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Formulas

Dexamethasone Sodium Phosphate 0.11% Topical Cream

The Dexamethasone Sodium Phosphate 0.11% Topical Cream is a semisolid preparation formulated for ease of use and precise dosing through a pump mechanism. This cream is specifically designed for topical application on the skin where it may provide localized treatment or facilitate the absorption of the active ingredient, dexamethasone sodium phosphate. Dexamethasone is a potent corticosteroid known for its anti-inflammatory and immunosuppressant properties.

This formulation is commonly used in the management of various dermatological conditions characterized by inflammation and/or allergic reactions. It is effective in treating eczema, psoriasis, contact dermatitis, and other types of dermatitis. Additionally, it may be prescribed for localized inflammation due to insect bites or mild to moderate allergic reactions on the skin. The cream's vehicle ensures that the active ingredient is delivered in a controlled manner, minimizing systemic absorption and focusing the therapeutic effects on the area of application.

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Dexamethasone Sodium Phosphate
Topical Cream
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Formula Information

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Dexamethasone Sodium Phosphate 0.11% Topical Cream is a carefully compounded preparation intended for the treatment of various inflammatory and allergic skin conditions. This corticosteroid formulation is designed to minimize inflammation and alleviate symptoms such as redness, itching, and swelling. The cream is compounded into a semisolid dosage form, which allows for a smooth and uniform application to the affected area. The inclusion of a pump mechanism in the packaging ensures that each dose is consistent, reducing the risk of over-application and enhancing patient compliance with the prescribed regimen.

The active ingredient, Dexamethasone Sodium Phosphate, is a potent glucocorticoid with anti-inflammatory and immunosuppressive properties. When applied topically, it acts by inhibiting the release of substances in the body that cause inflammation. This makes it particularly effective in treating localized skin conditions such as eczema, psoriasis, dermatitis, and certain rashes. The 0.11% concentration has been chosen to provide an optimal balance between efficacy and minimizing potential side effects, which can include skin thinning, irritation, or systemic absorption if used over large areas or for prolonged periods.

For prescribers, it is important to note that this formulation should be used as part of a comprehensive treatment plan, taking into account the severity and extent of the skin condition, as well as the patient's medical history and concurrent medications. The cream should be applied as directed, usually one or two times daily, and patients should be advised not to cover the treated area with occlusive dressings unless instructed by a healthcare professional. Regular follow-up is recommended to assess the effectiveness of the treatment and to make any necessary adjustments.

Patients should be counseled on the proper use of the cream, including hand washing before and after application, and the importance of not exceeding the prescribed dose or duration of treatment. They should also be made aware of potential side effects and instructed to report any signs of adverse reactions, especially if the cream is used near the eyes, on broken skin, or in children.

Bayview Pharmacy is committed to providing high-quality, individualized care. Our team of compounding pharmacists is available to answer any questions and provide additional information regarding the use of Dexamethasone Sodium Phosphate 0.11% Topical Cream. We encourage both patients and prescribers to reach out to us for guidance on this and other compounded medications.

Drug Interactions

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Dexamethasone Sodium Phosphate is a potent corticosteroid used topically to reduce inflammation and suppress immune responses in various skin conditions. When considering the use of this 0.11% Topical Cream, it is important to be aware of potential drug interactions that may affect the efficacy of the treatment or increase the risk of adverse effects.

One key interaction is with other topical medications. Applying dexamethasone cream in conjunction with other topical agents may alter the absorption or effects of either medication. It is advisable to space the application of different topical drugs to avoid interactions unless directed otherwise by a healthcare provider.

Systemic absorption of topical dexamethasone can occur, especially when applied to large areas of the body or under occlusive dressings, which can increase the potential for systemic corticosteroid interactions. These include interactions with drugs that induce or inhibit cytochrome P450 enzymes, such as CYP3A4. Enzyme inducers like phenytoin, barbiturates, and rifampin may reduce the plasma concentration of corticosteroids, potentially leading to decreased efficacy. Conversely, CYP3A4 inhibitors such as ketoconazole, itraconazole, and certain HIV protease inhibitors may increase plasma corticosteroid levels, raising the risk of systemic side effects.

Concomitant use of nonsteroidal anti-inflammatory drugs (NSAIDs) may increase the risk of gastrointestinal side effects when significant systemic absorption of dexamethasone occurs. Additionally, patients taking medications that can cause potassium loss, such as diuretics, should be monitored for hypokalemia.

Immunosuppressive effects of corticosteroids mean that vaccines may not be as effective during treatment, and there is an increased risk of infection with live vaccines. Patients should consult with their healthcare provider before receiving any vaccinations.

Patients with diabetes should be aware that corticosteroids can increase blood glucose levels. Monitoring and possible adjustment of antidiabetic medication may be necessary when using this topical cream.

It is also important to consider the potential for interactions with systemic corticosteroid therapy, as the addition of topical corticosteroids may necessitate adjustments in dosing or monitoring for side effects.

This topical cream is used to treat localized inflammatory skin conditions such as eczema, psoriasis, and dermatitis. By suppressing immune responses and reducing inflammation, it helps to alleviate symptoms such as redness, itching, and swelling. However, the potential for drug interactions should be carefully considered to ensure safe and effective use of this medication.

If you have any questions or require further information regarding drug interactions with Dexamethasone Sodium Phosphate 0.11% Topical Cream, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the necessary guidance and support for both patients and prescribers.

How Does it Work

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Dexamethasone Sodium Phosphate 0.11% Topical Cream is a corticosteroid-based medication formulated for the treatment of various skin conditions. The active ingredient, dexamethasone sodium phosphate, is a potent synthetic adrenocortical steroid with anti-inflammatory and immunosuppressive properties. When applied to the skin, it works by inhibiting the release of substances in the body that cause inflammation. This reduction in inflammatory chemicals decreases the redness, swelling, and itching associated with skin conditions.

The cream is designed to be a semisolid preparation, which allows for a smooth and even application over the affected area. The inclusion of the pump mechanism in the packaging serves multiple purposes. Firstly, it ensures that the patient can apply the medication in a controlled manner, which helps to deliver a consistent dose with each use. Secondly, the pump design minimizes the risk of contamination, as it prevents direct contact with the bulk of the product, thus maintaining its integrity throughout its use.

This formulation is particularly effective in treating localized inflammatory skin conditions such as eczema, psoriasis, dermatitis, and certain types of rashes. By applying the cream directly to the affected area, the dexamethasone sodium phosphate can exert its effects right where it is needed, providing relief from the symptoms of these conditions. It is important to note that while this medication can control symptoms, it is not a cure for the underlying disease states. Long-term use should be monitored by a healthcare provider due to the potential for systemic absorption and the associated side effects of corticosteroids.

Patients and prescribers should be aware that the use of topical corticosteroids, especially over large areas of the body or for prolonged periods, can lead to systemic effects such as suppression of the hypothalamic-pituitary-adrenal (HPA) axis. Therefore, it is crucial to follow the prescribed dosage and duration of treatment. Additionally, patients should be instructed on proper application techniques to maximize the benefits of the medication while minimizing potential risks.

If you have any questions regarding the use of Dexamethasone Sodium Phosphate 0.11% Topical Cream or if you require further information about the formulation and its suitability for specific skin conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the necessary guidance and support to ensure safe and effective treatment for our patients.

Other Uses

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Dexamethasone Sodium Phosphate is a potent corticosteroid that is primarily used for its anti-inflammatory and immunosuppressant effects. While the main indication of this 0.11% topical cream formulation is to treat various inflammatory and allergic skin conditions such as eczema, psoriasis, and dermatitis, it may also be beneficial for other dermatologic uses not commonly emphasized. For instance, it can be applied to treat localized inflammatory conditions that involve the skin like insect bites or poison ivy reactions, where its anti-inflammatory action can help reduce swelling, redness, and itching.

Apart from these, it could potentially be used off-label for the alleviation of discomfort associated with mild to moderate burns, including sunburns, in situations where inflammation is a key component of the pain and where infection is not a concern. It is essential, however, for prescribers to carefully consider the risk-benefit profile of corticosteroid use in such cases, especially given the potential for impaired healing with steroid use. Furthermore, this preparation could be utilized to manage the cutaneous manifestations of rheumatic diseases, such as localized scleroderma, though this would be at the discretion of the prescriber and based on the individual patient's response to therapy.

It is important to note that this topical formulation should not be used on facial rosacea, acne vulgaris, perioral dermatitis, or as a treatment for viral infections of the skin (such as herpes simplex). Additionally, it should be used with caution in areas where the skin may be thin or sensitive, such as the eyelids, and it shouldn't be applied to open wounds or areas of skin breakdown. As with all medications, the benefits and risks should be evaluated on an individual basis, and the use of this cream should be consistent with the goals of the patient's overall treatment plan.

Due to the possible systemic absorption, especially with prolonged use or application over large surface areas, patients and prescribers should be mindful of potential systemic side effects such as suppression of the hypothalamic-pituitary-adrenal axis. It is essential for patients to follow the recommended guidelines for application and duration of treatment to minimize these risks. Patients should also be advised not to use occlusive dressings unless directed by a healthcare provider, as this can increase drug absorption and the potential for systemic effects.

For further questions regarding the use of Dexamethasone Sodium Phosphate 0.11% Topical Cream in specific clinical situations or to discuss alternative treatment options, we encourage you to reach out to us at Bayview Pharmacy. As compounding pharmacists, we are prepared to provide personalized information and support regarding this formulation, ensuring optimal care and patient outcomes.

Frequently Asked Questions

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What is Dexamethasone Sodium Phosphate 0.11% Topical Cream used for?

Dexamethasone Sodium Phosphate 0.11% Topical Cream is used to reduce inflammation and relieve symptoms associated with a variety of skin conditions such as eczema, psoriasis, dermatitis, and allergic reactions.

How do you apply the cream?

Gently press the pump to dispense a small amount of cream onto your fingertip. Apply a thin layer of the cream to the affected area of the skin, usually once or twice daily or as directed by your healthcare provider. Use the pump mechanism for controlled delivery of the medication.

Can this cream be used on the face?

While it can be used on the face, it is important to avoid contact with the eyes, mouth, and mucous membranes. If prescribed for facial use, apply with care and follow your healthcare provider's instructions closely.

Are there any side effects associated with this medication?

Side effects are uncommon but may include skin irritation, burning, itching, dryness, or redness at the application site. If you experience any severe reactions or side effects, contact your doctor immediately.

How should the cream be stored?

The cream should be stored at room temperature, away from heat and direct sunlight. Keep the container tightly closed and out of reach of children and pets.

Is this cream suitable for children?

It may be prescribed for children; however, a healthcare provider should be consulted to determine the appropriate use and dosage for pediatric patients.

Will this cream affect other medications I'm taking?

It's important to discuss all medications you're taking with your healthcare provider, as the cream may interact with other topical or systemic drugs.

Can I apply makeup over the treated area?

Wait until the medication has fully absorbed into your skin before applying makeup. Consult your healthcare provider for more specific instructions regarding makeup use.

What should I do if I miss a dose?

If you miss a dose, apply the cream as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not apply extra cream to make up for the missed dose.

How long should I use this cream?

The duration of treatment with Dexamethasone Sodium Phosphate 0.11% Topical Cream should be as recommended by your healthcare provider. Prolonged use may lead to additional side effects or reduced effectiveness.

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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.