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Recent Advances in Drug Delivery and Formulation

Editor-in-Chief

ISSN (Print): 2667-3878
ISSN (Online): 2667-3886

Review Article

Pharmaceutical Lozenges: Recent Trends and Developments with an Update on Research and Patents

Author(s): Mangesh Pradeep Kulkarni, Arun Sharma, Sagar Tanwar, Parashara Bhattar Vandana, Sheetu Wadhwa, Gurvinder Singh, Pardeep Kumar and Rajesh Kumar*

Volume 16, Issue 1, 2022

Published on: 31 January, 2022

Page: [45 - 54] Pages: 10

DOI: 10.2174/2667387816666211231103759

Price: $65

Abstract

Pharmaceutical oral dosage forms are tremendously preferred by both consumers as well as pharmaceutical manufacturers owing to the plethora of benefits they offer. Lozenges (LZs) are one of the dosage forms that provide a palatable means of drug administration and have great importance with respect to their pharmaceutical applications. LZs offer additional benefits to pediatric and geriatric patients, along with people having problems associated with the gastro-intestinal tract. Dysphagia is a common problem faced by all age groups, which gives rise to the need for LZs. Moreover, the foremost merit presented by the medicated LZs includes its augmented retention time in the oral cavity that results in an enhanced bioavailability for buccal or upper gastro-intestinal disorders. Further, LZs can also be used to bypass the first-pass effect. The present review covers various aspects of LZs such as formulation, manufacturing techniques, evaluation parameters, marketed products, patents, and a compilation of research work that has been done on lozenges as a delivery system.

Keywords: Lozenges, sore throat, dysphagia, palatable, patient compliance, patents.

Graphical Abstract

[1]
Allen LV, Erickson M, Secundum A. Pharmaceutical compounding resources on the internet. Curr Prac Comp Inform Pharm 2009; 10(1)
[2]
U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER). Size, shape, and other physical attributes of generic tablets and capsules guidance for industry. Fed Regist 2015; 80: 35366-7.
[3]
Khaladkar AS, Avalaskar A, Bharati P, Honkalas K. Formulation and evaluation of Adhulsa lozenges for pediatric patients. J Drug Deliv Ther 2019; 9(2-s): 115-7.
[4]
Monographs O. United States Pharmacopeia 24/National Formulary 19. Rockville, MD: The Unites States Pharmacopeial Convention Inc. 2000; pp. 1143-5.
[5]
Farrer F. Sprays and lozenges for sore throats. S Afr Fam Pract 2012; 54(2): 120-2.
[http://dx.doi.org/10.1080/20786204.2012.10874190]
[6]
Minakshi R, Sachin P, Yuvraj P, Monali M, Sandesh S. Medicated lozenges as an easy to use dosage form. WJPR 2018; 7(16): 305-22.
[7]
Tubert-Jeannin S, Auclair C, Amsallem E, et al. Fluoride supplements (tablets, drops, lozenges or chewing gums) for preventing dental caries in children. Cochrane Database Sys Rev 2011; 2011(12): CD007592.
[8]
Shinde S, Kadam V, Kapse G, Jadhav S, Zameeruddin BV, Bharkad V. A review on lozenges. IAJPR 2014; 4(2): 567-70.
[9]
Peters D. Medicated lozenges. In: Pharmaceutical Dosage Forms: Tablets. 2nd Ed. 1989; pp. 419-63.
[10]
Mohan H. Text book of pathology-the oral cavity and salivary glands. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd 2000.
[11]
Majekodunmi SO. A review on lozenges. Am J Med Medical Sci 2015; 5(2): 99-104.
[12]
Yamsani M, Kumar Y, Sandeep P, Nomula N, Avinash M. Formulation and evaluation of lidocaine lozenges. Int J Innov Res Sci Eng Technol 2015; 4(11): 11640-7.
[13]
Almajidi YQ, Maraie NK. An overview on oroslippery technique as a promising alternative for tablets used in dysphagia. Res J Pharm Technol 2019; 12(9): 4545-9.
[http://dx.doi.org/10.5958/0974-360X.2019.00782.0]
[14]
Kini R, Rathnanand M, Kamath D. Investigating the suitability of Isomalt and liquid glucose as sugar substitute in the formulation of Salbutamol sulfate hard candy lozenges. J Chem Pharm Res 2011; 3(4): 69-75.
[15]
Purushotham R, Ashok K, Afshanlaheji AK, Manjunath P, Baburao N. Formulation and evaluation of anti-asthmatic theophylline tablet lozenges. Int J Pharma Sci 2011; 3(1): 125-8.
[16]
Mishra KK, Tasneem K, Jain V, Mahajan S. Formulation and evaluation of herbal lozenges. J Drug Deliv Ther 2017; 7(7): 87-90.
[17]
Rowe RC. Formulating fortunes-the tale of a medicated lozenge. Drug Discov Today 2002; 7(5): 286-7.
[http://dx.doi.org/10.1016/S1359-6446(01)01993-6] [PMID: 11854047]
[18]
Găvan A, Toiu AM, Tamaș M, Tomuță I. Dry rose petal extracts and compressed lozenges: formulation and NIR–Chemometric quantification of active principles. Farmacia 2017; 65: 577-83.
[19]
Pothu R, Aparna A, Rao YM. Development and in-vitro evaluation of chlorhexidine and flurbiprofen hard candy lozenges. Int J Pharm Sci Res 2015; 6(8): 3380.
[20]
Nandini K, Priyadarshini A, Yamsani SK. Formulation and evaluation of Doxofylline lozenges. Curr Trends Biotechnol Pharm 2018; 12(1): 43-52.
[21]
Rathod M, Poharkar S, Pandhre Y, Muneshwar M, Sul S. Medicated lozenges as an easy to use dosage form. World J Pharm Res 2014; 7(16): 305-22.
[22]
Pundir S, Verma A. Review on lozenges. J der Pharmazie Forschung 2014; 2(1): 1-10.
[23]
Özakar RS, Medya K, Maman A. Preparation, characterization, and radiation absorption study of bentonite clay included soft chewable lozenge formulations. J Pharm Technol 2000; 1(3): 54-9.
[http://dx.doi.org/10.37662/jpt.2021.7]
[24]
Pattanayak D, Das S. Formulation development and optimization of medicated lozenges for pediatric use. Int J Pharm Sci Res 2012; 3(1): 138.
[25]
Phaechamud T, Tuntarawongsa S. Clotrimazole soft lozenges fabricated with melting and mold technique. Res J Pharm Biol Chem Sci 2010; 1(4): 579-86.
[26]
Pothu R, Yamsani MR. Lozenges formulation and evaluation: A review. IJAPR 2014; 1: 290-4.
[27]
Kesha D, Mitesh K, Ankur T, Ramesh G. Formulation development and evaluation of herbal lozenges for the treatment of recurrent aphthous stomatitis. Int J Res Pharmacol Pharmacother 2016; 5(4): 318-25.
[28]
Beahm JS. Dextromethorphan continuous lozenge manufacturing process. Google Patents US5302394A, 1994.
[29]
Hartel RW, Joachim H, Hofberger R. Compressed tablets and lozenges. In: Confectionery Science and Technology. Springer 2018; pp. 189-210.
[http://dx.doi.org/10.1007/978-3-319-61742-8_7]
[30]
Eckert C, Lutz C, Breitkreutz J, Woertz K. Quality control of oral herbal products by an electronic tongue-case study on sage lozenges. Sens Actuators B Chem 2011; 156(1): 204-12.
[http://dx.doi.org/10.1016/j.snb.2011.04.018]
[31]
Lakshmi BM, Brahma K, Swathi G, Sravani S, Rao PI, Shailaja P. Formulation and evaluation of domperidone candy lozenges. World J Pharm Pharm Sci 2017; 6(12): 1167-75.
[32]
Esimone C, Onuh P, Obitte N, Egege M, Ugoeze K. In vitro evaluation of Lozenges containing extracts of roots of Zapoteca portoricensis (FAM: Fabaceae). J Pharmacol Toxicol 2009; 4(3): 132-7.
[http://dx.doi.org/10.3923/jpt.2009.132.137]
[33]
Esimone C, Okoye F, Odimegwu D, Nworu C, Oleghe P, Ejogha P. In vitro antimicrobial evaluation of lozenges containing extract of garlic and ginger. Int J Health Res 2010; 3(2): 105-10.
[34]
Chandran MS, Pandey V. Pharmaceutical and Nano Sciences. Trinity College Dublin.
[35]
Modyala D, Aparna C, Srinivas P. Formulation, evaluation and characterization of itraconazole lozenges. J Pharm Biol Sci 2014; 9(3): 86-94.
[http://dx.doi.org/10.9790/3008-09318694]
[36]
Manas RSM. The research updates and prospects of herbal hard-boiled lozenges: a classical platform with promising drug delivery potential. Int J Appl Pharm 2021; 13(2): 1-13.
[37]
Sawicka K, Takhar J, Marshall P, Fanfarillo M. Production process for NSAID-containing lozenges, their compositions, their medicinal use. Google Patents EP1853220B1, 2021.
[38]
Gao F, Gee DL, Hulan PM, Zhuang S, Burke WJ. Nicotine lozenge. US Patents US6280761B1, 2020.
[39]
Gao F, Gee DL, Zhuang S, Hulan PM, Burke WJ. Tobacco lozenge. Google Patents US20150096575A1, 2019.
[40]
Salce AH Jr, Greenwood WF, Misir S. Sublingual antidepressant lozenge. Google Patents US10034832B2, 2018.
[41]
Gao F, Gee DL, Zhuang S, Hulan PM, Burke WJ, Kobal G. Soluble fiber lozenge. Google Patents US10105320B2, 2018.
[42]
Boni J, Plohmann B, Sauerland S. Lozenge for treating sore throat, hoarseness and associated dry cough, and inflammatory diseases of the oral and pharyngeal cavity. Google Patents WO2014161811A1, 2018.
[43]
Gao F, Gee DL, Hulan PM, Zhuang S, Burke WJ. Exhausted tobacco lozenge. Google Patents US9999243B2, 2018.
[44]
Zhao Y, Hughey J, Vaughn J, Fang Q. Soft lozenges comprising corticosteroids. Google Patents US9877971B2, 2018.
[45]
Chen J-c, Sowden HS, Luber JR, et al. Manufacture of lozenge product with radiofrequency. Google Patents US8865204B2, 2013.
[46]
Fischetti V, Loomis L. Throat lozenge for the treatment of Streptococcus Group A. Google Patents US7232576B2, 2007.
[47]
Fischetti V, Loomis L. Throat lozenges for the treatment of Hemosphilus influenza. Google Patents US6733749B2, 2004.
[48]
Ribadeau-Dumas G, Beaudier V. Dextrose-based lozenges and process for their manufacture. Google Patents US6572886B2, 2003.
[49]
Sixsmith DG. Pharmaceutical lozenges. Google Patents US5322694A, 1994.
[50]
Zhong H, Chan G, Hu Y, Hu H, Ouyang D. A comprehensive map of FDA-approved pharmaceutical products. Pharmaceutics 2018; 10(4): 263.
[http://dx.doi.org/10.3390/pharmaceutics10040263] [PMID: 30563197]
[51]
Renu JD, Jalwal P, Singh B. Chewable tablets: a comprehensive review. Pharma Innov J 2015; 4(5): 100-5.
[52]
Mossad SB, Macknin ML, Medendorp SV, Mason P. Zinc gluconate lozenges for treating the common cold. A randomized, double-blind, placebo-controlled study. Ann Intern Med 1996; 125(2): 81-8.
[http://dx.doi.org/10.7326/0003-4819-125-2-199607150-00001] [PMID: 8678384]
[53]
Hemilä H. Zinc lozenges may shorten the duration of colds: a systematic review. Open Respir Med J 2011; 5: 51-8.
[http://dx.doi.org/10.2174/1874306401105010051] [PMID: 21769305]
[54]
Tekce M, Ince G, Gursoy H, et al. Clinical and microbiological effects of probiotic lozenges in the treatment of chronic periodontitis: a 1-year follow-up study. J Clin Periodontol 2015; 42(4): 363-72.
[http://dx.doi.org/10.1111/jcpe.12387] [PMID: 25728888]
[55]
Cai F, Shen P, Morgan MV, Reynolds EC. Remineralization of enamel subsurface lesions in situ by sugar-free lozenges containing casein phosphopeptide-amorphous calcium phosphate. Aust Dent J 2003; 48(4): 240-3.
[http://dx.doi.org/10.1111/j.1834-7819.2003.tb00037.x] [PMID: 14738126]
[56]
Shiffman S. Use of more nicotine lozenges leads to better success in quitting smoking. Addiction 2007; 102(5): 809-14.
[http://dx.doi.org/10.1111/j.1360-0443.2007.01791.x] [PMID: 17493108]
[57]
Jackson JL, Peterson C, Lesho E. A meta-analysis of zinc salts lozenges and the common cold. Arch Intern Med 1997; 157(20): 2373-6.
[http://dx.doi.org/10.1001/archinte.1997.00440410105012] [PMID: 9361579]
[58]
İnce G, Gürsoy H, İpçi ŞD, Cakar G, Emekli-Alturfan E, Yılmaz S. Clinical and biochemical evaluation of lozenges containing Lactobacillus reuteri as an adjunct to non-surgical periodontal therapy in chronic periodontitis. J Periodontol 2015; 86(6): 746-54.
[http://dx.doi.org/10.1902/jop.2015.140612] [PMID: 25741580]
[59]
Chenot J-F, Weber P, Friede T. Efficacy of Ambroxol lozenges for pharyngitis: a meta-analysis. BMC Fam Pract 2014; 15(1): 45.
[http://dx.doi.org/10.1186/1471-2296-15-45] [PMID: 24621446]
[60]
Hallström H, Lindgren S, Yucel-Lindberg T, Dahlén G, Renvert S, Twetman S. Effect of probiotic lozenges on inflammatory reactions and oral biofilm during experimental gingivitis. Acta Odontol Scand 2013; 71(3-4): 828-33.
[http://dx.doi.org/10.3109/00016357.2012.734406] [PMID: 23294143]
[61]
Hemilä H, Chalker E. The effectiveness of high dose zinc acetate lozenges on various common cold symptoms: a meta-analysis. BMC Fam Pract 2015; 16(1): 24.
[http://dx.doi.org/10.1186/s12875-015-0237-6] [PMID: 25888289]
[62]
Campus G, Cocco F, Carta G, et al. Effect of a daily dose of Lactobacillus brevis CD2 lozenges in high caries risk schoolchildren. Clin Oral Investig 2014; 18(2): 555-61.
[http://dx.doi.org/10.1007/s00784-013-0980-9] [PMID: 23644602]
[63]
Antonio AG, Pierro VSS, Maia LC. Caries preventive effects of xylitol-based candies and lozenges: a systematic review. J Public Health Dent 2011; 71(2): 117-24.
[http://dx.doi.org/10.1111/j.1752-7325.2010.00208.x] [PMID: 21774134]
[64]
Tasli L, Mat C, De Simone C, Yazici H. Lactobacilli lozenges in the management of oral ulcers of Behçet’s syndrome. Clin Exp Rheumatol 2006; 24(5)(Suppl. 42): S83-6.
[PMID: 17067433]
[65]
Aggour RL, Mahmoud SH, Abdelwhab A. Evaluation of the effect of probiotic lozenges in the treatment of recurrent aphthous stomatitis: a randomized, controlled clinical trial. Clin Oral Investig 2021; 25(4): 2151-8.
[http://dx.doi.org/10.1007/s00784-020-03527-7] [PMID: 32820431]
[66]
Khurshudian AV. A pilot study to test the efficacy of oral administration of interferon-α lozenges to patients with Sjögren’s syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95(1): 38-44.
[http://dx.doi.org/10.1067/moe.2003.30] [PMID: 12539025]
[67]
Schachtel BP, Homan HD, Gibb IA, Christian J. Demonstration of dose response of flurbiprofen lozenges with the sore throat pain model. Clin Pharmacol Ther 2002; 71(5): 375-80.
[http://dx.doi.org/10.1067/mcp.2002.124079] [PMID: 12011823]
[68]
Ching MS, Raymond K, Bury RW, Mashford ML, Morgan DJ. Absorption of orally administered amphotericin B lozenges. Br J Clin Pharmacol 1983; 16(1): 106-8.
[http://dx.doi.org/10.1111/j.1365-2125.1983.tb02152.x] [PMID: 6882617]
[69]
Dempster JH. Post-tonsillectomy analgesia: the use of benzocaine lozenges. J Laryngol Otol 1988; 102(9): 813-4.
[http://dx.doi.org/10.1017/S002221510010653X] [PMID: 3171374]
[70]
Achmad H, Tanumihardja M, Sartini RS, Singgih MF, Ramadhany YF, Mutmainnah N. Chewable lozenges using white shrimp waste (litopenaeus vannamei) in reduce colonization of bacteria streptococcus mutans in the case of early childhood caries. Syst Rev Pharm 2020; 11(4): 293-9.
[71]
Lila ASA, Gomaa E, Ghazy FES, Hasan AA. Treatment of pulmonary arterial hypertension by vardenafil-solid dispersion lozenges as a potential alternative drug delivery system. J Drug Deliv Sci Technol 2020; 55: 101444.
[http://dx.doi.org/10.1016/j.jddst.2019.101444]
[72]
Kaufman AY, Tal H, Perlmutter S, Shwartz MM. Reduction of dental plaque formation by chlorhexidine dihydrochloride lozenges. J Periodontal Res 1989; 24(1): 59-62.
[http://dx.doi.org/10.1111/j.1600-0765.1989.tb00858.x] [PMID: 2524571]

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