperature, they starts flowing as the network is due to the presence of
organogels loses its solid matrix-like chemical residues such as hydroxylic,
structure. This happens due to the carboxylic, amidic, primary amidic,
disruption of the physical interactions sulphonic and others that can be found
amongst the gelator molecules attributed within the polymer backbone or as
to the increase in thermal energy within lateral chains. It is also possible to
the organogels. When the heated produce hydrogels containing a
organogels are cooled, they revert back to significant portion of hydrophobic
the stable configuration as the physical polymers, by blending or copolymerizing
interaction amongst the organogelators. hydrophilic and hydrophobic polymers,
4. Thermostability- The organogels are or by producing interpenetrating
inherently thermostable in nature. The networks (IPN) or semi-interpenetrating
stability of the organogels may be polymer networks (s-IPN) of
attributed to the ability of the gelators to hydrophobic and hydrophilic polymers.
undergo self-assembly, under suitable
conditions, so as to form organogels. As
the gelators undergo self-assembly, it
results in the decrease in the total free
energy of the system and renders the
organogels as low-energy

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Classification of hydrogels [14]:


Table 2: Classification of hydrogels
S.No. Classification Contents
1. Source Natural
Synthetic
2. Component Homopolymer
Copolymer
Multipolymer
3. Preparation Method Simultaneous polymerization
Crosslink of polymer
4. Electric charge Anion
Cation
Zwitter ion
5. Physical structure Amorphous
Semi crystalline
Hydrogen bonded
6. Crosslink Covalent bond
Intermolecular foce

Advantages of hydrogels [15-17] Difficulty in loading.


Hydrogels possess a degree of flexibility Difficulty in Sterilization.
very similar to natural tissue, due to their GELLING AGENTS [19]
significant water content. For the preparation of gels, polymers are
Entrapment of microbial cells within essential as they give the structural network.
Hydrogel beads has the advantage of low Such polymers are known as gelling agents.
toxicity. There are many gelling agents. Some of the
Environmentally sensitive Hydrogels have common ones are acacia, alginic acid,
the ability to sense changes of pH, bentonite, Carbopols (now known as
temperature, or the concentration of carbomers), carboxymethylcellulose, ethyl-
metabolite and release their load as result cellulose, gelatin, hydroxyethylcellulose,
of such a change. hydroxypropyl cellulose, magnesium
Timed release of growth factors and other aluminum silicate (Veegum), methyl-
nutrients to ensure proper tissue growth. cellulose, poloxamers (Pluronics), polyvinyl
Hydrogels have good transport properties. alcohol, sodium alginate, tragacanth, and
Hydrogels are Biocompatible. xanthan gum. Though each gelling agent has
Hydrogels can be injected. some unique properties, there are some
Hydrogels are easy to modify. generalizations that can be made.
Disadvantages of hydrogels [18] 1. If the gelling agent is added to the
Hydrogels are expensive. dispersing medium in a haphazard
Hydrogels causes sensation felt by manner, there is a tendency for the agent
movement of the maggots. to "clump." The outer molecules of the
Hydrogels causes thrombosis at gelling agent contact the medium first and
hydrate forming a surface layer that is
Anastomosis sites.
more difficult for the medium to
The surgical risk associated with the
penetrate. The clumps will ultimately
device implantation and retrieval.
hydrate, but it will take more time. A
Hydrogels are non-adherent; they may
much more efficient manner is to sieve
need to be secured by a secondary
the agents onto the surface of the medium
dressing.
a little at a time as the medium is stirring.
Hydrogels used as contact lenses causes
Using glycerin as a wetting agent will
lens deposition, hypoxia, dehydration and
sometimes minimize clump formation.
red eye reactions. 2. Some gelling agents are more soluble in
Hydrogels have low mechanical strength. cold water than in hot water.
Difficulty in handling.

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International Journal of Pharma Research & Review, Oct 2015; 4(10):41-50 ISSN: 2278-6074

Methylcellulose and poloxamers have The penetration of drug into viable


better solubility in cold water while epidermis and dermis is viable to achieve.
bentonite, gelatin, and sodium But once transepidermal penetration has
carboxymethylcellulose are more soluble been achieved, the continued diffusion of
in hot water. Carbomers, tragacanth, and drug into epidermis is likely to result in drug
alginic acid gels are made with tepid transfer into microcirculation of the dermis
water. and then into general circulation. Topical
3. Some gelling agents (carbomers) require products may unintentionally reach systemic
a "neutralizer" or a pH adjusting chemical circulation, it is usually in sub-therapeutic
to create the gel after the gelling agent concentrations, and does not produce effects
has been wetted in the dispersing of any major concern except possibly in
medium. special situations, such as pregnant or
4. Most gelling agents require 24-48 hours nursing patient. On the other hand,
to completely hydrate and reach transdermal drug delivery systems use the
maximum viscosity and clarity. percutaneous route for systemic drug
5. Gelling agents are used in concentrations delivery, but the skin is not the primary
of 0.5% up to 10% depending on the target organ.
agent. Percutaneous absorption
6. It is easier to add the active drug before Percutaneous absorption involves the
the gel is formed if the drug doesn't transfer of drug from the skin surface into
interfere with the gel formation. the stratum corneum, under the aegis of
Gel forming substances concentration gradient, and its subsequent
Gel forming polymers are classified as diffusion through the stratum corneum and
follows: underlying epidermis, through the dermis
1. Natural polymer and into microcirculation. The skin behaves
a. Proteins as a passive barrier to diffusing molecules.
i. Collagen Molecular penetration through the various
ii. Gelatin regions of the skin is limted by the
b. Polysaccharides diffusional resistances. The total diffusional
i. Agar resistance (Rskin) to permeation through the
ii. Alginic acid skin has been described by chein as
iii. Sodium or Potassium carrageenan Rskin = Rsc + Re + Rpd
iv. Tragacanth R = diffusional resistance
2. Semisynthetic polymers sc = stratum corneum, e = epidermis
a. Cellulose derivatives pd = papillary layer of dermis
i. Carboxymethyl cellulose The role of hair follicles and sweat glands
ii. Methylcellulose must be considered. But there effect is
iii. Hydroxypropyl cellulose minimized because less fractional area has
3. Synthetic polymers been occupied by these appendages. In early
a. Carbomer stages through absorption, transit through
i. Carbopol -940 these appendages is large, especially for lipid
ii. Carbopol -934 molecules and those whose permeation
iii. Carbopol -941 through stratum corneum is low.
b. Poloxamer The stratum corneum can be taken as
c. Polyacrylamide passive diffusion membrane but not an inert
d. Polyvinyl alcohol system, it has affinity for an applied
4. Inorganic substances substance. The correlation between external
i. Aluminium hydroxide and surface concentrations is given in terms
ii. Bentonite of solvent membrane distribution coefficient
5. Surfactants Km. This is expressed as Ficks First Law of
i. Cetostearyl alcohol Diffusion:
ii. Brij 96 Js= KmDCs
DRUG TRANSPORT THROUGH SKIN
[20,21] and

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Kp = Km II. TRANSCELLULAR ROUTE


The transcellular pathway for a molecule
where, to traverse intact stratum corneum is often
Kpis the permeability coefficient regarded as providing a polar route
Js is the steady state flux of solute through the membrane. Indeed, the
Cs is the concentration difference of solute cellular components that the solute
across membrane diffuses through predominantly highly
is the membrane thickness keratin do provide an essentially
Km is the partition coefficient of the solute aqueous environment, and hence diffusion
between the membrane and the bathing of hydrophilic molecules through these
solution. keratinocytes is rapid. However, the
PERMEATION PATHWAYS OF keratin filled cells do not exist in isolation
TRANSDERMAL GEL THROUGH STRATUM and they are bound to a lipid envelope that
CORNEUM [22, 23] connects to a intercellular multiply
For some lipophilic drugs the principle bilayered lipid domains. Thus, molecule
barrier to permeation may reside in the crossing the intact stratum corneum via
essentially aqueous viable epidermis the transcellular route faces numerous
membrane, for most molecules the stratum hurdles. First, there is partitioning into the
corneum is the rate limiting barrier to keratinocyte, followed by diffusion
delivery. There are essentially three through the hydrated keratin. In order to
pathways by which a molecule can traverse leave the cell, molecule must partition into
intact stratum corneum: the bilayer lipids before diffusing across
i. via the appendages ( shunt routes) the lipid bilayer to the next keratinocyte.
ii. through the intercellular lipid domains In traversing the multiple lipid bilayers the
iii. transcellular route molecule must also sequentially partition
These pathways are not mutually exclusive, into and diffuse across the hydrophobic
and it is likely that most molecules will pass chains and the hydrophilic head groups of
through the stratum corneum by a the lipids, and there are estimated to be
combination of these routes. between 4 and 20 such lamellae between
I. TRANSAPPENDAGEAL TRANSPORT each keratinocyte.
(SHUNT ROUTE TRANSPORT) III. INTERCELLULR PATHWAY
The appendages (hair follicles, sweat The intercellular SC spaces were initially
ducts) offer pores that bypass the barrier dismissed as a potentially significant
of the startum corneum (SC). These diffusion pathway because of the small
openings onto the skin surface occupy only volume they occupy. However, the physical
around 0.1% of the total surface. And structure of the intercellular lipids was
hence their contribution to the total drug thoughts to be significant factor in the
flux at pseudo-steady state is generally barrier properties of the skin. The lipid
regarded as being insignificant. Eccrine lamella in the SC plays a key role in the
sweat glands may be numerous in several barrier function of the skin. The major
areas of the body (e.g. the palms and lipids are ceramides, cholesterol, and free
soles), but their openings onto the skin fatty acids. Both diffusional and
surface are still very small. The opening of morphometric ducts have been presented
the follicular pore of the skin surface is to support lipid and polar pathways
larger than that of the eccrine glands, through the intercellular lipids of SC. Some
though they are less numerous. In addition studies proposed that penetration could
to initial rapid drug delivery and the occur across the SC by one of two parallel
greater significance in vivo than in vitro, pathways: the lipoidal pathway and the
transappendageal transport may also be pore pathway, with this barrier existing in
important for large polar molecules and series with an epidermal-dermal porous
ions that would transverse poorly across barrier. Extremely polar permeants are
the bulk of the stratum corneum. rate-limited by the pore pathway of the SC
with its limiting permeability coefficient,
whereas permeants with intermediate

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polarity are transported by the lipoidal water solubility in order to be systemically


pathway and exhibit a lipophilicity- absorbed. Drugs that are too hydrophilic are
dependent permeability coefficient. unlikely to partition from the vehicle into SC,
However, some studies suggested thet the whereas drugs that are too lipophilic will
lipophilic solutes may be transported have a high affinity for the SC and unlikely to
through both a polar and nonpolar partition into the viable epidermis.
pathway through the intercellular region. Molecular Size
Finally, Menon and Elias interpreted that The molecular weight of a chemical is a good
extra cellular lacuna domains were a indicator of its molecular size, which in turn,
potential pore pathway for penetration of is related to the diffusion coefficient. As drug
polar and nonpolar molecules across the diffusion through the skin is a passive
SC, the continuity of such a pathway is mechanism, small molecules traverse the
unclear. human skin more rapidly than larger
IV. HAIR FOLLICLES AND SWEAT DUCTS molecules. Candidates for transdermal
Possible routes of penetration through delivery generally have a MW 500 Dalton.
hair follicles could involve the hair fibre Solubility/ melting point
itself, through the outer root sheath of the Organic materials with high melting points
hair into the viable cells of the follicles, or and with high enthalpies of melting have
through the air filled canal into the relatively low aqueous solubilities at normal
sebaceous gland. In addition, the release of temperatures and pressures. Thus, there is a
sebum by the sebaceous glands may clear relationship between melting point and
provide a lipoidal pathway that may solubility, and there are several theoretical
influence absorption by this route. The models available that predict solubilities
route for the sweat duct may involve from melting point data.
diffusion through either the lumen or walls From intercellular permeation pathway it is
to below the epidermis and through the clear that lipophilic molecules tend to
thin ring of keratinized cells. Dense permeate through the skin faster than more
capillary networks closely envelop the hydrophilic molecules. Thus, solubility
bases of both the hair follicles and sweat within the intercellular lipids can be
ducts, providing access to the circulation correlated with the permeability coefficient.
for most molecules reaching theses Ionization
regions. In the hair follicle, for example the Considering the nature of the stratum
outer root sheath is thought to be of corneum barrier to transdermal delivery,
greatest importance for drug delivery, as residing largely within the lipid bilayer
this layer is continuous with the epidermis domains, it is widely believed that ionisable
and is indistinguishable from it, which drugs are poor transdermal permeants.
potentially allows for increased surface Indeed, many of the arguments against using
area for absorption beneath the surface of weak acids and weak bases that will
skin. dissociate to varying degrees depending on
Factors Affecting Drug Permeation: [24, pH of the formulation (and on tha pH of the
25] stratum corneum) are founded in the pH-
I. Properties of the Permeant partition hypothesis.
The capacity of a molecule to enter the skin According to hypothesis, which was
depends on its ability to penetrate, developed for absorption of drugs through
consequently the hydrophobic and the gastrointestinal tract, only the unionized
hydrophilic barrier layers of the skin. form of the drug can permeate through the
Permeation through SC depends on the lipid barrier in significant amounts.
following physiochemical parameters: II. Physiochemical properties of drug
Partition delivery systems:
Drugs must partition into the lipophilic 1. Release characteristics: Solubility of the
domain of the SC, then into the more drug in the vehicle determines the release
hydrophilic mileu of the viable epidermis rate. The mechanism of drug release
before reaching the systemic circulation. depend on the following factors:
Therefore, drugs possess balanced lipid and

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a) Whether the drug molecules are dissolved used. Some of the desirable properties of
or suspended in the delivery system. penetration enhancers are:
b) The interfacial partition coefficient of the They should be non toxic, non irritating
drug from the delivery system to skin. and non allergic.
c) pH of the vehicle. The activity and duration of action of
2. Enhancement of transdermal permeation: penetration enhancers should be
Majority of drugs will not penetrate the predictable and reproducible.
skin at rates sufficiently high for They should not have any
therapeutic efficacy. The permeation can pharmacological action in the body.
be improved by the addition of The penetration enhancers should work
permeation enhancer into the system. unidirectional i.e. should allow therapeutic
III. Physiochemical and pathological agents into the body whilst preventing the
conditions of skin: loss of endogeneous material from the
1. Reservoir effect of horny layer: The horny body.
layer especially is deeper layer can The penetration enhancers should be
sometimes act as a depot and modify the compatible with drugs and excipients.
transdermal permeation of drugs. This Types of penetration enhancers
effect is due to irreversible binding of a 1. Chemical penetration enhancers
part of the applied drug with the skin. 2. Physical penetration enhancers
2. Lipid film: The lipid film on the skin Chemical penetration enhancers:
surface acts as a protective layer to Chemical penetration enhancers involves the
prevent the removal of moisture from the use of chemicals to allow the entry of poorly
skin and helps in maintaining the barrier penetrating molecules to across the skin
function of stratum corneum. barrier. Substances reported to render the
3. Skin hydration: Hydration of stratum stratum corneum more permeable include
corneum can enhance permeability. Skin alcohols, polyalcohols, pyrrolidones, amines,
hydration can be achieved simply by amides, fatty acids, sulphoxides, esters,
covering or occluding the skin with plastic terpenes, alkanes, surfactants and
sheeting, leading to accumulation of sweat. phospholipids.
Increased hydration appears to open up Physical penetration enhancers: In this
the dense closely packed cells of the skin physical and electrical methods are used as
and increases its porosity. penetration enhancers. This includes the
4. Regional variation: Differences in nature iontophoresis, phonophoresis,
and thickness of the barrier layer of skin electroporation and photomechanical waves.
causes variation in permeability. Mechanism of action of penetration
5. Pathological injuries to the skin: Injuries enhancers [27]
that disrupt the continuity of the SC There are so many ways by which
increases permeability due to increased penetration enhancers increases the
vasodialtion caused by removal of the penetration of drug. They can act by their
barrier layer. direct action on skin or by modifying the
6. Skin temperature: Raising the skin formulation. Mechanism of action of
temperature results in an increase in the penetration enhancers which directly act on
rate of skin permeation; this may be due to skin are:
availability of thermal energy required for i. They directly act on stratum corneum
diffusivity. intercellular keratin, denature it or modify
7. Cutaneous self-metabolism: Catabolic their confirmation by causing swelling and
enzymes present in the epidermis may by increasing hydration.
render the drug inactive by metabolism ii. They act on desmosomes which maintain
and the topical bioavailability of the drug the cohesion between corneocytes.
is gently reduced. iii. They cause the disruption of the lipid
PENETRATION ENHANCEMENT [26] bilayer and the enhancer gets
To increase the penetration of drug across heterogeneously concentrated within the
stratum corneum, penetration enhancers are domains of bilayer lipids.

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