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Formulas

Hydrocortisone 10% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Hydrocortisone

Hydrocortisone 10% Topical Gel is a semisolid formulation designed for easy and precise application on the skin, utilizing a convenient pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of active ingredients. It is primarily used to treat inflammatory skin conditions such as eczema, psoriasis, and dermatitis, providing relief from itching, redness, and swelling.

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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

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
Topical Gel

Formula Information

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Hydrocortisone 10% Topical Gel is a high-potency corticosteroid formulation designed for the treatment of severe inflammatory skin conditions. The semisolid gel is dispensed through a pump mechanism, allowing for easy and precise application directly onto the affected areas of the skin. This targeted approach enhances the absorption of hydrocortisone, ensuring that the active ingredient effectively reduces inflammation, redness, and itching associated with various dermatological conditions.

The gel formulation provides several advantages over traditional creams or ointments. Its gel-like consistency allows for quicker absorption without leaving a greasy residue, improving patient comfort and compliance. The pump mechanism not only facilitates precise dosing but also minimizes the risk of contamination, maintaining the integrity of the formulation throughout its use.

Hydrocortisone, a corticosteroid, works by suppressing the immune response and decreasing the release of inflammatory substances in the skin. At a concentration of 10%, this formulation is typically reserved for short-term management of severe symptoms or for conditions that have not responded adequately to lower-potency steroids. It's commonly used in the treatment of severe eczema, psoriasis, lichen planus, and other chronic inflammatory skin disorders.

For patients, it's important to apply the gel exactly as prescribed by a healthcare professional. Typically, a thin layer is gently massaged into the affected area, usually once or twice daily. Due to the high potency of this formulation, it should not be used on large areas of the body or for extended periods to minimize the risk of systemic absorption and potential side effects. Patients should avoid covering the treated area with occlusive dressings unless directed by a physician.

Prescribers should consider the patient's overall health status, the severity of the skin condition, and previous responses to corticosteroid therapy when recommending this formulation. Monitoring for potential side effects, such as skin thinning, increased susceptibility to infection, or hypothalamic-pituitary-adrenal (HPA) axis suppression, is essential, especially with long-term use.

Patients are advised to report any signs of adverse reactions, such as increased irritation, changes in skin color, or unexpected hair growth, to their healthcare provider promptly. Additionally, if there's no improvement in symptoms after a specified period, reassessment by a healthcare professional is necessary.

If you have any questions, reach out to us.

Drug Interactions

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Hydrocortisone 10% Topical Gel is a potent corticosteroid formulation designed for targeted application on the skin, primarily used to treat inflammatory skin conditions such as eczema, psoriasis, and dermatitis. While topical hydrocortisone is generally considered to have fewer systemic interactions compared to oral corticosteroids, it is still important to be aware of potential drug interactions, especially in patients with extensive skin conditions or those using other medications concurrently.

One of the primary concerns with topical hydrocortisone is the potential for systemic absorption, particularly when applied over large areas of the body, used under occlusive dressings, or in patients with compromised skin barriers. This can lead to interactions similar to those seen with systemic corticosteroids. Patients using other corticosteroid medications, whether topical, oral, or inhaled, should be monitored for cumulative effects, which can increase the risk of systemic side effects such as adrenal suppression, Cushing's syndrome, and hyperglycemia.

Patients taking medications that affect the cytochrome P450 enzyme system, particularly CYP3A4 inhibitors such as ketoconazole, itraconazole, or ritonavir, may experience increased systemic absorption of hydrocortisone. This can enhance the effects and side effects of the corticosteroid, necessitating careful monitoring and possible dosage adjustments.

Additionally, patients using other topical medications or skin products should be advised to apply them at different times to avoid potential interactions that could affect the absorption or efficacy of hydrocortisone. For instance, applying emollients or moisturizers immediately before or after hydrocortisone gel may dilute the medication and reduce its effectiveness. It is generally recommended to wait at least 30 minutes between applications of different topical products.

Patients with a history of hypersensitivity to corticosteroids or any component of the formulation should avoid using this product. Furthermore, those with skin infections should be cautious, as corticosteroids can exacerbate infections by suppressing the local immune response. In such cases, concurrent use of appropriate antifungal or antibacterial agents may be necessary, and the interaction between these agents and hydrocortisone should be considered.

For prescribers, it is crucial to evaluate the patient's full medication profile, including over-the-counter products and supplements, to identify potential interactions. Regular follow-up and patient education on the proper use of the gel, including the amount to apply and the areas to avoid, can help mitigate risks associated with drug interactions.

If you have any questions or need further information regarding the use of Hydrocortisone 10% Topical Gel and its potential interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any concerns or inquiries you may have.

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How Does it Work

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Hydrocortisone 10% Topical Gel is a potent anti-inflammatory and immunosuppressive agent formulated to provide targeted relief for various dermatological conditions. This semisolid gel is designed to be dispensed through a convenient pump mechanism, ensuring precise dosing and easy application. The gel-like consistency allows for smooth spreading over the affected area, promoting optimal absorption of the active ingredient, hydrocortisone, into the skin. Hydrocortisone is a corticosteroid that works by inhibiting the release of substances in the body that cause inflammation, redness, and swelling. By reducing these symptoms, the gel helps alleviate discomfort and promotes healing of the skin.

When applied to the skin, hydrocortisone penetrates the epidermis and binds to glucocorticoid receptors in the cytoplasm of skin cells. This binding initiates a cascade of anti-inflammatory actions, including the suppression of pro-inflammatory cytokines and the inhibition of leukocyte infiltration at the site of inflammation. Additionally, hydrocortisone stabilizes lysosomal membranes, preventing the release of enzymes that contribute to tissue damage. These mechanisms collectively reduce the inflammatory response and provide symptomatic relief from itching, redness, and irritation associated with various skin conditions.

The high potency of this formulation makes it suitable for short-term use under the guidance of a healthcare professional. It is important for prescribers to consider the patient's medical history and the severity of the condition when recommending this treatment, as prolonged use of high-potency corticosteroids can lead to skin thinning and other side effects.

For patients, the pump mechanism of the Hydrocortisone 10% Topical Gel ensures that the correct amount of medication is dispensed with each use, minimizing the risk of over-application and potential side effects. Patients should apply the gel to clean, dry skin and gently rub it in until fully absorbed. It is crucial to follow the prescribed dosage and duration of treatment to achieve the best therapeutic outcomes while minimizing the risk of adverse effects.

If you have any questions about Hydrocortisone 10% Topical Gel or its use in treating specific dermatological conditions, 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 ensure appropriate treatment.

Other Uses

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Hydrocortisone 10% Topical Gel, dispensed through a convenient pump mechanism, is primarily used for its anti-inflammatory and immunosuppressive properties in treating various dermatological conditions. However, beyond its common applications, this formulation can be utilized for several other purposes, offering both patients and prescribers a versatile treatment option. The gel's semisolid consistency allows for precise application, making it particularly beneficial for localized treatment areas where targeted therapy is essential.

One of the notable alternative uses of Hydrocortisone 10% Topical Gel is in the management of certain autoimmune skin disorders, such as vitiligo, where it may help in reducing inflammation and potentially aiding in repigmentation when used in conjunction with other therapies. Additionally, it can be employed in the treatment of lichen planus, a condition characterized by itchy, inflammatory skin lesions, where its anti-inflammatory effects can provide significant relief from symptoms.

Furthermore, this formulation can be beneficial in managing post-inflammatory hyperpigmentation, a common sequela of various inflammatory skin conditions. By reducing inflammation, Hydrocortisone 10% Topical Gel may help in minimizing the risk of pigmentation changes following skin trauma or irritation. It is also sometimes used off-label for the symptomatic relief of itching and discomfort associated with insect bites and stings, providing a soothing effect due to its anti-inflammatory properties.

For prescribers, it is important to consider the patient's overall skin condition and any potential contraindications, such as skin infections or hypersensitivity to corticosteroids, before recommending this formulation. Patients should be advised on the appropriate amount to apply and the duration of use to avoid potential side effects associated with prolonged corticosteroid use, such as skin thinning or adrenal suppression. As always, if you have any questions or need further information about the use of Hydrocortisone 10% Topical Gel, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Hydrocortisone 10% Topical Gel used for?

Hydrocortisone 10% Topical Gel is used to reduce inflammation, redness, and itching associated with various skin conditions such as eczema, psoriasis, and allergic reactions.

How do I apply Hydrocortisone 10% Topical Gel?

Apply a small amount of the gel to the affected area of the skin using the pump mechanism. Gently rub it in until it is fully absorbed. Follow your healthcare provider's instructions regarding the frequency and amount of application.

Can I use Hydrocortisone 10% Topical Gel on my face?

Hydrocortisone 10% Topical Gel can be used on the face, but it should be done with caution and under the guidance of a healthcare provider, as the skin on the face is more sensitive.

Is Hydrocortisone 10% Topical Gel safe for children?

Hydrocortisone 10% Topical Gel should be used in children only if prescribed by a healthcare provider. The provider will determine the appropriate dosage and duration of treatment for children.

How does the pump mechanism work?

The pump mechanism dispenses a precise amount of the gel, ensuring easy and accurate application. Simply press the pump to release the gel onto your hand or directly onto the affected area.

Can I use Hydrocortisone 10% Topical Gel for insect bites?

Yes, Hydrocortisone 10% Topical Gel can be used to relieve itching and swelling from insect bites. Apply it as directed by your healthcare provider.

Are there any side effects of using Hydrocortisone 10% Topical Gel?

Some possible side effects include skin irritation, dryness, or a burning sensation at the application site. If you experience severe side effects or an allergic reaction, contact your healthcare provider immediately.

How should I store Hydrocortisone 10% Topical Gel?

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

Can I use Hydrocortisone 10% Topical Gel with other topical medications?

Before using other topical medications, consult your healthcare provider to avoid potential interactions. They can advise you on the safe use of multiple topical treatments.

What should I do if I miss a dose of Hydrocortisone 10% Topical Gel?

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 continue with your regular schedule. Do not apply extra gel to make up for the missed dose.

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 10% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)