The critical process by which a therapeutic agent, after successfully diffusing through the epidermal layers, is rapidly taken up into the dense, fine network of blood capillaries situated within the dermal layer of the skin. This uptake represents the final, essential step in the transdermal delivery pathway before the hormone enters the general systemic circulation. The efficiency of this process is a key physiological determinant of the overall systemic bioavailability of the administered compound.
Origin
The term is a confluence of circulatory physiology and pharmaceutical science, specifically addressing the requirement for a continuous “sink condition” for efficient drug absorption. The dermal vasculature has long been recognized as the final conduit for systemic entry of substances applied to the skin. Clinical research focuses intensely on optimizing the partitioning and diffusion interface between the dermal tissue and the blood vessels.
Mechanism
Upon reaching the highly vascularized dermis, the drug molecule rapidly partitions from the interstitial fluid into the capillary blood, a process driven by a substantial concentration gradient. The high blood flow rate inherent to the dermal microcirculation continuously sweeps the drug away, thereby maintaining a low concentration in the surrounding tissue. This constant removal, known as the sink effect, favors the continuous and efficient absorption of the hormone from the skin site.
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