Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Methimazole 5%/Tranexamic Acid 10% Topical Cream

The Methimazole 5%/Tranexamic Acid 10% Topical Cream is a specialized semisolid preparation formulated for targeted delivery of active ingredients through the skin. This cream is uniquely dispensed via a pump mechanism, which ensures a convenient, hygienic, and controlled application. The formulation is designed to treat localized skin conditions, specifically those associated with hyperpigmentation and melasma. Methimazole, an antithyroid agent, is utilized off-label in this formulation for its inhibitory effect on melanin synthesis, which can help in reducing the appearance of dark spots on the skin. Tranexamic Acid, a plasmin inhibitor, is included for its ability to diminish melanocyte activity and improve skin discoloration associated with melasma. Together, these active ingredients provide a synergistic approach to managing and treating hyperpigmentation and melasma, offering patients a non-invasive topical therapy option.

Want a different strength?
Click the Text Us button below.
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.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Methimazole
Tranexamic Acid
Topical Cream
65bbf4431737f46b126e260a
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

Methimazole 5%/Tranexamic Acid 10% Topical Cream is a compounded medication specifically formulated to combine the therapeutic effects of methimazole, an antithyroid agent, with tranexamic acid, an antifibrinolytic compound. This unique topical cream is designed to be dispensed in a pump mechanism, which allows for a convenient, hygienic, and controlled application directly to the skin. The semisolid preparation ensures that the active ingredients are delivered in a localized manner, potentially reducing systemic side effects and targeting specific areas of concern.

Methimazole is primarily used in the management of hyperthyroidism, a condition characterized by an overactive thyroid gland. It works by inhibiting the synthesis of thyroid hormones, thereby helping to restore normal thyroid function and alleviate symptoms associated with hyperthyroidism such as rapid heart rate, anxiety, and excessive sweating. When applied topically, methimazole may offer a localized effect with less systemic absorption, which could be beneficial for patients who experience adverse reactions to oral formulations or require targeted therapy for dermal manifestations of thyroid disease.

Tranexamic acid, on the other hand, is effective in treating conditions related to excessive bleeding due to its ability to inhibit plasminogen activation and plasmin, enzymes involved in the breakdown of fibrin clots. Topically, tranexamic acid has been used to treat melasma and other skin conditions characterized by hyperpigmentation, as it may help to reduce the appearance of discolored skin patches by interfering with melanin synthesis and reducing inflammation. The 10% concentration in this cream formulation is intended to provide a potent dose for significant therapeutic effect in the localized area of application.

The combination of methimazole and tranexamic acid in a topical cream form may be particularly useful for patients who require treatment for both hyperthyroidism-related skin conditions and hyperpigmentation issues. However, it is important to note that the use of this compounded formulation should be based on the clinical judgment of a healthcare provider and tailored to the individual needs of the patient. As with any medication, potential side effects, contraindications, and interactions with other drugs should be carefully considered.

For patients and prescribers interested in utilizing this Methimazole 5%/Tranexamic Acid 10% Topical Cream, Bayview Pharmacy is equipped to provide detailed information on the formulation, proper usage, and expected outcomes. Our team of compounding pharmacists is committed to ensuring the highest quality and safety standards in the preparation of this medication. Should you have any questions or require further assistance, please do not hesitate to reach out to us for professional guidance and support.

Drug Interactions

A small arrow pointing down

The Methimazole 5%/Tranexamic Acid 10% Topical Cream is a unique formulation combining two active ingredients with distinct pharmacological actions. Methimazole is an antithyroid agent commonly used to manage hyperthyroidism by inhibiting the synthesis of thyroid hormones. Tranexamic acid is an antifibrinolytic that works by preventing the breakdown of blood clots, and it is used topically to treat melasma by interfering with the interaction between melanocytes and keratinocytes and reducing pigmentation.

When considering drug interactions for this topical cream, it is important to note that systemic absorption of both methimazole and tranexamic acid can occur, although it is generally minimal with topical application. However, patients should be advised to inform their healthcare providers of all medications they are taking, including prescription drugs, over-the-counter medications, and herbal supplements, to assess for potential interactions.

For methimazole, drugs that may interact include anticoagulants (such as warfarin), theophylline, and beta-blockers. Methimazole can potentiate the anticoagulant effect of warfarin, increasing the risk of bleeding. If a patient is on anticoagulant therapy, more frequent monitoring of INR or prothrombin time may be necessary. Concurrent use with theophylline may necessitate adjustments in theophylline dosage, as methimazole can affect its metabolism. Additionally, methimazole may increase the effects of beta-blockers, leading to an enhanced reduction in heart rate and blood pressure.

Tranexamic acid, when absorbed systemically, can interact with hormonal contraceptives, as it may increase the risk of thromboembolic events such as deep vein thrombosis or pulmonary embolism. Patients on hormonal contraceptives should be monitored for signs of thromboembolic complications. Additionally, concurrent use with other antifibrinolytic agents or anticoagulants should be approached with caution due to the potential for additive effects or increased risk of bleeding.

Topical application of this cream may also interact with other topical preparations, particularly those containing ingredients that can cause skin irritation or those with similar pharmacological actions. It is advisable to avoid simultaneous use of other topical agents on the same area without consulting a healthcare provider.

Patients should be instructed to apply the cream as directed and to the specific area prescribed to minimize the risk of systemic absorption and potential interactions. If any unusual symptoms or signs of an interaction occur, such as excessive bruising, bleeding, or changes in thyroid function, patients should contact their healthcare provider immediately.

It is also important to consider the potential for allergic reactions or sensitivities to either of the active ingredients or excipients in the formulation. Patients with a known allergy to methimazole, tranexamic acid, or any component of the cream should not use this product.

In summary, while the risk of systemic drug interactions with Methimazole 5%/Tranexamic Acid 10% Topical Cream is relatively low, it is not negligible. Both patients and prescribers should be vigilant about the potential for interactions with other medications and the signs and symptoms that may indicate such interactions. For any questions or concerns regarding this formulation or its use, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

A small arrow pointing down

The Methimazole 5%/Tranexamic Acid 10% Topical Cream is a specialized formulation that combines two active pharmaceutical ingredients, methimazole and tranexamic acid, in a cream base for topical application. Methimazole is a thionamide medication primarily used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. It works by inhibiting the enzyme thyroid peroxidase, which is involved in the synthesis of thyroid hormones, T3 and T4. By reducing the production of these hormones, methimazole helps to alleviate symptoms associated with hyperthyroidism such as rapid heart rate, anxiety, and excessive sweating. Although methimazole is typically administered orally, the topical formulation allows for localized treatment, potentially reducing systemic side effects.

Tranexamic acid, on the other hand, is a synthetic derivative of the amino acid lysine and functions as an antifibrinolytic agent. It works by inhibiting plasminogen activator substances and, to a lesser degree, plasmin activity, thereby preventing the breakdown of fibrin clots. Tranexamic acid is commonly used to treat or prevent excessive blood loss during surgery and in various conditions that involve serious bleeding. In dermatology, tranexamic acid has been used topically for its skin-lightening effects and to improve melasma, a condition characterized by dark, discolored patches on the skin. It is thought to work in this context by inhibiting melanogenesis, the process of melanin production in the skin.

The combination of methimazole and tranexamic acid in a topical cream allows for the simultaneous treatment of skin-related manifestations of hyperthyroidism and melasma or other pigmentary disorders. The cream is formulated as a semisolid preparation, which is dispensed in a pump mechanism. This type of packaging ensures a convenient, hygienic, and controlled application, allowing patients to apply the medication directly to the affected areas of the skin with minimal waste and variability in dosing.

When applied to the skin, the cream delivers the active ingredients directly to the target area, providing localized treatment that may reduce the risk of systemic absorption and associated side effects. The cream base also serves to moisturize and protect the skin, which can be beneficial for patients experiencing dry or irritated skin conditions. It is important for patients and prescribers to understand that the effectiveness and safety of this compounded formulation depend on proper use, following the prescribed dosing regimen, and considering any potential interactions with other medications or underlying health conditions.

If you have any questions or require further information about the Methimazole 5%/Tranexamic Acid 10% 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.

Other Uses

A small arrow pointing down

The Methimazole 5%/Tranexamic Acid 10% Topical Cream, dispensed in a pump mechanism, is primarily used for specific dermatological conditions that require the therapeutic effects of both methimazole and tranexamic acid. While methimazole is commonly known for its oral use in the treatment of hyperthyroidism, when applied topically, it can serve as an anti-inflammatory and antithyroid agent that may help to alleviate conditions such as localized vitiligo or other skin disorders where immune response modulation is needed. Tranexamic acid, on the other hand, is widely recognized for its ability to reduce bleeding by inhibiting plasminogen activation, but in dermatology, it has shown effectiveness in treating melasma and other pigmentary disorders by preventing UV-induced hyperpigmentation.

Apart from these uses, the combination of methimazole and tranexamic acid in a topical cream could have potential off-label applications due to their individual pharmacological actions. Tranexamic acid could be beneficial in managing conditions involving localized redness or rosacea, as it can help mitigate inflammatory responses and strengthen the vascular integrity. Furthermore, considering the possible synergistic effect of both agents, this formulation might be explored for wound healing, given that balanced inflammation control and bleeding management are critical for proper tissue repair. It should be noted that these other uses are speculative and should be explored under the guidance of a healthcare professional.

Potential use in cosmetic dermatology for skin texture and appearance improvements is also a field of interest, where methimazole's anti-inflammatory effects and tranexamic acid's skin lightening properties, when combined, could enhance the outcome of treatments for uneven skin tone and textural irregularities. However, such uses would warrant further studies and clinical trials to establish efficacy and safety profiles for these indications.

Patients and prescribers who are interested in exploring the extended applications of this topical formulation should be advised that the use beyond the designated indications has not been rigorously tested. Any off-label use should be embarked upon with careful consideration and professional consultation. It's critical to monitor for any adverse reactions or interactions with other medications when using this cream for other purposes. If you have any questions or concerns regarding the use of Methimazole 5%/Tranexamic Acid 10% Topical Cream for applications other than those for which it was originally intended, or if you would like to discuss potential benefits and risks, do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is ready to provide you with the support and information you need to make informed decisions about your treatment options.

Frequently Asked Questions

A small arrow pointing down

What is Methimazole 5%/Tranexamic Acid 10% Topical Cream used for?

This compounded cream is used for localized skin treatment that may benefit from the combined effects of Methimazole, typically used for treating hyperthyroid disorders, and Tranexamic Acid, known for its skin brightening and anti-inflammatory properties. It might be prescribed for various dermatological conditions as determined by a healthcare provider.

How should I use this topical cream?

The cream should be applied as directed by your healthcare provider. Generally, a small amount is applied to the affected area of the skin. Use the pump mechanism to dispense the product, and spread it gently and evenly on the skin.

Can I use Methimazole 5%/Tranexamic Acid 10% Topical Cream on my entire body?

It is intended for localized treatment, so you should only apply it to the area specified by your healthcare provider. It is not meant for widespread application or use on large areas of the body.

What are the possible side effects of using this cream?

Side effects may include local skin irritation, redness, rash, or itching. If you experience any severe side effects, such as hives or difficulty breathing, seek medical attention immediately. Always discuss potential side effects with your healthcare provider.

How should this product be stored?

The cream should be stored at room temperature, away from direct sunlight and heat. Keep the lid tightly closed when not in use.

What is the shelf life of Methimazole 5%/Tranexamic Acid 10% Topical Cream?

The shelf life varies depending on the specific formulation and storage conditions. Check the label or consult your pharmacist for the exact expiration date.

Can I wear makeup over the areas where I have applied the cream?

It is typically advisable to let the cream fully absorb before applying makeup. However, consult your healthcare provider for personal advice, as this can vary based on the treatment area and the type of makeup products you use.

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

Is it safe to use Methimazole 5%/Tranexamic Acid 10% Topical Cream during pregnancy or while breastfeeding?

The safety of this topical cream during pregnancy or breastfeeding has not been established. It's crucial to consult your healthcare provider before using this medication if you are pregnant, planning to become pregnant, or breastfeeding.

Can I use this cream in conjunction with other topical medications?

Consult your healthcare provider before using any other topical products with this cream, as there may be potential interactions. Your healthcare provider will advise you on the appropriate course of treatment.

Related Formulas

Related Products
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.