Diabetes that includes risk factors for noncommunicable diseases like hypertension are only one example of the various situations in which chronic disease is connected with other conditions. Due to the challenges in overcoming the adverse effects of a complicated therapeutic treatment regimen, the treatments available for such chronic comorbid disorders are restricted and tough. The purpose of this research was to create and refine Dapagliflozin nano vesicular ethosomal gel for use in the treatment of patients with diabetes and cardiovascular disease. Different parameters, such as in-vitro skin permeation, skin irritation, in-vivo antidiabetic, and antihypertensive activities, were used to characterise the developed formulations. Dapagliflozin is a potent, oral, reversible, highly selective, and competitive inhibitor of human SGLT2 used to treat type 2 diabetes. The ethosomes that contain dapagliflozin are the focus of our current study. By incorporating this medication inside lipid nanocarriers, we were able to generate ethosomes, where the vesicular size and lipid used for formulation controlled the sustained release of medicines. The purpose of this study is to create Dapagliflozin-loaded ethosomes for the management of diabetes, and then to statistically optimise and characterise them. For ethosome improvement, we used a 33-level factorial design with three factors. The entrapment efficiency (Y1), vesicle size (Y2), zeta potential (Y3), and % CDR (Y4) were selected as the dependent variables, whereas phosphatidylcholine (X1), cholesterol (X2), and ethanol (X3) were selected as the independent factors. Following incorporation of the optimised ethosomes into Carbopol® 940 gel, their rheological behaviour, in-vitro release, and ex-vivo skin permeation studies were characterised. When compared to drug solutions, in vitro and ex vivo permeation studies yielded more positive results. All things considered, the ethosomal vesicles showed promise as a carrier, allowing for improved topical administration of Dapagliflozin. Keywords: Dapagliflozin, Diabetes, SGLT2, in-vitro release, and ex-vivo, phosphatidylcholine, topical administration, 33-level factorial design.
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