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Formulas

Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules (For Nasal Irrigation/Nebulizer)

FDA-approved generic
Dose form
Nasal Irrigation/Nebulizer Capsules
Active ingredients
Tobramycin Sulfate
Betamethasone
Vancomycin Hydrochloride

This compounded formulation consists of Vancomycin 200 mg, Tobramycin 125 mg, and Betamethasone 0.5 mg in a single capsule. It is specifically designed for nasal irrigation or nebulization, providing targeted treatment for conditions such as Chronic Sinusitis, Rhinosinusitis, Allergic Rhinitis, Nasal Polyps, and Nasal Congestion. The contents of each capsule are intended to be mixed with a saline solution and used with the NeilMed™ Sinus Rinse for effective nasal irrigation. If you have any queries regarding this formulation, please feel free to contact us.

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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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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.
Tobramycin Sulfate
Betamethasone
Vancomycin Hydrochloride
Nasal Irrigation/Nebulizer Capsules
6427079ea6432470ba51932e
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 specially compounded formulation of Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules for Nasal Irrigation/Nebulizer. This unique formulation is designed to address a range of respiratory conditions, including Cystic Fibrosis, Chronic Obstructive Pulmonary Disease, Bronchiectasis, Asthma, and Allergic Rhinitis.

The formulation combines the power of three potent medications. Vancomycin, an antibiotic, works by inhibiting bacterial growth. Tobramycin, an aminoglycoside antibiotic, functions by eliminating bacteria. Betamethasone, a corticosteroid, reduces inflammation. Together, these medications work synergistically to combat infection and reduce inflammation in the nasal passages.

This compounded formulation is prepared in solid dosage forms. The contents of one capsule are intended to be emptied and mixed with a saline solution for irrigation or nebulization as directed. This allows for targeted administration of the medication, ensuring that the active ingredients reach the affected areas effectively.

The recommended method of use is for Nasal Irrigation with the NeilMed™ Sinus Rinse. The contents of one capsule should be emptied into a standard volume (8oz) of NeilMed™ Sinus Rinse and used to irrigate 1/2 bottle per nostril twice daily. This method ensures that the medication is delivered directly to the nasal passages, providing relief from symptoms and promoting healing.

If you have any questions about this formulation or its use, our team of compounding pharmacists at Bayview Pharmacy is available to assist. We are committed to providing comprehensive information and guidance to ensure that you can use our compounded medications safely and effectively.

Drug Interactions

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Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules are a compounded medication designed for targeted treatment of various respiratory conditions such as Cystic Fibrosis, Chronic Obstructive Pulmonary Disease, Bronchiectasis, Asthma, and Allergic Rhinitis.

The contents of each capsule are intended to be emptied and mixed with a saline solution for nasal irrigation or nebulization as directed. This method of administration allows for the medication to directly target the nasal passages, reducing inflammation and swelling, and thereby facilitating easier breathing.

This formulation is specifically designed for use with the NeilMed™ Sinus Rinse system for nasal irrigation. Proper use of this system in conjunction with the medication can significantly alleviate symptoms associated with the aforementioned respiratory conditions. It is crucial to adhere to the usage instructions for this formulation to ensure its effectiveness and to avoid potential adverse effects.

If you have any queries or concerns regarding this formulation or its usage, please do not hesitate to contact us at Bayview Pharmacy. Our team is committed to providing you with the necessary guidance to ensure you receive the maximum benefit from your medication.

How Does it Work

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Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules are a specially compounded medication designed to treat a range of respiratory diseases. These include Cystic Fibrosis, Chronic Obstructive Pulmonary Disease, Bronchiectasis, Asthma, and Allergic Rhinitis. The unique formulation of this medication allows it to be used for Nasal Irrigation, specifically with the NeilMed™ Sinus Rinse system.

The medication contains three active ingredients: Vancomycin, Tobramycin, and Betamethasone. Vancomycin and Tobramycin are antibiotics that work by inhibiting the growth of bacteria, effectively treating bacterial infections. Betamethasone, on the other hand, is a corticosteroid that reduces inflammation in the body by decreasing the activity of the immune system.

This compounded formulation is designed to target and treat bacterial infections in the nasal passages, while also reducing inflammation. This dual-action treatment can help alleviate symptoms associated with the aforementioned respiratory diseases, providing relief and improving the quality of life for patients.

If you have any questions about this formulation or its usage, please do not hesitate to contact us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of this compounded formulation of Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules?

This compounded formulation is designed to be used for nasal irrigation or nebulization. It allows for targeted administration of the medication, which can be beneficial in treating specific conditions.

How do I use this medication?

The contents of one capsule are intended to be emptied and mixed with a saline solution. This mixture is then used for irrigation or nebulization as directed by your healthcare provider.

What are the active ingredients in this compounded formulation?

The active ingredients in this formulation are Vancomycin 200 mg, Tobramycin 125 mg, and Betamethasone 0.5 mg.

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

Vancomycin and Tobramycin are antibiotics that fight bacteria, while Betamethasone is a steroid that reduces inflammation.

Can I swallow this capsule?

No, this capsule is not intended for oral consumption. The contents of the capsule should be mixed with a saline solution and used for nasal irrigation or nebulization.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. 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.

What are the potential side effects of this medication?

Side effects can vary depending on the individual and the condition being treated. Common side effects may include irritation or discomfort at the application site. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

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

Before using this medication, inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. They will be able to advise you on the potential risks and benefits.

Can I use this medication with other medications?

Before starting any new medication, including this compounded formulation, inform your healthcare provider about all the medications you are currently taking. This includes prescription medications, over-the-counter drugs, and any supplements.

How should I store this medication?

Store this medication at room temperature, away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

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.

Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules (For Nasal Irrigation/Nebulizer)
Nasal Irrigation/Nebulizer Capsules
1000 mL
controlled

Empty contents of 1 capsule and mix with saline solution and irrigate/nebulize

Sig: Vancomycin 200 mg/Tobramycin 125 mg/Betamethasone 0.5 mg Capsules, empty contents of 1 capsule and mix with saline solution and irrigate/nebulize as directed every 12 hours.
Every 12 hours