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Cholestyramine 6.5% Topical Ointment

FDA-approved generic
Dose form
Topical Ointment
Active ingredients
Cholestyramine Resin

Cholestyramine 6.5% Topical Ointment is a semi-solid formulation dispensed in a tube, designed for external application to the skin. It features a greasy or oily base that enhances the delivery of the active medication for localized treatment. This ointment is primarily used to treat conditions such as skin inflammation, infections, and wound healing.

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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.
Starting at
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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.
Cholestyramine Resin
Topical Ointment
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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Cholestyramine 6.5% Topical Ointment is a specialized compounded medication designed for external application to the skin. Formulated as a semi-solid ointment dispensed in a tube, it provides a greasy or oily base that facilitates the delivery of the active medication directly to affected areas. This ointment is particularly beneficial for conditions where skin irritation is caused by the presence of bile acids, such as in patients with ostomies, biliary fistulas, or chronic diarrhea.

The active ingredient, cholestyramine, is a bile acid sequestrant. When applied topically, it binds to bile acids that come into contact with the skin, neutralizing their irritant effect. This binding action helps to reduce inflammation, soothe irritation, and promote healing of the affected skin. By preventing further damage from bile acids, the ointment aids in restoring the integrity of the skin barrier.

For patients experiencing skin inflammation due to bile acid exposure, Cholestyramine 6.5% Topical Ointment offers a targeted therapeutic option. Its localized application minimizes systemic absorption, reducing the risk of systemic side effects commonly associated with oral bile acid sequestrants. The ointment's greasy base also helps to moisturize and protect the skin, creating an optimal environment for healing.

Prescribers may consider this formulation for patients who have not responded adequately to standard topical treatments for bile acid-induced skin irritation. The compounded nature of the ointment allows for customization of the concentration and base to meet the specific needs of each patient. It is important for prescribers to provide clear application instructions to ensure optimal efficacy and safety.

Patients using Cholestyramine 6.5% Topical Ointment should apply it as directed by their healthcare provider, usually to clean, dry skin. They may experience relief from symptoms such as burning, itching, and redness as the ointment works to neutralize bile acids and promote healing. As with any medication, patients should report any adverse reactions or concerns to their healthcare provider promptly.

If you have any questions about Cholestyramine 6.5% Topical Ointment or how it might benefit you or your patients, please reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is here to provide support and answer any queries you may have.

Drug Interactions

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Cholestyramine 6.5% topical ointment is a semi-solid formulation designed for external application to the skin. It is dispensed in a tube and provides a greasy or oily base that aids in the delivery of medication or therapeutic agents for localized treatment. This formulation is typically used for conditions such as skin inflammation, infections, or wound healing. While cholestyramine is primarily known as an oral medication used to lower cholesterol levels and treat certain types of diarrhea, its topical application is intended to bind bile acids on the skin, which can help in reducing irritation and inflammation.

When considering the use of cholestyramine 6.5% topical ointment, it is important to be aware of potential drug interactions, even though systemic absorption is minimal. Patients and prescribers should be cautious about the concurrent use of other topical medications. The ointment's greasy base may affect the absorption and efficacy of other topical agents applied to the same area. It is advisable to apply other topical medications at different times or on different areas of the skin to avoid interference.

For patients using systemic medications, it is crucial to understand that while the risk of systemic drug interactions is low with topical cholestyramine, the possibility cannot be entirely ruled out. Cholestyramine is known to bind to various drugs in the gastrointestinal tract when taken orally, potentially reducing their absorption and effectiveness. Although this interaction is unlikely with topical use, patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and supplements, to ensure comprehensive care.

Prescribers should consider the patient's overall medication regimen and any potential interactions that could arise from the use of cholestyramine in any form. Monitoring for any unexpected side effects or changes in the efficacy of other medications is recommended. Additionally, patients with a history of hypersensitivity to cholestyramine or any component of the ointment should avoid its use to prevent allergic reactions.

If you have any questions or concerns about the use of cholestyramine 6.5% topical ointment, or if you need further information on potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have.

How Does it Work

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Cholestyramine 6.5% topical ointment is a specialized formulation designed for external application to the skin, utilizing a semi-solid, greasy or oily base to facilitate the delivery of the active ingredient directly to the affected area. This formulation is particularly beneficial for localized treatment, providing targeted relief for conditions such as skin inflammation, infections, or wound healing. The ointment is dispensed in a tube, allowing for easy application and precise dosing, ensuring that the medication is applied exactly where it is needed.

Cholestyramine, the active ingredient in this formulation, is a bile acid sequestrant traditionally used orally to lower cholesterol levels. The mechanism by which cholestyramine works topically involves its ability to bind to bile acids and other irritants present on the skin surface. By sequestering these substances, cholestyramine reduces irritation and inflammation, promoting a more conducive environment for healing.

In the context of skin inflammation, cholestyramine ointment can help alleviate symptoms by reducing the inflammatory response. This is particularly useful in conditions where inflammation is a primary concern, such as in certain types of dermatitis or eczema. By binding to inflammatory mediators and irritants, the ointment helps to calm the skin, reduce redness, and alleviate itching, providing symptomatic relief to the patient.

For infections, while cholestyramine itself does not possess direct antimicrobial properties, its ability to bind and remove irritants can help reduce the bacterial load on the skin. This can be particularly beneficial in managing secondary infections that often accompany chronic inflammatory skin conditions. By creating a less hospitable environment for bacteria, the ointment supports the body's natural healing processes and can be used in conjunction with other antimicrobial treatments as part of a comprehensive care plan.

In wound healing, cholestyramine ointment aids by maintaining a moist wound environment, which is crucial for optimal healing. The greasy base of the ointment acts as an occlusive barrier, preventing moisture loss and protecting the wound from external contaminants. This environment supports the natural healing process, allowing for faster tissue regeneration and reduced scarring. Additionally, by binding to irritants and inflammatory mediators, the ointment minimizes further damage to the wound site, promoting a more efficient healing process.

For both patients and prescribers, it is important to understand that while cholestyramine 6.5% topical ointment offers significant benefits for localized skin conditions, it should be used as directed and as part of a broader treatment strategy tailored to the individual's specific needs. 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.

Frequently Asked Questions

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What is Cholestyramine 6.5% Topical Ointment used for?

Cholestyramine 6.5% Topical Ointment is used for localized treatment of skin conditions such as inflammation, infections, or wound healing. It is designed to deliver medication directly to the affected area.

How should I apply Cholestyramine 6.5% Topical Ointment?

Apply a thin layer of the ointment to the affected area of the skin as directed by your healthcare provider. Make sure the skin is clean and dry before application.

Can I use Cholestyramine 6.5% Topical Ointment on open wounds?

Consult your healthcare provider before using this ointment on open wounds. It is typically used for localized treatment, but your provider will give specific instructions based on your condition.

How often should I apply Cholestyramine 6.5% Topical Ointment?

The frequency of application will depend on your specific condition and the recommendation of your healthcare provider. Follow their instructions carefully.

Are there any side effects associated with Cholestyramine 6.5% Topical Ointment?

Some users may experience mild skin irritation or allergic reactions. If you notice any severe side effects or signs of an allergic reaction, contact your healthcare provider immediately.

Can I use Cholestyramine 6.5% Topical Ointment with other topical medications?

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

Is Cholestyramine 6.5% Topical Ointment safe for children?

Consult your healthcare provider before using this ointment on children, as they will provide guidance based on the child's specific condition and needs.

How should I store Cholestyramine 6.5% Topical Ointment?

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

What should I do if I miss a dose of Cholestyramine 6.5% Topical Ointment?

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 to make up for a missed dose.

Can I use Cholestyramine 6.5% Topical Ointment during pregnancy or breastfeeding?

Consult your healthcare provider before using this ointment during pregnancy or breastfeeding to ensure it is safe for you and your baby.

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.

Cholestyramine 6.5% Topical Ointment
Topical Ointment
30 g
controlled

Apply topically to affected area(s)

After each diaper change