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Computational and Theoretical Polymer Science 10 (2000) 391–401

Processes of drug transfer with three different polymeric systems with


transdermal drug delivery
E.M. Ouriemchi, J.M. Vergnaud*
Laboratory of Materials and Chemical Engineering, Department of Chemistry, University of Saint-Etienne, 23 Dr P. Michelon, Saint-Etienne 42023, France
Received 6 July 1998; received in revised form 1 September 1999; accepted 11 October 1999

Abstract
The transdermal drug delivery exhibits two main advantages over the conventional oral delivery, by-passing the hepatic first-pass, and
maintaining the plasma drug level at a plateau over a long period of time. The role of the transdermal therapeutic systems is to apply a
constant drug concentration on the skin for a long time, while the skin acts as a membrane. Thus the drug transfer through the skin reaches a
constant rate under stationary conditions after a short time under transient conditions. Three transdermal therapeutic systems are considered:
a monolithic device made of a polymer containing the drug; this monolithic device in contact with a drug reservoir; a porous polymer
containing the drug. The monolithic device can maintain a constant drug delivery only when the diffusivity of the drug through this polymer
is very high. In association with a reservoir, this device becomes more efficient. The system made of a porous polymer with convective
transfer of the drug appears to be more effective, providing a constant drug concentration on the skin surface, which is responsible for a
constant rate of drug transfer through the skin and a constant plasma drug level over a long period of time. 䉷 2000 Elsevier Science Ltd. All
rights reserved.
Keywords: Transdermal therapeutic system; Polymer; Diffusion; Convection; Modeling

1. Introduction on the system and on the pharmacokinetic parameters of the


drug, stationary conditions are attained with a state of equi-
A transdermal therapeutic system (TTS) delivers the drug librium between absorption in the plasma and elimination of
systematically into the circulatory system of the patient the drug. When the TTS is removed, the plasma concentra-
through the skin. Its main role is to apply the drug to the tion falls at a rate which is determined by the half-life of the
patient’s skin at a given concentration. Working by a drug and its rate of elimination [1].
process of molecular diffusion, the TTS must release the By now, TTS has gone mainstream and several com-
drug into the skin to the subcapillary plexus at a rate, panies are established, dedicated to advance transdermal
which remains constant as long as the diffusion gradient controlled-release technologies. Although polymer matrix
between the system and the skin is maintained. As soon as bandage formulations for topical delivery of antibiotics
the TTS is applied to the skin, a relatively large quantity of have been known since at least as early as the 1950s, it is
drug is delivered, saturating the binding sites of the skin, about 25 years since Alza’s first controlled-release trans-
penetrating the barriers of the stratum corneum, the living dermal delivery system patents were issued. The Alza
epidermis and the dermis, and then reaching the blood- patents were the first to describe the use of membranes to
stream in the stage of absorption. The drug concentration control the rate of drug delivery to the skin. In 1979, the first
in the plasma, then, increases up to a level which remains commercial transdermal nitroglycerin systems went on sale:
constant as long as the TTS is maintained and delivers the Transderm-Nitro QD in the USA from Alza-Ciba Geigy, or
drug at a constant rate; this fact results from the stages of Nitro-Dur from Key Pharmaceuticals [2]. Since then only a
absorption in the plasma compartment and elimination of few more drugs have been found that can be delivered trans-
the drug, which are controlled by first-order kinetics [1]. dermally.
Thus, after a transient period of a few hours, which depends It is now well established that TTS offer a unique com-
bination of therapeutic advantages:
* Corresponding author. Tel.: ⫹ 33-04-77481568; fax: ⫹ 33-04-
77251817. (i) The drug metabolism is reduced because the liver is
E-mail address: vergnaud@univ-st-etienne.fr (J.M. Vergnaud). initially bypassed.
1089-3156/00/$ - see front matter 䉷 2000 Elsevier Science Ltd. All rights reserved.
PII: S1089-315 6(00)00003-9
392 E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401

Nomenclature
Cx;t Drug concentration at position x and time t
Cin Initial concentration of drug
DTT Diffusivity of the drug in the polymer device
Ds Diffusivity of the drug in the skin
Ft Rate of drug transferred through the skin at time t
h Coefficient of convective transfer of drug out of the skin after removal of the TTS
ka Rate constant of absorption of the drug in the plasma (h ⫺1)
ke Rate constant of elimination of the drug out of the plasma (h ⫺1)
LTT Thickness of the polymer device
Ls Thickness of the skin
Mt Amount of drug transferred through the skin
T Time
Vp Plasmatic volume of the rat
x Position in the TTS-skin system
X Amount of drug in the dermis
Y Amount of drug in the plasma

(ii) The risk of overdosage when the drug enters the the drug, acting either on the diffusivity or the solubility of
plasma is avoided. In contrast with the oral dosage form the drug [5–9].
which gives rise to a maximum of the drug concentration In fact the problem of understanding the mechanism of
or peak, the plasma drug level when delivered by TTS transfer through the epidermis is highly complex [10]. The
increases regularly up to a plateau. The side effects asso- other way of increasing the permeability of the skin consists
ciated with these drug concentration peaks are thus of using the transdermal iontophoresis by applying a poten-
reduced. tial electrical gradient between the skin site and another
(iii) Variables which can affect the gastro-intestinal (GI) place on the body with two electrodes. The electrode on
absorption of oral dosage forms are circumvented. the skin site bears the same charge of the drug ion, and
Especially, the time over which the drug is delivered the movement of these ions through the skin is brought
can exceed the GI tract time. about by using an appropriate direct/alternating current
between the two electrodes. Of course the technique of
Despite the obvious advantages of TTS and the consider- transdermal iontophoresis is useful for drugs which are
able research and development expense in the transdermal predominantly ionized [11–13]. It must be noted that
product development and skin research field, progress to some interactions may occur between penetration enhancers
bring more TTS to market has been very slow [2]. It is and iontophoresis [14].
clear that for most drugs, with a few exceptions, like, alka- The TTS with the patch also plays a role. On the whole,
loids such as nicotine, the skin plays the role of a significant the TTS systems can be divided into two broad categories
barrier that must be overcome, as the drug has to reach the with the monolithic and the reservoir systems. In a mono-
bloodstream. The skin is relatively impermeable to most lithic system, the TTS has three layers, an impermeable
substances and for that reason it had been considered an backing, an intermediate polymer matrix containing the
inappropriate site for the administration of drug until 1980 drug, and a skin adhesive layer, which is attached to a
[3]. Another disadvantage is that the thickness of skin varies release liner before using. In this type of system, the matrix
in different parts of the body as well as among individuals. polymer is designed to control the drug diffusion from the
The stratum corneum is the principal barrier against many system. Initially the drug is uniformly distributed through-
substances, in contrast with the living epidermis and the out the polymer matrix. When the system is placed on the
dermis [4]. The stratum corneum can be described as a skin, the drug permeates into the skin, provoking a decrease
heterogeneous two-phase membrane with lipophilic and in the drug concentration on the surface in contact with the
hydrophilic elements, and this layer determines the rate of skin. It stands to reason that the value of the diffusivity of
drug penetration. the drug through the polymer as compared to that in the
Two main ways are followed to increase the permeability skin, plays a major role on the rate of drug transport through
of the stratum corneum to drugs: using enhancers or trans- the skin and on the plasma drug level. With the reservoir
dermal iontophoresis. Only a short literature survey is made system, the impermeable backing layer is sealed to a rate-
here on these subjects to give an idea of the problems and controlling membrane layer. The volume between the back-
their potential solutions. Some chemicals can play the role ing and membrane is the reservoir. The drug is usually
of enhancers by increasing the permeability of the skin to contained within the reservoir in a liquid or gel carrier
E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401 393

of the report on oral dosage forms concluded that no mean-


ingful correlations were obtained at that time [24,25]. It is
worth noting that the model used in this paper is similar to
that built for calculating the drug transfer from the plasma to
blister fluid [26] which is the problem of drug transfer in the
opposite direction; the transfer from the plasma into the
blister fluid was considered as a diffusional transfer through
the tissues and the diffusivity as a ratio of the tissue (thick-
ness) 2 evaluated, has the (time) ⫺1 equation of dimension
and thus is similar to a rate constant of elimination. The
drug concentration in the blister fluid and its change with
time was found to be in good agreement with those obtained
from experiments [27]; the drug concentration follows that
of the plasma with a lag time, meaning that the diffusional
transfer is reversible. In the same way, a similar model with
the two stages of absorption into and elimination of the drug
out of the plasma was built and successfully tested for intra-
muscular delivery of Aspegic [28]; the drug transfer by
diffusion through the tissue was thus successfully expressed
by a first-order kinetics of absorption, and the rate constant
of absorption was found to be the same as that used for oral
dosage forms.

2. Theoretical
Fig. 1. Scheme of the process (up). Scheme of the three TT system (down): The process of drug transfer is considered firstly through
(1) TTS with polymer and diffusion. (2) TTS with polymer and reservoir.
(3) TTS with porous polymer and convection.
the TT systems in contact with the skin, as it is determined
through in vitro tests. Secondly, the plasma drug level is
phase. The membrane is adhered to the skin adhesive. The calculated.
drug release is controlled by the rate-controlling membrane
layer, which can be achieved either by diffusion or by 2.1. Drug transfer through the transdermal therapeutic
convection. system and skin
The first objective of this paper is to calculate the rate of The following three TT systems are examined in succes-
drug transferred through the skin with these different sion: the TT diffusional system made of a polymer contain-
systems. The results can be expressed in terms of profiles ing the drug; the TT system made of a reservoir and a
of drug concentration developed through the TTS and the diffusional membrane; the TT system consisting of a porous
skin and of kinetic of drug transfer through the skin. The polymer with a convectional drug transfer (Fig. 1).
theoretical results are compared to some experimental
results obtained through in vitro experiments which are
2.1.1. Transdermal therapeutic system with a polymer alone
clearly and precisely defined [15]. Thus the effect of the
TTS system and of the nature of the polymers used as the
2.1.1.1. Assumptions. The following assumptions are
rate-controlling membrane can be evaluated.
made:
As the purpose of these systems is to deliver the drug in
the plasma, the plasma drug level is assessed by using a (i) The drug concentration is initially uniform in the poly-
numerical model taking the known facts into account [16]: mer membrane.
the diffusion of the drug through the TTS and the skin, the (ii) The TT system and skin are in good contact.
stage of absorption into the plasma and the stage of elim- (iii) Initially, the skin is free from drug.
ination. This model is tested by comparing the plasma drug (iv) The drug concentration on the skin surface is the
level assessed with that obtained from experiments using same with the three TT systems, in order to make compar-
Metoprolol as the drug [15,16]. This way of calculating ison more easily. Moreover the drug concentration in the
the plasma drug level has been developed for oral dosage polymer is also the same in the three TT systems.
forms with controlled release [17–19]. In vitro/in vivo (v) The process of drug transfer is controlled by diffusion
correlations have also been made for the transdermal deliv- either in the TTS and skin with constant diffusivities in
ery [6,20] in the same way as for oral dosage forms with both these media.
controlled release [21–23]. It must be said that some authors (vi) The drug concentration at the inside of the skin is
394 E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401

very low, as the drug is absorbed in the plasma with a skin is:
first-order kinetics. DCin C L
Mt ˆ t ⫺ in s
Ls 6
2.1.1.2. Mathematical treatment. The equation of !
2Cin Ls X∞
…⫺1†n n2 p 2
unidirectional diffusion is: ⫺ exp ⫺ 2 Dts …3†
p 2
nˆ1 n 2 Ls
2C 22 C
ˆD 2 …1† When the drug transfer proceeds, the amount Mt tends to the
2t 2x asymptotical line
with a diffusivity DTT and Ds in each medium. !
DCin L2s
Mt ˆ t⫺ …4†
Ls 6Ds
2.1.2. Transdermal therapeutic system with a polymer and
which intercepts the time-axis at:
reservoir
L2s
2.1.2.1. Assumptions. The assumptions from (i) to (vi) still tˆ : …5†
6Ds
hold, with another one resulting from the presence of the
reservoir which maintains the drug concentration constant
on the external surface of the TTS. 2.2. Drug transfer into the plasma

(vii) The drug concentration is constant on the side of 2.2.1. Assumptions


TTS opposite to the skin. The following assumptions are made:
(i) The drug is delivered in the dermis at a rate which
2.1.2.2. Mathematical treatment. The problem is resolved depends on time Ft :
with a numerical model. In fact this model, able to give the (ii) The drug is then absorbed in the plasma through a
rate Ft of drug crossing the skin at time t, is extended to the first-order kinetics with the rate constant of absorption ka
drug transfer in the plasma, as shown in Section 2.2. [16]. This assumption is the same as that made for the
drug transfer in the plasma with the other ways of drug
delivery, oral [17–19], intramuscular [28], which proved
2.1.3. Transdermal therapeutic system with the process of successful.
convective transfer (iii) The drug in the plasma is eliminated through a first-
order kinetics with the rate constant of elimination ke.
2.1.3.1. Assumptions. The following assumptions are:
(i) The drug concentration is maintained constant 2.2.2. Mathematical treatment
throughout the TTS. The following stages are considered in succession.
(ii) The skin is initially free from drug. The amount of drug in the dermis, X, is expressed by:
(iii) Good contact is obtained between the TTS and skin.
dX
(iv) The drug concentration on the side of the skin oppo- ˆ F t ⫺ Ka X …6†
site to the TTS is maintained to a low value, as the drug is dt
absorbed in the plasma with a first-order kinetics. The amount of drug in the plasma, Y, is obtained with:
dY
ˆ ka X ⫺ Ke Y …7†
2.1.3.2. Mathematical treatment. This is the well-known dt
problem of the membrane with a constant concentration A problem appears for calculating the plasma drug level
maintained on each side [29] (the skin of thickness Ls is after removal of the patch [16]. Three assumptions have
thus maintained between Cin and 0). been tested previously:
The drug concentration through the skin is given by:
(i) By putting ka ˆ 0 at the time of the patch removal,
  meaning that the drug located in the skin remains in it.
X
Cx;t ˆ Cin 1 ⫺ (ii) By keeping ka constant and the gradient of concen-
Ls
tration equal to zero at the external surface of the skin;
! this means that all the drug located in the skin is delivered
2Cin X

1 npx n2 p 2
⫺ sin exp ⫺ 2 Dt …2† into the plasma.
p nˆ1 n Ls Ls (iii) Another assumption was made by telling that only a
part of the drug initially located in the skin is delivered
and the amount of drug which emerges at the inside of the into the plasma, the other part being eliminated through
E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401 395

Table 1 attention is focused on the process of drug transfer through


Parameters concerned with the Metoprolol transfer [15,16] the TT system, and the consequence not only upon the
Skin Ds ˆ 2:2 × 10⫺8 cm2 =s Ls ˆ 0:038 cm kinetics of drug delivered to the patient, but also upon the
TTS Cin ˆ 0:036 g=cm3 h ˆ 6 × 10⫺6 cm=s plasma drug level.
Drug ka ˆ 1:1=h ke ˆ 0:78=h V ˆ 51 In order to simplify the presentation of the results, the
partition factor K which can appear at the TTS-skin inter-
face, meaning that the drug concentration on the skin
the external side of the skin. It is expressed by the relation: surface is K times that on the TTS surface, is taken as 1 in
all cases.
2C
t ⱖ tr xˆ0 D ˆ hCi;t …8† The parameters determined from the early paper by
2x Ghosh et al. [15], are shown in Table 1.
where h is a coefficient of convective transfer of the drug out From the kinetics of drug transfer through the skin, by
of the skin and Ci; t is the drug concentration on the external considering the slope of the asymptote and the intercept of
surface of the skin and tr is the time of patch removal. this asymptote with the time-axis, using Eqs. (6) and (7),
and the knowledge of the thickness of the skin of
0.038 cm, the values of the diffusivity through the
2.2.3. Numerical treatment skin Ds and the constant concentration Cin in TTS are
As no analytical solution exists, the problem of drug evaluated [16].
transfer in the plasma is resolved by using a numerical
method [16]. 4.1. Transdermal therapeutic system with diffusion-process
control without reservoir

3. Experimental This is perhaps the simplest TT system, where the drug is


located in a polymer matrix. Thus the drug diffuses through
Experiments described in a previous paper by other work- the polymer matrix and through the skin with a constant
ers [15] are summarized. diffusivity which can be the same or different.
Metroprolol (MP) was chosen for the drug, because it is
subjected to extensive hepatic first-pass metabolism following 4.1.1. Drug transfer through the transdermal therapeutic-
oral administration and has a short biological half-life [15]. skin system
The patch was prepared in the Ghosh laboratory by The results are expressed in two ways: with the profiles of
mixing MP with a polyacrylate adhesive, and a uniform drug concentration developed through the TTS-skin system,
layer 0.12 cm thick was made on Scotch Pack 1006 (3M and with the kinetics of drug transfer in the dermis.
Company, USA). The system was cured at room tempera- The profiles of drug concentration are drawn in the TTS-
ture. This laminate was covered by a release liner Scotch skin system (Fig. 2) when the diffusivities are different in
Pack 1022 (3M Company). For transdermal application the TTS and the skin (diffusivity in the TTS ˆ 4:4 ×
10 cm 2 pieces were cut out. 10⫺6 cm2 =s†: The kinetics of drug transfer into the dermis
In vitro permeation through the full-thickness hairless rat are drawn (Fig. 3) for different values of the diffusivity in
skin was determined [15] using a Valia-Chien glass diffu- the TTS (1: DTT ˆ 4:4 × 10⫺5 cm2 =s; 2: DTT ˆ
sion, leading to the kinetics of transfer through the skin, 4:4 × 10⫺6 cm2 =s; 3: DTT ˆ 4:4 × 10⫺7 cm2 =s; 4: DTT ˆ
expressed in Eq. (3). 2:2 × 10⫺8 cm2 =s†:
Bioavailability studies were made on various rats by The following observations are drawn from these curves:
measuring the plasma concentration–time profile after
either an intravenous (IV) injection or an oral administration (i) The profiles of drug concentration developed through
of MP. the TTS-skin system (Fig. 2) afford a further insight into
Transdermal administration of MP via the patch was the nature of the process of drug transfer controlled by
made by application of the patch for 25 h and removal of diffusion.
the device, leading to a plasma concentration–time history (ii) The drug concentration progresses continuously
[15]. through the skin, under transient conditions. After a
time around 1 h, the drug reaches the dermis (Fig. 2).
(iii) After a time higher than 6 h, the drug concentration
4. Results becomes nearly uniform in the TTS and tends to be linear
through the skin.
The three types of TT systems are investigated, by (iv) The drug concentration decreases regularly with time
considering in succession the profiles of drug concentration in the TTS, as well as on the skin surface in contact with
developed through the TTS and the skin, the kinetics of drug the TTS. This is the main result shown in Fig. 2.
transferred through the skin, and the plasma drug level asso- (v) The kinetics of drug transfer in the dermis exhibit a
ciated with the drug delivery with each TT system. Thus typical pattern which follows the drug concentration
396 E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401

Fig. 2. Profiles of drug concentration through the TTS and skin, with a polymer alone. Initial drug concentration: 0.036 g/cm 3. Thickness of the patch: 0.12 cm,
of the skin: 0.038 cm. DTT ˆ 4:4 × 10⫺6 cm2 =s: Ds ˆ 2:2 × 10⫺8 cm2 =s:

profiles in the TTS-skin system. For instance, with the (vii) The effect of the value of the diffusivity on the
value of the diffusivities in the TTS of 4:4 × 10⫺6 used in kinetics of drug transfer in the dermis also appears (Fig.
Fig. 2, the kinetics (2) in Fig. 3 follows that obtained in 3), with the obvious statement: the higher the diffusivity
experiments [15], only at the beginning of the process in the TTS, the higher the kinetics of drug delivery in the
when the concentration in the TTS and on the skin surface dermis.
has not decreased so much below the value of Cin ˆ (viii) As proved previously [16], after removal of the
0:036 g=cm3 : patch, the third assumption with Eq. (8) is able to give
(vi) When the concentration in the TTS has decreased a good agreement between the experimental and calcu-
significantly below this concentration of 0.036 g/cm 3, lated plasma drug level. The value of the coefficient of
the slope in Fig. 3, which represents the kinetics of convective transfer h is shown in Table 1. This assump-
drug transfer continuously decreases. tion means that after the removal of the patch, only a part

Fig. 3. Kinetics of drug transfer through the skin, for various values of the diffusivity in the polymeric device: DTT; 4:4 × 10⫺5 cm2 =s …1†; 4:4 × 10⫺6 cm2 =s …2†;
4:4 × 10⫺7 cm2 =s …3†; 2:2 × 10⫺8 cm2 =s …4†: Ds ˆ 2:2 × 10⫺8 cm2 =s: Ls ˆ 0:038 cm:
E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401 397

Fig. 4. Plasma drug profiles obtained with the polymeric device, and various diffusivity in the polymer: experiments: S Calculated (full line) with the
diffusivity DTT: 4:4 × 10⫺5 cm2 =s …1†; 4:4 × 10⫺6 cm2 =s …2†; 4:4 × 10⫺7 cm2 =s …3†; 2:2 × 10⫺8 cm2 =s …4†: Drug: Metopolol. ka ˆ 1:1=h: ke ˆ 0:78=h: Vp ˆ 51:

of the drug previously located in the skin is delivered into 4.2.1. Drug transfer through the therapeutic transdermal-
the plasma. skin system
The results are expressed in terms of the profiles of
concentration attained under stationary conditions in the
4.1.2. Plasma drug profiles TTS-skin system (Fig. 5) and of the kinetics of drug transfer
The plasma drug concentrations are drawn in Fig. 4 for through the skin (Fig. 6).
various values of the diffusivity of the drug through the The profiles of the concentration attained under the
TTS, leading to the following comments: nearly stationary conditions through the TTS-skin thick-
(i) At the beginning of the process, e.g. up to 3 h, the ness are drawn (Fig. 5) for various values of the diffu-
kinetics determined by calculation follow that obtained sivity in the TTS and for a constant drug concentration
from experiment. …Cin ˆ 0:036 g=cm3 † on the external surface of the TTS.
(ii) After this time interval of 3 h, when the drug The kinetics of drug transfer through the skin are also
concentration on the TTS surface in contact with the drawn (Fig. 6) for the same values of the diffusivity in
skin has decreased significantly, the plasma drug the TTS and the experimental values [15] are also
profiles obtained by calculation are below that obtained shown.
from experiment. A few comments are worth noting from these curves:
(iii) The effect of the diffusivity in the TTS on the
plasma drug profile is a consequence of the results (i) Of course, the linear gradients of drug concentration
shown in Figs. 2 and 3. are inversely proportional to the values of the diffusivity
(iv) After removal of the TTS from the skin, the plasma in the TTS. Thus the drug concentration remains nearly
drug level decreases, resulting from the kinetics of elim- uniform in the TTS when the diffusivity is very high
ination. Only a part of the drug located in the skin is deliv- (curve 1).
ered into the plasma [16], the other part leaves the skin by (ii) The drug concentration is not uniform in the TTS, and
following Eq. (8). thus the drug concentration on the skin surface decreases
during the process for lower values of the diffusivity.
(iii) The kinetics of drug transfer concentration through
4.2. Transdermal therapeutic system controlled by diffusion the skin calculated with the higher values of the diffu-
with a reservoir sivity in the TTS (curves 1 and 2) are in rather good
agreement with the experimental kinetics (Fig. 6).
The process of drug transfer is to some extent similar to (iv) When the diffusivity is too low in the TTS, the
that shown without the reservoir, with the main difference concentration on the skin surface decreases, and the
that the reservoir maintains a constant concentration on the kinetics of drug transfer is below the experimental
external surface of the polymer in the TTS. kinetics (Fig. 6—curve 3).
398 E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401

Fig. 5. Profiles of drug concentration through the TTS and skin, with a polymer device and reservoir, under stationary condition, for various values of the
diffusivity in the polymer: Cin ˆ 0:038 g=cm3 : DTT: 4:4 × 10⫺5 cm2 =s …1†; 4:4 × 10⫺6 cm2 =s …2†; 4:4 × 10⫺7 cm2 =s …3†: Ds ˆ 2:2 × 10⫺8 cm2 =s: Ls ˆ 0:038 cm:
LTT ˆ 0:12 cm:

the TTS (curve 3), the plasma drug level is similar to that
4.2.2. Plasma drug level with the diffusional therapeutic obtained from experiment at the beginning of the process,
transdermal system and reservoir e.g. up to 3 h. After this time, the plasma drug level
The plasma drug levels are drawn (Fig. 7) for the various increases more slowly, and reaches a plateau at a lower
values of the diffusivity in the TTS. level than in experiment.
The obvious results appear from these curves: (iii) After a time of 25 h, the TTS system is removed, and
(i) The plasma drug level obtained by calculation with the in all cases, the plasma drug level falls resulting from the
two high values of the diffusivity in the TTS are nearly drug elimination out of the plasma.
similar to that obtained by experiments, from the begin- (iv) In the same way as for the simple monolithic device,
ning to the end of the process (curves 1 and 2). after removal of the TTS from the skin, the plasma drug
(ii) With the lower values of the diffusivity of the drug in level decreases.

Fig. 6. Kinetics of drug transfer through the skin, with a polymer device and reservoir, for various values of the diffusivity in the polymer: Cin ˆ 0:038 g=cm3 :
DTT: 4:4 × 10⫺5 cm2 =s …1†; 4:4 × 10⫺6 cm2 =s …2†; 4:4 × 10⫺7 cm2 =s …3†: Ds ˆ 2:2 × 10⫺8 cm2 =s: Ls ˆ 0:038 cm: LTT ˆ 0:12 cm:
E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401 399

Fig. 7. Plasma drug profiles obtained with the polymeric device, and reservoir, for various values of the diffusivity in the polymer: Cin ˆ 0:038 g=cm3 : Drug:
Metoprolol. ka ˆ 1:1=h: ke ˆ 0:78=h: Vp ˆ 51: DTT: 4:4 × 10⫺5 cm2 =s …1†; 4:4 × 10⫺6 cm2 =s …2†; 4:4 × 10⫺7 cm2 =s …3†: Ds ˆ 2:2 × 10⫺8 cm2 =s: Ls ˆ 0:038 cm:
LTT ˆ 0:12 cm:

4.3. Transdermal therapeutic system with drug convection tration developed through the TTS-skin system and by the
kinetics of drug transfer through the skin.
The main principle with this TTS-skin system is that the The kinetics of drug transfer through the skin are drawn
convective transfer of the drug is so high through the TTS (Fig. 9) for various values of the constant drug concentration
that the drug concentration on the skin surface is maintained in the TTS, ranging from 0.01 to 0.075 g/cm 3.
constant, at least for a period of time over which the mean These curves lead to the following results:
drug concentration in the TTS remains nearly constant.
(i) Of course, when the drug transfer in the TTS is controlled
4.3.1. Drug transfer through the therapeutic transdermal- by convection, the drug concentration is maintained
skin system constant on the surface of the skin in contact with the TTS.
The results are expressed by the profiles of drug concen- (ii) The usual profiles of concentration develop through the

Fig. 8. Profiles of drug concentration through the TTS and skin, with drug convective transfer, under transient and stationary conditions. C ˆ 0:036 g=cm3 :
Ds ˆ 2:2 × 10⫺8 cm2 =s: Ls ˆ 0:038 cm: LTT ˆ 0:12 cm:
400 E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401

Fig. 9. Kinetics of drug transfer through the skin, with the convective TTS, and various values of the constant drug concentration in the TTS. LTT ˆ 0:12 cm:
Ls ˆ 0:038 cm: Cin: (1) 0.075 g/cm 3; (2) 0.05 g/cm 3; (3) 0.036 g/cm 3; (4) 0.01 g/cm 3.

skin, at less times under transient conditions; and after a in all cases, and Eq. (8) applies, meaning that only a part
sufficiently long time, the stationary state is attained with of the drug located in the skin is delivered in the plasma.
a linear profile (Fig. 8).
(iii) The kinetics of drug transfer through the skin are drawn
for various values of the constant drug concentration in the 5. Conclusions
TTS ranging from 0.075 to 0.01 g/cm 3 (Fig. 9). Of course,
the higher the constant drug concentration in the TTS, the It arises from the literature survey that the transdermal way
higher the rate of drug transfer through the skin. In fact, as of drug delivery is of great interest, as it enables us to by-pass
shown in Eq. (4), when the process has reached the station- the hepatic first-pass through which some drugs are affected,
ary state, the rate of drug transfer is proportional to this drug and to provide the drug in the body with a constant rate over a
concentration in the TTS. long period of time. However, some drawbacks appear, result-
ing essentially from the low permeability of the skin.
The process of drug transfer consists of the following
stages: diffusion through the skin which plays the role of a
4.3.2. Plasma drug level with the drug transfer in the TTS
membrane, absorption of the drug in the plasma and elim-
controlled by convection
ination. Then a plateau is reached for the plasma drug level,
The plasma drug profiles are calculated with this TTS-
and maintained over a time, which depends on the ability of
skin system with constant drug concentration in the TTS,
the transdermal therapeutic system to maintain a constant
with various values of this constant drug concentration in
drug concentration on the external surface of the skin. Of
the TTS (Fig. 10).
course, the level of this plateau can be adjusted to the best
Some facts deserve notice:
therapeutic drug concentration in the plasma.
(i) A good agreement is observed between the theoretical Thus, the TTS plays an important role, as it should
and experimental plasma drug levels, when the constant provide the drug with a given constant concentration on
drug concentration in the TTS is 0.036 g/cm 3 (curve 3). the skin surface over a long period of time. The three
(ii) The plasma drug level largely depends on the value of usual TTS have been considered: the simple monolithic
the constant drug concentration in the TTS. In fact, the made of a polymer containing the drug, the process being
drug level at the plateau is proportional to the drug controlled by diffusion of the drug through the polymer; the
concentration in the TTS applied to the skin surface. monolithic device associated with a drug reservoir; and the
(iii) The lag time, or time necessary for the drug to cross porous system through which the drug is transferred by
the skin and to reach the blood stream is the same, what- convection. The advantages and drawbacks of these three
ever the drug concentration in the TTS. In fact, the lag TTS have been examined in succession.
time depends only on the characteristics of the skin, e.g. The monolithic device is very simple, but the diffusivity
its thickness and the drug diffusivity. of the drug through the polymer matrix must be very high.
(iv) After removal of the TTS, the plasma drug level falls Even in this case, the system is not able to provide a constant
E.M. Ouriemchi, J.M. Vergnaud / Computational and Theoretical Polymer Science 10 (2000) 391–401 401

Fig. 10. Plasma drug profiles with the convective TTS, and various values of the constant drug concentration in the TTS. LTT ˆ 0:12 cm: Ls ˆ 0:038 cm: Cin:
(1) 0.075 g/cm 3; (2) 0.05 g/cm 3; (3) 0.036 g/cm 3; (4) 0.01 g/cm 3. Drug: Metoprolol, ka ˆ 1:1=h: ke ˆ 0:78=h: Vp ˆ 51:

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