Iontophoretic delivery of transdermal patches containi

Tao Yu1, Shengjie Zhang1, Xu Cao2

  • 1Department of Operating Room Anesthesiology, Peking Union Medical College Hospital, Beijing Municipality, 100730, PR China.

Insights

This study explored Ropivacaine transdermal patches with and without Reverse Electrodialysis (RED) for sustained anesthesia in children. RED system enhanced anesthetic effects and drug release, improving pain management.

Area of Science:

  • Anesthesiology
  • Pharmaceutical Sciences
  • Biomedical Engineering

Background:

  • Pediatric anesthesia requires effective and sustained drug delivery.
  • Transdermal drug delivery offers a non-invasive alternative for maintaining anesthesia.
  • Reverse Electrodialysis (RED) systems show potential for enhancing transdermal drug transport.

Purpose of the Study:

  • To investigate the efficacy of Ropivacaine transdermal patches with and without a RED system for sustained anesthesia in children.
  • To evaluate the in-vitro drug release rate of Ropivacaine from transdermal patches, with and without RED.
  • To compare the anesthetic effects, including thermal threshold and pain perception, in children using Ropivacaine patches with and without RED.

Main Methods:

  • Ropivacaine transdermal patches (25 mg) were formulated using the evaporation technique and characterized for physical properties.
  • In-vitro drug release studies were conducted in Phosphate buffer (pH 7.4) over 24 hours, with and without the RED system.
  • A clinical trial was performed on children, divided into two groups (with and without RED system), to assess anesthetic effects after forearm patch application.

Main Results:

  • Ropivacaine patches exhibited favorable physical characteristics, including high drug content (95.79–97.45%) and good folding endurance.
  • In-vitro studies showed enhanced Ropivacaine release with the RED system (89.23% in 24 hr) compared to without (81.23% in 24 hr).
  • Clinical application demonstrated that the RED system significantly improved anesthetic effects, including thermal threshold and reduced pain sensation.

Conclusions:

  • Ropivacaine transdermal patches, particularly when combined with a RED system, offer a promising approach for sustained anesthesia in pediatric patients.
  • The RED system effectively enhances both in-vitro drug release and in-vivo anesthetic efficacy.
  • This innovative combination holds potential for improved pain management and anesthesia maintenance in children.

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