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image of Formulation and In vitro Evaluation of a Fast-dissolving Oral Film of Triamcinolone Acetonide for Recurrent Aphthous Stomatitis

Abstract

Background

Patient non-compliance with traditional oral solid dosage forms has driven the development of innovative drug delivery systems aimed at improving therapeutic efficacy and adherence. Oral fast-dissolving films (OFDFs) are intended for placement on the tongue or oral mucosa, where they rapidly hydrate and dissolve upon contact with saliva. Triamcinolone acetonide is a synthetic glucocorticoid with long-acting anti-inflammatory and immunosuppressive properties. It is commonly utilized to treat conditions, such as allergies, dermatological disorders, and inflammatory diseases. Depending on the formulation, it can be administered oral, topical, injectable, or inhalation routes.

Objective

This study aimed to formulate and evaluate an oral fast-dissolving film containing triamcinolone acetonide, with a focus on achieving rapid disintegration and adequate mechanical strength to enhance the treatment of recurrent aphthous stomatitis.

Methods

The OFDFs were prepared using the solvent casting technique, incorporating hydroxypropyl methylcellulose (HPMC) as the film-forming polymer. Polyethylene glycol 400 (PEG 400) was utilized as a plasticizer, while sucrose and citric acid acted as saliva-stimulating agents. The films were assessed for various physicochemical properties, including disintegration time, folding endurance, surface pH, weight uniformity, thickness, surface morphology (via scanning electron microscopy), drug content, transparency, tensile strength, dissolution profile, content uniformity, loss of moisture, and moisture absorption. Additionally, drug-excipient compatibility was analyzed using differential scanning calorimetry (DSC) and Fourier-transform infrared spectroscopy (FT-IR).

Results

The optimized formulations exhibited rapid disintegration within 23 seconds and demonstrated excellent mechanical properties, with folding endurance values exceeding 100. The films displayed uniform weight, thickness, and drug content, while the surface pH remained within the physiologically acceptable range (4.74-4.77). Scanning electron microscopy confirmed a smooth surface morphology, and DSC and FT-IR analyses verified compatibility between the drug and excipients. dissolution testing, conducted under simulated oral cavity conditions, revealed that over 79% of the drug was released within the first minute.

Conclusion

This study successfully developed an oral fast-dissolving film of triamcinolone acetonide using the solvent casting method. The formulated film exhibited rapid disintegration and dissolution , suggesting its potential to improve patient convenience. However, further and clinical studies are required to confirm its therapeutic utility in the management of recurrent aphthous stomatitis.

This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-08-18
2025-10-30
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References

  1. Bhyan B. Jangra S. Kaur M. Singh H. Orally fast dissolving films: Innovations in formulation and technology. Int. J. Pharm. Sci. Rev. Res. 2011 9 2 9 15
    [Google Scholar]
  2. Borges A.F. Silva C. Coelho J.F.J. Simões S. Oral films: Current status and future perspectives. J. Control. Release 2015 206 1 19 10.1016/j.jconrel.2015.03.006 25747406
    [Google Scholar]
  3. Ketul P. Patel K. Patel M. Patel N. Fast dissolving films: A novel approach to oral drug delivery. Int. J. Pharm. Teaching . Pract. 2013 4 2 655 661
    [Google Scholar]
  4. Al-Mogherah A.I. Ibrahim M.A. Hassan M.A. Optimization and evaluation of venlafaxine hydrochloride fast dissolving oral films. Saudi Pharm. J. 2020 28 11 1374 1382 10.1016/j.jsps.2020.09.001 33250644
    [Google Scholar]
  5. Liew K.B. Tan Y.T.F. Peh K.K. Characterization of oral disintegrating film containing donepezil for Alzheimer disease. AAPS PharmSciTech 2012 13 1 134 142 10.1208/s12249‑011‑9729‑4 22167416
    [Google Scholar]
  6. Patel J.G. Modi A.D. Formulation, optimization and evaluation of levocetirizine dihyrochloride oral thin strip. J. Pharm. Bioallied Sci. 2012 4 5 Suppl. 1 35 10.4103/0975‑7406.94133 23066198
    [Google Scholar]
  7. Irfan M. Rabel S. Bukhtar Q. Qadir M.I. Jabeen F. Khan A. Orally disintegrating films: A modern expansion in drug delivery system. Saudi Pharm. J. 2016 24 5 537 546 10.1016/j.jsps.2015.02.024 27752225
    [Google Scholar]
  8. Karki S. Kim H. Na S.J. Shin D. Jo K. Lee J. Thin films as an emerging platform for drug delivery. Asian J. Pharm. Sci. 2016 11 5 559 574 10.1016/j.ajps.2016.05.004
    [Google Scholar]
  9. Gholve S. Savalsure S. Bhusnure O. Surywanshi S. Birajdar M. Formulation and evaluation of oral fast dissolving sublingual film of formulation and evaluation of oral fast dissolvingmsublingual film of propranolol HCl. Int. J. Pharma Res. Heal. Sci. 2018 6 2 2369 2373
    [Google Scholar]
  10. Mahboob M.B.H. Riaz T. Jamshaid M. Bashir I. Zulfiqar S. Oral films: A comprehensive review. Int. Curr. Pharm. J. 2016 5 12 111 117 10.3329/icpj.v5i12.30413
    [Google Scholar]
  11. Mandeep K. Rana A.C. Nimrata S. Fast dissolving films: An innovative drug delivery system. Int. J. Pharm. Res. All. Scien. 2013 2 1
    [Google Scholar]
  12. Pacheco M.S. Barbieri D. da Silva C.F. de Moraes M.A. A review on orally disintegrating films (ODFs) made from natural polymers such as pullulan, maltodextrin, starch, and others. Int. J. Biol. Macromol. 2021 178 504 513 10.1016/j.ijbiomac.2021.02.180 33647337
    [Google Scholar]
  13. Adrover A. Pedacchia A. Petralito S. Spera R. in vitro dissolution testing of oral thin films: A comparison between USP 1, USP 2 apparatuses and a new millifluidic flow-through device. Chem. Eng. Res. Des. 2015 95 173 178 10.1016/j.cherd.2014.10.020
    [Google Scholar]
  14. Mahmod W.S. Khalil Y.I. Formulation and evaluation of Zolmitriptan bilayer oral strip. World J. Pharm. Res. 2015 4 1 25 57
    [Google Scholar]
  15. Łagun A. Desloratadine in the treatment of allergic rhinitis and urticaria in a daily practice of family doctors. Lek. POZ. 2017 3 2 125 128
    [Google Scholar]
  16. Singh H. Kaur M. Verma H. Optimization and evaluation of desloratadine oral strip: An innovation in paediatric medication. ScientificWorldJ. 2013 2013 1 395681 10.1155/2013/395681 24235887
    [Google Scholar]
  17. Joshua J.M. Hari R. Jyothish F.K. Surendran S.A. Fast dissolving oral thin films: An effective dosage form for quick releases. Int. J. Pharm. Sci. Rev. Res. 2016 38 1 282 289
    [Google Scholar]
  18. Chaudhary H. Gauri S. Rathee P. Kumar V. Development and optimization of fast dissolving oro-dispersible films of granisetron HCl using Box–Behnken statistical design. Bull. Fac. Pharm. Cairo Univ. 2013 51 2 193 201 10.1016/j.bfopcu.2013.05.002
    [Google Scholar]
  19. Speer I. Steiner D. Thabet Y. Breitkreutz J. Kwade A. Comparative study on disintegration methods for oral film preparations. Eur. J. Pharm. Biopharm. 2018 132 50 61 10.1016/j.ejpb.2018.09.005 30201569
    [Google Scholar]
  20. Takeuchi Y. Ikeda N. Tahara K. Takeuchi H. Mechanical characteristics of orally disintegrating films: Comparison of folding endurance and tensile properties. Int. J. Pharm. 2020 589 119876 10.1016/j.ijpharm.2020.119876 32927004
    [Google Scholar]
  21. Morales J.O. McConville J.T. Manufacture and characterization of mucoadhesive buccal films. Eur. J. Pharm. Biopharm. 2011 77 2 187 199 10.1016/j.ejpb.2010.11.023 21130875
    [Google Scholar]
  22. Bharti K. Mittal P. Mishra B. Formulation and characterization of fast dissolving oral films containing buspirone hydrochloride nanoparticles using design of experiment. J. Drug Deliv. Sci. Technol. 2019 49 420 432 10.1016/j.jddst.2018.12.013
    [Google Scholar]
  23. Hl R. Kumar G P. Development and evaluation of polymer-bound glibenclamide oral thin film. J. Bioequivalence Bioavailab. 2016 9 1 324 330 10.4172/jbb.1000319
    [Google Scholar]
  24. Nair A.B. Kumria R. Harsha S. Attimarad M. Al-Dhubiab B.E. Alhaider I.A. in vitro techniques to evaluate buccal films. J. Control. Release 2013 166 1 10 21 10.1016/j.jconrel.2012.11.019 23219961
    [Google Scholar]
  25. Centkowska K. Ławrecka E. Sznitowska M. Technology of orodispersible polymer films with micronized loratadine influence of different drug loadings on film properties. Pharmaceutics 2020 12 3 250 10.3390/pharmaceutics12030250 32164345
    [Google Scholar]
  26. Sudhakara Reddy P. Koteswara Rao G.S.N. Ramana Murthy K.V. Formulation and evaluation of oral fast dissolving films of poorly soluble drug loperamide hcl using transcutol hp. Int. J. Adv. Pharm. Biotechnol. 2016 2 2 15 31 10.38111/ijapb.20160202003
    [Google Scholar]
  27. Yenilmez E. Öztürk A.A. Başaran E. Preparation and in vitro, ex-vivo evaluation of benzidamine hydrochloride loaded fast dissolving oral strip formulations: Treatment of oral mucositis due to side effects of chemotherapy and radiotherapy. Lett. Drug Des. Discov. 2023 20 8 1147 1157 10.2174/1570180820666230207122755
    [Google Scholar]
  28. Veronez I.P. Daniel J.S.P. Garcia J.S. Trevisan M.G. Characterization and compatibility study of desloratadine. J. Therm. Anal. Calorim. 2014 115 3 2407 2414 10.1007/s10973‑013‑3271‑4
    [Google Scholar]
  29. Rubilar J.F. Zúñiga R.N. Osorio F. Pedreschi F. Physical properties of emulsion-based hydroxypropyl methylcellulose/whey protein isolate (HPMC/WPI) edible films. Carbohydr. Polym. 2015 123 27 38 10.1016/j.carbpol.2015.01.010 25843831
    [Google Scholar]
  30. Galgatte U.C. Khanchandani S.S. Jadhav Y.G. Chaudhari P.D. Investigation of different polymers, plasticizers and superdisintegrating agents alone and in combination for use in the formulation of fast dissolving oral films. Int. J. Pharm. Tech. Res. 2013 5 4 1465 1472
    [Google Scholar]
  31. Abdelbary A. Bendas E.R. Ramadan A.A. Mostafa D.A. Pharmaceutical and pharmacokinetic evaluation of a novel fast dissolving film formulation of flupentixol dihydrochloride. AAPS PharmSciTech 2014 15 6 1603 1610 10.1208/s12249‑014‑0186‑8 25142820
    [Google Scholar]
  32. Garsuch V. Breitkreutz J. Comparative investigations on different polymers for the preparation of fast-dissolving oral films. J. Pharm. Pharmacol. 2010 62 4 539 545 10.1211/jpp.62.04.0018 20604845
    [Google Scholar]
  33. Kulkarni A.S. Deokule H.A. Mane M.S. Ghadge D.M. Exploration of different polymers for use in the formulation of oral fast dissolving strips. J. Curr. Pharm. Res. JCPR. 2010 2 1 33 35
    [Google Scholar]
  34. Garcia V.A.S. Borges J.G. Maciel V.B.V. Mazalli M.R. Lapa-Guimaraes J.G. Vanin F.M. de Carvalho R.A. Gelatin/starch orally disintegrating films as a promising system for vitamin C delivery. Food Hydrocoll. 2018 79 127 135 10.1016/j.foodhyd.2017.12.027
    [Google Scholar]
  35. Sjöholm E. Sandler N. Additive manufacturing of personalized orodispersible warfarin films. Int. J. Pharm. 2019 564 117 123 10.1016/j.ijpharm.2019.04.018 30974195
    [Google Scholar]
  36. Dharmasthala S. Shabaraya A.R. Andrade G.S. Shriram R.G. Hebbar S. Dubey A. Fast dissolving oral film of piroxicam: Solubility enhancement by forming an inclusion complex with β- cyclodextrin, formulation and evaluation. J. Young Pharm. 2018 11 1 1 6 10.5530/jyp.2019.11.1
    [Google Scholar]
  37. Mushtaque M. Muhammad I.N. Fareed Hassan S.M. Ali A. Masood R. Development and pharmaceutical evaluation of oral fast dissolving thin film of escitalopram: A patient friendly dosage form. Pak. J. Pharm. Sci. 2020 33 1 183 189 10.36721/PJPS.2020.33.1.REG.183‑189.1 32122847
    [Google Scholar]
  38. Thakur R.R. Rathore D.S. Narwal S. Orally disintegrating preparations: Recent advancement in formulation and technology. J. Drug Deliv. Ther. 2012 2 3 87 96 10.22270/jddt.v2i3.130
    [Google Scholar]
  39. Castro P.M. Sousa F. Magalhães R. Ruiz-Henestrosa V.M.P. Pilosof A.M.R. Madureira A.R. Sarmento B. Pintado M.E. Incorporation of beads into oral films for buccal and oral delivery of bioactive molecules. Carbohydr. Polym. 2018 194 411 421 10.1016/j.carbpol.2018.04.032 29801856
    [Google Scholar]
  40. Rençber S. Karavana S.Y. Yilmaz F.F. Eraç B. Nenni M. Gurer-Orhan H. Limoncu M.H. Güneri P. Ertan G. Formulation and evaluation of fluconazole loaded oral strips for local treatment of oral candidiasis. J. Drug Deliv. Sci. Technol. 2019 49 615 621 10.1016/j.jddst.2018.12.035
    [Google Scholar]
  41. Patil A.B. Charyulu R.N. Shastry C.S. Development and characterization of atenolol fast dissolving orodispersible films. World J. Pharm. Res. 2013 2 6 3284 3295
    [Google Scholar]
  42. Vuddanda P.R. Montenegro-Nicolini M. Morales J.O. Velaga S. Effect of surfactants and drug load on physico-mechanical and dissolution properties of nanocrystalline tadalafil-loaded oral films. Eur. J. Pharm. Sci. 2017 109 372 380 10.1016/j.ejps.2017.08.019 28823854
    [Google Scholar]
  43. Al-Oran A.Y.F. Yenilmez E. Hydroxypropyl methylcellulose orodispersible film containing desloratadine for geriatric use: Formulation and evaluation. Antiinflamm. Antiallergy Agents Med. Chem. 2023 22 2 79 91 10.2174/1871523022666230816090942 37904551
    [Google Scholar]
  44. Sharma A. Agarwal D. Formulation and evaluation of montelukast sodium oral dissolving film. Asian J. Pharm Edu. Res. Devel. 2021 9 1 130 140 10.22270/ajprd.v9i1.893
    [Google Scholar]
  45. Alhayali A. Vuddanda P.R. Velaga S. Silodosin oral films: Development, physico-mechanical properties and in vitro dissolution studies in simulated saliva. J. Drug Deliv. Sci. Technol. 2019 53 101122 10.1016/j.jddst.2019.06.019
    [Google Scholar]
  46. Reddy P.S. Murthy K.V.R. Formulation and evaluation of oral fast dissolving films of poorly soluble drug ezetimibe using transcutol Hp. Indian J. Pharm Edu. Res. 2018 52 3 398 407 10.5530/ijper.52.3.46
    [Google Scholar]
  47. Sheikh F.A. Aamir M.N. Shah M.A. Ali L. Anwer K. Javaid Z. Formulation design, characterization and in vitro drug release study of orodispersible film comprising BCS class II drugs. Pak. J. Pharm. Sci. 2020 33 1 343 353 10.36721/PJPS.2020.33.1.SUP.343‑353.1 32122867
    [Google Scholar]
  48. Kumar S.K. Nagabhushanam M.V. Rao K.R.S.S. Bhikshapathi D.V.R.N. Preparation and in vivo evaluation of oral dissolving films containing sumatriptan succinate. Pharm. Lett. 2013 5 3 27 38
    [Google Scholar]
  49. Payab S. Davaran S. Tanhaei A. Fayyazi B. Jahangiri A. Farzaneh A. Adibkia K. Triamcinolone acetonide–Eudragit ® RS100 nanofibers and nanobeads: Morphological and physicochemical characterization. Artif. Cells Nanomed. Biotechnol. 2016 44 1 362 369 10.3109/21691401.2014.953250 25180944
    [Google Scholar]
  50. Speer I. Preis M. Breitkreutz J. Dissolution testing of oral film preparations: Experimental comparison of compendial and non- compendial methods. Int. J. Pharm. 2019 561 124 134 10.1016/j.ijpharm.2019.02.042 30826424
    [Google Scholar]
  51. Bhupinder B. Sarita J. Formulation and evaluation of fast dissolving sublingual films of Rizatriptan Benzoate. Int J Drug Dev Res 2012 4 1 133 143
    [Google Scholar]
  52. Nishimura M. Matsuura K. Tsukioka T. Yamashita H. Inagaki N. Sugiyama T. Itoh Y. in vitro and in vivo characteristics of prochlorperazine oral disintegrating film. Int. J. Pharm. 2009 368 1-2 98 102 10.1016/j.ijpharm.2008.10.002 18992311
    [Google Scholar]
  53. Rotta J. Ozório R.Á. Kehrwald A.M. de Oliveira Barra G.M. de Melo Castanho Amboni R.D. Barreto P.L.M. Parameters of color, transparency, water solubility, wettability and surface free energy of chitosan/hydroxypropylmethylcellulose (HPMC) films plasticized with sorbitol. Mater. Sci. Eng. C 2009 29 2 619 623 10.1016/j.msec.2008.10.032
    [Google Scholar]
  54. Drašković M. Turković E. Vasiljević I. Trifković K. Cvijić S. Vasiljević D. Parojčić J. Comprehensive evaluation of formulation factors affecting critical quality attributes of casted orally disintegrating films. J. Drug Deliv. Sci. Technol. 2020 56 101614 10.1016/j.jddst.2020.101614
    [Google Scholar]
  55. Padamwar P. A. Phasate P. P. Formulation and evaluation of fast dissolving oral film of bisoprololfumarate. IJPSR 2015 6 1 135
    [Google Scholar]
  56. Deepthi A. Reddy B.V. Navaneetha K. Formulation and evaluation of fast dissolving oral films of zolmitriptan. Am. J. Adv. Drug Deliv. 2014 2 2 153 163
    [Google Scholar]
  57. Panraksa P. Tipduangta P. Jantanasakulwong K. Jantrawut P. Formulation of orally disintegrating films as an amorphous solid solution of a poorly water-soluble drug. Membranes 2020 10 12 376 10.3390/membranes10120376 33261025
    [Google Scholar]
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