Polyherbal ointment with bromelain for chronic diabetic wounds: Insights from a clinical case series
| dc.authorid | 0000-0003-0159-1263 | |
| dc.authorid | 0000-0001-6212-2706 | |
| dc.authorid | 0000-0001-6659-9333 | |
| dc.authorid | 0000-0003-1470-356X | |
| dc.authorid | 0000-0003-2774-8601 | |
| dc.contributor.author | Bostanabad, Saber Yari | |
| dc.contributor.author | Özdemir, Samet | |
| dc.contributor.author | Saadati, Mahrokh | |
| dc.contributor.author | Karaca, Banu | |
| dc.contributor.author | Şener, Alper | |
| dc.date.accessioned | 2025-11-05T07:20:40Z | |
| dc.date.available | 2025-11-05T07:20:40Z | |
| dc.date.issued | 2025 | |
| dc.department | Fakülteler, Eczacılık Fakültesi, Eczacılık Meslek Bilimleri Bölümü, Farmakoloji Ana Bilim Dalı | |
| dc.department | Fakülteler, Eczacılık Fakültesi, Eczacılık Teknoloji Bölümü, Farmasötik Teknoloji Ana Bilim Dalı | |
| dc.description.abstract | Purpose Chronic diabetic wounds are characterized by prolonged inflammation and impaired healing. This study evaluates a novel polyherbal ointment, W Cura D Plus®, which contains Azadirachta indica oil, Hypericum perforatum oil, and bro melain from Ananas comosus. After initial debridement with W Cura D Plus®, treatment continued with W Cura G Plus®. To our knowledge, this is the first clinical report examining this specific combination in the treatment of chronic diabetic wounds. Methods A single-center clinical case series was conducted in 13 diabetic patients with Wagner grade 2–3 diabetic foot ulcers of at least 4 weeks’ duration. All patients were on standard type 2 diabetes therapy (oral agents and/or insulin) and routine wound care prior to enrollment. W Cura D Plus® was applied daily for 7 days to promote debridement, followed by W Cura G Plus® until complete closure or no further reduction in ulcer size for two consecutive weeks. Clinical endpoints included wound area, closure percentage, and recovery time. White blood cell (WBC) and C-reactive protein (CRP) levels were monitored. Results Fourteen wound observations were analyzed. Mean wound area decreased from 25.07±24.56 cm² at baseline to 7.38±5.15 cm² (p=0.0103), and mean closure rate was 64.15±0.23% (p=0.0108), surpassing the 50% benchmark for clini cally meaningful improvement. Recovery time averaged 97.7 days compared to baseline (initial status prior to treatment). WBC and CRP significantly declined (p<0.0001). No adverse events were reported. Conclusion This polyherbal formulation may represent a safe adjunct to standard care, but larger controlled trials are needed to confirm efficacy. | |
| dc.identifier.citation | Bostanabad, S. Y., Özdemir, S., Saadati, M., Karaca, B., & Şener, A. (2025). Polyherbal ointment with bromelain for chronic diabetic wounds: Insights from a clinical case series. Journal of Pharmaceutical Innovation, 20(1), pp. 1-11. https://doi.org/10.1007/s12247-025-10195-1 | |
| dc.identifier.doi | 10.1007/s12247-025-10195-1 | |
| dc.identifier.endpage | 11 | |
| dc.identifier.issn | 1939-8042 | |
| dc.identifier.issn | 1872-5120 | |
| dc.identifier.issue | 1 | |
| dc.identifier.scopusquality | Q2 | |
| dc.identifier.startpage | 1 | |
| dc.identifier.uri | https://doi.org/10.1007/s12247-025-10195-1 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.13055/1161 | |
| dc.identifier.volume | 20 | |
| dc.identifier.wosquality | Q2 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.indekslendigikaynak.other | SCI-E - Science Citation Index Expanded | |
| dc.institutionauthor | Bostanabad, Saber Yari | |
| dc.institutionauthor | Özdemir, Samet | |
| dc.institutionauthorid | 0000-0003-0159-1263 | |
| dc.institutionauthorid | 0000-0001-6212-2706 | |
| dc.language.iso | en | |
| dc.publisher | Springer Nature Link | |
| dc.relation.ispartof | Journal of Pharmaceutical Innovation | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/closedAccess | |
| dc.subject | Diabetic Wound Healing | |
| dc.subject | Bromelain | |
| dc.subject | Polyherbal Formulation | |
| dc.subject | Topical Phytotherapy | |
| dc.subject | Enzymatic Debridement | |
| dc.title | Polyherbal ointment with bromelain for chronic diabetic wounds: Insights from a clinical case series | |
| dc.type | Article | |
| dspace.entity.type | Publication |












