Changes in quality specifications of drug products can potentially influence therapeutic efficacy and even result in an unacceptable clinical drug safety profile. In this regard, semisolids possess many quality attributes that may affect the drug permeation through the skin and thus their therapeutic efficacy (
1). Water content is recognized as one of the critical quality attributes of topical semisolid dosage forms because after applying topical dosage forms on the skin, their volatile components, including water evaporate (
2). For example, in the case of emulsions, the partial volume of oil and water phases can affect the type of emulsion (W/O or O/W) (
3), drug release and penetration (
4), and thermodynamic activity of the drug (
5). Some studies carried out on the liquid emulsions have shown that during the application of an emulsion, the volatile components evaporate and, therefore, phase inversion (
6), flocculation (
7), coalescence (
7,
8), and change of evaporation rate (
8) may occur. In addition, studies on emulsions have indicated that the type of emulsion (O/W or W/O) affects skin drug delivery significantly. Due to the evaporation of the volatile components of the emulsions, there is a possibility of resizing the droplets. Besides, some studies have shown that the skin penetration depends on the size of the droplets in the emulsion, so that in the same conditions, the smaller the size of droplets, the more the probability of skin absorption of drug molecules (
9).
Creams are semisolid emulsions, and it is anticipated that after applying creams on the skin and subsequent water evaporation, their physical properties would change. As most O/W creams are applied and rubbed onto the skin as a thin film, a dynamic evaporating film generates. In this way, the relative concentrations of the volatile ingredients change. Subsequently, the dissolution and partitioning environment alters. Thus, the rapid evaporation may temporarily supersaturate the film, increasing the thermodynamic activity and drug permeation (
10). It has been shown that in the case of hydrocortisone O/W creams containing a nonionic emulsifier, by increasing the amount of water in the cream to 60%, although the in-vitro release of hydrocortisone was delayed, the amount of release increased, possibly due to a change in the liquid crystalline microstructure of the cream (
4). A study carried out on liquid emulsions composed of soya oil, polysorbate 80 and water have shown that during the application of the emulsion, the volatile components evaporate and phase inversion occurs (
6). On the other hand, studies on the emulsions have indicated that the type of emulsion (O/W or W/O) affects the skin drug delivery significantly. For example, the skin penetration of hydrophilic drugs increases when they are in the continuous phase of an O/W emulsion (
11).
Although creams' physical properties and water content are introduced as a critical quality attribute, which may affect the quality of formulation and its efficacy, there is no study on the effects of water content changes on the quality of creams after application over time. Therefore, in this investigation, the water content of different types of creams as a variable parameter has been studied, especially after application on the skin over time. Besides, the correlation between the water content of formulations and rate of water loss, droplet size, emulsion type, and occlusivity have been studied. Furthermore, an in-vitro model for studying the water content and other physicochemical properties of cream has been introduced and compared with cream applied on mouse skin.