Formulation of Lozenges Containing Menthol and <i>Citrus hystrix</i> DC. Essential Oil for Pharyngitis Support Treatment

http://www.doi.org/10.26538/tjnpr/v7i10.17

Authors

  • Ngoc T.M. Le Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam
  • Suol T. Pham Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam
  • Khanh D. Dang Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam
  • Tuyen T.V. Le Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam
  • Yen H. Tran Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam
  • Thao N.N. Nguyen Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam

Keywords:

pharyngitis, lozenges, essential oil, Citrus hystrix

Abstract

This study aimed to develop antibacterial lozenges using kaffir lime fruit peel oil (Citrus hystrix) and assess its efficacy against bacteria responsible for sore throats. The essential components of the lozenges included Citrus hystrix DC essential oil and menthol. The lozenges were fabricated through the direct compression method. Several parameters, such as color, taste, odor, time for oral disintegration, and adherence to in-house specifications, were also assessed. Additionally, the stability of the lozenges was examined following ICH guidelines under accelerated conditions for a duration of six months (at 40°C and relative humidity of 70%). The antibacterial properties of menthol and Citrus hystrix DC essential oil were evaluated against common bacterial strains, including Streptococcus pneumoniae ATCC 29212, Haemophilus influenzae ATCC 33533, Staphylococcus aureus ATCC 29213, Streptococcus mutans ATCC 25175, Streptococcus faecalis ATCC 29212, and Moraxella catarrhalis ATCC 25238.  The development of lozenges incorporating menthol and Citrus hystrix essential oil was successfully achieved. The preferred combination ratio was determined to be 2:1 of calcium silicate to menthol and essential oils, as it effectively masked the bitter taste. These lozenges adhered to the specifications outlined in the USP 38 monograph for menthol lozenges and exhibited notable antibacterial efficacy. Based on accelerated stability testing, the estimated expiration date for these lozenges was approximately 26 months. The results suggested that the lozenge tablet containing menthol and Citrus hystrix DC essential oils may offer an alternative functional supplement for the prevention of pharyngitis.

References

Sykes EA, Wu V, Beyea MM, Simpson MTW, Beyea JA. Pharyngitis: Approach to diagnosis and treatment. Can Fam Physician. 2020; 66(4):251-257.

Mustafa Z, Ghaffari M. Diagnostic Methods, Clinical Guidelines, and Antibiotic Treatment for Group A Streptococcal Pharyngitis: A Narrative Review. Front Cell Infect Microbiol. 2020; 10:563627.

Qaralleh H, Al-Limoun MO, Khlaifat A, Khleifat KM, Al-Tawarah N, Alsharafa KY, Abu-Harirah HA. Antibacterial and Antibiofilm Activities of a Traditional Herbal Formula against Respiratory Infection Causing Bacteria.Trop J Nat Prod Res. 2020; 4(9):527-534.

Ngân TT, Hien TT, Le XT, Anh TT, Quan PM, Cang MH, Ngoc TT, Danh VT, Trung LN, Toan TQ. Physico-Chemical Profile of Essential oil of Kaffir Lime (Citrus hystrix DC) Grown in An Giang Province, Vietnam. Asian J Chem. 2019; 31:2855-2858.

Warsito, W., Noorhamdani, N., Sukardi, S., Suratmo, S. Aktivitas antioksidan dan antimikrobia minyak jeruk purut (Citrus hystrix DC.) dan komponen utamanya. J Environ Eng & Sustain Technol. 2017; 4(1);13-18.

Sri Tunjung WA, Liana D, Hennisa, Lisna Hidayati. Antibacterial activity and composition of crude extracts of kaffir lime (Citrus hystrix DC.) leaves and callus. Proc Pak Acad Sci. 2018; 55(2):48-53.

Othman HIA, Alkatib HH, Zaid A, Sasidharan S, Rahiman SSF, Lee TP, Dimitrovski G, Althakafy JT, Wong YF. Phytochemical Composition, Antioxidant and Antiproliferative Activities of Citrus hystrix, Citrus limon, Citrus pyriformis, and Citrus microcarpa Leaf Essential Oils against Human Cervical Cancer Cell Line. Plants (Basel). 2022; 12(1):134.

Sreepian A, Sreepian PM, Chanthong C, Mingkhwancheep T, Prathit P. Antibacterial activity of essential oil extracted from Citrus hystrix (Kaffir Lime) peels: An in vitro study. Trop Biomed. 2019; 36(2):531-541.

Sri Tunjung WA, Jindrich Cinatl, Martin Michaelis, C. Mark Smales. Anticancer effect of kaffir lime (Citrus hystrix DC) leaf extract in cervical cancer and neuroblastoma cell lines. Procedia Chem. 2014; 14: 465-468.

Ho Y, Suphrom N, Daowtak K, Potup P, Thongsri Y, Usuwanthim K. Anticancer Effect of Citrus hystrix DC. Leaf Extract and Its Bioactive Constituents Citronellol and, Citronellal on the Triple Negative Breast Cancer MDA-MB-231 Cell Line. Pharmaceuticals (Basel). 2020; 13(12):476.

Kidarn S, Saenjum C, Hongwiset D, Phrutivorapongkul A. Furanocoumarins from Kaffir lime and their inhibitory effects on inflammatory mediator production. Cogent Chem. 2018; 4(1): 1529259.

Ikawati S, Dhuha MS, Himawan T. Bioactivity of Citrus hystrix DC. Leaf against cigarette beetle Lasioderma serricorne (F.). J Trop Life Sci. 2017; 7(3): 189-196.

Wikandari RJ, Surati S. Efek ekstrak kulit jeruk purut (Citrus hystrix DC.) terhadap morfologi dan histologi larva Aedes aegypti. ASPIRATOR, 2018; 10(2): 119-126.

Arnida, A., Nilnawati, N., Nurlely, N., & Sutomo, S. An Ethnomedicine Approach to Aromatic Plant Use in Batimung Tradition of North Banjarmasin Subdistrict Banjarmasin, Indonesia. Trop. J. Nat. Prod. Res. 2022; 6(7):1067–1073.

Anuja S, Sangeetha V, Sudha A, Menaha R. Techniques for essential oil extraction from kaffir lime and its application in health care products-A review. Flavour Fragr J. 2020; 36(1): 5-21.

Tanzil L, Latirah L, Nugroho P. Antidandfruff activity of extracts from kaffir lime (Citrus hystrix DC.) prepared by different solvents. SANITAS Jurnal Teknologi dan Seni Kesehatan. 2017; 8(1): 57-62.

Ambrosio CMS, Diaz-Arenas GL, Agudelo LPA, Stashenko E, Contreras-Castillo CJ, da Gloria EM. Chemical Composition and Antibacterial and Antioxidant Activity of a Citrus Essential Oil and Its Fractions. Molecules. 2021; 26(10):2888.

Srisukh, V., Tribuddharat, C., Nukoolkarn, V., Bunyapraphatsara, N., Phoomniyom, S., Chuanphung, S. & Seifuengfung, S.. Antibacterial activity of essential oils from Citrus hystrix (makrut lime) against respiratory tract pathogens. Scienceasia, 2012; 38: 212-217.

Ulhaq ZS, Hendyatama TH, Hameed F, Santosaningsih D. Antibacterial activity of Citrus hystrix toward Salmonella spp. infection. Enferm Infecc Microbiol Clin (Engl Ed). 2021; 39(6):283-286.

Tunvongvinis T, Chanchaem W. Investigation for the Antibacterial Activity of Five Citrus Fruits’ Peel Extracts. RIST. 2021; 27-33.

Lubinska-Szczygeł M, Kuczyńska-Łażewska A, Rutkowska M, Polkowska Ż, Katrich E, Gorinstein S. Determination of the Major By-Products of Citrus hystrix Peel and Their Characteristics in the Context of Utilization in the Industry. Molecules. 2023; 28(6):2596.

Branch SK. Guidelines from the International Conference on Harmonisation (ICH). J Pharm Biomed Anal. 2005; 38(5): 798-805.

United States Pharmacopeia and National Formulary (USP38-NF33). 2015; 4245-4246.

The Vietnam Ministry of Health. Regulation on the list of additives allowed to be used in food. 2001.

Budiarto, R., Poerwanto, R., Santosa, E., Efendi, D., & Agusta, A. Preliminary study on antioxidant and antibacterial activity of Kaffir Lime (Citrus hystrix DC) leaf essential oil. Applied Research in Science and Technology. 2021; 1(2):58–65.

Mahendran G, Rahman LU. Ethnomedicinal, phytochemical and pharmacological updates on Peppermint (Mentha × piperita L.)-A review. Phytother Res. 2020; 34(9):2088-2139.

Camele I, Gruľová D, Elshafie HS. Chemical Composition and Antimicrobial Properties of Mentha × piperita cv. 'Kristinka' Essential Oil. Plants (Basel). 2021;10(8):1567.

Published

2023-10-29

How to Cite

Le, N. T., Pham, S. T., Dang, K. D., Le, T. T., Tran, Y. H., & Nguyen, T. N. (2023). Formulation of Lozenges Containing Menthol and <i>Citrus hystrix</i> DC. Essential Oil for Pharyngitis Support Treatment: http://www.doi.org/10.26538/tjnpr/v7i10.17. Tropical Journal of Natural Product Research (TJNPR), 7(10), 4233–4241. Retrieved from https://www.tjnpr.org/index.php/home/article/view/2819