The main objective of our study was to investigate skin function and s
tructure in human volunteers after electrical current application in o
rder to demonstrate the safety of iontophoresis in vivo. The direct cu
rrent was applied for 30 min at a density of 0.1 and 0.2 mA/cm(2). Ion
tophoresis increased cutaneous blood flow as measured by laser Doppler
flowmetry (LDF). This increase was reversible within 1 h and was more
pronounced at higher current density. Measurements of transepidermal
water loss (TEWL) and LDF were the same at the cathode and the anode s
ites. Except for 5 min at 0.2 mA/cm(2) density, TEWL values were not e
nhanced as compared to control values (no iontophoresis). Attenuated t
otal reflectance-Fourier transform infrared spectroscopy of the stratu
m corneum structure showed a transient increase (30 min) in hydration
after electrode application for 30 min. No alteration in lipid structu
re could be shown. These results augur the safety of drug delivery by
iontophoresis.