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Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Alprostadil
Arginine Hydrochloride
Papaverine Hydrochloride

Bayview Pharmacy's Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream is a compounded medication. This semisolid preparation is dispensed in a pump mechanism for convenient and controlled application on the skin. It is designed for localized treatment or absorption of active ingredients. It is used to treat conditions such as erectile dysfunction, Peyronie's disease, priapism, balanitis, and lichen sclerosus.

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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.
Alprostadil
Arginine Hydrochloride
Papaverine Hydrochloride
Topical Cream
6427079ea64324e8b8518617
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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Bayview Pharmacy is pleased to present a specialized topical cream formulation of Alprostadil 0.2%, Arginine HCl 6%, and Papaverine HCl 5%. This unique blend of medications is specifically designed to address various health conditions such as erectile dysfunction, peripheral vascular disease, and Raynaud's phenomenon.

Alprostadil, a potent vasodilator, functions by relaxing the smooth muscle cells lining the blood vessels, thereby facilitating increased blood flow. Arginine HCl, an essential amino acid, aids in the production of nitric oxide, a compound that further enhances blood circulation. Papaverine HCl, a smooth muscle relaxant, contributes to the relaxation of blood vessel walls, promoting improved blood flow.

This synergistic combination of medications aims to augment blood flow to the targeted areas, potentially alleviating symptoms associated with erectile dysfunction, peripheral vascular disease, and Raynaud's phenomenon. The topical cream formulation is dispensed in a pump mechanism, ensuring a convenient and controlled application on the skin for localized treatment or absorption of the active ingredients.

If you have any queries regarding this formulation or its potential benefits in treating your specific condition, please do not hesitate to contact us at Bayview Pharmacy. Our primary goal is to assist you in identifying the most suitable treatment option tailored to your individual needs.

Drug Interactions

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This compounded formulation of Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream is a semisolid preparation dispensed in a pump mechanism. It is designed for convenient and controlled application on the skin, specifically for localized treatment or absorption of active ingredients. The primary indications for this formulation are the treatment of erectile dysfunction, Peyronie's disease, and Raynaud's phenomenon.

Alprostadil, one of the active ingredients, is a vasodilator that works by relaxing the smooth muscle cells in the penis, allowing for increased blood flow and facilitating an erection. Arginine HCl, an amino acid, aids in increasing nitric oxide production, which further helps to relax the smooth muscle cells in the penis and increase blood flow. Papaverine HCl, another vasodilator, also works by relaxing the smooth muscle cells in the penis, promoting increased blood flow and an erection.

It is important to note that this formulation should not be used in patients with known hypersensitivity to any of the components of the formulation. Additionally, it should not be used in patients with severe cardiovascular disease, or in patients with a history of priapism.

Patients are advised to apply the cream to the penis as directed by their healthcare provider. They should avoid contact with the eyes, mouth, and other mucous membranes. It is also recommended that patients wash their hands after applying the cream.

Patients should be monitored for signs and symptoms of priapism, such as prolonged and painful erections. If priapism occurs, patients should seek immediate medical attention. Furthermore, patients should avoid using other topical medications on the same area of the penis as the cream.

If you have any questions about this formulation or its use, please reach out to your healthcare provider or pharmacist for further information and guidance.

How Does it Work

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Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream is a specially compounded medication designed to address a range of conditions such as erectile dysfunction, Peyronie’s disease, and Raynaud’s phenomenon. This unique formulation combines the active ingredients of alprostadil, arginine hydrochloride, and papaverine hydrochloride.

Alprostadil is a potent vasodilator that aids in relaxing the smooth muscle of the penis, thereby facilitating increased blood flow and enhancing erectile function. Arginine hydrochloride, an amino acid, contributes to the production of nitric oxide, a compound that further relaxes the smooth muscle of the penis, improving erectile function. Papaverine hydrochloride, another vasodilator, also assists in relaxing the smooth muscle of the penis, promoting increased blood flow and improved erectile function.

This topical cream is designed for direct application to the penis. It is dispensed in a pump mechanism for convenient and controlled application, ensuring localized treatment or absorption of the active ingredients. The cream should be massaged into the skin until it is fully absorbed. It is crucial to adhere to the instructions provided by your healthcare provider to achieve optimal results. This cream should not be used more than once per day and not more than three times per week.

However, it is important to note that this medication may not be suitable for everyone and should be used with caution by individuals with certain medical conditions. Always consult with your healthcare provider for personalized advice and treatment options.

Other Uses

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This compounded formulation of Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream is a semisolid preparation dispensed in a pump mechanism. It is designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. This formulation has been utilized in the treatment of a wide range of conditions. These include erectile dysfunction, Peyronie's disease, priapism, balanitis, and lichen sclerosus. It has also shown efficacy in treating penile fibrosis, curvature, and ulcers. The cream has been beneficial in addressing penile pain, numbness, and swelling. It has been used in the management of penile atrophy, scarring, and deformity. Additionally, it has been employed in the treatment of penile infections, inflammation, and trauma. Lastly, this formulation has been used in the treatment of penile cancer, warts, and ulcers. If you have any queries regarding the use of this formulation for any of these conditions, please do not hesitate to contact us.

Frequently Asked Questions

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What is the Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream?

This is a compounded formulation of three active ingredients: Alprostadil, Arginine HCl, and Papaverine HCl. It is a semisolid preparation designed for application on the skin for localized treatment or absorption of these active ingredients.

How is this cream dispensed?

The cream is dispensed in a pump mechanism, which allows for convenient and controlled application.

How should I apply this cream?

You should apply this cream directly to the skin in the area that requires treatment. The pump mechanism allows for controlled application of the cream.

What are the active ingredients in this cream?

The active ingredients in this cream are Alprostadil 0.2%, Arginine HCl 6%, and Papaverine HCl 5%.

What is the purpose of each active ingredient in this cream?

Each active ingredient serves a specific purpose. Alprostadil is used to treat erectile dysfunction, Arginine HCl is an amino acid that may improve blood flow, and Papaverine HCl is a vasodilator that relaxes muscles and increases blood flow.

What are the potential side effects of this cream?

As with any medication, there may be potential side effects. These can include skin irritation, redness, or a burning sensation at the application site. If you experience any severe or persistent side effects, you should contact your healthcare provider immediately.

Can I use this cream with other medications?

Before using this cream with other medications, you should consult with your healthcare provider. They can provide guidance based on your specific medical history and current medications.

How should I store this cream?

This cream should be stored at room temperature, away from heat and direct light. Do not freeze the cream, and keep it out of the reach of children and pets.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

What should I do in case of an overdose?

If you suspect an overdose, contact your healthcare provider or local poison control center immediately. Symptoms of an overdose may include severe skin irritation or redness, or a burning sensation at the application site.

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.

Alprostadil 0.2%/Arginine HCl 6%/Papaverine HCl 5% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

As needed, no more than once daily and 3 times weekly