Skin sensitivity and transdermal drug delivery. A review of the problem.

Abstract:

:Transdermal devices are now marketed for the delivery of systemic medication through the skin. Advantages associated with transdermal drug delivery include avoidance of first-pass metabolism and improved patient compliance. Drugs currently available by this route include scopolamine (hyoscine), nitroglycerin (glyceryl trinitrate), estradiol, nicotine and clonidine. This novel development has brought in its wake a specific constellation of skin sensitivity problems, which vary widely in incidence between drugs. Varying the site of drug administration to minimise these reactions is important. Any eczematous reaction can be treated with a moderately potent topical steroid. Tolerance to oral challenge in those with topical sensitivity occurs, but caution is still advocated before proceeding to this step. The increasing use of transdermal drug delivery systems across many specialties means that problems of skin sensitivity are of growing relevance to the dermatologist, the hospital specialist and the primary care physician.

journal_name

Drug Saf

journal_title

Drug safety

authors

Carmichael AJ

doi

10.2165/00002018-199410020-00004

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

151-9

issue

2

eissn

0114-5916

issn

1179-1942

journal_volume

10

pub_type

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