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Formulas

Urea 40% Topical Paste

FDA-approved generic
Dose form
Topical Paste
Active ingredients
Urea

The Urea 40% Topical Paste is a semi-solid formulation with a thick and occlusive consistency, specifically designed for external application to the skin. This paste is dispensed in a tube, allowing for ease of application and precise dosage control. It is intended for localized treatment of various dermatological conditions, including but not limited to hyperkeratotic conditions such as psoriasis, ichthyosis, and keratosis pilaris, as well as for the management of corns and calluses. The high concentration of urea in this formulation acts as a keratolytic agent, helping to soften and exfoliate the stratum corneum, thereby enhancing the skin's ability to retain moisture and promoting the shedding of dead skin cells. This results in smoother, softer, and more hydrated skin in the areas 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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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.
Urea
Topical Paste
65d8fbc8bdec6b864cde5794
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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Urea 40% Topical Paste is a highly concentrated, semi-solid formulation specifically designed for external application to the skin. This paste is dispensed in a tube, which allows for a controlled and targeted application to affected areas. The formulation provides a thick, occlusive consistency that adheres well to the skin surface, ensuring that the active ingredient, urea, remains in contact with the skin for an extended period. This characteristic is particularly beneficial for enhancing the penetration of urea into the skin layers, thereby maximizing its therapeutic effects.

Urea, as an active ingredient, serves multiple functions in dermatological care. It acts as a potent keratolytic, which means it helps to break down the protein keratin in the skin, aiding in the removal of dead skin cells. Additionally, urea is a well-known humectant, attracting and retaining moisture within the skin. This hydrating property helps to alleviate dryness and scaling, providing relief from the discomfort associated with dry skin disorders.

The 40% concentration of urea in this topical paste formulation is particularly suited for more severe or resistant skin conditions that require a stronger approach. It is important for patients to be aware that while urea can significantly improve skin texture and reduce symptoms, it may also cause a burning sensation or irritation when applied to broken or inflamed skin. Therefore, it is crucial to follow the directions provided by a healthcare professional regarding the application and duration of use.

For prescribers considering Urea 40% Topical Paste, it is essential to evaluate the patient's specific skin condition and the severity of symptoms to determine the appropriateness of this high-concentration urea treatment. Prescribers should instruct patients on the correct usage, including the amount to apply, frequency of application, and any specific precautions to take, such as avoiding contact with eyes or mucous membranes and not applying to open wounds.

Patients and prescribers who wish to use Urea 40% Topical Paste can expect a formulation that offers ease of application and precise dosage control. This paste can provide significant relief for patients suffering from various dermatological conditions by softening and exfoliating the skin while also providing necessary hydration. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is ready to assist you with any inquiries or concerns you may have regarding the use of Urea 40% Topical Paste.

Drug Interactions

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Urea 40% topical paste is a highly concentrated formulation used primarily for its keratolytic properties, which help to soften and remove thickened, calloused, or keratinized skin. When considering the use of urea 40% topical paste, it is important to be aware of potential drug interactions, although systemic interactions are less common with topical applications compared to oral medications.

One potential interaction is with other topical medications. Urea can enhance the penetration of other topical agents due to its keratolytic action, which could potentially increase the absorption and effects of other concurrently used topical drugs. This is particularly relevant for topical corticosteroids, retinoids, or other keratolytic agents. If urea 40% topical paste is used in conjunction with other topical treatments, it is advisable to apply them at different times of the day to minimize interactions unless directed otherwise by a healthcare provider.

Patients should also be cautious when using urea in combination with other forms of physical skin exfoliation, such as abrasive scrubs or chemical peels, as this may lead to excessive skin irritation or damage. It is recommended to avoid using other skin products that contain alcohol, astringents, spices, lime, or any other potential irritant in conjunction with urea 40% topical paste unless directed by a healthcare professional.

While systemic absorption of urea from topical application is minimal, patients with severely compromised skin barrier or extensive skin application should be monitored for potential systemic effects, especially in the case of renal impairment where urea metabolism and excretion may be affected. Caution is advised when using urea in patients who are taking medications that can affect renal function, such as diuretics or nephrotoxic agents.

It is also important to consider the patient's overall medication regimen, including over-the-counter products and supplements, as these could potentially interact with urea 40% topical paste. Patients should be encouraged to inform their healthcare provider of all medications and products they are using to ensure safety and efficacy of their treatment plan.

As with any medication, allergic reactions are possible. Patients with a known hypersensitivity to urea or any other components of the formulation should not use this product. Signs of an allergic reaction may include rash, itching, or swelling, and require immediate medical attention.

In conclusion, while urea 40% topical paste is generally safe with minimal risk of systemic drug interactions, it is important to consider the potential for enhanced absorption of other topical agents and the effects of combining keratolytic treatments. Patients should be advised to follow the application instructions carefully and to discuss any concerns or questions with their healthcare provider. If you have any questions or require further information regarding the use of urea 40% topical paste, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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The Urea 40% Topical Paste is a highly concentrated, semi-solid formulation specifically designed for external application to the skin. When dispensed in a tube, this paste provides a controlled and targeted delivery system for urea, which is the active ingredient. Urea is a hygroscopic compound, meaning it has the ability to attract and retain moisture. This property makes it an excellent keratolytic and humectant, which helps to hydrate and soften the skin, particularly in areas with thickened stratum corneum.

Upon application, the urea in the paste works by penetrating the upper layers of the skin, where it absorbs and retains water from the surrounding environment. This hydration effect helps to increase the skin's moisture content, leading to a softening of dry, rough, or scaly skin patches. Additionally, urea has the ability to break down the bonds between dead skin cells, promoting exfoliation of the stratum corneum. This action not only aids in the removal of scales but also enhances the penetration of other medications that may be used in conjunction with the urea paste.

By softening and exfoliating the skin, urea helps to reduce the thickness of the skin plaques associated with these conditions, providing relief from symptoms such as itching, scaling, and discomfort. The occlusive nature of the paste also creates a protective barrier over the skin, which not only prevents further moisture loss but also shields the skin from irritants and facilitates the healing process in cases of minor wounds or skin cracks.

For patients and prescribers considering the use of Urea 40% Topical Paste, it is important to note that the paste should be applied as directed, typically to clean, dry skin. The area of application should be limited to the affected skin regions, and care should be taken to avoid contact with eyes, mouth, or other mucous membranes. Patients should be advised that they may experience a mild burning or stinging sensation upon application, which is generally transient. If severe irritation occurs, use should be discontinued, and a healthcare provider should be consulted. As with any medication, adherence to the prescribed regimen and proper application techniques are crucial for achieving the desired therapeutic outcomes.

If you have any questions or require further information about the Urea 40% Topical Paste formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance needed to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is Urea 40% Topical Paste used for?

Urea 40% Topical Paste is used to soften and moisturize the skin, remove dead tissue, and enhance healing of wounds or skin conditions such as psoriasis, eczema, corns, callus formations, and some nail problems. Its efficacy is due to its keratolytic properties, which help in the breakdown of the keratin in the skin, facilitating the shedding of the outermost layer.

How should I apply Urea 40% Topical Paste?

To apply, clean the affected area and then gently rub in a thin layer of the paste. Be sure to wash your hands before and after the application unless your hands are the area being treated. Follow the specific instructions provided by your healthcare provider for the best results.

Can I use Urea 40% Topical Paste on open wounds?

You should not use this medication on open, bleeding, or infected wounds without medical advice. The paste is typically used for localized treatment of unbroken skin or closed wound care. Always consult with a healthcare provider before applying to any type of wound.

How often should I use Urea 40% Topical Paste?

The frequency of application will depend on your condition and the advice of your healthcare provider. Do not use it more often than prescribed, as excessive use may lead to irritation or an increased risk of side effects.

Is it safe to cover the area with a bandage after applying Urea 40% Topical Paste?

Depending on your condition, you may be advised to cover the treated area with a bandage or other dressing. Occlusive dressings can increase the absorption of the active ingredient, but you should do so only under the direction of your healthcare provider.

What should I do if I miss a dose?

If you miss a dose of Urea 40% Topical Paste, apply it as soon as you remember. However, 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 make up for the missed one.

Are there any side effects of using Urea 40% Topical Paste?

Possible side effects include mild burning, itching, or redness at the application site. Serious side effects are rare when the product is used as directed. If you notice any severe reactions or symptoms of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek immediate medical attention.

Can I use other skin products in conjunction with Urea 40% Topical Paste?

You should discuss the use of other skin products while using Urea 40% Topical Paste with your healthcare provider, as there could be potential interactions or increased skin irritation when combining products.

How should I store Urea 40% Topical Paste?

Store at room temperature away from direct sunlight and heat. Do not freeze the paste, and keep the tube tightly closed when not in use. Keep out of reach of children and pets.

Is Urea 40% Topical Paste suitable for children?

This medication may be prescribed for children; however, it is important to use it under the supervision of a healthcare provider, as children's skin can be more sensitive to topical treatments.

Can I use Urea 40% Topical Paste if I am pregnant or breastfeeding?

Before using Urea 40% Topical Paste during pregnancy or while breastfeeding, consult with your healthcare provider. They will assess the benefits and risks associated with using the medication during these times.

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.

Urea 40% Topical Paste
Topical Paste
30 g
controlled

Apply topically to affected area(s)

Twice daily