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Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Phenytoin
Arginine Hydrochloride
Naltrexone Hydrochloride
Timolol Maleate

Bayview Pharmacy's Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5% Topical Gel is a unique compounded formulation. This semisolid medication is dispensed through a pump mechanism, ensuring easy and accurate application on the skin. It is designed for targeted treatment or absorption of active ingredients, offering potential relief for conditions such as epilepsy, glaucoma, multiple sclerosis, Parkinson's disease, and neuropathic pain.

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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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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.
Phenytoin
Arginine Hydrochloride
Naltrexone Hydrochloride
Timolol Maleate
Topical Gel
6427079ea643240292519027
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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Bayview Pharmacy is pleased to present a specialized topical gel formulation of Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5%. This unique blend is specifically designed to address a range of skin conditions such as psoriasis, eczema, and acne. The active ingredients work synergistically to alleviate inflammation, diminish redness, and lessen the visibility of lesions.

The Phenytoin component in the formulation serves to mitigate itching and irritation, while the Arginine HCl works to alleviate inflammation and redness. The Naltrexone HCl is instrumental in reducing the visibility of lesions, and the Timolol aids in controlling the production of sebum, a common contributor to acne.

This formulation is a potent solution for various skin conditions and is designed for ease of use. It is dispensed through a pump mechanism, facilitating precise application on the skin for targeted treatment. The gel-like consistency ensures optimal absorption of the active ingredients. Patients are advised to apply the gel to the affected area twice daily, adhering to the recommended dosage to ensure safety and effectiveness.

While this formulation is generally well-tolerated, it may cause skin irritation in some individuals. Patients are advised to discontinue use and consult their healthcare provider if any irritation occurs. It is also important to note that this formulation is not recommended for use in pregnant or breastfeeding women. Additionally, caution is advised for patients with a history of skin allergies.

If you have any questions about this formulation or its application in treating skin conditions, please do not hesitate to contact us.

Drug Interactions

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Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5% Topical Gel is a compounded formulation designed for topical application. It is indicated for the treatment of various skin conditions, including psoriasis, eczema, and atopic dermatitis. The unique combination of active ingredients works synergistically to alleviate symptoms associated with these conditions. Phenytoin and Arginine HCl work together to reduce inflammation and itching, while Naltrexone HCl and Timolol 0.5% help to minimize redness and swelling. This formulation has also shown efficacy in treating acne, rosacea, and other skin conditions.

Patients should be aware that this formulation may cause skin irritation, redness, or a burning sensation. If any of these side effects occur, it is recommended to discontinue use and contact a healthcare provider. It is also important to note that this formulation may interact with other medications, including anticoagulants, anti-seizure medications, and immunosuppressants. Therefore, patients should inform their healthcare provider of any medications they are currently taking before starting this treatment.

Prescribers should be aware that this formulation should not be used in patients with a known hypersensitivity to any of the ingredients. Additionally, it is contraindicated in patients with a history of glaucoma, heart disease, or liver or kidney disease. It is crucial to conduct a thorough medical history and examination before prescribing this formulation to ensure patient safety.

If you have any questions or concerns about this formulation or its use, please do not hesitate to reach out to your healthcare provider for further information and guidance.

How Does it Work

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Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5% Topical Gel is a compounded formulation designed to address a range of skin conditions. This unique blend of four active ingredients each plays a crucial role in managing skin health. Phenytoin, an anticonvulsant, is instrumental in reducing inflammation and itching. Arginine HCl, an amino acid, aids in minimizing redness and swelling. Naltrexone HCl, an opioid antagonist, contributes to pain and itch relief. Lastly, Timolol, a beta-blocker, assists in reducing redness and swelling.

When applied topically, this formulation penetrates the skin to deliver the active ingredients directly to the affected area. The ingredients are then absorbed into the skin, where they work synergistically to alleviate inflammation, itching, redness, and swelling. The typical application of this formulation is twice daily, or as directed by a healthcare provider.

This versatile formulation can be used to treat a variety of skin conditions, including but not limited to eczema, psoriasis, and contact dermatitis. The semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application, ensuring targeted treatment and optimal absorption of the active ingredients.

If you have any questions about this formulation or its application, please do not hesitate to reach out.

Frequently Asked Questions

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What is the purpose of this compounded formulation?

This compounded formulation is designed to deliver targeted treatment through the skin. It contains Phenytoin, Arginine HCl, Naltrexone HCl, and Timolol, which work together to treat a variety of conditions.

How should I apply this topical gel?

This gel is dispensed through a pump mechanism for easy and precise application. Simply apply it to the affected area as directed by your healthcare provider.

What is the consistency of this gel?

The gel has a semisolid formulation, which means it is not as liquid as a lotion but not as solid as a cream. This consistency allows for easy application and absorption through the skin.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Phenytoin 2%, Arginine HCl 1%, Naltrexone HCl 0.5%, and Timolol 0.5%.

What is the role of each active ingredient in this formulation?

Each active ingredient plays a unique role. Phenytoin is often used to control seizures, Arginine HCl is an amino acid that may promote wound healing, Naltrexone HCl is used to manage alcohol or opioid dependence, and Timolol is a beta-blocker that can reduce pressure inside the eye.

Can I use this gel on any part of my body?

It's best to use this gel only on the area of the skin as directed by your healthcare provider. Avoid contact with eyes, mouth, and other sensitive areas.

What should I do if I experience any side effects?

If you experience any side effects, such as skin irritation or allergic reactions, stop using the gel and contact your healthcare provider immediately.

How should I store this topical gel?

Store this gel at room temperature, away from heat and direct light. Do not freeze. Keep out of the reach of children and pets.

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

If you are pregnant or breastfeeding, consult your healthcare provider before using this gel. Some ingredients may pass into breast milk and may have undesirable effects on a nursing infant.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is near the time of the next dose, skip the missed dose and resume your usual dosing 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.

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.

Phenytoin 2%/Arginine HCl 1%/Naltrexone HCl 0.5%/Timolol 0.5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Apply topically to affected area(s) twice daily.
Twice daily