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Formulas

Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Lidocaine Hydrochloride
Metronidazole
Sucralfate

This Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a convenient pump mechanism. The gel-like consistency ensures targeted treatment and effective absorption of active ingredients.

This formulation is used to treat various dermatological conditions, including pain and inflammation associated with skin ulcers, wounds, and other skin irritations. Lidocaine provides local anesthetic effects to relieve pain, Metronidazole offers antimicrobial properties to combat infection, and Sucralfate promotes healing by forming a protective barrier over the affected area.

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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.
Starting at
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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.
Lidocaine Hydrochloride
Metronidazole
Sucralfate
Topical Gel
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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Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel is a specialized compounded medication designed to provide comprehensive care for various skin conditions. This unique formulation combines the analgesic properties of Lidocaine, the antimicrobial and anti-inflammatory effects of Metronidazole, and the protective healing benefits of Sucralfate, all delivered in a smooth, gel-like consistency for optimal skin application.

Lidocaine HCl acts as a local anesthetic, providing rapid relief from pain and discomfort by blocking nerve signals in the affected area. Sucralfate forms a protective barrier over wounds or irritated skin, promoting healing by shielding the area from further irritation and creating an optimal environment for tissue regeneration.

The gel is dispensed through a convenient pump mechanism, ensuring precise dosing and easy application directly to the affected area. This method of delivery enhances patient compliance and ensures that the active ingredients are absorbed efficiently at the site of application. The gel formulation is non-greasy and absorbs quickly, minimizing mess and allowing patients to go about their daily activities without inconvenience.

This compounded topical gel is particularly beneficial for patients requiring targeted therapy for skin conditions that involve pain, inflammation, infection, or require enhanced healing. By combining these three active ingredients, the formulation addresses multiple symptoms simultaneously, potentially reducing the need for multiple medications and simplifying the treatment regimen.

For prescribers, this formulation offers a tailored therapeutic option that can be customized to meet the specific needs of patients who may not respond adequately to commercially available products. As with all compounded medications, it is important to consider patient-specific factors such as allergies, sensitivities, and concurrent medications. Prescribers should provide clear instructions on application frequency and duration of treatment to ensure optimal outcomes.

Patients using this topical gel should apply it as directed by their healthcare provider, typically to clean, dry skin. It is important to avoid contact with eyes and mucous membranes. If any adverse reactions occur, such as increased irritation, rash, or signs of allergic reaction, patients should discontinue use and consult their healthcare provider promptly.

If you have any questions about this formulation or how it may benefit you or your patients, please reach out to us. Our team at Bayview Pharmacy is here to provide support and answer any inquiries you may have regarding our compounded medications.

Drug Interactions

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The Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel is a compounded formulation designed to provide targeted relief and treatment for various dermatological conditions. This unique combination leverages the anesthetic properties of lidocaine, the antimicrobial effects of metronidazole, and the protective, healing benefits of sucralfate. While this formulation is generally well-tolerated, it is important to consider potential drug interactions that may affect its efficacy or safety.

Lidocaine, a local anesthetic, works by blocking sodium channels, thereby reducing pain sensation in the applied area. When used topically, systemic absorption is minimal; however, caution should be exercised in patients using other local anesthetics or antiarrhythmic drugs, as cumulative effects may occur. Patients on class I antiarrhythmic drugs, such as mexiletine or tocainide, should be monitored for potential additive cardiac effects. Additionally, interactions with beta-blockers or cimetidine may increase lidocaine plasma levels, although this is more relevant for systemic administration than topical use.

Topical application minimizes systemic exposure, but patients should be aware of potential interactions with alcohol, as metronidazole can cause a disulfiram-like reaction, characterized by flushing, nausea, and vomiting. Although this reaction is more common with oral administration, patients should be advised to avoid alcohol consumption during treatment. Furthermore, metronidazole may potentiate the anticoagulant effects of warfarin, increasing the risk of bleeding. While this interaction is less likely with topical use, it is advisable to monitor patients on warfarin therapy closely.

Sucralfate acts as a protective barrier on the skin, promoting healing and providing relief from irritation. It is generally well-tolerated with minimal systemic absorption. However, sucralfate can potentially interfere with the absorption of other topical medications applied concurrently. To avoid this, it is recommended to apply other topical agents at different times or to consult with a healthcare provider for guidance on application timing.

Overall, while the risk of significant drug interactions with this topical gel is low due to limited systemic absorption, it is important for both patients and prescribers to be aware of these potential interactions. Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe and appropriate use of this formulation. If you have any questions or concerns regarding the use of Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel is a carefully compounded formulation designed to provide targeted relief and treatment for various dermatological conditions. This semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application on the skin, which enhances the targeted treatment and absorption of its active ingredients. The gel-like consistency allows for smooth application and optimal adherence to the skin, maximizing the therapeutic effects of the formulation.

Lidocaine HCl, present at a concentration of 1%, is a local anesthetic that works by blocking sodium channels in the neuronal cell membrane. This action inhibits the initiation and conduction of nerve impulses. This is particularly beneficial for conditions involving pain or discomfort, as it offers rapid relief and improves patient comfort.

Metronidazole, at a 2% concentration, is an antimicrobial agent with potent activity against anaerobic bacteria and certain parasites. It works by disrupting the DNA synthesis of these microorganisms, leading to their death. In dermatological applications, metronidazole is often used to treat inflammatory skin conditions such as rosacea, where it helps reduce redness, inflammation, and the number of lesions by targeting the underlying microbial component and modulating the immune response.

Sucralfate, included at a 4% concentration, acts as a protective agent. It forms a viscous, adhesive barrier on the skin's surface, which can protect the underlying tissue from further irritation and promote healing.

The combination of these three active ingredients in a topical gel formulation allows for a multifaceted approach to treatment. Lidocaine provides immediate pain relief, metronidazole addresses any microbial involvement and inflammation, and sucralfate promotes healing and protection of the affected area. This synergistic effect makes the formulation suitable for a variety of skin conditions that involve pain, inflammation, and the risk of infection or ulceration.

The pump mechanism ensures that the correct dose is applied each time, minimizing waste and ensuring consistent treatment. If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel used for?

This compounded topical gel is used for targeted treatment of skin conditions that may benefit from the combined effects of a local anesthetic, an antibiotic, and a protective agent. It helps in reducing pain, preventing infection, and promoting healing.

How should I apply the Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel?

Apply the gel to the affected area using the pump mechanism for precise dosing. Ensure the skin is clean and dry before application. Follow your healthcare provider's instructions regarding the frequency and amount of gel to use.

Can I use this gel on open wounds?

Consult your healthcare provider before applying the gel to open wounds. While it may be used on certain types of wounds, professional guidance is necessary to ensure safety and effectiveness.

Are there any side effects associated with this topical gel?

Some users may experience mild side effects such as skin irritation, redness, or itching at the application site. If you experience severe reactions or symptoms persist, contact your healthcare provider.

How does the pump mechanism work?

The pump mechanism dispenses a controlled amount of gel, ensuring easy and precise application. Press the pump gently to release the gel onto your fingertip or directly onto the affected area.

Is this gel safe for use in children?

Consult a healthcare provider before using this gel on children. The safety and efficacy may vary based on the child's age, weight, and specific condition being treated.

Can I use this gel with other topical medications?

Before using this gel with other topical medications, consult your healthcare provider to avoid potential interactions and ensure the effectiveness of all treatments.

How should I store the Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it's almost time for your next dose, skip the missed dose and resume your regular schedule. Do not apply extra gel to make up for a missed dose.

Can I use this gel during pregnancy or while breastfeeding?

Consult your healthcare provider before using this gel if you are pregnant or breastfeeding. They will assess the potential risks and benefits to determine if it is appropriate for 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.

Lidocaine HCl 1%/Metronidazole 2%/Sucralfate 4% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily