Topical Drug Delivery in Humans with a Single Photomechanical Wave
Purpose. Assess the feasibility ofin vivo topical drug delivery in humans with a single photomechanical wave.
Methods. Photomechanical waves were generated with a 23 nsec Q-switched ruby laser. In vivo fluorescence spectroscopy was used as an elegant non-invasive assay of transport of 5-aminolevulinic acid into the skin following the application of a single photomechanical wave.
Results. The barrier function of the human stratum corneum in vivo may be modulated by a single (110 nsec) photomechanical compression wave without adversely affecting the viability and structure of the epidermis and dermis. Furthermore, the stratum corneum barrier always recovers within minutes following a photomechanical wave. The application of the photomechanical wave did not cause any pain. The dose delivered across the stratum corneum depends on the peak pressure and has a threshold at ∼350 bar. A 30% increase in peak pressure, produced a 680% increase in the amount delivered.
Conclusions. Photomechanical waves may have important implications for transcutaneous drug delivery.
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