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Cyclophosphamide 25 mg/ml Gastric Tube Liquid

FDA-approved generic
Dose form
G-Tube Liquid
Active ingredients
Cyclophosphamide

The Cyclophosphamide 25 mg/ml Gastric Tube Liquid is a specially formulated medication designed for administration via a gastric tube. This formulation ensures precise and safe delivery of the drug to patients who are unable to take oral medications, making it a common choice in hospital settings or for patients with swallowing difficulties.

Cyclophosphamide is a chemotherapy drug that interferes with the growth of cancer cells and slows their spread in the body. It is used to treat several types of cancer including lymphoma, leukemia, ovarian cancer, and breast cancer. It can also be used to treat certain kidney diseases in children after other treatments have not worked.

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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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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.

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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.
Cyclophosphamide
G-Tube Liquid
653ed42227931ae1d2d4e210
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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This formulation of Cyclophosphamide 25 mg/ml Gastric Tube Liquid is a specially designed medication for administration via a gastric tube. This method of delivery ensures accurate and safe administration of the drug to patients who are unable to take oral medications. This is often the case for patients in hospital settings or those with swallowing difficulties. The formulation is designed to be easily administered through a gastric tube, reducing the risk of complications and improving patient comfort.

Cyclophosphamide is a potent chemotherapy drug that is used to treat various types of cancer, including lymphomas, leukemias, and some solid tumors. It works by interfering with the growth and spread of cancer cells in the body. This medication is also used to treat certain cases of nephrotic syndrome (a kidney disease) in children. The liquid formulation allows for precise dosing, which is critical in chemotherapy where the therapeutic window is narrow.

It's important for prescribers to understand that the dose and frequency of administration of Cyclophosphamide 25 mg/ml Gastric Tube Liquid will vary depending on the specific disease state being treated, the patient's overall health status, and their response to therapy. Regular monitoring of blood counts is necessary to adjust the dose as needed and to manage potential side effects. Patients should be closely monitored for signs of infection or bleeding, as well as for any changes in kidney function.

For patients, it's crucial to understand that while Cyclophosphamide is a powerful medication that can effectively treat serious conditions, it also comes with potential side effects. These can include nausea, vomiting, loss of appetite, and hair loss. More serious side effects can include decreased bone marrow function, leading to a higher risk of infection and bleeding, as well as potential damage to the bladder. Patients should be encouraged to report any side effects to their healthcare provider immediately.

If you have any questions about this formulation of Cyclophosphamide 25 mg/ml Gastric Tube Liquid, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide the information and support you need to ensure appropriate treatment.

Drug Interactions

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Cyclophosphamide is an alkylating agent used in the treatment of various types of cancers, including lymphomas, leukemias, and solid tumors. It is also used in certain autoimmune disorders. This medication works by interfering with the growth and spread of cancer cells in the body. It can also affect normal cells, which may lead to side effects.

When considering drug interactions, it's important to note that cyclophosphamide is metabolized primarily by the liver enzyme CYP2B6, and to a lesser extent by CYP3A4/5. Therefore, drugs that inhibit or induce these enzymes may affect the metabolism of cyclophosphamide. For example, strong CYP2B6 inhibitors such as ticlopidine or clopidogrel may increase the levels of cyclophosphamide, potentially leading to increased toxicity. On the other hand, strong inducers such as rifampin or phenobarbital may decrease the levels of cyclophosphamide, potentially reducing its efficacy.

Furthermore, cyclophosphamide can interact with other medications that have immunosuppressive effects, such as corticosteroids or other chemotherapy drugs. This can lead to an increased risk of infections or other immunosuppressive side effects. It's also important to note that cyclophosphamide can increase the risk of bleeding when used with anticoagulants such as warfarin or heparin.

Live vaccines should be avoided during treatment with cyclophosphamide due to the potential for serious infections. In addition, cyclophosphamide can increase the cardiotoxic effects of anthracyclines such as doxorubicin. Therefore, careful monitoring is required when these drugs are used together.

Patients should be advised to inform their healthcare provider of all the medications they are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements. This will help the healthcare provider to manage potential drug interactions and ensure the safe and appropriate use of cyclophosphamide.

It's also important for patients to understand that while cyclophosphamide can help to control their disease, it does not cure it. Regular follow-up visits with the healthcare provider are necessary to monitor the patient's response to treatment and manage any side effects.

If you have any questions about the use of cyclophosphamide or its potential interactions with other medications, please do not hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is always here to help.

How Does it Work

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Cyclophosphamide is an alkylating agent that works by interfering with the growth of cancer cells, which are then destroyed by the body. It is a prodrug, meaning it is metabolized in the liver to its active form, 4-hydroxycyclophosphamide. This active metabolite is then able to cross cell membranes and bind to DNA, causing cross-linking and abnormal base pairing. This leads to cell death, particularly in rapidly dividing cells such as cancer cells. Cyclophosphamide also has immunosuppressive activity, which can be beneficial in certain conditions where the immune system is overactive.

The formulation of Cyclophosphamide 25 mg/ml Gastric Tube Liquid is specifically designed for administration via a gastric tube. This is particularly useful for patients who are unable to swallow oral medications, such as those with dysphagia or who are unconscious. The liquid formulation allows for precise dosing and ensures that the medication is delivered directly to the stomach, where it can be absorbed into the bloodstream. This method of administration bypasses the need for the drug to be swallowed and pass through the esophagus, which can be problematic in patients with swallowing difficulties.

Cyclophosphamide is used to treat a variety of disease states. It is most commonly used in the treatment of various types of cancer, including lymphoma, leukemia, ovarian cancer, and breast cancer. It works by slowing or stopping the growth of cancer cells. In addition to its use in oncology, cyclophosphamide is also used in certain autoimmune conditions, such as lupus and rheumatoid arthritis, where it helps to suppress the overactive immune system.

These can include nausea, vomiting, loss of appetite, and hair loss. More serious side effects can include decreased bone marrow function and bladder problems. Regular monitoring by a healthcare professional is required when taking this medication.

If you have any questions about this formulation or how it works, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help ensure that you have all the information you need to make informed decisions about your healthcare.

Frequently Asked Questions

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What is the compounded formulation of Cyclophosphamide 25 mg/ml Gastric Tube Liquid?

This is a specifically formulated liquid medication designed for administration via a gastric tube. It ensures the precise and safe delivery of the Cyclophosphamide drug to patients who are unable to take oral medications. It is commonly used in hospital settings or for patients with swallowing difficulties.

Why is this medication administered via a gastric tube?

The administration via a gastric tube is mainly done for patients who have difficulty swallowing or cannot take oral medications. This method ensures that the drug is delivered accurately and safely into the patient's system.

What is Cyclophosphamide used for?

Cyclophosphamide is a type of medication typically used in the treatment of various types of cancers and autoimmune disorders. It works by interfering with the growth and spread of cancer cells and by suppressing the immune system.

Can this medication be administered in other forms?

Yes, Cyclophosphamide can also be administered in tablet form, intravenous injection, and as an infusion. However, this particular formulation has been designed specifically for administration via a gastric tube, which is particularly useful in patients with swallowing difficulties or who cannot take oral medications.

Who typically requires this form of medicine?

This formulation is typically required by patients who are unable to swallow oral medications due to physical limitations or conditions that affect their ability to swallow. These patients may include those in hospital settings or those receiving home-based care.

Is the administration of this medication painful?

Typically, the administration of this medication through a gastric tube is not painful. However, some discomfort might be experienced during the initial placement of the gastric tube.

Are there any side-effects of Cyclophosphamide liquid medication?

Yes, like any other medication, there may be side effects. These can include nausea, vomiting, loss of appetite and hair loss. If these symptoms persist or worsen, it's important to contact your healthcare provider immediately.

Can this medication be administered at home?

Yes, but it must be done under the direction and supervision of a healthcare professional. They will guide on how to administer the drug, potential side effects, and how often it should be given.

How should the Cyclophosphamide 25 mg/ml Gastric Tube Liquid be stored?

The medication should be stored at room temperature. Keep it away from light, heat and moisture. Always keep medications out of the reach of children.

What should I do if I miss a dose?

If you miss a dose, administer it as soon as you remember. However, if it’s close to the time for your next dose, skip the missed dose and follow your regular dosing schedule. Do not use double doses. In the event of any confusion, contact your doctor for advice.

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.

Cyclophosphamide 25 mg/ml Gastric Tube Liquid
G-Tube Liquid
60 mL
controlled
Once daily