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Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Misoprostol
Phenytoin

This topical cream formulation combines Misoprostol 24 µg/g and Phenytoin 50 mg/mL, designed for the treatment of diabetic neuropathy and pressure ulcers. It is a semisolid preparation dispensed in a pump mechanism, ensuring convenient and controlled application on the skin. The formulation allows for localized treatment and absorption of active ingredients, providing targeted relief and promoting healing in affected areas.

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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.
Misoprostol
Phenytoin
Topical Cream
66fd7b0bdc31c32733aec9f2
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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Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream is a compounded medication designed for localized application on the skin. This semisolid preparation is dispensed in a pump mechanism, allowing for convenient and controlled dosing directly to the affected area.

Misoprostol is a synthetic analog of prostaglandin E1, known for its ability to promote mucosal protection and enhance healing processes. When applied topically, Misoprostol may aid in improving blood flow and stimulating the formation of healthy tissue, which can be beneficial in wound healing and tissue repair.

Phenytoin, traditionally used as an anticonvulsant medication, has been found to have properties that promote wound healing when used topically. It can stimulate fibroblast proliferation, collagen synthesis, and decrease bacterial contamination in wounds. This makes it useful in the treatment of various skin conditions requiring enhanced healing.

This formulation can be particularly useful for patients with chronic wounds, ulcers, or other skin conditions where conventional treatments have been insufficient.

For healthcare providers, this compounded cream offers a customizable option to address specific patient needs, especially in cases where standard therapies have not yielded satisfactory results. Adjusting the concentrations of the active ingredients allows for personalized treatment plans aimed at optimizing healing outcomes.

Patients using this topical cream may experience improved healing rates and reduced symptoms associated with their skin condition. It is important to follow the application instructions provided by your healthcare provider to ensure optimal effectiveness. Should any irritation or adverse reactions occur, please contact your provider promptly.

If you have any questions or require additional information about this formulation, please reach out to us.

Drug Interactions

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When using the Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream, it is important to consider potential drug interactions that may affect the efficacy and safety of the treatment. Misoprostol, a prostaglandin E1 analog, and phenytoin, an anticonvulsant, are both active ingredients that can interact with other medications, potentially altering their effects or increasing the risk of adverse reactions.

Misoprostol is known to interact with nonsteroidal anti-inflammatory drugs (NSAIDs), as it is often used to prevent NSAID-induced gastric ulcers. While this interaction is more relevant for systemic administration, patients using NSAIDs should be monitored for any unexpected side effects when using this topical formulation. Additionally, misoprostol may enhance the effects of other medications that cause uterine contractions, such as oxytocin, which is more pertinent in systemic use but should still be considered in patients who are pregnant or may become pregnant.

Phenytoin, on the other hand, is a potent inducer of hepatic enzymes, particularly cytochrome P450 enzymes, which can lead to decreased plasma concentrations of drugs metabolized by these pathways. This interaction is primarily a concern with systemic administration, but caution is advised when patients are concurrently using medications such as warfarin, oral contraceptives, or other anticonvulsants, as their effectiveness may be reduced. Additionally, phenytoin can interact with folic acid, potentially reducing its absorption and leading to folate deficiency, which should be monitored in patients using this topical cream.

For patients and prescribers, it is crucial to review the patient's current medication list, including over-the-counter drugs and supplements, to identify any potential interactions. While the topical application of this formulation may reduce the likelihood of systemic interactions, the possibility of localized skin reactions or altered absorption of other topical agents should be considered. Patients should be advised to report any unusual skin reactions or changes in their condition to their healthcare provider promptly.

If you have any questions or need further information regarding the use of Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream and its potential drug interactions, please reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is here to assist you with any concerns or inquiries you may have.

How Does it Work

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The Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream is a specialized formulation designed to deliver active pharmaceutical ingredients directly to the skin, providing localized treatment and absorption. This semisolid preparation is dispensed through a pump mechanism, ensuring a convenient and controlled application. The formulation combines the therapeutic effects of Misoprostol and Phenytoin, each contributing unique properties that enhance the treatment of specific disease states.

Misoprostol is a synthetic prostaglandin E1 analog that plays a crucial role in this formulation. It works by promoting vasodilation and increasing blood flow to the affected area, which can aid in the healing process. Additionally, Misoprostol has anti-inflammatory properties that help reduce inflammation and pain in the localized area of application. This makes it particularly useful in treating conditions where inflammation is a significant component, such as certain types of ulcers or wounds.

Phenytoin, on the other hand, is an anticonvulsant medication that has been found to have beneficial effects when used topically for wound healing. It works by promoting fibroblast proliferation and collagen synthesis, which are essential processes in the repair and regeneration of skin tissue. Phenytoin also has antimicrobial properties, which help prevent infection in the treated area, further supporting the healing process.

The combination of Misoprostol and Phenytoin in a topical cream allows for a synergistic effect, where the anti-inflammatory and vasodilatory properties of Misoprostol complement the wound healing and antimicrobial effects of Phenytoin. This dual-action approach can lead to improved outcomes in the treatment of various skin conditions, providing both symptomatic relief and promoting faster healing.

This design also enhances the ease of use, making it suitable for patients who may have difficulty with traditional application methods. The formulation is intended for external use only and should be applied as directed by a healthcare professional.

For prescribers, this formulation offers a versatile option for patients requiring localized treatment of skin conditions that benefit from both anti-inflammatory and wound healing properties. It is important to assess the patient's specific condition and medical history to determine the appropriateness of this treatment. Patients should be advised on the correct application technique and informed about potential side effects, which may include localized irritation or allergic reactions.

If you have any questions or need further information about this formulation, 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 the use of this topical cream.

Frequently Asked Questions

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What is Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream used for?

This topical cream is used for localized treatment on the skin, where it delivers active ingredients directly to the affected area for therapeutic effects.

How should I apply the Misoprostol and Phenytoin topical cream?

The cream should be applied using the pump mechanism, which ensures a controlled and convenient application. Apply it directly to the affected area as directed by your healthcare provider.

How often should I use this topical cream?

The frequency of application will depend on your specific condition and the instructions provided by your healthcare provider. Always follow their guidance for optimal results.

Can I use this cream on broken or irritated skin?

It is generally advised to avoid applying the cream on broken or severely irritated skin unless directed by a healthcare professional. Consult your doctor for specific advice regarding your condition.

Are there any side effects associated with this topical cream?

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

Can I use this cream with other topical medications?

Before using this cream with other topical medications, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatments.

How should I store the Misoprostol and Phenytoin topical cream?

Store the cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

What should I do if I miss a dose of the topical cream?

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 continue with your regular schedule. Do not double the dose to catch up.

Is this topical cream suitable for all skin types?

While the cream is designed for topical use, individual skin sensitivities may vary. It is important to perform a patch test or consult your healthcare provider to ensure it is suitable for your skin type.

Can pregnant or breastfeeding women use this topical cream?

Pregnant or breastfeeding women should consult their healthcare provider before using this topical cream to ensure it is safe for them and their baby.

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.

Misoprostol 24 µg/g Phenytoin 50 mg/mL Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily