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Formulas

Citalopram HBr 20 mg/g Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Citalopram Hydrobromide

Citalopram HBr 20 mg/g Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This formulation is used for the localized treatment or absorption of active ingredients to manage conditions such as depression and anxiety disorders. By delivering citalopram directly through the skin, this topical cream offers an alternative route of administration for patients who may benefit from targeted therapy.

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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.
Citalopram Hydrobromide
Topical Cream
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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Citalopram HBr 20 mg/g Topical Cream is a compounded medication designed for localized application on the skin. This semisolid preparation is dispensed in a convenient pump mechanism, allowing for controlled dosing and ease of use. By applying citalopram directly to the targeted area, the formulation aims to deliver the active ingredient where it is needed while potentially minimizing systemic absorption and associated side effects.

Citalopram is a selective serotonin reuptake inhibitor (SSRI) commonly used in the treatment of depression and anxiety disorders when taken orally. In topical cream form, citalopram may be utilized for off-label uses, potentially including conditions where modulation of serotonin levels in localized tissues could be beneficial. The topical application may offer advantages in terms of targeted therapy and reduced systemic exposure.

For patients, the use of Citalopram HBr 20 mg/g Topical Cream may provide relief in certain conditions under the guidance of a healthcare professional. It is important to apply the cream exactly as prescribed, typically to clean, intact skin, and to follow any specific instructions provided by your pharmacist or physician. Patients should report any adverse reactions or concerns to their healthcare provider promptly.

For prescribers, compounding citalopram into a topical cream offers an alternative delivery method that may be suitable for patients who may not tolerate oral SSRIs or when a targeted approach is desired. It is essential to consider the pharmacokinetics and pharmacodynamics of transdermal delivery when prescribing this formulation. Collaboration with a compounding pharmacist can ensure the formulation meets the specific needs of the patient.

If you have any questions about Citalopram HBr 20 mg/g Topical Cream or how it may benefit your treatment plan, please reach out to us. Our team at Bayview Pharmacy is here to provide expert guidance and support for both patients and healthcare professionals.

Drug Interactions

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Citalopram HBr 20 mg/g topical cream is a semisolid preparation designed for localized application on the skin, allowing for targeted treatment or absorption of active ingredients. While the topical route may reduce systemic exposure compared to oral administration, it is crucial to consider potential drug interactions that could affect both the efficacy and safety of this formulation. Patients and prescribers should be aware of these interactions to optimize therapeutic outcomes and minimize adverse effects.

One of the primary concerns with citalopram, even in topical form, is its potential to interact with other serotonergic agents. These include medications such as other selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), and certain migraine medications like triptans. Concurrent use of these agents can increase the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, dilated pupils, loss of muscle coordination, or muscle rigidity. Patients should be monitored closely for signs of serotonin syndrome, especially when initiating or increasing the dose of citalopram topical cream.

Additionally, citalopram may interact with medications that affect the cytochrome P450 enzyme system, particularly CYP2C19 and CYP3A4. Inhibitors of these enzymes, such as certain antifungal agents (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), and some antiretrovirals, can increase citalopram levels, potentially leading to enhanced effects and side effects. Conversely, inducers of these enzymes, such as rifampin and certain anticonvulsants (e.g., carbamazepine), may decrease citalopram levels, reducing its efficacy. It is important for prescribers to review the patient's medication list for potential interactions and adjust the treatment regimen accordingly.

Patients using citalopram topical cream should also be cautious when using other topical medications or products on the same area of the skin. Certain ingredients in other topical formulations may alter the absorption or effectiveness of citalopram. For instance, products containing alcohol or other solvents may enhance the penetration of citalopram, potentially increasing systemic exposure. It is advisable to apply different topical products at different times and to consult with a healthcare provider before combining them.

Furthermore, while the risk of systemic interactions is lower with topical application, patients with compromised skin integrity or conditions that increase systemic absorption should be monitored more closely. This includes individuals with extensive skin lesions, severe dermatitis, or those using occlusive dressings over the application site.

In summary, while citalopram HBr 20 mg/g topical cream offers a targeted approach for treatment, awareness of potential drug interactions is essential for safe and appropriate use. Patients and prescribers should maintain open communication and regularly review all medications, including over-the-counter products and supplements, to identify and manage any potential interactions. If you have any questions or concerns regarding the use of this formulation, please reach out to us for further guidance.

How Does it Work

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Citalopram HBr 20 mg/g Topical Cream is a specialized formulation designed to deliver the active ingredient, citalopram hydrobromide, directly to the skin. This semisolid preparation is dispensed through a pump mechanism, ensuring a convenient and controlled application. The topical route of administration allows for localized treatment, targeting specific areas of the skin where the medication is needed most. This method of delivery can be particularly beneficial for patients who may experience systemic side effects from oral administration or for those who require targeted therapy.

Citalopram is a selective serotonin reuptake inhibitor (SSRI), commonly used in the treatment of depression and anxiety disorders. When applied topically, citalopram is absorbed through the skin and into the local tissues. The mechanism of action involves the inhibition of serotonin reuptake in the local nerve endings, which can help modulate mood and alleviate symptoms associated with certain dermatological conditions that may have a psychological component, such as pruritus or chronic pain syndromes. By increasing the availability of serotonin in the local area, citalopram can help improve mood and reduce discomfort, providing relief to patients.

The formulation of citalopram in a topical cream allows for a high concentration of the active ingredient to be delivered directly to the site of action, potentially enhancing its therapeutic effects while minimizing systemic exposure. This can be particularly advantageous for patients who are sensitive to the systemic effects of SSRIs or who are taking other medications that may interact with oral citalopram. The pump mechanism ensures precise dosing, reducing the risk of over-application and ensuring consistent therapeutic outcomes.

For prescribers, this formulation offers a novel approach to managing conditions that may benefit from the localized effects of citalopram. It provides an alternative for patients who may not tolerate oral SSRIs well or who require adjunctive therapy for dermatological conditions with a psychological component. The topical application can be easily integrated into a patient's daily routine, promoting adherence and improving overall treatment outcomes.

Patients using Citalopram HBr 20 mg/g Topical Cream should follow the application instructions provided by their healthcare provider. It is important to apply the cream to clean, dry skin and to avoid contact with the eyes, mouth, and other mucous membranes. Patients should report any adverse reactions or concerns to their healthcare provider promptly.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is Citalopram HBr 20 mg/g Topical Cream used for?

Citalopram HBr 20 mg/g Topical Cream is used for localized treatment on the skin, allowing for the absorption of active ingredients directly at the site of application. It is typically used for conditions where topical application of citalopram is deemed beneficial.

How should I apply Citalopram HBr 20 mg/g Topical Cream?

Apply the cream using the pump mechanism to dispense a controlled amount onto 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 Citalopram HBr 20 mg/g Topical Cream on broken skin?

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

Are there any side effects associated with Citalopram HBr 20 mg/g Topical Cream?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe reactions or persistent side effects, contact your healthcare provider immediately.

How should I store Citalopram HBr 20 mg/g Topical Cream?

Store the cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

Can I use Citalopram HBr 20 mg/g Topical Cream with other topical medications?

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

Is Citalopram HBr 20 mg/g Topical Cream suitable for all skin types?

While the cream is designed for topical use, individuals with sensitive skin should use it cautiously. Conduct a patch test or consult your healthcare provider if you have concerns about skin reactions.

What should I do if I miss a dose of Citalopram HBr 20 mg/g Topical Cream?

If you miss a dose, apply it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular application schedule. Do not double the dose to catch up.

Can I use Citalopram HBr 20 mg/g Topical Cream during pregnancy or breastfeeding?

Consult your healthcare provider before using this cream if you are pregnant or breastfeeding to ensure it is safe for you and your baby.

How long does it take to see results with Citalopram HBr 20 mg/g Topical Cream?

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

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.

Citalopram HBr 20 mg/g Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily