Engineers at the UCLA Samueli School of Engineering and their colleagues at Stanford School of Medicine have demonstrated that drug levels inside the body can be tracked in real time using a custom smartwatch that analyzes the chemicals found in sweat. This wearable technology could be incorporated into a more personalized approach to medicine—where an ideal drug and dosages can be tailored to an individual. According to the researchers, current efforts to personalize the drug dosage rely heavily on repeated blood draws at the hospital. The samples are then sent out to be analyzed in central labs. These solutions are inconvenient, time-consuming, invasive and expensive. That is why they are only performed on a small subset of patients and on rare occasions.
Because of their small molecular sizes, many different kinds of drugs end up in sweat, where their concentrations closely reflect the drugs' circulating levels. That's why the researchers created a smartwatch, equipped with a sensor that analyzes the sampled tiny droplets of sweat. The team's experiment tracked the effect of acetaminophen on individuals over the period of a few hours. First, the researchers stimulated sweat glands on the wrist by applying a small electric current. This allowed the researchers to detect changes in body chemistry, without needing subjects to work up a sweat by exercising. As different drugs each have their own unique electrochemical signature, the sensor can be designed to look for the level of a particular medication at any given time.
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