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Formulas

Miconazole Nitrate 1% Otic Liquid

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Miconazole Nitrate

Miconazole Nitrate 1% Otic Liquid is a specially formulated antifungal medication intended for the treatment of fungal infections in the ear canal, such as otomycosis. This liquid solution is designed to deliver the active ingredient directly to the site of infection. The formulation is to be administered with precision using the provided ear dropper or applicator, as per the directions given. It is essential for patients to follow the prescribed regimen to achieve optimal therapeutic outcomes in the treatment of ear fungal infections.

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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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This medication requires a prescription from your doctor

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.
Miconazole Nitrate
Otic Solution
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Formula Information

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Miconazole Nitrate 1% Otic Liquid is a specially compounded medication intended for the treatment of fungal infections within the ear canal. This antifungal agent works by disrupting the cell membrane of the fungi, leading to the leakage of essential intracellular components and ultimately causing the death of the fungal cells. The 1% concentration ensures that the medication is potent enough to effectively treat the infection while minimizing potential irritation to the delicate tissues of the ear.

The liquid formulation is designed for ease of application directly into the ear canal, allowing for direct contact with the infected area. This targeted approach ensures that the medication is delivered where it is most needed, increasing its efficacy and reducing the likelihood of systemic side effects. The use of a specific ear dropper or applicator further facilitates precise dosing and helps to prevent contamination of the medication.

Patients prescribed with Miconazole Nitrate 1% Otic Liquid should be instructed on the proper technique for administering the drops, including how to lie down or tilt the head to allow the medication to reach deep into the ear canal. It is also important to discuss the duration of treatment, as stopping the medication too early can lead to a recurrence of the infection. Prescribers should consider the patient's medical history, including any known allergies to antifungal medications or other ear conditions that might affect treatment.

Therefore, accurate diagnosis is essential before initiating treatment. Additionally, patients should be monitored for any signs of irritation or allergic reaction, and prescribers should be aware of potential interactions with other medications the patient may be taking.

If you have any questions regarding Miconazole Nitrate 1% Otic Liquid or its use in treating ear infections, 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 information to ensure appropriate treatment.

Drug Interactions

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Miconazole nitrate is an antifungal agent commonly used to treat fungal infections. When formulated as a 1% otic liquid, it is intended for the treatment of fungal infections within the ear canal. As with any medication, it is important to consider potential drug interactions that may affect the efficacy of the treatment or cause adverse effects.

While miconazole nitrate is used topically in the ear and systemic absorption is minimal, there is still a possibility of interaction with other medications. For instance, miconazole can inhibit the enzyme CYP2C9, which could potentially increase the plasma concentrations of drugs metabolized by this enzyme, such as warfarin, a common anticoagulant. Patients taking warfarin should be monitored for changes in prothrombin time or international normalized ratio (INR) when initiating or discontinuing treatment with miconazole otic liquid.

Additionally, miconazole may enhance the anticoagulant effect of other coumarin-like drugs, leading to an increased risk of bleeding. Patients should be advised to report any signs of bleeding, such as unusual bruising or bleeding gums, to their healthcare provider. It is also advisable to avoid concurrent use with other ototoxic drugs (e.g., aminoglycoside antibiotics) that could potentially increase the risk of ear toxicity, although the risk is likely low with topical administration.

Patients should be instructed to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and vitamins, to ensure that no interactions will compromise the effectiveness of the miconazole treatment or cause adverse effects. If there is a lack of response to treatment or if symptoms worsen, patients should seek further medical evaluation.

For prescribers, it is crucial to review the patient's medication profile for potential interactions before prescribing miconazole nitrate 1% otic liquid. Adjustments to therapy or additional monitoring may be necessary to ensure safe and appropriate use of this medication. If you have any questions or require further information regarding drug interactions with miconazole nitrate 1% otic liquid, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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Miconazole Nitrate 1% Otic Liquid is a specially compounded medication designed for the treatment of fungal infections in the ear canal. Miconazole nitrate, the active ingredient, is an antifungal agent that works by inhibiting the growth of various types of fungi that can cause ear infections. When applied to the affected area, miconazole nitrate targets the cell membrane of the fungi, leading to the leakage of essential cellular components and ultimately causing the death of the fungal cells.

The 1% concentration of miconazole nitrate in this otic liquid formulation ensures that a sufficient amount of the medication is delivered directly to the site of infection. This direct application helps to maximize the drug's efficacy while minimizing systemic absorption, which can reduce the potential for side effects. The liquid form of the medication is particularly suitable for the ear canal, as it can easily reach the entire infected area and provide a moist environment that can help to soothe irritation and inflammation associated with the infection.

For patients and prescribers considering the use of Miconazole Nitrate 1% Otic Liquid, it is important to understand that this medication is specifically intended for otic use, meaning it should only be used in the ear. The liquid is typically administered using a dropper or other applicator to ensure accurate dosing. Patients should follow the prescribed dosing instructions carefully, as the duration and frequency of treatment can vary depending on the severity of the infection and the response to the medication.

Therefore, a proper diagnosis by a healthcare professional is essential before starting treatment with this medication. Additionally, patients should inform their healthcare provider of any other medications they are taking or any known allergies to ensure the safe use of Miconazole Nitrate 1% Otic Liquid.

If you have any questions about Miconazole Nitrate 1% Otic Liquid or its use in treating ear infections, please do not hesitate to 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 ear conditions with this specialized formulation.

Other Uses

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Miconazole nitrate is an antifungal agent commonly used for its efficacy in treating various fungal infections. While the primary indication for a 1% miconazole nitrate otic liquid is for fungal infections of the ear canal, also known as otomycosis, it may possess secondary benefits for related conditions. Miconazole has been demonstrated to have some effectiveness against certain bacterial strains, providing a broader spectrum of antimicrobial activity which could be beneficial in superinfected ear conditions where fungal and bacterial pathogens coexist.

Fungal infections can be secondary to other ear problems, such as eczema or psoriasis, which can also affect the ear canal. In such cases, miconazole nitrate may assist in reducing the fungal burden and thus alleviate some symptoms related to these dermatologic conditions. However, the effectiveness of miconazole nitrate in non-fungal ear conditions, like these dermatologic ailments, has not been established as a primary treatment and should only be considered as an adjunct therapy or in the absence of alternative treatments.

Additionally, miconazole nitrate otic liquid may also be used off-label for ear conditions that are not primarily caused by fungal infections but could benefit from the anti-inflammatory properties that azoles like miconazole can exhibit. Such use should always be under the guidance of a healthcare professional, as it deviates from the primary indication of the formulation.

It is of paramount importance that before using miconazole nitrate otic liquid for any secondary purposes, prescribers should thoroughly evaluate the potential risks and benefits, taking into account the patient’s overall medical condition and any concurrent therapies. Patients should be advised that the use of the otic liquid is primarily for fungal infections and any other use should be discussed with a healthcare provider to ensure safety and efficacy. If you have any questions about the potential uses of miconazole nitrate 1% otic liquid, or if you would like to know more about its application and possible suitability for conditions other than those directly related to fungal infections, please reach out to us at Bayview Pharmacy for further assistance and expert advice.

Frequently Asked Questions

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What is Miconazole Nitrate 1% Otic Liquid used for?

Miconazole Nitrate 1% Otic Liquid is used for treating ear conditions such as infections or inflammation. It is an antifungal medication that works by stopping the growth of fungi that cause infection in the ear canal.

How should I use Miconazole Nitrate 1% Otic Liquid?

It should be administered using the ear dropper or applicator provided. Follow your healthcare provider's instructions precisely, typically involving tilting your head or lying on your side, and placing the prescribed number of drops into the affected ear.

How often do I need to use Miconazole Nitrate 1% Otic Liquid?

The frequency of use will depend on the specific instructions from your healthcare provider, but it is often used two to three times daily. Always follow the prescribed regimen closely.

Can I use Miconazole Nitrate 1% Otic Liquid if I have a perforated eardrum?

No, you should not use Miconazole Nitrate 1% Otic Liquid if you have a known perforated eardrum. Consult your healthcare provider for an alternative treatment.

Is Miconazole Nitrate 1% Otic Liquid safe for children?

While it can be used in children, safety and dosage will vary by age and ear condition. Always consult a pediatrician before administering this medication to a child.

Will Miconazole Nitrate 1% Otic Liquid cure my ear infection?

If your ear infection is caused by fungi, it is likely to improve with proper use.

What should I do if I miss a dose?

If you miss a dose, administer it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double dose to make up for a missed one.

Can I swim while using Miconazole Nitrate 1% Otic Liquid?

You should avoid swimming and getting the ear wet while using Miconazole Nitrate 1% Otic Liquid, as this can dilute the medication and disrupt the treatment process. Discuss with your healthcare provider any specific precautions regarding water exposure.

Are there any side effects of using Miconazole Nitrate 1% Otic Liquid?

Side effects may include itching, stinging, or redness in the ear. More severe side effects, though rare, can include allergic reactions. Contact your healthcare provider if you experience any side effects that persist or worsen.

How should I store Miconazole Nitrate 1% Otic Liquid?

Store the medication at room temperature, away from direct light and moisture. Keep it out of the reach of children and pets. Do not use it after the expiration date printed on the label.

Can I use other ear medications while using Miconazole Nitrate 1% Otic Liquid?

Before starting any new medications or supplements, discuss with your healthcare provider to ensure no interactions or adverse effects when combined with Miconazole Nitrate 1% Otic Liquid.

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.

Miconazole Nitrate 1% Otic Liquid
Otic Solution
15 mL
controlled

Place drops into affected ear(s)