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Gentamicin 2 mg/mL/Misoprostol 24 µg/mL/Phenytoin 50 mg/mL Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Misoprostol
Phenytoin
Gentamicin Sulfate

This topical gel formulation combines Gentamicin 2 mg/mL, Misoprostol 24 µg/mL, and Phenytoin 50 mg/mL, designed for targeted treatment of skin infections, inflammation, and wound healing. The semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application on the skin, allowing for effective absorption of the active ingredients.

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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
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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.
Misoprostol
Phenytoin
Gentamicin Sulfate
Topical Gel
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 compounded topical gel combines Gentamicin 2 mg/mL, Misoprostol 24 µg/mL, and Phenytoin 50 mg/mL in a semisolid formulation designed for easy and precise application to the skin. The unique combination of these active ingredients targets various aspects of skin healing and infection management, providing a multifaceted approach to treating complex skin conditions.

Its inclusion in the gel helps prevent and treat bacterial infections at the site of application, reducing the risk of infection that can impede the healing process.

Misoprostol, a synthetic prostaglandin E1 analog, possesses properties that promote wound healing and enhance tissue regeneration. It works by increasing blood flow to the affected area, stimulating cell proliferation, and reducing inflammation. This aids in the faster recovery of damaged skin tissue.

Phenytoin, traditionally used as an anticonvulsant, has been found to have beneficial effects on wound healing when applied topically. It promotes granulation tissue formation and reduces microbial colonization, contributing to improved healing outcomes.

The gel's semisolid formulation, dispensed through a pump mechanism, ensures that patients can apply the medication easily and accurately to the affected area.

This compounded medication may be particularly useful for patients with chronic wounds, ulcers, burns, or other skin conditions where preventing infection, reducing inflammation, and promoting tissue regeneration are essential.

Patients should apply the gel as directed by their healthcare provider, typically to clean, dry skin. It is important to monitor the treated area for signs of improvement or any adverse reactions, and to report any concerns to a healthcare professional promptly.

Prescribers considering this formulation should assess the patient's overall health status, potential allergies to any of the components, and the specific clinical indications for its use. The combination of these active ingredients can offer a synergistic effect, enhancing the healing process in challenging skin conditions.

As with any medication, it is important to consider possible contraindications and interactions with other therapies the patient may be receiving. Close monitoring and follow-up can ensure the best possible outcomes.

If you have any questions or need further information about this compounded formulation, please reach out to us. Our team of

Drug Interactions

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This topical gel formulation combines Gentamicin, Misoprostol, and Phenytoin, each with distinct pharmacological actions, to provide a multifaceted approach to treating specific dermatological conditions. This combination is particularly useful for treating complex skin conditions that may involve bacterial infections, inflammation, and the need for enhanced healing.

When using this formulation, it is crucial to consider potential drug interactions that may arise due to the systemic absorption of these active ingredients, even though they are applied topically. Gentamicin, when absorbed in significant amounts, can interact with other nephrotoxic or ototoxic drugs, such as certain diuretics (e.g., furosemide) and other aminoglycosides, potentially increasing the risk of kidney damage or hearing loss. Patients with pre-existing renal conditions or those concurrently using other nephrotoxic medications should be monitored closely.

Misoprostol, although primarily used for its local effects in this formulation, can still interact with other medications that affect prostaglandin pathways. For instance, nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce the efficacy of Misoprostol, as they inhibit prostaglandin synthesis. Patients should inform their healthcare provider of any NSAID use to ensure optimal therapeutic outcomes.

Phenytoin, known for its enzyme-inducing properties, can potentially alter the metabolism of other drugs. While systemic absorption from topical application is generally minimal, caution is advised when patients are on medications with a narrow therapeutic index, such as warfarin or certain antiepileptic drugs. Regular monitoring of drug levels may be warranted to avoid subtherapeutic or toxic effects.

Patients and prescribers should be aware of these potential interactions and consider them when evaluating the overall treatment plan. It is essential to maintain open communication with healthcare providers and pharmacists to ensure safe and appropriate use of this topical gel. If you have any questions or concerns regarding the use of this formulation or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Gentamicin 2 mg/mL/Misoprostol 24 µg/mL/Phenytoin 50 mg/mL Topical Gel is a carefully compounded formulation designed to deliver a synergistic combination of active ingredients directly to the skin. This semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application, which is crucial for targeted treatment and optimal absorption of the active ingredients. The gel-like consistency allows for smooth application and adherence to the skin, enhancing the therapeutic effects of the formulation.

Gentamicin is an aminoglycoside antibiotic that works by inhibiting bacterial protein synthesis, leading to the elimination of susceptible bacteria. This makes it particularly useful in managing conditions where bacterial infection is a concern, such as infected wounds or ulcers.

Misoprostol, a prostaglandin E1 analog, plays a crucial role in promoting healing and reducing inflammation. It works by increasing blood flow to the affected area and enhancing the production of protective mucus, which can help in the repair of damaged tissues. Misoprostol's anti-inflammatory properties also contribute to reducing pain and swelling, making it beneficial in conditions where inflammation is a significant component.

Phenytoin, traditionally used as an anticonvulsant, has been found to have wound-healing properties when applied topically. It promotes the proliferation of fibroblasts and the formation of granulation tissue, which are essential steps in the wound healing process. Phenytoin also has antimicrobial properties, further supporting the action of gentamicin in preventing infection.

The combination of these three active ingredients in a topical gel formulation allows for a multifaceted approach to treatment. By addressing infection, inflammation, and tissue repair simultaneously, this formulation provides comprehensive care for a variety of skin conditions. The pump mechanism ensures that patients and prescribers can apply the gel with precision, minimizing waste and maximizing therapeutic outcomes.

If you have any questions about this formulation or its use in treating specific disease states, 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 achieve the best possible outcomes for your patients.

Other Uses

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The Gentamicin 2 mg/mL/Misoprostol 24 µg/mL/Phenytoin 50 mg/mL Topical Gel is a versatile formulation that, beyond its primary indications, may offer potential benefits in various other dermatological and therapeutic contexts. This semisolid gel, dispensed through a pump mechanism, ensures precise application and optimal absorption of its active ingredients, making it suitable for targeted treatment of localized skin conditions. Misoprostol, a prostaglandin E1 analog, is known for its cytoprotective properties, which could be beneficial in promoting healing and reducing inflammation in chronic skin ulcers or lesions, potentially aiding in the management of conditions like diabetic foot ulcers or pressure sores.

Phenytoin, traditionally used as an anticonvulsant, has demonstrated efficacy in enhancing wound healing, which may be attributed to its ability to modulate inflammatory responses and promote fibroblast proliferation. This property can be particularly advantageous in the treatment of non-healing wounds or ulcers, where conventional therapies have failed. The combination of these three active ingredients in a topical gel form allows for a synergistic effect, potentially offering a multifaceted approach to wound care by addressing infection, inflammation, and tissue regeneration simultaneously. Additionally, the gel's formulation ensures that the active ingredients remain localized, minimizing systemic absorption and reducing the risk of systemic side effects.

For patients and prescribers considering this formulation for off-label uses, it is crucial to evaluate the specific needs of the patient and the potential benefits versus risks of using this combination therapy. The unique properties of each component may provide therapeutic advantages in complex or refractory dermatological conditions, but careful monitoring and professional guidance are essential to ensure safety and efficacy. As with any compounded medication, individual patient response can vary, and adjustments may be necessary to achieve optimal outcomes. If you have any questions or require further information about the potential uses of this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or support you may need.

Frequently Asked Questions

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What is the purpose of the Gentamicin 2 mg/mL/Misoprostol 24 µg/mL/Phenytoin 50 mg/mL Topical Gel?

This topical gel is formulated to deliver a combination of active ingredients for targeted treatment on the skin. Gentamicin is an antibiotic, Misoprostol is used for its anti-inflammatory properties, and Phenytoin is included for its wound-healing benefits.

How should I apply the topical gel?

The gel should be applied to the affected area of the skin using the pump mechanism, which ensures easy and precise application. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can I use this gel on open wounds?

Consult your healthcare provider before applying the gel on open wounds. While Phenytoin is known for its wound-healing properties, the suitability of this formulation for open wounds should be determined by a professional.

Are there any side effects associated with this topical gel?

Possible side effects may include skin irritation, redness, or an allergic reaction at the application site. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Is this gel suitable for all skin types?

While the gel is designed for topical use, individual skin sensitivities can vary. It is advisable to perform a patch test or consult with a healthcare provider to ensure suitability for your skin type.

How should I store the topical gel?

Store the gel at room temperature, away from direct sunlight and moisture. Ensure the cap is tightly closed after each use to maintain the integrity of the formulation.

Can I use this gel in conjunction with other topical medications?

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

How long does it take to see results from using this gel?

The time frame for visible results can vary depending on the condition being treated and individual response to the medication. Follow your healthcare provider's guidance and report any concerns regarding progress.

Is a prescription required to obtain this topical gel?

Yes, a prescription is typically required to obtain this compounded formulation, as it contains active pharmaceutical ingredients that need to be used under medical supervision.

What should I do if I miss a dose of the gel?

If you miss a dose, apply it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular application schedule. Do not double the dose to catch up.

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.

Gentamicin 2 mg/mL/Misoprostol 24 µg/mL/Phenytoin 50 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily