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Formulas

Dexpanthenol 50 mg/mL/Piroxicam 5 mg/mL Topical Gel

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

Dexpanthenol 50 mg/mL/Piroxicam 5 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 effective absorption of active ingredients.

This formulation is used to treat inflammatory conditions such as arthritis, tendonitis, and bursitis, providing relief from pain and inflammation.

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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.
Starting at
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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.
Dexpanthenol
Piroxicam
Topical Gel
Service area

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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 Dexpanthenol 50 mg/mL and Piroxicam 5 mg/mL Topical Gel is a specialized semisolid formulation designed for targeted application on the skin. Dispensed through an easy-to-use pump mechanism, it ensures precise dosing and convenient administration. The gel-like consistency allows for efficient absorption of the active ingredients, providing localized therapeutic effects directly at the site of application.

Dexpanthenol, a derivative of pantothenic acid (vitamin B5), plays a crucial role in skin health. It is known for its moisturizing properties and its ability to promote wound healing by accelerating cell regeneration. When applied topically, Dexpanthenol penetrates the skin layers, improving hydration, reducing transepidermal water loss, and enhancing the skin's natural healing processes.

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that exhibits anti-inflammatory, analgesic, and antipyretic properties. By inhibiting the synthesis of prostaglandins through cyclooxygenase (COX) enzyme blockade, Piroxicam reduces inflammation and alleviates pain. When used topically, it can provide localized pain relief with minimal systemic absorption, reducing the risk of systemic side effects associated with oral NSAIDs.

The combination of Dexpanthenol and Piroxicam in a topical gel offers synergistic benefits for patients requiring both skin repair and pain relief. This formulation may be particularly beneficial for conditions involving inflammation, pain, and skin damage or irritation. The moisturizing effect of Dexpanthenol supports skin integrity, while Piroxicam addresses inflammation and discomfort.

Patients using this topical gel should apply it directly to the affected area as directed by their healthcare provider. The pump mechanism ensures accurate dosing, minimizing wastage and enhancing treatment efficacy. It is important to avoid contact with eyes, mucous membranes, and broken skin unless directed by a physician.

Common

Drug Interactions

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The Dexpanthenol 50 mg/mL/Piroxicam 5 mg/mL Topical Gel is a compounded formulation designed for topical application, providing targeted treatment and absorption of active ingredients directly through the skin. Dexpanthenol, a derivative of pantothenic acid (vitamin B5), is known for its moisturizing and healing properties, often used to enhance skin barrier function and promote wound healing. Piroxicam, a nonsteroidal anti-inflammatory drug (NSAID), is utilized for its anti-inflammatory and analgesic effects.

When considering drug interactions, it is important to note that while topical formulations generally have a lower risk of systemic interactions compared to oral medications, they are not entirely free from potential interactions. Piroxicam, as an NSAID, may still interact with other medications, especially if absorbed systemically in significant amounts. Patients using other NSAIDs, whether orally or topically, should be cautious, as concurrent use may increase the risk of adverse effects such as gastrointestinal irritation or bleeding, even though the risk is lower with topical application.

Patients on anticoagulant therapy, such as warfarin, should also be monitored closely, as NSAIDs can potentiate the effects of anticoagulants, increasing the risk of bleeding. Although the systemic absorption of piroxicam from a topical gel is minimal, it is prudent to consider this potential interaction, especially in patients with compromised skin integrity or those using large amounts of the gel over extended periods.

Additionally, patients taking antihypertensive medications, particularly ACE inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, should be aware that NSAIDs can potentially reduce the efficacy of these drugs, leading to suboptimal blood pressure control. Again, while the risk is lower with topical application, it is advisable to monitor blood pressure regularly and consult with a healthcare provider if there are any concerns.

For patients with a history of hypersensitivity to NSAIDs or any component of the formulation, alternative treatments should be considered, as allergic reactions can occur. It is also important to avoid applying the gel to broken or damaged skin, as this can increase systemic absorption and the risk of adverse effects.

As with any medication, it is crucial for both patients and prescribers to be aware of the potential for interactions and to use the formulation as directed. Patients should inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe and appropriate use of the Dexpanthenol/Piroxicam Topical Gel. If you have any questions or concerns about this formulation or its interactions, please reach out to us for further information and guidance.

How Does it Work

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The Dexpanthenol 50 mg/mL/Piroxicam 5 mg/mL Topical Gel is a carefully formulated semisolid preparation designed to deliver therapeutic benefits directly to the skin. This formulation is dispensed through a convenient pump mechanism, ensuring easy and precise application.

Dexpanthenol, a derivative of pantothenic acid (vitamin B5), plays a crucial role in skin health. It is known for its moisturizing and healing properties, promoting skin barrier repair and enhancing hydration. When applied topically, Dexpanthenol penetrates the skin, where it is converted into pantothenic acid. This conversion is essential for the synthesis of coenzyme A, a critical factor in cellular metabolism and the repair of damaged skin tissues. By supporting the skin's natural healing processes, Dexpanthenol helps alleviate dryness, irritation, and inflammation, making it beneficial for various dermatological conditions.

Piroxicam, a non-steroidal anti-inflammatory drug (NSAID), is included in this formulation for its potent anti-inflammatory and analgesic properties. When applied topically, Piroxicam works by inhibiting the cyclooxygenase (COX) enzymes, which are responsible for the synthesis of prostaglandins. Prostaglandins are mediators of inflammation and pain, and their reduction leads to decreased inflammation and relief from pain. The topical application of Piroxicam allows for localized action, minimizing systemic exposure and reducing the risk of systemic side effects commonly associated with oral NSAIDs.

The combination of Dexpanthenol and Piroxicam in this topical gel provides a dual-action approach to managing skin conditions characterized by inflammation, pain, and compromised skin integrity. The moisturizing and healing effects of Dexpanthenol complement the anti-inflammatory and analgesic properties of Piroxicam, offering a comprehensive treatment option for conditions such as arthritis-related joint pain, localized muscle pain, and inflammatory skin disorders.

For patients and prescribers, this formulation offers a targeted treatment option that maximizes therapeutic benefits while minimizing systemic exposure. The pump mechanism ensures precise dosing, allowing for consistent application and optimal therapeutic outcomes. Patients can apply the gel directly to the affected area, ensuring that the active ingredients are delivered where they are needed most.

If you have any questions or need further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Frequently Asked Questions

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What is Dexpanthenol 50 mg/mL/Piroxicam 5 mg/mL Topical Gel used for?

This topical gel is used for targeted treatment of inflammation and pain relief on the skin. Dexpanthenol helps in skin healing, while Piroxicam is a non-steroidal anti-inflammatory drug (NSAID) that reduces pain and swelling.

How do I apply the Dexpanthenol/Piroxicam Topical Gel?

Dispense the gel through the pump mechanism and apply it directly to the affected area. Gently massage the gel into the skin until it is 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, depending on the severity of the condition.

Can I use this gel on broken skin?

No, you should not apply the gel to broken or damaged skin. It is intended for use on intact skin only.

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 reactions, discontinue use and consult your healthcare provider.

Is this gel safe for use during pregnancy or breastfeeding?

Consult your healthcare provider before using this gel if you are pregnant or breastfeeding, as they can provide guidance based on your specific situation.

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.

How should I store the Dexpanthenol/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 continue with your regular schedule. Do not double the dose.

Can I use this gel for conditions other than those prescribed?

Do not use this gel for conditions other than those prescribed by your healthcare provider. Using it for unapproved conditions 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.

Dexpanthenol 50 mg/mL/Piroxicam 5 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily