Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing

Topical drug delivery is widely used in various diseases because of the advantages of not passing through the gastrointestinal tract, avoiding gastrointestinal irritation and hepatic first-pass effect, and reaching the lesion directly to reduce unnecessary adverse reactions. The skin helps the organ...

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Main Authors: Lin Zhao, Jiamei Chen, Bai Bai, Guili Song, Jingwen Zhang, Han Yu, Shiwei Huang, Zhang Wang, Guanghua Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1333986/full
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author Lin Zhao
Lin Zhao
Jiamei Chen
Jiamei Chen
Bai Bai
Bai Bai
Guili Song
Guili Song
Jingwen Zhang
Jingwen Zhang
Han Yu
Han Yu
Shiwei Huang
Shiwei Huang
Zhang Wang
Zhang Wang
Guanghua Lu
Guanghua Lu
Guanghua Lu
author_facet Lin Zhao
Lin Zhao
Jiamei Chen
Jiamei Chen
Bai Bai
Bai Bai
Guili Song
Guili Song
Jingwen Zhang
Jingwen Zhang
Han Yu
Han Yu
Shiwei Huang
Shiwei Huang
Zhang Wang
Zhang Wang
Guanghua Lu
Guanghua Lu
Guanghua Lu
author_sort Lin Zhao
collection DOAJ
description Topical drug delivery is widely used in various diseases because of the advantages of not passing through the gastrointestinal tract, avoiding gastrointestinal irritation and hepatic first-pass effect, and reaching the lesion directly to reduce unnecessary adverse reactions. The skin helps the organism to defend itself against a huge majority of external aggressions and is one of the most important lines of defense of the body. However, the skin’s strong barrier ability is also a huge obstacle to the effectiveness of topical medications. Allowing the bioactive, composition in a drug to pass through the stratum corneum barrier as needed to reach the target site is the most essential need for the bioactive, composition to exert its therapeutic effect. The state of the skin barrier, the choice of delivery system for the bioactive, composition, and individualized disease detection and dosing planning influence the effectiveness of topical medications. Nowadays, enhancing transdermal absorption of topically applied drugs is the hottest research area. However, enhancing transdermal absorption of drugs is not the first choice to improve the effectiveness of all drugs. Excessive transdermal absorption enhances topical drug accumulation at non-target sites and the occurrence of adverse reactions. This paper introduces topical drug delivery strategies to improve drug effectiveness from three perspectives: skin barrier, drug delivery system and individualized drug delivery, describes the current status and shortcomings of topical drug research, and provides new directions and ideas for topical drug research.
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spelling doaj.art-e752b1ea6aeb499299afd906e9a9b4ac2024-01-16T04:42:19ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122024-01-011410.3389/fphar.2023.13339861333986Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosingLin Zhao0Lin Zhao1Jiamei Chen2Jiamei Chen3Bai Bai4Bai Bai5Guili Song6Guili Song7Jingwen Zhang8Jingwen Zhang9Han Yu10Han Yu11Shiwei Huang12Shiwei Huang13Zhang Wang14Zhang Wang15Guanghua Lu16Guanghua Lu17Guanghua Lu18State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaState Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaTopical drug delivery is widely used in various diseases because of the advantages of not passing through the gastrointestinal tract, avoiding gastrointestinal irritation and hepatic first-pass effect, and reaching the lesion directly to reduce unnecessary adverse reactions. The skin helps the organism to defend itself against a huge majority of external aggressions and is one of the most important lines of defense of the body. However, the skin’s strong barrier ability is also a huge obstacle to the effectiveness of topical medications. Allowing the bioactive, composition in a drug to pass through the stratum corneum barrier as needed to reach the target site is the most essential need for the bioactive, composition to exert its therapeutic effect. The state of the skin barrier, the choice of delivery system for the bioactive, composition, and individualized disease detection and dosing planning influence the effectiveness of topical medications. Nowadays, enhancing transdermal absorption of topically applied drugs is the hottest research area. However, enhancing transdermal absorption of drugs is not the first choice to improve the effectiveness of all drugs. Excessive transdermal absorption enhances topical drug accumulation at non-target sites and the occurrence of adverse reactions. This paper introduces topical drug delivery strategies to improve drug effectiveness from three perspectives: skin barrier, drug delivery system and individualized drug delivery, describes the current status and shortcomings of topical drug research, and provides new directions and ideas for topical drug research.https://www.frontiersin.org/articles/10.3389/fphar.2023.1333986/fulltopical drugdrug effectivenessskin barriersindividualized dosingdrug delivery
spellingShingle Lin Zhao
Lin Zhao
Jiamei Chen
Jiamei Chen
Bai Bai
Bai Bai
Guili Song
Guili Song
Jingwen Zhang
Jingwen Zhang
Han Yu
Han Yu
Shiwei Huang
Shiwei Huang
Zhang Wang
Zhang Wang
Guanghua Lu
Guanghua Lu
Guanghua Lu
Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing
Frontiers in Pharmacology
topical drug
drug effectiveness
skin barriers
individualized dosing
drug delivery
title Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing
title_full Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing
title_fullStr Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing
title_full_unstemmed Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing
title_short Topical drug delivery strategies for enhancing drug effectiveness by skin barriers, drug delivery systems and individualized dosing
title_sort topical drug delivery strategies for enhancing drug effectiveness by skin barriers drug delivery systems and individualized dosing
topic topical drug
drug effectiveness
skin barriers
individualized dosing
drug delivery
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1333986/full
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