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Metformin Hydrochloride 100 mg/mL Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Metformin Hydrochloride

Metformin Hydrochloride 100 mg/mL Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This formulation is used for the localized treatment or absorption of active ingredients to manage conditions such as insulin resistance, polycystic ovary syndrome (PCOS), and other related metabolic disorders.

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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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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.
Metformin Hydrochloride
Topical Cream
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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Metformin Hydrochloride 100 mg/mL Topical Cream is a specially compounded semisolid preparation designed for convenient and controlled application on the skin using a pump mechanism. This formulation allows for localized treatment or absorption of metformin directly at the site of application, potentially enhancing therapeutic outcomes while minimizing systemic exposure.

Metformin, commonly known for its use in managing type 2 diabetes mellitus when taken orally, exhibits properties that may be beneficial in various dermatological conditions when applied topically. By activating AMP-activated protein kinase (AMPK), metformin can influence cellular energy homeostasis, reduce inflammation, and improve insulin sensitivity in the skin. These mechanisms may contribute to therapeutic effects in skin conditions associated with insulin resistance and inflammation.

Topical metformin has been explored in the treatment of conditions such as acne vulgaris, hirsutism, psoriasis, and wound healing, particularly in patients with diabetes. In acne vulgaris, metformin's anti-inflammatory properties may help reduce lesion formation and sebum production. For hirsutism, especially in women with polycystic ovary syndrome (PCOS), topical metformin may reduce excessive hair growth by modulating androgen effects on hair follicles. In psoriasis, metformin's immunomodulatory effects may alleviate symptoms by reducing keratinocyte proliferation and inflammation. Enhancing wound healing is another potential benefit, as metformin can promote angiogenesis and improve tissue repair, which is particularly valuable in diabetic patients who often experience impaired wound healing.

For patients using this formulation, it is important to apply the cream as directed by your healthcare provider. Typically, a specified amount is dispensed using the pump mechanism and applied to the affected area of the skin. Wash your hands before and after application, and avoid contact with eyes, nose, and mouth. If irritation or adverse reactions occur, discontinue use and consult your healthcare provider.

Prescribers should consider this topical formulation as an alternative or adjunctive therapy for patients who may benefit from localized metformin therapy. The 100 mg/mL concentration allows for sufficient delivery of the active ingredient to the target area while potentially reducing systemic absorption and side effects associated with oral administration. Monitoring patient response and tolerability is advised to optimize treatment outcomes.

If you have any questions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns regarding this formulation.

Drug Interactions

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Metformin Hydrochloride 100 mg/mL Topical Cream is a unique formulation designed for localized treatment or absorption of active ingredients through the skin. While metformin is traditionally used orally for the management of type 2 diabetes, its topical application is being explored for various dermatological conditions, potentially including acne, rosacea, and other skin disorders characterized by inflammation or insulin resistance. However, as with any medication, it is crucial to consider potential drug interactions, even with topical formulations.

When using Metformin Hydrochloride Topical Cream, it is important to be aware of the potential for systemic absorption, although it is generally lower compared to oral administration. This means that while the risk of interactions is reduced, it is not entirely eliminated. Patients and prescribers should be cautious when the patient is concurrently using other medications that may interact with metformin, particularly those that affect blood glucose levels. These include insulin and other oral hypoglycemic agents, which could potentially lead to hypoglycemia if systemic absorption of metformin occurs.

Additionally, medications that can alter renal function or compete for renal tubular secretion may affect the clearance of metformin, even in its topical form. These include drugs such as cimetidine, diuretics, and certain antibiotics like cephalexin. Although the risk is lower with topical application, it is advisable to monitor renal function and adjust dosages of interacting medications as necessary.

Patients using this topical cream should also be aware of the potential for interactions with medications that affect the skin's barrier function or integrity. For instance, concurrent use of topical corticosteroids or other agents that thin the skin may enhance the absorption of metformin, potentially increasing the risk of systemic effects. It is advisable to apply these medications at different times and monitor for any unexpected side effects.

Furthermore, patients should inform their healthcare provider of all medications they are currently using, including over-the-counter drugs, supplements, and herbal products, to ensure a comprehensive evaluation of potential interactions. This is particularly important for patients with complex medication regimens or those with underlying health conditions that may predispose them to interactions.

In summary, while the risk of drug interactions with Metformin Hydrochloride 100 mg/mL Topical Cream is generally lower than with oral formulations, it is not negligible. Both patients and prescribers should remain vigilant and consider the potential for systemic absorption and interactions with other medications. If you have any questions or concerns about using this formulation, please reach out to us for further guidance and support.

How Does it Work

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Metformin Hydrochloride 100 mg/mL Topical Cream is a specialized formulation designed to deliver the active ingredient, metformin, directly to the skin. This semisolid preparation is dispensed through a pump mechanism, ensuring a convenient and controlled application. The topical delivery system allows for localized treatment, targeting specific areas of the skin where the therapeutic effects of metformin are desired. This method of administration can be particularly beneficial for patients who may experience gastrointestinal side effects from oral metformin or for those who require targeted treatment of skin-related conditions.

Metformin is traditionally known for its role in managing blood glucose levels in patients with type 2 diabetes. However, recent research has explored its potential benefits in dermatological applications. When applied topically, metformin may exert its effects by modulating local insulin sensitivity, reducing inflammation, and influencing cellular processes such as proliferation and differentiation. These actions can be advantageous in treating various skin conditions, including those associated with insulin resistance or inflammatory pathways.

The mechanism by which metformin exerts its effects topically involves the activation of AMP-activated protein kinase (AMPK), a key regulator of cellular energy homeostasis. By activating AMPK, metformin can enhance glucose uptake and utilization in the skin cells, potentially improving conditions characterized by impaired glucose metabolism. Additionally, AMPK activation can lead to the downregulation of inflammatory mediators, providing an anti-inflammatory effect that may be beneficial in treating inflammatory skin disorders.

Furthermore, metformin's ability to influence the mTOR pathway, a critical regulator of cell growth and proliferation, may contribute to its therapeutic effects in skin conditions characterized by abnormal cell proliferation. By modulating this pathway, metformin can help normalize cell growth and reduce the risk of hyperproliferative disorders.

For prescribers, the topical formulation of metformin offers a novel approach to managing skin conditions that may benefit from its unique pharmacological actions. It provides an alternative route of administration that minimizes systemic exposure and potential side effects associated with oral metformin. Patients using this formulation can expect a targeted treatment approach, with the convenience of a pump mechanism that ensures precise dosing and ease of application.

If you have any questions or require further information about Metformin Hydrochloride 100 mg/mL Topical Cream, 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 regarding this formulation.

Frequently Asked Questions

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What is Metformin Hydrochloride 100 mg/mL Topical Cream used for?

This topical cream is used for localized treatment or absorption of Metformin Hydrochloride through the skin. It is designed to deliver the active ingredient directly to the targeted area.

How do I apply Metformin Hydrochloride 100 mg/mL Topical Cream?

Apply the cream to clean, dry skin using the pump mechanism for a controlled and convenient application. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can I use Metformin Hydrochloride 100 mg/mL Topical Cream on broken skin?

It is generally advised not to apply the cream on broken or irritated skin unless directed by a healthcare professional. Consult your doctor for specific guidance.

Are there any side effects associated with Metformin Hydrochloride 100 mg/mL Topical Cream?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe reactions or persistent discomfort, contact your healthcare provider.

How should I store Metformin Hydrochloride 100 mg/mL Topical Cream?

Store the cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

Can I use this cream if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this topical cream to ensure it is safe for you and your baby.

Is Metformin Hydrochloride 100 mg/mL Topical Cream suitable for all skin types?

While the cream is generally suitable for most skin types, individuals with sensitive skin should perform a patch test or consult a healthcare provider before use.

How does the pump mechanism work?

The pump mechanism is designed to dispense a controlled amount of cream, ensuring consistent application and minimizing waste. Press the pump gently to release the cream.

Can I use other topical products alongside Metformin Hydrochloride 100 mg/mL Topical Cream?

Before using other topical products in conjunction with this cream, consult your healthcare provider to avoid potential interactions or reduced effectiveness.

What should I do if I miss a dose of Metformin Hydrochloride 100 mg/mL Topical Cream?

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

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.

Metformin Hydrochloride 100 mg/mL Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily