Bilimbi (Averrhoa bilimbi L.) Leaf Extract Cream: Formulation and Efficacy in Accelerating Wound Healing in Male White Mice
Downloads
Bilimbi (Averrhoa bilimbi L.) is known for its wound-healing potential due to its flavonoids, saponins, triterpenoids, and tannins. This study aims to develop a practical and stable dosage form of Bilimbi leaf extract, specifically a cream, and evaluate its efficacy as a wound-healing agent. Bilimbi leaf extract at 2% concentration was formulated into a cream with two variations of triethanolamine concentration as an emulsifier, F1 (2%) and F2 (4%). Data were collected through observation and measurement scales during the cream formulation stage. The effectiveness of the cream as a cut wound healer was assessed using a randomized control group pre-test and post-test design. Physical properties, including organoleptic properties, homogeneity, pH, and mechanical stability, were observed, and spreadability was measured. Both formulations met the criteria for creams with good physical quality and effectively reduced the wound length to 0 cm within the 7-day observation period. In contrast, in the control group, wounds still appeared to be 0.4-1 cm in size. In conclusion, the findings in this study indicate that the cream containing 2% Bilimbi leaf extract (Averrhoa bilimbi L.) has favorable physical characteristics and effectively heals incision wounds in male white mice. This formulation shows promise for further development regarding efficacy, safety, stability, and market acceptability.
Downloads
Tricarico PM, Mentino D, De Marco A, Del Vecchio C, Garra S, Cazzato G, Foti C, Crovella S, Calamita G. Aquaporins Are One of the Critical Factors in the Disruption of the Skin Barrier in Inflammatory Skin Diseases. International Journal of Molecular Sciences. 2022;23(7):4020. doi:10.3390/ijms23074020.
Şenel S. An Overview of Physical, Microbiological and Immune Barriers of Oral Mucosa. International Journal of Molecular Sciences. 2021;22(15):7821; doi: 10.3390/ijms22157821.
Krutmann J, Schikowski T, Morita A, Berneburg M. Environmentally-Induced (Extrinsic) Skin Aging: Exposomal Factors and Underlying Mechanisms. Journal of Investigative Dermatology. 2021;141(4):1096–1103. doi:10.1016/j.jid.2020.12.011.
Han SK. Basics of Wound Healing. In Innovations and Advances in Wound Healing. Singapore: Springer Nature Singapore; 2023. pp.1–42. doi:10.1007/978-981-19-9805-8.
Sandoz H. An overview of the prevention and management of wound infection. Nursing Standard. 2022;37(10):75–82. doi: 10.7748/ns.2022.e11889.
Oktaviani DJ, Widiyastuti S, Maharani DA, Amalia AN, Ishak AM, Zuhrotun A. Review: Bahan Alami Penyembuh Luka. Majalah Farmasetika. 2019;4(3):45-56. doi: 10.24198/farmasetika.v4i3.22939.
Baron JM, Glatz M, Proksch E. Optimal Support of Wound Healing: New Insights. Dermatology. 2020;236(6):593–600. doi: 10.1159/000505291.
Aminuddin M, Sholichin SK, Nopriyanto D. Modul Perawatan Luka. Samarinda: Program Studi Diploma III Keperawatan Fakultas Kedokteran Universitas Mulawarman; 2020.
Hasim H, Arifin YY, Andrianto D, Faridah DN. Ekstrak Etanol Daun Belimbing Wuluh (Averrhoa bilimbi) sebagai Antioksidan dan Antiinflamasi. Jurnal Aplikasi Teknologi Pangan. 2019;8(3):86-93. doi: 10.17728/jatp.4201.
Rusnedy R, Febrina M, Sari CP. Uji Aktivitas Wound Healing Ekstrak Etanol Buah Averrhoa bilimbi L. (Belimbing Wuluh) pada Mencit Putih Jantan (Mus musculus). Pharmacon: Jurnal Farmasi Indonesia. 2023;20(1):50-60. doi: 10.23917/pharmacon.v20i1.22677.
Garg M, Chaudhary SK, Kumari S, Goyal A. Phytochemical, Biological and Traditional Claims on Averrhoa bilimbi: An Overview. Indian Journal of Pharmaceutical Sciences. 2022;84(3):532–542. doi: 10.36468/pharmaceutical-sciences.947.
Setyawan HY, Sukardi S, Nareswari BF. The phytochemical potential of Averrhoa bilimbi – A review. IOP Conference Series: Earth and Environmental Science. 2021;733(1):012091. doi: 10.1088/1755-1315/733/1/012091.
Qudsiah U. Pengaruh Pemberian Gel Daun Belimbing Wuluh (Averrhoa bilimbi L.) dengan Konsentrasi Berbeda terhadap Penyembuhan Luka Sayat Tikus Putih (Rattus norvegicus) dan Pemanfaatannya sebagai Sumber Belajar Biologi. Universitas Muhammadiyah Malang; 2019.
Sohn SI, Priya A, Balasubramaniam B, Muthuramalingam P, Sivasankar C, Selvaraj A, Valliammai A, Jothi R, Panndian S. Biomedical Applications and Bioavailability of Curcumin—An Updated Overview. Pharmaceutics. 2021;13(12):2102. doi: 10.3390/pharmaceutics13122102.
Aulia RN, Sriwidodo S. Sistem Penghantaran Obat Ekstrak Herbal dalam Formulasi dan Aplikasi Biomedis. Majalah Farmasetika 2022;7(5):424-458. doi: 10.24198/mfarmasetika.v7i5.39613.
Utami SM, Fadhilah H, Malasari MN. Uji stabilitas fisik formulasi sediaan lip balm yang mengandung ekstrak etanol buah labu kuning (Curcubita Moschata D.). HERBAPHARMA: Journal of Herb Farmacological. 2021;3(2):78-88. doi: 10.55093/herbapharma.v3i2.265.
Pangemanan SP, Edy HJ, Rumondor EM. Uji Efektivitas Formulasi Sediaan Krim Ekstrak Kulit Buah Pisang Goroho (Musa acuminafe L.) terhadap Bakteri Staphylococcus aureus. Pharmacon 2020;9(3):443; doi: 10.35799/pha.9.2020.30030.
Chauhan L, Gupta S. Creams: A Review on Classification, Preparation Methods, Evaluation and its Applications. Journal of Drug Delivery and Therapeutics 2020;10(5-s):281–289; doi: 10.22270/jddt.v10i5-s.4430.
Rudiyat A, Yulianti R, Indra I. Formulasi Krim Anti Jerawat Kestrak Etanol Kulit Pisang Kepok (Musa Balbisiana colla). Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi 2020;20(2):170–180.
Franco-Gil ME, Graca A, Martins A, Marto J, Ribeiro HM. Emollients in dermatological creams: Early evaluation for tailoring formulation and therapeutic performance. International Journal of Pharmaceutics. 2024;653:123825. doi: 10.1016/j.ijpharm.2024.123825.
Sheskey PJ, Cook WG, Cable CG. Handbook of Pharmaceutical Excipients. 9th ed. (Sheskey PJ, Hancock BC, Moss GP, et al. eds). Pharmaceutical Press and American Pharmacist Association: London; Washington DC.; 2020.
Saryanti D, Setiawan I, Safitri RA. Optimasi Formula Sediaan Krim M/A Dari Ekstrak Kulit Pisang Kepok (Musa acuminata L.). Jurnal Riset Kefarmasian Indonesia 2019;1(3):225–237. doi: 10.33759/jrki.v1i3.44.
Suena NMDS, Rahayu LRP, Wijaya SC, Antari NP, Adrianta KA. Formulation and Antioxidant Activity Test of Centella asiatica Herba Extract and Moringa oleifera Leaves Extract as An Anti-Aging Emulgel. Tropical Journal of Natural Product Research 2024;8(3):6525-6536. doi: 10.26538/tjnpr/v8i3.9.
Eryani F, Miryati NR, Faulatun IA, et al. Formulation and Physical Quality Test of Body Lotion of Averrhoa bilimbi L. Extract as Anti-Mosquito Agent for Aedes aegypti. Jurnal Pijar MIPA 2024;19(3):514–518. doi: 10.29303/jpm.v19i3.6438.
Ernoviya E, Afriadi A. Dosage Evaluation and Antioxidant Activity Test of Lotion of Ethanol Extract of Belimbing Wuluh Leaf (Averrhoa Bilimbi L.). Contagion: Scientific Periodical Journal of Public Health and Coastal Health 2024;6(1):408; doi: 10.30829/contagion.v6i1.19224.
Ariem F, Yamlean PV., Lebang JS. Formulasi dan Uji Efektivitas Antioksidan Sediaan Krim Ekstrak Etanol Daun Belimbing Wuluh (Averrhoa bilimbi L. ) dengan Menggunakan Metode DPPH (1,1-diphenyl-2-picrylhydrazyl). PHARMACON Jurnal Ilmiah Farmasi – UNSRAT 2020;9(4):501–511; doi: 10.35799/pha.9.2020.31355.
Mehta R, Sharma P, Gupta J. A Review on Ethnopharmacology and Methodology of cream: Averrhoa bilimbi. International Journal of Creative Research Thoughts (IJCRT) 2023;11(3):496–513.
Nations U. Sustainable Development Goals: Guidelines for the Use of the SDG Logo Including the Colour Wheel, and 17 Icons. United Nations Department of Global Communications 2023;(September):1–68.
Andriani M, Permana IDGM, Widarta IWR. Pengaruh Suhu dan Waktu Ekstraksi Daun Belimbing Wuluh ( Averrhoa bilimbi L .) Terhadap Aktivitas Antioksidan Dengan Metode Ultrasonic Assisted Extraction ( UAE ). Jurnal Ilmu dan Teknologi Pangan 2019;8(3):330–340.
Utami SM, Yunarto N, Sopian A, Sayyidah S, Yuniarti E, Fabela F. Aktivitas Antioksidan dan Stabilitas Fisik Formulasi Sediaan Lotion yang Mengandung Ekstrak Daun Kersen (Muntingia calabura L.). In Prosiding SEMLITMAS (Seminar Hasil Penelitian Dan Pengabdian Masyarakat. 2024;1(1):264-274.
Amini A, Hamdin CD, Muliasari H, et al. Efektivitas Formula Krim Tabir Surya Berbahan Aktif Ekstrak Etanol Biji Wali (Brucea javanica L. Merr). Jurnal Kefarmasian Indonesia 2020;10(1):50–58; doi: 10.22435/jki.v10i1.2066.
Ariawa DC, Suradnyana IGM, Suena NMDS. Formulation of Lerak Liquid Extract ( Sapindus rarak DC . ) as a Biosurfactant for Facial Soap. Jurnal Kefarmasian Indonesia 2024;14(1):1–11. doi: 110.222435/jki.v14i1.6614.
Navgire TD, Pawar MB. Formulation and Evaluation Of Cold Cream. International Journal of Creative Research Thoughts (IJCRT) 2021;9(9):302–306.
Tchienou GED, Tsague RKT, Pega TFM, et al. Multi-Response Optimization in the Formulation of a Topical Cream from Natural Ingredients. Cosmetics 2018;5(7):1–14; doi: 10.3390/cosmetics5010007.
Rizali SS, Leslie W, Chairul M, Edlin E. Testing the Effect of Grape Seed Extract. (Vitis vinifera L) on the Healing Process of Cut Wounnds in Wistar White Rats. Poltekita: Jurnal Ilmu Kesehatan. 2024;17(4):17022-1712. doi: 10.33860/jik.v17i4.3639.
Nacher-Soler G, Lenglet S, Coelho M, Thomas A, Voruz F, Krause KH, Senn P, Rousset F. Local Cisplatin Delivery in Mouse Reliably Models Sensorineural Ototoxicity Without Systemic Adverse Effects. Frontiers in Cellular Neuroscience 2021;15(July):1–12; doi: 10.3389/fncel.2021.701783.
Milasanti YA, Widara RT, Fitri A. Uji Aktivitas Penyembuhan Luka Sayat Gel Ekstrak Etanol Lidah Buaya (Aloe Vera L.) pada Mencit Putih Jantan (Mus Musculus). Journal of Pharmaceutical and Health Research 2023;4(3):387–395; doi: 10.47065/jharma.v4i3.4415.
Kementrian Kesehatan Republik Indonesia. Suplemen I Farmakope Herbal Indonesia. 2022.
Ali NF, Stevani H, Rachmawaty D. Formulasi dan Stabilitas Sediaan Body Scrub Bedda Lotong dengan Variasi Konsentrasi Trietanolamin. Media Farmasi 2019;15(1):71; doi: 10.32382/mf.v15i1.852.
Putri NR, Agustin D, Nisa K. Formulasi dan Uji Aktivitas Antioksidan Krim Biji dan Ekstrak Etanol Daun Jambu Biji (Psidium guajava L.) sebagai Body Scrub. Jurnal Kefarmasian Indonesia 2022;12(1):50–57; doi: 10.22435/jki.v0i0.4673.
Rohmani S, Putri TR. Formulasi Anti-Aging Cream Potassium Azeloyl Diglycinate terhadap Stabilitas Fisika-Kimia Krim dengan Variasi Konsentrasi Trietanolamin sebagai Emulgator. Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan 2022;7(2):310–319; doi: 10.36387/jiis.v7i2.974.
Rachmawati D, Salim H, Karim D. Formulasi Sediaan Lulur Krim yang Mengandung Tepung Jintan Hitam (Nigella sativa L.) dengan Variasi Konsentrasi Trietanolamin. Media Farmasi 2021;16(1):18; doi: 10.32382/mf.v16i1.1435.
Lukić M, Pantelić I, Savić SD. Towards Optimal pH of the Skin and Topical Formulations: From the Current State of the Art to Tailored Products. Cosmetics 2021;8(3):69; doi: 10.3390/cosmetics8030069.
Lynde C, Tan J, Beecker J, Claveau J, Li MK, Rao J, Salsberg J, Zip C. Skin Surface pH. Journal of Drugs in Dermatology 2019;18(12):214.
Gwarzo ID, Mohd Bohari SP, Abdul Wahab R, Zia A. Recent advances and future prospects in topical creams from medicinal plants to expedite wound healing: a review. Biotechnology & Biotechnological Equipment 2022;36(1):82–94; doi: 10.1080/13102818.2022.2053340.
Lestari FA, Hajrin W, Hanifa NI. Optimasi Formula Krim Ekstrak Daun Katuk (Sauropus Androgynus) Variasi Konsentrasi Asam Stearat, Trietanolamin, dan Gliserin. Jurnal Kefarmasian Indonesia 2020;10(2):110–119; doi: 10.22435/jki.v10i2.2496.
Navindgikar NN, Kamalapurkar KA, Chavan PS. Formulation and evaluation of multipurpose herbal cream. International Journal of Current Pharmaceutical Research 2020;12(3):25–30.
BPOM. Pedoman Cara Pembuatan Obat Yang Baik (Guidelines On Good Manufacturing Practice). Direktorat Pengawasan Produksi Obat, Narkotika, Psikotropika, dan Prekursor Badan Pengawas Obat dan Makanan; 2024.
Utami SM. Pengaruh Basis Carbopol Terhadap Formulasi Sediaan Gel Dari Ekstrak Daun Katuk (Sauropus androgynus (L.) Merr). Edu Masda Journal. 2019;3(1):1-12. doi: 10.52118/edumasda.v3i1.22.
Sharma K, Kumar V, Kaur J, Tanwar B, Goyal A, Sharma R, Gat Y, Kumar A. Health effects, sources, utilization and safety of tannins: a critical review. Toxin Reviews 2021;40(4):432–444; doi: 10.1080/15569543.2019.1662813.
Men S, Huo Q, Shi L, Yan Y, Yang CC, Yu W, Liu BQ. Panax notoginseng saponins promotes cutaneous wound healing and suppresses scar formation in mice. Journal of Cosmetic Dermatology 2020;19(2):529–534; doi: 10.1111/jocd.13042.
Rai S, Acharya-Siwakoti E, Kafle A, Devkota HP, Bhattarai A. Plant-Derived Saponins: A Review of Their Surfactant Properties and Applications. Sci 2021;3(4):44; doi: 10.3390/sci3040044.
Copyright (c) 2024 Jurnal Kefarmasian Indonesia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.