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International Journal of Pharmaceutics 295 (2005) 101ā€“112
Topical drug classiļ¬cationą¬
Lucinda Buhsea,āˆ—, Richard Kolinskia, Benjamin Westenbergera, Anna Wokovicha,
John Spencera, Chi Wan Chenb, Saleh Turujmanb, Mamta Gautam-Basakb,
Gil Jong Kangc, Arthur Kibbed, Brian Heintzelmand, Eric Wolfgangd
a United States Food and Drug Administration, Center for Drug Evaluation and Research, Ofļ¬ce of Pharmaceutical Science,
Division of Pharmaceutical Analysis, FDA, 1114 Market Street, Room 1002, St. Louis, MO 63101, USA
b US FDA/CDER/OPS/Ofļ¬ce of New Drug Chemistry, Rockville, MD, USA
c US FDA/CDER/OPS/Ofļ¬ce of Generic Drugs, Rockville, MD, USA
d Wilkes University, Wilkes-Barre, PA, USA
Received 21 October 2004; received in revised form 28 January 2005; accepted 28 January 2005
Available online 11 March 2005
Abstract
Current deļ¬nitions of lotions, gels, creams and ointments vary depending on literature source, market history or traditional
use. This often leads to confusion when deciding which dosage form to prescribe and/or purchase. The existing classiļ¬cation
of topical dosage forms needs to be re-examined to ensure that deļ¬nitions for different dosage forms are based on consistent
scientiļ¬c principles and that dosage forms can be distinguished from one another. The purpose of this study is to obtain a
scientiļ¬cally based, systematic classiļ¬cation of dosage forms for topical drugs.
A variety of prescription and over-the-counter topical products currently marketed as lotions, gels, creams, and ointments are
evaluated using different techniques including rheology (viscosity and shear rate versus shear stress), loss on drying (LOD),
speciļ¬cgravity,surfacetension,thermogravimetricanalysis(TGA),waterabsorption,dilutionproperties,microscopicevaluation,
transmittance of visible light, appearance and composition. Rheology is the most discriminating property separating creams and
lotions. Water plus volatiles (as measured by LOD) and composition separate ointments and creams. Composition and thermal
behavior separate gels from the other dosage forms. Based on these ļ¬ndings, new deļ¬nitions and a decision tree are presented
to assist in the determination of the appropriate nomenclature for a topical dosage form.
Ā© 2005 Elsevier B.V. All rights reserved.
Keywords: Ointment; Cream; Gel; Lotion; Topical drug
ą¬ This scientiļ¬c contribution is intended to support regulatory policy development. The views presented in this article have not been adopted
as regulatory policies by the Food and Drug Administration at this time.
āˆ— Corresponding author. Tel.: +1 314 539 2134; fax: +1 314 539 2113.
E-mail address: buhsel@cder.fda.gov (L. Buhse).
0378-5173/$ ā€“ see front matter Ā© 2005 Elsevier B.V. All rights reserved.
doi:10.1016/j.ijpharm.2005.01.032
102 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112
1. Introduction
The classiļ¬cation of topical dosage forms has not
been based on any scientiļ¬c deļ¬nition. Current deļ¬ni-
tions of lotions, gels, creams and ointments vary de-
pending on literature source, market history or tradi-
tional use. Some of these dosage form terms are ill
deļ¬ned and not very concise. The current Food and
Drug Administration (FDA), Center for Drug Evalu-
ation and Research (CDER) Data Standards Manual
deļ¬nes ointment as ā€œa semisolid preparation intended
for external application to the skin or mucous mem-
branesā€, cream as ā€œa semisolid dosage form contain-
ing one or more drug substances dissolved or dispersed
in a suitable base. . .ā€ and lotion as ā€œ. . .topical suspen-
sions, solutions and emulsions intended for applica-
tion to the skin.ā€ (See CDER Data Standards Manual
at http://www.fda.gov/cder/dsm/DRG/drg00201.htm
(January 2005), CDER approval date 14 April 1992)
These deļ¬nitions do not differentiate between the three
dosage forms (i.e., ointment, cream and lotion). The
United States Pharmacopeia (USP) deļ¬nitions for oint-
ments and creams are essentially the same as the deļ¬-
nitions the FDA uses. The USP does not deļ¬ne lotions;
instead, one is referred to solutions or suspensions
(See USP 28 1151 Pharmaceutical Dosage Forms;
USP 28, The United States Pharmacopeial Convention:
Rockville, MD, 2005. 2701ā€“2712). The British Phar-
macopoeia (BP) deļ¬nes lotions as liquids, but does not
clearly differentiate between lotions and other liquids
such as suspensions and solutions (See BP 2004, ā€œLiq-
uids for Cutaneous Application of the British Phar-
macopoeiaā€). The Japanese Pharmacopoeia (JP) in-
cludes creams with the ointment deļ¬nition, and the
European Pharmacopoeia deļ¬nes ointments as single-
phase and creams as multiphase systems (See JP, De-
cember 2001, ā€œGeneral Rules for Preparationsā€ and EP
01/2005:0132, ā€œSemi-solid Preparations for Cutaneous
Applicationā€.)
These ambiguities can cause confusion for drug de-
velopers and regulators when deciding on the nomen-
clature for topical dosage forms as well as determining
market exclusivity. Can one formulation be marketed
as both a cream and a lotion? Can a light scattering ma-
terial be added to a gel to create a formulation that can
now be marketed as a cream or lotion? Physicians have
certain expectations when prescribing a certain dosage
form. Lotions and creams are expected to be easy to
apply and remove (water washable) and can leave a
cooling sensation on the skin. Ointments are usually
more difļ¬cult to apply or remove, but are expected to
act as a barrier and increase the hydration of the skin.
The purpose of this study is to establish a scien-
tiļ¬c basis for a systematic, coherent and meaningful
classiļ¬cation of dosage forms for topical drugs. Such
a classiļ¬cation will allow physicians to use the dosage
form as a guide to the desired properties that may be
critical in prescribing topical drugs for a patient. Sub-
jective tests like feel and appearance are often used
to describe topical dosage forms. This study strives to
replace these observations with more precise analyti-
cal measurements that can be used as a basis to deļ¬ne
these dosage forms. Deļ¬nitions will be consistent with
the subjective expectations of patients and physicians
when prescribing a topical product (e.g. ease of appli-
cation and removal, feel of the product on the skin,
barrier properties, etc.)
In this study, topical drugs refer to those drugs ad-
ministered to a spot on the outer surface of the body
(dermatological applications). Drugs meant for other
topical application (e.g. oral, nasal, aural, vaginal, and
rectal areas) are not included in this study. However,
the proposed deļ¬nitions may be utilized in the future
for these alternative applications. Dosage forms tested
are limited to solutions, lotions, gels, creams and oint-
ments. Revised deļ¬nitions are proposed for topical so-
lution, topical suspension, lotion, gel, cream, ointment
and paste.
The vehicle plays a key role in the appearance, feel,
and successful application of a topical drug (Barry,
1983). Therefore, the composition of a topical drug ve-
hicle should be considered in its nomenclature. How-
ever, composition alone cannot be used to deļ¬ne a
dosage form since one ingredient can have multi-
ple functions (e.g. poloxamer functions as a suspend-
ing agent, gelling agent, thickening agent, emulsiļ¬er
and/or wetting agent), and the manufacturing process
can change product properties. In determining what ad-
ditional properties should be used to deļ¬ne a dosage
form, the following physical properties were studied in
58 topical products: rheology (viscosity and shear rate
versus shear stress), loss on drying (LOD, a measure of
water and volatiles), speciļ¬c gravity, surface tension,
thermogravimetric analysis (TGA), water absorption,
dilution properties, microscopic evaluation and trans-
mittance of visible light. The more subjective proper-
L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 103
ties (e.g. appearance and feel) were used to evaluate
products that had properties bordering between two
dosage forms.
2. Materials and methods
2.1. Preparation of samples
Twenty over-the-counter and 33 prescription topi-
cal products were obtained from drug manufacturers
and local drug stores. Over-the-counter products with
similar uses were chosen off the shelf of a local drug
store. Criteria for including a prescription drug in this
study include: approval since 1997, available in differ-
entdosageformsormultiplemanufacturers,orcontain-
ing a drug base that borders between two dosage forms.
Three USP ointment bases were prepared: white oint-
ment, polyethylene glycol ointment and hydrophilic
ointment (see Hydrophilic Ointment, White Ointment
and Polyethylene Glycol Ointment; USP 28, pp.1415
and 3055). Two gels were prepared following proce-
dures from literature: mineral oil gel and zinc oxide
gel base (Lieberman et al., 1996b). Products are listed
in Table 1. All products were tested as they would be
applied by a consumer (i.e., mixing or shaking before
use only if called for in the labeling).
2.1.1. Composition
The composition of over-the-counter products was
determined from the labeling. For prescription prod-
ucts, drug applications submitted to the FDA were con-
sulted for the amounts and types of ingredients.
2.1.2. Rheology
For viscosity, samples were incubated at 25 ā—¦C for
at least 16 h in a VWR Model 2005 incubator and then
run on a Brookļ¬eld DV-II+, Model RV with Wingather
software viscometer at 5 rpm and 25 ā—¦C. Spindles were
chosen to maintain a torque between 10% and 90%.
The RV spindles gave viscosity at a single immersion
point in the sample. The Helipath T-Bar spindles were
rotated down and up in the sample, giving viscosity
at a number of points programmed over the run time.
Five readings taken over a period of 60 s were aver-
aged to obtain the viscosity. The viscometer was cali-
brated using Brookļ¬eld viscosity standard 5000 (100%
polydimethylsiloxane). Shear-rate versus shear-stress
plots were obtained using the small sample adapter of
the above Brookļ¬eld viscometer. General trends of the
rheology were conļ¬rmed using a Thermo/Haake Visco
Tester 7L with a L4 spindle by placing the sample in
a 13 mm Ɨ 100 mm test tube. The RPM of the spindle
was adjusted over a range of values, and the apparent
viscosity recorded. The Thermo/Haake Viscometer is
limited in its ability to measure high viscosity, thus not
all products tested had the same number of readings.
2.1.3. Loss on drying (LOD)
%Water and volatiles were measured by loss on dry-
ing. Approximately 3 g of the sample were dried at
105 ā—¦C for 24 h and then to constant weight.
2.1.4. Speciļ¬c gravity
Speciļ¬c gravity was determined by comparing the
net weight of a sample with the net weight of deionized
water using a Fisher Pycnometer (Catalog No. 03-247).
2.1.5. Surface tension
This test was performed by Dun Chen, Ph.D., of
CYS Company using a Thermo Cahn DCA 322 system.
A small platinum strip (2.3 mm in width) was used as
the solid probe. This probe was immersed 2 mm into
the sample and then pulled to the surface at which posi-
tion the surface tension information was collected as a
function of time. Surface tension values were decided
by the achievement of a stable value or after 2 min of
data collection. Five runs were made on each sample.
2.1.6. Thermogravimetric analysis (TGA)
TGA measurement was done in a platinum pan at
10 ā—¦C/min to 500 ā—¦C (blank curve corrected) with an
atmosphereof50 mL/minnitrogen.Theequipmentwas
a Shimadzu TGA-50.
2.1.7. Visible transmittance
The sample was placed in a 0.1 mm demountable
cell and scanned from 400 to 700 nm in an Agilent
8453 spectrophotometer. Mean percent transmission
and absorbance were determined by averaging the %
transmission and absorbance at six visible wavelengths
(410, 450, 500, 550, 600, and 650 nm).
2.1.8. Visual appearance and feel
Several subjective tests were used to evaluate the
appearance of the products. A drop of the sample was
104L.Buhseetal./InternationalJournalofPharmaceutics295(2005)101ā€“112
Table 1
Topical products evaluated in this study
Topical products Lotion Cream Gel Ointment
Over-the-counter (OTC) Banana boat cool colors vanishing
sunblock, SPF 30
BENGAY pain relieving creama BENGAY pain relieving gel Cortizone 10
Coppertone sunblock lotiona Clinique water dissolve cream cleanser Coppertone sunblock gel
Neutrogena healthy skin face lotion
(2 lots)
Cortaid creama
Ombrelle lotion, SPF 40 Eucerin original moisturizing cream
Ombrelle lotion for kids SPF 44 Neutrogena deep clean cream cleanser
Vaseline intensive care lotion Noxzema cleansing cream
Ponds cold cream (3 lots)
Vaseline petroleum jelly cream
Prescription MetroLotion (metronidazole 0.75%) Carac cream (ļ¬‚uorouracil 0.5%) BenzaClin topical gel
(clindamycin 1%, benzoyl
peroxide 5%)
Elocon ointment
(mometasone furoate 0.1%)
One product submitted for approval Elocon cream (mometasone furoate
0.1%)
Duac topical gel (clindamycin
1%, benzoyl peroxide 5%)
Mometasone furoate 0.1%
(Clay-Park)
Ferndale hydrocortisone acetate (HCA)
cream, 2.5%
Finacea gel (azelaic acid 15%) Taro (CP) ointment
Ferndale HCA lipocream, 2% MetroGel (metronidazole 0.75%) Temovate (CP) ointment
Ferndale HCA lipocream, 2.5% Solaraze gel (diclofenac sodium
3%)
Finevin cream (azelaic acid 20%) Taro (CP) gel
MetroCream (metronidazole 0.75%) Temovate (CP) gel
Metvix cream (methyl aminolevulinate)
Renova cream (tretinoin 0.02%)
Taro cream (clobetasol propionate
(CP)) (two lots)
Taro cream (CP) emollient (two lots)
Tazorac cream (tazarotene 0.05%)
Temovate (CP) cream
Temovate (CP) emollient cream
Tri-Luma cream (ļ¬‚uocinolone
acetonide 0.01%, hydroquinone 4%,
tretinoin 0.05%)
Three products submitted for approval
Lab prepared Base mineral oil gel Hydrophilic ointment USP
Zinc oxide gel base Polyethylene glycol ointment
USP
White ointment USP
Totals 9 30 11 8
a Coppertone, BENGAY and Cortizone products were not included in the original multivariate analysis of lotion and cream products; they were obtained at a later time for
comparisons with gels and ointments.
L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 105
placed on a ļ¬‚at counter and the fate of the resulting
drop recorded as a visual of indication of the rheol-
ogy (thick or thin). A small amount of the sample was
placed in a 5 mL beaker and the ability of the material
to conform to the shape of the vessel recorded. Color
and opacity were recorded. A panel of chemists, phar-
macists and physicians examined those products whose
physical characteristics seemed at odds with the dosage
form on the label. The majority of the panel gave their
view on what the dosage form should be based on the
characteristics and visual appearance and feel of the
product.
2.1.9. Microscopic examination
A Zeiss Polarizing Microscope, Model GFL at
400Ɨ magniļ¬cation was used to examine samples for
uniformity of particles and number of phases.
2.1.10. Dilution with water
Approximately 0.2 g of sample was placed in sep-
arate 50 mL ļ¬‚asks. About 50 mL of water was added
and each ļ¬‚ask shaken thoroughly. Each sample was
observed for the effects of water dilution.
2.1.11. High humidity exposure
A humidity chamber was assembled using a sealed
glass desiccator containing saturated ammonium phos-
phate monobasic solution. Relative humidity inside the
chamber read at 96% using a digital hygrometer. Three
grams of the topical product were weighed into a porce-
lain dish at ambient humidity of 30% RH. The dish plus
sample was then placed into the humidity chamber.
The chamber was sealed and the sample plus dish sat
for 20 h at ambient temperature. After 20 h the humidi-
ļ¬ed sample weight was compared to the initial sample
weight at ambient humidity.
2.1.12. Multivariate analysis
Principle component analysis (PCA) is a mathemat-
ical technique that ranks the contribution of each mea-
sured variable to the overall variance among a group of
samples. The ļ¬rst principle component accounts for the
largest contribution to the collective variance among a
group of samples and hence represents the best means
to distinguish one class from another. An initial com-
parison of lotions and creams was done with the over-
the-counter products by performing a PCA with mea-
surements for viscosity, speciļ¬c gravity, LOD and sur-
face tension using Pirouette software version 3.02. The
values were preprocessed by mean centering.
3. Results
3.1. Rheology, speciļ¬c gravity, % water plus
volatiles (by LOD) and surface tension
Literature sources list lotions as liquids and
refer to creams as semisolids (Nairn, 2000;
http://pharmlabs.unc.edu/emulsions/text.htm (January
2005)). Multivariate analysis of fourteen over-the-
counter lotions and creams (see Table 1) using
viscosity, surface tension, speciļ¬c gravity and % water
plus volatiles found that viscosity accounts for most
of the variance between samples. The PCA veriļ¬ed
that viscosity is the dominant factor and that speciļ¬c
gravity, % water plus volatiles and surface tension do
not lead to a means of distinguishing between lotions
and creams. Based on these ļ¬ndings, subsequent
comparisons of the prescription lotions and creams did
not include the variables of speciļ¬c gravity, % water
plus volatiles or surface tension.
Since viscosity is measured at only one shear rate,
different types of materials (Newtonian, pseudoplastic,
plastic) can have the same viscosity. A wider range of
shear rate values was studied for lotions, creams, and
gels, all with viscosities below 50,000 cP, to establish
criteria to separate liquid from semisolid dosage forms.
Plots of shear rate versus shear stress were correlated
with observations of pourability of the dosage form and
their conformability to containers at room temperature.
Results show that liquids display Newtonian or pseu-
doplastic ļ¬‚ow behavior with little or no force necessary
to initiate ļ¬‚ow. Semisolids are not pourable; they do not
ļ¬‚ow or conform to the shape of their containers at room
temperature. They do not ļ¬‚ow at low shear stress and
generally exhibit plastic ļ¬‚ow behavior. Fig. 1 (Brook-
ļ¬eld data) and Fig. 2 (Thermo/Haake data) show exam-
ples of ļ¬‚ow behavior for six over-the-counter or pre-
scription lotions, creams, and gels. Higher shear rates
are missing on the plots for the semisolids because of
equipment limitations. It is evident that Finacea Gel,
Clinique Cream, and BENGAY Gel exhibit semisolid
behavior; while Banana Boat Sunblock, Coppertone
Sunblock Gel, and Coppertone Sunblock Lotion dis-
play liquid behavior.
106 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112
Fig. 1. Brookļ¬eld rheology data: shear stress vs. shear rate for six
products. The three samples with closed symbols are semisolid (they
are not pourable and do not ļ¬‚ow at low shear stress conditions);
the three samples with open symbols exhibit liquid behavior (i.e.,
pourable, conforming to container).
Viscosity data were also collected for 30 over-the-
counter and prescription creams and ointments. Trend
analysis indicates that ointments tend to be more vis-
cous than creams; however, there is an overlap of sev-
eral hundred thousand cP between creams and oint-
ments. Because of this large overlap, no further rhe-
ology data were collected and no rheological criteria
between creams and ointments were established.
As mentioned above, % water plus volatiles (by
LOD) was not found to be a characteristic that could be
used to separate creams and lotions; however, it was a
discriminating property for some topical dosage forms.
Generally ointments were found to have <20% wa-
ter plus volatiles, and all lotions were found to have
>50% water plus volatiles (see Fig. 3). Most gels were
also found to have a high water and volatiles content.
Fig. 2. Thermo/Haake rheology data: viscosity (cP) Ɨ rpm (propor-
tional to shear stress) vs. rpm (proportional to shear rate) for same
six products as in Fig. 1. Conļ¬rmation of ļ¬‚ow behavior for liquid
(open symbols) and semisolid (closed symbols) samples. As with the
Brookļ¬eld instrumentation (Fig. 1) ļ¬‚ow does not occur at low shear
stress for semisolids.
Fig. 3. % Water and volatiles (as measured by loss on drying) for
58 (over-the-counter, prescription and laboratory produced) topical
products in four dosage forms. % Water and volatiles is found to be
>50% for lotions and <20% for all but one ointment. The one oint-
ment with >20% water and volatiles is the USP hydrophilic ointment
found to have the look and feel of a cream.
The mineral oil gel was found to have a low water and
volatiles content, and the USP Hydrophilic Ointment
was found to be the only ointment to have >20% water
and volatiles. A panel of pharmacists, chemists, and
physicians examined the mineral oil gel and found the
appearance and feel to be like that of an ointment. The
panel found the look and feel of the USP Hydrophilic
Ointment to be more like a cream than an ointment.
This USP base is described in the literature as a water-
removable base, which resembles a cream in appear-
ance (Ansel et al., 1999). Water plus volatiles con-
tent is inversely proportional to the hydrocarbon and
polyethylene glycol (PEG) composition of the topical
product; see Fig. 4 for composition versus % water and
volatiles for 25 prescription cream and ointment topi-
cal products and the ointments manufactured in the lab-
oratory. Ointments, which are usually hydrocarbon or
PEG based, have the lowest level of water and volatiles,
and creams and lotions, which tend to be water based,
have the highest levels. In general, ointments have a hy-
drocarbon or polyethylene glycol content greater than
50%. The only ointment not in the cluster at the top left
of Fig. 4 is the USP Hydrophilic Ointment, which has a
25% hydrocarbon content and 50% water and volatiles
content, and is the same ointment that was considered
a cream by appearance and feel.
3.2. Thermogravimetric analysis (TGA)
TGA has been used to characterize topical dosage
forms (Nesseem, 2001; Peramal et al., 1997; Kallioinen
L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 107
Fig. 4. % Hydrocarbon and polyethylene glycol (PEG) vs. % water
and volatiles for 25 Prescription and Laboratory Prepared Creams
and Ointments. % Water and volatiles is inversely related to the hy-
drocarbon and polyethylene glycol (PEG) content of the topical prod-
uct. The one ointment with low % hydrocarbon + PEG content is the
USP hydrophilic ointment whose look and feel was deemed to be
more like a cream than ointment.
et al., 1995). Clear differences in the TGA curves
of creams and gels were observed in this study.
TGA curves show loss of free and bound water
loss as well as loss of other volatiles. Gels, which
tend to have aqueous or alcoholic vehicles contain-
ing a gelling agent that imparts a three dimensional
structure, have one transition corresponding to the
vehicle; whereas, creams, which tend to be multi-
component emulsions, show multiple transitions cor-
responding to loss of free water, bound water and
loss of other components (such as emulsifying agents,
stabilizers, etc.) Figs. 5 and 6 give examples of the
TGA curves for two drugs (clobetasol propionate and
metronidazole) that are available in multiple dosage
forms.
3.3. Transmittance
Clear or translucent gels are preferred by consumers
(Lieberman et al., 1996a); however, many of the gels
examined in this study were opaque. Table 2 lists 11
gels tested for % transmittance and absorbance, along
with the appearance observed by the analyst. Six gels
found to be clear had a transmittance greater than 85%.
The remaining ļ¬ve gels were opaque and had a trans-
mittance lower than 30%.
Fig. 5. Thermogravimetric curves for six clobetasol propionate prod-
ucts.Thefourproductsmarketedascreams(solidlines)havemultiple
transitions; and those two marketed as gels (dashed lines) have one
transition corresponding to the boiling point of the vehicle.
3.4. Microscopic examination
This evaluation was undertaken to determine if
the emulsion and/or gel structure of topical dosage
forms could be detected under microscopic examina-
tion. Many products showed two or more phases. For
topical products where the active ingredient was crys-
talline, drug crystals could be seen. At 400Ɨ magniļ¬ca-
tion, no structure in the clear gels was seen. Although
many structural features were seen, no trends useful
in distinguishing dosage forms were observed by this
technique.
Fig. 6. Thermogravimetric curves for three dosage forms of metron-
idazole. The cream (solid line) and lotion (dashed line) have multiple
transitionscausedbythemulti-componentemulsionvehicles,andthe
gel (dotted line) has one transition corresponding to the boiling point
of the vehicle.
108 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112
Table 2
Appearance, % transmittance and absorbance of gel samples
Gel sample Appearance Mean % transmittance Mean absorbance
MetroGel Clear 93.4 0.030
Zinc oxide gel base Clear 93.1 0.031
Taro clobetasol propionate gel Clear 92.9 0.032
Temovate gel Clear 91.2 0.040
Solaraze gel Clear yellow 90.5 0.044
Coppertone sunblock gel Clear yellow 88.8 0.053
Mineral oil gel Opaque 28.5 0.56
Duac topical gel Opaque white 22.6 0.65
BenzaClin topical gel Opaque off-white 17.0 0.77
BENGAY pain relieving gel Opaque gray-white 7.4 1.6
Finacea gel Opaque white 0.04 3.5
3.5. Dilution with water
Since emulsions can be diluted with their external
phase (Lieberman et al., 1988), 43 creams, lotions and
gels were tested to determine if water compatibility
could be linked to dosage form. Most products exam-
ined had incomplete solubility in water, with particles
or clumps of material remaining. Some of the clear gels
did dissolve into clear solutions. No trend was observed
between solubility and dosage form. The presence of
the active ingredient, which is often water insoluble,
most likely affected the results of this test.
3.6. High humidity exposure
Exposure to humidity was used as a test of swelling
for gels. Gels can swell by absorbing liquid (Marriott,
2001). Creams and gels were tested. Some products
gained weight (i.e., clobetasol propionate gels and
creams)inthehumidenvironmentandsomelostweight
(i.e., clobetasol propionate emollient creams, Metro-
gel,BENGAYPainRelievingGelandCoppertoneSun-
block Gel). No trends were observed between dosage
form and gain or loss of weight in a high humidity
environment.
4. Discussion
Several of the methods, namely rheology, loss on
drying (LOD, a measure of water and volatiles), ther-
mogravimetric analysis (TGA), appearance and com-
position, distinguished the topical dosage forms in the
study. Other methods (speciļ¬c gravity, surface tension,
waterabsorption,dilutionproperties,microscopiceval-
uation and transmittance of visible light) did not ad-
equately separate the dosage forms. Results from the
distinguishing methods were used to create a ļ¬‚ow chart
(Fig. 7) and deļ¬nition table (Table 3) for determination
of dosage form.
Dosage forms are ļ¬rst classiļ¬ed as liquid or
semisolid; whereby, solutions, suspensions, and lotions
fall under the liquid category and creams, gels, pastes
and ointments belong to the semisolid category. Ap-
pearance and rheology are used to deļ¬ne the line be-
tween liquids and semisolids: liquids ļ¬‚ow with lit-
tle or no external force needed and display Newto-
nian or pseudoplastic ļ¬‚ow behavior; while semisolids
do not ļ¬‚ow nor conform to the shape of contain-
ers and exhibit plastic ļ¬‚ow behavior (Marriott, 2001).
The ļ¬‚ow behavior plots obtained from the Brook-
ļ¬eld and Thermo/Haake equipment (Figs. 1 and 2)
show similar curve shapes and both ļ¬gures indi-
cate that much larger shear stresses are necessary
to begin the ļ¬‚ow for semisolids. The Coppertone
Sunblock Gel exhibited liquid behavior and would
thus need to be labeled as a solution rather than
a gel.
Certain topical products currently marketed as lo-
tions should be relabeled as solutions or suspensions.
Solutions are clear, homogeneous liquids, while sus-
pensions are two-phase (i.e., solid-in-liquid) liquids.
Using the term solution or suspension rather than lo-
tion would give a practitioner information about the
base of a topical drug. The term lotion can then be re-
served for those formulations that are liquid emulsions.
All three of these liquid dosage forms usually contain
aqueous or alcoholic vehicles.
L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 109
Fig. 7. Decision tree on topical dosage form nomenclature. (a) A liquid is pourable; it ļ¬‚ows and conforms to its container at room temperature.
A liquid displays Newtonian or pseudoplastic ļ¬‚ow behavior. (b) A semisolid is not pourable; it does not ļ¬‚ow or conform to its container at room
temperature. It does not ļ¬‚ow at low shear stress and generally exhibits plastic ļ¬‚ow behavior. (c) An emulsion is a two-phase system consisting
of at least two immiscible liquids, one of which is dispersed as globules (internal or dispersed phase) within the other liquid phase (external or
continuous phase), generally stabilized by an emulsifying agent. (d) Water and volatiles as measured by loss on drying (LOD) test by heating at
105 ā—¦C until constant weight is achieved. (e) A colloidal dispersion is a system in which particles of colloidal dimension (i.e., between 1 nm and
1 ā®m) are distributed uniformly throughout a liquid. (f) Polyethylene glycol.
110L.Buhseetal./InternationalJournalofPharmaceutics295(2005)101ā€“112
Table 3
Suggested deļ¬nitions of topical dosage forms
Dosage forma
Deļ¬nition Formulation Appearance and feel Physical properties
Topical solution A clear, homogeneous liquidb
dosage
form for external application to the skin
Usually contains an aqueous or alcoholic vehicle;
though an oil may also serve as the vehicle. May
contain a gelling agent to thicken the solution
Clear, thin
Topical suspension A liquidb
dosage form, that consists of a
solid suspended in a liquid vehicle in a
two-phase system for external
application to the skin
Usually contains an aqueous or alcoholic vehicle Solid often settles with time, thus
requiring shaking before use
Lotion An emulsionc
liquidb
dosage form for
external application to the skin
Usually contains an aqueous vehicle and >50%
water and volatilesd
Opaque, thin, non-greasy; tends to
evaporate rapidly with a cooling sensation
when rubbed onto the skin
Exhibits Newtonian or pseudoplastic ļ¬‚ow
behavior
Gel A semisolide
dosage form that contains
a gelling agent to provide stiffness to a
solution or colloidal dispersionf
for
external application to the skin. A gel
may contain suspended particles
Usually contains an aqueous or alcoholic vehicle
and a gelling agent such as starch, cellulose
derivatives, carbomers, magnesiumā€“aluminum
silicates, xanthan gum, colloidal silica,
aluminum or zinc soapsg
Usually clear or translucent in a
single-phase system; otherwise opaque in
a two-phase system; thick, non-greasy;
provides a cooling sensation when applied
to the skin
Usually exhibits a single transition in
TGAh
corresponding to loss of the vehicle;
does not ļ¬‚ow at low shear stress and
generally displays plastic ļ¬‚ow behavior
Cream An emulsionc
semisolide
dosage form
that contains >20% water and volatilesd
and/or <50% of hydrocarbons, waxes, or
polyethylene glycols as the vehicle for
external application to the skin
Contains >20% water and volatilesd
and/or
<50% of hydrocarbons, waxes, or polyethylene
glycols as the vehicle. There are two types of
creams: an oil-in-water cream with water as the
continuous phase and a water-in-oil cream with
oil as the continuous phase
Opaque, viscous, non-greasy to mildly
greasy; tends to mostly evaporate or be
absorbed when rubbed onto the skin
Exhibits two or more transitions in TGAh
indicative of at least a two-phase system;
displays plastic ļ¬‚ow behavior
Ointment A suspension or emulsion semisolide
dosage form that contains <20% water
and volatilesd
and >50% of
hydrocarbons, waxes, or polyethylene
glycols as the vehicle for external
application to the skin
Contains <20% water and volatilesd
and >50% of
hydrocarbons, waxes, or polyethylene glycols as
the vehicle
Opaque or translucent, viscous, greasy;
tends not to evaporate or be absorbed
when rubbed onto the skin
Paste A semisolide
dosage form that contains
a large proportion (i.e., 20ā€“50%) of
solids ļ¬nely dispersed in a fatty vehicle
for external application to the skin
Contains a large proportion (20ā€“50%) of
dispersed solids in a fatty vehicle
Opaque, viscous, greasy to mildly greasy;
adheres well to the skin, forming a
protective layer
a A dosage form is a pharmaceutical formulation that contains a drug substance, i.e., an active pharmaceutical ingredient, and one or more excipients.
b A liquid is pourable; it ļ¬‚ows and conforms to its container at room temperature. A liquid displays Newtonian or pseudoplastic ļ¬‚ow behavior.
c An emulsion is a two-phase system consisting of at least two immiscible liquids, one of which is dispersed as globules (internal or dispersed phase) within the other liquid phase
(external or continuous phase), generally stabilized by an emulsifying agent.
d Water and volatiles as measured by loss on drying (LOD) test by heating at 105 ā—¦C until constant weight is achieved.
e A semisolid is not pourable; it does not ļ¬‚ow or conform to its container at room temperature. It does not ļ¬‚ow at low shear stress and generally exhibits plastic ļ¬‚ow behavior.
f A colloidal dispersion is a system in which particles of colloidal dimension, i.e., between 1 nm and 1 ā®m, are distributed uniformly throughout a liquid.
g For gelling agent information, see Gennaro (2000) and Lieberman et al. (1996b), Chapter 10.
h Thermogravimetric analysis.
L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 111
Creams are also emulsions where water is the con-
tinuous phase, but creams are semisolids. Ointments,
which are also semisolids, can be emulsions or suspen-
sions. Ointments are separated from creams and gels
ļ¬rst on the basis of composition, followed by loss on
drying of the vehicle. Ointments are expected to re-
main longer on the surface of the skin after application
than creams or lotions, so a low volatility is desired.
An analysis of the products in this study found that a
water plus volatiles content of less than 20% generally
characterized ointments. This low level of water and
volatiles is due to a high hydrocarbon and/or polyethy-
lene glycol content (>50%) in the ointments. Gels are
also semisolids. They contain a gelling agent to provide
stiffness to a solution or colloidal dispersion. Although
gels are often considered clear or translucent, many
products that are compositionally gels are found to be
opaque because of the presence of an excipient or active
ingredient which is not fully soluble in the gel vehicle.
In other words, gels may contain suspended particles.
Gels are also found to contain aqueous or alcoholic ve-
hicles, which manifest themselves in high levels of wa-
ter plus volatiles (as measured by LOD) and relatively
low temperature TGA curves with a single transition
corresponding to the loss of the vehicle. The one gel
(mineral oil gel) with a low water and volatiles level
was more like an ointment in feel and appearance.
Suggested deļ¬nitions based on the above conclu-
sions from the products tested are presented in Table 3.
Deļ¬nitions for lotion, cream, ointment, gel, solution,
suspension and paste1 are included. The conclusions
can be simpliļ¬ed into a decision tree to facilitate the
determination of the most appropriate nomenclature
for a dosage form (Fig. 7). Knowledge of composi-
tion, a few visual (ļ¬‚ow) characteristics and physical
measurements (rheology, water plus volatiles as mea-
sured by loss on drying) can be used in conjunction
with this decision tree to distinguish the topical dosage
forms. Use of the decision tree and table will clas-
sify products so that practitioners and patients will
know what to expect when prescribing or using a top-
ical product. Although the number of topical prod-
ucts examined in this study is limited, the products
selected are both representative and encompassing of
1 The deļ¬nition of paste was based on a review of properties of
currently approved products and literature deļ¬nitions such as Barry,
2001.
those in the market, including several borderline or ex-
treme cases, and the results clearly suggest a trend or
distinction between dosage forms based on composi-
tion and certain physical properties. The future will
bring new excipients and new formulation techniques
which may require additional knowledge or alternative
nomenclature.
5. Conclusion
Physicochemicalproperties,especiallycomposition
and rheology, can be used to provide a more scientiļ¬c
basis for the classiļ¬cation and distinction of topical
dosage forms. Table 3 lists the suggested deļ¬nitions
with physical properties and typical formulations. For
ļ¬rms developing a new topical dosage form, the deci-
sion tree in Fig. 7 is designed to assist in determining
the correct nomenclature based on physical properties
and formulation ingredients. The information gener-
ated by these studies and detailed in the table were
presented to and endorsed by the FDA Advisory Com-
mittee for Pharmaceutical Science in 2003 (see minutes
from public meetings held on March 12 and October 22
2003 on the FDA internet). This information is also be-
ing considered for inclusion in formal FDA deļ¬nitions
for these topical dosage forms. These deļ¬nitions may
also be applicable beyond dermatological applications
(e.g. ophthalmic, otic, vaginal, rectal).
Acknowledgements
The authors wish to acknowledge: (1) Dun Chen of
CYS Company for performing surface tension analyses
on selected products. (2) Jenni L. Briggs of Thermo-
Haakeforcharacterizingtherheologicalbehaviorofse-
lected products. (3) Yuan Yuan Chiu; Charles Hoiberg;
Wilson H. Decamp II; and Daniel Boring formally
with the US FDA/CDER, and Jonathan Wilkin; Mo-
heb Nasr; James Fan; Hon Sum Ko; Markham Luke;
Ajaz Hussain; and Helen Winkle of US FDA/CDER,
for technical input and support.
References
Ansel, H.C., Allen Jr., L.V., Popovich, N.G., 1999. Ointments,
creams and gels. In: Pharmaceutical Dosage Forms and Drug
112 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112
Delivery Systems, 7th ed. Lippencott Williams & Wilkins, Bal-
timore, p. 246.
Barry, B.W., 1983. Dermatological Formulations: Percutaneous Ab-
sorption (Drugs and the Pharmaceutical Sciences: a Series of
Textbooks and Monographs). Marcel Dekker, pp. 296ā€“299.
Barry, B., 2001. Transdermal drug delivery. In: Aulton, M.E. (Ed.),
Pharmaceutics, The Science of Dosage Form Design, 2nd ed.
Churchill Livingstone, London, p. 530.
Gennaro, A.R. (Ed.), 2000. Remington: The Science and Practice of
Pharmacy, 20th ed. p. 746.
Kallioinen, S., Helenius, K., Yliruusi, J., 1995. Structure of non-ionic
emulsion creams studied by thermoanalytical methods. Phar-
mazie 50, 478ā€“481.
Lieberman, H.A., Rieger, M.M., Banker, G.S. (Eds.), 1988. Phar-
maceutical Emulsions. Pharmaceutical Dosage Forms: Disperse
Systems, vol. 1. Marcel Dekker, New York, p. 201.
Lieberman, H.A., Rieger, M.M., Banker, G.S. (Eds.), 1996a. Gels.
Pharmaceutical Dosage Forms: Disperse Systems, vol. 2, 2nd ed.
Marcel Dekker, New York, p. 401.
Lieberman, H.A., Rieger, M.M., Banker, G.S. (Eds.), 1996b. Pharma-
ceutical Dosage Forms: Disperse Systems, vol. 2, 2nd ed. Marcel
Dekker, New York, pp. 415ā€“416.
Marriott, C., 2001. Rheology. In: Aulton, M.E. (Ed.), Pharmaceutics,
The Science of Dosage Form Design, 2nd ed. Churchill Living-
stone, London, p. 58.
Nairn, J.G., 2000. Solutions, emulsions, suspensions, and extracts.
In: Gennaro, A.R. (Ed.), Remington: The Science and Practice of
Pharmacy, 20th ed. Lippencott Williams & Wilkins, Baltimore,
p. 747.
Nesseem, D.I., 2001. Formulation and evaluation of itraconazole via
liquid crystal for topical delivery system. J. Pharmaceut. Biomed.
Anal. 26, 387ā€“399.
Peramal, V.L., Tamburic, S., Craig, D.Q.M., 1997. Characterization
of the variation in the physical properties of commercial creams
using thermogravimetric analysis and rheology. Int. J. Pharma-
ceut. 155, 91ā€“98.

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Topical drug-classification

  • 1. International Journal of Pharmaceutics 295 (2005) 101ā€“112 Topical drug classiļ¬cationą¬ Lucinda Buhsea,āˆ—, Richard Kolinskia, Benjamin Westenbergera, Anna Wokovicha, John Spencera, Chi Wan Chenb, Saleh Turujmanb, Mamta Gautam-Basakb, Gil Jong Kangc, Arthur Kibbed, Brian Heintzelmand, Eric Wolfgangd a United States Food and Drug Administration, Center for Drug Evaluation and Research, Ofļ¬ce of Pharmaceutical Science, Division of Pharmaceutical Analysis, FDA, 1114 Market Street, Room 1002, St. Louis, MO 63101, USA b US FDA/CDER/OPS/Ofļ¬ce of New Drug Chemistry, Rockville, MD, USA c US FDA/CDER/OPS/Ofļ¬ce of Generic Drugs, Rockville, MD, USA d Wilkes University, Wilkes-Barre, PA, USA Received 21 October 2004; received in revised form 28 January 2005; accepted 28 January 2005 Available online 11 March 2005 Abstract Current deļ¬nitions of lotions, gels, creams and ointments vary depending on literature source, market history or traditional use. This often leads to confusion when deciding which dosage form to prescribe and/or purchase. The existing classiļ¬cation of topical dosage forms needs to be re-examined to ensure that deļ¬nitions for different dosage forms are based on consistent scientiļ¬c principles and that dosage forms can be distinguished from one another. The purpose of this study is to obtain a scientiļ¬cally based, systematic classiļ¬cation of dosage forms for topical drugs. A variety of prescription and over-the-counter topical products currently marketed as lotions, gels, creams, and ointments are evaluated using different techniques including rheology (viscosity and shear rate versus shear stress), loss on drying (LOD), speciļ¬cgravity,surfacetension,thermogravimetricanalysis(TGA),waterabsorption,dilutionproperties,microscopicevaluation, transmittance of visible light, appearance and composition. Rheology is the most discriminating property separating creams and lotions. Water plus volatiles (as measured by LOD) and composition separate ointments and creams. Composition and thermal behavior separate gels from the other dosage forms. Based on these ļ¬ndings, new deļ¬nitions and a decision tree are presented to assist in the determination of the appropriate nomenclature for a topical dosage form. Ā© 2005 Elsevier B.V. All rights reserved. Keywords: Ointment; Cream; Gel; Lotion; Topical drug ą¬ This scientiļ¬c contribution is intended to support regulatory policy development. The views presented in this article have not been adopted as regulatory policies by the Food and Drug Administration at this time. āˆ— Corresponding author. Tel.: +1 314 539 2134; fax: +1 314 539 2113. E-mail address: buhsel@cder.fda.gov (L. Buhse). 0378-5173/$ ā€“ see front matter Ā© 2005 Elsevier B.V. All rights reserved. doi:10.1016/j.ijpharm.2005.01.032
  • 2. 102 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 1. Introduction The classiļ¬cation of topical dosage forms has not been based on any scientiļ¬c deļ¬nition. Current deļ¬ni- tions of lotions, gels, creams and ointments vary de- pending on literature source, market history or tradi- tional use. Some of these dosage form terms are ill deļ¬ned and not very concise. The current Food and Drug Administration (FDA), Center for Drug Evalu- ation and Research (CDER) Data Standards Manual deļ¬nes ointment as ā€œa semisolid preparation intended for external application to the skin or mucous mem- branesā€, cream as ā€œa semisolid dosage form contain- ing one or more drug substances dissolved or dispersed in a suitable base. . .ā€ and lotion as ā€œ. . .topical suspen- sions, solutions and emulsions intended for applica- tion to the skin.ā€ (See CDER Data Standards Manual at http://www.fda.gov/cder/dsm/DRG/drg00201.htm (January 2005), CDER approval date 14 April 1992) These deļ¬nitions do not differentiate between the three dosage forms (i.e., ointment, cream and lotion). The United States Pharmacopeia (USP) deļ¬nitions for oint- ments and creams are essentially the same as the deļ¬- nitions the FDA uses. The USP does not deļ¬ne lotions; instead, one is referred to solutions or suspensions (See USP 28 1151 Pharmaceutical Dosage Forms; USP 28, The United States Pharmacopeial Convention: Rockville, MD, 2005. 2701ā€“2712). The British Phar- macopoeia (BP) deļ¬nes lotions as liquids, but does not clearly differentiate between lotions and other liquids such as suspensions and solutions (See BP 2004, ā€œLiq- uids for Cutaneous Application of the British Phar- macopoeiaā€). The Japanese Pharmacopoeia (JP) in- cludes creams with the ointment deļ¬nition, and the European Pharmacopoeia deļ¬nes ointments as single- phase and creams as multiphase systems (See JP, De- cember 2001, ā€œGeneral Rules for Preparationsā€ and EP 01/2005:0132, ā€œSemi-solid Preparations for Cutaneous Applicationā€.) These ambiguities can cause confusion for drug de- velopers and regulators when deciding on the nomen- clature for topical dosage forms as well as determining market exclusivity. Can one formulation be marketed as both a cream and a lotion? Can a light scattering ma- terial be added to a gel to create a formulation that can now be marketed as a cream or lotion? Physicians have certain expectations when prescribing a certain dosage form. Lotions and creams are expected to be easy to apply and remove (water washable) and can leave a cooling sensation on the skin. Ointments are usually more difļ¬cult to apply or remove, but are expected to act as a barrier and increase the hydration of the skin. The purpose of this study is to establish a scien- tiļ¬c basis for a systematic, coherent and meaningful classiļ¬cation of dosage forms for topical drugs. Such a classiļ¬cation will allow physicians to use the dosage form as a guide to the desired properties that may be critical in prescribing topical drugs for a patient. Sub- jective tests like feel and appearance are often used to describe topical dosage forms. This study strives to replace these observations with more precise analyti- cal measurements that can be used as a basis to deļ¬ne these dosage forms. Deļ¬nitions will be consistent with the subjective expectations of patients and physicians when prescribing a topical product (e.g. ease of appli- cation and removal, feel of the product on the skin, barrier properties, etc.) In this study, topical drugs refer to those drugs ad- ministered to a spot on the outer surface of the body (dermatological applications). Drugs meant for other topical application (e.g. oral, nasal, aural, vaginal, and rectal areas) are not included in this study. However, the proposed deļ¬nitions may be utilized in the future for these alternative applications. Dosage forms tested are limited to solutions, lotions, gels, creams and oint- ments. Revised deļ¬nitions are proposed for topical so- lution, topical suspension, lotion, gel, cream, ointment and paste. The vehicle plays a key role in the appearance, feel, and successful application of a topical drug (Barry, 1983). Therefore, the composition of a topical drug ve- hicle should be considered in its nomenclature. How- ever, composition alone cannot be used to deļ¬ne a dosage form since one ingredient can have multi- ple functions (e.g. poloxamer functions as a suspend- ing agent, gelling agent, thickening agent, emulsiļ¬er and/or wetting agent), and the manufacturing process can change product properties. In determining what ad- ditional properties should be used to deļ¬ne a dosage form, the following physical properties were studied in 58 topical products: rheology (viscosity and shear rate versus shear stress), loss on drying (LOD, a measure of water and volatiles), speciļ¬c gravity, surface tension, thermogravimetric analysis (TGA), water absorption, dilution properties, microscopic evaluation and trans- mittance of visible light. The more subjective proper-
  • 3. L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 103 ties (e.g. appearance and feel) were used to evaluate products that had properties bordering between two dosage forms. 2. Materials and methods 2.1. Preparation of samples Twenty over-the-counter and 33 prescription topi- cal products were obtained from drug manufacturers and local drug stores. Over-the-counter products with similar uses were chosen off the shelf of a local drug store. Criteria for including a prescription drug in this study include: approval since 1997, available in differ- entdosageformsormultiplemanufacturers,orcontain- ing a drug base that borders between two dosage forms. Three USP ointment bases were prepared: white oint- ment, polyethylene glycol ointment and hydrophilic ointment (see Hydrophilic Ointment, White Ointment and Polyethylene Glycol Ointment; USP 28, pp.1415 and 3055). Two gels were prepared following proce- dures from literature: mineral oil gel and zinc oxide gel base (Lieberman et al., 1996b). Products are listed in Table 1. All products were tested as they would be applied by a consumer (i.e., mixing or shaking before use only if called for in the labeling). 2.1.1. Composition The composition of over-the-counter products was determined from the labeling. For prescription prod- ucts, drug applications submitted to the FDA were con- sulted for the amounts and types of ingredients. 2.1.2. Rheology For viscosity, samples were incubated at 25 ā—¦C for at least 16 h in a VWR Model 2005 incubator and then run on a Brookļ¬eld DV-II+, Model RV with Wingather software viscometer at 5 rpm and 25 ā—¦C. Spindles were chosen to maintain a torque between 10% and 90%. The RV spindles gave viscosity at a single immersion point in the sample. The Helipath T-Bar spindles were rotated down and up in the sample, giving viscosity at a number of points programmed over the run time. Five readings taken over a period of 60 s were aver- aged to obtain the viscosity. The viscometer was cali- brated using Brookļ¬eld viscosity standard 5000 (100% polydimethylsiloxane). Shear-rate versus shear-stress plots were obtained using the small sample adapter of the above Brookļ¬eld viscometer. General trends of the rheology were conļ¬rmed using a Thermo/Haake Visco Tester 7L with a L4 spindle by placing the sample in a 13 mm Ɨ 100 mm test tube. The RPM of the spindle was adjusted over a range of values, and the apparent viscosity recorded. The Thermo/Haake Viscometer is limited in its ability to measure high viscosity, thus not all products tested had the same number of readings. 2.1.3. Loss on drying (LOD) %Water and volatiles were measured by loss on dry- ing. Approximately 3 g of the sample were dried at 105 ā—¦C for 24 h and then to constant weight. 2.1.4. Speciļ¬c gravity Speciļ¬c gravity was determined by comparing the net weight of a sample with the net weight of deionized water using a Fisher Pycnometer (Catalog No. 03-247). 2.1.5. Surface tension This test was performed by Dun Chen, Ph.D., of CYS Company using a Thermo Cahn DCA 322 system. A small platinum strip (2.3 mm in width) was used as the solid probe. This probe was immersed 2 mm into the sample and then pulled to the surface at which posi- tion the surface tension information was collected as a function of time. Surface tension values were decided by the achievement of a stable value or after 2 min of data collection. Five runs were made on each sample. 2.1.6. Thermogravimetric analysis (TGA) TGA measurement was done in a platinum pan at 10 ā—¦C/min to 500 ā—¦C (blank curve corrected) with an atmosphereof50 mL/minnitrogen.Theequipmentwas a Shimadzu TGA-50. 2.1.7. Visible transmittance The sample was placed in a 0.1 mm demountable cell and scanned from 400 to 700 nm in an Agilent 8453 spectrophotometer. Mean percent transmission and absorbance were determined by averaging the % transmission and absorbance at six visible wavelengths (410, 450, 500, 550, 600, and 650 nm). 2.1.8. Visual appearance and feel Several subjective tests were used to evaluate the appearance of the products. A drop of the sample was
  • 4. 104L.Buhseetal./InternationalJournalofPharmaceutics295(2005)101ā€“112 Table 1 Topical products evaluated in this study Topical products Lotion Cream Gel Ointment Over-the-counter (OTC) Banana boat cool colors vanishing sunblock, SPF 30 BENGAY pain relieving creama BENGAY pain relieving gel Cortizone 10 Coppertone sunblock lotiona Clinique water dissolve cream cleanser Coppertone sunblock gel Neutrogena healthy skin face lotion (2 lots) Cortaid creama Ombrelle lotion, SPF 40 Eucerin original moisturizing cream Ombrelle lotion for kids SPF 44 Neutrogena deep clean cream cleanser Vaseline intensive care lotion Noxzema cleansing cream Ponds cold cream (3 lots) Vaseline petroleum jelly cream Prescription MetroLotion (metronidazole 0.75%) Carac cream (ļ¬‚uorouracil 0.5%) BenzaClin topical gel (clindamycin 1%, benzoyl peroxide 5%) Elocon ointment (mometasone furoate 0.1%) One product submitted for approval Elocon cream (mometasone furoate 0.1%) Duac topical gel (clindamycin 1%, benzoyl peroxide 5%) Mometasone furoate 0.1% (Clay-Park) Ferndale hydrocortisone acetate (HCA) cream, 2.5% Finacea gel (azelaic acid 15%) Taro (CP) ointment Ferndale HCA lipocream, 2% MetroGel (metronidazole 0.75%) Temovate (CP) ointment Ferndale HCA lipocream, 2.5% Solaraze gel (diclofenac sodium 3%) Finevin cream (azelaic acid 20%) Taro (CP) gel MetroCream (metronidazole 0.75%) Temovate (CP) gel Metvix cream (methyl aminolevulinate) Renova cream (tretinoin 0.02%) Taro cream (clobetasol propionate (CP)) (two lots) Taro cream (CP) emollient (two lots) Tazorac cream (tazarotene 0.05%) Temovate (CP) cream Temovate (CP) emollient cream Tri-Luma cream (ļ¬‚uocinolone acetonide 0.01%, hydroquinone 4%, tretinoin 0.05%) Three products submitted for approval Lab prepared Base mineral oil gel Hydrophilic ointment USP Zinc oxide gel base Polyethylene glycol ointment USP White ointment USP Totals 9 30 11 8 a Coppertone, BENGAY and Cortizone products were not included in the original multivariate analysis of lotion and cream products; they were obtained at a later time for comparisons with gels and ointments.
  • 5. L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 105 placed on a ļ¬‚at counter and the fate of the resulting drop recorded as a visual of indication of the rheol- ogy (thick or thin). A small amount of the sample was placed in a 5 mL beaker and the ability of the material to conform to the shape of the vessel recorded. Color and opacity were recorded. A panel of chemists, phar- macists and physicians examined those products whose physical characteristics seemed at odds with the dosage form on the label. The majority of the panel gave their view on what the dosage form should be based on the characteristics and visual appearance and feel of the product. 2.1.9. Microscopic examination A Zeiss Polarizing Microscope, Model GFL at 400Ɨ magniļ¬cation was used to examine samples for uniformity of particles and number of phases. 2.1.10. Dilution with water Approximately 0.2 g of sample was placed in sep- arate 50 mL ļ¬‚asks. About 50 mL of water was added and each ļ¬‚ask shaken thoroughly. Each sample was observed for the effects of water dilution. 2.1.11. High humidity exposure A humidity chamber was assembled using a sealed glass desiccator containing saturated ammonium phos- phate monobasic solution. Relative humidity inside the chamber read at 96% using a digital hygrometer. Three grams of the topical product were weighed into a porce- lain dish at ambient humidity of 30% RH. The dish plus sample was then placed into the humidity chamber. The chamber was sealed and the sample plus dish sat for 20 h at ambient temperature. After 20 h the humidi- ļ¬ed sample weight was compared to the initial sample weight at ambient humidity. 2.1.12. Multivariate analysis Principle component analysis (PCA) is a mathemat- ical technique that ranks the contribution of each mea- sured variable to the overall variance among a group of samples. The ļ¬rst principle component accounts for the largest contribution to the collective variance among a group of samples and hence represents the best means to distinguish one class from another. An initial com- parison of lotions and creams was done with the over- the-counter products by performing a PCA with mea- surements for viscosity, speciļ¬c gravity, LOD and sur- face tension using Pirouette software version 3.02. The values were preprocessed by mean centering. 3. Results 3.1. Rheology, speciļ¬c gravity, % water plus volatiles (by LOD) and surface tension Literature sources list lotions as liquids and refer to creams as semisolids (Nairn, 2000; http://pharmlabs.unc.edu/emulsions/text.htm (January 2005)). Multivariate analysis of fourteen over-the- counter lotions and creams (see Table 1) using viscosity, surface tension, speciļ¬c gravity and % water plus volatiles found that viscosity accounts for most of the variance between samples. The PCA veriļ¬ed that viscosity is the dominant factor and that speciļ¬c gravity, % water plus volatiles and surface tension do not lead to a means of distinguishing between lotions and creams. Based on these ļ¬ndings, subsequent comparisons of the prescription lotions and creams did not include the variables of speciļ¬c gravity, % water plus volatiles or surface tension. Since viscosity is measured at only one shear rate, different types of materials (Newtonian, pseudoplastic, plastic) can have the same viscosity. A wider range of shear rate values was studied for lotions, creams, and gels, all with viscosities below 50,000 cP, to establish criteria to separate liquid from semisolid dosage forms. Plots of shear rate versus shear stress were correlated with observations of pourability of the dosage form and their conformability to containers at room temperature. Results show that liquids display Newtonian or pseu- doplastic ļ¬‚ow behavior with little or no force necessary to initiate ļ¬‚ow. Semisolids are not pourable; they do not ļ¬‚ow or conform to the shape of their containers at room temperature. They do not ļ¬‚ow at low shear stress and generally exhibit plastic ļ¬‚ow behavior. Fig. 1 (Brook- ļ¬eld data) and Fig. 2 (Thermo/Haake data) show exam- ples of ļ¬‚ow behavior for six over-the-counter or pre- scription lotions, creams, and gels. Higher shear rates are missing on the plots for the semisolids because of equipment limitations. It is evident that Finacea Gel, Clinique Cream, and BENGAY Gel exhibit semisolid behavior; while Banana Boat Sunblock, Coppertone Sunblock Gel, and Coppertone Sunblock Lotion dis- play liquid behavior.
  • 6. 106 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 Fig. 1. Brookļ¬eld rheology data: shear stress vs. shear rate for six products. The three samples with closed symbols are semisolid (they are not pourable and do not ļ¬‚ow at low shear stress conditions); the three samples with open symbols exhibit liquid behavior (i.e., pourable, conforming to container). Viscosity data were also collected for 30 over-the- counter and prescription creams and ointments. Trend analysis indicates that ointments tend to be more vis- cous than creams; however, there is an overlap of sev- eral hundred thousand cP between creams and oint- ments. Because of this large overlap, no further rhe- ology data were collected and no rheological criteria between creams and ointments were established. As mentioned above, % water plus volatiles (by LOD) was not found to be a characteristic that could be used to separate creams and lotions; however, it was a discriminating property for some topical dosage forms. Generally ointments were found to have <20% wa- ter plus volatiles, and all lotions were found to have >50% water plus volatiles (see Fig. 3). Most gels were also found to have a high water and volatiles content. Fig. 2. Thermo/Haake rheology data: viscosity (cP) Ɨ rpm (propor- tional to shear stress) vs. rpm (proportional to shear rate) for same six products as in Fig. 1. Conļ¬rmation of ļ¬‚ow behavior for liquid (open symbols) and semisolid (closed symbols) samples. As with the Brookļ¬eld instrumentation (Fig. 1) ļ¬‚ow does not occur at low shear stress for semisolids. Fig. 3. % Water and volatiles (as measured by loss on drying) for 58 (over-the-counter, prescription and laboratory produced) topical products in four dosage forms. % Water and volatiles is found to be >50% for lotions and <20% for all but one ointment. The one oint- ment with >20% water and volatiles is the USP hydrophilic ointment found to have the look and feel of a cream. The mineral oil gel was found to have a low water and volatiles content, and the USP Hydrophilic Ointment was found to be the only ointment to have >20% water and volatiles. A panel of pharmacists, chemists, and physicians examined the mineral oil gel and found the appearance and feel to be like that of an ointment. The panel found the look and feel of the USP Hydrophilic Ointment to be more like a cream than an ointment. This USP base is described in the literature as a water- removable base, which resembles a cream in appear- ance (Ansel et al., 1999). Water plus volatiles con- tent is inversely proportional to the hydrocarbon and polyethylene glycol (PEG) composition of the topical product; see Fig. 4 for composition versus % water and volatiles for 25 prescription cream and ointment topi- cal products and the ointments manufactured in the lab- oratory. Ointments, which are usually hydrocarbon or PEG based, have the lowest level of water and volatiles, and creams and lotions, which tend to be water based, have the highest levels. In general, ointments have a hy- drocarbon or polyethylene glycol content greater than 50%. The only ointment not in the cluster at the top left of Fig. 4 is the USP Hydrophilic Ointment, which has a 25% hydrocarbon content and 50% water and volatiles content, and is the same ointment that was considered a cream by appearance and feel. 3.2. Thermogravimetric analysis (TGA) TGA has been used to characterize topical dosage forms (Nesseem, 2001; Peramal et al., 1997; Kallioinen
  • 7. L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 107 Fig. 4. % Hydrocarbon and polyethylene glycol (PEG) vs. % water and volatiles for 25 Prescription and Laboratory Prepared Creams and Ointments. % Water and volatiles is inversely related to the hy- drocarbon and polyethylene glycol (PEG) content of the topical prod- uct. The one ointment with low % hydrocarbon + PEG content is the USP hydrophilic ointment whose look and feel was deemed to be more like a cream than ointment. et al., 1995). Clear differences in the TGA curves of creams and gels were observed in this study. TGA curves show loss of free and bound water loss as well as loss of other volatiles. Gels, which tend to have aqueous or alcoholic vehicles contain- ing a gelling agent that imparts a three dimensional structure, have one transition corresponding to the vehicle; whereas, creams, which tend to be multi- component emulsions, show multiple transitions cor- responding to loss of free water, bound water and loss of other components (such as emulsifying agents, stabilizers, etc.) Figs. 5 and 6 give examples of the TGA curves for two drugs (clobetasol propionate and metronidazole) that are available in multiple dosage forms. 3.3. Transmittance Clear or translucent gels are preferred by consumers (Lieberman et al., 1996a); however, many of the gels examined in this study were opaque. Table 2 lists 11 gels tested for % transmittance and absorbance, along with the appearance observed by the analyst. Six gels found to be clear had a transmittance greater than 85%. The remaining ļ¬ve gels were opaque and had a trans- mittance lower than 30%. Fig. 5. Thermogravimetric curves for six clobetasol propionate prod- ucts.Thefourproductsmarketedascreams(solidlines)havemultiple transitions; and those two marketed as gels (dashed lines) have one transition corresponding to the boiling point of the vehicle. 3.4. Microscopic examination This evaluation was undertaken to determine if the emulsion and/or gel structure of topical dosage forms could be detected under microscopic examina- tion. Many products showed two or more phases. For topical products where the active ingredient was crys- talline, drug crystals could be seen. At 400Ɨ magniļ¬ca- tion, no structure in the clear gels was seen. Although many structural features were seen, no trends useful in distinguishing dosage forms were observed by this technique. Fig. 6. Thermogravimetric curves for three dosage forms of metron- idazole. The cream (solid line) and lotion (dashed line) have multiple transitionscausedbythemulti-componentemulsionvehicles,andthe gel (dotted line) has one transition corresponding to the boiling point of the vehicle.
  • 8. 108 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 Table 2 Appearance, % transmittance and absorbance of gel samples Gel sample Appearance Mean % transmittance Mean absorbance MetroGel Clear 93.4 0.030 Zinc oxide gel base Clear 93.1 0.031 Taro clobetasol propionate gel Clear 92.9 0.032 Temovate gel Clear 91.2 0.040 Solaraze gel Clear yellow 90.5 0.044 Coppertone sunblock gel Clear yellow 88.8 0.053 Mineral oil gel Opaque 28.5 0.56 Duac topical gel Opaque white 22.6 0.65 BenzaClin topical gel Opaque off-white 17.0 0.77 BENGAY pain relieving gel Opaque gray-white 7.4 1.6 Finacea gel Opaque white 0.04 3.5 3.5. Dilution with water Since emulsions can be diluted with their external phase (Lieberman et al., 1988), 43 creams, lotions and gels were tested to determine if water compatibility could be linked to dosage form. Most products exam- ined had incomplete solubility in water, with particles or clumps of material remaining. Some of the clear gels did dissolve into clear solutions. No trend was observed between solubility and dosage form. The presence of the active ingredient, which is often water insoluble, most likely affected the results of this test. 3.6. High humidity exposure Exposure to humidity was used as a test of swelling for gels. Gels can swell by absorbing liquid (Marriott, 2001). Creams and gels were tested. Some products gained weight (i.e., clobetasol propionate gels and creams)inthehumidenvironmentandsomelostweight (i.e., clobetasol propionate emollient creams, Metro- gel,BENGAYPainRelievingGelandCoppertoneSun- block Gel). No trends were observed between dosage form and gain or loss of weight in a high humidity environment. 4. Discussion Several of the methods, namely rheology, loss on drying (LOD, a measure of water and volatiles), ther- mogravimetric analysis (TGA), appearance and com- position, distinguished the topical dosage forms in the study. Other methods (speciļ¬c gravity, surface tension, waterabsorption,dilutionproperties,microscopiceval- uation and transmittance of visible light) did not ad- equately separate the dosage forms. Results from the distinguishing methods were used to create a ļ¬‚ow chart (Fig. 7) and deļ¬nition table (Table 3) for determination of dosage form. Dosage forms are ļ¬rst classiļ¬ed as liquid or semisolid; whereby, solutions, suspensions, and lotions fall under the liquid category and creams, gels, pastes and ointments belong to the semisolid category. Ap- pearance and rheology are used to deļ¬ne the line be- tween liquids and semisolids: liquids ļ¬‚ow with lit- tle or no external force needed and display Newto- nian or pseudoplastic ļ¬‚ow behavior; while semisolids do not ļ¬‚ow nor conform to the shape of contain- ers and exhibit plastic ļ¬‚ow behavior (Marriott, 2001). The ļ¬‚ow behavior plots obtained from the Brook- ļ¬eld and Thermo/Haake equipment (Figs. 1 and 2) show similar curve shapes and both ļ¬gures indi- cate that much larger shear stresses are necessary to begin the ļ¬‚ow for semisolids. The Coppertone Sunblock Gel exhibited liquid behavior and would thus need to be labeled as a solution rather than a gel. Certain topical products currently marketed as lo- tions should be relabeled as solutions or suspensions. Solutions are clear, homogeneous liquids, while sus- pensions are two-phase (i.e., solid-in-liquid) liquids. Using the term solution or suspension rather than lo- tion would give a practitioner information about the base of a topical drug. The term lotion can then be re- served for those formulations that are liquid emulsions. All three of these liquid dosage forms usually contain aqueous or alcoholic vehicles.
  • 9. L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 109 Fig. 7. Decision tree on topical dosage form nomenclature. (a) A liquid is pourable; it ļ¬‚ows and conforms to its container at room temperature. A liquid displays Newtonian or pseudoplastic ļ¬‚ow behavior. (b) A semisolid is not pourable; it does not ļ¬‚ow or conform to its container at room temperature. It does not ļ¬‚ow at low shear stress and generally exhibits plastic ļ¬‚ow behavior. (c) An emulsion is a two-phase system consisting of at least two immiscible liquids, one of which is dispersed as globules (internal or dispersed phase) within the other liquid phase (external or continuous phase), generally stabilized by an emulsifying agent. (d) Water and volatiles as measured by loss on drying (LOD) test by heating at 105 ā—¦C until constant weight is achieved. (e) A colloidal dispersion is a system in which particles of colloidal dimension (i.e., between 1 nm and 1 ā®m) are distributed uniformly throughout a liquid. (f) Polyethylene glycol.
  • 10. 110L.Buhseetal./InternationalJournalofPharmaceutics295(2005)101ā€“112 Table 3 Suggested deļ¬nitions of topical dosage forms Dosage forma Deļ¬nition Formulation Appearance and feel Physical properties Topical solution A clear, homogeneous liquidb dosage form for external application to the skin Usually contains an aqueous or alcoholic vehicle; though an oil may also serve as the vehicle. May contain a gelling agent to thicken the solution Clear, thin Topical suspension A liquidb dosage form, that consists of a solid suspended in a liquid vehicle in a two-phase system for external application to the skin Usually contains an aqueous or alcoholic vehicle Solid often settles with time, thus requiring shaking before use Lotion An emulsionc liquidb dosage form for external application to the skin Usually contains an aqueous vehicle and >50% water and volatilesd Opaque, thin, non-greasy; tends to evaporate rapidly with a cooling sensation when rubbed onto the skin Exhibits Newtonian or pseudoplastic ļ¬‚ow behavior Gel A semisolide dosage form that contains a gelling agent to provide stiffness to a solution or colloidal dispersionf for external application to the skin. A gel may contain suspended particles Usually contains an aqueous or alcoholic vehicle and a gelling agent such as starch, cellulose derivatives, carbomers, magnesiumā€“aluminum silicates, xanthan gum, colloidal silica, aluminum or zinc soapsg Usually clear or translucent in a single-phase system; otherwise opaque in a two-phase system; thick, non-greasy; provides a cooling sensation when applied to the skin Usually exhibits a single transition in TGAh corresponding to loss of the vehicle; does not ļ¬‚ow at low shear stress and generally displays plastic ļ¬‚ow behavior Cream An emulsionc semisolide dosage form that contains >20% water and volatilesd and/or <50% of hydrocarbons, waxes, or polyethylene glycols as the vehicle for external application to the skin Contains >20% water and volatilesd and/or <50% of hydrocarbons, waxes, or polyethylene glycols as the vehicle. There are two types of creams: an oil-in-water cream with water as the continuous phase and a water-in-oil cream with oil as the continuous phase Opaque, viscous, non-greasy to mildly greasy; tends to mostly evaporate or be absorbed when rubbed onto the skin Exhibits two or more transitions in TGAh indicative of at least a two-phase system; displays plastic ļ¬‚ow behavior Ointment A suspension or emulsion semisolide dosage form that contains <20% water and volatilesd and >50% of hydrocarbons, waxes, or polyethylene glycols as the vehicle for external application to the skin Contains <20% water and volatilesd and >50% of hydrocarbons, waxes, or polyethylene glycols as the vehicle Opaque or translucent, viscous, greasy; tends not to evaporate or be absorbed when rubbed onto the skin Paste A semisolide dosage form that contains a large proportion (i.e., 20ā€“50%) of solids ļ¬nely dispersed in a fatty vehicle for external application to the skin Contains a large proportion (20ā€“50%) of dispersed solids in a fatty vehicle Opaque, viscous, greasy to mildly greasy; adheres well to the skin, forming a protective layer a A dosage form is a pharmaceutical formulation that contains a drug substance, i.e., an active pharmaceutical ingredient, and one or more excipients. b A liquid is pourable; it ļ¬‚ows and conforms to its container at room temperature. A liquid displays Newtonian or pseudoplastic ļ¬‚ow behavior. c An emulsion is a two-phase system consisting of at least two immiscible liquids, one of which is dispersed as globules (internal or dispersed phase) within the other liquid phase (external or continuous phase), generally stabilized by an emulsifying agent. d Water and volatiles as measured by loss on drying (LOD) test by heating at 105 ā—¦C until constant weight is achieved. e A semisolid is not pourable; it does not ļ¬‚ow or conform to its container at room temperature. It does not ļ¬‚ow at low shear stress and generally exhibits plastic ļ¬‚ow behavior. f A colloidal dispersion is a system in which particles of colloidal dimension, i.e., between 1 nm and 1 ā®m, are distributed uniformly throughout a liquid. g For gelling agent information, see Gennaro (2000) and Lieberman et al. (1996b), Chapter 10. h Thermogravimetric analysis.
  • 11. L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 111 Creams are also emulsions where water is the con- tinuous phase, but creams are semisolids. Ointments, which are also semisolids, can be emulsions or suspen- sions. Ointments are separated from creams and gels ļ¬rst on the basis of composition, followed by loss on drying of the vehicle. Ointments are expected to re- main longer on the surface of the skin after application than creams or lotions, so a low volatility is desired. An analysis of the products in this study found that a water plus volatiles content of less than 20% generally characterized ointments. This low level of water and volatiles is due to a high hydrocarbon and/or polyethy- lene glycol content (>50%) in the ointments. Gels are also semisolids. They contain a gelling agent to provide stiffness to a solution or colloidal dispersion. Although gels are often considered clear or translucent, many products that are compositionally gels are found to be opaque because of the presence of an excipient or active ingredient which is not fully soluble in the gel vehicle. In other words, gels may contain suspended particles. Gels are also found to contain aqueous or alcoholic ve- hicles, which manifest themselves in high levels of wa- ter plus volatiles (as measured by LOD) and relatively low temperature TGA curves with a single transition corresponding to the loss of the vehicle. The one gel (mineral oil gel) with a low water and volatiles level was more like an ointment in feel and appearance. Suggested deļ¬nitions based on the above conclu- sions from the products tested are presented in Table 3. Deļ¬nitions for lotion, cream, ointment, gel, solution, suspension and paste1 are included. The conclusions can be simpliļ¬ed into a decision tree to facilitate the determination of the most appropriate nomenclature for a dosage form (Fig. 7). Knowledge of composi- tion, a few visual (ļ¬‚ow) characteristics and physical measurements (rheology, water plus volatiles as mea- sured by loss on drying) can be used in conjunction with this decision tree to distinguish the topical dosage forms. Use of the decision tree and table will clas- sify products so that practitioners and patients will know what to expect when prescribing or using a top- ical product. Although the number of topical prod- ucts examined in this study is limited, the products selected are both representative and encompassing of 1 The deļ¬nition of paste was based on a review of properties of currently approved products and literature deļ¬nitions such as Barry, 2001. those in the market, including several borderline or ex- treme cases, and the results clearly suggest a trend or distinction between dosage forms based on composi- tion and certain physical properties. The future will bring new excipients and new formulation techniques which may require additional knowledge or alternative nomenclature. 5. Conclusion Physicochemicalproperties,especiallycomposition and rheology, can be used to provide a more scientiļ¬c basis for the classiļ¬cation and distinction of topical dosage forms. Table 3 lists the suggested deļ¬nitions with physical properties and typical formulations. For ļ¬rms developing a new topical dosage form, the deci- sion tree in Fig. 7 is designed to assist in determining the correct nomenclature based on physical properties and formulation ingredients. The information gener- ated by these studies and detailed in the table were presented to and endorsed by the FDA Advisory Com- mittee for Pharmaceutical Science in 2003 (see minutes from public meetings held on March 12 and October 22 2003 on the FDA internet). This information is also be- ing considered for inclusion in formal FDA deļ¬nitions for these topical dosage forms. These deļ¬nitions may also be applicable beyond dermatological applications (e.g. ophthalmic, otic, vaginal, rectal). Acknowledgements The authors wish to acknowledge: (1) Dun Chen of CYS Company for performing surface tension analyses on selected products. (2) Jenni L. Briggs of Thermo- Haakeforcharacterizingtherheologicalbehaviorofse- lected products. (3) Yuan Yuan Chiu; Charles Hoiberg; Wilson H. Decamp II; and Daniel Boring formally with the US FDA/CDER, and Jonathan Wilkin; Mo- heb Nasr; James Fan; Hon Sum Ko; Markham Luke; Ajaz Hussain; and Helen Winkle of US FDA/CDER, for technical input and support. References Ansel, H.C., Allen Jr., L.V., Popovich, N.G., 1999. Ointments, creams and gels. In: Pharmaceutical Dosage Forms and Drug
  • 12. 112 L. Buhse et al. / International Journal of Pharmaceutics 295 (2005) 101ā€“112 Delivery Systems, 7th ed. Lippencott Williams & Wilkins, Bal- timore, p. 246. Barry, B.W., 1983. Dermatological Formulations: Percutaneous Ab- sorption (Drugs and the Pharmaceutical Sciences: a Series of Textbooks and Monographs). Marcel Dekker, pp. 296ā€“299. Barry, B., 2001. Transdermal drug delivery. In: Aulton, M.E. (Ed.), Pharmaceutics, The Science of Dosage Form Design, 2nd ed. Churchill Livingstone, London, p. 530. Gennaro, A.R. (Ed.), 2000. Remington: The Science and Practice of Pharmacy, 20th ed. p. 746. Kallioinen, S., Helenius, K., Yliruusi, J., 1995. Structure of non-ionic emulsion creams studied by thermoanalytical methods. Phar- mazie 50, 478ā€“481. Lieberman, H.A., Rieger, M.M., Banker, G.S. (Eds.), 1988. Phar- maceutical Emulsions. Pharmaceutical Dosage Forms: Disperse Systems, vol. 1. Marcel Dekker, New York, p. 201. Lieberman, H.A., Rieger, M.M., Banker, G.S. (Eds.), 1996a. Gels. Pharmaceutical Dosage Forms: Disperse Systems, vol. 2, 2nd ed. Marcel Dekker, New York, p. 401. Lieberman, H.A., Rieger, M.M., Banker, G.S. (Eds.), 1996b. Pharma- ceutical Dosage Forms: Disperse Systems, vol. 2, 2nd ed. Marcel Dekker, New York, pp. 415ā€“416. Marriott, C., 2001. Rheology. In: Aulton, M.E. (Ed.), Pharmaceutics, The Science of Dosage Form Design, 2nd ed. Churchill Living- stone, London, p. 58. Nairn, J.G., 2000. Solutions, emulsions, suspensions, and extracts. In: Gennaro, A.R. (Ed.), Remington: The Science and Practice of Pharmacy, 20th ed. Lippencott Williams & Wilkins, Baltimore, p. 747. Nesseem, D.I., 2001. Formulation and evaluation of itraconazole via liquid crystal for topical delivery system. J. Pharmaceut. Biomed. Anal. 26, 387ā€“399. Peramal, V.L., Tamburic, S., Craig, D.Q.M., 1997. Characterization of the variation in the physical properties of commercial creams using thermogravimetric analysis and rheology. Int. J. Pharma- ceut. 155, 91ā€“98.