Evaluation of the Analgesic Activity of Earthworm Gel (Lumbricus rubellus) in Male Mice with Formalin-Induced Pain Model
DOI:
https://doi.org/10.24071/jpsc.v23i1.1087Keywords:
analgesic, formalin test, inflammatory pain, topical gelAbstract
Inflammatory pain is one of the body’s defense mechanisms, characterized by redness, swelling, and pain due to the release of inflammatory mediators. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as diclofenac sodium, are commonly used topically to relieve pain but may cause local side effects with long-term use. Therefore, a safer, natural-based alternative is needed. Earthworms (Lumbricus rubellus) are known to contain polyphenols and lumbrokinase, which have anti-inflammatory and analgesic properties. This study aimed to evaluate the effectiveness of earthworm gel as a topical analgesic in male mice (Mus musculus) induced with formalin. A total of 24 mice were divided into four groups: untreated, gel base, diclofenac sodium gel, and 5% earthworm gel. Pain response was assessed by measuring the duration of licking behavior at two key phases: acute pain (0–5 minutes) and late inflammatory pain (25–30 minutes). Statistical analysis using the Kruskal-Wallis and Mann–Whitney U tests showed that earthworm gel significantly reduced licking duration in the inflammatory phase, with effectiveness comparable to diclofenac sodium gel. These findings support the potential of earthworm gel as a safe and effective natural alternative for managing inflammatory pain topically.
References
Abdulbaqi, I. M., Darwis, Y., Khan, N. A. K., Assi, R. A., & Khan, A. A. (2016). Ethosomal nanocarriers: The impact of constituents and formulation techniques on ethosomal properties, in vivo studies, and clinical trials. International Journal of Nanomedicine, 11, 2279–2304.
Arfania, M., Friyanto, D., Musfiroh, E. N., Sathi’ah, F. A., Irawan, L., Yuliani, N. D., & Herawati, S. H. (2023). Efek samping terhadap pemakaian analgetik golongan NSAID (ibuprofen). Journal of Social Science Research, 3(2), 8065–8075.
Asminah, M. (2023). Efektivitas kapsul kombinasi cacing tanah Lumbricus rubellus Hoffmeister dan kayu manis Cinnamomum burmannii (Nees & T. Nees) Blume sebagai sediaan herbal antidiabetes [Skripsi, Universitas Hasanuddin].
Calder, P. C. (2006). n–3 Polyunsaturated fatty acids, inflammation, and inflammatory. The American Journal of Clinical Nutrition, 83(6), 1505S–1519S. https://doi.org/10.1093/ajcn/83.6.1505S
Dahiya, R. S., Farooq, S. A., & Saini, V. (2018). Evaluation of novel cooling gel sheets for antipyretic effect. International Journal of Current Pharmaceutical Review and Research, 9(1), 12–15.
De Caro, C., Cristiano, C., Avagliano, C., Bertamino, A., Ostacolo, C., Campiglia, P., Gomez-Monterrey, I., La Rana, G., Gualillo, O., Calignano, A., & Rossi, F. (2019). Characterization of new TRPM8 modulators in pain perception. International Journal of Molecular Sciences, 20(22), 5544. https://doi.org/10.3390/ijms20225544
Ercan, N., et al. (2013). The anti-inflammatory effect of diclofenac is considerably augmented by topical capsaicinoids-containing patch in carrageenan-induced paw oedema of rat. Inflammopharmacology, 21(6), 413–419. https://doi.org/10.1007/s10787-013-0175-7
Faisol, S. K. M. (2022). Manajemen nyeri. Kementerian Kesehatan Republik Indonesia. https://yankes.kemkes.go.id/view_artikel/1052/manajemen-nyeri
GSK. (2020). Global Pain Index Report 4th edition – 2020 (pp. 1–110).
Hida, I., & Fajrin, R. (2025). Gambaran penggunaan obat antiinflamasi nonsteroid pada pasien penderita osteoarthritis di instalasi rawat jalan RSUD Kajen periode Januari–Oktober 2024. Jurnal Ilmu Farmasi dan Kesehatan, 3(1). https://doi.org/10.59841/an-najat.v3i1.2239
Kesehatan, J. I., Husada, S., Wardoyo, A. V., & Oktarlina, R. Z. (2019). Tingkat pengetahuan masyarakat terhadap obat analgesik pada swamedikasi untuk mengatasi nyeri akut. Jurnal Ilmu Sosial dan Kesehatan, 10(2), 156–160. https://doi.org/10.35816/jiskh.v10i2.138
Luo, W., Deng, Z. H., Li, R., Cheng, G., Kotian, R. N., Li, Y. S., & Li, W. P. (2018). Study of analgesic effect of earthworm extract. Bioscience Reports, 38(1). https://doi.org/10.1042/BSR20171554
Hamdi, M., Azmi, N. A., Harun, I., Fahmi, A., & Haris, M. S. (2023). An insight into the use and advantages of Carbopol in topical mucoadhesive drug delivery system: A systematic review. Journal of Pharmacy, 3(1). https://doi.org/10.31436/jop.v3i1.156
Mufaiduddin, M., Innelya, & Rahmatika, A. (2024). A review: Oral lumbrokinase as potential agent prevents myocardial reinfarction post-reperfusion in ST-elevation myocardial infarction (STEMI) patients. SCRIPTA SCORE Scientific Medical Journal, 5(2), 121–131. https://doi.org/10.32734/scripta.v5i2.15156
Syamsuri, M. I., & Rimbun, N. H. (2024). Studi pustaka efikasi ekstrak cacing tanah sebagai pengobatan herbal bagi penderita diabetes mellitus tipe 2. Unairnews. https://unair.ac.id/studi-pustaka-efikasi-ekstrak-cacing-tanah-sebagai-pengobatan-herbal-bagi-penderita-diabetes-mellitus-tipe-2/
Puspitasari, V., Wahjuni, R. S., Saputro, A. L., Hamid, I. S., & Wibawati, P. A. (2021). Effectiveness of clove flower extract (Syzygium aromaticum L.) as analgesic on licking time reaction in male mice with formalin induction. Jurnal Medik Veteriner, 4(2), 226–230. https://doi.org/10.20473/jmv.vol4.iss2.2021.226-230
Raja, S. N., Carr, D. B., Cohen, M., Finnerup, N. B., Flor, H., Gibson, S., Keefe, F. J., Mogil, J. S., Ringkamp, M., Sluka, K. A., Song, X. J., Stevens, B., Sullivan, M. D., Tutelman, P. R., Ushida, T., & Vader, K. (2020). The revised International Association for the Study of Pain definition of pain: Concepts, challenges, and compromises. Pain, 161(9), 1976–1982. https://doi.org/10.1097/j.pain.0000000000001939
Shofiatiningsih, A. R. H. (2014). Uji daya antiinflamasi serbuk cacing tanah (Lumbricus rubellus) dengan metode udema terinduksi karagenin pada telapak kaki tikus [Skripsi, Universitas Gadjah Mada].
Tjølsen, A., Berge, O. G., Hunskaar, S., Rosland, J. H., & Hole, K. (1992). The formalin test: An evaluation of the method. Pain, 51(1), 5–17. https://doi.org/10.1016/0304-3959(92)90003-T
Young, S. Y. P., Kim, S. R. C., Kang, J. H., Lee, S. C., Jung, S. Y., & Jung, J. H. (2021). Antinociceptive effect of BPC-157 in the formalin-induced pain model. Kosin Medical Journal.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community)

This work is licensed under a Creative Commons Attribution 4.0 International License.

