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Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Dexamethasone
Piroxicam

Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a pump mechanism. This gel-like consistency ensures targeted treatment and absorption of active ingredients.

This formulation is used to treat inflammatory conditions such as arthritis, bursitis, and tendonitis, providing relief from pain and swelling associated with these disease states.

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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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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
Piroxicam
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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Formula Information

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The Dexamethasone 20 mg/mL and Piroxicam 1 mg/mL Topical Gel is a compounded semisolid formulation designed for targeted relief of inflammatory and painful conditions. Dispensed through a pump mechanism, it ensures easy and precise application directly onto the skin, facilitating optimal absorption of the active ingredients at the site of discomfort.

Dexamethasone is a potent corticosteroid known for its anti-inflammatory and immunosuppressive properties. It works by inhibiting the release of substances in the body that cause inflammation, thereby reducing swelling, redness, and pain. Piroxicam, on the other hand, is a non-steroidal anti-inflammatory drug (NSAID) that alleviates pain and reduces inflammation by blocking the production of prostaglandins. The combination of these two medications in a topical gel provides a synergistic effect, offering enhanced anti-inflammatory and analgesic benefits directly at the affected area.

This formulation is particularly beneficial for patients experiencing localized musculoskeletal conditions such as arthritis, tendinitis, bursitis, or other soft tissue inflammations. By delivering the medications topically, it minimizes systemic absorption, thereby reducing the risk of systemic side effects associated with oral administration of corticosteroids and NSAIDs.

Patients should apply the gel as prescribed, typically dispensing a measured amount from the pump and gently massaging it into the affected area until fully absorbed. It is important to apply the gel to clean, dry skin and avoid contact with open wounds, eyes, or mucous membranes. Consistent use as directed by a healthcare professional is crucial for achieving optimal therapeutic outcomes.

While topical application reduces the likelihood of systemic side effects, patients may still experience local reactions such as skin irritation, redness, or itching at the application site. It is important to monitor for any adverse effects and report them to a healthcare provider promptly. Patients with known hypersensitivity to corticosteroids, NSAIDs, or any component of the formulation should refrain from using this product. Caution is advised for individuals with pre-existing skin conditions or those concurrently using other medications that might interact with corticosteroids or NSAIDs.

Healthcare providers considering this formulation for their patients can appreciate the targeted delivery mechanism that concentrates the therapeutic effects where needed while mitigating systemic exposure. The pump dispenser ensures dosing accuracy and enhances patient compliance by offering a convenient and mess-free application method.

If you have any questions about this formulation or how it might benefit your treatment plan, please reach out to us.

Drug Interactions

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The Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel is a compounded formulation designed for targeted treatment of inflammatory conditions and pain management. Dexamethasone, a potent corticosteroid, works by reducing inflammation and suppressing the immune response, while Piroxicam, a nonsteroidal anti-inflammatory drug (NSAID), alleviates pain and reduces inflammation by inhibiting the production of prostaglandins. This combination is particularly useful in managing localized inflammatory conditions such as arthritis, tendinitis, and bursitis, where both inflammation and pain are present.

When considering drug interactions, it is important to note that while the topical application of this formulation minimizes systemic absorption, interactions can still occur, especially with prolonged use or application over large surface areas. Patients and prescribers should be aware of potential interactions with other medications the patient may be taking.

Concomitant use of other corticosteroids, whether systemic or topical, may increase the risk of systemic corticosteroid effects, such as adrenal suppression, especially if used over large areas or for extended periods. Patients should be monitored for signs of hypercorticism and adrenal suppression. Additionally, the use of other NSAIDs, including over-the-counter options like ibuprofen or aspirin, should be approached with caution, as this may increase the risk of gastrointestinal bleeding or ulceration, even with topical application.

Patients on anticoagulant therapy, such as warfarin, should be closely monitored, as NSAIDs like Piroxicam can potentiate the effects of anticoagulants, increasing the risk of bleeding. Similarly, patients taking antihypertensive medications, particularly ACE inhibitors, angiotensin II receptor blockers, or diuretics, should be aware that NSAIDs can reduce the efficacy of these drugs, potentially leading to elevated blood pressure.

For patients with a history of gastrointestinal issues, such as peptic ulcers or gastrointestinal bleeding, the use of this topical gel should be carefully considered, as NSAIDs can exacerbate these conditions. Additionally, patients with renal or hepatic impairment should use this formulation with caution, as both Dexamethasone and Piroxicam can affect renal and liver function, particularly with prolonged use.

It is crucial for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe use of this topical gel. Prescribers should evaluate the patient's overall medication regimen and health status to mitigate potential interactions and adverse effects.

If you have any questions or concerns about the use of Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel, please reach out to us for further information and guidance.

How Does it Work

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The Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel is a compounded formulation designed to deliver potent anti-inflammatory and analgesic effects directly to the site of application. This semisolid gel is dispensed through a convenient pump mechanism, allowing for precise dosing and easy application. The gel-like consistency ensures that the active ingredients are evenly distributed across the skin surface, promoting optimal absorption and efficacy.

Dexamethasone is a corticosteroid that works by inhibiting the release of substances in the body that cause inflammation. When applied topically, dexamethasone penetrates the skin to reduce inflammation and swelling in the affected area. This can be particularly beneficial for conditions characterized by localized inflammation, such as arthritis, tendinitis, or bursitis. By reducing inflammation, dexamethasone helps alleviate pain and improve mobility in the affected joints or tissues.

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that provides additional anti-inflammatory and analgesic effects. It works by inhibiting the enzyme cyclooxygenase (COX), which is involved in the production of prostaglandins, compounds that mediate inflammation and pain. The topical application of piroxicam allows for targeted action at the site of pain or inflammation, minimizing systemic exposure and reducing the risk of side effects commonly associated with oral NSAIDs.

The combination of dexamethasone and piroxicam in this topical gel formulation offers a synergistic effect, enhancing the overall anti-inflammatory and pain-relieving properties. The localized delivery system ensures that the active ingredients are concentrated at the site of application, providing rapid relief and improving patient outcomes.

For patients and prescribers considering this formulation, it is important to follow the prescribed dosing instructions and apply the gel to clean, dry skin. The pump mechanism ensures accurate dosing, but care should be taken to avoid contact with broken skin or mucous membranes. As with any medication, potential side effects should be monitored, and any concerns should be discussed with a healthcare provider.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this topical gel.

Frequently Asked Questions

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What is Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel used for?

This topical gel is used for targeted treatment of inflammation and pain in specific areas of the body. Dexamethasone is a corticosteroid that reduces inflammation, while Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that helps alleviate pain.

How do I apply the Dexamethasone/Piroxicam Topical Gel?

The gel is dispensed through a pump mechanism, allowing for easy and precise application. Apply a small amount to the affected area and gently rub it into the skin until fully absorbed.

How often should I use this topical gel?

Follow your healthcare provider's instructions regarding the frequency of application. Typically, it may be applied once or twice daily, but your specific regimen may vary based on your condition.

Can I use this gel on broken or irritated skin?

No, you should not apply the gel to broken, irritated, or infected skin. Doing so may increase the risk of adverse reactions or further irritation.

Are there any side effects associated with this topical gel?

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

Can I use this gel with other topical medications?

Consult your healthcare provider before using this gel with other topical medications to avoid potential interactions or reduced effectiveness.

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

Consult your healthcare provider before using this gel if you are pregnant or breastfeeding, as the safety of these medications in such conditions has not been fully established.

How should I store the Dexamethasone/Piroxicam Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

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.

Can I use this gel for conditions other than what it was prescribed for?

No, you should only use this gel for the condition it was prescribed for. Using it for other conditions without medical advice may not be safe or effective.

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.

Dexamethasone 20 mg/mL/Piroxicam 1 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily