Evaluation of the effectiveness and chemical stability of a mixture of betamethasone, gentamicin, and zinc oxide for wound healing
Main Article Content
Abstract
This study evaluated the efficacy of betamethasone zinc oxide (BZO), a topical compound containing zinc oxide and betamethasone G (a combination of Betamethasone 0.1% +gentamicin sulphate 0.1%, It is an antibiotic). Four formulations with varying concentrations of zinc oxide (6.25, 12.5, 18.75 and 25 gm) with 15 gm of Betamethasone G (w/w) were applied to laboratory-induced wounds in mice for 30 days to evaluate their therapeutic effects. The aim of this work was to mix compounds to find a suitable and effective formula and obtaining a compound with lower cost and study the effect of adding zinc oxide on the compound. The results showed that BG-Z significantly improved wound healing, with zinc oxide formulation (Sample 4) showing the highest therapeutic efficacy. Comparative clinical trials revealed that wounds treated with BG-Z healed faster, showed less inflammation, and had lower infection rates compared to those treated with betamethasone G alone. Physical stability testing confirmed the integrity of the formulation, with no change in color, texture, or activity at different temperatures. These results highlight betamethasone G zinc as a cost-effective and highly effective treatment for dermatological diseases, as it improves wound healing and enhances its anti-inflammatory and antimicrobial properties. This study provides a promising basis for the development of advanced topical treatments for wound management and the treatment of dermatological diseases.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
Tikrit Journal of Pure Science is licensed under the Creative Commons Attribution 4.0 International License, which allows users to copy, create extracts, abstracts, and new works from the article, alter and revise the article, and make commercial use of the article (including reuse and/or resale of the article by commercial entities), provided the user gives appropriate credit (with a link to the formal publication through the relevant DOI), provides a link to the license, indicates if changes were made, and the licensor is not represented as endorsing the use made of the work. The authors hold the copyright for their published work on the Tikrit J. Pure Sci. website, while Tikrit J. Pure Sci. is responsible for appreciate citation of their work, which is released under CC-BY-4.0, enabling the unrestricted use, distribution, and reproduction of an article in any medium, provided that the original work is properly cited.
References
1. Yadav E, Singh D, Yadav P, Verma A. Ameliorative effect of biofabricated ZnO nanoparticles of Trianthema portulacastrum Linn. on dermal wounds via removal of oxidative stress and inflammation. RSC advances. 2018;8(38):21621-35. https://doi.org/10.1039/C8RA03500H
2. Masson‐Meyers DS, Andrade TA, Caetano GF, Guimaraes FR, Leite MN, Leite SN, et al. Experimental models and methods for cutaneous wound healing assessment. International journal of experimental pathology. 2020;101(1-2):21-37. https://doi.org/10.1111/iep.12346
3. Kavousi Heidari M, Pourmadadi M, Yazdian F, Rashedi H, Ebrahimi SAS, Bagher Z, et al. Wound dressing based on PVA nanofiber containing silk fibroin modified with GO/ZnO nanoparticles for superficial wound healing: In vitro and in vivo evaluations. Biotechnology progress. 2023;39(3):e3331. . https://doi.org/10.1002/btpr.3331
4. Jiang X, Zeng Y-E, Li C, Wang K, Yu D-G. Enhancing diabetic wound healing: Advances in electrospun scaffolds from pathogenesis to therapeutic applications. Frontiers in bioengineering and biotechnology. 2024;12:1354286. https://doi.org/10.3389/fbioe.2024.1354286
5. Jang EJ, Patel R, Patel M. Electrospinning nanofibers as a dressing to treat diabetic wounds. Pharmaceutics. 2023;15(4):1144. https://doi.org/10.3390/pharmaceutics15041144
6. Xin J, Yang Z, Zhang S, Sun L, Wang X, Tang Y, et al. Fast fabrication of “all-in-one” injectable hydrogels as antibiotic alternatives for enhanced bacterial inhibition and accelerating wound healing. Journal of Nanobiotechnology. 2024;22(1):439. https://doi.org/10.1186/s12951-024-02657-4
7. Pormohammad A, Monych NK, Ghosh S, Turner DL, Turner RJ. Nanomaterials in wound healing and infection control. Antibiotics. 2021;10(5):473. https://doi.org/10.3390/antibiotics10050473
8. Farazin A, Mohammadimehr M, Naeimi H. Flexible self-healing nanocomposite based gelatin/tannic acid/acrylic acid reinforced with zinc oxide nanoparticles and hollow silver nanoparticles based on porous silica for rapid wound healing. International Journal of Biological Macromolecules. 2023;241:124572. https://doi.org/10.1016/j.ijbiomac.2023.124572
9. Yang N, Venezuela J, Almathami S, Dargusch M. Zinc-nutrient element based alloys for absorbable wound closure devices fabrication: current status, challenges, and future prospects. Biomaterials. 2022;280:121301. https://doi.org/10.1016/j.biomaterials.2021.121301
10. de Souza TR, Rocha VL, Rincon GdCN, de Oliveira Junior ER, Celes MRN, Lima EM, et al. Topical application of melatonin accelerates the maturation of skin wounds and increases collagen deposition in a rat model of diabetes. Journal of tissue viability. 2022;31(4):606-13. https://doi.org/10.1016/j.jtv.2022.07.015
11. Gürtler A-L, Rades T, Heinz A. Electrospun fibers for the treatment of skin diseases. Journal of Controlled Release. 2023;363:621-40. https://doi.org/10.1016/j.jconrel.2023.10.009
12. Ali M, Khan NR, Subhan Z, Mehmood S, Amin A, Rabbani I, et al. Novel Curcumin‐Encapsulated α‐Tocopherol Nanoemulsion System and Its Potential Application for Wound Healing in Diabetic Animals. BioMed Research International. 2022;2022(1):7669255. https://doi.org/10.1155/2022/7669255
13. Shi S, Ou X, Long J, Lu X, Xu S, Zhang L. Nanoparticle-based therapeutics for enhanced burn wound healing: A comprehensive review. International Journal of Nanomedicine. 2024:11213-33. https://doi.org/10.2147/IJN.S490027
14. Agrawal R, Jurel P, Deshmukh R, Harwansh RK, Garg A, Kumar A, et al. Emerging trends in the treatment of skin disorders by herbal drugs: traditional and nanotechnological approach. Pharmaceutics. 2024;16(7):869. https://doi.org/10.3390/pharmaceutics16070869
15. Macedo AS, Mendes F, Filipe P, Reis S, Fonte P. Nanocarrier-mediated topical insulin delivery for wound healing. Materials. 2021;14(15):4257. https://doi.org/10.3390/ma14154257
16. Falcone M, De Angelis B, Pea F, Scalise A, Stefani S, Tasinato R, et al. Challenges in the management of chronic wound infections. Journal of global antimicrobial resistance. 2021;26:140-7. https://doi.org/10.1016/j.jgar.2021.05.010
17. Jodheea-Jutton A, Hindocha S, Bhaw-Luximon A. Health economics of diabetic foot ulcer and recent trends to accelerate treatment. The Foot. 2022;52:101909. https://doi.org/10.1016/j.foot.2022.101909
18. Raziyeva K, Kim Y, Zharkinbekov Z, Kassymbek K, Jimi S, Saparov A. Immunology of acute and chronic wound healing. Biomolecules. 2021;11(5):700. https://doi.org/10.3390/biom11050700
19. Maas AI, Menon DK, Manley GT, Abrams M, Åkerlund C, Andelic N, et al. Traumatic brain injury: progress and challenges in prevention, clinical care, and research. The Lancet Neurology. 2022;21(11):1004-60.
20. Sen CK. Human wound and its burden: updated 2020 compendium of estimates. Advances in wound care. 2021;10(5):281-92. https://doi.org/10.1089/wound.2021.0026
21. Vogel JD, Felder SI, Bhama AR, Hawkins AT, Langenfeld SJ, Shaffer VO, et al. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of colon cancer. Diseases of the Colon & Rectum. 2022;65(2):148-77. https://doi.org/10.1097/DCR.0000000000002323
22. Virani SS, Newby LK, Arnold SV, Bittner V, Brewer LC, Demeter SH, et al. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA guideline for the management of patients with chronic coronary disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology. 2023;82(9):833-955.
23. Horby PW, Pessoa-Amorim G, Peto L, Brightling CE, Sarkar R, Thomas K, et al. Tocilizumab in patients admitted to hospital with COVID-19 (RECOVERY): preliminary results of a randomised, controlled, open-label, platform trial. Medrxiv. 2021. https://doi.org/10.1101/2021.02.11.21249258
24. Ljungberg B, Albiges L, Abu-Ghanem Y, Bensalah K, Dabestani S, Fernández-Pello S, et al. European association of urology guidelines on renal cell carcinoma: the 2019 update. European urology. 2019;75(5):799-810. https://doi.org/10.1016/j.eururo.2019.02.011
25. Eming SA, Martin P, Tomic-Canic M. Wound repair and regeneration: mechanisms, signaling, and translation. Science translational medicine. 2014;6(265):265sr6-sr6. https://doi.org/10.1126/scitranslmed.3009337
26. Gurtner GC, Werner S, Barrandon Y, Longaker MT. Wound repair and regeneration. Nature. 2008;453(7193):314-21.
27. Guo Sa, DiPietro LA. Factors affecting wound healing. Journal of dental research. 2010;89(3):219-29. https://doi.org/10.1177/0022034509359125
28. Lansdown AB, Mirastschijski U, Stubbs N, Scanlon E, Ågren MS. Zinc in wound healing: theoretical, experimental, and clinical aspects. Wound repair and regeneration. 2007;15(1):2-16. https://doi.org/10.1111/j.1524-475X.2006.00179.x
29. Martin P, Nunan R. Cellular and molecular mechanisms of repair in acute and chronic wound healing. British Journal of Dermatology. 2015;173(2):370-8. https://doi.org/10.1111/bjd.13954
30. Tariq Hussein Z, Khudhur Saeed S. Effect of Feeding with Spirulina and Folic Acid on Some Biochemical Parameters and Histological of Laboratory Rats (Albino Rats) with Induced Anemia. Tikrit Journal of Pure Science. 2025;30(1):21-30. https://doi.org/10.25130/tjps.v30i1.1698
31. Abdullah Saeed A. Structural and Optical Properties for ZnO Nanoparticles for Antibacterial Application. Tikrit Journal of Pure Science. 2025;30(1):62-70. https://doi.org/10.25130/tjps.v30i1.1779
32. Hashim AA, Jamei R. Synthesis and characterization of zinc-titanium oxide nanoparticles blended methylcellulose derived from Albizia tree as an antibacterial natural polymer composite. Tikrit Journal of Pure Science. 2024;29(1):67-80. https://doi.org/10.25130/tjps.v29i1.1543
33. Abed BR, Mohammed AO. Anti-cancer study of Ni (Π) and Zn (Π)-chitosan complexes. Tikrit Journal of Pure Science. 2022;27(2):11-5. http://dx.doi.org/10.25130/tjps.27.2022.018
34. Al-janabi IMN, Alhamdany WAS. The effect of different concentrations of metformin drug on the concentration of glucose and lipid profile in the male rats induced diabetes by alloxan. Tikrit Journal of Pure Science. 2021;26(2):10-6. http://dx.doi.org/10.25130/tjps.26.2021.022