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Formulas

Indomethacin 2 mg/mL Oral Syrup

FDA-approved generic
Dose form
Oral Syrup
Active ingredients
Indomethacin

Indomethacin 2 mg/mL Oral Syrup is a concentrated liquid formulation designed for oral administration. It contains active ingredients and sweeteners, providing a palatable and easy-to-administer dosage form. This formulation is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules.

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) used to treat various conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and acute gouty arthritis. It helps reduce inflammation, pain, and stiffness associated with these disease states, improving patient comfort and mobility.

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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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This medication requires a prescription from your doctor
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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.
Indomethacin
Oral Syrup
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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Indomethacin 2 mg/mL Oral Syrup is a non-steroidal anti-inflammatory drug (NSAID) formulated as a concentrated liquid for oral administration. This palatable syrup is designed to provide an easy-to-administer dosage form, particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as pediatric patients or those with certain medical conditions.

Indomethacin works by inhibiting the production of prostaglandins, substances in the body that mediate inflammation and pain. By reducing prostaglandin synthesis, Indomethacin effectively alleviates symptoms associated with various inflammatory conditions. This mechanism of action makes it useful in treating conditions like rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gouty arthritis, and acute bursitis or tendinitis of the shoulder.

The oral syrup formulation allows for precise dosing adjustments tailored to individual patient needs. This is especially important in pediatric care, where dosing often requires careful calculation based on body weight. The syrup's sweeteners improve taste, enhancing compliance among patients who may be sensitive to the taste of medication, ensuring they receive the full therapeutic benefits of Indomethacin.

Patients prescribed Indomethacin Oral Syrup should follow their healthcare provider's instructions carefully. It's important to use the measuring device provided to ensure accurate dosing, as improper dosing can lead to suboptimal treatment outcomes or increased risk of side effects. The convenience of a liquid formulation may also aid in maintaining consistent dosing schedules, which is crucial for managing chronic conditions.

Common side effects include gastrointestinal discomfort, nausea, headache, dizziness, and potential gastrointestinal bleeding. Patients should be monitored for signs of adverse reactions, and any unusual symptoms should be reported to a healthcare provider promptly. Long-term use may require periodic evaluation of kidney and liver function, as well as blood counts.

Healthcare providers should assess the risk-benefit profile for each patient before prescribing Indomethacin, considering factors such as the patient's medical history, concurrent medications, and potential for drug interactions. Indomethacin may not be suitable for patients with a history of ulcers, bleeding disorders, severe heart, kidney, or liver disease, or those who have had allergic reactions to other NSAIDs.

If you have any questions, reach out to us.

Drug Interactions

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Indomethacin 2 mg/mL Oral Syrup is a nonsteroidal anti-inflammatory drug (NSAID) used to treat various conditions such as arthritis, gout, and other inflammatory disorders. It works by reducing hormones that cause inflammation and pain in the body. While this formulation is particularly beneficial for pediatric patients or those who have difficulty swallowing tablets or capsules, it is important to be aware of potential drug interactions that may affect its efficacy and safety.

Patients and prescribers should be aware that indomethacin can interact with a variety of medications. Concomitant use of indomethacin with other NSAIDs, including aspirin, may increase the risk of gastrointestinal bleeding and ulceration. It is generally advised to avoid using multiple NSAIDs simultaneously unless specifically directed by a healthcare provider.

Indomethacin may also interact with anticoagulants such as warfarin, increasing the risk of bleeding. Patients on anticoagulant therapy should be closely monitored, and dose adjustments may be necessary. Additionally, indomethacin can reduce the effectiveness of antihypertensive medications, including ACE inhibitors, angiotensin II receptor blockers (ARBs), beta-blockers, and diuretics. Monitoring blood pressure and adjusting antihypertensive therapy may be required.

Concomitant use of indomethacin with lithium can lead to increased lithium levels and potential toxicity. Patients taking lithium should have their serum lithium levels monitored regularly, and dose adjustments may be necessary. Indomethacin may also increase the nephrotoxic effects of cyclosporine and tacrolimus, necessitating careful monitoring of renal function in patients receiving these immunosuppressants.

Patients taking methotrexate should be aware that indomethacin can increase methotrexate levels, potentially leading to toxicity. Monitoring methotrexate levels and renal function is recommended when these drugs are used together. Additionally, indomethacin may interact with selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), increasing the risk of bleeding. Caution is advised when these medications are used concurrently.

It is important for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to assess potential interactions. Prescribers should carefully evaluate the patient's medication regimen and consider alternative therapies or additional monitoring as needed to minimize the risk of adverse interactions.

If you have any questions or concerns about drug interactions with Indomethacin 2 mg/mL Oral Syrup, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have.

How Does it Work

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Indomethacin 2 mg/mL Oral Syrup is a specially compounded liquid formulation designed to deliver the nonsteroidal anti-inflammatory drug (NSAID) indomethacin in a palatable and easy-to-administer form. This formulation is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules. The syrup is carefully crafted to maintain the stability and efficacy of indomethacin while incorporating sweeteners to enhance its taste, making it more acceptable for patients who may be sensitive to the bitterness of traditional NSAID formulations.

Indomethacin works by inhibiting the production of prostaglandins, which are chemical messengers responsible for promoting inflammation, pain, and fever in the body. By blocking the enzyme cyclooxygenase (COX), indomethacin reduces the synthesis of these prostaglandins, thereby alleviating symptoms associated with various inflammatory conditions. The oral syrup formulation allows for precise dosing, which is crucial in managing these conditions, especially in populations requiring tailored dosages, such as children or those with specific medical needs.

For prescribers, the indomethacin 2 mg/mL Oral Syrup offers a flexible dosing option that can be easily adjusted based on the patient's age, weight, and specific therapeutic requirements. This flexibility is particularly important in pediatric care, where dosing precision is critical to ensure both efficacy and safety. The liquid form also facilitates easier administration, reducing the risk of non-compliance due to difficulties in swallowing or aversion to medication taste. Additionally, the syrup's formulation is designed to minimize gastrointestinal irritation, a common side effect associated with NSAIDs, by allowing for a more controlled release and absorption of the active ingredient.

Patients and caregivers will find the indomethacin oral syrup to be a user-friendly option that simplifies the medication administration process. The sweetened formulation not only improves palatability but also encourages adherence to prescribed treatment regimens, which is essential for achieving optimal therapeutic outcomes. As with any medication, it is important to follow the prescribed dosing instructions and consult with healthcare providers regarding any concerns or questions about the 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 here to assist you with any inquiries you may have.

Frequently Asked Questions

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What is Indomethacin 2 mg/mL Oral Syrup?

Indomethacin 2 mg/mL Oral Syrup is a concentrated liquid formulation containing the active ingredient indomethacin, along with sweeteners, designed for oral administration. It provides a palatable and easy-to-administer dosage form, especially useful for pediatric patients or those who have difficulty swallowing tablets or capsules.

Who can benefit from using Indomethacin Oral Syrup?

This oral syrup is particularly beneficial for pediatric patients and individuals who have difficulty swallowing tablets or capsules, such as elderly patients or those with certain medical conditions.

How should Indomethacin Oral Syrup be stored?

Indomethacin Oral Syrup should be stored at room temperature, away from direct sunlight and moisture. It should be kept out of reach of children and should not be frozen.

What is the recommended dosage for Indomethacin Oral Syrup?

The recommended dosage of Indomethacin Oral Syrup varies depending on the patient's age, weight, and medical condition. It is important to follow the healthcare provider's instructions or the prescription label for the correct dosage.

Can Indomethacin Oral Syrup be mixed with food or drinks?

Indomethacin Oral Syrup can be taken with or without food. However, it is advisable to follow the healthcare provider's instructions regarding its administration with food or drinks to ensure optimal absorption and effectiveness.

Are there any side effects associated with Indomethacin Oral Syrup?

Like all medications, Indomethacin Oral Syrup may cause side effects. Common side effects include gastrointestinal discomfort, headache, dizziness, and nausea. If any severe or persistent side effects occur, it is important to contact a healthcare provider immediately.

Is Indomethacin Oral Syrup safe for long-term use?

The safety of long-term use of Indomethacin Oral Syrup depends on the individual's medical condition and response to treatment. It is important to have regular check-ups with a healthcare provider to monitor its effectiveness and any potential side effects.

Can Indomethacin Oral Syrup be used in combination with other medications?

Indomethacin Oral Syrup may interact with other medications. It is crucial to inform the healthcare provider of all medications, supplements, and herbal products being taken to avoid potential interactions and ensure safe use.

What should I do if I miss a dose of Indomethacin Oral Syrup?

If a dose of Indomethacin Oral Syrup is missed, it should be taken as soon as remembered. If it is close to the time for the next dose, skip the missed dose and resume the regular dosing schedule. Do not double the dose to catch up.

How does Indomethacin Oral Syrup work?

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing inflammation, pain, and fever. It inhibits the production of certain chemicals in the body that cause inflammation and pain.

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.

Indomethacin 2 mg/mL Oral Syrup
Oral Syrup
controlled

Take orally

Three times daily