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Haloperidol 1 mg/mL Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Haloperidol

Haloperidol 1 mg/mL Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This formulation is used for the localized treatment or absorption of active ingredients to manage symptoms associated with conditions such as Tourette's syndrome, schizophrenia, and other psychotic disorders. By delivering haloperidol directly to the skin, this topical cream provides targeted relief while minimizing systemic exposure.

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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.
Haloperidol
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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Haloperidol 1 mg/mL Topical Cream is a compounded medication designed for transdermal application, allowing the active ingredient to be absorbed through the skin. This semisolid preparation is dispensed in a pump mechanism for convenient and controlled dosing, ensuring precise application and improved patient compliance.

Haloperidol is a potent antipsychotic agent belonging to the butyrophenone class of medications. While traditionally administered orally or via injection, the topical cream formulation offers an alternative route of administration, particularly beneficial for patients who may have difficulties with oral medications or require localized treatment.

The transdermal delivery of haloperidol allows for steady absorption into the systemic circulation, potentially resulting in more consistent plasma levels and reduced peaks and troughs associated with other administration routes. This can enhance the therapeutic effect while minimizing side effects.

Patients prescribed Haloperidol Topical Cream should apply the medication as directed by their healthcare provider. It is important to apply the cream to clean, intact skin, avoiding areas with cuts, abrasions, or irritation. After application, hands should be washed thoroughly to prevent accidental transfer to the eyes or mucous membranes.

As with any antipsychotic medication, monitoring for side effects is essential. Potential side effects may include skin irritation at the application site, drowsiness, dizziness, or extrapyramidal symptoms such as muscle stiffness or tremors. Patients should report any unusual symptoms to their healthcare provider promptly.

For prescribers, the topical formulation of haloperidol may offer advantages in specific clinical scenarios, such as when oral administration is not feasible or when a controlled absorption rate is desired. It is crucial to assess the individual patient's needs, potential drug interactions, and overall health status when considering this treatment option.

If you have any questions about Haloperidol 1 mg/mL Topical Cream or how it may benefit you or your patients, please reach out to us for more information and personalized assistance.

Drug Interactions

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Haloperidol 1 mg/mL Topical Cream is a semisolid preparation designed for convenient and controlled application on the skin, allowing for localized treatment or absorption of active ingredients. While topical administration of haloperidol may reduce the risk of systemic side effects compared to oral or injectable forms, it is still important to consider potential drug interactions, especially for patients who may be using other medications concurrently.

Haloperidol is a typical antipsychotic that primarily acts as a dopamine D2 receptor antagonist. When applied topically, it is intended to exert its effects locally, but systemic absorption can still occur, potentially leading to interactions with other medications. Patients and prescribers should be aware of the following potential interactions:

1. **Central Nervous System (CNS) Depressants**: Concurrent use of haloperidol with other CNS depressants, such as benzodiazepines, opioids, or alcohol, may enhance the sedative effects and increase the risk of respiratory depression, hypotension, and profound sedation. Caution is advised, and dosage adjustments may be necessary.

2. **Anticholinergic Agents**: Haloperidol may enhance the anticholinergic effects of other medications, leading to increased risk of side effects such as dry mouth, constipation, urinary retention, and confusion. Patients using anticholinergic drugs should be monitored closely.

3. **Antihypertensive Medications**: Haloperidol can potentiate the hypotensive effects of antihypertensive drugs, leading to an increased risk of orthostatic hypotension. Blood pressure should be monitored, and dose adjustments may be required.

4. **QT Prolonging Agents**: Haloperidol has the potential to prolong the QT interval, which can lead to serious cardiac arrhythmias. Caution is advised when used with other medications known to prolong the QT interval, such as certain antiarrhythmics, antibiotics, and antidepressants. Regular monitoring of cardiac function may be necessary.

5. **Enzyme Inhibitors and Inducers**: Haloperidol is metabolized by the cytochrome P450 system, particularly CYP3A4 and CYP2D6. Inhibitors of these enzymes, such as ketoconazole or fluoxetine, may increase haloperidol levels, while inducers like rifampin or carbamazepine may decrease its effectiveness. Dose adjustments and monitoring of therapeutic response are recommended.

6. **Lithium**: Concurrent use of haloperidol and lithium has been associated with rare cases of neurotoxicity, including symptoms such as confusion, disorientation, and extrapyramidal symptoms. Patients should be monitored for signs of neurotoxicity, and the combination should be used with caution.

Patients and prescribers should always inform their healthcare provider of all medications being used, including over-the-counter drugs and supplements, to assess for potential interactions. If you have any questions or concerns regarding the use of Haloperidol 1 mg/mL Topical Cream and its interactions with other medications, please reach out to us for further guidance and support.

How Does it Work

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Haloperidol 1 mg/mL Topical Cream is a specialized formulation designed to deliver the antipsychotic medication, haloperidol, directly through the skin. This semisolid preparation is dispensed using a pump mechanism, which ensures a convenient and controlled application. The topical route of administration is particularly beneficial for patients who may have difficulty swallowing oral medications or for those who require localized treatment to minimize systemic side effects.

Haloperidol is a well-known antipsychotic agent that primarily works by blocking dopamine receptors in the brain, particularly the D2 subtype. By inhibiting these receptors, haloperidol helps to modulate neurotransmitter activity, which can be beneficial in managing symptoms associated with various psychiatric and neurological disorders. The topical application allows for the medication to be absorbed through the skin, providing a localized effect that can be advantageous in treating conditions where systemic exposure needs to be minimized.

The cream's formulation is designed to enhance the penetration of haloperidol through the skin barrier, ensuring that the active ingredient reaches the target area effectively. The use of a pump mechanism not only aids in precise dosing but also maintains the stability and integrity of the formulation by minimizing exposure to air and contaminants. This method of delivery can be particularly useful in managing conditions such as localized tics, certain types of neuropathic pain, or other dermatological manifestations of psychiatric disorders where haloperidol's action can be beneficial.

For prescribers, the topical application of haloperidol offers an alternative route of administration that can be tailored to the specific needs of the patient. It allows for flexibility in dosing and can be adjusted based on the patient's response and the severity of symptoms. Additionally, the reduced systemic absorption associated with topical application can lead to a lower incidence of common side effects seen with oral or injectable forms of haloperidol, such as extrapyramidal symptoms or sedation.

Patients using Haloperidol 1 mg/mL Topical Cream should follow the application instructions provided by their healthcare provider to ensure optimal results. It is important to apply the cream to clean, dry skin and to avoid areas with cuts or abrasions. Consistent use as directed can help achieve the desired therapeutic outcomes while minimizing potential side effects.

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 you with the information and support you need to make informed decisions about your treatment options.

Frequently Asked Questions

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What is Haloperidol 1 mg/mL Topical Cream used for?

Haloperidol 1 mg/mL Topical Cream is used for localized treatment on the skin, allowing for the absorption of the active ingredient, haloperidol, which is typically used to manage symptoms of certain psychiatric disorders.

How do I apply Haloperidol 1 mg/mL Topical Cream?

Apply the cream to the affected area of the skin using the pump mechanism for a controlled and convenient dosage. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can Haloperidol 1 mg/mL Topical Cream be used on broken skin?

It is generally advised not to apply topical creams on broken or irritated skin unless directed by a healthcare professional. Consult your doctor for specific guidance.

Are there any side effects associated with Haloperidol 1 mg/mL Topical Cream?

Possible side effects may include skin irritation, redness, or itching at the application site. If you experience severe reactions, contact your healthcare provider immediately.

How should I store Haloperidol 1 mg/mL Topical Cream?

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

Can I use Haloperidol 1 mg/mL Topical Cream with other medications?

Before using this cream with other medications, consult your healthcare provider to avoid potential interactions. Provide them with a list of all medications you are currently using.

Is Haloperidol 1 mg/mL Topical Cream suitable for children?

The use of Haloperidol 1 mg/mL Topical Cream in children should be determined by a healthcare professional. Always follow the guidance of a pediatrician or healthcare provider.

What should I do if I miss a dose of Haloperidol 1 mg/mL Topical Cream?

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 double the dose to catch up.

Can I use cosmetics or other skin products over Haloperidol 1 mg/mL Topical Cream?

It is best to consult your healthcare provider before using other skin products or cosmetics over the cream to ensure there are no adverse interactions.

What should I do if I accidentally ingest Haloperidol 1 mg/mL Topical 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.

Haloperidol 1 mg/mL Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily