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Formulas

Cimetidine 2%/Deoxy Glucose 0.2%/Fluorouracil 5%/Imiquimod 2.5%/Salicylic Acid 40% Topical Cream

This formulation is a compounded topical cream containing Cimetidine 2%, Deoxy Glucose 0.2%, Fluorouracil 5%, Imiquimod 2.5%, and Salicylic Acid 40%. It is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. The cream is intended for localized treatment or absorption of active ingredients.

The combination of these active ingredients is used to treat a variety of disease states. Cimetidine is a histamine H2-receptor antagonist that is commonly used to treat gastrointestinal ulcers. Deoxy Glucose is a glucose analog that interferes with cellular metabolism, and is used in cancer treatment. Fluorouracil is a chemotherapy medication used to treat various types of cancer. Imiquimod is an immune response modifier used to treat actinic keratosis, superficial basal cell carcinoma, and external genital warts. Salicylic Acid is a keratolytic agent used to treat skin conditions such as psoriasis, dandruff, acne, and warts.

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Fluorouracil
Imiquimod
Salicylic Acid
Cimetidine Hydrochloride
Deoxy-D-Glucose
Topical Cream
653a9887f295f84f9b98ebff
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Formula Information

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This formulation is a topical cream that combines Cimetidine, Deoxy Glucose, Fluorouracil, Imiquimod, and Salicylic Acid. Each of these active ingredients plays a crucial role in treating various skin conditions. The cream is dispensed in a pump mechanism, which allows for easy and controlled application on the skin.

Cimetidine 2% is a histamine H2-receptor antagonist that is commonly used to treat gastric and duodenal ulcers. However, in this formulation, it is used for its potential antitumor and immune-modulating effects. It may enhance the body's immune response to abnormal skin cells.

Deoxy Glucose 0.2% is a glucose analog that interferes with the metabolism of glucose in cells, which can lead to cell death. This is particularly useful in treating skin conditions where abnormal cell growth is a problem, such as in certain types of skin cancers.

Fluorouracil 5% is a chemotherapy medication that works by blocking the formation of DNA in cells, thereby preventing cell division and growth. This makes it effective in treating various types of skin cancers and pre-cancerous conditions.

Imiquimod 2.5% is an immune response modifier that stimulates the body's immune system to fight certain skin diseases. It is commonly used to treat actinic keratosis (a skin condition caused by sun damage), superficial basal cell carcinoma, and external genital warts.

Salicylic Acid 40% is a keratolytic (peeling agent) that causes shedding of the outer layer of skin. It is used to treat conditions such as psoriasis, dandruff, acne, ringworm, and ichthyosis.

This formulation is designed for localized treatment, meaning it should be applied only to the affected area of the skin. It is important to follow the prescriber's instructions on how to use this medication to ensure its effectiveness and to minimize potential side effects. As with any medication, it is crucial to inform the prescriber of any other medications being taken, as well as any known allergies or medical conditions.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This topical cream formulation combines several active ingredients, each with its own mechanism of action and potential for drug interactions. It is important for patients and prescribers to be aware of these potential interactions to ensure safe and effective use of this medication.

Cimetidine is a histamine H2-receptor antagonist that inhibits the production of stomach acid. It can interact with a wide range of medications by inhibiting certain liver enzymes (CYP450) involved in drug metabolism. This can increase the levels of these medications in the body, potentially leading to increased side effects. Some of the drugs that can interact with cimetidine include warfarin, phenytoin, theophylline, and certain antidepressants.

Deoxy Glucose is a glucose analog that is taken up by cells but cannot be metabolized, effectively starving them of energy. It is used in this formulation for its potential anti-cancer effects. There are no known significant drug interactions with deoxy glucose.

Fluorouracil is a chemotherapy drug that works by interfering with DNA and RNA synthesis in cancer cells, causing them to die. It can interact with a number of other medications, including leucovorin, which can increase its toxicity, and cimetidine, which can increase its levels in the body. Fluorouracil can also increase the effects of warfarin.

Imiquimod is an immune response modifier used to treat certain skin conditions. It works by stimulating the immune system to attack abnormal cells. There are no known significant drug interactions with imiquimod.

Salicylic Acid is a keratolytic agent that works by causing the cells of the epidermis to shed more readily, opening clogged pores and neutralizing bacteria within. It can interact with other topical medications, particularly those that can cause skin irritation, such as retinoids and benzoyl peroxide.

It is important to note that while this formulation is designed for topical use, systemic absorption can still occur, particularly with prolonged use or application to large areas of skin. Therefore, potential drug interactions should still be considered.

This formulation is designed to treat a variety of skin conditions, including certain types of skin cancer and precancerous conditions, warts, and other skin disorders. The combination of active ingredients works to kill abnormal cells, stimulate the immune system, and promote healthy skin cell turnover.

If you have any questions about this formulation or potential drug interactions, please do not hesitate to reach out to us. We are here to help ensure that you can use this medication safely and effectively.

How Does it Work

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This topical cream is a combination of five active ingredients: Cimetidine, Deoxy Glucose, Fluorouracil, Imiquimod, and Salicylic Acid. Each of these ingredients plays a unique role in treating various skin conditions.

Cimetidine is a histamine H2-receptor antagonist. It works by reducing the amount of acid produced in the stomach, which can help in the treatment of certain skin conditions like warts. It is believed to enhance the immune response to viral infections, thereby aiding in the removal of warts.

Deoxy Glucose is a glucose molecule that has been modified. It works by interfering with the metabolism of cancer cells, causing them to die. This makes it useful in the treatment of certain types of skin cancer.

Fluorouracil is a type of chemotherapy medication. It works by blocking the action of an enzyme needed for cell replication. By doing this, it prevents the growth of cancerous cells. It is used to treat various types of skin cancer and pre-cancerous skin conditions.

Imiquimod is an immune response modifier. It works by stimulating the immune system to release certain substances which help to fight viruses and skin conditions, including certain types of skin cancer and genital warts.

Salicylic Acid is a keratolytic (peeling agent). It works by causing the outer layer of skin to shed. It is used to treat conditions such as psoriasis, dandruff, acne, and seborrheic dermatitis, and to remove corns, calluses, and warts.

This formulation is dispensed in a pump mechanism, which allows for convenient and controlled application on the skin. The cream is designed to be absorbed by the skin, delivering the active ingredients directly to the affected area. This localized treatment can help to reduce side effects and increase the effectiveness of the medication.

It's important to note that this is a potent formulation and should be used under the guidance of a healthcare provider. The cream should be applied as directed by your healthcare provider, typically once or twice daily. It's also important to avoid contact with the eyes, nose, and mouth.

If you have any questions about this formulation, or if you are experiencing any side effects, please reach out to us at Bayview Pharmacy. We are here to help and provide you with the information you need to use this medication safely and effectively.

Other Uses

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This distinct blend of active ingredients in Cimetidine 2%/Deoxy Glucose 0.2%/Fluorouracil 5%/Imiquimod 2.5%/Salicylic Acid 40% Topical Cream has documented uses predominantly for the treatment of various dermatological conditions including warts, basal cell carcinoma, and actinic keratosis. However, the ingredients in the formulation have exhibited potential in addressing other pathologies when used independently or synergistically.

For instance, Cimetidine, an H2-receptor antagonist, has been used off-label for the treatment of herpes zoster or shingles to enhance immune response. Similarly, it might help with molluscum contagiosum, an infectious skin condition. Deoxy Glucose, on the other hand, has been reported to inhibit the growth of cancer cells, indicating potential anticancer properties. Hence, other than its primary use in synergism with Fluorouracil for basal cell carcinoma treatment, it might have other emerging applications in cancer treatment methodologies that work based on glycolysis inhibition.

Fluorouracil is a chemotherapy medication traditionally used in treating several types of cancer including colon, rectal, breast, stomach, and pancreatic cancer. It could hypothetically be used topically for these conditions, though systemic administration is generally preferred. Similarly, Imiquimod's immune response modifier properties make it useful for the treatment of genital warts, superficial basal cell carcinoma, and actinic keratosis. But research is also exploring its possible effectiveness in handling other viral infections and potential cancerous lesions.

Salicylic Acid is well recognized as an exfoliant and can be used to treat a variety of skin conditions including acne, psoriasis, calluses, corns, keratosis pilaris, and ichthyoses. The high concentration within this formulation typically signifies its major role in addressing warts and calluses, but it can be potentially beneficial for other dermatological conditions as mentioned.

This potent mixture of active ingredients lends itself to a multitude of potential applications in dermatology and beyond. However, it's crucial to remember that these 'other uses' are generally considered off-label and may not have widespread clinical research to support their efficacy or safety. As always, any off-label use should be meticulously discussed with a healthcare provider to evaluate the potential risks and benefits. Should there be any questions or concerns regarding the application or potential uses of this compound, we encourage you to contact us at Bayview Pharmacy for more detailed and personalized information.

Frequently Asked Questions

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What is this compounded formulation of Cimetidine 2%/Deoxy Glucose 0.2%/Fluorouracil 5%/Imiquimod 2.5%/Salicylic Acid 40% Topical Cream used for?

It's a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. Its components often work together to treat a variety of dermatological conditions, including warts, skin cancer, and other skin disorders.

How do I properly store this cream?

Store this medication at room temperature, away from heat, light, and moisture. Keep it out of reach of children and pets.

How should I apply this cream?

This cream should be applied to the affected area(s) as directed by your healthcare provider. Always clean and dry the area before applying the cream.

What if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule.

What should I do in case of an overdose?

If an overdose is suspected (such as application over a large area leading to system-wide symptoms), contact your local poison control center or seek immediate medical attention.

What are the potential side effects of this medication?

Local skin reactions like redness, swelling, itching or burning sensations may occur. More severe side effects can occur if the medication is not used properly, and should be reported to your healthcare provider as soon as possible.

Can I use other topical medications with this cream?

Always consult your healthcare provider before using other medications or skin products in combination with this cream as it may alter its effectiveness or cause unwanted side effects.

Should I use this cream if I'm pregnant or breastfeeding?

If you're pregnant or breastfeeding, it's crucial to discuss all medications, including topical treatments, with your healthcare provider to understand their potential risks and benefits.

Can I apply this cream to broken or irritated skin?

Generally, topical creams should not be applied to broken or irritated skin unless specifically instructed by your healthcare provider, as they could potentially exacerbate the symptoms.

How long will it take for this cream to work?

The effects of the cream may begin to be noticeable within a few days or weeks of consistent use, depending on the nature and severity of your skin condition. However, complete healing may take several weeks or months.

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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.