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reviews research focus PSTT Vol. 2, No.

2 February 1999

Pressure-sensitive adhesives for


transdermal drug delivery systems
Hock S. Tan and William R. Pfister

Adhesives are a critical component in transdermal drug delivery (TDD) Redwood City, CA, USA) and CombiPatch®
devices. In addition to the usual requirements of functional adhesive (Noven Pharmaceuticals, Miami, FL, USA) for
hormone replacement therapy.
properties, adhesives for TDD applications must have good biocom- Transdermal drug delivery systems, as com-
patibility with the skin, chemical compatibility with the drug, various pared to their corresponding classical oral or in-
jectable dosage form counterparts, offer many
components of the formulation, and provide consistent, effective
advantages1–3.The most important advantages are
delivery of the drug. This review discusses the three most commonly improved systemic bioavailability of the pharma-
used adhesives (polyisobutylenes, polyacrylates and silicones) in TDD ceutical active ingredients (PAI), because the
first-pass metabolism by the liver and digestive
devices, and provides an update on recently introduced TDD products system are avoided; and the controlled, constant
and recent developments of new adhesives. drug delivery profile (that is, controlled zero-
order absorption). Also of importance is the re-
duced dose frequency compared to the conven-
▼ Transdermal drug delivery (TDD) systems are tional oral dosage forms (that is, once-a-day,
Hock S. Tan*
drug-loaded adhesive patches which, when ap- twice-a-week or once-a-week). Other benefits in-
and William R. Pfister
Lavipharm Laboratories Inc. plied to the skin, deliver the therapeutic agent, at clude longer duration of therapeutic action from
131 Ethel Road West a controlled rate, through the skin to the sys- a single application, and reversible action. For
Suite 6 temic circulation and to the target organs. The example, patches can be removed to reverse any
Piscataway first commercial TDD system, Transderm-Scop®, adverse effects that may be caused by overdosing.
New Jersey 08854
a controlled delivery system for scopolamine, In TDD applications, adhesives are used to
USA
*tel: 11 732 572 9660
was developed by Alza Corporation (Palo Alto, maintain intimate contact between the patch and
fax: 11 732 572 1306 CA, USA) and in 1980 it was introduced to the the skin surface. Many classes of adhesives
US market for the treatment of motion sickness. are available that might be considered for use
Since then, seven drugs and more than 25 differ- with TDD patches, although in practice pressure-
ent TDD products in multiple dosages and sensitive adhesives (PSAs) are preferred. Pressure-
strengths for the systemic treatment of various sensitive adhesives are generally defined as ma-
diseases have been marketed in the USA1. These terials that adhere to a substrate with light pressure
include nitroglycerin for the treatment of angina and which leave no residual adhesive upon their
pectoris, clonidine for hypertension treatment, removal4.They offer the advantages of convenience
fentanyl for pain management, estradiol – alone of use (PSAs do not require water/solvents or heat
or in combination with norethindrone acetate – in order to achieve adhesion), good stability (PSAs
for the relief of postmenopausal symptoms and are generally not sensitive to environmental hu-
treatment of osteoporosis, nicotine as an aid in midity or temperature degradation), simplicity of
smoking cessation, and testosterone for the treat- manufacture, and good appearance5.
ment of hypogonadism.The TDD product market In addition to the usual requirements of func-
and dosage form designs have recently been re- tional pressure-sensitive adhesive properties,
viewed1. A summary of the TDD products mar- such as adequate tack, skin-adhesion and cohe-
keted in the USA is given in Table 1. Transdermal sive strength, there are other factors to be consid-
drug delivery products that were introduced ered in the selection and use of PSAs for TDD sys-
in 1998 included FemPatch® (Cygnus, Inc., tems.These include biocompatibility, formulation

60 1461-5347/99/$ – see front matter ©1999 Elsevier Science. All rights reserved. PII: S1461-5347(99)00119-4
PSTT Vol. 2, No. 2 February 1999 research focus reviews

Table. 1. Transdermal drug delivery (TDD) products marketed in the United States

Drug Product Developer/marketer TDD system designa Pressure-sensitive


adhesive typeb

Clonidine Catapres-TTS® Alza/Boehringer Ingelheim DIA-multi-laminate PIB


Estradiol Climara® 3M Pharmaceuticals/Berlex/Schering AG DIA-monolithic Acrylate
Estradiol Estraderm® Alza/Novartis Reservoir PIB
Estradiol Vivelle® Noven/Novartis DIA-monolithic Acrylate
Estradiol FemPatch® Cygnus/Parke-Davis DIA-monolithic Silicone
Estradiol/ CombiPatch® Noven/Rhone-Poulenc Rorer DIA-monolithic Acrylate
Norethindrone
Acetate
Fentanyl Duragesic® Alza/Janssen Pharmaceutical Reservoir Silicone
Nicotine Nicoderm® Alza/SmithKline Beecham DIA-multi-laminate PIB
Nicotine Harbitrol® Lohmann/Novartis Polymer matrix Acrylate
Nicotine Nicotrol® Cygnus/McNeil Consumer Products DIA-monolithic PIB
Nicotine Prostep® Elan/Lederle Polymer matrix Acrylate
Nitroglycerin Transderm-Nitro® Alza/Novartis Reservoir Silicone
Nitroglycerin Minitran™ 3M Pharmaceuticals DIA-monolithic Acrylate
Nitroglycerin Nitro-Dur® Key Pharmaceuticals/Schering Plough DIA-monolithic Acrylate
Nitroglycerin Nitrodisc® G.D. Searle/Roberts Polymer matrix Acrylate
Nitroglycerin Deponit® Lohmann/Schwarz Pharma DIA-multi-laminate PIB
Scopolamine Transdermal-Scop® Alza/Novartis DIA-multi-laminate PIB
Testosterone Androderm® TheraTech/SmithKline Beecham Reservoir Acrylate
Testosterone Testoderm® Alza DIA-monolithic EVA

aTDD system designs: drug-in-adhesive (DIA), liquid reservoir (reservoir), multi-laminate drug-in-adhesive (DIA)/control membrane composite (multi-laminate)
bPSA Types: polyisobutylene (PIB), polyacrylate copolymer (acrylate), polysiloxane-based (silicone), ethylene-vinyl acetate copolymer (EVA).

compatibility, delivery system compatibility, and acceptable vative developments in PSA technology. Earlier reviews on the
regulatory status (that is, the availability of drug master files or subject of PSAs, along with other components, used in com-
equivalent supporting documentation). Biocompatibility re- mercial TTD products may be found in the References 6–9.
quires that the PSAs are biologically inert, non-irritating and
non-sensitizing to skin, and have no systemic toxicity. Formu- Transdermal drug delivery system designs
lation compatibility requires that the PSAs do not induce drug Transdermal drug delivery can be achieved via active or passive
or excipient degradation, do not react with the drug and other systems, depending on whether external energy is used to as-
formulation components, maintain stability and functional sist the transport of the drug through the skin10.The active sys-
properties when formulated, and offer the desired solubility. tems use heat, electric current (iontophoresis), sound waves
Delivery system compatibility requires that the PSAs provide (sonophoresis), or transient high-voltage electrical pulses
adequate diffusivity and permeability to the drug and/or per- (electroporation) to enhance the delivery of drugs into the sys-
meation enhancers6,7. Pressure-sensitive adhesives are therefore temic circulation10–12. Ionophoretic drug delivery devices have
regarded as one of the critical components in TDD devices1. been used for more than a decade for local delivery of PAI in
Thus, making a change in the PSA component of a TDD system the treatment and diagnosis of disease (that is, skin inflam-
might be considered to be a major change that would require mation, psoriasis, local anesthesia, muscle ache and pain).
the demonstration of bioequivalence and necessitate a regula- The ionophoretic devices are now in the clinical development
tory amendment. stage for systemic drug delivery, and commercial applications
This review discusses TDD products, transdermal system de- can be expected within three to five years10.
signs and components, and focuses on the PSAs that are cur- In passive TDD systems, the drug diffuses through the skin into
rently used in TDD devices. In addition, this review highlights the systemic circulation by passive means.The concentration gra-
some recent advances, including new TDD products and inno- dient of the drug across the skin and the difference in solubility

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reviews research focus PSTT Vol. 2, No. 2 February 1999

(a) Drug-in-adhesive: (b) Drug-in-adhesive: temperature during oven drying.This may cause an undesirable
monolithic multilaminate chemical reaction or the loss of active substances and excipients
Impermeable backing
because of evaporation5.
Drug-adhesive matrix
A sub-category of DIA patch design is the multi-laminate
Rate-controlling
membrane configuration, as shown in Fig. 1(b). The multi-laminate DIA
Adhesive design features either an addition of a membrane between the
Release liner DIA layer and the skin-contacting adhesive layer or merely mul-
tiple DIA layers supported by a single backing film9.
The liquid reservoir design consists of a drug-loaded reser-
voir located between a backing film and a rate-controlling
(c) Liquid reservoir (d) Polymer matrix membrane, and a skin-contacting PSA layer [Fig. 1(c)].The liq-
Impermeable backing
Drug–polymer matrix
uid reservoir compartment contains the drug and permeation
Drug reservoir
enhancer, which may be in solution or dispersion. Similar to
Rate-controlling the adhesive matrix design, the system is supported by an im-
membrane permeable backing film, and the adhesive surface is protected
Adhesive by a release liner. Because the drug and permeation enhancers
Release liner must diffuse through the adhesive layer, the adhesive polymer
used should not be physiochemically incompatible nor have
Figure 1. Typical designs of transdermal drug delivery (TDD) systems. chemical interaction with the diffusing active and inactive in-
gredients, nor should it affect the delivery rate of the drug.
The polymer matrix design is similar to the liquid reservoir-
between the adhesive and skin are the driving force for delivery type design but has, instead of a continuous adhesive layer, a
to the surface of the skin. In general, chemical permeation en- peripheral ring of adhesive that is located around the edge of
hancers (pharmaceutical excipients) are required for passive de- the patch [Fig. 1(d)]. Because the adhesive does not come into
livery to achieve the required delivery of the drug from a patch direct contact with the drug, only its adhesive properties and
of a reasonable size (that is, a surface area of <40 cm2).There are skin safety characteristics are of concern. However, because of
four major designs of the conventional passive TDD patches9, and the smaller adhesive-contact area with the skin, the adhesive
each imposes slightly different requirements on the PSAs. used in this design should have a higher skin-adhesion prop-
In the simplest form, the adhesive matrix or drug-in-adhesive erty than those used in other TDD design configurations.
(DIA) design, the drug is directly loaded or dispersed into the The selection of a particular patch design and size are dic-
PSA polymer.The monolithic DIA design configuration is shown tated by the required rate and extent of drug delivery, which in
in Fig. 1(a). The adhesive matrix provides several functions, in- turn depends on the formulation of the system, stability, adhe-
cluding skin adhesion, storage of the drug, and control over sive performance properties, safety, patentability and infringe-
drug/enhancer delivery rate, and it also governs their partition- ment issues, pharmacodynamic profile and aesthetic character-
ing into the stratum corneum. The DIA matrix is supported on istics1. The various patch design configurations associated with
the topside by an impermeable backing film and on the side that TDD products marketed in the USA are provided in Table 1.
faces the skin it is laminated with a removable release liner.
This simplest design imposes the most stringent require- Pressure-sensitive adhesives (PSAs) for TDD systems
ments on the PSA used. Drug-in-adhesive matrix patches re- Pressure-sensitive adhesives have been used for decades in
quire long-term compatibility between the adhesive, the drug, medical devices, tapes, and dressings13, and, naturally, since the
and any excipients, such as skin permeation enhancers, incor- development of TDD devices in the 1980s the use of PSAs have
porated into the formulation. The drug must be released from been extended to these devices. Three types of PSAs are com-
the matrix in a consistent and reproducible manner, and the monly used in TDD devices: polyisobutylenes (PIBs), polysilox-
drug and the excipients must not adversely affect the adhesive anes (silicones) and polyacrylate copolymers (acrylics)5,6,9,10.
properties of the PSA used. In addition, the functional adhesive These synthetic hypoallergenic PSAs are largely used in TDD
properties of the matrix formulation must be consistently systems for local and systemic drug delivery1. Natural rub-
maintained throughout the application period as the drug ber/karaya gum-based adhesives are another class of PSAs used
and/or the excipients are depleted from the DIA matrix. The in many over the counter (OTC) dermal therapeutic systems1.
matrix construction is easier to manufacture on standard Although these four classes of polymers are very different in
coaters, but the drug and excipients are exposed to elevated their chemical properties and molecular structure, they are all

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PSTT Vol. 2, No. 2 February 1999 research focus reviews

accepted for use in TDD and dermal therapeutic systems and Silicate resin Dimethylsiloxane polymer
other medical applications in which skin contact is required.This CH3
is because, in general, these polymers have been shown to be H3C Si CH3
biologically inert, non-sensitizing and non-irritating to skin, and CH3 CH3 CH3
O
to not cause systemic toxicity. The selection of a particular PSA to H O Si O H + OH Si O Si O Si OH
O CH3
be used in a TDD system is based on many factors, including CH3 CH3
m
H3C Si CH3
patch design, the system formulation, intended wear time (such
CH3
as 24 or 72 hours or one week), wear conditions (for example, n
Condensation
humidity, bathing and sweating), and processibility.
CH3
Polyisobutylenes H3C Si CH3
Polyisobutylenes are elastomeric polymers that are commonly O CH3 CH3 CH3
used in PSAs, both as primary-base polymers and as tacki- H O Si O Si O Si O Si OH

fiers14. They are homopolymers of isobutylene and feature a O CH3 CH3 m CH3
H3C Si CH3
regular structure of a carbon–hydrogen backbone with only
CH3
terminal unsaturation (Fig. 2). This molecular structure leads n
to chemical inertness and good resistance to weathering, age- Figure 3. The chemistry of silicone pressure-sensitive adhesives (PSAs).
ing, heat and chemicals.Their stability, inertness, and broad ac-
ceptance in FDA-regulated applications means that PIBs are a
good candidate adhesive for use in TDD devices6. provide tack to the high molecular weight PIBs or other adhe-
Because of their highly paraffinic and nonpolar nature, PIBs sive polymers. The high molecular weight PIBs are used to
are soluble in typical aliphatic and aromatic hydrocarbon sol- impart internal strength and flow resistance of PSAs.
vents, but not in common alcohols, esters, ketones and other Because the manufacturers of PIB polymers do not supply
oxygenated solvents. The structure of the close and unstrained pre-formulated, ready-to-use adhesives, the TDD patch manu-
molecular packing leads to the low air, moisture and gas per- facturers or formulators often formulate their own PIB–PSA
meability of PIBs14,15. The higher the molecular weight of the formulations. Two common approaches have been used to ob-
PIB, the lower its permeability15. Polyisobutylenes are, there- tain the desired PSA properties. First, a combination of low and
fore, preferred for use with drugs with a low solubility param- high molecular weight PIBs is used to achieve a balance of tack
eter and low polarity. and cohesive strength. Second, tackifiers, plasticizers, fillers,
The amorphous characteristics and low glass transition tem- waxes, oils and other additives can be incorporated into the
perature (Tg, 2628C) of PIBs impart high flexibility and per- formulation to impart the desired adhesive properties and vis-
manent tack. Despite the favorable tack property, adhesion of cosity. Examples of tackifiers include low molecular weight
PIBs to many surfaces is weak because of their low polarity. polybutenes, rosin ester resins, hydrocarbon resins and polyter-
This problem is overcome by the addition of tackifiers (such as penes17–19. Many types of plasticizers are available18; examples
rosin ester resins) and other materials that will impart some include mineral oil, diethyl phthalate, dioctyl phthalate or other
polar properties to the formulation. phthalates and adipates, as well as citrate esters such as acetyl
Polyisobutylenes are produced over a wide range of molecu- tributyl citrate. Examples of fillers include fumed silicas, silica
lar weights15,16. The low molecular weight PIBs are very vis- gels, clay, microcrystalline wax and microcrystalline cellulose.
cous, soft, and tacky semi-liquids, whereas the high molecular Because of their favorable stability over a wide range of tem-
weight grades are tough and elastic rubbery solids15. The low peratures, humidity and electromagnetic radiation (UVA, UVB
molecular weight polymers are primarily used as tackifiers to and UVC lights), PIBs do not normally contain stabilizers. If
necessary, anti-oxidants or stabilizers can be added to signifi-
cantly extend the resistance to extreme conditions15.
CH3 CH3
A representative PIB-based PSA formulation for a TDD appli-
C CH2 C CH2 cation is provided in Table 2. In this formulation, toluene is used
CH3 CH3 to rapidly dissolve the polymers, while hexane gives the lowest
n
solution viscosity, which facilitates easier processing15. Other ex-
Isobutylene Polyisobutylene
amples of PIB-based PSA formulations can be found in the ref-
Figure 2. Polymerization of isobutylene to polyisobutylene. erence handbooks14,19 and patent literature20,21. Major suppliers
of PIBs include Exxon Chemical Company (Houston, TX, USA)

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reviews research focus PSTT Vol. 2, No. 2 February 1999

devices, and their chemical and physiological inertness are well


Table 2. Polyisobutylene (PIB)-based pressure-sensitive
documented in the scientific literature6.
adhesive (PSA) formulation for transdermal drug delivery
devices Silicone PSA formulations are based on two major compo-
nents: a polysiloxane (silicone) polymer and a silicate resin7,28
Component Description Supplier Content (Fig. 3).The polymer is a high molecular weight polydimethyl-
siloxane that contains residual silanol functionality (SiOH) on
Vistanex® High molecular Exxon Chemical 12.5% the ends of the polymer chains.The resin is a three-dimensional
MM L-100 weight PIB trimethylsiloxy and hydroxyl end-blocked silicate structure.The
Oppanol® B10 Low molecular BASF 12.5%
silicone polymer and silicate resin are dissolved together in a
weight PIB
nonpolar hydrocarbon solvent (such as xylene and hexane).
Escorez® Rosin Ester Exxon Chemical 5.0%
1310 LC tackifying resin
During processing, a condensation reaction takes place be-
Hexane Solvent Various 30.0% tween the silicone polymer and the silicate resin. This conden-
Toluene Solvent Various 40.0% sation results in a network of polymer chains that are
crosslinked with the resin molecules.The final silicone PSA for-
mulation can therefore be considered to be a one-component
system, unlike the PIB-based PSA formulations, which are
Table 3. Commercial grades of polyisobutylene commonly merely a physical blend of a high molecular base polymer and
used in pressure-sensitive adhesive15,16 a low molecular weight polymer or tackifying resin. The ratio
Supplier Product name Grade Viscosity average of resin to polymer is used to produce PSAs with a wide range
molecular weight of adhesive properties. Increasing the polymer content provides
a softer and tackier adhesive, whereas higher resin levels pro-
Exxon Vistanex® LM-MS 43,000–46,000 duce an adhesive with a lower tack but higher adhesion and re-
LM-MH 51,000–56,000 sistance to cold flow6,28. The other important factor that con-
LM-H 58,000–68,000 trols the adhesive properties is the level of silanol functionality
MM L-80 750,000–1,050,000 present in the final polymer and resin formulation.
MM L-100 1,060,000–1,440,000 Polydimethylsiloxanes have a unique molecular structure in
MM L-120 1,450,000–1,870,000
which an inorganic silica-like backbone (-Si-O-Si-) supports a
BASF Oppanol® B10 40,000
regular arrangement of pendant methyl groups7. The low Tg of
B12 55,000
21278C and the unique semi-organic structure give silicone a
B15 85,000
B30 200,000 highly flexible and extremely open macromolecular architec-
B50 400,000 ture with a high void volume. This structure enables silicone
B100 1,110,000 PSAs to have a high permeability to vapour, gases and a wide
B150 2,600,000 variety of therapeutic molecules7. Silicone PSAs that are com-
patible with amine-functional drugs have been manufactured
by end-capping the reactive silanol end groups in an additional
and BASF Corporation (Mount Olive, NJ, USA). Various grades stage of the commercial manufacturing process26,29.
of commercial PIB polymers that are suitable for TDD appli- Silicone adhesives are supplied as two types of pre-formu-
cations are listed in Table 3. Fully formulated PIB adhesives for lated products. The regular type contains residual silanol, and
TDD applications are available from Adhesives Research Inc.
(Glen Rock, PA, USA) and custom formulations can be pro-
H
vided by other vendors [such as Mactac (Moosic, PA, USA) and
O H 2C C
National Starch and Chemical Company (Bridgewater, NJ,
H2C CH C OR C O
USA)]. O
R n
Silicones Acrylic ester
monomer Polyacrylate
Silicone PSAs have been used in medical and healthcare devices
since the 1950s22, and their application in TDD devices has R = H, ethyl, butyl and 2-ethylhexyl
been extensively researched and reviewed 6,7,22–27. Their bio-
compatibility has been established through a history of many Figure 4. Polymerization of acrylic ester monomer to polyacrylate.
years of safe usage, and their application in various medical

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PSTT Vol. 2, No. 2 February 1999 research focus reviews

either in organic solvent systems or aqueous emulsion.Various


Table 4. Silicone pressure-sensitive adhesives from
monomers can be copolymerized to obtain different pendant
Dow Corning
ester groups (Fig. 4) on the backbone. These side-chain pen-
Resin/polymer ratio Standard product Amine compatible dant groups are used to effect the desired adhesive properties,
product solubility and permeability. Unlike the PIBs and silicones, the
organic solvent-based and emulsion acrylic PSA prepared di-
65/34 (low tack) 7–4400 7–4100
rectly from polymerization are the final, ready-to-use adhe-
60/40 (medium tack) 7–4500 7–4200
sives.
55/45 (high tack) 7–4600 7–4300
Three key parameters have been used to design acrylic poly-
mers and to tailor the polymer properties:
the amine compatible type has the reactive silanols end-capped.
To improve cohesive strength, reinforcing fillers, such as finely • types of monomers;
divided silica, can be incorporated into the silicone PSA formu- • crosslinking of functional groups;
lation30. Water-soluble additives such as ethylene glycol, glyc- • molecular weight.
erin, and polyethylene glycols were used to control the water
sorption into the silicone polymer matrix and to enhance the In general, the PSA acrylic monomer composition comprises
release of drugs31. Another method of controlling the release of the following:
active agents is to manage the degree of crosslinking in the sili-
cone polymer matrix30. Crosslinking will improve cohesive • 50–90% of primary monomers;
strength with a corresponding decrease in tack, adhesion and • 10–40% of modifying monomers;
drug release properties. • 2–20% monomers with functional groups32.
Silicone PSAs for use in pharmaceutical applications are avail-
able from Dow Corporation under the trade name of BIO- The primary monomers are used to impart the flexibility
PSA®29.Table 4 lists some of the commercially available silicone and tack of the adhesive. Many alkyl acrylates and methacryl-
PSAs from Dow Corning (Midland, MI, USA). ates, particularly those with four to 17 carbon atoms and Tg
ranges of approximately 2508C to approximately 2708C, have
Acrylics been claimed in the patent literature to be suitable monomers
Polyacrylates, or more precisely poly(acrylic esters), have been for this purpose32. In general, the flexibility and tack of the
known for a long time. They have been referred to as acrylic polymer rises with increasing side-chain length until a certain
polymers, or simply acrylics or acrylates. Although their inher- chain length is exceeded, beyond which crystalline regions
ent adhesive properties were discovered as early as 1928, poly- form which then cause stiffening of the polymer32. In practice,
acrylates were not extensively used in PSAs until the 1950s19,32. for economic reasons, only four acrylic esters have been com-
In addition to their favorable biocompatibility and good skin- monly used as primary monomers for PSAs: 2-ethylhexyl,
adhesion property, acrylic PSAs offer advantages of good com- butyl, ethyl and iso-octyl acrylate19,32. Iso-octyl acrylate is not
patibility with a wide range of drugs and excipients, ease of commercially available, but is manufactured by 3M Company
processing, and flexibility in tailoring the polymer properties. (St Paul, MN, USA) for captive consumption19. Homopolymers
Acrylics are saturated hydrocarbon polymers.They are there- of these monomers are too soft and tacky. Other modifying
fore highly resistant to oxidation, and do not require the addi- monomers that can impart higher Tg and hardness are used to
tion of stabilizers, which have the potential to cause skin irri- obtain a balance of tack and cohesion properties.
tation.The acrylic polymers have a low Tg (255 to 2158C) and Commonly used modifying monomers include vinyl acetate,
are inherently tacky, and therefore in general they do not re- methyl acrylate, methyl and ethyl methacrylate, acrylic and
quire low molecular weight tackifiers and plasticizers to pro- methacrylic acid, acrylonitrile and certain amine-functional
vide the tack and softness. The single-component adhesives monomers. Copolymerization with vinyl acetate produces a
have advantages over compounded PSAs in that they do not re- class of copolymers that are commonly known as vinyl acrylics.
quire a separate compounding process step, and this avoids the Vinyl acrylics are less polar and have a higher tack, but they
potential problem of migration of low molecular weight com- have poorer ageing properties than all-acrylic adhesives32. Also,
ponents to the adhesive surface. in general vinyl acrylics have a much higher amount of residual
Acrylic PSAs are produced by copolymerization of acrylic monomers because of the lower reactivity of vinyl acetate. Most
esters, acrylic acid and other functional monomers (Fig. 4).The newly developed TDD devices use all-acrylic PSAs to minimize
free-radical initiated polymerization process can be performed residual monomers and maximize stability.

65
reviews research focus PSTT Vol. 2, No. 2 February 1999

Modifying monomers may be used to change the solubility Molecular weight and molecular weight distribution affect
or permeability of the acrylic polymers. For example, water- the adhesive properties of acrylic PSAs. Low molecular weight
soluble or hydrophilic monomers such as vinyl pyrrolidone, polymers generally have good tack but poor mechanical
2-hydroxylethyl acrylate, and 2-ethoxyl acrylate have been strength, and they are unacceptable for normal PSA appli-
used to increase the hydrophilicity of the polymers32. cations. An increase in molecular weight generally enhances the
Crosslinking of acrylic PSAs improves the creep or shear re- cohesive strength of the polymers. In general, higher molecular
sistance and resistance to cold flow or oozing. Resistance to cold weight acrylic PSAs are more tolerant to skin-penetration en-
flow is desirable to prevent the adhesive from oozing or ‘squeez- hancers and, compared to the corresponding low molecular
ing out’ from under the TDD patch during storage or wear. Ooz- weight acrylic PSAs, are able to accept a higher loading level33.
ing can manifest itself as a ‘dirty’ ring around the patch during Acrylic PSAs that have optimal distribution of low and high
wear or flow beyond the backing material of the patch during molecular weight components show balanced properties of
storage in the pouch. In TDD applications, the addition of drug, tack, adhesion and cohesive strength. The molecular weight of
permeation enhancers, and other excipients into the adhesives acrylic polymers can be controlled by the mode of polymeriz-
often compromises the tack, adhesion, and cohesive properties ation and the polymerization conditions (such as reaction tem-
of the PSAs. Crosslinking of PSAs is one of several techniques perature and reaction duration). Various modes of polymeriz-
used to minimize these effects and increase the loading level of ation may be employed. For example, polymerization may be
the active or excipient in the PSA composition33. performed in a batch process in which all components are
There are two ways to effect crosslinking. The first approach charged at the start of polymerization, or a semi-batch process
is crosslinking during the PSA manufacturing process. A small with partial charge at the start of the reaction, and then the de-
amount of acrylates or methacrylates with multiple unsatu- layed, progressive addition of monomers, solvents or initiators
ration can be copolymerized with the acrylic esters to obtain a during the course of polymerization.
lightly crosslinked network during polymerization. Examples Table 5 provides a polymerization recipe for the preparation
of such monomers include diethyleneglycol diacrylate, of an acrylic PSA. Major suppliers of pharmaceutical-grade
trimethylolpropane trimethacrylate, and hexamethylene glycol acrylic PSAs include National Starch and Chemical Company,
dimethacrylate. This in situ crosslinking during polymerization Solutia Inc. [Springfield, MA, USA (formerly Chemical Group
usually leads to a viscous polymer solution and makes process- of Monsanto Company)], and Adhesives Research, Inc. Most of
ing more difficult. the PSA products supplied by National Starch and Adhesive
The second approach is more commonly practised and can Research are solvent-borne. Solutia markets both solvent and
be performed by the patch manufacturer. In this approach, emulsion (waterborne) PSAs for medical applications.
crosslinking of the acrylic polymer occurs through the pendant
functional groups of the polymer when they are coated and Recent developments
dried in the oven. Monomers with functional groups are intro- Recent developments in new adhesives for TDD applications
duced into the polymer chain during polymerization. Func- have focused on two objectives. The first has been aimed at
tional groups commonly used for crosslinking are carboxylic, the development of adhesives that enhance TDD rates. These
hydroxyl, epoxy, amide, and organo-silane. Examples of adhesives include PSAs that have better compatibility with a
monomers with such functionality are acrylic and methacrylic wider range of drugs at higher drug-loading levels, and those
acid, hydroxylethyl acrylate, hydroxylpropyl acrylate, glycidyl that tolerate higher loading levels of permeation enhancers
acrylate and methacrylate, acrylamide, and 3-methacryloxyl- without sacrificing adhesive properties. The second objective
propyl trimethoxylsilane.
Crosslinking agents are often used to activate the crosslinking
Table 5. Acrylic pressure-sensitive adhesive monomer
reaction34. Various organic metal crosslinking agents, such as
composition for transdermal drug delivery applications
aluminum or titanium acetyl acetonates, metal alkoxides, and
polybutyl titanate, have been found to be effective in cross- Component Function Amount
linking polymers that contain carboxylic and hydroxyl
groups19,32,34. Polybutyl titanate has been reported to produce a 2-ethylhexyl acrylate Backbone monomer 50
‘yellowish’ dried adhesive on an estradiol patch, whereas the Butyl acrylate Backbone monomer 45
aluminum acetyl acetonate-crosslinked adhesive was clear35. Acrylic acid Functional monomer 5
Azobis (2-methylbutane Initiator 0.5
The epoxy groups of glycidyl monomers, such as glycidyl
nitrile)
acrylate or methacrylate, react with carboxyl groups without
Ethyl acetate Solvent 90
any crosslinking agent34.

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PSTT Vol. 2, No. 2 February 1999 research focus reviews

has been focused on the development of adhesives with improved Another crosslinked, vinyl pyrrolidone-based hydrogel poly-
biocompatibility, skin-adhesion and wear properties.The desired mer was developed with the objective of obtaining a PSA that
improvements include better adhesion to skin, longer wear time, tolerates the incorporation of substantial amounts of water
and smoother, less painful – or even painless – peel-off. without phase separation and a loss of adhesion properties 41.
Two approaches have been taken to achieve these objectives. The polymer was composed of vinyl pyrrolidone, a multi-
The first involves the development of new polymers, which are ethylenically unsaturated compound as crosslinker, and glycerol
beyond the conventional chemistries of PIBs, silicones, and and water as plasticizers, and was crosslinked with UV radi-
acrylates. These new polymers include hydrogels36–41, hydro- ation41. The resulting gel, approximately 35 mil thick, was
philic polymers42–44, and polyurethanes45,46. The second ap- reported to be clear, tacky, and released cleanly from skin41.
proach is to physically or chemically modify the chemistries of
the PSAs in current use (such as PIBs, silicones, and acrylates). Hydrophilic PSAs
Physical modification refers to the formulation of the base ad- Another approach designed to impart hydrophilicity is based
hesives with some unique additives so that, in synergy with the on plasticizing high Tg aminoalkyl methacrylate copoly-
drug and excipients in the system formulation, the result is en- mers42,43. The base polymers are cationic or anionic copoly-
hanced drug delivery and improved skin-adhesion properties. mers of dimethylaminoethyl methacrylate, methacrylic acid
Chemical modification involves chemically incorporating or and methacrylic acid esters in varying ratios, and are primarily
grafting specialty functional monomers to the conventional used in oral capsule and tablet formulations as film-coating
PSA polymers in order to improve drug delivery rates. The sec- agents43. Plasticizing these polymers with acetyl tributyl citrate
ond method may be performed by the PSA vendor and offered and crosslinking with succinic acid results in hydrophilic ad-
as a new product or performed by the end user on a commer- hesives with pressure-sensitive properties43. The cohesion
cially available PSA. Polymers developed through the use of strength is provided by the ionic crosslinking of succinic acid
these two approaches will be discussed in detail. with the amino functionality of the polymers43.These PSAs are
insoluble in water but swell in water and are permeable to
Hydrogel PSAs water vapour43. They can be easily removed from the skin by
Conventional PSAs based on PIBs, silicones, and acrylates are water washing but are able to withstand short showers for sev-
hydrophobic in nature with a low residual water content eral days in TDD applications43. Aqueous solution for this PSA
(,0.1%) after drying. Hydrophilic ‘hydrogel’ PSA compos- system has been prepared by formulating these polymers with
itions have recently been developed. These compositions have water-soluble or hydrophilic plasticizers, such as polyethylene
been shown to be compatible with drugs of different chemical glycol, glycerin, triethanolamine, or triethyl citrate44.
structures and to provide high TDD rates even without skin- Commercial products of the aminoalkyl methacrylate
penetration enhancers36,37. A hydrogel is defined as a water- copolymers are available from Rohm America Inc. (Somerset,
swollen but water-insoluble crosslinked polymer, and normally NJ, USA) under the trade name of Eudragit®.
contains at least 20% of water at equilibrium.The reported ‘hy-
drogel’ PSA features high molecular weight polyvinyl pyrroli- Polyurethanes
done (PVP) and oligomeric polyethylene glycol (PEG)38, with Polyurethanes are another class of recently developed hydro-
an equilibrium water content of 8–11% (Ref. 36). The cross- philic PSAs45,46. Polyurethanes are polymeric products of diols
links are formed through hydrogen bonding and the polymer or polyols and diisocyanates or polyisocyanates. Polyurethane
is therefore water soluble. This hydrophilic polymer was re- PSAs with a Tg of less than 2308C have been developed for use
ported to have the ability to absorb moisture from the skin39. in medical applications45. These polymers are reported to ex-
A two-stage mechanism for the formation of a PVP–PEG hy- hibit a high degree of water absorption and water vapor trans-
drogel PSA has recently been proposed40.The first stage is the for- mission capabilities, and to have a good balance of cohesion
mation of hydrogen bonding between the terminal hydroxyl and adhesion properties45. The balance of cohesion and adhe-
groups of PEG with the carbonyls in the repeated units of longer sion is obtained by controlling the crosslink density of the poly-
PVP chains40.The hydrogen-bonded PEG forms flexible interpen- mer. Water absorption properties are controlled by the amount
etrating chains that cross-link the longer PVP chains.The second of polyoxyethylene in the polyols45. An increase in the amount
stage involves the gradual dissolving of the crosslinked complex in of polyoxyethylene promotes stronger hydrophilicity, whereas
excess PEG40. The resulting hydrogels exhibit an excess free vol- an increase in the proportion of polyoxypropylene lessens the
ume, which governs the viscoelasticity, adhesion and diffusivity hydrophilic property45. Polyurethane PSAs that are com-
properties. Several commercial TDD products have been developed pounded with water-soluble polymers, such as polyvinyl
in Russia and Lithuania that are based on this formulation36. methyl ether, have been reported to enhance water uptake46.

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reviews research focus PSTT Vol. 2, No. 2 February 1999

Graft copolymers and enhancer-tolerant PSAs cific drugs. A copolymer containing 2-ethylhexyl acrylate and
Hydrophilic acrylic PSAs have also been prepared through the vinyl pyrrolidone was reported to have the advantage of main-
use of a more conventional method (that is, by the copolymer- taining a relatively high concentration of estradiol in the TDD
ization of acrylic esters with hydrophilic monomers). A water- matrix without estradiol crystallization54. The two monomers
absorbent copolymer comprising a carboxylic hydroxyalkyl have very different reactivity ratios, and the copolymer was
ester monomer and a water-soluble macromer, such as an therefore thought to have ‘block copolymer’ characteristics,
ethoxylated or propoxylated hydroxyalkyl methacrylate, has with distinct vinyl pyrrolidone and ethylhexyl acrylate do-
been prepared for use in medical adhesive applications47. A mains55. A combination TDD DIA-type patch that contained
macromer is a macromonomer or a polymer with a polymer- estradiol and another steroid was prepared by using this
izable group at the end of the chain. Copolymerization of copolymer55. It was reported that the respective fluxes of estra-
acrylic esters with macromers is one of the approaches that diol and the other steroid from the matrix are independent of
may be used to prepare graft copolymers. the respective concentrations of the other steroid and estradiol
Acrylic-based graft polymers from macromers of different in the matrix55.
chemical structures have been prepared in order to obtain vari- Adhesives based on the simple blending of conventional
ous desired properties (such as better adhesion, resistance to PSAs with other polymers or excipients have been reported to
permeation enhancers, and improved permeability). Acrylic impart additional benefits to TDD devices. A blend of silicone
PSAs with a methacrylate-terminated styrene macromer have PSAs with PVP has been found to prevent the crystallization of
been prepared and were reported to feature less adhesion several drugs56. A TDD system for the delivery of flurbiprofen
build-up on skin over time48. An enhancer-tolerant PSA that using a blend of acrylic PSAs and PVP has been reported57. The
comprises a fatty acid ester-enhancer and a macromer- inclusion of monoglyceride into an acrylic PSA in a TDD matrix
reinforced acrylic polymer has been reported49,51. The for the delivery of isosorbide dinitrate was reported to improve
macromer is a polystyrene methacrylate macromer. It was re- skin adhesion and the release of isosorbide dinitrate58. The
ported that the backbone of the copolymer and the grafted composition was claimed to have excellent adhesion to the skin
macromer are incompatible and thus are ‘phase separated’49. and does not cause pain and damage to the stratum corneum
Reinforcement is achieved through the phase separation of the when peeled off 58.The addition of clay has been claimed to im-
polymeric graft domains within the continuous polymer ma- prove the cohesiveness of PSAs in transdermal formulations
trix50. When such a polymer system is compounded with fatty without reducing the rate of drug delivery59.
acid esters, the resulting adhesive formulation possesses an ap-
propriate balance of flow and cohesive strength50. Summary
Polymeric graft moiety may be attached to the acrylic poly- Adhesives are, besides the drug, one of the more important
mer backbone by post-polymerization reaction of a polymeric components in TDD devices. In addition to the usual require-
moiety with the suitable grafting sites on the polymer back- ments of adhesive performance properties, adhesives for TDD
bone51. Polymers with a wide range of solubility parameters applications must have good biocompatibility with the skin,
(such as polyisobutylene, polyethylene oxide, polyvinyl ac- chemical compatibility with the drug formulation, and provide
etate, polyvinyl pyrrolidone, and polysaccharide) have been consistent and effective delivery of the drug.The adhesives must
grafted to the acrylic polymer51.These graft polymers were re- function under a wide range of conditions in order to hold the
ported to have better compatibility with many skin penetration TDD devices in intimate contact with the skin for periods of up
enhancers51. to seven days.The three classes of PSAs most widely used in TDD
Silicone graft copolymers have been prepared for TDD appli- devices are PIBs, silicones, and polyacrylates.
cations52. The polyethylene oxide-grafted silicones have poten- Polyisobutylenes are paraffinic hydrocarbon polymers with
tial application as silicone PSAs with improved permeability low moisture and gas permeability, and are relatively inert,
and solubility for hydrophilic drugs7. odorless and nontoxic. Polyisobutylene PSAs are generally com-
An electron-beam crosslinked acrylic PSA has been reported posed of mixtures of high and low molecular weight PIBs, and
to be tolerant of alcohol-based permeation enhancers53. The are formulated in-house. Silicone PSAs are made of silicate resin
monomer composition primarily comprises iso-octyl acrylate and silicone polymer. The unique molecular structure of sili-
and acrylic acid53. cone imparts good skin-adhesion properties and favorable dif-
fusion characteristics for many drugs. Acrylic PSAs are single-
Polymer modifications component systems that are inherently tacky without requiring
Many specific polymers or PSA formulations have been additional compounding. Acrylic polymers with a wide range of
claimed, in the patent literature, to enhance the delivery of spe- adhesive properties can be prepared by copolymerizing different

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PSTT Vol. 2, No. 2 February 1999 research focus reviews

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