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Polidocanol 1.667% Topical Ointment

FDA-approved generic
Dose form
Topical Ointment
Active ingredients
Polidocanol

Polidocanol 1.667% Topical Ointment is a semi-solid formulation designed for external application to the skin. This ointment is dispensed in a tube and provides a greasy or oily base, which aids in the delivery of the active ingredient, Polidocanol, for localized treatment. The ointment is specifically formulated to treat a variety of venous conditions including Varicose Veins, Chronic Venous Insufficiency, Spider Veins, as well as to alleviate discomfort associated with Hemorrhoids and Angiodysplasia. Its unique composition ensures targeted action and relief at the site of application.

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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.

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.
Polidocanol
Topical Ointment
65cd253239d5e6d7e4c8c771
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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Polidocanol 1.667% Topical Ointment is a semi-solid formulation specifically designed for external application to the skin. This ointment is dispensed in a tube and provides a greasy or oily base, which not only facilitates the delivery of the active ingredient, Polidocanol, but also ensures that the medication remains localized to the area of application. This characteristic is particularly beneficial for targeted treatment of various vascular-related conditions.

The active ingredient, Polidocanol, functions as a sclerosing agent. When applied to the skin, it works by damaging the endothelium, the inner lining of blood vessels, which in turn causes the vessels to constrict and eventually be replaced by fibrous tissue. This process effectively reduces the appearance of varicose veins, spider veins, and angiodysplasia by diminishing the unsightly veins. In the case of chronic venous insufficiency, Polidocanol helps alleviate symptoms by reducing venous reflux and improving venous tone. For hemorrhoids, the ointment acts to reduce swelling and discomfort by causing the hemorrhoidal veins to shrink.

It is important for both patients and prescribers to understand that while Polidocanol 1.667% Topical Ointment can provide symptomatic relief and aesthetic improvement, it is not a cure for the underlying vascular issues. Patients should be advised to follow the application instructions carefully to maximize the therapeutic benefits and minimize potential side effects. Prescribers should consider the patient's overall medical condition and the severity of the venous disorder when recommending this treatment. Additionally, it is essential to monitor the treatment area for any adverse reactions or signs of skin irritation.

For further guidance on the use of Polidocanol 1.667% Topical Ointment, or if there are any questions regarding its formulation, compatibility with other medications, or specific patient concerns, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to ensure the safe and appropriate use of this medication.

Drug Interactions

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Polidocanol is a local anesthetic and sclerosing agent used primarily for the treatment of varicose veins, chronic venous insufficiency, spider veins, hemorrhoids, and angiodysplasia. When applied topically, polidocanol works by damaging the endothelium of blood vessels, leading to the closure of varicose veins and spider veins. It also has anesthetic properties that help in reducing discomfort associated with these conditions.

While polidocanol is used topically and has limited systemic absorption, it is still important to consider potential drug interactions, especially in patients who may be using multiple topical or systemic medications. Since polidocanol acts as a local anesthetic, caution should be exercised when it is used in conjunction with other local anesthetics or medications that affect neuronal transmission, as there may be an additive effect leading to increased risk of systemic toxicity.

Patients using other topical preparations on the same area of skin should consult with a healthcare provider before applying polidocanol. Concurrent use of other topical agents may alter the absorption or efficacy of polidocanol. For example, the use of occlusive dressings over topical medications can increase the absorption of the active ingredients, potentially leading to increased local or systemic effects.

Systemic interactions are less likely with topical polidocanol application due to its minimal absorption; however, patients should still inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements. This is particularly important for patients on anticoagulant or antiplatelet therapies, as there may be an increased risk of bleeding when treating hemorrhoids or angiodysplasia with polidocanol.

It is also advisable to avoid the use of polidocanol in areas of skin where there is an infection or a significant inflammation, as these conditions can alter the skin barrier and potentially increase systemic absorption of the drug. Patients with a known hypersensitivity to polidocanol or any of the excipients in the formulation should not use this medication.

As with any medication, the potential for drug interactions exists, and a thorough patient history and medication review should be conducted to minimize risks. If you have any questions or concerns regarding the use of polidocanol 1.667% topical ointment or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Polidocanol is an active ingredient that functions primarily as a sclerosing agent. When formulated into a 1.667% topical ointment, it is designed to be applied directly to the skin over the affected area. The ointment base provides a protective barrier that facilitates the absorption of polidocanol into the skin and the underlying problematic veins. The greasy or oily nature of the ointment ensures that the active ingredient remains in contact with the skin for an extended period, allowing for sustained action.

The mechanism by which polidocanol works involves damaging the endothelium, the inner lining of blood vessels, when applied to varicose veins, chronic venous insufficiency, spider veins, hemorrhoids, and angiodysplasia. This damage induces a series of reactions that result in the obliteration of the abnormal veins. Specifically, polidocanol causes the endothelial cells to become inflamed and subsequently release substances that activate the coagulation cascade, leading to the formation of a blood clot within the vessel. Over time, the clotted vein is replaced with fibrous tissue, effectively eliminating the vein from the circulatory system and reducing the appearance of the vein on the skin's surface.

In the treatment of varicose veins and chronic venous insufficiency, polidocanol helps to reduce the bulging and discomfort associated with these conditions by collapsing the affected veins. For spider veins, which are smaller and closer to the surface of the skin, polidocanol can help to diminish their appearance. In the case of hemorrhoids, polidocanol acts to reduce swelling and discomfort by causing the swollen veins to shrink. Lastly, for angiodysplasia, which involves abnormal blood vessel formation, polidocanol can help to reduce bleeding and other related symptoms by targeting the abnormal vessels.

It is important to note that while polidocanol ointment can provide symptomatic relief and aesthetic improvement, it is not a cure for the underlying causes of these conditions. Patients and prescribers should be aware that multiple applications over a period of time may be necessary to achieve the desired results, and that the treatment should be part of a comprehensive management plan that may include lifestyle changes, compression therapy, or other medical interventions.

For optimal results, the ointment should be applied as directed by a healthcare professional. Patients should be advised to follow the application instructions carefully and to avoid contact with the eyes and mucous membranes. If you have any questions or require further information about the use of polidocanol 1.667% topical ointment for the treatment of varicose veins, chronic venous insufficiency, spider veins, hemorrhoids, or angiodysplasia, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with your healthcare needs.

Frequently Asked Questions

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What is Polidocanol 1.667% Topical Ointment used for?

Polidocanol 1.667% Topical Ointment is commonly used to alleviate symptoms associated with skin conditions that may benefit from localized treatment, such as itching, irritation, and discomfort. It has a numbing effect on the skin and can help to soothe inflammation and provide relief from these symptoms.

How should Polidocanol 1.667% Topical Ointment be applied?

The ointment should be applied to the affected area of the skin as directed by your healthcare provider. The area should be clean and dry before application. Use a thin layer of ointment, gently massaging it into the skin until it is evenly distributed.

How often can Polidocanol 1.667% Topical Ointment be used?

The frequency of use for Polidocanol 1.667% Topical Ointment will be determined by your healthcare provider based on the condition being treated. It is crucial to follow their recommendations to prevent overuse or reduce the risk of side effects.

Can Polidocanol 1.667% Topical Ointment be used on broken skin or open wounds?

Polidocanol 1.667% Topical Ointment should not be applied to open wounds or broken skin unless specifically directed by a healthcare professional. Doing so can lead to increased absorption and potential systemic effects or further irritation to the wound area.

Is Polidocanol 1.667% Topical Ointment suitable for all skin types?

While Polidocanol 1.667% Topical Ointment is generally suitable for different skin types, individuals with sensitive skin or certain skin conditions should consult their healthcare provider before use, particularly if they are prone to reactions with topical medications.

Are there any side effects associated with Polidocanol 1.667% Topical Ointment?

Some individuals may experience side effects such as local irritation, redness, or itching at the site of application. If any severe reactions or signs of allergic reaction occur, such as hives, difficulty breathing, or swelling, medical attention should be sought immediately.

Should Polidocanol 1.667% Topical Ointment be used with other topical medications?

Using Polidocanol 1.667% Topical Ointment with other topical medications could alter its effectiveness or increase the likelihood of side effects. Always consult a healthcare provider before combining it with other topical treatments.

How should Polidocanol 1.667% Topical Ointment be stored?

Store Polidocanol 1.667% Topical Ointment at room temperature, away from direct sunlight and moisture. Keep the tube tightly closed when not in use and keep out of reach of children and pets.

Can Polidocanol 1.667% Topical Ointment be used during pregnancy or while breastfeeding?

The safety of Polidocanol 1.667% Topical Ointment during pregnancy or while breastfeeding is not well-established. If you are pregnant, planning to become pregnant, or breastfeeding, seek advice from your healthcare provider before using this medication.

What should be done if a dose of Polidocanol 1.667% Topical Ointment is missed?

If a dose is missed, apply the Polidocanol 1.667% Topical Ointment as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and resume your regular dosing schedule. Do not double up on applications to make up for a missed dose.

Are there any known interactions with Polidocanol 1.667% Topical Ointment?

While interactions with topical Polidocanol 1.667% are rare, it is important to inform your healthcare provider of all medications and supplements you are taking to assess any potential interactions. This includes over-the-counter drugs and herbal products.

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.

Polidocanol 1.667% Topical Ointment
Topical Ointment
30 g
controlled

Apply topically to affected area(s)

Twice daily