Synergistic Effect of Enhancers for Transdermal Drug Delivery

Transdermal drug delivery offers a non-invasive route of drug administration, although its applications are limited by low skin permeability. Various enhancers including iontophoresis, chemicals, ultrasound, and electroporation have been shown to enhance transdermal drug transport. Although all these methods have been individually shown to enhance transdermal drug transport, their combinations have often been found to enhance transdermal transport more effectively than each of them alone. This paper summarizes literature studies on these combinations with respect to their efficacy and mechanisms.

[1]  R. Potts,et al.  Effect of Electroporation on Transdermal lontophoretic Delivery of Luteinizing Hormone Releasing Hormone (LHRH) in Vitro , 1994, Pharmaceutical Research.

[2]  Russell O. Potts,et al.  Evidence that Oleic Acid Exists in a Separate Phase Within Stratum Corneum Lipids , 1991, Pharmaceutical Research.

[3]  M. Prausnitz,et al.  Macromolecules as Novel Transdermal Transport Enhancers for Skin Electroporation , 1997, Pharmaceutical Research.

[4]  B. W. Barry,et al.  Skin absorption enhancers. , 1992, Critical reviews in therapeutic drug carrier systems.

[5]  A. Ghanem,et al.  Transdermal iontophoretic drug delivery: mechanistic analysis and application to polypeptide delivery. , 1989, Journal of pharmaceutical sciences.

[6]  T. Freeman,et al.  Effect of penetration enhancers and iontophoresis on the ultrastructure and cholecystokinin-8 permeability through porcine skin. , 1997, Journal of pharmaceutical sciences.

[7]  T. Franz Percutaneous Absorption: Mechanisms—Methodology—Drug Delivery , 1990 .

[8]  Y. Kalia,et al.  Iontophoresis: electrorepulsion and electroosmosis. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[9]  K. Bhatia,et al.  Synergistic effect of iontophoresis and a series of fatty acids on LHRH permeability through porcine skin. , 1998, Journal of pharmaceutical sciences.

[10]  R. Guy,et al.  Iontophoretic delivery of piroxicam across the skin in vitro , 1992 .

[11]  S. Singh,et al.  Transdermal iontophoresis: effect of penetration enhancer and iontophoresis on drug transport and surface characteristics of human epidermis. , 1995, Current problems in dermatology.

[12]  J. Fang,et al.  Transdermal iontophoretic delivery of diclofenac sodium from various polymer formulations: in vitro and in vivo studies. , 1999, International journal of pharmaceutics.

[13]  R. Guy,et al.  Sonophoresis. II. Examination of the Mechanism(s) of Ultrasound-Enhanced Transdermal Drug Delivery , 1992, Pharmaceutical Research.

[14]  R. Guy,et al.  Sonophoresis. I. The Use of High-Frequency Ultrasound to Enhance Transdermal Drug Delivery , 1992, Pharmaceutical Research.

[15]  J. Weaver,et al.  Creation of transdermal pathways for macromolecule transport by skin electroporation and a low toxicity, pathway-enlarging molecule. , 1999, Bioelectrochemistry and bioenergetics.

[16]  Samir Mitragotri,et al.  Transdermal Drug Delivery Using Low-Frequency Sonophoresis , 2004, Pharmaceutical Research.

[17]  J. Weaver,et al.  Spatially constrained skin electroporation with sodium thiosulfate and urea creates transdermal microconduits. , 1999, Journal of controlled release : official journal of the Controlled Release Society.

[18]  S. Mitragotri,et al.  Combined Effect of Low-Frequency Ultrasound and Iontophoresis: Applications for Transdermal Heparin Delivery , 2000, Pharmaceutical Research.

[19]  Y. Kalia,et al.  Interaction between penetration enhancers and iontophoresis: effect on human skin impedance in vivo , 1997 .

[20]  H. Zhu,et al.  Mechanistic aspects of iontophoresis in human epidermal membrane. , 1999, Journal of controlled release : official journal of the Controlled Release Society.

[21]  Jagdish Singh,et al.  Effect of penetration enhancers and iontophoresis on the FT-IR spectroscopy and LHRH permeability through porcine skin , 1997 .

[22]  G. A. Hofmann,et al.  The effect of electroporation on iontophoretic transdermal delivery of calcium regulating hormones. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[23]  A. Urtti,et al.  Chemical enhancement of percutaneous absorption in relation to stratum corneum structural alterations. , 1999, Journal of controlled release : official journal of the Controlled Release Society.

[24]  W. Higuchi,et al.  Iontophoresis of polypeptides: effect of ethanol pretreatment of human skin. , 1990, Journal of pharmaceutical sciences.

[25]  S. Mitragotri,et al.  Synergistic effects of chemical enhancers and therapeutic ultrasound on transdermal drug delivery. , 1996, Journal of pharmaceutical sciences.

[26]  Y. Chien,et al.  Enhancement of the in Vitro Skin Permeability of Azidothymidine (AZT) via Iontophoresis and Chemical Enhancer , 2004, Pharmaceutical Research.

[27]  S. Jeong,et al.  Enhanced transdermal delivery of AZT (Zidovudine) using iontophoresis and penetration enhancer. , 1998, Journal of controlled release : official journal of the Controlled Release Society.

[28]  Seung Hun Lee,et al.  The Pretreatment Effect of Chemical Skin Penetration Enhancers in Transdermal Drug Delivery Using Iontophoresis , 1999, Skin Pharmacology and Physiology.

[29]  J. Weaver,et al.  Heparin alters transdermal transport associated with electroporation. , 1997, Biochemical and biophysical research communications.

[30]  K. Knutson,et al.  Physicochemical aspects of transdermal permeation , 1987 .

[31]  Aarti Naik,et al.  Iontophoretic drug delivery. , 2004, Advanced drug delivery reviews.

[32]  M. Prausnitz Reversible skin permeabilization for transdermal delivery of macromolecules. , 1997, Critical reviews in therapeutic drug carrier systems.

[33]  P. Ramarao,et al.  Effect of Azone on the iontophoretic transdermal delivery of metoprolol tartrate through human epidermis in vitro , 1996 .

[34]  S. Mitragotri,et al.  Synergistic effect of low-frequency ultrasound and sodium lauryl sulfate on transdermal transport. , 2000, Journal of pharmaceutical sciences.

[35]  N. Yata,et al.  Iontophoretic Transdermal Delivery of Salicylic Acid Dissolved in Ethanol-Water Mixture in Rats , 1999, Skin Pharmacology and Physiology.

[36]  S. Mitragotri,et al.  A mechanistic study of ultrasonically-enhanced transdermal drug delivery. , 1995, Journal of pharmaceutical sciences.

[37]  J. Weaver,et al.  Electroporation of mammalian skin: a mechanism to enhance transdermal drug delivery. , 1993, Proceedings of the National Academy of Sciences of the United States of America.

[38]  K. Tachibana Transdermal Delivery of Insulin to Alloxan-Diabetic Rabbits by Ultrasound Exposure , 1992, Pharmaceutical Research.

[39]  A. Urtti,et al.  Influence of lipids on the mannitol flux during transdermal iontophoresis in vitro. , 2000, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[40]  Samir Mitragotri,et al.  Synergistic Effect of Electric Field and Ultrasound on Transdermal Transport , 1996, Pharmaceutical Research.

[41]  K. Bhatia,et al.  Effect of linolenic acid/ethanol or limonene/ethanol and iontophoresis on the in vitro percutaneous absorption of LHRH and ultrastructure of human epidermis. , 1999, International journal of pharmaceutics.

[42]  S. Mitragotri,et al.  Ultrasound-mediated transdermal protein delivery , 1995, Science.

[43]  T. R. Krishnan,et al.  Transdermal delivery of cyclosporin-A using electroporation. , 1998, Journal of controlled release : official journal of the Controlled Release Society.