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Ivermectin 0.08% Topical Liquid

FDA-approved generic
Dose form
Topical Liquid
Active ingredients
Ivermectin

The Ivermectin 0.08% Topical Liquid is a meticulously crafted medication intended for external use, providing a precise concentration of the active ingredient for direct application to the skin or mucosal surfaces. This specialized liquid formulation is optimized for ease of use and enhanced penetration to the affected area, ensuring efficient delivery of the medication for localized treatment.

Its primary use is in the management of parasitic infections, specifically targeting conditions such as scabies and head lice. By applying the liquid directly to the skin, the formulation acts at the site of infestation, minimizing systemic absorption and potential side effects.

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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
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.
Ivermectin
Topical Liquid
65aeb8e6e716c934ed86ebd6
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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Ivermectin 0.08% Topical Liquid is a meticulously crafted medication intended for external use, specifically designed to deliver the active ingredient, ivermectin, directly to the skin or mucosal surfaces. This concentration and form of ivermectin are chosen for their ability to provide localized treatment, which is particularly beneficial for skin conditions that require targeted therapy. The advantage of using a topical liquid formulation lies in its potential to minimize systemic absorption and side effects, making it a suitable option for patients who may be sensitive to oral or systemic medications.

The active component, ivermectin, is a member of the avermectin class of broad-spectrum antiparasitic agents. It operates by binding to invertebrate muscle and nerve cells of parasites, causing increased permeability to chloride ions, which leads to paralysis and death of the parasite. In the context of skin diseases, ivermectin 0.08% Topical Liquid is commonly used to manage conditions such as rosacea, which is characterized by inflammation and erythema, and for certain parasitic skin infestations like scabies and head lice, where the localized application can directly target the affected area.

The liquid should be applied as directed by a healthcare professional, ensuring that the affected area is covered adequately. Patients should be advised to avoid contact with eyes and other sensitive areas and to wash their hands thoroughly after application. As with any medication, the potential for side effects exists, although they are generally less common with topical formulations compared to systemic treatments. Patients should be monitored for signs of local irritation or allergic reaction and report any adverse effects to their healthcare provider.

Prescribers should consider the patient's overall medical history, including any other medications being taken, to avoid potential drug interactions. It is also essential to provide clear instructions on the frequency and duration of treatment to ensure optimal outcomes. For further information, guidance on formulation, or to address any specific concerns, patients and healthcare providers are encouraged to reach out to the knowledgeable team of compounding pharmacists at Bayview Pharmacy. Our team is committed to supporting your healthcare needs and ensuring the safe and appropriate use of Ivermectin 0.08% Topical Liquid.

Drug Interactions

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When considering the use of Ivermectin 0.08% Topical Liquid, it is important to be aware of potential drug interactions that could affect the safety and efficacy of the treatment. Ivermectin is an antiparasitic agent that is used to treat a variety of parasitic infections. When applied topically, it is primarily used for skin conditions such as rosacea or head lice. The risk of systemic drug interactions with topical ivermectin is generally lower than with oral forms; however, interactions can still occur, particularly if the drug is used over large surface areas of the skin or if there is compromised skin integrity which may increase systemic absorption.

One potential interaction is with drugs that are substrates of the P-glycoprotein (P-gp) or CYP3A4 enzymes, as ivermectin is both a substrate and an inhibitor of these pathways. While systemic exposure from topical application is minimal, if ivermectin is absorbed in significant amounts, it could potentially increase plasma concentrations of other P-gp or CYP3A4 substrates. This is particularly relevant for patients taking medications with a narrow therapeutic index, such as certain anticoagulants, antiarrhythmics, immunosuppressants, and antiretrovirals. Caution is advised when co-administering these drugs, and monitoring for increased effects or toxicity of the concomitant medication may be warranted.

Another consideration is the concurrent use of other topical treatments. The application of other topical agents on the same skin area may alter the absorption of ivermectin or the other agent. It is recommended to allow an appropriate time interval between the application of different topical products to prevent potential interactions and ensure the efficacy of each medication.

It is also important to note that the use of occlusive dressings over the area where ivermectin is applied can increase systemic absorption, potentially leading to increased risk of interactions. Patients should follow the specific application instructions provided by their healthcare provider and avoid the use of occlusive dressings unless directed otherwise.

Alcohol and other irritants in cosmetic products may cause increased skin irritation when used with topical ivermectin. Patients should be advised to avoid or use caution with these substances to prevent exacerbation of skin irritation.

Lastly, while allergic reactions to ivermectin are rare, patients should be aware of the signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or trouble breathing, and seek immediate medical attention if these occur.

Patients and prescribers are encouraged to discuss all current medications, including over-the-counter drugs and herbal supplements, to assess the risk of interactions with ivermectin. If you have any questions or concerns regarding the use of Ivermectin 0.08% Topical Liquid or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance and guidance.

How Does it Work

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Ivermectin is an antiparasitic agent that is commonly used in both oral and topical formulations to treat a variety of parasitic infections. The 0.08% topical liquid formulation of Ivermectin is specifically designed to be applied directly to the skin or mucosal surfaces. This mode of application allows the medication to act locally, targeting the affected area with minimal systemic absorption. This is particularly beneficial for patients who require localized treatment or for those in whom systemic effects need to be minimized due to other medical conditions or concurrent medication use.

The mechanism of action of Ivermectin involves binding selectively and with high affinity to glutamate-gated chloride channels, which are present in invertebrate nerve and muscle cells. This binding increases the permeability of the cell membrane to chloride ions, resulting in hyperpolarization of the nerve or muscle cell, leading to paralysis and death of the parasite. In humans, these glutamate-gated chloride channels do not exist, which is why Ivermectin is selectively toxic to the parasites and has a good safety profile when used appropriately.

The topical application ensures that the medication is concentrated at the site of infestation. It is also used in the treatment of rosacea, where its anti-inflammatory properties help reduce the inflammatory lesions associated with the disease, although the exact mechanism in this indication is not fully understood.

For patients and prescribers considering the use of this formulation, it is important to apply the medication as directed, usually to clean, dry skin. The amount to be applied and the duration of treatment will depend on the condition being treated and the individual patient's response to therapy. It is also crucial to adhere to the recommended application guidelines to avoid potential side effects and to ensure optimal efficacy of the treatment.

As with any medication, there may be potential side effects, and it is important to monitor for these and report any adverse reactions to the healthcare provider. The safety of Ivermectin in certain populations, such as pregnant or breastfeeding women, has not been fully established, so it is important to use this medication under the guidance of a healthcare professional.

If you have any questions about the use of Ivermectin 0.08% Topical Liquid or if you would like more information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the support and information you need to ensure appropriate treatment.

Frequently Asked Questions

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What is Ivermectin 0.08% Topical Liquid used for?

Ivermectin 0.08% Topical Liquid is used for treating certain parasitic infestations such as lice or skin conditions like rosacea, where a topical formulation is more appropriate to limit systemic exposure and deliver the medication directly to the affected area.

How should Ivermectin 0.08% Topical Liquid be applied?

This medication should be applied directly to the clean and dry skin or mucosal surfaces as prescribed by your healthcare provider. It is important to follow the specific instructions regarding the amount of liquid, treatment area, and duration of application.

Can Ivermectin 0.08% Topical Liquid be used for head lice treatment?

While Ivermectin has been used in various formulations for head lice, it is essential to consult your healthcare provider to determine if this specific concentration and formulation are suitable and safe for treating head lice.

How often should I apply Ivermectin 0.08% Topical Liquid?

The frequency of application depends on the condition being treated and your healthcare provider's recommendations. It is typically applied once daily, but the regimen may vary based on the severity of the condition and response to treatment.

Are there any side effects of using Ivermectin 0.08% Topical Liquid?

Possible side effects may include skin irritation, redness, burning sensations, or dry skin. If you experience any severe reactions or side effects that concern you, contact your healthcare provider immediately.

Can I cover the treated area with bandages or clothing?

Unless instructed otherwise by your healthcare provider, it is generally best to let the treated area breathe and not cover it immediately after application to allow proper absorption. Wait until the liquid has completely dried before covering with clothing or a bandage, if necessary.

Should I avoid sunlight after applying Ivermectin 0.08% Topical Liquid?

There is no specific restriction regarding sunlight exposure mentioned for Ivermectin 0.08% Topical Liquid; however, it is always wise to protect skin from excessive sun exposure. Check with your healthcare provider for more detailed recommendations based on your particular situation.

Can children use Ivermectin 0.08% Topical Liquid?

The use of Ivermectin 0.08% Topical Liquid in children should only be under the supervision of a healthcare provider. Dosage and safety for children may differ from adults and must be carefully considered by a medical professional.

What should I do if I miss a dose of Ivermectin 0.08% Topical Liquid?

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

Is Ivermectin 0.08% Topical Liquid safe to use during pregnancy or while breastfeeding?

The safety of Ivermectin 0.08% Topical Liquid during pregnancy or breastfeeding is not well-established. You should use this medication during pregnancy or while breastfeeding only if clearly needed and prescribed by your healthcare provider.

How should I store Ivermectin 0.08% Topical Liquid?

Store Ivermectin 0.08% Topical Liquid at room temperature, away from light and moisture. Keep it out of reach of children and pets. Do not store in the bathroom, and be sure to dispose of any medication that is outdated or no longer needed according to the guidelines for proper disposal.

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.

Ivermectin 0.08% Topical Liquid
Topical Liquid
controlled
Twice daily