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Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream

Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream is a semisolid formulation designed for easy and precise application on the skin through a convenient pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of active ingredients.

This formulation is primarily used to treat inflammatory skin conditions such as eczema, psoriasis, and dermatitis, where it helps reduce inflammation and bacterial infections. The combination of betamethasone, a potent corticosteroid, and neomycin, an antibiotic, provides dual action to alleviate symptoms and prevent infection.

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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, NY, NJ, NH, FL and ME.
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

Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.

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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.
Betamethasone
Neomycin Sulfate
Topical Gel

Formula Information

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Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream is a compounded medication formulated to provide both anti-inflammatory and antibacterial effects for various skin conditions. This semisolid gel cream is dispensed through a convenient pump mechanism, ensuring easy and precise application to affected areas. The gel-like consistency enhances absorption of the active ingredients, facilitating targeted treatment and improved efficacy.

Betamethasone is a potent corticosteroid that works by reducing inflammation, itching, and redness associated with dermatological conditions. It inhibits inflammatory responses by suppressing the migration of polymorphonuclear leukocytes and reversing capillary permeability. Neomycin, an aminoglycoside antibiotic, interferes with bacterial protein synthesis, providing broad-spectrum antibacterial activity against a variety of skin pathogens. The combination of these two agents addresses both the inflammatory and infectious components of skin disorders.

This compounded gel cream is particularly beneficial in treating skin conditions where inflammation is accompanied by or at risk of bacterial infection. Such conditions may include infected eczema, dermatitis, psoriasis with secondary infection, or localized bacterial skin infections. By combining anti-inflammatory and antibacterial therapies, this formulation helps reduce symptoms while addressing underlying or potential infections.

For patients, the pump mechanism allows for consistent dosing and reduces the risk of contamination common with jar or tube formulations. Application involves cleaning the affected area and applying a thin layer of the gel cream as directed by a healthcare provider, typically one to three times daily. Patients should avoid covering the treated area with occlusive dressings unless instructed, as this can increase absorption and risk of systemic effects.

Potential side effects may include local reactions such as burning, itching, irritation, dryness, or redness at the application site. Prolonged or excessive use of topical corticosteroids can lead to skin thinning, stretch marks, or hormonal effects. Patients should report any signs of allergic reactions, worsening symptoms, or signs of systemic absorption to their healthcare provider promptly.

For prescribers, this compounded formulation allows for customization to meet specific patient needs, particularly when commercially available products are unsuitable due to concentration, formulation type, or excipient sensitivities. The compounded gel cream ensures that both active ingredients are present at therapeutic levels optimal for the patient's condition. Collaboration with a compounding pharmacy like Bayview Pharmacy ensures adherence to quality standards and precise formulation.

It is important to consider the patient's medical history, including any known allergies to corticosteroids, aminoglycosides, or other formulation components. Monitoring for effectiveness and adverse effects should be part of the treatment plan, with adjustments made as necessary to dosage or frequency.

If you have any questions, reach out to us.

Drug Interactions

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Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream is a combination medication used primarily for its anti-inflammatory and antibacterial properties. Betamethasone is a potent corticosteroid that helps reduce inflammation, redness, and itching by suppressing the immune response in the skin. Neomycin is an aminoglycoside antibiotic that works by inhibiting bacterial protein synthesis, thereby preventing the growth of bacteria.

When using Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream, it is important to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Although the topical application generally limits systemic absorption, interactions can still occur, especially with prolonged use or application over large areas of the skin. Patients and prescribers should be cautious when using this formulation concurrently with other medications that may have systemic effects or similar mechanisms of action.

One potential interaction is with other corticosteroids, whether topical or systemic. Concurrent use of multiple corticosteroids can increase the risk of systemic side effects such as adrenal suppression, Cushing's syndrome, and hyperglycemia. Patients should inform their healthcare provider of any other corticosteroid medications they are using to avoid these risks. Additionally, the use of other topical antibiotics alongside Neomycin should be approached with caution to prevent additive toxicity or resistance development.

Patients with a known hypersensitivity to aminoglycosides should avoid using this formulation, as Neomycin can cause allergic reactions in susceptible individuals. Cross-sensitivity with other aminoglycosides, such as gentamicin or tobramycin, may also occur. It is crucial to inform the healthcare provider of any known allergies to antibiotics to prevent adverse reactions.

Furthermore, the use of Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream in conjunction with ototoxic or nephrotoxic drugs should be carefully monitored. Although systemic absorption is minimal, there is a theoretical risk of increased toxicity, particularly in patients with compromised renal function or those receiving high doses of aminoglycosides systemically.

Patients should also be aware that prolonged use of topical antibiotics can lead to the development of resistant bacterial strains. It is important to use this medication as prescribed and not to exceed the recommended duration of treatment. If the condition does not improve or worsens, patients should consult their healthcare provider for further evaluation and management.

For any questions or concerns regarding the use of Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream, including potential drug interactions, patients and prescribers are encouraged to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is available to provide guidance and support to ensure appropriate treatment.

How Does it Work

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The Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream is a carefully compounded formulation designed to deliver targeted treatment for various inflammatory and bacterial skin conditions. This semisolid formulation is dispensed through a pump mechanism, which ensures easy and precise application, allowing for optimal absorption of the active ingredients into the skin. The gel-like consistency of the formulation enhances its ability to adhere to the skin surface, providing a sustained release of the medication over time.

Betamethasone is a potent corticosteroid that works by reducing inflammation, redness, and swelling associated with various dermatological conditions. It achieves this by inhibiting the release of inflammatory mediators and suppressing the immune response in the affected area. This action helps alleviate symptoms such as itching, irritation, and discomfort, providing relief to patients suffering from conditions like eczema, psoriasis, and dermatitis.

Neomycin, on the other hand, is an aminoglycoside antibiotic that targets and eliminates a broad spectrum of bacterial pathogens on the skin. It works by binding to bacterial ribosomal RNA, disrupting protein synthesis, and ultimately leading to bacterial cell death.

The combination of Betamethasone and Neomycin in this formulation offers a dual-action approach, addressing both the inflammatory and infectious components of skin conditions. This synergy not only enhances the therapeutic efficacy but also reduces the need for multiple separate treatments, simplifying the management of complex dermatological issues.

For prescribers, this formulation provides a versatile treatment option that can be tailored to the specific needs of patients, particularly those who require both anti-inflammatory and antibacterial therapy. The pump mechanism ensures that the correct dose is delivered with each application, minimizing the risk of overuse or underuse, which is crucial for maintaining the delicate balance required in topical steroid and antibiotic therapy.

Patients will appreciate the ease of use and the non-greasy feel of the gel cream, which absorbs quickly into the skin without leaving a residue. This makes it suitable for use on various parts of the body, including areas that are prone to friction or moisture, such as the folds of the skin.

If you have any questions about this formulation or its use, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure the best possible outcomes for your patients.

Other Uses

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Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream, dispensed through a convenient pump mechanism, is primarily used for its anti-inflammatory and antibacterial properties. While it is commonly prescribed for specific dermatological conditions, this formulation may have other potential uses that could benefit both patients and prescribers.

For patients experiencing inflammatory skin conditions that are not explicitly listed in the primary indications, such as certain types of dermatitis or eczema, this formulation may offer relief by reducing inflammation and preventing secondary bacterial infections. The gel-like consistency ensures that the active ingredients are absorbed efficiently, providing targeted treatment to affected areas. Additionally, the pump mechanism allows for precise dosing, minimizing waste and ensuring consistent application, which is particularly beneficial for patients who require long-term management of their skin conditions.

Prescribers may consider this formulation for off-label use in cases where patients present with mixed inflammatory and bacterial skin issues that do not respond well to standard treatments. The dual-action of betamethasone and neomycin can be advantageous in managing complex cases where both inflammation and infection are present. Furthermore, the ease of application and controlled dosing provided by the pump mechanism can improve patient compliance, leading to better treatment outcomes.

It is important for both patients and prescribers to be aware of the potential for allergic reactions or sensitivities to either of the active ingredients or the excipients in the formulation. As with any medication, careful consideration of the patient's medical history and current medications is essential to avoid adverse effects. If you have any questions or need further information about the potential uses of Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream used for?

This topical gel cream is used for treating inflammatory skin conditions and infections. Betamethasone helps reduce inflammation, while Neomycin acts as an antibiotic to prevent or treat bacterial infections.

How should I apply Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream?

Dispense the gel cream using the pump mechanism and apply a thin layer to the affected area. Gently rub it in until fully absorbed. Follow your healthcare provider's instructions regarding the frequency and duration of use.

Can I use this gel cream on my face?

Consult your healthcare provider before using this gel cream on your face, as the skin on the face can be more sensitive. They will provide guidance based on your specific condition.

Are there any side effects associated with Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream?

Possible side effects include skin irritation, redness, or itching at the application site. If you experience severe side effects or signs of an allergic reaction, contact your healthcare provider immediately.

How should I store Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream?

Store the gel cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

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

Consult your healthcare provider before using this gel cream if you are pregnant or breastfeeding. They will assess the potential risks and benefits for your specific situation.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply extra gel cream to make up for a missed dose.

Can I use other skincare products while using this gel cream?

Consult your healthcare provider before using other skincare products in conjunction with this gel cream, as some products may interact or cause irritation.

Is it safe to use this gel cream on children?

Consult a healthcare provider before using this gel cream on children, as they will provide guidance based on the child's age, weight, and specific condition.

What should I do if I accidentally ingest the gel cream?

If the gel cream is accidentally ingested, seek medical attention immediately or contact a poison control center. 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, NY, NJ, NH, FL, and ME. 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.

Betamethasone 0.1%/Neomycin 0.6% Topical Gel Cream
Topical Gel
60 g
controlled

Apply topically to affected area(s)