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Acetylcysteine 5%/Nicotinamide 2% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Nicotinamide

Acetylcysteine 5%/Nicotinamide 2% Topical Cream is a specially formulated semisolid preparation, dispensed via a pump mechanism for easy and controlled application. This cream is designed to deliver localized treatment on the skin, ensuring optimal absorption of the active ingredients, Acetylcysteine and Nicotinamide.

Acetylcysteine, a powerful antioxidant, works by reducing inflammation and promoting healing, while Nicotinamide, a form of vitamin B3, helps to improve the skin's texture and tone. Together, these ingredients provide a potent solution for various skin conditions.

It also aids in the management of skin aging, hyperpigmentation, and photodamage, promoting healthier, clearer skin.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Nicotinamide
Topical Cream
652f1e6ea057c16c5ce7ff0a
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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This formulation is a topical cream containing Acetylcysteine 5% and Nicotinamide 2%. Acetylcysteine, also known as N-acetylcysteine (NAC), is a medication that is used for the treatment of paracetamol (acetaminophen) overdose and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease. It is also an antioxidant that protects the skin from damage and inflammation. Nicotinamide, also known as niacinamide, is a form of vitamin B3 that has anti-inflammatory properties, which can help ease redness from eczema, acne, and other inflammatory skin conditions. It also helps build proteins in the skin and lock in moisture to prevent environmental damage.

The cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This allows for localized treatment or absorption of the active ingredients, Acetylcysteine and Nicotinamide. The cream is applied topically, which means it is applied directly to the area of the skin where treatment is needed. This allows for the active ingredients to be absorbed directly into the skin, providing targeted treatment for a variety of skin conditions.

Acetylcysteine 5%/Nicotinamide 2% Topical Cream can be used to treat a variety of skin conditions. The anti-inflammatory properties of Nicotinamide can help to reduce redness and swelling associated with conditions such as acne, rosacea, and eczema. Acetylcysteine, as an antioxidant, can help to protect the skin from environmental damage and reduce signs of aging. It can also help to loosen and remove dead skin cells, improving the overall texture and appearance of the skin.

As with any medication, it is important to use this cream as directed by a healthcare professional. It should be applied to clean, dry skin and rubbed in gently until it is fully absorbed. Avoid contact with the eyes and mouth. If irritation or adverse reactions occur, discontinue use and consult a healthcare professional.

If you have any questions about this formulation, its uses, or how to apply it, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any queries you may have.

Drug Interactions

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Acetylcysteine 5%/Nicotinamide 2% Topical Cream is a specially compounded formulation designed to treat a variety of skin conditions. Acetylcysteine, also known as N-acetylcysteine (NAC), is a powerful antioxidant that helps to reduce inflammation and promote healing. Nicotinamide, a form of vitamin B3, has been shown to improve the skin's barrier function, reduce inflammation, and have anti-aging effects.

While this formulation is generally safe for most patients, there are potential interactions that prescribers and patients should be aware of. Acetylcysteine may interact with nitroglycerin, leading to a potential decrease in the effectiveness of nitroglycerin. If you are taking nitroglycerin, please inform your healthcare provider.

Nicotinamide may interact with certain medications such as anticonvulsants, anti-tuberculosis drugs, and certain anti-arrhythmics. It may also interact with alcohol, potentially leading to liver damage. If you are taking any of these medications or consume alcohol regularly, it is important to discuss this with your healthcare provider.

It's also important to note that while this formulation is designed for topical use, it should not be applied to broken or irritated skin, or used in patients with a known hypersensitivity to any of the ingredients. If irritation or an allergic reaction occurs, discontinue use and contact your healthcare provider.

As with any medication, it's important to use this product as directed by your healthcare provider. Do not use more than the recommended dose or apply more frequently than instructed. Overuse may lead to skin irritation or other side effects.

This formulation is designed to treat a variety of skin conditions, including acne, rosacea, and signs of aging. Acetylcysteine's antioxidant properties help to reduce inflammation and promote healing, while nicotinamide improves the skin's barrier function and has anti-inflammatory and anti-aging effects. Together, these ingredients can help to improve the appearance and health of your skin.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy is here to help.

How Does it Work

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Acetylcysteine 5%/Nicotinamide 2% Topical Cream is a specially formulated cream that combines the therapeutic benefits of Acetylcysteine and Nicotinamide. This cream is dispensed in a pump mechanism, which allows for easy and controlled application on the skin. The cream is designed to be absorbed by the skin, delivering the active ingredients directly to the affected area for localized treatment.

Acetylcysteine, also known as N-acetylcysteine (NAC), is a medication that is primarily used to treat acetaminophen (Paracetamol) overdose and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease. It is also an antioxidant that helps replenish glutathione levels in the lungs and reduces inflammation in the bronchial tubes and lung tissue. In this topical formulation, Acetylcysteine works by breaking down keratin, a protein that forms part of the skin structure. This action helps to soften the skin and increase its flexibility, reducing the symptoms of dry, scaly skin conditions.

Nicotinamide, also known as Niacinamide, is a form of vitamin B3 that has several uses in dermatology. It has been shown to improve the skin barrier, decrease skin hyperpigmentation, reduce fine lines and wrinkles, decrease redness and sallowness, and improve skin elasticity. It works by helping the skin to repair itself and by reducing inflammation. It also plays a crucial role in the production of energy in skin cells, which is essential for maintaining healthy skin.

Together, Acetylcysteine and Nicotinamide in this topical cream work synergistically to treat a variety of skin conditions. The cream can be used to treat conditions such as acne, rosacea, and other inflammatory skin conditions. It can also be used to improve the appearance of aging skin, by reducing wrinkles and improving skin elasticity.

It's important to note that while this cream can provide significant benefits, it should be used under the guidance of a healthcare professional. Always follow the instructions provided by your healthcare provider or pharmacist. If you have any questions about this formulation, don't hesitate to reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists, and we are here to help.

Frequently Asked Questions

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What is Acetylcysteine 5%/Nicotinamide 2% Topical Cream?

Acetylcysteine 5%/Nicotinamide 2% Topical Cream is a compounded medication that contains two active ingredients: Acetylcysteine and Nicotinamide. It is used to treat a variety of skin conditions and is designed for direct application on the skin.

How does Acetylcysteine 5%/Nicotinamide 2% Topical Cream work?

Acetylcysteine and Nicotinamide, the two active ingredients, work together to alleviate symptoms of skin conditions. Acetylcysteine acts as a mucolytic and antioxidant, while Nicotinamide is a form of Vitamin B3 that has anti-inflammatory properties.

What is the intended use of this topical cream?

The Acetylcysteine 5%/Nicotinamide 2% Topical Cream is intended to be applied locally on the skin to treat various skin conditions. However, always consult healthcare provider before using any medication for the correct indication.

How do I apply the Acetylcysteine 5%/Nicotinamide 2% Topical Cream?

The cream is dispensed with a pump mechanism for easy and controlled application. Simply press down on the pump to release a dose of the cream and apply it on the affected area as directed by your healthcare provider.

How often should I apply the cream?

The frequency of application depends on the advice of your healthcare provider. Please follow their instructions and recommendations regarding the usage of this cream.

Can I experience any side effects from using this cream?

As with all medications, there can be potential side effects. These might include skin irritation, redness or peeling. Always consult your healthcare provider for advice if you experience any undesirable effects.

Is this cream safe for use during pregnancy or breastfeeding?

Always consult your healthcare provider before using any medication during pregnancy or while breastfeeding. They will be able to provide you with the most suitable advice based on your specific situation.

What should I do if I miss a dose of the Acetylcysteine 5%/Nicotinamide 2% Topical Cream?

If you miss a dose, apply the cream as soon as you remember. However, if it's near the time for the next dose, skip the missed dose and go back to your regular schedule. Do not double the application to make up for a missed dose.

Can I use this cream with my other skincare products?

This cream can be used with other skincare products. However, ensure to inform your healthcare provider of all products you are using to avoid any potential interactions.

Where should I store the Acetylcysteine 5%/Nicotinamide 2% Topical Cream?

The cream should be stored at room temperature, away from light and moisture. Always follow the storage guidelines specified on the product label.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Acetylcysteine 5%/Nicotinamide 2% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily