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Formulas

Amikacin 25 mg/mL Ophthalmic Solution

FDA-approved generic
Dose form
Ophthalmic Solution
Active ingredients
Amikacin Sulfate

Amikacin 25 mg/mL Ophthalmic Solution is a sterile liquid formulation specifically designed for ocular use. It is dispensed in an eye dropper bottle for precise and controlled application, delivering medication directly to the eyes.

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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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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.
Amikacin Sulfate
Ophthalmic Solution
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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Amikacin 25 mg/mL Ophthalmic Solution is a sterile liquid formulation meticulously crafted for ocular use, ensuring both safety and efficacy in treating various eye conditions. This solution is dispensed in an eye dropper bottle, allowing for precise and controlled application directly to the eyes. The formulation is specifically designed to deliver medication effectively, providing both therapeutic and protective benefits to the ocular surface. Amikacin, an aminoglycoside antibiotic, is the active ingredient in this solution, known for its potent antibacterial properties. It works by inhibiting bacterial protein synthesis, thereby treating and preventing infections caused by susceptible strains of bacteria.

By targeting the bacteria responsible for these infections, Amikacin helps reduce inflammation, alleviate discomfort, and prevent further complications that could arise from untreated infections. The formulation's sterile nature is crucial in maintaining ocular health, as it minimizes the risk of introducing additional pathogens during application.

For patients, the use of Amikacin 25 mg/mL Ophthalmic Solution offers a convenient and non-invasive method to address bacterial eye infections. The eye dropper bottle design ensures ease of use, allowing patients to administer the medication accurately and consistently as prescribed. It is important for patients to follow the prescribed dosage and administration instructions to achieve optimal therapeutic outcomes. Patients should be aware of potential side effects, such as temporary eye irritation or discomfort, and report any persistent adverse reactions to their healthcare provider.

For prescribers, this formulation provides a reliable option for treating bacterial eye infections, particularly those resistant to other antibiotics. The concentration of 25 mg/mL ensures a potent dose capable of effectively combating bacterial pathogens. Prescribers should consider the patient's medical history, potential allergies, and the susceptibility of the causative bacteria when recommending this treatment. Regular monitoring and follow-up are advised to assess the patient's response to therapy and make any necessary adjustments.

If you have any questions or require further information about Amikacin 25 mg/mL Ophthalmic Solution, please do not hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is here to assist you with any inquiries or concerns you may have regarding this formulation.

Drug Interactions

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Amikacin 25 mg/mL Ophthalmic Solution is a potent aminoglycoside antibiotic used in the treatment of various bacterial infections of the eye. However, like all medications, it is important to be aware of potential drug interactions that could affect the efficacy and safety of this ophthalmic solution.

When using Amikacin ophthalmic solution, it is crucial to consider its interaction with other medications that the patient may be using concurrently. Aminoglycosides, including amikacin, are known to have potential interactions with other drugs that can lead to increased risk of nephrotoxicity and ototoxicity, although these are more commonly associated with systemic use rather than ophthalmic application. Nonetheless, caution is advised when patients are using other aminoglycosides or nephrotoxic drugs, such as vancomycin, amphotericin B, or certain diuretics like furosemide, even though the systemic absorption from ophthalmic use is minimal.

Additionally, the concurrent use of other topical ophthalmic medications should be carefully managed. If multiple eye drops are prescribed, it is recommended to administer them at least 5 to 10 minutes apart to prevent dilution and ensure optimal absorption of each medication. This is particularly important if the patient is using other antibiotic eye drops or medications that may alter the pH or osmolarity of the ocular surface, as these could potentially affect the stability and efficacy of the amikacin solution.

Patients should also be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to assess any potential interactions. It is important for prescribers to review the patient's full medication profile to avoid any adverse interactions and to adjust treatment regimens as necessary.

For patients with a history of hypersensitivity to aminoglycosides, alternative treatments should be considered, as cross-sensitivity among aminoglycosides can occur. In such cases, the risk of an allergic reaction may outweigh the benefits of using amikacin ophthalmic solution.

If you have any questions or need further clarification regarding the use of Amikacin 25 mg/mL Ophthalmic Solution and its potential drug interactions, please do not hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is here to assist you with any concerns you may have.

How Does it Work

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Amikacin 25 mg/mL Ophthalmic Solution is a sterile liquid formulation meticulously crafted for ocular use, ensuring both safety and efficacy in treating various eye conditions. This solution is dispensed in an eye dropper bottle, allowing for precise and controlled application directly to the eyes. The primary active ingredient, amikacin, is an aminoglycoside antibiotic that works by inhibiting bacterial protein synthesis, effectively targeting and eliminating a wide range of gram-negative bacteria and some gram-positive bacteria. This makes it particularly useful in treating bacterial infections of the eye, such as conjunctivitis, keratitis, and endophthalmitis.

Upon administration, the amikacin in the ophthalmic solution penetrates the ocular tissues, reaching the site of infection. By binding to the 30S ribosomal subunit of the bacteria, amikacin disrupts the normal function of the ribosome, leading to the production of faulty proteins and ultimately causing bacterial cell death. This mechanism of action not only helps in clearing the infection but also reduces the risk of developing antibiotic resistance, as amikacin is less susceptible to enzymatic degradation compared to other antibiotics.

The formulation is designed to be isotonic with the natural tears of the eye, minimizing irritation and ensuring comfort upon application. The sterile nature of the solution is crucial in preventing contamination and secondary infections, which is why it is essential to follow proper administration techniques and storage guidelines. Patients are advised to wash their hands thoroughly before use and avoid touching the dropper tip to any surface, including the eye, to maintain sterility.

For prescribers, it is important to consider the patient's medical history, including any known allergies to aminoglycosides, before prescribing this formulation. The dosage and frequency of administration should be tailored to the severity of the infection and the patient's response to treatment. Regular monitoring of the patient's progress is recommended to ensure the effectiveness of the therapy and to make any necessary adjustments.

In summary, Amikacin 25 mg/mL Ophthalmic Solution is a potent and reliable option for treating bacterial infections of the eye, offering targeted action with minimal systemic absorption. Its design as a sterile, isotonic solution ensures both efficacy and patient comfort. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy.

Other Uses

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Amikacin 25 mg/mL Ophthalmic Solution, traditionally used to treat bacterial infections of the eye, possesses potential utility in several other clinical scenarios. Beyond its primary indication for ocular bacterial infections, this formulation may be considered for off-label use in prophylaxis against infection in patients undergoing ophthalmic surgeries. The solution's broad-spectrum activity can be advantageous in preventing postoperative infections where conventional antibiotics may not suffice or in patients at high risk for resistant strains.

For patients suffering from chronic, non-healing corneal ulcers or those with severe conjunctivitis that do not respond to first-line treatments, amikacin ophthalmic solution might be utilized as an alternative therapeutic option. Its efficacy against a variety of Gram-negative bacteria, including Pseudomonas aeruginosa, makes it particularly beneficial in circumstances of resistant or recalcitrant infections where other treatments have failed.

Moreover, in veterinary settings, amikacin ophthalmic solution can be formulated and used for treating bacterial infections in the eyes of animals, particularly companion animals like cats and dogs. In these cases, precise veterinary guidance is crucial to ensure safe and appropriate use.

It is also pivotal to mention that while considering amikacin for off-label uses, the potential for ototoxicity and nephrotoxicity, though significantly reduced due to localized administration, warrants cautious monitoring in long-term use. As with any medication use outside its primary indication, it should be guided by microbiological sensitivity testing and tailored to the patient’s individual medical history and conditions.

Healthcare professionals are encouraged to maintain an open dialogue with their patients, explaining the risks and benefits of using amikacin in these alternative scenarios. Patients should be instructed on the proper use and administration of the ophthalmic solution, emphasizing the importance of adherence to dosage and sterilization protocols to prevent contamination and ensure efficacy.

For any questions or further information regarding the use of Amikacin 25 mg/mL Ophthalmic Solution, you are encouraged to reach out to us at Bayview Pharmacy. Our team is dedicated to providing comprehensive guidance and support for both patients and prescribers seeking to utilize this formulation effectively and safely across various applications.

Frequently Asked Questions

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What is Amikacin 25 mg/mL Ophthalmic Solution used for?

Amikacin 25 mg/mL Ophthalmic Solution is designed for ocular use and is primarily used to treat eye infections caused by susceptible bacteria. The formulation helps deliver the antibiotic directly to the eye.

How is Amikacin 25 mg/mL Ophthalmic Solution administered?

This solution is administered in the form of eye drops. It is dispensed in an eye dropper bottle that allows for precise and controlled application directly into the eyes.

How often should I use Amikacin 25 mg/mL Ophthalmic Solution?

The frequency of use depends on the severity of the infection and a healthcare professional’s recommendation. Always follow the instructions given by your doctor or pharmacist.

Can Amikacin 25 mg/mL Ophthalmic Solution be used for non-bacterial eye conditions?

This solution is specifically an antibiotic formulation and is not intended for viral or fungal eye infections. It should only be used for bacterial infections as prescribed by a healthcare professional.

Are there any side effects associated with Amikacin 25 mg/mL Ophthalmic Solution?

Some individuals may experience minor eye irritation or discomfort after using the solution. If severe eye irritation or allergic reactions occur, contact your healthcare provider immediately.

Can I use Amikacin 25 mg/mL Ophthalmic Solution while wearing contact lenses?

It is advisable to remove contact lenses before applying the eye drops. Wait at least 15 minutes after application before reinserting contact lenses, unless otherwise directed by a healthcare professional.

How should I store Amikacin 25 mg/mL Ophthalmic Solution?

Store the eye drops at room temperature, away from direct light and heat. Ensure that the bottle is tightly closed when not in use. Do not freeze the solution.

What should I do if I miss a dose of Amikacin 25 mg/mL Ophthalmic Solution?

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Can children use Amikacin 25 mg/mL Ophthalmic Solution?

Yes, the solution can be used by children under the guidance and prescription of a healthcare professional. Dosage and application should be carefully followed as per medical advice.

What should I do in case of accidental ingestion of Amikacin 25 mg/mL Ophthalmic Solution?

If the solution is accidentally ingested, seek medical attention or contact a Poison Control Center immediately. Do not induce vomiting unless instructed by a healthcare professional.

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.

Amikacin 25 mg/mL Ophthalmic Solution
Ophthalmic Solution
5 mL
controlled

Instill 1 drop into affected eye(s)

Four times daily