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Pyridoxal 5 Phosphate 25 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Pyridoxal 5-Phosphate

The Pyridoxal 5 Phosphate 25 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise 25 milligrams of active ingredient per milliliter of solution. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills or tablets, including pediatric and geriatric populations. Pyridoxal 5 Phosphate, the active form of Vitamin B6, is essential for many enzymatic reactions within the body and is used to treat a variety of disease states. It is commonly prescribed for conditions such as Vitamin B6 deficiency, certain types of anemia, and metabolic disorders. Additionally, it may be used in the management of homocystinuria, a rare genetic disorder, and in cases where medications or conditions deplete Vitamin B6 levels, necessitating supplementation.

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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.
Pyridoxal 5-Phosphate
Oral Liquid
65ce255be39ecfdd45149b38
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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Pyridoxal 5 Phosphate (P5P), the active form of Vitamin B6, is an essential coenzyme in various enzymatic reactions in the body, including amino acid metabolism, neurotransmitter synthesis, and hemoglobin formation. Our specially compounded Pyridoxal 5 Phosphate 25 mg/ml Oral Liquid is designed to provide a precise dosage of this critical nutrient in a liquid form, which is particularly beneficial for individuals who have difficulty swallowing pills, such as children and the elderly, or for those with malabsorption issues that may impair the digestion of solid dosage forms.

This formulation is used to address deficiencies in Vitamin B6 or conditions that benefit from its supplementation. P5P plays a vital role in the management of certain metabolic disorders, neurological conditions, and can be an adjunct therapy in the treatment of homocysteinemia, certain types of anemia, and seizure disorders, among others. By ensuring adequate levels of this nutrient, our P5P liquid formulation can help in the proper functioning of the nervous and immune systems, potentially improving symptoms such as irritability, confusion, and weakened immune response that are associated with Vitamin B6 deficiency.

For prescribers, it is important to note that this formulation provides the active form of Vitamin B6, which does not require conversion by the liver, making it immediately available for the body's needs. This can be particularly advantageous in patients with compromised liver function or genetic variations affecting the conversion of pyridoxine to P5P. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. Additionally, the 25 mg/ml concentration facilitates accurate dosing, which is critical for avoiding toxicity, as excessive intake of Vitamin B6 can lead to neuropathy or other side effects.

Patients should be advised to take this medication according to the prescribed dosage and should be monitored for efficacy and potential side effects. It is also important to discuss all other medications and supplements the patient is taking, as there can be interactions that may affect the absorption or efficacy of P5P. For example, certain medications like isoniazid and hydralazine may increase the need for Vitamin B6, while others may decrease its levels in the body.

At Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the unique needs of our patients. If you have any questions about our Pyridoxal 5 Phosphate 25 mg/ml Oral Liquid formulation or its suitability for your condition, please do not hesitate to reach out to us. Our team of expert compounding pharmacists is here to support you with the information and guidance you need to make informed decisions about your health care.

Drug Interactions

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Pyridoxal 5 Phosphate (P5P) is the active form of Vitamin B6 and is involved in a multitude of metabolic processes in the body, including neurotransmitter synthesis, amino acid metabolism, and the modulation of steroid hormone action. As a compounding pharmacy, we have formulated a 25 mg/ml oral liquid of P5P to cater to patients who may have difficulty swallowing pills or require precise dosing adjustments.

When considering the use of this P5P formulation, it is important to be aware of potential drug interactions. P5P can interact with several medications, potentially altering their effects. For instance, P5P may reduce the effectiveness of levodopa, a medication used to treat Parkinson's disease, unless the patient is also taking carbidopa, a dopa decarboxylase inhibitor. Patients on levodopa therapy should consult their healthcare provider before starting P5P.

Additionally, antiepileptic drugs (AEDs) such as phenytoin, phenobarbital, and primidone, which are used to manage seizures, may decrease serum levels of P5P. This interaction could potentially reduce the therapeutic effects of P5P and may necessitate monitoring of vitamin B6 levels and adjustment of the P5P dose. Conversely, high doses of P5P could potentially increase the risk of side effects from these AEDs by enhancing their metabolism.

Patients receiving therapy with isoniazid or hydralazine for tuberculosis or hypertension, respectively, should also be monitored, as these drugs can lead to a deficiency in vitamin B6. Supplementation with P5P in these cases may be required to prevent or treat symptoms of deficiency.

Furthermore, P5P may interact with cycloserine, a medication used to treat tuberculosis, and penicillamine, used for conditions such as Wilson's disease and rheumatoid arthritis. These drugs can also cause vitamin B6 deficiency, and P5P supplementation may be necessary under medical supervision.

It is also important to note that excessive intake of P5P can lead to sensory neuropathy or nerve damage, characterized by a loss of sensation in the limbs. Patients should adhere to the prescribed dose and report any unusual symptoms to their healthcare provider.

For patients taking other medications or with complex medical histories, it is crucial to consult with a healthcare provider before starting P5P to ensure it is safe and appropriate for their specific health needs. Our team at Bayview Pharmacy is available to answer any questions and provide guidance on the use of this P5P oral liquid formulation. We are committed to ensuring the safe and appropriate use of the medications we compound.

How Does it Work

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Pyridoxal 5 Phosphate (P5P) is the active form of Vitamin B6, which is a crucial coenzyme in various enzymatic reactions in the body. As a compounding pharmacy, we have formulated P5P into a 25 mg/ml oral liquid to ensure that patients who have difficulty swallowing pills or require precise dosing can still receive the benefits of this essential nutrient. This liquid formulation allows for flexible dosing, which is particularly beneficial for pediatric and geriatric patients, as well as those with specific dietary needs or restrictions.

The mechanism by which Pyridoxal 5 Phosphate functions in the body is multifaceted. P5P is involved in over 100 enzyme reactions, most of which are related to protein metabolism. It also plays a vital role in the synthesis of neurotransmitters such as serotonin, dopamine, and gamma-aminobutyric acid (GABA), which are critical for maintaining mental health and proper nervous system function. Additionally, P5P is involved in the synthesis of hemoglobin for red blood cells, the conversion of tryptophan to niacin, and the maintenance of normal levels of homocysteine, an amino acid that, at elevated levels, is associated with cardiovascular disease.

Due to its extensive role in various biochemical pathways, P5P is used to treat several disease states. It is often prescribed for conditions related to Vitamin B6 deficiency, which can manifest as anemia, dermatitis, depression, confusion, and weakened immune function. P5P is also used in the management of homocystinuria, a rare genetic disorder that affects the metabolism of the amino acid methionine, leading to high levels of homocysteine. In addition, it may be beneficial for patients with certain types of seizures, premenstrual syndrome (PMS), and side effects from the use of certain medications that deplete Vitamin B6 levels, such as isoniazid for tuberculosis.

Our P5P oral liquid formulation is designed to be easily administered and absorbed, providing a reliable and consistent dose of this essential nutrient. It is important for prescribers to consider the individual needs of their patients, including any potential drug-nutrient interactions, when recommending this formulation.

If you have any questions about this formulation or how it can be integrated into a treatment plan, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing personalized care and is ready to assist with any inquiries you may have.

Frequently Asked Questions

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What is Pyridoxal 5 Phosphate 25 mg/ml Oral Liquid used for?

Pyridoxal 5 Phosphate, the active form of Vitamin B6, is used to address deficiencies in this nutrient or conditions that benefit from increased B6 levels, such as metabolic disorders, nerve-related issues, or other medical conditions as prescribed by a healthcare provider.

Who can take this Pyridoxal 5 Phosphate Oral Liquid?

This liquid formulation is suitable for individuals who have difficulty swallowing solid dosage forms, including pediatric and geriatric patients, or those with conditions that impair swallowing tablets or capsules.

How should I take this medication?

The medication should be measured with an accurate dosing tool and taken orally as directed by your healthcare provider. It is important to follow their instructions regarding dosage and frequency. Do not alter the dose without consulting your healthcare provider.

Can I mix this medication with food or beverages?

It is best to speak to your pharmacist or healthcare provider about whether you can mix the medication with food or beverages, as they can advise you based on the specific formulation and your personal treatment plan.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it is close to the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects of Pyridoxal 5 Phosphate Oral Liquid?

Like all medications, Pyridoxal 5 Phosphate Oral Liquid can have side effects, although not everyone experiences them. Potential side effects can include sensory changes, such as numbness or tingling, over-sedation, or stomach upset. Consult your healthcare provider if you experience any troubling side effects.

How should I store this medication?

Store the medication at room temperature, away from light and moisture. Keep the bottle tightly closed when not in use and keep out of reach of children and pets.

How long is my medication good for once opened?

The shelf life of the medication after opening may vary. Consult the product label or your pharmacist for storage instructions and expiration dates specific to the product you have been given.

Is this medication safe for pregnant or breastfeeding women?

Pregnant or breastfeeding women should consult their healthcare provider before taking any medication, including Pyridoxal 5 Phosphate Oral Liquid, to ensure safety for the mother and baby.

Do I need a prescription to get Pyridoxal 5 Phosphate Oral Liquid?

Yes, Pyridoxal 5 Phosphate Oral Liquid is a compounded medication that typically requires a prescription from a licensed healthcare provider. Always follow legal and medical guidelines when obtaining and taking prescribed medications.

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.

Pyridoxal 5 Phosphate 25 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Once daily