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Isradipine 1 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Isradipine

Isradipine 1 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, isradipine, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat hypertension and certain types of angina.

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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.
Isradipine
Suspension
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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Isradipine 1 mg/mL Oral Suspension is a compounded liquid medication designed to provide precise dosing of isradipine, a calcium channel blocker used primarily for the management of hypertension (high blood pressure). This formulation allows for flexible dosing adjustments and is especially beneficial for patients who have difficulty swallowing tablets or require dosages not available in commercially manufactured forms.

Isradipine works by relaxing the smooth muscles of the blood vessels, leading to vasodilation and a subsequent reduction in blood pressure. By inhibiting the influx of calcium ions into vascular smooth muscle cells, it decreases peripheral vascular resistance, effectively managing hypertension. This can help reduce the risk of cardiovascular events such as stroke, heart attack, and kidney complications associated with high blood pressure.

The 1 mg/mL oral suspension provides a uniform dispersion of isradipine throughout the liquid medium, ensuring consistent dosing with each administration. This is particularly useful for pediatric patients, elderly patients, or those with swallowing difficulties (dysphagia). Accurate dosing can be achieved using an oral syringe or calibrated measuring device, allowing for precise titration according to individual patient needs.

For prescribers, the compounded isradipine suspension offers the flexibility to tailor the dosing regimen, which is crucial for patients requiring individualized therapy. Adjustments can be made based on the patient's response to treatment and tolerance. The suspension form also facilitates dose adjustments in small increments, enhancing the ability to fine-tune blood pressure control while minimizing potential side effects.

Patients using isradipine oral suspension should be aware of possible side effects, including dizziness, headache, flushing, fatigue, nausea, and peripheral edema (swelling of the ankles or feet). It is important to monitor blood pressure regularly and report any adverse reactions or concerns to the healthcare provider promptly. Patients should inform their healthcare provider of all medications, supplements, and herbal products they are taking to avoid potential drug interactions.

The compounded oral suspension should be stored according to the pharmacist's instructions, typically in a cool place away from light to maintain its stability and effectiveness. Before each use, the suspension should be shaken well to ensure the medication is evenly distributed. Adherence to the prescribed dosing schedule is essential for optimal therapeutic outcomes, and

Drug Interactions

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Isradipine 1 mg/mL Oral Suspension is a calcium channel blocker used primarily in the management of hypertension and certain types of angina. By inhibiting the influx of calcium ions into vascular smooth muscle and cardiac muscle, isradipine causes vasodilation, leading to a reduction in blood pressure and alleviation of anginal symptoms. While this formulation offers a convenient liquid dosage form for patients who may have difficulty swallowing tablets or capsules, it is important to be aware of potential drug interactions that could affect its efficacy and safety.

Concomitant use of isradipine with other antihypertensive agents, such as beta-blockers, ACE inhibitors, or diuretics, may result in additive blood pressure-lowering effects. This can lead to hypotension, dizziness, or fainting, especially when initiating therapy or adjusting doses. Patients should be monitored closely for signs of excessive hypotension, and dose adjustments may be necessary to maintain optimal blood pressure control.

Isradipine may interact with drugs that affect hepatic enzyme activity, particularly those metabolized by the cytochrome P450 system. For instance, co-administration with CYP3A4 inhibitors, such as ketoconazole, itraconazole, or certain macrolide antibiotics, can increase plasma concentrations of isradipine, potentially enhancing its pharmacological effects and risk of adverse reactions. Conversely, CYP3A4 inducers like rifampin or phenytoin may decrease isradipine levels, reducing its therapeutic efficacy. Regular monitoring and possible dose adjustments are recommended when isradipine is used alongside these agents.

Patients taking isradipine should also be cautious with the use of grapefruit juice, as it can inhibit CYP3A4 enzymes in the gut wall, leading to increased absorption and higher plasma levels of isradipine. This interaction may enhance the drug's effects and side effects, necessitating careful monitoring and potential dietary modifications.

Additionally, isradipine may interact with other cardiovascular drugs. For example, when used with digoxin, there is a potential for altered digoxin levels, necessitating monitoring of digoxin serum concentrations to avoid toxicity. Similarly, the combination of isradipine with antiarrhythmic agents may require careful consideration due to the potential for additive effects on cardiac conduction and contractility.

Patients should inform their healthcare providers of all medications they are taking, including over-the-counter drugs and supplements, to assess for potential interactions. Healthcare providers should evaluate the risk-benefit profile of isradipine in the context of the patient's overall medication regimen and health status. If you have any questions or concerns about drug interactions with Isradipine 1 mg/mL Oral Suspension, please reach out to us for further guidance and support.

How Does it Work

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Isradipine 1 mg/mL Oral Suspension is a liquid dosage form designed to deliver the active ingredient, isradipine, in a homogeneous mixture for easy administration. Isradipine is a calcium channel blocker that works by inhibiting the influx of calcium ions through L-type calcium channels in the smooth muscle cells of the vascular system. This action results in the relaxation of vascular smooth muscles, leading to vasodilation and a subsequent decrease in blood pressure. By reducing peripheral vascular resistance, isradipine effectively lowers blood pressure, making it a valuable treatment option for managing hypertension.

The oral suspension formulation of isradipine provides several advantages over traditional tablet or capsule forms, particularly for patients who have difficulty swallowing pills or require precise dosing adjustments. The liquid medium ensures that the active ingredient is evenly dispersed, allowing for consistent dosing with each administration. This is particularly beneficial for pediatric or geriatric patients, or those with specific swallowing difficulties, as it allows for easier ingestion and absorption of the medication.

In addition to its primary use in treating hypertension, isradipine may also be used off-label for other cardiovascular conditions as determined by a healthcare provider. The flexibility of the oral suspension form allows for tailored dosing regimens that can be adjusted based on the patient's specific needs and response to treatment. This personalized approach can enhance therapeutic outcomes and improve patient adherence to the prescribed treatment plan.

For prescribers, the use of isradipine in an oral suspension form offers the ability to customize the dosage to meet individual patient requirements, which can be particularly useful in managing complex cases or when transitioning patients from other antihypertensive therapies. The liquid form also facilitates easier dose titration, allowing for gradual adjustments to achieve optimal blood pressure control while minimizing potential side effects.

Patients using isradipine oral suspension should be advised to shake the bottle well before each use to ensure the medication is properly mixed. It is important to use a calibrated measuring device to ensure accurate dosing. Patients should follow their healthcare provider's instructions regarding dosage and administration, and report any side effects or concerns promptly.

If you have any questions about Isradipine 1 mg/mL Oral Suspension or its use in treating hypertension or other conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to both patients and healthcare providers.

Frequently Asked Questions

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What is Isradipine 1 mg/mL Oral Suspension?

Isradipine 1 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Isradipine, is uniformly dispersed in a liquid medium to create a homogeneous mixture for easy administration.

What is Isradipine used for?

Isradipine is a medication primarily used to treat high blood pressure (hypertension) by relaxing blood vessels, allowing blood to flow more easily.

How should I take Isradipine Oral Suspension?

Isradipine Oral Suspension should be taken as directed by your healthcare provider. It is typically administered orally using a measuring device to ensure accurate dosing.

Can Isradipine Oral Suspension be taken with food?

Yes, Isradipine Oral Suspension can be taken with or without food. However, it is best to follow your healthcare provider's instructions regarding food intake.

What should I do if I miss a dose of Isradipine Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Isradipine Oral Suspension?

Common side effects may include dizziness, headache, flushing, or fatigue. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

How should I store Isradipine Oral Suspension?

Store Isradipine Oral Suspension at room temperature, away from light and moisture. Keep it out of reach of children and do not freeze the suspension.

Can I drive or operate machinery while taking Isradipine?

Isradipine may cause dizziness or lightheadedness. It is advisable to avoid driving or operating heavy machinery until you know how the medication affects you.

Is Isradipine Oral Suspension safe for children?

The safety and effectiveness of Isradipine in pediatric patients have not been established. Consult your healthcare provider for advice specific to children.

Can I take Isradipine Oral Suspension if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before taking Isradipine, as it may not be recommended depending on your specific circumstances.

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.

Isradipine 1 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Twice daily