Aungst B J, Blake J A, Rogers N J, Hussain M A
DuPont Company, Medical Products Department, Wilmington, DE 19880-0400.
J Pharm Sci. 1990 Dec;79(12):1072-6. doi: 10.1002/jps.2600791207.
Oxymorphone is a candidate for transdermal delivery since it is a very potent analgesic, is not very effective orally, and has a short duration of action. In developing a transdermal delivery system, two criteria that were considered important were achieving adequate flux and minimizing the lag time. Oxymorphone skin permeation rates in vitro were very low unless skin permeation enhancers were included in the vehicle. After an initial screen of 17 formulations, two skin permeation-enhancing formulations were selected for further study. These were myristic acid:propylene glycol:oxymorphone base (A), and decylmethylsulfoxide:ethanol:water:oxymorphone.HCl (B). With either formulation and either human or hairless guinea pig skin, there was little dependence of either in vitro flux or lag time on the section of skin used (stratum corneum, epidermis, epidermis/dermis). There were significant differences between human skin and hairless guinea pig skin when comparing in vitro fluxes with the two formulations. With formulation A, fluxes through hairless guinea pig skin were three-to fivefold greater than through human skin. With B, however, fluxes through human skin were up to fivefold greater than through hairless guinea pig skin. In vitro lag times with A were generally long (approximately 24 h), whereas those with B were much lower (approximately 1 to 10 h). The species dependence of permeation enhancement and the differences in lag time between formulations could be related to differences in the mechanisms of permeation enhancement. In vivo lag times with the fatty acid:propylene glycol vehicle were estimated in hairless guinea pigs based on plasma oxymorphone concentrations. These were much lower than in vitro lag times.
羟吗啡酮是经皮给药的候选药物,因为它是一种强效镇痛药,口服效果不佳且作用持续时间短。在开发经皮给药系统时,认为重要的两个标准是实现足够的通量并尽量减少滞后时间。除非在载体中加入皮肤渗透促进剂,否则羟吗啡酮的体外皮肤渗透速率非常低。在对17种制剂进行初步筛选后,选择了两种皮肤渗透增强制剂进行进一步研究。它们分别是肉豆蔻酸:丙二醇:羟吗啡酮碱(A),以及癸基甲基亚砜:乙醇:水:羟吗啡酮盐酸盐(B)。使用这两种制剂以及人或无毛豚鼠皮肤时,体外通量或滞后时间对所用皮肤部位(角质层、表皮、表皮/真皮)的依赖性很小。在比较两种制剂的体外通量时,人皮肤和无毛豚鼠皮肤之间存在显著差异。对于制剂A,通过无毛豚鼠皮肤的通量比通过人皮肤的通量大三至五倍。然而,对于制剂B,通过人皮肤的通量比通过无毛豚鼠皮肤的通量高出五倍。制剂A的体外滞后时间通常较长(约24小时),而制剂B的滞后时间则短得多(约1至10小时)。渗透增强的物种依赖性以及制剂之间滞后时间的差异可能与渗透增强机制的差异有关。基于血浆羟吗啡酮浓度,在无毛豚鼠中估计了脂肪酸:丙二醇载体的体内滞后时间。这些比体外滞后时间短得多。