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Fludrocortisone Acetate 0.02 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Fludrocortisone Acetate

Fludrocortisone Acetate 0.02 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, fludrocortisone acetate, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration.

This formulation is primarily used to treat conditions such as Addison's disease and congenital adrenal hyperplasia, where it helps in managing symptoms by mimicking the effects of natural hormones produced by the adrenal glands.

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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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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.
Fludrocortisone Acetate
Suspension
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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Fludrocortisone Acetate 0.02 mg/mL Oral Suspension is a liquid medication formulated to provide precise dosing of fludrocortisone acetate, a synthetic corticosteroid with potent mineralocorticoid and glucocorticoid properties. This suspension allows for accurate administration, especially beneficial for pediatric patients or those who have difficulty swallowing tablets.

This medication is primarily used in the management of conditions characterized by inadequate production of natural corticosteroids by the adrenal glands. It is commonly prescribed for patients with Addison's disease (primary adrenocortical insufficiency), congenital adrenal hyperplasia (salt-wasting forms), and orthostatic hypotension. By mimicking the effects of hormones naturally produced by the adrenal cortex, fludrocortisone acetate helps regulate sodium and fluid balance, blood pressure, and electrolyte levels in the body.

The oral suspension form ensures uniform dispersion of the active ingredient throughout the liquid medium, providing a homogeneous mixture for administration. This facilitates dose adjustments and enhances patient compliance, as it can be easier to swallow and allows for flexible dosing tailored to individual patient needs.

Patients should use this medication exactly as prescribed by their healthcare provider. Regular monitoring of blood pressure, electrolyte levels, and overall health status is important to ensure therapeutic effectiveness and adjust dosing if necessary. Potential side effects may include hypertension, edema, hypokalemia, or gastrointestinal disturbances. Patients should report any unusual symptoms to their healthcare provider promptly.

Proper storage of the suspension is essential to maintain its effectiveness. It should be stored in a tightly closed container at room temperature, away from light and moisture, and kept out of reach of children.

If you have any questions about Fludrocortisone Acetate 0.02 mg/mL Oral Suspension or how it may benefit you or your patients, please reach out to us. We are here to assist with any inquiries regarding this formulation.

Drug Interactions

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Fludrocortisone Acetate 0.02 mg/mL Oral Suspension is a mineralocorticoid used primarily in the management of conditions such as Addison's disease and congenital adrenal hyperplasia. It works by helping to maintain the balance of water and electrolytes in the body, which is crucial for patients with adrenal insufficiency. However, like all medications, it is important to be aware of potential drug interactions that could affect the efficacy and safety of this formulation.

Patients and prescribers should be aware that Fludrocortisone Acetate can interact with a variety of medications. One significant interaction is with diuretics, particularly those that are potassium-depleting, such as thiazide and loop diuretics. These medications can enhance the potassium-wasting effects of fludrocortisone, potentially leading to hypokalemia, a condition characterized by low potassium levels in the blood. Symptoms of hypokalemia include muscle weakness, cramping, and arrhythmias, which can be serious if not addressed promptly.

Another important interaction to consider is with anticoagulants like warfarin. Fludrocortisone may alter the metabolism of warfarin, affecting its anticoagulant effect. This interaction necessitates close monitoring of the patient's INR (International Normalized Ratio) to ensure that blood clotting times remain within the desired therapeutic range, thereby preventing either excessive bleeding or clot formation.

Nonsteroidal anti-inflammatory drugs (NSAIDs) can also interact with fludrocortisone. The concurrent use of NSAIDs may increase the risk of gastrointestinal bleeding and ulceration, as both medications can irritate the gastric mucosa. Additionally, NSAIDs may reduce the antihypertensive effects of certain blood pressure medications, which could be problematic for patients with hypertension being treated with fludrocortisone.

Patients taking vaccines should also exercise caution. Fludrocortisone, being an immunosuppressant, can potentially reduce the efficacy of live vaccines. It is advisable to consult with a healthcare provider regarding the timing of vaccinations to ensure optimal immune response.

Furthermore, patients with diabetes should be aware that fludrocortisone can affect blood glucose levels. It may necessitate adjustments in the dosage of insulin or oral hypoglycemic agents to maintain proper glycemic control. Regular monitoring of blood glucose levels is recommended to avoid hyperglycemia or hypoglycemia.

Lastly, interactions with other corticosteroids or medications that affect electrolyte balance should be carefully managed. The combined effects can lead to significant alterations in fluid and electrolyte homeostasis, necessitating close monitoring and possible dosage adjustments.

For any questions or concerns regarding the use of Fludrocortisone Acetate 0.02 mg/mL Oral Suspension and its potential interactions with other medications, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you in ensuring appropriate treatment.

How Does it Work

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Fludrocortisone Acetate 0.02 mg/mL Oral Suspension is a liquid dosage form designed to deliver precise and consistent doses of fludrocortisone acetate, a synthetic corticosteroid with potent mineralocorticoid properties. This formulation is particularly beneficial for patients who require individualized dosing or have difficulty swallowing tablets. The suspension ensures that the active ingredient is uniformly dispersed throughout the liquid medium, providing a homogeneous mixture that facilitates accurate dosing and enhances patient compliance.

Fludrocortisone acetate works by mimicking the effects of aldosterone, a naturally occurring hormone produced by the adrenal glands. It plays a crucial role in regulating sodium and water balance in the body, which is essential for maintaining blood pressure and proper electrolyte levels. By acting on the distal tubules of the kidneys, fludrocortisone promotes sodium reabsorption and potassium excretion, leading to increased water retention and blood volume. This mechanism is particularly useful in treating conditions such as Addison's disease, congenital adrenal hyperplasia, and other forms of adrenal insufficiency, where the body is unable to produce adequate amounts of corticosteroids.

For patients with Addison's disease, fludrocortisone acetate helps to compensate for the lack of endogenous aldosterone, thereby preventing symptoms such as low blood pressure, dehydration, and electrolyte imbalances. In congenital adrenal hyperplasia, it aids in managing the excess production of androgens by providing the necessary mineralocorticoid activity, thus helping to normalize electrolyte levels and blood pressure. The oral suspension form allows for flexible dosing adjustments, which is particularly important in pediatric patients or those with fluctuating needs.

The liquid suspension form provides an advantage in titrating doses to achieve optimal therapeutic outcomes while minimizing adverse effects. Patients should be instructed on the proper use of the suspension, including shaking the bottle well before each use to ensure uniform distribution of the medication.

If you have any questions about Fludrocortisone Acetate 0.02 mg/mL Oral Suspension or its use in treating adrenal insufficiency and related conditions, 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 to ensure appropriate treatment.

Frequently Asked Questions

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What is Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

Fludrocortisone Acetate 0.02 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, fludrocortisone acetate, is uniformly dispersed in a liquid medium to create a homogeneous mixture for oral administration.

What is the purpose of Fludrocortisone Acetate in this formulation?

Fludrocortisone Acetate is used primarily to treat conditions where the body needs more corticosteroids, such as Addison's disease, by helping to maintain proper salt and water balance in the body.

How should I store Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

Store the suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use and keep it out of reach of children.

How do I administer Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

Administer the suspension orally using a dosing syringe or a medicine cup to ensure accurate measurement. Shake the bottle well before each use to ensure the medication is evenly distributed.

Can I take Fludrocortisone Acetate 0.02 mg/mL Oral Suspension with food?

Yes, you can take this medication with or without food. However, if you experience stomach upset, it may be helpful to take it with food.

What should I do if I miss a dose of Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

Possible side effects include increased blood pressure, swelling, weight gain, and changes in mood. Contact your healthcare provider if you experience any severe or concerning symptoms.

Can children use Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

This medication can be prescribed to children, but the dosage and administration should be carefully monitored by a healthcare professional to ensure safety and efficacy.

Is it safe to use Fludrocortisone Acetate 0.02 mg/mL Oral Suspension during pregnancy?

Consult your healthcare provider before using this medication during pregnancy. They will weigh the potential benefits and risks to determine if it is appropriate for your situation.

What should I do if I experience an allergic reaction to Fludrocortisone Acetate 0.02 mg/mL Oral Suspension?

If you experience symptoms of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek immediate medical attention.

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.

Fludrocortisone Acetate 0.02 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Once daily