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Hydrocortisone 1%/Mupirocin 2%/Nystatin 100/000 IU/g Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Hydrocortisone
Nystatin
Mupirocin Calcium

The Hydrocortisone 1%/Mupirocin 2%/Nystatin 100,000 IU/g Topical Cream is a multi-functional semisolid preparation, specifically formulated to address a variety of dermatological conditions. This cream is dispensed in a user-friendly pump mechanism, ensuring a hygienic, convenient, and controlled application. It is commonly prescribed for conditions such as eczema with secondary bacterial infections, cutaneous candidiasis, and intertrigo where mixed infection with bacteria and Candida may be present. The pump dispenser helps to apply the cream directly to the affected areas, minimizing waste and contamination.

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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
Nystatin
Mupirocin Calcium
Topical Cream
65adc03a0ad354d6af6daea3
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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The Hydrocortisone 1%/Mupirocin 2%/Nystatin 100,000 IU/g Topical Cream is a specially compounded medication designed to provide a multifaceted approach to treating various skin conditions. This cream combines the anti-inflammatory properties of hydrocortisone, the antibacterial action of mupirocin, and the antifungal benefits of nystatin. Hydrocortisone, a corticosteroid, works by reducing redness, itching, and swelling. Mupirocin is an antibiotic that halts the growth of certain bacteria on the skin, while nystatin is an antifungal that stops the growth of certain fungi.

The cream is formulated as a semisolid preparation and is dispensed in a pump mechanism container. This delivery system is designed for ease of use, allowing for a clean, convenient, and controlled application. The pump helps to ensure that the correct dose is administered each time, minimizing waste and reducing the risk of contamination that can occur with jar packaging. This is particularly beneficial for patients who require a consistent and hygienic application to affected areas of the skin.

This combination cream is indicated for the treatment of skin conditions where there is a mixed infection involving inflammation, susceptible bacteria, and fungi. Such conditions may include but are not limited to, secondary bacterial infections of eczema or psoriasis, cutaneous candidiasis, and certain types of dermatitis. By addressing all three components of these complex skin infections, this cream helps to alleviate symptoms and promote healing.

Patients should be advised to apply the cream to the affected area as directed by their healthcare provider, usually two to three times a day, depending on the severity of the condition. It is important to use the medication for the full prescribed treatment period, even if symptoms improve before the medication is finished, to prevent the recurrence of infection. Side effects may include local irritation, burning, itching, or dryness at the application site. More serious side effects, such as signs of systemic absorption or allergic reactions, should be reported to a healthcare provider immediately.

Prescribers should consider the patient's medical history, including any known allergies to the active ingredients or excipients, before recommending this formulation. Additionally, the use of this cream should be monitored, especially in the case of long-term treatment, to avoid potential side effects such as skin atrophy from prolonged corticosteroid use or antibiotic resistance from mupirocin.

For further information or questions regarding this compounded medication, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is available to provide additional details and support to ensure the safe and appropriate use of this topical cream for both patients and prescribers.

Drug Interactions

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The topical cream formulation containing Hydrocortisone 1%, Mupirocin 2%, and Nystatin 100,000 IU/g is designed to treat a variety of skin conditions that may involve inflammation, bacterial infections, and fungal infections. Hydrocortisone is a corticosteroid that reduces inflammation and swelling. Mupirocin is an antibiotic that prevents bacterial growth on the skin, and Nystatin is an antifungal medication that stops the growth of fungi.

When using this combination topical cream, it is important to consider potential drug interactions. Although systemic absorption of topical preparations is generally low, interactions can still occur, especially with prolonged use, application over large surface areas, or use under occlusive dressings. Hydrocortisone, being a corticosteroid, may interact with other topical medications that affect the hypothalamic-pituitary-adrenal (HPA) axis, potentially leading to systemic side effects such as Cushing's syndrome or adrenal suppression if absorbed in significant amounts. Patients should avoid using other topical steroids concurrently unless directed by a healthcare provider.

Mupirocin has minimal interactions with systemic medications due to its limited absorption through the skin. However, it is important to avoid combining it with other topical preparations that may have similar antibacterial properties to prevent excessive bacterial killing that could disrupt the natural skin flora balance. Concurrent use of other topical antibiotics should be approached with caution and under the guidance of a healthcare provider.

Nystatin is not absorbed through intact skin or mucous membranes, so systemic interactions are unlikely. However, it is still important to avoid using other topical antifungal agents in the same area without medical advice, as this may increase the risk of skin irritation or alter the effectiveness of the medications.

Patients should be advised to inform their healthcare providers of all the medications they are currently using, including over-the-counter drugs, prescriptions, and herbal supplements, to avoid potential interactions. Additionally, patients should be aware of signs of local skin reactions, such as increased irritation, burning, or allergic contact dermatitis, which may require medical attention.

It is also important to note that while the risk of systemic absorption is low, the use of this cream on broken or damaged skin can increase the absorption of the active ingredients, potentially leading to increased risk of systemic side effects. Therefore, patients should use this medication only as directed and report any adverse effects to their healthcare provider promptly.

For any questions or concerns regarding the use of this topical cream or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the necessary information and support to ensure appropriate treatment.

How Does it Work

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The Hydrocortisone 1%/Mupirocin 2%/Nystatin 100,000 IU/g Topical Cream is a specially compounded medication that combines the therapeutic effects of three active ingredients, each targeting different aspects of skin conditions. This cream is formulated to provide a comprehensive treatment for a variety of dermatological issues, including inflammatory skin disorders, bacterial skin infections, and fungal skin infections.

Hydrocortisone, the first active ingredient, is a corticosteroid that works by reducing inflammation, redness, and swelling. It achieves this by inhibiting the release of substances in the body that cause inflammation. At a concentration of 1%, hydrocortisone is potent enough to provide relief from these symptoms without causing significant side effects that are associated with higher strengths of corticosteroids.

Mupirocin, the second active ingredient, is an antibiotic that stops the growth of certain bacteria on the skin. By eradicating bacteria at the site of infection, mupirocin helps to clear up bacterial skin infections such as impetigo, folliculitis, and infected wounds or ulcers.

Nystatin, the third component, is an antifungal medication that binds to sterols in the fungal cell membrane, altering the permeability and resulting in leakage of cellular contents. With a potency of 100,000 IU/g, nystatin effectively treats cutaneous candidiasis and other skin fungal infections, ensuring the eradication of the yeast and preventing its growth on the skin.

The cream is dispensed in a pump mechanism, which allows for a hygienic, convenient, and controlled application. This delivery system ensures that the correct dose is administered each time, minimizing waste and reducing the risk of contamination. The semisolid preparation is designed to be easily spreadable and absorbable, facilitating the delivery of the active ingredients to the affected area of the skin for localized treatment.

This combination cream is particularly useful for patients who are suffering from complex skin conditions that may involve a combination of inflammatory, bacterial, and fungal elements. By addressing all these components simultaneously, the cream can provide a more comprehensive treatment approach compared to monotherapy with a single agent.

For patients and prescribers considering this formulation, it is important to note that the cream should be used as directed, typically applied to the affected area two to three times a day or as prescribed by a healthcare professional. It is also crucial to use this medication for the full prescribed length of time, even if symptoms improve before the infection is completely cleared. As with any medication, there may be potential side effects, and it is important to monitor for any adverse reactions.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of 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 Hydrocortisone 1%/Mupirocin 2%/Nystatin 100,000 IU/g Topical Cream used for?

This compounded formulation is used to treat various skin conditions that may involve inflammation, bacterial infections, and fungal infections.

How should this topical cream be applied?

Clean and dry the affected area before applying a thin layer of the cream. Use the pump mechanism to dispense the cream and spread it gently over the skin. It is typically applied two to three times a day or as directed by your healthcare provider. Do not cover the treated area with a bandage unless instructed by your doctor.

Can this cream be used for any type of skin infection?

Not all skin infections will be responsive to this cream. It is formulated to treat certain bacterial and fungal infections, as well as inflammatory skin conditions. It should be used only if prescribed by your healthcare provider, who will diagnose the type of infection and decide whether this treatment is appropriate.

Are there any side effects associated with this cream?

As with any medication, there can be side effects. Common side effects might include mild burning, itching, or irritation at the application site. If you experience severe side effects, such as intense redness, blistering, or signs of a systemic allergic reaction, seek medical attention immediately.

How does the pump mechanism benefit the application of the cream?

The pump mechanism provides a controlled and hygienic way to dispense the cream, reducing the risk of contamination and ensuring that a consistent quantity of medication is applied with each use. It also makes the application process more convenient, especially when treating hard-to-reach areas.

What should I do if I miss a dose?

If you miss a dose, apply the cream as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra cream to make up for a missed dose.

Can I use other skin products on top of this cream?

It's best to consult your healthcare provider before applying other skin products on top of this cream. Other products may affect how this medication works or increase the risk of side effects.

Is it safe to use this compounded cream during pregnancy or while breastfeeding?

You should discuss with your healthcare provider before using this medication if you are pregnant or breastfeeding to ensure it is safe for you and your baby. Your provider will weigh the risks and benefits before making a recommendation.

How should this cream be stored?

Store the cream at room temperature, away from heat and direct sunlight. Keep the container closed when not in use. Make sure to keep it out of reach of children and pets.

Can the formulation of Hydrocortisone, Mupirocin, and Nystatin cause skin discoloration?

Skin discoloration is not commonly reported with these medications, but individual reactions can vary. If you notice changes in skin color, contact your healthcare provider for advice.

How long does it take for the topical cream to work?

The time it takes for the cream to work can vary depending on the specific condition being treated and the severity of the infection or inflammation. Some patients may notice improvements within a few days, while others may require a longer period of consistent use. Follow your healthcare provider’s instructions and report any concerns regarding efficacy.

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.

Hydrocortisone 1%/Mupirocin 2%/Nystatin 100/000 IU/g Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily