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Formulas

Flurbiprofen 20 mg/g/Silver Sulfadiazine 10 mg/g Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Flurbiprofen
Silver Sulfadiazine

This Flurbiprofen 20 mg/g and Silver Sulfadiazine 10 mg/g topical cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is formulated to provide localized treatment and absorption of active ingredients.

This cream is used to treat inflammatory skin conditions and infections, offering both anti-inflammatory and antimicrobial properties.

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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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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.
Flurbiprofen
Silver Sulfadiazine
Topical Cream
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 formulation combines Flurbiprofen 20 mg/g and Silver Sulfadiazine 10 mg/g in a topical cream, designed for convenient and controlled application on the skin via a pump mechanism. The cream is a semisolid preparation intended for localized treatment or absorption of active ingredients.

Flurbiprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the synthesis of prostaglandins, which are mediators of inflammation and pain in the body. When applied topically, Flurbiprofen can help reduce inflammation, alleviate pain, and improve mobility in affected areas without the systemic side effects associated with oral NSAIDs.

Silver Sulfadiazine is a topical antimicrobial agent commonly used to prevent and treat infections in skin wounds, burns, and ulcers. It works by releasing silver ions, which have broad-spectrum antimicrobial activity against a wide range of Gram-positive and Gram-negative bacteria, as well as some yeasts and fungi. The use of Silver Sulfadiazine helps in reducing the risk of infection in damaged skin and promotes healing.

The combination of Flurbiprofen and Silver Sulfadiazine in a topical cream offers both anti-inflammatory and antimicrobial benefits. This dual-action formulation can be particularly beneficial in managing skin conditions where inflammation and risk of infection are present. By applying the cream directly to the affected area, patients may experience reduced pain and swelling, as well as protection against microbial contamination.

The pump mechanism of the cream dispenser ensures accurate dosing and minimizes contamination, enhancing the safety and efficacy of the treatment. The semisolid cream base allows for easy application and absorption of the active ingredients into the skin, providing localized relief.

Patients should use this medication as directed by their healthcare provider. It is important to apply the cream only to the affected area and avoid contact with eyes, mouth, and other mucous membranes. Patients should inform their healthcare provider of any allergies, especially to NSAIDs, sulfa drugs, or silver compounds, as well as any other medications they are currently taking.

Healthcare providers considering this formulation for their patients should be aware of the potential for systemic absorption of Flurbiprofen, although it is minimal with topical application. Monitoring for signs of systemic NSAID effects is recommended, particularly in patients with existing gastrointestinal, renal, or cardiovascular conditions. Additionally, caution should be exercised in patients with known hypersensitivity to sulfonamides due to the presence of Silver Sulfadiazine.

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

Drug Interactions

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Flurbiprofen 20 mg/g and Silver Sulfadiazine 10 mg/g topical cream is a compounded formulation designed for the treatment of localized inflammatory conditions and prevention of infection in skin lesions. Flurbiprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the synthesis of prostaglandins, thereby reducing inflammation and pain. Silver sulfadiazine is an antimicrobial agent that helps prevent and treat infections in burns and other skin wounds by disrupting the cell membrane and cell wall of bacteria.

When using this topical cream, it is important to consider potential drug interactions that may affect the efficacy and safety of the treatment. Flurbiprofen, as an NSAID, may interact with other medications that affect bleeding risk, such as anticoagulants (e.g., warfarin), antiplatelet agents (e.g., aspirin, clopidogrel), and other NSAIDs. These interactions can increase the risk of bleeding and should be monitored closely. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and supplements, to avoid potential interactions.

Silver sulfadiazine may interact with other topical agents applied to the same area of the skin. It is important to avoid using other topical medications concurrently unless advised by a healthcare provider, as this may alter the absorption and effectiveness of the active ingredients. Additionally, silver sulfadiazine can interact with systemic sulfonamide antibiotics, potentially leading to additive effects and increased risk of side effects. Patients with a known allergy to sulfonamides should avoid using this formulation due to the risk of hypersensitivity reactions.

Patients with renal or hepatic impairment should use this formulation with caution, as both flurbiprofen and silver sulfadiazine can be absorbed systemically and may exacerbate underlying conditions. Regular monitoring of renal and liver function may be necessary in these patients. Furthermore, the use of this cream in pregnant or breastfeeding women should be approached with caution, as NSAIDs and sulfonamides can pose risks to the fetus or nursing infant. Consultation with a healthcare provider is essential before use in these populations.

For prescribers, it is crucial to assess the patient's complete medication profile and medical history to identify any potential interactions or contraindications. Educating patients on the proper application technique and advising them to report any unusual symptoms or side effects promptly can help optimize treatment outcomes and minimize risks. If you have any questions or need further information, please reach out to us at Bayview Pharmacy.

How Does it Work

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The Flurbiprofen 20 mg/g and Silver Sulfadiazine 10 mg/g topical cream is a compounded formulation designed to deliver targeted therapeutic effects directly to the skin. This semisolid preparation is dispensed through a pump mechanism, ensuring a convenient and controlled application. The formulation is intended for localized treatment, allowing the active ingredients to be absorbed effectively at the site of application.

Flurbiprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the cyclooxygenase (COX) enzymes, specifically COX-1 and COX-2. These enzymes are responsible for the conversion of arachidonic acid to prostaglandins, which are mediators of inflammation and pain. By blocking the COX enzymes, flurbiprofen reduces the production of prostaglandins, thereby alleviating inflammation and pain in the affected area. This makes it particularly useful for conditions characterized by localized inflammation and pain, such as arthritis, tendinitis, or musculoskeletal injuries.

Silver sulfadiazine, on the other hand, is an antimicrobial agent that is widely used in the treatment of burns and other skin infections. It works by disrupting the bacterial cell membrane and inhibiting the replication of bacterial DNA, leading to the death of the bacteria. Its inclusion in the formulation helps prevent or treat infections in compromised skin areas, promoting faster healing and reducing the risk of complications.

The combination of flurbiprofen and silver sulfadiazine in a single topical cream provides a dual-action approach to treatment. While flurbiprofen addresses inflammation and pain, silver sulfadiazine ensures that the risk of infection is minimized. This makes the formulation particularly beneficial for patients with inflammatory skin conditions that are prone to infection, such as eczema, psoriasis, or dermatitis, as well as for those recovering from minor burns or abrasions.

This method of delivery also enhances the stability of the formulation by protecting it from contamination and oxidation, ensuring that the active ingredients remain potent throughout the course of treatment.

For prescribers, this compounded formulation offers a customizable option to address specific patient needs, particularly when standard treatments are insufficient or when a combination of anti-inflammatory and antimicrobial action is desired. The ability to adjust the concentration of active ingredients allows for personalized treatment plans that can optimize therapeutic outcomes.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide further information and support to both patients and healthcare providers.

Frequently Asked Questions

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What is Flurbiprofen 20 mg/g/Silver Sulfadiazine 10 mg/g Topical Cream used for?

This topical cream is used for localized treatment of pain and inflammation, as well as for preventing or treating infections in minor skin injuries, burns, or wounds.

How should I apply the cream?

Dispense the cream using the pump mechanism and apply a thin layer to the affected area. Gently rub it in until fully absorbed. Follow your healthcare provider's instructions regarding the frequency and amount of application.

Can I use this cream on open wounds?

Silver sulfadiazine is often used for treating burns and minor wounds, but you should consult your healthcare provider before applying it to open wounds to ensure it is appropriate for your specific condition.

Are there any side effects associated with this cream?

Possible side effects may include skin irritation, redness, or a burning sensation at the application site. If you experience severe reactions or signs of an allergic reaction, discontinue use and seek medical attention.

Is this cream safe for children?

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

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

Before using this cream during pregnancy or while breastfeeding, consult your healthcare provider to weigh the potential benefits and risks.

How should I store the cream?

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

What should I do if I miss a dose?

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 and resume your regular schedule. Do not apply extra cream to make up for a missed dose.

Can I use other topical medications while using this cream?

Before using other topical medications, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatments.

What should I do if I accidentally ingest the cream?

If the cream is accidentally ingested, 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.

Flurbiprofen 20 mg/g/Silver Sulfadiazine 10 mg/g Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily