Iontophoresis: a potential emergence of a transdermal drug delivery system

Vinod Dhote, Punit Bhatnagar, Pradyumna K Mishra, Suresh C Mahajan, Dinesh K Mishra, Vinod Dhote, Punit Bhatnagar, Pradyumna K Mishra, Suresh C Mahajan, Dinesh K Mishra

Abstract

The delivery of drugs into systemic circulation via skin has generated much attention during the last decade. Transdermal therapeutic systems propound controlled release of active ingredients through the skin and into the systemic circulation in a predictive manner. Drugs administered through these systems escape first-pass metabolism and maintain a steady state scenario similar to a continuous intravenous infusion for up to several days. However, the excellent impervious nature of the skin offers the greatest challenge for successful delivery of drug molecules by utilizing the concepts of iontophoresis. The present review deals with the principles and the recent innovations in the field of iontophoretic drug delivery system together with factors affecting the system. This delivery system utilizes electric current as a driving force for permeation of ionic and non-ionic medications. The rationale behind using this technique is to reversibly alter the barrier properties of skin, which could possibly improve the penetration of drugs such as proteins, peptides and other macromolecules to increase the systemic delivery of high molecular weight compounds with controlled input kinetics and minimum inter-subject variability. Although iontophoresis seems to be an ideal candidate to overcome the limitations associated with the delivery of ionic drugs, further extrapolation of this technique is imperative for translational utility and mass human application.

Keywords: Drug delivery; Iontophoresis; Transdermal therapeutic system; Translational research.

Figures

Fig. 1
Fig. 1
Schematic representation shows importance of Iontophoresis as penetration enhancer
Fig. 2
Fig. 2
Novel advanced transdermal technologies
Fig. 3
Fig. 3
Diagram of iontophoretic technique: as current is applied the drug cations are repelled and move through the skin and eventually they are absorbed in the systemic circulation.
Fig. 4
Fig. 4
Pathways of molecular transport in iontophoresis
Fig. 5
Fig. 5
Schematic representation of iontophoretic system
Fig. 6
Fig. 6
Factors Affecting Iontophoretic Delivery System
Fig. 7
Fig. 7
Various types of iontophoretic system

References

    1. Schuetz YB, Naik A, Guy RH, Kalia YN. Emerging strategies for the transdermal delivery of peptide and protein drugs. Expert Opin Drug Deliv. 2005;2:533–548. .
    1. Chien YW, Lelawongs P, Siddiqui O. Facilitated transdermal delivery of therapeutic peptides and proteins by iontophoretic delivery devices. J Control Release. 1990;13:263–278. .
    1. Burnette RR, Ongpipattanakul B. Characterization of the permselective properties of excised human skin during iontophoresis. J Pharm Sci. 1987;76:765–773. .
    1. Harris MI. Diabetes in America, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Int J Pharm. 1995;95:1468–1498.
    1. Riviere JE, Heit MC. Electrically assisted transdermal drug delivery. Pharm Res. 1997;14:687–697. .
    1. Arunachalam S, Gunasekaran S. Diabetic research in India and China today: From literature-based mapping to health-care policy. Curr Sci. 2002;82:1086–1097.
    1. Gangarosa L, James M. Modern iontophoresis for local drug delivery. Int J Pharm. 1995;123:159–171. .
    1. Siddiqui O, Roberts M, Polock A. The effect of iontophoresis and vehicle pH on the in-vitro permeation of lignocaine through human stratum corneum. J Pharm Pharmacol. 1985;37:732–735. .
    1. Okave K, Yamaguchi H, Kawai Y. New Iontophoretic Transdermal Administration of Beta-Blocker Metoprolol. J Control Release. 1986;4:79–85. .
    1. Chien YW. Transdermal route of peptide and protein drug delivery. Marcel Dekker Inc New York. 1991:667–690.
    1. Prasad R, Koul V, Khar R. Transdermal iontophoretic delivery of methotrexate: physicochemical considerations. Trends Biomater Artif Organs. 2005:18–25.
    1. Scott RC. In-vitro absorption through damaged skin. In: Bronaugh RL, Maibach HI, editors. In Vitro Percutaneous Absorption, Principles, Fundamentals and Applications. Boca Radon: CRC Press; 1991. pp. 129–135.
    1. Robert L. Transdermal drug delivery: past progress current status, and future prospects. Adv Drug Deliv Rev. 2004;56:557–558. .
    1. Yogeshvar N, Naik A, Garrison J, Guy R. Iontophoretic drug delivery. Adv Drug Deliv Rev. 2004;56:619–658. .
    1. Hadgraft J, Guy RH. Transdermal Drug Delivery Development Issues and Research Initiatives. Marcel Dekker, Inc; New York: 1989. pp. 35–96.
    1. Guy RH, Marro D. Peptides and Proteins: Transdermal Absorption. In: Swarbrick James., editor. Encyclopedia of Pharmaceutical Technology. Third edition. Marcel Dekker, Inc; New York: 2007. pp. 2741–2755.
    1. Singh I, Prasanthi S. Percutaneous penetration enhancement in transdermal drug delivery. Asian J Pharm. 2010:92–101.
    1. Sanderson J, Riel S. Iontophoretic delivery of nonpeptide drugs: Formulation optimization for maximum skin permeability. J Pharm Sci. 1989;78:361–364. .
    1. Bhatia K, Gao S, Freeman TP. Effect of penetration enhancers and iontophoresis on the ultrastructure and cholecystokinin-8 permeability through porcine skin. J Pharm Sci. 1998;96:1011–1015. .
    1. Bellantone N, Francoeur M, Rasadi B. Enhanced percutaneous absorption via iontophoresis I. Evaluation of an in vitro system and transport of model compounds. Int J Pharm. 1986;30:63–72. .
    1. Schentz E, Fartach M. Microdialysis for the evaluation of penetration through the human skin barrier: A promising tool for future research. Eur J Pharm Sci. 1991;12:165–174. .
    1. Glass JM, Stephen RL, Jacobsen SC. The quality and distribution of radiolabelled dexamethasone delivered to tissues by iontophoresis. Int J Dermatol. 1979;19:519–515. .
    1. Stephen RL, Petelenz TZ, Jacobsen SC. Potential novel methods for insulin administration. Biomed Biochim Acta. 1984;43:553–558. .
    1. Okabe K, Yamaguchi H, Kawai Y. New iontophoretic transdermal administration of the beta-blocker metoprolol. J Control Release. 1986;4:79–85. .
    1. Wearley L, Liu JC, Chien YW. Iontophoresis- facilitated transdermal delivery of verapamil. J Control Release. 1989;9:231–242. .
    1. Bhatia K, Singh J. Mechanism of transport enhancement of LHRH through Porcine epidermis by terpenes and iontophoresis: permeability and lipid extraction studies. Pharm Res. 1998;15:1857–1862. .
    1. Marro D, Guy R. Characterization of the iontophoretic perselectivity properties of human and pig skin. J Control Release. 2000;70:213–217. .
    1. Figueroa M, Charro D, Mendez J. Passive and iontophoretic transdermal penetration of methotrexate. Int J Pharm. 2001;212:101–107. .
    1. Anderson CR, Morris RL, Boeh SD, Panus PC, Sembrowich WL. Effects of Iontophoresis Current Magnitude and Duration on Dexamethasone Deposition and Localized Drug Retention. Phys Ther. 2003;83:161–170. .
    1. Meidan VM, Khalili MA, Michniak BB. Enhanced iontophoretic delivery of buspirone hydrochloride across human skin using chemical enhancers. Int J Pharm. 2003;264:73–83. .
    1. Sebastiani P, Nicoli S, Santi P. Effect of lactic acid and iontophoresis on drug permeation across rabbit ear skin. Int J Pharm. 2005;292:119–126. .
    1. Wang Y, Thakur R, Michniak B. Transdermal iontophoresis: combination strategies to improve transdermal iontophoretic drug delivery. Eur J Pharm Biopharm. 2005;60:179–191. .
    1. Mutalik S, Udapa N. Transdermal delivery of glibenclamide and glipizide: In-vitro permeation studies through mouse skin. Pharmazie. 2003;12:838–841. .
    1. Mutalik S, Udapa N. Formulation development, in vitro and in vivo evaluation of membrane controlled transdermal system of glibenclamide. J Pharm Sci. 2005;8:26–38. .
    1. Mutalik S, Udupa N, Kumar S. Glipizide matrix transdermal systems for diabetes mellitus: Preparation, in-vitro and preclinical studies. Life Sci. 2006;79:1568–1577. .
    1. Kolli C, Daniel L, Jayachandra R. Microneedle assisted iontophoretic transdermal delivery of prochlorperazine edisylate. Drug Devel Ind Pharm; in press .
    1. Nair A, Vyas H, Shah J. Effect of permeation enhancers on the iontophoretic transport of metoprolol tartrate and the drug retention in skin. Drug Deliv. 2011;8:19–25. .
    1. Kinoshita M, Yamamoto R, Kominami K. In-vitro and in-vivo transdermal iontophoretic delivery of tramadol, a centrally acting analgesic. J Pharm Pharmacol. 2011;63:1437–1445. .
    1. Green P, Flalagan M. Iontophoretic drug delivery system. In: Walters KA, Hadgraft J, editors. Pharmaceutical Skin Penetration Enhancement. Marcel Dekker; New York: 1996. pp. 100–124.
    1. Green P, Flanagan M, Shroot B. Iontophoretic drug delivery. Marcel Dekker Inc; New York: 1993. pp. 311–333.
    1. Chaturvedula A, Joshi DP, Anderson C, Morris RL, Sembrowich WL, Banga AK. In-vivo iontophoretic delivery and pharmacokinetics of salmon calcitonin. Int J Pharm. 2005;297:190–196. .
    1. Masada T, Higuchi W, Behl C, Srinivasan V. Examination of iontophoretic transport of ionic drugs across skin: baseline studies with the four-electrode system. Int J Pharm. 1989;49:57–62. .
    1. Charro D, Guy M. Iontophoresis of peptides. In: Berner B, Dinh SM, editors. Electronically Controlled Drug Delivery. CRC Press; Boca Raton: 1998. pp. 129–157.
    1. Cullander C. What are the pathways of iontophoretic current flow through mammalian skin. Adv Drug Deliv Rev. 1992;9:119–135. .
    1. Singh J, Bahtia K. Topical iontophoretic drug delivery, Pathways, principles, factors and skin irritation. Med Res Rev. 1996;16:285–296.
    1. Pikal M. Transport mechanisms in iontophoresis: A theoretical model for the effect of electro osmotic flow on flux enhancement in transdermal iontophoresis. Pharm Res. 1990;7:118–126. .
    1. Pikal M, Shah S. Transport mechanisms in iontophoresis: Electro osmotic flow and transference number measurements for hairless mouse skin. Pharm Res. 1990;7:213–221. .
    1. Pikal M, Shah S. Transport mechanisms in iontophoresis: An experimental study of the contributions of electro osmotic flow and permeability change in transport of low and high molecular weight solutes. Pharm Res. 1990;7:222–229. .
    1. Cevc G, Gebauer D, Stieber J, Schätzlein A, Blume G. Ultraflexible vesicles, transferosomes have an extremely low pore penetration resistance and transport therapeutic amount of insulin across the intact mammalian skin. Biochem Biophys Acta. 1995;136:201–215. .
    1. Cullander C, Guy R. Sites of iontophoretic current flow into the skin: identification and characterization with the vibrating probe electrode. J Invest Dermatol. 1991;97:55–64. .
    1. Del T, Bhel C, Nash R. Iontophoretic transport of a homologues series of ionized and nonionized model compounds: Influence of Hydrophobicity and mechanistric interpretation. Pharm Res. 1989;6:85–90. .
    1. Dixit N, Baboota S, Ahuja A, Ali J. Iontophoresis-An Approach for Controlled Drug Delivery: A Review. Curr Drug Deliv. 2007;4:1–10. .
    1. Bronaugh R, Maibach H. Percutaneous Absorption: Mechanisms – Methodology – Drug Delivery. Marcel Dekker; New York and Basel: 1989. pp. 150–163.
    1. Burnette R. Transdermal Drug Delivery. Marcel Dekker; New York: 1988. pp. 45–63.pp. 202–246.
    1. Banga AK, Chien YW. Iontophoretic delivery of drugs: Fundamentals, developments and biomedical applications. J Control Release. 1988;7:1–24. .
    1. Chien YW. Development of Transdermal drug delivery systems. Drug Dev Ind Pharm. 1987;13:589–651. .
    1. Srinivasan V, Higuchi WI. A model for iontophoresis incorporating the effect of convective solvent flow. Int J Pharm. 1990;60:133–138. .
    1. Tesselaar E, Sjoberg F. Transdermal iontophoresis as an in-vivo technique for studying microvascular physiology. Microvasc Res. 2011;81(1):88–96. .
    1. Tierney M, Potts R, Tamada J. Glucose monitoring by reverse iontophoresis. Diabetes Metab Res Rev. 2002;18:S49–53. .
    1. Mishra AN. Transdermal drug delivery. In: Jain NK, editor. Controlled and Novel Drug Delivery. Varghese Publication; New Delhi: 1998. pp. 100–129.
    1. Jain NK. In: Controlled and Novel Drug Delivery. First, editor. CBS publishers; New Delhi: 2002. pp. 202–240.
    1. Patrizia S, Richard H. Reverse iontophoresis-parameters determining electro-osmotic flow. II. Electrode chamber formulation. J Control Release. 1996;42:29–36. .
    1. Tierney MJ, Potts RO, Tamada JA. Glucose monitoring by reverse iontophoresis. Diabetes Metab Res Rev. 2002;18:S49–53. .
    1. Huang JF, Sung KC, Hu OY, Wang JJ, Lin YH, Fang JY. The effects of electrically assisted methods on transdermal delivery of nalbuphine benzoate and sebacoyl dinalbuphine ester from solutions and hydrogels. Int J Pharm. 2005;297:162–271. .
    1. Prausnitz MR, Bose VG, Langer R. Electroprotion of mamaliaon skin. A mechanism to enhance transdermal drug delivery. Proc Nat Acad Sci U S A. 1993;90:10504–10508. .
    1. Banga AK, Bose S, Ghosh TK. Iontophoresis and electroporation: comparisons and contrasts. Int J Pharm. 1999;179:1–19. .
    1. Ritschel WA, Hussain AS. The principles of skin permeation. Meth Find Exptl Clin Pharmacol. 1988;10:39–56. .
    1. Brain KR, Walters KA, Watkinson AC. Methods for studying percutaneous absorption. In: Walters KA, editor. Dermatological and transdermal formulations. Marcel Dekker Inc; New York: 2002. pp. 241–247.
    1. Singh P, Maibach HI. Iontophoresis in Drug Delivery: Basic Principles and Applications. Crit Rev Ther Drug Carrier Syst. 1994;11:161–213. .
    1. Riviere JE, Heit MC. Electrically assisted transdermal drug delivery. Pharm Res. 1997;14:687–697. .
    1. Mitragotri D, Blankschtein R, Langer H. Transdermal drug delivery using low- frequency sonophoresis. Pharm Res. 1996;13:411–420. .
    1. Mitragotri S, Blankschtein D, Langer R. Sonophoresis: Ultrasound mediated transdermal drug delivery. In: Swarbrick J, Boylan J, editors. Encylopedia of Pharmaceutical Technology. Marcel Dekker; 1995. pp. 103–122. .
    1. Mitragotri S, Edwards D, Blankschtein D. A mechanistic study of ultrasonically enhanced transdermal drug delivery. J Pharm Sci. 1995;84:697–706. .
    1. Jacobsen J. Buccal iontophoretic delivery of atenolol·HCl employing a new in-vitro three-chamber permeation cell. J Control Release. 2001;70:83–95. .
    1. Bose S. Electrically-assisted transdermal delivery of buprenorphine. J Control Release. 2001;73:197–203. .
    1. Esther E, Binstock AJ. Iontophoresis: A non-invasive ocular drug delivery. J Control Release. 2006;110:479–489. .
    1. Kochhar C, Imanidis G. In-vitro transdermal iontophoretic delivery of leuprolide under constant current application. J Control Release. 2004;98:25–35. .
    1. Kadono M, Kubo K, Miyazaki H. Enhanced in-vitro percutaneous penetration of salicylate by ion pair formation with alkylamines. Biol Pharm Bullet. 1998;21:599–603. .
    1. Curdy C, Yogeshvar N, Guy R. Piroxicam delivery into human stratum corneum in vivo: iontophoresis versus passive diffusion. J Control Release. 2001;76:73–79. .
    1. Williams C, Barry BW. Skin absorption enhancers. Crit Rev Ther Drug Carrier Syst. 1992;9:305–353. .
    1. Panchagnula R, Pillai O, Nair VB. Transdermal iontophoresis. Curr Opin Chem Biol. 2000;4:468–473. .
    1. Artusi M, Nicoli S, Colombo P, Bettini R, Sacchi A, Santi P. Effect of chemical enhancers and iontophoresis on thiocolchicoside permeation across rabbit and human skin in vitro. J Pharm Sci. 2004;93:2431–2438. .
    1. Kanikannan JN, Singh J, Ramarao P. In vitro transdermal iontophoretic transport of timolol maleate: effect of age and species. J Control Release. 2001;71:99–105. .
    1. Pillai O, Borkute S, Sivaprasad N. Transdermal iontophoresis of insulin: II. Physicochemical considerations. Int J Pharm. 2003;254:271–280. .
    1. Sakamoto T, Miyazaki Y, Aramaki E. Improvement of dermatitis by iontophoretically delivered antisense oligonucleotides for-interleukin-10 in NC/Nga mice. Genet Ther. 2004;11:317–324. .
    1. Shinde AJ, Shinde AL, Garala KC. Physical penetration enhancement by iontophoresis: a review. Int J Curr Pharm Res. 2010;2:1–9.
    1. Gratieri T, Kalaria D, Kalia Y. Non-invasive iontophoretic delivery of peptides and proteins across the skin. Exp Opin Drug Deliv. 2011;8:645–663. .
    1. Mizejewski G. Peptides as receptor ligand drugs and their relationship to G-coupled signal transduction. Exp Opin Invest Drugs. 2001;10:1063–1073. .
    1. Valenta C, Siman U, Hadgraft J. The dermal delivery of lignocaine: influence of ion pairing. Int J Pharm. 2000;197:77–85. .
    1. Wearly LL, Liu JC, Chien YW. Iontophoresis facilitated transdermal delivery of verapamil I. In-vitro evaluation and mechanistic studies. J Control Release. 1989;8:237–250. .
    1. Delgado-Charro MB. Iontophoretic drug delivery across the nail. Expert Opin Drug Deliv. 2012;9:91–103. .

Source: PubMed

3
S'abonner