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Clindamycin Phosphate 2.376%/Erythromycin 2%/Metronidazole 0.75%/Salicylic Acid 2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Clindamycin Phosphate
Erythromycin
Metronidazole
Salicylic Acid

This formulation is a combination of Clindamycin Phosphate 2.376%, Erythromycin 2%, Metronidazole 0.75%, and Salicylic Acid 2% in a topical gel. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients.

The formulation is designed to treat a variety of disease states. Clindamycin Phosphate and Erythromycin are antibiotics that work by stopping the growth of bacteria, while Metronidazole is an antibiotic and antiprotozoal medication used to treat various infections caused by susceptible anaerobic bacteria and parasites. Salicylic Acid is a keratolytic (peeling agent) that causes shedding of the outer layer of skin. This combination is commonly used to treat acne, rosacea, and other skin infections.

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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

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.
Clindamycin Phosphate
Erythromycin
Metronidazole
Salicylic Acid
Topical Gel
653f02970cdc8ffead83b964

Formula Information

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This formulation is a combination of four active ingredients: Clindamycin Phosphate, Erythromycin, Metronidazole, and Salicylic Acid, all incorporated into a topical gel. The gel is designed to be easily dispensed through a pump mechanism, allowing for precise application on the skin. This ensures that the active ingredients are delivered directly to the area of concern, providing targeted treatment.

Clindamycin Phosphate and Erythromycin are antibiotics that work by stopping the growth of bacteria. They are commonly used to treat acne and other skin infections. Metronidazole is an antibiotic and antiprotozoal medication that is used to treat various conditions including rosacea, a skin condition that causes redness and pimples on the face. Salicylic Acid is a keratolytic (peeling agent) that causes shedding of the outer layer of skin. It is used to treat conditions such as acne, dandruff, psoriasis, and seborrheic dermatitis of the skin and scalp.

By combining these four active ingredients into one formulation, it allows for a broad spectrum of action against various skin conditions. The gel formulation ensures that the active ingredients are kept in contact with the skin for a prolonged period, allowing for better absorption and effectiveness. The pump mechanism allows for easy and precise application, reducing the risk of overuse or misuse.

It is important for patients to follow the prescribed dosage and application instructions to ensure the effectiveness of the treatment. Side effects may include dryness, peeling, or irritation at the application site. If these side effects persist or worsen, patients should contact their healthcare provider. As with any medication, it is important to inform your healthcare provider of all the medications you are currently taking to avoid any potential drug interactions.

For prescribers, this formulation provides a comprehensive treatment option for patients with various skin conditions. The combination of active ingredients allows for a broad spectrum of action, while the gel formulation ensures prolonged contact with the skin for better absorption. The pump mechanism allows for easy and precise application, reducing the risk of overuse or misuse.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to assist you.

Drug Interactions

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This formulation combines four active ingredients: Clindamycin Phosphate, Erythromycin, Metronidazole, and Salicylic Acid. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important for patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of this medication.

Clindamycin Phosphate is an antibiotic that can interact with other antibiotics, such as erythromycin, which is also present in this formulation. This interaction can lead to a decrease in the effectiveness of one or both drugs. Additionally, Clindamycin can interact with neuromuscular blocking agents, potentially leading to increased muscle weakness. It's important to inform your healthcare provider if you are taking any other antibiotics or neuromuscular blocking agents.

Erythromycin, another antibiotic in this formulation, can interact with a wide range of medications. These include certain cholesterol medications, blood thinners, and other antibiotics. Erythromycin can also interact with certain heart medications, potentially leading to serious heart problems. If you are taking any of these medications, it's crucial to discuss this with your healthcare provider before using this formulation.

Metronidazole, an antiprotozoal and antibacterial agent, can interact with alcohol, leading to a disulfiram-like reaction. This reaction can cause symptoms such as flushing, headache, nausea, vomiting, and abdominal cramps. It's recommended to avoid alcohol while using this formulation. Metronidazole can also interact with certain blood thinners, increasing the risk of bleeding. If you are taking a blood thinner, it's important to discuss this with your healthcare provider.

Salicylic Acid, a keratolytic (peeling agent), can interact with other topical medications, particularly those that are abrasive, irritating, or drying to the skin. Using Salicylic Acid with these types of medications can increase the risk of severe skin irritation. It's recommended to avoid using other topical medications while using this formulation unless directed by a healthcare provider.

This formulation is designed to treat a variety of skin conditions, including acne, rosacea, and seborrheic dermatitis. The combination of antibiotics and a peeling agent works to reduce inflammation, kill bacteria, and promote the shedding of the outer layer of skin. This helps to clear up existing skin problems and prevent new ones from forming.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We're here to help ensure that you can use this medication safely and effectively.

How Does it Work

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This formulation combines four active ingredients: Clindamycin Phosphate, Erythromycin, Metronidazole, and Salicylic Acid, each with a unique mechanism of action to treat various skin conditions. The gel is designed to be easily applied to the skin, where it can deliver these active ingredients directly to the affected area.

Clindamycin Phosphate is an antibiotic that works by stopping the growth of bacteria that cause skin infections. It binds to the 50S subunit of the bacterial ribosome, inhibiting protein synthesis and thus bacterial growth. This helps to reduce the number of acne-causing bacteria on the skin, which can help to reduce the number of acne breakouts.

Erythromycin is another antibiotic that works by preventing bacteria from growing and multiplying. It does this by binding to the bacterial ribosome, preventing the synthesis of essential proteins, which are required for the bacteria's survival. This helps to clear up infections and reduce the severity of acne breakouts.

Metronidazole is an antibiotic and antiprotozoal medication. It works by entering bacterial and protozoal cells and interfering with their DNA, preventing them from reproducing and spreading. This can help to reduce inflammation and redness associated with certain skin conditions, such as rosacea.

Salicylic Acid is a keratolytic (peeling agent). It works by causing the cells of the epidermis to shed more readily, opening clogged pores and neutralizing bacteria within. It also prevents pores from clogging up again by constricting pore diameter, and allowing room for new cell growth. Because of its effect on skin cells, salicylic acid is used to treat skin conditions that involve scaling or overgrowth of skin cells such as acne.

This formulation is dispensed through a pump mechanism, which allows for easy and precise application of the gel to the skin. The gel-like consistency of the formulation ensures that the active ingredients are kept in contact with the skin for a sufficient amount of time to exert their effects. This targeted treatment approach can help to improve the effectiveness of the medication while minimizing potential side effects.

If you have any questions about this formulation, how it works, or how it should be used, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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This formulation of Clindamycin Phosphate 2.376%/Erythromycin 2%/Metronidazole 0.75%/Salicylic Acid 2% Topical Gel, although primarily used for the treatment of acne and rosacea, has other potential uses as well based on its active ingredients. For instance, it might be useful in the management of other skin conditions that are characterized by infection or inflammation. Both clindamycin phosphate and erythromycin are antibiotics that inhibit bacterial protein synthesis and are beneficial for a variety of bacterial skin infections. They might therefore be useful against folliculitis, impetigo, and cellulitis, when these conditions are caused by bacteria susceptible to either drug. Metronidazole, in addition to its anti-inflammatory properties, which can help in reducing swelling, redness, and pus formation in acne, may also be beneficial in treating bacterial vaginosis when applied topically to the affected area. Salicylic acid, a keratolytic agent, can help in treating psoriasis, calluses, corns, and warts by causing the cells of the epidermis to shed more readily, preventing pores from clogging up and promoting the growth of new skin cells. However, these are off-label uses of the formulation and should always be discussed with a healthcare provider prior to application.

Additionally, this combination might have some role, albeit less-studied, in the adjunctive treatment of some less common disorders such as perioral dermatitis and certain forms of hidradenitis suppurativa, particularly when more common treatments are contraindicated or not tolerated. Despite the potential for broad applicability based on the pharmacological properties of its ingredients, it’s crucial that prescribers and patients alike recognize the potential for side effects, including dryness, peeling, erythema, and irritation, particularly with prolonged or widespread use. As with any medication, the decision to use this formulation for other indications should be based on a careful risk/benefit analysis individualised to the patient's condition and other treatments.

If you have any additional questions or require more information regarding this formulation, please do not hesitate to contact us at Bayview Pharmacy. Our team of compounding pharmacists is always ready to answer any of your inquiries.

Frequently Asked Questions

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What is Clindamycin Phosphate 2.376%/Erythromycin 2%/Metronidazole 0.75%/Salicylic Acid 2% Topical Gel?

This is a semisolid formulation that is dispensed through a pump for easy and precise application to the skin. It is composed of several active ingredients including Clindamycin Phosphate, Erythromycin, Metronidazole, and Salicylic Acid.

What are the active ingredients in this topical gel?

The active ingredients in this gel are Clindamycin Phosphate (2.376%), Erythromycin (2%), Metronidazole (0.75%), and Salicylic Acid (2%).

How should this gel be applied?

This gel comes in a semisolid formulation which facilitates easy and precise application onto the skin. This is achieved via a pump mechanism fitted on the container.

What are the benefits of the gel-like consistency?

A gel-like consistency is easily spreadable and tends to adhere better to the skin, allowing for targeted treatment and efficient absorption of the active ingredients.

What is the role of each active ingredient in the gel?

Clindamycin Phosphate and Erythromycin are antibiotics that help to reduce the growth of acne-causing bacteria. Metronidazole is also an antibiotic with an added anti-inflammatory effect. Salicylic Acid helps to exfoliate the skin and reduce the size and redness of pimples.

Is it necessary to shake the bottle before use?

As a semisolid formulation, there is no need to shake the bottle before use. The active ingredients are evenly distributed throughout the gel.

What type of skin condition is this gel meant for?

This gel is often used for the treatment and management of acne, but it may also be beneficial for other skin conditions as recommended by a healthcare professional.

How often should the gel be applied?

The frequency of application will depend on your individual circumstances and the advice of your healthcare provider. Always follow the instructions given to you by your healthcare professional.

Should the gel be rubbed in or allowed to absorb naturally?

The gel should be applied in a thin layer to the affected area and massaged gently into the skin until it is fully absorbed.

Are there any potential side effects with this gel?

Like all medications, this gel can cause side effects, although not everybody gets them. Possible side effects include skin irritation and dryness. If you notice a severe or bothersome reaction, stop using the product and consult with your healthcare provider.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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 Phosphate 2.376%/Erythromycin 2%/Metronidazole 0.75%/Salicylic Acid 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)