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Ibuprofen 2%/Tea Tree Oil 5%/Terbinafine HCl 2% Topical Nail Lacquer

FDA-approved generic
Dose form
Nail Solution
Active ingredients
Ibuprofen
Tea Tree Oil
Terbinafine Hydrochloride

The Ibuprofen 2%/Tea Tree Oil 5%/Terbinafine HCl 2% Topical Nail Lacquer is a specialized liquid formulation crafted for direct application to the nails. This unique combination of active ingredients is designed to address a variety of nail conditions, including fungal infections, which are commonly caused by dermatophytes, yeasts, and molds. The inclusion of Terbinafine HCl, an antifungal agent, directly targets the fungal organisms responsible for nail infections, aiding in the restoration of healthy nails.

In addition to its antifungal properties, this nail lacquer formulation incorporates Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), to help reduce inflammation and pain associated with nail disorders. Tea Tree Oil, known for its natural antiseptic and antifungal qualities, further supports the treatment of fungal infections and contributes to the overall health of the nail, potentially improving conditions such as brittleness and discoloration.

By delivering these active ingredients in a convenient topical form, the nail lacquer ensures targeted therapy, promoting healthy nail growth and enhancing the appearance of the nails. This formulation is particularly suited for patients seeking a multifaceted approach to nail care and the treatment of nail-related disease states.

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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.
Ibuprofen
Tea Tree Oil
Terbinafine Hydrochloride
Nail Solution
65aeeb6c0fe59f1e116955c4
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 Ibuprofen 2%/Tea Tree Oil 5%/Terbinafine HCl 2% Topical Nail Lacquer is a specialized liquid formulation crafted for direct application to the nails. This unique combination of active ingredients is designed to address a variety of nail conditions, including fungal infections, brittleness, and discoloration. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is incorporated at a 2% concentration to help reduce inflammation and pain that can sometimes accompany nail disorders. Its inclusion in the formulation aids in providing symptomatic relief and improving the comfort of the patient.

Tea Tree Oil, present at a 5% concentration, is a well-known natural antiseptic and antifungal agent. It has been traditionally used to treat fungal infections and is valued for its therapeutic properties in promoting nail health. The inclusion of Tea Tree Oil not only helps in combating fungal pathogens but also contributes to the overall health of the nail, potentially preventing future infections.

Terbinafine HCl works by inhibiting the fungal enzyme squalene epoxidase, which is essential for the synthesis of ergosterol, a key component of fungal cell membranes. By disrupting this process, Terbinafine HCl effectively causes the death of the fungal cells, thereby treating the infection and allowing for the restoration of healthy nails.

This topical nail lacquer formulation is designed to enhance the penetration of the active ingredients into the nail bed, ensuring that the medication reaches the site of infection. The lacquer creates a protective layer over the nail, which not only allows for sustained release of the active ingredients but also protects the nail from external contaminants and moisture, factors that can exacerbate nail conditions. The combination of these three active ingredients in a nail lacquer dosage form provides a multifaceted approach to nail care, addressing both the symptoms and the underlying causes of nail pathology.

For patients and prescribers considering this formulation, it is important to note that consistent and correct application as directed is crucial for the effectiveness of the treatment. The duration of treatment may vary depending on the severity and extent of the nail condition. As with any medication, potential side effects and contraindications should be reviewed, and it is recommended to consult with a healthcare professional before starting any new treatment. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to ensure the best possible outcomes for our patients.

Drug Interactions

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The Ibuprofen 2%/Tea Tree Oil 5%/Terbinafine HCl 2% Topical Nail Lacquer is a specialized formulation intended for the treatment of various nail conditions, including fungal infections, brittleness, and discoloration. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is included for its anti-inflammatory properties, which may help reduce nail swelling and pain associated with nail damage or infection. Tea Tree Oil is known for its antiseptic, antifungal, and antibacterial properties, making it beneficial in treating and preventing fungal nail infections. Terbinafine HCl is an antifungal agent that works by inhibiting the growth of fungi, specifically targeting the dermatophytes responsible for most nail fungal infections.

When considering drug interactions, it is important to note that while the systemic absorption of these agents is expected to be minimal with topical application, interactions may still occur. Ibuprofen, even when used topically, may interact with anticoagulants such as warfarin, increasing the risk of bleeding. Patients on anticoagulant therapy should use this formulation with caution. Additionally, ibuprofen may reduce the effectiveness of antihypertensive drugs and may increase the nephrotoxicity of cyclosporine and other nephrotoxic drugs.

Tea Tree Oil, while generally considered safe for topical use, may cause skin irritation or allergic reactions in some individuals. It is advised to perform a patch test before using the nail lacquer extensively. There is limited information on the interaction of Tea Tree Oil with other medications; however, patients should be advised to report any unusual symptoms or reactions.

Terbinafine HCl may potentially interact with drugs metabolized by the liver enzyme CYP2D6, such as certain antidepressants, beta-blockers, and antiarrhythmics. While systemic interaction is unlikely with topical application, caution is advised when used concurrently with these medications. Additionally, patients should be monitored for any signs of liver dysfunction, and the use of terbinafine should be approached with caution in patients with pre-existing liver conditions.

It is also important to consider the potential for interaction with other topical products. The concurrent use of other topical agents on the nails should be evaluated for compatibility, as they may alter the absorption or effectiveness of the ingredients in this formulation.

Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs, supplements, and other topical treatments, to avoid potential interactions. Prescribers should review the patient's medication history to assess for any possible interactions and monitor the patient's response to treatment.

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 committed to providing you with the necessary support to ensure appropriate treatment.

How Does it Work

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The Ibuprofen 2%/Tea Tree Oil 5%/Terbinafine HCl 2% Topical Nail Lacquer is a specialized liquid formulation created for direct application to the nails. This unique combination of active ingredients works synergistically to address various nail conditions, including fungal infections, brittleness, and discoloration. The lacquer forms a durable layer over the nail, allowing for sustained release of the medication and prolonged contact with the nail bed.

Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is included in the formulation at a 2% concentration. While ibuprofen is commonly known for its pain-relieving and anti-inflammatory properties when taken orally, its inclusion in this topical formulation helps to reduce local inflammation and pain associated with nail trauma or infection. This can provide symptomatic relief for the patient and may also reduce nail bed swelling, allowing for better penetration of the other active ingredients.

Tea Tree Oil, present at a 5% concentration, is a natural essential oil with well-documented antiseptic and antifungal properties. It has been used traditionally to treat a variety of skin and nail conditions. In this formulation, Tea Tree Oil aids in treating and preventing fungal nail infections by disrupting the cell membranes of the fungi, thereby inhibiting their growth and survival. Additionally, Tea Tree Oil can improve the nail's appearance by providing a healthier environment for nail growth.

Terbinafine Hydrochloride (HCl), a potent antifungal agent, is included at a 2% concentration. Terbinafine HCl specifically targets the enzyme squalene epoxidase in fungi, which is essential for the synthesis of ergosterol, a key component of fungal cell membranes. By inhibiting this enzyme, Terbinafine HCl causes an accumulation of squalene and a deficiency of ergosterol within the fungal cell, leading to cell death.

The combination of these three active ingredients in a nail lacquer formulation ensures that the medication is concentrated at the site of infection or damage, providing a targeted approach to treatment. The lacquer vehicle also offers the advantage of a protective barrier, which not only ensures the active ingredients remain in contact with the nail for an extended period but also protects the nail from external moisture and contaminants that could exacerbate the condition.

For patients and prescribers considering this formulation, it is important to note that the effectiveness of the treatment relies on consistent application as directed, usually once or twice daily, to clean, dry nails. The duration of treatment may vary depending on the severity of the condition and the patient's response to therapy. As with any medication, potential side effects and contraindications should be reviewed with a healthcare professional. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What conditions is the Ibuprofen/Tea Tree Oil/Terbinafine HCl Topical Nail Lacquer intended to treat?

The compound is designed to treat nail conditions such as fungal infections, which are often characterized by brittleness, discoloration, and an unhealthy appearance. It is formulated to target the nail directly to promote healthy growth and improve the condition and appearance of the nails.

How do I apply the topical nail lacquer?

Clean the affected nail(s) and gently file down any thickened areas. Apply a thin layer of the lacquer over the entire surface of the nail, ensuring full coverage. Allow it to dry completely before putting on socks or shoes. Follow the instructions provided by your healthcare provider regarding the frequency and duration of application.

Can this formulation be used on fingernails and toenails?

Yes, the Ibuprofen/Tea Tree Oil/Terbinafine HCl Topical Nail Lacquer can be used on both fingernails and toenails to address the targeted conditions. Always follow the specific directions provided by your healthcare provider regarding application to different nail types.

Does the nail lacquer have any known side effects?

As with any medication, side effects are possible. Common side effects of topical nail lacquers may include local irritation, itching, or redness. If you experience any severe side effects or signs of an allergic reaction, discontinue use immediately and consult your healthcare provider.

How long does it take to see results with this nail lacquer?

Results can vary based on the individual and the severity of the condition being treated. It may take several weeks to observe improvement as nails grow slowly. For the best outcome, continue to use the lacquer as prescribed by your healthcare provider and complete the full treatment course.

Can I use nail polish or other nail products with this nail lacquer?

It is recommended to avoid using nail polish or other nail cosmetic products on the treated nails, as this can interfere with the effectiveness of the medication. Speak with your healthcare provider for guidance specific to your treatment plan.

Should I remove the nail lacquer before reapplying a new layer?

Typically, you should apply the lacquer over the existing layer, as directed by your healthcare provider. However, if you have been advised to apply the lacquer daily, you may need to remove the previous day's layer before applying a new one to maintain effectiveness.

Is a prescription required to obtain this topical nail lacquer?

Yes, the Ibuprofen/Tea Tree Oil/Terbinafine HCl Topical Nail Lacquer is a compounded formulation and requires a prescription from a licensed healthcare provider. Please consult with your doctor for personalized medical advice and prescriptions.

Can this nail lacquer be used by children?

The use of this nail lacquer in children should be determined by a healthcare provider. Safety and effectiveness can vary, and a healthcare provider can provide guidance based on the child's age, medical history, and specific condition.

How should I store the topical nail lacquer?

Store the lacquer at room temperature away from direct sunlight and heat. Keep the bottle tightly closed when not in use. Keep this and all medications out of the reach of children.

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%/Tea Tree Oil 5%/Terbinafine HCl 2% Topical Nail Lacquer
Nail Solution
15 mL
controlled

Apply topically to affected area(s)

Once daily