Wang Liuyang, Ma Junyao, Li Jiaxin, Fang Liang, Liu Chao
School of Pharmacy, Shenyang Pharmaceutical University, Shenyang, Liaoning, China.
Expert Opin Drug Deliv. 2025 Mar;22(3):405-420. doi: 10.1080/17425247.2025.2460650. Epub 2025 Feb 1.
Transdermal patches offer a unique advantage by providing extended therapeutic benefits while maintaining stable plasma drug concentration. The efficacy and safety of patches depend significantly on their ability to adhere to the skin, a feature influenced by various external and internal factors.
The review primarily focuses on the fundamental aspects of adhesion in transdermal patches, including basic information about the skin, the underlying principles of adhesion, drug delivery, and adhesion characteristics of pressure sensitive adhesives (PSAs), adhesion issues, impact factors, strategies to improve patch adhesion, and relevant molecular mechanisms.
The development of transdermal patches with sufficient adhesion for consistent and extended drug delivery remains a challenging task. Challenges in adhesion stem from the complex interplay among PSAs, permeation enhancers, active pharmaceutical ingredients (APIs), and other excipients in current patch compositions, further complicated by variations arising from dermatological factors. These intricacies significantly impede the consistent effectiveness of patches. Progress in the exploration of new PSA polymers, in conjunction with innovative patch compositions, is crucial for establishing an optimal equilibrium between drug utilization rate, drug-loading, drug release, and adhesion, thus effectively addressing the challenges related to adhesion.
透皮贴剂具有独特优势,能在维持稳定血药浓度的同时提供长效治疗益处。贴剂的疗效和安全性很大程度上取决于其与皮肤的粘附能力,而这一特性受多种外部和内部因素影响。
本综述主要聚焦于透皮贴剂粘附的基本方面,包括皮肤的基本信息、粘附的基本原理、药物递送、压敏胶(PSA)的粘附特性、粘附问题、影响因素、改善贴剂粘附的策略以及相关分子机制。
开发具有足够粘附力以实现持续和长效药物递送的透皮贴剂仍是一项具有挑战性的任务。粘附方面的挑战源于当前贴剂配方中PSA、渗透促进剂、活性药物成分(API)和其他辅料之间复杂的相互作用,而皮肤因素导致的变化进一步使情况复杂化。这些复杂因素严重阻碍了贴剂疗效的一致性。探索新型PSA聚合物并结合创新的贴剂配方对于在药物利用率、载药量、药物释放和粘附之间建立最佳平衡至关重要,从而有效应对与粘附相关的挑战。