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Formulas

Azelaic Acid 15%/Clindamycin 1%/Tretinoin 0.05% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Azelaic Acid
Clindamycin Hydrochloride
Tretinoin

This formulation is a semisolid preparation of Azelaic Acid 15%, Clindamycin 1%, and Tretinoin 0.05% dispensed in a pump mechanism for convenient and controlled application. The active ingredients are designed for localized treatment or absorption on the skin. Azelaic Acid is known for its antibacterial and keratolytic properties. Clindamycin, an antibiotic, helps reduce the bacteria associated with acne and decreases the chemicals that cause skin inflammation. Tretinoin, a form of vitamin A, promotes skin cell turnover and reduces the formation of blackheads, whiteheads, and other acne lesions.

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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.
Azelaic Acid
Clindamycin Hydrochloride
Tretinoin
Topical Cream
653180f27f09393eacf66e8a
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 combines Azelaic Acid 15%, Clindamycin 1%, and Tretinoin 0.05% in a topical cream. It is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This formulation is intended for localized treatment or absorption of active ingredients.

Azelaic Acid is a dicarboxylic acid that works by killing the bacteria that cause acne and by keeping the skin pores clean. It also helps to reduce inflammation and redness associated with acne. Clindamycin is an antibiotic that prevents bacteria from growing on the skin. It is used to treat acne and helps to decrease the number of acne lesions. Tretinoin, a form of vitamin A, helps the skin to renew itself more quickly and may improve the appearance and texture of skin.

Azelaic Acid and Clindamycin work together to reduce the bacteria that cause acne, while Tretinoin promotes skin cell turnover to prevent the formation of new acne lesions. This formulation can be used to treat acne vulgaris, rosacea, and hyperpigmentation. It may also be beneficial for other conditions as determined by a healthcare provider.

Patients should apply this cream as directed by their healthcare provider, typically once or twice daily. It is important to use this medication regularly to get the most benefit from it. Patients should also remember to use it at the same time each day. It may take up to several weeks before the full benefits of this medication are seen.

Side effects may include skin dryness, burning, redness, excessive flaking, or peeling. If these effects persist or worsen, patients should notify their doctor or pharmacist promptly. It is important to note that this medication may make you more sensitive to the sun. Limit your time in the sun and avoid tanning booths and sunlamps.

Prescribers should consider the patient's skin type, the severity of the skin condition, and the patient's response to previous treatments when deciding to prescribe this formulation. It is also important to educate patients about the potential side effects and the importance of sun protection while using this medication.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This topical cream formulation combines Azelaic Acid 15%, Clindamycin 1%, and Tretinoin 0.05% to treat a variety of skin conditions. Azelaic Acid is a dicarboxylic acid that helps the skin to renew itself more quickly and therefore reduces pimple and blackhead formation. It also helps to kill the bacteria that can lead to acne and rosacea. Clindamycin is an antibiotic that prevents bacteria from growing on the skin. Tretinoin is a form of vitamin A that helps the skin renew itself.

While this formulation is generally safe for use, it's important to be aware of potential drug interactions. If you're using other topical medications or products, it's crucial to discuss this with your healthcare provider or pharmacist. Using multiple topical treatments can sometimes lead to increased skin irritation or dryness.

Specifically, products containing alcohol, astringents, lime, or spices may cause skin irritation when used concurrently with this formulation. Similarly, medicated or abrasive soaps and cleansers, soaps and cosmetics with a strong drying effect, and products with high concentrations of alcohol, astringents, spices, or lime should be used with caution.

Oral or topical use of antibiotics (including clindamycin) may result in the overgrowth of non-susceptible organisms, particularly yeasts. If this occurs, the use of this medication should be discontinued and appropriate therapy instituted.

Concurrent use of tretinoin and certain medications may lead to increased skin irritation. These include medications such as sulfonamides, phenothiazines, and thiazide diuretics, which are known to cause photosensitivity. If you're taking any of these medications, it's important to discuss this with your healthcare provider.

It's also important to note that tretinoin should not be used in patients who are also taking drugs known to be photosensitizers (such as thiazides, tetracyclines, fluoroquinolones, phenothiazines, sulfonamides) because of the possibility of augmented phototoxicity.

Remember, this is not a complete list of possible drug interactions. Always consult your healthcare provider or pharmacist before starting or stopping any medication. If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us at Bayview Pharmacy.

How Does it Work

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This topical cream formulation combines three active ingredients: Azelaic Acid (15%), Clindamycin (1%), and Tretinoin (0.05%). Each of these ingredients plays a unique role in treating various skin conditions, primarily acne and rosacea.

Azelaic Acid is a dicarboxylic acid that works by inhibiting the growth of skin bacteria that can cause acne, and by keeping the skin pores clean and unblocked. It also helps to reduce inflammation and redness associated with acne and rosacea. Azelaic Acid is also known to lighten the skin, which can help to reduce the appearance of post-inflammatory hyperpigmentation that often accompanies acne.

Clindamycin is an antibiotic that prevents bacteria from growing on the skin. It works by slowing or stopping the growth of bacteria that cause acne and reducing inflammation. This helps to prevent the formation of new acne lesions and promotes the healing of existing lesions.

Tretinoin is a form of vitamin A that helps the skin to renew itself more quickly. It works by increasing the speed at which surface skin cells are replaced and by reducing the tendency for skin cells to stick together. This helps to prevent the formation of acne lesions and promotes the healing of existing lesions. Tretinoin also helps to reduce the appearance of fine wrinkles and mottled skin discoloration.

The cream is dispensed in a pump mechanism, which allows for convenient and controlled application on the skin. The cream is designed to be absorbed into the skin, delivering the active ingredients directly to the affected area. This localized treatment approach helps to maximize the effectiveness of the active ingredients while minimizing potential side effects.

Some individuals may experience side effects such as skin irritation, dryness, or peeling. It's also important to use this medication under the supervision of a healthcare provider, as overuse or misuse can lead to increased skin irritation or other side effects.

If you have any questions about this formulation, or if you would like to discuss whether it might be a good fit for your skincare needs, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

Other Uses

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The Azelaic Acid 15%/Clindamycin 1%/Tretinoin 0.05% Topical Cream formulation, while it's primarily utilized to treat certain skin disorders such as acne, rosacea, and specific types of melasma, has other potentials uses. One apparent off-label use of the formulation revolves around its ingredients' intrinsic properties and their effects on the skin.

Azelaic acid, for instance, has potent anti-inflammatory and antioxidant properties which could serve remarkably in managing other inflammatory skin conditions, potentially including psoriasis and dermatitis. It might also be beneficial for treating hyperpigmentation and for its skin brightening effects, making it suitable for skin-tone evening applications. However, further research may require to authenticate its efficiency in these areas.

The antibiotic clindamycin, present in this combination, could be useful in tackling other bacterial infections of the skin besides acne. Furthermore, the addition of tretinoin in this formulation might confer anti-aging benefits. Tretinoin, a form of vitamin A, is well-known for its ability to increase cell turnover, thereby potentially diminishing the appearance of fine lines, wrinkles, and age spots. It can lead to improved skin texture and complexion over time.

Notwithstanding these potential other uses, it’s fundamental to stress that this medication should only be used as directed by a healthcare professional and that off-label use or dosing purposes should only occur with medical supervision. Side effects, contraindications, as well as patient's individual needs and health status, must be carefully evaluated beforehand. Always remember that while the off-label use of medications can be beneficial in certain scenarios, it exists outside of approved indications and, as such, carries an element of unpredictability in efficacy and safety outcomes.

Further, the latitude for variability amongst individual patient responses to this formulation must be noted. What works or does not work for one person, may not be reflective of another person’s experience. Always engage in dialogue with a healthcare provider to discuss potential benefits and risks relevant to using this formulation. At Bayview Pharmacy, our skilled team of compounding pharmacists are always available to answer your queries. Please do not hesitate to reach out to us with any questions you may have about this formulation or its uses.

Frequently Asked Questions

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What is the purpose of this compounded formulation of Azelaic Acid 15%, Clindamycin 1%, and Tretinoin 0.05% Topical Cream?

The purpose of this medication is to treat a range of skin conditions. Clindamycin is an antibiotic that fights bacteria in the body, Tretinoin is a form of vitamin A that helps the skin renew itself, and Azelaic Acid is used to treat acne and rosacea. Together, these active ingredients help reduce symptoms and improve the skin's appearance.

How should I apply this compounded cream?

With clean hands, use the pump to dispense a small amount of cream. Apply the cream on your skin where you need treatment. Smooth it gently into the skin until it has been fully absorbed. Remember to always follow your healthcare provider's instructions regarding how much to use and how often.

Can this formulation be used for any skin condition?

No, this specific formulation has been designed for the treatment of specific skin conditions such as acne and rosacea. Always use this product under the guidance of a healthcare professional who has determined it is appropriate for your specific condition.

What are some possible side effects of this cream?

The common side effects include mild burning, itching, or redness; these should disappear as your body adjusts to the medication. However, you should contact your healthcare provider if you experience severe redness, itching, burning, stinging, changes in skin color, or an allergic reaction.

Can I use this compounded cream if I am pregnant?

It's important to discuss this with your healthcare provider before use during pregnancy. Specifically, Tretinoin, one of the active ingredients in this formulation, is known to have potential risks for pregnant women and it is essential to be under the guidance of a healthcare provider.

Can I use makeup or other skin products after applying this cream?

Have this discussion with your healthcare provider. Generally, you should wait until the medication has fully absorbed into your skin before applying any other products. These can interact, dilute or influence the effects of the medication.

Can I be exposed to the sun while using this cream?

You should limit sun exposure while using this cream, as Tretinoin can make your skin more sensitive to sunlight. When necessary, use sunscreen and wear protective clothing on the treated areas.

What if I accidentally swallow this cream?

If swallowed, seek medical help or contact a Poison Control Center immediately. Keep this medication away from children and pets.

Can I use this cream with other medications?

Always inform your healthcare provider of all the medications you are taking to ensure there are no interactions. Some medications or substances can interact with this cream, affect its efficacy or increase side effects.

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 nearly time for your next application, then skip the missed dose and return to your regular schedule. Do not double the dose to "catch up".

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.

Azelaic Acid 15%/Clindamycin 1%/Tretinoin 0.05% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Once daily at bedtime