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Formulas

Dexamethasone 1.2%/Diphenhydramine HCl 2.4%/Haloperidol 0.1%/Lorazepam 0.1%/Metoclopramide HCl 2.4% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Dexamethasone
Diphenhydramine Hydrochloride
Haloperidol
Lorazepam
Metoclopramide Hydrochloride

This topical gel formulation combines Dexamethasone 1.2%, Diphenhydramine HCl 2.4%, Haloperidol 0.1%, Lorazepam 0.1%, and Metoclopramide HCl 2.4% to provide a comprehensive treatment for nausea, vomiting, and anxiety associated with chemotherapy and other medical conditions. The semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application on the skin for targeted treatment and optimal absorption of active ingredients.

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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.

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
Diphenhydramine Hydrochloride
Haloperidol
Lorazepam
Metoclopramide Hydrochloride
Topical Gel
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 topical gel features a combination of Dexamethasone 1.2%, Diphenhydramine HCl 2.4%, Haloperidol 0.1%, Lorazepam 0.1%, and Metoclopramide HCl 2.4%. Dispensed through a convenient pump mechanism, the gel facilitates precise application to the skin, allowing for targeted absorption of the active ingredients.

Dexamethasone is a corticosteroid known for its anti-inflammatory and immunosuppressant properties, which can help reduce inflammation and alleviate associated symptoms. Diphenhydramine HCl, an antihistamine, may relieve allergic reactions and discomfort such as itching or irritation. Haloperidol, traditionally used as an antipsychotic, can also assist in managing nausea and vomiting. Lorazepam, a benzodiazepine, has calming effects that may reduce anxiety and contribute to antiemetic properties. Metoclopramide HCl is a prokinetic agent that enhances gastrointestinal motility, potentially helping to relieve nausea and improve digestive function.

By combining these medications into a topical gel, this formulation aims to provide a multifaceted approach to symptom management. The transdermal delivery system can be particularly beneficial for patients who have difficulty swallowing, are experiencing gastrointestinal disturbances, or require an alternative to oral medication. The gel's consistency and pump dispenser enhance ease of use and dosing accuracy.

For patients, it's important to apply the gel to clean, intact skin as directed by your healthcare provider. Consistent use as prescribed may help in managing symptoms effectively. If you experience any adverse effects or have concerns about the medication, please consult your healthcare professional promptly.

Prescribers may find this formulation useful for addressing a range of symptoms, especially in patients requiring supportive care or those who may benefit from transdermal medication delivery. The combination of anti-inflammatory, antihistamine, antiemetic, and anxiolytic agents can offer comprehensive symptom relief tailored to individual patient needs.

If you have any questions or need further information about this compounded topical gel, please reach out to us.

Drug Interactions

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This compounded topical gel formulation contains a combination of Dexamethasone, Diphenhydramine HCl, Haloperidol, Lorazepam, and Metoclopramide HCl, each contributing to its therapeutic effects. While the topical application minimizes systemic absorption and reduces the risk of systemic drug interactions, it is still important to consider potential interactions, especially if the patient is using other medications concurrently.

Dexamethasone, a corticosteroid, may interact with other medications that affect the immune system or blood sugar levels. Patients using other corticosteroids or immunosuppressive drugs should be monitored for additive effects. Additionally, Dexamethasone can potentially interact with nonsteroidal anti-inflammatory drugs (NSAIDs), increasing the risk of gastrointestinal side effects. Patients with diabetes should be aware that corticosteroids can affect blood glucose levels, and monitoring may be necessary.

Diphenhydramine HCl, an antihistamine, can cause sedation and may enhance the sedative effects of other central nervous system depressants, such as alcohol, benzodiazepines, and opioids. Patients should be advised to avoid or limit the use of these substances while using this formulation. Additionally, Diphenhydramine may interact with monoamine oxidase inhibitors (MAOIs), potentially leading to increased anticholinergic effects.

Haloperidol, an antipsychotic, can interact with medications that prolong the QT interval, such as certain antiarrhythmics, antibiotics, and other antipsychotics, increasing the risk of cardiac arrhythmias. Patients should be monitored for signs of cardiac issues, and prescribers should review the patient's medication list for potential QT-prolonging drugs. Additionally, Haloperidol may interact with medications that affect dopamine levels, such as levodopa, potentially reducing its efficacy.

Lorazepam, a benzodiazepine, can enhance the effects of other CNS depressants, including alcohol, opioids, and other sedatives, leading to increased sedation and respiratory depression. Patients should be cautioned against using these substances concurrently. Lorazepam may also interact with medications that inhibit or induce hepatic enzymes, potentially affecting its metabolism and efficacy.

Metoclopramide HCl, a prokinetic agent, can interact with medications that affect dopamine levels, such as antipsychotics, potentially leading to increased risk of extrapyramidal symptoms. Additionally, Metoclopramide may interact with medications that affect gastrointestinal motility, such as anticholinergics, potentially reducing its efficacy. Patients should be monitored for signs of gastrointestinal or neurological side effects.

Overall, while the topical application of this formulation reduces the risk of systemic interactions, it is crucial for prescribers to review the patient's complete medication list to identify potential interactions. Patients should be advised to report any unusual symptoms or side effects to their healthcare provider. If you have any questions or need further information, please reach out to us at Bayview Pharmacy.

How Does it Work

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This compounded topical gel formulation combines five active pharmaceutical ingredients: Dexamethasone, Diphenhydramine HCl, Haloperidol, Lorazepam, and Metoclopramide HCl. Each of these components plays a distinct role in addressing various symptoms and conditions, providing a multifaceted approach to treatment. The semisolid gel is dispensed through a pump mechanism, ensuring precise dosing and easy application directly onto the skin, which allows for targeted treatment and absorption of the active ingredients.

Dexamethasone, a potent corticosteroid, works by reducing inflammation and suppressing the immune response. By applying it topically, the formulation targets localized areas, minimizing systemic exposure and potential side effects associated with oral corticosteroids.

Diphenhydramine HCl is an antihistamine that helps relieve allergic reactions and symptoms such as itching, rash, and hives. It works by blocking histamine receptors, thereby reducing the effects of histamine in the body. This can be particularly beneficial for patients experiencing skin-related allergic reactions or conditions that cause significant discomfort.

Haloperidol, an antipsychotic medication, is included in this formulation for its ability to manage symptoms of agitation and severe anxiety. When applied topically, it can provide localized relief with reduced systemic absorption, which may help minimize the risk of side effects commonly associated with oral administration of antipsychotics.

Lorazepam, a benzodiazepine, is known for its anxiolytic and sedative properties. In this topical gel, Lorazepam can help alleviate anxiety and promote relaxation. The topical application allows for a more controlled and localized effect, which can be advantageous for patients who require symptom management without the full systemic effects of oral benzodiazepines.

Metoclopramide HCl is a prokinetic agent that enhances gastrointestinal motility and is often used to treat nausea and vomiting. In this formulation, it can help manage symptoms related to gastrointestinal disturbances. The topical application provides a novel route of administration that may be beneficial for patients who have difficulty tolerating oral medications.

The gel-like consistency of this formulation ensures that the active ingredients are evenly distributed and absorbed through the skin, providing a localized effect while minimizing systemic exposure. This can be particularly advantageous for patients who require targeted treatment with reduced risk of systemic side effects. The pump mechanism facilitates precise dosing, allowing patients and caregivers to apply the correct amount of medication with ease.

For both patients and prescribers, this compounded formulation offers a unique and customizable approach to managing a variety of symptoms and conditions. By combining multiple active ingredients in a single topical gel, it provides a comprehensive treatment option that can be tailored to individual patient needs. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of this compounded topical gel formulation?

This compounded topical gel is designed to deliver a combination of active ingredients directly to the skin for targeted treatment. It is used to manage symptoms such as inflammation, nausea, anxiety, and other conditions as prescribed by a healthcare provider.

How should I apply the topical gel?

The gel should be applied to clean, dry skin. Dispense the recommended amount using the pump mechanism and gently rub it into the skin until fully absorbed. Follow your healthcare provider's instructions regarding the specific area of application.

How often should I use this topical gel?

The frequency of application will depend on your specific condition and the instructions provided by your healthcare provider. It is important to follow their guidance to ensure safe and appropriate use.

Can I use this gel on broken or irritated skin?

It is generally advised not to apply the gel to broken or irritated skin unless directed by your healthcare provider. Doing so may increase the risk of irritation or adverse effects.

Are there any side effects associated with this topical gel?

Possible side effects may include skin irritation, redness, or itching at the application site. If you experience severe or persistent side effects, contact your healthcare provider immediately.

Can I use this gel with other topical medications?

Before using this gel with other topical medications, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatments.

How should I store the topical gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

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 resume your regular schedule. Do not apply extra gel to make up for a missed dose.

Is this topical gel safe for use during pregnancy or breastfeeding?

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

What should I do if I experience an allergic reaction to the gel?

If you experience symptoms of an allergic reaction, such as rash, itching, swelling, or difficulty breathing, stop using the gel immediately and seek medical attention.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Dexamethasone 1.2%/Diphenhydramine HCl 2.4%/Haloperidol 0.1%/Lorazepam 0.1%/Metoclopramide HCl 2.4% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily