Study of Natural Excipients in Liquid Dosage Forms

Review Article | DOI: https://doi.org/10.31579/2639-4162/254

Study of Natural Excipients in Liquid Dosage Forms

  • A. Krishna Sailaja
  • Bayya Hrushitha
  • Bandra Ausha
  • Chinthakunta Deepika Reddy
  • Kommireddy Tejaswini

Department of Pharmaceutics, RBVRR Women’s college of Pharmacy, Hyderabad.

*Corresponding Author: A. Krishna Sailaja, Bayya Hrushitha, Department of Pharmaceutics, RBVRR Women’s college of Pharmacy, Hyderabad.

Citation: A. Krishna Sailaja, Bayya Hrushitha, Bandra Ausha, Chinthakunta Deepika Reddy, Kommireddy Tejaswini., (2025), Study of Natural Excipients in Liquid Dosage Forms, J. General Medicine and Clinical Practice, 8(3); DOI:10.31579/2639-4162/254

Copyright: © 2025, A. Krishna Sailaja. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 07 February 2025 | Accepted: 21 February 2025 | Published: 28 February 2025

Keywords: sportswomen/female athletes; single combats; freestyle wrestling; classical wrestling; sexual somatotypes; masculinization

Abstract

Liquid dosage forms can be administered by oral and parenteral (injectable, inhalation, ophthalmic, optical, nasal, and topical) routes. Oral liquids are nonsterile, whereas liquids administered by the parenteral route are both sterile and nonsterile mixtures. The liquid formulations may be provided as reconstitute powders or as ready-to-use liquids. This article describes manufacturing procedures, quality assurance and control, physicochemical parameters that affect liquid formulation characteristics, and regulatory requirements for the production of both sterile and nonsterile liquids. 

Introduction

Liquids are pourable dosage forms and can be solutions or dispersions. In contrast to liquid dispersions, which can be two-phase or multi-phase systems made up of one phase dispersed through another phase or phases, pharmaceutical solutions are transparent, uniform, single-phase systems that contain one or more drug ingredients dissolved in one or more solvents. Micelles (surfactant solutions), lipid vesicles (liposomes), solid particles (suspensions), and oil droplets (emulsions) can all make up the dispersed phase.

                                                                                                              Figure 1: Liquid dosage forms

Advantages of liquid dosage forms

  • For individuals who have trouble swallowing pills or capsules, such as elderly or paediatric patients, liquid dose forms (for oral administration) are the best option. 
  • They have positive psychological impacts and are aesthetically pleasing. 
  • . Sweetened, coloured, and flavoured vehicles can be used to provide medications with an unpleasant and bitter taste. 
  • Compared to solid dosage forms like tablets and capsules, there is more dosing flexibility. Measuring a varied volume makes it simple and convenient to change the medication substance's dosage. 
  • Compared to tablets and capsules, liquid dosage forms are more quickly absorbed when taken orally
  •  Hygroscopic and deliquescent medicaments which are not suitably dispensed in solid dosage forms can easily be given in liquid dosage form.
  • The products like adsorbents and antacids are more effective in liquid dosage form.
  • The liquid dosage form is expected for certain types of products like cough medicaments [1]
     FormulationDescription
          Syrups Syrups are concentrated, aqueous preparations of sugar or sugar substitutes intended for oral administration of bitter-tasting drug substances
           Oral solutionsOral solutions are liquid preparations intended for oral administration. Oral solutions contain one or more active substances and inactive excipients
            ElixirsElixirs are clear, sweetened, hydroalcoholic (5@%) solutions intended for oral use. Nonmedicated elixirs are employed as vehicles for medicated elixirs.
 Ophthalmic solutionsOphthalmic liquid products are sterile preparations intended for application to the conjunctiva, conjunctival sac, or eyelids.
  Nasal solutions   Most nasal solutions are administered as nasal drops or sprays for local and systemic purposes. 
                  Enemas   Enemas are oily or aqueous solutions that are administered rectally.
                SuspensionsSuspension is a liquid dosage form of poorly water-soluble drug(s) dispersed in a liquid medium
                EmulsionsEmulsions are liquid disperse systems consisting of two immiscible phases, one of which is dispersed as globules in the other liquid phase.[37]

                                                                                                 Table: -1 Different types of dosage forms

SYRUPS: Syrups are concentrated, aqueous preparations of p0370 sugar or sugar substitutes intended for oral administration of bitter-tasting drug substances. Nonmedicated or flavoured vehicles (syrups) are syrups that contain flavouring compounds without the use of drugs. When making medicated syrups or impromptu compounding prescriptions, these syrups act as tasty carriers for medicinal ingredients that will be added later. The taste of pharmacological compounds is covered up by syrup carriers with the right amount of sweetness and viscosity. 

Advantages of natural syrups:

  • No side effects
  • Harmless
  • Easily available
  • Easy to adjust the dose for child’s weight 
  • No nursing is required, which main and the patient can take it with no help
  • The liquid dosage form is executed for products like cough medicines.
  • Herbs Grow in common place
  • Antioxidant   by   retarding   the   oxidation   as   sugar   is Hydrolysed in to cellulose and dextrose
  • Good patient compliance especially paediatrics as syrup is sweet in test
  • It is a preservative by retarding the growth of bacteria, fungi and mould as osmotic pressure [2]
 FlavoursOrange oil, Raspberry, Neroli oil, Peppermint oil
AntioxidantPeppermint, Rosemary, Cinnamon, Saffron
SweetenersHoney, Sucrose, Glycyrrhizin, Hesperidin
PreservativesClove oil, Tea tree oil, Ginger oil
ColourantsCarminic acid, Tyrian purple, Alizarin, Indigo [39]

                                                                                                                 Table 2: - Excipients Used in Syrups:

.Flavours: Flavors are those agents which are used for masking the taste and also hide the unpleasant taste or Oduor of a dosage form. Flavors enhance the likelihood of medicines and make them more compatible for administration to a patient. Use of flavors in dosage forms make children take medicines without any problem. Flavoring agents used in different dosage forms are tablets, pills, pellets, capsules, pastes, syrups, emulsions, suspensions, mouth washes etc. Natural flavoring agents give the realistic flavor with good oduor and have no negative effect on human as well as environment. 

Ideal properties of natural flavoring agents:

  • Staying power 
  • Sillage 
  • Packaging 
  • Vitality/ Freshness [3]
    Excipient BS Family Synonym    Use Formulation 
Orange oilIt comes from the rind of sweet orange fruit Citrus sinensisRutaceaeCitrus aurantiumFlavorEmulsions
RaspberryIt is obtained from the fruits of Rubusrosi foliusRosaceaeCane fruitFlavor  

Syrups

Suspensions

Serums

Neroli oil It is extracted from flowers of citrus aurantium var Rutaceae Citrus bigaradia oil Perfume Oils 
Peppermint oil It is obtained from the flowering parts and leaves of the peppermint plant  Lamiaceae Menta pepperita Perfume

Oil roll on 

[41]

                                                                 Table 3: - Details of various natural flavoring agents as excipients in liquid dosage forms

Sweetening Agent: Sweetening agents are chemical substances that are added to either mask the unpleasant taste or enhance the perception of a sweet taste in some oral pharmaceutical preparations such as tablets, syrup, suspension etc. Also, Sweetening agents are called sweeteners. Importantly, sweetening agents are the common excipients for paediatrics

Ideal properties of natural sweetening agent:

  • It must be reasonably sweet, at least as sweet as sugar, with no lingering after
  • It must be economical to produce and be cheaper than sugar for the consumer 
  • It should be preferably non-caloric and have no nutritive value. 
  • It must be non-toxic with no dangerous side effects such as carcinogenicity or teratogenicity. It should not have any synergistic detrimental effects with drugs or in the presence of foods or beverages. 
  • The metabolite must also be non-toxic with.
  •   It must be thermostable and not decompose during cooking or in the presence of sunlight.
  •  It must be soluble in water.[4]
Excipient       BS     Family  Synonym          Use Formulation 
Honey It is a secretion deposited from the honey comb by the Apis mellifera Apidae.MadhuSweetening agentSyrups
SucroseIt is a ddisaccharide sugar obtained mainly from the cane juice of saccharum officinarum Graminae Beet sugar, cane sugarSweetening agentSyrups, lozenges, Injections
 GlycyrrhizinIt is a penta-cyclic triterpenoid saponins glycoside obtained from root, stolon of Glycyrrhiza glabra LeguminosaeLiquorice

Sweetening agent

 

Cough mixtures 

                                               Table 3: - Details of various natural sweetening agents as excipients in liquid dosage forms

Colorants: Colorants or coloring agents are commonly used for imparting distinctive appearance to the pharmaceutical dosage form. Colorants are agents used in the pharmaceutical preparations like cosmetics to give aesthetic appearance to the dosage forms. Dosage forms that are colored are tablets (either the core itself or the external coating) hard or soft gelatin capsules (the capsule shell or coated beads) oral liquids, toothpastes, topical creams, ointments and salves. 

Ideal properties of natural coloring agent:

  • Non-toxic and have no physiological activity 
  • Free from harmful impurities 
  • High coloring property should be there. 
  • Unaffected by light, tropical temperature, hydrolysis 
  • Compatible with medicaments and does not interfere with them

It occurs as red crystals in pure state when recrystallized from light petroleum.[5] 

Excipient BS Color Synonym Use Formulation 
Carminic acidIt is obtained from insect Coccus cactiBright red  CarminColoring agent Emulsions
Tyrian purpleIt occurs by air oxidation of Murex brandaris(snail)Bluish purpleRoyal purpleColoring agent 

Emulsions

Oils

AlizarinIt comes from the roots of madder plant, Rubia tinctorumRed

Mordent red 11

Turkey red

Coloring agent   Emulsions
IndigoIt comes from the leaves of Indigofera tinctoria plantDark blue Coloring agent 

 Tinctures [44]

 

                                   Table 4: - Details of various natural coloring agents as excipients in liquid dosage forms

Preservatives: Preservatives are usually used to minimize the shelf life of several food products and pharmaceuticals. Preservatives are vital to avoid the alteration and degradation of microorganisms during storage. Particularly in those with greater water content [6]

Ideal properties of natural Preservatives:

  • It should not be irritant.
  •  To maintain product consistency.
  • To maintain palatability and wholesomeness.
  •  It should not be toxic.
  •  It should be stable (physically and chemically).
  • It should be compatible with all other ingredients
  • It should be act as good antimicrobial agent
  •  It should be potent in action.
  • It should have higher shelf life
Excipient        BS     Family  Synonym          Use Formulation 
Clove oilBuds of myrtaceous syzygium MyrataceaeEugenolPreservativeMouthwashes Oils
Tea tree oil Derived from the leaves of the melaleuce alternifolia plant MyrtaceaeMelaleucaPreservativeEssential oils
Ginger oil  It consists of dried rhizomes of Zingiber officinaleZingiberacaeZingiberPreservativeSyrups[8]

                                                Table 5: - Details of various natural flavoring agents as excipients in liquid dosage forms

Suspensions: A liquid dosage form of a medicine or drugs that are poorly soluble in water and distributed in a liquid medium is called a suspension. Particles in an ideal suspension are evenly distributed and do not aggregate. Particles should be gently stirred to resuspend them even if sedimentation takes place. Aqueous suspensions are intended for oral, ophthalmic, inhalation, and topical applications, while oil-based suspensions have parenteral applications (e.g., sustained-release depot formulations). Oral and topical suspensions contain a high concentration of solids in the range of 5P% solid particles, while parenteral suspensions incorporate 0.5%% solid particles. Based on particle size, suspensions are classified as coarse or colloidal dispersions, with the former containing particles of mean diameter in the range of 125 μM, and the latter containing particles with a mean diameter less than 1 μM [7] 

Flocculated suspension:  n flocculated suspensions, the particles organise into loose aggregates that resemble networks. These suspensions exhibit a rapid rate of sedimentation, yet no hard cake forms because the particles are loosely packed. Re-dispersing such flocs is not difficult. 

Deflocculated suspension: Deflocculated suspension: Suspensions consist of uniformly scattered particles in the aqueous phase. In deflocculated suspensions particles exist as separate entities and exhibit a slow rate of sedimentation. Sediments tend to form a hard cake which is difficult to re-disperse. 

Advantages of natural suspensions:

1. Drug compounds that are insoluble in water can be made into suspensions.

 2.they prolong drug release rates; 

3.  they reduce the rate at which hydrolytic drug molecules degrade; · medications with extremely poor solubility are effectively prepared as suspensions.

4. suspension for patients with swallowing difficulties can be formulated as palatable suspensions. Some of the disadvantages include (a) aggregation of particles; (b) complex manufacturing processes.[8]

Wetting agentLecithin, Sorbitan monolaurate, Sorbitan monooleate, Ceto stearyl alcohol  
Suspending agentKaolin, Sesame oil, Hectorite, Ceratonia
PreservativesClove oil, Neem oil, Ginger oil, Tea tree oil
AntioxidantPeppermint, Rosemerry, Cinnamon, Saffron [9]

                                                                                             Table 6: - Excipients used in suspensions:

Suspending Agent: A suspension is a colloidal dispersion in which a solid is dispersed in a continuous liquid phase. The continuous phase is frequently referred to as the exterior phase, and the scattered solid phase as the interior (disperse) phase. In a suspension, the solute particles are fairly large in size.

Ideal properties of natural suspending agent:

  • A suspension is a heterogeneous mixture.
  • The size of solute particles in a suspension is quite large.
  • It is easy to see the particles in a suspension
  • A filter paper does not allow particles in a suspension to flow through it. Filtration can therefore be used to separate a suspension. 
  • There is instability in the suspension. After a while, the particles in a suspension settle.
  • A suspension scatters a beam of light passing through it because of its large particle size [10]
Excipient       BS     Family  Synonym          Use Formulation 
KaolinKaolin is a hydrated aluminum silicate obtained by mining naturally occurring mineral deposits -

Argilla

bolus alba

China clay

suspending agentmixtures
Sesame oilSesame oil is obtained from the ripe seeds of the sesamum indicum plantPedaliaceae   Benne oil, gingelly oilsuspending agent

solutions,

emulsions,

suspensions

 HectoriteNatural deposits it is further processed to remove grit and impurities -

 Astratone40

Bentone CT

 

 suspending agent

 Creams

lotions 

 Ceratonia It is obtained from the ground endosperms from the seeds of the locust bean tree Ceratonia siliqua and belonging to the family LeguminosaeLeguminosae Algaroba,suspending agent

 

 Emulsions [41]

                                                   Table 7: - Details of various natural suspending agents as excipients in liquid dosage forms

Antioxidant: Antioxidants are compounds that inhibit oxidation (usually occurring as autoxidation), a chemical reaction that can produce free radicals. Antioxidants are frequently added to industrial products, such as polymersfuels, and lubricants, to extend their usable lifetime.

Ideal properties of natural anti-oxidants:

1.It should be stable

2.It should be effective in low concentration

3. It should be compatible

4.It should be non-toxic [11]

Excipient       BS     Family  Synonym          Use Formulation 
Rosemary oil Rosemary is obtained from the flowering tops of leafy twigs of Rosmarinus officinalis Lamiaceae Rosmarinus officinalisantioxidantOils
 CinnamonThe Cinnamon consist of dried bark, freed from the outer cork and from the underlying parenchymaLaureceae Ceylon cinnamon, cinnamon barkantioxidantGargles
Thyme oilIt is extracted from the flowering parts of the mint plantLamiaceaeThymus vulgarisantioxidant.Mouth washes

                                                            Table 8: - details of various natural antioxidants as excipients in liquid dosage forms

Emulsions: Emulsions are liquid disperse systems consisting of two immiscible phases, one of which is dispersed as globules in the other liquid phase [50]. The presence of an emulsifier stabilises the two phases of emulsions. While particle diameters as tiny as 0.01 μM and as large as 100 μM are possible, the dispersed phase's droplet diameter ranges from roughly 0.1 to 10 μM. are not uncommon. The consistency of emulsions ranges from that of a liquid (e.g., fat emulsions) to a semisolid (e.g., ointments and creams]

Advantages of emulsions:

 • To solubilise hydrophobic or oil soluble drugs

 • To enhance drug absorption through

 •  To improve medication absorption through topical application

 • To cover up the unpleasant taste and smell of medications.

 • To enhance palatability of nutrient oils [12]

AntioxidantPeppermint oil, Rosemary oil, Cinnamon oil,Thyme oil
Emulsifying agentCottonseed oil, Faba bean oil, Mustard oil, Palm oil
PreservativesClove oil,Neem oil, Cumin seeds, Cayenna pepper, Ginger oil, Tea tree oil [13]

                                                                                        Table 9: -Excipients Used in Natural Emulsions:

Emulsifying Agent: Emulsions are liquid disperse systems consisting of two immiscible phases, one of which is dispersed as globules in the other liquid phase. While particle diameters as tiny as 0.01 μM and as high as 100 μM are not unusual, the dispersed phase's droplet diameter ranges from roughly 0.1 to 10 μM. While particle diameters as tiny as 0.01 μM and as high as 100 μM are not unusual, the dispersed phase's droplet diameter ranges from roughly 0.1 to 10 μM to a semisolid (e.g., ointments and creams]

Ideal properties of emulsifying agent:

  • All the characteristics of a colloidal solution, such as electrophoresis, the Tyndall effect, and Brownian movement, are present in emulsions.
  • The globules coagulate when electrolytes containing polyvalent metal ions are added, indicating their negative charge. 
  • The globules coagulate when electrolytes containing polyvalent metal ions are added, indicating their negative charge. 
  • . It has a range of 1000 to 10,000 Ă. In contrast, the size is smaller than that of particles in suspensions.
  • In contrast, the size is smaller than that of particles in suspensions. Demulsification is the term for this procedure.[14]
Excipient       BS     Family  Synonym          Use Formulation 
Cotton seed oil It is obtained from the seed of cultivated varieties of Gossypium hirsutum linn Malvaceae Refined cotton seed oilEmulsifying agentoils
Faba bean proteinIt comes from the Faba bean  LeguminoseaeBroad beanEmulsifying agentGels
Mustard oilIt is obtained from the seeds of mustard plantBrassicaceae- Emulsifying agent

Essential oils

Creams

Palm oil  the oil obtained from the pulp of the fruit of the oil palm Elaeis guineensis jacq  AceraceaeCage soft Dynasan 60Emulsifying agentEmulsions [15]

                                          Table 10: - Details Of Vari ous Natural Emulsifying Agents as Excipients In Liquid Dosage Forms

Conclusion:

Conclusion:

Pharmaceutical excipients derived from natural sources have attracted a great attention in developing convectional dosage forms and novel drug delivery systems. The use of natural excipients is steadily increasing day by day due to the side effects of synthetic excipients. Hence natural excipients are being preffered over synthetic as they are cheap, biodegradable and enhance the bioavailability, stability, safety, efficacy and patient compliance. Therefore, there is going to be a great interest in natural excipients to obtain a better dosage form.

References

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina