Manufacture and characterization of mucoadhesive buccal films.

The buccal route of administration has a number of advantages including bypassing the gastrointestinal tract and the hepatic first pass effect. Mucoadhesive films are retentive dosage forms and release drug directly into a biological substrate. Furthermore, films have improved patient compliance due to their small size and reduced thickness, compared for example to lozenges and tablets. The development of mucoadhesive buccal films has increased dramatically over the past decade because it is a promising delivery alternative to various therapeutic classes including peptides, vaccines, and nanoparticles. The "film casting process" involves casting of aqueous solutions and/or organic solvents to yield films suitable for this administration route. Over the last decade, hot-melt extrusion has been explored as an alternative manufacturing process and has yielded promising results. Characterization of critical properties such as the mucoadhesive strength, drug content uniformity, and permeation rate represent the major research areas in the design of buccal films. This review will consider the literature that describes the manufacture and characterization of mucoadhesive buccal films.

[1]  H. Kammer,et al.  Adhesion between Polymers , 1984 .

[2]  Michael A Repka,et al.  Water vapor sorption of hot-melt extruded hydroxypropyl cellulose films: effect on physico-mechanical properties, release characteristics, and stability. , 2004, Journal of pharmaceutical sciences.

[3]  Michael A Repka,et al.  Characterization of cellulosic hot-melt extruded films containing lidocaine. , 2005, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[4]  J. Robinson,et al.  Transport of Thyrotropin Releasing Hormone in Rabbit Buccal Mucosa in Vitro , 1992, Pharmaceutical Research.

[5]  Atilla Abidin or A. Hincal,et al.  Drug permeation enhancement via buccal route: possibilities and limitations. , 2001, Journal of controlled release : official journal of the Controlled Release Society.

[6]  C. Squier,et al.  Zinc iodide-osmium staining of membrane-coating granules in keratinized and non-keratinized mammalian oral epithelium. , 1982, Archives of oral biology.

[7]  Jian-Hwa Guo Bioadhesive Polymer Buccal Patches for Buprenorphine Controlled Delivery: Formulation, In-vitro Adhesion and Release Properties , 1994 .

[8]  B Claustrat,et al.  Transmucosal, oral controlled-release, and transdermal drug administration in human subjects: a crossover study with melatonin. , 1997, Journal of pharmaceutical sciences.

[9]  Carlo Rossi,et al.  Development of mucoadhesive patches for buccal administration of ibuprofen. , 2004, Journal of controlled release : official journal of the Controlled Release Society.

[10]  V. Khutoryanskiy,et al.  Design of mucoadhesive polymeric films based on blends of poly(acrylic acid) and (hydroxypropyl)cellulose. , 2006, Biomacromolecules.

[11]  S. Palma,et al.  Design of novel antifungal mucoadhesive films. Part II. Formulation and in vitro biopharmaceutical evaluation. , 2007, International journal of pharmaceutics.

[12]  Rajesh Patel,et al.  Development and characterization of mucoadhesive buccal patches of salbutamol sulphate. , 2009, Current drug delivery.

[13]  J. H. Guo,et al.  Theoretical approaches and practical investigations in carbopol buccal patches for drug delivery. , 1998, Drug development and industrial pharmacy.

[14]  Lichen Yin,et al.  Preparation and evaluation of chitosan-ethylenediaminetetraacetic acid hydrogel films for the mucoadhesive transbuccal delivery of insulin. , 2009, Journal of biomedical materials research. Part A.

[15]  Michael A Repka,et al.  Solid-state stability and characterization of hot-melt extruded poly(ethylene oxide) films. , 2005, Journal of pharmaceutical sciences.

[16]  H. Kammer Adhesion between polymers. Review , 1983 .

[17]  Xiaoling Li,et al.  Modulation of Oral Transmucosal Permeability: Permeation Enhancers , 2005 .

[18]  H. Junginger,et al.  Buccal transport of flecainide and sotalol: effect of a bile salt and ionization state. , 2002, International journal of pharmaceutics.

[19]  Cui Tang,et al.  Nanoparticles incorporated in bilaminated films: a smart drug delivery system for oral formulations. , 2007, Biomacromolecules.

[20]  R. Mumper,et al.  Buccal Transmucosal Delivery of Calcitonin in Rabbits Using Thin-Film Composites , 2002, Pharmaceutical Research.

[21]  C. Wong,et al.  Polymeric films as vehicle for buccal delivery: swelling, mechanical, and bioadhesive properties. , 1999, Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques.

[22]  H. Merkle,et al.  Evaluation of laminated muco-adhesive patches for buccal drug delivery , 1989 .

[23]  R. Mcquinn,et al.  SPECIALIZED ORAL MUCOSAL DRUG DELIVERY SYSTEMS : PATCHES , 1996 .

[24]  J. Robinson,et al.  IN VITRO METHODS FOR MEASURING PERMEABILITY OF THE ORAL MUCOSA , 1996 .

[25]  S. Prodduturi,et al.  Matrix- and reservoir-based transmucosal delivery systems , 2004 .

[26]  J. Nicolazzo,et al.  Modification of buccal drug delivery following pretreatment with skin penetration enhancers. , 2004, Journal of pharmaceutical sciences.

[27]  R. Lodder,et al.  Near-infrared spectroscopy for the determination of testosterone in thin-film composites. , 2003, Journal of pharmaceutical and biomedical analysis.

[28]  G. Ponchel Formulation of oral mucosal drug delivery systems for the systemic delivery of bioactive materials , 1994 .

[29]  B. Aungst ORAL MUCOSAL PERMEATION ENHANCEMENT : POSSIBILITIES AND LIMITATIONS , 1996 .

[30]  Hoo-Kyun Choi,et al.  A Novel Mucoadhesive Polymer Film Composed of Carbopol, Poloxamer and Hydroxypropylmethylcellulose , 2007, Archives of pharmacal research.

[31]  P. Wertz,et al.  Lipids of epidermis and keratinized and non-keratinized oral epithelia. , 1986, Comparative biochemistry and physiology. B, Comparative biochemistry.

[32]  Scott D. Barnhart Thin Film Oral Dosage Forms , 2008 .

[33]  C. Wong,et al.  An in-vitro method for buccal adhesion studies: importance of instrument variables. , 1999, International journal of pharmaceutics.

[34]  C. Dawes,et al.  The Surface Area of the Adult Human Mouth and Thickness of the Salivary Film Covering the Teeth and Oral Mucosa , 1987, Journal of dental research.

[35]  F. Ahmad,et al.  Critical evaluation of permeation enhancers for oral mucosal drug delivery. , 2009, Drug development and industrial pharmacy.

[36]  A. El-Kamel,et al.  Micromatricial metronidazole benzoate film as a local mucoadhesive delivery system for treatment of periodontal diseases , 2007, AAPS PharmSciTech.

[37]  M. Barnett,et al.  Gap junctions in human gingival keratinized epithelium. , 1973, Journal of periodontal research.

[38]  U. S. Lindholm,et al.  Mechanical behavior of materials under dynamic loads , 1968 .

[39]  R. Guy,et al.  Ex vivo evaluation of bioadhesive films for buccal delivery of fentanyl. , 2007, Journal of controlled release : official journal of the Controlled Release Society.

[40]  M. Repka,et al.  Bioadhesive properties of hydroxypropylcellulose topical films produced by hot-melt extrusion. , 2001, Journal of controlled release : official journal of the Controlled Release Society.

[41]  F. Ahmad,et al.  Design and In Vitro Characterization of Buccoadhesive Drug Delivery System of Insulin , 2008, Indian journal of pharmaceutical sciences.

[42]  M. Repka,et al.  Influence of plasticizers on the stability and release of a prodrug of Delta(9)-tetrahydrocannabinol incorporated in poly (ethylene oxide) matrices. , 2008, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[43]  L. Chan,et al.  Influence of storage conditions and type of plasticizers on ethylcellulose and acrylate films formed from aqueous dispersions. , 2003, Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques.

[44]  S. Garg,et al.  Development and evaluation of a buccal bioadhesive system for smoking cessation therapy. , 2007, Die Pharmazie.

[45]  C. Squier The permeability of keratinized and nonkeratinized oral epithelium to horseradish peroxidase. , 1973, Journal of ultrastructure research.

[46]  Y. Chien,et al.  Oral mucosa controlled delivery of LHRH by bilayer mucoadhesive polymer systems , 1995 .

[47]  W. Pw,et al.  Cellular and molecular basis of barrier function in oral epithelium. , 1991 .

[48]  T. Pongjanyakul,et al.  Alginate-magnesium aluminum silicate films for buccal delivery of nicotine. , 2009, Colloids and surfaces. B, Biointerfaces.

[49]  J. Robinson,et al.  Bioadhesive-based dosage forms: the next generation. , 2000, Journal of pharmaceutical sciences.

[50]  H. Okamoto,et al.  Development of polymer film dosage forms of lidocaine for buccal administration: II. Comparison of preparation methods. , 2002, Journal of pharmaceutical sciences.

[51]  Hoo-Kyun Choi,et al.  Preparation of buccal patch composed of carbopol, poloxamer and hydroxypropyl methylcellulose , 2003, Archives of pharmacal research.

[52]  A. Shojaei Buccal mucosa as a route for systemic drug delivery: a review. , 1998, Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques.

[53]  M. J. Morant,et al.  Influence of sodium lauryl sulphate on the in vitro percutaneous absorption of compounds with different lipophilicity , 1997 .

[54]  M. Salem,et al.  Mucoadhesive Dosage form of Lidocaine Hydrochloride: I. Mucoadhesive and Physicochemical Characterization , 2007, Drug development and industrial pharmacy.

[55]  T. Kristmundsdottir,et al.  Evaluation of polymeric films for buccal drug delivery. , 2009, Die Pharmazie.

[56]  C. Wong,et al.  Formulation and evaluation of controlled release Eudragit buccal patches. , 1999, International journal of pharmaceutics.

[57]  J. Matsuda,et al.  In-vitro and clinical evaluation of an oral mucosal adhesive film containing indomethacin. , 2008, Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan.

[58]  H. Junginger,et al.  Effects of bile salts on transport rates and routes of FITC-labelled compounds across porcine buccal epithelium in vitro , 1996 .

[59]  K. C. Sekhar,et al.  Transbuccal Delivery of Chlorpheniramine Maleate from Mucoadhesive Buccal Patches , 2008 .

[60]  P. Minghetti,et al.  Polymethacrylate salts as new low-swellable mucoadhesive materials. , 2003, Journal of controlled release : official journal of the Controlled Release Society.

[61]  N. Nafee,et al.  Mucoadhesive buccal patches of miconazole nitrate: in vitro/in vivo performance and effect of ageing. , 2003, International journal of pharmaceutics.

[62]  R. Mumper,et al.  Bilayer Films for Mucosal (Genetic) Immunization via the Buccal Route in Rabbits , 2002, Pharmaceutical Research.

[63]  P. Connolly,et al.  A novel diffusion cell ideal for the study of membrane extraction/permeation processes and for device/sensor development , 2008 .

[64]  C. Cullander,et al.  Buccal mucosa in vitro experiments. I. Confocal imaging of vital staining and MTT assays for the determination of tissue viability. , 1999, Journal of controlled release : official journal of the Controlled Release Society.

[65]  A. Matoltsy,et al.  MEMBRANE-COATING GRANULES OF KERATINIZING EPITHELIA , 1965, The Journal of cell biology.

[66]  F. Alanazi,et al.  Formulation and physicochemical characterisation of buccoadhesive films containing ketorolac , 2007 .

[67]  P. Piccerelle,et al.  In-vitro comparative study of buccal mucoadhesive performance of different polymeric films. , 2001, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[68]  Jie Zhang,et al.  Oral Mucosal Drug Delivery , 2002, Clinical pharmacokinetics.

[69]  F. Alanazi,et al.  Clinical evaluation of novel buccoadhesive film containing ketorolac in dental and post-oral surgery pain management. , 2007, Die Pharmazie.

[70]  M. Repka,et al.  Physical-mechanical, moisture absorption and bioadhesive properties of hydroxypropylcellulose hot-melt extruded films. , 2000, Biomaterials.

[71]  T. Ozeki,et al.  Controlled release of lidocaine hydrochloride from buccal mucosa-adhesive films with solid dispersion , 1997 .

[72]  P. Wertz,et al.  The effects of permeabilizers on the in vitro penetration of propranolol through porcine buccal epithelium. , 1996, Military medicine.

[73]  H. Okamoto,et al.  Development of polymer film dosage forms of lidocaine for buccal administration. I. Penetration rate and release rate. , 2001, Journal of controlled release : official journal of the Controlled Release Society.

[74]  N. Utoguchi,et al.  Carrier-Mediated Transport of Monocarboxylic Acids in Primary Cultured Epithelial Cells from Rabbit Oral Mucosa , 1997, Pharmaceutical Research.

[75]  P. Wertz,et al.  Regional variation in content, composition and organization of porcine epithelial barrier lipids revealed by thin-layer chromatography and transmission electron microscopy. , 1995, Archives of oral biology.

[76]  P. Wertz,et al.  Thin-layer chromatographic analyses of lipids in different layers of porcine epidermis and oral epithelium. , 1991, Archives of oral biology.

[77]  N. Peppas,et al.  Hydrogels as mucoadhesive and bioadhesive materials: a review. , 1996, Biomaterials.

[78]  S. Kawakami,et al.  Effect of low-molecular-weight beta-cyclodextrin polymer on release of drugs from mucoadhesive buccal film dosage forms. , 2005, Biological & pharmaceutical bulletin.

[79]  Y. Gong,et al.  Properties and biocompatibility of chitosan films modified by blending with PEG. , 2002, Biomaterials.

[80]  S. Singh,et al.  L(9) orthogonal design assisted formulation and evaluation of chitosan-based buccoadhesive films of miconazole nitrate. , 2009, Current drug delivery.

[81]  P. Giunchedi,et al.  Preparation, In Vitro Characterization and Preliminary In Vivo Evaluation of Buccal Polymeric Films Containing Chlorhexidine , 2008, AAPS PharmSciTech.

[82]  A. Baszkin,et al.  Wettability of polymers by mucin aqueous solutions. , 1990, Biorheology.

[83]  T. Cate,et al.  Oral histology: Development, structure, and function , 1980 .

[84]  J. Smart The basics and underlying mechanisms of mucoadhesion. , 2005, Advanced drug delivery reviews.

[85]  H. Boddé,et al.  Enhancement of transbuccal permeation of morphine sulfate by sodium glycodeoxycholate in vitro , 1997 .

[86]  M. Bogataj,et al.  The correlation between zeta potential and mucoadhesion strength on pig vesical mucosa. , 2003, Biological & pharmaceutical bulletin.

[87]  A. Mikos,et al.  Systems for controlled release of drugs. V. Bioadhesive systems , 1986 .

[88]  E. Kharenko,et al.  Mucoadhesive Drug Delivery Systems: Quantitative Assessment of Interaction Between Synthetic and Natural Polymer Films and Mucosa , 2008, Pharmaceutical Chemistry Journal.

[89]  J. Smart Recent developments in the use of bioadhesive systems for delivery of drugs to the oral cavity. , 2004, Critical reviews in therapeutic drug carrier systems.

[90]  P. Sharma,et al.  Formulation and evaluation of buccal mucoadhesive patches of terbutaline sulphate , 2001 .

[91]  Montakarn Chittchang,et al.  The use of mucoadhesive polymers in buccal drug delivery. , 2005, Advanced drug delivery reviews.

[92]  S. Deshmane,et al.  CHITOSAN BASED SUSTAINED RELEASE MUCOADHESIVE BUCCAL PATCHES CONTAINING VERAPAMIL HCL , 2009 .

[93]  M. Alonso,et al.  Design and evaluation of chitosan/ethylcellulose mucoadhesive bilayered devices for buccal drug delivery. , 1998, Journal of controlled release : official journal of the Controlled Release Society.

[94]  T. Govender,et al.  Formulation of monolayered films with drug and polymers of opposing solubilities. , 2008, International journal of pharmaceutics.

[95]  Javed Ali,et al.  Mucoadhesive Drug Delivery Systems , 1997 .

[96]  R. Dixit,et al.  Oral strip technology: overview and future potential. , 2009, Journal of controlled release : official journal of the Controlled Release Society.

[97]  P. Buri,et al.  Human buccal absorption of codeine phosphate from a bioadhesive drug delivery device , 1997 .

[98]  Anthony J. Kinloch,et al.  The science of adhesion , 1980 .

[99]  V. A. Perumal,et al.  Investigating a New Approach to Film Casting for Enhanced Drug Content Uniformity in Polymeric Films , 2008 .

[100]  P. Wertz,et al.  STRUCTURE AND FUNCTION OF THE ORAL MUCOSA AND IMPLICATIONS FOR DRUG DELIVERY , 1996 .

[101]  S. Mutalik,et al.  Development of mucoadhesive buccal films for the treatment of oral sub-mucous fibrosis: a preliminary study , 2009, Pharmaceutical development and technology.

[102]  W. Fountain,et al.  Transmucosal delivery of testosterone in rabbits using novel bi-layer mucoadhesive wax-film composite disks. , 2002, Journal of pharmaceutical sciences.

[103]  C. Squier Membrane coating granules in nonkeratinizing oral epithelium. , 1977, Journal of ultrastructure research.

[104]  S. Agarwal,et al.  PREPARATION AND EVALUATION OF MUCO-ADHESIVE BUCCAL FILMS OF CLOTRIMAZOLE FOR ORAL CANDIDA INFECTIONS , 1997 .

[105]  M. Semalty,et al.  Formulation and Characterization of Mucoadhesive Buccal Films of Glipizide , 2008, Indian journal of pharmaceutical sciences.

[106]  H. Junginger,et al.  Diffusion Rates and Transport Pathways of Fluorescein Isothiocyanate (FITC)-Labeled Model Compounds Through Buccal Epithelium , 2004, Pharmaceutical Research.

[107]  S. Raghuraman,et al.  Design And Evaluation Of Propranolol Hydrochloride Buccal Films , 2002 .

[108]  S. Unal,et al.  Chitosan delivery systems for the treatment of oral mucositis: in vitro and in vivo studies. , 2004, Journal of controlled release : official journal of the Controlled Release Society.

[109]  T. B. Grimley,et al.  Adhesion—Fundamentals and practice: The Ministry of Technology (U.K.); Maclaren: London, 1969. 712in. × 10 in.xiii + 308 pp. 130s , 1969 .

[110]  E. Mathiowitz,et al.  DEFINITIONS, MECHANISMS, AND THEORIES OF BIOADHESION , 1999 .

[111]  Larry L. Hench,et al.  Biomaterials : an interfacial approach , 1982 .

[112]  Mahmoud A. ElSohly,et al.  Temperature Stability and Bioadhesive Properties of Δ9-Tetrahydrocannabinol Incorporated Hydroxypropylcellulose Polymer Matrix Systems , 2006, Drug development and industrial pharmacy.

[113]  P. McCarron,et al.  Potential of photodynamic therapy in treatment of fungal infections of the mouth. Design and characterisation of a mucoadhesive patch containing toluidine blue O. , 2007, Journal of photochemistry and photobiology. B, Biology.

[114]  S. Prodduturi,et al.  Production and Characterization of Hot-Melt Extruded Films Containing Clotrimazole , 2003, Drug development and industrial pharmacy.

[115]  S. Palma,et al.  Design of novel antifungal mucoadhesive films Part I. Pre-formulation studies. , 2007, International journal of pharmaceutics.

[116]  Emad B. Basalious,et al.  Fluconazole mucoadhesive buccal films: in vitro/in vivo performance. , 2009, Current drug delivery.

[117]  B. W. Barry,et al.  Penciclovir solubility in Eudragit films: a comparison of X-ray, thermal, microscopic and release rate techniques. , 2004, Journal of pharmaceutical and biomedical analysis.

[118]  Claus-Michael Lehr,et al.  In vitro evaluation of mucoadhesive properties of chitosan and some other natural polymers , 1992 .

[119]  M. Nappinnai,et al.  Formulation and Evaluation of Nitrendipine Buccal Films , 2008, Indian journal of pharmaceutical sciences.

[120]  J. Nicolazzo,et al.  Assessment of the effects of sodium dodecyl sulfate on the buccal permeability of caffeine and estradiol. , 2004, Journal of pharmaceutical sciences.

[121]  J. Thimmasetty,et al.  Design and in vivo evaluation of carvedilol buccal mucoadhesive patches. , 2008, Pakistan journal of pharmaceutical sciences.

[122]  R. Mcquinn,et al.  Sustained oral mucosal delivery in human volunteers of buprenorphine from a thin non-eroding mucoadhesive polymeric disk , 1995 .

[123]  Matthew Tirrell,et al.  The healing process at polymer–polymer interfaces , 1981 .

[124]  J. Robinson,et al.  Oral cavity as a site for bioadhesive drug delivery , 1994 .

[125]  A. Kinloch The science of adhesion , 1982 .

[126]  M. Sargon,et al.  Chitosan films and hydrogels of chlorhexidine gluconate for oral mucosal delivery. , 2000, International journal of pharmaceutics.

[127]  T Nagai,et al.  Pluronic F-127 gels incorporating highly purified unsaturated fatty acids for buccal delivery of insulin. , 2001, International journal of pharmaceutics.

[128]  M. Aulton,et al.  The Mechanical Properties of Hydroxypropylmethylcellulose Films Derived from Aqueous Systems Part 1: The Influence of Plasticisers , 1981 .

[129]  S. Jain,et al.  Design and development of a mucoadhesive buccal film bearing progesterone. , 2008, Die Pharmazie.

[130]  J. Hadgraft,et al.  Modified-Release Drug Delivery Technology , 2002 .

[131]  Nicholas A. Peppas,et al.  A simple equation for description of solute release I. Fickian and non-fickian release from non-swellable devices in the form of slabs, spheres, cylinders or discs , 1987 .

[132]  H. Junginger,et al.  Localization of the permeability barrier inside porcine buccal mucosa: a combined in vitro study of drug permeability, electrical resistance and tissue morphology , 1991 .

[133]  C. Juliano,et al.  Preparation and characterisation of polymeric films containing propolis , 2007 .

[134]  P. Connolly,et al.  Opportunities at the skin interface for continuous patient monitoring: a reverse iontophoresis model tested on lactate and glucose. , 2002, IEEE transactions on nanobioscience.

[135]  M. Salem,et al.  Potential Mucoadhesive Dosage Form of Lidocaine Hydrochloride: II. In Vitro and In Vivo Evaluation , 2007, Drug development and industrial pharmacy.

[136]  A. Domb,et al.  Mucoadhesive polymers for delivery of drugs to the oral cavity. , 2008, Recent patents on drug delivery & formulation.

[137]  Francesca Selmin,et al.  Fast dissolving films made of maltodextrins. , 2008, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[138]  S. S. Voi︠u︡t︠s︡kiĭ Autohesion and adhesion of high polymers , 1963 .

[139]  A. Hoffman,et al.  Release of PEGylated granulocyte-macrophage colony-stimulating factor from chitosan/glycerol films. , 2001, Journal of controlled release : official journal of the Controlled Release Society.

[140]  M. Repka,et al.  Influence of Chlorpheniramine Maleate on Topical Hydroxypropylcellulose Films Produced by Hot-Melt Extrusion , 2001, Pharmaceutical development and technology.

[141]  P. Wertz,et al.  Regional variation in the structure and permeability of oral mucosa and skin , 1993 .

[142]  S. Majumdar,et al.  Preformulation Studies of a Prodrug of Δ9-Tetrahydrocannabinol , 2008, AAPS PharmSciTech.

[143]  S. Singh,et al.  In vitro and in vivo evaluation of buccal bioadhesive films containing salbutamol sulphate. , 2010, Chemical & pharmaceutical bulletin.

[144]  Claus-Michael Lehr,et al.  Bioadhesive Drug Delivery Systems : Fundamentals, Novel Approaches, and Development , 1999 .

[145]  V. Kadam,et al.  Mucoadhesive Bilayered Patches for Administration of Sumatriptan Succinate , 2008, AAPS PharmSciTech.

[146]  S. Jain,et al.  Preparation and Evaluation of Buccal Bioadhesive Films Containing Clotrimazole , 2008, AAPS PharmSciTech.

[147]  J. Nicolazzo,et al.  Buccal penetration enhancers--how do they really work? , 2005, Journal of controlled release : official journal of the Controlled Release Society.

[148]  S. Rossi,et al.  Buccal Delivery of Acyclovir from Films Based on Chitosan and Polyacrylic Acid , 2003, Pharmaceutical development and technology.

[149]  Bortolotti Fabrizio,et al.  In vitro permeation of desmopressin across rabbit nasal mucosa from liquid nasal sprays: The enhancing effect of potassium sorbate , 2009 .

[150]  S. A. Nirmal,et al.  Polymers for Mucoadhesive Drug Delivery System: A Current Status , 2008 .

[151]  P. P. Bhatt,et al.  Evaluation of a mucoadhesive buccal patch for delivery of peptides: in vitro screening of bioadhesion. , 1998, Drug development and industrial pharmacy.

[152]  F. Ahmad,et al.  Buccoadhesive drug delivery systems--extensive review on recent patents. , 2008, Recent patents on drug delivery & formulation.

[153]  K. Tojo,et al.  Evaluation of Methodology for Assessing Release Characteristics of Thermosoftening Vehicles , 1990, The Journal of pharmacy and pharmacology.

[154]  B. Prajapati,et al.  Formulation, evaluation, and comparison of bilayered and multilayered mucoadhesive buccal devices of propranolol hydrochloride , 2007, AAPS PharmSciTech.

[155]  Nikolaos A. Peppas,et al.  Surface, interfacial and molecular aspects of polymer bioadhesion on soft tissues , 1985 .

[156]  J. Ali,et al.  Effect of dental films containing amoxycillin and metronidazole on periodontal pathogens: microbiological response. , 2003, Die Pharmazie.

[157]  B. Lewis A Historical Overview , 1996 .

[158]  M. Repka,et al.  Influence of plasticizers and drugs on the physical-mechanical properties of hydroxypropylcellulose films prepared by hot melt extrusion. , 1999, Drug development and industrial pharmacy.

[159]  J. Smart THE ROLE OF WATER MOVEMENT AND POLYMER HYDRATION IN MUCOADHESION , 1999 .

[160]  Rc Doijad,et al.  Buccoadhesive drug delivery system of isosorbide dinitrate: Formulation and evaluation , 2006 .

[161]  B. Prajapati,et al.  Physicochemical characterization and evaluation of buccal adhesive patches containing propranolol hydrochloride. , 2006, Current drug delivery.

[162]  M. Jug,et al.  Novel cyclodextrin-based film formulation intended for buccal delivery of atenolol , 2009, Drug development and industrial pharmacy.

[163]  Charles E. Martin,et al.  Pharmaceutical Applications of Hot-Melt Extrusion: Part I , 2007, Drug development and industrial pharmacy.

[164]  V. Sutariya,et al.  Development and Evaluation of Fast-Dissolving Film of Salbutamol Sulphate , 2005, Drug development and industrial pharmacy.

[165]  J. Robinson,et al.  Drug delivery via the mucous membranes of the oral cavity. , 1992, Journal of pharmaceutical sciences.

[166]  P. Wertz,et al.  Lipid content and water permeability of skin and oral mucosa. , 1991, The Journal of investigative dermatology.

[167]  J.-H. Guo,et al.  DEVELOPMENT OF BIOADHESIVE BUCCAL PATCHES , 1999 .

[168]  B. Satishbabu,et al.  Preparation and Evaluation of Buccoadhesive Films of Atenolol , 2008, Indian journal of pharmaceutical sciences.

[169]  S. Abe,et al.  Oral candidiasis deteriorated by local application of a glucocorticoid-containing film in a mouse model. , 2008, Biological & pharmaceutical bulletin.

[170]  Lichen Yin,et al.  A polymeric composite carrier for oral delivery of peptide drugs: Bilaminated hydrogel film loaded with nanoparticles , 2009 .

[171]  A. Bandyopadhyay,et al.  Buccal bioadhesive drug delivery--a promising option for orally less efficient drugs. , 2006, Journal of controlled release : official journal of the Controlled Release Society.

[172]  Bing Li,et al.  Preclinical Assessment of Oral Mucosal Drug Delivery Systems , 2005 .

[173]  Xiao-ling Fang,et al.  Transbuccal delivery of 2',3'-dideoxycytidine: in vitro permeation study and histological investigation. , 2002, International journal of pharmaceutics.

[174]  B. Prajapati,et al.  Effect of hydrophilic polymers on buccoadhesive eudragit patches of propranolol hydrochloride using factorial design , 2007, AAPS PharmSciTech.

[175]  C. Squier,et al.  Penetration pathways of different compounds through epidermis and oral epithelia. , 1988, Journal of oral pathology.

[176]  K. Danjo,et al.  Release of lidocaine from polymer film dosage forms. , 1995, Chemical & pharmaceutical bulletin.

[177]  P. Wertz,et al.  Short-term exposure to alcohol increases the permeability of human oral mucosa. , 2001, Oral diseases.

[178]  P. Wertz,et al.  The lipid composition of porcine epidermis and oral epithelium. , 1986, Archives of oral biology.

[179]  P. Perugini,et al.  Periodontal delivery of ipriflavone: new chitosan/PLGA film delivery system for a lipophilic drug. , 2003, International journal of pharmaceutics.