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Hydrocortisone 2.5%/Salicylic Acid 4%/Sulfur 5% Topical Cream

Custom-compounded at Bayview Pharmacy, this Hydrocortisone 2.5%/Salicylic Acid 4%/Sulfur 5% cream helps manage psoriasis, eczema, acne, and seborrheic dermatitis.
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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
Sulfur
Topical Cream
65adb39655a48e58e88efdd6

Formula Information

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The Hydrocortisone 2.5%/Salicylic Acid 4%/Sulfur 5% Topical Cream is a specially compounded formulation designed to provide relief and treatment for a variety of dermatological conditions. This cream combines the anti-inflammatory properties of hydrocortisone with the keratolytic action of salicylic acid and the antibacterial effects of sulfur, making it a potent treatment for skin disorders that involve inflammation, hyperkeratosis, and bacterial overgrowth.

Hydrocortisone, a mild corticosteroid, works by reducing inflammation, redness, and swelling. Salicylic acid, a beta hydroxy acid, helps to exfoliate the skin by causing the cells of the epidermis to shed more readily, opening clogged pores and neutralizing bacteria within, preventing pores from clogging up again by constricting pore diameter, and allowing room for new cell growth. This is particularly beneficial in the treatment of acne, as well as conditions like psoriasis where excessive skin buildup occurs.

Sulfur, with its antimicrobial and keratolytic properties, complements the formulation by helping to clear up existing blemishes and preventing new ones from forming. It is also known for its use in seborrheic dermatitis and scabies treatments. The combination of these three active ingredients in a single cream allows for a multifaceted approach to skin care, targeting the root causes of skin conditions rather than just treating the symptoms.

The cream is dispensed in a pump mechanism, which ensures that the product is protected from contamination and oxidation, maintaining its potency over time. The pump also allows for precise dosing and easy application, ensuring that the correct amount of medication is applied to the affected area. This dosage form is particularly useful for patients who require a mess-free and convenient application method.

Patients should be advised to apply the cream as directed by their healthcare provider, typically to the affected area once or twice daily. It is important to use this medication only on the skin. Avoid contact with the eyes, nose, mouth, or any other mucous membranes. Patients should be informed that while some improvement may be seen immediately, it may take several weeks to notice the full benefits of the treatment.

Prescribers considering this formulation for their patients should be aware of the potential side effects, including skin irritation, dryness, or peeling, especially with prolonged use. It is also important to consider the patient's overall medical history, including any known allergies to the active ingredients or excipients in the formulation.

At Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the specific needs of our patients. If you have any questions about this formulation or its appropriateness for your condition, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Drug Interactions

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The formulation containing Hydrocortisone 2.5%, Salicylic Acid 4%, and Sulfur 5% as a topical cream is designed to treat a variety of dermatological conditions by reducing inflammation, exfoliating the skin, and providing antimicrobial effects. However, it is important to consider potential drug interactions when using this topical preparation.

Hydrocortisone is a topical corticosteroid that may interact with other corticosteroids. Concurrent use of multiple corticosteroids may increase the risk of systemic corticosteroid side effects, such as Cushing's syndrome and adrenal suppression, especially if used over large areas of the body or under occlusive dressings. Patients should inform their healthcare provider if they are using any other corticosteroid-containing products.

Salicylic Acid is a keratolytic agent that can enhance the absorption of other topical medications due to its exfoliating effects. This could potentially increase the systemic exposure to other topically applied drugs. Caution is advised when using this formulation with other topical preparations, particularly those containing peeling agents, astringents, or irritants, as this may lead to increased local irritation or dermatitis.

Sulfur, while having limited systemic absorption, may cause local skin irritation, particularly in patients with sensitive skin. It is also known to interact with other topical acne medications, such as benzoyl peroxide, which may cause temporary discoloration of the skin or hair. Patients should avoid using benzoyl peroxide-containing products in the same area as this formulation unless directed by a healthcare provider.

Additionally, the use of this formulation in conjunction with other topical or systemic medications that cause photosensitivity could increase the risk of phototoxic reactions. Patients should be advised to protect the treated areas from excessive sunlight or artificial UV light exposure and to discuss any concerns with their healthcare provider.

It is also important to note that while the systemic absorption of these active ingredients is generally low when applied topically, the use of this cream over large surface areas, broken skin, or for prolonged periods could increase systemic exposure. This is particularly relevant for patients who are pregnant, breastfeeding, or taking medications that could interact with corticosteroids or salicylates, such as blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs).

Patients should be advised to inform their healthcare provider of all medications, supplements, and herbal products they are currently using to avoid potential interactions. If any unusual symptoms or signs of systemic side effects occur, such as vision changes, fatigue, weight gain, or skin irritation that worsens or does not improve, patients should contact their healthcare provider immediately.

For any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide guidance and support to ensure the safe and appropriate use of this medication.

How Does it Work

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The Hydrocortisone 2.5%/Salicylic Acid 4%/Sulfur 5% Topical Cream is a specially compounded medication designed to treat a variety of skin conditions by combining the therapeutic effects of hydrocortisone, salicylic acid, and sulfur in a single formulation. This cream is dispensed in a pump mechanism, which allows for a hygienic, convenient, and controlled application, ensuring that the correct dose is administered each time. The semisolid preparation is intended for topical use, where it exerts its effects directly on the affected skin areas.

Hydrocortisone 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. Hydrocortisone can also provide relief from itching and discomfort associated with these conditions.

Salicylic acid is a keratolytic (peeling agent) that causes shedding of the outer layer of skin. It is commonly used to treat acne, dandruff, psoriasis, and other skin conditions that involve scaling or overgrowth of skin cells. By promoting the shedding of dead skin cells, salicylic acid can prevent clogged pores and help reduce the formation of lesions such as pimples and blackheads.

Sulfur, another key ingredient in this formulation, has antimicrobial and keratolytic properties. Sulfur works by inhibiting the growth of bacteria on the skin and may also help to unclog pores and reduce oiliness.

When combined, these three active ingredients provide a comprehensive treatment approach, targeting inflammation, skin cell turnover, and bacterial growth.

For patients and prescribers interested in using this formulation, it is essential to understand the specific indications, proper application techniques, and potential interactions with other medications. If you have any questions or require further information about this topical cream, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance needed to ensure appropriate treatment.

Other Uses

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The hydrocortisone 2.5%/salicylic acid 4%/sulfur 5% topical cream is a multifaceted formulation designed to harness the anti-inflammatory properties of hydrocortisone, the keratolytic effects of salicylic acid, and the antimicrobial action of sulfur. Primarily, this cream is tailored to treat inflammatory dermatoses which are complicated by hyperkeratosis or scaling such as psoriasis and chronic eczematous disorders. Furthermore, it may play a significant role in the management of seborrheic dermatitis and acne due to its ability to promote exfoliation and reduce inflammation and bacterial proliferation.

Beyond these traditional uses, the combination of active ingredients may find utility in treating other skin conditions where hyperkeratosis, inflammation, and bacterial infection are contributing factors. For instance, the formulation could potentially be used off-label for the treatment of ichthyosis or keratosis pilaris—conditions characterized by extensive skin scaling and follicular plugging, respectively. Additionally, because salicylic acid is a peeling agent, this cream might also serve as an adjunct in the therapeutic regimen for warts, where it can aid in the removal of excess keratin on the skin's surface.

Moreover, the attributes of sulfur in this formulation should not be underestimated.

It is worth noting that all potential uses, especially those beyond the established indications, should be exercised with caution and initiated based on the discretion and clinical judgment of the healthcare provider. Efficacy and safety for unapproved uses have not been extensively studied, and patients should be monitored for any adverse effects. Compatibility with other topical or systemic therapies should also be taken into consideration, as there is a potential for interaction or compounded irritation. As with any topical preparation, patients should also be advised on the correct use of the pump mechanism to ensure they receive the correct dose and to maintain the stability of the product.

If you have any questions, or if you would like to discuss the potential uses and contraindications of this formulation further, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with tailored healthcare solutions and comprehensive information to ensure the safety and well-being of your patients.

Frequently Asked Questions

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What is Hydrocortisone 2.5%/Salicylic Acid 4%/Sulfur 5% Topical Cream?

This is a compounded formulation that combines hydrocortisone, salicylic acid, and sulfur into a topical cream designed to treat various skin conditions. It utilizes a pump mechanism for easy and targeted application to the skin.

How do I use this topical cream?

To use the cream, clean the affected area first. Then, press the pump to dispense a small amount onto your fingertip and apply a thin layer of the cream to the affected area, usually once or twice daily or as directed by your healthcare provider.

What conditions does this cream treat?

This cream is commonly prescribed to treat various dermatological conditions, including acne, seborrheic dermatitis, psoriasis, and other inflammatory skin disorders. The combination of active ingredients helps reduce inflammation, exfoliate the skin, and diminish bacterial growth.

Can I use this cream on my face?

Yes, you can use this cream on your face unless your healthcare provider has advised otherwise. However, be cautious to avoid the eyes, nostrils, and mouth. If the product comes into contact with these areas, rinse thoroughly with water.

What are the possible side effects of using this cream?

Possible side effects can include skin irritation, redness, burning, dryness, or peeling. If you experience more severe side effects, such as extreme swelling or allergic reactions, contact your healthcare provider immediately.

How should this cream be stored?

Store the cream at room temperature away from direct sunlight and heat. Keep the cap closed when not in use to prevent the product from drying out. Do not freeze the cream.

Can pregnant or breastfeeding women use this compound cream?

Consult your healthcare provider before using this cream if you are pregnant or breastfeeding as some active ingredients may not be recommended during these periods.

How long should I use this cream?

The duration of use for this cream should be as prescribed by your healthcare provider. Do not use it for longer than recommended as prolonged use of corticosteroids may cause skin thinning.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is near the time of your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any interactions with other drugs?

There may be drug interactions with this cream, particularly with other topical medications. Always inform your healthcare provider about all the products you use, including prescription drugs, over-the-counter products, and herbal supplements.

Can I apply makeup over this cream?

It's best to let the cream absorb fully into the skin before applying makeup. Wait for a few minutes after application to ensure the treatment has settled. However, check with your dermatologist for personalized advice.

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.

Related Formulas

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, NY, NJ, NH, FL, and ME. 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 2.5%/Salicylic Acid 4%/Sulfur 5% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)