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Percutaneous Absorption of Drugs

 

作者: Ronald C. Wester,   Howard I. Maibach,  

 

期刊: Clinical Pharmacokinetics  (ADIS Available online 1992)
卷期: Volume 23, issue 4  

页码: 253-266

 

ISSN:0312-5963

 

年代: 1992

 

出版商: ADIS

 

数据来源: ADIS

 

摘要:

The skin is an evolutionary masterpiece of living tissue which is the final control unit for determining the local and systemic availability of any drug which must pass into and through it.In vivoin humans, many factors will affect the absorption of drugs. These include individual biological variation and may be influenced by race. The skin site of the body will also influence percutaneous absorption. Generally, those body parts exposed to the open environment (and to cosmetics, drugs and hazardous toxic substances) are most affected. Treating patients may involve single daily drug treatment or multiple daily administration. Finally, the body will be washed (normal daily process or when there is concern about skin decontamination) and this will influence percutaneous absorption.The vehicle of a drug will affect release of drug to skin. On skin, the interrelationships of this form of administration involve drug concentration, surface area exposed, frequency and time of exposure. These interrelationships determine percutaneous absorption. Accounting for all the drug administered is desirable in controlled studies. The bioavailability of the drug then is assessed in relationship to its efficacy and toxicity in drug development.There are methods, both quantitative and qualitative,in vitroandin vivo,for studying percutaneous absorption of drugs. Animal models are substituted for humans to determine percutaneous absorption. Each of these methods thus becomes a factor in determining percutaneous absorption because they predict absorption in humans. The relevance of these predictions to humansin vivois of intense research interest.The most relevant determination of percutaneous absorption of a drug in humans is when the drug in its approved formulation is appliedin vivoto humans in the intended clinical situation. Deviation from this scenario involves the introduction of variables which may alter percutaneous absorption.

 

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