Schwarb F P, Gabard B, Rufli T, Surber C
Department of Dermatology, University Hospital, Basel, Switzerland.
Dermatology. 1999;198(1):44-51. doi: 10.1159/000018063.
To determine the amount of drug which is absorbed during 1 day following topical application of three different preparations containing salicylic acid.
Ten grams of the formulations, either (a) Kerasaltrade mark 5% ointment, (b) salicylic acid 5% or (c) 10% in petrolatum, were administered consecutively to a 600-cm2 area on alternating sides of the back of healthy volunteers (n = 9). Thirty minutes after application, a skin area of 2.54 cm2 was stripped with D-Squametrade mark adhesive disks to determine the amount of salicylic acid in the stratum corneum. The entire application site was then covered by a thin gauze bandage and was not washed for the next 24 h. Urine was collected for 26 h following administration, hydrolyzed and assayed by HPLC analysis.
The absolute amounts absorbed and excreted were 52.6 +/- 29.4 mg (mean +/- SD), 127.1 +/- 43.9 mg and 208.0 +/- 81.7 mg, and the doses absorbed in relation to the doses applied (500 mg salicylic acid in case of formulations a and b and 1,000 mg for formulation c) were 9.3 +/- 3.8, 25.1 +/- 8.5 and 20.2 +/- 7.7%, respectively. The amounts of salicylic acid in the skin 30 min after application were 36.3 +/- 16.5, 18.2 +/- 11.9 and 31.3 +/- 15.4 microg/ cm2 as determined by the tape stripping procedure.
Significant differences in the doses absorbed were detected between the two formulations a and b (same concentration) with different vehicles (p value < 0.001) as well as between b and c (same vehicle) with different concentrations (p value = 0.018) using Student's paired t test. These results demonstrate that salicylic acid is well absorbed by healthy skin.
确定局部应用三种不同含水杨酸制剂后1天内吸收的药物量。
将10克制剂,即(a)Kerasal商标5%软膏、(b)5%水杨酸或(c)凡士林基质中10%的水杨酸,连续涂抹于健康志愿者(n = 9)背部两侧交替的600平方厘米区域。涂抹30分钟后,用D-Squame商标粘性盘剥离2.54平方厘米的皮肤区域,以测定角质层中的水杨酸量。然后用薄纱布绷带覆盖整个涂抹部位,在接下来的24小时内不清洗。给药后收集26小时尿液,水解并通过高效液相色谱分析进行测定。
吸收和排泄的绝对量分别为52.6±29.4毫克(平均值±标准差)、127.1±43.9毫克和208.0±81.7毫克,相对于给药剂量(制剂a和b为500毫克水杨酸,制剂c为1000毫克)吸收的剂量分别为9.3±3.8%、25.1±8.5%和20.2±7.7%。通过胶带剥离法测定,涂抹后30分钟皮肤中的水杨酸量分别为36.3±16.5、18.2±11.9和31.3±15.4微克/平方厘米。
使用学生配对t检验,在两种不同载体(p值<0.001)的相同浓度制剂a和b之间以及两种不同浓度(p值 = 0.018)的相同载体制剂b和c之间,检测到吸收剂量存在显著差异。这些结果表明水杨酸能被健康皮肤很好地吸收。