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Irbesartan 150 mg/ml Gastric Tube Liquid

FDA-approved generic
Dose form
G-Tube Liquid
Active ingredients
Irbesartan

The Irbesartan 150 mg/ml Gastric Tube Liquid is a specially compounded medication intended for patients who require administration through a gastric tube. This formulation is designed to provide a precise dosage of irbesartan, a medication commonly used to treat hypertension (high blood pressure) and to help protect the kidneys from damage due to diabetes. This product is particularly suitable for use in hospital settings or for home-based patients with specialized care needs.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Irbesartan
G-Tube Liquid
65aea91f87f49a7d8d669df7
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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Irbesartan 150 mg/ml Gastric Tube Liquid is a custom-compounded medication specifically designed for administration through a gastric tube. This formulation is ideal for patients who are unable to take oral medications due to swallowing difficulties or other conditions that impair oral intake. The high concentration of 150 mg/ml allows for the administration of the required dose in a smaller volume, which is particularly beneficial for patients with fluid restrictions or those who require high doses of irbesartan.

Irbesartan is an angiotensin II receptor blocker (ARB) that is commonly prescribed for the treatment of hypertension (high blood pressure) and nephropathy in patients with type 2 diabetes. By blocking the action of angiotensin II, a potent vasoconstrictor, irbesartan causes vasodilation, which leads to a reduction in blood pressure. Additionally, it helps protect the kidneys from the progression of damage due to diabetes by reducing the pressure within the kidney's filtering system.

This liquid formulation is carefully prepared to ensure stability, sterility, and accurate dosing. It is important for prescribers to note that the bioavailability of the gastric tube formulation may differ from that of oral tablets, and dosing adjustments may be necessary. Monitoring of blood pressure and renal function is recommended to ensure therapeutic effectiveness and safety. The formulation is also free from common allergens and unnecessary additives, making it suitable for patients with specific sensitivities or allergies.

For patients and prescribers interested in using this formulation, it is essential to understand that it must be stored under appropriate conditions to maintain its efficacy and to prevent contamination. The medication should be administered as per the prescribed schedule, and any changes in the patient's condition should be reported to the healthcare provider. As with any medication, potential side effects may include dizziness, fatigue, or gastrointestinal disturbances, and patients should be monitored for these.

If you have any questions or require further information about the Irbesartan 150 mg/ml Gastric Tube Liquid formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of expert compounding pharmacists is dedicated to providing high-quality, patient-specific medications and is available to assist with any inquiries or concerns you may have.

Drug Interactions

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Irbesartan is an angiotensin II receptor blocker (ARB) used primarily to treat high blood pressure (hypertension) and can also be used to treat kidney disease in patients with type 2 diabetes. When considering the use of irbesartan 150 mg/ml gastric tube liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the patient's overall health.

Irbesartan can interact with other blood pressure medications, such as ACE inhibitors or aliskiren, potentially leading to an increased risk of hypotension (low blood pressure), hyperkalemia (high potassium levels), and renal impairment. Concurrent use with diuretics, especially potassium-sparing diuretics, can also increase the risk of hyperkalemia. It is important to monitor blood pressure and serum potassium levels when these drugs are used together.

Nonsteroidal anti-inflammatory drugs (NSAIDs), including selective COX-2 inhibitors, may reduce the antihypertensive effect of irbesartan and increase the risk of renal impairment, particularly in patients with compromised renal function. Patients should be adequately hydrated, and renal function should be monitored closely when an NSAID is initiated, adjusted, or discontinued.

Lithium co-administration with irbesartan may increase the risk of lithium toxicity due to reduced renal clearance. Frequent monitoring of serum lithium levels and patient signs and symptoms of lithium toxicity is advised when these medications are used together.

Antacids may reduce the bioavailability of irbesartan, potentially decreasing its effectiveness. If the use of an antacid is necessary, it should be administered at a different time than irbesartan to minimize the interaction.

Irbesartan is metabolized by cytochrome P450 enzymes, particularly CYP2C9. Medications that induce or inhibit CYP2C9 may affect the plasma concentration of irbesartan. For example, fluconazole, an inhibitor of CYP2C9, may increase levels of irbesartan, while rifampin, an inducer, may decrease its levels. Adjustments in irbesartan dosage may be necessary when starting or stopping such medications.

It is also important to note that the presence of food can affect the absorption of irbesartan. However, since this formulation is intended for administration via a gastric tube, the impact of food on drug absorption may be less relevant, but it is still important to maintain consistent administration practices to ensure stable drug levels.

Lastly, as with any medication, patients should be advised to inform their healthcare provider of all prescription, over-the-counter medications, herbal supplements, and vitamins they are taking to ensure that any potential interactions can be addressed. If you have any questions or concerns regarding the use of irbesartan 150 mg/ml gastric tube liquid or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Irbesartan 150 mg/ml Gastric Tube Liquid is a specially compounded medication designed for ease of administration through a gastric tube, which is a necessity for patients who are unable to swallow oral medications. This could be due to various medical conditions such as dysphagia, neurological disorders, or when a patient is unconscious or under intensive care. The liquid formulation ensures that the medication can be delivered directly to the stomach, bypassing the need for swallowing.

Irbesartan is an angiotensin II receptor blocker (ARB) that works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood vessels to relax. This helps to lower blood pressure, improve blood flow, and decrease the workload on the heart. It is commonly prescribed for the treatment of hypertension (high blood pressure) and can also be used to treat kidney problems caused by type 2 diabetes. By managing high blood pressure, irbesartan helps prevent strokes, heart attacks, and kidney problems.

The concentration of 150 mg/ml has been chosen to ensure that a smaller volume of liquid is required to achieve the desired dose, which is particularly important when administering medication through a gastric tube. This high concentration also allows for flexibility in dosing, as it can be easily adjusted according to the specific needs of the patient. The liquid formulation is carefully prepared to ensure stability of the medication, appropriate viscosity for gastric tube administration, and to avoid clogging of the tube.

For patients and prescribers considering the use of this formulation, it is important to note that the liquid form of irbesartan should be used with the same precautions as the tablet form. Regular monitoring of blood pressure and kidney function is recommended to ensure the medication is working effectively. Additionally, as with any medication administered through a gastric tube, proper tube maintenance and flushing protocols should be followed to ensure patency of the tube and proper delivery of the medication.

If you have any questions or require further information about the Irbesartan 150 mg/ml Gastric Tube Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest quality of care and is available to assist with any inquiries you may have regarding this specialized formulation.

Other Uses

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Irbesartan, which is an angiotensin II receptor antagonist, is primarily prescribed for the management of hypertension, which helps in preventing strokes, heart attacks, and kidney problems by lowering blood pressure. This specific formulation of Irbesartan at 150 mg/ml as a gastric tube liquid offers an alternative route of administration for patients who are unable to ingest tablets due to dysphagia (swallowing difficulties), esophageal disorders, or after certain surgeries affecting the gastrointestinal tract. It provides a method to ensure continued management of hypertension in patients who otherwise cannot take oral medications.

Beyond its traditional use in hypertension, this formulation might be considered for conditions where Irbesartan has shown off-label potential, such as in the treatment of diabetic nephropathy in patients with type 2 diabetes and hypertension – where the medication’s ability to protect kidney function can be beneficial. Also, in certain cases of heart failure, Irbesartan has been utilized to improve heart function and lower the need for hospitalization, though typically other medications may be preferred first-line.

It is important to note that while Irbesartan has possible uses beyond the scope of hypertension, such off-label uses should be carefully considered and prescribed by a healthcare provider familiar with the patient's medical history and the pharmacology of the medication. This specialized liquid formulation allows for precise dosing adjustments, which can be critical when managing patients with complicated medical conditions.

Precision in administration, an essential aspect of dosing for any medication, is particularly important in the case of antihypertensives like Irbesartan. The 150 mg/ml gastric tube liquid formulation can be accurately measured to provide the exact dose required, accounting for such factors as patient size, severity of the condition, and other medications being taken. This is especially critical in a hospital setting where adjustments may need to be made rapidly in response to a patient’s changing condition.

Rigorous compliance with medication regimens is vital in managing chronic conditions such as hypertension. By using a gastric tube formulation, caregivers can ensure adherence even when patients are unable to participate in their care due to unconsciousness, cognitive impairment, or other factors that limit their ability to take medications orally. Furthermore, this formulation could potentially be used in a long-term care facility or home care setting, providing an option for patients with chronic conditions who require long-term medication management.

We at Bayview Pharmacy understand that each patient's needs are unique and we're committed to providing tailored solutions. Our team of compounding pharmacists is available to discuss any questions or concerns regarding this formulation of Irbesartan or its potential uses. We invite patients and prescribers to reach out to us for more detailed information and guidance.

Frequently Asked Questions

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What is Irbesartan 150 mg/ml Gastric Tube Liquid?

Irbesartan 150 mg/ml Gastric Tube Liquid is a specially formulated medication intended for administration through a gastric tube. It is used to provide the drug Irbesartan, an angiotensin II receptor blocker (ARB), to patients who are unable to swallow oral medications. This liquid formulation ensures precise dosing and safety for patients, often used in hospital settings or for those with swallowing difficulties.

How is Irbesartan Gastric Tube Liquid administered?

This liquid medication is administered directly into the stomach through a gastric tube, which is a tube inserted into the patient's gastrointestinal tract. Proper medical procedures should be followed to ensure appropriate administration of the drug through the gastric tube.

What are the uses of Irbesartan Gastric Tube Liquid?

Irbesartan is typically used to treat high blood pressure (hypertension) and can be used to help protect the kidneys from damage due to diabetes. The gastric tube liquid formulation is used in situations where the patient cannot take the medication orally.

Are there any special storage requirements for Irbesartan Gastric Tube Liquid?

Yes, the liquid formulation of Irbesartan should be stored at a controlled room temperature, away from light and moisture. Always check the label for specific storage instructions, and consult with the pharmacist if you are unsure.

Can the dose of Irbesartan Gastric Tube Liquid be adjusted?

The dose may need to be adjusted based on the patient's individual needs, medical condition, and response to treatment. Any changes in dosage should be guided and authorized by a healthcare professional.

What should I do if I miss a dose of Irbesartan Gastric Tube Liquid?

If a dose is missed, it should be administered as soon as possible. However, if it is near the time of the next scheduled dose, it is recommended to skip the missed dose and proceed with the regular dosing schedule. Do not double up doses to make up for the missed one. Always consult with a healthcare provider to understand the best course of action in case of a missed dose.

Can there be any adverse reactions to Irbesartan Gastric Tube Liquid?

As with any medication, there may be potential side effects when taking Irbesartan. These can range from mild to severe and may include dizziness, lightheadedness, or signs of an allergic reaction. It is important to report any adverse reactions to a healthcare provider immediately.

Is it safe to give Irbesartan Gastric Tube Liquid with other medications?

Irbesartan may interact with other medications. It is crucial to inform the healthcare provider of all medications and supplements the patient is currently taking to avoid potential interactions and ensure safe medication administration.

What should I avoid while on Irbesartan Gastric Tube Liquid?

While being treated with Irbesartan, patients should avoid activities that require alertness if they experience dizziness or lightheadedness. Alcohol and certain drugs that may increase blood pressure or decrease kidney function should also be avoided unless approved by a healthcare provider.

How should I handle any spillage or unintentional contact with Irbesartan Gastric Tube Liquid?

In case of spillage, wear gloves, clean the area with water, and avoid skin and eye contact. If the medication comes into contact with skin or eyes, rinse the area thoroughly with water and seek medical attention if irritation persists. Always handle medications with care and dispose of any waste material properly.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Irbesartan 150 mg/ml Gastric Tube Liquid
G-Tube Liquid
60 mL
controlled
Once daily