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IV Pharm D
Hospital Pharmacy
DEFINITION
Creams are homogenous, semi-solid or viscous preparations that possess
They usually contain a water soluble base due to which they can be
applied to skin.
ADVANTAGES
Convenient and easy to apply.
When applied to the skin, they produce emollient and soothing effect.
They are less viscous and easily spread to the skin.
Addition of emulsifier, improve the drug penetration.
DISADVANTAGES
Creams are not suitable for prolonged effect as they are less viscous
and easily washable.
Due to high moisture content, they require additional preservative for
their stability.
Creams are not suitable for open wounds due to their high surfactant
content and are non-sterile.
Possibility of skin irritation and allergic reactions.
IDEAL PROPERTIES OF CREAMS
All ingredients can be divided into oil phase and aqueous phase.
melting point.
Take separately the ingredients of aqueous phase, mix and heat to the
Mix the two phases with continuous stirring until a smooth cream is
formed.
(1) Trituration
Used for finely divided insoluble powder particles or liquids.
Insoluble powders are added by geometric dilution.
Liquids are added by making a well in centre.
Air pocket formation avoided.
A glass slab used in case of small quantities.
Mortar and pestle is used in case of large quantities.
(2) Levigation
Incorporation of insoluble coarse particles
Also known as wet grinding as insoluble coarse powder is rubbed with
molten base or liquid or a semi-solid base.
(3) Fusion
Fusion method is used when the drugs and other solid are soluble in
ointment bases.
The base is liquefied and the soluble components are dissolved in the
molten base.
The mixture is then triturated to obtain a smooth texture.
Care is taken to avoid thermal degradation of the base or other
components during the fusion process.
(4) Mechanical addition
A wide range of machines are available for the large scale production of
creams
Creams are produced with the help of low-shear and high emulsifiers.
TYPES OF CREAMS
Creams are of two types:
(1) Aqueous creams
(2) Oily Creams
Ingredients:
Calamine 4g
Zinc oxide 3g
Emulsifying wax 6g
Arachis oil 40 g
Water 47 g
Method: Melt the emulsifying with gentle heat. Add arachis oil and warm.
Add water at the same temperature, stir until cold. Triturate the calamine
and the zinc oxide with water and incorporate in the cream. Transfer the
cream in a suitable container, label and dispense.
(b) Cationic emulsifying wax creams
These are prepared in the same way as that of anionic emulsifying cream
(fusion method).
Method: Melt the cetostearyl alcohol on a water bath. Add the liquid
paraffin and heat to 600C. Dissolve cetrimide in a freshly boiled and cooled
purified water and warm to 600C. Add the aqueous solution to the oily
mixture and stir until cold. Transfer the cream into a suitable container,
label and dispense.
(c) Non-ionic emulsifying wax creams
These are also prepared by fusion method.
Ingredients:
Hydrocortisone acetate 1g
Cetomacrogol emulsifying ointment 30 g
Chlorocresol 0.1 g
Purified water 68.9 g
Method: Dissolve the chlorocresol in the purified water with gentle heat.
Melt the Cetomacrogol emulsifying ointment on a water bath, add the
chlorocresol solution at the same temperature, stir until cold and
incorporate the hydrocortisone acetate. Transfer to a suitable container,
label and dispense.
*Vanishing Cream
These are o/w type emulsion with stearic acid as the emulsifying agent.
When applied on the skin, the spread as thin oil less film which is not
visible to the naked eye. Hence, they are called vanishing creams.
Ingredients:
Stearic acid 23.5g
Cetyl alcohol 0.5 g
Potassium hydroxide 1g
Glycerin 10.5 g
Water 64 g
Perfume 0.5 g
Method: Melt stearic acid and cetyl alcohol at 750C. Dissolve KOH in
purified water heat to the same temperature as above. Add glycerin,
perfume to the mixture and stir until cold.
(b) Oily creams
In oily creams, emulsions are w/o type.
They are further divided into types depending on the emulsifying agent
used.
Ingredients:
Proflavine hemisulphate 0.1 g
Chlorocresol 0.1 g
Yellow beeswax 2.5 g
Wool fat 5.0 g
Purified water 25.0 g
Liquid paraffin 67.3 g
Method: Dissolve chlorocresol in 75% of the liquid paraffin in a covered
china dish using gentle heat. Melt the yellow beeswax and wool fat together
and heat to 700C. Add the chlorocresol solution. Dissolve the proflavine
hemisulphate in calculate quantity of water and heat to 700C. Add the
aqueous solution to oily mixture with constant stirring. Add the rest of
liquid paraffin and stir until cold. Transfer to a suitable container, label and
dispense.
These are w/o emulsions in which the emulsifying agents used are
Ingredients:
Hard paraffin 25.0 g
Soft paraffin 11.75 g
Liquid paraffin 3.5 g
Cetostearyl alcohol 5.0 g
Triethanolamine 0.7 g
Stearic acid 1.8 g
Chlorocresol 0.2 g
Purified water 52.05 g
Method: Melt together cetostearyl alcohol, stearic acid, hard paraffin and
soft paraffin. Add liquid paraffin and heat to 700C. Dissolve the
triethanolamine in chlorocresol solution and heat to 700C. Add the aqueous
solution to oily mixture with constant stirring until cold. Transfer to a
suitable container, label and dispense.
*Cold cream
It’s a w/o type emulsion.
The name derives from the cool feeling that the cream leaves on the skin
due to the slow evaporation of water present in the emulsion.
Method: Melt the white beeswax with liquid paraffin and heat upto 700C.
Dissolve the borax in water and heat the solution to 700C. Gradually add the
solution to the melted mixture and stir until cold. Transfer to a well-closed
container, label and dispense.
EVALUATION OF CREAMS
pH of the cream
Viscosity
- Dilution test
- Dye test
Stability test
- Globule size
- Phase separation
- Moisture absorption studies
- Spreadability
pH of the cream
Determined by using a digital pH meter.
Viscosity
Determined by Brookfield Viscometer.
The rate of shear is then decreased gradually to the lowest value and
type of flow.
Determination of the type of emulsion
(1)Dye test
Add few drops of water into the emulsion. If the water distributes
Globule size:
Phase separation:
The cream is kept intact in the closed container at 25-300C not exposed
to light
Spreadability:
It is expressed in terms of time in seconds.
Take two slides to slip off from the cream, placed in between the slides,
under certain load.
Lesser the time taken for the separation of the two slides, better the
spreadability
CONTAINERS
Creams should be stores in wide mouthed squat jars.
The mouth of jar should be covered with a disc of grease proof paper.
The containers must be well closed to prevent evaporation of water.
When issued for use, creams should be supplied in collapsible tubes.
LABELLING
Secondary labels such as ‘For external use only’ and ‘ Store in a cool place’
should be fixed on the container.
STORAGE
The creams should be stored in a cool place with temperature not exceeding
250C. Creams should be protected from higher temperature and direct
sunlight.