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

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

This topical solution combines Diphenhydramine HCl 20 mg/mL, Hydrocortisone 5 mg/mL, and Lidocaine HCl 20 mg/mL, offering a potent treatment for various dermatological conditions. It is specifically formulated to alleviate symptoms associated with allergic reactions, inflammation, and localized pain. The solution is ideal for treating conditions such as contact dermatitis, insect bites, and minor skin irritations, providing targeted relief through external application to the skin.

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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.
Starting at
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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
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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.
Diphenhydramine Hydrochloride
Hydrocortisone
Lidocaine Hydrochloride
Topical Solution
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.

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Formula Information

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This topical solution combines Diphenhydramine HCl 20 mg/mL, Hydrocortisone 5 mg/mL, and Lidocaine HCl 20 mg/mL in a liquid formulation intended for external application to the skin. It is designed to provide comprehensive relief for various dermatological conditions by targeting symptoms such as itching, inflammation, and pain.

Diphenhydramine HCl is an antihistamine that helps alleviate itching and discomfort associated with allergic skin reactions. By blocking the effects of histamine, a substance in the body that causes allergic symptoms, it provides relief from pruritus and reduces the urge to scratch affected areas.

Hydrocortisone is a mild corticosteroid that reduces inflammation, redness, and swelling in the skin. It works by suppressing the immune response in the affected area, thereby decreasing the production of inflammatory substances. This can be particularly beneficial in conditions like eczema, dermatitis, and other inflammatory skin disorders.

Lidocaine HCl is a local anesthetic that provides rapid pain relief by temporarily numbing the nerve endings in the skin.

The combination of these three active ingredients offers a multifaceted approach to managing skin conditions. While Diphenhydramine HCl addresses itching caused by allergic reactions, Hydrocortisone reduces underlying inflammation, and Lidocaine HCl alleviates pain and discomfort. This makes the topical solution suitable for treating a variety of skin conditions that involve itching, inflammation, and pain, such as allergic dermatitis, insect bites, minor burns, and rashes.

For patients, it is important to apply the solution gently to the affected area as directed by a healthcare professional. Avoid applying to broken or severely damaged skin unless advised by a physician. Wash your hands thoroughly before and after application to prevent the spread of infection. If symptoms persist or worsen after use, consult your healthcare provider for further evaluation.

Prescribers should consider this formulation for patients who require symptomatic relief from dermatological conditions involving multiple symptoms. The combination therapy can enhance patient compliance by reducing the need for multiple separate applications of different medications. Monitor patients for potential side effects associated with topical corticosteroids, antihistamines, and local anesthetics, especially with prolonged use.

Possible side effects may include mild skin irritation, dryness, or allergic reactions at the application site. If patients experience significant side effects or signs of hypersensitivity, such as rash, swelling, or difficulty breathing, they should seek medical attention promptly.

If you have any questions, please reach out to us.

Drug Interactions

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This topical solution combines Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, each of which has distinct pharmacological properties that can interact with other medications. Diphenhydramine HCl is an antihistamine that can potentially interact with other central nervous system depressants, such as alcohol, benzodiazepines, opioids, and certain antidepressants, leading to enhanced sedative effects. Although this formulation is for topical use, systemic absorption can occur, especially if applied over large areas or broken skin, which may increase the risk of such interactions.

Hydrocortisone, a corticosteroid, may interact with other medications that affect the immune system or blood sugar levels. Patients using systemic corticosteroids or other immunosuppressive agents should be monitored for potential additive effects, which could increase the risk of infections or impact glucose control. Additionally, caution is advised when used concurrently with nonsteroidal anti-inflammatory drugs (NSAIDs) due to the potential for increased gastrointestinal side effects.

Lidocaine HCl, a local anesthetic, can interact with other medications that affect cardiac conduction, such as antiarrhythmic drugs, due to its potential to cause additive effects on the heart. Although systemic absorption from topical application is generally low, it is important to consider this interaction in patients with pre-existing cardiac conditions or those taking medications that affect heart rhythm.

Patients and prescribers should be aware of these potential interactions and consider the patient's full medication profile, including over-the-counter drugs and supplements, before using this formulation. It is crucial to apply the solution as directed and avoid excessive use to minimize systemic absorption and potential interactions. If you have any questions or concerns about using this formulation, please reach out to us for further guidance.

How Does it Work

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This topical solution is a carefully compounded formulation designed to deliver a combination of active ingredients directly to the skin, providing targeted relief for various dermatological conditions. The formulation includes Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, each contributing unique therapeutic effects to address symptoms such as inflammation, itching, and pain.

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 to alleviate itching and discomfort associated with allergic skin reactions, insect bites, and other irritations. By inhibiting the histamine response, it provides relief from the urge to scratch, which can prevent further skin damage and promote healing.

Hydrocortisone, a corticosteroid, is included in the formulation for its potent anti-inflammatory properties. It works by suppressing the inflammatory response in the skin, reducing redness, swelling, and irritation. By decreasing inflammation, Hydrocortisone helps to soothe the skin and improve its appearance, enhancing the overall comfort of the patient.

Lidocaine HCl is a local anesthetic that provides rapid pain relief by blocking nerve signals in the skin. When applied to the affected area, Lidocaine HCl numbs the skin, offering immediate relief from pain and discomfort. This is especially beneficial for conditions that involve acute pain or discomfort, such as minor burns, cuts, or abrasions. By reducing pain, Lidocaine HCl allows patients to experience relief while the other active ingredients work to address the underlying causes of their symptoms.

The combination of these three active ingredients in a liquid formulation allows for easy application and absorption into the skin, ensuring that the medication reaches the affected area quickly and efficiently. This targeted delivery system maximizes the therapeutic effects of the active ingredients, providing comprehensive relief from a range of dermatological conditions. The liquid form also allows for precise dosing and coverage of larger or irregularly shaped areas, making it a versatile option for both patients and prescribers.

For patients and prescribers considering this formulation, it is important to follow the prescribed application instructions to achieve optimal results. If you have any questions or need further information about this topical solution, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is the purpose of this compounded topical solution?

This compounded topical solution is designed for external application to the skin, delivering a combination of Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl to provide targeted treatment for various dermatological conditions or localized effects such as inflammation, itching, and pain relief.

How should I apply this topical solution?

Apply a thin layer of the solution to the affected area of the skin as directed by your healthcare provider. Ensure the area is clean and dry before application. Avoid contact with eyes, mouth, and other mucous membranes.

How often can I use this topical solution?

The frequency of application should be determined by your healthcare provider based on your specific condition and response to treatment. Follow their instructions carefully to avoid overuse or potential side effects.

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

It is generally advised not to apply this solution to open wounds or broken skin unless specifically directed by your healthcare provider, as it may cause irritation or delay healing.

What should I do if I experience irritation or an allergic reaction?

If you experience irritation, redness, or an allergic reaction, discontinue use immediately and consult your healthcare provider for further guidance. They may recommend an alternative treatment or adjust your dosage.

Is this topical solution safe for children?

Consult with a pediatrician before using this product on children to ensure it is appropriate for their age and condition.

Can I use this solution while pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this topical solution to ensure it is safe for you and your baby. They will weigh the potential benefits and risks before recommending its use.

How should I store this topical solution?

Store the solution 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 accidentally ingest this solution?

If accidental ingestion occurs, seek medical attention immediately or contact a poison control center. Provide them with information about the product and the amount ingested for appropriate guidance.

Can I use other topical medications while using this solution?

Before using other topical medications concurrently, consult your healthcare provider to avoid potential interactions or reduced effectiveness. They can provide guidance on how to safely incorporate multiple treatments into your regimen.

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 Solution
Topical Solution
60 mL
controlled

Apply topically to affected area(s)

Twice daily