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Azelaic Acid 20%/Niacinamide 4% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Azelaic Acid
Niacinamide

This formulation is a semisolid preparation of Azelaic Acid 20%/Niacinamide 4% Topical Cream, dispensed in a pump mechanism for easy and controlled application. The cream is designed to be applied on the skin for localized treatment or absorption of the active ingredients, Azelaic Acid and Niacinamide.

Azelaic Acid is a dicarboxylic acid that helps to renew the skin's surface, reduce inflammation, and inhibit the growth of skin bacteria that can cause acne and rosacea. Niacinamide, also known as Vitamin B3, has anti-inflammatory properties that can help ease redness from eczema, acne, and other inflammatory skin conditions.

This formulation is used to treat a variety of disease states including acne, rosacea, and other inflammatory skin conditions. It works by reducing the production of keratin, a natural substance that can lead to the development of acne and rosacea when produced in excess.

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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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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
Niacinamide
Topical Cream
65314ec14688f3cb5e677d07
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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This formulation combines Azelaic Acid at a concentration of 20% and Niacinamide at a concentration of 4% in a topical cream. 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, ensuring that the medication is delivered directly to the area that needs it most.

Azelaic Acid is a dicarboxylic acid that has been shown to help reduce the growth of skin bacteria that are involved in acne, and it also helps to renew and refresh the skin's surface. This can reduce the formation and development of pimples and blackheads. Furthermore, Azelaic Acid has skin-brightening properties that can help to improve hyperpigmentation and melasma, conditions that cause dark spots on the skin.

Niacinamide, also known as Vitamin B3, is a powerful antioxidant that has been shown to improve the skin's texture and tone. It can help to reduce the appearance of blemishes and congestion, and it also has anti-inflammatory properties that can help to reduce redness and swelling. Niacinamide is also known for its ability to boost the skin's hydration levels, helping to improve the skin's barrier function and reduce the impact of environmental damage.

Together, Azelaic Acid and Niacinamide in this formulation work synergistically to treat a variety of skin conditions. The cream is designed to be applied topically, allowing the active ingredients to be absorbed directly into the skin. This can provide targeted relief from symptoms and improve the overall health and appearance of the skin.

It's important to note that while this formulation can provide significant benefits, it should be used under the guidance of a healthcare provider. As with any medication, it's important to use it as directed to ensure the best results. If you have any questions about this formulation, or if you would like more information about how it can benefit you, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

Drug Interactions

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Azelaic Acid 20%/Niacinamide 4% Topical Cream is a compounded medication that combines the benefits of azelaic acid and niacinamide. Azelaic acid is a dicarboxylic acid that has antimicrobial and anti-inflammatory properties. Niacinamide, also known as vitamin B3, has anti-inflammatory effects on the skin and can improve the skin's barrier function, reducing redness and blotchiness.

While this formulation is generally well-tolerated, it's important to be aware of potential drug interactions. Azelaic acid and niacinamide are both topical treatments, so systemic interactions are less likely. However, using this cream with other topical medications, particularly those that are abrasive, drying, or peeling, may increase the risk of skin irritation. This includes products containing retinoids, salicylic acid, or alcohol.

Patients should also be aware that niacinamide can interact with certain medications when taken orally, such as anticonvulsants and some antibiotics. While the risk of systemic absorption from a topical cream is low, patients taking these medications should discuss this with their healthcare provider.

It's also important to note that while azelaic acid is safe to use during pregnancy and breastfeeding, the safety of topical niacinamide during pregnancy and breastfeeding has not been fully established. Therefore, pregnant or breastfeeding women should consult their healthcare provider before using this formulation.

As with any medication, patients should inform their healthcare provider of all the medications they are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements. This will help the healthcare provider to identify any potential drug interactions and adjust the treatment plan accordingly.

Patients should apply the cream as directed by their healthcare provider, usually once or twice daily. The cream should be applied to clean, dry skin, and patients should avoid getting the cream in their eyes, nose, or mouth. If irritation or sensitivity develops, patients should stop using the cream and contact their healthcare provider.

If you have any questions about Azelaic Acid 20%/Niacinamide 4% Topical Cream, or if you would like more information about drug interactions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

How Does it Work

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Azelaic Acid 20%/Niacinamide 4% Topical Cream is a specially formulated semisolid preparation that combines the therapeutic benefits of both azelaic acid and niacinamide. This formulation is dispensed in a pump mechanism, which allows for convenient and controlled application on the skin. The active ingredients are designed to be absorbed locally, providing targeted treatment for specific skin conditions.

Azelaic acid is a dicarboxylic acid that works by inhibiting the growth of skin bacteria that are involved in the development of acne. It also helps to reduce inflammation and redness associated with acne. Furthermore, azelaic acid helps to normalize the shedding of skin cells and unclog pores, preventing the formation of acne lesions (comedones). In addition, azelaic acid has a depigmenting effect, which makes it useful in the treatment of hyperpigmentation disorders such as melasma and post-inflammatory hyperpigmentation.

Niacinamide, also known as nicotinamide, is a form of vitamin B3 that has been shown to have multiple benefits for the skin. It has anti-inflammatory properties, which can help reduce the redness and swelling associated with acne. Niacinamide also helps to regulate sebum production, which can help to prevent the formation of acne. Furthermore, niacinamide can improve the skin's barrier function, increase its elasticity, and reduce the appearance of discoloration, fine lines, and wrinkles.

When combined in a topical cream, azelaic acid and niacinamide work synergistically to treat a variety of skin conditions. The azelaic acid helps to reduce acne and hyperpigmentation, while the niacinamide helps to soothe inflammation, regulate sebum production, and improve the overall appearance of the skin.

It's important to note that while this formulation can provide significant benefits, it may also cause some side effects, such as skin irritation or sensitivity. Therefore, it's recommended to start with a small amount and gradually increase as tolerated. Always follow the instructions provided by your healthcare provider or pharmacist.

If you have any questions about the Azelaic Acid 20%/Niacinamide 4% Topical Cream, or if you would like more information about how it works, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Frequently Asked Questions

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What is the Azelaic Acid 20%/Niacinamide 4% Topical Cream composed of?

This cream is a compounded formulation of 20% azelaic acid and 4% niacinamide. These are the active ingredients that are meant to be absorbed into the skin.

How is the Azelaic Acid 20%/Niacinamide 4% Topical Cream dispensed?

The cream is dispensed in a pump mechanism. This design is contributing to the ease and control of application for the user.

How is the Azelaic Acid 20%/Niacinamide 4% Topical Cream applied?

The cream is meant to be applied topically to the skin. It is a semisolid preparation that allows it to be easily spread onto localized areas for treatment.

What does the "semisolid" state of the formulation mean?

The "semisolid" state refers to the texture and consistency of the cream. It is not a liquid or a solid; it holds a consistency in between these states which aids in the application and absorption process when used topically on the skin.

What is the purpose of the pump mechanism on the cream?

The purpose of the pump mechanism is for easy and controlled dispensing of the cream. This helps the user to take the required amount for application without any inconvenience.

Can this cream be used for generalized treatment?

This cream is primarily designed for localized treatment, focusing its effects on specific areas of skin rather than a generalized area. However, all applications should be discussed with a healthcare professional.

What is the function of azelaic acid in the cream?

Azelaic acid is an active ingredient in the cream that has powerful exfoliating properties. It helps in the reduction of inflammation and hyperpigmentation.

What is the role of niacinamide in the cream?

Niacinamide is another active ingredient in the cream that helps in reducing redness, inflammation, and evening out the skin tone. It also helps in minimizing the pores.

Is this cream safe for people with sensitive skin?

As with all skincare products, potential reactions can vary depending on individual sensitivities. People with sensitive skin are advised to test a small patch before applying fully or consult a dermatologist.

Can I apply makeup after using the Azelaic Acid 20%/Niacinamide 4% Topical Cream?

Yes, you can apply makeup after using the cream. However, you should allow the cream to fully absorb into your skin before applying makeup.

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.

Azelaic Acid 20%/Niacinamide 4% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily