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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
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
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 t ⫺ in s
Ls 6
2.1.1.2. Mathematical treatment. The equation of !
2Cin Ls X∞
⫺1n n2 p 2
unidirectional diffusion is: ⫺ exp ⫺ 2 Dts
3
p 2
n1 n 2 Ls
2C 22 C
D 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 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 t :
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
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 4:4 × 10⫺6 cm2 =s: Ds 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 (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 2:2 × 10⫺8 cm2 =s: Ls 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 1:1=h: ke 0:78=h: Vp 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 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 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 2:2 × 10⫺8 cm2 =s: Ls 0:038 cm:
LTT 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 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 2:2 × 10⫺8 cm2 =s: Ls 0:038 cm: LTT 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 0:038 g=cm3 : Drug:
Metoprolol. ka 1:1=h: ke 0:78=h: Vp 51: DTT: 4:4 × 10⫺5 cm2 =s
1; 4:4 × 10⫺6 cm2 =s
2; 4:4 × 10⫺7 cm2 =s
3: Ds 2:2 × 10⫺8 cm2 =s: Ls 0:038 cm:
LTT 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 0:036 g=cm3 :
Ds 2:2 × 10⫺8 cm2 =s: Ls 0:038 cm: LTT 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 0:12 cm:
Ls 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 0:12 cm: Ls 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 1:1=h: ke 0:78=h: Vp 51:
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