Abstract
Osteoporosis is a progressive bone disease that remains unnoticed until a fracture occurs. It is more predominant in the older age population, particularly in females due to reduced estrogen levels and ultimately limited calcium absorption. The cost burden of treating osteoporotic fractures is too high, therefore, primary focus should be treatment at an early stage. Most of the marketed drugs are available as oral delivery dosage forms. The complications, as well as patient non-compliance, limit the use of oral therapy for prolonged drug delivery. Transdermal delivery systems seem to be a promising approach for the delivery of anti-osteoporotic active moieties. One of the confronting barriers is the passage of drugs through the SC layers followed by penetration to deeper dermal layers. The review focuses on how anti-osteoporotic drugs can be molded through different approaches so that they can be exploited for the skin to systemic delivery. Insights into the various challenges in transdermal delivery and how the novel delivery system can be used to overcome these have also been detailed.
Keywords: Drug delivery, nanotechnology, osteoporosis, skin, transdermal drug delivery system, burgeoning issue.
Graphical Abstract
[http://dx.doi.org/10.1007/PL00004148] [PMID: 9425497]
[http://dx.doi.org/10.5152/eurjrheum.2016.048] [PMID: 28293453]
[PMID: 21779712]
[http://dx.doi.org/10.1196/annals.1365.035] [PMID: 17308163]
[PMID: 17572649]
[http://dx.doi.org/10.2174/1568010054022015] [PMID: 16101541]
[http://dx.doi.org/10.4161/sgtp.2.3.16453] [PMID: 21776413]
[http://dx.doi.org/10.1016/j.abb.2014.05.003] [PMID: 24832390]
[PMID: 3762511]
[http://dx.doi.org/10.1016/j.molmed.2004.12.004] [PMID: 15694870]
[http://dx.doi.org/10.1016/j.semcdb.2008.07.016] [PMID: 18718546]
[http://dx.doi.org/10.1016/S0169-409X(00)00060-0] [PMID: 10963834]
[http://dx.doi.org/10.1152/japplphysiol.00564.2003] [PMID: 14555675]
[http://dx.doi.org/ 10.1002/1097-0142(20000615)88:12+<2961:aid-cncr12>3.3.co;2-c] [PMID: 10898340]
[http://dx.doi.org/10.1007/s00198-007-0540-8] [PMID: 18214569]
[http://dx.doi.org/10.1007/s00198-006-0322-8] [PMID: 17308956]
[http://dx.doi.org/10.1136/bmj.c4444] [PMID: 20813820]
[http://dx.doi.org/10.4065/83.9.1032] [PMID: 18775204]
[http://dx.doi.org/10.1016/j.cmet.2007.09.007] [PMID: 17908554]
[PMID: 10847516]
[http://dx.doi.org/10.1016/S1297-319X(00)00209-8] [PMID: 11195328]
[http://dx.doi.org/10.1111/j.1471-0528.1997.tb11561.x] [PMID: 9389777]
[PMID: 10507743]
[http://dx.doi.org/10.4184/asj.2016.10.4.787] [PMID: 27559463]
[http://dx.doi.org/10.2165/00024677-200403020-00006] [PMID: 15743107]
[http://dx.doi.org/10.1016/S0169-409X(00)00063-6] [PMID: 10963837]
[http://dx.doi.org/10.1038/ajg.2011.129] [PMID: 21519359]
[http://dx.doi.org/10.4103/2230-8210.95661] [PMID: 22629497]
[PMID: 18225450]
[http://dx.doi.org/10.1016/j.jconrel.2014.12.028] [PMID: 25542644]
[http://dx.doi.org/10.1016/j.drudis.2013.07.015] [PMID: 23932952]
[http://dx.doi.org/10.1590/S0004-27302010000200018] [PMID: 20485911]
[PMID: 12751658]
[http://dx.doi.org/10.1084/jem.192.4.463] [PMID: 10952716]
[http://dx.doi.org/10.1007/s11914-016-0321-4] [PMID: 27502334]
[http://dx.doi.org/10.1016/S0169-409X(97)00063-X] [PMID: 10837582]
[http://dx.doi.org/10.1177/2045125312458311] [PMID: 23983984]
[http://dx.doi.org/10.1016/j.jconrel.2014.05.022] [PMID: 24852092]
[http://dx.doi.org/10.4103/0250-474X.40340] [PMID: 20390089]
[http://dx.doi.org/10.1016/j.ijpharm.2015.03.003] [PMID: 25747455]
[http://dx.doi.org/10.2147/PPA.S3233] [PMID: 19920983]
[http://dx.doi.org/10.1016/j.mbs.2006.10.012] [PMID: 17303187]
[http://dx.doi.org/10.1016/S0168-8278(00)00067-2] [PMID: 11281560]
[http://dx.doi.org/10.2147/IJN.S134708] [PMID: 28490875]
[http://dx.doi.org/10.3390/molecules21121709] [PMID: 27973428]
[http://dx.doi.org/10.3109/10717544.2014.935532] [PMID: 25006687]
[http://dx.doi.org/10.3390/pharmaceutics10020051] [PMID: 29673184]
[http://dx.doi.org/10.1002/jbmr.147] [PMID: 20533374]
[http://dx.doi.org/10.1016/j.ijpharm.2008.01.050] [PMID: 18329198]
[http://dx.doi.org/10.1016/j.ijpharm.2011.07.027] [PMID: 21807082]
[http://dx.doi.org/10.1016/j.msec.2017.03.147] [PMID: 28482575]
[http://dx.doi.org/10.1097/gme.0b013e31803867a] [PMID: 17507833]
[PMID: 19920906]
[http://dx.doi.org/10.1503/cmaj.130004] [PMID: 23509132]
[http://dx.doi.org/10.1038/nbt.1504] [PMID: 18997767]
[http://dx.doi.org/10.1111/bph.13059] [PMID: 25560046]
[http://dx.doi.org/10.4103/0250-474X.40324] [PMID: 20390073]
[http://dx.doi.org/10.3797/scipharm.1108-20] [PMID: 22396901]
[http://dx.doi.org/10.1016/j.ultras.2013.07.007] [PMID: 23899825]
[http://dx.doi.org/10.1007/978-3-662-53273-7_1]
[http://dx.doi.org/10.1016/S0168-3659(02)00464-9] [PMID: 12586506]
[http://dx.doi.org/10.1016/j.ultras.2009.10.002] [PMID: 19896683]
[http://dx.doi.org/10.1016/j.addr.2008.03.009] [PMID: 18468716]
[http://dx.doi.org/10.1046/j.1365-201X.2003.01093.x] [PMID: 12648161]
[http://dx.doi.org/10.1016/j.ejpb.2019.01.005] [PMID: 30633972]
[http://dx.doi.org/10.1016/j.biopha.2018.10.078] [PMID: 30551375]
[http://dx.doi.org/10.1016/j.jconrel.2015.10.005] [PMID: 26456749]
[http://dx.doi.org/10.1016/j.ejps.2008.05.002] [PMID: 18572392]
[http://dx.doi.org/10.1016/j.nano.2010.01.002] [PMID: 20093197]
[http://dx.doi.org/10.1007/s10544-011-9590-y] [PMID: 21960035]
[http://dx.doi.org/10.1016/j.jconrel.2017.11.049] [PMID: 29199062]
[http://dx.doi.org/10.1016/j.xphs.2018.07.015] [PMID: 30055224]
[http://dx.doi.org/10.3390/molecules21121719] [PMID: 27983701]
[http://dx.doi.org/10.1016/j.ijbiomac.2017.10.170] [PMID: 29104049]
[http://dx.doi.org/10.5958/2231-5659.2017.00013.3]
[http://dx.doi.org/10.3109/1061186X.2016.1154562] [PMID: 26878159]
[http://dx.doi.org/10.1016/j.bmcl.2010.04.049] [PMID: 20451376]
[http://dx.doi.org/10.1155/2017/4759839] [PMID: 28480080]
[PMID: 25246789]
[http://dx.doi.org/10.2174/1567201813666160120151816] [PMID: 26787414]
[http://dx.doi.org/10.1002/jps.20904] [PMID: 17518363]
[http://dx.doi.org/10.1002/jps.23136] [PMID: 22467424]
[http://dx.doi.org/10.1016/S0378-5173(00)00351-3] [PMID: 10845691]
[http://dx.doi.org/10.1016/S0378-5173(01)00615-9] [PMID: 11337153]
[http://dx.doi.org/10.1016/S0168-3659(99)00262-X] [PMID: 10742574]
[http://dx.doi.org/10.1016/S0378-5173(03)00337-5] [PMID: 12954177]
[http://dx.doi.org/10.1016/j.colsurfb.2012.04.002] [PMID: 22609586]
[http://dx.doi.org/10.3233/BME-161601] [PMID: 27885995]
[http://dx.doi.org/10.1016/j.colsurfb.2017.03.047] [PMID: 28391082]
[http://dx.doi.org/10.3390/pharmaceutics7030090] [PMID: 26131647]
[http://dx.doi.org/10.1007/s11095-010-0192-9] [PMID: 20567999]
[http://dx.doi.org/10.1210/jc.2009-0358] [PMID: 19858319]
[http://dx.doi.org/10.1016/j.yebeh.2003.11.029] [PMID: 15123008]
[http://dx.doi.org/10.1016/j.ijep.2017.04.001]
[http://dx.doi.org/10.4103/0972-2327.128645] [PMID: 24791083]
[http://dx.doi.org/10.4103/tcmj.tcmj_54_17] [PMID: 28974906]
[http://dx.doi.org/10.4155/tde.10.16] [PMID: 21132122]