The Role of Menthol in Skin Penetration from Topical Formulations of Ibuprofen 5% in vivo

In vivo plasma profiles from formulations containing 5% ibuprofen were compared after a single topical application in a randomised, double-blind, cross-over trial. Ibuleve TM gel (Dermal Laboratories, UK) contained only ibuprofen whilst Deep Relief TM gel (Mentholatum, UK) also contained 3% menthol....

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Veröffentlicht in:Skin pharmacology and physiology 2006-01, Vol.19 (1), p.17-21
Hauptverfasser: Brain, K.R., Green, D.M., Dykes, P.J., Marks, R., Bola, T.S.
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container_issue 1
container_start_page 17
container_title Skin pharmacology and physiology
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creator Brain, K.R.
Green, D.M.
Dykes, P.J.
Marks, R.
Bola, T.S.
description In vivo plasma profiles from formulations containing 5% ibuprofen were compared after a single topical application in a randomised, double-blind, cross-over trial. Ibuleve TM gel (Dermal Laboratories, UK) contained only ibuprofen whilst Deep Relief TM gel (Mentholatum, UK) also contained 3% menthol. In contrast to results obtained when these products were compared under in vitro conditions, there was no statistically significant difference in vivo between delivery of ibuprofen. Estimated relative bioavailability fraction (Deep Relief gel/Ibuleve gel) from log-transformed AUC (0–24h) was 0.99 (95% CI: 0.94–1.04), estimated C max ratio was 0.96 (95% CI: 0.91–1.00) and estimated t max ratio was 1.01 (95% CI: 0.81–1.20). Menthol produces local vasodilation, which reduces skin barrier function, and these data demonstrate that it is inappropriate to extrapolate from in vitro data where formulation components produce biologically-mediated enhancement of permeation which cannot be modelled ex vivo. In clinical use, these products deliver comparable amounts of ibuprofen, but only Deep Reliefgel provides the secondary immediate benefit of the direct analgesic action of menthol.
doi_str_mv 10.1159/000089139
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source Karger Journals; MEDLINE; Alma/SFX Local Collection
subjects Administration, Cutaneous
Adult
Anti-Inflammatory Agents, Non-Steroidal - administration & dosage
Anti-Inflammatory Agents, Non-Steroidal - pharmacokinetics
Antipruritics - administration & dosage
Antipruritics - pharmacology
Cross-Over Studies
Double-Blind Method
Drug Combinations
Female
Humans
Ibuprofen - administration & dosage
Ibuprofen - pharmacokinetics
Male
Menthol - administration & dosage
Menthol - pharmacology
Middle Aged
Original Paper
Skin Absorption - drug effects
title The Role of Menthol in Skin Penetration from Topical Formulations of Ibuprofen 5% in vivo
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