FORMULATION AND EVALUATION OF ANTIMICROBIAL GELS FOR THE TREATMENT OF PARONYCHIA
Objective: The aim of the study was to design and develop a gel based drug delivery system containing combinational drugs (ketoconazole, neomycin sulphate and diclofenac) for the effective treatment of Paronychia.
Methods: The drugs used are ketoconazole, neomycin sulphate and diclofenac. The first two drugs provide an antifungal and antibacterial action and the last drug with a pain relieving effect. Two formulations of gels F1 and F2 were prepared using polymers like carbopol 934 and xanthan gum respectively. The amounts of drugs and other ingredients were kept as constant in both formulations. The prepared formulations were then evaluated by visual examination, pH, drug content, spredability, extrudability, drug release study, in vitro antibacterial study, in vitro antifungal study, stability studies and in vivo antibacterial study.
Results: The obtained results were analyzed and compared. All the test results were within the accepted limit. The physicochemical properties of the gels were assessed and it was found that the two formulations have enough gel consistency with good spreadability and extrudability. The drug content and drug release studies of the prepared gels were done and the results showed that the all the three drugs were properly loaded into the gel system, with good drug release profile. The antimicrobial activities of the formulated gels were proved by both in vitro antifungal and antibacterial studies. The in vivo antibacterial studies revealed a significant reduction in bacterial count in wistar rats treated with prepared gel when compared with standard drug solution. From among all the developed formulations, F1 formulation with carbopol 934 has got a slight superior property when compared with formulation F2 xanthan gum as gelling agent.
Conclusion: On the basis of the evaluation studies it was concluded that the drugs (ketoconazole, neomycin sulphate and diclofenac) were successfully incorporated into the different topical gel preparations with good physicochemical properties and antimicrobial activity. Therefore, it was concluded that our formulae could be very promising topical alternative for the treatment of Paronychia.
2. Vineet R, Khushbu G, Shikha B, Vijay KG. Management of chronic paronychia. Indian J Dermatol 2014;59:1-14.
3. Bendar MS, Lane LB. Eponychial marsupialization and nail removal for surgical treatment of chronic paronychia. J Hand Surg Am 1991;16:314-7.
4. Dimitris R, Geogrge L, Stamatis G. Acute and chronic paronychia. Am Fam Physician 2008;77:339-46.
5. Keyser JJ, Eaton EG. Surgical cure of chronic paronychia by eponychial marsupialization. Plast Reconstr Surg 1976;58:66-70.
6. Abrams RA, Botte MJ. Hand infections: treatment recommendations for specific types. J Am Acad Orthop Surg 1996;4:219-30.
7. Kumar R, Katare OP. Lecithin organogels as potential phospholipid structured system for topical drug delivery. AAPS PharmSciTech 2005;6:298-310.
8. V Rajpal, DP S Kohli. Herbal drug industry. 1st ed. New Delhi: Business Horizons; 2009.
9. Vinod MT, Bharath WT, Bharat RP. Formulation and characterization of ketoprofen topical gel. Int J Curr Pharm Clin Res 2014;4:35-42.
10. Tanwar YS. Formulation and evaluation of topical diclofenac sodium gel using different gelling agent. AJPRHC 2011;4:1-6.
11. Japan P, Brijesh P, Hardeepsingh B, Kaushal P, Manish P. Formulation and evaluation of topical aceclofenac gel using different gelling agents. Int J Drug Dev Res 2011;4:23-9.
12. Subrahmanyam CVS. Text book of physical pharmaceutics. 2nd ed. New Delhi: Vallabh Parakashan; 2009.
13. Saad SD, Mir NA, Hajera T, Mazharuddin K. Studies on antibacterial and antifungal activity of pomegranate (Punica granatum L.). American-Eurasian J Agric Environ Sci 2010;9:273-81.
14. Kumar TG, Kaur LP. Formulation and evaluation of topical gel of aceclofenac. J Drug Delivery Ther 2013;3:51-3.
15. Bharat P, Atul K, Ajay C. Formulation and evaluation of gel containing miconazole nitrate an antifungal agent. Int J Pharma Res Rev 2013;2:18-28.
16. Marwa HS, Ghada FM. Evaluation of topical gel bases formulated with various essential oils for antibacterial activitry against methicillin resistant Staphylococcus Aureus. Trop J Pharm Res 2013;12:877-84.
17. Susan H. Comparison of in vitro dialysis release methods of loperamide encapsulated liposomal gel for topical drug delivery. Int J Nanomed 2014;9:735-44.
18. Enkelegda G, Entela H, Skerdilaid X, Ledjan M. Formulation and in vitro evaluation of diclofenac sodium gel. Int J Pharm Pharm Sci 2014;6:12-7.
19. Safeela N, Fatima Q. UV spectrophotometric assay of diclofenac sodium available brands. J Innovation Pharma Bio Sci 2011;3:14-7.
20. Ajinkya MB, Manjusha ND. Formulation and evaluation of herbal antimicrobial gel containing Musa acumulata leaves extract. J Pharmacogn Phytochem 2016;5:1-3.
21. Paulo CC, Filipe AR, Ana CGB, Baldemoro AKS, Daniel MP, Nadia CB, Ana PCM, Geisa PO. Proyecto academico sin fines de lucro, desarrollado bajo la iniciativa de acceso abierto. Conscientiae Saude 2008;7:423-9.
22. Samantha E. Fungal nail infection: diagnosis and management. Br Med J 2009;18:26-30.
23. Nina IH, Marline N, Urip H. Formulation and evaluation of herbal antibacterial gel containing ethanolic extract of mikania micrantha kunth leaves. Asian J Pharm Clin Res 2018;11:429-31.
24. Lakshmi PK, Marka K, Aishwarya S, Shyamala B. Formulation and evaluation of ibuprofen topical gel: a novel approach for penetration enhancement. Int J Appl Pharm 2011;3:25-30.
25. Nidhi C, Chakraborthy GS. Formulation and evaluation of herbal hydro gel from Hibiscus rosa-sinensis. Int J Curr Pharm Res 2014;6:14-6.
26. Amita HP, Riddhi MD. Formulation and evaluation of Sustained Release In situ ophthalmic gel of neomycin sulphate. Bull Pharm Res 2015;5:1-5.