Tioconazole (TCZ) is an imidazole antifungal agent with broad spectrum activity in vitro against dermatophytes and yeasts, as well as against some chlamydia, trichomonads and Gram-positive bacteria.1,2) Its in vitro antifungal activity against dermatophytes, yeasts and bacteria is equal or stronger in comparison with those of the known imidazoles, miconazole nitrate (MCZ), bifonazole (BFZ) and clotrimazole. [3][4][5] TCZ has a dual mechanism of antifungal action that is inhibition of sterol biosynthesis and direct cell membrane damage. [6][7][8] In growing cultures, TCZ exerts a potent killing action. The extent and rapidity of this fungicidal effect of TCZ are greater than those of MCZ and clotrimazole. 9,10) This activity is paralleled by good topical efficacy in a guinea pig dermatomycosis model. 2,9) At the beginning, TCZ was been used as a cream formulation. Clinical trials for treating superficial dermatophyte or yeast infections of the skin have clearly demonstrated once to three times a day topical applications of TCZ cream were at least as effective as alternative imidazole antifungal drugs, and in a few trials significantly greater efficacy has been reported for TCZ cream, compared with MCZ, clotrimazole, and econazole. 1,[11][12][13][14] After that TCZ solution was developed as over-the-counter drug. The efficacy and safety of twice or three times a day topical preparations of TCZ solution appear to be similar to those of TCZ cream and clotrimazole solution. [15][16][17][18] Pharmacokinetic studies in rats have demonstrated minimal systemic exposure following dermal application of TCZ cream.2) After a single application of TCZ cream about 16% of the applied radioactivity penetrates into rat skin and the percutaneous penetration into swine skin is considerably higher than that of clotrimazole cream.19) BFZ also penetrates far better into human skin than clotrimazole. 20) Clinical trials have clearly demonstrated the efficacy and safety of various formulations of BFZ applied once a daily in the treatment of superficial fungal infections of the skin.4) The skin retention time of MCZ in effective therapeutic concentrations is longer than that of BFZ. MCZ formulations are also recommended for once a daily application. 21) In the present study, in order to support the usefulness of once a daily applications of TCZ solution and cream, the percutaneous absorption and intracutaneous distribution of TCZ solution were investigated and compared with those of TCZ cream, MCZ solution and BFZ solution following a single topical application to abdominal skin of guinea pigs. (Tokyo, Japan). Itraconazole, IS for BFZ, was extracted from commercial preparations purchased from Janssen Kyowa Co., Ltd. (Tokyo, Japan). All other chemicals used were of reagent grade.
MATERIALS AND METHODS
MaterialsAnimals Guinea pigs of the Hartley strain (Japan SLC, Shizuoka, Japan) weighing approximately 400 g were used in the study. The animals were kept in an animal room main- Tioconazole (TCZ) is an imidazole antifungal agent with broa...