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Formulas

Captopril 1 mg/mL Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Captopril

Captopril 1 mg/mL Topical Gel is a semisolid formulation designed for easy and precise application on the skin, utilizing a pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of the active ingredient, captopril.

This formulation is primarily used to treat conditions such as hypertension and certain types of heart failure, providing localized therapeutic effects through topical administration.

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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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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.
Captopril
Topical Gel
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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Captopril 1 mg/mL Topical Gel is a semisolid formulation designed for precise and targeted application on the skin. Utilizing a convenient pump mechanism, this gel allows for easy dispensing of accurate doses, enhancing the effectiveness of treatment through consistent application. The gel-like consistency ensures optimal absorption of captopril through the skin, facilitating localized therapeutic effects where needed.

Captopril is an angiotensin-converting enzyme (ACE) inhibitor traditionally used orally to manage hypertension and certain cardiovascular conditions. In its topical form, captopril may offer benefits in treating specific localized conditions due to its vasodilatory properties. By inhibiting ACE locally, captopril can help improve blood flow and potentially aid in wound healing or the treatment of ulcers by enhancing circulation to the affected area.

For prescribers, this formulation provides an alternative route of administration, potentially reducing systemic exposure and minimizing systemic side effects associated with oral ACE inhibitors. The topical application allows for direct treatment of affected areas, which can be particularly beneficial in patients who may not tolerate oral medications well or in cases where localized treatment is preferred.

Patients prescribed Captopril 1 mg/mL Topical Gel should apply the medication exactly as directed by their healthcare provider. It is important to apply the gel to clean, dry, and intact skin to ensure proper absorption. Avoid applying the gel to broken or irritated skin unless directed by a healthcare professional. Patients should wash their hands before and after applying the gel to prevent contamination and accidental contact with eyes or mucous membranes.

Monitoring for any signs of local irritation, allergic reactions, or unusual side effects is important. Patients should report any adverse reactions to their healthcare provider promptly. As with all medications, adherence to the prescribed regimen is crucial for optimal therapeutic outcomes.

If you have any questions about Captopril 1 mg/mL Topical Gel or its use, please reach out to us.

Drug Interactions

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Captopril 1 mg/mL Topical Gel is a formulation designed for targeted application on the skin, allowing for localized treatment and absorption of the active ingredient, captopril. While this topical formulation minimizes systemic exposure compared to oral administration, it is still important to consider potential drug interactions, especially for patients who may be using other medications concurrently.

For patients and prescribers, it is crucial to be aware that captopril, an angiotensin-converting enzyme (ACE) inhibitor, can interact with several classes of medications. Although the systemic absorption from a topical gel is generally lower, interactions may still occur, particularly if the gel is applied over large areas or on compromised skin. Patients using this formulation should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements.

One significant interaction to consider is with other antihypertensive agents. Captopril may enhance the hypotensive effects of these medications, potentially leading to an excessive drop in blood pressure. Patients should be monitored for signs of hypotension, such as dizziness or lightheadedness, especially when initiating or adjusting the dose of the topical gel.

Nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the antihypertensive effect of captopril. This interaction is more likely to be clinically significant in patients with compromised renal function or those who are elderly. Patients should be advised to use NSAIDs cautiously and under medical supervision while using the captopril gel.

Potassium-sparing diuretics, potassium supplements, or salt substitutes containing potassium can increase the risk of hyperkalemia when used with captopril. Although the risk is lower with topical application, it is still advisable to monitor serum potassium levels, particularly in patients with renal impairment or those taking other medications that affect potassium levels.

Patients taking lithium should be aware that ACE inhibitors, including captopril, can increase serum lithium levels, potentially leading to lithium toxicity. Regular monitoring of lithium levels is recommended if concurrent use is necessary.

In patients with diabetes, captopril may enhance the hypoglycemic effects of insulin or oral hypoglycemic agents. Blood glucose levels should be monitored closely, and adjustments to diabetes medications may be necessary.

Lastly, it is important to consider the potential for interactions with other topical medications. Applying multiple topical agents concurrently can affect the absorption and efficacy of each product. Patients should be advised to discuss all topical treatments with their healthcare provider to ensure compatibility and optimal therapeutic outcomes.

If you have any questions or need further information regarding the use of Captopril 1 mg/mL Topical Gel and its potential interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

How Does it Work

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Captopril 1 mg/mL Topical Gel is a specialized formulation designed to deliver the active ingredient, captopril, directly through the skin. This semisolid gel is dispensed via a pump mechanism, ensuring precise dosing and ease of application. The gel-like consistency allows for smooth application on the skin, facilitating targeted treatment and absorption of the active ingredient. Captopril is an angiotensin-converting enzyme (ACE) inhibitor, traditionally used in oral form to manage hypertension and heart failure. However, in this topical formulation, it is utilized for its potential benefits in treating localized conditions that may benefit from its vasodilatory and anti-inflammatory properties.

When applied topically, captopril works by inhibiting the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor. This action leads to vasodilation, or the widening of blood vessels, which can improve blood flow and reduce blood pressure in the targeted area. The localized application minimizes systemic absorption, potentially reducing the risk of systemic side effects commonly associated with oral administration. This makes the topical gel an attractive option for patients who may be sensitive to oral medications or who require localized treatment.

The formulation is particularly beneficial for conditions where improved blood flow and reduced inflammation are desired outcomes. By applying the gel directly to the affected area, patients can experience targeted relief, which may be beneficial in conditions such as localized hypertension, certain types of ulcers, or other dermatological conditions where improved circulation and reduced inflammation are advantageous. The gel's formulation ensures that the active ingredient is delivered efficiently to the site of action, maximizing therapeutic effects while minimizing systemic exposure.

For prescribers, this formulation offers a novel approach to managing conditions that may benefit from the localized effects of captopril. It provides an alternative for patients who may not tolerate oral ACE inhibitors well or who require additional localized treatment. The pump mechanism ensures accurate dosing, which is crucial for maintaining consistent therapeutic levels and optimizing treatment outcomes. As with any medication, it is important to consider the patient's overall health status, potential drug interactions, and specific condition being treated when prescribing this formulation.

Patients using Captopril 1 mg/mL Topical Gel should follow the application instructions provided by their healthcare provider to ensure optimal results. It is important to apply the gel to clean, dry skin and to avoid contact with eyes or mucous membranes. Patients should report any adverse reactions or concerns to their healthcare provider promptly. As always, if you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and prescribers in achieving the best possible outcomes with this innovative treatment option.

Frequently Asked Questions

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What is Captopril 1 mg/mL Topical Gel used for?

Captopril 1 mg/mL Topical Gel is used for targeted treatment or absorption of active ingredients through the skin, often for conditions that benefit from localized application of captopril.

How do I apply Captopril 1 mg/mL Topical Gel?

Apply the gel directly to the affected area of the skin using the pump mechanism, which ensures easy and precise application. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can Captopril 1 mg/mL Topical Gel be used on broken skin?

It is generally advised not to apply the gel on broken or irritated skin unless directed by a healthcare professional. Consult your doctor for specific guidance.

How should I store Captopril 1 mg/mL Topical Gel?

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

Are there any side effects associated with Captopril 1 mg/mL Topical Gel?

Some users may experience mild skin irritation or redness at the application site. If you notice severe reactions or persistent irritation, discontinue use and consult your healthcare provider.

Can I use Captopril 1 mg/mL Topical Gel with other topical medications?

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

Is Captopril 1 mg/mL Topical Gel suitable for all skin types?

While the gel is generally suitable for most skin types, individuals with sensitive skin should perform a patch test or consult a healthcare provider before use.

How long does it take for Captopril 1 mg/mL Topical Gel to show results?

The time it takes to see results can vary depending on the condition being treated and individual response. Follow your healthcare provider's guidance and report any concerns about effectiveness.

Can I use Captopril 1 mg/mL Topical Gel during pregnancy or breastfeeding?

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

What should I do if I miss a dose of Captopril 1 mg/mL Topical Gel?

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 double the dose to catch up.

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.

Captopril 1 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily