Yn. Kalia et Rh. Guy, INTERACTION BETWEEN PENETRATION ENHANCERS AND IONTOPHORESIS - EFFECT ON HUMAN SKIN IMPEDANCE IN-VIVO, Journal of controlled release, 44(1), 1997, pp. 33-42
Purpose: The objective of this study was to develop a non-invasive tec
hnique to assess the interaction between chemical and electrical modes
of percutaneous penetration enhancement in vivo. Methods: Impedance s
pectroscopy, a non-invasive biophysical technique, was used to monitor
the effect of iontophoresis on skin and to determine the extent to wh
ich this effect was modulated by pretreatment with penetration enhance
rs of different physicochemical properties. Results: Azone(R)/propylen
e glycol and sodium lauryl sulfate had a profound effect on post-ionto
phoretic skin impedance, considerably amplifying the effect of current
passage. Post-iontophoretic impedance spectra of skin pretreated with
oleic acid showed a smaller decrease in skin impedance. Neither stear
ic acid nor linoleic acid had comparable effects, however. For these e
nhancers, the changes observed were attributable to the vehicle, propy
lene glycol, which complemented the action of iontophoresis and increa
sed its effectiveness. A parameter, analogous to the membrane time con
stant, was introduced that enabled the degree of perturbation and the
rate of recovery of skin impedance to be gauged. Conclusions: This stu
dy provides the first direct in vivo measurements of the interaction b
etween chemical and electrical enhancement, the two principal techniqu
es used to promote transdermal drug delivery. Changes in the reduction
of skin impedance induced by the passage of current have been used as
indicators of the interaction between an array of diverse penetration
enhancers and iontophoresis. The post-iontophoretic impedance data ha
ve been fitted to a circuit model involving the parallel arrangement o
f a resistor and a constant-phase element, and the modulation of the e
ffect of iontophoresis by the penetration enhancers has been determine
d from changes in the equivalent circuit parameter values.