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Formulas

Deoxy-D-glucose 2 mg/g/Lidocaine HCl 50 mg/mL Topical Cream

This Deoxy-D-glucose 2 mg/g and Lidocaine HCl 50 mg/mL Topical Cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is formulated to provide localized treatment and absorption of active ingredients, specifically targeting pain and discomfort associated with neuropathic pain and postherpetic neuralgia. The combination of Deoxy-D-glucose and Lidocaine HCl offers both analgesic and anti-inflammatory effects, making it an effective option for managing these conditions.

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Topical Cream
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Formula Information

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This compounded topical cream comprises Deoxy-D-glucose at a concentration of 2 mg/g and Lidocaine HCl at 50 mg/mL, formulated in a semisolid preparation dispensed via a pump mechanism. Designed for convenient and controlled application on the skin, this preparation ensures localized treatment and optimal absorption of the active ingredients.

Deoxy-D-glucose is a glucose analog known for its ability to interfere with glucose metabolism within cells. In topical applications, it may modulate cellular processes in the skin, potentially supporting skin health. While the clinical use of Deoxy-D-glucose in topical formulations is still being explored, it is included in this cream under the guidance of a healthcare professional to potentially enhance therapeutic outcomes.

Lidocaine HCl is a well-established local anesthetic that works by blocking sodium channels in nerve cells, thereby inhibiting nerve signal transmission. At a concentration of 50 mg/mL, it provides effective localized pain relief. This makes the cream particularly useful for conditions where temporary relief from pain and discomfort is desired at the site of application.

The combination of Deoxy-D-glucose and Lidocaine HCl in this cream aims to deliver both immediate symptomatic relief and potential therapeutic benefits.

Drug Interactions

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Deoxy-D-glucose 2 mg/g/Lidocaine HCl 50 mg/mL Topical Cream is a compounded formulation designed for localized treatment on the skin, utilizing a semisolid preparation dispensed through a pump mechanism for convenient and controlled application. This formulation is primarily used for its analgesic and potential metabolic effects, targeting conditions that may benefit from the combined action of deoxy-D-glucose and lidocaine. While lidocaine is a well-known local anesthetic that provides pain relief by blocking nerve signals in the skin, deoxy-D-glucose is being explored for its potential role in altering glucose metabolism in certain disease states.

When considering drug interactions, it is important to note that lidocaine, as a local anesthetic, can interact with other medications that affect cardiac function or central nervous system activity. Patients using antiarrhythmic drugs, such as amiodarone or mexiletine, should be monitored closely, as the combination with lidocaine may increase the risk of cardiac side effects. Additionally, the use of other local anesthetics or medications that depress the central nervous system, such as benzodiazepines or opioids, may enhance the sedative effects of lidocaine, necessitating careful monitoring and possible dosage adjustments.

Deoxy-D-glucose, while less commonly associated with drug interactions, may theoretically interact with medications that influence glucose metabolism. Patients taking antidiabetic medications, such as insulin or oral hypoglycemic agents, should be monitored for potential changes in blood glucose levels, as deoxy-D-glucose may alter glucose uptake and utilization. Although the systemic absorption of deoxy-D-glucose from topical application is expected to be minimal, caution is advised, particularly in patients with diabetes or other metabolic disorders.

For prescribers, it is crucial to assess the patient's current medication regimen and medical history to identify any potential interactions or contraindications. Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs and supplements, to ensure safe and effective use of this topical cream. If any adverse reactions or unexpected symptoms occur, patients should seek medical attention promptly.

As with any compounded formulation, individual patient response may vary, and ongoing monitoring is recommended to optimize therapeutic outcomes. If you have any questions or require further information regarding this formulation, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any concerns or inquiries you may have.

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How Does it Work

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The Deoxy-D-glucose 2 mg/g and Lidocaine HCl 50 mg/mL topical cream is a specialized formulation designed to deliver targeted relief and therapeutic benefits directly to the skin. This semisolid preparation is dispensed through a pump mechanism, ensuring a convenient and controlled application. The formulation is intended for localized treatment, allowing the active ingredients to be absorbed effectively at the site of application.

Deoxy-D-glucose is a glucose analog that plays a crucial role in this formulation. It is known for its potential to interfere with glycolysis, the metabolic pathway that cancer cells and other rapidly proliferating cells rely on for energy. By inhibiting glycolysis, Deoxy-D-glucose can reduce the energy supply to these cells, potentially slowing their growth and proliferation. This mechanism makes it a valuable component in the treatment of certain skin conditions where abnormal cell growth is a concern.

Lidocaine HCl, on the other hand, is a well-established local anesthetic. It works by blocking sodium channels in the neuronal cell membrane, which prevents the initiation and conduction of nerve impulses. This action results in a numbing effect, providing relief from pain and discomfort associated with various skin conditions. The high concentration of Lidocaine HCl in this formulation ensures rapid onset of action and effective pain management, making it suitable for conditions that involve significant discomfort or pain.

The combination of Deoxy-D-glucose and Lidocaine HCl in a topical cream allows for a dual-action approach. While Deoxy-D-glucose targets the underlying cellular processes, Lidocaine HCl provides immediate symptomatic relief. This makes the formulation particularly useful for conditions that require both therapeutic intervention and pain management.

The pump mechanism of the cream ensures precise dosing and minimizes waste, allowing patients to apply the exact amount needed for effective treatment. This feature also enhances the ease of use, making it suitable for patients who may have difficulty with traditional application methods.

For prescribers, this formulation offers a unique therapeutic option that combines metabolic intervention with local anesthesia. It can be considered for a range of dermatological conditions where both cellular modulation and pain relief are desired outcomes. As always, it is important to evaluate the specific needs of each patient and consider any potential contraindications or interactions with other treatments they may be receiving.

If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Other Uses

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The Deoxy-D-glucose 2 mg/g/Lidocaine HCl 50 mg/mL Topical Cream, dispensed in a pump mechanism, is primarily designed for localized treatment or absorption of active ingredients through the skin. While its primary use may be for specific conditions, this formulation can also be considered for other applications due to its unique combination of active ingredients. Deoxy-D-glucose, a glucose analog, has been studied for its potential in inhibiting glycolysis in cancer cells, suggesting a possible adjunctive role in managing certain skin-related manifestations of cancer or as part of a broader oncological treatment plan. Additionally, its role in modulating cellular energy pathways may offer benefits in conditions characterized by abnormal cellular metabolism or proliferation.

Lidocaine HCl, a well-known local anesthetic, provides rapid pain relief by blocking nerve signals in the body. This makes the cream potentially useful for a variety of painful skin conditions beyond its primary indications. It can be considered for use in managing localized pain associated with minor burns, insect bites, or other dermatological irritations where immediate pain relief is desired. Furthermore, the combination of deoxy-D-glucose and lidocaine may offer synergistic effects in reducing inflammation and pain, making it a versatile option for conditions where both pain and inflammation are present.

For patients and prescribers considering this formulation, it is important to understand the potential off-label uses and the mechanism by which these active ingredients may provide relief. The pump mechanism ensures precise dosing and minimizes waste, enhancing patient compliance and ease of use. As with any compounded medication, it is crucial to consult with healthcare professionals to determine the appropriateness of this formulation for specific conditions and to ensure safe and effective use. If you have any questions or need further information, please reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Deoxy-D-glucose 2 mg/g/Lidocaine HCl 50 mg/mL Topical Cream used for?

This topical cream is used for localized treatment to relieve pain and discomfort on the skin. It combines Deoxy-D-glucose, which may have therapeutic properties, with Lidocaine HCl, a local anesthetic that helps numb the area.

How should I apply the cream?

The cream is dispensed in a pump mechanism for controlled application. Apply a small amount to the affected area and gently rub it in until fully absorbed. Follow your healthcare provider's instructions regarding the frequency and amount of application.

Can I use this cream on open wounds?

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

How often can I apply the cream?

The frequency of application should be determined by your healthcare provider. Typically, it is applied as needed, but do not exceed the recommended dosage or frequency.

Are there any side effects associated with this cream?

Some users may experience mild side effects such as skin irritation, redness, or itching at the application site. If you experience severe reactions or symptoms persist, discontinue use and consult your healthcare provider.

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

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

Is this cream suitable for children?

The use of this cream in children should be under the guidance of a healthcare provider. It is important to follow the recommended dosage and application instructions for pediatric use.

How should I store the cream?

Store the cream at room temperature, away from direct sunlight and moisture. 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 application schedule. Do not double the dose to catch up.

Can I use other topical medications while using this cream?

Before using other topical medications concurrently, consult your healthcare provider to avoid potential interactions or reduced effectiveness of the treatments.

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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.