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Formulas

Fluocinonide 0.0167%/Coal Tar 1.67%/Salicylic Acid 2% Topical Gel

The Fluocinonide 0.0167%/Coal Tar 1.67%/Salicylic Acid 2% Topical Gel is a specialized semisolid formulation designed for the treatment of various dermatological conditions. This unique combination of active ingredients is delivered in a gel-like consistency that is easily dispensed through a pump mechanism, ensuring precise and targeted application to affected skin areas.

Fluocinonide, a potent corticosteroid, helps to reduce inflammation and itching associated with skin disorders. Coal Tar is known for its antipsoriatic properties, aiding in the reduction of scaling and itching, while Salicylic Acid, a keratolytic agent, promotes the shedding of the outer layer of skin. Together, these ingredients provide a comprehensive treatment for conditions such as psoriasis, eczema, and seborrheic dermatitis, offering relief from symptoms and improving the appearance of the skin.

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Fluocinonide
Coal Tar Solution
Salicylic Acid
Topical Gel
6564d130a1284052d1d2f9cb
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Formula Information

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Fluocinonide 0.0167%/Coal Tar 1.67%/Salicylic Acid 2% Topical Gel is a compounded medication designed to address a variety of dermatological conditions through a synergistic combination of active ingredients. Fluocinonide, a potent corticosteroid, provides anti-inflammatory and antipruritic effects, making it effective in treating conditions such as psoriasis, eczema, and dermatitis. Its action reduces the swelling, itching, and redness associated with these inflammatory skin disorders.

Coal Tar, present at a concentration of 1.67%, is a keratoplastic agent that slows down the rapid growth of skin cells and can help improve the skin's appearance and feel in conditions like psoriasis. It also has antiseptic, anti-inflammatory, and itch-relieving properties, which contribute to its therapeutic effects. Salicylic Acid, at a 2% concentration, is a keratolytic that promotes the shedding of the outer layer of skin. It is particularly useful in the treatment of acne, dandruff, seborrheic dermatitis, and psoriasis, as it helps to soften and remove scales, plaques, and dead skin cells.

The topical gel is formulated to be dispensed through a pump mechanism, which allows for clean, convenient, and precise application. This delivery system ensures that the medication is applied directly to the affected area, minimizing waste and reducing the risk of spreading the medication to unaffected skin. The semisolid gel base provides a soothing effect upon application and is designed to enhance the absorption of the active ingredients into the skin.

This compounded medication is intended for external use only and should be applied as directed by a healthcare provider. Patients should be advised to avoid contact with eyes, mouth, and other mucous membranes. The use of this medication should be monitored by a healthcare professional, as prolonged use of topical steroids like fluocinonide can lead to skin thinning and other side effects. Additionally, patients should be informed about the potential for skin irritation or sensitivity to sunlight due to the presence of coal tar and salicylic acid.

For prescribers considering this formulation, it is important to assess the patient's medical history, current medications, and potential for drug interactions. The unique combination of fluocinonide, coal tar, and salicylic acid in a gel base offers a multifaceted approach to the management of complex skin conditions. This formulation can be customized to meet the specific needs of individual patients, and our team at Bayview Pharmacy is available to provide guidance on its appropriate use.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to supporting both patients and healthcare providers with high-quality, personalized medication solutions.

Drug Interactions

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The formulation containing Fluocinonide 0.0167%, Coal Tar 1.67%, and Salicylic Acid 2% as a topical gel is designed for the treatment of various skin conditions such as psoriasis, eczema, and dermatitis. Fluocinonide is a potent corticosteroid that reduces inflammation, itching, and redness. Coal tar helps slow skin cell growth and alleviates scaling and itching. Salicylic Acid is a keratolytic that promotes the shedding of the outer layer of skin and reduces scaling and thickness of the skin.

When using this topical gel, it is important to consider potential drug interactions. Fluocinonide, being a corticosteroid, can interact with other topical medications that affect the immune response or skin cell turnover. Concurrent use with other topical steroids may increase the risk of systemic corticosteroid side effects, especially if used over large areas of the body or under occlusive dressings. Patients should avoid using other topical treatments that contain steroids unless directed by a healthcare provider.

Coal tar may interact with other topical agents that also affect skin cell turnover, such as retinoids or other keratolytics. It can increase sensitivity to sunlight, so concurrent use with other photosensitizing agents, such as certain antibiotics or acne medications, may increase the risk of sunburn. Patients should be advised to use sunscreen and wear protective clothing when outdoors.

Salicylic Acid can enhance the absorption of other topically applied medications, potentially increasing their effects and side effects. It should be used with caution in combination with other skin products that can cause irritation, such as medicated or abrasive soaps and cleansers, soaps and cosmetics with a strong drying effect, and products with high concentrations of alcohol, astringents, spices, or lime. Salicylic Acid is also a known desquamating agent, and its use with other desquamating agents (e.g., sulfur, resorcinol, benzoyl peroxide) should be approached with caution.

Patients with kidney or liver disease should use this medication with caution, as systemic absorption of Salicylic Acid can lead to toxicity in these patients. Additionally, the use of this formulation under occlusive dressings, especially over large areas, can increase systemic absorption of the active ingredients.

It is essential to inform the healthcare provider of all the medications, over-the-counter products, and supplements the patient is currently using to avoid potential interactions. If irritation or hypersensitivity occurs, the use of this topical gel should be discontinued, and medical advice should be sought. For any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Fluocinonide 0.0167%/Coal Tar 1.67%/Salicylic Acid 2% Topical Gel is a compounded medication designed to treat a variety of skin conditions, such as psoriasis, eczema, and dermatitis. This unique formulation combines the anti-inflammatory and immunosuppressive properties of fluocinonide, the keratolytic and antipruritic effects of coal tar, and the exfoliating and comedolytic action of salicylic acid. The gel is dispensed through a pump mechanism, which allows for easy and precise application, ensuring that the medication is delivered directly to the affected area with minimal waste.

Fluocinonide is a potent topical corticosteroid that works by reducing inflammation and suppressing the immune response in the skin. This helps to alleviate symptoms such as redness, swelling, and itching. Coal tar, a byproduct of coal processing, has been used for decades to treat skin conditions. It slows down the rapid growth of skin cells and can help reduce scaling and itchiness. Salicylic acid, a beta hydroxy acid, works by softening and dissolving keratin, a protein that forms part of the skin structure. This helps to exfoliate the skin, clearing pores and reducing the thickness of plaques associated with psoriasis.

The gel base of this formulation is designed to be less occlusive than creams or ointments, which can be beneficial for patients who have skin conditions that are sensitive to moisture. The gel is also quick-drying and can be more cosmetically appealing for use during the day under clothing. The pump dispenser ensures that the medication is kept free from contamination and that each dose is consistent, which is important for maintaining the effectiveness of the treatment.

This combination therapy targets the symptoms and causes of skin conditions on multiple levels. The anti-inflammatory action of fluocinonide reduces redness and swelling, the coal tar helps to normalize skin cell production and reduce scaling, and the salicylic acid promotes the shedding of dead skin cells to improve the skin's appearance and texture. Together, these ingredients provide a comprehensive approach to managing complex skin conditions.

Patients and prescribers should be aware that while this formulation can be highly effective, it may not be suitable for everyone. It is important to use the medication as directed and to be aware of potential side effects, such as skin irritation or thinning. Regular follow-up with a healthcare provider is recommended to monitor the condition and adjust treatment as necessary. If you have any questions or concerns about using this formulation, please reach out to us at Bayview Pharmacy for further assistance.

Other Uses

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The preparation of Fluocinonide 0.0167%/Coal Tar 1.67%/Salicylic Acid 2% Topical Gel is typically prescribed for its therapeutic properties in treating several dermatological conditions. While its primary indications include the treatment of psoriasis, eczema, dermatitis, and other steroid-responsive dermatoses, the formulation can have a multitude of other uses due to its active ingredients. These components each possess unique properties that make the preparation advantageous in managing a variety of skin concerns.

Fluocinonide is a potent corticosteroid that reduces inflammation, redness, and itching. This makes it potentially beneficial for alleviating the discomfort associated with insect bites, non-specific local inflammations, and even mild burn relief if it's not contraindicated. The addition of Coal Tar in the formulation serves to slow down the excessive skin cell growth, which can be of use in less common disorders like lichen planus or seborrheic dermatitis, where cell turnover is a problem.

Salicylic Acid, a known keratolytic, helps to break down the bond between skin cells, aiding in the removal of scales and crusts. This could potentially extend the use of this gel to conditions like corns, calluses, and keratosis pilaris, where excess skin buildup is a symptom. This agent contributes to the gel's exfoliating properties, promoting smoother skin and enhancing overall skin texture. However, due to the nature of the active ingredients, this formulation should not be used on the face, groin, or axillae unless directed by a healthcare provider.

The unique delivery system of this gel, through a pump mechanism, allows for a no-touch application which is especially beneficial for sensitive or compromised skin that could be further irritated by manual application. The gel consistency is easily spreadable and can be beneficial for hair-bearing areas, or the scalp, where creams or ointments may be difficult to apply.

Despite the potential 'Other Uses' for this gel formulation, it is imperative for patients and prescribers to understand it should only be used under the guidance and prescription of a healthcare provider. Off-label uses are to be approached with caution, and only after a thorough evaluation for potential risks and contraindications. Due to its steroidal and keratolytic components, prolonged use on extensive body surface areas, in children, or on facial skin, may not be advisable because of the potential for systemic absorption and the associated side effects.

At Bayview Pharmacy, we prioritize patient safety and efficacy of our compounds. Therefore, we encourage any patients or prescribers with questions regarding potential alternative uses, application methods, or other concerns about this topical gel formulation to reach out to us. Our team of knowledgeable compounding pharmacists is committed to providing in-depth information and personalized care to ensure optimal treatment outcomes.

Frequently Asked Questions

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What is the purpose of this compounded gel?

This compounded topical gel is designed to treat inflammatory skin conditions while combining the therapeutic effects of Fluocinonide, Coal Tar, and Salicylic Acid. Fluocinonide is a potent corticosteroid that reduces inflammation and itching, Coal Tar helps slow the growth of skin cells and reduce scaling, and Salicylic Acid aids in the removal of scales and enhances skin moisture.

How should this medication be used?

Apply a thin layer of the gel to the affected area of the skin as directed by your healthcare provider. Use the pump to dispense the gel and spread it evenly. The frequency of application depends on the condition being treated and should be as prescribed by your healthcare professional.

Can this gel be used on any part of the body?

This gel is intended for external use only and should be applied to the areas of the skin that have been prescribed by your healthcare provider. Avoid use on the face, groin, or underarms unless specifically instructed by your healthcare provider.

Are there any side effects I should be aware of?

Side effects may include skin irritation, dryness, or redness at the application site. More serious side effects such as skin thinning or hormonal effects (if absorbed through the skin in significant amounts) may occur, though they are less common. Notify your healthcare provider if you experience any unusual symptoms.

Can I use this gel with other topical medications?

You should consult with your healthcare provider before using other topical medications in conjunction with this gel, as interactions may occur which could alter the effects of the medications.

How should this medication be stored?

Store the medication at room temperature, away from heat and direct light. Ensure that the cap is tightly closed after each use to maintain the medication's integrity and prevent it from drying out.

What happens if I miss a dose?

If you miss a dose, apply the medication as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one.

Is this medication safe for pregnant or breastfeeding women?

If you are pregnant or breastfeeding, consult your healthcare provider before using this medication, as it may have potential risks for the fetus or infant.

How do I know if this medication is working?

Improvement in skin condition, reduction in inflammation, itching, and scaling can be signs the medication is effective. Continue to use as prescribed and report your progress to your healthcare provider, who will assess the effectiveness of your treatment plan.

Can I use this gel before or after applying cosmetics or sunscreen?

Your healthcare provider can advise you on the proper order of application. Typically, it is recommended to let the medication absorb into the skin before applying cosmetics or sunscreen. Additionally, certain cosmetics or sunscreen products may interact with the medication, so it is best to consult your healthcare provider for specific guidance.

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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.