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Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Metronidazole Benzoate
Mupirocin Calcium

The Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream is a semisolid preparation that combines the antibacterial and anti-inflammatory properties of Metronidazole Benzoate with the antibiotic action of Mupirocin. This dual-action cream is specifically formulated to treat skin conditions such as rosacea, characterized by inflammation and redness, and secondary bacterial skin infections, including impetigo. The cream is dispensed in a pump mechanism, which allows for convenient, hygienic, and controlled application directly to the affected areas of the skin, ensuring localized treatment and optimal absorption of the active ingredients.

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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 Benzoate
Mupirocin Calcium
Topical Cream
65bbc787af500ec88b5d474c
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 Benzoate 5%/Mupirocin 5% topical cream is a compounded medication designed for the treatment of specific skin conditions. The combination of these two antibiotics in a topical cream allows for a broad spectrum of antibacterial activity, which can be beneficial in treating skin infections such as impetigo, infected hair follicles, and certain types of dermatitis that have a bacterial component.

The cream is intended for external use only and should be applied to the affected area as directed by a healthcare provider. It is important to use this medication for the full prescribed length of time, even if symptoms improve before the medication is finished. Stopping the medication too early may result in a return of the infection. Patients should wash their hands before and after applying the cream unless the hands are the area being treated. The area of application should be clean and dry before the cream is applied. Patients should avoid contact with the eyes, nose, mouth, and other mucous membranes.

As with any medication, there may be potential side effects. Common side effects of Metronidazole Benzoate/Mupirocin topical cream may include local irritation, itching, or stinging. If these persist or worsen, or if patients experience severe reactions such as rash, swelling, or trouble breathing, they should seek medical attention immediately. It is also important to inform the healthcare provider of all medications currently being taken, as there may be potential interactions.

Patients should not use this cream if they have a known allergy to metronidazole, mupirocin, or any other components of the cream. It is also not recommended for use in patients with certain medical conditions without first consulting a healthcare provider. Pregnant or breastfeeding women should discuss the potential risks and benefits with their healthcare provider before using this medication.

For any questions or concerns regarding the use of Metronidazole Benzoate 5%/Mupirocin 5% topical cream, or to report any adverse effects, patients should reach out to their healthcare provider or pharmacist. It is important to follow the guidance provided by healthcare professionals to ensure safe and appropriate use of this medication.

Drug Interactions

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Metronidazole Benzoate and Mupirocin are both antibiotics, but they work in different ways to treat bacterial infections. When combined in a 5%/5% topical cream, this formulation can be used to treat a variety of localized skin infections caused by susceptible bacteria.

Regarding drug interactions, since this is a topical preparation, systemic absorption is generally minimal. However, it is still important to consider potential interactions. Metronidazole, even when used topically, can interact with anticoagulants like warfarin, potentially enhancing their effect and increasing the risk of bleeding. Patients on anticoagulant therapy should be monitored closely for signs of bleeding. Additionally, alcohol should be avoided during treatment and for at least 24 hours after the last application of Metronidazole Benzoate, as it may produce a disulfiram-like reaction (flushing, nausea, vomiting).

Mupirocin has fewer reported systemic interactions due to its limited absorption through the skin. However, it is important to avoid concurrent application of other topical preparations on the same area to prevent possible interference with the action of Mupirocin or alteration of its absorption. This includes over-the-counter products and cosmetic preparations.

Patients with a history of hypersensitivity to Metronidazole, Mupirocin, or any other component of the formulation should not use this product. Caution is advised when using this cream in patients with significant hepatic impairment, as Metronidazole is metabolized by the liver, and systemic accumulation may occur, leading to adverse effects.

It is also important to note that prolonged use of any antibiotic may result in overgrowth of non-susceptible organisms, including fungi. If superinfection occurs, appropriate measures should be taken. The use of this cream should be limited to the prescribed duration to reduce the risk of developing antibiotic resistance.

As with all medications, it is essential to inform healthcare providers of all the medications you are currently taking, including prescription, over-the-counter, vitamins, and herbal supplements, to avoid potential interactions. If you have any questions or concerns about using this topical cream, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream is a specialized formulation that combines the therapeutic effects of two antibiotics, metronidazole benzoate and mupirocin, each at a concentration of 5%. This cream is designed to be applied topically to the skin, where it exerts its action locally. The semisolid preparation is dispensed from a pump mechanism, which allows for a clean, convenient, and controlled application, ensuring that the correct dose is administered each time.

Metronidazole benzoate is a prodrug of metronidazole and works by being converted to the active form within the skin. Metronidazole disrupts DNA synthesis in these microorganisms, leading to their death. This makes it particularly useful in treating skin conditions like rosacea, which can have a bacterial component, and other skin infections caused by susceptible anaerobic bacteria.

Mupirocin, on the other hand, is an antibiotic that inhibits bacterial protein synthesis by binding to bacterial isoleucyl-tRNA synthetase. This action is highly specific to bacteria, making mupirocin a good choice for treating skin infections like impetigo, folliculitis, and furunculosis caused by Gram-positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA).

The cream is intended for localized treatment, which means it targets the area where it is applied, minimizing systemic absorption and potential side effects. This localized effect, coupled with the broad-spectrum antibacterial properties of the active ingredients, makes the cream a versatile option for treating various bacterial skin infections.

Overuse or misuse of antibiotic creams can lead to resistance and decreased effectiveness over time. As with any medication, adherence to the prescribed treatment regimen is crucial for the best therapeutic outcomes.

If you have any questions about this formulation or its appropriate use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the necessary information and support to ensure appropriate treatment for your patients.

Frequently Asked Questions

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What is Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream used for?

This combination cream is typically used for treating certain skin infections and conditions that benefit from the anti-inflammatory effects of metronidazole and the antibiotic action of mupirocin. It may be prescribed for issues like rosacea or infected wounds, although your healthcare provider should determine its suitability for your specific condition.

How should I apply Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream?

The cream should be applied to the affected area as directed by your healthcare provider. Generally, a thin layer should be applied to the clean, affected area twice daily, or as recommended. Use the pump to dispense the correct amount as prescribed.

Can I cover the treated area with a dressing after applying the cream?

You should follow your healthcare provider's instructions regarding dressing the treated area. Some conditions may require open air to heal, while others might benefit from the use of a breathable bandage. Don't use occlusive dressings unless advised by your physician.

Are there any side effects associated with Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream?

As with all medications, there can be side effects. Commonly reported side effects include local irritation, itching, redness, or dryness of the treated skin. If you experience severe or persistent side effects, you should contact your healthcare provider.

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 dosing schedule. Do not apply extra cream to make up for the missed dose.

Can Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream be used on children?

The use of this cream in children should be under the guidance and supervision of a healthcare provider. It’s important to follow the prescribed dose and instructions specifically provided for the child.

How should I store this medication?

Store the cream at room temperature, away from excess heat and moisture. Do not freeze it. Keep it out of reach of children and pets, and make sure the cap is securely fastened after each use to maintain the integrity of the product.

Can I use Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream if I am pregnant or breastfeeding?

Consult your healthcare provider before using this medication if you are pregnant or breastfeeding. Your provider will discuss the potential risks and benefits to determine if this cream is safe for you to use during this time.

Is it safe to use other medications or skin products while using this cream?

Before using other medications or skin care products in conjunction with this cream, check with your healthcare provider or pharmacist. There may be potential interactions or increased risk of side effects with certain combinations.

Do I need a prescription for Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream?

Yes, Metronidazole Benzoate 5%/Mupirocin 5% Topical Cream is a compounded medication that requires a prescription from a healthcare provider who has assessed your condition and determined that this medication is appropriate for your use.

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 Benzoate 5%/Mupirocin 5% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily