“…Usually, they deliver drugs transdermally by one of three mechanisms, which include “ poke and patch ”, “ poke and release ”, and “ coat and poke ” approaches [ 71 ]. The “ poke and patch ” is a mechanism of applying MNs to pierce the SC to create transient aqueous microchannels on the skin surface before the application of a drug-loaded patch or other topical drug formulation, which can be in the form of a gel, ointment, cream, solution, foam, lotion, or spray ( Figure 1 B) [ 8 , 14 , 58 ]. Then, a drug from a formulation or patch permeates through these microchannels by passive diffusion directly into the dermis to reach systemic circulation [ 6 , 14 ], improving the drug permeability up to four orders of magnitude [ 14 , 67 ].…”