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Formulas

Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Hydrocortisone
Gentamicin Sulfate
Neomycin Sulfate
Polymyxin B Sulfate

Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution is a compounded liquid formulation designed for otic use. It is administered using an ear dropper or applicator as directed. This medication is used to provide targeted treatment for various ear conditions including Otitis Externa, Swimmer's Ear, Acute Otitis Media, Chronic Otitis Media, and Malignant Otitis Externa.

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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
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
Gentamicin Sulfate
Neomycin Sulfate
Polymyxin B Sulfate
Otic Solution
6427079ea64324b8f2518bec
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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Bayview Pharmacy is pleased to present our compounded formulation of Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution. This specialized liquid formulation is specifically designed for otic use, providing targeted treatment for a variety of ear conditions, including infections and inflammation. It is administered using a specific ear dropper or applicator as directed.

It also effectively addresses inflammation and itching associated with these infections. The formulation combines hydrocortisone, neomycin, gentamicin, and polymyxin B, offering a broad spectrum of activity against a diverse range of bacteria, fungi, and viruses.

Hydrocortisone in the formulation works to alleviate inflammation and itching, while neomycin, gentamicin, and polymyxin B synergistically work to eliminate the bacteria, fungi, and viruses causing the infection.

It should always be used as directed by a healthcare professional. If you have any questions or concerns about this formulation or its use, please do not hesitate to contact us at Bayview Pharmacy. We are here to assist you with your healthcare needs.

Drug Interactions

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This compounded formulation of Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution is a specialized liquid formulation designed for otic (ear) use. It is specifically intended for the treatment of various ear conditions, such as infections or inflammation. The medication is administered using a specific ear dropper or applicator as directed by a healthcare provider.

The combination of hydrocortisone, neomycin, gentamicin, and polymyxin B in this otic solution has not been associated with any clinically significant drug interactions. This formulation is primarily indicated for the treatment of bacterial otitis externa caused by organisms susceptible to these medications. Additionally, it is also used for the treatment of inflammation associated with otitis externa.

The synergistic action of these medications works to effectively reduce inflammation and treat the infection. Patients are advised to use the medication as directed by their healthcare provider and to not discontinue its use without prior consultation. It is important for patients to contact their healthcare provider if their symptoms do not improve or if they experience any adverse effects from the medication.

While this medication is generally well-tolerated, like any medication, it may cause side effects in some patients. These may include temporary discomfort or a burning sensation in the ear. If these side effects persist or worsen, patients should contact their healthcare provider immediately.

As with all medications, this otic solution should be stored at room temperature, away from light and moisture, and out of reach of children. It is important to not share this medication with others, as it has been specifically prescribed for the current condition of the individual patient.

How Does it Work

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Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution is a compounded formulation designed to provide targeted treatment for various ear conditions. This solution combines four active ingredients: Hydrocortisone, Neomycin, Gentamicin, and Polymyxin B, each playing a crucial role in managing ear infections and inflammations.

Hydrocortisone, a corticosteroid, is known for its anti-inflammatory properties, helping to reduce swelling and itching that often accompany ear infections. Neomycin and Gentamicin are antibiotics that work synergistically to eliminate bacteria causing the infection.

It can also alleviate inflammation and itching associated with these infections.

When using this otic solution, it is crucial to adhere to the instructions provided by your healthcare provider. Typically, the solution should be applied to the affected ear twice daily or as directed by your healthcare provider. Before each use, ensure to shake the solution well. Avoid contact with the eyes, and in case of accidental contact, rinse your eyes thoroughly with water and seek immediate medical attention if irritation persists.

If you have any queries or concerns about using Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution, do not hesitate to seek professional advice. It is essential to understand your treatment fully to ensure its maximum effectiveness.

Other Uses

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This Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution is a compounded formulation specifically designed for otic use. It provides targeted treatment for various ear conditions, such as infections or inflammation. The solution is administered using a specific ear dropper or applicator as directed by a healthcare provider.

The formulation is indicated for the treatment of external otitis caused by susceptible organisms, including Pseudomonas aeruginosa, Staphylococcus aureus, and Proteus mirabilis. It may also be used to treat otitis externa caused by fungi, such as Candida albicans. Furthermore, this formulation can be used to treat both acute and chronic otitis media, as well as malignant otitis externa. However, it should not be used to treat otitis externa caused by viruses.

When using this formulation, it is crucial to follow the instructions provided by your healthcare provider. The solution should be applied to the affected area of the ear twice daily, or as directed by your healthcare provider. It is important to keep the ear dry while using this formulation. Avoid contact with the eyes while using this formulation. If contact with the eyes occurs, rinse the eyes with water and seek medical attention if irritation persists.

If you have any questions about the use of this formulation, please consult with your healthcare provider or pharmacist. They can provide you with the necessary guidance and instructions to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is this compounded formulation used for?

This compounded formulation is used for the treatment of various ear conditions, such as infections or inflammation. It contains Hydrocortisone, Neomycin, Gentamicin, and Polymyxin B, which work together to reduce inflammation and fight against bacteria causing the infection.

How should I use this otic solution?

This otic solution should be administered using a specific ear dropper or applicator as directed by your healthcare provider. It is designed for use in the ear canal only.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Hydrocortisone 1%, Neomycin 3.5 mg/ml, Gentamicin 1.7 mg/ml, and Polymyxin B 10,000 U/ml.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

What are the potential side effects of this otic solution?

Side effects may include ear discomfort or itching, temporary imbalance, and hearing loss. If these effects persist or worsen, notify your doctor or pharmacist promptly.

Can I use this otic solution if I am pregnant or breastfeeding?

Consult your healthcare provider before using this medication if you are pregnant or breastfeeding. The effects on the unborn baby or nursing infant are unknown.

Can I use this otic solution for other conditions?

This otic solution is specifically designed for use in the ear canal for the treatment of ear conditions. It should not be used for other conditions unless directed by your healthcare provider.

Can I use this otic solution in both ears?

Yes, this otic solution can be used in both ears if prescribed by your healthcare provider. However, it should only be used in the ear or ears with the condition.

How should I store this otic solution?

Store this medication at room temperature, away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

What should I do in case of an overdose?

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call emergency services immediately. If the person is awake and has no symptoms, call a poison control center right away.

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.

Hydrocortisone 1%/Neomycin 3.5 mg/ml/Gentamicin 1.7 mg/ml/Polymyxin B 10,000 U/ml Otic Solution
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily