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Spironolactone 5% Topical Lotion

FDA-approved generic
Dose form
Topical Lotion
Active ingredients
Spironolactone

The Spironolactone 5% Topical Lotion is a liquid or semi-liquid formulation intended for external application to the skin. This lotion is crafted to have a smooth and spreadable consistency, which not only moisturizes and soothes the skin but also facilitates the localized absorption of spironolactone for therapeutic effects. It is specifically formulated to treat conditions such as acne and hirsutism by targeting the hormonal factors that contribute to these disease states. The active ingredient, spironolactone, is known for its anti-androgenic properties, which can help in reducing the production of excess oils and slow down the growth of unwanted hair, thereby improving the appearance and health of the skin.

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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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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.
Spironolactone
Topical Lotion
65d609a2d6b630cc41bd6b45
Service area

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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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Spironolactone 5% Topical Lotion is a specially compounded formulation designed for external application to the skin. This liquid or semi-liquid preparation is crafted to provide a smooth and spreadable consistency, making it easy to apply to affected areas. The lotion base offers moisturizing and soothing benefits, which can enhance patient comfort and compliance with the treatment regimen. The active ingredient, spironolactone, is a well-known potassium-sparing diuretic when taken orally, but when used topically, it serves a different purpose.

Spironolactone works by inhibiting the action of androgens at the skin level, which can reduce sebum production and inflammation, thereby improving acne symptoms. Additionally, it may slow down the rate of hair growth in areas affected by hirsutism. The 5% concentration in this lotion formulation ensures a potent dose of the active ingredient, while still being suitable for topical use.

For patients, it is important to apply the lotion as directed by a healthcare provider, typically to clean, dry skin. The frequency and duration of application will depend on the individual's condition and response to treatment. Patients should be advised that while some improvement may be seen relatively quickly, consistent use over a period of weeks or months may be necessary to achieve the best results. Side effects are generally mild and may include local skin irritation. If any severe reactions occur, patients should discontinue use and consult their healthcare provider.

Prescribers considering Spironolactone 5% Topical Lotion for their patients should be aware of the potential benefits and limitations of this formulation. It is a valuable option for those seeking a non-systemic treatment for androgen-related skin conditions. As with any compounded medication, it is essential to work with a compounding pharmacy that adheres to strict quality standards to ensure the safety and efficacy of the formulation.

At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to the specific needs of patients. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Spironolactone 5% Topical Lotion. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Spironolactone is a potassium-sparing diuretic that is commonly used orally to treat conditions such as heart failure, hypertension, and edema associated with various medical conditions. When formulated as a 5% topical lotion, it is primarily used for dermatological purposes, such as the treatment of acne and hirsutism due to its anti-androgenic properties. While the systemic absorption of spironolactone from a topical formulation is expected to be lower than that from oral administration, there is still potential for drug interactions, particularly with other topical medications or systemic agents that the patient may be using.

Patients should be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and other topical treatments. Concurrent use of other potassium-sparing diuretics, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of hyperkalemia, even with topical spironolactone use. Although the risk is lower with topical application, monitoring of serum potassium levels may be advisable in patients at risk for hyperkalemia or those taking medications that can increase potassium levels.

Topical spironolactone may also interact with other topical agents that affect the skin barrier or that have irritative potential. The use of abrasive cleansers, peeling agents, astringents, or other topical acne medications, particularly those containing benzoyl peroxide or salicylic acid, may increase the risk of skin irritation. Patients should be advised to use such products cautiously and to monitor for signs of increased skin irritation or dryness.

Additionally, patients should be aware that the use of corticosteroids in combination with spironolactone, whether topical or systemic, may counteract the anti-androgenic effects of spironolactone. This is due to the potential for corticosteroids to increase androgen levels, which could diminish the therapeutic effects of spironolactone on skin conditions like acne and hirsutism.

It is also important to consider the potential for alcohol-based products applied to the skin to interact with spironolactone lotion. Alcohol can enhance the penetration of spironolactone into the skin, potentially increasing its systemic absorption and the risk of side effects. Patients should be advised to avoid applying alcohol-containing products to the same area where the spironolactone lotion is applied.

Lastly, while the risk of systemic side effects is lower with topical application, patients with renal impairment or those taking medications that affect renal function should use spironolactone lotion with caution. The healthcare provider should assess the patient's renal function before initiating treatment and monitor as appropriate during therapy.

For any questions or concerns regarding the use of spironolactone 5% topical lotion and potential drug interactions, healthcare providers and patients are encouraged to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide additional information and guidance to ensure safe and appropriate use of this medication.

How Does it Work

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Spironolactone 5% Topical Lotion is a specialized formulation designed to deliver the active ingredient, spironolactone, directly to the skin. Spironolactone is a synthetic steroid that functions as an aldosterone antagonist. It is traditionally used orally as a diuretic and antihypertensive agent, but when formulated for topical use, it serves a different purpose. The mechanism of action for spironolactone in treating skin conditions involves its ability to inhibit the effects of androgens, which are hormones that can contribute to the production of sebum and the development of acne.

The 5% concentration of spironolactone in the lotion allows for a sufficient amount of the drug to penetrate the skin without causing systemic effects. Upon application, the lotion delivers spironolactone to the sebaceous glands, where it blocks the androgen receptors. This action reduces the amount of sebum produced, which is a key factor in the development of acne. By targeting the local androgen receptors in the skin, spironolactone can help to reduce the occurrence of acne breakouts, decrease inflammation, and promote a clearer complexion.

Additionally, spironolactone has been found to have anti-inflammatory properties, which can further benefit skin conditions characterized by inflammation. The topical formulation is designed to be applied to the affected areas of the skin, ensuring that the active ingredient is concentrated where it is needed most, reducing the likelihood of systemic side effects that can occur with oral administration.

The lotion base itself is crafted to support the delivery of spironolactone to the skin. It is typically composed of ingredients that facilitate the absorption of the active drug while also providing a moisturizing effect. This helps to maintain skin hydration and barrier function, which is particularly important for individuals with skin conditions. The lotion is smooth and spreadable, allowing for easy and even application over the areas being treated.

It may take several weeks to observe significant improvements, and consistent use as directed by a healthcare professional is crucial for optimal results. As with any medication, potential side effects and contraindications should be discussed with a healthcare provider before use.

If you have any questions about Spironolactone 5% Topical Lotion or its use in treating specific skin conditions, 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 incorporate this formulation into your treatment regimen.

Other Uses

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Spironolactone 5% Topical Lotion is traditionally used to treat skin conditions such as acne and hirsutism due to its anti-androgenic properties that can reduce the production of sebum and slow down hair growth. However, there are other potential uses of this formulation that extend beyond these primary indications. Some patients have found success in using this topical preparation to address skin issues such as oily skin and scalp due to its ability to modulate sebum production.

Beyond this, spironolactone lotion may also assist in the management of hair loss in women experiencing female pattern hair loss, a condition often associated with hormonal imbalances, as it could theoretically reduce the androgenic activity that contributes to this type of alopecia. Additionally, anecdotal evidence suggests potential benefits in skin texture and inflammation reduction for certain individuals, thus possibly assisting in the mitigation of mild symptoms of rosacea or similar inflammatory dermatoses, although this is an area that requires more scientific substantiation.

It is important to highlight that such alternative uses of spironolactone 5% Topical Lotion are based on its pharmacological activity and limited clinical evidence, and therefore, patients should consult with a healthcare provider before using it for off-label purposes. The healthcare provider can then evaluate the particular needs of the patient and determine if this formulation is an appropriate treatment option. We would also like to remind both patients and prescribers that results may vary based on individual patient characteristics and the specific condition being treated. Continuous assessment of the efficacy and tolerance to the therapy is recommended.

We at Bayview Pharmacy are dedicated to providing tailored solutions for our patients and are always available to answer questions regarding formulation uses, contraindications, and possible side effects. If you have any questions or concerns about this spironolactone 5% Topical Lotion or its associated uses, please do not hesitate to reach out to us for professional advice and personalized care.

Frequently Asked Questions

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What is Spironolactone 5% Topical Lotion used for?

Spironolactone 5% Topical Lotion is used to provide therapeutic effects for certain skin conditions such as acne or hair loss. By applying the lotion topically, it delivers the active ingredient, spironolactone, directly to the affected areas for localized treatment.

How should Spironolactone 5% Topical Lotion be applied?

The lotion should be applied to clean, dry skin, usually once or twice daily, or as directed by a healthcare provider. Spread the lotion gently across the affected area, taking care not to apply too much pressure. Always follow the specific instructions provided by a healthcare professional.

Can Spironolactone 5% Topical Lotion be used on all skin types?

This lotion is generally suitable for various skin types; however, some individuals with sensitive skin may experience irritation. It's always best to consult with a healthcare provider before starting any new topical treatment, particularly if you have known skin sensitivities or concerns.

Is Spironolactone 5% Topical Lotion moisturizing?

Yes, this formulation is designed with a smooth and spreadable consistency that provides moisturizing benefits. This can be particularly helpful if you have dry skin or conditions requiring additional moisture.

Are there any side effects of using Spironolactone 5% Topical Lotion?

Like all medications, spironolactone lotion can have side effects, although not everyone will experience them. These can include skin irritation, redness, itching or burning at the application site. If you experience any severe or persistent side effects, consult your healthcare provider.

How long does it take to see results from Spironolactone 5% Topical Lotion?

Results can vary based on the individual and the condition being treated. Some may notice improvements within a few weeks, while for others, it may take several months to see significant changes. Consistent application as prescribed is important for best results.

Can Spironolactone 5% Topical Lotion be used with other skincare products?

Generally, it can be used with other skincare products, but you should be cautious about combining different treatments. Always allow the lotion to fully absorb before applying other products, and consult with your healthcare provider for personalized advice.

Should Spironolactone 5% Topical Lotion be applied before or after sunscreen?

This medication should usually be applied before sunscreen. Applying the lotion first allows it to be absorbed directly into the skin. After a sufficient absorption period, sunscreen can be applied over the lotion for protection against sun exposure.

How should Spironolactone 5% Topical Lotion be stored?

The lotion should be stored at room temperature away from direct sunlight and moisture. Make sure the cap is tightly sealed after each use to maintain the quality and effectiveness of the lotion.

What should be done if a dose of Spironolactone 5% Topical Lotion is missed?

If a dose is missed, it should be applied as soon as remembered. However, if it is almost time for the next application, skip the missed dose and proceed with the regular schedule. Do not apply extra lotion to make up for the missed dose.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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.

Spironolactone 5% Topical Lotion
Topical Lotion
30 g
controlled

Apply topically to affected area(s)

Twice daily