CHEWING GUM: CONFECTIONARY TO A POPULAR TRANSBUCCAL DOSAGE FORM

Authors

  • Bharat Jhanwar Department of Quality Assurance, Faculty of Applied Medical Sciences, Lovely Professional University, Phagwara Jalandhar, Punjab, India.
  • Bhupendra Singh Tomar Department of Quality Assurance, Faculty of Applied Medical Sciences, Lovely Professional University, Phagwara Jalandhar, Punjab, India.
  • Surajpal Verma Department of Quality Assurance, Faculty of Applied Medical Sciences, Lovely Professional University, Phagwara Jalandhar, Punjab, India.

DOI:

https://doi.org/10.22159/ajpcr.2017.v10i6.18307

Keywords:

Chewing gum, Transbuccal, Systemic effects, Self-administrable, Gum bases, Novel drug delivery system

Abstract

Chewing gum is a highly convenient and controlled release transbuccal drug delivery system taken without water. It is gaining popularity as a selfadministrable carrier for the medication used for motion sickness, smoke cessation, hypertension, xerostomia, dental caries, pain, as nutritive and energy supplements. Functional chewing gum favors both local and systemic effects intended to be chewed about half an hour. It has emerged out with a fast onset of action either by direct absorption or swallowed with saliva into gastrointestinal tract.It has better bioavailability that lowers the doses and reduces the gastric side-effects. Gums adhere with ease and compliance of administration to children and dysphagia patients. Chewing gums are formulated using a water-insoluble gum base with water-soluble excipients with the active ingredient in the case of medicated gums. European Pharmacopeia standards used for release studies, there are no other particular official standards. It has attracted the researchers as successful potential drug delivery system in coming future. The present article reviews it as novel drug delivery system including its merits and limitations, material and methods of formulation and evaluation.

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References

Gum C. In: Fetzer S, editor. The World Book Encyclopedia. Chicago: World Book Inc.; 1991. p. 416-7.

Mary B. The History of Chewing Gum and Bubble Gum. 14 December; 2016. Available from: http://www.inventors.about.com/od/ gstartinventions/a/gum.htm. [Last cited on 2016 Dec 02].

Raw M. Chewing gum. Br Med J 1985;290:1232.

Chien YW. Novel Drug Delivery Systems. 2nd ed. New York: Marcel Dekker; 1992. p. 139-40.

Kahtani D. Chewing gum: Trick or treat. Saudi Dent J 1991;11(1):2734.

Anand SS. Chewing gum: A friendly oral mucosal drug delivery system. Int J Pharm Sci Rev Res 2010;4(2):68-71.

Squier CV. The permeability of oral mucosa. Crit Rev Oral Biol Med 1991;2(1):13-32.

Nielsen HM. In: Lehr CM, editor. Cell Cultural Models of Biological Barriers: In Vitro Test Systems for Drug Absorption and Delivery. London. Harwood Academic Publishers; 2000. p. 230-42.

Rathbone MJ, Hadgraft J. Absorption of drugs from the human oral cavity. Int J Pharm 1991;74(1):1-83.

Rowe RC. By gum-a buccal delivery system. Drug Discov Today 2003;8:617-8.

Shojaei AH. Buccal mucosa as a route for systemic drug delivery: A review. J Pharm Pharm Sci 1998;1(1):15-30.

McElnay JC. Buccal absorption of drug. In: Swarbick J, Boylan JC, editors. Encyclopedia of Pharmaceutical Technology. Vol. 2. New York: Marcel Dekker; 1990. p. 189-209.

Nozaki Y, Kakumot M, Ohta M, Yukimastu M. A new transmucosal therapeutic system: An over view of formulation development and in-vitro/in-vivo clinical performance. Drug Dev Ind Pharm 1993;19:221.

Veillard MM, Longer MA, Robinson JR. Preliminary studies of oral mucosal delivery of peptide drug. J Controll Release 1987;6:123.

Nagai T, Machida Y. Mucosal adhesive dosage forms. Pharm Int 1996;6:AQ4 ???.

Yamahara H, Suzuki T, Mizobte N, Noda K, Somejina M. In situ perfusion system for oral mucosal absorption in dogs. J Pharm Sci 1990;97:963.

Mikos AG, Peppas NA. Bioadhesive analysis of controlled release system-IV an experimental method for testing the adhesion of microparticles with mucus. J Controll Release 1990;12(1):31-7.

Marrola M, Vahervov K, Rajaneimi M. Development of a method of study of tendency of drug product to adhere to the oesophagus. J Pharm Sci 1982;71(9):975-7.

Rassing MR. Specialized oral mucosal drug delivery systems: Chewing gums. In: Rathbone MJ, editor. Oral Mucosal Drug Delivery. New York: Marcel Dekker; 1996. p. 319-57.

Heema N, Stuti G. Medicated chewing gums - Updated review. Int J Pharm Res Dev 2010;2(8):66-76.

Surana AS. Chewing gum: A friendly oral mucosal drug delivery system. Int J Pharm Sci Rev Res 2010;4(2):68-71.

Swamy NG, Shilpa P, Abbas Z. Formulation and characterization of medicated chewing gums of dextromethorphan hydrobromide. Indian Drugs 2012;49(12):29-35.

Morjaria Y, Irwin WJ, Barnett PX, Chan RS, Conway BR. In vitro release of nicotine from chewing gum formulations. Dissolut Technol 2004;11(2):12-5.

Lee WW. Chewing gum as a delivery vehicle for pharmaceutical and nutraceuticals substances. Pharm Tech Online 2001;2:1-11.

Jacobsen J, Christrup LL, Jensen NH. Medicated chewing gum: Pros and cons. Am J Drug Deliv 2004;2(2):75-88.

Munksgaard EC, Nolte J, Kristensen K. Adherence of chewing gum to dental restorative materials. Am J Dent 1995;8(3):137-9.

Wertalik F, Bonorden R. Salivary levels of antibiotics from use of neomycin-gramicidin chewing troches. J Pharm Sci 1968;57(3):530-1.

Zyck DJ, Greenberg MJ, Barkalow DG, Marske SW, Schnell PG, Mazzone P. Method of making coated chewing gum products containing various antacids. US Patent, 2003; 6645535.

Nagaich U, Chaudhary V, Karki R, Yadav A, Sharam P. Formulation of medicated chewing gum of ondansetron hydrochloride and its pharmacokinetic evaluations. Int J Pharm Sci Res 2010;1(2):32-9.

Rider JN, Brunson EL, Chambliss WG, Cleary RW, Hikal AH, Rider PH, et al. Development and evaluation of a novel dissolution apparatus for medicated chewing gum products. Pharm Res 1992;9(2):255-9.

Subraman RC, Kirshnayya B. Tabletted Chewing Gum Composition and Method of Preparation. US Patent 1988; 4753805. Warner-Lambert Company.

Ream RL, Corriveau CL, Wokas WJ, Tongue J, Thomas M, Greenberg MJ. Pharmaceutical chewing gum formulations. US Patent, 2006; 7078052.

Bhise KS, Jahagirdar S. Medicated chewing gum: A review. Indian J Pharm Educ 2005;39(3):139-46.

Runwal AV, Potnis VV, Lone KD. Medicated chewing gums - A novel option. Pharm Rev EJ 2008;6(3):???.

Athanikar NK, Gubler SA. Process for manufacturing a pharmaceutical chewing gum. US Patent, 2001; 6322828.

Keizo M, Fumio Y. Process for the preparation of chewing gum. US Patent, 1976; 4000321.

Lewis WH. Medical Botany: Plants Affecting Man’s Health. 2nd ed. New Jersey. John Wiley and Sons Inc.; 1977. p. 247-67.

Arthur JC. Non-tack chewing gum composition. US Patent, 1976; 3984574.

Frank W. Non-adhesive chewing gum composition. US Patent, 1976; 3974293.

Edwin RK, Michael G. Non-stick bubble gum base composition. US Patent, 1977; 4357355.

Edwin RK, Michael G. Non-stick chewing gum composition and method of preparation. US Patent, 1983; 4387108.

Gum Base Co. A process for obtaining a no calorie, non cariogenic chewing gum composition. Indian Patent, 1985; 160941.

Warner-Lambert Company. A process for preparing a non adhesive chewing gum base composition. Indian Patent, 1985; 161215.

Netter FH. Ciba Collection of Medical Illustrations Digestive System. Vol. 3. New York: 1959. p. 24-6, 28.

Triggs BA. In vivo study of mouth wash procedure. J Pharm Pharmacol 1967;19:31-41S.

Pathak V, Dorle AK. Controlled release. Int J Pharm 1987;5:63-8.

Smith AJ. Local therapy of oral infection. J Dent Res 1996;???:19-23.

Shalini S, Shaila L. Taste masking technologies: A review. Int J Pharm Pharm Sci 2010;2(2):6-13.

Jacobsen J, Bjerregaard S, Pedersen M. Cyclodextrin inclusion complexes of antimycotics intended to act in the oral cavity - Drug supersaturation, toxicity on TR146 cells and release from a delivery system. Eur J Pharm Biopharm 1999;48(3):217-24.

Froze MF, Pixyish T. Formulation and characterization of biodegradable medicated chewing gum delivery system for motion sickness using corn zein as gum former. Trop J Pharm Res 2015;14(5):753-60.

Rosenthal AJ. Texture profile analysis - How important are the parameters? J Texture Stud 2010;41:672-84.

Jayachandar G, Johannes K, Stig RK. Product performance test for medicated chewing gums. U S Pharm Forum 2008;34(3):843-7.

Pandey S, Goyani M, Devmurari V. Development, in-vitro evalua& physical characterization of medicated chewing gum: Chlorhexidine gluconate. Der Pharm Lett 2009;1:286-92.

Azarmi S, Roac W, Lobenberg R. Current perspectives in dissolution testing of conventional and novel dosage forms. Int J Pharm 2007;328(1):12-21.

Conti S, Maggia L, Segalea L, Ochoa Machiste E, Conte U. Preparation and evaluation of release characteristics of 3TabGum, a novel chewing device. Eur J Pharm Sci 2005;27(5):487-93.

Stability Testing Of New Drug Substances and Products: International Conference on Harmonization (Switzerland); Q1A (R2). 8-10 February; 2003.

European Directorate for the Quality of Medicines, Council of Europe. General monograph 2.9.25: Dissolution test for medicated chewing gums. European Pharmacopoeia. 6th ed. Strasbourg, France: European Directorate for the Quality of Medicines, Council of Europe; 2008. p. 304-6.

European Directorate for the Quality of Medicines, Council of Europe. General monograph 2.9.25: Chewing gum, medicated release from. European Pharmacopoeia. 4th ed. Strasbourg, France; European Directorate for the Quality of Medicines, Council of Europe; 2002. p. 227-8.

Kvist C, Anderson SB, Fors S, Wennergren B, Berglund J. Apparatus for studying in vitro drug release from medicated chewing gums. Int J Pharm 1999;189(1):57-65.

Marques MR, Loebenberg R, Almukainzi M. Simulated biological fluids with possible application in dissolution testing. Dissolut Technol 2011;18(3):15-28.

Dodds MW, Hsieh SC, Johnson DA. The effect on increased mastication by daily gum chewing on salivary gland output and dental plaque acidogenicity. J Dent Res 1991;70(12):1474-8.

Eisenstadt B, Cash AP, Bakal IA. Chewing gum containing cough suppression agent. US Patent, 1998: 5846557.

Faraj JA, Dorati R, Schoubben A, Worthen D, Selmin F, Capan Y, et al. Development of a peptide-containing chewing gum as a sustained release antiplaque antimicrobial delivery system. AAPS PharmSciTech 2007;8(1):26.

Manning RH, Edgar WM. In situ de-and remineralisation of enamel in response to sucrose chewing gum with fluoride or non-fluoride dentifrices. J Dent 1998;26(8):665-8.

Oliveby A, Ekstrand J, Lagerlöf F. Effect of salivary flow rate on salivary fluoride clearance after use of a fluoride-containing chewing gum. Caries Res 1987;21(5):393-401.

Löe H, Schiott CR. The effect of mouthrinses and topical application of chlorhexidine on the development of dental plaque and gingivitis in man. J Periodontal Res 1970;5(2):79-83.

Smith AJ, Moran J, Dangler LV, Leight RS, Addy M. The efficacy of an anti-gingivitis chewing gum. J Clin Periodontol 1996;23(1):19-23.

Renuka S, Muralidharan N. Comparison in benefits of herbal mouthwashes with chlorhexidine mouthwash: A review. Asian J Pharm Clin Res 2017;10(2):3-7.

Simons D, Kidd EA, Beighton D, Jones B. The effect of chlorhexidine/ xylitol chewing-gum on cariogenic salivary microflora: A clinical trial in elderly patients. Caries Res 1997;31(2):91-6.

Finn SB, Jamison HC. The effect of a dicalcium phosphate chewing gum on caries incidence in children: 30-month results. J Am Dent Assoc 1967;74(5):987-95.

Keller MK, Bardow A, Jensdottir T, Lykkeaa J, Twetman S. Effect of chewing gums containing the probiotic bacterium Lactobacillus reuteri on oral malodor. Acta Odontol Scand 2012;70(3):246-50.

Fraga CP, Mayer MP, Rodrigues CR. Use of chewing gum containing 15% of xylitol and reduction in mutants streptococci salivary levels. Braz Oral Res 2010;24(2):142-6.

Caglar E, Kavaloglu SC, Kuscu OO, Sandalli N, Holgerson PL, Twetman S. Effect of chewing gums containing xylitol or probiotic bacteria on salivary mutans streptococci and lactobacilli. Clin Oral Invest 2007;11(4):425-9.

Rindum J, Holmstrup P, Pedersen M, Rassing MR, Stoltze K. Miconazole chewing gum for treatment of chronic oral candidiasis. Scand J Dent Res 1993;101:386-90.

Pedersen M, Rassing MR. Miconazole and miconazole nitrate chewing gum as drug delivery system: A practical application of solid dispersion technique. Drug Dev Ind Pharm 1990;16(1):55-74.

Lingström P, Fure S, Dinitzen B, Fritzne C, Klefbom C, Birkhed D. The release of vitamin C from chewing gum and its effects on supragingival calculus formation. Eur J Oral Sci 2005;113(1):20-7.

Kotsirilos V, Vitetta L, Sali A. A Guide to Evidence-Based Integrative and Complementary Medicine. 1st ed. Australia: Churchill Livingstone; 2011. p. 647, 657.

Woodford DW, Lesko LJ. Relative bioavailability of aspirin gum. J Pharm Sci 1981;70(12):1341-3.

Aspirin Oral Gum-Aspergum. First Databank Inc. October; 2013. Available from: http://www.medicinenet.com/aspirin_gumoral/index. htm. [Last cited on 2016 Dec 12].

Park CR, Munday DL. Development and evaluation of a biphasic buccal adhesive tablet for nicotine replacement therapy. Int J Pharm 2002;237(1-2):215-26.

Jensen EJ, Schmidt E, Pedersen B, Dahl R. The effect of nicotine, silver acetate, and placebo chewing gum on the cessation of smoking. The influence of smoking type and nicotine dependence. Int J Addict 1991;26(11):1223-31.

Cohen LM, Collins FL Jr, Vanderveen JW, Weaver CC. The effect of chewing gum favor on the negative affect associated with tobacco abstinence among dependent cigarette smokers. Addict Behav 2010;35(11):955-60.

Kresge DL, Melanson K. Chewing gum increases energy expenditure before and after controlled breakfasts. Appl Physiol Nutr Metab 2015;40(4):401-6.

O’Mathuna D, Larimore W. Alternative Medicine. 1st ed. Michigan: Zondervan, International, Christian Media and Publishing Company; 2006. p. 314-5.

Oliver N. High-Dose Weight Loss Gum Launches in US. William Reed Business Media Ltd. 05 March; 2013. Available from: http://www. confectionerynews.com/Manufacturers/High-dose-weight-loss-gum-launches-in-US. [Last cited on 2016 Dec 12].

Jennings JK, Doyle JS, Gilbert SR, Conklin MJ, Khoury JG. The use of chewing gum postoperatively in pediatric scoliosis patients facilitates an earlier return to normal bowel function. Spine Deform 2015;3(3):263-6.

Seibel K, Schaffler K, Reitmeir P, Golly I. A randomized, placebo-controlled study comparing two formulations of dimenhydrinate with respect to efficacy in motion sickness and sedation. Arzneimittelforsch Drug Res 2002;52(7):529-36.

Alwyn W. The Shocking-Benefits-of-Chewing-Gum; 2013. Available from http://www.belmarrahealth.com/uncategorized/the-shocking-benefits-of-chewing-gum. [Last cited on 2017 Jan 08].

Itthagarun A, Wei SH. Chewing gum and saliva in oral health. J Clin Dent 1997;8(6):159-62.

Calcium in Chewing Gum Containing No More Than 0.2% Residual Sugars. Vol. 181. Australia: Food Standards Australia New Zealand; 2009. p. A577. Available from: https://www.legislation.gov.au/Details/ F2009L02678/89810758-0b8d-4807-a5e1-3c818b7b9d6c.

Yashaswini PM, Someshwara RB, Ranjit KP, Vinod R, Kulkarni SV, Kumar PA. Formulation and evaluation of nicorandil chewing gum. Res J Pharm Dosage Forms Technol 2010;2(4):301-6.

Natural Male Enhancement Chewing Gum. Florida: Future Lifestyles LLC. Available from: http://www.floridaexportdirectory.com/Uploads/ ProductSpecSheet/8e017473-2bcd-4430-aee8-09138343efa6.html. [Last cited on 2017 Jan 13].

Stacey A. Is Vitamin Gum A Gimmick? The Ontarion, Sports and Health. University of Guelph; 27 March; 2014. Available from http:// www.theontarion.com/2014/03/is-vitamin-gum-a-gimmick. [Last cited on 2017 Jan 12].

Regis JN. Chewing gum containing vitamins or other active materials. US Patent, 1996; 5569477.

Shah KR, Mehta TA. Medicated chewing gum-A mobile oral drug delivery system. Int J PharmTech Res 2014;6:35-48.

Swoboda C, Temple JL. Acute and chronic effects of gum chewing on food reinforcement and energy intake. Eat Behav 2013;14(2):149-56.

Nadimi H, Wesamaa H, Janket SJ, Bollu P, Meurman JH. Are sugar-free confections really beneficial for dental health? Br Dent J 2011;211(7):E15.

Joseph M. 6 Gross Side Effects of Chewing Gum. 06 February; 2103. Available from: http://www.articles.mercola.com/sites/articles/ archive/2014/02/03/6-chewing-gum-side-effects.aspx. [Last cited

Published

01-06-2017

How to Cite

Jhanwar, B., B. S. Tomar, and S. Verma. “CHEWING GUM: CONFECTIONARY TO A POPULAR TRANSBUCCAL DOSAGE FORM”. Asian Journal of Pharmaceutical and Clinical Research, vol. 10, no. 6, June 2017, pp. 39-48, doi:10.22159/ajpcr.2017.v10i6.18307.

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Section

Review Article(s)