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Formulas

Perphenazine 0.5 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Perphenazine

Perphenazine 0.5 mg/mL Oral Suspension is a liquid dosage form where perphenazine is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat schizophrenia and severe nausea and vomiting.

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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.
Perphenazine
Suspension
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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Perphenazine 0.5 mg/mL Oral Suspension is a compounded medication formulated to deliver precise dosing for patients requiring perphenazine in a liquid form. As a liquid dosage form, it provides a homogeneous mixture where the active ingredient is uniformly dispersed throughout the liquid medium, ensuring consistent dosing with each administration.

Perphenazine is a typical antipsychotic medication belonging to the phenothiazine class. It works primarily by blocking dopamine receptors in the brain, which helps to reduce symptoms of psychosis such as hallucinations

Drug Interactions

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Perphenazine 0.5 mg/mL Oral Suspension is a liquid dosage form designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use. This formulation is primarily used in the management of psychiatric disorders such as schizophrenia and severe nausea and vomiting. As with any medication, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of perphenazine.

Perphenazine is a typical antipsychotic that works by blocking dopamine receptors in the brain, which can help alleviate symptoms of psychosis. However, this mechanism of action also predisposes it to interact with other medications that affect the central nervous system. Patients and prescribers should be particularly cautious when perphenazine is used concomitantly with other CNS depressants, such as benzodiazepines, opioids, or alcohol, as these combinations can lead to enhanced sedative effects, respiratory depression, and increased risk of overdose.

Additionally, perphenazine may interact with medications that influence the cytochrome P450 enzyme system, particularly CYP2D6. Drugs that inhibit CYP2D6, such as fluoxetine, paroxetine, and quinidine, can increase perphenazine plasma levels, potentially leading to enhanced side effects such as extrapyramidal symptoms, tardive dyskinesia, and neuroleptic malignant syndrome. Conversely, inducers of this enzyme, like rifampin and carbamazepine, may decrease perphenazine levels, reducing its therapeutic efficacy.

Patients taking antihypertensive medications should be monitored closely, as perphenazine can potentiate the hypotensive effects of these drugs, leading to dizziness, fainting, or falls. Similarly, caution is advised when perphenazine is administered with anticholinergic agents, as this combination can exacerbate anticholinergic side effects such as dry mouth, constipation, urinary retention, and blurred vision.

Furthermore, perphenazine may interact with medications that prolong the QT interval, such as certain antiarrhythmics, antibiotics, and other antipsychotics. This can increase the risk of serious cardiac arrhythmias, including torsades de pointes. Regular monitoring of cardiac function and electrolyte levels is recommended when these drugs are used together.

Patients and prescribers should also be aware of the potential for perphenazine to interact with medications that affect blood glucose levels, as it may alter glucose metabolism and necessitate adjustments in the dosing of antidiabetic agents. Additionally, perphenazine can interfere with the action of anticoagulants, requiring careful monitoring of coagulation parameters to avoid bleeding complications.

It is essential for patients to inform their healthcare providers of all medications they are taking, including over-the-counter drugs and supplements, to ensure safe and appropriate use of perphenazine. If you have any questions or concerns about drug interactions with perphenazine 0.5 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

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Perphenazine 0.5 mg/mL Oral Suspension is a liquid dosage form designed to deliver the antipsychotic medication perphenazine in a manner that ensures uniform distribution of the active ingredient throughout the liquid medium. This formulation is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, providing an alternative that is easier to ingest and allows for precise dosing adjustments. The suspension is carefully compounded to maintain a homogeneous mixture, ensuring that each milliliter of the suspension contains an exact concentration of perphenazine, thereby facilitating accurate dosing and consistent therapeutic effects.

Perphenazine is a typical antipsychotic medication that belongs to the class of drugs known as phenothiazines. It works primarily by modulating the activity of neurotransmitters in the brain, particularly dopamine. By blocking dopamine receptors, perphenazine helps to reduce the overactivity of dopamine pathways that are often associated with symptoms of psychotic disorders. This mechanism of action is crucial in managing conditions such as schizophrenia and severe nausea or vomiting, where dopamine dysregulation plays a significant role.

In the treatment of schizophrenia, perphenazine helps alleviate symptoms such as hallucinations, delusions, and thought disorders by stabilizing the chemical imbalances in the brain. For patients experiencing severe nausea and vomiting, perphenazine acts on the chemoreceptor trigger zone in the brain, reducing the sensation of nausea and the reflex to vomit. The oral suspension form allows for flexible dosing, which can be particularly advantageous in titrating the dose to achieve optimal therapeutic outcomes while minimizing potential side effects.

For prescribers, the perphenazine oral suspension offers a customizable approach to treatment, allowing for dose adjustments based on the patient's response and tolerance. This flexibility is essential in managing the delicate balance between efficacy and side effects, which can vary significantly among individuals. The liquid form also facilitates administration in patients with swallowing difficulties or those who require enteral feeding, ensuring that they receive the necessary medication without compromising their treatment regimen.

Patients using perphenazine oral suspension should be aware of the importance of following the prescribed dosing schedule and using the provided measuring device to ensure accurate dosing. It is also crucial to shake the suspension well before each use to maintain the uniform distribution of the active ingredient. As with any medication, adherence to the prescribed regimen and regular communication with healthcare providers are key to achieving the best possible outcomes.

If you have any questions or require further information about Perphenazine 0.5 mg/mL Oral Suspension, please do not hesitate to 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 this formulation or its use in treating specific disease states.

Frequently Asked Questions

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What is Perphenazine 0.5 mg/mL Oral Suspension?

Perphenazine 0.5 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, perphenazine, is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

What is Perphenazine used for?

Perphenazine is an antipsychotic medication used to treat symptoms of schizophrenia and to control severe nausea and vomiting in adults.

How should I take Perphenazine Oral Suspension?

Perphenazine Oral Suspension should be taken exactly as prescribed by your healthcare provider. Shake the bottle well before each use to ensure the medication is evenly mixed. Use a proper measuring device to ensure accurate dosing.

Can I take Perphenazine Oral Suspension with food?

Yes, Perphenazine Oral Suspension can be taken with or without food. However, taking it with food may help reduce stomach upset.

What should I do if I miss a dose?

If you miss a dose of Perphenazine Oral Suspension, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

What are the possible side effects of Perphenazine?

Common side effects of Perphenazine may include drowsiness, dizziness, dry mouth, blurred vision, and constipation. If you experience severe side effects such as uncontrolled muscle movements, severe dizziness, or signs of an allergic reaction, seek medical attention immediately.

How should I store Perphenazine Oral Suspension?

Store Perphenazine Oral Suspension at room temperature, away from light and moisture. Keep the bottle tightly closed and out of reach of children and pets.

Can I drive or operate machinery while taking Perphenazine?

Perphenazine may cause drowsiness or dizziness. Avoid driving or operating heavy machinery until you know how the medication affects you.

Is Perphenazine Oral Suspension safe for children?

The safety and effectiveness of Perphenazine in children have not been established. Consult your healthcare provider for advice specific to pediatric use.

Can I drink alcohol while taking Perphenazine?

It is advisable to avoid alcohol while taking Perphenazine, as it can increase the risk of side effects such as drowsiness and dizziness.

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.

Perphenazine 0.5 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

Three times daily