Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Betamethasone Valerate 2.4 mg/mL/Lidocaine HCl 20 mg/mL/Miconazole Nitrate 20 mg/mL Topical Spray

This topical spray formulation combines Betamethasone Valerate, Lidocaine HCl, and Miconazole Nitrate to provide a comprehensive treatment for inflammatory skin conditions, fungal infections, and localized pain relief. The Betamethasone Valerate acts as a potent anti-inflammatory agent, reducing swelling and irritation. Lidocaine HCl offers rapid pain relief by numbing the affected area, while Miconazole Nitrate effectively targets and treats fungal infections. This liquid formulation is contained in a spray bottle, allowing for easy and targeted application with a fine mist, ensuring efficient delivery of the active ingredients to the affected skin areas.

Want a different strength?
Click the Text Us button below.
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
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Topical Spray
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

This compounded topical spray combines Betamethasone Valerate 2.4 mg/mL, Lidocaine HCl 20 mg/mL, and Miconazole Nitrate 20 mg/mL in a liquid formulation, specifically designed for convenient and efficient application to the skin. The spray bottle delivers a fine mist, allowing for easy and targeted application to affected areas without the need for direct contact, which is especially beneficial for sensitive or painful skin conditions.

Betamethasone Valerate is a potent corticosteroid that reduces inflammation, itching, and redness associated with various skin disorders. It works by suppressing the release of inflammatory substances in the body, providing relief from symptoms and aiding in the healing process.

Lidocaine HCl acts as a local anesthetic by blocking nerve signals in the body, resulting in temporary numbness or loss of sensation in the area where it is applied. This helps alleviate pain and discomfort associated with skin irritations, rashes, or other dermatological conditions.

Miconazole Nitrate is an antifungal agent effective against a wide range of fungal organisms. It inhibits the synthesis of ergosterol, a critical component of fungal cell membranes, leading to cell death. This makes it particularly useful in treating fungal skin infections such as athlete’s foot, jock itch, ringworm, and yeast infections.

The combination of these active ingredients provides a comprehensive approach to treating skin conditions that involve inflammation, pain, and fungal infections. The anti-inflammatory properties of Betamethasone Valerate reduce swelling and redness, Lidocaine HCl provides immediate pain relief, and Miconazole Nitrate addresses the underlying fungal infection. This synergistic effect enhances the overall efficacy of the treatment.

For patients, this topical spray offers a convenient and painless method of application. The spray can be applied directly to the affected area without the need to touch the skin, reducing the risk of further irritation or infection spread. It allows for even distribution of the medication, ensuring consistent treatment across the entire affected region.

Prescribers may find this formulation beneficial for patients who require multi-faceted treatment for dermatological conditions involving inflammation, pain, and fungal infection. It simplifies the treatment regimen by combining three therapeutically active agents into one application, potentially improving patient compliance and outcomes.

Patients should use the spray as directed by their healthcare provider, typically applying a thin layer to the affected area. It is important to follow dosing instructions carefully and to not use the spray more frequently or for a longer duration than recommended. Patients should inform their healthcare provider of any other medications they are using to avoid potential interactions.

Possible side effects may include mild irritation, burning, or redness at the application site. If patients experience severe reactions, signs of allergic response, or worsening of the condition, they should discontinue use and consult their healthcare provider promptly.

If you have any questions about this compounded topical spray or its suitability for your specific condition, please reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to provide you with personalized information and support.

Drug Interactions

A small arrow pointing down

When using the Betamethasone Valerate 2.4 mg/mL/Lidocaine HCl 20 mg/mL/Miconazole Nitrate 20 mg/mL Topical Spray, it is important to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. This formulation combines a corticosteroid, an anesthetic, and an antifungal agent, each of which can interact with other medications or substances.

Betamethasone Valerate, a potent corticosteroid, may interact with other topical or systemic corticosteroids, potentially increasing the risk of systemic side effects such as adrenal suppression, Cushing's syndrome, or hyperglycemia. Patients using other corticosteroid-containing products should be monitored closely, and prescribers should consider the cumulative effects of corticosteroid exposure.

Lidocaine HCl, a local anesthetic, can interact with antiarrhythmic drugs, particularly class I antiarrhythmics like mexiletine and tocainide, as they may have additive cardiac effects. Additionally, caution is advised when using lidocaine with other local anesthetics or medications that affect cardiac conduction, as this may increase the risk of cardiac arrhythmias. Patients with pre-existing cardiac conditions should be monitored for any changes in heart rhythm or function.

Miconazole Nitrate, an antifungal agent, is known to inhibit the cytochrome P450 enzyme CYP3A4. This can lead to increased plasma concentrations of drugs metabolized by this enzyme, such as certain statins, anticoagulants like warfarin, and some immunosuppressants. Patients taking these medications should be monitored for signs of toxicity, and dose adjustments may be necessary. Additionally, miconazole may interact with other topical antifungal agents, potentially altering their effectiveness.

It is also important to consider the potential for interactions with over-the-counter products, herbal supplements, and other topical agents. Patients should inform their healthcare provider of all medications and supplements they are currently using to avoid any adverse interactions. Prescribers should evaluate the patient's complete medication profile to ensure safe and effective use of this topical spray.

Patients should be advised to report any unusual symptoms or side effects to their healthcare provider promptly. If you have any questions or concerns about potential drug interactions with this formulation, please reach out to us at Bayview Pharmacy. We are here to provide guidance and support for both patients and prescribers.

How Does it Work

A small arrow pointing down

The Betamethasone Valerate 2.4 mg/mL/Lidocaine HCl 20 mg/mL/Miconazole Nitrate 20 mg/mL Topical Spray is a specialized formulation designed to address a variety of dermatological conditions through a synergistic combination of active ingredients. This liquid formulation is contained in a spray bottle, allowing for precise and convenient application directly to the skin. The spray mechanism ensures that the medication is delivered as a fine mist, facilitating even distribution over the affected area and promoting optimal absorption and efficacy.

Betamethasone Valerate is a potent corticosteroid that works by reducing inflammation, redness, and swelling associated with various skin conditions. It achieves this by inhibiting the release of inflammatory mediators and suppressing the immune response in the skin. This action helps alleviate symptoms such as itching, irritation, and discomfort, providing relief to patients suffering from inflammatory dermatoses.

Lidocaine HCl is a local anesthetic that provides rapid pain relief by blocking sodium channels in nerve cells, thereby preventing the transmission of pain signals to the brain. This component is particularly beneficial for patients experiencing pain or discomfort due to skin irritation or inflammation, as it offers immediate relief and enhances patient comfort during the healing process.

Miconazole Nitrate is an antifungal agent that targets and inhibits the growth of fungi and yeast on the skin. It works by disrupting the synthesis of ergosterol, a key component of fungal cell membranes, leading to cell death. This makes the formulation effective in treating fungal infections such as athlete's foot, jock itch, and ringworm, as well as preventing secondary infections in compromised skin areas.

The combination of these three active ingredients in a topical spray form allows for a comprehensive approach to treating skin conditions that involve inflammation, pain, and fungal infections. The spray application ensures that the medication is applied directly to the affected area, minimizing systemic absorption and reducing the risk of side effects. This targeted delivery system is particularly advantageous for patients who require localized treatment and prefer a non-invasive, easy-to-use option.

For prescribers, this formulation offers a versatile treatment option that can be tailored to the specific needs of patients with complex dermatological conditions. It is important to assess the patient's condition and consider any potential contraindications or interactions with other medications they may be using. Patients should be advised on the proper use of the spray, including the frequency and duration of application, to ensure optimal results.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is here to assist you with any inquiries or concerns you may have.

Other Uses

A small arrow pointing down

The Betamethasone Valerate 2.4 mg/mL/Lidocaine HCl 20 mg/mL/Miconazole Nitrate 20 mg/mL Topical Spray is a versatile formulation that can be utilized for a variety of off-label uses beyond its primary indications. This combination of active ingredients offers anti-inflammatory, anesthetic, and antifungal properties, making it potentially beneficial for a range of dermatological conditions. For patients experiencing localized pain and inflammation due to minor skin irritations, insect bites, or allergic reactions, the inclusion of Betamethasone Valerate and Lidocaine HCl can provide both anti-inflammatory effects and immediate pain relief. The spray formulation allows for easy application to sensitive or hard-to-reach areas, ensuring that the medication is delivered directly to the site of discomfort.

Additionally, the antifungal properties of Miconazole Nitrate make this spray a potential option for managing fungal skin infections that may not be the primary target of treatment. For instance, it could be used as an adjunct therapy in cases of athlete's foot or jock itch, where inflammation and itching are prominent symptoms. The combination of ingredients may also be beneficial in managing symptoms associated with intertrigo, a condition characterized by inflammation and infection in skin folds, where both fungal elements and inflammation are present.

For prescribers, this formulation offers a multifaceted approach to treating complex skin conditions where multiple symptoms coexist, such as inflammation, pain, and fungal infection. The convenience of a spray bottle allows for a non-invasive application, reducing the risk of contamination and ensuring even distribution of the medication. This can be particularly advantageous in a clinical setting where ease of use and patient compliance are critical. Patients should be advised to use the spray as directed and to report any adverse reactions or lack of improvement to their healthcare provider. As always, if you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

A small arrow pointing down

What is Betamethasone Valerate 2.4 mg/mL/Lidocaine HCl 20 mg/mL/Miconazole Nitrate 20 mg/mL Topical Spray used for?

This topical spray is used for treating inflammatory skin conditions, providing pain relief, and addressing fungal infections. Betamethasone Valerate is a corticosteroid that reduces inflammation, Lidocaine HCl is a local anesthetic that relieves pain, and Miconazole Nitrate is an antifungal agent.

How should I apply this topical spray?

Shake the spray bottle well before use. Hold the bottle about 6-8 inches away from the affected area and spray a fine mist evenly over the skin. Allow it to dry naturally. Do not cover the treated area unless directed by a healthcare provider.

How often can I use this spray?

The frequency of application should be as directed by your healthcare provider. Typically, it may be applied 2-3 times daily, but follow the specific instructions given to you.

Can I use this spray on open wounds?

No, this spray should not be applied to open wounds, broken skin, or mucous membranes. It is intended for use on intact skin only.

Are there any side effects associated with this spray?

Some possible side effects include skin irritation, redness, or a burning sensation at the application site. If you experience severe side effects or an allergic reaction, discontinue use and consult your healthcare provider immediately.

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

If you are pregnant or breastfeeding, consult your healthcare provider before using this spray to ensure it is safe for you and your baby.

Is this spray suitable for children?

Consult a healthcare provider before using this spray on children, as they may require a different dosage or formulation.

How should I store this topical spray?

Store the spray at room temperature, away from direct sunlight and heat. Keep it out of reach of children and pets.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose to catch up.

Can I use other skin products while using this spray?

Before using other skin products, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatment.

Related Formulas

Related Products
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.