Topical Emulgel: Basic Considerations in Development and Advanced Research
Topical Emulgel: Basic Considerations in Development and Advanced Research
Topical Emulgel: Basic Considerations in Development and Advanced Research
Topical drug administration is a localized drug delivery many disadvantages such as sticky nature, lack of
system, through various routes such as ophthalmic, spreadability, stability issues, etc., ultimately leading
rectal, vaginal and skin, anywhere in the body. Topical to patient non-compliance. The aforementioned
preparations are chiefly utilized topically to achieve drawbacks have encouraged the use of transparent
localized effects at the site of their application[1]. This gels or hydrogels in cosmetics and pharmaceutical
route is most preferred in the treatment of a variety of preparations due to their less sticky nature, better
skin disorders such as acne, eczema, psoriasis, etc. The spreading coefficient and dissolution, greater patient
topical formulations offer an array of benefits such as compliance and improved efficacy. Gels are a relatively
prevention of pre-systemic metabolism, augmented new class of dosage form created by trapping large
bioavailability and therapeutic response, improved amounts of aqueous or hydroalcoholic liquid in a
patient compliance, ease of administration, reduced colloidal solid particle network that may consist
gastrointestinal tract incompatibility[2]. Moreover, of inorganic substances, such as aluminum salts or
topical formulations are highly appropriate for the natural or synthetic organic polymers[6]. However,
delivery of cargo with a narrow therapeutic window[3].
This is an open access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-ShareAlike 3.0 License, which
The different kinds of topical drug delivery systems allows others to remix, tweak, and build upon the work non-commercially,
used for the treatment of skin-related diseases include as long as the author is credited and the new creations are licensed under
the identical terms
emulsions, creams, ointments, lotions, powders,
etc.[4,5]. These delivery systems are associated with Accepted 06 September 2022
Revised 07 December 2021
Received 10 March 2020
*Address for correspondence
Indian J Pharm Sci 2022;84(5):1105-1115
E-mail: [email protected]
September-October 2022 Indian Journal of Pharmaceutical Sciences 1105
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beneficial gels show a significant disadvantage in the weight, partition coefficient and degree of ionization of
delivery of hydrophobic therapeutics. It is reported drug also have a great impact on topical absorption of
that approximately 40 % of new chemical entities are the drug[10].
hydrophobic and the delivery of these poorly water-
soluble drugs is a big challenge. Therefore, to cover EMULGEL
up this deficiency, emulgel a new approach that came Emulgel is just a mixture of gels and emulsions.
into existence. Emulgel is a mixture of emulsion and Emulgel is emulsions, either o/w or w/o, which are
gel base. gelled by combining with a gelling agent. Emulgel is
Most of the naturally obtained or synthesized drugs more effective in curative aspects than regular gel. The
are Biopharmaceutical Classification System (BCS) conversion of an emulsion into the gel is accountable
class II drugs[7,8]. They possess low solubility and high for improved stability and penetrability of emulsion[11].
permeability. The low solubility of the drug affects the Moreover, this system exhibits dual control release
dissolution rate and extent of drug absorption and their which is attributed to both emulsion and gel. However,
permeation through the membrane and bioavailability. the stability and release of incorporated drugs in
Therefore, Nanoemulgel (NEG) is one of the important emulgel are affected by the type and concentration
strategies that can be used for the topical delivery of of gel-forming polymer. Emulgel also prolongs the
a hydrophobic drug. In the NEG, nanoemulsion is contact period of medication over the skin owing to
incorporated into the gel base. The nanoemulsion its mucoadhesive property. In addition, this system
causes improved solubility of the hydrophobic drugs. is capable to prevent a dangerous inconvenience that
In addition, the nanoemulsion of NEG is accountable arises from intravenous administration of drugs and
for augmenting the skin permeability of cargo owing variations in the absorption of the drug at different
to finely distributed droplets of nanoemulsion. Thus, physiological conditions when administered via the
the NEG offers easy permeation of cargo through the oral route. Other various advantages of emulgel include
skin to deliver it into the blood thereby improving the easy incorporation of hydrophobic drugs, augmented
pharmacokinetic and pharmacodynamics performance drug loading capacity, production feasibility (simple
of the drugs. The hydrophobic drug is commonly and short processing steps) and low preparation cost,
entrapped in oil-in-water (o/w) emulsion whereas avoidance of first-pass metabolism and gastrointestinal
hydrophilic drugs are entrapped in the water-in-oil incompatibility, improved patient compliance,
(w/o) emulsion[9]. suitability for self-medication, narrow therapeutic
window and selective to a specific site. Despite the
Through this manuscript, an attempt has been made
aforementioned advantages, emulgel allied with
to broadly review the emulgel as an efficient approach
certain disadvantages like difficulty to absorb large size
in topical drug delivery. The areas covered in this
particle through the skin, poor permeability of drugs,
review include the rationale behind the use of emulgel,
bubble formation during the emulgel preparation and
formulation considerations, manufacturing and
skin irritation or allergic reactions[12].
characterization of emulgel. Furthermore, NEG as an
advanced topical delivery approach for hydrophobic RATIONALE BEHIND USE OF EMULGEL
drug, packaging of emulgel, patented and marketed
formulations are also discussed. We conclude by The commonly used topical formulations such as
outlining future perspectives for the development of ointment, cream, lotion, etc., have many drawbacks,
emulgel. including stickiness causing patient irritation when
applied, lower coefficient of spreading and need to be
FACTORS AFFECTING TOPICAL applied with rubbing. They also exhibit a stabilization
ABSORPTION OF THE DRUG problem. Because of the aforementioned disadvantages
of the large group of semisolid preparations, the use of
The physiological and physicochemical factors play
transparent gels has increased in cosmetics as well as in
an imperative role in the topical absorption of the
pharmaceutical preparations. The gel is colloid, which
drug. The physiological factors that show influence on
is normally 99 % liquid, which is immobilized by the
retention of the topically applied drug include skin pH
surface tension between the gel and the macromolecular
and thickness, hydration of the skin, the sweat glands
fiber network created by a small amount of gelling
density, amount of blood flow and inflammation.
material present. In the present scenario, more
Similarly, the physicochemical factors like molecular
than 40 % of therapeutically active compounds are
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hydrophobic and the handling of hydrophobic drugs is Aqueous material:
a major limitation of gel. The emulsion-based gel is an
approach that can successfully incorporate and deliver This forms the aqueous phase of the emulsion. In the
a hydrophobic therapeutic moiety with improved presence of the gelling agent, this aqueous phase is
solubility and penetrability through the skin. Moreover, accountable for the conversion of emulsion form into
the emulgel can cause substantial improvement in the emulgel. Commonly used aqueous materials are
the pharmacological action and reduction in the dose water and alcohols[21].
of the drug due to significant penetration of emulgel Oils:
globules in soft tissues[13]. There has been a great deal
of interest in recent years in the use of novel polymers An emulsion is the primary part of the emulgel. The
with complex functions as emulsifiers and thickeners. selection of type and quantity of oil as one of the phases
The gelling ability of these compounds allows stable of the emulsion is mainly allied with the eventual use of
emulsions and creams to be produced by reducing the emulgel. Moreover, this oil phases chiefly influence the
surface and interfacial stress, as well as increasing the viscosity, permeability and stability of the emulsion. In
aqueous phase viscosity[13,14]. the selection of oil phase, it is essential to ensure that
the oil is pure and free of unpleasant and unsaponifiable
FORMULATION CONSIDERATIONS constituents like free radicals, peroxides, sterols
In the formulation of topical emulgel, it is essential and polymers. Numerous such types of unwanted
to evaluate emulgel for its non-toxic, non-irritating, constituents can be produced during storage causing
non-comedogenic and non-sensitizing properties. the deterioration of the oil phase and that results in
Furthermore, formulating cosmetically elegant and unstable formulation[12,21].
biocompatible emulgel is of vital importance. The Mineral oils alone or mixed with soft or hard paraffin,
aforementioned properties of emulgel are chiefly are commonly used as the carrier as well as for its
associated with formulation excipients used. Thus, the occlusive and sensory properties, for externally applied
formulation considerations assume an imperative role emulsions. Non-biodegradable mineral and castor oils,
in the emulgel[15-20]. which have a local laxative effect are widely used oils
in oral preparations. The fish liver oils or various fixed
Drug: oils of vegetable origin (e.g., Arachis, cotton and maize
The absorption of the drug through the skin is chiefly oils) are used as nutritional complements[12].
influenced by the properties of the drug. These kind of Emulsifiers:
physicochemical and biological properties of drugs play
an imperative role to formulate them into emulgel for Emulgel is a gelled emulsion prepared by using a suitable
topical or transdermal applications. The drug candidate gelling agent. An emulsion is a thermodynamically
suitable to formulate as an emulgel should possess’ unstable system that can be made stable by the addition
high pKa value, Half-life (t1/2) of less than 10 h, less of appropriate emulsifying agents. The emulsifying
molecular size, the molecular mass of 500 daltons or agents are chiefly accountable for reducing the
less, partition coefficient (logP) value of 0.8 to 5 and interfacial tension that causes augment in the stability
less polarity. In addition, the drug candidate should be of the emulsion. The emulsifying agent selected should
non-irritating with a skin permeability coefficient of possess good Hydrophilic-Lipophilic Balance (HLB)
equal to or more than 0.5×10-3 cm/h[3]. and yield stable emulsion. Furthermore, the stability
of emulsion is mainly allied with type and quantity of
Vehicle: emulsifying agent used to make emulsion. Generally,
The vehicle used in the formulation of emulgel also the emulsifying agents with HLB of less than 8 are
assumes a vital role in the absorption of the drug utilized to prepare w/o type of emulsion while those
through the skin. The vehicle used for the preparation with HLB of more than 8 are used to make o/w type of
of emulgel should possess properties like efficient emulsion[12].
deposition of the medication with even distribution Emulsifying agents are used both at manufacturing
on the skin; deliver and release the drug at the site of time to facilitate emulsification and during shelf-life
operation; sustaining a level of therapeutics in the target to maintain stability. Polyethylene glycol 40 stearate,
tissue for a sufficient period. Furthermore, it should be sorbitan monooleate (Span 80), polyoxyethylene
compatible with the skin of the patient[3].
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sorbitan monooleate (Tween 80), stearic acid and enhancer. Therefore, there is a necessity to optimize
sodium stearate are widely used as emulsifiers[3,12]. the type and concentration of these agents to achieve
better transdermal delivery of the drug. The penetration
Gelling agents: enhancers used in the emulgel should possess low
Gelling (cross-linking) agents are key components of irritancy, toxicity and better penetrability. These
the emulgel used to make a system thixotropic. They agents facilitate drug absorption through different
are primarily used as a thickening agent to improve the mechanisms such as temporarily interrupting the
texture as well as dosage form quality. The sort of gelling skin barrier, fluidizing the lipid channels between
agent used and its concentration has great influence on corneocytes; altering the partitioning of the drug into
the drug release and stability of emulgel. For instance, skin structures, etc.,[12].
the emulgel prepared using Hydroxy Propyl Methyl As a penetration enhancer, oleic acid, lecithin,
Cellulose (HPMC) as a gelling agent have been reported isopropyl myristate, linoleic acid, clove oil, menthol
to show better drug release when compared to emulgel and eucalyptus oil, Myrj™, Transcutol® P, cineol, etc.,
prepared using Carbopol polymers[8]. Furthermore, can be used[23].
various studies have reported inversely proportional
relationship between the concentration of gelling agent METHODS OF PREPARATION
and drug release from the emulgel. The combination of
The simple method used for the preparation of emulgel
gelling agents was also found to augment the stability
includes three main steps. The first two steps are the
of emulgel[22].
formulation of emulsion and gel base separately
Various kinds of gelling agents used in the emulgel followed by incorporation of an emulsion into gel base
preparation include natural, semi-synthetic and that leads to the formation of emulgel. The fundamental
synthetic. However, the chief shortcoming associated steps in the emulgel preparation are shown in fig. 1.
with natural gelling agents is their high susceptibility In the emulsion formulation, initially, aqueous phase
towards microbial degradation. Therefore, semi- is prepared by dissolving hydrophilic surfactant or
synthetic and synthetic gelling agents are found to be emulsifying agents like Tween 20 into distilled water.
widely used nowadays in emulgel preparation[12]. The Similarly, the oil phase is prepared by dissolving
extensively used gelling agents in the preparation of lipophilic surfactant or emulsifying agents like Span 20
emulgel are Carbopol 934, Carbopol 940, HPMC 2910, into oil (liquid paraffin). Both aqueous and oil phases
HPMC, Carboxy Methyl Cellulose (CMC) sodium and are heated separately at a temperature of 70°-80° and
poloxamer 407[3]. then both phases are blended together with constant
stirring, resulting in an emulsion. The gel phase is
Penetration enhancers: prepared by dispersing gelling agents like Carbopol or
These agents are primarily used to advance the HPMC) into distilled water. Finally, the emulsion and
transdermal delivery of the drug. The penetration of a gel phase are mixed together in the ratio of 1:1 with
drug from an emulgel can be significantly influenced gentle stirring that leads to the formation of emulgel[24].
by the type and concentration of the penetration
TABLE 1: EMULGEL AND NEG WITH IMPROVED IN VITRO AND IN VIVO PERFORMANCE
Drug Gelling agent Significance
NEG showed significantly higher cumulative amphotericin B permeation (999.81±7.3 mg)
Amphotericin B Carbopol
than a solution (254.161±1.45 mg) and nanoemulsion (870.42±4.2 mg) after 24 h[38]
The skin permeation potential of atorvastatin was significantly (p<0.05) augmented by NEG.
Atorvastatin CMC In vivo wound healing studies in rats exhibited the highest percent of wound contraction by
atorvastatin from NEG [40]
Chlorphenesin HPMC Remarkably improved drug release and antifungal activity[41]
NEG exhibited significantly improved anti-inflammatory activity by inhibiting the
Curcumin Carbopol 940
phosphorylation of IKK-α[37]
Cyclosporine Guar gum Significantly (p<0.05) augmented permeation of cyclosporine from NEG than gel[42]
Carbomer Significantly enhanced (p<0.01) permeability of eprinomectin from NEG and emulgel by
Eprinomectin
940 8.07 fold and 5.57 fold respectively than suspension[43]
J flux and permeability coefficient of emulgel is found to be 0.2301(mg/cm2/h) and
Itraconazole Carbopol 934
0.001151(Kp) which is similar to marketed formulation[44].
Itraconazole Xanthan gum Emulgel showed promising results of spreadability; extrudability, itraconazole content and release[45]
The emulgel showed good spreadability, homogeneity, stability and smoothening effect. It
Ketoconazole Carbopol 934
also exhibited improved skin penetration of ketoconazole[46]
Ketoconazole Carbopol 934 Emulgel showed sustained ketoconazole release in a controlled manner than cream[47]
Carbopol
Ketoprofen NEG demonstrated sustained release of ketoprofen into the periodontal pocket[17]
934P
Exhibited acceptable physical properties, pH, drug content, viscosity and stability. It also
Luliconazole Carbopol 934
displayed momentous antifungal activity[48]
Carbopol 940 gives a smooth texture and acceptable viscosity for mucosal administration.
Mentha
Carbopol 940 The emulgel showed better stability over 90 d and improved the effectiveness of mentha
essential oil
essential oil against candidiasis like condition[49]
Carbomer NEG displayed a significantly (p<0.05) augmented permeation and flux of piroxicam than
Piroxicam
934 marketed formulation[35]
Emulgel showed substantially augmented penetration of tolnaftate in fungi cells that result
Tolnaftate Carbopol 940
in remarkable antifungal activity[50]
NEG exhibited substantially improved permeability of terbinafine through the skin, and
Terbinafine Carbopol 934
increased physical stability[51]
Significantly (p<0.05) improved skin permeation from formulated emulgel than the
Terbinafine HCl Carbopol 940
commercial emulgel[52]
Ex vivo permeation studies demonstrated that the NEG significantly enhanced the tenofovir
Tenofovir HPMC
permeation by 39.65-fold, with a cumulative amount of 1866.54±108.62 μg.cm-2[53]
In another study, Mohamed et al. have developed availability of inadequate types of surfactants and co-
NEG for topical delivery of atorvastatin against surfactant for nanoemulsion preparation. Furthermore,
wound healing. This NEG exhibited significant NEG formulations are unable to deliver large size
(p<0.05) permeation of atorvastatin through the skin. drug molecules with an average molecular weight of
In addition, the NEG displayed remarkable wound more than 400 Da through the skin. Most of the gelling
healing potential in vivo in the Wistar rats[40]. Begur agents used in NEG preparations are highly pH and
et al. have designed cyclosporine-loaded NEG with temperature-sensitive. In addition, another challenge
improved permeability via transdermal application. The allied with NEG preparation is the incorporation of
NEG demonstrated significantly (p<0.05) augmented nanoemulsion into the gel. Low stirring homogenization
permeation and flux in vivo in rats[42]. Furthermore, speed cannot produce a uniform or homogenate
Yujuan et al. investigated NEG for transdermal mixture, whereas, excess stirring speed cause cracking
delivery of eprinomectin against endoparasites and of the gel[21,38].
ectoparasites. They studied the permeability behavior
of eprinomectin-loaded NEG and emulgel and were PACKAGING OF EMULGELS
compared with suspension. Both NEG and emulgel Packaging of emulgel is usually done in membrane-
loaded with eprinomectin exhibited momentous sealed lacquered aluminum tube with an inner coating
permeability 8.07 and 5.57 folds respectively than of a phenoxy-epoxy based lacquer closed with a
eprinomectin suspension revealing better absorption of propylene screw cap or aluminum laminated tubes
cargo from NEG[43]. In another study, Dhawan et al. have closed by a molded seal, with a propylene screw cap
fabricated NEG for transdermal delivery of piroxicam (Public Assessment Report of Voltaren Emulgel).
with improved permeability and reduced skin irritation. These laminate tubes give the benefit of aluminum
This NEG displayed significantly (p<0.05) improved tube properties with the appearance of plastic. The new
permeability of piroxicam from NEG[35]. generation of laminate tubes uses modern technology
NEG DRUG DELIVERY CHALLENGES to produce the tube with maximum space for graphics.
Laminate material prevents the transfer of light, air
Despite distinct advantages, some challenges and moisture. It consists of two layers, an aluminum
associated with the NEG drug delivery system are the layer providing integrity and shelf appealing plastic
high energy requirement for nanoemulsion preparation tubes. The protective barrier serves various functions
and stability of nanoemulsion. Though, low-energy as they provide high gloss protective lacquer, a resistant
methods exist, but are not perfectly appropriate for barrier for products requiring maximum compatibility
large-scale manufacturing and normally need higher along with the flavor and fragrance protection with the
amounts of surfactants. However, a high amount reduced absorption[55].
of surfactant use causes skin irritation and contact
dermatitis. Sometimes, NEG was reported to show Material for laminates tubes:
allergic reactions on the skin. Moreover, the critical step Foil laminates: Foil laminates provide a barrier against
to provide adequate stability of the NEG formulation is light, air and moisture. It reduces the absorption of
a selection of the proper type and amount of surfactants aroma (flavor and fragrance). Besides, it has aluminum
and co-surfactants[21]. Another important concern is the
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properties with the look and feel of plastic. chiefly employed in the treatment of fungal and
bacterial infections, skin rashes, skin inflammation and
All plastic laminates: It has a chemical-resistant
pains. In addition, it is also recommended in hormonal
barrier. It helps to retain the shape and form, and offers
conditions, immune problems, arthritis, etc. Diclomax
the plastic like appearance and feel. It has both an
emulgel is composed of diclofenac sodium and is
opaque and transparent appearance.
used in the treatment variety of conditions such as
PATENTED AND MARKETED EMULGEL rheumatism, osteoarthritis of the spine and peripheral
FORMULATION joints. Kleraderm Gaia 480 emulgel is employed as
a vaginal antiseptic formulation. Moreover, Isofen
Various patented emulgel and NEG formulations emulgel is loaded with Nonsteroidal Anti-Inflammatory
loaded with different drugs for the treatment of diverse Drug (NSAID) ibuprofen. It is found to be useful for
type of diseases via the transdermal route are presented the treatment of rheumatic and other muscular pains.
in Table 2. Furthermore, some commercially available Cataflam emulgel marketed by Novartis Alcon is
emulgel formulations in the market are represented in composed of diclofenac diethyl ammonium and is used
Table 3. Voltren emulgel is composed of a diclofenac in the treatment of inflammation and swelling in the
diethyl ammonium which is used to relieve back, neck joints and muscles, pain, osteoarthritis, etc.,[3,12].
and shoulder pain and reduce swelling. Miconaz-H-
emulgel is marketed by Medical Union Pharmaceutical CONCLUSIONS AND FUTURE
which contains miconazole nitrate and hydrocortisone PERSPECTIVES
as Active Pharmaceutical Ingredients (APIs). It is