The potential of chewing gum as a drug delivery system together with d
ifferent formulation principles and methods of assessment are discusse
d in this article. The release of a drug from chewing gum is dependent
upon its water solubility. Water-soluble substances are released rapi
dly and completely from chewing gum and methods are available which re
tard their release from chewing gum to provide an extended release pro
file. Slightly water-soluble drugs are released slowly and incompletel
y from chewing gum and require special formulation techniques to produ
ce a satisfactory release profile. Studies evaluating the potential ap
plication of medicated and non-medicated chewing gum in the treatment
of local diseases in the oral cavity are described. Specific examples
of the use of chewing gum as a delivery system for dental health, smok
ing cessation and antifungal therapy are cited. Few drugs are suitable
candidates for incorporation into chewing gum formulations for the in
tention of their systemic delivery. Know-how derived from the developm
ent and manufacture of already existing medicated and non-medicated ch
ewing gum, supplemented with today's knowledge of the principles of ph
armaceutical formulation, constitute the basis for the development of
the medicinal chewing gum of tomorrow.