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Clotrimazole 1%/Dimethyl Sulfoxide 35%/Ketoconazole 1%/Itraconazole 1% Tea Tree Oil 10%/Terbinafine HCL 1.7% Topical Nail Lacquer

This formulation is a specialized topical nail lacquer, composed of Clotrimazole 1%, Dimethyl Sulfoxide 35%, Ketoconazole 1%, Itraconazole 1%, Tea Tree Oil 10%, and Terbinafine HCL 1.7%. It is specifically designed to treat a variety of nail conditions, including fungal infections, brittleness, and discoloration.

The unique combination of antifungal agents (Clotrimazole, Ketoconazole, Itraconazole, and Terbinafine HCL) works synergistically to combat fungal infections, while Dimethyl Sulfoxide enhances the penetration of these medications, ensuring they reach the site of infection. Tea Tree Oil, a natural antiseptic, further aids in the treatment of fungal infections and promotes healthy nail growth.

By delivering these therapeutic agents directly to the nails, this formulation not only treats the underlying conditions but also improves the overall appearance of the nails, promoting healthy and strong nail growth.

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Nail Solution
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Formula Information

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This unique formulation combines several potent antifungal agents, including Clotrimazole, Ketoconazole, Itraconazole, and Terbinafine HCL, with Dimethyl Sulfoxide (DMSO) and Tea Tree Oil, all suspended in a topical nail lacquer. The antifungal agents work synergistically to inhibit the growth of fungi by disrupting the cell membrane, thereby treating and preventing fungal infections of the nail. Clotrimazole, Ketoconazole, and Itraconazole are broad-spectrum antifungal agents that are effective against a variety of fungi, including dermatophytes, yeasts, and molds. Terbinafine HCL is particularly effective against dermatophytes, the most common cause of nail fungus.

Dimethyl Sulfoxide (DMSO) is included in the formulation for its ability to enhance the penetration of the antifungal agents into the nail. This is particularly important in the treatment of nail fungal infections, as the nail plate can often be a barrier to effective treatment. DMSO is also known for its anti-inflammatory and analgesic properties, which can help to alleviate any associated symptoms such as inflammation or pain.

Tea Tree Oil is a natural antiseptic and antifungal agent that has been used traditionally for the treatment of fungal infections. It also has anti-inflammatory properties that can help to soothe the skin around the nail. Furthermore, it can help to improve the overall appearance of the nails by promoting healthy nail growth and reducing discoloration.

The formulation is designed to be applied topically to the nails, providing targeted treatment for nail conditions. The lacquer form allows for a sustained release of the medication, ensuring that the active ingredients remain in contact with the nail for a prolonged period. This can enhance the effectiveness of the treatment and reduce the frequency of application.

Patients using this formulation should apply it as directed by their healthcare provider, typically once or twice daily. It is important to continue the treatment for the full course, even if the symptoms appear to have resolved, to ensure the complete eradication of the fungus. Side effects are generally mild and may include local irritation or a burning sensation at the application site. If these persist or worsen, or if any other side effects occur, patients should consult their healthcare provider.

Prescribers should consider this formulation for patients with nail fungal infections who have not responded to other treatments, or for those who prefer a topical treatment. It may also be suitable for patients with multiple infected nails, as the lacquer can be easily applied to all affected nails. As with all medications, prescribers should consider the patient's overall health status, other medications, and any potential drug interactions before prescribing this formulation.

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

Drug Interactions

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This formulation contains several active ingredients, each with its own potential for drug interactions. Clotrimazole, Ketoconazole, Itraconazole, and Terbinafine HCL are all antifungal agents that can interact with a variety of other medications. For instance, Ketoconazole and Itraconazole can both increase the effects of many other drugs by affecting liver enzymes that break down these drugs. This can lead to increased levels of these drugs in the body and increase the risk of side effects. Some of the drugs that can interact with Ketoconazole and Itraconazole include certain types of antidepressants, antipsychotics, benzodiazepines, calcium channel blockers, certain antibiotics, and certain antiviral medications.

Terbinafine HCL can also interact with other drugs, including certain types of antidepressants, beta-blockers, and antiarrhythmic medications. It can also interact with certain types of antifungal medications, potentially reducing their effectiveness. Clotrimazole is generally considered to have a low potential for drug interactions, but it can interact with certain types of medications, including certain types of antibiotics and antifungal medications.

Dimethyl Sulfoxide (DMSO) is a solvent that can enhance the absorption of other drugs, potentially increasing their effects and the risk of side effects. It can also interact with certain types of medications, including certain types of anticoagulants and antiplatelet drugs, increasing the risk of bleeding. Tea Tree Oil is generally considered to have a low potential for drug interactions, but it can interact with certain types of medications, including certain types of antifungal medications, potentially reducing their effectiveness.

This formulation is designed to treat nail conditions such as fungal infections, brittleness, or discoloration. The antifungal agents work by inhibiting the growth of the fungi that cause these conditions, while the DMSO enhances the absorption of these agents, making them more effective. The Tea Tree Oil also has antifungal properties and can help to improve the overall appearance of the nails.

It's important for patients and prescribers to be aware of these potential drug interactions and to monitor for any signs of increased side effects or reduced effectiveness of other medications. If you have any questions about this formulation or its potential interactions with other medications, please don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

How Does it Work

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This unique formulation combines several active ingredients, each with its own mechanism of action, to provide a comprehensive treatment for nail conditions. Clotrimazole, Ketoconazole, Itraconazole, and Terbinafine HCL are all antifungal agents that work by inhibiting the growth of fungus on the nails. They disrupt the cell membranes of the fungus, causing their contents to leak out and leading to the death of the fungal cells. This helps to clear the infection and prevent it from spreading.

Dimethyl Sulfoxide (DMSO) is a solvent that enhances the absorption of the other active ingredients into the nail. It helps to carry the antifungal agents deeper into the nail bed where the infection resides, ensuring that the medication reaches the site of infection. This increases the effectiveness of the treatment and speeds up the healing process.

Tea Tree Oil is a natural antiseptic and antifungal agent. It helps to kill the fungus and bacteria on the surface of the nail, preventing further infection. It also has anti-inflammatory properties that can help to reduce redness and swelling around the nail.

Terbinafine HCL is an antifungal medication that works by stopping the growth of fungus. It does this by inhibiting an enzyme necessary for the fungus to make ergosterol, a component of the fungal cell membrane. Without ergosterol, the cell membrane becomes unstable and this leads to the death of the fungal cells.

The formulation is presented as a nail lacquer, which is a type of nail polish. This allows for easy application to the nails and provides a protective barrier that helps to keep the medication on the nail. The lacquer also helps to seal in moisture, which can help to improve the appearance of the nails and promote healthy nail growth.

This formulation is designed to treat a variety of nail conditions, including fungal infections, brittleness, and discoloration. By delivering the medication directly to the nails, it provides targeted treatment that can help to improve the health and appearance of the nails. If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy.

Other Uses

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This versatile formulation, with Clotrimazole, Dimethyl Sulfoxide, Ketoconazole, Itraconazole, Tea Tree Oil, and Terbinafine HCL, has a wide range of uses beyond treating nail conditions and fungal infections. Given its ability to be absorbed through the skin, it can be used to treat other dermal mycoses beyond just those affecting nails, specifically ones that are resistant to conventional treatments. Such mycoses include ringworm, athlete’s foot, jock itch, and other superficial skin fungal infections. Its antifungal agents are potent in combating these infections, while the Dimethyl Sulfoxide enhances penetration, ensuring that the medication reaches deeper layers of the skin.

Additionally, the Tea Tree Oil component also lends itself to treating dandruff caused by yeast-like fungus and soothing skin irritation. Its antimicrobial properties make it a potential option for treating acne and other bacterial skin infections. Terbinafine HCL, besides its antifungal properties, has anti-inflammatory actions which can help with various skin inflammations. It's important to note that the formulation should always be used under the guidance of a healthcare provider to ensure appropriate application.

Other possible uses hinge on the individual components of the formulation. Ketoconazole and Itraconazole, for instance, have also been utilized systemically to treat ongoing fungal infections in various body parts. However, in this topical formulation, systemic absorption is likely to be limited. Yet, it's theoretically not impossible, with adequate use over large areas of skin, for these ingredients to afford some systemic antifungal protection.

It's vital to consider individual patient allergies and sensitivities, especially to any component of this formulation, before suggesting its extended use. Overall, while this formulation was designed specifically for nail applications, its components provide wider applications in treating a range of skin and scalp conditions. However, patients and prescribers are encouraged to discuss specific indications, medical histories, allergies, and sensitivities before considering this formulation for other uses.

If you have any questions about this exciting multifaceted formulation or its potential uses, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is always ready and willing to assist you.

Frequently Asked Questions

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What is this topical nail lacquer used for?

This liquid formulation has been specifically designed for topical application on nails to provide targeted treatment for nail conditions such as fungal infections, brittleness, or discoloration. It delivers medication directly to the nails promoting healthy nail growth and improving overall nail appearance.

What is the best way to apply this nail lacquer?

Before applying the lacquer, make sure to clean and dry the affected nail. Apply it evenly over the entire nail, reaching the edges and underside if possible. Allow the lacquer to dry fully before applying any type of covering. Remember to always follow the specific instructions provided by your healthcare provider.

How often should I use the formulation?

Typically, the formulation should be used once or twice daily, or as directed by your healthcare provider. Regimen can vary depending on the severity of the condition.

How long will it take to see improvement in my nail condition?

Improvements can begin to be seen in a few weeks, depending upon the severity of the condition and individual response to the treatment. Some types of nail fungus can take several months to fully resolve.

Is this medication safe to use with other topical products?

In general, it is recommended to consult your pharmacist or healthcare provider before mixing medications. This formulation is a combination of various ingredients specifically designed to treat several nail conditions.

What should I do if I experience any side effects?

In case of experiencing any side effects such as redness, swelling, itching, or rash, it is important to contact your healthcare provider immediately.

Are there precautions I should take while using this treatment?

While using this treatment, avoid getting it into your mouth, eyes or nose. If this happens, rinse thoroughly with water. Avoid unnecessary exposure to sunlight as some ingredients in the lacquer can make your skin more sensitive to UV rays.

What happens if I miss a dose?

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

Can pregnant or breastfeeding women use this nail lacquer?

Pregnant or breastfeeding women should consult their healthcare provider before using this treatment because the effects on the infant are not known.

How should I store this product?

The lacquer should be stored at room temperature, away from heat and direct light. Avoid freezing. Keep the bottle tightly closed when not in use and out of reach from children.

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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.