Transdermal drug delivery offers an attractive alternative to injections an
d oral medications. However, applications of transdermal drug delivery are
limited to only a few drugs as a result of low skin permeability. Applicati
on of low-frequency ultrasound enhances skin permeability, a phenomenon ref
erred to as low-frequency sonophoresis. In this method, a short application
of ultrasound is used to permeabilize skin for a prolonged period of time.
During this period, ultrasonically permeabilized skin may be utilized for
drug delivery. In addition, a sample of interstitial fluid or its component
s may be extracted through permeabilized skin for diagnostic applications.
In this paper, we report our in vivo studies that demonstrate the principle
s of both of these concepts. Detailed studies on drug delivery are performe
d using inulin and mannitol as model drugs. Studies on diagnostics are perf
ormed using glucose as a model analyte. Applications of this technology to
drug delivery and diagnostics are discussed.