Applied Clay Science: M. Isabel Carretero, Manuel Pozo

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Applied Clay Science 47 (2010) 171–181

Contents lists available at ScienceDirect

Applied Clay Science


j o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / c l a y

Review Article

Clay and non-clay minerals in the pharmaceutical and cosmetic industries


Part II. Active ingredients
M. Isabel Carretero a,⁎, Manuel Pozo b
a
Departamento de Cristalografía, Mineralogía y Química Agrícola, Facultad de Química, Universidad de Sevilla, Apdo. 553, 41071, Sevilla, Spain
b
Departamento de Geología y Geoquímica, Facultad de Ciencias, Universidad Autónoma de Madrid, Cantoblanco 28049, Madrid, Spain

a r t i c l e i n f o a b s t r a c t

Article history: A wide range and variety of minerals are used in the pharmaceutical industry as active ingredients. Such
Received 21 May 2009 minerals may be administered either orally as antacids, gastrointestinal protectors, antidiarrhoeaics, osmotic
Received in revised form 15 October 2009 oral laxatives, homeostatics, direct emetics, antianemics and mineral supplements, or parenterally as
Accepted 22 October 2009
antianemics and homeostatics. They may also be used topically as antiseptics, disinfectants, dermatological
Available online 31 October 2009
protectors, anti-inflammatories, local anesthetics, keratolytic reducers and decongestive eye drops. In all
Keywords:
cases the LADME process of the minerals is described. In the cosmetic industry minerals are used as solar
Minerals protectors as well as in toothpastes, creams, powder and emulsions, bathroom salts and deodorants.
Pharmaceutical industry The minerals in use belong to the following groups: oxides (rutile, periclase, zincite), carbonates (calcite,
Cosmetic industry magnesite, hydrocincite, smithsonite), sulphates (epsomite, mirabilite, melanterite, chalcanthite, zincosite,
Active ingredients goslarite, alum), chlorides (halite, sylvite), hydroxides (brucite, gibbsite, hydrotalcite), elements (sulphur),
Physical and physico-chemical properties sulphides (greenockite), phosphates (hydroxyapatite), nitrates (niter), borates (borax) and phyllosilicates
(smectite, palygorskite, sepiolite, kaolinite, talc, mica).
The therapeutic activity of these minerals is controlled by their physical and physico-chemical properties as
well as their chemical composition. The important properties are high sorption capacity, large specific
surface area, solubility in water, reactivity toward acids, high refractive index, high heat retention capacity,
opacity, low hardness, astringency, and high reflectance.
© 2009 Elsevier B.V. All rights reserved.

Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
2. Minerals in pharmaceutical and cosmetic preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
3. Therapeutic activity of minerals used in pharmaceutical industry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
3.1. Oral administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
3.1.1. Antacids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
3.1.2. Gastrointestinal protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
3.1.3. Antidiarrhoeaics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
3.1.4. Osmotic oral laxatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
3.1.5. Homoeostatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
3.1.6. Direct emetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.1.7. Antianemics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.1.8. Mineral supplements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.2. Parenteral administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.3. Topical administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.3.1. Antiseptics and disinfectants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.3.2. Dermatological protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
3.3.3. Anti-inflammatories and local anesthetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
3.3.4. Keratolytic reducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
3.3.5. Decongestive eye drops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179

⁎ Corresponding author.
E-mail addresses: carre@us.es (M.I. Carretero), manuel.pozo@uam.es (M. Pozo).

0169-1317/$ – see front matter © 2009 Elsevier B.V. All rights reserved.
doi:10.1016/j.clay.2009.10.016
172 M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181

4. Minerals in cosmetic products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179


4.1. Solar protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
4.2. Toothpaste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
4.3. Cosmetic creams, powders and emulsions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
4.4. Bathroom salts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
4.5. Deodorants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
5. Concluding remarks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180

1. Introduction Carretero, 2002; López Galindo and Viseras, 2004; Love, 2004;
Carretero et al., 2006, Droy-Lefaix and Tateo, 2006; Carretero and
Minerals have been used for therapeutic purposes since prehistoric Pozo, 2007; Del Hoyo, 2007; Lefort et al., 2007; Viseras et al., 2007, and
times (Galán et al., 1985; Bech, 1987; Veniale, 1997; Carretero et al., references therein). Not all the minerals mentioned in the Pharma-
2006; Gomes and Pereira Silva, 2006; and references therein). Besides copoeias, however, were included. This review provides a compre-
serving as either active ingredients or excipients in pharmaceutical hensive account of minerals used as active ingredients in
preparations, minerals have other medical uses. Carretero and Pozo pharmaceutical and cosmetic preparations. We have reviewed the
(2009) have reviewed the use of minerals in the pharmaceutical papers published until now (and the references therein) so as the
industry as excipients and minerals with other medical purposes, in Pharmacopoeias. In each case, we attempt to correlate the physical
relation to their physical and physico-chemical properties. and physico-chemical properties of the minerals, and their chemical
Minerals serving as active ingredients (i.e., having therapeutic composition with their pharmaceutical and cosmetic usages.
properties) may be administered either orally (by ingestion), or
topically (by application in the body surface). Some minerals, when 2. Minerals in pharmaceutical and cosmetic preparations
previously dissolved, may also be administered parenterally. As is the
case with excipients (Carretero and Pozo, 2009) minerals used as A large number of minerals are used as active ingredients in
active ingredients must undergo a series of purification treatments in pharmaceutical preparations as well as in cosmetic products. They come
order to meet the strict chemical, physical, and toxicological under the following groups: oxides (rutile, periclase, zincite), carbo-
specifications set out in the European or United States Pharmacopoeia. nates (calcite, magnesite, hydrocincite, smithsonite), sulphates (epso-
Of the nearly 4500 known minerals, only about thirty are used in mite, mirabilite, melanterite, chalcanthite, zincosite, goslarite, alum),
the pharmaceutical and cosmetic industries. Moreover, most of these chlorides (halite, sylvite), hydroxides (brucite, gibbsite, hydrotalcite),
are synthetic analogues since it is generally more economical to elements (sulphur), sulphides (greenockite), phosphates (hydroxyap-
synthesize minerals than to extract and purify the naturally occurring atite), nitrates (niter), borates (borax) and phyllosilicates (smectite,
minerals (Fig. 1). Clay minerals (phyllosilicates) are a notable palygorskite, sepiolite, kaolinite, talc, mica) (Table 1).
exception because their synthesis is difficult and expensive, while The therapeutic activity of these minerals is controlled by their
such natural minerals as calcite, halite or gypsum are used because physical and physico-chemical properties as well as their chemical
they are abundant and inexpensive. composition (Table 2). For example, minerals that are composed of
The use of clay minerals and non-silicate minerals as active non-toxic ions, and capable of reacting with acids can serve as
ingredients in pharmaceutical and cosmetic formulations is well antacids. They are also effective as antidiarrhoeaics, osmotic oral
documented (Galán et al., 1985; Veniale 1992, 1997; Bolger, 1995; laxatives, and mineral supplements because in reacting with

Fig. 1. Source of minerals used in pharmaceutical and cosmetic industries.


M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181 173

Table 1
Minerals used as active ingredients in pharmaceutical preparations and cosmetic products.

Mineral Chemical formulae Method of administration Therapeutic activity or cosmetic action

Oxides
Rutile TiO2 Topically Dermatological protector, solar protector
Periclase MgO Orally Antacid, osmotic oral laxative, mineral supplement
Zincite ZnO Topically Antiseptic and disinfectant, dermatological protector, solar protector

Carbonates
Calcite CaCO3 Orally, topically Antacid, antidiarrhoeaic, mineral supplement, abrasive and polishing
agent in toothpaste
Magnesite MgCO3 Orally Antacid, osmotic oral laxative, mineral supplement
Hydrozincite Zn5(CO3)2(OH)6 Topically Dermatological protector
Smithsonite ZnCO3 Topically Dermatological protector

Sulphates
Epsomite MgSO4.7H2O Orally, topically Osmotic oral laxative, mineral supplement, bathroom salts
Mirabilite Na2SO4.10H2O Orally, topically Osmotic oral laxative, bathroom salts
Melanterite FeSO4.7H2O Orally, topically Antianemic, mineral supplement
Chalcanthite CuSO4.5H2O Orally, topically Direct emetic, antiseptic and disinfectant
Zincosite ZnSO4 Orally, topically Direct emetic, antiseptic and disinfectant
Goslarite ZnSO4.7H2O Orally, topically Direct emetic, antiseptic and disinfectant
Alum KAl(SO4)2∙12H2O Topically Antiseptic and disinfectant, deodorant

Chlorides
Halite NaCl Orally, parenterally, Homeostatic, mineral supplement, decongestive eye drops, bathroom salts
topically
Sylvite KCl Orally, parenterally, Homeostatic, mineral supplement, bathroom salts
topically

Hydroxides
Brucite Mg(OH)2 Orally Antacid, osmotic oral laxative, mineral supplement
Gibbsite Al(OH)3 Orally Antacid, gastrointestinal protector, antidiarrhoeaic
Hydrotalcite Mg6Al2(CO3)(OH)16∙4H2O Orally Antacid

Others
Sulphur S Topically Antiseptic and disinfectant, keratolytic reducer
Greenockite CdS Topically Keratolytic reducer
Borax Na2B4O7∙10H2O Topically Antiseptic and disinfectant
Hydroxyapatite Ca5(PO4)3(OH) Orally Mineral supplement
Niter KNO3 Topically Anaesthetizer in toothpastes

Phyllosilicates
Smectites Montmorillonite:(Al1,67Mg0,33)Si4O10(OH)2M+0,33 Orally, topically Antacid, gastrointestinal protector, antidiarrhoeaic, dermatological
Saponite: Mg3(Si3,67Al0,33)O10(OH)2M+0,33 protector, cosmetic creams, powders and emulsions
Hectorite: (Mg2.67Li0,33)Si4O10(OH)2M+0,33
Palygorskite (Mg,Al,Fe3+)5(Si, Al)8O20(OH)2(OH2)4.4H2O Orally, topically Antacid, gastrointestinal protector, antidiarrhoeaic, cosmetic creams,
powders and emulsions
Sepiolite Mg8Si12O30(OH)4(OH2)4∙8H2O Orally, topically Antacid, gastrointestinal protector, antidiarrhoeaic, cosmetic creams,
powders and emulsions
Kaolinite Al2Si2O5(OH)4 Orally, topically Gastrointestinal protector, antidiarrhoeaic, dermatological protector,
anti-inflammatory and local anesthetic, cosmetic creams, powders
and emulsions
Talc Mg3Si4O10(OH)2 Topically Dermatological protector, cosmetic creams, powders and emulsions
Mica Muscovite: KAl2(Si3Al)O10(OH)2 Topically Cosmetic creams, powders and emulsions

hydrochloric acid of the stomach, cations disposable for absorption or (Table 2). Minerals with a high refraction index can be used as solar
capable to be effective in the bowel are liberated. Those minerals with protectors. Water-soluble species can be utilized as ingredients in
a high sorption capacity and a large specific surface area, can also toothpastes and bathroom salts. Those minerals with a high sorption
function as gastrointestinal and dermatological protectors, and anti- capacity and a large specific surface area can function as creams,
inflammatories and local anesthetics, while water-soluble species can powders and emulsions while minerals with proper hardness can act
be used as homeostatics, antianemics and decongestive eye drops. as abrasives in toothpastes. Highly opaque minerals and minerals of
Likewise, minerals with a high heat retention capacity can serve as high reflectance are used in creams, powders and emulsions. Likewise,
anti-inflammatories and local anesthetics, minerals with high astrin- minerals with high astringency are included in deodorants.
gency are used as antiseptics and disinfectants and minerals which Minerals with therapeutic activity may be administered to the
react with cysteine can serve as keratolytic reducers. patient orally, parenterally, or topically (Tables 3a, 3b and 3c). The
Occasionally, it is not essential that the mineral is composed of non- therapeutic action is often correlated with the physical and physico-
toxic ions in order that it may serve as an active ingredient in pharma- chemical properties of the mineral; in other instances, it is related to the
ceutical preparations. This applies to minerals that induce vomiting since ionic composition of the mineral. In common with organic active
they are quickly eliminated. These water-soluble minerals, composed of ingredients, minerals in contact with the human body will pass through
(toxic) Cu2+ and Zn2+ ions, are used as direct emetics. one or several of the following phases: liberation, absorption, distribu-
Minerals are also used in cosmetic products for their physical and tion, metabolism and excretion, which together are referred to by the
physico-chemical properties as well as their chemical composition acronym ‘LADME’ (Table 3a, 3b and 3c; Pla Delfina and del Pozo Ojeda,
174 M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181

Table 2 Table 2 (continued)


Physical and physico-chemical properties and chemical features for which the minerals Activity Mineral Physical and physico-chemical
are used as active ingredients in pharmaceutical preparations and cosmetic products. properties and chemical features
Activity Mineral Physical and physico-chemical Cosmetic products
properties and chemical features Cosmetic creams, Palygorskite Opacity and high sorption capacity
Pharmaceutical powders and Sepiolite
products emulsions Kaolinite
Antacids Calcite Reaction with acids (HCl); Smectites
Magnesite release of non-toxic ions Talc
Mica Micaceous habit and high reflectance
Periclase
Bathroom salts Halite High water solubility; release
Brucite
Gibbsite
Sylvite of Na+, K+ or Mg2+ ions
Epsomite
Hydrotalcite
Mirabilite
Palygorskite Surface adsorption of H+ and
Sepiolite decomposition in gastric acid; Deodorants Alum High astringent capacity
Smectites release of non-toxic ions
Gastrointestinal Gibbsite High sorption capacity and
protectors Palygorskite large specific surface area
Sepiolite 1974; Brunton et al., 2005). The type and number of phases will depend
Smectites on the nature of the mineral, the way of administration (oral, topical,
Kaolinite parenteral), and the kind of formulation (tablets, suspensions, powder,
Antidiarrhoeaics Gibbsite High sorption capacity and
etc.). Concerning the metabolism phase, minerals can induce or catalyze
Palygorskite large specific surface area
Sepiolite certain reactions within the organism, giving rise to products or
Smectites metabolites that must be excreted. It is in this sense that the term
Kaolinite ‘metabolism’ will be used here. Also, as is the case with (organic) drugs,
Gibbsite Decomposition in gastric acid; the metabolites of minerals exercise sometimes the therapeutic action.
Calcite release of Ca2+ or Al3+ ions
Osmotic oral Mirabilite High solubility in water and HCl;
laxatives Epsomite release of Na+ or Mg2+ ions and 3. Therapeutic activity of minerals used in pharmaceutical industry
Periclase non-toxic anions when ingested
Brucite Here we describe the therapeutic activity of minerals used in the
Magnesite
pharmaceutical industry, with special emphasis on the importance of
Homoeostatics Halite High solubility in water; release
Sylvite of Na+ or K+ ions and non-toxic physical and physico-chemical properties in controlling mineral activity.
anions when ingested
Direct emetics Chalcanthite Highly soluble Cu2+ and Zn2+ 3.1. Oral administration
Goslarite minerals
Zincosite
Antianemics Melanterite Highly soluble Fe2+ minerals Minerals that are administered orally to the patient may act as
Mineral Calcite Highly soluble in water and HCl; antacids, gastrointestinal protectors, antidiarrhoeaics, osmotic oral
supplements Magnesite release of essential ions laxatives, direct emetics, antianemics, homeostatics, or mineral supple-
Hydroxyapatite
ments (Table 3a).
Epsomite
Periclase
Brucite 3.1.1. Antacids
Halite Gastric acidity, arising from the excess production of hydrochloric
Sylvite acid in the stomach, can be effectively reduced by oral administration
Melanterite
Antiseptics and Sulphur High astringent capacity
of non-systemic antacids. Minerals can function as antacids through
disinfectants Borax two mechanisms: (a) neutralization of gastric acid and (b) adsorption
Chalcanthite of H+ ions to surface sites, leading to mineral decomposition. In both
Zincite cases, the minerals should be composed of non-toxic ions (Table 2).
Goslarite
Acid neutralization increases the pH of the gastric fluid from 1.5–2.0
Zincosite
Alum to ≥7, depending on mineral type. According to current opinion, an
Dermatological Kaolinite High sorption capacity; effective antacid is one that elevates the pH by 3–4 units, and causes
protectors Talc non-fibrous habit the disappearance of “free acidity”. When the pH of the gastric fluid
Smectites exceeds 7, ‘acid rebound’ may occur by which the parietal glands are
Zincite
Hydrozincite
stimulated in order to restore normal acidity.
Smithsonite Carbonates (calcite, magnesite), oxides (periclase), and hydroxides
Rutile (brucite, gibbsite, hydrotalcite) are widely used as antacids. Since calcite
Anti-inflammatories Kaolinite High absorption and heat tends to cause ‘acid rebound’, it should only be administered in treat-
and local anesthetics retention capacities
ments of short duration. The neutralization by minerals of hydrochloric
Keratolytic reducers Sulphur Reaction between the sulphur
Greenockite and the cysteine in keratinocytes acid in the stomach may be represented by the following reactions:
Decongestive Halite Na+ mineral; high water solubility
eye drops þ 2þ
XCO3 þ 2H →X þ CO2 þ H2 O X ¼ Ca; Mg
Cosmetic products
þ 2þ
Solar protectors Rutile High refraction index MgO þ 2H →Mg þ H2 O
Zincite
Toothpastes Niter +
Non-toxic K minerals; high water þ 2þ
MgðOHÞ2 þ 2H →Mg þ 2H2 O
solubility
Calcite Non-toxic; hardness is inferior to þ 3þ
that of enamel AlðOHÞ3 þ 3H →Al þ 3H2 O

þ 2þ 3þ
Mg6 Al2 ðCO3 ÞðOHÞ16 ∙ 4H2 O þ 18H →6Mg þ 2Al þ CO2 þ 21H2 O
M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181 175

Table 3a
Therapeutic activity, kind of formulation and LADME process of minerals orally administered to the patients (in grey colour are marked the phases of LADME process that happen).

Oral administration LADME process

Therapeutic Mineral Kind of Liberation Absorption Distribution Metabolism Excretion


activity formulation
Disintegration Dissolution Diffusion
Antacids Calcite, magnesite, Tablets For tablets It is the Of Of Of Mg2+, Al3+, Faeces
periclase, brucite, Suspensions therapeutical metabolites metabolites metabolites Ca2+ Kidney:
gibbsite, hydrotalcite Powders action except Al3+ except Al3+ CO2 (gas) Mg2+, Ca2+
Buccal
conduit:
CO2

Palygorskite, Tablets For tablets It is the Of Of Of Silica gel Faeces


sepiolite, smectites Suspensions therapeutical metabolites metabolites metabolites Mg2+, Al3+ Kidney: Mg2+
Powders action except except
together silica gel silica gel
with the and Al3+ and Al3+
adsorption
of H+ ions

Gastrointestinal Gibbsite, Tablets For tablets Except for Of Of Silica gel Faeces
protectors palygorskite, Suspensions kaolinite metabolites metabolites Mg2+, Al3+ Kidney:
sepiolite, kaolinite, Powders except silica except silica Ca2+ Ca2+
smectites gel and Al3+ gel and Al3+ Mg2+

Antidiarrhoeaics Calcite, gibbsite Tablets For tablets Of Of Al3+, Ca2+ Faeces


Suspensions metabolites metabolites CO2 (gas) Kidney:
Powders except Al3+ except Al3+ Ca2+
Buccal
conduit:
CO2

Kaolinite, palygorskite, Tablets For tablets Except Of Of Mg2+, Al3+, Faeces


sepiolite, smectites Suspensions for kaolinite metabolites metabolites Ca2+ Kidney:
Powders except silica except silica Silica gel Ca2+, Mg2+
gel and Al3+ gel and Al3+

Osmotic oral Mirabilite, epsomite, Solutions Periclase Of Of Na+, Mg2+ Faeces


2-
laxatives periclase, brucite, Granulated Brucite metabolites metabolites SO4 Perspiration
magnesite Suspensions Magnesite CO2 (gas) and saliva:
Na+
Kidney:
Mg2+, Na+
Biliar
vesicle:
SO42-
Buccal
conduit:
CO2

Homoeostatics Halite, sylvite Solutions Kidney


Perspiration
Saliva

Direct emetics Chalcanthite, Solutions Low Low Low Buccal


goslarite, zincosite concentration concentration concentration conduit
Kidney,
faeces

Antianemics Melanterite Drinkable Fe2+ → Fe3+ Faeces


blisters Kidney
Biliar
vesicle:
2-
SO4
-
Mineral Calcite, magnesite, Tablets PO43 , Ca2+, Faeces,
supplements hydroxyapatite, Mg2+, Na+, kidney
epsomite, K+, Fe2+ Perspiration,
periclase, brucite, CO2 (gas) saliva
halite, sylvite, SO42- Buccal
melanterite conduit:
CO2
Biliar
vesicle:
SO42-

LADME process phases for the different applications.


176 M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181

Table 3b
Therapeutic activity and LADME process of minerals parenterally administered to the patients (in grey colour are marked the phases of LADME process that happen).

Parenteral administration LADME process

Therapeutic activity Mineral Liberation Absorption Distribution Metabolism Excretion


Disintegration Dissolution Diffusion
Faeces
Kidney
Antianemics Melanterite Fe2+ → Fe3+ Biliar vesicle:
2-
SO4
Kidney
Homoeostatics Halite, sylvite Perspiration
Saliva

LADME process phases for the different applications.

The main reaction products are CO2 (gas) together with Mg2+, Ca2+, therapeutic process (metabolites) are mainly Ca2+, Mg2+ and Al3+
and Al3+ ions. ions (in solution); silica gel when clay minerals are used; and CO2
Gastric acidity may also be reduced through adsorption of H+ ions (gas) in the case of carbonates.
(protons) to the mineral surface. The clay minerals (palygorskite, Carbon dioxide is usually emitted through the esophagus and
sepiolite, montmorillonite, saponite, or mixtures of any two) can act buccal conduit, and can sometimes give rise to flatulence as a
as antacids through this mechanism. The main reaction products are secondary effect. The Ca2+ and Mg2+ ions mostly pass to the bowel
silica gel, structural cations from the octahedral or tetrahedral sheet although a portion (15–30%) is absorbed into the blood. The
(Mg2+, Al3+), and interlayer cations in the case of smectite. Kaolinite absorption of Ca2+ ions in the small bowel is promoted by vitamin
is not used as an antacid because it has a low capacity for neutralizing D in its active form (1,25-dihydroxicolecalciferol). The absorbed Ca2+
acids and adsorbing protons. is eliminated through the kidney. The same applies to Mg2+ ions
Minerals, acting as antacids, are usually administered in the form unless renal insufficiency exists in which case the use of Mg-rich
of tablets, suspensions, or powders. Within the LADME process minerals as antacids is dissuaded. The unabsorbed portion (70–85%)
(Table 3a), tablets should go through the liberation phase during of these divalent cations is excreted through the faeces. By forming
which they disintegrate and the mineral, acting as active ingredient, is insoluble salts, Al3+ ions are not absorbed in the gastrointestinal tract,
released. This phase happens in the stomach or in the oral cavity in and pass through the faeces. The same applies to insoluble silica gel,
function of the kind of formulation (oral or buccal tablets, respec- derived from clay minerals. The continual use of clay minerals as
tively). This phase does not occur when minerals are administered as antacids, however, may lead to the formation of renal silica calculi
suspensions or powders. The dissolution phase is the therapeutical (Joekes et al., 1973; Levison et al., 1982).
action and the diffusion, absorption and distribution phases only Passage of Ca2+, Mg2+ and Al3+ ions to the bowel can produce
occur for the metabolites. The reaction products released during the various secondary effects depending on the nature of the cation. For

Table 3c
Therapeutic activity, kind of formulation and LADME process of minerals topically administered to the patients (in grey colour are marked the phases of LADME process that happen).

Topical administration LADME process

Therapeutic Mineral Kind of Liberation Absorption Distribution Metabolism Excretion


activity formulation
Disintegration Dissolution Diffusion

Sulphur, chalcanthite, Lotions Low Low Low


zincite, goslarite, Drops Kidney, faeces
concentration concentration concentration
zincosite Powders
Antiseptics and
disinfectants Borax, alum Lotions
Drops
Powders

Kaolinite, talc,
Creams
Dermatological smectites, zincite, Creams
Ointments
protectors hydrozincite, Ointments
Powders
smithsonite, rutile

Anti-inflammatories
Kaolinite Poultices
and local anesthetics

Creams
Ointments
Keratolytic reducers Sulphur, greenockite Lotions Low Low Faeces
Shampoo concentration concentration
suspensions
Kidney
Decongestive eye Low Low Lachrymal
Halite Collyrium
drops concentration concentration Perspiration
Saliva

LADME process phases for the different applications.


M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181 177

example, Ca2+ ions give rise to constipation by forming insoluble capacity, and be non-toxic to organisms (Table 2). Besides removing
hydrated phosphates. Similarly, Al3+ ions can form insoluble hydro- excess water and compacting the faeces, effective antidiarrhoeaics can
xides, fatty acid salts, and phosphates. Since these compounds are adsorb excess gases from the digestive tract.
partially desiccated in the colon-rectum, the faeces that forms is Clay minerals, such as kaolinite, palygorskite, sepiolite, and
powdery and difficult to evacuate. The resultant constipation may smectites (e.g., montmorillonite) are widely used as antidiarrhoeaics.
even cause intestinal obstruction. On the other hand, Mg2+ ions exert Prior to usage, palygorskite, sepiolite and smectites are normally
a laxative effect, causing frequent and liquescent defecations. In “activated” by heating or acid treatment in order to enhance their
practice, these secondary effects may be suppressed by using a sorption capacity (Jones and Galán, 1988; Vicente Rodríguez et al.,
mixture of several minerals containing different cations. The 1995; Christidis et al., 1997), and hence their antidiarrhoeaic
combination of different antacids has the added advantage of efficiency. We should point out that these clay minerals except
prolonging the therapeutic effect of the pharmaceutical preparation. kaolinite can undergo partial degradation in the acidic medium of the
A case in point is the combination of gibbsite and brucite. The latter stomach (Novak and Čičel, 1978; Corma et al., 1987; Tkáč et al., 1994;
mineral acts very quickly, while gibbsite is relatively slow-acting. Vicente Rodríguez et al., 1994; Galán et al., 1999). The silica gel
Their combined administration will therefore enhance both the action produced has a high sorption capacity and can contribute to the
and duration of the antacid effect. antidiarrhoeaic action. The long-term use of clay minerals antidiar-
rhoeaics is not recommended because of the risk of renal silica calculi
3.1.2. Gastrointestinal protectors (kidney stone) formation (Joekes et al., 1973; Levison et al., 1982).
The effect of a peptic ulcer is to decrease the thickness of the Calcite and gibbsite (Table 2) also feature as antidiarrhoeaics. In
gastro-duodenal mucous membrane. By impeding contact between this case, the therapeutic action may be ascribed to the release of Ca2+
gastric enzymes and mucous cells, the mucosa protects the cells from ions (from calcite) and Al3+ ions (from gibbsite), followed by the
being damaged. As the thickness of the mucous membrane formation of insoluble salts in the bowel as previously mentioned.
diminishes, the mucolytic activity of gastric enzymes increases, The LADME process in this case is similar to that of the antacids
requiring the application of mineral sorbents. To be effective, such and gastrointestinal protectors (Table 3a).
minerals should have a large specific surface and a high sorption
capacity. They should also be non-toxic to organisms. Minerals used as 3.1.4. Osmotic oral laxatives
gastrointestinal protectors include metal hydroxides (e.g., gibbsite) Oral laxatives have active ingredients that induce defecation, or
and clay minerals (e.g., palygorskite, sepiolite, kaolinite, smectites) bowel evacuation prior to radiological examination, endoscopy, or
(Table 2). surgery. Oral laxatives act by osmosis, irritating the small bowel or the
By adhering to the gastric and intestinal mucous membrane, these colon-rectum.
minerals diminish irritation and gastric secretion, take up gases, Minerals used as oral laxatives contain Na+ or Mg2+ ions and non-
toxins, bacteria, and even viruses (Droy-Lefaix and Tateo, 2006). The toxic anions, and have a high solubility in water or hydrochloric acid
mode of action involves increasing the viscosity and stability of the (Table 2). Examples are mirabilite, epsomite, periclase, brucite and
gastric mucus, and decreasing the degradation of glycoproteins in the magnesite. Sodium and magnesium ions exert their therapeutic action
mucus (López Galindo and Viseras, 2004; Droy-Lefaix and Tateo, as they spread through the stomach's fluids and reach the small bowel
2006). Since these minerals can also remove enzymes, vitamins, and where they increase the osmotic pressure of the intestinal contents.
other vital substances, their continual and prolonged administration is This induces water to pass from the blood plasma through the bowel
not recommended. wall in order to re-establish osmotic balance. As a result, there is a
By binding the mucous components, smectites can completely considerable increase in the volume of the bowel's contents which, in
inhibit the damage induced by pepsin (Leonard et al., 1994). turn, stimulates the propulsive motor activity of the smooth intestinal
Nevertheless, smectites do not provide long-term protection. Although muscle. This effect continues in the colon-rectum, producing liquid
smectites can quickly adhere to the gastric mucosa, they are rapidly faeces. The intensity of the laxative action depends on mineral
degraded by contact with the acidic medium of the stomach and/or solubility, cation concentration in the intestinal liquid, rate of cation
bowel. Indeed, in vivo studies with rats indicate that the coating capacity absorption, and osmotic pressure that it exerts. The laxative activity of
of the smectites decrease after only 10 min of ingestion. minerals decreases in the order: mirabilite N epsomite N periclase N
Gastrointestinal mineral protectors are orally administered to the brucite N magnesite.
patient in the form of tablets, suspensions, or powders. The LADME The highly water-soluble mirabilite and epsomite are orally
process of these minerals (Table 3a) consists of a disintegration phase administered as a solution, or as dissolved granules. Sparingly soluble
in the case of tablets, and diffusion of the active ingredients to the minerals are usually administered as suspensions, and dissolve in the
gastric and/or intestinal wall where their therapeutic action is acidic medium of the stomach.
exercised. The absorption and distribution phases happen for In order to exercise their therapeutic action, the cations must spread
metabolites, except for silica gel and Al3+. Excretion is essentially through the fluids of the stomach until they reach the bowel. Sulphate,
carried out through the faeces. With the exception of acid-stable sodium, and magnesium ions are largely excreted through the faeces but
kaolinite, all the minerals used as gastrointestinal protectors will between 15 and 20% cross the intestinal wall, enter the blood plasma,
dissolve to varying extents, releasing Mg2+, Al3+, and silica gel as has and are eliminated through the kidney (Na+ and Mg2+), by perspiration
just been described for antacids. and saliva (Na+), or through the bile duct (SO2− 4 ). In the latter case, the
anion can return to the bowel, and be excreted through the faeces.
3.1.3. Antidiarrhoeaics When magnesite is used, the CO2 produced by reaction with hydro-
Diarrhoea is either an acute or chronic pathological state, chloric acid in the stomach is eliminated through the buccal conduit
characterized by increased fluidity of the faeces and frequency of (Table 3a).
evacuation. Diarrhoea may be caused by bacterial infection, intoxica-
tion, defective intestinal absorption, allergy, etc. Treatment must 3.1.5. Homoeostatics
therefore focus on eliminating its cause although the symptoms of Homoeostasis refers to the tendency toward electrostatic equilib-
diarrhoea may be eliminated using drugs that act by antidiarrhoeaics. rium between body liquids. Water is the main liquid constituent of
Most drugs against diarrhoea act by reducing the quantity of liquid living organisms, making up about 60% of body weight. Mineral
that arrives in the colon from the thin bowel. Minerals used as substances are also indispensable for the maintenance of life, since
antidiarrhoeaics should have a high specific surface and sorption they are actively involved in regulating osmotic pressure, acid-base
178 M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181

equilibrium, and diverse organic functions. During dehydration the terite. Besides containing the above-mentioned ions, these minerals are
loss of water is always accompanied by the loss of electrolytes of highly soluble in water and hydrochloric acid (Table 2).
which Na+ and K+ ions are the most important. Therefore water- Mineral supplements are usually administered orally as tablets.
soluble minerals containing Na+ or K+ ions (and their complemen- They have all the phases of the LADME process (Table 3a).
tary non-toxic anions) act as homoeostatics (Table 2). The most
commonly used minerals are halite and sylvite. 3.2. Parenteral administration
These minerals are administered as saline solutions, either orally
in mild cases or parenterally in very severe cases. The LADME process In severe cases, minerals used as antianemics (melanterite) and
for oral administration consists of diffusion, absorption, distribution, homoeostatics (halite and sylvite) may be administered parenterally
and excretion (Table 3a). Excretion is largely effected through urine, in a dissolved form. As such, the distribution and excretion phases of
although these ions may also be excreted through perspiration and the LADME process apply. Diffusion and absorption phases do not
saliva. Ions excreted through saliva would return to the gastrointes- happen in this administration way because they are administered
tinal tract, and begin a new cycle. directly in the blood stream. In the case of antianemics the
metabolism phase also occurs. The excretion mechanisms are the
3.1.6. Direct emetics same as for oral administration (Table 3b).
Emetics are substances that cause vomiting. Being absorbed by,
and distributed through, the blood plasma, emetics can act directly on 3.3. Topical administration
the nerve endings of the stomach, or indirectly on the vomit centre in
the medulla oblongata. Chalcanthite, goslarite and zincosite have been Minerals can be administered to the patient topically as antiseptics
used as emetics. They contain Cu2+ and Zn2+ ions, are highly soluble and disinfectants, dermatological protectors, anti-inflammatories and
in water (Table 2), and act directly. These cations irritate the gastric local anesthetics, keratolytic reducers and decongestive eye drops
mucosa, and stimulate the vomit centre. When vomiting is delayed, (Table 3c).
however, the ions can move to the bowel causing intestinal colic and
diarrhoea. For this reason, these minerals are not used as much as in 3.3.1. Antiseptics and disinfectants
past centuries (Del Amo y Mora, 1871) to treat acute poisonings. Antiseptics are substances that inhibit microbial growth or destroy
Chalcanthite is also useful as an antidote in phosphorus poisoning. microorganisms in living tissues. Disinfectants have the same action
The copper phosphide formed in the stomach, is much less caustic as antiseptics but are applied to surfaces of inanimate objects. Some
than phosphorus and cover the stomach impeding its caustic action. substances can be used as both antiseptic and disinfectant.
Vomiting eliminates most of the copper and phosphide. Mineral antiseptics and disinfectants have a high astringent
Mineral emetics are administered orally as aqueous solutions. The capacity (Table 2). Sulphur, borax, chalcanthite, zincite, goslarite,
LADME process consists mainly of two phases: (1) diffusion through the zincosite, and alum are widely used in liquid forms (lotions, drops) or
gastric fluid to the stomach wall where the therapeutic action takes as solids (powders). The antiseptic or disinfectant activity of these
place by irritation of the mucous gastric nerves; and (2) excretion minerals is largely controlled by their concentration. We should
through the oral cavity as vomit (Table 3a). emphasize that at high concentrations these substances are corrosive
and highly toxic to organisms because they can be readily absorbed by
the skin. For this reason, they should not be applied continually over
3.1.7. Antianemics extensive areas of skin, or spread over broken skin.
Anemia is a blood dysfunction caused by a deficiency of red blood Sulphur is used as a soft antiseptic and disinfectant. Borax acts as a
cells, or a low concentration of hemoglobin. The body needs iron to weak bacteriostatic and soft astringent agent. Historically, borax was
manufacture hemoglobin. If there is not enough available iron, used as a disinfectant in the form of skin lotions, and eye-, nose-, and
hemoglobin production is limited and this affects the production of mouth-washes. It is also used as lotions for colutories and gargles for
red blood cells. Ferrous ions are much less irritating to, and more aphthous ulcers and stomatitis. Chalcanthite is used as an astringent
quickly absorbed by, the organism than are ferric ions. Melanterite is and fungicide solution. The oxides and sulphates of zinc are used as
widely used as an antianemic because this mineral is highly soluble in astringent lotions for painless ulcers, and as gargles and astringent
water, and contains Fe2+ ions in its structure. colutories. They are also used as ophthalmic drops (0.25% solutions)
Melanterite is generally administered orally as a drink but in to treat conjunctivitis and chronic cornea inflammation. Alum (1–4%
severe cases, it is administered parenterally. When orally taken, all solutions) is used in gargles and colutories for stomatitis and faringitis.
phases of the LADME process are in place (Table 3a). The liberation On the other hand, in solid form (powder), alum is also applied as a
phase consists of diffusion to the small bowel where absorption of Fe2+ hemostatic agent (to inhibit hemorrhages) for cuts or superficial skin
ions occurs. These ions then passes to the blood plasma where they damage.
bind to transferrin, a glycoprotein (globulin β), and convert into the The LADME process of these minerals comprises diffusion of the
ferric form which is then transported to the bone marrow for active ingredient. In some cases, they are absorbed in low concentra-
incorporation into hemoglobin. The iron is eventually stored in cells tion and excreted by the kidney and faeces (Table 3c).
that belong to the reticuloendothelial system: liver, spleen, and bone
marrow. Not all of the iron, however, is stored. Some of the supplied 3.3.2. Dermatological protectors
iron is excreted through the faeces, and some of the absorbed iron is As the name suggests, dermatological protectors are creams,
eliminated through urine. Sulphate ions are eliminated through the ointments, and powders that protect the skin against external agents
gallbladder, or pass to the bowel through the common bile duct, and and, occasionally, against exudations and liquid excretions. Minerals
evacuated as faeces. with a high sorption capacity are used as dermatological protectors
(Table 2). Fibrous minerals (palygorskite, sepiolite), however, are
3.1.8. Mineral supplements excluded due to their possible carcinogenic effect when inhaled
Mineral supplements are administered in situations of physical (Guthrie and Mossman, 1993; Wagner et al., 1998; Carretero et al.,
weakness, convalescence, or asthenia in order to remedy slight 2006). Suitable minerals are kaolinite, talc, smectites (e.g., montmo-
deficiencies of essential ions, such as PO3−
4 , Ca
2+
, Mg2+, Na+, K+ and rillonite), zincite, hydrozincite, smithsonite and rutile. These minerals
2+
Fe . The minerals used for this purpose are calcite, magnesite, can adhere to skin to form a film, which provides (mechanical)
hydroxyapatite, epsomite, periclase, brucite, halite, sylvite, and melan- protection against external physical and chemical agents. By taking up
M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181 179

skin exudations and creating a surface for evaporation, such minerals Halite is the principal mineral used for this purpose because it is
also have a refreshing action. In addition, they exert a soft antiseptic highly soluble in water. The mineral, previously dissolved, is
action by producing a water-poor medium that is unfavourable to administered in the form of an isotonic collyrium.
bacterial growth. Indeed, some of these minerals (e.g., kaolinite, talc, The LADME process consists of a diffusion phase until the ocular
smectites) are good sorbents of dissolved or suspended substances membrane. Absorption is limited and the excretion takes place
(greases, toxins), bacteria and viruses. through the kidney, the lachrymal and nasal ducts, perspiration and
Since these minerals are applied as creams, powder and ointments, saliva (Table 3c).
the LADME process only consists of a diffusion phase through the
semifluid medium until they reach the skin (Table 3c). The other 4. Minerals in cosmetic products
LADME phases do not occur because these minerals are not absorbed
through the skin, and hence do not give rise to secondary effects. Minerals are used in cosmetic products as solar protectors, tooth-
pastes, creams, powder and emulsions, bathroom salts and deodorants.
3.3.3. Anti-inflammatories and local anesthetics
Inflammation is a reaction of the organism against an irritating or
4.1. Solar protectors
infectious agent. It can produce pain, swelling, reddening, rigidity or
loss of mobility, and heat in the affected area. When the inflammation
Solar protectors are substances that can minimize skin damage by
is produced by sprains or muscular stretching, the associated pain can
preventing solar ultraviolet radiation from penetrating the skin.
be alleviated by applying some cold compresses, relaxation, and the
Minerals used as solar protectors must have a high refractive index
complete immobilization of the affected area. Sometimes, in the
and good light-scattering properties.
treatment of musculoskeletal disorders, rheumatism, trauma or
Rutile and zincite fulfil these requirements. Natural rutile, however,
stress, hot poultices are also used, because the heat is also a
is not used; rather, the synthetic analogous obtained of rutile or ilmenite
therapeutic agent. These therapeutic actions may be enhanced by
feature as solar protectors. Synthetic titanium dioxide is white and has a
using minerals with adsorbent and heat retention properties of which
very high refractive index (n = 2.70). This mineral is an excellent solar
kaolinite is the most common. It is topically applied as a poultice to
protector because it reflects ultraviolet radiation when applied to skin as
reduce inflammation and alleviate pain.
a fine layer. It is also more effective than other photosensitive organic
In this case there are no phases of the LADME process.
compounds because of its high stability against photodegradation. The
light-scattering ability of the mineral is controlled by particle size. For
3.3.4. Keratolytic reducers
example, titanium dioxide with an average particle size of 230 nm
Keratolytic reducers act on the corneous, superficial layer of the
scatters visible light, while its counterpart with an average particle size
epidermis, reducing its thickness, or causing its peeling. They are used
of 60 nm scatters ultraviolet light and reflects visible light (Hewitt,
to treat cutaneous affections, such as seborrheoic dermatitis, psoriasis,
1992).
chronic eczemas or acne.
The disadvantage of using (synthetic) titanium dioxide is that it
Sulphur and greenockite are effective keratolytic reducers. Sulphur
gives a white appearance to the skin. Transparent sunscreen
has been used extensively in dermatology for its keratolytic effect and
ointments presently use TiO2 with a very small particle size. A
its supposed antimicrobial effect. The keratolytic effect of sulphur is
particle size of 50 nm is considered optimum in that it provides good
probably due to the reaction between the sulphur and the cysteine in
protection against ultraviolet radiation while the dispersion of visible
keratinocytes forming hydrogen sulphide. Hydrogen sulphide can
light is such that the cream is not white on the skin. Nanosize TiO2 is
break down keratin, thus demonstrating sulphur's keratolytic activity.
extensively used in sunscreen lotions (Jaroenworaluck et al., 2006).
The smaller the particle size, the greater is the degree of such
Zincite is also used as a solar protector because its physical properties
interaction and therefore the therapeutic efficacy. The supposed
are similar to those of titanium dioxide although its refractive index is
antimicrobial effect depends on the conversion of sulphur to
smaller (n = 2.02).
pentathionic acid, which is toxic to fungi, by the normal skin flora
or the keratinocytes. The keratolytic properties may promote fungal
shedding from the stratum corneum. Sulphur has an inhibitory effect 4.2. Toothpaste
on the growth of Propionibacterium acnes as well as Sarcoptes scabiei,
some Streptococci, and Staphylococcus aureus. This suggested anti- Minerals are used in toothpaste for two purposes: (a) formulation
bacterial activity purportedly results from the inactivation of for sensitive teeth, and (b) as abrasives or polishing agents.
sulfhydryl groups contained in bacterial enzyme systems. The precise Minerals comprising potassium and non-toxic anions with a high
mechanism of action is still unknown (Shapiro and Maddin, 1996; solubility in water are used in toothpaste formulated for sensitive
Gupta and Nicol, 2004; Sanfilippo and English, 2006). teeth (Table 2). Niter is a prime example because it contributes K+
Cadmium sulphide, applied as shampoo or a suspension in an ions when the mineral dissolves on contact with saliva. These ions act
alkaline detergent base, is effective against dandruff and seborrhoea. on nerve endings inside the dentine, inhibiting transmission of painful
Although it is not absorbed by the scalp, cadmium sulphide is very stimuli (Orchardson and Gillam, 2000; Wara-aswapati et al., 2005).
toxic when ingested, and hence has fallen into disuse. Sulphur has We have included toothpaste formulated for sensitive teeth in
traditionally been applied as lotions, ointments, and creams to treat cosmetic products, but this product could be also included in
acne. Since these minerals are applied as shampoo, suspensions, pharmaceutical products because it has a therapeutic action, is sold
lotions, ointments and creams, they are practically not absorbed, in only in pharmacies and in most cases are prescribed by doctors.
fact about only 1% of topically applied sulphur is systemically Calcite is used as an abrasive/polishing agent because it is non-
absorbed. Adverse effects from topically applied sulphur are uncom- toxic to organisms, while its hardness of 3 (in the Mohs scale) is less
mon and are mainly limited to the skin (Lin et al., 1988). than that of tooth enamel (5 in the Mohs scale).

3.3.5. Decongestive eye drops 4.3. Cosmetic creams, powders and emulsions
Minerals are used in ophthalmology as decongestive eye drops to
treat eye dryness, stinging and weeping induced by smoke, dust, or Creams, powders, emulsions used as cosmetic products are applied
air-borne particles, light ocular irritation, and problems of visual to external parts of the body in order to embellish or modify physical
fixation. appearance, or preserve the physico-chemical conditions of skin.
180 M.I. Carretero, M. Pozo / Applied Clay Science 47 (2010) 171–181

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Basis of Therapeutics, 11e. Ed. McGraw-Hill.
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