This oral suspension is a liquid dosage form in which Diphenhydramine HCl, Hydrocortisone, Nystatin, and Tetracycline are uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for administration. It is specifically formulated to treat inflammatory and allergic conditions, fungal infections, and bacterial infections in the oral cavity.

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.
This compounded oral suspension combines Diphenhydramine HCl 1.25 mg/mL, Hydrocortisone 0.5 mg/mL, Nystatin 20,000 Units/mL, and Tetracycline 12.5 mg/mL in a homogeneous liquid dosage form designed for oral administration. The suspension ensures that each active ingredient is uniformly dispersed throughout the liquid medium.
Diphenhydramine HCl acts as an antihistamine, providing relief from discomfort caused by allergic reactions in the oral cavity. It helps reduce symptoms such as itching, swelling, and pain. Hydrocortisone, a corticosteroid, works by reducing inflammation and suppressing immune responses, which can alleviate inflammation and irritation in the mouth.
Tetracycline, a broad-spectrum antibiotic, inhibits bacterial protein synthesis, helping to combat a variety of bacterial infections that may be present in the oral mucosa.
The combination of these ingredients addresses multiple potential causes of oral discomfort and lesions, including bacterial infections, fungal infections, inflammatory responses, and allergic reactions. This makes the formulation particularly useful for patients experiencing complex oral conditions where multiple therapeutic actions are beneficial.
Patients are advised to use this oral suspension as directed by their healthcare provider. The liquid form allows for easy administration and ensures direct contact of the medication with the affected areas in the mouth, enhancing the therapeutic effects. It's important to shake the bottle well before each use to ensure the proper distribution of the active ingredients.
Prescribers may consider this formulation for patients requiring a comprehensive treatment approach to oral mucosal conditions. The suspension can be tailored to meet specific patient needs, and dosing can be adjusted based on the severity of symptoms and response to therapy.
If you have any questions, reach out to us.
This compounded oral suspension contains Diphenhydramine HCl, Hydrocortisone, Nystatin, and Tetracycline, each of which can interact with other medications, potentially altering their effects or increasing the risk of adverse reactions. It is crucial for both patients and prescribers to be aware of these interactions to ensure safe and appropriate use of this formulation.
Diphenhydramine HCl, an antihistamine, can cause sedation and may enhance the sedative effects of other central nervous system depressants, such as alcohol, benzodiazepines, opioids, and certain antidepressants. Patients should be advised to avoid or limit the use of these substances while taking this medication. Additionally, diphenhydramine may interact with monoamine oxidase inhibitors (MAOIs), potentially leading to increased anticholinergic effects, such as dry mouth, constipation, and urinary retention.
Hydrocortisone, a corticosteroid, can interact with a variety of medications. It may increase blood glucose levels, potentially reducing the efficacy of antidiabetic drugs. Patients with diabetes should monitor their blood sugar levels closely. Concurrent use with nonsteroidal anti-inflammatory drugs (NSAIDs) may increase the risk of gastrointestinal bleeding. Hydrocortisone can also affect the metabolism of certain drugs, such as warfarin, leading to altered anticoagulant effects. Regular monitoring of INR levels is recommended for patients on warfarin therapy.
Nystatin, an antifungal agent, is generally well-tolerated and has minimal systemic absorption when used orally. However, it is important to note that nystatin may interact with other antifungal medications, potentially leading to reduced efficacy. Patients should inform their healthcare provider of all antifungal treatments they are currently using to avoid potential interactions.
Tetracycline, an antibiotic, can interact with various medications and supplements. It may bind to calcium, magnesium, aluminum, and iron, reducing its absorption and effectiveness. Patients should avoid taking tetracycline with dairy products, antacids, or iron supplements. Additionally, tetracycline can decrease the effectiveness of oral contraceptives, so alternative or additional contraceptive measures should be considered. It may also interact with anticoagulants, potentially enhancing their effects and increasing the risk of bleeding.
Patients and prescribers should be vigilant about potential drug interactions when using this compounded oral suspension. A comprehensive review of the patient's current medication regimen, including over-the-counter drugs and supplements, is essential to minimize the risk of adverse interactions. If you have any questions or concerns about drug interactions with this formulation, please reach out to us for further assistance.
This compounded oral suspension is a carefully formulated medication designed to deliver a combination of active ingredients, each serving a specific therapeutic purpose. The liquid dosage form ensures that the ingredients are uniformly dispersed throughout the medium, providing a homogeneous mixture that facilitates accurate dosing and ease of administration. This formulation is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, such as children or the elderly, and allows for flexible dosing adjustments as needed.
Diphenhydramine HCl, an antihistamine, works by blocking the action of histamine, a substance in the body that causes allergic symptoms. By inhibiting histamine receptors, diphenhydramine helps alleviate symptoms such as itching, swelling, and rashes. Its sedative properties can also provide relief from discomfort and promote rest, which is beneficial in managing symptoms that may disrupt sleep.
Hydrocortisone, a corticosteroid, functions by reducing inflammation and suppressing the immune response. By modulating the body's immune response, hydrocortisone aids in the management of conditions that involve excessive inflammation, providing relief from discomfort and promoting healing.
Nystatin is an antifungal agent that targets fungal infections, particularly those caused by Candida species. It works by binding to the sterols in the fungal cell membrane, creating pores that lead to the leakage of essential cellular components, ultimately causing cell death.
Tetracycline, a broad-spectrum antibiotic, inhibits bacterial protein synthesis by binding to the 30S ribosomal subunit, preventing the addition of amino acids to the growing peptide chain. This action effectively halts bacterial growth and replication, making tetracycline useful in treating a variety of bacterial infections. Its inclusion in this formulation helps address bacterial components of mixed infections, ensuring comprehensive antimicrobial coverage.
The combination of these active ingredients in a single oral suspension allows for a multifaceted approach to treatment, addressing allergic, inflammatory, fungal, and bacterial components of disease states. This synergistic effect can enhance therapeutic outcomes, providing comprehensive relief and promoting recovery. If you have any questions or require further information, please reach out to us at Bayview Pharmacy.
This compounded oral suspension is formulated to provide relief from symptoms such as inflammation, itching, and infection. It combines Diphenhydramine HCl for its antihistamine properties, Hydrocortisone for its anti-inflammatory effects, Nystatin for its antifungal action, and Tetracycline for its antibiotic properties.
Store the oral suspension in a cool, dry place away from direct sunlight. It is important to keep it out of reach of children and pets. Follow any specific storage instructions provided by your pharmacist or healthcare provider.
Shake the bottle well before each use to ensure the ingredients are evenly distributed. Use a proper measuring device, such as an oral syringe or dosing cup, to ensure accurate dosing. Follow the dosage instructions provided by your healthcare provider.
This formulation may be used for children if prescribed by a healthcare provider. It is important to follow the specific dosing instructions provided for pediatric patients, as they may differ from adult dosages.
Possible side effects may include drowsiness, dizziness, upset stomach, or allergic reactions. If you experience any severe or concerning symptoms, contact your healthcare provider immediately.
Before taking this oral suspension with other medications, consult your healthcare provider or pharmacist. They can help determine if there are any potential interactions with your current medications.
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.
Use the oral suspension for the duration prescribed by your healthcare provider. Do not stop using it prematurely, even if symptoms improve, unless advised by your healthcare provider.
If you are pregnant or breastfeeding, consult your healthcare provider before using this oral suspension. They can assess the potential risks and benefits based on your specific situation.
If you experience signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek immediate medical attention. Discontinue use of the oral suspension and inform your healthcare provider.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Take orally