Author: Kongdy Patch
Date: 12 22,2023
Capsicum patches containing capsaicin are gaining popularity as a safe and effective topical analgesic. However, optimizing the formulation is crucial to ensure adequate capsaicin delivery while maintaining product stability and user compliance. This article reviews recent studies on optimizing capsicum patch compositions to identify the most favorable formulations.
Capsaicin, the primary active ingredient in capsicum patches, is highly lipophilic with poor aqueous solubility. Therefore, the selection of the vehicle to solubilize and deliver capsaicin is critical. Recent studies have evaluated a range of vehicles including ethyl cellulose, polyvinyl alcohol (PVA), and hydrogels. Ethyl cellulose formulations provided sustained capsaicin release over 48 hours. However, high ethyl cellulose proportions decreased release rates and tissue permeation. PVA was a suitable solubilizer but showed poor skin adhesion. Hydrogel formulations containing carbomer or copolymers enhanced capsaicin solubility and permeation while providing mucoadhesive and occlusive effects.
The incorporation of penetration enhancers is another key optimization strategy. Chemical enhancers like oleic acid improved capsaicin permeation by disrupting the stratum corneum. Terpenes provided excellent enhancement with good safety profiles. Ionic liquids also augmented drug delivery in a concentration-dependent manner. However, the irritancy of some enhancers may limit their appropriate concentrations.
Adjuvant excipients also offer important functionality. Inclusion of soft paraffin conferred optimal patch plasticity and drug release. Hydrophilic cellulose derivatives improved matrix integrity. Oil-based solvents like mineral oil boosted drug solubility while providing emollient effects. Yet, the use of lipids may necessitate anti-oxidant addition to prevent rancidity issues during storage.
Various polymeric films have been evaluated as patch backings. Polyester films provided adequate tensile strength, while polyurethane films conferred greater moisture vapor permeability. Occlusive polyethylene backings resulted in hydration of the stratum corneum, enhancing permeation. Siliconized backings prevented patch folding and crinkling. Hence, the backing should align to the desired water vapor transmission rates and breathability.
The optimization should balance capsaicin solubility enhancement against possible irritancy from high doses. Patches containing 0.075% - 0.25% capsaicin showed efficacy comparable to higher doses while improving tolerability. Doses above 5-10% increased irritation without additional analgesic benefits. Similarly, larger patch sizes improved effects but decreased user compliance due to skin reactions.
In summary, capsicum patch optimization involves the synergistic formulation of the drug, vehicle, penetration enhancer, adjuvants, and backing to maximize capsaicin delivery while maintaining tolerability and stability. The most favorable compositions incorporated hydrogel vehicles, terpene enhancers, emollient adjuvants, and breathable backings. The capsaicin dose and patch area should provide effective analgesia with minimal side effects. Further research could elucidate the mechanisms of chemical penetration enhancers and evaluate novel vehicles to optimize capsicum patch preparations.