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Formulas

Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Erythromycin
Hydrocortisone
Tretinoin
Ketoconazole

This compounded formulation is a topical cream containing erythromycin 4%, hydrocortisone 1%, tretinoin 0.01%, and ketoconazole 1%. It is designed for controlled application on the skin to treat various conditions such as acne vulgaris, seborrheic dermatitis, rosacea, psoriasis, and folliculitis. The cream is dispensed via a pump mechanism for convenience and precision.

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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.

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.
Erythromycin
Hydrocortisone
Tretinoin
Ketoconazole
Topical Cream
6427079ea64324ec20518a72

Formula Information

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This compounded formulation of Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is intended for localized treatment or absorption of its four active ingredients, each serving a unique purpose in treating various skin conditions.

Erythromycin, an antibiotic, constitutes 4% of the formulation. It aids in reducing inflammation and eliminating bacteria that can cause skin infections. Hydrocortisone, a corticosteroid, makes up 1% of the formulation and is instrumental in alleviating inflammation and itching. Tretinoin, a retinoid, is present at 0.01% and assists in reducing the appearance of wrinkles and acne. Lastly, Ketoconazole, an antifungal, comprises 1% of the formulation.

This topical cream is used to treat a variety of skin conditions, including acne, rosacea, seborrheic dermatitis, and psoriasis. Its ease of application and controlled dispensing mechanism make it a convenient option for patients. Depending on the severity of the condition being treated, it can be used once or twice daily. However, it is crucial to follow the instructions provided by your healthcare provider when using this medication.

If you have any questions about this formulation or how it can help treat your skin condition, please reach out to us at Bayview Pharmacy. We are here to provide you with the necessary information and support you need in managing your skin health.

Drug Interactions

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Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream is a compounded formulation that combines the therapeutic benefits of antibiotics, corticosteroids, and antifungals. This unique blend is designed to address a range of skin conditions such as acne, rosacea, seborrheic dermatitis, and tinea versicolor. The formulation works by reducing inflammation, curbing bacterial growth, and inhibiting fungal proliferation.

However, it's crucial to be aware that this combination of medications may interact with other drugs. Therefore, it's essential to discuss any potential interactions with your healthcare provider before starting this treatment. Erythromycin may interact with other antibiotics, antifungals, and medications that affect the liver. Hydrocortisone may interact with other corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), and medications that affect the immune system. Tretinoin may interact with other retinoids, antibiotics, and medications that affect the liver. Ketoconazole may interact with other antifungals, antibiotics, and medications that affect the liver.

It's also important to note that this combination of medications may cause skin irritation, redness, and dryness. Additionally, this combination of medications may increase the risk of sunburn and skin damage. Therefore, it's crucial to use sunscreen and protective clothing when using this medication.

If you have any questions about the interactions of Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream, please consult with your healthcare provider. It's always important to ensure that you are fully informed about your medications and their potential interactions.

How Does it Work

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This compounded formulation is a topical cream that combines four active ingredients: erythromycin 4%, hydrocortisone 1%, tretinoin 0.01%, and ketoconazole 1%. Each ingredient plays a crucial role in treating various skin conditions. Erythromycin, an antibiotic, works to inhibit bacterial growth on the skin. Tretinoin, a derivative of vitamin A, aids in diminishing the appearance of wrinkles and acne. Lastly, ketoconazole, an antifungal, works to inhibit the growth of fungi on the skin.

This unique blend of ingredients is designed to treat a range of skin conditions, including acne, rosacea, seborrheic dermatitis, and fungal infections. It can also be used to reduce the appearance of wrinkles and fine lines, making it a versatile addition to your skincare routine.

To use this topical cream, apply a thin layer to the affected area of skin twice daily. Gently massage the cream into the skin until it is fully absorbed. Avoid applying the cream to broken or irritated skin. If you experience any irritation or redness, discontinue use and consult your doctor immediately.

If you have any questions about this formulation or its application, please do not hesitate to contact us at Bayview Pharmacy.

Other Uses

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This compounded formulation of Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream is a versatile treatment option for a range of skin conditions. The cream is also beneficial in treating fungal skin infections such as tinea versicolor, tinea corporis, and tinea cruris. Furthermore, it can be used to address bacterial skin infections, including impetigo, folliculitis, and furunculosis.

The cream is dispensed in a pump mechanism, which allows for convenient and controlled application on the skin. It is designed for localized treatment, ensuring that the active ingredients are absorbed effectively in the affected area. Patients are typically advised to apply the cream twice daily, or as directed by their healthcare provider. However, if any irritation or redness occurs, it is recommended to discontinue use and consult with a healthcare provider.

For any queries or concerns regarding this formulation or any other compounding needs, please feel free to contact us at Bayview Pharmacy. We are committed to providing comprehensive and personalized care to all our patients.

Frequently Asked Questions

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What is the purpose of this compounded formulation of Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream?

This cream is designed to treat a variety of skin conditions. Erythromycin is an antibiotic that prevents bacterial growth, Hydrocortisone is a corticosteroid that reduces inflammation, Tretinoin helps with acne and skin renewal, and Ketoconazole is an antifungal medication.

How should I apply this cream?

This cream is dispensed in a pump mechanism for convenient and controlled application. Apply it to the affected area as directed by your healthcare provider, usually in a thin layer.

Can I use this cream on my face?

Yes, but avoid contact with your eyes, mouth, and nose. If the cream gets into these areas, rinse with plenty of water.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it's close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

What are the potential side effects of this cream?

Common side effects may include dryness, peeling, or redness of the skin. If these persist or worsen, contact your healthcare provider. Serious side effects are rare but can include severe redness, swelling, or blistering.

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

Consult your healthcare provider before using this cream if you are pregnant or breastfeeding. Some ingredients may be absorbed through the skin and could potentially affect the baby.

Can I use other skincare products while using this cream?

Before using other skincare products, consult your healthcare provider. Some products may interfere with the effectiveness of this cream or increase the risk of side effects.

How should I store this cream?

Store this cream at room temperature, away from heat and direct light. Do not freeze. Keep out of the reach of children and pets.

What should I do in case of an overdose?

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call emergency services. If the symptoms are less severe, like severe skin irritation, contact your healthcare provider immediately.

Can I use this cream if I have a history of allergic reactions to medications?

If you have a history of allergic reactions to any of the ingredients in this cream, do not use it. Consult your healthcare provider for alternative 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.

Erythromycin 4%/Hydrocortisone 1%/Tretinoin 0.01%/Ketoconazole 1% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)