Transdermal drug delivery system is in the centre of attention in recent years. For efficient dermal drug delivery the drug has to overcome the barrier of the outermost layer of the skin, the stratum corneum. For facilitating dermal drug transport, the barrier properties of the stratum corneum can be varied by applying chemical penetration enhancers. The aim of this work was to characterize various penetration enhancers and investigate their mechanism of action. We combined well established techniques like differential scanning calorimetry (DSC) and infrared spectroscopy (IR) with confocal Raman microscopy (CRM) as an upcoming technique in skin research. CRM offers the possibility of label-free and non- destructive, chemically selective analysis of stratum corneum lipids and proteins. We used isolated human stratum corneum for incubation with the penetration enhancers. As a novel approach, the samples of treated stratum corneum were freeze dried to avoid any discrepancies which might come up with differences in the hydratation state of stratum corneum (SC). Furthermore, the structure of lipids and proteins in the stratum corneum was analyzed. In our study, stratum corneum was treated with dimethyle sulphoxide, propylene glycol, ethylene glycol, ethylene glycol-d4 and oleic acid. We observed that...

The transdermal delivery route has become a popular alternative to more conventional routes, such as oral administration, but has not yet reached its full potential (Prausnitz & Langer, 2008:1261). Although the transdermal route proves to have several advantages over the conventional route, the greatest challenge is to overcome the effective barrier of the skin (Jepps et al., 2012:153). The permeation of the active pharmaceutical ingredient (API) through the skin is a complex, multi-step process and therefore predicting the permeability of the API is difficult (Jepps et al., 2012:153; Williams, 2003:30). Various approaches have been developed to overcome the skin barrier and it is recognised that the nature of the vehicle in which the API is applied plays a significant role in promoting transdermal delivery (Foldvari, 2000:417). It is important to consider the fate of the formulation ingredients and the API after application and how this changes the composition of the formulation on the skin when developing a vehicle for transdermal delivery (Lane et al., 2012:496; Otto et al., 2009:2). Wiechers (2012) proposed the Skin Delivery Gap (SDG) as an indicator for the permeability of an API. An API with a SDG < 1 will readily permeate the skin, whilst an SDG > 1 indicates a more complex delivery system is required. The partitioning of the API between the skin and the formulation is influenced by the formulation and by altering the formulation properties it is possible to manipulate the transdermal delivery of the API. The relative polarity index (RPI), based on the octanol-water partition coefficient (log P) of the stratum corneum, formulation and the API, was initially developed by Wiechers as a tool for developing formulations with an optimal polarity, to ensure the transdermal delivery of at least 50% of the API (Lane et al., 2012:498; Wiechers, 2008:94; Wiechers et al., 2004:174). The use of log P as an indicator of polarity was considered impractical by Hansen (2013) and acknowledged by both Wiechers and Abbott, who consequently developed the Formulating for Efficacy™ (FFE™) software which uses Hansen solubility parameters (HSP) instead of log P to indicate polarity (Hansen, 2013). The FFE™ calculates HSP distances, known as gaps, between the skin, API and the formulation to indicate the solubility of the different components in each other. A smaller HSP gap indicates a high solubility. The FFE™ enables the formulator to develop a formulation with a good balance between the active-formulation gap (AFG) and the skin-formulation gap (SFG) to ensure sufficient diffusion of the API into the skin. The FFE™ software was used to develop formulations containing 1.5% atropine as a model drug. Formulations of different polarity (optimised towards the stratum corneum, more hydrophilic and more lipophilic) were developed to determine the effect of the polarity of the formulation and the relevant HSP gaps on the transdermal delivery of the API. The same formulations were utilised for atropine sulphate to determine the effect the salt form has on the transdermal delivery of the API compared to the base compound. The log P and octanol-buffer partition coefficient (log D) of both atropine and atropine sulphate were determined. Log D is a more reliable indicator of distribution compared to log P, since, it considers the degree of ionisation of the API (Ashford, 2007:294). The log P and log D of atropine (0.22 and -1.26) and atropine sulphate (-1.32 and -1.23) both predicted poor skin penetration (Brown et al., 2005:177). The aqueous solubility of atropine (0.9 mg/ml) also predicted limited transdermal delivery, while the solubility of atropine in phosphate buffer solution (PBS pH 7.4) (5.8 mg/ml) indicated favourable permeation (Naik et al., 2000:321). The high degree of ionisation of the API (99.68 %), at pH 7.4, predicts only a small amount will penetrate the skin (Barry, 2007:576). The membrane release study confirmed the API was released from the different formulations and subsequently skin diffusion studies were conducted, followed by tape stripping after 12 h, to determine which formulation resulted in the highest transdermal delivery of the API. The atropine hydrophilic formulation released the highest percentage of API after 6 h (13.930%). This was explained by the low affinity the lipophilic atropine has towards the hydrophilic formulation (Otto et al., 2009:9). The highest percentage transdermal delivery (0.065%) was observed with the lipophilic formulation containing atropine. The higher SFG compared to the AFG of the lipophilic formulation initially predicted poor transdermal delivery, but when considering the HSP profile and molar volume of the different ingredients, it was observed the dimethyl isosorbide (DMI) penetrated and provided a desirable environment for the API in the skin. The residual formulation (containing less DMI and more polyethylene glycol 400 (PEG 8) and liquid paraffin) was less desirable for the API and was therefore forced out of the formulation (Abbott, 2012:219). Both these factors contributed to the high transdermal delivery of atropine from the lipophilic formulation. The atropine sulphate hydrophilic formulation had the highest percentage in the stratum corneum-epidermis (0.29 μg/ml) and the hydrophilic formulation of both atropine and atropine sulphate had the highest concentration in the epidermis-dermis (both 0.55 μg/ml). The hydrophilic formulations had the lowest driving force provided by the AFG and the only driving force for the API to leave the formulation was the concentration gradient. These formulations had the lowest transdermal delivery which indicates the API had not fully traversed through the skin after 12 h. According to Wiechers, a minimised SFG would indicate the formulation is optimised towards the stratum corneum and should essentially deliver the highest percentage of API through the skin. The results obtained are contrary to this belief and it is concluded that the total HSP profile and the molar volume of the formulation and the API should be considered when developing a formulation with optimal transdermal delivery rather than just the SFG. / MSc (Pharmaceutics), North-West University, Potchefstroom Campus, 2015

The transdermal delivery route has become a popular alternative to more conventional routes, such as oral administration, but has not yet reached its full potential (Prausnitz & Langer, 2008:1261). Although the transdermal route proves to have several advantages over the conventional route, the greatest challenge is to overcome the effective barrier of the skin (Jepps et al., 2012:153). The permeation of the active pharmaceutical ingredient (API) through the skin is a complex, multi-step process and therefore predicting the permeability of the API is difficult (Jepps et al., 2012:153; Williams, 2003:30). Various approaches have been developed to overcome the skin barrier and it is recognised that the nature of the vehicle in which the API is applied plays a significant role in promoting transdermal delivery (Foldvari, 2000:417). It is important to consider the fate of the formulation ingredients and the API after application and how this changes the composition of the formulation on the skin when developing a vehicle for transdermal delivery (Lane et al., 2012:496; Otto et al., 2009:2). Wiechers (2012) proposed the Skin Delivery Gap (SDG) as an indicator for the permeability of an API. An API with a SDG < 1 will readily permeate the skin, whilst an SDG > 1 indicates a more complex delivery system is required. The partitioning of the API between the skin and the formulation is influenced by the formulation and by altering the formulation properties it is possible to manipulate the transdermal delivery of the API. The relative polarity index (RPI), based on the octanol-water partition coefficient (log P) of the stratum corneum, formulation and the API, was initially developed by Wiechers as a tool for developing formulations with an optimal polarity, to ensure the transdermal delivery of at least 50% of the API (Lane et al., 2012:498; Wiechers, 2008:94; Wiechers et al., 2004:174). The use of log P as an indicator of polarity was considered impractical by Hansen (2013) and acknowledged by both Wiechers and Abbott, who consequently developed the Formulating for Efficacy™ (FFE™) software which uses Hansen solubility parameters (HSP) instead of log P to indicate polarity (Hansen, 2013). The FFE™ calculates HSP distances, known as gaps, between the skin, API and the formulation to indicate the solubility of the different components in each other. A smaller HSP gap indicates a high solubility. The FFE™ enables the formulator to develop a formulation with a good balance between the active-formulation gap (AFG) and the skin-formulation gap (SFG) to ensure sufficient diffusion of the API into the skin. The FFE™ software was used to develop formulations containing 1.5% atropine as a model drug. Formulations of different polarity (optimised towards the stratum corneum, more hydrophilic and more lipophilic) were developed to determine the effect of the polarity of the formulation and the relevant HSP gaps on the transdermal delivery of the API. The same formulations were utilised for atropine sulphate to determine the effect the salt form has on the transdermal delivery of the API compared to the base compound. The log P and octanol-buffer partition coefficient (log D) of both atropine and atropine sulphate were determined. Log D is a more reliable indicator of distribution compared to log P, since, it considers the degree of ionisation of the API (Ashford, 2007:294). The log P and log D of atropine (0.22 and -1.26) and atropine sulphate (-1.32 and -1.23) both predicted poor skin penetration (Brown et al., 2005:177). The aqueous solubility of atropine (0.9 mg/ml) also predicted limited transdermal delivery, while the solubility of atropine in phosphate buffer solution (PBS pH 7.4) (5.8 mg/ml) indicated favourable permeation (Naik et al., 2000:321). The high degree of ionisation of the API (99.68 %), at pH 7.4, predicts only a small amount will penetrate the skin (Barry, 2007:576). The membrane release study confirmed the API was released from the different formulations and subsequently skin diffusion studies were conducted, followed by tape stripping after 12 h, to determine which formulation resulted in the highest transdermal delivery of the API. The atropine hydrophilic formulation released the highest percentage of API after 6 h (13.930%). This was explained by the low affinity the lipophilic atropine has towards the hydrophilic formulation (Otto et al., 2009:9). The highest percentage transdermal delivery (0.065%) was observed with the lipophilic formulation containing atropine. The higher SFG compared to the AFG of the lipophilic formulation initially predicted poor transdermal delivery, but when considering the HSP profile and molar volume of the different ingredients, it was observed the dimethyl isosorbide (DMI) penetrated and provided a desirable environment for the API in the skin. The residual formulation (containing less DMI and more polyethylene glycol 400 (PEG 8) and liquid paraffin) was less desirable for the API and was therefore forced out of the formulation (Abbott, 2012:219). Both these factors contributed to the high transdermal delivery of atropine from the lipophilic formulation. The atropine sulphate hydrophilic formulation had the highest percentage in the stratum corneum-epidermis (0.29 μg/ml) and the hydrophilic formulation of both atropine and atropine sulphate had the highest concentration in the epidermis-dermis (both 0.55 μg/ml). The hydrophilic formulations had the lowest driving force provided by the AFG and the only driving force for the API to leave the formulation was the concentration gradient. These formulations had the lowest transdermal delivery which indicates the API had not fully traversed through the skin after 12 h. According to Wiechers, a minimised SFG would indicate the formulation is optimised towards the stratum corneum and should essentially deliver the highest percentage of API through the skin. The results obtained are contrary to this belief and it is concluded that the total HSP profile and the molar volume of the formulation and the API should be considered when developing a formulation with optimal transdermal delivery rather than just the SFG. / MSc (Pharmaceutics), North-West University, Potchefstroom Campus, 2015

This thesis investigates the potential for monitoring current and historic blood serum concentrations of amino acids via transdermal extraction using phenylalanine as a case study. This work furthers the field of non-invasive monitoring of amino acid disorders which have several advantages over invasive methods such as blood tests. In this thesis we derive models to simulate blood serum concentrations, the formation of the skin reservoir and, finally, transdermal extraction of amino acids under an applied electric field. Chapter 1 concerns itself with the biological background and sets up motivation of the thesis by discussing amino acids, associated amino acid disorders, the overarching clinical problem, skin structure and transdermal extraction methods. Chapter 2 then considers mathematical techniques utilised throughout the thesis. Chapter 3 formulates a model for the distribution of phenylalanine in blood serum. One compartment and two compartment approaches are considered in both a fasting state and a non-fasting state. We consider if these have a noticeable effect on the blood serum concentration of phenylalanine. Having obtained a model for the distribution of phenylalanine in blood serum, chapter 4 models the formation of reservoirs of amino acids in the skin. Prior work has identified the existence of such a reservoir, but its formation has not been addressed. The models developed consider the effect of the removal of outer layers of skin, the stratum disjunctum, and production of amino acids in the skin. Unknown parameters are estimated by comparing the model to in vivo and in vitro data. Chapter 5 and 6 are concerned with transdermal extraction under an applied electric field. Chapter 5 formulates the velocity induced by applying an electric field across a charged interface. Chapter 6 utilises these results for modelling extraction of compounds through the skin under an applied electric field.

Thesis (Ph.D. (Pharmacy))--North-West University, Potchefstroom Campus, 2008.

Acyclovir is an antiviral drug used in the treatment and prevention of herpes simplex and varicella-zoster viral infections. The major problem in the transdermal delivery of acyclovir is the permeation in sufficient amounts to deeper layers of the skin and into the systemic circulation. Acyclovir is a hydrophilic substance with a low partition coefficient, resulting in poor penetration through the excellent barrier of the skin, the stratum corneum. In an attempt to enhance the transdermal permeability of acyclovir, the aim of this study was to employ terpenes as possible penetration enhancers. Terpenes are constituents of natural essential oils, with widespread medicinal use including in aromatherapy. The terpenes used in this study were 1,8-cineole, limonene, menthol, menthone, and 13- myrcene. Terpenes are not only used as penetration enhancers, but are even more often present in drugs and cosmetics. Limited studies have been done concerning the penetration of terpenes through the skin. Thus, not only the effect of the terpenes on the penetration of acyclovir, but also the penetration of the terpenes themselves were studied. The influence of acyclovir on the penetration of the terpenes was also determined. In vitro permeation experiments were performed on human skin using Franz diffusion cells. The skin was pretreated with a 5 % solution of the terpene in ethanol and left for 30 minutes to enable ethanol evaporation and terpene incorporation into the skin. Saturated aqueous solutions of acyclovir (pH 7.4) were added in the donor compartment before and after skin pre-treatment. The acyclovir concentration retrieved from the receptor compartment of the Franz cells was analyzed by HPLC. The amount of terpene that penetrated were semi-quantitatively determined by GC. Penetration of acyclovir was significantly enhanced by two terpenes, viz. 1,8-cineole and menthol. The extent of enhancement was, however, not large enough to be of clinical use. The enhancement in acyclovir penetration observed upon ethanol pre-treatment alone, or in the presence of limonene, menthone or ~-myrcene, was not significant. Penetration enhancement of acyclovir by the terpenes was in accordance with previous studies, which postulated better enhancement of hydrophilic drugs by hydrophilic terpenes. Large percentages of the terpenes with log P values within the optimum log P range (1 - 3) penetrated, as was found with menthone and menthol. Penetration decreased accordingly as the log P, and thus lipophilicity, increased. Stratum corneum retention is regarded as the most plausible explanation for this phenomenon. In the case of 1,8- cineole, enhancer pooling in the stratum corneum could be a possible reason for its poor penetration. Acyclovir significantly influenced the penetration profiles of some of the terpenes, but no clear explanation could be given. / Thesis (M.Sc. (Pharm.))--North-West University, Potchefstroom Campus, 2004.

The skin forms an attractive and accessible route for systemic delivery of drugs as alternative to other methods of administration, such as the oral and parental methods because of the problems associated with last mentioned methods. The lipophilic character of the stratum corneum, coupled with its intrinsic tortuosity, ensures that it almost always provides the principal barrier to the entry of drug molecules into the skin. Due to the fact that methotrexate (MTX) and acyclovir (ACV) have poor penetration properties through the skin, the aim of this study was to enhance the permeation of methotrexate and acyclovir with the use of two lamellar gel phase systems (LPGS) (Physiogel® NT and Physiogel® Dermaquadrille) and with Emzaloid® as transdermal drug delivery systems. Three different sets of experiments were done in this study: 1) the viscosity of the two Physiogel® creams was measured as an indication of stability and to determine whether the internal structure of the Physiogel® creams were affected by the investigated drugs; 2) the drug release rate from the three drug delivery vehicles was measured with a Vankel ® dissolution apparatus; 3) in vitro permeation studies were preformed using vertical Franz diffusion cells with human epidermal skin clamped between the donor and receptor compartments. The skin was hydrated with PBS buffer for one hour before 1% mixtures of the drugs in both the Physiogel® creams and Emzaloid® were applied to the donor chamber. Samples were taken at 2, 4, 6, 8, 10, 12 and 24 hours. It was then analysed by HPLC for methotrexate and acyclovir. The fluxes of drug permeation were determined. The viscosity measurements confirmed that the internal structure of the two Physiogel® creams was not influenced by the drugs. Acyclovir and methotrexate were both released from the delivery vehicles. There was an enhancement of acyclovir through the skin from one of the Physiogel® creams. The permeability of methotrexate in the presence of the two Physiogel® vehicles was not significantly enhanced. Emzaloid® as delivery vehicle increased the penetration of both drugs through the skin significantly. The lamellar gel phase system mimics the structure of the stratum corneum, but does not improve the drug permeation through the stratum corneum significantly. The utilisation of Emzaloid® as a drug delivery system could be advocated from these findings. As could be seen from the penetration profiles Emzaloid® was a superior delivery system for methotrexate and acyclovir compared to the lamellar gel phase systems. / Thesis (M.Sc. (Pharmaceutics))--North-West University, Potchefstroom Campus, 2005.

The skin is the largest and most easily accessible organ of the human body thus making it the ideal route for systemic drug delivery. The transdermal route of drug delivery offers several advantages compared to the traditional routes including elimination of first pass metabolism and higher patient compliance. However, many drugs are topically and systemically ineffective when applied onto the skin, due to their almost complete failure to penetrate the skin. The main limitation lies in the stratum corneum, the barrier of the skin, which prevent the drug from reaching the deeper skin strata. 5-Fluorouracil is a polar hydrophilic drug and is therefore not a good penetrant through skin. A popular technique to increase transdermal permeation is to use a penetration enhancer, which reversibly reduce the permeability barrier of the stratum corneum. The primary aim of this study was to determine the effect of Brij 97 in the presence and absence of carrageenan on the transdermal delivery of 5-fluorouracil. The formulations were identified by means of confocal laser scanning microscopy and measurement of the particle size. The zeta-potential was measured to determine whether the formulations were stable and the pH was measured to determine if the internal structures of the formulations were affected by the drug. The drug released from the formulations was measured with a VanKel dissolution apparatus. In vitro transdermal diffusion studies were performed using vertical Franz diffusion cells with human epidermal skin. Histopathological studies were carried out on human epidermis skin to determine if the surfactant, Brij 97, had any effect on the skin. Through confocal laser scanning microscopy and particle size measurements, the 4 and 8% Brij 97 formulations without carrageenan could be identified as emulsions while the 15 and 25% Brij 97 formulations without carrageenan could be identified as microemulsions. The 4, 8, 15 and 25% Brij 97 formulations containing carrageenan could be identified as gels. The results obtained from the zeta-potential analysis indicated that the 4 and 8% Brij 97 formulations without carrageenan and 4% Brij 97 formulation with carrageenan are the most electronegative and thus the most stable. The pH measurements confirmed that the internal structure of the formulations was not influenced by the drug. 5-Fluorouracil was released from the formulations. The 4 and 8% Brij 97 formulations without carrageenan had an enhancing effect on the penetration of 5-fluorouracil while the 4, 8, 15 and 25% Brij 97 formulations with carrageenan and the 15 and 25% Brij 97 formulations without carrageenan had an hindering effect on the penetration of 5-fluorouracil. Although carrageenan led to good adhesiveness of the formulation on the skin, it did not lead to the enhancement of the penetration of 5-fluorouracil through the skin. When histopathological studies were carried out on female human abdominal skin, Brij 97, the surfactant, was found to have no damaging effect on the skin structure. / Thesis (M.Sc. (Pharmaceutics))--North-West University, Potchefstroom Campus, 2006.

Acyclovir is an antiviral drug used in the treatment and prevention of herpes simplex and varicella-zoster viral infections. The major problem in the transdermal delivery of acyclovir is the permeation in sufficient amounts to deeper layers of the skin and into the systemic circulation. Acyclovir is a hydrophilic substance with a low partition coefficient, resulting in poor penetration through the excellent barrier of the skin, the stratum corneum. In an attempt to enhance the transdermal permeability of acyclovir, the aim of this study was to employ terpenes as possible penetration enhancers. Terpenes are constituents of natural essential oils, with widespread medicinal use including in aromatherapy. The terpenes used in this study were 1,8-cineole, limonene, menthol, menthone, and 13- myrcene. Terpenes are not only used as penetration enhancers, but are even more often present in drugs and cosmetics. Limited studies have been done concerning the penetration of terpenes through the skin. Thus, not only the effect of the terpenes on the penetration of acyclovir, but also the penetration of the terpenes themselves were studied. The influence of acyclovir on the penetration of the terpenes was also determined. In vitro permeation experiments were performed on human skin using Franz diffusion cells. The skin was pretreated with a 5 % solution of the terpene in ethanol and left for 30 minutes to enable ethanol evaporation and terpene incorporation into the skin. Saturated aqueous solutions of acyclovir (pH 7.4) were added in the donor compartment before and after skin pre-treatment. The acyclovir concentration retrieved from the receptor compartment of the Franz cells was analyzed by HPLC. The amount of terpene that penetrated were semi-quantitatively determined by GC. Penetration of acyclovir was significantly enhanced by two terpenes, viz. 1,8-cineole and menthol. The extent of enhancement was, however, not large enough to be of clinical use. The enhancement in acyclovir penetration observed upon ethanol pre-treatment alone, or in the presence of limonene, menthone or ~-myrcene, was not significant. Penetration enhancement of acyclovir by the terpenes was in accordance with previous studies, which postulated better enhancement of hydrophilic drugs by hydrophilic terpenes. Large percentages of the terpenes with log P values within the optimum log P range (1 - 3) penetrated, as was found with menthone and menthol. Penetration decreased accordingly as the log P, and thus lipophilicity, increased. Stratum corneum retention is regarded as the most plausible explanation for this phenomenon. In the case of 1,8- cineole, enhancer pooling in the stratum corneum could be a possible reason for its poor penetration. Acyclovir significantly influenced the penetration profiles of some of the terpenes, but no clear explanation could be given. / Thesis (M.Sc. (Pharm.))--North-West University, Potchefstroom Campus, 2004.

The skin forms an attractive and accessible route for systemic delivery of drugs as alternative to other methods of administration, such as the oral and parental methods because of the problems associated with last mentioned methods. The lipophilic character of the stratum corneum, coupled with its intrinsic tortuosity, ensures that it almost always provides the principal barrier to the entry of drug molecules into the skin. Due to the fact that methotrexate (MTX) and acyclovir (ACV) have poor penetration properties through the skin, the aim of this study was to enhance the permeation of methotrexate and acyclovir with the use of two lamellar gel phase systems (LPGS) (Physiogel® NT and Physiogel® Dermaquadrille) and with Emzaloid® as transdermal drug delivery systems. Three different sets of experiments were done in this study: 1) the viscosity of the two Physiogel® creams was measured as an indication of stability and to determine whether the internal structure of the Physiogel® creams were affected by the investigated drugs; 2) the drug release rate from the three drug delivery vehicles was measured with a Vankel ® dissolution apparatus; 3) in vitro permeation studies were preformed using vertical Franz diffusion cells with human epidermal skin clamped between the donor and receptor compartments. The skin was hydrated with PBS buffer for one hour before 1% mixtures of the drugs in both the Physiogel® creams and Emzaloid® were applied to the donor chamber. Samples were taken at 2, 4, 6, 8, 10, 12 and 24 hours. It was then analysed by HPLC for methotrexate and acyclovir. The fluxes of drug permeation were determined. The viscosity measurements confirmed that the internal structure of the two Physiogel® creams was not influenced by the drugs. Acyclovir and methotrexate were both released from the delivery vehicles. There was an enhancement of acyclovir through the skin from one of the Physiogel® creams. The permeability of methotrexate in the presence of the two Physiogel® vehicles was not significantly enhanced. Emzaloid® as delivery vehicle increased the penetration of both drugs through the skin significantly. The lamellar gel phase system mimics the structure of the stratum corneum, but does not improve the drug permeation through the stratum corneum significantly. The utilisation of Emzaloid® as a drug delivery system could be advocated from these findings. As could be seen from the penetration profiles Emzaloid® was a superior delivery system for methotrexate and acyclovir compared to the lamellar gel phase systems. / Thesis (M.Sc. (Pharmaceutics))--North-West University, Potchefstroom Campus, 2005.