View Article

Abstract

The increasing incidences of chronic inflammatory diseases such as rheumatoid arthritis and osteoarthritis have further increased the necessities for effective drug delivery systems which can enhance therapeutic value along with minimization of systemic side effects. Ability to bypass first-pass metabolism, sustained drug release and improving patient adherence has positioned transdermal system as a potent alternative for conventional oral and parenteral administration of drugs. Despite the high adherence potentials, it is known that the stratum corneum functions as a strong barrier, which severely limits transdermal delivery of many drugs. Niosome-based nanocarriers have attracted significant interest due to their biocompatibility, physicochemical stability, high drug encapsulation efficiency and the capability of enhance skin permeation and regulated drug release. This review attempts to provide an overview of the recent progress in dual-drug niosomal transdermal patches specifically planned for anti-inflammatory therapy with particular emphasis on co-delivery approach for synergistic therapeutic outcomes associated with etodolac and curcumin combination. In this review, detailed information is provided on the structural nature of niosomes, formulation elements, preparation methods, mechanism of skin permeation enhancement and also approaches for chemical and physical strategies such as microneedles (MNs), iontophoresis (IP), sonophoresis and electroporation.

Keywords

Niosomal patches, Transdermal drug delivery, Dual drug, Anti-inflammatory

Introduction

× Popup Image

Alternative drug administration techniques, such as topical (also known as dermal) and transdermal delivery systems of active pharmaceutical ingredients (APIs), are becoming increasingly significant in addition to conventional and parenteral oral dose forms. Topical and dermal formulations, on the other hand, are intended to produce systemic effects by penetrating the skin layers and achieving local effects on the skin's surface and superficial layers (such as the epidermis—topical delivery) as well as in the underlying tissues. Because other organs (such as joints, the central nervous system, hormone therapy, pain relief, etc.) might potentially be therapeutic targets, the skin/transdermal pathway is crucial for dermatological therapy[1]. Niosomes are tiny particles. Niosomes are used in targeted medication administration and have been shown in recent studies to greatly enhance transdermal drug delivery. It is primarily made by using cholesterol surfactants as an excipient. Additionally, a number of excipients

Reference

  1. Lunter D, Klang V, Eichner A, Savic SM, Savic S, Lian G, Erd? F. Progress in topical and transdermal drug delivery research—focus on nanoformulations. Pharmaceutics. 2024 Jun 16;16(6):817..
  2. Chaus W, Awale S, Ghalge M, Kodgire N, Patel S. An overview of curcumin loaded niosomal gel for anti-inflammatory effect. Int J Pharm Sci. 2024;2(12):1854-1860. doi:10.5281/zenodo.14447482.
  3. Gaddala P, Choudhary S, Sethi S, Sainaga Jyothi VG, Katta C, Bahuguna D, Singh PK, Pandey M, Madan J. Etodolac utility in osteoarthritis: drug delivery challenges, topical nanotherapeutic strategies and potential synergies. Therapeutic Delivery. 2024 Dec 1;15(12):977-95.
  4. Karande P, Mitragotri S. Enhancement of transdermal drug delivery via synergistic action of chemicals. Biochimica et Biophysica Acta (BBA)-Biomembranes. 2009 Nov 1;1788(11):2362-73.
  5. Herman.A; Herman.P,Essentiol Oils and their constituents as skin permeation for transdermal drug delivery : A Review J pharmaceutical . 2015,67,473-485
  6. Bakhrushina EO, Shumkova MM, Avdonina YV, Ananian AA, Babazadeh M, Pouya G, Grikh VV, Zubareva IM, Kosenkova SI, Krasnyuk Jr II, Krasnyuk II. Transdermal drug delivery systems: methods for enhancing skin permeability and their evaluation. Pharmaceutics. 2025 Jul 20;17(7):936.
  7.  Zhang, Y.; Yu, J.; Kahkoska, A.R.; Wang, J.; Buse, J.B.; Gu, Z. Advances in Transdermal Insulin Delivery. Adv. Drug Deliv. Rev. 2019, 139, 51-70.
  8. Faraji Rad, Z .; Prewett, P.D .; Davies, G.J. An Overview of Microneedle Applications, Materials, and Fabrication Methods. Beilstein J. Nanotechnol. 2021, 12, 1034-1046
  9. Prausnitz MR, Elias PM, Franz TJ, Schmuth M, Tsai JC, Menon GK, Holleran WM, Feingold KR. Skin barrier and transdermal drug delivery. Dermatology. 2012 Jan;3(18):2065-73.
  10. Sammal N, Dutta D, Kandpal A. Formulation and evaluation of transdermal patch of Etodolac. J Neonatal Surg. 2025;14(32s):3519-3528. Available from: https://www.jneonatalsurg.com
  11. Chandu VP, Arunachalam A, Jeganath S, Yamini K, Tharangini K, Chaitanya G. Niosomes: a novel drug delivery system. International journal of novel trends in pharmaceutical sciences. 2012 Feb;2(1):25-31.
  12. Yeo PL, Lim CL, Chye SM, Ling AP, Koh RY. Niosomes: a review of their structure, properties, methods of preparation, and medical applications. Asian Biomedicine. 2017;11(4):301-14.
  13. Rajera R, Nagpal K, Singh SK, Mishra DN. Niosomes: a controlled and novel drug delivery system. Biological and pharmaceutical bulletin. 2011 Jul 1;34(7):945-53.
  14. Diljyot K. Niosomes: a new approach to targeted drug delivery. Int J Pharm Phytopharm Res. 2012; 2:53-9.
  15. Bautista-Solano AA, Dávila-Ortiz G, Perea-Flores MD, Martínez-Ayala AL. A comprehensive review of niosomes: composition, structure, formation, characterization, and applications in bioactive molecule delivery systems. Molecules. 2025 Aug 23;30(17):3467
  16. Antonara L, Triantafyllopoulou E, Chountoulesi M, Pippa N, Lagopati N, Dallas PP, Rekkas DM, Gazouli M. Recent advances in niosome-based transdermal drug delivery systems. Current Opinion in Biomedical Engineering. 2025 Sep 1;35:100603.
  17. Kaur IP, Aggarwal D, Singh H, Kakkar S. Improved ocular absorption kinetics of timolol        maleate loaded into a bioadhesive niosomal delivery system. Graefe's Archive for Clinical and ExperimentalOphthalmology. 2010 Oct;248(10):1467-72.
  18. Moghassemi S, Hadjizadeh A. Nano-niosomes as nanoscale drug delivery systems: an illustrated review.     Journal of controlled release. 2014 Jul 10;185:22-36
  19. Abiandu, I .; Ita, K. Transdermal Delivery of Potassium Chloride with Solid Microneedles. J. Drug Deliv. Sci. Technol. 2019,53, 101216.

Photo
Naveen V
Corresponding author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Christopher Vimalson D
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Alagar Raja M
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Arun Pandiyan R
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Asifullah R
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Jeeva S
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Kannan V
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Photo
Muhammed Sinan A K
Co-author

United College of Pharmacy, Periyanaickenpalayam, Coimbatore - 641020, affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai – 600032, Tamil Nadu

Naveen V, Christopher Vimalson D, Alagar Raja M, Arun Pandiyan R, Asifullah R, Jeeva S, Kannan V, Muhammed Sinan A K, A Review on Dual Drug Niosomal Transdermal Patches for Anti- Inflammatory Therapy, Int. J. of Pharm. Sci., 2026, Vol 4, Issue 7, 4212-4223, https://doi.org/10.5281/zenodo.21471610

More related articles
Clinical Efficacy of Ethanolic Extract Ointment of...
Dr. Sayed Mohammadali, Dr. Farheen Fani, Dr. R. V. Raulkar, Dr. S...
Microencapsulation Technologies: Recent Advances i...
Bhagyashree Khairnar , Ishwari Kulkarni , Reva Joshi , Bhumi Suni...
Evolution of Aptamer-Controlled Liposomal Drug Delivery Systems: From Molecular ...
Jahnvi Joshi, Nidhi Patel , Bhavika Vala , A. Captain ...
A Review on Early Post-Transplantation changes in Islet-Transplanted Livers Usin...
Kandi Subhashini, Sravanthi Kuruvella, Kotla Sahithi, Gode Sunny Grace...
Related Articles
Recent Advances In Analytical Chemistry: Emerging Technologies, Innovative Metho...
Darla Swarnalatha, Orsu Devadasu, Abijith Vardhan Reddy , Gope Bhargavi, Pogula Sathwika...
Design, Development and Evaluation of Ornidazole Microspheres...
Neha Bombilwar, Vandana Patil, Reshma Patil, Sachidanand Angadi...
Ultraviolet–Visible Spectroscopy: Principles, Instrumentation, Derivative Meth...
Prajapati Kushagr, Jinal Patel, Dr. Mitali Dalwadi, Tithi Patel...
Formulation And Evaluation Of Polyherbal Gel For Skin Diseases...
Yamini Lanjewar, Sanjay Wate, Sachin Lohe, Dineshkumar Lende, Anshuman Borkar, Sumit Meshram...
Clinical Efficacy of Ethanolic Extract Ointment of Euphorbia hirta on Wound Heal...
Dr. Sayed Mohammadali, Dr. Farheen Fani, Dr. R. V. Raulkar, Dr. S. D Chepate, Dr. M. G. Thorat...
More related articles
Clinical Efficacy of Ethanolic Extract Ointment of Euphorbia hirta on Wound Heal...
Dr. Sayed Mohammadali, Dr. Farheen Fani, Dr. R. V. Raulkar, Dr. S. D Chepate, Dr. M. G. Thorat...
Microencapsulation Technologies: Recent Advances in Drug Protection, Controlled ...
Bhagyashree Khairnar , Ishwari Kulkarni , Reva Joshi , Bhumi Sunil Kawade...
Clinical Efficacy of Ethanolic Extract Ointment of Euphorbia hirta on Wound Heal...
Dr. Sayed Mohammadali, Dr. Farheen Fani, Dr. R. V. Raulkar, Dr. S. D Chepate, Dr. M. G. Thorat...
Microencapsulation Technologies: Recent Advances in Drug Protection, Controlled ...
Bhagyashree Khairnar , Ishwari Kulkarni , Reva Joshi , Bhumi Sunil Kawade...