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

Diphenhydramine HCl 20 mg/mL/Hydrocortisone 5 mg/mL/Lidocaine HCl 20 mg/mL Topical Lotion

This topical lotion is a liquid or semi-liquid formulation designed for external application to the skin, providing a smooth and spreadable consistency. It offers moisturizing, soothing, and therapeutic effects, promoting the absorption of active ingredients for localized treatment.

Containing Diphenhydramine HCl 20 mg/mL, Hydrocortisone 5 mg/mL, and Lidocaine HCl 20 mg/mL, this formulation is specifically used to treat conditions such as allergic skin reactions, inflammation, and localized pain or itching. It is ideal for managing symptoms associated with dermatitis, eczema, insect bites, and minor skin irritations.

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.
Diphenhydramine Hydrochloride
Hydrocortisone
Lidocaine Hydrochloride
Topical Lotion
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 topical lotion combines Diphenhydramine HCl 20 mg/mL, Hydrocortisone 5 mg/mL, and Lidocaine HCl 20 mg/mL to provide comprehensive relief for a variety of skin conditions characterized by inflammation, itching, and pain. Designed for external application, the lotion offers a smooth and spreadable consistency that promotes the absorption of active ingredients for localized treatment, while also providing moisturizing and soothing effects to the skin.

Diphenhydramine HCl is an antihistamine that works by blocking the action of histamine, a substance in the body that causes allergic symptoms. By inhibiting histamine receptors in the skin, it effectively reduces itching and helps alleviate discomfort associated with allergic reactions, insect bites, and other irritants.

Hydrocortisone is a corticosteroid that reduces inflammation by suppressing the immune response and decreasing the release of inflammatory substances. It helps to diminish redness, swelling, and irritation, making it effective in treating conditions such as eczema, dermatitis, and psoriasis.

Lidocaine HCl is a local anesthetic that provides rapid pain relief by temporarily numbing the affected area. It works by blocking nerve signals in the skin, which helps to alleviate pain and discomfort resulting from minor burns, sunburns, cuts, and abrasions.

The combination of these three active ingredients offers a synergistic effect, addressing multiple symptoms simultaneously. This makes the formulation particularly beneficial for treating skin conditions like allergic dermatitis, insect bites, poison ivy, minor burns, eczema flare-ups, and other mild to moderate skin irritations that involve itching, inflammation, and pain.

The lotion's base not only facilitates the delivery of these active ingredients into the skin but also provides a moisturizing effect. It helps to soothe dry or irritated skin, improving overall skin health and comfort. Its smooth consistency ensures that it can be gently applied without causing further irritation to sensitive or inflamed areas.

To use this topical lotion, apply a thin layer to the affected area two to three times daily or as directed by your healthcare provider. Gently massage the lotion into the skin until fully absorbed. Avoid applying it to open wounds, broken skin, or areas with severe skin infections. Wash your hands before and after application to prevent the spread of infection and to avoid transferring the medication to other areas.

While this formulation is generally well-tolerated, some individuals may experience side effects such as mild skin irritation, redness, or a burning sensation at the application site. If any adverse reactions occur or if symptoms persist or worsen, discontinue use and consult your healthcare provider. It is important to inform your provider about any other medications you are using and any underlying health conditions to avoid potential drug interactions or contraindications.

This compounded medication is customized to meet specific patient needs, offering a tailored approach when commercially available products are insufficient or unsuitable. Compounding allows for the combination of multiple active ingredients into a single formulation, improving patient compliance and therapeutic outcomes.

Drug Interactions

A small arrow pointing down

This topical lotion formulation contains Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, each of which has specific pharmacological actions and potential interactions. Diphenhydramine HCl is an antihistamine that can help alleviate itching and allergic reactions on the skin. Hydrocortisone is a corticosteroid that reduces inflammation and suppresses immune responses, while Lidocaine HCl is a local anesthetic that provides pain relief by blocking nerve signals in the skin. When combined in a topical lotion, these active ingredients work synergistically to provide relief from itching, inflammation, and pain associated with various dermatological conditions.

While the systemic absorption of these active ingredients from a topical application is generally low, it is important to consider potential drug interactions, especially in patients with extensive skin conditions or when used over large areas of the body. Diphenhydramine, when absorbed systemically, may interact with other central nervous system depressants, such as alcohol, benzodiazepines, and opioids, potentially enhancing their sedative effects. Patients should be advised to avoid or limit the use of such substances while using this formulation.

Hydrocortisone, as a corticosteroid, may interact with other medications that affect the immune system or blood sugar levels. Although systemic absorption is minimal, caution is advised in patients who are on immunosuppressive therapy or those with diabetes, as corticosteroids can potentially exacerbate these conditions. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and supplements, to avoid potential interactions.

Lidocaine, when absorbed in significant amounts, can interact with antiarrhythmic drugs and other local anesthetics, potentially leading to additive cardiac effects. Although the risk is low with topical application, patients with pre-existing cardiac conditions or those on medications affecting cardiac function should use this formulation under medical supervision.

For prescribers, it is crucial to assess the patient's overall medication regimen and health status before recommending this topical lotion. Consideration should be given to the patient's skin condition, the extent of the area to be treated, and any underlying health issues that may increase the risk of systemic absorption and subsequent interactions. Monitoring for any adverse effects or signs of systemic absorption is recommended, especially in long-term use or when applied to large areas of the skin.

Patients should be advised to apply the lotion as directed, avoiding contact with eyes, mucous membranes, and broken skin. They should also be informed about the signs of potential adverse reactions, such as increased skin irritation, systemic side effects like drowsiness or dizziness, and instructed to seek medical advice if these occur. If you have any questions or concerns about using this formulation, please reach out to us for further guidance and support.

How Does it Work

A small arrow pointing down

This topical lotion formulation combines Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl to provide a multifaceted approach to treating various skin conditions. Each active ingredient plays a distinct role in alleviating symptoms and promoting skin health. The formulation is designed for external application, offering a smooth and spreadable consistency that ensures even distribution and absorption of the active ingredients into the skin, targeting localized areas effectively.

Diphenhydramine HCl, an antihistamine, works by blocking the action of histamine, a substance in the body that causes allergic symptoms. When applied topically, it helps to reduce itching and discomfort associated with allergic reactions, insect bites, and other skin irritations. By inhibiting the histamine response, Diphenhydramine HCl provides relief from itching and helps to prevent further irritation caused by scratching.

Hydrocortisone, a corticosteroid, is included in the formulation for its anti-inflammatory properties. It works by suppressing the immune response and reducing inflammation in the affected area. This action helps to alleviate redness, swelling, and irritation associated with various dermatological conditions such as eczema, psoriasis, and dermatitis. By reducing inflammation, Hydrocortisone aids in the healing process and provides symptomatic relief.

Lidocaine HCl, a local anesthetic, is incorporated to provide immediate pain relief by blocking nerve signals in the skin. This action is particularly beneficial for conditions that involve pain or discomfort, such as minor burns, cuts, and abrasions. By numbing the affected area, Lidocaine HCl helps to alleviate pain and discomfort, allowing for improved patient comfort and compliance with treatment.

The combination of these three active ingredients in a topical lotion allows for a comprehensive approach to managing skin conditions. The formulation not only addresses the symptoms of itching, inflammation, and pain but also promotes the absorption of the active ingredients for effective localized treatment. The moisturizing and soothing properties of the lotion base further enhance the therapeutic effects, providing a protective barrier that supports skin healing and prevents moisture loss.

For patients and prescribers considering this formulation, it is important to follow the recommended application guidelines and consult with a healthcare professional if there are any concerns or questions regarding its use. This formulation is intended for external use only and should be applied as directed to the affected area. If you have any questions or require further information, please reach out to us at Bayview Pharmacy. We are here to assist you with your compounding needs and ensure optimal treatment outcomes.

Other Uses

A small arrow pointing down

This topical lotion formulation, containing Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl, is primarily designed for the relief of itching, inflammation, and pain associated with various dermatological conditions. However, beyond its primary indications, this formulation may have other potential uses that can be beneficial for both patients and prescribers to consider. The combination of these active ingredients can be particularly useful in managing symptoms associated with insect bites, minor burns, and sunburns, where the anti-inflammatory and anesthetic properties can provide significant relief. Additionally, the lotion may be used to alleviate discomfort from minor skin irritations caused by allergic reactions or contact dermatitis, offering a soothing effect while reducing redness and swelling.

For patients experiencing localized pain or discomfort due to conditions such as neuralgia or minor skin abrasions, the lidocaine component can provide temporary numbing, making it a versatile option for various minor injuries or irritations. The moisturizing and soothing base of the lotion also aids in maintaining skin hydration, which can be beneficial for individuals with dry or sensitive skin, promoting healing and comfort. Furthermore, the formulation may be considered for off-label use in managing symptoms of chronic skin conditions like eczema or psoriasis, where controlling itch and inflammation is crucial, although this should be done under the guidance of a healthcare professional.

Prescribers may find this formulation advantageous in situations where a multi-symptom approach is needed, offering a convenient and effective treatment option for patients with overlapping symptoms of pain, itch, and inflammation. It is important to note that while this lotion can provide symptomatic relief, it is not intended to replace systemic treatments for underlying conditions. Patients should be advised to use the lotion as directed and to consult with their healthcare provider if symptoms persist or worsen. As with any medication, potential side effects and contraindications should be considered, particularly in patients with known hypersensitivity to any of the active ingredients. If you have any questions or need further information, please reach out to us.

Frequently Asked Questions

A small arrow pointing down

What is the purpose of this compounded topical lotion?

This compounded topical lotion is designed for external application to the skin to provide moisturizing, soothing, or therapeutic effects for specific skin conditions. It promotes the absorption of active ingredients like Diphenhydramine HCl, Hydrocortisone, and Lidocaine HCl for localized treatment.

How should I apply this topical lotion?

Apply a thin layer of the lotion to the affected area of the skin as directed by your healthcare provider. Gently rub it in until it is evenly distributed and absorbed. Avoid contact with eyes, mouth, and other mucous membranes.

What conditions can this lotion help treat?

This lotion can help treat conditions such as itching, inflammation, and pain associated with minor skin irritations, insect bites, rashes, and allergic reactions.

How often can I use this lotion?

The frequency of application should be determined by your healthcare provider. Typically, it may be applied 2-4 times daily, but follow the specific instructions given to you.

Are there any side effects associated with this lotion?

Possible side effects may include mild skin irritation, redness, or a burning sensation at the application site. If you experience severe reactions or symptoms persist, contact your healthcare provider.

Can I use this lotion on open wounds or broken skin?

This lotion is not intended for use on open wounds or broken skin. Consult your healthcare provider for appropriate treatment options for such conditions.

Is this lotion safe for children?

Consult your healthcare provider before using this lotion on children, as they can provide guidance based on the child's specific condition and age.

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

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

How should I store this topical lotion?

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

What should I do if I accidentally ingest this lotion?

If accidental ingestion occurs, seek medical attention immediately or contact a poison control center. Do not induce vomiting unless instructed by a healthcare professional.

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.