Anang Mohamad
Legowo†, Heni Rizqiati*†, Amelia Septyn Priambodo,
Rafaella Chandraseta Megananda and Widya Andita Yudha
Departement of
Agriculture, Diponegoro University, Semarang, Indonesia
*For correspondence: henirizqi92@gmail.com
†Contributed equally to this work and are co-first authors
Received 11 March
2023; Accepted01 April 2023; Published 28 May 2023
Abstract
Kefir grain requires refreshment and cold storage so it needs to be
processed into tablets to make it more practical. Three manufacturing methods
(wet granulation, dry granulation and direct compression) used in the prepared
of kefir grain tablets to see the advantages and disadvantages in the physical
characteristics such as size uniformity, weight uniformity, hardness,
friability, and disintegration time, also total lactic acid bacteria as a
microbiological characteristic. The results showed that wet granulation method
had the highest size uniformity, but dry granulation had highest hardness and
disintegration time, also had 3.94×106 CFU/g in total LAB. The
method that produces the best tablets is the dry granulation method. © 2023
Friends Science Publishers
Keywords: Direct
compression; Dry granule; Grain kefir; Tablet; Wet granule
Introduction
Fermented product availability is inseparable from the presence of
starter culture and substrate (Pendón et al. 2022). Kefir is a product
that contains various types of microorganisms. The criteria for probiotic
products are having a minimum number of live probiotic bacteria of 106
CFU/g (Alemneh et al. 2021). Currently, fermented products such as kefir
are still widely consumed and developed in the food industry due to the
presence of probiotics which can have a good health impact on the body.
Microorganisms
found in kefir grain include lactic acid bacteria (LAB), acetic acid bacteria
(AAB) and yeast. Several families of LAB are found in kefir, including the Lactobacillus,
Enterococcus and Acetobacter families (Likotrafiti et al.
2015; Garofalo et al. 2015; Purutoğlu et al. 2020;
Romero-Luna et al. 2020). One of the species of LAB that plays an
essential role in making kefir is Lactobacillus kefiri. This species
also has a role as a probiotic bacterium, which live in kefir (Kim et al.
2016; Purutoğlu et al. 2020). Yeast species that grow well on kefir
are Saccharomyces Cerevisiae and Kluyveromyces marxianus (Erdogan
et al. 2019; Purutoğlu et al. 2020). The presence of yeast
in kefir that makes kefir have a different taste from other fermented products.
The quality of the kefir starter
influences the quality of kefir as a fermented product. A good quality starter
should have several living microorganisms so that they can be used in the
fermentation of food products. Kefir grain has physical properties in the form
of wet granules of various sizes. Inside the granules are multiple
microorganisms used in the kefir production process. Kefir grain requires good
handling so that it can be used in the kefir production process. Kefir grains
must be given a refreshing treatment periodically. Various studies reported
that kefir grains are refreshed by inoculating kefir grains in UHT (ultra-high
temperature) milk for seven days at 25°C (Demirhan et al. 2013). Refreshment
is done by inoculating kefir grains in UHT milk at 25°C for five days (Dertli
and Con 2017). Refreshment is carried out by inoculating kefir grains in UHT
milk at 28°C for three days (Wang et al. 2021). Kefir grain refreshment
aims to keep the microorganisms in the kefir grain alive. The medium used to
grow kefir grains is cow's milk because the lactose content in milk will be
used by LAB to support their life (de Lima et al. 2018).
The refreshing process of kefir grains
is difficult for the general public. A relatively shorter refresh time interval
is considered impractical. This is why kefir beverage products are rarely
commercialized due to difficulty in handling kefir grains and requiring a
longer time. Solving the problem of the complexity of handling kefir starter
can be done by making kefir starter into tablets. Tablets are believed to be
more effective and efficient because the dose used in the kefir-making process
is calculated in one tablet.
Tablets can be made by three methods:
direct compression, dry granulation and wet granulation (Arndt et al.
2018; Sulaiman and Sulaiman 2020). Direct compression method is carried out by
mixing the tablet formulations and followed by compression. The active
ingredients and excipients, according to the formulation, are mixed until
evenly distributed and then compressed tablets are carried out (Ervasti et
al. 2015; Eraga et al. 2015). Direct compression method is
considered more effective and efficient in the process of making tablet
preparations because it requires a shorter manufacturing time (Chen et al.
2019). The main excipient needed for manufacturing tablets by the direct
compression method is in a binder filler (Byl et al. 2019).
The dry granulation method is often
used in the tablet manufacturing process if the active ingredient is
thermolabile or has a high sensitivity to moist and hot conditions (Ma et
al. 2017; Jaiturong et al. 2020). The process of making tablets with
the dry granulation method is carried out by molding the powder to obtain
large-sized tablets, then milling and sieving to obtain the desired granule
size.
The wet granulation method is more
suitable for use if the active ingredients used are moist and heat resistant
(Hoffmann and Daniels 2019). The process of making tablets with the wet
granulation method is carried out by mixing all the ingredients then the binder
is dissolved in alcohol and mixed in the powder. The resulting mixture is
granules which are dried in an oven (Jassim et al. 2018). The dried
granules were then continued by grinding and sieving processes to obtain the
desired granule size.
The active ingredient used is a kefir
starter which has been dried in a freeze dryer. The active ingredient, namely
powdered kefir grains, can be damaged during tablet manufacturing. Therefore,
this study aims to obtain the best manufacturing method for making kefir grain
tablets. This research hypothesizes that the different manufacturing methods
will have a significant effect on size uniformity, weight uniformity, hardness,
friability, disintegration time and viable count of LAB.
Materials and Methods
Direct compression
The direct compression method for making tablets is
carried out by mixing all the ingredients and stirring until evenly
distributed, then forming tablets using tablet press machine MKS TBL-55
(Maksindo).
Dry granulation
The
preparation of tablets using the dry granulation method was carried out by
mixing all the ingredients except for sodium alginate and magnesium stearate.
The formation of large tablets was carried out using tablet press machine MKS
TBL-55 (Maksindo, Jakarta, Indonesia). The results of tablet formation were
crushed and sieved while adding sodium alginate and magnesium stearate. The
finished powder is then formed into tablets again using tablet press machine.
Wet granulation
The preparation of tablets using the wet granulation
method refers to Lone and Dhole (2013). The active ingredients, hydroxypropyl
methyl cellulose (HPMC) and sodium alginate, are mixed and then sieved through
a 60-mesh size using sieving machine H-3910FSS60 (Humboldt, CA, USA). Polyvinyl
Pyrrolidone (PVP) is dissolved with 70% alcohol (3% w/v). The PVP solution was
added slowly to the powder mixture while stirring periodically and baked at
50ºC for 2 h using baking oven 30-1060 (Memmert, Germany). Grinding and sieving
were carried out with a size of 44 mesh. Tablets are formed from mixed
materials using tablet press machine MKS TBL-55 (Maksindo).
Physical analysis
Size uniformity: Measuring the uniformity of the size of kefir grain
tablets was carried out by measuring the sample using a vernier caliper 500
(Monotaro, Japan). The diameter of the tablet shall not exceed 3 and not less
than 4/3 of the tablet thickness (Murtini and Elisa 2018).
Weight uniformity: Twenty kefir grain tablets were weighed alternately
using an analytical balance ATX224 (Shimadzu, Japan). The weighing results are
then seen for the standard deviation (Murtini and Elisa 2018).
Hardness: Measuring the hardness of kefir grain tablets is done by
applying pressure to the tablet until the tablet cracks or breaks. The
measurement was carried out using a hardness tester YD-1 (Digilab) (Murtini and
Elisa 2018).
Friability: Friability testing is done with a tool called a
friabilator TFT-1 (Rio). A number of kefir grain tablet samples were put into a
plastic tool that rotated at 25 rpm. Tests were conducted to see the effect of
scratches and shocks on the quality of the tablet. According to Murtini and
Elisa (2018) friability is obtained by the formula:
Disintegration time: Disintegration time testing was carried out on 6 tablets
using a disintegration tester BJ-2 (Guoming, China). Time is recorded with a
stopwatch (Murtini and Elisa 2018).
Microbial
analysis
Analysis of the viable number of LAB: Analysis the viable numbers of LAB by
plate count method (Mandang et al. 2016). To do this, 1 g of sample was
dissolved in 9 mL of 0.85% NaCl and made up until 10-6 dilution
level. Three levels of last dilution were cultured in MRSA (Merck) then
incubated at 37°C for 48 h. The number of viable colonies will be calculated
using the following formula:
Colonies
Statistical
analysis
Physical parameter data processed with descriptive
method. Microbiological parameter data were analyzed using the ANOVA method to
determine the effect of treatment. Analysis was performed at 5% significance
level. If there is an influence from the treatment, then a further test is
carried out with the DMRT method. Data were statistically analyzed using SPSS
26.0 computer software.
Results
Physical
analysis
Based on Table 1
shows that different methods in tablet manufacture had a different result in
physical characteristics in grain kefir tablets. Grain kefir tablet had a round
shape with a white color. Size uniformity of grain kefir tablets in direct
compression, dry granule and wet granule respectively were 8.19, 8.24 and 8.34
mm. Weight uniformity in kefir tablets in direct compression, dry granule and
wet granule on Table 2 in A column respectively were 0.22–0.25, 0.24–0.28,
0.23–0.26 and B column respectively were 0.20–0.27, 0.22–0.30, and 0.21–0.28
(Table 2). Hardness of grain kefir tablets in direct compression, dry granule
and wet granule respectively were 1.58, 1.64 and 1.16 kg. Friability of grain
kefir tablets in direct compression, dry granule and wet granule respectively
were 0.18, 1.44, 5.86 (Table 1). Disintegration time of grain kefir tablets in
direct compression, dry granule and wet granule respectively were 45.45, 45.47,
44.38 min (Table 1).
Microbial analysis
Data showed that
the different tablet manufacture of grain kefir tablet had a significant effect
(p<0.05) on the viable number of LAB (Table 3). Viable amount of LAB in
direct compression, dry granule and wet granule method respectively were 1.15×106, 3.94×106,
5.94×103
CFU/g. Dry granulation had higher viable amount of LAB because in tablet
manufacture did not used high temperature to make a granule and HPMC can be
used to protect LAB in tablet manufacture (Table 3).
Discussion
The results of the size uniformity test showed that all
tablet manufacture method meet the requirements, namely, the diameter of the
tablet should not be more than three times the thickness of the tablet and not
less than 4/3 of the thickness of the tablet (Table 1). Tablets manufactured
using the wet granulation method had the highest size uniformity values. This may
be due to wet granulation tablets having more compact characteristics. The
binder solution added to the powder mixture of active ingredients and
excipients will form strong bonds between the powder particles, causing the
resulting tablets features to become more compact (Berardi et al.
2019; Jin et al. 2023). A more compact tablet material produces tablets
with a more uniform size (Fitriana et al. 2022). Uniform size indicates the
amount of material and pressure used to make uniform tablets (Sugiyanto et al.
2017).
The results of tablet friability
analysis showed that tablets made by direct compression method have the lowest
friability compared to dry granulation and wet granulation (Table 1). It is
possible for tablets made by the direct compression method to obtain high
pressure on the tablet to have the lowest friability value (Indartantri et al.
2021). Tablets made by the direct compression method had the lowest friability,
while tablets made by the wet granulation method had the highest friability
value (Table 1). Based on research conducted by Rori (2016) states that a good
tablet has a friability value of less than 1%. The research showed that the
manufacture of tablets using the direct compression method has a friability
value of 0.18% which is by established standards. Meanwhile, the wet
granulation method's tablets produced the highest friability because they had
the lowest hardness value. This shows that the tablet friability value has an
inverse relationship with the tablet hardness value (Olayemi et al.
2016). The tablet friability value correlates with the tablet hardness value
because tablet fragility can be interpreted as crushing strength (Solaiman et al.
2016). Wet granulated tablets with low hardness values have high crushing
strength, making them more brittle and producing high friability values.
Requirements for a good tablet should
disintegrate in less than 30 min (Nugroho et al. 2020). The three compression methods
didn't occupy the requirements of good tablets, the direct compression method
had a disintegration time of 45 min 45 sec, dry granulation of 45 min 47 sec
and wet granulation of 44 min 38 sec. The difference in disintegration time of
the three methods is influenced by the concentration of binder and other
compositions used during the tablet manufacturing process (Ambari et al.
2019). The use of
hygroscopic materials makes the tablet disintegration time longer.
Tablet
disintegration time has a relationship with tablet hardness that will be
increased in tablet hardness due to an increase in compression force causes
tablet disintegration to take longer (Pellett et al. 2018). Tablets with a longer
disintegration time indicate that the tablet has a higher hardness value and
lower friability. The difference in the granulation method makes the water
content of each tablet different. According to Kiptiyah et al. (2021),
the higher the water content that enters the pores of the tablet, so it can
make the shorter the disintegration time. The shortest disintegration time of
the three methods is wet granulation, where the wet granulation process goes
through the stages of mixing with
Table 1: Result of physical quality test for
grain kefir tablets with different manufacturing methods
Treatment |
Size uniformity (mm) |
Hardness (kg) |
Friability (%) |
Disintegration time (min) |
Direct compression |
8.19 ± 0.08 |
1.58±0.27 |
0.18±0.06 |
45.45±0.66 |
Dry granule |
8.22 ± 0.06 |
1.64±0.06 |
1.44±0.09 |
45.47±0.89 |
Wet granule |
8.27 ± 0.09 |
1.16±0.04 |
5.86±0.54 |
44.38±0.80 |
Standard deviation shown 10–15% as the
mean value of 7 replicates
Table 2: Result of weight uniformity test for
grain kefir tablets with different manufacturing methods
Manufacturing
method |
Weight uniformity (standard tablet weight) |
Deviation of the average weight |
||
A |
B |
A |
B |
|
Direct
Compression |
0.22–0.25 |
0.20–0.27 |
7.5 |
15 |
Dry
Granule |
0.24–0.28 |
0.22–0.30 |
- |
- |
Wet
Granule |
0.23–0.26 |
0.21–0.28 |
- |
- |
Table 3: Analysis of variance (ANOVA) of LAB
grain kefir tablets with different manufacturing methods
Treatment |
Lactic
acid bacteria (CFU/g) |
Direct
Compression |
1.15×106a |
Dry
Granule |
3.94×106a |
Wet
Granule |
5.94×103b |
Data are shown as the mean value of 7 replicates
Means labeled with different
lowercase superscripts show a significant effect (p<0.05)
alcohol and then drying. The drying
process that is not maximal can increase the water content in the tablet so
that the resulting disintegration time is also faster. The dry granulation
method has more stages of formation because it adapts to the requirements of
tablet fragility (Sinaga and Manalu 2021). The existence of printing more
tablets makes the pores of the tablets tighter so that the resulting disintegration
time also gets longer.
The number of LAB that live on tablets
with direct compression and dry granulation methods still qualify as probiotic
products, namely having a total number of 106 LAB (Diza et al.
2016). Tablets made by the wet granulation method had the least amount of LAB
compared to tablets made by direct compression and dry granulation method
because the process of making tablets by wet granulation involved a heating
process. The heating process can reduce the viability of LAB cells because they
will die at high temperatures (Apriyanto and Frisqila 2016). The decrease in
bacterial viability due to heating can be caused by damage to the cell
membrane, which is composed of fatty acids and proteins (Dianawati et al.
2016).
Tablets made by direct compression and
dry granulation methods have a good number of LAB because tablet manufacture is
not followed by a heating process, so that the LAB cells tend to be more stable
(Govender et al. 2016). Making tablets by dry granulation is suitable
for tablets with active ingredients that are unstable to high temperatures, one
of which is LAB. The optimum temperature for the growth of LAB is 37–42ºC (Anggraini
and Ardyati 2017). It is possible that exposure to heat of more than 42ºC can
kill LAB cells thereby reducing their viability of lactic acid bacteria cells.
Conclusion
Different tablet
manufacture methods gave different physical characteristics in grain kefir
tablets. The best treatment is dry granulation method because can provide
viable amount of LAB and have a good physical characteristic. The best tablets
were found in the dry granulation method. This method produces tablets with
good viable number of LAB. However, further research is needed to see the grain
kefir tablets resistance when stored at room temperature for several weeks.
Acknowledgements
This research was
financially supported by Research and Community Service Institutions,
Diponegoro University
Author
Contributions
HR, AML, ASP,
RCM, and WAY planned the experiment, interpreted the results, made the
write-up, statistically analyzed the data, and made illustrations.
Conflict of
Interest
All authors
declare no conflict of interest.
Data Availability
Data presented in
this study will be available on a fair request to the corresponding author.
Ethics Approval
Not applicable to
this paper.
References
Alemneh ST, SA
Emire, B Hitzmann (2021). Teff-Based probiotic functional beverage fermented
with Lactobacillus rhamnosus and Lactobacillus plantarum. J
Foods 10:23‒33
Ambari Y, IH
Nurrosyidah, ST Kusumo (2019). Optimasi formulasi tablet ibuprofen dengan
kombinasi CMC-Na dan sorbitol sebagai pengikat dan amilum solani sebagai
disintegran terhadap waktu hancur tablet. J Pharmaceut-Care Anwar Med
2:1‒10
Anggraini AA, T
Ardyati (2017). Pengaruh kombinasi starter Bakteri Asam Laktat (BAL) pada
pembuatan keju kedelai (soy cheese). Biotropika 5:83‒85
Apriyanto DR, C
Frisqila (2016). Perbandingan efektivitas ekstrak dan fermentasi buah naga
merah terhadap penurunan kadar kolesterol low density lipoprotein (LDL)
pada tikus putih yang dibuat hiperkolesterolemia. Tunas Med 3:1‒10
Arndt OR, R
Baggio, AK Adam, J Harting, E Franceschinis, P Kleinebudde (2018). Impact of
different dry and wet granulation techniques on granule and tablet properties:
A comparative study. J Pharmaceut Sci 107:3143‒3152
Berardi A, RS
Abdel, L Bisharat, M Cespi (2019). Swelling of zein matrix tablets benchmarked
against HPMC and ethylcellulose: Challenging the matrix performance by the
addition of co-excipients. Pharmaceutics 1:513‒519
Byl E, S Lebeer,
F Kiekens (2019). Elastic recovery of filler-binders to safeguard viability of Lactobacillus
rhamnosus GG during direct compression. Eur J Pharmaceut Biopharmaceut
135:36‒43
Chen H, A Aburub,
CC Sun (2019). Direct compression tablet containing 99% active ingredient – a
tale of spherical crystallization. J Pharmaceut Sci 108:1396‒1400
de Lima MDSF, RA
da Silva, MF da Silva, PAB da Silva, RMPB Costa, JAC Teixeira, MTH Cavalcanti
(2018). Brazilian kefir-fermented sheep’s milk, a source of antimicrobial and
antioxidant peptides. Probiotic Antimicrobial Prot 10:446‒455
Demirhan E, B
Gürses, BE Yalçin, DK Apar, B Özbek (2013). Influence of vitamin (B1,
B6, B9, B12, C) and ions (Cu2+, Mn2+,
PO43-) on kefir grain biomass growth. Food Sci
Biotechnol 22:1007‒1013
Dertli E, AH Con
(2017). Microbial diversity of traditional kefir grains and their role on kefir
aroma. Food Sci Technol 2:151‒157
Dianawati D, V
Mishra, NP Shah (2016). Survival of microencapsulated probiotic bacteria after
processing and during storage: A review. Crit Rev Food Sci Nutr 56:1685‒1716
Diza YH, T
Wahyuningsih, W Hermianti (2016). Penentuan jumlah bakteri asam laktat (BAL)
dan cemaran mikroba patogen pada yoghurt bengkuang selama penyimpanan. J
Litbang Indust 6:1‒11
Eraga SO, MI Arhewoh, MU Uhumwangho, MA
Iwuagwu (2015). Characterisation of a novel, multifunctional, co-processed
excipient and its effect on release profile of paracetamol from tablets
prepared by direct compression. Asian Pacific J Trop Biomed 5:768‒772
Erdogan FS, S
Ozarslan, ZB Guzel-Seydim, TK Taş (2019). The effect of kefir produced
from natural kefir grains on the intestinal microbial populations and antioxidant
capacities of Balb/c mice. Food Res Intl 115:408‒413
Ervasti T, SP
Simonaho, J Ketolainen, P Forsberg, M Fransson, H Wikström, S Abrahmsén-Alami
(2015). Continuous manufacturing of extended release tablets via powder mixing
and direct compression. Intl J Pharmaceut 495:290‒301
Fitriana M, M
Habibie, A Mirza, R Al-Anshari (2022). Formulasi fast disintegrating tablet
ekstrak etanol Avicennia marina fructus dengan metode granulasi basah. J
Pharmascience 9:89‒95
Garofalo C, A Osimani, V
Milanović, L Aquilanti, F De Filippis, G Stellato, F Clementi (2015).
Bacteria and yeast microbiota in milk kefir grains from different Italian
regions. Food Microbiol 49:123‒133
Govender M, YE
Choonara, S van Vuuren, P Kumar, LC Du Toit, V Pillay (2016). Design and
evaluation of an oral multiparticulate system for dual delivery of amoxicillin
and Lactobacillus acidophilus. Future Microbiol 11:1133‒1145
Hoffmann A, R
Daniels (2019). Ultra-fast disintegrating ODTs comprising viable probiotic
bacteria and HPMC as a mucoadhesive. Eur J Pharmaceut Biopharmaceut
139:240‒245
Indartantri KB,
Noval, H Oktaviannor (2021). Formulasi dan evaluasi floating system tablet
difenhidramin HCl menggunakan kombinasi matriks HPMC K4M dan Na.
CMC. J Surya Med 7:107‒114
Jaiturong P, N
Laosirisathian, B Sirithunyalug, S Eitssayeam, S Sirilun, W Chaiyana, J
Sirithunyalug (2020). Potential of Musa sapientum Linn. for digestive
function promotion by supporting Lactobacillus sp. Heliyon 6:47‒52
Jassim ZE, NA
Rajab, NH Mohammed (2018). Study the effect of wet granulation and fusion
methods on preparation, characterization, and release of lornoxicam sachet
effervescent granules. Drug Invent Today 10:1612‒1616
Jin C, F Wu, Y
Hong, L Shen, X Lin, L Zhao, Y Feng (2023). Updates on applications of
low-viscosity grade Hydroxypropyl methylcellulose in coprocessing for
improvement of physical properties of pharmaceutical powders. Carbohydr
Polym 12:7‒31
Kim DH, IB Kang,
D Jeong, H Kim, HS Kim, SK Lee, KH Seo (2016). Development of rapid and highly
specific TaqMan probe-based real-time PCR assay for the identification and
enumeration of Lactobacillus kefiri in kefir milk. Intl Dairy J
61:18‒21
Kiptiyah M, S
Rahmatullah, Wirasti, U Waznah (2021). Evaluasi penggunaan pati ganyong (Canna
edulis Kerr.) sebagai bahan pengikat pada tablet kunyah ekstrak etanol daun
kelor (Moringa oleifera L) dengan metode granulasi basah. In:
Prosiding Seminar Nasional Kesehatan Lembaga Penelitian dan Pengabdian
Masyarakat Universitas Muhammadiyah Pekajangan Pekalongan, pp:2188‒2206.
Universitas Muhammadiyah Jakarta, Indonesia
Likotrafiti E, P
Valavani, A Argiriou, J Rhoades (2015). In vitro evaluation of potential
antimicrobial synbiotics using Lactobacillus kefiri isolated from kefir
grains. Intl Dairy J 45:23‒30
Lone KD, JA Dhole
(2013). An in vitro investigation of suitability of press-coated tablets
with hydroxypropylmethylcellulose acetate succinate (HPMCAS) and sodium
alginate in outer shell for colon targeting. Intl J Pharmaceut Sci Res
4:2244‒2251
Ma Z, Y Zhang, K
Li, S Liu, Z Han, F Yang, Y Liu (2017). Influence of the particle size
distribution of dry granulation on the quality of products in the production of
probiotic tablets. Chin J Microecol 29:1447‒1451
Mandang FO, H
Dien, A Yelnetty. (2016). Aplikasi penambahan konsentrasi susu skim terhadap
kefir susu kedelai (Glycine max Semen). J Ilmu Teknol Pangan 4:9‒17
Murtini G, Y
Elisa (2018). Teknologi Sediaan Solid. Kementerian Kesehatan, Jakarta,
Republik Indonesia
Nugroho AF, NIA
Wardayanie, H Wijaya (2020). Pembuatan tablet hisap campuran jambu biji merah (Psidium
guajava L.) dan angkak (Monascus purpureus) menggunakan metode kempa
langsung dan granulasi kering. Warta IHP 37:152‒161
Olayemi OJ, A
Ekunboyejo, OA Bamiro, OO Kunle (2016). Evaluation of disintegrant properties
of Neorautanenia mitis starch. J Phytomed Therapeut 15:52‒63
Pellett JD, S
Dwaraknath, E Nauka, G Dalziel (2018). Accelerated predictive stability (APS)
applications: Packaging strategies for controlling dissolution performance. In: Accelerated Predictive Stability,
pp:383–401. Academic Press, London
Pendón MD, AA
Bengoa, C Iraporda, M Medrano, GL Garrote, AG Abraham (2022). Water kefir:
Factors affecting grain growth and health‐promoting properties of the fermented
beverage. J Appl Microbiol 133:162‒180
Purutoğlu K,
H İspirli, MO Yüzer, H Serencam, E Dertli (2020). Diversity and functional
characteristics of lactic acid bacteria from traditional kefir grains. Intl
J Dairy Technol 73:57‒66
Romero-Luna HE, A
Peredo-Lovillo, A Hernández-Mendoza, H Hernández-Sánchez, PI Cauich-Sánchez, RM
Ribas-Aparicio, G Dávila-Ortiz (2020). Probiotic potential of Lactobacillus
paracasei CT12 isolated from water kefir grains (Tibicos). Curr
Microbiol 77:2584‒2592
Rori WM (2016).
Formulasi dan evaluasi sediaan tablet ekstrak daun gedi hijau (Abelmoschus
manihot) dengan metode granulasi basah. Pharmacon 5:1‒9
Sinaga AH, AI
Manalu (2021). Pengaruh variasi konsentrasi amilum jantung pisang batu sebagai
bahan pengikat terhadap sifat fisik tablet asam asetil salisilat. J Ilmiah
Farmasi Imelda 4:28‒36
Solaiman A, AS
Suliman, S Shinde, S Naz, AA Elkordy (2016). Application of general multilevel
factorial design with formulation of fast disintegrating tablets containing
croscaremellose sodium and Disintequick MCC-25. Intl J Pharmaceut 501:87‒95
Sugiyanto KC, DA
Palupi Y Adyastutik (2017). Evaluasi hasil keseragaman ukuran, keregasan dan
waktu hancur tablet salut film neuralgad produksi lafi ditkesad bandung. Cendekia
1:34‒40
Sulaiman TNS, S
Sulaiman (2020). Eksipien untuk pembuatan tablet dengan metode kempa langsung. J
Pharmaceut Sci 3:64‒76
Wang X, W Li, M
Xu, J Tian, W Li (2021). The microbial diversity and biofilm-forming characteristic of two traditional
Tibetan kefir grains. J Foods 11:12‒19