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Ibuprofen 2%/Ketoconazole 2% Nail Liquid

Ibuprofen 2%/Ketoconazole 2% Nail Liquid is a compounded treatment from Bayview Pharmacy for onychomycosis, nail psoriasis, paronychia, and diabetic nail complications.
For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
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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, NY, NJ, NH, FL and ME.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.

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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.
Ibuprofen
Ketoconazole
Nail Solution
65aedbfcb3cba65b2529ef09

Formula Information

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The Ibuprofen 2%/Ketoconazole 2% Nail Liquid is a specialized topical formulation designed to address various nail conditions by delivering therapeutic agents directly to the affected nails. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is incorporated into the formulation at a 2% concentration to help reduce inflammation and pain associated with nail disorders. This can be particularly beneficial for conditions that cause tenderness or discomfort around the nails. The anti-inflammatory properties of ibuprofen can also aid in alleviating symptoms of psoriasis or eczematous dermatitis affecting the nails, providing relief and potentially improving the appearance of the nails.

Ketoconazole, an antifungal agent, is included at a 2% concentration. By applying ketoconazole topically to the nails, the formulation targets the site of infection, which can lead to a reduction in fungal growth and improvement in nail color, thickness, and structure. The combination of ibuprofen and ketoconazole in a nail liquid formulation allows for ease of application, ensuring that the medication is delivered directly to the nail bed and surrounding tissues for optimal effectiveness.

This dual-action formulation not only addresses the underlying causes of nail pathology but also improves the symptomatic discomfort associated with nail diseases. It is suitable for patients looking for a targeted approach to treat and manage conditions like fungal nail infections, nail brittleness, and discoloration. The liquid dosage form ensures that the active ingredients are readily absorbed into the nail and surrounding skin.

For optimal results, patients should apply the Ibuprofen 2%/Ketoconazole 2% Nail Liquid as directed by their healthcare provider, ensuring that the nail is clean and dry before application. Consistent use as prescribed is crucial for the successful treatment of nail conditions. As with any medication, it is important to discuss potential side effects and contraindications with a healthcare provider before starting treatment. 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 dedicated to providing comprehensive support and guidance to both patients and prescribers.

Drug Interactions

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The Ibuprofen 2%/Ketoconazole 2% Nail Liquid is a topical formulation intended for the treatment of various nail conditions, including fungal infections, brittleness, or discoloration. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce inflammation and pain in the affected nail area. Ketoconazole is an antifungal agent that works by inhibiting the growth of fungi, thereby treating fungal nail infections. When considering the use of this formulation, it is important to be aware of potential drug interactions.

Although the systemic absorption of ibuprofen and ketoconazole from this topical nail liquid is expected to be minimal, there is still a possibility of interaction with other medications. Ibuprofen, when absorbed systemically, can interact with anticoagulants (such as warfarin), antiplatelet agents (such as aspirin), selective serotonin reuptake inhibitors (SSRIs), and other NSAIDs, potentially increasing the risk of bleeding. Additionally, ibuprofen may reduce the effectiveness of antihypertensive drugs like ACE inhibitors and diuretics. Patients should be advised to inform their healthcare provider if they are taking these medications.

Ketoconazole, even when used topically, may theoretically interact with certain systemic medications due to its potent inhibition of cytochrome P450 3A4 (CYP3A4) enzymes. Medications that are substrates of CYP3A4, such as certain statins, calcium channel blockers, and immunosuppressants, could have increased plasma concentrations, leading to potential toxicity. It is crucial for patients to disclose all current medications to their healthcare provider, including over-the-counter drugs and herbal supplements, to assess the risk of interactions.

Patients should also be aware of the potential for additive effects if using other topical products containing NSAIDs or antifungal agents. The concurrent use of multiple products with similar pharmacological actions could increase the risk of local side effects, such as skin irritation or dryness. It is advisable to consult with a healthcare provider before combining such treatments.

Alcohol-containing products applied to the nails may cause increased local irritation or dryness when used with this formulation. Patients should be cautious and consult with their healthcare provider regarding the use of such products.

It is important to note that while the risk of systemic drug interactions is lower with topical formulations compared to oral medications, patients should always be vigilant and consult with their healthcare provider or pharmacist before starting any new medication or supplement. If you have any questions or concerns about the use of Ibuprofen 2%/Ketoconazole 2% Nail Liquid and potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Ibuprofen 2%/Ketoconazole 2% Nail Liquid is a specialized topical formulation designed to address various nail conditions by delivering active ingredients directly to the affected area. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), works by reducing inflammation and pain. When applied topically to the nails, it can help alleviate symptoms associated with inflammatory conditions of the nails and surrounding tissues. This can be particularly beneficial for those suffering from nail psoriasis or other inflammatory nail disorders, where localized treatment can reduce discomfort and improve the appearance of the nails.

Ketoconazole, on the other hand, is an antifungal agent that interferes with the cell membrane formation of fungi, ultimately leading to the death of the fungal cell. This condition is characterized by the thickening, discoloration, and brittleness of the nails, and it can be quite resistant to treatment. Topical application of Ketoconazole directly to the nail ensures a high concentration of the drug at the site of infection, which is essential for eradicating the fungus and preventing its spread.

The combination of these two active ingredients in a nail liquid formulation allows for a synergistic approach to nail care. The liquid dosage form is particularly suitable for nail application as it can be easily applied with precision and has the ability to penetrate the nail plate to reach the site of infection or inflammation. The formulation is designed to be used regularly as part of a nail care routine to promote healthy nail growth and improve the overall appearance of the nails.

Consistent application as prescribed by a healthcare professional is key to the success of the treatment. If there are any questions or concerns regarding the use of Ibuprofen 2%/Ketoconazole 2% Nail Liquid, or if additional guidance is needed for individual cases, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and information to ensure the safe and appropriate use of this specialized nail care product.

Other Uses

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The Ibuprofen 2%/Ketoconazole 2% Nail Liquid is a specialized formulation intended for direct application to the nails in patients with specific nail conditions. While it is primarily used for treating fungal infections of the nail, known as onychomycosis, and for improving symptoms like brittleness and discoloration, it can have other therapeutic benefits as well. The anti-inflammatory properties of ibuprofen may alleviate local inflammation and pain associated with conditions such as nail psoriasis or trauma-induced nail disorders. This could potentially offer symptomatic relief for patients with tender or painful nails due to these conditions. It's important to note that this is an off-label use, and appropriate clinical judgment should be exercised prior to prescribing this formulation for non-fungal inflammatory nail disorders.

The antifungal agent ketoconazole also has broad actions against yeasts and dermatophytes, and thus, could be beneficial in a range of dermatophyte-associated nail abnormalities. Furthermore, the presence of ketoconazole in this formulation may serve as a prophylactic to prevent recurrence of fungal infections, particularly in patients who are prone to these infections or who have just completed a course of systemic antifungals. This could be of particular interest for athletes or individuals who frequently expose their feet to moist environments, a risk factor for fungal growth.

It is worth considering that the formulation could also have a role in the management of non-infectious nail discoloration or textural changes, as it may help to create a healthier nail environment, allowing for improved nail growth and overall appearance. However, since the primary ingredients are an NSAID and an antifungal agent, the utilization of this nail liquid for cosmetic purposes should be carefully considered against potential risks and benefits. As with any medication, the Ibuprofen 2%/Ketoconazole 2% Nail Liquid should be used under the guidance of a healthcare professional who can monitor its effectiveness and tolerability.

Any potential secondary benefits or experimental uses that deviate from the indicated nail conditions should be backed by evidence and individual patient assessment. Prescribers contemplating the use of this formulation for other nail-related conditions should weigh the evidence, consider the pharmacologic action of the active ingredients, and refer to relevant clinical guidelines. If you have any questions or require additional information about the use of Ibuprofen 2%/Ketoconazole 2% Nail Liquid for conditions other than those listed, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide guidance, support, and the necessary information to ensure appropriate treatment for your patients.

Frequently Asked Questions

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What is Ibuprofen 2%/Ketoconazole 2% Nail Liquid used for?

This liquid formulation is used to treat a variety of nail conditions including fungal infections, brittle nails, and discoloration. It combines the anti-inflammatory properties of Ibuprofen with the antifungal capabilities of Ketoconazole to promote healthy nail growth and improve the overall appearance of the nails.

How is Ibuprofen 2%/Ketoconazole 2% Nail Liquid applied to the nails?

It is designed for topical application. Clean and dry the affected nail area before applying the solution with a brush or a dropper, ensuring the liquid covers the entire nail surface and the skin surrounding it. Follow the usage instructions provided by your healthcare provider.

How often should I use Ibuprofen 2%/Ketoconazole 2% Nail Liquid?

The frequency of use will depend on the specifics of your condition and the advice of your healthcare provider. Typically, it's applied once or twice daily, but make sure to follow the directions given to you by your prescriber.

Can I use nail polish or other nail products while using this medication?

It's generally not recommended to use nail polish or other cosmetic nail products on top of medicinal nail liquids as they might affect the efficacy of the medication. Please consult with your healthcare provider for guidance specific to your treatment.

Are there any side effects associated with Ibuprofen 2%/Ketoconazole 2% Nail Liquid?

As with any medication, possible side effects can include local irritation, redness, itching, or swelling at the site of application. If you experience any of these symptoms or other concerns, contact your healthcare provider.

How long before I see improvements in my nail condition?

The time frame for improvement can vary depending on the severity of your condition and how well your nails respond to treatment. Some patients may notice changes in a few weeks, while others may need longer treatment periods. Consult with your healthcare provider about what to expect for your specific situation.

Do I need a prescription to get Ibuprofen 2%/Ketoconazole 2% Nail Liquid?

Yes, this compounded medication requires a prescription from a healthcare provider, as it is specially formulated based on your individual needs and the specifics of your nail condition.

Is Ibuprofen 2%/Ketoconazole 2% Nail Liquid suitable for children?

The suitability for children will depend on the child's age, the severity of their condition, and the recommendation of a pediatrician or dermatologist. Always consult with a healthcare provider before using this medication for a child.

Can Ibuprofen 2%/Ketoconazole 2% Nail Liquid be used on toenails as well as fingernails?

Yes, this formulation is designed for use on both fingernails and toenails. However, the thickness and growth rate of toenails differ from fingernails, so treatment duration may vary. Consult with your healthcare provider for tailored advice.

What should I do if I accidentally ingest Ibuprofen 2%/Ketoconazole 2% Nail Liquid?

Though this medication is intended for external use only, if accidental ingestion occurs, seek medical attention immediately or contact a poison control center for guidance on the next steps.

Can Ibuprofen 2%/Ketoconazole 2% Nail Liquid be used alongside oral medications?

It may be possible to use this nail liquid with oral medications, but this should only be done under the guidance of a healthcare provider to avoid potential drug interactions. Always disclose all medications you are currently taking to your healthcare provider.

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, 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.

Ibuprofen 2%/Ketoconazole 2% Nail Liquid
Nail Solution
15 mL
controlled

Apply topically to affected area(s)