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Table 1 The advantages and disadvantages of various transdermal delivery system

From: Recent advances in transdermal drug delivery systems: a review

 

Method

Advantages

Disadvantages

Ref.

Active Delivery

Iontophoresis

• Improving the delivery of polar molecules as well as high molecular weight compounds

• Faster and easier administration

• Enabling continuous or pulsatile delivery of drug

• Risk of burns if electrodes are used improperly

• Difficulty stabilizing the therapeutic agent in the vehicle

• Complexity of the drug release system

[25,26,27,28,29]

Sonophoresis

• Allows strict control of transdermal diffusion rates

• In many cases, greater patient approval

• Less risk of systemic absorption

• Helpful to break up blood clots

• Not immensely sensitizing

• Can be prolonged to administer

• Minor tingling, irritation and burning

• SC must be unbroken for effective drug penetration

[30,31,32,33]

Electroporation

• Highly effective, reproducible, directed drug transfer

• Permits rapid termination of drug delivery through termination

• Not immensely sensitizing

• Impossible to use on a large area

• Can be disturb the cargo if high voltage is uesd

• Possibility of cell damage

• Relatively nonspecific

[34,35,36]

Photomechanical waves

• Can improve transfer of molecules across the plasma membrane of cells in vitro without loss of viability

• Not appear to cause injury to the viable skin

• Do not cause pain or discomfort

• Lack of human clinical data

[37,38,39,40]

Microneedle

• Painless administration of the active pharmaceutical ingredient

• Faster healing at injection site

• No fear of needle

• Specific skin area can be targeted for proper drug delivery

• Lower dosing accuracy than hypodermic needles

• Penetration depth of various particles depending on the skin layer

• Possibility of venous collapse due to repeated injections

[41,42,43,44,45,46,47,48,49,50,51,52,53,54]

 

Thermal ablation

• Avoid the pain, bleeding, and infection

• Can remove SC selectively without damaging deeper tissues

• Better control and reproducibility

• Low cost and disposable device

• Structural changes in the skin must be evaluated

• Existing concerns about the use of extreme temperatures and the logistics of such devices

[55,56,57,58,59]

Passive delivery

Vesicles

• Accomplish sustained drug release behavior

• Control the absorption rate through a multilayered structure

• Chemically unstable

• Expensive of formulations

• Limitation of drug loading

[60,61,62,63]

Polymeric nanoparticles

• Accomplish targeted and controlled release behavior

• High mechanical strength and non-deformability

• Can be made of various biodegradable materials

• Can be loaded both hydrophilic and hydrophobic drugs

• Can avoid the immune system due to small size

• Difficult to break down

• Not enough toxicological assessment has been done

• Some processes are difficult to scale up

[64,65,66,67,68,69,70]

Nanoemulsion

• Long-term thermodynamic stability

• Excellent wettability

• High solubilization capacity and physical stability

• Possible to formulate it in variety of formulations

• Requires large concentration of emulsifiers

• Limited solubilizing capacity for high-melting substances

• Variable kinetics of distribution processes and clearance

[58, 71, 72]