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Formulas

Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream

The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a semisolid preparation that combines the anti-inflammatory properties of hydrocortisone with the antifungal activity of miconazole nitrate. This dual-action cream is specifically formulated to treat inflammatory skin conditions that are complicated by fungal infections, such as eczema or dermatitis with secondary candidiasis or tinea infections. The cream is dispensed in a pump mechanism, which allows for convenient, hygienic, and controlled application directly to the affected areas of the skin. This delivery system ensures that the medication is applied evenly and reduces the risk of cross-contamination that can occur with traditional jar packaging.

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Topical Cream
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Formula Information

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The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a specially compounded medication that combines the anti-inflammatory properties of hydrocortisone with the antifungal capabilities of miconazole nitrate. This dual-action cream is formulated to address a range of dermatological conditions that may involve inflammation and fungal infections. Hydrocortisone, a corticosteroid, works by reducing swelling, itching, and redness associated with skin irritations and allergic reactions. Miconazole nitrate, on the other hand, is an antifungal agent that interferes with the synthesis of ergosterol, a key component of fungal cell membranes, thereby inhibiting the growth and proliferation of various fungal organisms.

The cream is prepared as a semisolid dosage form, which allows for a smooth and uniform application to the affected skin areas. The inclusion of a pump mechanism in the packaging design ensures that the medication is dispensed in a controlled manner, promoting consistent dosing and minimizing the risk of contamination. This feature is particularly beneficial for patients who require a precise amount of medication for each application, as well as for those with limited dexterity.

This formulation is indicated for the treatment of skin conditions such as cutaneous candidiasis, tinea corporis (ringworm), tinea cruris (jock itch), and tinea pedis (athlete's foot), where inflammation is also present. By combining hydrocortisone and miconazole nitrate, the cream effectively manages the symptoms of these conditions, providing relief from both the fungal infection and the accompanying inflammatory response. It is important to note that while hydrocortisone can alleviate the symptoms of inflammation, it is not a cure for the underlying fungal infection, which is why the addition of miconazole nitrate is crucial for a comprehensive treatment approach.

Patients and prescribers should be aware that while this topical cream is effective for localized treatment, it should be used with caution in patients with a known hypersensitivity to corticosteroids or azole antifungals. The duration of treatment should be as short as possible to minimize the potential for systemic absorption and side effects associated with prolonged corticosteroid use. Additionally, this medication should not be used on the face, groin, or axillae unless directed by a healthcare provider.

For optimal results, patients should follow the specific instructions provided by their healthcare provider regarding the amount of cream to apply and the frequency of application. It is also essential to maintain good hygiene and keep the affected area clean and dry to help control the spread of infection. If there is no improvement in symptoms after a prescribed period of use, or if the condition worsens, patients should contact their healthcare provider for further evaluation.

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

Drug Interactions

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The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a combination medication used for the treatment of certain skin conditions such as eczema, dermatitis, and fungal infections like athlete's foot, jock itch, and ringworm. Hydrocortisone is a corticosteroid that reduces swelling, itching, and redness, while miconazole nitrate is an antifungal agent that works by stopping the growth of fungi. When using this topical cream, it is important to consider potential drug interactions.

Hydrocortisone, being a corticosteroid, can interact with other topical medications that contain corticosteroids, potentially increasing the risk of systemic corticosteroid side effects. It is advisable to avoid using other corticosteroid-containing products on the treated areas unless directed by a healthcare provider. Additionally, the absorption of hydrocortisone can be affected by the use of occlusive dressings, which can increase its concentration in the skin and the potential for systemic absorption.

Miconazole nitrate may interact with certain drugs that are metabolized by the liver enzyme CYP2C9, such as warfarin. Concurrent use with miconazole nitrate can increase the levels and effects of these drugs, potentially leading to an increased risk of bleeding. Patients on warfarin or similar anticoagulants should be monitored closely for changes in prothrombin time or INR. Miconazole can also interact with other topical products that alter the skin barrier or pH, which may affect the antifungal activity.

It is important to inform the healthcare provider of all medications, supplements, and herbal products being used before starting treatment with Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream to avoid potential interactions. Patients should also be advised to report any signs of adverse reactions, such as skin irritation, worsening of the condition, or signs of systemic side effects like fatigue, weight gain, or muscle weakness.

As with any medication, adherence to the prescribed regimen is crucial for the effectiveness of the treatment. The pump mechanism of this semisolid preparation is designed to provide a controlled dose with each application, ensuring consistent delivery of the active ingredients. Patients should be instructed on the proper use of the pump and the amount of cream to apply to the affected area.

If you have any questions or require further information regarding the use of Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream, including potential drug interactions and their management, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and prescribers.

How Does it Work

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The Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream is a specially formulated medication that combines the anti-inflammatory properties of hydrocortisone with the antifungal capabilities of miconazole nitrate. This cream is designed to be dispensed from a pump mechanism, which allows for a clean, controlled, and convenient application directly to the affected area of the skin.

Hydrocortisone is a corticosteroid that works by reducing inflammation, redness, and swelling. It achieves this by inhibiting the release of substances in the body that cause inflammation. This makes it effective in treating a variety of skin conditions that involve inflammation, such as eczema, psoriasis, dermatitis, and allergic reactions. Hydrocortisone can also provide relief from itching and discomfort associated with these conditions.

Miconazole nitrate, on the other hand, is an antifungal agent. It functions by disrupting the synthesis of ergosterol, an essential component of fungal cell membranes. Without ergosterol, the cell membrane becomes permeable and leaks essential cellular components, leading to the death of the fungus. Miconazole nitrate is effective against a broad spectrum of fungi, including those that cause athlete's foot, jock itch, ringworm, and yeast infections of the skin.

When combined in a 2% concentration of each active ingredient, this topical cream provides a dual-action treatment that not only soothes inflammation but also combats fungal infections. This makes it particularly useful for skin conditions where both inflammation and fungal infection are present or are a concern. The semisolid preparation of the cream ensures that it is easily spreadable and can be absorbed into the skin to reach the site of action.

The pump mechanism of the container is designed to dispense a consistent amount of cream with each use, which helps to ensure proper dosing and uniform application. This is beneficial for both patients and prescribers, as it aids in adherence to the treatment regimen and reduces the risk of over- or under-application of the medication.

For patients and prescribers interested in using this formulation, it is important to note that while the cream is effective for the aforementioned conditions, it should be used with caution in certain populations, such as pregnant or breastfeeding women, and should not be used on broken or infected skin unless directed by a healthcare provider. As with any medication, potential side effects may occur, and the treatment area should be monitored for signs of adverse reactions.

If you have any questions about the Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your skin condition.

Other Uses

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Aside from its intended use for the treatment of fungal skin infections with concurrent inflammation or allergic reactions, the Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream may be employed for other conditions where its components' pharmacological actions are beneficial. Hydrocortisone, as a corticosteroid, can reduce inflammation and alleviate symptoms associated with various dermatoses, such as eczema or psoriasis, when inflammation is also present. Given its anti-inflammatory properties, the cream can aid in managing contact dermatitis, insect bites, and other minor skin irritations that have an inflammatory component.

Similarly, Miconazole Nitrate is an antifungal agent effective against a variety of yeast and fungal infections. Thus, the compound might be beneficial in treating certain cases of tinea (such as athlete's foot, jock itch, or ringworm) where secondary inflammation has been identified.

However, it's paramount to acknowledge that the combined use of Hydrocortisone and Miconazole Nitrate should be carefully considered and is generally more specific rather than for broad dermatological use. The presence of a corticosteroid in the formulation may mask symptoms of a worsening infection or enable superficial fungal infections to proliferate, making the cream less suitable for long-term use or in immunocompromised patients without close medical supervision. Additionally, given that Hydrocortisone may thin the skin with prolonged use, areas of the body with sensitive or thin skin should be treated cautiously.

Patients should also be aware of potential drug interactions, resistance development with prolonged use, and the risk of systemic absorption leading to corticosteroid side effects, particularly in children or when applied to extensive body areas.

As with any medication, the benefits and risks along with patient-specific factors should be evaluated before using this cream for off-label purposes. This formulation is not intended for ophthalmic, oral, or intravaginal use. It is always essential to consult with a healthcare provider to determine the appropriateness and duration of treatment for your individual condition, or to consider alternative therapies. Any questions or concerns about the usage of this product for conditions other than those initially intended should be directed to us at Bayview Pharmacy, where our compounding pharmacists are ready to assist and provide tailored healthcare solutions.

Frequently Asked Questions

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What is Hydrocortisone 2%/Miconazole Nitrate 2% Topical Cream used for?

This cream is used for treating skin conditions that involve inflammation and fungal infections. Hydrocortisone is a corticosteroid that reduces swelling, itching, and redness, while Miconazole Nitrate is an antifungal agent that helps eliminate fungal organisms.

How should I use this topical cream?

Clean and dry the affected area before applying. Dispense a small amount of the cream using the pump mechanism and gently apply a thin layer over the affected area as directed by your healthcare provider, usually twice daily.

Can I use this cream on any part of my body?

It is generally safe to use on most parts of the body, but avoid using it on the face, groin, or underarms unless directed by your healthcare provider. Do not use on mucous membranes or in or near the eyes.

How does the pump mechanism work?

The pump mechanism is designed for controlled and convenient application. Simply press the pump to dispense the recommended amount of cream. The mechanism is meant to minimize contamination and ensure consistent dosing.

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 almost time for your next dose, skip the missed dose and proceed with your regular dosing schedule. Do not double the dose to catch up.

Are there any possible side effects?

Some common side effects include burning, itching, irritation, dryness, or redness at the application site. If any of these persist or worsen, notify your healthcare provider. More serious side effects are rare but require immediate medical attention.

Can this cream interact with other medications?

Although unlikely, this cream can sometimes interact with other topical medications. Let your healthcare provider know about all medicines you use, including prescription, over-the-counter, vitamins, and herbal products.

How should I store this cream?

Store at room temperature away from heat and direct light. Do not freeze. Keep the container tightly closed when not in use, and keep out of reach of children and pets.

Can pregnant or breastfeeding women use this cream?

Pregnant or breastfeeding women should only use this medication under the guidance of a healthcare provider. Potential risks and benefits must be carefully weighed.

What precautions should I take while using this medication?

Avoid getting this cream in your eyes, nose, or mouth. If contact does occur, rinse thoroughly with water. Do not bandage or cover the treated area unless instructed by a healthcare provider. Do not use the medication for longer than prescribed.

What should I do in case of an overdose?

An overdose of this cream is not likely to cause life-threatening symptoms. However, misuse or overuse can lead to skin thinning and other side effects. If you suspect an overdose or have serious symptoms, seek medical attention promptly.

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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.