This topical spray formulation combines Diphenhydramine HCl, Hydrocortisone Acetate, and Pramoxine HCl, each at a concentration of 10 mg/mL, in a liquid form contained within a spray bottle. It is specifically designed for easy and targeted application to the skin, delivering a fine mist for localized treatment.
This formulation is used to treat various skin conditions, including allergic reactions, inflammation, and itching associated with dermatitis, eczema, insect bites, and minor skin irritations. The combination of active ingredients provides antihistamine, anti-inflammatory, and anesthetic effects, offering soothing relief and reducing discomfort in the affected areas.

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 topical spray combines Diphenhydramine HCl 10 mg/mL, Hydrocortisone Acetate 10 mg/mL, and Pramoxine HCl 10 mg/mL in a convenient liquid formulation designed for direct application to the skin. This unique combination offers synergistic effects to provide relief from various skin discomforts by addressing multiple symptoms simultaneously.
Diphenhydramine HCl is an antihistamine that works by blocking the action of histamine, a substance in the body that causes allergic symptoms. By inhibiting histamine, diphenhydramine helps to reduce itching and swelling associated with allergic reactions and irritations.
Hydrocortisone Acetate is a topical corticosteroid that reduces inflammation by suppressing the immune response in the affected area. It helps alleviate redness, swelling, and discomfort caused by inflammatory skin conditions by inhibiting the release of substances in the body that cause inflammation.
Pramoxine HCl is a local anesthetic that provides temporary relief from pain and itching by blocking nerve signals in the skin. It helps to numb the affected area, offering quick relief from discomfort associated with minor skin irritations.
The combination of these three active ingredients in a topical spray allows for easy and targeted application, ensuring that the medication is delivered precisely where it is needed. The spray form minimizes contact with the affected area, which can help prevent further irritation and promote healing.
This compounded medication is beneficial for patients who require multi-symptom relief from skin discomforts, providing antihistaminic, anti-inflammatory, and anesthetic effects in one formulation. It can be particularly useful when over-the-counter options are insufficient or when a tailored approach is needed.
For prescribers, this formulation offers a customizable option to address specific patient needs, especially in cases where patients may be sensitive to certain excipients found in commercial products or require alternative concentrations of active ingredients.
Patients should apply the spray as directed by their healthcare provider, usually to the affected area up to the prescribed number of times per day. It is important to avoid contact with the eyes and mucous membranes and to use the medication only on intact skin unless otherwise directed.
As with any medication, patients should be aware of potential side effects, which may include local skin reactions such as burning, stinging, or irritation at the application site. If any severe reactions occur, patients should discontinue use and consult their healthcare provider.
If you have any questions about this compounded topical spray or how it may benefit you or your patients, please reach out to us for more information. Our team at Bayview Pharmacy is here to assist with any inquiries regarding this formulation.
When using the Diphenhydramine HCl 10 mg/mL/Hydrocortisone Acetate 10 mg/mL/Pramoxine HCl 10 mg/mL Topical Spray, it is important to consider potential drug interactions, even though the formulation is applied topically. This combination spray is designed to provide relief from itching, inflammation, and pain associated with various dermatological conditions. Diphenhydramine is an antihistamine that helps reduce itching and allergic reactions, hydrocortisone is a corticosteroid that reduces inflammation, and pramoxine is a local anesthetic that helps relieve pain and itching.
While the systemic absorption of these medications is generally low when applied topically, there is still a potential for interactions, especially if the spray is used over large areas of the body or for prolonged periods. Patients should be cautious if they are using other medications that contain similar active ingredients, such as oral antihistamines, systemic corticosteroids, or other topical anesthetics, as this may increase the risk of additive side effects or toxicity.
For patients taking oral diphenhydramine or other sedating antihistamines, there is a potential for increased sedation or anticholinergic effects, such as dry mouth, urinary retention, or constipation. Patients should be advised to monitor for these symptoms and consult their healthcare provider if they experience any adverse effects. Additionally, combining multiple sources of corticosteroids, whether topical or systemic, can increase the risk of systemic corticosteroid effects, such as adrenal suppression, especially in pediatric patients or when used over large surface areas.
Pramoxine, as a local anesthetic, generally has a low risk of systemic interactions. However, patients should avoid using other local anesthetics concurrently on the same area to prevent potential additive effects, which could lead to increased local irritation or systemic absorption. Patients with a history of sensitivity to local anesthetics should use this product with caution and under the guidance of a healthcare provider.
Prescribers should evaluate the patient's current medication regimen, including over-the-counter products, to identify any potential interactions. It is also important to consider the patient's overall health status, including any pre-existing conditions that may be affected by the use of topical corticosteroids or antihistamines. Patients with conditions such as glaucoma, hypertension, or diabetes should use this formulation with caution and under medical supervision.
If you have any questions or concerns about using this formulation, or if you need further information on potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you and ensure the safe and appropriate use of this medication.
This topical spray formulation combines three active ingredients: Diphenhydramine HCl, Hydrocortisone Acetate, and Pramoxine HCl, each contributing to the relief of various skin conditions through distinct mechanisms of action. The liquid formulation is contained in a spray bottle, allowing for precise and convenient application directly to the affected area, ensuring that the medication is delivered efficiently and effectively.
Diphenhydramine HCl is an antihistamine that works by blocking the action of histamine, a substance in the body that causes allergic symptoms. When applied topically, Diphenhydramine HCl helps to alleviate itching and discomfort associated with allergic reactions, insect bites, and other skin irritations. By inhibiting the histamine response, it reduces the sensation of itchiness and provides relief from the urge to scratch, which can further irritate the skin.
Hydrocortisone Acetate is a corticosteroid that reduces inflammation by suppressing the immune response and decreasing the production of inflammatory chemicals in the body. When applied to the skin, it helps to reduce redness, swelling, and irritation associated with various dermatological conditions such as eczema, psoriasis, and dermatitis.
Pramoxine HCl is a local anesthetic that works by numbing the skin and blocking the transmission of nerve signals that cause pain and itching. This provides immediate relief from discomfort and itching, making it particularly useful for conditions that cause significant irritation and pain. By numbing the affected area, Pramoxine HCl helps to break the itch-scratch cycle, allowing the skin to heal more effectively.
The combination of these three active ingredients in a topical spray formulation offers a comprehensive approach to managing skin conditions characterized by itching, inflammation, and pain. The spray delivery system ensures that the medication is evenly distributed over the affected area, providing targeted relief without the need for direct contact with the skin, which can be beneficial for sensitive or painful areas.
It is important to follow the prescribed dosage and application instructions to achieve optimal results. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy.
This topical spray is designed to deliver a combination of Diphenhydramine HCl, Hydrocortisone Acetate, and Pramoxine HCl directly to the skin. It provides relief from itching, inflammation, and minor skin irritations by utilizing the antihistamine, anti-inflammatory, and anesthetic properties of its active ingredients.
Shake the spray bottle well before use. Hold the bottle a few inches away from the affected area and spray a fine mist directly onto the skin. Allow the medication to dry naturally. Avoid rubbing or touching the treated area immediately after application.
Follow the instructions provided by your healthcare provider or the product label. Typically, the spray can be applied 3 to 4 times daily, but it is important to adhere to the recommended dosage and frequency to avoid potential side effects.
This spray is intended for use on intact skin only. Avoid applying it to open wounds, broken skin, or areas with severe irritation unless directed by a healthcare professional.
Some users may experience mild side effects such as skin irritation, redness, or a burning sensation at the application site. If you experience severe reactions or if symptoms persist, discontinue use and consult a healthcare professional.
Consult a healthcare provider before using this spray on children, as the safety and efficacy may vary based on age and specific health conditions. It is important to follow professional guidance for pediatric use.
If you are pregnant or breastfeeding, consult your healthcare provider before using this spray to ensure it is safe for you and your baby. They can provide personalized advice based on your health needs.
If the spray comes into contact with your eyes, rinse them immediately with plenty of water. If irritation persists, seek medical attention promptly.
Store the spray at room temperature, away from direct sunlight and heat. Keep the bottle tightly closed when not in use and out of reach of children and pets to prevent accidental ingestion or misuse.
Before using other topical medications in conjunction with this spray, consult your healthcare provider to avoid potential interactions or reduced effectiveness. They can provide guidance on safe and appropriate use of multiple treatments.
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.
Apply topically to affected area(s)