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Benzocaine 20%/Lidocaine 8%/Tetracaine 4% Topical Cream

This formulation is a compounded topical cream containing Benzocaine 20%, Lidocaine 8%, and Tetracaine 4%. It is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. The active ingredients in this formulation work synergistically to provide localized treatment and absorption, offering relief from various disease states.

The Benzocaine, Lidocaine, and Tetracaine in the cream are all local anesthetics. They work by blocking nerve signals in your body, causing temporary numbness or loss of sensation in the area of application. This makes the cream particularly effective in managing conditions that cause pain or discomfort on the skin's surface.

Given the properties of the active ingredients, this formulation is commonly used to treat conditions such as minor skin irritations, burns, insect bites, and hemorrhoids. It can also be used to relieve pain or discomfort caused by minor cuts, scrapes, or surgical procedures. Please consult with a healthcare provider for appropriate usage and application.

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Topical Cream
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Formula Information

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This formulation is a compounded topical cream containing Benzocaine 20%, Lidocaine 8%, and Tetracaine 4%. These three active ingredients are local anesthetics, which work by blocking nerve signals in your body to provide temporary relief from pain or discomfort. The cream is dispensed in a pump mechanism, which allows for convenient and controlled application on the skin.

Benzocaine, Lidocaine, and Tetracaine are all local anesthetics that work by blocking sodium channels on nerve cells, preventing the conduction of nerve impulses. This results in a numbing effect, providing relief from pain or discomfort. The different percentages of each anesthetic in the formulation allow for a synergistic effect, providing a more potent and longer-lasting numbing effect than each anesthetic would provide on its own.

This formulation is designed for localized treatment, meaning it should be applied directly to the area of the skin where relief is needed. It can be used to treat a variety of disease states that cause pain or discomfort, including minor burns, insect bites, sunburn, minor cuts or scrapes, and certain types of dermatitis. It can also be used to numb the skin before certain medical procedures, such as needle insertion or minor skin surgery.

It's important to note that while this formulation can provide temporary relief from pain or discomfort, it does not treat the underlying cause of these symptoms. Therefore, it should be used in conjunction with other treatments as recommended by a healthcare provider. As with any medication, it's important to use this formulation as directed to avoid potential side effects, such as skin irritation or allergic reactions.

For prescribers, it's important to consider the patient's overall health status, other medications they may be taking, and their potential for allergic reactions to local anesthetics when prescribing this formulation. It's also important to provide clear instructions on how to use the cream, including how much to apply, how often to apply it, and what to do in case of an overdose or allergic reaction.

If you have any questions about this formulation, whether you're a patient or a prescriber, don't hesitate to reach out to us. We're here to help and provide the information you need to make informed decisions about your health or the health of your patients.

Drug Interactions

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This formulation, a combination of Benzocaine 20%, Lidocaine 8%, and Tetracaine 4% in a topical cream, is primarily used as a local anesthetic for the skin. It works by blocking nerve signals in your body, thereby numbing the skin to pain or discomfort. It is often used in minor surgical procedures, skin conditions, burns, insect bites, or other situations where a local anesthetic is beneficial.

While this formulation is generally safe for most patients, there are potential drug interactions that both patients and prescribers should be aware of. The active ingredients in this formulation, Benzocaine, Lidocaine, and Tetracaine, are all local anesthetics and can interact with certain other medications.

Firstly, these local anesthetics can interact with antiarrhythmic drugs such as amiodarone or mexiletine, potentially leading to additive side effects. If you are taking any antiarrhythmic drugs, please inform your healthcare provider before using this formulation.

Secondly, the use of this formulation with other local anesthetics or medications that are similar in structure, such as prilocaine, may increase the risk of methemoglobinemia, a serious condition that reduces the amount of oxygen that can be carried in the blood. If you are using any other local anesthetics, please inform your healthcare provider.

Lastly, this formulation may interact with certain other topical medications, potentially altering their absorption and effectiveness. If you are using any other topical medications, it is important to apply them at different times to avoid potential interactions.

It is also important to note that this formulation should not be used if you have a known allergy to ester-type local anesthetics (such as benzocaine, tetracaine) or amide-type local anesthetics (such as lidocaine). Signs of an allergic reaction may include rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing.

As always, it is important to inform your healthcare provider of all the medications you are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions. If you have any questions or concerns about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. We are here to help.

How Does it Work

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The Benzocaine 20%/Lidocaine 8%/Tetracaine 4% Topical Cream is a compounded medication that combines three powerful local anesthetics. This formulation is designed to provide relief from pain and discomfort on the skin's surface. It is dispensed in a semisolid preparation via a pump mechanism, which allows for convenient and controlled application.

Benzocaine, Lidocaine, and Tetracaine are all local anesthetics that work by blocking nerve signals in your body. When applied topically, they numb the skin and surrounding area, providing relief from pain or discomfort. The combination of these three anesthetics in one cream enhances the numbing effect, providing more effective pain relief.

Benzocaine is a surface anesthetic that works by blocking nerve signals. It is often used for pain relief on the skin and mucous membranes. Lidocaine is a local anesthetic that also works by blocking nerve signals. It is commonly used to numb an area of the body to help reduce pain or discomfort caused by certain medical procedures. Tetracaine is another type of local anesthetic that works by blocking nerve signals. It is used to numb the skin or surfaces of the eyes, nose, or throat for certain medical procedures.

This formulation is particularly useful in treating a variety of disease states that cause pain or discomfort on the skin's surface. These may include conditions like burns, insect bites, sunburn, minor cuts or scrapes, and certain types of skin infections. It can also be used to numb the skin before certain medical procedures or tests.

It's important to note that while this cream provides temporary relief from pain or discomfort, it does not treat the underlying cause of these symptoms. Therefore, it should be used in conjunction with other treatments as recommended by a healthcare provider.

As compounding pharmacists, we can customize this formulation to meet the specific needs of individual patients. This includes adjusting the concentrations of the active ingredients, changing the type of cream base, or adding other ingredients to enhance the medication's effectiveness.

If you have any questions about this formulation or how it works, please don't hesitate to reach out to us at Bayview Pharmacy. We're here to help and provide the information you need to make informed decisions about your healthcare.

Other Uses

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This Benzocaine 20%/Lidocaine 8%/Tetracaine 4% Topical Cream is primarily designed for surface anesthesia, offering local numbing to the skin and mucous membranes. It provides quick and effective relief from pain and discomfort commonly associated with conditions such as hemorrhoids, sunburn, minor cuts, burns, insect bites, poison ivy, anal and vaginal discomforts.

However, this formulation also has a number of other potential uses. This topically applied combination of anesthetics can be utilized in superficial dermatological procedures like tattooing, laser hair removal, or dermabrasion. It provides a numbing effect to the skin, reducing discomfort and pain during these procedures.

Furthermore, the cream may also be used for cosmetic purposes such as Botox, Fillers, and other minor cosmetic procedures to improve the comfort of the patient. It reduces the unpleasant sensation often associated with the needle piercings. In a similar vein, it can be used in micro needling treatments, offering local anesthesia to minimize discomfort.

Additionally, it proves useful in local anesthesia for minor surgical procedures such as skin biopsies or stitching. It can also be used in certain diagnostic procedures which may demand a degree of numbness to the relevant area, such as nerve conduction studies.

A caveat to note is that while this cream is generally safe and well-tolerated, it may cause some side effects such as redness, itching, or allergic reactions. It is important for healthcare providers to assess their patients' allergies and medical history prior to prescribing this.

Remember, this medication is for external use only and should be applied as directed by a healthcare provider. It should not be applied to large areas of skin, in open wounds, or on skin that is blistered, scaled or irritated. If the patient experience excessive burning, stinging, or any other unexpected symptoms, they should be advised to discontinue use immediately and contact their healthcare professional.

If you have any questions about these additional uses or about the formulation itself, please don’t hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists are always available to help.

Frequently Asked Questions

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What is the medication Benzocaine 20%/Lidocaine 8%/Tetracaine 4% Topical Cream used for?

This compounded formulation is used as a topical anesthetic, helping to numb the tissue in a specific area. It is commonly utilized for reducing discomfort or pain during certain medical procedures or for relief from minor skin irritations, burns, and insect bites.

How should I use this medication?

This medication is designed to be applied topically on the skin. It is dispensed through a pump mechanism allowing for convenient and controlled usage. Always use the exact quantity as instructed by your healthcare provider.

What form does this medication come in?

The Benzocaine/Lidocaine/Tetracaine Topical Cream is a semisolid preparation. It is dispensed through a pump mechanism for easy, controlled application on the skin.

Are there any side effects of using this cream?

As with any medication, there may be side effects, though they don't occur in everyone. This cream can cause mild local skin reactions like redness, itching, or other irritation. Contact your healthcare provider if these persist or worsen.

Can everyone use this medication?

No, people with certain allergies, pregnant women, breastfeeding moms, and those with certain medical conditions or on certain medications may not be suitable candidates for this medication. Always consult your healthcare provider before starting any new treatment.

What should I do if I experience a skin reaction after applying the cream?

If you experience an allergic reaction or severe skin irritation after applying the cream, discontinue its use and reach out to your healthcare provider immediately.

What are the active ingredients in this compound cream?

This compound cream consists of Benzocaine at 20%, Lidocaine at 8%, and Tetracaine at 4%.

Can this cream be used for any type of pain?

No, this cream should only be used for purposes approved by your healthcare provider, typically for localized numbing in specific areas of the skin. It is not recommended for widespread use or to manage internal pain.

Can I use this cream with other topical products?

Before pairing this cream with other topical treatments, consult your healthcare provider as certain products may interact negatively with the active ingredients in this formulation.

Do I need a prescription to use this cream?

Yes, this is a prescription medication and must be used under the supervision of a healthcare provider.

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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.