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Formulas

Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream

The Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream is a semisolid preparation that combines the anti-inflammatory properties of hydrocortisone with the local anesthetic effects of lidocaine. This cream is specifically formulated for ease of use and precise application, utilizing a pump mechanism that dispenses a controlled amount of medication. It is intended for topical administration to the skin where it can provide localized relief.

This dual-action cream is designed to treat a variety of dermatological conditions that may benefit from the anti-inflammatory and anesthetic properties of the active ingredients. It is commonly used for the relief of itching and discomfort associated with minor skin irritations, rashes, insect bites, and eczema. Additionally, it can be applied to alleviate the pain and itching of hemorrhoids and other anorectal disorders. The formulation is also suitable for the temporary relief of pain and itching associated with minor burns, sunburn, and minor cuts or scrapes.

Patients are advised to use this cream as directed by a healthcare professional, and it should be applied to the affected area not more than three to four times daily. The pump mechanism ensures that the cream is easily and hygienically applied to the site of discomfort or inflammation.

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Topical Cream
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Formula Information

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The Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream is a compounded medication that combines the anti-inflammatory properties of hydrocortisone with the local anesthetic effects of lidocaine. This cream is formulated to provide symptomatic relief from various dermatological and soft tissue conditions that require both the reduction of inflammation and the alleviation of pain. Hydrocortisone, a corticosteroid, works by suppressing the immune response, thereby reducing inflammation, redness, and itching. Lidocaine, on the other hand, is a local anesthetic that numbs the treated area, offering immediate relief from pain and discomfort.

The cream is prepared as a semisolid dosage form and is dispensed in a pump mechanism container. This delivery system is designed to ensure a convenient, hygienic, and controlled application, which is particularly beneficial for patients who require consistent dosing or have difficulty with manual dexterity. The pump mechanism also helps to prevent contamination of the product, maintaining its integrity throughout its use.

This formulation is particularly useful in treating localized skin conditions such as eczema, psoriasis, contact dermatitis, and insect bites, where both inflammation and pain are present. It may also be beneficial for patients experiencing discomfort from minor burns, abrasions, or other skin irritations where a corticosteroid and anesthetic are indicated. The dual-action cream provides the advantage of addressing both the underlying inflammation and the associated pain, potentially improving patient compliance and comfort.

Patients and prescribers should be aware that while hydrocortisone and lidocaine are generally well-tolerated, potential side effects may include skin irritation, dryness, or allergic reactions. Long-term use of topical steroids may also lead to skin thinning or other systemic effects, although the risk is lower with low-potency steroids like hydrocortisone. It is important to use this medication as directed by a healthcare professional and to report any adverse effects promptly.

For prescribers, it is essential to consider the patient's overall medical history, including any known allergies or contraindications to corticosteroids or anesthetics, before recommending this formulation. Additionally, the duration of treatment should be carefully monitored to minimize potential side effects associated with prolonged use of topical steroids.

At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to meet the specific needs of our patients. If you have any questions or require further information about the Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Drug Interactions

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The combination of hydrocortisone and lidocaine in a topical cream is designed to provide both anti-inflammatory and analgesic effects. Hydrocortisone is a corticosteroid that reduces inflammation, redness, and swelling. Lidocaine is a local anesthetic that provides temporary relief from pain by blocking nerve signals in the skin. This formulation is particularly useful in treating localized skin conditions where both inflammation and pain are present, such as in certain dermatoses, insect bites, minor skin irritations, or hemorrhoids.

When considering drug interactions for this topical cream, it is important to note that systemic absorption of both hydrocortisone and lidocaine can occur, although it is typically minimal with proper use. However, patients should be advised to avoid applying the cream to large areas of the body or to open wounds, as this could increase systemic absorption and the potential for interactions.

For hydrocortisone, interactions may occur with other topical medications that contain corticosteroids, as this could increase the risk of systemic corticosteroid side effects. Patients should also be cautious if they are taking oral corticosteroids or other medications that suppress the immune system, as the combination may increase the risk of systemic side effects and decrease the body's ability to fight infections.

Lidocaine, on the other hand, may interact with certain medications that affect cardiac function, such as antiarrhythmic drugs. Although rare with topical application, there is a potential risk of additive systemic effects, such as cardiac arrhythmias, when lidocaine is used with other medications that have similar cardiac effects. Additionally, lidocaine should be used with caution in patients taking other local anesthetics or medications that can increase the risk of methemoglobinemia, a condition where the blood is less able to carry oxygen.

It is also important to consider the potential for interactions with other topical products. The use of additional topical agents on the same area of skin where the hydrocortisone/lidocaine cream has been applied may alter the absorption or effects of either drug. Patients should consult with a healthcare provider before combining this cream with other topical preparations.

Patients should be advised to inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and other topical products, to assess for potential interactions. If any adverse reactions or signs of systemic side effects occur, such as unusual skin changes, increased pain, or heart palpitations, patients should discontinue use and seek medical attention.

For any questions or concerns regarding the use of this hydrocortisone 0.5%/lidocaine HCl 5% topical cream or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

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The Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream is a specially formulated medication that combines the anti-inflammatory properties of hydrocortisone with the local anesthetic effects of lidocaine. This cream is designed to provide relief from various skin conditions that involve inflammation and pain. The semisolid preparation is dispensed in a pump mechanism, which allows for a convenient, hygienic, and controlled application, ensuring that the correct dose is administered each time.

Hydrocortisone is a corticosteroid that works by mimicking the actions of naturally occurring hormones produced by the adrenal glands. When applied to the skin, hydrocortisone acts within the cells to decrease the release of inflammatory substances that can cause swelling, redness, and pain. This makes it effective in treating a range of dermatological conditions, such as eczema, psoriasis, contact dermatitis, and insect bites, where inflammation is a key component of the condition.

Lidocaine HCl, on the other hand, is a local anesthetic that provides temporary relief from pain by blocking the nerve signals in the skin. It works by stopping the sodium entering the nerve ending at the site of the pain, which prevents the pain signal from building and passing along the nerve fibers to the brain. This action of lidocaine makes the cream particularly useful for conditions where pain is a significant symptom, such as minor burns, abrasions, and skin irritations.

The combination of hydrocortisone and lidocaine in this topical cream addresses both the underlying inflammation and the associated pain, providing a dual-action approach to treatment. The cream is intended for localized application, meaning it should be applied directly to the affected area of the skin. The pump mechanism ensures that the cream is not contaminated by external factors, which could compromise the effectiveness of the active ingredients or lead to infections.

It is important for patients and prescribers to understand that while this cream can provide symptomatic relief, it is not a cure for the underlying conditions. It should be used as directed by a healthcare professional, and patients should follow the prescribed dosage and duration of treatment. Overuse or misuse of the product, especially over large areas of the skin or for prolonged periods, can lead to systemic side effects due to absorption of the active ingredients.

For any questions regarding the use of Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream, or to discuss whether this formulation is appropriate for your specific condition, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and guidance you need to effectively manage your dermatological health.

Other Uses

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The hydrocortisone 0.5%/lidocaine HCl 5% topical cream is a compound that serves primarily to reduce inflammation and relieve pain in a variety of localized dermatological conditions. While it is typically prescribed for specific issues such as minor skin irritations, eczema, or insect bites, this formulation lends itself to additional uses given its anti-inflammatory and anesthetic properties.

Beyond its primary indications, this topical cream can assist in managing symptoms associated with mild to moderate dermatoses where inflammation is a concern and where a surface anesthetic might provide comfort. For instance, patients suffering from localized contact dermatitis or reactions to poison ivy or oak may find symptomatic relief owing to the anti-inflammatory action of hydrocortisone and the numbing effect of lidocaine. Similarly, it may help in soothing the discomfort associated with superficial burns, including sunburns, by calming inflammation and mitigating pain.

Furthermore, patients undergoing cosmetic or dermatological procedures such as hair removal, microdermabrasion, or laser therapy may find this cream beneficial for post-procedural care, minimizing inflammatory responses, and alleviating procedure-related discomfort. However, it should be utilized with caution in these scenarios and only under the guidance of a healthcare professional to ensure compatibility with the healing skin.

Sports-related skin conditions such as friction blisters or chafing can also be addressed with this formulation, as the hydrocortisone can help reduce swelling and inflammation while lidocaine may provide analgesic effects for immediate relief. Due to its composition, this cream might not be suitable for widespread application or on extensively broken skin areas without medical supervision. Moreover, usage frequency and duration should always follow professional medical advice to avoid potential side effects and escalation of underlying conditions.

It is important to note that the use of hydrocortisone 0.5%/lidocaine HCl 5% topical cream should be individualized, and any off-label applications should be discussed with and directed by a healthcare provider. Patients should be instructed to apply the cream sparingly and only to the affected area to prevent systemic absorption that could potentially lead to adverse effects. If you have any questions or require further information about the potential uses of this formulation or wish to tailor the application to specific patient needs, feel free to reach out to us here at Bayview Pharmacy. We are dedicated to offering expert advice and ensuring our patients and prescribers are well-informed about the compounds they are using.

Frequently Asked Questions

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What is Hydrocortisone 0.5%/Lidocaine HCl 5% Topical Cream used for?

This topical cream is used for providing relief from various skin conditions that cause inflammation and itching, such as eczema, dermatitis, and allergic reactions. The lidocaine component also provides localized pain relief on the skin area where it is applied.

How do I use the Hydrocortisone/Lidocaine Topical Cream?

Clean and dry the affected skin area before application. Use the pump to dispense the cream onto the skin and gently rub in a thin layer. Apply the cream as directed by your healthcare provider, usually two to four times a day.

Can I use this cream on broken or infected skin?

No, you should avoid applying the cream to open wounds, broken skin, or areas with infection unless explicitly instructed by your healthcare provider.

Are there any side effects associated with this topical cream?

While this cream is generally well-tolerated, some individuals may experience side effects such as local redness, itching, or a burning sensation at the site of application. If you notice any severe reactions like blistering or worsening of your symptoms, contact your healthcare provider immediately.

How does the pump mechanism enhance the use of this cream?

The pump mechanism allows for a controlled and consistent dose with each application, minimizing waste and ensuring that the appropriate amount of cream is used each time. It also provides a more hygienic application method by preventing the contamination of the cream inside the container.

Can I cover the area with a bandage after applying the cream?

You should consult with your healthcare provider before covering the treated area with a bandage or any kind of occlusive dressing, as this might modify the absorption of the active ingredients.

Is it safe to use this topical cream while pregnant or breastfeeding?

You should always consult with your healthcare provider before using any medication, including this topical cream, during pregnancy or while breastfeeding to ensure it is safe for you and your baby.

How should I store the Hydrocortisone/Lidocaine Topical Cream?

The cream should be stored at room temperature, away from heat and direct light. Do not freeze the cream, and keep it out of reach of children and pets.

Can I use cosmetics or other skincare products over the treated area?

It is usually recommended to avoid applying other products on the treated area without consulting your healthcare provider to avoid potential interactions or interference with the effectiveness of the medication.

What should I do if I miss a dose?

If you miss a dose, apply the cream as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Can I use this cream for a condition that has not been examined by my healthcare provider?

No, it is important to consult your healthcare provider for an accurate diagnosis before using this medication for any new or undiagnosed skin condition.

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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.