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THE PHARMA REVIEW JUNE 2006

Transdermal Patches: What Pharmacists Need to Know?

Subal C Basak

Introduction: A Transdermal patch (TD patch) is a medicated adhesive patch that is placed on the skin to deliver a time released dose of drug through the skin and into the systemic circulation. The most common transdermal patch, popularly called the nicotine patch, contains nicotine and is used to quit the habit of tobacco smoking (smoking deterrent) and is the first TD patch on the Indian market. Transdermal patches have been available on the global market for more than 25 years as a successful alternative to systemic drug delivery for selected drug molecules, and are know as Transdermal Drug Delivery Systems (TDDS). They are also known as Transdermal Therapeutic Systems, abbreviated as TTS. The drug delivery mechanism is the passive diffusion of drug across the skin from this adhesive transdermal patch. Despite the relatively higher costs, the transdermal patches have proved advantageous for delivery of selected drugs, such as estradiol, ethinyl estradiol, clonidine, fentanyl, lidocaine, nicotine, nitroglycerin, norethindrone acetate, norelgestromin, oxybutynin, prilocaine, scopolamine, and testosterone. Since the first transdermal patch, scopolamine was approved in 1979 all the drug molecules mentioned above are available as approved transdermal products in American and European market. In India TD patches containing active drug molecule such as nicotine, estradiol, fentanyl, glyceryl trinitrate, and testosterone are available. Transdermal patches are utilized for mainly hormonal therapy, narcotic analgesia, antihypertensive & anti-emetic therapies, and smoking deterrent. Transdermal patches offer superior uniformity of drug concentrations in plasma throughout their duration of use. This results in reduced side effects and, sometimes, improved efficacy over other dosage forms.

The principal advantages of the transdermal patches include avoidance of biochemical degradation of the drug molecule in the gastrointestinal tract, variable gastrointestinal absorption and metabolism in liver, and reduced frequency of drug dosage for short acting drugs. The drug needs only once in 2/3 days or even a week from patch instead of several times a day. The major limitation of TDDS is the low skin permeability of most of the drugs. That is, the skin barrier limits the number of drugs that can be delivered by passive diffusion from the TD patch.

 

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