Kajian Literatur Optimalisasi Sistem Transdermal Patch untuk Terapi Antinyeri

DOI: https://doi.org/10.33650/trilogi.v6i4.13277

Authors (s)


(1) * Aulia Setia Putri   (Universitas Muhammadiyah)  
        Indonesia
(2)  Ayumi Tresna Laksmi Putri   (Universitas Muhammadiyah)  
        Indonesia
(3)  Bilqis Vanessa Zattaniya   (Universitas Muhammadiyah)  
        Indonesia
(4)  Deshita Putri Nurrisma   (Universitas Muhammadiyah)  
        Indonesia
(5)  Ryan Hidayat   (Universitas Muhammadiyah)  
        Indonesia
(6)  Saiful Rizal   (Universitas Muhammadiyah)  
        Indonesia
(7)  Dwintha Lestari   (Universitas Muhammadiyah)  
        Indonesia
(*) Corresponding Author

Abstract


Pain therapy requires a drug delivery system capable of maintaining a stable analgesic effect with minimal adverse effects; therefore, transdermal patch systems represent a promising alternative. This literature review aims to analyze optimization strategies of transdermal patches to enhance the effectiveness of pain therapy. The method employed was a systematic narrative literature review of articles published between 2015 and 2025, retrieved from Google Scholar, PubMed, ScienceDirect, and MDPI databases. Article selection was conducted based on relevance to formulation, evaluation, and effectiveness of transdermal patches for analgesic therapy, resulting in a total of 18 articles included in the analysis. Comparative synthesis of the literature identified three main pillars of optimization: the use of natural active compounds with analgesic and anti-inflammatory potential, the application of chemical penetration enhancers (CPEs), and the implementation of physical enhancement technologies. Active compounds such as piperine and flavonoids demonstrated good compatibility within patch systems, while CPEs such as sodium lauryl sulfate and propylene glycol were reported to increase drug permeation by approximately 2–5 times compared to formulations without enhancers. Physical technologies, including microneedles, sonophoresis, and iontophoresis, were selected for their ability to mechanically reduce the barrier function of the stratum corneum, thereby supporting controlled drug release and producing a stable pharmacokinetic profile characterized by gradual release and maintenance of drug concentrations within the therapeutic range. Although the findings indicate that integrating these three optimization pillars may enhance analgesic effectiveness and patient adherence, this review is limited by the predominance of preclinical studies and methodological heterogeneity. Therefore, further validation through large-scale clinical trials is required to support the achievement of transdermal patch optimization in clinical pain management.



Keywords

Analgesic; Formulation Optimization; Microneedle; Natural Ingredients; Penetration Enhancer; Transdermal Patch.







References


Alkilani, A. Z., McCrudden, M. T. C., & Donnelly, R. F. (2015). Transdermal drug delivery: Innovative pharmaceutical developments based on disruption of the barrier properties of the stratum corneum. Pharmaceutics, 7(4), 438–470. https://doi.org/10.3390/pharmaceutics7040438

Annisa, N. (2020). Formulasi patch transdermal naproxen natrium dengan variasi polimer HPMC dan PVP. Jurnal Farmasi Indonesia, 12(3), 145–152.

Disa, F. A., Rizqi, A. M., & Fitriyah, S. N. (2024). Formulasi patch transdermal ekstrak etanol daun salam (Syzygium polyanthum) sebagai antinyeri alami. Cendekia Utama Jurnal Farmasi, 8(1), 21–28.

Donnelly, R. F., Singh, T. R. R., Morrow, D. I. J., Woolfson, A. D. (2015). Microneedle-mediated transdermal and intradermal drug delivery. Advanced Drug Delivery Reviews, 92, 1–27. https://doi.org/10.1016/j.addr.2015.01.008

Hao, Y., Li, W., Zhou, X., Yang, F., & Qian, Z. (2017). Microneedles-based transdermal drug delivery systems: A review. Journal of Biomedical Nanotechnology, 13(12), 1581–1597. https://doi.org/10.1166/jbn.2017.2473

Hendriati, L., et al. (2021). Optimalisasi sistem penghantaran obat transdermal dalam terapi nyeri kronis: Tinjauan konsep dan inovasi terbaru. Jurnal Farmasi Sains dan Praktis, 7(2), 112–120.

Jantarat, C., Sirathanarun, P., Boonmee, S., Meechoosin, W., & Wangpittaya, H. (2018). Effect of piperine on skin permeation of curcumin from a bacterially derived cellulose-composite double-layer membrane for transdermal curcumin delivery. Scientia Pharmaceutica, 86(3), 39. https://doi.org/10.3390/scipharm86030039

Kahraman, E., Kaykın, M., Sahin Bektay, H., & Güngör, S. (2019). Recent advances on topical application of ceramides to restore barrier function of skin. Cosmetics, 6(4), 52. https://doi.org/10.3390/cosmetics6040052

Leone, M., Mönkäre, J., Bouwstra, J. A., & Kersten, G. (2017). Dissolving microneedle patches for dermal vaccination. Pharmaceutical Research, 34(10), 2223–2240. https://doi.org/10.1007/s11095-017-2223-2

Marwah, H., Garg, T., Goyal, A. K., & Rath, G. (2016). Permeation enhancer strategies in transdermal drug delivery. Drug Delivery, 23(2), 564–578. https://doi.org/10.3109/10717544.2014.935532

Nurmesa, Adi, & Najihudin, A. (2019). Formulasi dan evaluasi stabilitas fisik patch transdermal alkaloid nikotin daun tembakau (Nicotiana tabacum Linn.) dengan variasi polimer dan asam oleat. Jurnal Penelitian Farmasi Herbal, 2(1), 1–8.

Richard, C., Cassel, S., & Blanzat, M. (2021). Vesicular systems for dermal and transdermal drug delivery. RSC Advances, 11, 442–451. https://doi.org/10.1039/D0RA08595F

Saleem, M., Deal, B., Nehl, E., Janjic, J. M., & Pollock, J. A. (2019). Nanomedicine-driven neuropathic pain relief in a rat model is associated with macrophage polarity and mast cell activation. Acta Neuropathologica Communications, 7(1), 108. https://doi.org/10.1186/s40478-019-0762-6

Sharma, G., Alle, M., Chakraborty, C., & Kim, J. C. (2021). Strategies for transdermal drug delivery against bone disorders: A preclinical and clinical update. Journal of Controlled Release, 336, 375–395. https://doi.org/10.1016/j.jconrel.2021.06.014

St Clair-Jones, A., Prignano, F., Goncalves, J., Paul, M., & Sewerin, P. (2020). Understanding and minimising injection-site pain following subcutaneous administration of biologics: A narrative review. Rheumatology and Therapy, 7(4), 741–757. https://doi.org/10.1007/s40744-020-00233-1

Suwertayasa, I. M. P., Bodhy, I. G. N. K., & Edy, S. (2013). Uji antipiretik ekstrak etanol daun tembelekan (Lantana camara L.) pada tikus putih jantan galur Wistar. Jurnal Farmasi Ilmiah, 2(3), 46–52.

Swaney, M. H., & Kalan, L. R. (2021). Living in your skin: Microbes, molecules, and mechanisms. Infection and Immunity, 89(4), e00695-20. https://doi.org/10.1128/IAI.00695-20

Wardani, V. K., & Saryanti, D. (2021). Formulasi transdermal patch ekstrak etanol biji pepaya (Carica papaya L.) dengan basis hydroxypropyl methylcellulose (HPMC). SMED Journal, 4(1), 34–44. https://doi.org/10.13057/smj.v4i1.43613

Wojciech, L. (2018). Transdermal and topical drug administration in the treatment of pain. Molecules, 23(3), 681. https://doi.org/10.3390/molecules23030681

Woo, W.-M. (2019). Skin structure and biology. In C. Xu, X. Wang, & M. Pramanik (Eds.), Imaging technologies and transdermal delivery in skin disorders (pp. 1–14). Wiley-VCH. https://doi.org/10.1002/9783527812737.ch1

Yamamoto, S., Karashima, M., Arai, Y., Tohyama, K., & Amano, N. (2017). Prediction of human pharmacokinetic profile after transdermal drug application using excised human skin. Journal of Pharmaceutical Sciences, 106(9), 2787–2794. https://doi.org/10.1016/j.xphs.2017.04.064


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