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Abstract

Objective: The objective of the current study is to examine the effects of emulsifying agents (Cremophore RH40, Tween 40) and permeation enhancers (l-Menthol) on cream formulations. The goal is to develop a formulation that is both safe and capableof delivering the drug locally at an effective concentration to achieve its intended therapeutic effect. Methodology: In the present work was applied to study the effect of varying concentration of Cremophore RH40, Tween 40 and permeation enhancers (l-Menthol). All of the prepared cream formulations were evaluated for its physicochemical parameters like pH, spreadability, viscosity, drug content and in vitro diffusion studies. Further, the optimized formulation was evaluated for in vitro anti-fungal activity and stability studies. Results: Different formulations of the cream were prepared using different concentration emulsifying agent and all the findings obtained were within the prescribed limit with less diffusion of drug. Out of nine different formulations, F9 was chosen as the optimized formula was included with menthol as penetration enhancer. The concentration of permeation enhancer significantly affects the critical parameters of cream formulation like cumulative amount released at 12 hours. In vitro permeation study showed that menthol enhanced the transdermal absorption of drug from cream formulation. The topical cream formulation developed in this study showed good anti- fungal activity and stable for 3 months. Conclusion: The development of topical cream to have localized effects appears to be very advisable and beneficial over conventional routes of provides the drug administration for the effective treatment of Skin infections

Keywords

Clotrimazole, Cremophor RH40, Tween40, emulsifying agent and permeation enhancer.

Introduction

Topical/transdermal drug delivery refers to delivery of drugs via skin and is an attractive alternative to conventional methods such as oral and parenteral routes. Advantages associated with topical/transdermal delivery include non-invasive delivery, by pass of first pass metabolism, prolonged duration of action, reduced dosing frequency, constant levels of drug int the plasma, reduced drug toxicity/ adverse events, improved patience compliance, and others. However, skin acts as a major barrier for entry of drugs and foreign compounds due to presence of stratum corneum, a thin keratin rich layer (15μm) of dead cells embedded in an intricate lipid environment made of cholesterol, ceramides, and free fatty acids. In addition, several other factors such as physicochemical properties of the drug (lipophilicity, solubility, molecular weight or size and hydrogen bonding) and characteristics of a formulation/vehicle or a drug delivery system influence the permeation.1

The site of clotrimazole action is the stratum corneum where the pathogens reside. However, the specialized nature of the stratum corneum makes it an efficient barrier to drug molecules Therefore, stratum corneum penetration is the rate limiting step in percutaneous drug absorption Clotrimazole is usually formulated as a 1% cream, lotion, spray or solution for treatment of skin fungal infections. However, the commercially available topical products of clotrimazole have the limitations of low skin retention and deposition Since clotrimazole is poorly water-soluble, it requires a proper vehicle to improve its topical absorption Colloidal drug carriers such as microemulsions, vesicular carriers including liposomes, ectosomes and noisome as well as both lipidic and polymeric particulate carrier systems were developed for topical delivery of clotrimazole.2

Creams are widely used in the cosmetic and pharmaceutical fields for the topical administration of hydrophilic and lipophilic active ingredients. There exists different type of emulsions e.g. water-in-oil., oil-in-water, water-in-oil-in-water, oil-in-water-in- oil. Furthermore, emulsions are thermodynamically unstable and necessitate an emulsifier for the formation and stabilization.

The effect of the vehicle on dermal and transdermal delivery:

It has been recognized that the vehicle in which the permeant is applied to the skin has a distinctive effect on the dermal and transdermal delivery of active ingredients. Despite the fact that studies have been performed to investigate the vehicle effect on skin penetration, it is still not fully understood, especially for more complex formulations such as emulsions. In addition, the task of formulating a topical formulation not only. includes the optimization for delivery of the active ingredient but also the fulfillment of the requirements for chemical and physical stability, non-toxicity and aesthetic acceptability.3

MATERIAL AND METHOD:

Clotrimazole was procured from Yarrow Chem Products, Mumbai, India. Carbopol-940, Cremophor RH-40, Tween-40, isopropyl myristate, cetyl alcohol, benzyl alcohol, and triethanolamine were obtained from S.D. Fine-Chem Limited, India. All the materials and excipients used in the study were of analytical grade and were used as received without further purification.

Methods:

Pre formulation study:

Pre formulation study is the process of optimizing the delivery of drug through determination of physicochemical properties of the new compound that could affect drug performance and development of an efficacious, stable and safe dosage form. Pre formulation study is the first step in formulation of any dosage form. Prior to the development of the dosage forms the pre formulation study was carried out. It gives the information needed to define the nature of the drug substance and provide a framework for the drug combination with pharmaceutical excipients in the dosage form. Hence, pre formulation studies were performed for the obtained sample of drug for identification and compatibility studies.4

Determination of melting point:

Melting point of drug was determined by taking a small quantity of drug in capillary tube sealed at one end and placed in digital melting point apparatus and the temperature was slowly increased with simultaneous observation of the sample. The temperature at which drug starts melting point was recorded as melting point. This process was repeated two more times. The mean of three reading was recorded.5

DRUG–EXCIPIENT COMPATIBILITY STUDIES FT-IR studies

FTIR spectroscopy helps to determine any chemical interaction between drug and excipients used in formulation. FT-IR spectroscopy was conducted using a Shimadzu FTIR spectrophotometer and spectrum was recorded in the wavelength region of 4000 400cm-1. The procedure consisted of dispersing a sample i.e. 2mg (drug alone, polymer alone, and mixture of drug, polymer and non-volatile solvent) in 100 mg KBr and compressing into disc’s by applying a pressure of 5 tones for 5 min into hydraulic press. The pellet was placed in the light path and the spectrum was recorded. All spectra were collected as an average of 3 scans at a resolution of 2cm-1.8.6

Differential Scanning Calorimetry (DSC) Analysis7-8:

DSC (Perkin-Elmer thermal analysis) studies were carried out in order to characterize the physical state of drugs. Sample of pure drug and physical mixture were placed in the aluminum pans and thematically sealed. The heating rate was 10oC per misusing nitrogen as pure gas. The DSC instrument was calibrated for temperature using indium. In addition, the enthalpy calibration indium was sealed in aluminum pan with sealed empty pans as reference.

Analytical Method: -

Preparation of reagents:

Potassium dihydrogen phosphate 0.2M:

27.218 grams of potassium dihydrogen phosphate was dissolved in little quantity of distilled water and volume adjusted to produce 1000 ml.

Sodium hydroxide 0.2 M:

8 grams of NaOH was dissolved in distilled water and volume adjusted to produce1000 ml.

Preparation of phosphate buffer pH 7.4 solution:

Place 50 ml of 0.2M KH2PO4 in a 200 ml volumetric flask, add 39.1 ml of 0.2 M NaOH and volume adjusted to produce 1000 ml.

Preparation of standard stock solution of (1000μg/ml) clotrimazole:

Standard stock solution of clotrimazole was prepared by dissolving accurately weighed 100 mg of clotrimazole using pH 7.4 buffers in 100 ml volumetric flask. Thevolume was then made up to 100 ml by using phosphate buffer pH 7.4 to obtain the solution 1000 μg/ml.

Determination of analytical wavelength of clotrimazole:

10ml above stock solution was pipetted out and transferred into 100 ml volumetric flask. The volume was then made up to 100 ml with phosphate buffer pH 7.4. The resulting solution containing 100μg/ml was scanned between 200-400 nm. The wavelength of drug as λmax was selected.

Calibration curve of clotrimazole in phosphate buffer pH 7.4:

From the standard stock solution, a series of dilutions were prepared using phosphate buffer pH 7.4 to get concentration of 10-50 μg/ml. The absorbance of these solutions was measured using UV-spectrophotometer. Standard curve was obtained by plotting absorbance vs. drug concentration.

Table No.1: Formulation Ingredients and their required quantities

INGREDIENTS (%)

Formulations

F1

F2

F3

F4

F5

F6

F7

F8

F9

F10

Clotrimazole

1

1

1

1

1

1

1

1

1

1

Carbopol-940

1

1

1

1

1

1

1

1

1

1

Cremophor RH -40

2.5

2.5

2.5

5

5

5

7.5

7.5

7.5

7.5

Tween 40

1

2.5

5

1

2.5

5

1

2.5

5

5

Iso propyl myosterate

10

10

10

10

10

10

10

10

10

10

Cetyl alcohol

5

5

5

5

5

5

5

5

5

5

Benzyl alcohol

1

1

1

1

1

1

1

1

1

1

Distilled water

100

100

100

100

100

100

100

100

100

100

Triethanolamine

q.s

q.s

q.s

q.s

q.s

q.s

q.s

q.s

q.s

q.s

Evaluation Parameters9-15:

Physical appearance and pH:

Prepared creams were checked for their clarity and the pH was measured using a calibrated digital pH meter at 37°C. All measurements were made in triplicate.

Percentage yield:

The obtained gels were weighted and %yield was determined by the following equation.

Spreadability:

For the determination of spreadability, excess of sample was applied between the two glass slides and was compressed to uniform thickness by placing 100g weight for 5 min. Weight (50 g) was added to the pan. The time required to separate the two slides,

i.e the time in which the upper glass slide moves over the lower plate was taken as measure of spreadability(S)7.

S=M×L/T,

Where,

  • M = weight tide to upper slide,
  • L = length moved on the glass slide,
  • T = time taken.

Viscosity measurement of prepared cream:

The viscosity of the all-prepared creams was determined by using Brookfield digital viscometer (Model no LVDV 2P230) using 10g of cream. Measurements were performed using suitable spindle and the temperature was maintained at 37±1°C. The viscosity was read directly from the viscometer display. All measurements were made in triplicate.

Determination of drug content:

1gm of prepared cream was dissolved in 5ml of pH 7.4 buffer solution and volume was made up to 100ml phosphate buffer pH 7.4. After suitable dilution the absorbance was measured by UV spectrophotometer (Shimadzu) at 262 nm.

In-vitro drug release:

The dialysis technique using cellophane membrane was used to study in-vitro release. Prior to diffusion studies, the dialysis membrane was soaked overnight in pH 7.4 phosphate buffer solution. 1gm of cream was placed on dialysis membrane, which was sealed on one side and one side opened. The dialysis tube was placed in a glass beaker containing 50 ml of pH 7.4 phosphate buffer solution. The release studies were performed at 37±0.5°C and stirred at 50 rpm using magnetic stirrer. The 5 ml of sample was withdrawn at different time interval and was replaced with same volume of pH 7.4 phosphate buffer to maintain the sink condition. The samples were filtered through Whatman filter paper (No.41) and solutions were analyzed using UV Spectrophotometer after suitable dilution. Cumulative percentage drug release was determined by using standard graph.

Stability Test:

 The stability of optimized formulation was studied at different temperatures. Cream was stored   in well tight closed container and maintained at oven temperature (40 ± 2oC) and 75 ± 5% RH for 3 months as per ICH guidelines. Change in the appearance and drug content of the stored cream was investigated after storage. The data presented are the mean of three determinations

RESULT AND DISCUSSION

Preformulation study:

Melting point:

The melting point of Clotrimazole was determined by capillary method using digital melting point apparatus (in triplicate) and melting point found to be 145-150°C. Thus obtained melting point is in agreement with literature melting point which confirms the purity of drug.

Compatibility study:

FT-IR studies:-

The preformulation study was carried out to study the compatibility of the pure Clotrimazole with the polymers Carbopol and Cetyl alcohol . The individual spectra of the pure drug and in combination with excipients are shown in figure no.1 and 2. In IR spectra of Clotrimazole major peaks of functional groups were found at various wavelengths. In the physical mixture, the principle peaks were approximately matched with the pure drug principle peaks. Hence, it can be concluded that there was no possible interactions between the drug and excipients.

Table No.2 : Major peaks of Clotrimazole and physical mixture of IR spectra

INGREDIENTS

C-H

C=N

C=C

C-N str

C-H bending

Clotrimazole

3058.67

1583.05

1435.97

1081.22

751.55

Physical mixtures of Clotrimazole + Carbopol

3056.89

1440.95

1440.95

1082.11

752.51

Figure No.1: FTIR Spectra of Pure Drug Clotrimazole

Figure No.2: FTIR spectra of Physical Mixture of Drug and polymers

Differential scanning calorimetry (DSC):-

Any possible drug polymer interaction can be studied by thermal analysis. The DSC patterns of pure Clotrimazole and its physical mixture are shown in Fig. 3 and 4 Pure Clotrimazole showed a sharp endothermic peak at 159.14°C corresponding to its melting point. There was negligible change in the melting endotherms of the physical mixture of drug with polymers (156.67°C) compared to pure drug. This observation further supports the IR spectroscopy results, which indicated the absence of any interactions between the drug and additives used in the preparation.

Figure No.3: DSC of Pure drug Clotrimazole:

Figure No.4: DSC of Physical Mixture of drug and polymers

Table No.3: Standard Calibration data of Clotrimazole:

Sr. No.

Concentration(µg/ml)

Absorbance AM±SD

1.

0

0±0.000

2.

2

0.129± 0.033

3.

4

0.255 ± 0.060

4.

6

0.372 ± 0.085

5.

8

0.491 ± 0.109

6.

10

0.623 ± 0.139

Figure No.5: Standard Calibration curve of Clotrimazole

Table No.4: Evaluation Parameters of Clotrimazole cream

Formulation code

Appearance

% yield

Surface pH

Viscosity (cps×103)

Spreadability (gm/sec)

Drug content (%)

F1

Non- Transparent

73.3

6.5

656.61

15.12

96.7±0.745

F2

Non- Transparent

79.2

6.7

669.29

13.89

94.2±0.681

F3

Non- Transparent

72.52

6.6

672.84

14.53

93.95±0.874

F4

Non- Transparent

77.44

6.7

681.11

13.74

94.32±2.410

F5

Non- Transparent

71.56

6.6

684.74

13.98

92.33±0.850

F6

Non- Transparent

76.63

6.8

687.11

13.25

92.62±20402

F7

Non- Transparent

74.77

6.9

682.80

12.98

92.5±3.294

F8

Non- Transparent

78.02

7.0

685.17

12.51

96.7±1.284

F9

Non- Transparent

80.12

6.8

697.39

13.47

95.95±0.956

F10

Non- Transparent

89.25

6.8

693.76

14.41

97.82±1.172

Diffusion Study:-

The cumulative amount of drug released from creams were determined and plotted in Figure 6. Each data point represents the mean of 6 determinations. The amount of drug was constant in all different cream formulation. Among all cream formulations, formulations containing lower concentration of Cremophore RH40 and showed the less release of drug in 12hr and formulations containing higher Cremophore RH40 and showed the more release of drug in 12 hr. and that is not maximum, and by the inclusion of tween-40 and penetration enhancer maximum release we can observe .Hence, higher concentration formulation was Selected for preparing cream formulations to study the effect of menthol as penetration enhancer. A marked effect of surfactants, concentration of Cremophor RH40 and concentration of Tween 40 on drug permeation was observed when it was incorporated cream formulations. The cumulative amount permeated at 12 hours of drug was optimized from cream formulation.

Table No.5: In-vitro drug release profile of Clotrimazole cream from (F1-F5):

TIME

FORMULATION CODE (Cumulative release %)

F1

F2

F3

F4

F5

0

0.000±0.000

0.000±0.000

0.000±0.000

0.000±0.000

0.000±0.000

10

2.06±0.339

0.7±0.434

0.86±2.441

0.8±3.179

0.9±1.212

20

4.19±0.956

1.46±2.157

1.35±3.893

1.16±2.416

1.8±0.421

30

5.08±0.329

2.26±0.899

2.21±1.671

1.65±3.412

2.58±2.648

45

7.9±1.558

3.66±1.474

3.54±1.644

2.55±0.627

3.95±0.415

60

10.06±2.364

4.7±0.355

4.54±1.544

3.06±0.606

5.27±1.146

90

12.4±0.498

6.97±0.916

5.16±1.246

4.2±1.629

7.74±1.996

120

14.17±1.089

9.15±1.327

7.36±2.106

5.15±2.676

14.85±2.535

150

16.1±1.134

10.96±1.673

9.75±3.226

6.67±3.969

17.6±4.594

180

18.4±2.262

11.76±1.796

11.2±4.171

8.3±5.656

21.36±5.967

210

20±3.391

14.6±4.177

13.64±2.156

10±3.047

23.32±4.841

240

21.4±2.058

17.86±0.758

20.04±3.197

11.5±3.604

27.13±2.712

270

23.5±0.639

19.72±3.091

22.6±1.905

14.2±0.774

33±1.974

300

25.5±5.442

21.44±2.216

26.5±3.814

17.3±1.694

37.6±2.197

330

27.6±1.835

24.12±2.909

28.6±0.498

20.4±3.956

41.15±5.285

360

30.3±2.614

27.56±2.112

31.8±2.613

24.4±0.075

45.63±3.284

420

35.8±0.704

33.61±2.394

37.42±3.687

32.4±0.709

54.5±3.118

480

43±0.284

45.6±2.821

47.8±4.173

47.4±4.457

56±0.497

540

52.96±2.359

56.2±3.462

54.91±3.805

50±0.497

59.8±0.706

600

58.15±1.211

58±1.346

59.4±1.981

53±1.764

62.5±3.044

660

60.6±3.749

61.9±3.185

63.5±3.251

54±1.907

67.8±2.407

720

65.12±1.206

65±1.345

69.6±1.974

55.8±0.704

69.5±0.358

In-vitro drug release profile of Clotrimazole cream from (F6-F10):

TIME

FORMULATION CODE (Cumulative release %)

F6

F7

F8

F9

F10

0

0±0.000

0±0.000

0±0.000

0±0.000

0±0.000

10

0.7±1.276

0.7±1.275

0.7±0.358

5±1.487

1.6±1.485

20

1.82±2.498

1.7±2.195

1.16±1.049

2.2±1.415

2.3±1.417

30

2.7±2.619

2.7±2.686

1.97±1.995

3±0.639

3±0.635

45

4.2±0.142

3.9±4.950

3.92±2.044

4.1±1.065

4.2±1.062

60

5.3±1.768

5.2±2.688

5.4±0.849

5.07±0.878

5.05±0.874

90

7.4±0.708

7.2±5.021

6.39±2.772

7.23±2.185

7.24±2.183

120

8.8±3.395

8.7±4.668

7.67±3.285

8.62±4.024

8.62±4.024

150

11.2±4.526

11.2±3.748

8.78±3.416

10.8±5.447

10.8±5.445

180

18.6±4.876

17.8±1.699

11.07±2.275

14.3±2.756

14.3±2.759

210

24.2±1.556

22.7±5.236

16.07±4.392

19.2±3.185

19.2±3.182

240

29.3±3.819

27.5±4.948

19.8±4.524

27.55±1.8454

27.54±1.843

270

34.4±3.746

33.2±3.746

28.5±2.614

30.3±4.877

30.3±4.876

300

38.4±0.072

37.6±2.261

40.6±3.465

42.32±1.404

42.32±1.406

330

43.5±3.890

42.7±1.768

48.2±3.536

49.8±4.665

49.6±4.665

360

48.5±2.970

47.4±1.205

57.80±1.422

59.5±3.819

59.8±3.814

420

50.2±3.607

53.5±2.334

63.37±2.065

65±2.758

65±2.756

480

52.7±2.898

64.5±2.334

70.4±2.829

68±2.547

70±2.546

540

55.7±2.334

68.1±2.758

72.7±3.887

74±7.285

76±7.282

600

57.6±5.446

70.3±3.26

74.7±2.618

75±4.872

82±4.877

660

60.5±3.253

72.4±2.756

75.4±2.263

76.6±5.52

93.4±5.516

720

62.3±1.483

74.2±1.768

75.6±0.423

77.9±0.354

97.3±0.354

Figure No.6: In-Vitro diffusion profile of Formulation F1 to F10

Drug Release Kinetics:

In order to investigate the drug release mechanism, the drug release data fitted to models representing zero order, first order, higuchi square root of time and peppas model. The liner regression analysis are summarized in table no.6 The examination of co-efficient of determination (r2) values for different formulation indicated that drug release followed the zero order release pattern from creams. The release exponentvalue (n) for all formulation used to characterize the drug release mechanism and the obtained ‘n’ values (0.6737 to 0.8919) for all formulations was more than 0.5, which indicated that the drug release followed Non-Fickian diffusion mechanism. This might be due to swelling property of the polymer used in cream

Table No.6: Release Kinetic& Mechanism

Formulation code

Zero order (R2)

First order (R2)

Higuchi (R2)

Korsmeyer- Peppas 2

N

(R )

F1

0.987

0.957

0.915

0.672

0.971

F2

0.978

0.942

0.871

0.800

0.890

F3

0.989

0.957

0.890

0.821

0.877

F4

0.954

0.932

0.835

0.793

0.842

F5

0.975

0.991

0.955

0.840

0.910

F6

0.942

0.973

0.941

0.839

0.895

F7

0.975

0.978

0.926

0.868

0.892

F8

0.935

0.942

0.876

0.897

0.859

F9

0.946

0.953

0.897

0.836

0.893

F10

0.976

0.851

0.891

0.848

0.891

Figure No.7: First order release kinetics of F1 to F10

FigureNo.8: Higuchi kinetics of F1 to F10

Figure No.9: Korsmeyer-Peppas kinetics of F1 to F1

In vitro antifungal activity

The anti-fungal activity of optimized formulation was examined to determine the most potent formula against candida fungus. Figure 10 demonstrated that optimized formulation has the most potent anti-fungal activity supported by a 12 mm inhibition zone diameter. This could be justified by the antifungal action may be due to the presence of surfactant and penetration enhancer.

Fig No.10 In vitro antifungal activity.

a

Blank

b

Placebo

c

clotrimazole

d

Optimized formulation

Stability studies:-

Based on visual observation the optimized Clotrimazole cream (F10) for a period of 3 months. The optimized formulation (F10) was analyzed for clotrimazole content by UV spectrophotometer. The result showed that slight decrease in drug content was found when the Clotrimazole cream kept at 40±2°C for 3 months. Since the overall degradation was not more than 3%.

Table No.7: Stability study of Clotrimazole cream:

Sr.

No.

Time period for

sampling

Drug content

(%)

1.

Initial

96.5±1.475

2.

After 1 month

96.2±1.552

3.

After 2 month

95.7±0.853

4.

After 3 month

95.6±1.21

CONCLUSION

Topical route of application has a great potential as an effective and safe way to administer drug for its antifungal in effect. The concentration of emulsifying agent and permeation enhancer significantly affects the critical parameters of cream formulation cumulative amount release at 12 hours. In vitro permeation study showed that menthol enhanced the cumulative amount of drug from cream formulation. The topical cream formulation developed in this study showed the promising anti-fungal activity, further in vivo studies and can be extrapolated for further development in treatment of fungal disease.

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  13. Bhakti Mali, Sumedh N Moharil, Vaibhav Mhasal, Mahesh B Narkhede. Drug-excipient interaction study of Tramadol HCL with polymers. World J Pharm Res 2017;6:848-61.
  14. Donald L Pavia, Gary M Lampman, George S kriz, James R Vyvyan. Introduction to spectroscopy. 5th edition. PatparganjDelhi; Cengage learning India pvt. ltd. Chapter 2: Infrared spectroscopy; 2015. p. 14-106.
  15. Ghada E. Yassin, “Formulation and Evaluation of Optimized Clotrimazole Emulgel Formulations”, British Journal of Pharmaceutical Research, 2014; 4(9): 1014-1030.   

Reference

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  12. Sk Uddandu Saheb, Aduri Prakash Reddy, K Rajitha, B Sravani, B Vanitha. Formulation and evaluation of cream from naturally containing plant extracts. World J Pharm Pharm Sci 2018;7:851-62.
  13. Bhakti Mali, Sumedh N Moharil, Vaibhav Mhasal, Mahesh B Narkhede. Drug-excipient interaction study of Tramadol HCL with polymers. World J Pharm Res 2017;6:848-61.
  14. Donald L Pavia, Gary M Lampman, George S kriz, James R Vyvyan. Introduction to spectroscopy. 5th edition. PatparganjDelhi; Cengage learning India pvt. ltd. Chapter 2: Infrared spectroscopy; 2015. p. 14-106.
  15. Ghada E. Yassin, “Formulation and Evaluation of Optimized Clotrimazole Emulgel Formulations”, British Journal of Pharmaceutical Research, 2014; 4(9): 1014-1030.   

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Gurubasavaraj A M T
Corresponding author

SCS College of Pharmacy, Harapanahalli, Karnataka, India 583131 

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Shankrayya M
Co-author

SCS College of Pharmacy, Harapanahalli, Karnataka, India 583131 

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Chaithra R P
Co-author

SCS College of Pharmacy, Harapanahalli, Karnataka, India 583131 

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Pradeep U
Co-author

SCS College of Pharmacy, Harapanahalli, Karnataka, India 583131 

Shankrayya M, Gurubasavaraj A M T, Chaithra R P, Pradeep U, Evaluating the Impact of Formulation Parameters on Permeation of Clotrimazole from Topical Creams, Int. J. of Pharm. Sci., 2026, Vol 4, Issue 1, 1803-1814. https://doi.org/10.5281/zenodo.18298169

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