Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Diphenhydramine HCl 20 mg/mL/Hydrocortisone 5 mg/mL/Lidocaine HCl 20 mg/mL Topical Lotion

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

This topical lotion is a liquid or semi-liquid formulation designed for external application to the skin, providing a smooth and spreadable consistency. It offers moisturizing, soothing, and therapeutic effects, promoting the absorption of active ingredients for localized treatment.

Containing Diphenhydramine HCl 20 mg/mL, Hydrocortisone 5 mg/mL, and Lidocaine HCl 20 mg/mL, this formulation is specifically used to treat conditions such as allergic skin reactions, inflammation, and localized pain or itching. It is ideal for managing symptoms associated with dermatitis, eczema, insect bites, and minor skin irritations.

View more
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
Fill my prescription
Fill my prescription
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
Check if we ship to your state
No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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.
Diphenhydramine Hydrochloride
Hydrocortisone
Lidocaine Hydrochloride
Topical Lotion
Service area

Can we ship this formula to your state?

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.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

This topical lotion combines Diphenhydramine HCl 20 mg/mL, Hydrocortisone 5 mg/mL, and Lidocaine HCl 20 mg/mL to provide comprehensive relief for a variety of skin conditions characterized by inflammation, itching, and pain. Designed for external application, the lotion offers a smooth and spreadable consistency that promotes the absorption of active ingredients for localized treatment, while also providing moisturizing and soothing effects to the skin.

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 receptors in the skin, it effectively reduces itching and helps alleviate discomfort associated with allergic reactions, insect bites, and other irritants.

Hydrocortisone is a corticosteroid that reduces inflammation by suppressing the immune response and decreasing the release of inflammatory substances. It helps to diminish redness, swelling, and irritation.

Lidocaine HCl is a local anesthetic that provides rapid pain relief by temporarily numbing the affected area. It works by blocking nerve signals in the skin, which helps to alleviate pain and discomfort resulting from minor burns, sunburns, cuts, and abrasions.

The combination of these three active ingredients offers a synergistic effect, addressing multiple symptoms simultaneously. This makes the formulation particularly beneficial for treating skin conditions like allergic dermatitis, insect bites, poison ivy, minor burns, eczema flare-ups, and other mild to moderate skin irritations that involve itching, inflammation, and pain.

The lotion's base not only facilitates the delivery of these active ingredients into the skin but also provides a moisturizing effect. It helps to soothe dry or irritated skin, improving overall skin health and comfort. Its smooth consistency ensures that it can be gently applied without causing further irritation to sensitive or inflamed areas.

To use this topical lotion, apply a thin layer to the affected area two to three times daily or as directed by your healthcare provider. Gently massage the lotion into the skin until fully absorbed. Avoid applying it to open wounds, broken skin, or areas with severe skin infections. Wash your hands before and after application to prevent the spread of infection and to avoid transferring the medication to other areas.

While this formulation is generally well-tolerated, some individuals may experience side effects such as mild skin irritation, redness, or a burning sensation at the application site. If any adverse reactions occur or if symptoms persist or worsen, discontinue use and consult your healthcare provider. It is important to inform your provider about any other medications you are using and any underlying health conditions to avoid potential drug interactions or contraindications.

This compounded medication is customized to meet specific patient needs, offering a tailored approach when commercially available products are insufficient or unsuitable. Compounding allows for the combination of multiple active ingredients into a single formulation, improving patient compliance and therapeutic outcomes.

Drug Interactions

A small arrow pointing down

This topical lotion formulation contains Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, each of which has specific pharmacological actions and potential interactions. Diphenhydramine HCl is an antihistamine that can help alleviate itching and allergic reactions on the skin. Hydrocortisone is a corticosteroid that reduces inflammation and suppresses immune responses, while Lidocaine HCl is a local anesthetic that provides pain relief by blocking nerve signals in the skin. When combined in a topical lotion, these active ingredients work synergistically to provide relief from itching, inflammation, and pain associated with various dermatological conditions.

While the systemic absorption of these active ingredients from a topical application is generally low, it is important to consider potential drug interactions, especially in patients with extensive skin conditions or when used over large areas of the body. Diphenhydramine, when absorbed systemically, may interact with other central nervous system depressants, such as alcohol, benzodiazepines, and opioids, potentially enhancing their sedative effects. Patients should be advised to avoid or limit the use of such substances while using this formulation.

Hydrocortisone, as a corticosteroid, may interact with other medications that affect the immune system or blood sugar levels. Although systemic absorption is minimal, caution is advised in patients who are on immunosuppressive therapy or those with diabetes, as corticosteroids can potentially exacerbate these conditions. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and supplements, to avoid potential interactions.

Lidocaine, when absorbed in significant amounts, can interact with antiarrhythmic drugs and other local anesthetics, potentially leading to additive cardiac effects. Although the risk is low with topical application, patients with pre-existing cardiac conditions or those on medications affecting cardiac function should use this formulation under medical supervision.

For prescribers, it is crucial to assess the patient's overall medication regimen and health status before recommending this topical lotion. Consideration should be given to the patient's skin condition, the extent of the area to be treated, and any underlying health issues that may increase the risk of systemic absorption and subsequent interactions. Monitoring for any adverse effects or signs of systemic absorption is recommended, especially in long-term use or when applied to large areas of the skin.

Patients should be advised to apply the lotion as directed, avoiding contact with eyes, mucous membranes, and broken skin. They should also be informed about the signs of potential adverse reactions, such as increased skin irritation, systemic side effects like drowsiness or dizziness, and instructed to seek medical advice if these occur. If you have any questions or concerns about using this formulation, please reach out to us for further guidance and support.

How Does it Work

A small arrow pointing down

This topical lotion formulation combines Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl to provide a multifaceted approach to treating various skin conditions. Each active ingredient plays a distinct role in alleviating symptoms and promoting skin health. The formulation is designed for external application, offering a smooth and spreadable consistency that ensures even distribution and absorption of the active ingredients into the skin, targeting localized areas effectively.

Diphenhydramine HCl, an antihistamine, works by blocking the action of histamine, a substance in the body that causes allergic symptoms. When applied topically, it helps to reduce itching and discomfort associated with allergic reactions, insect bites, and other skin irritations. By inhibiting the histamine response, Diphenhydramine HCl provides relief from itching and helps to prevent further irritation caused by scratching.

Hydrocortisone, a corticosteroid, is included in the formulation for its anti-inflammatory properties. It works by suppressing the immune response and reducing inflammation in the affected area. This action helps to alleviate redness, swelling, and irritation associated with various dermatological conditions such as eczema, psoriasis, and dermatitis. By reducing inflammation, Hydrocortisone aids in the healing process and provides symptomatic relief.

Lidocaine HCl, a local anesthetic, is incorporated to provide immediate pain relief by blocking nerve signals in the skin. This action is particularly beneficial for conditions that involve pain or discomfort, such as minor burns, cuts, and abrasions. By numbing the affected area, Lidocaine HCl helps to alleviate pain and discomfort, allowing for improved patient comfort and compliance with treatment.

The combination of these three active ingredients in a topical lotion allows for a comprehensive approach to managing skin conditions. The moisturizing and soothing properties of the lotion base further enhance the therapeutic effects, providing a protective barrier that supports skin healing and prevents moisture loss.

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 concerns or questions regarding its use. This formulation is intended for external use only and should be applied as directed to the affected area. If you have any questions or require further information, please reach out to us at Bayview Pharmacy. We are here to assist you with your compounding needs and ensure optimal treatment outcomes.

Frequently Asked Questions

A small arrow pointing down

What is the purpose of this compounded topical lotion?

This compounded topical lotion is designed for external application to the skin to provide moisturizing, soothing, or therapeutic effects for specific skin conditions. It promotes the absorption of active ingredients like Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl for localized treatment.

How should I apply this topical lotion?

Apply a thin layer of the lotion to the affected area of the skin as directed by your healthcare provider. Gently rub it in until it is evenly distributed and absorbed. Avoid contact with eyes, mouth, and other mucous membranes.

What conditions can this lotion help treat?

This lotion can help treat conditions such as itching, inflammation, and pain associated with minor skin irritations, insect bites, rashes, and allergic reactions.

How often can I use this lotion?

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

Are there any side effects associated with this lotion?

Possible side effects may include mild skin irritation, redness, or a burning sensation at the application site. If you experience severe reactions or symptoms persist, contact your healthcare provider.

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

This lotion is not intended for use on open wounds or broken skin. Consult your healthcare provider for appropriate treatment options for such conditions.

Is this lotion safe for children?

Consult your healthcare provider before using this lotion on children, as they can provide guidance based on the child's specific condition and age.

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

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

How should I store this topical lotion?

Store the lotion at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

What should I do if I accidentally ingest this lotion?

If accidental ingestion occurs, seek medical attention immediately or contact a poison control center. Do not induce vomiting unless instructed by a healthcare professional.

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.

Diphenhydramine HCl 20 mg/mL/Hydrocortisone 5 mg/mL/Lidocaine HCl 20 mg/mL Topical Lotion
Topical Lotion
30 g
controlled

Apply topically to affected area(s)

Twice daily