- Cream (pharmaceutical)
A cream is a topical preparation usually for application to the skin. Creams for application to mucus membranes such as those of the rectum or vagina are also used. Creams may be considered pharmaceutical products as even cosmetic creams are based on techniques developed by pharmacy and unmedicated creams are highly used in a variety of skin conditions (dermatoses). The use of the Finger tip unit concept may be helpful in guiding how much topical cream is required to cover different areas.
Creams are semi-solid emulsions, that is mixtures of oil and water. They are divided into two types: oil-in-water (O/W) creams which are composed of small droplets of oil dispersed in a continuous phase, and water-in-oil (W/O) creams which are composed of small droplets of water dispersed in a continuous oily phase. Oil-in-water creams are more comfortable and cosmetically acceptable as they are less greasy and more easily washed off using water. Water-in-oil creams are more difficult to handle but many drugs which are incorporated into creams are hydrophobic and will be released more readily from a water-in-oil cream than an oil-in-water cream. Water-in-oil creams are also more moisturising as they provide an oily barrier which reduces water loss from the stratum corneum, the outermost layer of the skin.
Uses of creams
- The provision of a barrier to protect the skin
- This may be a physical barrier or a chemical barrier as with sunscreens
- To aid in the retention of moisture (especially water-in-oil creams)
- Emollient effects
- As a vehicle for drug substances such as local anaesthetics, anti-inflammatories (NSAIDs or corticosteroids), hormones, antibiotics, antifungals or counter-irritants.
Creams are semisolid dosage forms containing one or more drug substances dissolved or dispersed in a suitable base. This term has traditionally been applied to semisolids that possess a relatively fluid consistency formulated as either water-in-oil (e.g., Cold Cream) or oil-in-water (e.g., Fluocinolone Acetonide Cream) emulsions. However, more recently the term has been restricted to products consisting of oil-in-water emulsions or aqueous microcrystalline dispersions of long-chain fatty acids or alcohols that are water washable and more cosmetically and aesthetically acceptable. Creams can be used for administering drugs via the vaginal route (e.g., Triple Sulfa Vaginal Cream). Creams are used to help sun burns
Composition: There are four main ingredients of the cold cream 1: Water 2: Oil 3: Emulsifier 4: Thickening agent 
Topical medication forms
- Cream - Emulsion of oil and water in approximately equal proportions. Penetrates stratum corneum outer layer of skin well.
- Ointment - Combines oil (80%) and water (20%). Effective barrier against moisture loss.
- Gel - Liquefies upon contact with the skin.
- Paste - Combines three agents - oil, water, and powder; an ointment in which a powder is suspended.
- ^ cold cream
- ^ Doctor, why are you prescribing an ointment?; American Academy of Dermatology; http://www.skincarephysicians.com/eczemanet/doctor.html
Routes of administration / Dosage forms Oral
Ocular / Otologic / Nasal Urogenital Rectal (enteral) Dermal Injection / Infusion
- Intra-articular or intrasynovial injection
Additional explanation:Mucous membranes are used by the human body to absorb the dosage for all routes of administration, except for "Dermal" and "Injection/Infusion".
Administration routes can also be grouped as Topical (local effect) or Systemic (defined as Enteral = Digestive tract/Rectal, or Parenteral = All other routes).
Routes of administration by organ system Gastrointestinal Respiratory systemPulmonary • Nasal Visual system / Auditory system Reproductive systemIntracavernous • Intravaginal • Intrauterine (Extra-amniotic) Urinary systemIntravesical Peritoneum Central nervous system Circulatory system Musculoskeletal system SkinEpicutaneous • Intradermal • Subcutaneous
- The provision of a barrier to protect the skin
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