Transdermal delivery of narcotic analgesics: pH, anatomical, and subject influences on cutaneous permeability of fentanyl and sufentanil.

作者: Samir D. Roy , Gordon L. Flynn

DOI: 10.1023/A:1015912932416

关键词: SufentanilTransdermalFentanylMembraneFree baseChemistryPermeability (electromagnetism)PharmacologyChromatographyPermeationStratum corneum

摘要: The permeation of fentanyl and sufentanil through cadaver skin membranes was investigated using in vitro diffusion cell techniques. Neither drug influenced the other when they were concurrently applied to membrane. With respect transdermal delivery, short lag times less than 0.5 hr observed for each compound. Their rates heat-isolated epidermis dermatomed (200- 250-µm) sections essentially same. However, stratum corneum removed by tape stripping, respective permeability coefficients increased >30-fold, establishing as principal barrier their permeation. Permeation also studied a function pH. From pH 4 8 both sufentanil, calculated from total solution concentration regardless ionization, exponentially. free base is thus responsible relatively facile these drugs. Factoring independent ionized free-base forms possible, with latter being over two log orders larger seen protonated species. Permeability obtained different cadavers varied four- fivefold. gender nor age flux-determining variable either drug. drugs sites diverse sole foot, chest, thigh, abdomen remarkably similar. fluxes sufficient administration.

参考文章(16)
Robert Schleimer, Eliezer Benjamini, John Eisele, Gary Henderson, Pharmacokinetics of fentanyl as determined by radioimmunoassay Clinical Pharmacology & Therapeutics. ,vol. 23, pp. 188- 194 ,(1978) , 10.1002/CPT1978232188
W Lauwers, W Meuldermans, E Swysen, R Hurkmans, J Hendrickx, J Thijssen, P Timmerman, J Heykants, R Woestenborghs, Excretion and biotransformation of alfentanil and sufentanil in rats and dogs. Drug Metabolism and Disposition. ,vol. 15, pp. 905- 913 ,(1987)
Robert L. Bronaugh, Raymond F. Stewart, Methods for in Vitro Percutaneous Absorption Studies VI: Preparation of the Barrier Layer Journal of Pharmaceutical Sciences. ,vol. 75, pp. 487- 491 ,(1986) , 10.1002/JPS.2600750513
P. S. Sebel, C. W. Barrett, C. J. C. Kirk, J. Heykants, Transdermal absorption of fentanyl and sufentanil in man. European Journal of Clinical Pharmacology. ,vol. 32, pp. 529- 531 ,(1987) , 10.1007/BF00637682
D.J.R. DUTHIE, D.J. ROWBOTHAM, R WYLD, P.D. HENDERSON, W.S. NIMMO, PLASMA FENTANYL CONCENTRATIONS DURING TRANSDERMAL DELIVERY OF FENTANYL TO SURGICAL PATIENTS BJA: British Journal of Anaesthesia. ,vol. 60, pp. 614- 618 ,(1988) , 10.1093/BJA/60.6.614
F.O. HOLLEY, C VAN STEENNIS, POSTOPERATIVE ANALGESIA WITH FENTANYL: PHARMACOKINETICS AND PHARMACODYNAMICS OF CONSTANT-RATE I.V. AND TRANSDERMAL DELIVERY BJA: British Journal of Anaesthesia. ,vol. 60, pp. 608- 613 ,(1988) , 10.1093/BJA/60.6.608
J. R. Varvel, S. L. Shafer, S. S. Hwang, P. A. Coen, D. R. Stanski, Absorption characteristics of transdermally administered fentanyl. Anesthesiology. ,vol. 70, pp. 928- 934 ,(1989) , 10.1097/00000542-198906000-00008
A. S. Huq, N. F. H. Ho, N. Husari, G. L. Flynn, W. E. Jetzer, L. Condie, Permeation of water contaminative phenols through hairless mouse skin Archives of Environmental Contamination and Toxicology. ,vol. 15, pp. 557- 566 ,(1986) , 10.1007/BF01056570
CARL C. HUG, Pharmacokinetics of drugs administered intravenously. Anesthesia & Analgesia. ,vol. 57, pp. 704- 723 ,(1978) , 10.1213/00000539-197811000-00020