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Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Hydrocortisone
Miconazole Nitrate

The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a semisolid preparation that combines the anti-inflammatory properties of hydrocortisone with the antifungal activity of miconazole nitrate. This dual-action cream is specifically formulated to treat inflammatory skin conditions that are complicated by fungal infections, such as eczema or dermatitis with secondary candidiasis or tinea infections. The cream is dispensed in a pump mechanism, which allows for convenient, hygienic, and controlled application directly to the affected areas of the skin. This delivery system ensures that the medication is applied evenly and reduces the risk of cross-contamination that can occur with traditional jar packaging.

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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
Miconazole Nitrate
Topical Cream
65add53c5c4e4231c4528423
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 2%/Miconazole Nitrate 2% Topical Cream is a specially compounded medication that combines the anti-inflammatory properties of hydrocortisone with the antifungal capabilities of miconazole nitrate. This dual-action cream is formulated to address a range of dermatological conditions that may involve inflammation and fungal infections. Hydrocortisone, a corticosteroid, works by reducing swelling, itching, and redness associated with skin irritations and allergic reactions. Miconazole nitrate, on the other hand, is an antifungal agent that interferes with the synthesis of ergosterol, a key component of fungal cell membranes, thereby inhibiting the growth and proliferation of various fungal organisms.

The cream is prepared as a semisolid dosage form, which allows for a smooth and uniform application to the affected skin areas. The inclusion of a pump mechanism in the packaging design ensures that the medication is dispensed in a controlled manner, promoting consistent dosing and minimizing the risk of contamination. This feature is particularly beneficial for patients who require a precise amount of medication for each application, as well as for those with limited dexterity.

This formulation is indicated for the treatment of skin conditions such as cutaneous candidiasis, tinea corporis (ringworm), tinea cruris (jock itch), and tinea pedis (athlete's foot), where inflammation is also present. By combining hydrocortisone and miconazole nitrate, the cream effectively manages the symptoms of these conditions, providing relief from both the fungal infection and the accompanying inflammatory response. It is important to note that while hydrocortisone can alleviate the symptoms of inflammation, it is not a cure for the underlying fungal infection, which is why the addition of miconazole nitrate is crucial for a comprehensive treatment approach.

The duration of treatment should be as short as possible to minimize the potential for systemic absorption and side effects associated with prolonged corticosteroid use. Additionally, this medication should not be used on the face, groin, or axillae unless directed by a healthcare provider.

For optimal results, patients should follow the specific instructions provided by their healthcare provider regarding the amount of cream to apply and the frequency of application. It is also essential to maintain good hygiene and keep the affected area clean and dry to help control the spread of infection. If there is no improvement in symptoms after a prescribed period of use, or if the condition worsens, patients should contact their healthcare provider for further evaluation.

If you have any questions or require further information about the Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the necessary support and guidance to ensure the safe and appropriate use of this medication.

Drug Interactions

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The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a combination medication used for the treatment of certain skin conditions such as eczema, dermatitis, and fungal infections like athlete's foot, jock itch, and ringworm. Hydrocortisone is a corticosteroid that reduces swelling, itching, and redness, while miconazole nitrate is an antifungal agent that works by stopping the growth of fungi. When using this topical cream, it is important to consider potential drug interactions.

Hydrocortisone, being a corticosteroid, can interact with other topical medications that contain corticosteroids, potentially increasing the risk of systemic corticosteroid side effects. It is advisable to avoid using other corticosteroid-containing products on the treated areas unless directed by a healthcare provider. Additionally, the absorption of hydrocortisone can be affected by the use of occlusive dressings, which can increase its concentration in the skin and the potential for systemic absorption.

Miconazole nitrate may interact with certain drugs that are metabolized by the liver enzyme CYP2C9, such as warfarin. Concurrent use with miconazole nitrate can increase the levels and effects of these drugs, potentially leading to an increased risk of bleeding. Patients on warfarin or similar anticoagulants should be monitored closely for changes in prothrombin time or INR. Miconazole can also interact with other topical products that alter the skin barrier or pH, which may affect the antifungal activity.

It is important to inform the healthcare provider of all medications, supplements, and herbal products being used before starting treatment with Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream to avoid potential interactions. Patients should also be advised to report any signs of adverse reactions, such as skin irritation, worsening of the condition, or signs of systemic side effects like fatigue, weight gain, or muscle weakness.

As with any medication, adherence to the prescribed regimen is crucial for the effectiveness of the treatment. The pump mechanism of this semisolid preparation is designed to provide a controlled dose with each application, ensuring consistent delivery of the active ingredients. Patients should be instructed on the proper use of the pump and the amount of cream to apply to the affected area.

If you have any questions or require further information regarding the use of Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream, including potential drug interactions and their management, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and prescribers.

How Does it Work

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The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a specially formulated medication that combines the anti-inflammatory properties of hydrocortisone with the antifungal capabilities of miconazole nitrate. This cream is designed to be dispensed from a pump mechanism, which allows for a clean, controlled, and convenient application directly to the affected area of the skin.

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.

Miconazole nitrate, on the other hand, is an antifungal agent. It functions by disrupting the synthesis of ergosterol, an essential component of fungal cell membranes. Without ergosterol, the cell membrane becomes permeable and leaks essential cellular components, leading to the death of the fungus.

When combined in a 2% concentration of each active ingredient, this topical cream provides a dual-action treatment that not only soothes inflammation but also combats fungal infections. This makes it particularly useful for skin conditions where both inflammation and fungal infection are present or are a concern. The semisolid preparation of the cream ensures that it is easily spreadable and can be absorbed into the skin to reach the site of action.

The pump mechanism of the container is designed to dispense a consistent amount of cream with each use, which helps to ensure proper dosing and uniform application. This is beneficial for both patients and prescribers, as it aids in adherence to the treatment regimen and reduces the risk of over- or under-application of the medication.

As with any medication, potential side effects may occur, and the treatment area should be monitored for signs of adverse reactions.

If you have any questions about the Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream or its use in treating specific disease states, 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 effectively manage your skin condition.

Frequently Asked Questions

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What is Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream used for?

This cream is used for treating skin conditions that involve inflammation and fungal infections. Hydrocortisone is a corticosteroid that reduces swelling, itching, and redness, while Miconazole Nitrate is an antifungal agent that helps eliminate fungal organisms.

How should I use this topical cream?

Clean and dry the affected area before applying. Dispense a small amount of the cream using the pump mechanism and gently apply a thin layer over the affected area as directed by your healthcare provider, usually twice daily.

Can I use this cream on any part of my body?

It is generally safe to use on most parts of the body, but avoid using it on the face, groin, or underarms unless directed by your healthcare provider. Do not use on mucous membranes or in or near the eyes.

How does the pump mechanism work?

The pump mechanism is designed for controlled and convenient application. Simply press the pump to dispense the recommended amount of cream. The mechanism is meant to minimize contamination and ensure consistent dosing.

What should I do if I miss a dose?

If you miss a dose, apply the cream as soon as you remember. If it is almost time for your next dose, skip the missed dose and proceed with your regular dosing schedule. Do not double the dose to catch up.

Are there any possible side effects?

Some common side effects include burning, itching, irritation, dryness, or redness at the application site. If any of these persist or worsen, notify your healthcare provider. More serious side effects are rare but require immediate medical attention.

Can this cream interact with other medications?

Although unlikely, this cream can sometimes interact with other topical medications. Let your healthcare provider know about all medicines you use, including prescription, over-the-counter, vitamins, and herbal products.

How should I store this cream?

Store at room temperature away from heat and direct light. Do not freeze. Keep the container tightly closed when not in use, and keep out of reach of children and pets.

Can pregnant or breastfeeding women use this cream?

Pregnant or breastfeeding women should only use this medication under the guidance of a healthcare provider. Potential risks and benefits must be carefully weighed.

What precautions should I take while using this medication?

Avoid getting this cream in your eyes, nose, or mouth. If contact does occur, rinse thoroughly with water. Do not bandage or cover the treated area unless instructed by a healthcare provider. Do not use the medication for longer than prescribed.

What should I do in case of an overdose?

An overdose of this cream is not likely to cause life-threatening symptoms. However, misuse or overuse can lead to skin thinning and other side effects. If you suspect an overdose or have serious symptoms, seek medical attention promptly.

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 2%/Miconazole Nitrate 2% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily