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Formulas

Gentamicin 26.7 mg/mL Otic Irrigation Solution

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Gentamicin Sulfate

Gentamicin 26.7 mg/mL Otic Irrigation Solution is a liquid formulation specifically designed for use in the ear canal. It provides targeted treatment for various ear conditions, such as bacterial infections and inflammation. This solution is administered using a specific ear dropper or applicator as directed, ensuring precise delivery to the affected area for optimal therapeutic effect.

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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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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.
Gentamicin Sulfate
Otic 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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Gentamicin 26.7 mg/mL Otic Irrigation Solution is a liquid formulation specifically designed for application in the ear canal to provide targeted treatment for various ear conditions, such as infections or inflammation. This solution contains gentamicin, a potent aminoglycoside antibiotic that works by inhibiting bacterial protein synthesis, leading to the elimination of susceptible bacteria responsible for causing ear infections.

It is commonly prescribed for treating external otitis (swimmer's ear), chronic suppurative otitis media, and for prophylactic use before and after surgical procedures involving the ear to prevent infection. The high concentration of gentamicin ensures that adequate antibacterial activity is achieved within the ear canal.

For patients, it is important to use this medication exactly as prescribed by your healthcare provider. The solution should be administered using the specific ear dropper or applicator provided. Before instillation, gently warm the solution by holding the bottle in your hands to prevent dizziness that can occur from the administration of a cold solution. Tilt your head to the side or lie down with the affected ear facing upward. Carefully instill the prescribed amount of solution into the ear canal. Remain in this position for several minutes to allow the medication to penetrate deeply. Do not touch the dropper tip to your ear or any other surface to avoid contamination.

Potential side effects may include temporary stinging or burning sensations in the ear, itching, or redness at the application site. If you experience severe irritation, rash, or signs of an allergic reaction such as swelling of the face, lips, or throat, or difficulty breathing, discontinue use immediately and contact your healthcare provider. Prolonged use of topical antibiotics may lead to overgrowth of non-susceptible organisms, including fungi; if your symptoms persist or worsen, seek medical advice promptly.

For prescribers, Gentamicin 26.7 mg/mL Otic Irrigation Solution offers a high-concentration topical antibiotic option that can be particularly useful in cases where resistant organisms are suspected or when previous treatments have failed. Its efficacy in eradicating susceptible pathogens makes it a valuable agent in treating otic infections. It is imperative to assess the patient's medical history for any hypersensitivity to aminoglycosides and to monitor for signs of ototoxicity, especially in patients with perforated tympanic membranes or those receiving concomitant ototoxic medications.

Patients should be advised on the proper administration technique to maximize therapeutic outcomes and minimize potential adverse effects. Educate them on the importance of completing the full course of therapy, even if symptoms improve earlier, to prevent the development of resistance.

Store the Gentamicin Otic Irrigation Solution at controlled room temperature, away from light and moisture. Keep the bottle tightly closed when not in use and out of reach of children and pets. Do not use the solution beyond its expiration date, and dispose of any unused medication according to local regulations.

If you have any questions, reach out to us.

Drug Interactions

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Gentamicin 26.7 mg/mL Otic Irrigation Solution is a potent aminoglycoside antibiotic formulation specifically designed for otic use, targeting bacterial infections and inflammation within the ear canal.

One of the primary concerns with gentamicin, even in otic formulations, is its potential for ototoxicity, especially when used concurrently with other ototoxic drugs. Patients and prescribers should exercise caution when using this solution alongside systemic aminoglycosides, such as tobramycin or amikacin, as the cumulative effect may increase the risk of hearing loss or balance issues. Additionally, concurrent use with loop diuretics like furosemide or ethacrynic acid can potentiate ototoxic effects, necessitating careful monitoring of auditory function.

Nephrotoxicity is another concern with aminoglycosides, although less likely with otic administration. However, if the patient is receiving systemic nephrotoxic agents such as vancomycin, amphotericin B, or nonsteroidal anti-inflammatory drugs (NSAIDs), there may be an increased risk of renal impairment. It is advisable to monitor renal function periodically, especially in patients with pre-existing renal conditions or those receiving prolonged treatment.

In patients with perforated tympanic membranes, there is a potential risk for systemic absorption of gentamicin, which could lead to interactions similar to those seen with systemic administration. Therefore, it is essential to evaluate the integrity of the tympanic membrane before initiating treatment and to consider alternative therapies if a perforation is present.

Furthermore, patients using other topical otic medications should be advised to space out the administration of different ear drops to prevent dilution or interaction that could affect the efficacy of gentamicin. It is recommended to wait at least 10-15 minutes between the application of different otic solutions.

For patients with a history of hypersensitivity to aminoglycosides, caution is advised, and alternative treatments should be considered. Although rare, allergic reactions can occur, and patients should be instructed to discontinue use and seek medical attention if they experience symptoms such as itching, rash, or swelling.

As with any medication, it is crucial for both patients and prescribers to be aware of these potential interactions and to communicate openly about all medications being used, including over-the-counter drugs and supplements. If you have any questions or concerns regarding the use of Gentamicin 26.7 mg/mL Otic Irrigation Solution, please reach out to us for further guidance and support.

How Does it Work

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Gentamicin 26.7 mg/mL Otic Irrigation Solution is a potent antibiotic formulation specifically designed for administration in the ear canal. This liquid formulation is intended for the targeted treatment of various ear conditions, primarily infections and inflammation. Gentamicin belongs to the aminoglycoside class of antibiotics, which work by inhibiting bacterial protein synthesis, ultimately leading to the death of susceptible bacteria.

When administered into the ear canal using a specific ear dropper or applicator, the Gentamicin Otic Irrigation Solution delivers a concentrated dose of the antibiotic directly to the site of infection. This localized delivery ensures that the medication acts precisely where it is needed, minimizing systemic absorption and reducing the risk of systemic side effects. The solution is designed to irrigate the ear canal, allowing the medication to reach all areas of the canal and effectively eradicate the bacteria causing the infection.

For patients, it is crucial to follow the prescribed dosage and administration instructions provided by their healthcare provider. The solution should be used as directed, typically involving tilting the head to one side and instilling the prescribed number of drops into the affected ear. Patients should remain in this position for a few minutes to allow the medication to penetrate deeply into the ear canal. It is important to complete the full course of treatment, even if symptoms improve, to ensure the complete eradication of the infection and prevent the development of antibiotic-resistant bacteria.

For prescribers, Gentamicin 26.7 mg/mL Otic Irrigation Solution offers a reliable option for treating ear infections, particularly those caused by gram-negative bacteria. It is essential to consider the patient's medical history, including any known allergies to aminoglycosides, before prescribing this formulation. Monitoring for potential ototoxicity, especially in patients with pre-existing hearing conditions or those receiving concurrent ototoxic medications, is also recommended.

If you have any questions or require further information about Gentamicin 26.7 mg/mL Otic Irrigation Solution, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Gentamicin 26.7 mg/mL Otic Irrigation Solution used for?

This formulation is used for treating various ear conditions, such as infections or inflammation, by delivering targeted treatment directly to the ear canal.

How should I administer Gentamicin Otic Irrigation Solution?

Administer the solution using a specific ear dropper or applicator as directed by your healthcare provider. Follow the instructions carefully to ensure proper dosage and effectiveness.

Can Gentamicin Otic Irrigation Solution be used for all types of ear infections?

Are there any side effects associated with Gentamicin Otic Irrigation Solution?

Some individuals may experience side effects such as irritation or discomfort in the ear. If you notice any severe reactions or persistent symptoms, contact your healthcare provider.

How often should I use Gentamicin Otic Irrigation Solution?

The frequency of use will be determined by your healthcare provider based on your specific condition. It is important to follow their instructions closely.

Can I use Gentamicin Otic Irrigation Solution if I have a perforated eardrum?

It is crucial to consult with a healthcare provider before using this solution if you have a perforated eardrum, as it may not be suitable for your condition.

Is Gentamicin Otic Irrigation Solution safe for children?

The safety and dosage for children should be determined by a healthcare provider. Always consult with a healthcare professional before administering to children.

How should I store Gentamicin Otic Irrigation Solution?

Store the solution 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 of Gentamicin Otic Irrigation 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 and continue with your regular schedule. Do not double the dose.

Can I use other ear medications while using Gentamicin Otic Irrigation Solution?

Before using other ear medications, consult with your healthcare provider to ensure there are no interactions or contraindications with Gentamicin Otic Irrigation Solution.

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.

Gentamicin 26.7 mg/mL Otic Irrigation Solution
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily