Types of Transdermal Drug Delivery Systems: A Literature Report of the Past decade

 

Lakunde Sathish Kumar Jyothika*, Hindustan Abdul Ahad, Chinthaginjala Haranath, Shaik Kousar, Hothur Dharani pal Gowd, Sampathikota Halima Sadiya

Department of Industrial Pharmacy, Raghavendra Institute of Pharmaceutical Education and Research (RIPER) - Autonomous, Ananthapuramu, Andhra Pradesh, India.

*Corresponding Author E-mail: jyothikalakunde@gmail.com

 

ABSTRACT:

The work is aimed at giving an overview of transdermal drug delivery systems (TDDS). In TDDS, an effective amount of a drug is applied across the skin at a controlled rate for the systemic effect. TDDS has become increasingly popular. In the last 30 years, it has been proposed as a potential new drug delivery system. These comprise more efficacious treatments and a reduced risk of adverse events; ensure safety; maintain steady-state plasma levels of drugs, while incapacitating the significant hitches of conventional oral dosage forms and parenteral preparations. It is best suited for diseases that require long-term, frequent dosing treatment. This review deals with drugs, polymers, and methods adopted in making TDDS in recent years by referring to reputed journals and textbooks. The authors succeed in gathering the information and the literature on the TDDS. The study concludes that the literature so far will help the researchers with a quick reference on the attempts so far made on TDDS.

 

KEYWORDS: Drug, patches, stratum corneum, polymer, transdermal.

 

 


INTRODUCTION:

Transdermal drug delivery systems (TDDS) allow drugs to be absorbed through the skin. There is no need to administer intravenous or oral medications to systemic or local organs. As a result, the drugs are delivered at a controlled ratio, which reduces the burden of intravenous administration and the loss caused by the first-pass effect of the liver. The stratum corneum and epidermal layer must be broken to develop formulations of TDDS1.

 

Besides preventing thrombosed entrance into the systemic circulation, TDDS also allows controlled and continuous administration of drugs with short biological half-lives. Motion sickness, nausea, and vomiting have been treated with TDDS since 1981. As a system for systemic drug administration, the transdermal patch has been approved as a form of delivery where no visible amounts of the drug can penetrate the skin.

 

Drugs were previously only administered trans dermally through passive patches that were dependent on their diffusion through the skin. Agents that are delivered across a barrier enable, in some ways, an extensive range of properties, including compounds with extremely challenging physical properties. In response, active patches for pain management, protein delivery, and immunization were developed. These patches are generally smaller and adhere better. TDDS is becoming an integral part of a novel drug delivery system. TDDS is defined as the application of self-controlled, distinct dosage forms to intact skin to deliver drugs at a controlled rate into the system. These include TDDSs that increase the rate of drug absorption, the rate of drug absorption, and ultimately the bioavailability of the drug. A TDDS delivers the drug trans dermally.

 

Components of Tdds:

The main components of TDDS are3:

Drug: The drug should be in the form of a solution, and it must be potent.

Liner: The patch is protected during storage. The liner has to be removed before using the patch.

Adhesive: The adhesive serves both to adhere the patch to the skin and to adhere the constituents of the patch together.

Rate controlling membrane: The reservoir adjusts the release of the drug

Backing layer: The patch is protected from the outside environment.

Permeation Enhancers: These are infusion promoters for drugs, which increase the entry of the drug into the blood

Matrix Fillers: Bulk to the matrix, and some act as matrix stiffening agents.

Other components: stabilizers, preservatives, etc.,

 

TYPES OF TDDS

TDDS patches are of the following types4:

 

Single-layer Drug-in-Adhesive:

The drug is also contained in the adhesive layer. The adhesive layer serves as both a binding agent and a mechanism to release the medication from the patch, as well as adhere the various layers of the patch together. It comes with a temporary liner and a backing that surround the adhesive layer.

 

Multi-layer Drug-in-Adhesive:

A multi-layer patch is an addition to a single-layer patch, adding layer of drug-in-adhesive between two membranes (but not always). In the first layer, the drug is released immediately, and in the second layer, it is released in a controlled manner. In addition to the permanent backing, the patch has a temporary liner. Drugs are released from this by a combination of diffusion and membrane permeability.

 

Reservoir type:

Over the single-layer and multilayer drugs-in-adhesive systems, the reservoir TDDS has a separate drug layer. In addition, there is an adhesive layer separating the drug layer from the liquid compartment. Polymer membranes made of vinyl acetate are used to control the rate of drug release on the surface of a shallow compartment made of metallic plastic laminate. There is also a backing layer on this patch. A zero-release rate is required for such a system.

 

Matrix type:

A semisolid matrix containing a drug suspension or solution forms the drug layer of the matrix system. The adhesive layer partially covers the drug layer in this patch. Monolithic devices are also known as patches.

 

Vapour Patch:

Vapour patches have an adhesive layer that adheres the several layers together as well as releases vapor. Essential oils are released from vapour patches for up to six hours and are chiefly used to relieve congestion. On the market, there are also vapour patches that improve sleep quality or help smokers quit.

 

Methodology in Making TDDS

The following are the methods do adopt for TDDS5

 

Asymmetric TPX membrane method:

Patch prototypes can be made. As a backing membrane, we will use heat-stable polyester film (type 1009, 3m) with a concave of 1 cm diameter (Chart 1).

 

Chart 1: Preparation method by Asymmetric TPX membrane method

 

Circular Teflon mould method:

This approach proceed as follows (chart 2)

 

Chart 2: Preparation method by Circular Teflon mould method

 

In a laminar flow hood model with an air speed of 0.5 m/s, the molds are placed on a flat surface and covered with an inverted funnel to prevent solvent vaporization. The solvent evaporates after 24h. To avoid aging effects, it is suggested that the desiccators contain silica gel for an additional 24h at 25±0.5°C before evaluating dried films. A week after preparing dried films should be sufficient for evaluation.

 

Mercury substrate method:

This approach is proceeded as follows (chart 3)

 

Chart 3: Mercury substrate method

 

IPM membranes method:

This tactic runs as described in chart 4.

 

Chart 4: IPM membranes method

 

EVAC method:

To prepare the target TDDS, 1% Carbopol Reservoir gel, Polyethylene (PE), ethylene vinyl acetate copolymer (EVAC) membranes can be used as rate control membranes. If the drug is insoluble in water, Propylene Glycol is used for the preparation of the gel (chart 5).

 

Chart 5: EVAC method

 

Aluminium supported adhesive film method:

When the loading dose is more than 10 mg, TDDS may produce uneven matrices. An aluminum-backed adhesive film is a suitable method. The solvent of choice is chloroform because most drugs and adhesives can be dissolved in it (chart 6).

 

Chart 6: Aluminium supported adhesive film method

 

ADVANTAGES OF TDDS:

TDDS have the following merits and pitfalls6, 7.

·       Avoids first-pass metabolism.

·       Gastrointestinal compatibility

·       Activity duration should be extended and predictable.

·       Reduce undesirable side effects.

·       Allows for the use of drugs with a short biological half-life and a narrow therapeutic window.

·       Enhance the efficacy of therapy.

·       With the removal of the patch, drug administration stops.

·       Patients who can’t take oral medications can take their medications by an alternate route.

·       Easy, non-invasive, and painless application increases patient compliance and comfort.

 

Disadvantages of TDDS:

·       Drugs can currently only be delivered in small, lipophilic quantities.

·       The patch size limits the amount of drug molecules, so they must be potent.

·       Very low or very high partition coefficients prevent drugs from reaching the bloodstream.

·       Due to their low miscibility in both water and fat, highly melting drugs can be given this way.

·       Drugs, adhesives, or other excipients in the patch formulation can cause erythema, itching, and local edema.

 

The past successful attempts so made in TDDS were illustrated in table 1.


 

Table 1: Hitherto approaches and methods adopted in making TDDS

Drug

Polymer

Type

Reference

Gatifloxacin

Carboxy Methyl Cellulose

Matrix

8Ullah et al., 2021

Gliclazide

Duro Tak 87-4098

Ionic liquid

9Zhou et al., 2021

Propranolol

Eudragit RL

Matrix

10Musazzi et al., 2021

Pregabalin

Hydroxypropyl methylcellulose (HPMC), Polyvinyl alcohol (PVA) and Polyvinylpyrrolidone (PVP)

Matrix

11Bhatia et al., 2021

Cissus quadrangularis

HPMC E-15

Matrix

12Das et al., 2021

Rotigotine

Duro Tak 87-2054 and Durotak 6908

Matrix

13Shailesh et al., 2020

Lornoxicam

HPMC

Matrix

14Sharma et al., 2020

Rasagiline Mesylate

Eudragit L 100

Matrix

15Hulyalkar et al., 2020

Piroxicam

HPMC, PVP and Ethyl Cellulose (EC)

Matrix

16Mahajan et al.,2020

Mefenamic acid

Eudragit RL

Matrix

17Suksaeree et al., 2019

Benzylpiperidine

Duro Tak 87-2516 and Duro Tak 87-2287

Matrix

18Ganti et al.,2019

Eptazocaine

Eudragit E

Matrix

19Furuishi et al.,2019

Estrogen

Chitosan

Matrix

20Chauhan et al., 2019

Tetrahydro Curcumin

Poly (ethylene glycol) poly(ε-caprolactone) copolymers (PEG-PCL)

Matrix

21Rramaswamy et al., 2018

Timolol

Ethyl Cellulose and EudragitRS-100

Matrix

22Panchayya et al.,2018

Ketoprofen

PEG 400, PVP K30

Matrix

23Yani et al., 2018

Nicotine

Ethyl cellulose and Eudragit RL-100

Matrix

24Sunitha et al., 2018

Ibuprofen

Poly Urethane Ether

Matrix

25Tombs et al., 2018

Topiramate

Eudragit L-100

Matrix

26Cherukuri et al., 2017

Fentanyl

Eudragit L 100, HPMC K 4 M and HPMC K15M

Matrix

27Sandhya et al., 2017

Irbesatran

Poly Vinyl alcohol

Matrix

28Srilakshmi et al., 2017

Seligiline

(HPMC), PVA and Methyl Cellulose (MC)

Matrix

29Sandip et al., 2017

Rivastigmine

Chitosan

Matrix

 30Sadeghi et al., 2016

Atenolol

HPMC K4M and PVP

Matrix

31Budhathoki et al.,2016

Tamoxifen

Poly Sebacic Acid- co-ricinoleic acid

Reservoir

32Saleem et al.,2016

Mentha

Chitosan

Reservoir

33Saleem et al., 2016

Doneprazil

Eudragit S-100 and HPMC

Matrix

34Madan et al., 2015

Fluoxetine

Duro Tak 87-502

Matrix

35Jung et al., 2015

Isosorbid Dinitrate

Polyethylene and Ethylene-vinyl acetate (EVAC)

Reservoir

36Zhan et al., 2015

Zingiber

Chitosan

Reservoir

37Suksaeree et al., 2015

Cefdinir

Polymethacrylate and PVP

Matrix

38Kanabar et al., 2015

Insulin

HPMC and PVP K30

Matrix

39Sadhasivam et al., 2015

Nitroglycerine

Duro-Tak 2516 and Duro-Tak 2054

Matrix

40Savoji et al., 2014

Lidocaine

Lysine modified Chitosan

Matrix

41Wang et al., 2013

Stavudine

Eudragit RX-100 and Eudragit RL-100

Matrix

42Kumar et al.,2013

Ondansetron

PVA and PVP

Matrix

43Mohd et al., 2012

Fexofenadine

HPMC and EC

Matrix

44Chaudhary et al., 2012

Scopolamine

Hydroxy Propyl Cellulose

Matrix

 45Shaoul et al.,   2012

Clonidine

(Eudragit L-100-55 PVP K-30, 3:1)

Matrix

 46Verma et al., 2012

Aceclofenac

Ethyl Cellulose

Matrix

 47Patel et al., 2012

Aspirin

HPMC

Reservoir

48Banerjee et al., 2012

Budesonide

Eudragit RL 100, Ethyl Cellulose and PVP

Matrix

 49Lade et al., 2011

Repaglinide

HPMC K100 and PVP

Matrix

50Prajapati et al.,   2011

Nifedipine

PVA and PVP

Matrix

51Ahmed et al., 2010

Curcumin

HPMC and Ethyl Cellulose

Matrix

52Saraswathi et al., 2010

Flurbiprofen

HPMC

Reservoir

53Charoo et al., 2008

Glipizide

PVP, Eudragit RL-100 and Eudragit RS-100

Matrix

54Mutalik et al., 2006

Metoclopramide

PVA and PVP

Matrix

55Saxena et al, 2006

Ephedrine

Eudragit RL-100 and Eudragit RS-100

Reservoir

56Jain et al., 1990

 


CONCLUSION:

TDDS has gained realistic potential as the next-generation drug delivery system for the prolonged, controlled release of both hydrophobic and hydrophilic drugs, efficiently addressing the low oral bioavailability and inconvenience of injections. Future research will be aimed at better transdermal device design with a greater understanding of the different mechanisms of biological interactions with permeation enhancers and improving the flux for a wide variety of molecules, especially macromolecules and vaccines, using cost-effective, novel physical enhancement techniques along with the existing chemical enhancers.

 

ACKNOWLEDGMENTS:

The authors are thankful to RIPER management for the encouragement.

 

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Received on 20.11.2021         Modified on 09.01.2022

Accepted on 24.01.2022   ©AandV Publications All Right Reserved

Res.  J. Pharma. Dosage Forms and Tech.2022; 14(2):157-162.

DOI: 10.52711/0975-4377.2022.00025