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Diphenhydramine HCl 20 mg/g/Hydrocortisone 10 mg/g/Lidocaine HCl 20 mg/g Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Diphenhydramine Hydrochloride
Hydrocortisone
Lidocaine Hydrochloride

This Diphenhydramine HCl 20 mg/g, Hydrocortisone 10 mg/g, and Lidocaine HCl 20 mg/g topical cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is formulated to provide localized treatment and absorption of active ingredients.

This cream is used to treat various skin conditions, including allergic reactions, inflammation, and localized pain. The combination of diphenhydramine, hydrocortisone, and lidocaine offers antihistamine, anti-inflammatory, and anesthetic properties, respectively.

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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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This medication requires a prescription from your doctor

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.

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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.
Diphenhydramine Hydrochloride
Hydrocortisone
Lidocaine Hydrochloride
Topical Cream

Formula Information

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Our Diphenhydramine HCl 20 mg/g, Hydrocortisone 10 mg/g, and Lidocaine HCl 20 mg/g Topical Cream is a specialized formulation designed for localized application on the skin. This semisolid preparation is dispensed through a pump mechanism, allowing for convenient and controlled dosing of active ingredients directly to the affected area.

Diphenhydramine HCl is an antihistamine that works by blocking the action of histamine, a substance in the body that contributes to allergic symptoms. When applied topically, it helps relieve itching and discomfort associated with allergic skin reactions, insect bites, and minor skin irritations. By reducing histamine activity at the site of application, it provides targeted relief from pruritus (itching).

Hydrocortisone is a corticosteroid that possesses anti-inflammatory, antipruritic, and vasoconstrictive properties. It reduces inflammation by suppressing the migration of polymorphonuclear leukocytes and reversing capillary permeability. This action helps alleviate redness, swelling, and discomfort associated with various inflammatory skin conditions such as eczema, dermatitis, and psoriasis.

Lidocaine HCl is a local anesthetic that stabilizes neuronal membranes by inhibiting the ionic fluxes required for the initiation and conduction of nerve impulses. When applied to the skin, it provides rapid pain relief by numbing the area.

The combination of these three active ingredients offers a synergistic effect, addressing multiple symptoms simultaneously. This makes the topical cream suitable for treating a variety of dermatological conditions that involve inflammation, itching, and pain. Conditions such as allergic reactions, contact dermatitis, insect bites, and localized skin irritations may benefit from this multifaceted approach.

For optimal use, apply the cream to the affected area as directed by your healthcare provider, usually a thin layer two to four times daily depending on the severity of the condition. The pump mechanism ensures precise dosing and maintains the integrity of the formulation by minimizing exposure to air and contaminants, which can degrade the active ingredients over time.

Patients should be aware of potential side effects, including but not limited to skin irritation, dryness, redness, or allergic reactions at the site of application. If symptoms persist, worsen, or signs of skin infection develop, discontinue use and consult your healthcare provider promptly. Avoid applying the cream to broken skin, open wounds, or mucous membranes unless specifically directed by a physician.

For prescribers, this compounded formulation provides a tailored therapeutic option for patients requiring targeted relief from

Drug Interactions

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This topical cream formulation contains Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, each of which can interact with other medications or substances. It is crucial for both patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of the cream.

Diphenhydramine HCl, an antihistamine, can interact with other central nervous system depressants, such as alcohol, benzodiazepines, opioids, and certain antidepressants, potentially leading to increased sedation or respiratory depression. Patients should be advised to avoid or limit the use of these substances while using the cream. Additionally, diphenhydramine may interact with monoamine oxidase inhibitors (MAOIs), potentially enhancing anticholinergic effects, which could lead to increased heart rate, dry mouth, urinary retention, or blurred vision.

Hydrocortisone, a corticosteroid, may interact with other medications that affect the immune system, such as immunosuppressants or other corticosteroids, potentially increasing the risk of infections or reducing the effectiveness of vaccines. Patients using this cream should inform their healthcare provider if they are receiving any vaccinations or are on immunosuppressive therapy. Furthermore, prolonged use of topical corticosteroids can lead to systemic absorption, which may interact with medications for diabetes, hypertension, or other conditions affected by corticosteroid use.

Lidocaine HCl, a local anesthetic, can interact with antiarrhythmic drugs, such as amiodarone or mexiletine, potentially leading to additive cardiac effects. Patients with cardiac conditions should use this cream with caution and under the guidance of a healthcare provider. Additionally, lidocaine may interact with other local anesthetics or medications that affect liver enzyme activity, potentially altering its metabolism and effectiveness.

It is important for patients to inform their healthcare providers of all medications, supplements, and herbal products they are currently using to assess potential interactions. Prescribers should carefully evaluate the patient's medication profile and medical history before recommending this topical cream. If you have any questions or concerns about drug interactions with this formulation, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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This compounded topical cream formulation combines three active ingredients: Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, each contributing to the treatment of various dermatological conditions through distinct mechanisms of action. The semisolid preparation is dispensed via a pump mechanism, ensuring a convenient and controlled application directly onto the skin, allowing for localized treatment and absorption of the active ingredients.

Diphenhydramine HCl, an antihistamine, works by blocking the action of histamine, a substance in the body that causes allergic symptoms. When applied topically, Diphenhydramine HCl helps alleviate itching and discomfort associated with allergic skin reactions, insect bites, and minor skin irritations. By inhibiting histamine receptors in the skin, it reduces the sensation of itchiness and provides symptomatic relief.

Hydrocortisone, a corticosteroid, exerts its effects by reducing inflammation, redness, and swelling in the affected area. It works by inhibiting the release of inflammatory mediators and suppressing the immune response in the skin. This action is particularly beneficial in treating conditions such as eczema, psoriasis, and dermatitis, where inflammation is a primary concern. By decreasing the inflammatory response, Hydrocortisone helps to soothe irritated skin and promote healing.

Lidocaine HCl, a local anesthetic, provides pain relief by blocking nerve signals in the skin. It works by inhibiting sodium channels in the neuronal cell membrane, preventing the initiation and conduction of nerve impulses. This action results in a numbing effect on the skin, which is particularly useful for alleviating pain and discomfort associated with minor skin irritations, burns, and insect bites. By providing localized pain relief, Lidocaine HCl enhances the overall comfort of the patient during the healing process.

The combination of these three active ingredients in a single topical cream allows for a multifaceted approach to treating various skin conditions. The pump mechanism ensures precise dosing and minimizes waste, making it an efficient option for patients and prescribers. The formulation is designed to be applied directly to the affected area, allowing for targeted treatment and minimizing systemic absorption, which reduces the risk of side effects commonly associated with oral administration of these medications.

For patients and prescribers considering this formulation, it is important to follow the recommended application guidelines and consult with a healthcare professional if there are any questions or concerns regarding its use. The team at Bayview Pharmacy is available to provide further information and support to ensure optimal treatment outcomes. If you have any questions, please reach out to us.

Other Uses

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The Diphenhydramine HCl 20 mg/g, Hydrocortisone 10 mg/g, and Lidocaine HCl 20 mg/g topical cream is a versatile formulation that can be utilized for a variety of off-label uses beyond its primary indications. This semisolid preparation, dispensed in a pump mechanism, is designed for convenient and controlled application on the skin, allowing for localized treatment or absorption of active ingredients. While the primary use of this formulation is to alleviate symptoms associated with allergic reactions, inflammation, and pain, its unique combination of active ingredients makes it suitable for other therapeutic purposes.

Diphenhydramine HCl, an antihistamine, can be beneficial in managing pruritus (itching) associated with various dermatological conditions, such as eczema or contact dermatitis, by blocking histamine receptors and reducing itchiness. Lidocaine HCl, a local anesthetic, provides temporary relief from pain and discomfort, making this formulation useful for conditions that involve nerve pain or irritation, such as post-herpetic neuralgia or localized neuropathic pain.

Additionally, this combination cream may be considered for use in managing symptoms of insect bites or stings, where the antihistamine can reduce allergic reactions, the corticosteroid can decrease inflammation, and the anesthetic can alleviate pain. It may also be used in minor skin irritations or rashes caused by exposure to irritants or allergens, providing a multi-faceted approach to symptom relief. For patients experiencing discomfort from minor burns or sunburns, the lidocaine component can offer soothing pain relief, while the hydrocortisone can help reduce inflammation and redness.

For prescribers, it is important to consider the patient's overall health status, potential allergies, and the specific condition being treated when recommending this formulation for off-label uses. Patients should be advised to apply the cream as directed, typically in a thin layer to the affected area, and to avoid using it on broken or infected skin unless specifically instructed by a healthcare provider. As with any medication, monitoring for potential side effects, such as skin irritation or allergic reactions, is crucial. If you have any questions or need further information about the potential uses of this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of this compounded Diphenhydramine HCl/Hydrocortisone/Lidocaine HCl topical cream?

This topical cream is formulated to provide relief from itching, inflammation, and pain on the skin. Diphenhydramine HCl acts as an antihistamine to reduce itching, Hydrocortisone is a corticosteroid that helps decrease inflammation, and Lidocaine HCl is a local anesthetic that numbs the skin to alleviate pain.

How should I apply this topical cream?

The cream should be applied to the affected area of the skin using the pump mechanism for a controlled and convenient application. Follow the dosage instructions provided by your healthcare provider or pharmacist.

Can I use this cream on open wounds or broken skin?

No, this cream should not be applied to open wounds or broken skin. It is intended for use on intact skin only. Consult your healthcare provider for appropriate treatment options for open wounds.

How often can I apply this cream?

The frequency of application should be determined by your healthcare provider. Typically, it is applied 2 to 4 times daily, but you should follow the specific instructions given to you.

Are there any side effects associated with this topical cream?

Some possible side effects include skin irritation, redness, or a burning sensation at the application site. If you experience severe side effects or an allergic reaction, discontinue use and contact your healthcare provider immediately.

Can I use this cream if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this cream to ensure it is safe for you and your baby.

Is this cream suitable for children?

Consult your healthcare provider before using this cream on children, as they can provide guidance on appropriate use and dosage for pediatric patients.

How should I store this topical cream?

Store the cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

What should I do if I miss a dose?

If you miss a dose, apply the cream as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra cream to make up for a missed dose.

Can I use other topical medications while using this cream?

Before using other topical medications in conjunction with this cream, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatments.

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.

Diphenhydramine HCl 20 mg/g/Hydrocortisone 10 mg/g/Lidocaine HCl 20 mg/g Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)