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Formulas

Metronidazole 10 mg/g/Silver Sulfadiazine 10 mg/g Topical Ointment

FDA-approved generic
Dose form
Topical Ointment
Active ingredients
Metronidazole
Silver Sulfadiazine

Metronidazole 10 mg/g/Silver Sulfadiazine 10 mg/g Topical Ointment is a semi-solid formulation dispensed in a tube, designed for external application to the skin. It features a greasy or oily base that enhances the delivery of its active ingredients, Metronidazole and Silver Sulfadiazine, directly to the affected area.

This ointment is primarily used for the treatment of skin infections, including bacterial and fungal infections. It is particularly beneficial for managing conditions such as burns, ulcers, and other skin inflammations, providing localized treatment to reduce infection and support tissue repair.

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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.
Metronidazole
Silver Sulfadiazine
Topical Ointment
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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This topical ointment combines Metronidazole 10 mg/g and Silver Sulfadiazine 10 mg/g in a semi-solid formulation designed for external application to the skin. This formulation is particularly beneficial for localized treatment, ensuring that the active ingredients are concentrated where they are most needed.

When applied topically, it helps reduce skin inflammation and combats infection by inhibiting the growth of bacteria that thrive in low-oxygen environments, such as those found in certain wounds and skin lesions.

Silver Sulfadiazine is a broad-spectrum antimicrobial compound widely used in the prevention and treatment of wound infections, especially in burn patients. It works by releasing silver ions, which are toxic to a broad range of microorganisms, including bacteria and fungi, thereby preventing the growth and spread of infection.

The combination of Metronidazole and Silver Sulfadiazine in this ointment provides a synergistic effect, offering enhanced antimicrobial activity against both aerobic and anaerobic pathogens. The dual-action approach not only helps in eradicating existing pathogens but also prevents the colonization of new ones, promoting a more efficient healing process.

For patients, it is important to apply the ointment as directed by a healthcare professional, typically applying a thin layer to the cleansed affected area. Consistent use as prescribed can lead to improved outcomes by reducing infection risk and promoting healing. Patients should be aware of potential side effects, which may include local skin irritation, itching, or redness. If any adverse reactions occur, they should contact their healthcare provider promptly.

For prescribers, this compounded ointment offers a tailored therapeutic option for patients requiring potent localized antimicrobial therapy. It's particularly useful in managing complex skin conditions where standard treatments may not be sufficient. Prescribers should consider the patient's medical history, including any known allergies to sulfa drugs or metronidazole, and assess the potential for systemic absorption, especially in patients with extensive skin damage.

If you have any questions about this formulation or its suitability for specific conditions, please reach out to us for more detailed information and guidance. Our team at Bayview Pharmacy is here to support both patients and healthcare providers in optimizing treatment outcomes.

Drug Interactions

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Metronidazole 10 mg/g and Silver Sulfadiazine 10 mg/g topical ointment is a compounded formulation designed for external application to the skin. This semi-solid formulation is dispensed in a tube and provides a greasy or oily base that aids in the delivery of medication or therapeutic agents for localized treatment. It is typically used for conditions such as skin inflammation, infections, or wound healing. Metronidazole is an antibiotic and antiprotozoal agent that works by inhibiting nucleic acid synthesis in microorganisms, thereby exerting its antimicrobial effects. Silver sulfadiazine is a topical antimicrobial agent that acts on the bacterial cell membrane and cell wall, providing broad-spectrum antibacterial activity, particularly against Gram-negative and Gram-positive bacteria, as well as some fungi.

When considering the use of this topical ointment, it is important to be aware of potential drug interactions, although they are less common with topical formulations compared to systemic medications. However, systemic absorption can occur, especially if applied over large areas of the body, on broken skin, or under occlusive dressings, which may increase the risk of interactions.

For patients using this formulation, it is crucial to inform healthcare providers of all medications being taken, including prescription drugs, over-the-counter medications, and herbal supplements. Metronidazole, when absorbed systemically, can interact with alcohol, leading to a disulfiram-like reaction characterized by flushing, nausea, vomiting, and tachycardia. Therefore, patients should avoid alcohol consumption during treatment and for at least 48 hours after discontinuation of the ointment.

Silver sulfadiazine may interact with other topical agents. Concurrent use with enzymatic debriding agents may reduce the effectiveness of silver sulfadiazine, as the silver ions can inactivate the enzymes. Additionally, caution should be exercised when using other topical products that contain heavy metals, as they may interact with silver sulfadiazine, potentially reducing its antimicrobial efficacy.

For prescribers, it is important to consider the patient's overall medication regimen and medical history when prescribing this formulation. Patients with a known hypersensitivity to metronidazole, silver sulfadiazine, or other sulfonamides should not use this ointment. Additionally, caution is advised in patients with hepatic impairment, as systemic absorption of metronidazole may occur, potentially leading to increased risk of adverse effects.

In summary, while the risk of drug interactions with this topical ointment is relatively low, it is essential to consider potential interactions, especially in cases of extensive application or use on compromised skin. Patients and prescribers should remain vigilant and communicate openly about all medications and health conditions. If you have any questions or concerns regarding the use of this formulation, please reach out to us for further guidance.

How Does it Work

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The Metronidazole 10 mg/g and Silver Sulfadiazine 10 mg/g topical ointment is a specialized formulation designed to deliver potent antimicrobial and anti-inflammatory effects directly to the skin. This semi-solid formulation is dispensed in a tube, allowing for precise application to affected areas. The ointment's greasy or oily base not only facilitates the delivery of the active ingredients but also provides a protective barrier that helps retain moisture and promote healing in the skin.

Metronidazole is an antibiotic and antiprotozoal agent that works by disrupting the DNA synthesis of bacteria and protozoa, leading to their death. By targeting these bacteria, metronidazole helps reduce infection and inflammation, promoting a healthier environment for skin healing.

Silver sulfadiazine, on the other hand, is a topical antimicrobial agent that releases silver ions in the presence of wound exudate. Silver sulfadiazine works by disrupting the cell membrane and metabolic processes of these microorganisms, leading to their destruction. This action not only helps prevent and treat infections but also reduces the risk of bacterial resistance.

The combination of metronidazole and silver sulfadiazine in this ointment provides a dual mechanism of action. The ointment's base ensures that the active ingredients remain in contact with the skin for an extended period, enhancing their therapeutic effects. Additionally, the greasy nature of the ointment helps to soothe and protect the skin, reducing irritation and promoting a conducive environment for healing.

For patients and prescribers, this formulation offers a targeted approach to managing skin conditions that require both antimicrobial and anti-inflammatory treatment. It is important to apply the ointment as directed, typically to clean, dry skin, to maximize its benefits. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries you may have regarding the use and benefits of this topical ointment.

Frequently Asked Questions

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What is Metronidazole 10 mg/g/Silver Sulfadiazine 10 mg/g Topical Ointment used for?

This topical ointment is used for the treatment of skin conditions such as infections, inflammation, and to aid in wound healing. It combines the antibacterial properties of Metronidazole and Silver Sulfadiazine to effectively manage and treat localized skin issues.

How should I apply this ointment?

Apply a thin layer of the ointment to the affected area of the skin as directed by your healthcare provider. Ensure the area is clean and dry before application. Wash your hands before and after applying the ointment.

Can I use this ointment on open wounds?

Yes, this ointment is often used to treat open wounds, as it helps prevent infection and promotes healing. However, it is important to follow your healthcare provider's instructions regarding its use on open wounds.

Are there any side effects associated with this ointment?

Some possible side effects include skin irritation, redness, or itching at the application site. If you experience severe reactions or signs of an allergic reaction, discontinue use and consult your healthcare provider immediately.

How often should I apply the ointment?

The frequency of application will depend on your specific condition and your healthcare provider's instructions. Typically, it is applied once or twice daily, but follow the guidance provided by your healthcare professional.

Can I use this ointment on my face?

While it can be used on the face, caution should be exercised to avoid contact with the eyes, mouth, and mucous membranes. Consult your healthcare provider for specific advice regarding facial application.

Is this ointment safe for children?

Consult your healthcare provider before using this ointment on children, as they can provide guidance based on the child's specific condition and age.

Can I use other skin products while using this ointment?

It is advisable to avoid using other topical products on the same area unless directed by your healthcare provider, as they may interfere with the effectiveness of the ointment.

How should I store this ointment?

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

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular schedule. Do not apply extra ointment to make up for a 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 mg/g/Silver Sulfadiazine 10 mg/g Topical Ointment
Topical Ointment
30 g
controlled

Apply topically to affected area(s)

Twice daily