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Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Hydrocortisone
Salicylic Acid

The Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid is a specially compounded formulation intended for otic administration to address conditions affecting the ear canal. Hydrocortisone, a corticosteroid, works by reducing inflammation and relieving itching, while salicylic acid serves as a keratolytic agent, helping to shed dead cells from the outer layer of the skin to reduce scaling and improve the penetration of hydrocortisone.

The liquid formulation is designed for ease of use with a dropper or applicator, ensuring precise delivery of medication to the affected area within the ear canal.

Patients are advised to use the Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid as directed by their healthcare provider to ensure optimal treatment outcomes for their specific ear condition.

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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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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
Salicylic Acid
Otic Solution
65add4805ba94e0decb24ad6
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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The Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid is a compounded medication tailored for the treatment of various ear conditions. Hydrocortisone, a corticosteroid, functions by reducing inflammation and swelling in the ear canal, which can alleviate symptoms such as pain and discomfort. On the other hand, Salicylic Acid serves as a keratolytic agent, which helps to break down keratin, a protein that forms part of the skin structure. This action assists in the removal of excessive skin cells, reducing scaling and promoting the healing of the skin within the ear canal. It is beneficial in treating conditions like psoriasis or dermatitis where excessive skin cell production is a problem.

The combination of Hydrocortisone and Salicylic Acid in an otic liquid form allows for direct application to the affected area, ensuring that the medication is delivered where it is most needed. This targeted approach helps to maximize therapeutic effects while minimizing systemic absorption and potential side effects. The liquid formulation is designed for ease of use with an ear dropper or applicator, facilitating accurate dosing and application by the patient or caregiver. It is important to follow the prescribed dosing regimen and to use the medication as directed to achieve the best results.

For patients, it is crucial to understand that while Hydrocortisone can provide relief from inflammation and itching, it should not be used for prolonged periods without medical supervision due to potential side effects, such as skin thinning. Salicylic Acid, while effective in removing excess skin cells, can cause irritation if used excessively or on sensitive skin. Therefore, patients should be monitored for any adverse reactions during the course of treatment. Prescribers should consider the patient's medical history, including any known hypersensitivities or contraindications, before recommending this formulation.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the specific needs of each patient. If you have any questions about the Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid or its suitability for treating specific ear conditions, please do not hesitate to reach out to us. We are here to support both patients and healthcare providers with expert advice and information on our compounded formulations.

Drug Interactions

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The Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid is a compounded medication intended for use in the ear canal to treat various ear conditions, such as infections or inflammation. Hydrocortisone is a corticosteroid that reduces inflammation and can alleviate symptoms such as swelling, itching, and redness. Salicylic acid is a keratolytic agent that helps to shed dead cells from the outer layer of the skin, which can be beneficial in treating conditions where there is a buildup of scales or dead skin cells.

When considering drug interactions, it is important to note that while the systemic absorption of hydrocortisone and salicylic acid from the ear canal is generally low, there is still potential for interaction with other medications. Patients should inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements.

Hydrocortisone may interact with other corticosteroids, either systemic or topical, potentially increasing the risk of systemic corticosteroid side effects. Caution should be exercised when using other corticosteroid-containing products. Additionally, patients who are taking medications that suppress the immune system, such as cyclosporine or tacrolimus, may experience enhanced systemic effects of corticosteroids.

Salicylic acid may increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs such as warfarin or aspirin. It may also interact with other topical medications used in the ear, potentially altering their absorption or effectiveness. Therefore, it is advisable to avoid concurrent use of other otic preparations without consulting a healthcare provider.

Patients with diabetes or those taking oral hypoglycemic agents should be monitored for changes in blood glucose levels, as corticosteroids can affect glucose metabolism. Additionally, the use of hydrocortisone may reduce the response to certain medications used to treat infections, such as antifungals or antibiotics, due to its immunosuppressive effects.

It is also important to consider the potential for ototoxicity when using otic preparations. Although rare, there is a risk of hearing damage, especially if the eardrum is perforated. Patients should be advised to report any changes in hearing immediately.

As with any medication, the risk of allergic reactions exists. Patients with a known hypersensitivity to hydrocortisone, salicylic acid, or any other components of the formulation should not use this product. Additionally, the use of this medication in the presence of viral infections of the ear, such as herpes or chickenpox, is contraindicated due to the potential for worsening of these infections.

For any questions or concerns regarding the use of Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure appropriate treatment for our patients.

How Does it Work

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The Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid is a compounded medication that combines the anti-inflammatory properties of hydrocortisone with the keratolytic (peeling) action of salicylic acid. This dual-action formulation is designed to be used in the ear canal for the treatment of various ear conditions, such as eczematous external otitis, psoriasis, or to assist in the removal of excessive earwax that may be inflamed or infected.

Hydrocortisone is a corticosteroid that works by reducing inflammation, itching, and swelling. When applied to the ear, it can help alleviate symptoms associated with inflammatory ear conditions. It does this by entering the cells and inhibiting the release of certain chemicals in the body that are responsible for inflammation. This can provide relief from pain and discomfort, as well as reduce swelling and redness in the ear canal.

Salicylic acid, on the other hand, is a beta hydroxy acid that has the ability to dissolve keratin, the protein that holds skin cells together. By breaking down these bonds, salicylic acid promotes the shedding of the outer layer of skin cells. In the context of otic use, it helps to soften and remove scaling or crusting skin, which is common in ear conditions like psoriasis or excessive earwax buildup. This keratolytic effect can also enhance the penetration of hydrocortisone into the skin, potentially increasing its efficacy.

The liquid formulation is specifically designed for otic use, meaning it is intended to be applied directly into the ear canal. It is typically administered using a dropper or other applicator to ensure accurate dosing and targeted application. Patients should follow the prescribed instructions on how to apply the medication, including the amount of liquid and the frequency of application. It is important to use this medication only as directed by a healthcare provider to avoid potential side effects or complications.

This compounded medication is particularly useful for patients who may not respond to standard treatments or who require a customized approach to their ear care. It is essential for prescribers to consider the individual needs of their patients when recommending this formulation, including any potential allergies or contraindications.

If you have any questions about the Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid or its use in treating ear conditions, 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 both patients and healthcare providers.

Other Uses

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While Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid is principally used for managing certain ear conditions, it has potential utility in addressing dermatological issues within or around the ear that could benefit from its anti-inflammatory and keratolytic properties. Its composition—combining the corticosteroid hydrocortisone and the keratolytic agent salicylic acid—makes the formulation well-suited for treating inflammatory ear disorders and various forms of otitis (inflammation of the ear). The hydrocortisone component provides relief from itching and inflammation, whereas salicylic acid helps to reduce scaling and promote the shedding of dead skin cells.

Although this formulation is designed for otic use, it may also aid in the management of localized skin conditions such as seborrheic dermatitis or eczema that can sometimes extend into the ear canal or on the outer ear, where the skin is not too disrupted or open. This would be especially relevant when these conditions are concurrent with ear inflammation or infection. However, caution should be exercised when applying this medication to any off-label area, as the skin outside of the ear canal is more sensitive and may react differently to topical treatments than the skin within the ear canal.

It's crucial to note that this preparation should not be used for undiagnosed ear conditions, or when there is any possibility of tympanic membrane rupture, as the introduction of topical treatments into the middle ear can potentially cause ototoxicity or worsen the existing condition. Additionally, the suitability of this medication for any use other than its intended prescription should be assessed by a qualified healthcare professional. Careful consideration is necessary before using this product in sensitive areas or on individuals with a history of hypersensitivity to its ingredients or those who are immunosuppressed.

If you are considering this formulation for an off-label application or if there are any questions concerning the potential other uses of Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid, we encourage healthcare providers and patients to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists can offer advice, tailor information and ensure accurate, safe and appropriate use of this specialized medication.

Frequently Asked Questions

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What is Hydrocortisone 1%/Salicylic Acid 2% Otic Liquid used for?

This liquid formulation is intended for use in the treatment of various ear conditions such as infections, inflammation, and other ailments that benefit from a combination of hydrocortisone, an anti-inflammatory steroid, and salicylic acid, a keratolytic agent. It helps reduce swelling, redness, and itchiness, and also assists in the removal of excessive earwax or debris.

How do I use this otic solution?

Administer the liquid using the ear dropper or applicator provided. Gently warm the bottle by holding it in your hand for a few minutes to avoid dizziness from the introduction of cold liquid into the ear canal. Tilt your head or lie down with the affected ear facing up, and apply the drops as directed by your healthcare provider. Keep your head tilted for a few minutes afterward to allow the medication to penetrate the ear.

Can I use this medication if I have a perforated eardrum?

No, you should not use this medication if you have a known or suspected perforated eardrum. Doing so could cause the medication to reach the middle ear and potentially lead to further complications. Consult your healthcare provider for alternative treatments.

How often should I use this otic liquid?

The frequency of use will be determined by your healthcare provider, based on the severity of your condition and your response to treatment. Follow the prescribed regimen and do not alter the dose without consulting your healthcare provider.

Are there any side effects to using Hydrocortisone/Salicylic Acid Otic Liquid?

Side effects are generally uncommon but may include local irritation, itching, or a burning sensation in the ear. If you experience any severe reactions or signs of an allergic response, such as rash, hives, or difficulty breathing, seek immediate medical attention.

Can this product be used in children?

Use in children should only be under the guidance and supervision of a healthcare provider. Dosage and the necessity of use can vary greatly depending on the child's age and the condition being treated.

What should I do if I miss a dose?

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

How should I store the Hydrocortisone/Salicylic Acid Otic Liquid?

Store the bottle at room temperature, away from light and moisture. Do not freeze the liquid, and keep the bottle tightly closed when not in use. Keep it out of reach of children and pets.

Can I swim immediately after applying this medication?

It is generally recommended to avoid swimming for a while after applying the medication to prevent the medication from washing out and to allow the medication to take effect. You can check with your healthcare provider for specific recommendations.

What should I avoid while using this ear medication?

Avoid getting water directly into the treated ears, as this could dilute the medication or cause irritation. Also, avoid using other ear products without your healthcare provider's approval, as they could affect how Hydrocortisone/Salicylic Acid Otic Liquid works.

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

The safety of this medication during pregnancy or while breastfeeding has not been fully established. It is important to consult your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding to evaluate potential risks and benefits.

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%/Salicylic Acid 2% Otic Liquid
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily