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Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Dimercaptosuccinic Acid

The Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel is a semisolid formulation designed for ease of use and precise dosing through a pump mechanism. This gel-like consistency ensures targeted application on the skin, optimizing the absorption of the active ingredient, Dimercaptosuccinic Acid (DMSA). DMSA is a chelating agent commonly used in the treatment of heavy metal poisoning, including lead, mercury, and arsenic toxicity. The transdermal delivery system is particularly beneficial for patients who require an alternative to oral chelation therapy, offering a non-invasive treatment option with potential for improved patient compliance and reduced systemic side effects.

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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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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.
Dimercaptosuccinic Acid
Topical Gel
654e4e57f7b4478a634860bc
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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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Dimercaptosuccinic Acid (DMSA) is a chelating agent used primarily in the treatment of heavy metal poisoning, such as lead, mercury, and arsenic. The 150 mg/0.5 mL transdermal gel formulation of DMSA offers a unique delivery system for patients who may require an alternative to oral administration. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures easy and precise dosing. The transdermal route allows the active ingredient to be absorbed directly through the skin, potentially reducing gastrointestinal side effects and improving patient compliance.

The gel-like consistency of the formulation facilitates targeted application, which can be particularly beneficial for localized treatment areas. Upon application, the DMSA in the gel works by binding to heavy metals in the body, forming complexes that are more readily excreted in the urine. This process helps to reduce the toxic effects of heavy metals on various organ systems and is critical in managing acute and chronic poisoning. The transdermal delivery system may also provide a more consistent release of the medication over time, which can be advantageous in maintaining therapeutic levels of the chelating agent in the bloodstream.

For patients, it is important to understand that the use of this transdermal gel should be under the guidance of a healthcare professional experienced in the management of heavy metal poisoning. The area of application should be clean and free from any skin conditions that may affect the absorption of the medication. For prescribers, monitoring of the patient's heavy metal levels and renal function is essential to ensure the effectiveness and safety of the treatment. Adjustments to the dosing regimen may be necessary based on the patient's response and laboratory results.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to meet the unique needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions regarding the formulation, administration, and expected outcomes of using Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Dimercaptosuccinic acid (DMSA) is a chelating agent used primarily in the treatment of heavy metal poisoning, such as lead, mercury, or arsenic toxicity. When formulated as a transdermal gel, DMSA offers an alternative route of administration that may be advantageous for patients who have difficulties with oral dosing or require a more controlled release of the medication.

When considering the use of DMSA transdermal gel, it is important to be aware of potential drug interactions that could affect the efficacy of the treatment or the patient's overall health. DMSA can potentially interact with other chelating agents, such as EDTA or penicillamine, which may also be used in the treatment of heavy metal poisoning. Concurrent use of multiple chelating agents can increase the risk of additive toxicity, including renal and hepatic side effects, and may alter the chelation dynamics, potentially leading to suboptimal treatment outcomes.

Iron supplements, multivitamins, or any products containing heavy metals should be used with caution in patients undergoing treatment with DMSA transdermal gel. These substances can bind to DMSA, reducing its availability to chelate toxic metals and decreasing the effectiveness of the treatment. It is generally recommended to separate the administration of DMSA and such products by several hours to minimize this interaction.

Additionally, DMSA may interact with certain medications by altering their pharmacokinetics. For example, drugs that undergo renal excretion may have altered clearance rates in the presence of DMSA due to its effects on kidney function. It is important to monitor renal function and drug levels of concomitantly administered medications that have a narrow therapeutic index or are primarily excreted by the kidneys.

Patients should also be advised that the transdermal application of DMSA may be affected by the use of topical preparations that can alter skin barrier function, such as corticosteroids, keratolytics, or other skin products that may either enhance or impede the absorption of DMSA through the skin.

It is crucial for prescribers to review the patient's complete medication list, including over-the-counter drugs, supplements, and herbal products, to identify any potential interactions before initiating treatment with DMSA transdermal gel. Monitoring for signs of toxicity, therapeutic efficacy, and adverse reactions should be conducted regularly throughout the treatment course.

For more detailed information on drug interactions with DMSA transdermal gel or if you have any questions regarding its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to ensure the safe and appropriate use of this medication.

How Does it Work

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Dimercaptosuccinic Acid (DMSA) is a chelating agent that is used in the treatment of heavy metal poisoning, such as lead, mercury, or arsenic poisoning. The mechanism by which DMSA works is by binding to the heavy metals in the bloodstream, which are then excreted from the body through the urine. This process reduces the amount of heavy metal in the body and diminishes its toxic effects on various organs and systems.

The transdermal gel formulation of DMSA at a concentration of 150 mg/0.5 mL is designed to deliver the active ingredient through the skin, directly into the systemic circulation. This route of administration can be particularly beneficial for patients who may have difficulties with oral administration or for those who require a steady absorption of the medication over time. The semisolid consistency of the gel allows for a controlled and targeted application, which can be critical in managing the dosage and minimizing potential side effects.

The gel is dispensed through a pump mechanism, which ensures that each dose is measured accurately, providing consistency in the amount of DMSA delivered with each application. This is particularly important for maintaining therapeutic levels of the medication in the bloodstream for effective chelation therapy. The transdermal delivery system also bypasses the gastrointestinal tract, which can be advantageous in avoiding gastrointestinal side effects and interactions with food or other medications that may occur with oral administration.

In treating heavy metal poisoning, the efficacy of DMSA in chelating metals depends on the metal involved, the extent of exposure, and the individual patient's physiology. Regular monitoring of metal levels in the body is necessary to adjust the treatment regimen accordingly.

For patients and prescribers considering the use of Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel, it is essential to understand the specific indications, potential side effects, and monitoring requirements associated with this treatment. If you have any questions or require further information about this formulation and its use in treating heavy metal poisoning, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance needed to ensure appropriate treatment.

Other Uses

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Dimercaptosuccinic acid (DMSA) is traditionally employed as a chelating agent for the treatment of heavy metal poisoning, such as lead, arsenic, or mercury toxicity. The compound works by binding to the heavy metals in the bloodstream, which are then excreted from the body, reducing the harmful effects associated with such toxic exposures. While this is the primary indication, DMSA may have other clinical applications due to its chelating properties. However, it is important to note that these uses should be explored under the guidance of a healthcare provider with expertise in heavy metal chelation therapy.

In addition to its well-known chelation capabilities, research into DMSA has indicated potential in areas such as neuroprotection. Some studies suggest that because heavy metals can have neurotoxic effects, using DMSA may help alleviate symptoms related to neurological damage or disorders tied to heavy metal accumulation. Furthermore, preliminary studies have looked at the use of DMSA in conditions like cystinuria, where DMSA has been evaluated for its ability to bind to cystine, potentially decreasing the formation of cystine kidney stones.

Regarding the novel transdermal formulation of DMSA we offer, its gel consistency enables it to be topically applied, offering an alternative for those who have difficulty tolerating oral medications or require localized treatment. It is also worth considering that absorption through the skin bypasses the gastrointestinal system, which may reduce some side effects associated with oral administration and provide more stable serum concentrations. Notwithstanding, the transdermal route might have different efficacy and safety profiles that require careful clinical evaluation.

While our transdermal DMSA gel can be of great utility, it is essential for prescribers to carefully consider the indications and potential off-label uses, balancing the benefits against potential risks. The safety profile, including dermal reactions, systemic toxicity, and the ability to effectively chelate heavy metals through this route of administration, needs further clinical elucidation. Prescribers must closely monitor patients for effectiveness and any adverse effects, and patients should be educated on proper application techniques to maximize the desired outcomes.

If there are questions regarding the potential applications of this formulation or its suitability for specific patient scenarios, we encourage healthcare professionals and patients to reach out to our team at Bayview Pharmacy. Our compounding pharmacists are equipped to provide detailed information, support, and guidance to ensure the safe and appropriate use of our DMSA transdermal gel formulation.

Frequently Asked Questions

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What is Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel used for?

This transdermal gel is typically used for the chelation of heavy metals from the body. Dimercaptosuccinic Acid, also known as DMSA, is a chelating agent that binds to heavy metals like lead, mercury, and arsenic, which are then excreted from the body. It's important to use this medication under the guidance of a healthcare provider.

How do I use the Dimercaptosuccinic Acid Transdermal Gel?

To use the gel, apply the prescribed amount using the pump mechanism directly onto the skin over the target area. Gently spread the gel in a thin layer until it's uniformly distributed. Be sure to follow the directions provided by your healthcare provider for the best results.

How often should I apply the transdermal gel?

The frequency of application will be determined by your healthcare provider based on the condition being treated and your body's response to therapy. Follow the dosing instructions provided by your healthcare professional carefully.

Can I cover the area after applying the Dimercaptosuccinic Acid gel?

It's not usually recommended to cover the treated area with bandages or occlusive dressings unless specifically instructed by your healthcare provider. This could alter the absorption of the medication.

Are there any side effects associated with Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel?

As with all medications, there could be side effects. Some people may experience skin irritation, redness, or rash at the site of application. If you notice any severe reactions or signs of an allergic reaction, seek medical attention promptly.

What should I do if I miss a dose?

If you miss a dose, apply the missed dose as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the doses to catch up.

How should I store the Dimercaptosuccinic Acid Transdermal Gel?

Store the gel at room temperature away from light and moisture. Do not freeze the medication. Keep the gel out of reach of children and pets. Discard any expired or unused medication as directed by a pharmacist.

Can I use Dimercaptosuccinic Acid Transdermal Gel with other topical products?

It is best to consult with your healthcare provider before combining this medication with other topical products. They may interact with each other and could alter the effectiveness of the treatment or increase the risk of side effects.

Is the Dimercaptosuccinic Acid Transdermal Gel suitable for children?

Whether this medication is appropriate for children depends on the specific case and should be determined by a healthcare professional. If prescribed for a child, it is crucial to use the medication exactly as directed and to observe the child for any potential side effects.

What happens if I accidentally ingest the Dimercaptosuccinic Acid gel?

If the gel is ingested accidentally, seek immediate medical attention or contact a poison control center. Provide them with the product information and follow their recommendations for treatment.

Can I shower or swim after applying the gel?

It's advised to let the gel absorb fully before you shower or swim. Your healthcare provider can give you instructions on how long you should wait after application. Generally, waiting at least an hour is recommended to ensure that the medication has had sufficient time to begin working.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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.

Dimercaptosuccinic Acid 150 mg/0.5 mL Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily