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Formulas

Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Lorazepam
Diphenhydramine Hydrochloride
Haloperidol
Metoclopramide Hydrochloride

Bayview Pharmacy's Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository is a solid dosage form designed for insertion into a body cavity, typically the rectum or vagina. Upon dissolution or melting, it releases medication for local or systemic absorption. This compounded formulation is used to treat conditions such as Insomnia, Anxiety, Schizophrenia, Nausea, and Vomiting.

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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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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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.
Lorazepam
Diphenhydramine Hydrochloride
Haloperidol
Metoclopramide Hydrochloride
Suppository
6427079ea6432488ec518d9c
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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Bayview Pharmacy's Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository is a specially compounded medication designed to address a range of health conditions. This unique formulation is primarily used to alleviate symptoms such as nausea, vomiting, anxiety, insomnia, and more. It combines four active ingredients, each with a specific role in providing symptom relief.

The Lorazepam component is an anxiolytic, which aids in reducing anxiety and insomnia. Diphenhydramine HCl, an antihistamine, is included to help mitigate nausea and vomiting. Haloperidol, an antipsychotic, is used to decrease agitation and aggression. Lastly, Metoclopramide, a prokinetic agent, is incorporated to further help in reducing nausea and vomiting.

This comprehensive formulation is presented in a suppository form. A suppository is a solid dosage form that is inserted into a body cavity, typically the rectum or vagina. It dissolves or melts to release the medication for local or systemic absorption. This method of administration is not only easy but also ensures quick relief.

If you have any queries about this formulation or how it can assist in managing your condition, please do not hesitate to contact us at Bayview Pharmacy. Our team of compounding pharmacists is equipped with the knowledge and expertise to help you find the most suitable treatment option for your needs.

Drug Interactions

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The Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository is a compounded formulation designed for the treatment of various conditions such as nausea, vomiting, anxiety, and agitation. Each component of this formulation plays a specific role in managing these symptoms. Lorazepam, a benzodiazepine, is utilized for its calming effects on the brain and nerves, thus helping to reduce anxiety and agitation. Diphenhydramine HCl, an antihistamine, is used to control nausea and vomiting. Haloperidol, an antipsychotic medication, is used to manage agitation. Lastly, Metoclopramide, a prokinetic agent, is used to treat nausea and vomiting by increasing the movements or contractions of the stomach and intestines.

Patients should be aware that this formulation may cause side effects such as drowsiness, dizziness, and confusion. It is advised not to drive or operate machinery until the effects of the medication are fully understood. This formulation may also cause an increase in blood pressure, heart rate, and respiration. Regular monitoring for these side effects is recommended.

It is important to note that this formulation may interact with other medications, including antacids, anticonvulsants, antihistamines, and other benzodiazepines. Therefore, patients should inform their healthcare provider of all medications they are currently taking before starting this treatment.

Healthcare providers prescribing this formulation should also be aware of the potential for increased blood pressure, heart rate, and respiration in patients. Regular monitoring for these side effects is advised. Additionally, potential interactions with other medications, including antacids, anticonvulsants, antihistamines, and other benzodiazepines, should be considered when prescribing this treatment.

If you have any questions or concerns about this formulation or its potential interactions, please do not hesitate to contact your healthcare provider for further information and guidance.

How Does it Work

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This compounded formulation of Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository is designed to address a range of conditions such as anxiety, insomnia, nausea, and vomiting. Each component of this formulation serves a specific purpose. Lorazepam is known for its anxiety-reducing and relaxation-inducing properties. Diphenhydramine is utilized for its effectiveness in mitigating insomnia. Haloperidol is incorporated into the formulation for its ability to alleviate nausea and vomiting. Lastly, Metoclopramide is used to expedite the process of gastric emptying.

The administration of this formulation is rectal, in the form of a suppository. The suppository should be inserted into the rectum and allowed to dissolve for a minimum of 15 minutes before removal. It is crucial to understand that this formulation is not intended for oral consumption.

It is advised that this formulation should not be used by individuals under the age of 18. Additionally, it is not recommended for use by pregnant or breastfeeding women. Always consult with a healthcare professional before starting any new medication regimen.

If you have any queries or concerns regarding this formulation or its mechanism of action, do not hesitate to seek professional advice. It is important to find the most suitable treatment option for your specific condition.

Other Uses

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This compounded formulation of Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository is a versatile medication that can be used to treat a wide range of conditions. Additionally, it can be used to alleviate symptoms associated with muscle spasms, irritable bowel syndrome, and motion sickness.

One of the key advantages of this formulation is its suppository form, which is especially beneficial for patients who have difficulty swallowing pills or capsules. The suppository is inserted into a body cavity, typically the rectum or vagina, where it dissolves or melts to release the medication. This allows for quick absorption and can provide relief within minutes.

This formulation can also be used to manage symptoms of opioid withdrawal, such as nausea, vomiting, and muscle spasms. However, it is crucial to note that this medication should only be used under the supervision of a healthcare professional. Patients should discuss any potential risks and benefits with their doctor before using this formulation.

It's important to be aware that this formulation may cause drowsiness. As such, it should not be used while operating a motor vehicle or machinery. Always ensure to use this medication responsibly and in accordance with the advice of a healthcare professional.

If you have any questions about this formulation or any other compounding medications, please don't hesitate to reach out. We at Bayview Pharmacy are committed to helping you find the best treatment option for your individual needs.

Frequently Asked Questions

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What is this compounded formulation of Lorazepam, Diphenhydramine HCl, Haloperidol, and Metoclopramide?

This is a compounded medication that combines Lorazepam, Diphenhydramine HCl, Haloperidol, and Metoclopramide into a single suppository. It is a solid dosage form that is inserted into a body cavity, typically the rectum or vagina, where it dissolves or melts to release the medication for local or systemic absorption.

What is the purpose of this compounded formulation?

This formulation is designed to deliver multiple medications in a single dose. It can be used to manage a variety of conditions, depending on the specific medications included in the formulation. The combination of these four medications is often used for the management of symptoms related to end-of-life care, such as nausea, vomiting, restlessness, and anxiety.

How should I use this suppository?

This suppository should be inserted into the rectum or vagina as directed by your healthcare provider. It will dissolve or melt once inside the body, releasing the medication for absorption.

What are the potential side effects of this compounded formulation?

Side effects can vary depending on the specific medications included in the formulation. Common side effects may include drowsiness, dizziness, dry mouth, constipation, or blurred vision. If any of these side effects persist or worsen, contact your healthcare provider immediately.

Can I take this compounded formulation with other medications?

It's important to discuss all medications you're currently taking with your healthcare provider before starting this compounded formulation. Some medications may interact with the ingredients in this suppository, which could increase your risk for serious side effects.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

How should I store this compounded formulation?

Store this medication at room temperature, away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

What should I do in case of an overdose?

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call emergency services immediately. Symptoms of overdose may include severe drowsiness, slow/shallow breathing, severe dizziness, or inability to wake up.

Can I use this compounded formulation if I am pregnant or breastfeeding?

Before using this medication, tell your doctor or pharmacist if you are pregnant or breastfeeding. This medication may pass into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breastfeeding.

What should I do if the suppository does not dissolve?

If the suppository does not dissolve, or if you have difficulty inserting it, contact your healthcare provider for advice. Do not attempt to remove the suppository once it has been inserted.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Lorazepam 1 mg/Diphenhydramine HCl 12.5 mg/Haloperidol 2 mg/Metoclopramide 40 mg Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Every 6 hours as needed