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Hydrocortisone 0.9 g/Testosterone 0.45 g/Vitamin A 50/000 IU/Vitamin E 1.8 g/90 g Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Hydrocortisone
Testosterone
Vitamin A
Vitamin E

Description: This compounded topical cream combines hydrocortisone 0.9 g, testosterone 0.45 g, vitamin A 50,000 IU, and vitamin E 1.8 g in a 90 g base to create a multifaceted treatment option for patients. Hydrocortisone is a corticosteroid that can reduce inflammation and alleviate symptoms associated with various dermatoses. Testosterone is included for its potential role in skin disorders where androgen levels may influence the condition. Vitamin A is known for its skin health benefits, particularly in the management of acne and photoaging. Vitamin E acts as an antioxidant, helping to protect the skin from oxidative stress. The cream is formulated as a semisolid preparation in a pump mechanism, which allows for convenient, hygienic, and controlled dosing. This formulation is intended for localized treatment of skin conditions such as eczema, psoriasis, androgen deficiency-related skin issues, acne, and skin aging.

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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.
Hydrocortisone
Testosterone
Vitamin A
Vitamin E
Topical Cream
65adef0c911838575d0be523
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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Our custom-compounded formulation combines Hydrocortisone, Testosterone, Vitamin A, and Vitamin E into a 90 g topical cream designed to address a variety of dermatological and hormonal conditions. Hydrocortisone, at a concentration of 0.9 g, is a well-known corticosteroid that helps reduce inflammation, itching, and redness associated with skin conditions such as eczema, psoriasis, and dermatitis. Its anti-inflammatory properties make it a staple in treating inflammatory skin disorders.

Testosterone, included at 0.45 g, is often used topically to address conditions that benefit from androgen supplementation, such as specific forms of alopecia or skin atrophy. It may also play a role in improving skin elasticity and thickness, thereby aiding in the overall health and appearance of the skin. The inclusion of testosterone in this formulation should be carefully considered by the prescriber, taking into account the patient's hormonal balance and the potential systemic absorption of the hormone.

Vitamin A, at a dose of 50,000 IU, is known for its crucial role in skin health and regeneration. It can help in the treatment of acne and may also have anti-aging effects by promoting collagen production and reducing the appearance of fine lines. Vitamin E, present at 1.8 g, is a powerful antioxidant that protects the skin from oxidative stress and environmental damage, which can lead to premature aging. It also has moisturizing properties that can help improve the skin's barrier function and hydration.

The cream is formulated as a semisolid preparation and is dispensed in a pump mechanism. This type of packaging ensures a convenient, hygienic, and controlled application, reducing the risk of contamination and ensuring consistent dosing. The pump mechanism is particularly beneficial for patients who require precise amounts of medication to be applied to the affected areas of the skin.

This multifaceted formulation is intended for localized treatment and is absorbed through the skin to exert its effects. It is important for prescribers to consider the individual components and their potential interactions, as well as the specific needs of the patient, when recommending this treatment. Patients should be instructed on the proper use of the pump dispenser and the amount of cream to apply to the affected area. As with any medication, monitoring for side effects and effectiveness is crucial.

If you have any questions or require further information about this custom-compounded formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide support and guidance to both patients and prescribers to ensure the safe and appropriate use of this topical cream.

Drug Interactions

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The formulation you have described contains a combination of hydrocortisone, testosterone, vitamin A, and vitamin E in a topical cream base. When considering drug interactions for this topical preparation, it is important to note that the systemic absorption of these ingredients may be lower compared to oral administration, but interactions can still occur, particularly with extensive or long-term use.

Hydrocortisone is a topical corticosteroid that may interact with other steroid medications. If a patient is using other topical or systemic corticosteroids, there may be an increased risk of systemic corticosteroid side effects, such as suppression of the hypothalamic-pituitary-adrenal (HPA) axis. Patients should inform their healthcare provider of all corticosteroid use to monitor for these effects.

Testosterone in the formulation can be absorbed systemically and may interact with anticoagulants like warfarin, potentially altering their effects and necessitating closer monitoring of coagulation parameters. Additionally, patients using insulin or oral diabetes medications should be aware that testosterone can affect blood glucose levels. Concurrent use of testosterone with other androgens or anabolic steroids can increase the risk of adverse effects, including those related to cardiovascular health and virilization.

Vitamin A, when applied topically, has a low risk of systemic interactions; however, concomitant use of other retinoids or retinoid-like drugs should be approached with caution to avoid additive toxic effects, such as vitamin A toxicity. Patients should also be aware of the potential for increased skin irritation when vitamin A is used with other topical agents that cause irritation, such as benzoyl peroxide or salicylic acid.

Vitamin E is generally considered safe with a low potential for drug interactions. However, high doses of vitamin E may have anticoagulant effects and could theoretically increase the risk of bleeding if used with anticoagulant or antiplatelet medications. It is also important to note that vitamin E can have an occlusive effect on the skin, which may affect the absorption of other topical medications.

This topical cream is designed to treat localized skin conditions where anti-inflammatory, androgenic, and skin-protective effects are desired. Hydrocortisone can help reduce inflammation and treat conditions such as eczema or dermatitis. Testosterone may be used in cases of androgen deficiency or to improve localized conditions that benefit from its anabolic effects. Vitamin A can promote skin health and may be beneficial in treating acne or photoaging. Vitamin E acts as an antioxidant and may aid in skin healing and protection.

Patients should be advised to inform their healthcare providers of all medications, supplements, and topical products they are using to avoid potential interactions. If you have any questions or require further information regarding this formulation and its potential interactions, please reach out to us at Bayview Pharmacy for personalized advice and support.

How Does it Work

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The formulation of Hydrocortisone 0.9 g/Testosterone 0.45 g/Vitamin A 50,000 IU/Vitamin E 1.8 g/90 g Topical Cream is a unique blend of active ingredients, each serving a specific therapeutic purpose when applied to the skin. This cream is designed to be dispensed from a pump mechanism, which allows for a hygienic, convenient, and controlled application. The semisolid nature of the cream ensures that it stays on the skin where it is applied, facilitating the localized treatment and absorption of the active ingredients.

Hydrocortisone is a corticosteroid that works by reducing inflammation, redness, and swelling. By modulating the body's immune response, hydrocortisone can alleviate the symptoms associated with these inflammatory skin disorders.

Testosterone, included in this formulation, is a hormone that can be used topically to address conditions such as hormone deficiencies or imbalances. When applied to the skin, testosterone is absorbed into the bloodstream, where it can exert its effects on various tissues, including the skin, muscles, and bones. It may also play a role in skin health, influencing factors such as skin thickness and sebum production.

Vitamin A, present as 50,000 IU in the cream, is known for its role in maintaining healthy skin. It promotes skin cell turnover and can help in the treatment of acne and other skin conditions. Vitamin A is also an antioxidant, which means it helps to protect skin cells from damage caused by free radicals, potentially slowing the aging process of the skin.

Vitamin E, at a concentration of 1.8 g, is another powerful antioxidant included in this formulation. It helps to protect the skin from oxidative stress and has moisturizing properties that can improve the skin's texture and barrier function. Vitamin E also supports the healing process of the skin, making it beneficial for treating scars and other skin damage.

The combination of these ingredients in a single topical cream allows for a multifaceted approach to skin therapy. The anti-inflammatory properties of hydrocortisone, the hormonal effects of testosterone, and the antioxidant and skin health benefits of vitamins A and E work synergistically to treat and manage various skin conditions. This formulation is particularly useful for patients who require a combination of these active ingredients to address their specific dermatological needs.

It is important for both patients and prescribers to understand the mechanism of action and the potential benefits of this compounded formulation. If you have any questions or require further information about this topical cream, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is the purpose of this compounded topical cream?

This compounded cream is designed to deliver specific doses of Hydrocortisone, Testosterone, Vitamin A, and Vitamin E directly to the skin for localized treatment. Hydrocortisone acts as an anti-inflammatory, Testosterone may be included for hormone therapy, and Vitamins A and E are added for their skin health benefits.

How do I use the pump mechanism to apply the topical cream?

To apply the cream, gently press down on the pump to dispense a small amount of product onto your fingertip or directly onto the area to be treated. The pump mechanism allows for controlled and convenient delivery of the cream.

How often should I use this compounded cream?

The frequency of use for this cream will be determined by your healthcare provider based on your individual condition and treatment plan. It is essential to follow their instructions precisely.

Can this cream be applied to any part of the body?

You should use this cream only on the areas of the skin as directed by your healthcare provider. It is not intended for use on sensitive areas such as the eyes, mouth, or mucous membranes.

Should I cover the treated area after applying this cream?

Your healthcare provider will advise you whether or not to cover the treated area. Depending on the treatment purpose, covering the area may not be necessary and could impact the absorption of the medication.

Are there any known side effects of using this compounded cream?

As with any medication, there may be potential side effects. These can include skin irritation, redness, itching, or hormonal changes, depending on the components of the compound. If you experience any adverse effects, contact your healthcare provider immediately.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose and continue with your regular schedule. Do not double up on applications to make up for a missed dose without consulting your healthcare provider.

How should this topical cream be stored?

Store the cream at room temperature, away from direct light and heat. Make sure the pump is securely closed to prevent the medication from drying out. Keep this and all medications out of reach of children and pets.

Can other medications or creams be used concurrently with this formulation?

Before using other medications or topical products in conjunction with this compound, consult your healthcare provider, as there could be potential interactions or absorption issues.

Is it safe for pregnant or breastfeeding women to use this cream?

The safety of this medication for pregnant or breastfeeding women has not been established. Use of this cream during pregnancy or while breastfeeding should only be considered if the potential benefits outweigh the potential risks, as advised by a healthcare provider.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Hydrocortisone 0.9 g/Testosterone 0.45 g/Vitamin A 50/000 IU/Vitamin E 1.8 g/90 g Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Once daily