Sublingual Semaglutide and Tirzepatide are now available! Learn More

Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid

The Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid is a specially compounded preparation intended for external application. This formulation combines the anti-inflammatory properties of Ibuprofen with the antifungal activities of Ketoconazole and Miconazole. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), helps to reduce inflammation and pain in the affected area. Ketoconazole and Miconazole are both imidazole class antifungals that work by disrupting the cell membrane of fungi, effectively treating fungal infections.

This topical liquid is particularly suited for the treatment of skin conditions where a combination of anti-inflammatory and antifungal actions is beneficial. It is indicated for the management of dermatological conditions such as athlete's foot (tinea pedis), jock itch (tinea cruris), ringworm (tinea corporis), and yeast infections of the skin (cutaneous candidiasis), where inflammation is also present. The liquid formulation allows for easy application and rapid absorption at the site of infection and inflammation, providing localized relief without significant systemic absorption.

Want a different strength?
Click the Text Us button below.
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
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Are you a prescriber? Sign Up
Trusted by 55,278 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Topical Liquid
65aee046b7ca927fec56c567
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

The Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid is a specialized compound medication designed to deliver its active ingredients directly to the affected skin or mucosal areas. This bespoke formulation combines the anti-inflammatory properties of Ibuprofen with the antifungal capabilities of Ketoconazole and Miconazole, each at a concentration of 2%. The use of a topical liquid allows for a localized effect, which can be particularly beneficial for patients who require targeted treatment or for those who need to minimize systemic absorption and potential systemic side effects.

Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), works by inhibiting the production of prostaglandins, substances that mediate inflammation and pain. When applied topically, Ibuprofen can help reduce local inflammation and pain in the affected area. This can be particularly useful for inflammatory skin conditions or localized musculoskeletal injuries where inflammation is a significant contributor to the symptoms.

Ketoconazole and Miconazole are both antifungal agents that belong to the azole class. They function by disrupting the synthesis of ergosterol, an essential component of fungal cell membranes. This disruption leads to increased membrane permeability and ultimately the death of the fungal cell. Ketoconazole and Miconazole are effective against a broad spectrum of fungi, making this combination useful in treating various dermatophytic infections, yeast infections, and other cutaneous fungal infections.

The synergy of these three agents in a single topical liquid formulation allows for a multifaceted approach to treatment. The anti-inflammatory action of Ibuprofen can provide symptomatic relief from inflammation and pain, while Ketoconazole and Miconazole address the underlying fungal infections. This can be particularly advantageous in conditions where inflammation is secondary to a fungal infection, or where both inflammatory and infectious processes are present.

It is important for both patients and prescribers to understand that this compound medication is specifically tailored for individual needs and should be used under the guidance of a healthcare professional. The formulation's efficacy and safety profile are contingent upon proper application and adherence to the prescribed treatment regimen. As with all medications, potential side effects and contraindications should be reviewed with a healthcare provider before use.

For further information, guidance on usage, or to address any concerns regarding this compounded medication, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is committed to providing support and ensuring the optimal therapeutic outcomes for our patients.

Drug Interactions

A small arrow pointing down

The combination of Ibuprofen, Ketoconazole, and Miconazole in a 2% topical liquid formulation is designed to provide anti-inflammatory, antifungal, and antimicrobial effects when applied to the skin or mucosal surfaces. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce inflammation and pain. Ketoconazole and Miconazole are both antifungal agents that are effective against a variety of fungal infections, including those caused by Candida and dermatophytes. This formulation may be used to treat conditions such as seborrheic dermatitis, athlete's foot, jock itch, ringworm, and other localized inflammatory and fungal skin infections.

When considering drug interactions, it is important to note that while the systemic absorption of these agents in a topical formulation is typically low, there is still potential for interaction with other medications. Ibuprofen, even when applied topically, may interact with anticoagulants (such as warfarin), antiplatelet agents (like aspirin), selective serotonin reuptake inhibitors (SSRIs), and other NSAIDs, potentially increasing the risk of bleeding. Patients should be cautious if they are taking any of these medications or if they have a history of bleeding disorders.

Ketoconazole can inhibit the enzyme CYP3A4, which is involved in the metabolism of many drugs. Although systemic absorption is minimal with topical application, there is still a possibility of interaction with medications that are substrates of CYP3A4, such as certain statins, calcium channel blockers, and immunosuppressants. Caution is advised when using this formulation concurrently with such medications, and monitoring for increased effects or side effects of these drugs may be necessary.

Miconazole also has the potential to interact with drugs metabolized by CYP2C9 and CYP3A4, including oral anticoagulants like warfarin, leading to an increased risk of bleeding. Patients on warfarin should have their prothrombin time or international normalized ratio (INR) monitored closely if they are using this topical formulation.

Additionally, the use of other topical medications on the same area of skin should be approached with caution to avoid potential additive irritation or altered absorption. Patients should inform their healthcare provider of all the products they are using, including over-the-counter medications and herbal supplements.

It is also important to consider the potential for allergic reactions or sensitivities to any of the components in the formulation. Patients with known hypersensitivity to ibuprofen, ketoconazole, miconazole, or any other related compounds should not use this product.

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 safe and effective treatment with this topical liquid preparation.

How Does it Work

A small arrow pointing down

The Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid is a multi-component formulation that combines the anti-inflammatory properties of ibuprofen with the antifungal activities of ketoconazole and miconazole. This topical liquid is designed to be applied directly to the skin or mucosal surfaces, where it can deliver its active ingredients to the site of infection or inflammation with minimal systemic absorption. This localized approach helps to reduce potential side effects that may occur with oral administration of these medications.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammatory process. By reducing the production of prostaglandins, ibuprofen can decrease inflammation and pain in the affected area. This makes the formulation particularly useful for treating inflammatory skin conditions where pain relief is also desired.

Ketoconazole and miconazole are both antifungal agents that belong to the azole class. They function by disrupting the synthesis of ergosterol, an essential component of fungal cell membranes. Without ergosterol, the fungal cell membrane becomes compromised, leading to cell death. Ketoconazole and miconazole are effective against a broad spectrum of fungi, making this formulation suitable for treating various fungal skin infections, such as athlete's foot, jock itch, ringworm, and candidiasis. The combination of these two antifungals in one formulation provides a broader antifungal coverage and may help prevent resistance that could arise from using a single antifungal agent.

When applied to the skin, the Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid forms a protective layer that allows the active ingredients to penetrate the epidermis and reach deeper skin layers. This ensures that the medication is delivered directly to the site of infection or inflammation, providing relief and promoting healing. The liquid dosage form is particularly advantageous for covering large or irregularly shaped areas and for patients who may have difficulty using creams or ointments.

It is important for patients and prescribers to understand that while this topical formulation offers targeted treatment with reduced systemic exposure, it should still be used with caution in patients who have known hypersensitivity to any of the components. Additionally, the use of this medication should be limited to the prescribed area and duration to minimize the risk of adverse effects or development of drug resistance.

For further information or if you have any questions regarding the Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid, 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 ensure the safe and effective use of this specialized medication.

Other Uses

A small arrow pointing down

The combination of Ibuprofen 2%, Ketoconazole 2%, and Miconazole 2% in a topical liquid formulation is primarily indicated for the treatment of certain dermatological conditions where inflammation is associated with fungal infection. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), aids in reducing the inflammation and providing pain relief at the site of application. Ketoconazole and Miconazole are both antifungal agents that work by disrupting the cell membrane of fungi, thus treating the fungal component of the skin condition.

Additionally, this unique formulation might offer alternative therapeutic benefits. For instance, Ibuprofen's anti-inflammatory action could provide symptomatic relief in the localized treatment of mild dermatitis, insect bites, or minor skin irritations where inflammation is a key concern. Moreover, the antifungal properties of Ketoconazole and Miconazole might benefit patients with superficial mycoses, such as athlete's foot, jock itch, or ringworm, where an anti-inflammatory component could also soothe associated pain and swelling.

Given the combination of these three agents, this formulation could be considered for use in complex skin and soft tissue infections where inflammation is coincident with suspected or confirmed fungal superinfection, upon the discretion of the healthcare provider. It is important to note that while this formulation has potential uses beyond its primary indications, decisions to use it in other manners should be made with adequate medical consultation, taking into account the patient's medical history, current medications, and the presence of any underlying skin conditions.

This compounded formulation is tailored to target local areas and is generally used when systemic treatment is unnecessary or could potentially lead to unwanted side effects. This topical approach delivers the active ingredients directly to the affected area, which can result in faster relief of symptoms and reduce the likelihood of systemic absorption, thus diminishing potential systemic side effects.

For healthcare professionals and patients considering this topical liquid, it is crucial to assess the suitability of the formulation for the specific condition being treated. Proper application technique, including clean and precise application to the affected area, quantity of medication, and duration of treatment are key factors in ensuring the effectiveness of the therapy. As with any medication, it is advisable to monitor for signs of local irritation or adverse reactions during use.

If you have any questions or require further information on this topical liquid formulation or its alternative uses, do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the necessary support and guidance for the optimal use of our tailored medication solutions.

Frequently Asked Questions

A small arrow pointing down

What is Ibuprofen 2%/Ketoconazole 2%/Miconazole 2% Topical Liquid used for?

This compounded topical liquid is used to simultaneously address pain or inflammation, and fungal infections of the skin or mucosal surfaces. It combines an anti-inflammatory component with antifungal agents for targeted treatment.

How do I apply this topical liquid?

Clean and dry the affected area before application. Use the applicator provided or use a sterile cotton swab to apply a thin layer of the liquid over the affected skin or mucosal surface, as directed by your healthcare provider. Avoid contact with eyes and mouth.

How often should I use this medication?

The frequency of use will depend on the condition being treated and the recommendations of your healthcare provider. It is important to follow their instructions carefully to ensure the best results.

Are there any side effects associated with this compounded medication?

Possible side effects may include local irritation, redness, itching, or a burning sensation at the site of application. If any of these effects persist or worsen, contact your healthcare provider immediately.

Can I use this medication on broken or damaged skin?

It is not recommended to apply this medication to open wounds or severely damaged skin without the supervision of your healthcare provider. Doing so could lead to increased absorption and potential systemic effects.

Is this compounded topical liquid safe for children?

The safety of this compound for children has not been established. Please consult with a pediatrician or healthcare provider before using this medication on a child.

How should I store this medication?

Store this liquid at room temperature, away from direct sunlight and heat. Keep the container tightly closed when not in use and out of reach of children and pets.

Can I use this medication if I'm pregnant or breastfeeding?

The effects of this topical medication on pregnant or breastfeeding women have not been fully studied. It is crucial to consult your healthcare provider before using this medication if you are pregnant or nursing.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double the application to catch up.

Can I cover the treated area with a bandage?

You should follow the instructions given by your healthcare provider. Some conditions may benefit from occlusive dressings while others may need to be left uncovered to ensure proper air circulation to the affected area.

Is it safe to use other topical medications along with this product?

Before using other topical treatments in conjunction with this medication, consult your healthcare provider, as there may be potential interactions or increased risk of side effects.

What should I do if I accidentally ingest this medication?

If the medication is accidentally ingested, seek immediate medical attention or contact a poison control center. It is important to keep this and all medications out of reach of children to prevent accidental ingestion.

Related Formulas

Related Products
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.
NEW PRESCRIPTION ORDER FORM
1
Circle for steps.
Patient Information
2
Circle for steps.
Prescriber and Prescription Information
3
Circle for steps.
Fax order form to Bayview Pharmacy at 401-284-4506.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.