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  • Formulation and Evaluation of a Herbal Anti-Varicose Cream Containing Grape Seed and Bacopa monnieri Extracts

  • Mahatma Gandhi Vidyamandir's Pharmacy College, Nashik, 422003

Abstract

Varicose veins are a common vascular disorder characterized by dilated and tortuous superficial veins, particularly in the lower extremities, and may cause pain, itching, swelling, skin discoloration, venous ulceration, and thrombosis in advanced cases. Herbal ingredients with antioxidant and anti-inflammatory properties may provide a potential approach for topical management of associated symptoms. The present study aimed to formulate and evaluate a herbal anti-varicose cream containing grape seed (Vitis vinifera) extract and Bacopa monnieri extract. Both extracts were prepared using an aqueous extraction process and incorporated into a cream base containing beeswax, glycerin, cetostearyl alcohol, and sodium benzoate. Two formulations, F1 and F2, were prepared by varying the concentrations of beeswax and glycerin. The formulations were evaluated for physical appearance, colour, odour, texture, washability, pH, spreadability, phase separation, greasiness, and homogeneity. Preliminary phytochemical screening of grape seed extract indicated the presence of steroids and polyphenolic constituents, including flavonoids and proanthocyanidin-related components. Both formulations exhibited a faint yellow colour, aromatic odour, smooth texture, and semisolid consistency. F1 and F2 were easily washable, non-greasy, homogeneous, and showed no phase separation. The pH values were 6.0 and 6.5, while spreadability values were 18 and 16 cm for F1 and F2, respectively. Overall, the developed grape seed–Bacopa monnieri herbal cream demonstrated acceptable preliminary physicochemical characteristics and physical stability during the evaluation period. Further studies involving standardized phytochemical characterization, antioxidant and anti-inflammatory assays, accelerated stability testing, and clinical evaluation are warranted to establish its therapeutic potential for managing varicose-vein-associated symptoms.

Keywords

Varicose veins; Vitis vinifera; grape seed extract; Bacopa monnieri; herbal cream; proanthocyanidins; antioxidant; anti-inflammatory; topical formulation.

Introduction

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Varicose veins are dilated, elongated and tortuous superficial veins that commonly occur in the lower extremities. They are associated with abnormalities of venous valves and impaired venous return, resulting in venous pooling and increased venous pressure. Although varicose veins may initially present as a cosmetic concern, patients may experience pain, discomfort, itching, swelling, skin discoloration and, in severe cases, complications such as venous ulceration, thrombosis and bleeding (1,2).

Normal venous circulation in the lower limbs depends on the coordinated function of the venous valves and the calf-muscle pump. Venous valves permit blood to move toward the heart while preventing retrograde flow. Dysfunction of these valves can result in reflux and pooling of blood, ultimately contributing to venous hypertension and venous dilation (3,4). Risk factors reported for varicose veins include increasing age, family history, obesity, pregnancy, hormonal influences and prolonged periods of standing or sitting (1,5).

Treatment approaches for varicose veins include conservative measures, compression therapy, sclerotherapy, endovenous procedures and surgery. Sclerotherapy is one established intervention, although treatment selection depends on disease severity and individual clinical circumstances (6). Consequently, interest has increased in complementary approaches based on naturally occurring phytoconstituents with antioxidant and anti-inflammatory properties.

Grape seed obtained from Vitis vinifera is rich in phenolic compounds, flavonoids and proanthocyanidins. Grape seed-derived polyphenols have been investigated for antioxidant, anti-inflammatory and cardiovascular-related effects (7–9). Proanthocyanidins are particularly important constituents of grape seeds and contribute substantially to their antioxidant activity (8,9).

Bacopa monnieri, commonly known as Brahmi, contains bioactive constituents including bacosides and triterpenoid saponins. Various pharmacological activities have been reported for B. monnieri, including antioxidant and anti-inflammatory effects (10,11). The uploaded project selected grape seed extract as an anti-inflammatory component and B. monnieri extract as an antioxidant component for incorporation into a topical herbal cream.

Topical cream provides a convenient dosage form for application to the skin and may facilitate localized delivery of botanical constituents. Cream formulations can additionally provide emollient and moisturizing effects, which may improve skin comfort and appearance. The present study therefore focused on the formulation and preliminary physicochemical evaluation of a grape seed–B. monnieri herbal cream intended as a potential supportive topical formulation for varicose-vein-associated symptoms. (17,18)

2. AIM AND OBJECTIVES

2.1 Aim

To formulate and evaluate an anti-varicose herbal cream using grape seed extract.

2.2 Objectives

  1. To prepare grape seed extract.
  2. To prepare Bacopa monnieri extract.
  3. To formulate a herbal cream incorporating the prepared extracts.
  4. To evaluate the prepared cream for physicochemical characteristics.
  5. To assess the preliminary suitability of the formulations for topical application.

3. MATERIALS AND METHODS

3.1 Materials

Grape seeds of Vitis vinifera and Bacopa monnieri powder were selected as herbal materials. Beeswax, glycerin, cetostearyl alcohol and sodium benzoate were used as formulation excipients. (8,10)

Table 1. Herbal ingredients used in the formulation

Sr. No.

Plant

Scientific name

Part used

Intended role

1

Grape

Vitis vinifera

Seeds

Anti-inflammatory

2

Brahmi

Bacopa monnieri

Stem/ powder

Antioxidant

The source thesis identifies grape seed extract as an anti-inflammatory component and B. monnieri extract as an antioxidant component.

Table 2. Excipients and their roles

Sr. No.

Ingredient

Role

1

Grape seed extract

Herbal active

2

Bacopa monnieri extract

Herbal active

3

Glycerin

Humectant

4

Beeswax

Thickening/ consistency agent

5

Cetostearyl alcohol

Emulsifying/ consistency agent

6

Sodium benzoate

Preservative

7

Purified water

Vehicle

These ingredient roles were specified in the original formulation plan.

4. PREPARATION OF EXTRACTS

4.1 Preparation of Grape Seed Extract

Grape seed powder, approximately 30 g, was taken and extracted with 800 mL of water. The mixture was heated/boiled for approximately 2 h and subsequently filtered. The filtrate was evaporated to obtain the extract in powdered form.  (20)

   
    

Figure 1. Schematic representation of grape seed extraction

Grape seeds → Powdering → 30 g powder + 800 mL water → Heating for 2 h → Filtration → Filtrate → Evaporation → Grape seed extract

4.2 Preparation of Bacopa monnieri Extract

Approximately 30 g of B. monnieri powder was extracted using 800 mL water. The mixture was heated for approximately 2 h and filtered. The filtrate was evaporated to obtain the powdered extract. (10)

Figure 2. Schematic representation of Bacopa monnieri extraction

Brahmi powder → 30 g powder + 800 mL water → Heating for 2 h → Filtration → Filtrate → Evaporation → B. monnieri extract

5. FORMULATION DEVELOPMENT

Two formulations, F1 and F2, were prepared. The formulations differed mainly in the concentrations of beeswax and glycerin.

Table 3. Composition of herbal cream formulations

Ingredient

F1

F2

Function

Grape seed extract

3 g

3 g

Herbal active

B. monnieri extract

4 g

4 g

Herbal active

Beeswax

5 g

4 g

Thickener

Glycerin

6 g

7 g

Humectant

Cetostearyl alcohol

1 g

1 g

Emulsifier/ consistency agent

Sodium benzoate

1 g

1 g

Preservative

Water

q.s.

q.s.

Vehicle

The formulation composition was taken from the experimental formulation table in the uploaded thesis.

6. PREPARATION OF HERBAL CREAM

The required quantities of grape seed extract, B. monnieri extract, beeswax, glycerin, cetostearyl alcohol and sodium benzoate were weighed accurately. (15–17)

6.1 Preparation of oil phase

Beeswax and cetostearyl alcohol were mixed and heated to approximately 70°C in a hot-water bath. (15–17)

6.2 Preparation of aqueous phase

Glycerin, sodium benzoate and water were mixed and heated to approximately 70°C. (15–17)

6.3 Incorporation of herbal extracts

Both herbal extracts were incorporated into the aqueous phase. The aqueous phase was subsequently combined with the heated oil phase with continuous mixing. Mixing was continued until a uniform cream consistency was obtained. The formulation was allowed to cool and subsequently transferred into suitable containers for storage. (15–17)

6.4 Formulation development workflow

Weighing of ingredients
↓
Preparation of oil phase at ~70°C
(Beeswax + cetostearyl alcohol)
↓

Preparation of aqueous phase at ~70°C
(Glycerin + sodium benzoate + water)
↓

Addition of herbal extracts
↓
Mixing of aqueous and oil phases
↓
Continuous homogenization/mixing
↓
Cooling
↓
Filling into container
↓
F1 / F2 herbal cream

Figure 3. Formulation development workflow

                   

Formulation Batch 1                                                  Formulation Batch 2

Figure 4. Formulation Batches

7. Preliminary Phytochemical Evaluation

The grape seed extract was subjected to preliminary phytochemical tests.

7.1 Salkowski Test for Steroids

The grape seed extract was treated with chloroform and concentrated sulfuric acid. A reddish-brown colour was observed, indicating a positive reaction for steroids.

7.2 Tests for Polyphenolic Constituents

The extract was subjected to different qualitative reactions involving sulfuric acid, boric acid, hydrochloric acid and ferric chloride. The observations reported in the source thesis indicated the presence of polyphenolic/flavonoid-related constituents and proanthocyanidin-related compounds.

Table 4. Preliminary phytochemical screening of grape seed extract

Test

Treatment

Observation

Inference

Salkowski test

Extract + chloroform + conc. H₂SO₄

Reddish-brown colour

Steroids present

Polyphenol test

Extract + H₂SO₄

Brown colour

Oxidation of polyphenolic constituents

Boric acid test

Extract + boric acid

Pinkish colour

Flavonoid/ polyphenol-related constituents

HCl test

Extract + HCl

Dark yellow colour

Polyphenols present

Ferric chloride test

Extract + FeCl₃

Blue colour

Polyphenol/ proanthocyanidin-related constituents

8. Evaluation of Herbal Cream

The formulations were evaluated for physical appearance, washability, pH, phase separation, irritancy, greasiness, homogeneity and spreadability. (15–17)

8.1 Physical Evaluation

Colour, odour, texture and physical state of the cream were examined visually. (15–17)

8.2 Washability

A small quantity of cream was applied to the hand and washed under running water. The ease with which the formulation was removed was recorded. (17)

8.3 pH

Approximately 0.5 g of cream was dispersed in 50 mL distilled water and the pH was determined using a digital pH meter. (17)

8.4 Phase Separation

The formulations were observed for evidence of phase separation during the reported stability observation period. (17)

8.5 Irritancy

The source methodology describes application to a marked skin area followed by observation for irritation over 24 h. (17)

8.6 Greasiness

The cream was applied to the skin as a thin smear and examined for an oily or greasy residue. (17)

8.7 Homogeneity

Homogeneity was assessed visually and by touch for uniform distribution and smoothness. (17)

8.8 Spreadability

Spreadability was determined using two glass slides. A quantity of cream was placed between the slides and a load was applied. After removing excess formulation, the upper slide was allowed to move under the applied weight. The time required for movement was recorded. (15–17)

The reported equation was: (15–17)

S=M×LT

Where:

  • S = spreadability
  • M = weight attached to the upper slide
  • L = length of the glass slide
  • T = time taken for the slide to move.

9. RESULTS

9.1 Physical Evaluation

Both formulations showed acceptable physical characteristics. F1 and F2 were described as faint yellow, aromatic, smooth and semisolid.

Table 5. Physical characteristics of F1 and F2

Parameter

F1

F2

Colour

Faint yellow

Faint yellow

Odour

Aromatic

Aromatic

Texture

Smooth

Smooth

Physical state

Semisolid

Semisolid

9.2 Evaluation of Formulations

Table 6. Comparative evaluation of F1 and F2

Sr. No.

Evaluation parameter

F1

F2

1

Physical appearance

Faint yellow, aromatic, smooth, semisolid

Faint yellow, aromatic, smooth, semisolid

2

Washability

Easily washable

Easily washable

3

pH

6.0

6.5

4

Spreadability

18 cm

16 cm

5

Phase separation

Not observed

Not observed

6

Greasiness

Non-greasy

Non-greasy

7

Homogeneity

Uniform distribution

Uniform distribution

The values above reproduce the experimental observations reported in the source thesis.

10. RESULTS AND DISCUSSION

The present investigation was undertaken to develop a topical herbal cream containing grape seed and B. monnieri extracts. The selection of these botanical ingredients was based on the presence of bioactive constituents and their reported antioxidant and anti-inflammatory properties. Grape seeds contain polyphenols, flavonoids and proanthocyanidins, which have been associated with antioxidant and vascular-supportive properties (7–9). B. monnieri contains bacosides and other constituents and has been investigated for antioxidant and anti-inflammatory effects (10,11).

The preliminary phytochemical screening of the grape seed extract gave positive reactions for steroids and polyphenolic/flavonoid-related constituents. In particular, the ferric chloride reaction was reported to produce a blue colour interpreted in the source study as indicative of polyphenolic/proanthocyanidin-related constituents. These findings are consistent with the established phytochemical profile of grape seeds, which are recognized as a source of polyphenolic compounds and proanthocyanidins (8,9).

Two cream formulations were developed by maintaining the quantities of the two herbal extracts while varying the proportions of beeswax and glycerin. F1 contained 5 g beeswax and 6 g glycerin, whereas F2 contained 4 g beeswax and 7 g glycerin. The variation was therefore intended to modify the consistency and humectant characteristics of the cream.

Both formulations demonstrated a faint yellow colour and aromatic odour. Their smooth texture and semisolid consistency indicated satisfactory preliminary physical characteristics. Both formulations were also reported to be easily washable and non-greasy, characteristics that are desirable for topical preparations because excessive greasiness may reduce patient acceptability.

The pH values of F1 and F2 were 6.0 and 6.5, respectively. The relatively small difference between the two formulations indicates that modification of beeswax and glycerin concentration within the tested range did not substantially alter the measured pH.

Spreadability was reported as 18 cm for F1 and 16 cm for F2. The higher reported spreadability of F1 may be associated with its formulation characteristics; however, because the source data do not provide the corresponding load, slide length and time measurements, a quantitative mechanistic comparison should be interpreted cautiously. The source thesis defines spreadability in terms of the relationship between applied weight, slide length and movement time.

Neither formulation showed phase separation during the reported evaluation. Both formulations also demonstrated uniform distribution of ingredients and satisfactory homogeneity. These observations suggest acceptable preliminary physical stability of the prepared cream under the reported conditions.

The findings are broadly consistent with the rationale for developing topical herbal formulations containing plant extracts with antioxidant and anti-inflammatory properties. Previous literature has discussed the potential role of grape-derived polyphenols in antioxidant and cardiovascular health and has described herbal approaches as an area of interest in the management of varicose-vein-associated symptoms (7,12–14).

However, the present study primarily establishes formulation feasibility and preliminary physicochemical acceptability. The reported results do not by themselves establish clinical efficacy against varicose veins. Further investigations such as quantitative marker estimation, antioxidant assays, anti-inflammatory assays, rheological characterization, microbial testing, accelerated and long-term stability studies, skin-safety studies and appropriately designed clinical studies would be necessary before therapeutic claims can be established.

11. COMPARATIVE INTERPRETATION OF F1 AND F2

Table 7. Interpretation of formulation characteristics

Parameter

F1

F2

Interpretation

Grape seed extract

3 g

3 g

Same herbal active concentration

B. monnieri extract

4 g

4 g

Same herbal active concentration

Beeswax

5 g

4 g

Higher in F1

Glycerin

6 g

7 g

Higher in F2

pH

6.0

6.5

Both showed comparable pH

Spreadability

18 cm

16 cm

F1 showed greater reported spreadability

Phase separation

No

No

Acceptable preliminary physical stability

Greasiness

Non-greasy

Non-greasy

Suitable topical characteristic

Homogeneity

Uniform

Uniform

Good physical uniformity

Washability

Easy

Easy

Good topical acceptability

Because the original work does not report statistical replicates or inferential statistical analysis, the difference between F1 and F2 should be regarded as an observed formulation difference rather than a statistically established superiority.

12. PROPOSED MECHANISTIC RATIONALE

The proposed rationale of the formulation can be represented as follows:

Grape seed extract
↓
Polyphenols + flavonoids + proanthocyanidin-related constituents
↓
Antioxidant and potential anti-inflammatory activity
↓
Potential reduction of oxidative/inflammatory burden associated with symptoms +

Bacopa monnieri extract
↓
Bacosides and other phytoconstituents
↓
Antioxidant/anti-inflammatory potential
↓
Potential supportive effect on vascular/skin health +

Topical cream base
↓
Localized application + moisturizing/emollient effect
↓
Potential improvement in skin comfort and formulation acceptability

Figure 4. Proposed mechanism of action

Overall proposed outcome:
Herbal topical formulation → potential supportive management of varicose-vein-associated discomfort and skin symptoms

This represents a research hypothesis/rationale, not proof of clinical therapeutic efficacy.

13. LIMITATIONS OF THE STUDY

The study has several limitations that should be considered when interpreting the findings:

  1. The extraction procedure was aqueous and no quantitative extraction yield was reported.
  2. No quantitative standardization of grape seed proanthocyanidins or another marker compound was reported.
  3. The phytochemical investigation was qualitative rather than quantitative.
  4. No antioxidant or anti-inflammatory assay results were reported.
  5. No viscosity/rheological data were provided.
  6. No quantitative stability data such as changes in pH, viscosity or active-content assay over time were reported.
  7. No microbiological evaluation was reported.
  8. No validated skin-permeation or drug-release study was reported.
  9. Most importantly, no clinical efficacy data were provided; therefore, the formulation should be described as a potential supportive herbal topical formulation, rather than as a proven treatment for varicose veins.

14. FUTURE SCOPE

Further research may focus on:

  • Standardization of grape seed extract using proanthocyanidins or another suitable phytochemical marker. (8,9,20)
  • Quantitative total phenolic and total flavonoid content determination. (8,9,20)
  • In-vitro antioxidant assays such as DPPH, ABTS or FRAP. (8,9)
  • In-vitro anti-inflammatory evaluation. (7,10)
  • Rheological and viscosity characterization. (17,19)
  • In-vitro release and skin-permeation studies. (17)
  • Microbial-limit testing and preservative efficacy testing. (17)
  • Accelerated and long-term stability studies. (17)
  • Optimization of the formulation using a suitable design of experiments. (17)
  • Investigation of the mechanism of action of grape seed phytoconstituents. (8,9,20)
  • Appropriate clinical studies to determine whether the formulation actually improves varicose-vein-associated symptoms. (21,22,23)

The source thesis similarly identifies standardization, mechanistic studies, clinical trials and further investigation of grape seed formulations as future research directions.

CONCLUSION

A herbal cream containing grape seed extract and Bacopa monnieri extract was successfully formulated using beeswax, glycerin, cetostearyl alcohol and sodium benzoate as formulation components. Preliminary phytochemical screening of grape seed extract indicated the presence of steroidal and polyphenolic/flavonoid-related constituents, including proanthocyanidin-associated reactions.

Both F1 and F2 demonstrated acceptable preliminary physical characteristics, including smooth texture, semisolid consistency, easy washability, non-greasy nature, uniform homogeneity and absence of observed phase separation. The pH values were 6.0 and 6.5, while reported spreadability values were 18 cm and 16 cm for F1 and F2, respectively.

The findings support the feasibility of developing a grape seed–B. monnieri herbal cream as a topical formulation. Nevertheless, the present findings are preliminary and should not be interpreted as clinical proof of anti-varicose efficacy. Further standardized phytochemical, pharmacological, stability, safety and clinical investigations are required to establish its therapeutic potential.

REFERENCES

  1. Ching T, Roake JA, Lewis DR. Net-based information on varicose vein treatments: a tangled web. N Z Med J. 2010;123(1323).
  2. Garg N, Jain A. Ayurvedic perspective of varicose veins. World J Pharm Res. 2017;6(3):296-310.
  3. Goldman MP, Fronek A. Anatomy and pathophysiology of varicose veins. Dermatol Surg. 1989;15(2):138-146.
  4. Golledge J, Quigley FG. Pathogenesis of varicose veins. Eur J Vasc Endovasc Surg. 2003;25(4):319-324.
  5. Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D. The epidemiology of chronic venous insufficiency and varicose veins. Ann Epidemiol. 2005;15(3):175-184. doi:10.1016/j.annepidem.2004.05.01.
  6. de Ávila Oliveira R, Riera R, Vasconcelos V, Baptista-Silva JC. Injection sclerotherapy for varicose veins. Cochrane Database Syst Rev. 2021;(12).
  7. Georgiev V, Ananga A, Tsolova V. Recent advances and uses of grape flavonoids as nutraceuticals. Nutrients. 2014;6(1):391-415.
  8. Ma ZF, Zhang H. Phytochemical constituents, health benefits, and industrial applications of grape seeds: a mini review. Antioxidants. 2017;6(3):71.
  9. Sochorova L, Prusova B, Jurikova T, Mlcek J, Adamkova A, Baron M, et al. The study of antioxidant components in grape seeds. Molecules. 2020;25(16):3736.
  10. Aguiar S, Borowski T. Neuropharmacological review of the nootropic herb Bacopa monnieri. Rejuvenation Res. 2013;16(4):313-326.
  11. Sivaramakrishna C, Rao CV, Trimurtulu G, Vanisree M, Subbaraju GV. Triterpenoid glycosides from Bacopa monnieri. Phytochemistry. 2005;66(23):2719-2728.
  12. Palanisamy JK, Ponnu S, Mani S, Balakrishnan S. A critical review on traditional herbal drugs: an emerging alternative drug for varicose veins. World J Pharm Res. 2018;7(5):316-318.
  13. Gawas M, Bains A, Janghu S, Kamat P, Chawla P. A comprehensive review on varicose veins: preventive measures and different treatments. J Am Nutr Assoc. 2022;41(5):499-510.
  14. Parihar S, Sharma D. A brief review on herbs used in the treatment of varicose veins. J Drug Deliv Ther. 2022;12(1):158-162.
  15. Dhyani A, Chander V, Singh N. Formulation and evaluation of multipurpose herbal cream. J Drug Deliv Ther. 2019;9(2):341-343.
  16. Navindgikar NN, Kamalapurkar KA, Chavan PS. Formulation and evaluation of multipurpose herbal cream. Int J Curr Pharm Res. 2020;12(3):25-30.
  17. Chauhan L, Gupta S. Creams: a review on classification, preparation methods, evaluation and its applications. J Drug Deliv Ther. 2020;10(5-s):281-289.
  18. Muthukumarasamy R, Ilyana A, Fithriyaani NA, Najihah NA, Asyiqin N, Sekar M. Formulation and evaluation of natural antioxidant cream comprising methanolic peel extract of Dimocarpus longan. Int J Pharm Clin Res. 2016;8(9):1305-1309.
  19. Adejokun DA, Dodou K. Quantitative sensory interpretation of rheological parameters of a cream formulation. Cosmetics. 2019;7(1):2.
  20. Gupta M, Dey S, Marbaniang D, Pal P, Ray S, Mazumder B. Grape seed extract: having a potential health benefits. J Food Sci Technol. 2020;57:1205-1215.
  21. Rousserie P, Rabot A, Geny-Denis L. From flavanols biosynthesis to wine tannins: what place for grape seeds? J Agric Food Chem. 2019;67(5):1325-1343.
  22. Raetz J, Wilson M, Collins K. Varicose veins: diagnosis and treatment. Am Fam Physician. 2019;99(11):682-688.
  23. Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczki ML, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011;53(5 Suppl):2S-48S.

Reference

  1. Ching T, Roake JA, Lewis DR. Net-based information on varicose vein treatments: a tangled web. N Z Med J. 2010;123(1323).
  2. Garg N, Jain A. Ayurvedic perspective of varicose veins. World J Pharm Res. 2017;6(3):296-310.
  3. Goldman MP, Fronek A. Anatomy and pathophysiology of varicose veins. Dermatol Surg. 1989;15(2):138-146.
  4. Golledge J, Quigley FG. Pathogenesis of varicose veins. Eur J Vasc Endovasc Surg. 2003;25(4):319-324.
  5. Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D. The epidemiology of chronic venous insufficiency and varicose veins. Ann Epidemiol. 2005;15(3):175-184. doi:10.1016/j.annepidem.2004.05.01.
  6. de Ávila Oliveira R, Riera R, Vasconcelos V, Baptista-Silva JC. Injection sclerotherapy for varicose veins. Cochrane Database Syst Rev. 2021;(12).
  7. Georgiev V, Ananga A, Tsolova V. Recent advances and uses of grape flavonoids as nutraceuticals. Nutrients. 2014;6(1):391-415.
  8. Ma ZF, Zhang H. Phytochemical constituents, health benefits, and industrial applications of grape seeds: a mini review. Antioxidants. 2017;6(3):71.
  9. Sochorova L, Prusova B, Jurikova T, Mlcek J, Adamkova A, Baron M, et al. The study of antioxidant components in grape seeds. Molecules. 2020;25(16):3736.
  10. Aguiar S, Borowski T. Neuropharmacological review of the nootropic herb Bacopa monnieri. Rejuvenation Res. 2013;16(4):313-326.
  11. Sivaramakrishna C, Rao CV, Trimurtulu G, Vanisree M, Subbaraju GV. Triterpenoid glycosides from Bacopa monnieri. Phytochemistry. 2005;66(23):2719-2728.
  12. Palanisamy JK, Ponnu S, Mani S, Balakrishnan S. A critical review on traditional herbal drugs: an emerging alternative drug for varicose veins. World J Pharm Res. 2018;7(5):316-318.
  13. Gawas M, Bains A, Janghu S, Kamat P, Chawla P. A comprehensive review on varicose veins: preventive measures and different treatments. J Am Nutr Assoc. 2022;41(5):499-510.
  14. Parihar S, Sharma D. A brief review on herbs used in the treatment of varicose veins. J Drug Deliv Ther. 2022;12(1):158-162.
  15. Dhyani A, Chander V, Singh N. Formulation and evaluation of multipurpose herbal cream. J Drug Deliv Ther. 2019;9(2):341-343.
  16. Navindgikar NN, Kamalapurkar KA, Chavan PS. Formulation and evaluation of multipurpose herbal cream. Int J Curr Pharm Res. 2020;12(3):25-30.
  17. Chauhan L, Gupta S. Creams: a review on classification, preparation methods, evaluation and its applications. J Drug Deliv Ther. 2020;10(5-s):281-289.
  18. Muthukumarasamy R, Ilyana A, Fithriyaani NA, Najihah NA, Asyiqin N, Sekar M. Formulation and evaluation of natural antioxidant cream comprising methanolic peel extract of Dimocarpus longan. Int J Pharm Clin Res. 2016;8(9):1305-1309.
  19. Adejokun DA, Dodou K. Quantitative sensory interpretation of rheological parameters of a cream formulation. Cosmetics. 2019;7(1):2.
  20. Gupta M, Dey S, Marbaniang D, Pal P, Ray S, Mazumder B. Grape seed extract: having a potential health benefits. J Food Sci Technol. 2020;57:1205-1215.
  21. Rousserie P, Rabot A, Geny-Denis L. From flavanols biosynthesis to wine tannins: what place for grape seeds? J Agric Food Chem. 2019;67(5):1325-1343.
  22. Raetz J, Wilson M, Collins K. Varicose veins: diagnosis and treatment. Am Fam Physician. 2019;99(11):682-688.
  23. Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczki ML, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011;53(5 Suppl):2S-48S.

Photo
Tanishq Padole
Corresponding author

Mahatma Gandhi Vidyamandir's Pharmacy College, Nashik, 422003

Photo
Trupti Nikhade
Co-author

Mahatma Gandhi Vidyamandir's Pharmacy College, Nashik, 422003

Tanishq Padole, Trupti Nikhade, Formulation and Evaluation of a Herbal Anti-Varicose Cream Containing Grape Seed and Bacopa monnieri Extracts, Int. J. of Pharm. Sci., 2026, Vol 4, Issue 10, 932-943. https://doi.org/10.5281/zenodo.23202808

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