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Acyclovir 5%/Dexamethasone 0.1% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Acyclovir
Dexamethasone

Acyclovir 5%/Dexamethasone 0.1% Topical Gel is a semisolid formulation designed for the treatment of viral skin infections, such as herpes simplex and herpes zoster, as well as inflammatory skin conditions. This gel combines the antiviral properties of Acyclovir with the anti-inflammatory effects of Dexamethasone, providing a comprehensive approach to managing symptoms and promoting healing.

Dispensed through a pump mechanism, this formulation ensures easy and precise application, allowing for targeted treatment and optimal absorption of active ingredients. Its gel-like consistency enhances patient comfort and adherence to the treatment regimen.

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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.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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.
Acyclovir
Dexamethasone
Topical Gel
Service area

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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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The Acyclovir 5%/Dexamethasone 0.1% Topical Gel is a compounded medication that combines the antiviral properties of acyclovir with the anti-inflammatory effects of dexamethasone in a convenient gel formulation. This medication is designed for topical application, allowing direct delivery of active ingredients to the affected area on the skin.

Acyclovir is a well-established antiviral agent that works by inhibiting the replication of herpes viruses. By interfering with viral DNA synthesis, acyclovir helps to reduce the severity and duration of viral outbreaks on the skin. When applied topically, it targets the virus at the site of infection, potentially providing faster relief and promoting healing.

Dexamethasone is a potent corticosteroid that reduces inflammation by suppressing the immune response in the affected area. It helps alleviate symptoms such as redness, swelling, and itching that may accompany skin conditions. The low concentration of dexamethasone in the gel minimizes the risk of systemic side effects.

The gel is formulated as a semisolid preparation dispensed through a pump mechanism. This delivery system ensures easy and precise application, allowing patients to apply the medication directly to the affected area without unnecessary contact or contamination. The gel consistency is non-greasy and absorbs readily into the skin, enhancing patient comfort and adherence to the treatment regimen.

For patients, this combination therapy offers the convenience of addressing multiple symptoms with a single application. It may improve treatment outcomes by simultaneously targeting the viral infection and associated inflammation. Patients should follow the application instructions provided by their healthcare provider, generally involving applying a thin layer of the gel to the clean, dry affected area as prescribed.

Prescribers may consider this compounded formulation for patients who could benefit from both antiviral and anti-inflammatory therapy in a topical form. The customization of the medication allows for tailored treatment plans based on individual patient needs. Compounding pharmacists at Bayview Pharmacy ensure the quality and efficacy of the formulation by adhering to strict preparation standards.

Patients should be aware of potential side effects, which may include mild skin irritation or hypersensitivity reactions at the application site. If severe irritation or signs of an allergic reaction occur, such as rash, swelling, or difficulty breathing, patients should discontinue use and seek medical attention promptly. It is important to disclose all medications and medical history to the prescriber to avoid potential drug interactions or contraindications.

This compounded topical gel represents a collaborative effort between healthcare providers and compounding pharmacists to address specific patient needs. By providing personalized medication solutions,

Drug Interactions

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The Acyclovir 5%/Dexamethasone 0.1% Topical Gel is a compounded formulation designed for the treatment of viral skin infections, such as herpes simplex, and inflammatory skin conditions. Acyclovir is an antiviral agent that works by inhibiting the replication of viral DNA, thereby reducing the severity and duration of viral outbreaks. Dexamethasone is a corticosteroid that helps reduce inflammation, redness, and swelling associated with skin conditions. When combined in a topical gel form, these active ingredients provide a dual-action approach to managing symptoms effectively.

While this formulation is generally well-tolerated, it is important to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. Patients and prescribers should consider the following interactions when using this topical gel. Concurrent use of other topical medications on the same area of skin may alter the absorption and effectiveness of Acyclovir and Dexamethasone. It is advisable to space out the application of different topical products to minimize interaction risks.

Systemic absorption of dexamethasone, although minimal with topical application, may still occur, especially with prolonged use or application over large surface areas. This could potentially interact with other systemic corticosteroids or medications that affect the hypothalamic-pituitary-adrenal (HPA) axis, leading to an increased risk of systemic side effects such as immunosuppression or adrenal suppression. Patients using other corticosteroid medications should be monitored for signs of systemic corticosteroid effects.

Patients taking immunosuppressive drugs or those with compromised immune systems should use this formulation with caution, as the immunosuppressive effects of dexamethasone could be potentiated, increasing the risk of infections. Additionally, the antiviral efficacy of acyclovir may be reduced in patients taking medications that affect renal function, as acyclovir is primarily excreted by the kidneys. Renal function should be monitored in patients with pre-existing renal impairment or those taking nephrotoxic drugs.

It is also important to consider potential interactions with other medications that may cause skin irritation or sensitivity. Using this topical gel in conjunction with such medications may exacerbate skin irritation or lead to increased absorption of the active ingredients, potentially increasing the risk of side effects. Patients should inform their healthcare provider of all medications they are currently using, including over-the-counter products and supplements, to ensure safe and appropriate use of this formulation.

If you have any questions or concerns about the use of Acyclovir 5%/Dexamethasone 0.1% Topical Gel, or if you need further information on potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have.

How Does it Work

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The Acyclovir 5%/Dexamethasone 0.1% Topical Gel is a specialized formulation designed to deliver targeted treatment for viral skin infections, particularly those caused by the herpes simplex virus, and to reduce associated inflammation. This semisolid gel is dispensed through a pump mechanism.

Acyclovir, an antiviral agent, works by inhibiting the replication of viral DNA. It specifically targets the herpes simplex virus by interfering with the viral DNA polymerase enzyme, which is essential for the virus to multiply and spread. By halting the replication process, acyclovir helps to reduce the severity and duration of the viral outbreak, promoting faster healing of the lesions and reducing the risk of transmission.

Dexamethasone, a potent corticosteroid, complements the action of acyclovir by addressing the inflammatory response associated with viral infections. It works by suppressing the immune system's inflammatory mediators, thereby reducing swelling, redness, and discomfort in the affected area. This dual-action approach not only targets the virus but also alleviates the symptoms, providing comprehensive relief to the patient.

The gel-like consistency of this formulation allows for excellent adherence to the skin, ensuring that the active ingredients remain in contact with the affected area for an extended period. This enhances the absorption and efficacy of the treatment. The pump mechanism further aids in delivering a consistent dose, minimizing wastage and ensuring that the patient receives the correct amount of medication with each application.

For prescribers, this formulation offers a reliable option for managing herpes simplex infections with an added benefit of anti-inflammatory action. It is particularly useful in cases where inflammation exacerbates the condition or causes significant discomfort to the patient. The combination of acyclovir and dexamethasone in a single topical application simplifies the treatment regimen, potentially improving patient adherence and outcomes.

Patients using this formulation should apply it as directed by their healthcare provider, typically to the affected area several times a day. It is important to start treatment at the first sign of an outbreak for maximum effectiveness. Patients should also be advised to wash their hands before and after application to prevent the spread of the virus to other parts of the body or to other individuals.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure the best possible outcomes for your treatment.

Other Uses

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The Acyclovir 5%/Dexamethasone 0.1% Topical Gel, dispensed through a convenient pump mechanism, is primarily used for its antiviral and anti-inflammatory properties. While it is commonly prescribed for specific conditions such as herpes simplex infections and inflammatory skin disorders, this formulation may have other potential uses that could benefit patients and prescribers seeking alternative therapeutic options. The combination of acyclovir, an antiviral agent, and dexamethasone, a corticosteroid, allows for a dual-action approach that can be advantageous in managing conditions where both viral activity and inflammation are present.

Beyond its primary indications, this topical gel may be considered for off-label use in managing other dermatological conditions that involve viral infections accompanied by inflammation. For instance, it could be explored as a treatment option for shingles (herpes zoster) to help alleviate the associated pain and inflammation while targeting the viral component. Additionally, the formulation might be beneficial in treating certain cases of eczema herpeticum, where a viral infection exacerbates the inflammatory skin condition. The gel's targeted application and absorption make it suitable for localized treatment, potentially reducing systemic side effects compared to oral medications.

Furthermore, the anti-inflammatory properties of dexamethasone in the gel could be useful in managing post-herpetic neuralgia, where inflammation plays a role in the persistence of pain following a herpes zoster outbreak. The precise application facilitated by the pump mechanism ensures that the medication is delivered directly to the affected area, maximizing its therapeutic effects while minimizing unnecessary exposure to surrounding healthy skin. This targeted approach can be particularly beneficial for patients with sensitive skin or those who require precise dosing to manage their condition effectively.

It is important for prescribers to consider the individual needs of their patients and the potential benefits of using this formulation for conditions beyond its primary indications. Patients should be informed about the possible off-label uses and the rationale behind their prescription, ensuring they understand the expected outcomes and any potential risks. As with any medication, careful monitoring and follow-up are essential to assess the effectiveness and safety of the treatment. If you have any questions or require further information about the potential uses of Acyclovir 5%/Dexamethasone 0.1% Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Acyclovir 5%/Dexamethasone 0.1% Topical Gel used for?

This topical gel is used for the treatment of skin conditions that may benefit from the antiviral properties of Acyclovir and the anti-inflammatory effects of Dexamethasone. It is often prescribed for conditions like herpes simplex infections and other inflammatory skin disorders.

How should I apply the Acyclovir 5%/Dexamethasone 0.1% Topical Gel?

The gel should be applied to the affected area of the skin using the pump mechanism for precise dosing. Ensure the skin is clean and dry before application. Follow your healthcare provider's instructions regarding the frequency and amount of gel to use.

Can I use this gel on open wounds or broken skin?

It is generally advised not to apply the gel on open wounds or broken skin unless directed by a healthcare professional. Consult your doctor for specific guidance based on your condition.

Are there any side effects associated with this topical gel?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe side effects or an allergic reaction, discontinue use and seek medical attention immediately.

How should I store the Acyclovir 5%/Dexamethasone 0.1% Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets. Do not freeze the gel.

Can I use this gel if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this gel to ensure it is safe for you and your baby.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply extra gel to make up for a missed dose.

Can I use other skincare products while using this gel?

Consult your healthcare provider before using other skincare products in conjunction with this gel, as some products may interfere with its effectiveness or cause irritation.

How long does it take to see results from using this gel?

The time it takes to see results can vary depending on the condition being treated and individual response to the medication. Follow your healthcare provider's instructions and complete the full course of treatment for the best results.

Is a prescription required to obtain Acyclovir 5%/Dexamethasone 0.1% Topical Gel?

Yes, this compounded formulation typically requires a prescription from a licensed healthcare provider. Consult your doctor to determine if this treatment is appropriate for your condition.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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.

Acyclovir 5%/Dexamethasone 0.1% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily