Review: Transdermal patch
T. Venkateswara Rao,
Owku Ravi Kiran
Bapatla College
of Pharmacy, Bapatla, Guntur (D.T), Andhra Pradesh.
ABSTRACT:
Transdermal drug delivery systems (TDDS) or “patches,” are dosage forms
designed to deliver effective amount of drug across a patient’s skin. In order
to deliver therapeutic agents through the human skin for systemic effects, the
comprehensive morphological, biophysical and physicochemical properties of the
skin are to be considered. Transdermal delivery is
advantageous over injectables and oral routes by
increasing patient compliance and avoiding first pass metabolism respectively.
Several important advantages of transdermal drug
delivery are limitation of hepatic first pass metabolism, enhancement of
therapeutic efficiency and maintenance of steady plasma level of the drug. The
evidence of percutaneous drug absorption found
through measurable blood levels of the drug, detectable excretion of the drug
and its metabolites in the urine and through the clinical response of the
patient to the administered drug therapy.
KEYWORDS: TDDS, Evaluations
INTRODUCTION:
Transdermal drug delivery systems (TDDS) or “patches,” are dosage forms
designed to deliver effective amount of drug across a patient’s skin. In order
to deliver therapeutic agents through the human skin for systemic effects, the
comprehensive morphological, biophysical and physicochemical properties of the
skin are to be considered. Transdermal delivery is
advantageous over injectables and oral routes by
increasing patient compliance and avoiding first pass metabolism respectively.
Several important advantages of transdermal drug
delivery are limitation of hepatic first pass metabolism, enhancement of
therapeutic efficiency and maintenance of steady plasma level of the drug. The
evidence of percutaneous drug absorption found
through measurable blood levels of the drug, detectable excretion of the drug
and its metabolites in the urine and through the clinical response of the
patient to the administered drug therapy.
The common ingredients which are used for
the preparation of TDDS are Drug:
Drug is in direct contact with release liner. Ex: Nicotine, Methotrexate
and Estrogen.
Liners: Protects the patch
during storage. Ex:polyester film.
Adhesive: Serves to adhere the
patch to the skin for
systemic delivery of drug. Ex: Acrylates, Polyisobutylene,
Silicones.
Permeation enhancers: Controls
the Release of the drug. Ex: Terpenes, Terpenoids,
Pyrrolidones.
Solvents like alcohol, Ethanol,
Methanol.
Surfactants like Sodium Lauryl sulfate, Pluronic F127,
Pluronic F68.
Backing layer: Protect patch from
outer environment. Ex: Cellulose derivatives, poly vinyl alcohol,
Polypropylene Silicon rubber
TYPES OF TRANSDERMAL PATCHES:
A) Single Layer Drug In Adhesive:
In this type the adhesive layer contains the
drug.
B) Multi -Layer Drug In Adhesive:
This type is also similar to the single layer
but it contains a immediate drug release layer and other layer will be a
controlled release along with the adhesive layer.
C) Vapour patch:
In this type of patch the role of adhesive layer
not only serves to
adhere the various layers together but also servesas
release vapour.
D)
Reservoir system:
In this system the drug reservoir is
embedded between an impervious backing layer and a rate controlling membrane.
E)
Matrix system:
i. Drug-in-adhesive system:
In
this type the drug reservoir is formed by dispersing the drug in an adhesive
polymer and then spreading the medicated adhesive polymer by solvent casting or
melting (in the case of hot-melt adhesives) on an impervious backing layer.
ii.
Matrix-dispersion system:
In
this type the drug is dispersed homogenously in a hydrophilic or lipophilic polymer matrix. This drug containing polymer
disk is fixed on to an occlusive base plate in a compartment fabricated from a
drug impermeable backing layer. Instead of applying the adhesive on the face of
the drug reservoir, it is spread along with the circumference to form a strip
of adhesive rim.
f)
Microreservoir system:
In
this type the drug delivery system is a combination of reservoir and
matrix-dispersion system.
VARIOUS
METHODS FOR PREPARATION TDDS:
a.
Asymmetric TPX membrane method:
A
prototype patch can be fabricated for this a heat sealable polyester film with
a concave of 1cm diameter will be used as the backing membrane. Drug sample is
dispensed into the concave membrane, covered by a TPX
{poly(4-methyl-1-pentene)}asymmetric membrane, and sealed by an adhesive.
Asymmetric
TPX membrane preparation:
These
are fabricated by using the dry/wet inversion process. TPX is dissolved in a
mixture of solvent (cyclohexane) and nonsolvent additives at 60°c to form a polymer solution.
The polymer solution is kept at 40°C for 24 hrs and cast on a glass plate to a
pre-determined thickness with a gardner knife. After
that the casting film is evaporated at 50°C for 30 sec, then the glass plate is
to be immersed immediately in coagulation bath [maintained the temperature at
25°C. After 10 minutes of immersion, the membrane can be removed, air dry in a
circulation oven at 50°C for 12 hrs.
b.
Circular teflon mould method:
Solutions
containing polymers in various ratios are used in an organic solvent.
Calculated amount of drug is dissolved in half the quantity of same organic
solvent. Enhancers in different concentrations are dissolved in the other half
of the organic solvent and then added. Di-N-butylphthalate
is added as a plasticizer into drug polymer solution. The total contents are to
be stirred for 12 hrs and then poured into a circular teflon
mould. The moulds are to be placed on a leveled surface and covered with
inverted funnel to control solvent vaporization in a laminar flow hood model
with an air speed of 0.5 m/s. The solvent is allowed to evaporate for 24 hrs.
The dried films are to be stored for another 24 hrs at 25±0.5°C in a
desiccators containing silica gel before evaluation to eliminate aging effects.
The type films are to be evaluated within one week of their preparation.
c.
Mercury substrate method:
In
this method drug is dissolved in polymer solution along with plasticizer. The
above solution is to be stirred for 10- 15 minutes to produce a homogenous
dispersion and poured in to a leveled mercury surface, covered with inverted
funnel to control solvent evaporation.
d.
By using “IPM membranes” method:
In
this method drug is dispersed in a mixture of water and propylene glycol
containing carbomer 940 polymer and stirred for 12
hrs in magnetic stirrer. The dispersion is to be neutralized and made viscous
by the addition of triethanolamine. Buffer pH 7.4 can
be used in order to obtain solution gel, if the drug solubility in aqueous
solution is very poor. The formed gel will be incorporated in the IPM membrane.
e.
By using “EVAC membranes” method:
In
order to prepare the target transdermal therapeutic,
1% carbopol reservoir gel, polyethelene
(PE), ethylene vinyl acetate copolymer (EVAC) membranes canbe
used as rate control membranes. If the drug is not soluble in water, propylene
glycol is used for the preparation of gel. Drug is dissolved in propylene
glycol, carbopol resin will be added to the above solution
and neutralized by using 5% w/w sodium hydroxide solution. The drug (in gel
form) is placed on a sheet of backing layer covering the specified area. A rate
controlling membrane will be placed over the gel and the edges will be sealed
by heat to obtain a leak proof device.
f.
Aluminium backed adhesive film method:
Transdermal drug delivery system may produce unstable matrices if the loading
dose is greater than 10 mg. Aluminium backed adhesive
film method is a suitable one. For preparation of same, chloroform is choice of
solvent, because most of the drugs as well as adhesive are soluble in
chloroform. The drug is dissolved in chloroform and adhesive material will be
added to the drug solution and dissolved. A custom-made aluminium
former is lined with aluminium foil and the ends
blanked off with tightly fitting cork blocks.
g.
Preparation of TDDS by using Proliposomes:
The Proliposomes are prepared by carrier method using film
deposition technique. From the earlier reference drug and lecithin in the ratio
of 0.1:2.0 can be used as an optimized one. The Proliposomes
are prepared by taking 5mg of mannitol powder in a
100 ml round bottom flask which is kept at 60-70°c temperature and the flask is
rotated at 80-90 rpm and dried the mannitol at vacuum
for 30 minutes. After drying, the temperature of the water bath is adjusted to
20-30°C. Drug and lecithin are dissolved in a suitable organic solvent mixture,
a 0.5ml aliquot of the organic solution is introduced into the round bottomed
flask at 37°C, after complete drying second aliquots (0.5ml) of the solution is
to be added. After the last loading, the flask containing Proliposomes
are connected in a lyophilizer and subsequently drug
loaded mannitol powders (Proliposomes)
are placed in a desiccator over night and then sieved
through 100 mesh. The collected powder is transferred into a glass bottle and
stored at the freeze temperature until characterization.
h.
By using free film method:
Free
film of cellulose acetate is prepared by casting on mercury surface. A polymer
solution 2% w/w is to be prepared by using chloroform. Plasticizers are to be
incorporated at a concentration of 40% w/w of polymer weight. Five ml of
polymer solution was poured in a glass ring which is placed over the mercury
surface in a glass petridish. The rate of evaporation
of the solvent is controlled by placing an inverted funnel over the petridish. The film formation is noted by observing the
mercury surface after complete evaporation of the solvent. The dry film will be
separated out and stored between the sheets of wax paper in a desiccator until use. Free films of different thickness can
be prepared by changing the volume of the polymer solution.
The
following are the evaluation tests for transdermal
patch:
1.
THICKNESS OF THE PATCH 1
The
thickness of the drug loaded patch is measured in different points by using a
digital micrometer and determines the average thickness and standard deviation
for the same to ensure the thickness of the prepared patch.
2.
WEIGHT UNIFORMITY:
The
prepared patches are to be dried at 60°c for 4hrs before testing. A specified
area of patch is to be cut in different parts of the patch and weigh in digital
balance. The average weight and standard deviation values are to be calculated
from the individual weights.
3.
FOLDING ENDURANCE:
A
strip of specific area is to be cut evenly and repeatedly folded at the same
place till it broke. The number of times the film could be folded at the same
place without breaking gave the value of the folding endurance.
4. PERCENTAGE MOISTURE CONTENT:
The
prepared films are to be weighed individually and to be kept in a desiccator containing fused calcium chloride at room
temperature for 24 hrs. After 24 hrs the films are to be reweighed and
determine the percentage moisture content from the below mentioned formula.
Percentage = Initial weight - Final weight ×100
moisture content Final weight
5. PERCENTAGE MOISTURE UPTAKE:
The
weighed films are to be kept in a desiccator at room
temperature for 24 hrs containing saturated solution of potassium chloride in
order to maintain 84% RH. After 24 hrs the films are to be reweighed and
determine the percentage moisture uptake from the below mentioned formula.
Percentage = Final weight- Initial weight ×100
moisture
uptake Initial weight
6. WATER VAPOUR PERMEABILITY (WVP) TEST 2
Water
vapor permeability can be determined with foam dressing method the air forced
oven is replaced by a natural air circulation oven. The WVP can be determined
by the following formula
WVP=W/A
Where,
WVP is expressed in gm/m2 per 24hrs, W is the amount of vapor
permeated through the patch expressed in gm/24hrs and A is the surface area of
the exposure samples expressed in m2.
7. DRUG CONTENT:
A
specified area of patch is to be dissolved in a suitable solvent in specific
volume. Then the solution is to be filtered through a filter medium and analyze
the drug contain with the suitable method (UV or HPLC technique). Each value
represents average of three different samples.
8. UNIFORMITY OF DOSAGE UNIT TEST 3
An
accurately weighed portion of the patch is to be cut into small pieces and
transferred to a specific volume volumetric flask, dissolved in a suitable
solvent and sonicate for complete extraction of drug
from the patch and made up to the mark with same. The resulting solution was
allowed to settle for about an hour, and the supernatant was suitably diluted
to give the desired concentration with suitable solvent. The solution was
filtered using 0.2 micro meter membrane filter and analyzed by suitable
analytical technique (UV or HPLC) and the drug content per piece will be
calculated.
9. POLARISCOPE EXAMINATION:
This
test is to be performed to examine the drug crystals from patch by polariscope. A specific surface area of the piece is to be
kept on the object slide and observe for the drugs crystals to distinguish
whether the drug is present as crystalline form or amorphous form in the patch.
10.
SHEAR ADHESION TEST:
This
test is to be performed for the measurement of the cohesive strength of an
adhesive polymer. It can be influenced by the molecular weight, the degree of crosslinking and the composition of polymer, type and the
amount of tackifier added. An adhesive coated tape is
applied onto a stainless steel plate; a specified weight is hung from the tape,
to affect it pulling in a direction parallel to the plate. Shear adhesion
strength is determined by measuring the time it takes to pull the tape off the
plate. The longer the time take for removal, greater is the shear strength
11.
PEEL ADHESION TEST:
In
this test, the force required to remove an adhesive coating form a test
substrate is referred to as peel adhesion. Molecular weight of adhesive
polymer, the type and amount of additives are the variables that determined the
peel adhesion properties. A single tape is applied to a stainless steel plate
or a backing membrane of choice and then tape is pulled from the substrate at a
180º angle, and the force required for tape removed is measured.
12.
THUMB TACK TEST:
It is
a qualitative test applied for tack property determination of adhesive. The thumb is simply pressed on the adhesive and the relative tack
property is detected.
13.
FLATNESS TEST 4
Three
longitudinal strips are to be cut from each film at different portion like one
from the center, other one from the left side, and another one from the right
side. The length of each strip was measured and the variation in length because
of non-uniformity in flatness was measured by determining percent constriction,
with 0% constriction equivalent to 100% flatness.
14. PERCENTAGE ELONGATION BREAK TEST 5
The
percentage elongation break is to be determined by noting the length just
before the break point, the percentage elongation can be determined from the
below mentioned formula.
Elongation
percentage = L1-L2 ×100
L2
Where,
L1is the final length of each strip and L2 is the
initial
length of each strip.
15.
ROLLING BALL TACK TEST 6
This
test measures the softness of a polymer that relates to talk. In this test,
stainless steel ball of 7/16 inches in diameter is released on an inclined
track so that it rolls down and comes into contact with horizontal, upward
facing adhesive. The distance the ball travels along the adhesive provides the
measurement of tack, which is expressed in inch.
16.
QUICK STICK (PEEL-TACK) TEST
In
this test, the tape is pulled away from the substrate at 90ºC at a speed of 12
inches/min. The peel force required breaking the bond between adhesive and
substrate is measured and recorded as tack value, which is expressed in ounces
or grams per inch width.
17.
PROBE TACK TEST:
In
this test, the tip of a clean probe with a defined surface roughness is brought
into contact with adhesive, and when a bond is formed between probe and
adhesive. The subsequent removal of the probe mechanically breaks it. The force
required to pull the probe away from the adhesive at fixed rate is recorded as
tack and it is expressed in grams.
18. IN VITRO DRUG RELEASE STUDIES:
The
paddle over disc method (USP apparatus V) can be employed for assessment of the
release of the drug from the prepared patches. Dry films of known thickness is
to be cut into definite shape, weighed, and fixed over a glass plate with an
adhesive. The glass plate was then placed in a 500-mL of the dissolution medium
or phosphate buffer (pH 7.4), and the apparatus was equilibrated to 32± 0.5°C.
The paddle was then set at a distance of 2.5 cm from the glass plate and
operated at a speed of 50 rpm. Samples (5- mL
aliquots) can be withdrawn at appropriate time intervals up to 24 h and
analyzed by UV spectrophotometer or HPLC. The experiment is to be performed in
triplicate and the mean value can be calculated.
19. IN VITRO SKIN PERMEATION STUDIES 7
An in
vitro permeation study can be carried out by using diffusion cell. Full
thickness abdominal skin of male Wistar rats weighing
200 to 250g. Hair from the abdominal region is to be removed carefully by using
a electric clipper; the dermal side of the skin was thoroughly cleaned with
distilled water to remove any adhering tissues or blood vessels, equilibrated
for an hour in dissolution medium or phosphate buffer pH 7.4 before starting
the experiment and was placed on a magnetic stirrer with a small magnetic
needle for uniform distribution of the diffusant. The
temperature of the cell was maintained at 32 ± 0.5°C using a thermostatically
controlled heater. The isolated rat skin piece is to be mounted between the
compartments of the diffusion cell, with the epidermis facing upward into the
donor compartment. Sample volume of definite volume is to be removed from the
receptor compartment at regular intervals, and an equal volume of fresh medium
is to be replaced. Samples are to be filtered through filtering medium and can
be analyzed spectrophotometrically or HPLC. Flux can be determined directly as
the slope of the curve between the steady-state values of the amount of drug
permeated (mg cm2) vs. time in hours and permeability coefficients
were deduced by dividing the flux by the initial drug load (mg cm2).
20. SKIN IRRITATION STUDY:
Skin
irritation and sensitization testing can be performed on healthy rabbits
(average weight 1.2 to 1.5 kg). The dorsal surface (50cm2) of the rabbit is to
be cleaned and remove the hair from the clean dorsal surface by shaving and
clean the surface by using rectified spirit and the representative formulations
can be applied over the skin. The patch is to be removed after 24 hr and the
skin is to be observed and classified into 5 grades on the basis of the
severity of skin injury.
21.
STABILITY STUDIES8
Stability
studies are to be conducted according to the ICH guidelines by storing the TDDS
samples at 40±0.5°c and 75±5% RH for 6 months. The samples were withdrawn at 0,
30, 60, 90 and 180 days and analyze suitably for the drug content.
CONCLUSION:
Transdermal drug delivery technologies are becoming one of the fastest
growing sectors with in the pharmaceutical industry, advances in drug delivery
systems have increasingly brought about rate control delivery with fewer side
effects as well as increased efficacy and constant drug delivery,the
market value for transdermal
delivery was $ 12.7 billion in 2005 and is expected to increase $ 31.5 billion
in the year 2015 suggesting a significant growth potential over the next 10
years.
REFRENCES:
1. Rhaghuram reddy k, Muttalik S and Reddy S. Once – daily sustained- release
matrix tablets of nicorandil: formulation and invitro evaluation. AAPS Pharm.Sci.Tech.
2003;4:4.
2. Shaila L, Pandey S and Udupa N. Design and evaluation of matrix type membrane
controlled Transdermal drug delivery system of nicotin suitable for use in smoking cessation. Indian Journ. Pharm. Sci. 2006;68: 179-184
3. Aarti N, Louk A.R.M.P, Russsel.O.P and Richard H.G. Mechanism of oleic acid
induced skin permeation enhancement in vivo in humans. Jour. control.
Release 1995; 37: 299-306.
4. Wade
A and Weller P.J. Handbook of pharmaceutical Excipients.
Washington, DC: American Pharmaceutical Publishing Association 1994; 362-366.
5. Lec S.T, Yac S.H, Kim S.W and Berner B. One way membrane for Transdermal
drug delivery systems / system optimization. Int. J Pharm. 1991; 77: 231 - 237.
6. Vyas S.P and Khar R.K. Targetted and controlled Drug Delivery Novel carrier
system1st Ed., CBS Publishers and distributors, New Delhi, 2002; 411- 447.
7. Singh
J, Tripathi K.T and SakiaT.R.
Effect of penetration enhancers on
the invitro transport of ephedrine through rate skin and human
epidermis from matrix based Transdermal formulations. Drug Dev.Ind. Pharm. 1993; 19:
1623-1628.
8. Wade
A, Weller P.J. Handbook of pharmaceutical
Excipients Washington, DC: American Pharmaceutical Publishing Association;
1994: 362- 366
Received on 02.12.2012
Modified on 20.12.2012
Accepted on 02.01.2013
© A&V Publication all right reserved
Research Journal of Pharmaceutical Dosage Forms and Technology. 5(1):
January- February, 2013, 12-16