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Formulas

Hydroxyzine HCl 5 mg/0.1 mL Topical Gel

The Hydroxyzine HCl 5 mg/0.1 mL Topical Gel is a semisolid formulation designed for precise and localized application on the skin. This gel is dispensed through a user-friendly pump mechanism, ensuring consistent dosing and ease of use. The active ingredient, hydroxyzine hydrochloride, is known for its antihistamine properties, making this gel particularly effective in treating conditions such as pruritus (itching) associated with allergic reactions, dermatitis, and hives (urticaria). Its anxiolytic effects may also provide relief for anxiety and tension. The gel's consistency allows for rapid absorption and targeted delivery of hydroxyzine HCl to the affected area, offering patients a convenient and non-invasive treatment option.

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Topical Gel
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Formula Information

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The Hydroxyzine HCl 5 mg/0.1 mL Topical Gel is a specialized semisolid formulation designed for targeted application on the skin. This unique preparation is dispensed through a pump mechanism, which ensures ease of use and precise dosing for the patient. The gel base provides a suitable medium for the hydroxyzine HCl to be applied topically, allowing for localized effect or transdermal absorption, depending on the intended use.

Hydroxyzine HCl is an antihistamine with anticholinergic and sedative properties. It is commonly used to treat itching caused by allergic reactions, as it helps to alleviate the discomfort associated with conditions like urticaria (hives) and atopic dermatitis. By blocking histamine receptors in the body, hydroxyzine reduces the symptoms of an allergic reaction, such as redness, swelling, and itchiness. Additionally, due to its sedative effects, hydroxyzine can be used to manage anxiety and tension, and it is sometimes prescribed as a short-term treatment for these conditions.

The topical application of hydroxyzine HCl in a gel form allows for direct application to the affected area, which may provide rapid relief from itching without the systemic side effects associated with oral administration. This can be particularly beneficial for patients who require localized treatment or those who may not tolerate the medication when taken orally. The gel formulation is also advantageous for patients who have difficulty swallowing pills or for those who prefer a topical treatment option.

It is important for both patients and prescribers to understand that while the topical gel formulation of hydroxyzine HCl may offer convenience and potentially fewer systemic side effects, it should be used with caution and under the guidance of a healthcare professional. The gel should be applied as directed, and patients should be monitored for any signs of adverse reactions, particularly if used over large areas of the body or for extended periods.

For more detailed information on the Hydroxyzine HCl 5 mg/0.1 mL Topical Gel, including its pharmacokinetics, specific indications, contraindications, and potential interactions with other medications, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to ensure the safe and effective use of this formulation for both patients and prescribers.

Drug Interactions

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Hydroxyzine HCl is an antihistamine used to relieve itching caused by various allergic conditions. When applied topically as a 5 mg/0.1 mL gel, hydroxyzine HCl provides targeted relief with less systemic absorption compared to oral administration. However, even topical application can lead to some systemic absorption, and therefore, potential drug interactions should be considered.

Hydroxyzine, when absorbed systemically, can cause central nervous system (CNS) depression. Consequently, it is important to avoid concurrent use with other CNS depressants such as benzodiazepines, opioids, tricyclic antidepressants, alcohol, and barbiturates, as this may enhance the sedative effects. Patients should be advised to avoid consuming alcohol and to check with a healthcare provider before using other medications that may cause drowsiness.

Additionally, hydroxyzine may interact with anticholinergic drugs, such as atropine, scopolamine, and some antiparkinsonian medications, potentially leading to an increase in anticholinergic side effects like dry mouth, urinary retention, constipation, and blurred vision. Caution is advised when using hydroxyzine with these medications.

Hydroxyzine is metabolized by hepatic enzymes, and drugs that affect these enzymes could potentially alter the metabolism of hydroxyzine. For example, inhibitors of CYP3A4 or CYP2D6 enzymes could increase hydroxyzine levels, potentially leading to enhanced effects or adverse reactions. Conversely, inducers of these enzymes could decrease hydroxyzine levels, reducing its efficacy.

Patients with certain conditions, such as glaucoma, enlarged prostate, bladder obstruction, heart disease, or high blood pressure, should use hydroxyzine with caution, as it may exacerbate these conditions. It is also important to consider that the elderly may be more sensitive to the side effects of hydroxyzine, particularly drowsiness and confusion.

It is essential for patients to inform their healthcare providers of all medications they are taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions. If you have any questions or concerns about using this hydroxyzine HCl topical gel formulation, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Hydroxyzine HCl 5 mg/0.1 mL Topical Gel is a specialized medication designed for targeted application on the skin. Hydroxyzine hydrochloride, the active ingredient, is an antihistamine with anticholinergic (drying) and sedative properties. When applied topically, hydroxyzine HCl works by blocking histamine H1 receptors. Histamine is a substance released during allergic reactions that can lead to symptoms such as itching, rash, and hives. By inhibiting the action of histamine, hydroxyzine reduces these symptoms, providing relief from allergic skin reactions and inflammation.

The gel formulation is a semisolid dosage form that allows for the medication to be delivered in a consistent and controlled manner. The gel base is designed to enhance the penetration of hydroxyzine HCl into the skin, ensuring that the medication is effectively utilized at the site of application. The use of a pump mechanism for dispensing the gel ensures that each dose is measured accurately, which is crucial for maintaining the efficacy and safety of the treatment. This dosage form is particularly beneficial for patients who require precise dosing and for those who may have difficulty applying other types of topical medications.

This Hydroxyzine HCl Topical Gel is particularly useful in treating various dermatological conditions such as atopic dermatitis, contact dermatitis, and other types of allergic rashes. By providing a high concentration of the drug directly to the affected area, the gel minimizes systemic absorption and reduces the risk of systemic side effects that can occur with oral administration of hydroxyzine. Additionally, the gel form can have a soothing effect on the skin, which can be beneficial for irritated or inflamed skin conditions.

For both patients and prescribers considering the use of Hydroxyzine HCl 5 mg/0.1 mL Topical Gel, it is important to understand that while this medication can effectively manage symptoms of allergic skin reactions, it is not a cure for the underlying condition. It is also essential to use this medication as directed by a healthcare professional and to be aware of potential side effects, such as local irritation or sensitization. As with any medication, if there are any questions or concerns regarding the use of Hydroxyzine HCl Topical Gel, please reach out to us at Bayview Pharmacy for further assistance and guidance.

Other Uses

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The hydroxyzine HCl 5 mg/0.1 mL topical gel is mainly indicated for managing pruritus (itching) associated with allergic conditions such as atopic dermatitis, contact dermatitis, and hives. In addition to these primary indications, the gel formulation might offer some secondary benefits. Because hydroxyzine hydrochloride has both antihistaminic and anxiolytic properties, this topical formulation may indirectly help alleviate anxiety-related scratching or skin-picking behaviors. This is particularly relevant for patients experiencing psychogenic pruritus, where psychological factors contribute to the itch sensation.

Moreover, there might be potential use of this gel in treating localized hives resulting from insect bites or stings, as it can help suppress the histaminic reaction and provide relief from itching and swelling. Furthermore, due to its sedative effect, hydroxyzine might also reduce the discomfort associated with mild skin irritations and aid sleep when itching is disruptive. However, it is essential to note that the sedative effect of the topical formulation might be less pronounced compared to systemic administration.

Another possible application of hydroxyzine HCl topical gel not routinely highlighted is its role in cases of peristomal itching, seen in patients with ostomies. The localized application on the peristomal skin can alleviate itching without the systemic side effects that oral medications might induce. Nevertheless, it is crucial to consult a healthcare provider before using the gel for this off-label use, as ostomy sites are sensitive and may require specialized care.

While the topical gel is formulated to minimize systemic absorption and target local action, patients and prescribers should be aware that any off-label use should be approached with caution. The gel’s efficacy for uses beyond those indicated might vary, and it is essential to discuss potential risks and benefits with a healthcare professional. In cases of any side effects or unusual reactions, usage should be discontinued, and medical advice should be sought promptly.

Patients and prescribers interested in exploring the topical hydroxyzine HCl 5 mg/0.1 mL gel for applications other than for the primary disease states listed should contact us at Bayview Pharmacy for more information and a thorough evaluation of the potential use. Our team can provide individualized advice and ensure that any off-label application meets safety standards, considering both patient-specific factors and the pharmacological profile of the medication.

Frequently Asked Questions

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What is Hydroxyzine HCl 5 mg/0.1 mL Topical Gel?

Hydroxyzine HCl 5 mg/0.1 mL Topical Gel is a semisolid formulation designed to deliver a specific dose of hydroxyzine hydrochloride for topical use. It is commonly used to relieve itching caused by allergic reactions or to provide relief from anxiety and tension. The gel is dispensed through a pump mechanism for easy and precise application.

How do you use Hydroxyzine HCl Topical Gel?

To use the gel, pump the necessary amount as prescribed by your healthcare provider onto your finger or directly onto the affected area of the skin. Gently spread the gel over the area, allowing it to dry naturally. Always follow the specific directions provided by your healthcare professional regarding the amount and frequency of application.

Can Hydroxyzine HCl Topical Gel be used for any skin irritation?

While hydroxyzine is effective for relief from itching due to allergic reactions, it is essential to consult with a healthcare provider before using it for any skin irritation. Your provider will determine if this medication is suitable for your condition.

Is there a specific way to store Hydroxyzine HCl Topical Gel?

The gel should be stored at room temperature, away from direct sunlight and heat. Do not freeze the medication. Keep the container tightly closed and out of reach of children and pets.

Are there any side effects associated with Hydroxyzine HCl Topical Gel?

Side effects can include skin irritation, such as redness or a burning sensation at the site of application. If you experience any severe reactions or symptoms of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek medical attention immediately.

What should I do if I miss a dose of Hydroxyzine HCl Topical Gel?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and proceed with your regular application schedule. Do not apply extra gel to make up for a missed dose.

Can Hydroxyzine HCl Topical Gel be used with other medications?

Always inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and herbal supplements. Some medications may interact with hydroxyzine. Your provider will advise you if it is safe to use this topical gel with your other medications.

Is Hydroxyzine HCl Topical Gel safe for children?

The safety and effectiveness of hydroxyzine HCl Topical Gel in children have not been established. Please consult with a pediatrician or healthcare provider before using this medication on a child.

Can I apply cosmetics or sunscreen over Hydroxyzine HCl Topical Gel?

It is best to avoid applying cosmetics or sunscreen over the area where you've applied Hydroxyzine HCl Topical Gel unless your healthcare provider has instructed otherwise. If you must use other products, wait until the gel has fully dried and absorbed into your skin.

What should I do in case of an overdose with Hydroxyzine HCl Topical Gel?

An overdose is less likely with topical application as compared to oral forms; however, if you suspect an overdose or if the gel has been ingested, seek emergency medical attention immediately. Be prepared to show or describe the amount of gel used to the medical personnel.

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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.