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Miconazole 8% Topical Nail Tincture Liquid

FDA-approved generic
Dose form
Nail Solution
Active ingredients
Miconazole Nitrate

Miconazole 8% Topical Nail Tincture Liquid is a specialized antifungal medication formulated for direct application to the nails. This potent liquid treatment is designed to combat nail conditions such as onychomycosis (fungal nail infections), which can cause symptoms like thickening, brittleness, and discoloration of the nails. By delivering miconazole directly to the affected area, this tincture aims to eradicate fungal pathogens, alleviate symptoms, and promote the restoration of clear, healthy nails. Its targeted approach ensures that the active ingredient is concentrated at the site of infection, optimizing the healing process and improving the overall appearance of the nails.

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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.

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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.
Miconazole Nitrate
Nail Solution
65bbbdb2eecea116643399d6
Service area

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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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Miconazole 8% Topical Nail Tincture Liquid is a specialized pharmaceutical preparation formulated for direct application to the nails. This liquid dosage form is designed to combat various nail afflictions, including fungal infections, which are often caused by dermatophytes, yeasts, and molds. Miconazole, the active ingredient, is an antifungal agent that works by inhibiting the synthesis of ergosterol, a critical component of fungal cell membranes. By disrupting the cell membrane, miconazole compromises the integrity of the fungal cell, leading to its death and thus treating the infection.

The high concentration of 8% miconazole in this tincture ensures potent antifungal activity. The liquid formulation allows for easy application and penetration into the nail bed, providing direct treatment to the affected area. This targeted approach not only aids in the eradication of the fungal infection but also helps to restore the nail's natural structure and appearance. Additionally, the tincture may offer benefits for nails suffering from brittleness or discoloration by promoting a healthier environment for nail regrowth.

Patients using Miconazole 8% Topical Nail Tincture Liquid should apply it as directed by their healthcare provider, typically once or twice daily, ensuring the nail is clean and dry before application. Consistent use as prescribed is crucial for the effectiveness of the treatment. Prescribers should consider the duration of therapy based on the severity of the infection and the patient's response to treatment. It is important to continue the treatment for the recommended period, even if symptoms improve, to prevent recurrence of the infection.

For optimal results, patients should be advised on proper nail care during treatment, such as maintaining trimmed and clean nails, to facilitate the tincture's action. As with any medication, potential side effects, contraindications, and interactions with other drugs should be reviewed with the patient. If there is no improvement in the condition or if side effects occur, patients should be instructed to contact their healthcare provider.

Bayview Pharmacy is committed to providing high-quality, customized medications to meet the specific needs of our patients. Our team of compounding pharmacists is available to answer any questions and provide guidance on the use of Miconazole 8% Topical Nail Tincture Liquid. We encourage both patients and prescribers to reach out to us for further information or assistance regarding this formulation or any other medication needs.

Drug Interactions

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Miconazole is an antifungal agent commonly used to treat fungal infections of the skin and nails. When formulated as an 8% topical nail tincture liquid, it is applied directly to the affected nails, allowing for localized treatment. This formulation is designed to combat fungal infections such as onychomycosis, which can cause nail discoloration, thickening, and brittleness. By inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes, miconazole disrupts fungal growth and replication, thereby treating the infection and allowing for the restoration of healthy nails.

While the systemic absorption of miconazole from a topical nail tincture is minimal, it is still important to consider potential drug interactions, especially in patients who may be using other topical or systemic medications. Miconazole can inhibit the enzyme CYP3A4, which is responsible for the metabolism of many drugs. Although this is more relevant for oral or intravenous routes of administration, caution is advised when used concomitantly with other medications that are substrates of CYP3A4, as there may be an increased risk of systemic side effects due to decreased metabolism of these drugs.

Patients should be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and other topical treatments. Particular caution should be exercised if the patient is using other topical products on the nails, as there may be an increased risk of irritation or altered efficacy of the treatments. Additionally, the use of occlusive dressings over the area where miconazole is applied can increase the absorption of the drug and may also increase the risk of interaction with other medications.

It is also important to consider the potential for interaction with anticoagulants, such as warfarin, as miconazole can potentiate their effects and increase the risk of bleeding. Patients on anticoagulant therapy should be closely monitored for changes in prothrombin time or international normalized ratio (INR) when initiating or discontinuing miconazole treatment.

Patients with diabetes should be aware that miconazole may interact with certain antidiabetic medications, and blood glucose levels should be monitored closely. Additionally, the use of miconazole in conjunction with other antifungal agents should be approached with caution, as additive effects or antagonism could occur.

As with any medication, allergic reactions are possible, and patients should be instructed to discontinue use and seek medical attention if they experience symptoms of an allergic reaction, such as rash, itching, or difficulty breathing. If there is no improvement in the nail condition after a reasonable period of treatment, further evaluation by a healthcare provider is recommended.

If you have any questions or require further information regarding the use of this miconazole 8% topical nail tincture liquid, or to report any adverse events or concerns about drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing support and guidance to ensure the safe and appropriate use of this formulation for the treatment of nail conditions.

How Does it Work

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Miconazole 8% Topical Nail Tincture Liquid is a specially designed liquid formulation that is applied directly to the nails. Miconazole, the active ingredient, is an antifungal agent that works by inhibiting the growth of fungi that cause nail infections. When applied to the nail, the tincture penetrates the nail plate and reaches the nail bed where the fungus resides. Miconazole interferes with the synthesis of ergosterol, an essential component of fungal cell membranes. Without ergosterol, the cell membrane becomes permeable and leaks essential cellular components, leading to the death of the fungal cells.

The high concentration of miconazole in this 8% formulation ensures that a sufficient amount of the drug is delivered to the site of infection, which is particularly important for treating nail fungus, as the nail plate can act as a barrier to treatment. The liquid form of the tincture allows for easy application and ensures that the medication can reach the deeper layers of the nail and the nail bed, where the fungus tends to thrive. This targeted approach helps to alleviate symptoms such as nail discoloration, thickening, and brittleness, which are commonly associated with fungal nail infections.

In addition to its antifungal properties, the formulation may also contain other ingredients that help to enhance the penetration of miconazole into the nail and to promote a healthy nail environment. These can include agents that soften the nail, allowing for better drug penetration, and substances that adjust the pH to inhibit further fungal growth. The liquid tincture is typically applied once or twice daily, depending on the severity of the infection and the specific instructions provided by the prescriber.

It is important for patients to understand that treatment of nail fungal infections can be a prolonged process, often requiring several months of consistent application due to the slow growth rate of nails. Adherence to the treatment regimen is crucial for the effectiveness of the therapy. Patients should also be advised to maintain good nail hygiene and to take preventive measures to avoid reinfection.

For prescribers considering Miconazole 8% Topical Nail Tincture Liquid for their patients, it is essential to assess the patient's medical history, any potential drug interactions, and the suitability of this high-concentration antifungal treatment for their specific nail condition. Monitoring the patient's progress throughout the treatment period is also important to ensure the infection is being effectively managed and to make any necessary adjustments to the treatment plan.

If you have any questions about Miconazole 8% Topical Nail Tincture Liquid or its use in treating nail conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage nail fungal infections and other related nail issues.

Frequently Asked Questions

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What is Miconazole 8% Topical Nail Tincture Liquid used for?

Miconazole 8% Topical Nail Tincture Liquid is used to treat various nail conditions, including fungal infections, brittleness, or discoloration. Its active ingredient, Miconazole, is an antifungal agent that helps eliminate fungal infections and promote healthy nail growth.

How do I apply Miconazole 8% Topical Nail Tincture Liquid?

To apply, clean the affected nail(s) and carefully apply the liquid with the applicator brush provided. Ensure full coverage over the entire nail surface and the skin immediately surrounding the nail. Allow it to dry completely before putting on socks or gloves.

How often should I use the Miconazole 8% Topical Nail Tincture?

Typically, it should be applied once or twice daily, as directed by your healthcare provider. Consistency is key for the best results, so follow the prescribed schedule closely.

Can Miconazole 8% Topical Tincture be used on both fingernails and toenails?

Yes, this tincture is suitable for use on both fingernails and toenails. However, toenail infections may take longer to resolve due to slower nail growth.

How long does it take to see results with Miconazole 8% Topical Nail Tincture Liquid?

It may take several weeks or even months to see significant improvement, depending on the severity of the nail condition. Fungal nail infections, in particular, require long-term treatment to completely eradicate the infection and allow healthy nail to regrow.

Are there any side effects associated with Miconazole 8% Topical Nail Tincture Liquid?

Side effects are generally rare, but some individuals may experience local irritation, redness, or burning sensation at the site of application. If you experience severe side effects or signs of an allergic reaction, discontinue use and consult your healthcare provider.

Can I use nail polish or other topical products while using Miconazole 8% Topical Nail Tincture?

It's recommended to avoid using nail polish or other topical products on the treated nails, as these can form a barrier that prevents the medication from being fully absorbed.

Is Miconazole 8% Topical Nail Tincture Liquid safe for children?

The safety of this medication for use in children has not been fully established. It's important to consult a pediatrician before using this product on a child.

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

If you are pregnant or breastfeeding, you should seek medical advice before using Miconazole 8% Topical Nail Tincture Liquid, as certain medications can affect the fetus or pass into breast milk.

Should I cover the treated nail after application?

After applying the tincture, it is not typically necessary to cover the nail. However, if your healthcare provider suggests doing so, follow their instructions. Otherwise, just allow the medication to dry before covering the nail with socks or gloves.

What should I do if I miss a dose of Miconazole 8% Topical Nail Tincture Liquid?

If you miss a dose, apply the medication as soon as you remember. If it's almost time for your next dose, skip the missed one and continue with your regular application schedule. Do not double up on doses to make up for a missed one.

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.

Miconazole 8% Topical Nail Tincture Liquid
Nail Solution
15 mL
controlled

Apply topically to affected area(s)

Once daily