Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Dexamethasone Sodium Phosphate 5.28 mg/mL/Lidocaine HCl 40 mg/mL Solution for Iontophoresis

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

Dexamethasone Sodium Phosphate 5.28 mg/mL/Lidocaine HCl 40 mg/mL Solution for Iontophoresis is a specialized liquid formulation designed for use in iontophoresis therapy. This method employs an electric current to enhance the transdermal delivery of medication, providing targeted treatment.

By facilitating the direct delivery of dexamethasone and lidocaine through the skin, it offers a non-invasive approach to pain relief and inflammation reduction.

View more
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.
Starting at
Fill my prescription
Fill my prescription
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
Check if we ship to your state
No prescription yet?

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 Sodium Phosphate
Lidocaine 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.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

Dexamethasone Sodium Phosphate 5.28 mg/mL combined with Lidocaine HCl 40 mg/mL in a specialized liquid formulation is designed for iontophoresis therapy. This innovative delivery system utilizes a mild electrical current to enhance the transdermal transport of these medications through the skin, providing targeted treatment directly to the affected area.

The use of dexamethasone sodium phosphate, a potent corticosteroid, helps to reduce inflammation by inhibiting the body's natural inflammatory processes. Its anti-inflammatory properties make it beneficial in treating a variety of conditions characterized by swelling and inflammation. Lidocaine HCl, a local anesthetic, works by blocking nerve signals in the body, offering immediate pain relief. The combination of these two medications addresses both the underlying inflammation and the associated pain, enhancing overall therapeutic outcomes.

Iontophoresis as a delivery method offers several advantages over traditional systemic administration. By delivering medications directly to the site of injury or inflammation, it minimizes systemic absorption and potential side effects. This targeted approach allows for higher local concentrations of the medication. It is commonly used in physical therapy and rehabilitation settings for conditions such as tendonitis, bursitis, and other musculoskeletal injuries.

For prescribers, this formulation provides a valuable option for patients who may not tolerate oral medications well or for whom systemic corticosteroid therapy is contraindicated. It allows for precise control over dosing and concentration, which can be tailored to individual patient needs. Prescribers should assess the patient's medical history for any contraindications to corticosteroids or local anesthetics and monitor for potential adverse reactions during treatment.

Patients receiving this iontophoresis solution can expect a non-invasive treatment experience. The procedure is generally painless, with the mild electrical current facilitating the absorption of medication without discomfort. This therapeutic approach can lead to quicker relief from symptoms, improved mobility, and a faster return to daily activities. Patients should inform their healthcare provider of all current medications and any known allergies to ensure the safe use of this therapy.

If you have any questions about this specialized iontophoresis formulation or how it may benefit your treatment plan, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to support both patients and healthcare providers in achieving optimal health outcomes.

Drug Interactions

A small arrow pointing down

When using the Dexamethasone Sodium Phosphate 5.28 mg/mL/Lidocaine HCl 40 mg/mL Solution for iontophoresis, it is crucial to consider potential drug interactions that may affect the efficacy and safety of the treatment. Dexamethasone, a corticosteroid, and lidocaine, a local anesthetic, can interact with various medications, potentially altering their effects or increasing the risk of adverse reactions.

Dexamethasone may interact with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin, increasing the risk of gastrointestinal bleeding or ulceration. Patients should be monitored for signs of gastrointestinal distress, and prescribers may consider alternative pain management strategies if necessary. Additionally, dexamethasone can enhance the effects of anticoagulants like warfarin, necessitating close monitoring of coagulation parameters to prevent bleeding complications.

Concomitant use of dexamethasone with other immunosuppressive agents, such as cyclosporine or methotrexate, may potentiate immunosuppression, increasing the risk of infections. Patients should be advised to report any signs of infection promptly, and prescribers should evaluate the risk-benefit ratio of combined immunosuppressive therapy. Furthermore, dexamethasone can induce hepatic enzymes, potentially reducing the efficacy of drugs metabolized by the liver, such as certain antiepileptics and oral contraceptives. Dose adjustments or alternative therapies may be required.

Lidocaine, when used in conjunction with other local anesthetics or antiarrhythmic drugs, can lead to additive effects, increasing the risk of systemic toxicity. Symptoms of lidocaine toxicity include dizziness, tinnitus, and in severe cases, seizures or cardiac arrhythmias. Patients should be monitored for these symptoms, and prescribers should exercise caution when prescribing additional medications that may enhance lidocaine's effects.

Patients with pre-existing cardiac conditions should be closely monitored, as lidocaine can interact with beta-blockers and other cardiac medications, potentially exacerbating cardiac side effects. Additionally, lidocaine may interact with cimetidine, a common medication used to treat gastrointestinal issues, leading to increased lidocaine plasma levels and heightened risk of toxicity. Patients should inform their healthcare provider of all medications they are taking to ensure safe and appropriate use of this iontophoresis solution.

It is essential for both patients and prescribers to be aware of these potential interactions to optimize treatment outcomes and minimize adverse effects. If you have any questions or concerns regarding the use of this formulation, please reach out to us for further guidance and support.

How Does it Work

A small arrow pointing down

Dexamethasone Sodium Phosphate 5.28 mg/mL and Lidocaine HCl 40 mg/mL Solution for Iontophoresis is a specialized liquid formulation designed to enhance the delivery of medication through the skin using a technique known as iontophoresis. This method employs a mild electric current to drive charged drug molecules across the dermal barrier, allowing for targeted and efficient treatment of specific conditions. The formulation combines the anti-inflammatory properties of dexamethasone sodium phosphate with the local anesthetic effects of lidocaine hydrochloride.

Dexamethasone sodium phosphate is a potent corticosteroid that works by inhibiting the release of substances in the body that cause inflammation. When delivered via iontophoresis, dexamethasone can be concentrated at the site of inflammation, providing localized anti-inflammatory effects without the systemic side effects often associated with oral or injectable corticosteroids. This makes it an ideal choice for treating localized inflammatory conditions such as tendonitis, bursitis, and other musculoskeletal disorders.

Lidocaine hydrochloride, on the other hand, is a well-known local anesthetic that works by blocking sodium channels in nerve cells, thereby preventing the initiation and transmission of nerve impulses. This action results in temporary numbness or loss of sensation in the area where it is applied, providing immediate pain relief. When used in conjunction with dexamethasone in iontophoresis, lidocaine not only helps to alleviate pain but also enhances patient comfort during the treatment process.

The iontophoresis process involves placing electrodes on the skin, with one electrode containing the medication solution. The electric current applied during the procedure facilitates the movement of the charged drug molecules through the skin and into the underlying tissues. This targeted delivery system ensures that higher concentrations of the medication reach the affected area, maximizing therapeutic effects while minimizing systemic exposure and potential side effects.

It is particularly beneficial for individuals who may have difficulty tolerating systemic medications or who require focused therapy for specific areas of pain or inflammation. For prescribers, this formulation provides a versatile tool for managing a variety of conditions, allowing for precise control over drug delivery and dosage.

If you have any questions about this formulation or its use in iontophoresis therapy, please 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 treatment options.

Frequently Asked Questions

A small arrow pointing down

What is Dexamethasone Sodium Phosphate 5.28 mg/mL/Lidocaine HCl 40 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 primarily used for targeted treatment in pain management or localized drug delivery.

How does iontophoresis therapy work with this formulation?

What conditions can be treated with this iontophoresis solution?

This formulation is commonly used to treat conditions that require localized pain management or anti-inflammatory effects, such as tendonitis, bursitis, or other musculoskeletal disorders.

Is this formulation safe for all patients?

While generally safe, this formulation should be used under the guidance of a healthcare professional. Patients with certain conditions or allergies should consult their doctor before use.

How is the solution applied during iontophoresis therapy?

The solution is applied to the skin at the treatment site, and an iontophoresis device is used to deliver a mild electric current, facilitating the absorption of the medication.

Are there any side effects associated with this formulation?

Some patients may experience mild skin irritation or redness at the application site. If severe reactions occur, discontinue use and consult a healthcare professional.

Can this formulation be used in conjunction with other medications?

It is important to consult a healthcare provider before combining this formulation with other medications to avoid potential interactions.

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 patient's specific condition and response to treatment.

What should I do if I miss a scheduled iontophoresis session?

If you miss a session, consult your healthcare provider for guidance on rescheduling and maintaining your treatment plan.

Is this formulation suitable for long-term use?

Long-term use should be evaluated and monitored by a healthcare professional to ensure safety and effectiveness, as prolonged use may require adjustments in treatment.

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 5.28 mg/mL/Lidocaine HCl 40 mg/mL Solution for Iontophoresis
Iontophoresis Solution
30 mL
controlled

Apply topically to affected area(s)

As directed