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Dexamethasone Sodium Phosphate 1.6 mg/mL/Lidocaine HCl 8 mg/mL/Verapamil HCl 1 mg/mL Solution for Iontophoresis

FDA-approved generic
Dose form
Iontophoresis Solution
Active ingredients
Dexamethasone Sodium Phosphate
Lidocaine Hydrochloride
Verapamil Hydrochloride

This specialized liquid formulation combines Dexamethasone Sodium Phosphate, Lidocaine HCl, and Verapamil HCl for use in iontophoresis therapy. By applying an electric current, this solution facilitates the transdermal delivery of medication, providing targeted treatment for conditions such as inflammation, pain management, and localized drug delivery for musculoskeletal disorders and neuropathic pain.

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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.
Dexamethasone Sodium Phosphate
Lidocaine Hydrochloride
Verapamil Hydrochloride
Iontophoresis Solution
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 specialized liquid formulation combines Dexamethasone Sodium Phosphate 1.6 mg/mL, Lidocaine Hydrochloride 8 mg/mL, and Verapamil Hydrochloride 1 mg/mL for use in iontophoresis therapy. Iontophoresis utilizes a mild electric current to facilitate the transdermal delivery of medications through the skin, allowing for targeted treatment by concentrating the therapeutic agents directly at the site of concern.

Dexamethasone Sodium Phosphate is a potent corticosteroid with strong anti-inflammatory properties. It works by suppressing the body's inflammatory response, reducing swelling, pain, and redness associated with various inflammatory conditions. By decreasing inflammation locally, it aids in accelerating the healing process of affected tissues.

Lidocaine Hydrochloride acts as a local anesthetic by blocking sodium channels in neuronal cell membranes. This action inhibits nerve impulse initiation and conduction. The inclusion of lidocaine enhances patient comfort during treatment and can alleviate pain associated with conditions like neuralgia or acute injuries.

Verapamil Hydrochloride is a calcium channel blocker traditionally used to treat cardiovascular conditions. In topical applications, verapamil has been studied for its ability to interfere with fibroblast activity and collagen synthesis. This may help in managing conditions characterized by excessive scar tissue formation or fibrotic disorders by promoting tissue remodeling and reducing abnormal tissue buildup.

The combination of these medications delivered via iontophoresis offers a synergistic approach to treatment. By using electrical currents to drive the medications into the skin, higher localized concentrations can be achieved with minimized systemic absorption, potentially reducing the risk of systemic side effects. This method enhances the efficacy of the medications by ensuring they reach deeper tissues that are difficult to treat with topical applications alone.

For both patients and prescribers, this formulation presents a valuable option for managing localized inflammatory conditions, pain, and certain fibrotic disorders. It may be considered in cases where oral medications are unsuitable or when targeted therapy is preferred. The use of iontophoresis allows for non-invasive treatment, which can be especially beneficial for patients seeking alternatives to injections or systemic medications.

Drug Interactions

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This specialized liquid formulation for iontophoresis therapy combines Dexamethasone Sodium Phosphate, Lidocaine HCl, and Verapamil HCl to provide targeted treatment for conditions such as pain management and localized drug delivery. While this formulation offers significant therapeutic benefits, it is crucial to be aware of potential drug interactions that may affect its efficacy and safety.

Dexamethasone Sodium Phosphate, a corticosteroid, may interact with nonsteroidal anti-inflammatory drugs (NSAIDs), increasing the risk of gastrointestinal bleeding. Patients using NSAIDs should be monitored closely. Additionally, dexamethasone can enhance the effects of anticoagulants, such as warfarin, necessitating regular monitoring of coagulation parameters to avoid bleeding complications. It may also reduce the efficacy of vaccines, so patients should inform their healthcare provider about recent or upcoming vaccinations.

Lidocaine HCl, a local anesthetic, can interact with antiarrhythmic drugs like amiodarone, potentially leading to additive cardiac effects such as bradycardia or heart block. Patients on antiarrhythmic therapy should be monitored for cardiac function. Lidocaine may also interact with beta-blockers, increasing the risk of lidocaine toxicity due to reduced hepatic clearance. Patients should be advised to report any signs of toxicity, such as dizziness or confusion.

Verapamil HCl, a calcium channel blocker, can interact with other antihypertensive agents, potentially leading to an excessive drop in blood pressure. Patients should be monitored for signs of hypotension, such as dizziness or fainting. Verapamil may also increase the plasma concentration of drugs metabolized by the CYP3A4 enzyme, such as statins, leading to an increased risk of adverse effects like muscle pain or weakness. Patients should inform their healthcare provider of all medications they are taking to assess the risk of interactions.

For both patients and prescribers, it is essential to consider these potential interactions when using this iontophoresis formulation. A thorough medication review should be conducted to identify any possible interactions, and appropriate monitoring should be implemented to ensure patient safety. If you have any questions or need further information, please reach out to us.

How Does it Work

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This specialized liquid formulation combines Dexamethasone Sodium Phosphate, Lidocaine HCl, and Verapamil HCl, designed for use in iontophoresis therapy. Iontophoresis is a non-invasive technique that uses a mild electric current to enhance the transdermal delivery of medications. This method allows for the targeted treatment of specific conditions by facilitating the movement of charged drug molecules through the skin, directly to the affected area, thereby maximizing therapeutic effects while minimizing systemic exposure.

Dexamethasone Sodium Phosphate is a potent corticosteroid that works by reducing inflammation and suppressing the immune response. By delivering dexamethasone directly to the site of inflammation, iontophoresis can provide rapid relief from pain and swelling, improving patient outcomes and reducing the need for oral corticosteroids, which can have systemic side effects.

Lidocaine HCl is a local anesthetic that works by blocking sodium channels in nerve cells, thereby inhibiting the transmission of pain signals. When used in iontophoresis, lidocaine provides localized pain relief, making it beneficial for conditions such as neuropathic pain, muscle strains, and other painful musculoskeletal disorders. The transdermal delivery of lidocaine ensures that the anesthetic effect is concentrated at the site of pain.

Verapamil HCl is a calcium channel blocker that is often used in the treatment of cardiovascular conditions. However, in the context of iontophoresis, verapamil is utilized for its ability to modulate cellular processes and improve tissue perfusion. It can be particularly useful in the treatment of conditions such as Peyronie's disease or Dupuytren's contracture, where it helps to soften fibrotic tissue and improve range of motion. The localized delivery of verapamil via iontophoresis allows for higher concentrations at the target site, enhancing its therapeutic effects while minimizing systemic exposure.

The combination of these three active ingredients in a single formulation allows for a multifaceted approach to treatment, addressing inflammation, pain, and tissue remodeling simultaneously. The use of iontophoresis not only enhances the penetration of these medications through the skin but also allows for precise control over the dosage and duration of treatment, tailored to the specific needs of the patient.

For both patients and prescribers, this formulation offers a targeted, efficient, and non-invasive treatment option that can be integrated into a comprehensive therapeutic regimen. If you have any questions or need further information about this formulation and its use in iontophoresis therapy, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or support you may need.

Frequently Asked Questions

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What is Dexamethasone Sodium Phosphate 1.6 mg/mL/Lidocaine HCl 8 mg/mL/Verapamil HCl 1 mg/mL Solution used for?

This specialized liquid formulation is used in iontophoresis therapy to facilitate the transdermal delivery of medication through the skin. It is often used for targeted treatment in pain management or localized drug delivery.

How does iontophoresis therapy work with this formulation?

Iontophoresis therapy uses an electric current to enhance the penetration of the medication through the skin, allowing for targeted delivery to specific areas, which can improve the effectiveness of the treatment.

What conditions can be treated with this iontophoresis solution?

This formulation can be used to treat various conditions, including pain management, inflammation, and localized drug delivery needs, depending on the specific medical advice and condition being addressed.

Is this formulation safe for everyone to use?

While generally safe, this formulation should only be used under the guidance of a healthcare professional. Certain individuals, such as those with specific allergies or medical conditions, may need to avoid it.

How is the solution applied during iontophoresis therapy?

The solution is applied to the skin, and an iontophoresis device is used to deliver a mild electric current, which helps the medication penetrate the skin more effectively.

Are there any side effects associated with this formulation?

Some individuals may experience mild skin irritation or redness at the site of application. It is important to consult with a healthcare provider if any adverse effects occur.

Can this formulation be used in conjunction with other medications?

It is important to consult with a healthcare provider before using this formulation with other medications to avoid potential interactions and ensure appropriate treatment.

How often can iontophoresis therapy be performed with this solution?

The frequency of iontophoresis therapy sessions should be determined by a healthcare professional based on the specific condition being treated and the patient's response to therapy.

What should I do if I experience discomfort during iontophoresis therapy?

If you experience discomfort during iontophoresis therapy, inform your healthcare provider immediately. They may need to adjust the treatment settings or evaluate the suitability of the therapy for you.

Is there any special care required after iontophoresis therapy with this formulation?

After therapy, it is generally recommended to monitor the treated area for any signs of irritation and follow any specific aftercare instructions provided by your healthcare provider.

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 Sodium Phosphate 1.6 mg/mL/Lidocaine HCl 8 mg/mL/Verapamil HCl 1 mg/mL Solution for Iontophoresis
Iontophoresis Solution
30 mL
controlled

Apply topically to affected area(s)

As directed