J. Hirvonen et Rh. Guy, IONTOPHORETIC DELIVERY ACROSS THE SKIN - ELECTROOSMOSIS AND ITS MODULATION BY DRUG SUBSTANCES, Pharmaceutical research, 14(9), 1997, pp. 1258-1263
Purpose. The long-term objective of this research is to understand how
the efficiency of iontophoresis depends upon the structural and physi
cochemical properties of the administered drug. Specifically, the abil
ity of certain drug species to alter the permselective properties of t
he skin was examined. Methods. Using conventional in vitro methodology
, the inhibition of electroosmotic flow induced by the iontophoresis o
f five different beta-blockers (of varying lipophilicity) was examined
. The concomitant electrotransport of the most lipophilic species (pro
pranolol) and the convective movement of solvent in the anode-to-catho
de direction were measured. In addition, the possibility that electroo
smosis might be augmented by the delivery of anionic drugs was also co
nsidered. Results. Iontophoresis of lipophilic, cationic beta-blockers
caused a concentration-dependent inhibition of conventional electroos
mosis. The most hydrophilic analogs elicited no effect. As a result of
this charge neutralization phenomenon, the optimal concentration for
propranolol iontophoresis was significantly less than the maximum achi
evable in aqueous solution. Only a very modest improvement in convecti
ve solvent flow was induced by the cathodal iontophoresis of anionic c
ompounds. Conclusions. The permselectivity of the skin can be altered
by drugs which are positively charged and which possess a significant,
adjacent hydrophobic surface. The latter seems able to ''anchor'' the
molecule in the skin and the counter charge to the membrane's negativ
e character ensures a tight association. Both lipophilicity and a posi
tive charge are essential-without either, the phenomenon is not observ
ed. The conformational flexibility of the drugs studied to-date, howev
er, prevents unambiguous conclusions about the three-dimensional natur
e of the putative ''binding site''.