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Formulas

Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel

The Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel is a specialized semisolid formulation designed for targeted treatment of skin conditions. This unique preparation combines the anti-inflammatory properties of Fluticasone Propionate with the antifungal capabilities of Itraconazole, making it an effective option for managing a range of dermatological issues. The gel is dispensed through a pump mechanism, which ensures easy and precise application, while its consistency allows for optimal absorption of the active ingredients into the skin.

This formulation is primarily used to treat inflammatory skin disorders that may also have a fungal component, such as certain dermatoses with a secondary fungal infection. The dual-action effect of this gel helps in reducing inflammation, itching, and redness, while also eradicating fungal pathogens present on the skin. It is important to consult a healthcare professional for proper diagnosis and treatment recommendations.

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Topical Gel
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Formula Information

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Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel is a specialized medication compounded by Bayview Pharmacy to address specific dermatological conditions. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures ease of use and precise dosing for patients. The gel base provides a suitable medium for the active ingredients to be applied topically on the skin, allowing for targeted treatment and effective absorption.

Fluticasone Propionate is a potent corticosteroid that works by reducing inflammation and suppressing the immune response in the skin. This makes it an effective ingredient for treating various inflammatory skin disorders such as eczema, psoriasis, and dermatitis. Its inclusion at a concentration of 0.05% ensures that it is strong enough to alleviate symptoms while minimizing potential side effects associated with corticosteroid use.

Itraconazole, on the other hand, is an antifungal agent that disrupts the cell membrane of fungi, leading to their death. At a concentration of 2%, it is used to treat fungal infections of the skin, such as athlete's foot, jock itch, and ringworm. It can also be effective against certain yeast infections of the skin. The combination of fluticasone propionate and itraconazole in a single formulation provides a broad-spectrum approach to treating skin conditions that may have both inflammatory and infectious components.

Patients prescribed this topical gel should apply it as directed by their healthcare provider, usually to the affected area(s) of the skin. It is important to follow the prescribed regimen to achieve the best therapeutic outcomes while minimizing the risk of side effects. Prescribers should consider the patient's medical history, potential drug interactions, and the specific dermatological condition being treated when determining the appropriateness of this compounded medication.

Bayview Pharmacy takes pride in providing high-quality, customized medications to meet the unique needs of our patients. Our team of compounding pharmacists is available to answer any questions and provide additional information to both patients and healthcare providers interested in using this Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel formulation. Please do not hesitate to reach out to us for guidance or support in optimizing treatment outcomes.

Drug Interactions

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Fluticasone propionate is a corticosteroid used for its anti-inflammatory and immunosuppressive properties, while itraconazole is an antifungal agent used to treat a variety of fungal infections. When these two medications are combined in a topical gel formulation, they can be effective for treating inflammatory skin conditions that are also either complicated by or at risk of fungal infections. However, it is important to consider potential drug interactions when using this combination therapy.

Fluticasone propionate, when applied topically, has a low potential for systemic absorption and therefore a low potential for systemic drug interactions. However, if the gel is used over a large surface area, in high doses, or under occlusion, there is a greater risk for systemic corticosteroid side effects due to increased absorption. In such cases, interactions similar to those seen with systemic corticosteroids should be considered. These include interactions with drugs that induce or inhibit CYP3A4, an enzyme that metabolizes corticosteroids. Strong CYP3A4 inhibitors, such as itraconazole, can increase levels of fluticasone propionate, potentially increasing the risk of systemic corticosteroid side effects such as adrenal suppression and Cushing's syndrome.

Itraconazole is a potent inhibitor of the CYP3A4 enzyme and can increase plasma concentrations of drugs metabolized by this enzyme, potentially leading to increased effects or adverse reactions of these drugs. This is particularly important for patients who are taking other medications that are substrates of CYP3A4, such as certain statins, calcium channel blockers, and benzodiazepines. Additionally, itraconazole's absorption can be affected by drugs that alter gastric acidity, such as antacids, H2 blockers, and proton pump inhibitors, as itraconazole requires an acidic environment for optimal absorption.

Patients with pre-existing liver conditions should use this combination with caution, as both fluticasone and itraconazole can cause liver enzyme elevations. Regular monitoring of liver function may be recommended for these patients. Additionally, patients with known QT prolongation or those taking other medications that prolong the QT interval should also use itraconazole with caution due to the risk of additive effects on the QT interval.

It is important for prescribers to review the patient's current medication list for potential interactions before prescribing this topical gel. Patients should be advised to inform their healthcare providers of all medications they are taking, including over-the-counter drugs and herbal supplements. If you have any questions or require further information regarding this formulation and its potential drug interactions, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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The Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel is a specialized medication designed for the treatment of various skin conditions. This unique formulation combines the anti-inflammatory properties of Fluticasone Propionate with the antifungal capabilities of Itraconazole, providing a dual-action approach to treatment. Fluticasone Propionate is a potent corticosteroid that works by reducing inflammation, redness, and swelling in affected areas of the skin. It achieves this by inhibiting the release of certain substances in the body that cause inflammation. This makes it particularly effective in treating dermatoses, eczema, and psoriasis, where inflammation is a significant symptom.

Itraconazole, on the other hand, is a broad-spectrum antifungal agent. It functions by inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes. Without ergosterol, the cell membrane becomes weak and permeable, ultimately leading to the death of the fungal cell. This action makes Itraconazole effective in treating various fungal infections of the skin, such as ringworm, athlete's foot, and jock itch, which can often coexist with inflammatory skin conditions.

The gel formulation is designed to be dispensed through a pump mechanism, which allows for easy and precise application. This delivery system ensures that a consistent dose is administered each time, enhancing the efficacy of the treatment and improving patient compliance. The semisolid consistency of the gel allows for targeted application to the affected areas, ensuring that the active ingredients are absorbed directly into the skin where they are needed most. The gel base also provides a soothing effect upon application and is formulated to minimize skin irritation, making it suitable for sensitive skin types.

This combination of Fluticasone Propionate and Itraconazole in a gel form is particularly useful for patients who suffer from inflammatory skin conditions that are complicated by fungal infections. By addressing both the inflammation and the fungal component, this topical gel can lead to more comprehensive and effective management of these complex dermatological issues.

For optimal results, the Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel should be used as directed by a healthcare professional. It is important to follow the prescribed treatment regimen and to not discontinue use prematurely, even if symptoms appear to resolve, as this could lead to recurrence of the infection or inflammation. As with all medications, potential side effects may occur, and patients should be advised to contact their healthcare provider if they experience any adverse reactions.

If you have any questions or require further information about the Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the knowledge and support necessary to ensure the safe and effective use of this medication.

Other Uses

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The Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel is a specifically designed semisolid formulation intended for dermatological application. Its main components serve distinct purposes, with fluticasone propionate being a potent corticosteroid used for its anti-inflammatory and immunosuppressive properties, and itraconazole serving as a broad-spectrum antifungal agent. While this gel is primarily formulated for the treatment of various skin conditions that have an inflammatory and fungal component, its use can be extended to other related dermatological issues.

Fluticasone is effective in reducing symptoms such as itching, redness, and swelling associated with various dermatoses, including eczema, psoriasis, and dermatitis, whereas itraconazole acts against a range of fungal infections, such as tinea (ringworm) infections and candidiasis (yeast infections). This gel could be considered as a treatment option for complex cutaneous conditions where a secondary fungal infection exists alongside an inflammatory skin disorder, or where there is a high risk of such fungal involvement. It is important to note that this combination of medications should only be used under the guidance of a healthcare professional who has assessed the specific condition and determined this treatment to be appropriate.

Aside from these primary indications, this topical formulation may also be of benefit in managing less common dermatological conditions which have both inflammatory and fungal components, although this would be considered an off-label use and should be approached with care. Careful monitoring is essential to evaluate the effectiveness and to ensure that no adverse effects occur, especially considering that extended use of topical corticosteroids can lead to skin atrophy and other side effects.

As with any medication, patients should be counseled on the proper use of this topical gel, including ensuring they understand the correct dosing, application methods, and potential side effects. Due to its pump mechanism, patients can apply a consistent dose each time, which aids in adherence to the treatment plan and optimizes therapeutic outcomes. However, prescribers are reminded to consider the absorption characteristics of both active ingredients when determining the total amount of gel to be applied as well as the duration of the treatment course.

It is important for users to be aware that the safety and efficacy of this combination have not been established in certain patient groups, such as children and pregnant or breastfeeding women. Therefore, clinicians should weigh the potential risks and benefits on a case-by-case basis. If you have any questions regarding the other uses of Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel or wish to discuss the appropriateness of this formulation for specific patient needs, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and information to both patients and prescribers.

Frequently Asked Questions

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What is Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel used for?

This compounded formulation is typically used to treat a variety of skin conditions that may benefit from the anti-inflammatory effects of Fluticasone Propionate and the antifungal properties of Itraconazole. It can be used for conditions such as dermatitis, eczema, and certain fungal infections where a topical treatment is advised.

How should I use this topical gel?

Apply a small amount of the gel to the affected area of the skin as prescribed by your healthcare provider. Use the pump mechanism to dispense the formula, then gently spread the gel over the area with clean fingers or an applicator, being careful not to rub the skin harshly.

What are the advantages of a pump mechanism in dispensing medication?

The pump mechanism allows for easy and precise dosing, which helps to ensure that you apply the correct amount of medication each time. It also minimizes contamination and extends the shelf-life of the product by preventing air and other contaminants from entering the container.

Can Fluticasone Propionate/Itraconazole gel be used for any skin infection?

Not all skin infections can be treated with this particular gel. It is best used for cases where a fungal infection is accompanied by inflammation. It is important to have your skin condition properly diagnosed by a healthcare provider to determine the appropriate treatment.

Are there any side effects of using Fluticasone Propionate 0.05%/Itraconazole 2% Topical Gel?

Like all medications, this topical gel can cause side effects, though not everyone experiences them. Possible side effects may include skin irritation, burning sensation at the application site, dryness, and changes in skin color. If you experience any severe reactions, contact your healthcare provider immediately.

How long should I use the Fluticasone Propionate/Itraconazole gel?

The duration of treatment should be determined by your healthcare provider based on the condition being treated and your response to the medication. It is important not to use the gel for longer than prescribed to avoid potential side effects or resistance.

Can I cover the treated area with a bandage after applying the gel?

You should follow your healthcare provider's instructions regarding the use of bandages. Certain conditions may require the treated area to be left uncovered to allow the skin to breathe, while others may benefit from occlusive dressings. Your provider will advise you on the best approach for your specific condition.

Should the medication be stored at a specific temperature?

Store the medication at room temperature, away from heat and direct light. Do not freeze the gel, and keep the container tightly closed when not in use. Always check the product label for specific storage instructions.

What should I do if I miss a dose?

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

Is it safe to use Fluticasone Propionate/Itraconazole gel during pregnancy or breastfeeding?

The safety of this medication during pregnancy or while breastfeeding has not been firmly established. It is important to consult with your healthcare provider before using this gel if you are pregnant, plan to become pregnant, or are breastfeeding.

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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.