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Formulas

Ketoconazole 2% Otic Liquid

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Ketoconazole

Ketoconazole 2% Otic Liquid is a specially formulated antifungal medication intended for the treatment of fungal infections within the ear canal. This liquid solution is designed to deliver a concentrated dose of ketoconazole directly to the affected area, offering relief from conditions such as otomycosis. The formulation is to be administered with precision using the provided ear dropper or applicator, ensuring accurate dosing and ease of use for the patient. It is essential to follow the prescribed directions to effectively manage symptoms and promote healing of the ear infection.

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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.
Ketoconazole
Otic Solution
65aed68a277e7afc3a472758
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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Ketoconazole 2% Otic Liquid is a specially compounded formulation intended for the treatment of fungal infections within the ear canal. This antifungal medication works by disrupting the cell membrane of the fungi, leading to the death of the pathogenic cells, thereby treating the infection. The liquid form allows for the medication to be distributed evenly throughout the ear canal, reaching the site of infection directly.

For patients, it is important to understand that this medication is to be used strictly as directed by a healthcare provider. The liquid should be administered using the provided ear dropper or applicator, which facilitates precise dosing and helps to avoid contamination. Patients should follow the prescribed dosage and duration of treatment to ensure the best outcome. It is also crucial to maintain ear hygiene and avoid introducing any contaminants into the ear during treatment.

Prescribers should consider Ketoconazole 2% Otic Liquid for patients with confirmed fungal otic infections who require a topical treatment with a high degree of efficacy. This formulation can be particularly beneficial for patients who have not responded to over-the-counter treatments or for those who have recurrent infections. Prescribers should instruct patients on the correct administration technique and emphasize the importance of completing the full course of therapy, even if symptoms improve before the medication is finished.

Bayview Pharmacy is committed to providing high-quality, customized medications to meet the specific needs of patients. Our team of compounding pharmacists is available to answer any questions or concerns regarding Ketoconazole 2% Otic Liquid or any other compounded medications. We are here to support both patients and prescribers in the treatment of otic conditions. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Ketoconazole is an antifungal medication that works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes. By disrupting the cell membrane, ketoconazole effectively treats fungal infections in the ear, such as otomycosis. When considering the use of ketoconazole 2% otic liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the treatment or the safety of the patient.

Although systemic absorption of ketoconazole from otic administration is minimal, there is still a possibility of interaction with other medications. Patients should inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements. Particular caution should be exercised if the patient is taking other antifungal agents, as there may be additive effects or increased risk of adverse reactions.

Patients using medications that can affect the pH of the ear canal, such as other ear drops, should discuss the timing of administration with their healthcare provider to avoid potential interactions that could alter the effectiveness of ketoconazole. Additionally, those who are on medications known to cause ototoxicity, such as aminoglycoside antibiotics, should use ketoconazole otic liquid with caution, as concurrent use may increase the risk of ear damage.

It is also important to consider the potential for drug interactions in patients with systemic conditions. For example, patients with liver dysfunction should be monitored closely, as ketoconazole is metabolized by the liver and could potentially lead to systemic side effects or interactions with other medications metabolized by the same pathway.

While the risk of significant drug interactions with ketoconazole 2% otic liquid is relatively low, it is still crucial for patients and prescribers to be vigilant. If you have any questions or concerns about potential drug interactions with ketoconazole 2% otic liquid, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and guidance you need to ensure appropriate treatment.

How Does it Work

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Ketoconazole 2% Otic Liquid is a specially formulated antifungal medication designed for the treatment of fungal infections in the ear canal. Ketoconazole, the active ingredient, is a broad-spectrum antifungal agent that works by inhibiting the synthesis of ergosterol, a vital component of fungal cell membranes. Without ergosterol, the cell membrane becomes permeable and leaks essential intracellular components, leading to cell death and the resolution of infection.

This liquid formulation is intended for otic use, meaning it is to be applied directly into the ear canal. The delivery of the medication in this manner ensures that the active ingredient is concentrated at the site of infection. The 2% concentration of ketoconazole in the solution is specifically chosen to maximize efficacy while minimizing irritation to the delicate tissues of the ear.

When administered, the Ketoconazole 2% Otic Liquid creates an environment in the ear canal that is inhospitable to the growth of fungi. It is particularly useful in treating otomycosis, a common fungal infection of the ear, which can cause symptoms such as itching, redness, and a feeling of fullness in the ear, along with possible hearing impairment. By eradicating the fungal organisms, the medication alleviates these symptoms and promotes the healing of the ear's mucosal tissues.

For patients and prescribers considering the use of Ketoconazole 2% Otic Liquid, it is important to note that the formulation is typically used for a course of treatment that spans several days, as prescribed by a healthcare professional. The duration of treatment depends on the severity and type of infection. It is crucial to follow the prescribed regimen to ensure the infection is fully treated and to prevent recurrence. Patients should be instructed on proper administration techniques to ensure the medication is delivered effectively to the affected area.

As with any medication, there may be potential side effects, and it is important to monitor for signs of local irritation or allergic reaction. If any adverse effects are observed, or if there is no improvement in symptoms, patients should contact their healthcare provider for further evaluation and guidance. For any questions or concerns regarding the use of Ketoconazole 2% Otic Liquid, or to discuss its suitability for treating specific ear conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide expert advice and support.

Frequently Asked Questions

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What is Ketoconazole 2% Otic Liquid used for?

Ketoconazole 2% Otic Liquid is a medication formulated for treating fungal infections and inflammation in the ear canal. It can be prescribed for conditions such as otomycosis or other ear-related fungal infections.

How should Ketoconazole 2% Otic Liquid be administered?

The medication should be administered using a sterile ear dropper or applicator as directed by your healthcare provider. It's usually applied directly into the ear canal, following the exact dosage and duration prescribed.

Can Ketoconazole Otic Liquid be used for swimmer’s ear?

While Ketoconazole 2% Otic Liquid is primarily used for fungal infections, swimmer's ear can involve bacterial infections; therefore, it might not be the first line of treatment. Please consult your healthcare provider for the appropriate treatment of swimmer's ear.

Is Ketoconazole 2% Otic Liquid safe for children?

Ketoconazole 2% Otic Liquid may be prescribed for children if deemed necessary by a healthcare provider. However, it's crucial to use the medication precisely as prescribed and monitor the child’s response to the treatment.

What are the side effects of Ketoconazole 2% Otic Liquid?

Possible side effects can include itching, irritation, redness, or a burning sensation in the ear. If you experience any severe reactions or symptoms that persist or worsen, contact your healthcare provider immediately.

How often should I use Ketoconazole 2% Otic Liquid?

The frequency of use for Ketoconazole 2% Otic Liquid depends on the individual's condition and the instructions provided by a healthcare provider. It's important to follow their specific dosage recommendations.

Can Ketoconazole 2% Otic Liquid be used for both ears?

If both ears are affected and your healthcare provider has prescribed treatment for both, you may use the liquid in both ears. Be sure to follow the prescribed dose for each ear.

What should I do if I miss a dose of Ketoconazole 2% Otic Liquid?

If you miss a dose, apply it as soon as you remember. However, if it’s nearly time for your next dose, skip the missed dose and continue with your regular schedule. Do not double up on doses to make up for a missed one.

Are there any medications or conditions that interact with Ketoconazole 2% Otic Liquid?

Ketoconazole can have interactions with certain medications and medical conditions. It's important to inform your healthcare provider about all medications you're taking and any health conditions you have before starting treatment with Ketoconazole 2% Otic Liquid.

How should Ketoconazole 2% Otic Liquid be stored?

Store it at room temperature away from direct light and heat. Keep the bottle sealed tightly after use, and make sure it's out of reach of children. Do not freeze the medication, and discard any unused liquid after the expiration date.

Can I swim or shower after applying Ketoconazole 2% Otic Liquid?

It's advisable to avoid swimming or getting the treated ear wet for a certain period after application, as water can dilute the medication and reduce its effectiveness. Please consult with your healthcare provider for specific guidance regarding your situation.

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.

Ketoconazole 2% Otic Liquid
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily