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Morphine Sulfate 10 mg/g Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Morphine Sulfate

Morphine Sulfate 10 mg/g Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This formulation is used for localized treatment or absorption of active ingredients, specifically targeting pain management in conditions such as neuropathic pain, arthritis, and localized musculoskeletal pain. The topical application allows for direct delivery to the affected area, providing relief while minimizing systemic exposure.

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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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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.
Morphine Sulfate
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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Morphine Sulfate 10 mg/g Topical Cream is a specially compounded medication designed to provide targeted pain relief through topical application. This semisolid preparation is dispensed in a pump mechanism, allowing for convenient and controlled dosing directly onto the skin for localized treatment. By delivering morphine sulfate directly to the site of pain, this formulation aims to alleviate discomfort while potentially minimizing systemic side effects associated with oral or injectable opioids.

The topical application of morphine sulfate is particularly beneficial for patients experiencing localized chronic pain conditions, such as neuropathic pain, skin ulcers, pressure sores, or painful wounds. By targeting opioid receptors in the peripheral tissues, the cream can help reduce pain sensations in the affected area. This localized approach may enhance patient comfort and improve quality of life, especially for those who may not tolerate systemic opioid therapy due to side effects or contraindications.

For prescribers, Morphine Sulfate 10 mg/g Topical Cream offers an alternative method for pain management that can be tailored to individual patient needs. It can be an important component of a multimodal pain management strategy, particularly in palliative care settings or for patients with complex pain conditions.

Patients using this topical cream should follow their healthcare provider's instructions carefully. The pump mechanism ensures accurate dosing, and the cream should be applied gently to clean, intact skin over the affected area. It is important to avoid contact with mucous membranes, broken skin (unless directed by a healthcare provider), or areas of infection. Patients should wash their hands thoroughly after application to prevent accidental transfer to other body parts or individuals.

While topical administration may reduce the likelihood of systemic side effects, patients should be aware of possible adverse reactions. Local skin irritation, redness, or itching may occur at the application site. Rarely, systemic absorption can lead to opioid-related side effects such as drowsiness, nausea, or respiratory depression. Patients should report any concerning symptoms to their healthcare provider promptly.

Morphine Sulfate 10 mg/g Topical Cream is a compounded medication, meaning it is prepared specifically for an individual patient based on a prescriber's prescription. At Bayview Pharmacy, our team of experienced compounding pharmacists is dedicated to creating personalized medications that meet the unique needs of each patient. We adhere to strict quality standards to ensure the safety and efficacy of our compounded preparations.

If you have any questions about this medication or how it fits into your treatment plan, please reach out to us. Our pharmacists are available to provide additional information, answer any concerns, and collaborate with healthcare providers to optimize patient care.

Drug Interactions

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Morphine Sulfate 10 mg/g Topical Cream is a semisolid preparation designed for localized treatment or absorption of active ingredients through the skin. While topical formulations generally have a lower risk of systemic drug interactions compared to oral or intravenous routes, it is still important to consider potential interactions, especially in patients with complex medication regimens or underlying health conditions.

For patients and prescribers, it is crucial to be aware that the systemic absorption of morphine from topical application can vary based on factors such as the condition of the skin, the area of application, and the duration of use. Although the risk of systemic interactions is reduced, it is not entirely eliminated. Patients using other opioid medications, whether for pain management or other indications, should be monitored closely for signs of additive effects, such as increased sedation or respiratory depression. This is particularly important in patients who are opioid-naïve or have a history of opioid sensitivity.

Concomitant use of central nervous system (CNS) depressants, including benzodiazepines, barbiturates, and alcohol, can potentiate the sedative effects of morphine, even when applied topically. Patients should be advised to avoid or limit the use of these substances while using the topical cream. Additionally, medications that inhibit cytochrome P450 enzymes, particularly CYP3A4 and CYP2D6, may alter the metabolism of morphine, potentially leading to increased systemic exposure and risk of adverse effects.

Patients with a history of substance use disorder should use this formulation with caution, as the potential for misuse or abuse, although lower with topical application, still exists. Prescribers should assess the patient's risk factors and consider alternative treatments if necessary. Furthermore, patients with compromised skin integrity, such as open wounds or severe dermatitis, may experience increased absorption, necessitating careful monitoring for systemic effects.

It is also important to consider potential interactions with other topical medications. Applying multiple topical agents to the same area can affect the absorption and efficacy of each product. Patients should be instructed to discuss all topical and systemic medications they are using with their healthcare provider to ensure safe and appropriate use of Morphine Sulfate 10 mg/g Topical Cream.

If you have any questions or concerns about drug interactions or the use of this formulation, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have.

How Does it Work

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Morphine Sulfate 10 mg/g Topical Cream is a specialized formulation designed to deliver morphine directly to the site of pain through the skin. This semisolid preparation is dispensed in a pump mechanism, allowing for convenient and controlled application. The topical delivery system is particularly beneficial for patients who require localized pain relief, as it minimizes systemic exposure and potential side effects associated with oral or parenteral administration of opioids.

When applied to the skin, the cream utilizes the properties of morphine sulfate, an opioid analgesic, to bind to opioid receptors in the peripheral tissues. This binding action inhibits the transmission of pain signals to the central nervous system, effectively reducing the sensation of pain in the targeted area. The formulation is designed to penetrate the stratum corneum, the outermost layer of the skin, allowing the active ingredient to reach the underlying tissues where it can exert its analgesic effects.

The use of a pump mechanism ensures that each dose is consistent, providing a precise amount of medication with each application. This feature is particularly important for maintaining therapeutic efficacy while minimizing the risk of overdose. The cream's base is formulated to enhance the absorption of morphine sulfate, ensuring that the active ingredient is delivered efficiently to the site of action.

This topical cream is particularly useful in treating localized pain conditions such as neuropathic pain, arthritis, or pain associated with certain dermatological conditions. By targeting the pain at its source, the formulation can provide significant relief without the need for systemic opioid therapy, which is often associated with a higher risk of adverse effects and dependency.

For prescribers, this formulation offers a valuable option for patients who may not tolerate oral opioids well or who require additional pain management strategies. It can be used as part of a multimodal pain management plan, providing an alternative route of administration that complements other therapies.

Patients using Morphine Sulfate 10 mg/g Topical Cream should follow the application instructions provided by their healthcare provider to ensure optimal results. It is important to apply the cream only to intact skin and to avoid contact with mucous membranes or open wounds. Patients should also be aware of the potential for local skin reactions and report any adverse effects to their healthcare provider.

If you have any questions about this formulation or its use, 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 your pain with this topical treatment.

Frequently Asked Questions

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What is Morphine Sulfate 10 mg/g Topical Cream used for?

This topical cream is used for localized pain relief. It is designed to deliver morphine sulfate directly to the skin for targeted treatment of pain in specific areas.

How does the pump mechanism work?

The pump mechanism dispenses a controlled amount of the cream, ensuring consistent application and minimizing waste. Simply press the pump to release the cream onto your skin.

How should I apply the Morphine Sulfate Topical Cream?

Apply the cream to clean, dry skin in the area where you are experiencing pain. Use the pump to dispense the recommended amount and gently rub it into the skin until fully absorbed.

Can I use this cream on broken or irritated skin?

No, you should not apply this cream to broken, irritated, or infected skin. It is intended for use on intact skin only.

How often can I apply the Morphine Sulfate Topical Cream?

The frequency of application should be determined by your healthcare provider. Follow their instructions carefully to avoid overuse or potential side effects.

Are there any side effects associated with this topical cream?

Some users may experience skin irritation, redness, or itching at the application site. If you notice any severe reactions or 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 ensure there are no interactions or contraindications.

Is this cream suitable for all ages?

This cream should only be used by individuals for whom it has been prescribed. It is not recommended for use in children unless specifically directed by a healthcare provider.

How should I store the Morphine Sulfate Topical Cream?

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

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Morphine Sulfate 10 mg/g Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily