Transdermal drug delivery has been intensively studied ol er the last two d
ecades because of the many advantages offerred by this route of administrat
ion. However, the number of drugs used in transdermal drug delivery systems
has been somewhat limited,in part resulting from the formidable barrier to
drug permeation presented by the upper layer of the skin, the stratum corn
eum. In order to overcome this, different strategies have been implemented
to render the skirt more permeable to drugs. These strategies include Loth
chemical and physical approaches. In this review, we outline the enhancing
activities and mechanisms of action of some of the more extensively studied
chemical penetration enhancers (oxazolidinones, propylene glycol, and epid
ermal enzymes). In addition, we discuss novel physical strategies, such as
the use of microneedles or electroporation.