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Captopril 0.1%/Clobetasol 0.2%/Diphenhydramine 0.05% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Captopril
Clobetasol Propionate
Diphenhydramine Hydrochloride

This Captopril 0.1%/Clobetasol 0.2%/Diphenhydramine 0.05% Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a convenient pump mechanism. The gel-like consistency ensures targeted treatment and optimal absorption of active ingredients.

This formulation is used to treat inflammatory skin conditions, allergic reactions, and localized pain or itching. Captopril aids in reducing inflammation, Clobetasol provides potent anti-inflammatory effects, and Diphenhydramine offers relief from itching and allergic symptoms.

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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.

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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.
Captopril
Clobetasol Propionate
Diphenhydramine Hydrochloride
Topical Gel

Formula Information

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This compounded topical gel combines the therapeutic effects of Captopril 0.1%, Clobetasol 0.2%, and Diphenhydramine 0.05% to provide a multifaceted approach to skin therapy. Dispensed through a convenient pump mechanism, this semisolid gel ensures easy and precise application directly to the affected areas, enhancing patient compliance and targeting treatment where it is most needed.

Captopril, an ACE inhibitor, is included at a concentration of 0.1%. While commonly known for its use in managing hypertension, captopril has been studied for its potential benefits in promoting wound healing and improving skin conditions when applied topically. It may aid in enhancing microcirculation and reducing scar tissue formation, which can be beneficial in certain dermatological conditions.

Clobetasol 0.2% is a potent topical corticosteroid that works by reducing inflammation, redness, and itching associated with various skin disorders.

Diphenhydramine at 0.05% acts as an antihistamine that helps relieve itching and minor skin irritations. By blocking histamine receptors in the skin, diphenhydramine can reduce the symptoms of allergic reactions and provide additional relief from itching caused by inflammatory skin conditions.

The combination of these active ingredients allows for a comprehensive approach to managing complex skin issues by addressing inflammation, allergic responses, and promoting healing. The gel formulation ensures that the medication is absorbed effectively while also providing a soothing effect upon application.

For patients, this topical gel offers a targeted treatment that can improve symptoms and enhance quality of life. The pump dispenser makes it easy to apply the correct amount of gel, reducing mess and ensuring consistent dosing. It's important to use the medication exactly as prescribed and report any adverse effects to your healthcare provider.

Healthcare providers may find this compounded formulation beneficial for patients who require a customized treatment plan. By combining these medications, it is possible to address multiple symptoms simultaneously, potentially improving patient outcomes in cases where standard treatments have been insufficient.

If you have any questions or need more information about this compounded topical gel, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist both patients and prescribers with their pharmaceutical

Drug Interactions

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This topical gel formulation combines captopril, clobetasol, and diphenhydramine, each with distinct pharmacological actions that may interact with other medications or conditions. Captopril, an angiotensin-converting enzyme (ACE) inhibitor, is primarily used for its vasodilatory effects, which can be beneficial in managing conditions like hypertension and certain types of heart failure. When applied topically, systemic absorption is minimal, but caution is advised if the patient is concurrently taking oral ACE inhibitors or other antihypertensive agents, as there may be an additive effect leading to hypotension. Patients should be monitored for signs of low blood pressure, such as dizziness or lightheadedness, especially when standing up quickly.

Clobetasol is a potent corticosteroid used for its anti-inflammatory and immunosuppressive properties. However, when used in conjunction with other systemic or topical corticosteroids, there is a potential for cumulative systemic absorption, which could lead to suppression of the hypothalamic-pituitary-adrenal (HPA) axis. This risk is particularly pertinent in patients using other forms of corticosteroids, whether oral, inhaled, or injectable. Prescribers should be cautious and consider the total corticosteroid burden on the patient, monitoring for signs of adrenal suppression, such as fatigue, weakness, or hypotension.

Diphenhydramine, an antihistamine, is included for its antipruritic effects, helping to alleviate itching associated with various dermatological conditions. While systemic absorption from topical application is generally low, patients should be advised about the potential for sedation, especially if they are taking other central nervous system depressants, such as alcohol, benzodiazepines, or opioids. The sedative effects of diphenhydramine can be additive, leading to increased drowsiness or impaired cognitive function.

Patients with pre-existing conditions such as renal impairment, liver dysfunction, or cardiovascular disease should use this formulation with caution, as these conditions may alter the pharmacokinetics of the active ingredients, potentially leading to increased systemic exposure. Additionally, patients with a history of allergic reactions to any of the components should avoid using this formulation to prevent hypersensitivity reactions.

For prescribers, it is crucial to review the patient's current medication regimen and medical history to identify any potential interactions or contraindications. Regular follow-up and monitoring are recommended to assess the efficacy and safety of the treatment, adjusting the therapy as needed based on the patient's response and any adverse effects observed.

If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in ensuring safe and appropriate use of compounded medications.

How Does it Work

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The Captopril 0.1%/Clobetasol 0.2%/Diphenhydramine 0.05% Topical Gel is a compounded formulation designed to deliver a synergistic combination of active ingredients directly to the skin, providing targeted treatment for specific dermatological conditions. This semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application, which enhances patient compliance and optimizes therapeutic outcomes.

Captopril, an angiotensin-converting enzyme (ACE) inhibitor, is primarily known for its role in managing hypertension and heart failure. However, when applied topically, Captopril can help improve blood flow and reduce inflammation in the skin. This can be particularly beneficial in conditions where microcirculation is compromised or where inflammation is a key component of the disease process. By enhancing local blood flow, Captopril may aid in the delivery of nutrients and oxygen to the affected area, promoting healing and reducing symptoms.

Clobetasol, a potent corticosteroid, is included in this formulation for its strong anti-inflammatory and immunosuppressive properties. It works by inhibiting the release of inflammatory mediators and reducing the activity of immune cells in the skin. This action helps to alleviate symptoms such as redness, swelling, and itching associated with inflammatory skin conditions.

Diphenhydramine, an antihistamine, is incorporated into the gel to provide relief from itching and discomfort. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms. By reducing histamine activity, Diphenhydramine helps to alleviate itching and irritation, making it a valuable component in the management of allergic skin reactions and other pruritic conditions.

The gel-like consistency of this formulation allows for rapid absorption of the active ingredients into the skin, ensuring that they reach the target site effectively. The pump mechanism not only facilitates precise dosing but also minimizes contamination and waste, making it a convenient option for both patients and healthcare providers. This formulation is particularly useful for patients who require localized treatment with minimal systemic exposure, reducing the risk of side effects associated with oral or systemic administration of these medications.

For prescribers, this compounded gel offers a customizable approach to patient care, allowing for adjustments in the concentration of active ingredients based on individual patient needs and response to treatment. It is important to consider the specific condition being treated, as well as the patient's overall health status, when prescribing this formulation.

If you have any questions or require further information about this formulation, please do not hesitate to 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.

Other Uses

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The Captopril 0.1%/Clobetasol 0.2%/Diphenhydramine 0.05% Topical Gel is a unique formulation that combines the therapeutic effects of an ACE inhibitor, a potent corticosteroid, and an antihistamine. While primarily used for specific dermatological conditions, this formulation may have other potential applications due to the pharmacological properties of its active ingredients. Captopril, traditionally used in oral form for hypertension and heart failure, may offer benefits in topical applications by promoting vasodilation and improving local blood flow, which could be advantageous in conditions characterized by poor circulation or localized ischemia.

Diphenhydramine, an antihistamine, provides relief from itching and discomfort associated with allergic reactions, and its inclusion in this gel could be beneficial for patients experiencing pruritus due to various causes, including insect bites or contact dermatitis. The combination of these agents in a topical gel form allows for targeted application, minimizing systemic exposure and potential side effects associated with oral administration. This formulation could be considered for off-label use in conditions where localized treatment of inflammation, itching, and improved blood flow are desired, such as in certain cases of localized scleroderma or chronic venous insufficiency with associated dermatitis.

For prescribers, it is important to consider the individual patient's condition, the potential benefits of the combined pharmacological actions, and any contraindications or interactions with other medications the patient may be using. Patients should be advised on the proper use of the pump mechanism to ensure precise application and to avoid overuse, which could lead to unwanted side effects. As with any compounded medication, the use of this formulation should be guided by clinical judgment and tailored to the specific needs of the patient. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Captopril 0.1%/Clobetasol 0.2%/Diphenhydramine 0.05% Topical Gel used for?

This topical gel is used for targeted treatment of certain skin conditions, leveraging the combined effects of Captopril, Clobetasol, and Diphenhydramine to reduce inflammation, alleviate itching, and promote healing.

How should I apply the Captopril/Clobetasol/Diphenhydramine Topical Gel?

Dispense the gel through the pump mechanism and apply a thin layer to the affected area of the skin. Gently rub it in until fully absorbed. Follow your healthcare provider's instructions regarding the frequency and amount of application.

Can I use this gel on my face?

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

Are there any side effects associated with this topical gel?

Possible side effects may include skin irritation, redness, or a burning sensation at the application site. If you experience severe reactions or symptoms persist, contact your healthcare provider.

Is this gel safe for children?

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

How should I store the Captopril/Clobetasol/Diphenhydramine Topical Gel?

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

Can I use this gel with other topical medications?

Before using this gel with other topical medications, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatments.

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 resume your regular schedule. Do not apply extra gel to make up for a missed dose.

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

Consult your healthcare provider before using this gel if you are pregnant or breastfeeding, as they can provide guidance based on your specific situation and health needs.

What should I do if I experience an allergic reaction to this gel?

If you experience signs of an allergic reaction, such as rash, itching, swelling, or difficulty breathing, discontinue use immediately and seek medical attention.

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, 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.

Captopril 0.1%/Clobetasol 0.2%/Diphenhydramine 0.05% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)