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Formulas

Clindamycin 150 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules (For Nasal Irrigation/Nebulizer)

FDA-approved generic
Dose form
Nasal Irrigation/Nebulizer Capsules
Active ingredients
Tobramycin Sulfate
Betamethasone
Clindamycin Hydrochloride

This compounded formulation combines Clindamycin 150 mg, Tobramycin 125 mg, and Betamethasone 0.5 mg in a capsule form. It is specifically designed for nasal irrigation or nebulization, targeting conditions such as Chronic Sinusitis, Rhinosinusitis, Allergic Rhinitis, Nasal Polyps, and Sinus Headache. For any queries, please feel free to contact us.

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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.
Tobramycin Sulfate
Betamethasone
Clindamycin Hydrochloride
Nasal Irrigation/Nebulizer Capsules
6427079ea643246b9d518890
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 is pleased to provide a specially compounded formulation of Clindamycin 150 mg, Tobramycin 125 mg, and Betamethasone 0.5 mg in capsule form, specifically designed for Nasal Irrigation/Nebulizer use. This unique combination of medications is intended to address a range of respiratory conditions, such as sinusitis, rhinitis, otitis media, bronchitis, and asthma.

Each component of this formulation plays a crucial role in managing these conditions. Clindamycin, an antibiotic, functions by inhibiting bacterial growth. Tobramycin, another antibiotic belonging to the aminoglycoside class, operates by eliminating bacteria. Betamethasone, a corticosteroid, contributes by reducing inflammation. The synergistic effect of these three medications aids in combating infection and reducing inflammation in the nasal passages and lungs.

This formulation is designed for use with the NeilMed™ Sinus Rinse system for Nasal Irrigation. The contents of one capsule should be emptied into a standard volume (8oz) of NeilMed™ Sinus Rinse solution, and the resulting mixture should be used to irrigate each nostril with half a bottle twice daily.

If you have any queries regarding this formulation or its usage, please do not hesitate to contact us at Bayview Pharmacy.

Drug Interactions

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Clindamycin 150 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules are a compounded formulation designed to treat a range of respiratory conditions. These include sinusitis, rhinitis, otitis media, bronchitis, and asthma. The capsules contain three active ingredients: Clindamycin, an antibiotic that inhibits bacterial growth; Tobramycin, an aminoglycoside antibiotic that kills bacteria; and Betamethasone, a corticosteroid that reduces inflammation. Together, these medications effectively alleviate symptoms such as nasal congestion, sinus pressure, and difficulty breathing.

It's crucial to understand that these capsules are not intended for oral consumption. Instead, the contents of each capsule should be emptied and mixed with a saline solution for nasal irrigation or nebulization. This method allows for targeted administration of the medication, directly addressing the affected areas. The saline solution mixed with the medication is typically administered using a NeilMed™ Sinus Rinse or a similar device.

As with any medication, this formulation should be used as directed by your healthcare provider. If you have any questions or concerns about how to use this formulation, please consult with your healthcare provider or pharmacist. They can provide you with detailed instructions and address any concerns you may have. Remember, it's essential to use this medication correctly to ensure its effectiveness and your safety.

How Does it Work

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Clindamycin 150 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules are a compounded formulation designed to address a range of respiratory conditions. This unique combination of medications is specifically intended for use in nasal irrigation or nebulization, providing targeted treatment for conditions such as sinusitis, rhinitis, otitis media, bronchitis, and asthma.

The formulation combines the power of two antibiotics and a steroid. Clindamycin works by inhibiting bacterial growth, while Tobramycin acts by eliminating bacteria. Betamethasone, a steroid, contributes by reducing inflammation. Together, these three components work synergistically to alleviate symptoms associated with respiratory conditions, including congestion, runny nose, and difficulty breathing.

This compounded formulation is designed to be emptied and mixed with a saline solution, as per the instructions provided by your healthcare provider. The resulting solution is then used for nasal irrigation, typically with a device such as the NeilMed™ Sinus Rinse. This method allows for targeted administration of the medication, directly addressing the affected areas and providing relief from symptoms.

It is crucial to follow the directions provided by your healthcare provider when using this formulation. If you have any questions or concerns about the medication or its administration, please consult with your healthcare provider for further guidance.

Frequently Asked Questions

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What is the purpose of this compounded formulation of Clindamycin 150 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules?

This compounded formulation is intended for nasal irrigation or nebulization. It allows for targeted administration of the medication to treat specific conditions as directed by a healthcare provider.

How do I use this medication?

The contents of one capsule are to be emptied and mixed with a saline solution. This mixture is then used for irrigation or nebulization as directed by your healthcare provider.

What are the active ingredients in this compounded formulation?

The active ingredients in this formulation are Clindamycin 150 mg, Tobramycin 125 mg, and Betamethasone 0.5 mg.

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

Clindamycin is an antibiotic that fights bacteria in the body. Tobramycin is another antibiotic that treats bacterial infections. Betamethasone is a steroid that reduces inflammation and immune responses.

Can I swallow this capsule?

No, this capsule is not intended for oral consumption. The contents of the capsule should be mixed with a saline solution and used for nasal irrigation or nebulization.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

What are the potential side effects of this medication?

Side effects may include irritation or discomfort at the site of administration. If these effects persist or worsen, notify your healthcare provider immediately.

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

Consult your healthcare provider before using this medication if you are pregnant or breastfeeding. The effects on the fetus or infant are not fully known.

Can I use this medication with other medications?

Always inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and supplements. Some medications may interact with this compounded formulation.

How should I store this medication?

Store this medication at room temperature, away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

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.

Clindamycin 150 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules (For Nasal Irrigation/Nebulizer)
Nasal Irrigation/Nebulizer Capsules
1000 mL
controlled

Empty contents of 1 capsule and mix with saline solution and irrigate/nebulize

Twice daily