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Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid

FDA-approved generic
Dose form
Nail Solution
Active ingredients
Ibuprofen
Itraconazole Hydrochloride

The Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid is a specialized liquid formulation crafted for direct application to the nails. This unique combination harnesses the anti-inflammatory properties of Ibuprofen and the antifungal prowess of Itraconazole to effectively manage and treat nail-related conditions. It is particularly beneficial for individuals suffering from fungal nail infections, which can lead to symptoms such as nail brittleness, discoloration, and distortion. Additionally, the formulation is designed to alleviate inflammation and pain associated with these conditions, thereby promoting healthier nail growth and enhancing the overall appearance of the nails.

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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.
Starting at
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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.
Ibuprofen
Itraconazole Hydrochloride
Nail Solution
65aecf6f36474e1ac47c2c7e
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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The Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid is a specialized medication compounded to address various nail conditions, including fungal infections, brittleness, and discoloration. This unique liquid formulation is designed for direct application to the nails, ensuring that the active ingredients are delivered to the site of infection or damage. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is incorporated at a 2% concentration to provide anti-inflammatory benefits, which can help reduce swelling, redness, and pain associated with nail trauma or infection. This can be particularly beneficial for patients experiencing discomfort due to nail conditions.

Itraconazole, an antifungal agent, is included at a 1% concentration. By targeting the fungal cells, itraconazole disrupts their cell membrane formation, thereby inhibiting their growth and leading to the resolution of fungal infections. This can result in the improvement of nail color, texture, and integrity over time. The combination of ibuprofen and itraconazole in a topical nail liquid formulation allows for a synergistic approach to treating and managing nail conditions, providing both immediate relief from symptoms and addressing the underlying cause of the infection or inflammation.

Patients are advised to apply the liquid formulation as directed by their healthcare provider, typically once or twice daily, depending on the severity of their condition. The liquid should be applied to clean, dry nails to ensure optimal absorption and efficacy. Prescribers may recommend this formulation for patients who require targeted treatment with minimal systemic absorption, thereby reducing the potential for systemic side effects commonly associated with oral medications. It is important for patients to adhere to the treatment regimen and to consult with their healthcare provider if they do not notice improvement or if their condition worsens.

As compounding pharmacists at Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the specific needs of our patients. We understand that nail conditions can be both uncomfortable and aesthetically displeasing, and we are here to support patients and prescribers in the treatment process. If you have any questions about the Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid or would like to discuss its suitability for your condition, please do not hesitate to reach out to us.

Drug Interactions

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The Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid is a specialized formulation intended for direct application to the nails. This combination aims to address both the symptoms and the underlying cause of nail conditions such as fungal infections, which can lead to symptoms like brittleness, discoloration, and pain.

When considering drug interactions for this topical nail liquid, it is important to note that systemic absorption of both ibuprofen and itraconazole through the nail bed and surrounding skin is likely to be minimal. However, minimal systemic absorption does not completely eliminate the potential for interactions, especially in individuals with compromised skin barriers or when applied to large areas.

Ibuprofen, when absorbed systemically, can interact with anticoagulants (such as warfarin), antiplatelet agents, selective serotonin reuptake inhibitors (SSRIs), and other NSAIDs, potentially increasing the risk of bleeding. It can also reduce the effectiveness of antihypertensive drugs and diuretics. Although the risk of these interactions is significantly lower with topical application compared to oral administration, caution is still advised, especially in patients with a history of bleeding disorders or those taking medications with a high risk of causing bleeding.

Itraconazole is a potent inhibitor of the cytochrome P450 3A4 (CYP3A4) enzyme system, which is responsible for the metabolism of many drugs. Systemic itraconazole can interact with a wide range of medications, including certain antivirals, anticoagulants, antihypertensives, calcium channel blockers, and statins, among others. While the risk of systemic interactions is lower with topical application, patients taking medications with a narrow therapeutic index or those that are extensively metabolized by CYP3A4 should be monitored closely.

Additionally, itraconazole can have additive effects with other antifungal agents, potentially increasing the risk of adverse effects. Caution is advised when using this topical nail liquid in conjunction with other topical or systemic antifungals.

Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs, supplements, and herbal products, to assess for potential interactions. Prescribers should evaluate the patient's medication profile for any drugs that may interact with ibuprofen or itraconazole, even when used topically, to ensure safe and appropriate use of this nail liquid formulation.

If you have any questions or require further information regarding the use of this formulation 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 optimal treatment outcomes for your patients.

How Does it Work

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The Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid is a specialized medication designed for direct application to the nails. This unique formulation combines the anti-inflammatory properties of ibuprofen with the antifungal capabilities of itraconazole. When applied to the affected nails, the liquid delivers the active ingredients directly to the site of infection or inflammation, ensuring a high concentration of the medication where it is needed most.

Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), works by inhibiting the production of prostaglandins, which are chemicals responsible for causing inflammation and pain. By reducing inflammation, ibuprofen can help alleviate symptoms such as swelling, tenderness, and pain associated with nail conditions. This can be particularly beneficial for those suffering from nail psoriasis or other inflammatory nail disorders.

Itraconazole, on the other hand, is a triazole antifungal agent that works by inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes. By disrupting the cell membrane, itraconazole causes the fungal cells to become leaky and ultimately leads to their death.

The combination of these two agents in a topical nail liquid allows for a multifaceted approach to nail care. The ibuprofen addresses the inflammatory aspects of nail disorders, while the itraconazole targets the fungal infections. This dual-action treatment can lead to improved nail appearance, reduced discomfort, and promotion of healthy nail growth. The topical delivery system is designed to maximize the concentration of the active ingredients at the site of application while minimizing systemic absorption and potential side effects.

For optimal results, patients should apply the Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid as directed by their healthcare provider, ensuring that the liquid is applied to clean, dry nails and allowed to dry completely. Consistent use as prescribed is crucial for the successful treatment of nail conditions. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support both patients and prescribers with any inquiries regarding the use of this specialized medication.

Frequently Asked Questions

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What is the intended use of this Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid?

This combination medication is intended to treat nail conditions such as fungal infections, brittleness, or discoloration by delivering a targeted treatment directly to the nails. Its components help to promote healthy nail growth and improve the overall appearance of the nails.

How does the Ibuprofen/Itraconazole formulation work?

The Ibuprofen in the formulation acts as an anti-inflammatory to reduce swelling and pain in the affected nail area, while the Itraconazole is an antifungal agent that works by inhibiting the growth of fungi, thereby treating fungal nail infections.

Is this topical nail liquid safe for all ages?

Before using this medication for children or the elderly, it is important to consult a healthcare provider, as different age groups may have different responses or risks associated with the use of this formulation.

Can this medication be used with other treatments?

It is essential to discuss with a healthcare provider before combining this nail liquid with other treatments or medications, as interactions may occur that could affect the efficacy or safety of the treatments.

How do you apply this topical nail liquid?

Clean and dry the affected nails thoroughly before applying a thin layer of the medication directly to the nails, ensuring full coverage. Follow the specific application instructions provided by your healthcare provider to ensure proper use.

How often should this medication be applied?

The frequency of application will depend on the specific condition being treated and the recommendation of your healthcare provider. It is important to follow their directions to ensure the best results.

Are there any side effects associated with Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid?

While side effects are generally rare with topical applications, some individuals may experience local irritation, redness, or itching. If you notice any severe reactions or side effects, contact your healthcare provider immediately.

Should I cover my nails with a bandage after applying the medication?

Typically, covering the nails is not required unless directed by your healthcare provider. The medication is designed to adhere to the nail surface without the need for a covering.

Can I paint my nails or get a manicure while using this product?

It is best to avoid nail polishes or manicures while treating your nails with this medication to allow maximum penetration and effectiveness of the treatment. Discuss any concerns with your healthcare provider.

What should I do if I miss a dose?

If you miss an application, apply the medication as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the application to make up for the missed dose.

How should this medication be stored?

Store the nail liquid at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use and out of reach of children and pets.

Can I use this medication for a nail condition not prescribed by my healthcare provider?

Use this medication only for the condition for which it was prescribed. If you suspect you have a different nail concern, consult your healthcare provider to determine if this medication is appropriate for use. Self-treatment of unconfirmed conditions can lead to complications or ineffective treatment.

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.

Ibuprofen 2%/Itraconazole 1% Topical Nail Liquid
Nail Solution
15 mL
controlled

Apply topically to affected area(s)

Once daily