Topical Agents Rakesh B. Daude Topical Agents Protective and Adsorbents Antimicrobial agents Astringents Miscellaneous agents Topical agents Topical agents are the compounds that act locally on skin or mucous membrane, their action is of different types depending upon the nature of compound and its chemical properties and they mainly act by mechanical or physical mechanism. The compounds have very less distinct pharmacological properties as they are not absorbed in systemic circulation. Classification Topical agents are classified according to their main action. 1. Protective : Ex: Zinc stearate, Zinc oxide 2. Adsorbent and demulcents: Ex: Talc, Silicone polymer, Titanium Dioxide, Calamine 3. Antimicrobial agents: It acts by Oxidation, Halogenation and Protein precipitation mechanism. Ex: Hydrogen peroxide, Potassium permanganate, Chlorinated lime, Iodine and its preparation, Boric acid, Borax and Silver nitrate. 4. Astringent: These compounds bring about mild protein precipitation. Ex: Alum, Zinc chloride, Zinc sulphate 5. Miscellaneous compounds. These compounds mainly contain Sulphur and Sulphur compounds. It is topically used as antibacterial. It also acts as fungicide, parasiticide, and in the treatment of various skin diseases. Ex: Sulphur Ointment, Selenium Sulphide Classification 1) Protectives and adsorbents: e.g. Talc, Calamine, Zinc Oxide, Titanium Dioxide, silicone polymers. 2) Anti-microbial agent: They are further classified based on their mechanism of action:a) Acting by oxidation e.g. Hydrogen peroxide solution, potassium permanganate. b) Acting by halogenation e.g. Iodine and iodine preparation, chlorinated lime. c) Acting by protein precipitation e.g. Boric acid, Silver and Silver compounds, Mercury compounds. 3) Astringent: e.g. Alum, Aluminum chloride, Zinc Sulphate, Zinc chloride 4)Miscellaneous agent: e.g. Sulphur and sulphur compounds, Selenium Sulphide. Protective and Adsorbents Protectives and adsorbents are the chemical agents used internally in treatment of disturbances of gastrointestinal tract like diarrhea & dysentery because they are water insoluble substances and they form a protective coat on the mucosal membrane and offer mechanical protection, furthermore, they adsorb bacterial toxins which are believed to stimulate flow of electrolytes into intestine resulting in watery stools. Examples: Bismuth Sub carbonate, Kaolin etc. Note - Some protectives and adsorbents are used externally. Kaolin Properties of Kaolin• It occurs as a soft white or yellowish white powder, odourless and has clay like taste. • When moistened with water, assumes a darker color & develops a marked claylike odor. • It is insoluble in water, in mineral acids and in solutions of alkali hydroxides. • Chemically, it is practically inert, since it is insoluble in all the common solvents. Uses• It is used in mixtures intended for treatment in dysentery, diarrhea and for symptomatic treatment of colitis, cholera etc. • It is employed in the treatment of food and alkaloidal poisoning as it adsorbs toxins. • It also finds use in dusting powder, cosmetic preparations and is an ingredient of Kaolin poultice. • For the internal use, it is mainly the light Kaolin which is employed. • It is used as a drying agent for moist sores and infections e.g. weeping eczema, as weeping ulcers. • It is also used as a clarifying agent. Zinc oxide : Mild astringent Weak antimicrobial & topical antacid It is also used in some bandages & adhesives Titanium dioxide It is used to prevent sunburn in the form of suntan preparations It is used as a white pigment in lotions & cosmetic preparations As a skin protective & for the relief of pruritus For application to the exudative dermatoses. Talc As a skin protective dusting powder As a base for medicated dusting powder Used as a lubricating agent in the tablet manufacturing Also used as a filtering aid Kaolin: Light kaolin is used as an intestinal adsorbent in various enteritis It is used in the symptomatic treatment of gastrointestinal conditions associated with diarrhoea It is also used as a clarifying agent Astringents Astringents are the agents which cause local or surface or mild protein precipitation when applied to damaged skin or mucus membrane. This action may be on mucosal membrane when taken internally or on skin for topical use. Astringents when applied topically cause precipitation of protein of surface cell by coagulation. The action depends upon the extent of penetration of agent and the type of chemical action resulting with protein. e.g. Alum and Zinc Sulphate. Astringents- Uses It causes constriction of small blood capillaries, and promotes the coagulation of blood hence used as styptic (able to stop bleeding). It decreases the volume of exudate from wounds & skin eruption & thus can be used in acne &pimples. Astringent causes constriction of skin pores & destroy body odor, hence used as an antiperspirant & deodorant. Higher concentration of astringent is used to remove warts (extra growth of cell on skin). It promotes healing and toughens the skin. It restricts blood flow to the surface of mucous membrane hence astringent decreases inflammation. Astringents-Alum Properties: 1. It occurs as colourless, transparent or granular crystals with a sweet astringent taste. 2. When heated slowly it melts in its water of crystallization. 3. At 200°, it loses its water of crystallization and becomes anhydrous. 4. It is soluble in water but insoluble in alcohol. Uses: 1. It is used as a topical astringent. 2. Its 0.5 to 5% solution is useful as an antiseptic and commonly used for local styptic action. 3. Alum either as a solid or as a solution is used as a haemostatic for superficial abrasions, cut an ulcers. 4. Its dilute solutions have been used as mouth-washes or gargles, but their high acidity may damage the teeth. Anti-microbial agents Antimicrobials are the chemical agents used to destroy or inhibit the growth of pathogenic Microorganisms. Antimicrobial is a broad terminology describing activity against microbes. Mechanism of action: Inorganic compounds generally exhibit antimicrobial action by, either of the three mechanisms viz. (i) Oxidation (ii) Halogenation (iii) Protein binding or precipitation. Anti-microbial agents-Oxidation Compounds acting by this mechanism belong to class of peroxide, peroxyacids, Oxygen liberating compounds like permanganate and certain Oxo-halogen anions. Microorganisms require protein for their growth. Various reducing groups are present in proteins which are oxidized by oxidizing agents. They act on proteins containing sulfhydryl group and oxidize free sulfhydryl to Disulphide bond and inactivate its function. Hence change in molecular shape of protein leads to destruction of protein. e.g. Hydrogen peroxide, Potassium permanganate, nonmetals act by this mechanism. Anti-microbial agents-Halogenation Proteins are made up of different amino acids and it contains peptide linkage or peptide chain. Some antimicrobial agents like hypochlorite’s or compounds containing or liberating chlorine or iodine cause chlorination or iodination at peptide linkage of primary &secondary structures present in protein, leading to change in molecular shape of protein, and destruction of protein. E.g. Iodine & iodine preparations, Chlorinated lime, Sodium Hypochlorite Anti-microbial agents-Protein ppt Many metals in their cation form exhibit protein binding or protein precipitation. The nature of interaction with protein occurs through polar group of protein which acts as ligands and metal ion acts as Lewis acid. The complex formed may be a strong chelate leading to inactivation of protein. This action in general is non-specific. Protein precipitants do not distinguish between the protein of microbes and that of host. Germicidal action results when the concentration of ion is such that reaction is restricted largely to the parasite cell. Anti-microbial agents-Protein ppt Protein structure contains many polar groups & groups having lone pair of electrons. Some antimicrobial agents containing metal ions form complexes with polar groups or groups having lone pair of electrons leading to precipitation of enzyme proteins. e.g. Silver nitrate, Mild silver protein, Mercury & Mercury compounds like Yellow Mercuric oxide, Ammoniated mercury, Boric acid, Borax, IB, IIB group metals- Cu(II), Ag(I), Zn(II), Hg(II) etc. Thank You