SlideShare a Scribd company logo
FORMULATION AND CHARACTERISATION OF
CLARITHROMYCIN EMULGEL FOR TOPICAL DRUG
DELIVERY

Roll no
103235239751
joshivaibhav88@gmail.com
Phn:09988189133

Name of Guide
Mr. Gurpreet Singh
1
OD
TR
IN

ION
CT
U

2
Acne vulgaris (acne) is a chronic inflammatory disorder of the
sebaceous gland with the formation of comedones, papules,
pustules, nodules, and/or cysts as a result of obstruction and
inflammation of pilosebaceous units (hair follicles and their
accompanying sebaceous gland)
It most often affects adolescents when the body starts to produce
testosterone, which then stimulates the sebaceous glands to
produce excess sebum that is then entrapped in hair follicle.
Diagnosis is by examination. Treatment is a variety of topical
and systemic agents intended to reduce sebum production,
infection, and inflammation and to normalize keratinization.
3
Mechanism of formation of Acne
4
5
EMULGEL

6
RATIONALE OF EMULGEL AS
TOPICAL DRUG DELIVERY

7
Advantages of using emulgel as
topical drug delivery system

8
METHOD OF FORMULATION OF
EMULGEL
OIL PHASE

WATER PHASE

EMULSION EITHER O/W or W/O

EMULSION INCORPORATED IN
GEL

FLOW CHART OF EMULGEL FORMATION
9
Drug Review
Clarithromycin

10
CLARITHROMYCIN

11
MECHANISM OF ACTION OF
CLARITHROMYCIN
Clarithromycin

Binds to the 50s and 30s ribosomes

It cause the inhibition of RNA
dependent protein synthesis

It cause protein synthesis inhibition
of micro-organism hence cause
death of microbes
12
PREFORMULATION STUDIES

Spectrum in methanol

13
S.NO

SOLVENT

SOLUBILITY

1.

ACETONE

2.13 mg/ml

2.

METHANOL

0.67 mg/ml

3.

5.5 PHOSPHATE BUFFER

1.4 mg/ml

4.

6.8 PHOSPHATE BUFFER

0.095mg/ml

 Partition

coefficient

The partition coefficient of Clarithromycin in n-octanol: PB (pH
-5.5) was found to be 1.98. This indicates that the drug is lipophilic
in nature.
S.NO

SOLVENT
1.

N-octanol : 5.5 pH
phosphate buffer

LITERATURE
log P value
1.7

THEORETICAL
log P value
1.68 ± 0.05
14
CALIBARATION CURVE IN
DIFFERENT SOLVENT

15
16
17
18
Drug : Excipient Interaction Study – Drug excipients
interactions are studied by Fourier Transform Infra red

19
Reference FTIR of Clarithromycin

Test FTIR of Clarithromycin

20
FTIR of Carbopol- 940 and Clarithromycin

FTIR OF HPMCK4M AND CLARITHROMYCIN

21
FTIR OF CARBOPOL-934 AND CLARITHROMYCIN

MELTING POINT DETERMINATION
S.NO

LITERATURE
VALUE

THEORETICAL
VALUE

1

222-225

221̊ C ± 1
22
RK
WO
AL
ENT
RI M
XPE
E

23
Formula For Emulgel
INGREDIENTS

F1

F2

F3

F4

F5

F6

F7

F8

F9

Clarithromycin

1gm

1gm

1gm

1gm

1gm

1gm

1gm

1gm

1gm

Oleic acid

2ml

2ml

2ml

2ml

2ml

2ml

2ml

2ml

2ml

Light liquid .P

4ml

4ml

4ml

4ml

4ml

4ml

4ml

4ml

4ml

Acetone

2ml

2ml

2ml

2ml

2ml

2ml

2ml

2ml

2ml

Spans 80

0.5ml

0.5ml

0.5ml

0.5ml

0.5ml

0.5ml

0.5ml

0.5ml

0.5ml

Propylene Glycol

5ml

5ml

5ml

5ml

5ml

5ml

5ml

5ml

5ml

Tweens 80

1ml

1ml

1ml

1ml

1ml

1ml

1ml

1ml

1ml

Methyl paraben

30mg

30mg

30mg

30mg

30mg

30mg

30mg

30mg

30mg

Propyl paraben

30mg

30mg

30mg

30mg

30mg

30mg

30mg

30mg

30mg

Carbopol 934

1gm

1.2gm

1.3gm

-

-

-

-

-

-

Carbopol 940

-

-

-

1gm

1.2gm

1.3gm

-

-

HPMCK4M

-

-

-

-

-

-

1gm

Water

q.s

q.s

q.s

q.s

q.s

q.s

q.s

1.2gm 1.3gm
q.s

q.s
24
Physical Examination
The prepared emulgel formulations were inspected visually for their
colour, homogeneity, consistency, grittiness and phase separation.
The data is shown in table below.
S.no Formulation
code

Colour

Phase
Grittiness Homogeneity
separation

Consistency

1

F1

White

None

-

Excellent

+++

2

F2

White

None

-

Excellent

+++

3

F3

White

None

-

Excellent

+++

4

F4

White

None

-

Excellent

+++

5

F5

White

None

-

Excellent

+++

6

F6

White

None

-

Excellent

+++

7

F7

Transparent

None

-

Fair

+

8

F8

Transparent

None

-

Good

++

9

F9

Transparent

None

-

Good

++

Excellent +++, Good ++, Satisfactory +
25
Measurement of pH
The pH of emulgel formulations was determined by using digital pH
meter. One gram of gel was dissolved in 100 ml of distilled water and
stored for 2 hours. The measurement of pH of each formulation was
done in triplicate and average values were calculated. The data is
reported in Graph

26
Rheological Study
The viscosity determined using a Brookfield Viscometer with spindle number
7. The formulations whose viscosity were to be determined was added to a
beaker and settle over 30 minutes. at the assay temperature (25±1 ºC) before the
measurement were taken. Spindle was lowered perpendicular in to the centre of
emulgel taking care that spindle does not touch bottom of the jar and rotated at
a speed of 50 rpm for 10 minutes. The spindle was moved up and down giving
viscosities at number of points along the path. The average of three readings
were taken in 10 minute was noted as the viscosity of gels. The data is reported
in graph.

27
Extrudability Test (Tube Test)
Extrudability test is based upon the determination of weight required
to extrude 0.5 cm ribbon of Emulgel in 10 sec from lacquered
collapsible aluminum tube. The test was performed in triplicate and
the average values were calculated. The extrudability was then
calculated by using the following formula.
Extrudability = Weight applied to extrude emulgel from tube (in
gm) / Area (in cm2). The data is shown in Graph

28
Spreading Coefficient
Spreading coefficient was measured on the basis of ‘Slip’ and ‘Drag’
characteristics of Emulgel. The Spreadability is calculated by the
following formula and results have been reported in Graph.
S = M. L / T

29
Drug Content Determination
Weigh accurately 1 gm of Emulgel and it was dissolved in 100 ml of Methanol.
The volumetric flask was kept for 2 hours and shaken well in a shaker to mix it
properly. The solution was passed through the filter paper and filtered. The
absorbance was measured spectrophotometrically at 288nm after appropriate
dilution against corresponding gel concentration as blanks. The drug content
determined using standard plot. following formula. Data shown in Table and
Graph.
Drug content= (concentration X Dilution factor X Volume taken) X Conversion
factor
FORMULATION
DRUG CONTENT
F1
F2
F3
F4
F5
F6
F7
F8
F9

91.60 ± 0.37
88.38 ± 0.92
88.26 ± 0.87
89.48 ± 0.61
87.83 ± 0.56
85.63 ± 0.38
86.47 ± 0.85
83.91 ± 0.55
82.24 ± 0.88
30
31
Time (hours)
0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0

F1
0.00±0.00
14.68±0.015
19.19±0.005
22.53±0.02
27.39±0.003
30.11±0.36
36.04±0.23
38.93±0.47
42.27±0.15
46.45±0.89
51.19±0.20
55.21±0.115
56.64±0.65
57.74±0.11
59.09±1.18
60.32±0.32
62.02±1.04
63.32±2.09
64.56±0.42
66.48±0.01
68.18±2.46
70.54±2.06
72.7±0.69
74.14±2.13
74.47±1.27

F2
0.00±0.00
15.44±1.25
20.85±0.31
24.83±0.05
27.81±1.46
31.25±2.24
35.23±0.57
37.66±1.98
40.08±1.11
42.17±2.87
43.39±0.91
46.19±1.32
47.56±0.65
50.85±1.81
53.65±1.90
56.39±2.49
58.43±1.09
60.41±0.26
61.9±2.65
63.06±0.32
64.48±0.51
66.55±2.54
68.33±1.86
69.04±0.74
69.65±0.65

F3
0.00±0.00
11.98±1.77
16.36±1.51
20.61±1.96
23.22±0.55
26.68±0.56
28.46±2.43
30.88±2.02
34.77±2.67
37.42±1.90
40.27±0.32
43.76±1.86
45.48±1.61
47.14±0.34
50.12±0.56
52.20±1.43
54.21±0.33
54.92±0.79
58.56±0.53
59.88±0.7
61.84±0.83
63.2±2.22
65.6±1.48
67.0±1.27
68.43±1.16

F4
0.00±0.00
4.53±0.35
7.883±0.56
12.38±1.13
14.67±2.72
18.17±0.11
19.81±0.96
22.08±2.64
29.69±1.49
34.71±0.13
35.55±2.50
38.49±1.56
41.06±1.84
43.5±2.47
46.69±1.73
47.95±0.15
50.68±2.69
52.39±2.31
55.29±0.69
58.61±0.57
63.06±1.39
65.27±0.21
67.11±1.47
69.69±0.41
71.52±1.54

Cumulative drug release of all formulation from F1 – F5

F5
0.00±0.00
4.66±1.19
18.11±2.42
21.35±1.07
22.99±2.41
23.41±1.93
24.47±0.81
25.34±0.76
26.59±0.93
28.02±1.03
29.66±1.47
31.2±0.57
32.79±1.98
35.24±0.41
38.02±1.61
42.95±0.69
45.42±0.57
49.56±1.77
53.26±0.71
56.08±0.63
61.58±2.85
64.45±0.53
66.21±2.78
68.57±0.58
70.5±2.63
32
Time (hours)
0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0

F6
0.00±0.00
5.428±2.2
8.59±0.97
16.24±1.28
19.53±0.11
24.41±0.58
26.67±1.42
28.03±2.29
28.62±1.13
30.26±2.23
31.53±0.94
34.95±1.14
36.32±1.83
36.60±2.26
39.02±0.19
40.34±2.24
42.24±1.98
43.39±1.37
45.77±2.49
47.24±1.19
50.68±1.73
54.32±0.63
57.97±1.59
62.04±1.83
66.13±0.75

F7
0.00±0.00
7.01±0.09
10.204±2.49
12.662±0.86
15.577±2.63
20.1966±1.15
21.6675±0.33
24.050±0.91
26.4191±1.96
28.360±0.04
29.707±2.55
31.3433±0.48
33.22±2.69
37.05±0.62
38.732±2.50
39.69±1.13
43.09±0.27
44.734±1.71
47.835±1.91
49.37±2.42
54.05±2.48
57.552±0.05
61.515±1.99
64.229±2.08
66.32±2.65

F8
0.00±0.00
6.395 ±1.19
8.346±0.67
11.44±2.87
15.05±0.05
18.01±2.23
19.58±0.38
20.479±0.83
24.492±2.50
25.30±1.16
27.48±1.06
29.70±1.41
31.14±2.61
35.27±1.11
37.46±1.08
39.16±0.09
41.66±0.74
42.52±1.91
43.76±1.46
46.22±0.99
48.11±1.97
50.49±0.71
54.30±0.70
59.84±2.74
63.46±0.59

F9
0.00±0.00
5.911±1.17
8.0911±2.69
11.15±0.53
14.479±2.74
17.199±0.44
18.960±0.31
19.941±0.76
22.234±2.24
24.803±0.19
26.972±2.36
29.168±0.21
30.541±0.29
34.941±1.11
37.23±0.15
39.008±1.33
40.756±1.68
42.22±1.70
43.532±1.14
45.653±2.31
47.648±1.67
49.83±0.89
53.96±2.52
56.50±2.49
58.43±1.83

Cumulative drug release of all formulation from F5 – F9

33
In-vitro Cumulative % Drug Release profile of all formulations
34
 Ex vivo Drug Release Study
The ex vivo drug release study of selected formulations (F1 and F4) was carried out in a modified
Diffusion cell, using wistar male rat skin using dialysis cell (2.3 cm diameter; 4-16 cm2 area) . Then
Emulgel was spread uniformly on the membrane. Phosphate buffer pH 5.5 was used as dissolution media.
The donor compartment was kept in contact with receptor compartment. This whole assembly was kept on
a magnetic stirrer and the solution on the receptor side was stirred continuously using a magnetic bead and
temperature of the cell was maintained at 37°C. Sample (5 ml) was withdrawn at suitable time intervals
and replaced with equal amounts of fresh dissolution media. The Samples were analyzed
spectrophotometrically at 288 nm .

Ex Vivo Cumulative % Drug permeate Profile of Formulation

35
Analysis of variance on Drug release
From the ANOVA table it can be concluded that the drug release is
significant because the p value of formulation should be less than
0.05 and the p value for F1 is 9.33 x 10-14 and F4 value is 1.58 x 10-9.

36
Microbiological assay:
Clarithromycin stable topical prepration is used for topical prepration
in acne. The most of the microbes cause acne is found to be
staphylococcus aureus. The microbiological assay is done to
determine the activity of prepared formulation with the strain
staphylococcus aureus and the Sabouraud agar Medium Ditch plate
technique was used, these technique used for evaluation of
bacteriostatic or fungistatic activity of a compound. It is mainly
applied for semisolid formulations. Previously prepared Sabouraud’s
agar dried plates were used one gram of emulgel are placed in a ditch
cut in the plate. After incubation for 18 to 24 hours at 37 ⁰C and then
the percent inhibition was measured as follows: % Inhibiton=
L2/L1*100
where
L1- Total length of the streaked culture.
L2- Length of inhibiton.
37
Formulation

MIC(%) ± S.D

F1
F2
F3
F4
F5
F6
F7
F8
F9

64.3 ± 1.52
54 ± 2.08
51.6 ± 1.08
54.6 ± 1.5
53.8 ± 1.5
48 ± 1
45 ± 1
44 ± 1
41.6 ± 0.57

Percentage inhibition

38
COMPARISION WITH MARKETED FORMULATION
The microbiological activity of marketed formulation of
azythromycin gel is compared with the best formulation (i.e. F1)
comparing the percent inhibition the following result was obtained.

Comparison between marketed formulation and test formulation

39
Release kinetics profile of Emulgel F1 and F4 according to Zero order
40
Release kinetics profile of Emulgel F1 and F4 according to First order
41
Release kinetics profile of Emulgel F1 and F4 according to Higuchi
model
42
Release kinetics profile of Emulgel F1 and F4 according to Peppas
model
43
Regression analysis (r2) of release data based on best curve-fitting
method for different formulations of emulgel of clarithromycin (n=3)

Result of kinetics: From the table it can be concluded that the best
formulation i.e. F1 follows Higuchi kinetics and F4 follows zero
order. And the diffusion mechanism of drug from the both
formulation (i.e. F1 and F4) would be Non – Fickian diffusion.
44
Result and discussion
• The solubility of clarithromycin was determined in various solvents.
The order of solubility was found out to be Acetone > Methanol > 5.5
phosphate buffer > 6.8 phosphate buffer.
• A suitable method for analysis of drug is by UV spectrophotometry.
Clarithromycin showed maximum absorption at a wavelength of 288
nm in methanol. The value of correlation coefficient was found to be
r2 = 0.9929, which showed linear relationship between concentration
and absorbance. Thus, it can be concluded that, beer’s law was
obeyed.
• Preformulation study for drug-excipients compatibility by FT-IR
showed no interaction between drug and selected excipients.
• Viscosity studies of various formulations revealed that formulation
F1 was better compare to others.
45
• Various formulation (F1, F2, F3, F4, F5, F6, F7, F8 and F9) were
developed by using suitable polymer (Carbopol 934, Carbopol 940
and HPMCK4M) by changing the concentration of polymer (i.e.
1%w/w, 1.2%w/w and 1.3%w.w).
• Developed formulations of Clarithromycin were evaluated for the
physiochemical parameters such as drug content, viscosity,
spreadability, extrudability, pH determination and in vitro diffusion.
Anti microbial assay studies also showed the good results of
formulation F1 .
• On comparison of our formulated Clarithromycin Emulgel (i.e.F1)
with Marketed formulation of Azithromycin gel, our formulation
showed better MIC(minimum inhibitory concentration).
• From all the developed formulation, F1 shows better drug diffusion
for a period of 12 hrs, did not produced skin irritation, good
Rheological properties, good spreadability, good extrudability and
good results of antimicrobial studies. Therefore, it was selected as
the best formulation.
46
•The release rate of drug from F1 formulation is best fitted to Higuchi
matrix model given in Table 24.
•The most satisfactory formulation-F1 did not show any significant
change in drug content, In vitro drug diffusion studies pattern after
stability studies at 25°C and at 60%RH and 30 oC and at 65%RH for 3
months . Thus, the objective of the present work of formulation and
evaluation of Clarithromycin topical Emulgel has been achieved with
success.

47
PUBLICATIONS
1.Joshi B, Singh G, Rana AC, Saini S, Singla V. Emulgel : A
comprehensive review on the recent advances in topical drug
delivery. Int Res J Pharm2011;2(11):66-70.(Published)
2. Joshi B, Singh G, Rana AC, Saini S. Development and
characterization of Clarithromycin Emulgel for topical delivery.
Int J Drug Dev Res2012. (Published)

48
Questions
please !!!

49

More Related Content

PPTX
Emulgel ppt.
PPTX
PDF
NIOSOME, ITS PREPARATION AND EVALUATION
PPTX
Self Emulsifying Drug Delivery System (SEDDS)
PDF
Emulgel
PPTX
Microparticle : formulation and evaluation
PPTX
Self Micro Emulsifying Drug Delivery System
PPTX
Optimization techniques in pharmaceutical formulation and processing
Emulgel ppt.
NIOSOME, ITS PREPARATION AND EVALUATION
Self Emulsifying Drug Delivery System (SEDDS)
Emulgel
Microparticle : formulation and evaluation
Self Micro Emulsifying Drug Delivery System
Optimization techniques in pharmaceutical formulation and processing

What's hot (20)

PPTX
Ocular drug delivery system (ODDS)
PPT
Insitu gel drug delivery system
PPTX
PPTX
microparticles by amruta
PPT
Herbal ingrediants used in hair care, skin care, oral care Naveen Balaji
PPT
PPTX
microspheres types , preparation and evaluation
PPTX
Gastroretentive drug delivery system by mali vv
PPTX
Drug excipient interaction
PDF
MICROBALLOONS: A NOVEL APPROACH IN GASTRO-RETENTION FLOATING DRUG DELIVERY SY...
PPT
evaluation of gastro retentive drug delivery system (GRDDS)
PPTX
Building blocks of different product formulations of cosmetics
PPTX
Microspheres Preparation and Evaluations.pptx
PPTX
Multi component analysis (uv visible spectroscopy) by mr. pradeep swarnkar)
DOC
Synopsis copy
PPTX
Quality by design in pharmaceutical development
PPT
Nasal & Pulmonary Drug Delivery System
PPTX
Emulgel by parth
PPTX
buccal drug delivery system
PPTX
Gastro retentive drug delivery system (GRDDS)
Ocular drug delivery system (ODDS)
Insitu gel drug delivery system
microparticles by amruta
Herbal ingrediants used in hair care, skin care, oral care Naveen Balaji
microspheres types , preparation and evaluation
Gastroretentive drug delivery system by mali vv
Drug excipient interaction
MICROBALLOONS: A NOVEL APPROACH IN GASTRO-RETENTION FLOATING DRUG DELIVERY SY...
evaluation of gastro retentive drug delivery system (GRDDS)
Building blocks of different product formulations of cosmetics
Microspheres Preparation and Evaluations.pptx
Multi component analysis (uv visible spectroscopy) by mr. pradeep swarnkar)
Synopsis copy
Quality by design in pharmaceutical development
Nasal & Pulmonary Drug Delivery System
Emulgel by parth
buccal drug delivery system
Gastro retentive drug delivery system (GRDDS)
Ad

Similar to Emulgel (19)

PDF
Formulation Development and Characterization of Topical Gel for Psoriasis
PDF
Formulation, characterization and invitro evaluation of aceclofenacemulgel fo...
PDF
Formulation and evaluation of controlled drug release naproxen pellets
PPTX
Eudragit NM study in matrix tablets technology
PDF
Melan’oWhite
PDF
Quantitative estimation and validation of isotretinoin in Pharmaceutical dosa...
PDF
Phenhylephrine Hydrocloride Gastro Retentive Floating Matrix Tablets Design a...
PPTX
IPQC & FPQC tests for creams
PDF
Piroksikam emulgel
PDF
PPTX
testing efficiency of moisturizer
PDF
Formulation and evaluation of rapimelts of Eletriptan
PPTX
Deepak sharma final
PPTX
FORMULATION AND EVALUATION OF ORAL SOFT JELLY CONTAINING ASCORBIC ACID
PDF
Formulation and Evaluation of Unidirection Bucco- Adhesive Tablet of Sumatrip...
PPT
Topical Niosomal Preparation Presentation 1
PDF
Research Based Presentation on- Novel Hydrogel-Based Ocular Drug Delivery Sy...
PDF
Development and Validation of Stability Indicating Assay Method of Montelukas...
PDF
Formulation and evaluation of Repaglinide biphasic mini tablets
Formulation Development and Characterization of Topical Gel for Psoriasis
Formulation, characterization and invitro evaluation of aceclofenacemulgel fo...
Formulation and evaluation of controlled drug release naproxen pellets
Eudragit NM study in matrix tablets technology
Melan’oWhite
Quantitative estimation and validation of isotretinoin in Pharmaceutical dosa...
Phenhylephrine Hydrocloride Gastro Retentive Floating Matrix Tablets Design a...
IPQC & FPQC tests for creams
Piroksikam emulgel
testing efficiency of moisturizer
Formulation and evaluation of rapimelts of Eletriptan
Deepak sharma final
FORMULATION AND EVALUATION OF ORAL SOFT JELLY CONTAINING ASCORBIC ACID
Formulation and Evaluation of Unidirection Bucco- Adhesive Tablet of Sumatrip...
Topical Niosomal Preparation Presentation 1
Research Based Presentation on- Novel Hydrogel-Based Ocular Drug Delivery Sy...
Development and Validation of Stability Indicating Assay Method of Montelukas...
Formulation and evaluation of Repaglinide biphasic mini tablets
Ad

Recently uploaded (20)

PPT
Obstructive sleep apnea in orthodontics treatment
PPTX
SKIN Anatomy and physiology and associated diseases
PPTX
NEET PG 2025 Pharmacology Recall | Real Exam Questions from 3rd August with D...
PPTX
15.MENINGITIS AND ENCEPHALITIS-elias.pptx
PPTX
Neuropathic pain.ppt treatment managment
PPT
Breast Cancer management for medicsl student.ppt
PPTX
ACID BASE management, base deficit correction
PPTX
ca esophagus molecula biology detailaed molecular biology of tumors of esophagus
PPTX
Important Obstetric Emergency that must be recognised
PDF
CT Anatomy for Radiotherapy.pdf eryuioooop
PPTX
Fundamentals of human energy transfer .pptx
PPTX
POLYCYSTIC OVARIAN SYNDROME.pptx by Dr( med) Charles Amoateng
PPTX
1 General Principles of Radiotherapy.pptx
PDF
Therapeutic Potential of Citrus Flavonoids in Metabolic Inflammation and Ins...
PPTX
Imaging of parasitic D. Case Discussions.pptx
PPTX
Uterus anatomy embryology, and clinical aspects
PPTX
surgery guide for USMLE step 2-part 1.pptx
DOCX
RUHS II MBBS Microbiology Paper-II with Answer Key | 6th August 2025 (New Sch...
PPTX
Respiratory drugs, drugs acting on the respi system
DOC
Adobe Premiere Pro CC Crack With Serial Key Full Free Download 2025
Obstructive sleep apnea in orthodontics treatment
SKIN Anatomy and physiology and associated diseases
NEET PG 2025 Pharmacology Recall | Real Exam Questions from 3rd August with D...
15.MENINGITIS AND ENCEPHALITIS-elias.pptx
Neuropathic pain.ppt treatment managment
Breast Cancer management for medicsl student.ppt
ACID BASE management, base deficit correction
ca esophagus molecula biology detailaed molecular biology of tumors of esophagus
Important Obstetric Emergency that must be recognised
CT Anatomy for Radiotherapy.pdf eryuioooop
Fundamentals of human energy transfer .pptx
POLYCYSTIC OVARIAN SYNDROME.pptx by Dr( med) Charles Amoateng
1 General Principles of Radiotherapy.pptx
Therapeutic Potential of Citrus Flavonoids in Metabolic Inflammation and Ins...
Imaging of parasitic D. Case Discussions.pptx
Uterus anatomy embryology, and clinical aspects
surgery guide for USMLE step 2-part 1.pptx
RUHS II MBBS Microbiology Paper-II with Answer Key | 6th August 2025 (New Sch...
Respiratory drugs, drugs acting on the respi system
Adobe Premiere Pro CC Crack With Serial Key Full Free Download 2025

Emulgel

Editor's Notes