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Metronidazole 10% Topical Ointment

FDA-approved generic
Dose form
Topical Ointment
Active ingredients
Metronidazole

Metronidazole 10% Topical Ointment is a semi-solid formulation with a greasy or oily base, specifically designed for external application to the skin. This ointment is dispensed in a tube for convenient and localized treatment. It is primarily used for its antimicrobial properties in the management of skin conditions such as rosacea, characterized by inflammation and redness, and certain bacterial skin infections. Additionally, it may be utilized in the healing of wounds, where the reduction of bacterial load is necessary to promote recovery. The ointment's consistency ensures that the active ingredient, metronidazole, is delivered effectively to the affected area for optimal therapeutic outcomes.

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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.
Metronidazole
Topical Ointment
65bbedd92551c89dda650cfe
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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Metronidazole 10% Topical Ointment is a specialized medication formulated by the compounding pharmacists at Bayview Pharmacy to treat a variety of skin conditions. This semi-solid formulation is designed for external application to the skin and is dispensed in a tube for ease of use. The ointment base is greasy or oily, which not only facilitates the delivery of the active ingredient, metronidazole, to the affected area but also provides a protective barrier that can aid in skin healing and moisture retention.

When applied topically, it is particularly useful in treating skin conditions such as rosacea, which is characterized by inflammation and redness, as well as bacterial skin infections. The 10% concentration ensures that a potent dose of metronidazole is delivered directly to the site of infection or inflammation, providing localized treatment without the systemic effects associated with oral administration.

The ointment works by penetrating the skin to reach the target area, where metronidazole exerts its action by entering the bacterial cell and disrupting its DNA, ultimately leading to cell death. This action reduces the bacterial load on the skin, allowing for the resolution of infection and associated symptoms such as redness, swelling, and pain. Additionally, the anti-inflammatory properties of metronidazole can help to soothe inflamed skin, making this formulation beneficial for wound healing and other inflammatory skin conditions.

Patients prescribed with Metronidazole 10% Topical Ointment should apply it as directed by their healthcare provider, typically in a thin layer to the affected area. It is important to use this medication for the full prescribed duration, even if symptoms improve before the treatment course is complete, to prevent the recurrence of infection. Patients should also be advised to avoid contact with the eyes and mucous membranes and to wash their hands before and after application.

This can be particularly advantageous for patients who may be sensitive to oral metronidazole or those who require targeted therapy for their skin condition. As with any compounded medication, prescribers should be aware of the patient's medical history, including any allergies or skin sensitivities, to ensure the suitability of this formulation.

For further information or questions regarding Metronidazole 10% Topical Ointment, or to discuss the specific needs of a patient, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique requirements of each patient and prescriber.

Drug Interactions

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When formulated as a 10% topical ointment, it is primarily used for the treatment of skin conditions such as rosacea, which is characterized by inflammation and redness, and certain skin infections. It works by entering bacterial and protozoal cells and interfering with their DNA, ultimately leading to cell death and resolution of the infection or inflammation.

While the systemic absorption of metronidazole from a topical ointment is significantly lower than from oral forms, there is still a potential for drug interactions, particularly if the ointment is used over large surface areas or for prolonged periods. It is important to consider any other medications the patient is taking, including prescription, over-the-counter, and herbal products.

Alcohol should be avoided during treatment with metronidazole and for at least 24 hours after finishing the course of therapy due to the possibility of a disulfiram-like reaction, which can include symptoms such as nausea, vomiting, flushing, tachycardia, and shortness of breath. Although this reaction is more commonly associated with oral or intravenous metronidazole, caution is still advised with topical use.

Patients using anticoagulants, such as warfarin, should be monitored for changes in prothrombin time or INR, as metronidazole can potentiate the anticoagulant effect of warfarin, increasing the risk of bleeding. Similarly, metronidazole may inhibit the metabolism of other drugs that are substrates for the liver enzyme CYP2C9, potentially leading to increased plasma levels of these drugs and a higher risk of adverse effects.

Topical metronidazole may also interact with other topical preparations, particularly those that are known to be irritants or sensitizers, as this could exacerbate skin irritation. It is advisable to avoid using other topical agents on the same area without medical advice.

Patients with a history of blood dyscrasias should use metronidazole with caution, and only if the potential benefits outweigh the risks, as metronidazole has been associated with cases of leukopenia. Regular monitoring of blood counts in these patients is recommended.

It is important to inform the healthcare provider of all current medications and medical conditions before starting treatment with metronidazole 10% topical ointment. If you have any questions or concerns about potential drug interactions with this formulation, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Metronidazole 10% Topical Ointment is a semi-solid formulation that is specifically designed for external application to the skin. This ointment is dispensed in a tube and provides a greasy or oily base, which not only facilitates the application process but also aids in the delivery of the active pharmaceutical ingredient, metronidazole, to the affected area. The base of the ointment helps to protect the medication from degradation and ensures that it remains in contact with the skin for an extended period, allowing for sustained release and absorption of the drug.

The active component, metronidazole, is a synthetic nitroimidazole derivative with antimicrobial and antiprotozoal properties. When applied topically, metronidazole works by entering bacterial and protozoal cells and interacting with their DNA. It causes a loss of helical DNA structure and strand breakage, which inhibits nucleic acid synthesis and results in bacterial cell death.

In the treatment of skin infections, the ointment's concentration of metronidazole at 10% ensures a potent dose is delivered directly to the site of infection. This localized approach minimizes systemic absorption and reduces the risk of systemic side effects. For conditions like rosacea, metronidazole helps to reduce inflammation, erythema, and the number of pustules and papules associated with the condition. The ointment base also provides a moisturizing effect, which can soothe irritated skin and promote a more comfortable healing process.

The ointment should be applied as directed, typically in a thin layer to the affected area. Patients should be advised to avoid contact with the eyes and mucous membranes, and to wash their hands before and after application. Additionally, prolonged use or application over large surface areas should be avoided unless directed by a physician, as this could lead to increased systemic absorption and potential side effects.

For any questions regarding the use of Metronidazole 10% Topical Ointment, its mechanism of action, or its suitability for treating specific skin conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the necessary guidance and support to ensure appropriate treatment for both patients and prescribers.

Frequently Asked Questions

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What is Metronidazole 10% Topical Ointment used for?

Metronidazole 10% Topical Ointment is primarily used to treat skin conditions that are inflammatory in nature, have an infectious component, or require assistance with wound healing.

How should Metronidazole 10% Topical Ointment be applied?

Metronidazole 10% Topical Ointment should be applied to the affected area as directed by your healthcare provider. Usually, a thin layer is applied to the clean and dry skin. Rub it in gently and thoroughly. Make sure to wash your hands before and after applying the medication unless your hands are the area being treated.

What are the side effects of using Metronidazole 10% Topical Ointment?

Common side effects may include mild burning or stinging immediately after applying the ointment, skin irritation, redness, dryness, or temporary worsening of rosacea. If you experience severe burning, skin rash, or other concerning symptoms, consult your healthcare professional.

How often should I use Metronidazole 10% Topical Ointment?

The frequency of use will depend on the specific condition being treated and the recommendations of your healthcare provider. It's important to follow their directions closely for the best results.

Can pregnant or breastfeeding women use Metronidazole 10% Topical Ointment?

If you are pregnant or breastfeeding, you should talk to your healthcare provider before using this medication. While topical metronidazole is considered relatively safe, your physician will help you weigh the benefits against any potential risks to you or your baby.

Can I cover the treated area with a bandage after applying the ointment?

It's usually not recommended to cover the treated area with a bandage or occlusive dressing unless directed by your healthcare provider. Doing so can increase absorption of the medication and the risk of side effects.

Can I expose the treated skin to sunlight?

Avoiding direct sunlight and not using tanning beds while using Metronidazole 10% Topical Ointment is advised. The medication can make your skin more sensitive to sunlight, increasing the risk of sunburn. If you need to be in the sun, wear protective clothing and use sunscreen.

How should I store Metronidazole 10% Topical Ointment?

Keep the ointment at room temperature and away from moisture and heat. Make sure the cap is tightly closed when not in use. Do not freeze the medication, and keep it out of reach of children and pets.

Can I use makeup or other skincare products while using Metronidazole 10% Topical Ointment?

It is generally safe to use makeup or non-irritating skincare products; however, you should apply the ointment and let it absorb fully before applying anything else over it. If you're unsure, consult your healthcare provider for specific recommendations based on your treatment.

What should I do if I miss a dose of Metronidazole 10% Topical Ointment?

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

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.

Metronidazole 10% Topical Ointment
Topical Ointment
30 g
controlled

Apply topically to affected area(s)

Twice daily