Cream Formulation Research Articles

ANTI-INFLAMMATORY AND ANTIMICROBIAL ACTIVITIES OF THE LEAVES OF ACALYPHA WILKESIANA MUELL. ARG. (EUPHORBIACEAE) FORMULATED AS HERBAL CREAM

The use of some traditional creams in Nigeria is associated with negative outcomes. In order to tackle this problem, we conducted a study on the antibacterial and anti-inflammatory characteristics of Acalypha wilkesiana leaves, which were utilized in the creation of a herbal cream. Standard methods were employed to conduct analytical procedures for the analysis of the phytochemical and chromatographic content of A. wilkesiana leaves. The anti-inflammatory efficacy of the unrefined ethanol extract was assessed using the egg albumin technique, throughout a dosage range of 15.6 to 500 mg/ml. The effectiveness of the herbal cream and the raw ethanol extract of A. wilkesiana in killing specific bacteria were evaluated. A comprehensive evaluation was carried out to determine the physicochemical characteristics of the herbal cream formulation using appropriate methodologies. The phytochemical examination of A. wilkesiana which gave a yield of 12.6 % indicated the existence of alkaloids, tannins, and saponins. The anti-inflammatory properties of the crude extract derived from A. wilkesiana had a comparable effect to that of aspirin, a commonly prescribed medicine at doses of 125, 250 and 500 mg/kg. The herbal cream (25.5 ± 0.22) and crude extract (19.5 ± 0.01) had the greatest antibacterial effectiveness against Candida albicans at 200 mg/ml. The physicochemical examination of the cream that was created: pH (5.6 ± 0.64); consistency (5 mm); viscosity (22 x 106 cps); spreadability (36 g.cm/sec); Extrudability (510 gm) showed similarities to the commercially available Gentamycin cream. The herbal cream containing A. wilkesiana has demonstrated substantial promise and could function as a practical alternative to traditional creams for treating skin infections.

Antimicrobial Effects of Chitosan Extracted from Crayfish Shells in Cream Formulations

The objective of the present study was to investigate the antimicrobial properties of a chitosan-based cream. To achieve this, the antimicrobial effects a cream enriched with chitosan were compared with those of a control group. Chitosan, sourced from crayfish obtained frozen from Eğirdir Lake, Eğirdir, İsparta, served as the primary material. The study involved a comparison between control (F1) and treatment (F2) groups. While both cream formulations exhibited bacterial inhibition, only the F1 formulation demonstrated significant reduction in viable microorganisms for C. albicans. The cytotoxicity assessment revealed a concentration-dependent increase in cytotoxic effects of the samples. Notably, the F1 formulation exhibited higher toxicity on healthy cells compared to the F2 formulation. In conclusion, further investigation is necessary to understant the mechanisms underlying their cytotoxic effects and to optimize their formulations to enhance biocompatibility. Moreover, the chitosan-based cream developed in this study demonstrated notable antimicrobial efficacy against the tested bacteria.

Debridement efficacy of serine protease and formulated cream by In Vitro assessment against artificial wound eschar

Chronic wounds typically comprise of necrotic tissue and dried secretions, often culminating in the formation of a thick and tough layer of dead skin known as eschar. Removal of eschar is imperative to facilitate wound healing. Conventional approach for eschar removal involves surgical excision and grafting, which can be traumatic and frequently leads to viable tissue damage. There has been growing interest in the use of enzymatic agents for a gentler approach to debridement, utilizing proteolytic enzymes. In this study, a purified intracellular recombinant serine protease from Bacillus sp. (SPB) and its cream formulation were employed to evaluate their ability to degrade artificial wound eschar; composed of collagen, fibrin, and elastin. Degradation was assessed based on percentage weight reduction of eschar biomass, analysis via sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE), and scanning electron microscopy (SEM). Both SPB and its cream formulation were able to degrade up to 50 % artificial wound eschar, with the SPB cream maintaining its degradation efficiency for up to 24 hours. Additionally, the SPB-based cream demonstrated the ability to hydrolyze proteinaceous components of eschars individually (fibrin and collagen) as determined through qualitative assessment. These findings suggest that SPB holds promise for the debridement of wound eschar.

Understand the Stabilization Engineering of Ascorbic Acid, Mapping the Scheme for Stabilization, and Advancement.

Vitamin C is extensively used in cosmetic formulation, howbeit stability is the supreme demerit that limits its use in beautifying products. Numerous techniques are being employed to inhibit the degradation of vitamin C caused by formulation components to facilitate the use in skin rejuvenating products. Diverse materials are being exercised in formulation to stabilize the ascorbic acid and ingredients selected in this formulation composition help for stabilization. The initial stable prototype is developed and further optimization is accomplished by applying the design of experiment tools. The stable pharmaceutical formulations were evaluated for the evaluation parameters and designated as two optimized formulations. The analytical method for the assay of ascorbic acid from the United States pharmacopeia and the related substance method from European pharmacopeia has been modified to be used for cream formulation. The DoE design exhibited that the stability of formulation is impacted by citric acid and tartaric acid but not by propylene glycol and glycerin. The analysis results of topical formulations for the evaluation parameter exhibited satisfactory results. The in-vitro release study method has been developed, optimized, and validated to fit the analysis. The in-vitro studies have been performed for selected compositions and both the formulation has similar kinds of release patterns. The stability study as per ICH guidelines exhibited that the product is stable for accelerated, intermediate, and room-temperature storage conditions. The optimized formulation shows constant release and permeation of ascorbic acid through the skin. The formulation with the combinations of citric acid, tartaric acid, and tocopherol is more stable and the degradation of vitamin C has been reduced significantly. The beaucoup strategies in the unique composition help to protect the degradation by inhibiting the multitudinous degradation pathways.

Formulation, Optimization, and Evaluation of Non-Propellent Foam-Based Formulation for Burn Wounds Treatment

Burn injuries worldwide pose significant health risks due to frequent microbial infections, which worsen complications and increase mortality rates. The conventional antimicrobial formulations are available in the form of ointments and creams. These formulations are very greasy and stick to the clothes. The applications of these formulations by finger or applicator produce pain in the affected area and incur the possibility of microbial infection. To overcome these hurdles, authors developed a novel non-propellent foam (NPF) based formulation containing chlorhexidine for effective topical delivery. Initially, NPF containing Labrasol® (26.7%), sodium lauryl sulfate (1.2%), hydroxy propyl methyl cellulose (0.56%), butylated hydroxytoluene (0.1%), ethanol (1%), and distilled water was prepared and assessed for its consistency, and ability to form foam. The NPF was statistically optimized using the Box-Behnken design to determine the effect of polymer and surfactants on the critical foam properties. The optimized formulation showed a collapse time of 45 s with a unique nature of collapsing upon slight touch which is highly beneficial for burn patients with microbial infection. The diffusion study showed that more than 90% of the drug was released within 6 h. The skin permeation study showed that 23% of the total drug permeated through the skin after 6 h with 7.64 µg/cm2/h permeation flux. The developed formulation showed good antibacterial activity. The minimum inhibitory concentration of prepared NPF was found to be 2.5 µg/mL, 2.5 µg/mL, and 5.0 µg/mL against E. coli (MTCC-1687), P. aeruginosa (MTCC-1688), and S aureus (MTCC-737) respectively. The developed NPF formulation showed quick collapse time, excellent spreadability, good anti-bacterial activity, and a non-sticky nature representing a promising avenue for burn wound treatment without using any applicator.

Formulation and Antimycotic Evaluation of Colloidal Itraconazole-Loaded Metered Dose Sprays for Treating Superficial Mycoses.

Commercial topical formulations containing itraconazole (poorly water soluble), for mycotic infections, have poor penetration to infection sites beneath the nails and skin thereby necessitating oral administration. To improve penetration, colloidal solutions of itraconazole (G1-G4) containing Poloxamer 188, tween 80, ethanol, and propylene glycol were prepared and incorporated into HFA-134-containing sprays. Formulations were characterized using particle size, drug content, and Fourier-transform infrared spectroscopy (FTIR). In vitro permeation studies were performed using Franz diffusion cells for 8h. Antimycotic activity on Candida albicans and Trichophyton rubrum was performed using broth micro-dilution and flow cytometry, while cytotoxicity was tested on HaCaT cell lines. Particle size ranged from 39.35-116.80nm. FTIR and drug content revealed that G1 was the most stable formulation (optimized formulation). In vitro release over 2h was 45% for G1 and 34% for the cream. There was a twofold increase in skin permeation, fivefold intradermal retention, and a sevenfold increase in nail penetration of G1 over the cream. Minimum fungicidal concentrations (MFC) against C. albicans were 0.156 and 0.313µg/mL for G1 and cream, respectively. The formulations showed optimum killing kinetics after 48h. MFC values against T. rubrum were 0.312 and 0.625µg/mL for the G1 and cream, respectively. Transmission electron microscopy revealed organelle destruction and cell leakage for G1 in both organisms and penetration of keratin layers to destroy T. rubrum. Cytotoxicity evaluation of G1 showed relative safety for skin cells. The G1 formulation showed superior skin permeation, nail penetration, and fungicidal activity compared with the cream formulation.

Calotropis Gigantea Latex-Derived Zinc Oxide Nanoparticles: Biosynthesis, Characterization, and Biofunctional Applications

Latex of C. gigantea was used to synthesize zinc oxide nanoparticles (ZnO NPs) by the green chemistry approach. The crystalline size, shape, and purity of as-synthesized ZnO NPs were characterized through scanning electron microscopy with energy-dispersive X-ray spectroscopy, transmission electron microscopy, X-ray diffraction analysis, and Fourier-transform infrared spectroscopy techniques. Crystalline, spherical ZnO NPs with an average size of 21.8 nm were formed. In addition, the biological properties of the ZnO NPs, such as antioxidant and antibacterial activity, were evaluated by 2,2-diphenyl-1-picrylhydrazyl assay and the agar well-diffusion method. The highest free radical scavenging activities of 83.11 ± 1.89 % were observed at a concentration of 350 μg/mL of C. gigantea latex-mediated ZnO NPs. The latex in the C. gigantea latex-mediated ZnO NPs inhibited the growth of pathogenic bacteria. The maximum zone of inhibition was found in P. aeruginosa and S. aureus. C. gigantea latex-mediated ZnO NPs have significant biocompatibility and broad-spectrum antibacterial properties against wound-causing bacteria and, therefore, can be suggested for use in the formulation of novel creams or gels for healing applications.

Formulation and Evaluation of Wound Healing Cream using Extracts of Azadirachta Indica and Tridax Procumbens

Formulation and Evaluation of Wound Healing Cream using Extracts of Azadirachta Indica and Tridax Procumbens

Repellent activity of Vitex negundo and Curcuma longa herbal extract against Simulium species in India.

At present, use of synthetic pesticides to manage insects and other arthropods creates a number of issues that are related to the environment and public health. The goal of the present study is to find repellent activity of Vitex negundo and Curcuma longa herbal extracts against the wild species Simulium (blackfly) bite. We have studied Simulium biting behavior and tested the repellency of herbal extract obtained from Vitex negundo L. (Lamiales: Lamiaceae) and Curcuma longa L. (Zingiberal: Zingiberaceae) along with their essential oils in three locations in Arunachal Pradesh, India on human volunteers' resistance to Simulium (blackflies). The reported herbal extracts were incorporated to topical drug delivery vehicle as a cream and gel. The methanolic extract of Vitex negundo cream and gel formulation showed >2 h safety at 5% concentration and >5 h safety at 10% concentration in all the testing sites followed by ethyl acetate extract. Whereas, chloroform extract of Curcuma longa cream and gel formulation provided >1 h safety at 5% concentration and >4 h safety at 10% concentration. At an optimum concentration of 10%, the methanolic extract of Vitex negundo cream provided complete protection times (CPTs) 320.4, 358.6, and 346.4 min, respectively. These findings offer confirmation of the methanolic extract and chloroform extract potential for use in new blackfly repellents.

Phyto chemical screening,formulation of cream and it’s antifungal activity of stem extract from panikoorka plant

The panikoorka plant is a noble plant which is packed with various benefits, belonging to the family Lamiaceae as it may help in lowering blood sugar levels, maintaining heart health, and helps in digestive system, the stem of panikoorka is also having the anti-cancer activity some studies also prove that the extract of panikoorka stem are effective against the acne causing bacteria (anti-microbial).We are formulating the anti-fungal cream with the extract of panikoorka stem, we have collected the different extracts of the panikoorka stem, we have formulated 2 different formulations with the stem of panikoorka (Plectranthus barbatus).The Plant extract is used to treat different types of infectious disease, hence microbial screening attempted to prove its anti-bacterial and anti-fungal activity. The demonstration of therapeutic efficacy was achieved through the use of defined settings to restrict microbial development.The paper disc diffusion method was employed in this work to assess the synthetic compounds' in vitro antifungal efficacy. One technique for figuring out the relative efficacy of the anti-fungal activity is the paper disc diffusion method. The anti-microbial drugs' toxicity and their capacity to permeate into the medium both affect the outcomes of this approach. Although it is not as effective as standard, our produced cream has antifungal action against both Aspergillus niger and Candida albicans bacteria.

Utilization of Methanol Extract Sea Pandan Fruit (Pandanus tectorius) in Hand and Body Cream as an Antioxidants

Sea pandanus is a coastal plant with great potential in the cosmetic industry due to its rich contains phenolic and flavonoid compounds that are abundant in the fruits. The purpose of this research is determine the antioxidant activity of sea pandanus fruit and to evaluate the result of hand and body cream formulation. Pandanus was chosen because it is not widely explored.The result of study showed that the methanol extract of sea pandanus contains phenolic, flavonoid, saponin, and steroid compounds. The antioxidant activity in the hand and body cream formulation was 33,183 µg/mL, indicating strong antioxidant activity below the IC50. The high level antioxidant activity from the methanol extract of sea pandanus can be used in the formulation of hand and body cream. Characteristics in the quality assessment of all the hand and body cream did not meet the requirements.

Formulation and Evalution of Polyherbal Ointment for Wound Healing and Anti-Microbial Activity

AIM: Formulation And Evaluation Of Poly Herbal Ointment For Wound Healing And Anti-Microbial Activity Objective: Any physical harm involving tearing, cutting, or puncturing the skin is called a wound.. Numerous medications derived from plants have been shown to speed up the healing of various wound types. The goal of the current study was to create a herbal formulation with herbs that have been shown to improve cell migration and proliferation as well as reduce infection and inflammation and speed up the healing process. The use of herbal medicines and interest in them has grown significantly in recent years, even in places with access to contemporary medical care. Because medicinal plants are the richest source of plant-derived compounds and herbal medicines, there has been a recent surge in interest in these products due to their wide range of applications. MATERIAL AND METHOD: The goal of this work is to manufacture and assess an ointment made of extracts from turmeric (Curcumalonga) and neem (Azadirachta indica).The maceration process was utilized to create the ethanolic extracts.After preparing the ointment base, the extract was incorporated into it using the levigation procedure to formulate the ointment. Its physicochemical properties, such as color, odor, pH, spreadability, extrudability, consistency, diffusion studies, solubility, and washability, were assessed once the formulation was finished. Additionally, the formulation's stability at different temperature circumstances was assessed, and the results of the diffusion, spreadability, and irritancy studies remain unchanged. Thus, it might develop into a medium for utilizing the therapeutic qualities of turmeric and neem in an easy-to-use dose form

Multilevel Categoric-One Factor Optimization Of Cremophor Rh 40 As Surfactant in Cream With Calabash (Crescentia cujete Linn) Leaves Ethanolic Extract

Indonesia's location on the equator is exposed to a high UV index, which triggers various health problems due to ultraviolet radiation, including melanoma. Melanoma is the 5th deadliest cancer that develops from the malignant transformation of melanin in oxidative stress conditions. Therefore, antioxidants are needed. Calabash is a natural exogenous antioxidant with an IC₅₀ value of 80.21 µg/mL (strong activity). Optimal formulations of cream containing calabash are determined by the concentration of ingredients and the selection of comprehensive analytical methods. This research aims to optimize cream preparations of calabash leaves ethanol extract with varying concentrations of Cremophor RH 40 as a surfactant using the multilevel categoric-one factor method. The cream was made with Cremophor RH 40 concentrations of 5%, 10%, and 15%. The cream was made by mixing the water phase (Nipagin, Glycerine, and Aquadest) and the oil phase (Cremophor RH 40, BHT, IPM, Cetostearyl alcohol, and Nipasol) after both phases reached a temperature of 60ºC in mixer speed no 1 for 15 minutes then followed by adding calabash leaves ethanolic extract until a homogeneous cream was formed. The parameters observed were organoleptic, homogeneity, the type of cream, pH, viscosity, dispersibility, and adhesion. The viscosity, dispersibility, and adhesion were chosen as the parameters for the formula optimization. The cream of calabash ethanolic extract was shown as green, homogeneous semi-solid with a soft texture and distinctive aroma, and was an oil-in-water (O/W) type cream. The average pH of 5.6 was suitable for facial skin. The viscosity value increased with increasing surfactant concentration while dispersibility decreased. The results of formula optimization obtained the optimum formula was FIII with a concentration of Cremophor RH 40 of 15% and a desirability value of 0,896.

Preclinical determination of wound-healing activity of halibut oil cream in rat model of burn wound

This study investigated the effects of halibut oil cream, containing omega-3 fatty acids, vitamins A and D, and hydroxyproline, on burn wound healing in rats. Acute dermal toxicity tests confirmed its nontoxicity. Wistar rats were divided into five groups: a control, a positive control treated with silver sulfadiazine 1% (SSD), and three groups treated with 3%, 9%, and 27% halibut oil cream Formulation (HBOF). The SSD and HBOF groups showed significant healing improvements compared to the control. Histopathological analysis indicated increased collagen production in the HBOF groups, suggesting halibut oil cream’s potential as a topical treatment for burn wounds.

Onychocryptosis: a retrospective study of clinical aspects, inflammation treatment and pain management using Ozoile as a hydrogel and cream formulation.

Ingrown toenails account for roughly 20% of all foot problems in primary care. It is most common in young men, with nail care habits and footwear being major contributors. Onychocryptosis is typically caused by self-treatment attempts to cure the condition in its early stages. Its clinical features are frequently confused with other osseous and soft tissue abnormalities. The goal of this study was to provide perspectives on the management of pain and inflammation in Onychocryptosis using an Ozoile-based hydrogel formulation in a semi-occlusive bandage for 14 days, while incorporating natural pharmacological solutions into established protocols. The primary outcomes measured were pain reduction on NRS and stadiation according to the Al Kline Classification. The reduction was statistically significant, with a mean decrease in VAS score from 10 to 4 (p < 0.05), and Al Kline classification decreased by an average of 1.6 stages. 42% of patients recovered within the first 15 days of treatment, and 93% by the end of the scheduled treatment.

Ethnobotanical Exploration and Formulation Development of Cream Containing Ammi majus Linn and Portulaca oleracea Linn

Stearic acid served as the emulsifier in the preparation of an O/W emulsion-based cream that also included oil-soluble components and water-based extracts of Ammi majus Linn and Portulaca oleracea Linn. The cream was evaluated for color, appearance, presence of foreign particles/grittiness, pH, viscosity, phase separation, and extrudability. A skin irritation study was conducted on Wistar rats, with intact skin and hair removed three days earlier experiment. Cream-containing extracts were applied to test animals, and the backs of animals were scrutinized for erythema and edema. To study psoriatic skin cells in-vitro, researchers used the HaCaT cell line. Researchers also used the SRB assay to look for antipsoriatic effects in-vitro. Cultures of human keratinocyte cell lines HaCaT were carried out in a medium that included 10% fetal bovine serum and was otherwise identical to Dulbecco’s modified Eagle’s medium. In order to reach a concentration of 10%, 25 μL of 50% TCA was added to each well after 72 hours, creating a thin layer of ended drug dilutions. Phytochemical evaluation revealed that the extracts of A. majus Linn and P. oleracea Linn were soluble in water and had a yellowish solid color. The cream formulation showed good emulsionability, no foreign particles or grittiness, and no phase separation. The skin irritation test on Swiss albino rats showed that the standard drug (Retino A 0.05% cream) was free from irritation. The cream’s acceptability for topical use was also observed.

Enhancing placebo analgesia: Unravelling the powerful interplay of ownership and verbal suggestion.

Placebo analgesic research demonstrates pain reduction after using a placebo analgesic. Recent studies have documented that sometimes possessing a placebo analgesic induces placebo analgesia. These prior studies used a 'cream' as the stimulus and proposed that the effect is driven by an expectancy of obtaining benefits from the owned analgesic. This paper examines three pivotal components of placebo analgesia: placebo form, ownership and expectancy induced by verbal suggestion. We investigate analgesic expectancy between cream versus oil form of placebo stimulus and systematically isolate the effects of ownership, verbal suggestion and their interaction, comparing with the effect of use, to decipher the dynamics of placebo analgesia. Study 1 (N = 46) evaluated analgesic expectancy between cream and oil. Study 2 (N = 119) exposed participants to a placebo analgesic oil and randomized them into PU (possess and use), PA (possess and anticipate), P (possess-only) or A (anticipate-only) conditions. Pain outcomes were assessed using a cold pressor test. Comparing PA and P conditions assessed the verbal suggestion effect, comparing PA and A conditions evaluated the possession effect, while comparing PU and PA conditions shed light on the use effect. In Study 1, participants showed comparable analgesic expectancy for cream and oil. In Study 2, both PA and PU groups performed equally well, reporting higher pain threshold, F(3, 115) = 5.14, p = 0.002, = 0.12; and a greater probability of persistent hand submersion than P and A groups, X2(3) = 8.06, p = 0.045. The findings highlight the significance of integrating possession with expectancy to induce placebo analgesia, which has clinical implications. This study delves into the intricate dynamics of placebo analgesia, shedding light on the significant influence of ownership and verbal suggestion. Through a meticulous exploration of the relationship between ownership and expectancy induced by verbal suggestion, we propose novel avenues for enhancing placebo responses. This research has implications for clinical practice and pain management strategies, potentially revolutionizing approaches to pain relief and therapeutic outcomes. Our findings contribute to a paradigm shift in understanding placebo analgesia, emphasizing the pivotal interaction between ownership and verbal suggestion.

Design Formulation Ointment and Wound Healing Effectiveness of Onchidiid Slug (Onchidium typhae) Extract Ethanolic Assisted by Design Expert Software

Research on onchidiid slugs has been conducted regarding their antibacterial activity and wound healing abilities. Objective: This study aims to design the ointment formula as an effective drug delivery base for wound healing. The formula design was obtained using the mixture design method using Design Expert software version 13.0. The proposed and optimum formulas were then evaluated for their physical properties (organoleptic, homogeneity, spreadability, adhesion, and pH). The incision wound was made with a wound length of 1.5 cm with a depth of 0.2 cm on the mouse’s back. The assay group was divided into several groups. Group I is the positive control treated with betadine ointment. Group II is the negative control treated with an ointment base without active extract. Group III is the group given crude extract. Groups IV, V, and VI are the treatment groups’ optimum formula of onchidiid slug ethanol extract ointment: 1, 3, and 5%, respectively. The intervention for each group was carried out for ten days with smearing once a day. The design results in optimal formulas with the composition of adeps lanae and vaseline album (9,566:70, 344) with a desirability value of 0.934. Tests for adhesion power, spreadability, and optimum formula pH meet the requirements for a good ointment. An ointment containing 1% onchidiid slug extract showed the best wound-healing effectiveness. This formula is 88.31% effective in wound healing. Onchidiid slug ethanol extract can be designed into an effective ointment for wound healing assisted by the mixture design method using Design Expert software.

Application of nanotechnology in dairy desserts and ice cream formulation with the emphasize on textural, rheological, antimicrobial, and sensory properties

AbstractNanotechnology has emerged as a promising approach for improving the texture, rheology, and antimicrobial aspects of dairy desserts and ice cream. This study presents an overview of how nanotechnology is applied in developing these dairy products, focusing on its impact on texture, flow characteristics, and antimicrobial properties. Furthermore, nanomaterials are crucial in enhancing sensory aspects like taste and overall consumer appeal. The integration of nanostructures in dairy products can modify the structural and functional characteristics of these products, leading to improvements in texture and being nutritious. Moreover, incorporation of nano materials in dairy products could enhance rheological properties by improving emulsion stability and consistency, modifying material viscosity to influence flow behavior, and easily interacting with other components in the product matrix, thereby impacting properties such as creaminess and mouthfeel. Antimicrobial nanomaterials with elevated surface‐to‐volume ratio. play a crucial role in preventing spoilage and ensuring product safety. The potential advantages and challenges linked to using nanotechnology in dairy desserts and ice cream are examined, highlighting the importance of further research in this evolving field.

Efficacy and Safety of CONAN® Proctological Cream Formulation in the Topical Treatment of Haemorrhoidal Disease and Anal Fissures: A Randomized Controlled Clinical Trial

Efficacy and Safety of CONAN® Proctological Cream Formulation in the Topical Treatment of Haemorrhoidal Disease and Anal Fissures: A Randomized Controlled Clinical Trial