Dexamethasone 1.5%/Lidocaine HCl 4% Ultrasound Gel is a specialized formulation designed to enhance ultrasonic transmission during diagnostic or therapeutic ultrasound procedures. This clear or tinted gel-like substance ensures optimal imaging quality and improves the efficiency of ultrasound waves.
The combination of dexamethasone, a potent anti-inflammatory agent, and lidocaine, a local anesthetic, makes this gel suitable for managing conditions such as tendonitis, bursitis, and other musculoskeletal disorders where inflammation and pain are present.

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.
Dexamethasone 1.5%/Lidocaine HCl 4% Ultrasound Gel is a specially compounded formulation designed to enhance the effectiveness of ultrasound therapies. By combining the potent anti-inflammatory properties of dexamethasone, a corticosteroid, with the local anesthetic effects of lidocaine hydrochloride, this gel offers both therapeutic benefits and increased patient comfort during ultrasound procedures.
The inclusion of dexamethasone allows for targeted anti-inflammatory action directly at the site of application. This can help reduce inflammation and swelling associated with various musculoskeletal conditions, potentially enhancing the healing process. Lidocaine HCl provides rapid pain relief by numbing the area, which can make the ultrasound treatment more comfortable for patients experiencing discomfort.
The gel base is specifically formulated to improve ultrasonic transmission between the transducer and the skin. This ensures optimal imaging quality and maximizes the efficiency of ultrasound waves for both diagnostic imaging and therapeutic interventions. The enhanced conductivity and the active ingredients work synergistically to potentially improve treatment outcomes.
This compounded gel may be particularly beneficial in therapeutic ultrasound treatments where inflammation and pain are present, such as in tendonitis, bursitis, or other soft tissue injuries. By delivering medication directly to the affected area while simultaneously facilitating effective ultrasound transmission, it supports a more efficient and comfortable treatment experience.
If you have any questions, reach out to us.
When using the Dexamethasone 1.5%/Lidocaine HCl 4% Ultrasound Gel, it is crucial to consider potential drug interactions that may affect the safety and efficacy of the treatment. Dexamethasone, a potent corticosteroid, and Lidocaine, a local anesthetic, can interact with various medications, potentially altering their effects or increasing the risk of adverse reactions. This formulation is designed to enhance ultrasonic transmission during ultrasound examinations or therapeutic procedures, providing both diagnostic and therapeutic benefits. However, understanding the interactions is essential for both patients and prescribers to ensure safe and appropriate use.
Dexamethasone may interact with medications that affect the immune system, such as immunosuppressants or vaccines. Concurrent use with immunosuppressive drugs may increase the risk of infections or reduce the efficacy of vaccines. Additionally, Dexamethasone can interact with nonsteroidal anti-inflammatory drugs (NSAIDs), increasing the risk of gastrointestinal bleeding or ulceration. Patients taking anticoagulants, such as warfarin, should be monitored closely, as corticosteroids can affect blood clotting parameters, potentially necessitating dosage adjustments.
Lidocaine, on the other hand, can interact with antiarrhythmic drugs, such as amiodarone or mexiletine, potentially leading to additive cardiac effects. Caution is advised when using this gel in patients receiving other local anesthetics or medications that affect cardiac conduction, as this may increase the risk of systemic toxicity. Additionally, Lidocaine may interact with beta-blockers, such as propranolol, potentially enhancing the effects of Lidocaine and increasing the risk of side effects.
For patients with pre-existing conditions, such as liver or kidney impairment, the metabolism and excretion of both Dexamethasone and Lidocaine may be affected, necessitating careful monitoring and possible dosage adjustments. It is also important to consider the potential for systemic absorption, especially in cases of prolonged use or application over large areas of the body, which may increase the likelihood of systemic interactions.
Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, supplements, and herbal products, to assess the risk of interactions. Prescribers should evaluate the patient's medication history and consider potential interactions when recommending this formulation. If you have any questions or concerns about drug interactions with this formulation, please reach out to us for further guidance and support.
The Dexamethasone 1.5%/Lidocaine HCl 4% Ultrasound Gel is a specialized formulation designed to enhance the effectiveness of ultrasound procedures, whether diagnostic or therapeutic. This gel serves as a coupling medium, ensuring efficient transmission of ultrasound waves from the transducer to the skin. The gel's unique composition not only facilitates optimal imaging quality but also provides therapeutic benefits due to its active ingredients, dexamethasone and lidocaine hydrochloride.
Dexamethasone is a potent corticosteroid that works by reducing inflammation and suppressing the immune response. When used in ultrasound gel, dexamethasone can help manage localized inflammation and pain associated with various musculoskeletal conditions. By delivering dexamethasone directly to the affected area through phonophoresis, the gel can enhance the penetration of the medication, providing targeted anti-inflammatory effects. This can be particularly beneficial in treating conditions such as tendonitis, bursitis, and other inflammatory disorders where reducing inflammation can lead to improved mobility and pain relief.
Lidocaine hydrochloride is a local anesthetic that works by blocking sodium channels in nerve cells, thereby inhibiting the transmission of pain signals. In the context of ultrasound gel, lidocaine provides immediate pain relief to the area being treated. This can be especially useful during therapeutic ultrasound procedures, where pain management is crucial for patient comfort and compliance. The combination of lidocaine with dexamethasone in the gel allows for simultaneous anti-inflammatory and analgesic effects, making it a versatile option for managing pain and inflammation in a variety of clinical settings.
The gel's formulation is designed to be either clear or tinted, ensuring that it does not interfere with the ultrasound imaging process. Its gel-like consistency ensures that it remains in place during the procedure, providing a consistent medium for ultrasound wave transmission. This is essential for obtaining high-quality images and ensuring the effectiveness of therapeutic ultrasound treatments. The gel's properties also help to minimize air bubbles, which can disrupt the transmission of ultrasound waves and compromise the quality of the imaging or therapeutic outcome.
For patients and prescribers considering the use of Dexamethasone 1.5%/Lidocaine HCl 4% Ultrasound Gel, it is important to understand the dual benefits of this formulation. It not only enhances the technical aspects of ultrasound procedures but also provides therapeutic benefits that can aid in the management of pain and inflammation. This makes it a valuable tool in both diagnostic and therapeutic settings, offering a comprehensive approach to patient care.
If you have any questions about this formulation or its use in specific clinical scenarios, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to make informed decisions about your healthcare options.
This gel is used to enhance ultrasonic transmission during ultrasound examinations or therapeutic procedures, improving imaging quality and the efficiency of ultrasound waves for diagnostic or therapeutic purposes.
The gel acts as a medium that facilitates optimal transmission of ultrasound waves between the transducer and the skin, reducing air gaps and ensuring clearer imaging results.
Yes, the gel is generally safe for all skin types. However, if you have sensitive skin or allergies, it is advisable to consult with a healthcare professional before use.
Yes, the gel is specifically formulated to enhance the efficiency of ultrasound waves, making it suitable for both diagnostic and therapeutic ultrasound procedures.
Yes, the gel contains Dexamethasone 1.5% and Lidocaine HCl 4%, which may provide additional therapeutic benefits during ultrasound procedures.
The gel should be applied directly to the skin in the area where the ultrasound examination or procedure will be conducted, ensuring a smooth and even layer for optimal transmission.
The gel may be clear or tinted. The tinting is purely for visual purposes and does not affect the performance of the gel.
Yes, the gel is compatible with most ultrasound machines and transducers, but it is always best to check with the equipment manufacturer for specific compatibility.
The gel should be stored in a cool, dry place away from direct sunlight to maintain its efficacy and consistency.
Side effects are rare, but some individuals may experience skin irritation or allergic reactions. If any adverse effects occur, discontinue use and consult a healthcare professional.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)