The delivery of a therapeutic compound into the body’s general circulation without the requirement of needles, surgical intervention, or disruption of the skin’s integrity, relying instead on absorption through an intact biological surface. Transdermal hormone replacement therapy is a prime example of this method, offering a highly convenient and patient-preferred approach to achieving consistent systemic therapeutic levels. This route prioritizes patient adherence alongside rigorous clinical efficacy.
Origin
This concept represents a major long-term goal of modern pharmaceutical technology, driven by the desire to significantly improve patient compliance and eliminate the potential risks associated with invasive procedures. Transdermal delivery, which gained prominence in the 1970s, pioneered this noninvasive approach for systemic drugs. Continuous innovation seeks to expand the range of molecules that can be effectively delivered this way.
Mechanism
The drug formulation is engineered to facilitate its penetration across the stratum corneum barrier, primarily through passive diffusion across the intercellular lipid matrix or via temporary, safe enhancement techniques. Once the compound traverses the epidermis, it is rapidly absorbed by the rich capillary network in the underlying dermis, entering the bloodstream directly. This efficient mechanism avoids the harsh gastrointestinal environment and the liver’s first-pass metabolism, leading to high and consistent systemic bioavailability.
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