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Formulas

Cyclosporine 10 mg/ml/Neomycin 3.5 mg/ml/Dexamethasone 1 mg/ml/Polymyxin B 10,000 U/ml Otic Suspension

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Dexamethasone
Cyclosporine A
Neomycin Sulfate
Polymyxin B Sulfate

Bayview Pharmacy's compounded Cyclosporine 10 mg/ml/Neomycin 3.5 mg/ml/Dexamethasone 1 mg/ml/Polymyxin B 10,000 U/ml Otic Suspension is a specialized liquid formulation for otic use. It is designed to provide targeted treatment for various ear conditions such as Otitis Externa, Acute Otitis Media, Swimmer's Ear, Chronic Otitis Media, and Malignant Otitis Externa. The medication is administered using a specific ear dropper or applicator as directed.

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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.
Dexamethasone
Cyclosporine A
Neomycin Sulfate
Polymyxin B Sulfate
Otic Solution
6427079ea643240f0d51893b
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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This compounded formulation, Cyclosporine 10 mg/ml/Neomycin 3.5 mg/ml/Dexamethasone 1 mg/ml/Polymyxin B 10,000 U/ml Otic Suspension, is a specialized liquid solution designed for targeted treatment of various ear conditions.

The formulation combines the potent anti-inflammatory and antibacterial properties of cyclosporine, neomycin, dexamethasone, and polymyxin B. This powerful combination works synergistically to reduce inflammation, combat infection, and alleviate symptoms associated with the aforementioned ear conditions. The formulation is designed for topical administration directly to the affected area using a specific ear dropper or applicator as directed.

Cyclosporine in this formulation plays a crucial role in reducing inflammation and alleviating symptoms associated with various ear conditions. Neomycin, an antibiotic, works effectively to combat infection and minimize the risk of further complications. Dexamethasone, a steroid, further aids in reducing inflammation and alleviating symptoms. Lastly, polymyxin B, another antibiotic in the formulation, contributes to the fight against infection and helps prevent further complications.

This formulation is a appropriate treatment option for a variety of ear-related conditions, with minimal side effects. If you have any questions about this formulation or how it can help treat your condition, please do not hesitate to reach out to us at Bayview Pharmacy.

Drug Interactions

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Cyclosporine 10 mg/ml, Neomycin 3.5 mg/ml, Dexamethasone 1 mg/ml, and Polymyxin B 10,000 U/ml Otic Suspension is a compounded formulation specifically designed for otic use. It is intended for the treatment of various ear conditions such as Otitis Externa, Acute Otitis Media, Swimmer's Ear, Chronic Otitis Media, and Malignant Otitis Externa. This formulation provides targeted treatment, administered using a specific ear dropper or applicator as directed.

It is important to note that this formulation should not be used in patients with a known hypersensitivity to any of the components. The concomitant use of other ototoxic or nephrotoxic drugs should be avoided. Patients should be monitored for signs of nephrotoxicity or ototoxicity. Cyclosporine may increase the risk of nephrotoxicity when used with other nephrotoxic drugs. Neomycin may cause ototoxicity and should be used with caution in patients with renal impairment. Dexamethasone may increase the risk of nephrotoxicity when used with other nephrotoxic drugs. Polymyxin B may cause nephrotoxicity and ototoxicity and should be used with caution in patients with renal impairment.

If you have any questions or concerns regarding this formulation, please do not hesitate to reach out for further clarification or guidance.

How Does it Work

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This compounded formulation combines four active ingredients: Cyclosporine 10 mg/ml, Neomycin 3.5 mg/ml, Dexamethasone 1 mg/ml, and Polymyxin B 10,000 U/ml. It is an otic suspension, specifically designed for use in the ear canal to provide targeted treatment for various ear conditions. These conditions may include Otitis Externa, Acute Otitis Media, Swimmer's Ear, Chronic Otitis Media, and Malignant Otitis Externa.

Cyclosporine, an immunosuppressant, works to reduce inflammation and swelling in the ear. Dexamethasone, a corticosteroid, also aids in reducing inflammation and swelling. Together, these ingredients work synergistically to treat and manage ear conditions.

The formulation is typically administered as an ear drop, using a specific ear dropper or applicator as directed by a healthcare provider. The drops should be instilled into the affected ear(s) and the ear should be gently massaged to ensure even distribution of the medication. It is important to use the drops for the duration of time prescribed by your healthcare provider to ensure the best possible outcome.

Please note that this formulation is not recommended for use in children under the age of two years. Always consult with your healthcare provider if you have any questions or concerns about this formulation or its administration.

Frequently Asked Questions

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What is this compounded formulation used for?

This compounded formulation is used for the treatment of various ear conditions, such as infections or inflammation. It is specifically designed for use in the ear canal.

How is this medication administered?

This medication is administered using a specific ear dropper or applicator as directed by a healthcare professional.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Cyclosporine 10 mg/ml, Neomycin 3.5 mg/ml, Dexamethasone 1 mg/ml, and Polymyxin B 10,000 U/ml.

What is the purpose of each ingredient in this formulation?

Cyclosporine is an immunosuppressant that reduces inflammation, Neomycin and Polymyxin B are antibiotics that treat bacterial infections, and Dexamethasone is a corticosteroid that reduces swelling and inflammation.

What form does this medication come in?

This medication comes in a liquid formulation specifically designed for use in the ear canal.

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 in the ear. If these effects persist or worsen, notify your doctor or pharmacist promptly.

Can this medication be used in children?

Yes, this medication can be used in children as directed by a healthcare professional. However, the dosage may vary depending on the child's age and weight.

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 risks and benefits should be discussed.

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.

Cyclosporine 10 mg/ml/Neomycin 3.5 mg/ml/Dexamethasone 1 mg/ml/Polymyxin B 10,000 U/ml Otic Suspension
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily