Hydroquinone and tranexamic acids (TXA) are skin-lightening agents with a hydrophilic nature and low skin
absorption. A high dose is needed for clinical use, resulting in a high incidence of skin irritation. Co-drugs formed by conjugating
hydroquinone and TXA were synthesized and their in vitro and in vivo skin absorption characteristics were
evaluated. The two synthesized co-drugs were 4-hydroxyphenyl 4-(aminomethyl)cyclohexanecarboxylate (HAC) and 1,4-
phenylene bis(aminomethyl)cyclohexanecarboxylate (BAC). The co-drugs were chemically stable in aqueous solution,
but rapidly degraded to the respective parent drug in esterases and skin homogenates. Compared to hydroquinone application,
7.2- and 2.4-fold increments in the hydroquinone skin deposition were obtained with the in vitro application of HAC
and BAC. HAC and BAC led to 3- and 2-fold enhancements of equivalent TXA deposition compared to TXA administration.
The in vivo experiment showed a further enhancement of co-drugs compared to the in vitro setup. The transdermal
penetration of co-drugs, especially BAC, was much lower than that of hydroquinone and TXA. This indicated high-level
skin targeting by the co-drugs. HAC and BAC revealed strong affinities for the viable epidermis/dermis. Hair follicles are
important reservoirs for co-drug delivery. Daily administration of co-drugs to the skin did not generate irritation for up to
7 days. Both co-drugs are superior candidates for treating skin hyperpigmentation.
Keywords: Hydroquinone, tranexamic acid, co-drug, skin targeting, hyperpigmentation.
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