RT Book, Section A1 Saleem, Mohammed D. A1 Maibach, Howard I. A1 Feldman, Steven R. A2 Kang, Sewon A2 Amagai, Masayuki A2 Bruckner, Anna L. A2 Enk, Alexander H. A2 Margolis, David J. A2 McMichael, Amy J. A2 Orringer, Jeffrey S. SR Print(0) ID 1161343177 T1 Principles of Topical Therapy T2 Fitzpatrick's Dermatology, 9e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071837798 LK dermatology.mhmedical.com/content.aspx?aid=1161343177 RD 2024/04/20 AB AT-A-GLANCEEfficacy of a topically applied drug depends on three things: whether the drug is applied, the delivery of the active molecule by its vehicle, and the inherent potency of the active molecule.Adherence to topical treatment is often poor and decreases over time.Factors that affect penetration of applied drug include soluble medication concentration, regional variations in skin barrier properties, application frequency, and effects of the vehicle on barrier function.The primary barrier that limits the percutaneous absorption of compounds is the stratum corneum.The delivery of a topical agent is highly dependent on the physicochemical properties of the vehicle; this influences the kinetics of release and absorption and the onset, duration, and extent of a biologic response.Either the vehicle or its active ingredient(s) may cause local toxicity, systemic toxicity, or both.