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Clobetasol Propionate 1 mg/mL/Cyclosporine 20 mg/mL/Ketoprofen 25 mg/mL Nail Solution

FDA-approved generic
Dose form
Nail Solution
Active ingredients
Clobetasol Propionate
Ketoprofen
Cyclosporine A

Clobetasol Propionate 1 mg/mL/Cyclosporine 20 mg/mL/Ketoprofen 25 mg/mL Nail Solution is a liquid formulation specifically designed for topical application to the nails. It provides targeted treatment for nail conditions such as psoriasis, onychomycosis (fungal infections), and inflammatory nail disorders. This solution delivers medication directly to the nails, promoting healthy nail growth and improving overall nail appearance.

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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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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.
Clobetasol Propionate
Ketoprofen
Cyclosporine A
Nail Solution
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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Drug Interactions

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When using the Clobetasol Propionate 1 mg/mL/Cyclosporine 20 mg/mL/Ketoprofen 25 mg/mL Nail Solution, it is important to consider potential drug interactions that may affect the efficacy and safety of the treatment. This formulation is designed for topical application to the nails, targeting conditions such as fungal infections, nail brittleness, and discoloration. Each active ingredient plays a specific role in addressing these conditions: Clobetasol Propionate is a potent corticosteroid that reduces inflammation and immune responses, Cyclosporine is an immunosuppressant that can help manage autoimmune-related nail disorders, and Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that alleviates pain and inflammation.

For patients and prescribers, it is crucial to be aware of the potential systemic absorption of these active ingredients, especially when applied to damaged or broken skin around the nails. Although the formulation is intended for localized treatment, systemic absorption can occur, leading to interactions with other medications the patient may be taking. Clobetasol Propionate, being a corticosteroid, may interact with other systemic corticosteroids, increasing the risk of side effects such as immunosuppression and adrenal suppression. Patients using other topical or systemic corticosteroids should be monitored closely for cumulative effects.

Cyclosporine, as an immunosuppressant, can interact with a wide range of medications, including other immunosuppressants, antifungal agents, and certain antibiotics. It is metabolized by the cytochrome P450 3A4 (CYP3A4) enzyme, and concurrent use with drugs that inhibit or induce this enzyme can alter cyclosporine levels, potentially leading to toxicity or reduced efficacy. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and supplements, to avoid harmful interactions.

Ketoprofen, as an NSAID, may interact with other NSAIDs, anticoagulants, and medications that affect renal function. Although systemic absorption from topical application is generally low, caution is advised when the patient is taking oral NSAIDs or anticoagulants, as this may increase the risk of gastrointestinal bleeding or renal impairment. Patients with a history of peptic ulcer disease or renal dysfunction should use this formulation under medical supervision.

In addition to these specific interactions, patients should be advised to avoid applying the nail solution to open wounds or mucous membranes, as this may increase systemic absorption and the risk of interactions. It is also important to monitor for any signs of local or systemic side effects, such as skin irritation, changes in nail appearance, or signs of infection, and report these to a healthcare provider promptly.

If you have any questions or concerns about the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure appropriate treatment for your nail conditions.

How Does it Work

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This unique liquid formulation combines Clobetasol Propionate, Cyclosporine, and Ketoprofen to provide a comprehensive approach to treating various nail conditions, including fungal infections, brittleness, and discoloration. Each component plays a crucial role in addressing these issues.

Clobetasol Propionate is a potent corticosteroid that works by reducing inflammation and suppressing immune responses in the affected area. When applied to the nails, it helps to alleviate inflammation and irritation that may be associated with certain nail conditions. By reducing inflammation, Clobetasol Propionate can also help to improve the appearance of the nails, making them look healthier and less discolored.

Cyclosporine is an immunosuppressant that works by inhibiting the activity of certain immune cells that can contribute to nail disorders. In the context of nail conditions, Cyclosporine helps to modulate the immune response, reducing the likelihood of further damage to the nail matrix and promoting healthier nail growth. This is particularly beneficial for patients with autoimmune-related nail issues, as it helps to stabilize the condition and prevent further deterioration.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that provides additional anti-inflammatory effects. It works by inhibiting the production of prostaglandins, which are chemicals in the body that promote inflammation, pain, and fever. By reducing inflammation and pain, Ketoprofen can help to alleviate discomfort associated with nail conditions and improve the overall appearance of the nails.

The liquid formulation is specifically designed for topical application to the nails, allowing the active ingredients to penetrate the nail plate and reach the underlying nail bed where they can exert their therapeutic effects. This targeted delivery system ensures that the medication is concentrated in the area where it is needed most, maximizing its efficacy while minimizing systemic exposure and potential side effects.

For patients and prescribers considering this formulation, it is important to follow the application instructions carefully to achieve the best results. Consistent use as directed can lead to significant improvements in nail health, promoting stronger, clearer, and more resilient nails. If you have any questions or need further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries you may have.

Frequently Asked Questions

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What is Clobetasol Propionate 1 mg/mL/Cyclosporine 20 mg/mL/Ketoprofen 25 mg/mL Nail Solution used for?

This nail solution is used for the treatment of nail conditions such as fungal infections, brittleness, or discoloration. It delivers medication directly to the nails to promote healthy nail growth and improve overall nail appearance.

How should I apply the nail solution?

Apply the solution directly to the affected nails as directed by your healthcare provider. Ensure the nails are clean and dry before application. Follow the specific instructions provided with the medication for best results.

How often should I use this nail solution?

The frequency of application will depend on your specific condition and the recommendation of your healthcare provider. Typically, it may be applied once or twice daily, but follow your provider's instructions.

Can I use this nail solution on my skin?

No, this formulation is specifically designed for application to the nails. It should not be used on the skin unless directed by a healthcare professional.

Are there any side effects associated with this nail solution?

Some users may experience mild irritation or redness at the application site. If you notice severe side effects or an allergic reaction, discontinue use and consult your healthcare provider immediately.

Can I use nail polish while using this nail solution?

It is generally recommended to avoid using nail polish or other nail products while using this treatment to ensure the medication can effectively penetrate the nail. Consult your healthcare provider for specific advice.

How long will it take to see results?

Results can vary depending on the severity of the condition and individual response to treatment. Some users may notice improvement within a few weeks, while others may require several months of consistent use.

Is this nail solution safe for children?

The safety and effectiveness of this nail solution in children have not been established. Consult a healthcare provider before using this product on a child.

Can I use this nail solution if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this nail solution to ensure it is safe for you and your baby.

What should I do if I miss a dose?

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 solution to make up for a missed dose.

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.

Clobetasol Propionate 1 mg/mL/Cyclosporine 20 mg/mL/Ketoprofen 25 mg/mL Nail Solution
Nail Solution
15 mL
controlled

Apply topically to affected area(s)

Once daily