Principles of transdermal nitroglycerin administration

Eur Heart J. 1989 May:10 Suppl A:26-9. doi: 10.1093/eurheartj/10.suppl_a.26.

Abstract

The currently marketed delivery systems for transdermal nitroglycerin (GTN) develop fairly constant GTN plasma concentrations throughout the 24-h application period. This may be associated with tolerance, particularly when higher doses are employed. Because of this problem, a new GTN transdermal delivery system (TDS) has been developed which provides a time-dependent, non-constant drug delivery rate. This system was engineered to provide high GTN plasma concentrations during the first 12h of application which should prevent exercise-induced angina and low nitroglycerin levels during the second 12-h period to prevent tolerance. This GTN TDS with a phasic release profile is described and the in vitro and in vivo release rates and resulting plasma concentrations are contrasted with those of conventional GTN transdermal patches.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Cutaneous
  • Angina Pectoris / drug therapy
  • Drug Administration Schedule
  • Humans
  • Nitroglycerin / administration & dosage*
  • Nitroglycerin / therapeutic use

Substances

  • Nitroglycerin