Challenges in Formulating Adhesives for Transdermal Drug Delivery Wiliam G Meathrel, Adhesives Research, IncThe recognized benefits of the transdermal
for solid-dose formats coming off patent protection. patch (Figure 1) as a viable means of drug
Drug developers also are investigating the patch plat-
delivery is driving the development of new forms
form as an alternative delivery system for peptide
of transdermal drug delivery systems (TDDS). These new types can deliver larger compounds
drugs that are vulnerable to proteolytic attack and
such as proteins and smal peptides through the
that tend to undergo aggregation, adsorption, and
stratum corneum. As patches increase in their
denaturation [3].Additional y, the benefits of patches
value and reliability for drug delivery, however,
are well-recognized regarding avoidance of
manufacturers face chal enges in formulating
unwanted side effects, particularly with compro-
adhesives that are functional, precise, and safe. The science of formulating adhesives for TDDS
Work to expand the range of use for passive TDDS
requires a careful balance; that is, the adhesive must deliver functionality while it also provides a
first began with incorporating chemical penetration
safe format. The adhesive must be compatible
enhancers that decrease the barrier resistance of the
both with the active pharmaceutical ingredients
stratum corneum, to al ow delivery of compounds
(APIs) and with the patient’s skin and must
with a higher molecular weight. An adhesive patch
deliver a reliable and reproducible therapeutic
may include one or more compounds to increase dif-
dose. To deliver precise control and perfor- mance, pharmaceutical-grade adhesives today provide highly specialized chemistries designed to overcome unique chal enges spe- cific to each application.
weights, such as those that provide treatment for
short-term conditions like motion sickness, or that
provide longer-term therapies, such as hormone
replacement. Scientists are developing new patches
to treat chronic conditions through the continued use
of a daily delivery device. Examples include the first
rivastigmine patch for the treatment of Alzheimer’s
disease [1] and the rotigotine patch that recently
launched in Europe [2] for treatment of some forms
of Parkinson’s disease. Fueling this trend are drug
manufacturers’ ef orts to extend lifecycle applications
fusion, including sulfoxides, alkyl-azones, pyrroli-
bonding characteristics and that often are a good
dones, alcohols and alkanols, glycols, surfactants, and
choice for TDDS. Acrylate-based adhesives may
terpenes [4]. The increased demand to deliver drug
absorb up to 5% of moisture from the skin, which
compounds with higher molecular weights, however,
potential y could af ect drug bioavailability.Also, the
has spurred development of active TDDS, including
manufacturer needs to eliminate any acrylic-acid
applications using ultrasound, microneedles, and ion-
monomer in an acrylate-based adhesive to assure
tophoresis [5]. Whichever type of system the drug
that the pH of the adhesive is neutral [5] and that it
developer considers a TDDS to be, passive or active,
does not irritate the skin. In iontophoretic drug deliv-
the products of er companies a unique set of adhesive
ery, pH changes can affect delivery rates; so acrylate- ransdermal
bonding and dermatologic chal enges.
based adhesives must be free of residual acrylic-acid
monomer to avoid a potential reaction with the active
Drug Compatibility
drug or device components. See Table 1.
One of the most significant obstacles to overcome in
formulating adhesives for TDDS is the difficulty in
maintaining compatibility between the API or
Also, compatibility can change as components age;
medicament and the adhesive’s chemistry to assure
so scientists must perform accelerated and real-time
that the drug will not change potency. Adhesive
aging studies to ensure that the product maintains
manufacturers must offer formulations with care-
its adhesive properties and drug bioavailability dur-
ful y selected chemistries that wil not react with the
ing the shelf life of the drug delivery device. If the
API or change its physical properties.
delivery device requires sterilization, the manufac-
turer must take measures to ensure that the adhesive
will withstand the sterilization procedures and
For example, compatibility can become a chal enge
dosage while maintaining its adhesive properties
with acrylate-based adhesives that of er skin-friendly
Advanced Adhesives and Polymer Coatings for Drug Delivery Systems [6] Adhesive Description Chemistry Functional Properties for Drug Delivery Skin-friendly PSAs
Formulations tailored to bond with various
for wear times ranging from minutes to days
Electrically and ionically conductive coatings
adhesive to allow current or ion transport
Dissolvable films and erodable PSAs Ethanol- and enhancer-tolerant
enhancer chemicals found in drug delivery
coatings Ultraclean and nonreactive adhesives Porous adhesives
Coated polymer systems with tailored pore
size to allow controlled fluid transfer, with
doping used to create biphasic formulations
Hydrogels and organogels
sensing element in device-assisted delivery
Hybrid PSAs Molecularly imprinted polymers
release of targeted APIs or other chemical moieties
Biocompatibility
can impact adhesive performance; so the con-
Biocompatibility of an adhesive formulation with
the skin is a significant concern in the design of any
• All component materials are flexible, and the
transdermal patch. The adhesive must be nonirritat-
patch comfortably adheres and conforms to a
ing and free of any residual monomers, leachable
components, and reactive materials. Al ergic reac-
• Careful consideration of product geometry avoids
tions are possible, caused by irritation from and sen-
uplifting of patch edges. Rounded edges are
sitivity to a number of chemical compounds, partic-
preferable to prevent patch lifting and to avoid
ularly acrylics and natural, rubber-based adhesives.
irritation at corners. To avoid high concentrations ransdermal
Adhesive manufacturers address these concerns by
of electrical current that could cause burns, round
modifying formulations to benefit the population of
edges are particularly important in applications
patients while maintaining drug compatibility and
that use an electrical y conductive adhesive.
• The product maintains proper adhesion during
physical activity and normal exposure to mois-
In a recent draft offering guidance for an extended-
ture, including sweating, showering, or swim-
release patch, the FDA provides meaningful guide-
lines for evaluating the performance of transdermal
• Protective, adhesive-film overlays seal active com-
patches regarding safety and bioequivalence. These
pounds or highly sensitive electronic components
recommendations now provide a measurable stan-
in active transdermal devices and prevent any
dard for evaluating adhesion and dermal response
moisture exposure that potentially could affect
[7], which are important factors to consider in
bioavailability and performance of the device.
designing longer-wearing patches and devices. The Balance between Adhesion and Proper Moisture Removability
Consumers remove the majority of transdermal
The primary function of the adhesive in TDDS is to
patches available today within 24 hours; however,
secure the patch or device on the patient’s skin for
manufacturers are developing extended-wear
the desired dosing timeframe, thereby assuring reli-
patches for time periods of up to seven days [8]. To
able and accurate drug transmission, without caus-
ensure a healthy skin environment for proper dos-
ing significant irritation. Ease of patch removal after
ing, it is important that the adhesives selected for
treatment has tended to be a secondary concern but
longer-term wear enable the skin to breathe, which
is gaining more attention as TDDS developers con-
prevents over-hydration that potential y could affect
sider the special needs of different skin types. Adhe-
drug bioavailability. Longer-wear devices should
sives that are formulated for ease of removal tend to
combine these adhesives with breathable materials
be gel-like in form or softer than other adhesives.
such as polyurethane films that offer high moisture-
Patch developers achieve this characteristic by form-
vapor transmission rates and gas-exchange proper-
ing polymer chains that are mobile and can stretch.
ties to promote a healthy skin site.
The chal enge then becomes balancing secure skin
adhesion and low-trauma removal. The developer
Adhesion and Sealing Performance
must accomplish this balance using a formulation
Good adhesion performance is paramount for
that careful y limits any possible impact upon drug
prevention of movement or shifting of the patch
during the dosing period, and even more so, for
delivery of treatments that require a skin-prepa-
Skin Types
ration step prior to applying the patch. Any lift-
While manufacturers formulate adhesives to benefit
ing from the skin can affect whether the patch is
the targeted patient population as a whole for the
delivering an effective dose. A number of factors
patch, dif erent skin types present their own unique
bonding chal enges. These chal enges depend upon a
2. Medical News Today, Neupro (rotigotine transdermal patch)
consumer’s health, age, and race and on the moisture-
can now be prescribed to all patients with iodiopathic Parkinson’s
vapor transmission rates, porosity, and oil levels, etc of
http://www.medicalnewstoday.com/articles/155718.php. July
his or her skin. For example, a manufacturer would
design a patch for an older population of patients to
3. Amsden B and Goosen M. Transdermal delivery of peptide
be softer in its formulation to address reduced skin
and protein drugs: An overview. AIChE Journal. 2004, 41(8):1972–
elasticity and to provide less trauma to the skin upon
4. Barry B and Williams A. Penetration enhancers. Advanced
removal.Apatch designed for a younger population,
Drug Delivery Reviews. 2004, 56:603-618.
such as a birth-control patch, would need to take into
5. Meathrel W. The evolution of adhesives: From transdermal
consideration strong adhesion rates to withstand
drug delivery to other novel delivery formats. Drug Delivery
active lifestyles, movement, and exposure to moisture
6. O’Mahony J. Adhesives for transdermal drug delivery systems.
Pharmaceutical Manufacturing and Packaging Sourcer. 2009, pp24–
Careful Thickness Control
7. US Food and Drug Administration. Draft guidance on ethinyl
Tight tolerances for control of adhesive and substrate
http://www.fda.gov/downloads/Drugs/GuidanceComplianceRe
thicknesses from lot to lot are critical for applications
gulatoryInformation/Guidances/UCM162407.pdf, July 2010.
where any variations in thickness can have a nega-
8. Kydonieus A, Conway RG, Rossi TM. Dermal Delivery Device,
tive impact upon dosing. For example, scientists have
designed some patches with microprojections; that
Wil iam Meathrel, PhD, is a senior scientist with Adhesives Research.
is, an array of drug-treated microneedles — solid
With over 30 years of experience in product development and applied
metal, hollow metal, or polymer needles — that
research, his career has focused on polymers, adhesives, and coatings, andhe has secured numerous patents for his work. He holds three degrees from
adhere to the skin with a PSA. The combined thick-
the University of Toronto, including a PhD in organic chemistry, a
ness of the components of the device controls the
Master’s of Science in biological chemistry, and a Bachelor’s of Science in
depth of penetration of the microneedles for release
chemistry. He also possesses a diploma in Chemical Engineering from the
of the drug into the bloodstream or lymphatic sys-
tem. If penetration through the skin is too shal ow,
Contact Dr Meathrel at Adhesives Research, P.O. Box 100, Glen Rock, PA
the user may not receive the proper dose; alterna-
17327; E-mail: [email protected] or Phone: +1 717 227 3460.
tively, if the needles penetrate too deeply, the user
could experience unwanted discomfort and pain. Conclusion
As TDDS continues to deliver patients’ increased
compliance by providing predictable and reliable
therapeutic dosages without limiting patients’ nor-
mal activities, drug manufacturers continue to
expand the scope of the drug delivery system.As the
scope widens, adhesive manufacturers are respond-
ing by developing a range of skin-friendly and API-
compatible formulations that withstand the
increased exposure to moisture and movement
related to a more active population. On the horizon,
functionality and fashion may come together as
improvements in design make patches appear more
seamless and compatible with clothing, all in the
References
1. Frölich L. A review of the first transdermal treatment for
Alzheimer’s disease — The Rivastigmine patch. European
Psychiatric Review. 2008, 1(1):33–35.
Seattle-King County Emergency Medical Services Division Public Health - Seattle/King County 401 5th Avenue, Suite 1200 Seattle, WA 98104 (206) 296-4863 CBT/OTEP 385 – Environmental Emergencies Introduction Heat and cold illnesses are triggered when the body is unable to maintain a constant temperature. A fundamental knowledge of heat mechanisms and factors that affect the body’s ability t
Building reliable normal reference range, As an interpretation guide for clinical practices Clinical research team of Medicore Co., Ltd. Since Medicore Co., Ltd. completed the development of function of autonomic nervous system, which the SA-2000, the first HRV analyzer model in 2,000, we, accelerated various HRV studies to find out the by organizing the research team from neuropsychiatr