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Medical Forum / General / Pharmacy / April 2004

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DMSO

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Dirk Bruere at Neopax - 07 Mar 2004 12:06 GMT
Why is this not widely used as a drug delivery system, esp for things like
skin?

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Darryl - 07 Mar 2004 13:57 GMT
>Why is this not widely used as a drug delivery system, esp for things like
>skin?

I'd guess bad breath, concerns over toxicity, and reactions between
the drug and carrier.  Doing a lot of guess work this morning ;-)

Darryl.
Dirk Bruere at Neopax - 07 Mar 2004 15:18 GMT
> >Why is this not widely used as a drug delivery system, esp for things like
> >skin?
>
> I'd guess bad breath, concerns over toxicity, and reactions between
> the drug and carrier.  Doing a lot of guess work this morning ;-)

I'd say that there is very little reaction since DMSO is a solvent widely
used in the preparation of pharmaceuticals (but is generally not itself a
feedstock).

Bad breath is really only a problem if you bath in the stuff. A mL or so on
the skin is barely detectable.

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Darryl - 07 Mar 2004 19:27 GMT
>> I'd guess bad breath, concerns over toxicity, and reactions between
>> the drug and carrier.  Doing a lot of guess work this morning ;-)
>
>I'd say that there is very little reaction since DMSO is a solvent widely
>used in the preparation of pharmaceuticals (but is generally not itself a
>feedstock).

DMSO-d6 has great use as a NMR solvent; however, non-deuterated DMSO
finds little use during synthetic work due to its high boiling point
and the fact that it dissolves almost everything!

Darryl.
Dirk Bruere at Neopax - 07 Mar 2004 20:53 GMT
> >> I'd guess bad breath, concerns over toxicity, and reactions between
> >> the drug and carrier.  Doing a lot of guess work this morning ;-)
[quoted text clipped - 6 lines]
> finds little use during synthetic work due to its high boiling point
> and the fact that it dissolves almost everything!

It really is an amazing chemical once you start to look into its properties.

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Manuel - 07 Mar 2004 18:05 GMT
In fact, it is used as "active excipient" or absorption promoter (rather
than "drug delivery system") in some proprietary medicinal products.

I only know about Spanish products containing DMSO, but I suppose similar
products could be found in other EU member States or third countries such as
USA. As an example, VIRHERPES, a idoxuridine solution for topical use. You
can notice DMSO smell, but you can stand it.

> Why is this not widely used as a drug delivery system, esp for things like
> skin?
Dh - 15 Mar 2004 23:59 GMT
> Why is this not widely used as a drug delivery system, esp for things like
> skin?

It's widely used in bodybuilding circles for anabolic delivery. Problem is,
it irritates skin, burns like fire, and makes your breath awful. Check out
the dmso blister pic at www.Finaderm.com . I think I'll pass on dmso.
Anything with 'pyrogenic' on the label has got to be left alone.
Dirk Bruere at Neopax - 16 Mar 2004 19:18 GMT
> > Why is this not widely used as a drug delivery system, esp for things like
> > skin?
[quoted text clipped - 3 lines]
> the dmso blister pic at www.Finaderm.com . I think I'll pass on dmso.
> Anything with 'pyrogenic' on the label has got to be left alone.

Pure DMSO *will* blister the skin. IIRC that's one of the reasons vets
sometimes use the pure stuff.
Ironically, a 90% soln will not, but is even better at delivering drugs than
the 100%
I suggest that the bodybuilders who use the 100% are morons.
I've been using 80-90% on my face for a few weeks. It does no more than
sting slightly, no worse than some aftershave, and not a trace of blister.

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Rob - 26 Mar 2004 06:43 GMT
> Why is this not widely used as a drug delivery system, esp for things
> like skin?

Probably for some of the reasons mentioned (bad breath, etc.), though I do
know that the product Pennsaid (diclofenac solution) contains DMSO.
Dirk Bruere at Neopax - 26 Mar 2004 18:27 GMT
> > Why is this not widely used as a drug delivery system, esp for things
> > like skin?
>
> Probably for some of the reasons mentioned (bad breath, etc.), though I do

I had thought that bad breath was no problem until I was informed my breath
smelled like a skunk died in there.
Seems I rapidly got used to it and not noticed - I though the smell had gone
away for some reason..

> know that the product Pennsaid (diclofenac solution) contains DMSO.

What is it used for?
Topical?

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Dirk Bruere at Neopax - 26 Mar 2004 18:30 GMT
> > > Why is this not widely used as a drug delivery system, esp for things
> > > like skin?
[quoted text clipped - 10 lines]
> What is it used for?
> Topical?

Got it.
http://www.dimethaid.com/products/pennsaid.asp
Now I can make my own up if needed!
Although I have not noticed any side effects with diclofenac anyway, so it's
a bit pointless.

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Dirk Bruere at Neopax - 26 Mar 2004 20:18 GMT
> > > > Why is this not widely used as a drug delivery system, esp for things
> > > > like skin?
[quoted text clipped - 19 lines]
> Although I have not noticed any side effects with diclofenac anyway, so it's
> a bit pointless.

BTW, is there data anywhere on the efficiency with which DMSO transports
various drugs through the skin?

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Rob - 07 Apr 2004 07:54 GMT
> BTW, is there data anywhere on the efficiency with which DMSO
> transports various drugs through the skin?

I haven't seen any, sorry, though I'd expect it to vary widely depending on
the drug.  In any case, Pennsaid contains 1.5% diclofenac, and seems to get
at least as good as, if not better results than 5% diclofenac compounded
into Phlogel.
Dirk Bruere at Neopax - 07 Apr 2004 10:32 GMT
>>BTW, is there data anywhere on the efficiency with which DMSO
>>transports various drugs through the skin?
[quoted text clipped - 4 lines]
> at least as good as, if not better results than 5% diclofenac compounded
> into Phlogel.

Yesterday I came across some info on penetration efficiency.
http://www.gaylordchemical.com/bulletins/Bulletin%20124%20USP%20Grade%20DMSO.pdf

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Dirk

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