The effect of increased pressure, which is a mechanical property of ma
ssage, was investigated on the percutaneous absorption of an amphiphil
ic compound (caffeine) in vitro on Franz diffusion cells, using excise
d human skin. 50 mul of either a 320 mug/ml or a 15 mg/ml acetone solu
tion of caffeine were pipetted onto the surface of each skin sample, w
hich represented caffeine skin deposits of 5 mug/cm2 and 240 mug/cm2 r
espectively. During each experiment, a pressure device delivering 0.25
bar over the atmospheric pressure was applied for the first 30 min on
half of the cells. At 2, 4, 6, 8, 12 and 24 h the aqueous dermal bath
ing solution, containing 14 g/l albumin, was removed and chromatograph
ed. With the applied dose of 5 mug/cm2 no statistical difference was f
ound between the cumulated absorbed amount under atmospheric pressure
and increased pressure. On the other hand, with the applied dose of 24
0 mug/cm2, the permeation of caffeine was 1.8 times higher under incre
ased pressure than the permeation under amtospheric pressure (p < 0.05
). This enhancing effect of increased pressure was probably connected
to either an improved transappendageal route during the percutaneous a
bsorption process or a higher stratum corneum filling-up.