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Fluconazole 2 mg/mL Ophthalmic Solution

FDA-approved generic
Dose form
Ophthalmic Solution
Active ingredients
Fluconazole

Fluconazole 2 mg/mL Ophthalmic Solution is a sterile liquid formulation specifically designed for ocular use. It is dispensed in an eye dropper bottle for precise and controlled application, delivering medication directly to the eyes. This formulation is used to treat fungal infections of the eye, such as fungal keratitis and other ocular fungal infections.

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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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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.
Fluconazole
Ophthalmic Solution
Service area

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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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Fluconazole 2 mg/mL Ophthalmic Solution is a sterile liquid formulation meticulously crafted for ocular use, ensuring both safety and efficacy in treating various ophthalmic conditions. This solution is dispensed in an eye dropper bottle, allowing for precise and controlled application directly to the eyes. The formulation is specifically designed to deliver medication effectively, providing both therapeutic and lubricating benefits to the ocular surface. Fluconazole, the active ingredient, is a potent antifungal agent that works by inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes. This action disrupts the cell membrane integrity.

For patients, this formulation offers a targeted approach to managing ocular fungal infections, which can be challenging to treat due to the sensitive nature of the eye. The use of an ophthalmic solution ensures that the medication is delivered directly to the site of infection, maximizing its therapeutic effects while minimizing systemic exposure and potential side effects. Patients can expect relief from symptoms such as redness, irritation, and discomfort associated with fungal infections, while also benefiting from the lubricating properties of the solution, which can help soothe and protect the ocular surface.

Its formulation in a sterile liquid form ensures that the medication remains free from contaminants, reducing the risk of secondary infections. The precise dosing capability of the eye dropper bottle allows for accurate administration, ensuring that patients receive the correct amount of medication with each application. This formulation can be an essential part of a comprehensive treatment plan for managing ocular fungal infections, particularly in cases where other treatments may have failed or are contraindicated.

Both patients and prescribers should be aware of the importance of adhering to the prescribed dosing regimen to achieve optimal therapeutic outcomes. It is also crucial to monitor for any adverse reactions or changes in symptoms, and to report these to a healthcare professional promptly. If you have any questions or require further information about Fluconazole 2 mg/mL Ophthalmic Solution, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Drug Interactions

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Fluconazole 2 mg/mL Ophthalmic Solution is a sterile liquid formulation specifically designed for ocular use, dispensed in an eye dropper bottle for precise and controlled application. It is used to deliver medication, lubrication, or irrigation to the eyes to treat a range of ophthalmic conditions, particularly those caused by fungal infections. As with any medication, it is important to be aware of potential drug interactions that may affect the efficacy and safety of this treatment.

Fluconazole is a potent inhibitor of the cytochrome P450 enzyme system, particularly CYP2C9, CYP2C19, and CYP3A4. This can lead to increased plasma concentrations of drugs metabolized by these enzymes, potentially resulting in enhanced effects or increased risk of adverse reactions. Although the systemic absorption of fluconazole from ophthalmic administration is expected to be minimal, caution is advised when it is used concurrently with other medications that are substrates of these enzymes.

Patients using other topical ophthalmic medications should be advised to administer them at least 5 to 10 minutes apart to prevent dilution or interaction at the site of action. If using multiple eye drops, it is generally recommended to apply the more viscous formulation last to ensure optimal absorption and efficacy.

For patients who are also taking systemic medications, it is important to consider potential interactions. For instance, fluconazole can increase the levels of warfarin, leading to an increased risk of bleeding. Close monitoring of INR levels is recommended if these medications are used concurrently. Similarly, fluconazole may increase the plasma concentrations of certain oral hypoglycemic agents, such as sulfonylureas, potentially leading to hypoglycemia. Patients should be monitored for signs of low blood sugar and dosage adjustments may be necessary.

Fluconazole may also interact with certain antihistamines, such as astemizole and terfenadine, leading to an increased risk of QT prolongation and serious cardiac arrhythmias. These combinations should be avoided. Additionally, caution is advised when fluconazole is used with other medications that can prolong the QT interval, such as certain antipsychotics and antiarrhythmics.

Patients and prescribers should be aware of the potential for interactions with other medications that the patient may be taking, including over-the-counter drugs and herbal supplements. A thorough medication review should be conducted to identify any potential interactions and to ensure the safe and appropriate use of fluconazole ophthalmic solution.

If you have any questions or concerns about drug interactions with Fluconazole 2 mg/mL Ophthalmic Solution, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have regarding this formulation or its use in treating ophthalmic conditions.

How Does it Work

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Fluconazole 2 mg/mL Ophthalmic Solution is a specialized sterile liquid formulation designed for ocular use, providing a precise and controlled method of delivering medication directly to the eyes. This formulation is dispensed in an eye dropper bottle, allowing for accurate dosing and ease of application. The primary active ingredient, fluconazole, is an antifungal agent that belongs to the triazole class of medications. It works by inhibiting the synthesis of ergosterol, a critical component of fungal cell membranes. By disrupting the production of ergosterol, fluconazole compromises the integrity of the fungal cell membrane, leading to cell death and the resolution of the infection.

These conditions can arise from various fungal pathogens, including Candida, Aspergillus, and Fusarium species. The direct application of fluconazole to the eye ensures that high concentrations of the medication are delivered to the site of infection, enhancing its efficacy while minimizing systemic exposure and potential side effects. This targeted approach is crucial in managing infections that are localized to the ocular surface or within the eye itself.

In addition to its antifungal properties, the formulation of the fluconazole ophthalmic solution is designed to provide lubrication and hydration to the ocular surface. This can be particularly beneficial in alleviating symptoms of dryness and irritation that often accompany ocular infections. The sterile nature of the solution ensures that it is safe for use in the sensitive environment of the eye, reducing the risk of contamination and secondary infections.

For prescribers, it is important to consider the specific fungal pathogen involved in the infection, as well as the patient's overall ocular health, when determining the appropriateness of fluconazole ophthalmic solution. The dosing regimen may vary based on the severity of the infection and the patient's response to treatment. Regular monitoring and follow-up are essential to ensure the resolution of the infection and to adjust treatment as necessary.

Patients using fluconazole 2 mg/mL ophthalmic solution should follow the prescribed dosing instructions carefully and maintain proper hygiene when administering the drops to avoid contamination. It is important to complete the full course of treatment, even if symptoms improve, to ensure the complete eradication of the infection. Patients should report any adverse reactions or lack of improvement to their healthcare provider promptly.

If you have any questions about fluconazole 2 mg/mL ophthalmic solution or its use in treating ocular fungal infections, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need.

Other Uses

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Fluconazole 2 mg/mL Ophthalmic Solution is primarily prescribed for the treatment of fungal infections of the eye, such as fungal keratitis and fungal endophthalmitis. However, this sterile liquid formulation may have other potential applications beyond its primary indications due to its antifungal properties. Ophthalmologists and healthcare providers may consider its use in select cases of prophylaxis in patients at high risk for fungal eye infections, such as those undergoing corneal transplantation or having prolonged use of corticosteroids, which may predispose them to fungal colonization or infection. In some cases, it might be explored for off-label use in eye conditions where fungal infection is suspected but not definitively diagnosed.

Although extensive studies in this specific application are limited, healthcare providers may evaluate risk versus benefit scenarios, especially when dealing with resistant fungal species not susceptible to other antifungal medications. Its role in combination therapy along with antibacterial or antiviral agents may also be explored in complex or mixed microbial infections of the ocular surface, where multiple pathogens are involved and a broad-spectrum approach is necessitated.

For patients, it's important to recognize that while these alternative uses of Fluconazole 2 mg/mL Ophthalmic Solution are promising, they should only be pursued under the guidance of a qualified healthcare provider. Patients should never self-medicate or alter prescribed treatment regimens without prior consultation. As with any medication, potential side effects, drug interactions, and contraindications must be thoroughly evaluated by healthcare providers before considering such use. Additionally, the sterility and specific ophthalmic formulation of this medication underscore its intended application in the eyes only; any misuse beyond prescribed applications can result in serious adverse effects.

State-of-the-art compounding practices at facilities like Bayview Pharmacy ensure that the formulation is tailored to the highest safety and efficacy standards. If you have any questions or require further information regarding the use of Fluconazole 2 mg/mL Ophthalmic Solution for off-label indications, or any other ophthalmic compounding needs, please reach out to us. Our compounding pharmacists are dedicated to providing expert guidance and personalized solutions to meet the unique needs of both patients and prescribers.

Frequently Asked Questions

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What is Fluconazole 2 mg/mL Ophthalmic Solution used for?

Fluconazole 2 mg/mL Ophthalmic Solution is used to treat fungal infections of the eye. It works by stopping the growth of certain types of fungi.

How do I apply Fluconazole 2 mg/mL Ophthalmic Solution?

To apply the solution, tilt your head back, pull down the lower eyelid to create a small pocket, and carefully dispense the prescribed number of drops into the pocket using the eye dropper bottle. Avoid touching the dropper tip to any surface, including the eye or hands, to maintain sterility. Close your eyes gently and press the inside corner of your eye for a minute to prevent the solution from draining.

How often should I use Fluconazole 2 mg/mL Ophthalmic Solution?

The dosage schedule for Fluconazole 2 mg/mL Ophthalmic Solution should be determined by your healthcare provider based on the severity and type of infection. Always follow your provider's instructions regarding dosing and frequency.

Can I use Fluconazole 2 mg/mL Ophthalmic Solution with contact lenses?

You should not wear contact lenses while treating an eye infection with Fluconazole 2 mg/mL Ophthalmic Solution. Wait until your healthcare provider approves the use of lenses again, as they might need to be disinfected or replaced to prevent reinfection.

Are there any side effects of using Fluconazole 2 mg/mL Ophthalmic Solution?

Some people may experience minor side effects such as eye irritation, redness, or blurred vision temporarily after application. If these effects persist or worsen, contact your healthcare provider. Severe side effects are rare, but seek medical attention immediately if you experience severe discomfort, swelling, or an allergic reaction.

How should I store Fluconazole 2 mg/mL Ophthalmic Solution?

Store Fluconazole 2 mg/mL Ophthalmic Solution at room temperature, away from light and moisture. Keep the bottle tightly closed when not in use and ensure it is out of reach of children and pets.

Can I use Fluconazole 2 mg/mL Ophthalmic Solution if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using Fluconazole 2 mg/mL Ophthalmic Solution to discuss potential risks and benefits.

What should I do if I miss a dose of Fluconazole 2 mg/mL Ophthalmic Solution?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not apply a double dose to make up for the missed one.

What precautions should I take while using Fluconazole 2 mg/mL Ophthalmic Solution?

Avoid contaminating the dropper tip with any surface. Do not share the medication with others, even if they have the same symptoms. Follow your healthcare provider’s instructions carefully and complete the full course of treatment to ensure the infection is fully resolved.

What should I do if I experience severe side effects from Fluconazole 2 mg/mL Ophthalmic Solution?

If you experience severe side effects such as eye pain, persistent redness, or signs of an allergic reaction like rash, itching, or swelling, seek medical attention immediately. Contact your healthcare provider for guidance and possible 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.

Fluconazole 2 mg/mL Ophthalmic Solution
Ophthalmic Solution
5 mL
controlled

Instill 1 drop into affected eye(s)

Four times daily