Paper I
2015 September (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Trans dermal therapeutic system

Q33 marksShort Notes

Answer

A transdermal therapeutic system (TTS) is a drug delivery system in the form of a patch applied to the skin, designed to deliver the drug at a controlled, predetermined rate into the systemic circulation via percutaneous absorption.

Advantages

  • Avoids first-pass hepatic metabolism
  • Provides sustained, steady plasma drug levels, avoiding peaks and troughs
  • Improves patient compliance (infrequent application, e.g., once every few days)
  • Can be discontinued easily by simply removing the patch, terminating drug delivery
  • Non-invasive, painless

Limitations

  • Suitable only for potent, lipophilic drugs with low daily dose requirement
  • Slow onset of action — unsuitable for emergencies
  • Local skin irritation/allergic reactions at the application site

Examples

  • Nicotine patch (smoking cessation)
  • Nitroglycerin patch (angina prophylaxis)
  • Fentanyl patch (chronic pain)
  • Estrogen patch (hormone replacement therapy)

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