Several novel, innovative approaches for improving transdermal
delivery of BCS class III drugs have been proposed. Despite their
great aqueous solubility, BCS class III drugs have the drawback of
limited permeability. The objective of the current work was to screen
the suitability of niosomes as a nanocarrier in permeation enhancement
of azithromycin (AZM) transdermal delivery. Niosomes were prepared
by an ether injection method using a nonionic surfactant (Span 60)
and cholesterol at different concentrations. The ζ potential
(ZP), polydispersity index (PDI), and particle size (PS) of AZM-loaded
niosomes were evaluated. The size of the niosomes was found to vary
between 288 and 394 nm. The results revealed that the niosomes prepared
in a ratio of 2:1 (Span 60: cholesterol) had larger vesicle sizes,
but all of them were characterized by narrow size distributions (PDI
<0.95). Niosomal gel was successfully prepared using different
polymers. The appearance, pH, viscosity, and ex vivo drug release
of niosomal gel formulations were all examined. The flow curves showed
that the niosomal gel displayed lower viscosity values than its corresponding
conventional gels. Niosomal and conventional gels exhibited a domination
of the elastic modulus (G′) over the viscous modulus (G″)
(G’>G″) in the investigated frequency range (0.1–100
rad/s), indicating stable gels with more solid-like properties. Ex
vivo skin permeation studies for the niosomal gel show 90.83 ±
3.19% of drug release in 24 h as compared with the conventional gel
showing significantly lower (P < 0.001) drug release
in the same duration (1.25 ± 0.12%). Overall, these results indicate
that niosomal gel could be an effective transdermal nanocarrier for
enhancing the permeability of AZM, a BCS class III drug. In conclusion,
this study suggests that transdermal formulations of AZM in the niosomal
gel were successfully developed and could be used as an alternative
route of administration.