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Formulas

Buprenorphine 2 mg/0.1 mL Nasal Spray

FDA-approved generic
Dose form
Nasal Spray
Active ingredients
Buprenorphine Hydrochloride

Buprenorphine 2 mg/0.1 mL Nasal Spray is a specialized liquid formulation, designed for administration into the nasal cavity. It is delivered in a spray form, providing targeted local or systemic effects through the nostrils. This formulation is primarily used for the treatment of chronic pain and opioid dependence. The nasal spray allows for rapid absorption and onset of action.

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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

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.
Buprenorphine Hydrochloride
Nasal Spray
65359ee29a3a3579ed306469

Formula Information

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Buprenorphine 2 mg/0.1 mL Nasal Spray is a specialized liquid formulation that is administered via the nasal cavity. This unique delivery method allows for targeted local or systemic effects, providing a more direct route of administration than oral or injectable forms. The nasal spray is designed to deliver a precise dose of 2 mg of Buprenorphine in each 0.1 mL spray, ensuring consistent and accurate dosing.

Buprenorphine is a powerful opioid medication used to treat severe pain. It works by changing the way the brain and nervous system respond to pain. This medication is also used as part of a comprehensive treatment program for drug abuse (e.g., compliance monitoring, counseling, behavioral contract, lifestyle changes). It helps prevent withdrawal symptoms caused by stopping other opioids.

As a nasal spray, Buprenorphine offers several advantages. It provides rapid absorption and onset of action, which can be particularly beneficial for patients experiencing acute pain episodes. The nasal route also bypasses the digestive system, reducing the risk of gastrointestinal side effects and potential drug interactions. Furthermore, it offers a non-invasive, easy-to-use option for patients who may have difficulty swallowing pills or receiving injections.

It's important to note that Buprenorphine should be used under the supervision of a healthcare provider, as it can cause physical dependence and withdrawal symptoms if not used correctly. Patients should follow their healthcare provider's dosing instructions carefully and report any side effects or concerns immediately.

As compounding pharmacists, we are able to customize this formulation to meet individual patient needs, including adjusting the concentration or adding flavorings to improve palatability. We are also available to answer any questions or concerns about this medication, its use, or its potential side effects. Please don't hesitate to reach out to us if you need any further information or assistance.

Drug Interactions

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Buprenorphine 2 mg/0.1 mL Nasal Spray is a potent opioid medication used primarily for the treatment of moderate to severe pain, and also for opioid dependence. It works by binding to the opioid receptors in the brain, thereby reducing the perception of pain. However, like all medications, it can interact with other drugs, potentially altering their effects or increasing the risk of adverse reactions.

One of the most significant interactions is with other central nervous system (CNS) depressants, such as benzodiazepines, alcohol, and other opioids. Combining buprenorphine with these substances can lead to increased sedation, respiratory depression, coma, and even death. Therefore, it is crucial to avoid the concurrent use of buprenorphine with other CNS depressants unless under strict medical supervision.

Buprenorphine can also interact with certain medications that affect the metabolism of drugs in the body. These include certain antifungal medications (like ketoconazole), antibiotics (like erythromycin), and HIV medications (like ritonavir), which can increase the levels of buprenorphine in the body, leading to increased side effects. On the other hand, medications like rifampin, carbamazepine, and phenytoin can decrease the effectiveness of buprenorphine by increasing its metabolism.

Furthermore, buprenorphine can interact with certain antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). This combination can increase the risk of a condition called serotonin syndrome, characterized by symptoms such as agitation, hallucinations, rapid heartbeat, fever, and muscle stiffness.

It's also important to note that grapefruit and grapefruit juice can increase the levels of buprenorphine in your body, potentially leading to increased side effects. Therefore, it is advisable to avoid consuming grapefruit or grapefruit juice while taking this medication.

Patients should always inform their healthcare provider about all the medications, supplements, and herbal products they are currently taking to avoid potential drug interactions. It's also crucial to never start or stop any medication without consulting with a healthcare provider.

Prescribers should carefully consider the potential interactions and adjust the dose of buprenorphine or the interacting medication as necessary. Regular monitoring for side effects and therapeutic response is also recommended when buprenorphine is used in combination with other medications.

If you have any questions about the potential interactions of Buprenorphine 2 mg/0.1 mL Nasal Spray, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is always here to help.

How Does it Work

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Buprenorphine 2 mg/0.1 mL Nasal Spray is a unique formulation that works by delivering the active ingredient, buprenorphine, directly into the nasal cavity. Buprenorphine is a potent opioid medication that is used to treat severe pain and opioid use disorder. It works by binding to the opioid receptors in the brain, thereby reducing the sensation of pain and the symptoms of opioid withdrawal.

The nasal spray formulation allows for the rapid absorption of buprenorphine through the nasal mucosa, directly into the bloodstream. This bypasses the digestive system, which can often slow down the absorption of medication and reduce its effectiveness. The nasal spray formulation also allows for a more targeted delivery of the medication, which can be particularly beneficial for patients who are experiencing severe pain or withdrawal symptoms.

However, it is important to note that buprenorphine is a potent opioid medication and should be used with caution. It can cause physical dependence and withdrawal symptoms if it is stopped suddenly. Therefore, it is important to use this medication under the supervision of a healthcare provider.

It is also important to use the nasal spray correctly to ensure that the medication is delivered effectively. The spray should be administered into one nostril while the other nostril is closed. The patient should then breathe in gently through the nostril to help draw the medication into the nasal cavity. The dose should be repeated in the other nostril if directed by a healthcare provider.

If you have any questions about Buprenorphine 2 mg/0.1 mL Nasal Spray, or if you are experiencing any side effects, please reach out to us. We are here to help and can provide you with the information and support you need to use this medication safely and effectively.

Other Uses

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Buprenorphine 2mg/0.1 ml nasal spray is mainly known for its utility in the field of opioid augmentation or substitution therapy. It helps individuals with opioid use disorder by reducing opioid cravings. However, the benefits of this particular formulation are not solely tied to addiction management. It might also be useful for other conditions, leveraging the unique qualities of the nasal delivery system.

For instance, it may be utilized in the area of pain management. Buprenorphine is a powerful and long-acting analgesic, and when applied nasally, it shows rapid and efficient absorption, quickly reaching therapeutic levels. This can potentially make it helpful for acute pain relief or when quick pain management is required, such as in breakthrough pain. Patients and caregivers, however, must be aware of the risk of dependency associated with opioid analgesics, and they should always adhere to a clinician's instructions regarding dosage and frequency.

This nasal spray formulation might also portray a potential role in managing specific cases of depression. Buprenorphine, within its known pharmacological effects, possesses certain antidepressant properties not typically found in other opioids. Evidence has begun to suggest its potential effectiveness in depression that has been resistant to other treatments. Although using Buprenorphine in this context is still under investigation and should be subject to further rigorous research to authenticate its effectiveness and safety.

Furthermore, buprenorphine nasal spray can also be a potential solution for patients who have difficulty swallowing pills or for whom intravenous access is inconvenient or not an option, providing a non-invasive, easy-to-use alternative for drug delivery.

In general, the applicability of buprenorphine nasal spray may vary according to individual patient situations, and the clinicians should consult the most current literature to make the most informed decisions. Always consider potential benefits against the potential risks, and closely monitor patients during treatment for any adverse reactions or problems. Please feel free to reach out to us with any questions about this or any other compounding pharmacy related information.

Frequently Asked Questions

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What is Buprenorphine 2 mg/0.1 mL Nasal Spray?

Buprenorphine 2 mg/0.1 mL Nasal Spray is a compounded formulation designed for administration into the nasal cavity. It is a liquid delivered in spray form that provides targeted local or systemic effects through the nostrils.

How does Buprenorphine Nasal Spray work?

The spray works by delivering a metered dose of medication directly to the nasal cavity. This method allows for rapid absorption of the drug into the bloodstream through the nasal mucosa, providing targeted effects.

What is this medication used for?

The specific uses for this nasal spray will depend on individual medical needs. You should always use this medication under the guidance and prescription of a healthcare professional.

Why is it in a nasal spray form?

The nasal spray allows for rapid absorption of the medication, which can provide more immediate relief. It is also easy to administer and may be a preferred delivery method for patients who have difficulty taking medications orally.

How do I use the Buprenorphine Nasal Spray?

You should always follow the instructions provided by your healthcare professional. Generally, the spray is administered into the nostrils, but the frequency and number of sprays will be reliant on your specific medical situation.

Are there any side effects of Buprenorphine Nasal Spray?

As with any medication, side effects may occur. It is important to discuss possible side effects with your healthcare provider before starting any new medication.

How quickly does the medication take effect?

Due to the rapid absorption of the medication through the nasal mucosa, the effects can be quite swift. However, the exact time may vary depending on individual circumstances.

Does Buprenorphine Nasal Spray treat specific conditions?

This nasal spray, like many medications, is used to treat a number of different conditions. The appropriateness of its use will be determined by your healthcare provider.

Can anyone use Buprenorphine Nasal Spray?

Not everyone will be suitable for this treatment. It should be used on the advice of a healthcare professional who will be able to assess your specific medical needs.

Where can the Buprenorphine Nasal Spray be obtained from?

This medication is usually prescribed by a healthcare provider and can be obtained from a pharmacy. Always ensure that your medication is obtained from a trusted and reputable source.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Buprenorphine 2 mg/0.1 mL Nasal Spray
Nasal Spray
10 mL
controlled

Inhale intranasally