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Formulas

Benzocaine 1.5%/Phenol 1%/Quinine HCl 0.5%/Tannic Acid 3%/Urea 0.5% Rectal Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Benzocaine
Phenol
Quinine Hydrochloride
Tannic Acid
Urea

This Benzocaine 1.5%/Phenol 1%/Quinine HCl 0.5%/Tannic Acid 3%/Urea 0.5% Rectal Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is formulated to provide localized treatment and absorption of active ingredients.

This formulation is used to treat hemorrhoids, anal fissures, and other anorectal discomforts. Benzocaine acts as a local anesthetic to relieve pain, while phenol provides antiseptic properties. Quinine HCl helps in reducing muscle spasms, tannic acid offers astringent effects, and urea aids in moisturizing and softening the skin.

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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.
Benzocaine
Phenol
Quinine Hydrochloride
Tannic Acid
Urea
Topical Cream
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 compounded rectal cream combines Benzocaine 1.5%, Phenol 1%, Quinine HCl 0.5%, Tannic Acid 3%, and Urea 0.5% in a semisolid preparation dispensed through a pump mechanism. This design allows for convenient and controlled application on localized skin areas, enhancing the treatment's effectiveness and absorption of active ingredients.

Benzocaine acts as a local anesthetic by blocking nerve signals in the affected area, providing relief from pain, itching, and discomfort commonly associated with rectal conditions.

Phenol at a 1% concentration serves dual functions as an antiseptic and anesthetic. It helps to prevent infection by eliminating harmful microorganisms and further reduces pain through its numbing effects, complementing the action of Benzocaine.

Quinine HCl, included at 0.5%, possesses antispasmodic properties. It helps relieve muscle spasms and cramps in the rectal area, which can contribute to discomfort and pain in various anorectal disorders.

Tannic Acid, at a 3% concentration, functions as an astringent. It works by precipitating proteins on the skin's surface, which helps to reduce irritation, inflammation, and excessive moisture. This can be particularly beneficial in conditions that involve swollen or protruding tissues.

Urea at 0.5% acts as a keratolytic agent and moisturizer. It facilitates the penetration of other active ingredients by softening the skin and helps maintain skin hydration, promoting healing and comfort.

This formulation is designed to provide symptomatic relief for rectal conditions characterized by pain, inflammation, itching, and discomfort. The combination of anesthetic, antiseptic, antispasmodic, astringent, and moisturizing agents addresses multiple symptoms concurrently, potentially improving patient outcomes.

Patients are advised to use the cream as directed by their healthcare provider. The pump mechanism ensures accurate dosing and minimizes contamination risks. Before application, the affected

Drug Interactions

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This compounded rectal cream formulation contains Benzocaine 1.5%, Phenol 1%, Quinine HCl 0.5%, Tannic Acid 3%, and Urea 0.5%, each contributing to its therapeutic effects. Benzocaine is a local anesthetic that provides pain relief by blocking nerve signals in the body. Phenol acts as an antiseptic and anesthetic, offering additional pain relief and reducing the risk of infection. Quinine HCl is known for its antimalarial properties but in this formulation, it may contribute to pain relief and muscle relaxation. Tannic Acid has astringent properties, which can help reduce inflammation and irritation. Urea is a keratolytic agent that helps to moisturize and soften the skin, enhancing the absorption of other active ingredients.

When considering drug interactions, it is important to note that the systemic absorption of these active ingredients is generally low when applied topically as directed. However, potential interactions may still occur, particularly if the cream is used over large areas of the body, on broken skin, or for prolonged periods. Patients using other topical medications should consult with their healthcare provider to avoid potential interactions that could alter the effectiveness of either treatment. For instance, the use of other local anesthetics or antiseptics concurrently with this cream may increase the risk of systemic toxicity or skin irritation.

Patients taking medications that affect the central nervous system, such as sedatives or muscle relaxants, should use this cream with caution, as the local anesthetic effects of Benzocaine and Phenol could potentially enhance CNS depression. Additionally, Quinine HCl, although present in a low concentration, may interact with medications that affect cardiac rhythm or those that are metabolized by the liver, such as certain antimalarials or antiarrhythmics. It is crucial for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to assess any potential interactions.

For prescribers, it is important to consider the patient's overall medication regimen and health status when recommending this compounded cream. Special attention should be given to patients with a history of hypersensitivity to any of the active ingredients or related compounds. Monitoring for signs of local or systemic adverse reactions is advised, especially in patients with compromised skin integrity or those using the cream in conjunction with other topical or systemic therapies.

If you have any questions or need further information regarding the use of this compounded rectal cream, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any concerns or inquiries you may have.

How Does it Work

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This compounded rectal cream formulation combines Benzocaine, Phenol, Quinine HCl, Tannic Acid, and Urea to provide a multifaceted approach to treating discomfort and irritation in the rectal area. Each active ingredient plays a specific role in alleviating symptoms and promoting healing, making this preparation suitable for conditions such as hemorrhoids, anal fissures, and other forms of rectal irritation.

Benzocaine, a local anesthetic, works by blocking nerve signals in the body, providing temporary relief from pain and discomfort. By numbing the affected area, Benzocaine helps reduce the sensation of pain, allowing patients to experience relief from the discomfort associated with rectal conditions. This can be particularly beneficial for patients experiencing acute pain during bowel movements or while sitting.

Phenol acts as an antiseptic and anesthetic, further enhancing the pain-relieving properties of the cream. It helps to reduce the risk of infection by eliminating harmful microorganisms in the affected area. Additionally, Phenol's anesthetic properties complement those of Benzocaine, providing a more comprehensive pain management solution.

Quinine HCl is included for its antispasmodic properties, which can help alleviate muscle spasms and cramping in the rectal area. By reducing muscle contractions, Quinine HCl aids in minimizing discomfort and promoting relaxation of the affected tissues, which can be particularly beneficial for patients experiencing spasms due to rectal irritation or inflammation.

Tannic Acid, a natural astringent, works by constricting body tissues, which helps to reduce swelling and inflammation. This action is particularly useful in managing hemorrhoids, as it can help shrink swollen tissues and provide relief from itching and irritation. Tannic Acid also forms a protective layer over the affected area, which can help prevent further irritation and promote healing.

Urea is included in the formulation for its moisturizing properties. It helps to maintain skin hydration and integrity, which is crucial for healing and comfort. By keeping the skin moisturized, Urea aids in preventing dryness and cracking, which can exacerbate discomfort and delay healing in the rectal area.

The semisolid preparation is dispensed in a pump mechanism, allowing for convenient and controlled application. This design ensures that patients can apply the cream directly to the affected area with ease, ensuring that the active ingredients are delivered precisely where they are needed for optimal therapeutic effect. The pump mechanism also helps maintain the stability and integrity of the formulation by minimizing exposure to air and contaminants.

For both patients and prescribers, this compounded rectal cream offers a targeted approach to managing rectal discomfort and irritation. By combining multiple active ingredients with complementary actions, it provides a comprehensive solution that addresses pain, inflammation, and tissue integrity. If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is the purpose of this compounded rectal cream?

This compounded rectal cream is designed for localized treatment to provide relief from pain, inflammation, and discomfort in the rectal area. The combination of active ingredients works synergistically to address various symptoms.

How should I apply the cream?

The cream should be applied using the pump mechanism for a controlled and convenient application. Clean the affected area, then dispense a small amount of cream onto your fingertip and gently apply it to the rectal area as directed by your healthcare provider.

How often can I use this cream?

Usage frequency should be determined by your healthcare provider. Typically, it may be applied up to three times a day or as needed for symptom relief. Always follow the specific instructions provided by your healthcare professional.

Are there any side effects associated with this cream?

Some users may experience mild side effects such as local irritation, redness, or itching. If you experience severe reactions or symptoms persist, discontinue use and consult your healthcare provider.

Can this cream be used for other conditions?

This cream is specifically formulated for rectal use and should not be used for other conditions unless directed by a healthcare provider. It is important to use medications only for their intended purpose.

Is this cream safe for long-term use?

Long-term use should be monitored by a healthcare provider. While the cream is generally safe for short-term relief, prolonged use without medical supervision is not recommended.

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

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

How should I store the cream?

Store the cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

What should I do if I miss a dose?

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

Can I use this cream with other medications?

Before using this cream with other medications, consult your healthcare provider to avoid potential interactions. Provide a list of all medications you are currently taking to your healthcare professional for guidance.

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.

Benzocaine 1.5%/Phenol 1%/Quinine HCl 0.5%/Tannic Acid 3%/Urea 0.5% Rectal Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily