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Published on: September 27, 2021
Evolution of Drug Delivery Systems for Recurrent Aphthous Stomatitis
Ine Suharyani1,2, Ahmed Fouad Abdelwahab Mohammed3, Muchtaridi Muchtaridi4
1Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Padjadjaran University, Sumedang, Jatinangor, 45363, Indonesia.
Recurrent aphthous stomatitis (RAS) treatments utilize drug delivery systems (DDS) to improve oral ulcer healing and pain relief. Semi-solid formulations, particularly those using mucoadhesive polymers, show promise for extended residence time and enhanced efficacy.
Area of Science:
- Oral medicine and drug delivery systems
- Pharmaceutical sciences and formulation development
Background:
- Recurrent aphthous stomatitis (RAS) presents as painful oral lesions, necessitating effective topical treatments.
- Oral drug delivery systems (DDS) face challenges like rapid saliva wash-out, reducing drug residence time and efficacy.
- Managing RAS requires DDS that enhance wound healing, ulcer coverage, and pain relief directly on oral mucosa.
Purpose of the Study:
- To review the evolution of preparation forms and delivery systems for Recurrent Aphthous Stomatitis (RAS) management.
- To analyze various drug delivery systems (DDS) developed for RAS treatment from 1965 to February 2020.
Main Methods:
- A comprehensive literature review of 62 articles focusing on DDS for RAS.
- Classification of 20 identified DDS types into four preparation forms: liquid, semi-solid, solid, and miscellaneous.
- Analysis of formulation strategies, including the use of mucoadhesive polymers.
Main Results:
- Semi-solid formulations (gels, pastes, patches, creams, ointments) represent the most common DDS for RAS (41.94%).
- Novel preparation forms, including adhesive alginates and gelosomes, have emerged, accounting for 11.29% of DDS.
- Topical DDS utilizing mucoadhesive polymers are prevalent for increasing residence time and providing pain relief.
Conclusions:
- Drug delivery systems are crucial for improving drug delivery and activity in treating RAS ulcers.
- Semi-solid and novel mucoadhesive formulations offer enhanced therapeutic potential for oral mucosal conditions like RAS.
- Optimizing DDS for oral mucosa targets increased drug residence time and effective pain management in RAS patients.
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