Table 1.
Physicochemical, pharmacokinetic and safety data for currently marketed transdermal drugs
Drug | MWa (Da) | MP (°C)a Unionized | log Pb | Saq (mg·mL−1)a Unionized (25°C) | Cl (L·h−1) (70 kg) | t1/2 (h) | Oral F (%) | Target plasma level (ng·mL−1) | Estimated Jskin required (μg·h−1) | In vivo Jskin (μg·cm−2·h−1)a″ | Equivalent maximum hourly dose (μg·h−1)a‴ | Safety margin = max dose per h/in vivo Jskin |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Buprenorphine | 468 | 209 | 3.8 | 0.047, 0.008h (32°C) | 77 i.v.a′, 55 i.m.b′ | 3 i.v.a′, 28 s.l.a′, 19 bca′, 26 t.d.b′ | 51 s.l.a′, 28 bca′ | >0.1c′ | 7.7 | 0.8 | 70.8 | ∼100 |
Clonidine | 230 | 130 | 2.7 | 0.17, 13.58i | 15d′ | 8–13 i.v.d′, 12–16 i.v.e′, 20 t.d.e′ | 95d′ | 0.2–2d′ | 3–30 | 1.2 | 12.5 | ∼10 |
Oestradiol | 272 | 173–179 | 4.2 | 0.003, 0.003j (30°C), 0.0015 1k (25°C) | 600–800f′ | ∼1 p.o.g′ | 5h′ | 0.04–0.06i′ | 24–48 | 0.2b″, 0.17c″, 0.14d″, 0.12e″, 0.42f″, 0.18g″, 0.63h″, 0.23i″, 0.09j″ | 4.2 | ∼20 |
Ethinyl oestradiol | 296 | 141–146 | 4.3 | 0.039, 0.0092k (25°C) | 70 p.o.j′ | 7.7 p.o.j′, 17 t.d.k′ | 55h′ | 0.025–0.075l′ | 1.75–5.25 | 0.07 | 0.8 | ∼10 |
Fentanyl | 337 | 83–84 | 3.9 | 0.15, 0.2j (30°C), 0.2l (25°C) | 27–75m′ | 3–12 i.v.m′, 20–27 t.d.m′ | 50 o.t.n′ | 1–3o′ | 27–225 | 2.4 | 100 | ∼40 |
Granisetron | 312 | 152–154c | 2.6 | 0.017 | 33–76p′ | 4–6 i.v.p′, 36 t.d.p′ | 60q′ | 3.9 (t.d. mean Cmax)p′ | 129–296 | 2.5 | 129 | ∼50 |
Levonorgestrel | 312 | 235–237 | 3.8 | 0.017 | 5.7 p.o.j′ | 19.3 p.o.j′, 28 t.d.r′ | 94h′ | 0.17 (t.d. Css)r′ | 1 | 0.03 | – | – |
Methylphenidate | 233 | 74–75, liquid | 2.1 | 1.8 | 12(d); 21(l) (children 30 kg)s′ | 1.5–5 p.o. (children)s′ | 22(d); 5(l)s′ | 5–15t′ | 60–315 | 88 | 1250 | ∼15 |
Nicotine | 162 | −79, liquid | 1.1 | 62, 1085i (30°C) | 77u′ | 2 i.v.u′ | 20–45v′ | 5–30w′ | 385–2310 | 40k″, 31l″, 69m″, 29n″ | 875 | ∼20 |
Nitroglycerin (glyceryl trinitrate) | 227 | 13, liquid | 1 | 0.66, 1.3j (30°C) | 216–3270x′ | 0.03–0.05 p.o.x′ | <1y′ | 0.02–0.4z′ | 4.32–1308 | 20o″, 30p″ | 833 | ∼30 |
Norelgestromin | 327 | 110–130 | 3.67 (pred) | 0.0043 | – | 28 t.d.k′ | – | 0.6–1.2l′ | – | 0.31 | 6.25 | ∼20 |
Norethindrone acetate (norethisterone acetate) | 341 | 161–162 | 3.2 | 0.0065 | 20.6aa′ | 34.8 p.o.aa′, 6–8 t.d.ab′ | 60h′ | 0.5–0.8ab′ | 10.3–16.5 | 0.65 | 10.4 | ∼20 |
Oxybutynin | 358 | 56–58d | 4.3 | 0.0093 | 10–64ac′ | 2 i.v.ad′, 7–8 t.d.ad′ | 6ad′ | 0.5–3ae′ | 5–192 | 4.2 | 162.5 | ∼40 |
Rivastigmine | 250 | Oil at 25°Ce | 2.3 | 25 | 108af′ | 1.3–2 p.o.ag′, 3.4 t.d.ag′ | 36af′ | 2.5–20 (t.d. mean Cmax)ah′ | 270–2160 | 39 | 396 | ∼10 |
Rotigotine | 316 | 75–77f | 4.7 | 0.017 | 600ai′ | 7 t.d.ai′ | – | 0.4–2aj′ | 240–1200 | 8.3 | 250 | ∼30 |
Scopolamine (hyoscine) | 303 | 55, liquid | 0.8 | 1.8, 75j (30°C) | 65–121ak′ | 1–5 p.o.ak′ | 4–27ak′ | >0.05al′ | 3.25–6.05 | 5.6 | 210b‴ | ∼40 |
Selegiline (deprenyl) | 187 | Liquid at 25°Cg | 2.7 | 0.73 | 84am′ | 9–15 p.o.an′, 15–25 t.d.am′ | 4an′ | 2ao′ | 168 | 12.5 | 500 | ∼40 |
Testosterone | 288 | 155 | 3.6 | 0.02, 0.02i (25°C) | 41ap′ | 0.17–1.7aq′ | 7ar′ | 3–10.5aq′ | 123–430.5 | 13.9 | 417 | ∼30 |
bc, buccal; Cl, total body clearance; d, dextro isomer; F, oral bioavailability; i.m., intramuscular; i.v., intravenous; Jskin, skin flux; l, levo isomer; log P, log octanol–water partition coefficient; MP, melting point of the unionized form; MW, molecular weight; o.t., transmuscosal; p.o., per oral; Saq, aqueous solubility of the unionized form; s.l., sublingual; t1/2, elimination half-life; t.d., transdermal.
aSci Finder Scholar, 2014. bChambers Fox, 2014. cGafni et al., 2008. dTang et al., 2008. eChiang et al., 2009. fKrivonos and Weisman, 2013. gGovil and Weimann, 2006. hRoy et al., 1994. iMagnusson et al., 2004. jMichaels et al., 1975. kShareef et al., 2006. lRoy and Flynn, 1988.
a′Kuhlman et al., 1996. b′Butrans® PI. c′Sittl et al., 2003. d′Lowenthal et al., 1988. e′Catrapres-TTS® PI. f′Cleary, 1993. g′Estraderm® PI. h′Fotherby, 1996. i′Good et al., 1985. j′Kanarkowski et al., 1988. k′Ortho Evra® PI. l′Abrams et al., 2002. m′Duragesic® PI. n′Actiq® PI. o′Duthie et al., 1988. p′Sancuso® PI. q′Kytril® PI. r′Climara Pro® PI. s′Ritalin LA® PI. t′Greenhill et al., 2001. u′Benowitz et al., 1982. v′Hukkanen et al., 2005. w′Bannon et al., 1994. x′Bogaert, 1987. y′Bauer and Seifert, 2005. z′Noonan and Benet, 1986.
aa′Singh et al., 1979. ab′Combipatch® PI. ac′Douchamps et al., 1988. ad′Oxytrol® PI. ae′Lee et al., 1995. af′Exelon® capsules PI. ag′Lefèvre et al., 2008. ah′Frank et al., 2014. ai′Neupro® PI. aj′Lauterbach et al., 2002. ak′Guay, 2003. al′Nachum et al., 2006. am′Emsam® PI. an′Azzaro et al., 2007. ao′Kolli et al., 2010. ap′Horton et al., 1965. aq′Axiron® PI. ar′Tauber et al., 1986.
a″In vivo Jskin is calculated by dividing the labelled dose rate by the patch size (active area). b″Estraderm. c″Climara®. d″Vivelle®. e″Alora®. f″Vivelle-Dot®. g″Menostar®.
h″Minivelle®. i″Combipatch®. j″Climara Pro® . k″Nicoderm CQ®. l″Nicorette®. m″Nicorette® Invisi patch®. n″Habitrol®. o″Nitro-Dur®. p″Minitran®.