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. 2018 Jan 29;25(1):398–416. doi: 10.1080/10717544.2018.1431980

Table 4.

Delivery of alkaloids derived from traditional Chinese medicine by transdermal drug delivery systems.

Carrier types Alkaloids Carrier composition Preparation Method of model Method of dosing Effects References
Ethosomes Ligustrazine Phospholipid, cholesterol, ethanol (1:0.4:45) or egg phosphatidylcholine, 30% ethanol (2.5:30) Ethanol injection-sonication SD rats Transdermally The ethosome patches: AUC ↑ 1.09-fold, t1/2β ↑ 8.79-fold, Tmax ↑ 0.89-fold, Cmax ↓ 68.64%, CL ↓ 52.62%; whole blood viscosity ↓, plasma viscosity  ↓, hematocrit ↓, RBC aggregation index ↓, RBC deformation index ↓, VF incidence ↓, times of ventricular premature beat ↓,SOD ↑, GSH-Px ↑, MDA ↓, the escape latency of amnesic rats ↓  (Liu et al., 2011a,b; Shi et al., 2012b)
  Tetrandrine PC, ethanol, and propylene glycol The pH gradient loading method SD rats Transdermally The ethosomes: the drug flux of skin ↑ 1.1-fold, the drug deposition ↑ 0.7-fold; curing arthritis ↑  (Fan et al., 2013)
Penetration enhancers Ligustrazine Anethole or anisaldehyde or anisic acid or menthol and menthone SD rats Transdermally The anisole compounds groups: percutaneous flux ↑, the apparent density ↑, Jss ↑, KP ↑  (Zhang et al., 2015a; Wang et al., 2017)
  Mesaconitine/Hypaconitine M-OA Male Wistar rats Transdermally The permeation ↑, desquamation of SC flake ↑, SC lipid fluidization ↑  (Zhao et al., 2011)
Solid lipid nanoparticles Aconitine Compritol® 888 ATO, Cremophor® EL), TranscotolP) Microemulsion precursor method SD rats Transdermally The SLNs: Cmax ↑ 2.56-fold, AUC0–10 h ↑ 1.26-fold, Tmax ↑ 3-fold than the ethanol tinctures; the AUC0–10 h and Cmax of the SLNs in scapular regin > abdomen > chest; the toxicity ↓, transdermal permeability ↑  (Zhang et al., 2014b, 2015c)
Others Ligustrazine Oleic acid, Cremophor RH40, ethanol,1,8-cineole The lamination technique SD rats Transdermally The penetration ↑  (Shi et al., 2012a)
  Evodiamine/Rutaecarpine Cremophor® EL, PEG400,Ethyl oleate,Water SD rats Transdermally Evodiamine- and rutaecarpine-loaded microemulsions: the fluxes ↑ ; AUC0–10 h ↑ 2.06 and 3.23-fold (Zhang et al., 2011)

SD rats: male Sprague–Dawley rats; AUC: area under the concentration–time curve; t1/2β: elimination half-life; Cmax: maximum plasma concentration; Tmax: time to reach Cmax; CL: clearance; RBC: red blood cells; VF: ventricular fibrillation; SOD: superoxide dismutase; GSH-Px: glutathione peroxidase; MDA: Malondialdehyde; PC: Phosphatidylcholine; Jss: percutaneous flux; KP: permeability coefficients; M-OA: (E)-2-isopropyl-5-methylcyclohexyl octadec-9-enoate; SC: stratum corneum; SLNs: Solid lipid nanoparticles.