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Formulas

Cimetidine 10%/Salicylic Acid 3%/Acyclovir 2%/Naltrexone HCl 1%/Egcg 0.2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Salicylic Acid
Acyclovir
Naltrexone Hydrochloride
Epigallocatechin Gallate
Cimetidine Hydrochloride

Bayview Pharmacy's Cimetidine 10%/Salicylic Acid 3%/Acyclovir 2%/Naltrexone HCl 1%/Egcg 0.2% Topical Gel is a potent, semisolid formulation. It is dispensed through a pump mechanism for easy and precise application. This gel-like consistency allows for targeted treatment or absorption of active ingredients.

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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
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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.
Salicylic Acid
Acyclovir
Naltrexone Hydrochloride
Epigallocatechin Gallate
Cimetidine Hydrochloride
Topical Gel
6427079ea64324174a518871
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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Bayview Pharmacy's Cimetidine 10%/Salicylic Acid 3%/Acyclovir 2%/Naltrexone HCl 1%/Egcg 0.2% Topical Gel is a specially compounded formulation designed to address a range of skin conditions. This unique blend combines the therapeutic benefits of cimetidine, salicylic acid, acyclovir, naltrexone HCl, and EGCG, each contributing to the overall efficacy of the product.

Cimetidine, an antihistamine, works to alleviate inflammation and itching, making it beneficial for various skin irritations. Salicylic acid, a renowned acne treatment, exfoliates the skin, reducing acne appearance and promoting skin renewal. Naltrexone HCl, an opioid antagonist, aids in managing symptoms of opioid withdrawal. Lastly, EGCG, a potent antioxidant, shields the skin from free radical damage, thereby enhancing skin health and vitality.

This topical gel formulation is dispensed through a pump mechanism, ensuring easy and precise application. The gel-like consistency allows for targeted treatment, facilitating optimal absorption of the active ingredients into the skin. It can also be used to alleviate inflammation and itching associated with various skin conditions.

As with all medications, this formulation should be used as directed to ensure safety and effectiveness. If you have any questions about this product or its application for treating skin conditions, please do not hesitate to contact us at Bayview Pharmacy. Our team of compounding pharmacists is ready and willing to assist you.

Drug Interactions

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Cimetidine 10%/Salicylic Acid 3%/Acyclovir 2%/Naltrexone HCl 1%/Egcg 0.2% Topical Gel is a compounded formulation designed to address a range of skin conditions. This unique blend of active ingredients is dispensed in a semisolid gel form through a pump mechanism, ensuring easy and precise application for targeted treatment.

The formulation contains Cimetidine, an antihistamine known for its ability to alleviate itching and inflammation associated with allergic reactions. Salicylic Acid, a keratolytic agent, is included to help reduce the appearance of acne and other skin blemishes.

Naltrexone HCl, an opioid antagonist, is incorporated into the formulation to help manage symptoms of opioid withdrawal. Lastly, EGCG, a potent antioxidant, is added to help combat signs of aging such as wrinkles. This comprehensive blend of ingredients makes the topical gel suitable for treating a variety of skin conditions including acne, herpes simplex virus infections, symptoms of opioid withdrawal, and signs of aging.

It's important to note that the effectiveness of this compounded formulation can vary depending on individual skin types and conditions. Always consult with a healthcare professional before starting any new treatment regimen. If you have any questions or concerns about this formulation, please don't hesitate to reach out.

How Does it Work

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This compounded formulation is a topical gel that combines the active ingredients of cimetidine 10%, salicylic acid 3%, acyclovir 2%, naltrexone HCl 1%, and EGCG 0.2%. Each ingredient plays a crucial role in treating various skin conditions and providing relief from certain symptoms.

Cimetidine, an antihistamine, works to reduce inflammation and itching, making it beneficial for conditions like acne, psoriasis, and eczema. Salicylic acid, a keratolytic agent, aids in skin exfoliation and helps reduce the appearance of acne.

Naltrexone HCl, an opioid antagonist, is included in this formulation to help alleviate symptoms of opioid withdrawal. Lastly, EGCG, a potent antioxidant, protects the skin from free radical damage, promoting overall skin health.

When applied to the skin, this topical gel works synergistically to reduce inflammation, exfoliate the skin, provide antiviral protection, and offer antioxidant benefits. It can help alleviate the severity of various skin conditions such as acne, psoriasis, eczema, and warts, and can also aid in managing symptoms of opioid withdrawal.

For optimal results, it is recommended to apply this topical gel to the affected area twice daily or as directed by your healthcare provider. It is crucial to adhere to the instructions provided by your healthcare provider for safe and appropriate use. If you have any questions or concerns about this formulation or its application, it is advised to consult with your healthcare provider or pharmacist.

Frequently Asked Questions

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What is the purpose of this compounded formulation?

This compounded formulation is designed to deliver multiple active ingredients directly to the skin for targeted treatment. It contains Cimetidine, Salicylic Acid, Acyclovir, Naltrexone HCl, and Egcg, each serving a specific therapeutic purpose.

How should I apply this topical gel?

This gel is dispensed through a pump mechanism for easy and precise application. Apply it to the affected area as directed by your healthcare provider, ensuring that you follow the prescribed dosage.

What is the consistency of this formulation?

This formulation is a semisolid, gel-like consistency. This allows for easy application and absorption of the active ingredients into the skin.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Cimetidine 10%, Salicylic Acid 3%, Acyclovir 2%, Naltrexone HCl 1%, and Egcg 0.2%.

What is the role of each active ingredient in this formulation?

Each active ingredient serves a specific therapeutic purpose. Cimetidine is used to treat ulcers of the stomach and intestines. Salicylic Acid is used to treat skin conditions such as acne, dandruff, psoriasis, and seborrheic dermatitis of the skin and scalp. Acyclovir is used to treat viral infections. Naltrexone HCl is used to manage alcohol or opioid dependence. Egcg is a potent antioxidant.

Can I use this formulation for any skin condition?

No, this formulation is not suitable for all skin conditions. It is important to use this medication only as directed by your healthcare provider.

What should I do if I experience any side effects?

If you experience any side effects, such as skin irritation or allergic reactions, stop using the product and contact your healthcare provider immediately.

How should I store this topical gel?

Store this product at room temperature, away from heat and direct light. Do not freeze. Keep out of the reach of children and pets.

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

If you are pregnant or breastfeeding, consult your healthcare provider before using this product. Some ingredients may not be safe for use during pregnancy or while nursing.

Can I use this product on my face?

Before applying this product to your face, consult your healthcare provider. Some ingredients may be too harsh for the sensitive skin on the face.

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.

Cimetidine 10%/Salicylic Acid 3%/Acyclovir 2%/Naltrexone HCl 1%/Egcg 0.2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily