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Iontophoresis

Iontophoresis
Intervention
ICD-9-CM 99.27
MedlinePlus 007293
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Iontophoresis, also known as Ionization, is a physical process in which ions flow diffusively in a medium driven by the use of an electric current. Iontophoresis is to be distinguished from the carriage of uncharged molecules by diffusive fluxes of other molecules, especially of solvent molecules, for example by electro-osmosis, that is to say by flux of uncharged solvent molecules carried as a cross-effect of iontophoresis. These phenomena, directly and indirectly, constitute active transport of matter due to an applied electric current. The transport is measured in units of chemical flux, commonly µmol/cm2h. Iontophoresis has experimental, therapeutic and diagnostic applications.

Iontophoresis is useful in laboratory experiments, especially in neuropharmacology.Transmitter molecules naturally pass signals between neurons. By microelectrophoretic techniques, including microiontophoresis, neurotransmitters and other chemical agents can be artificially administered very near living and naturally functioning neurons, the activity of which can be simultaneously recorded. This is used to elucidate their pharmacological properties and natural roles.

Therapeutically, electromotive drug administration (EMDA) delivers a medicine or other chemical through the skin. In a manner of speaking, it is an injection without a needle, and may be described as non-invasive. It is different from dermal patches, which do not rely on an electric field. It drives a charged substance, usually a medication or bioactive agent, transdermally by repulsive electromotive force, through the skin. A small electric current is applied to an iontophoretic chamber placed on the skin, containing a charged active agent and its solvent vehicle. Another chamber or a skin electrode carries the return current. One or two chambers are filled with a solution containing an active ingredient and its solvent vehicle. The positively charged chamber, called the anode, will repel a positively charged chemical species, whereas the negatively charged chamber, called the cathode, will repel a negatively charged species into the skin.

Common diagnoses treated with iontophoresis include plantar fasciitis, bursitis, lateral and medial epicondylitis (commonly referred to as tennis elbow and golfer's elbow respectively) and some types of palmar-plantar hyperhidrosis.


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