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Formulas

Nifedipine 8%/Pentoxifylline 8% Topical Gel

The Nifedipine 8%/Pentoxifylline 8% Topical Gel is a semisolid preparation that combines the vasodilatory effects of Nifedipine with the blood flow enhancing properties of Pentoxifylline. This topical formulation is specifically designed to be dispensed from a pump mechanism, which allows for convenient and controlled application to the skin. The gel is intended for localized treatment, facilitating the absorption of the active ingredients directly at the site of application.

This compounded medication is primarily used in the management of several disease states, including Raynaud's phenomenon, where it helps to improve blood flow and reduce the frequency and severity of vasospastic attacks. It is also utilized in the treatment of other circulatory conditions such as diabetic foot ulcers, where enhancing microcirculation can aid in the healing process. Additionally, the gel may be prescribed for patients with peripheral arterial disease (PAD) to alleviate symptoms and improve peripheral blood flow.

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Nifedipine Hydrochloride
Pentoxifylline Hydrochloride
Topical Cream
65c3a953b28f2d929c346688
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Formula Information

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The Nifedipine 8%/Pentoxifylline 8% Topical Gel is a specialized medication compounded by the team at Bayview Pharmacy to address specific medical conditions that benefit from the combined effects of these two active ingredients. Nifedipine is a calcium channel blocker that is commonly used to treat hypertension and angina, but in a topical formulation, it can be effective for conditions such as anal fissures and Raynaud's phenomenon by promoting vasodilation and increasing blood flow to the affected area. Pentoxifylline, on the other hand, is a xanthine derivative that improves blood viscosity and flow, and is traditionally used to treat muscle pain in patients with peripheral artery disease. When used topically, it may enhance microcirculation and oxygen delivery to tissues.

The gel is formulated to be a semisolid preparation, which allows for a localized effect with minimal systemic absorption. This is particularly beneficial for patients who require targeted relief without the side effects associated with oral administration of these medications. The pump mechanism in which the gel is dispensed ensures a controlled and consistent dose with each application, promoting adherence to treatment and optimizing therapeutic outcomes. This delivery system also reduces the risk of contamination and maintains the stability of the active ingredients.

For patients, it is important to understand that this topical gel is intended for external use only and should be applied as directed by a healthcare professional. The area of application should be clean and dry, and patients should wash their hands before and after applying the gel. For prescribers, the combination of nifedipine and pentoxifylline in an 8% concentration for each provides a potent formulation that can be used for a variety of vascular-related conditions where improved blood flow and tissue oxygenation are desired. It is essential to consider the patient's overall medical condition and concurrent medications to avoid potential interactions.

If you have any questions or require further information about the Nifedipine 8%/Pentoxifylline 8% Topical Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to both patients and healthcare providers to ensure the safe and effective use of this customized medication.

Drug Interactions

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The combination of nifedipine and pentoxifylline in a topical gel formulation is designed for localized treatment and may offer therapeutic benefits for certain medical conditions. Nifedipine is a calcium channel blocker that is commonly used to treat hypertension and angina by relaxing blood vessels and increasing the supply of blood and oxygen to the heart. Pentoxifylline is a xanthine derivative that improves blood flow by making red blood cells more flexible and reducing blood viscosity. This combination may be beneficial in treating conditions such as Raynaud's phenomenon, where blood flow to the extremities is compromised, or for other circulatory disorders where improved blood flow is desired.

When using this topical gel, it is important to consider potential drug interactions. Nifedipine, when absorbed systemically, can interact with a variety of medications. For instance, it may enhance the effects of antihypertensive agents, leading to an increased risk of hypotension. Concurrent use with beta-blockers should be approached with caution, as it may result in an exacerbation of heart failure. Additionally, nifedipine can interact with drugs that are metabolized by the cytochrome P450 3A4 enzyme system, such as certain antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), and protease inhibitors. These interactions can lead to increased levels of nifedipine, potentially causing an enhanced pharmacological effect and increased risk of adverse reactions.

Pentoxifylline may also interact with other medications. It has the potential to enhance the effects of anticoagulants and antiplatelet agents, increasing the risk of bleeding. Patients taking warfarin or similar medications should be monitored closely for changes in prothrombin time or INR. Additionally, pentoxifylline may interact with antihypertensive drugs, leading to an additive hypotensive effect. Caution is advised when using this medication in conjunction with other agents that affect blood pressure.

It is important to note that while the topical route of administration may reduce the likelihood of systemic absorption and thus decrease the potential for drug interactions, systemic absorption can still occur. Therefore, both patients and prescribers should be aware of the patient's complete medication profile, including over-the-counter drugs, herbal supplements, and other topical medications, to avoid possible interactions.

Patients should be instructed to apply the gel as directed and to report any unusual symptoms or side effects to their healthcare provider. Prescribers should monitor patient response to therapy and adjust treatment as necessary. If you have any questions or concerns regarding the use of this topical gel formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Nifedipine 8%/Pentoxifylline 8% Topical Gel is a specialized medication formulated by compounding pharmacists to address certain circulatory disorders. This semisolid preparation is designed to be dispensed from a pump mechanism, which allows for convenient, controlled, and hygienic application directly onto the skin. The pump ensures that each dose is consistent, reducing the risk of over or under-dosing, and the topical delivery system targets the affected area with minimal systemic absorption.

Nifedipine is a calcium channel blocker that works by inhibiting the influx of calcium ions into vascular smooth muscle cells. This action leads to vasodilation, particularly of the peripheral arterioles, which decreases peripheral vascular resistance and subsequently lowers blood pressure. In a topical formulation, nifedipine can help improve blood flow to the extremities, which is beneficial in treating conditions such as Raynaud's phenomenon, where blood vessels in the hands and feet spasm and restrict blood flow.

Pentoxifylline, on the other hand, is a methylxanthine derivative that improves blood flow by affecting red blood cell deformability and reducing blood viscosity. It also has an inhibitory effect on platelet aggregation and thrombus formation. When applied topically, pentoxifylline can enhance microcirculation in the treated area, which is particularly useful in treating conditions like peripheral arterial disease and diabetic neuropathy, where blood flow is compromised.

The combination of nifedipine and pentoxifylline in an 8% concentration for each provides a synergistic effect that can significantly improve blood flow and oxygen delivery to the affected tissues. This can alleviate symptoms such as pain, numbness, and ulcers caused by poor circulation. The topical route of administration ensures that the medication acts where it is needed most, with a lower risk of systemic side effects compared to oral administration.

Patients and prescribers should note that this compounded formulation must be used as directed to achieve the desired therapeutic outcomes. It is important to apply the gel to clean, intact skin and to avoid contact with open wounds or mucous membranes. The use of this medication should be part of a comprehensive treatment plan that may include lifestyle changes and other medications as prescribed by a healthcare provider.

If you have any questions about the Nifedipine 8%/Pentoxifylline 8% Topical Gel or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this customized medication.

Other Uses

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Nifedipine is primarily known as a calcium channel blocker used to manage hypertension and angina, but when compounded into a topical gel formulation, it is often utilized for its vasodilating properties. In topical applications, it may aid in improving localized blood flow for conditions such as anal fissures, promoting healing by increasing perfusion to the affected area. It can also be considered in the management of other circulatory disorders where increased local blood flow may be beneficial, such as Raynaud's phenomenon, where it might help reduce the frequency or severity of episodes. The increased perfusion may also aid in the treatment of certain types of ulcerations, such as those secondary to systemic sclerosis or diabetic foot ulcers, by improving oxygenation and nutrient delivery to the tissues.

Pentoxifylline, another key ingredient in this compound, is medically indicated as an oral treatment for peripheral vascular diseases and intermittent claudication. This methylxanthine derivative improves blood flow and has anti-inflammatory properties. Topically, it has been explored for the potential management of conditions like wound healing, especially in ischemic ulcers, by enhancing microcirculation and promoting fibrinolysis. It might also assist in reducing the viscosity of blood, thereby helping to enhance the flow of blood through narrow or restricted vessels. Furthermore, due to its anti-inflammatory properties, there could be potential uses in the treatment of localized inflammation or inflammatory skin disorders.

While this combination gel is formulated specifically for the delivery of nifedipine and pentoxifylline in an 8% concentration, other therapeutic applications may emerge as more evidence becomes available through clinical research. The semisolid dosage form with a pump mechanism allows for controlled and targeted application, which is useful in optimizing delivery to specific sites on the body requiring treatment. It's important to note that while the pump allows for measured doses, the exact amount delivered per pump can vary, and dosing should be adjusted according to the prescriber's direction and patient's individual response to therapy.

Patients and prescribers should be aware that this topical formulation should be used on advice from a healthcare provider, and it may not be suitable for all patient populations, particularly those with known sensitivities or contraindications to the active ingredients. Furthermore, the use of the gel should be carefully monitored for systemic absorption, particularly in individuals susceptible to the effects of systemic vasodilators, such as those with significant cardiovascular disease. If any unexpected side effects occur, such as dizziness, a rash, or worsening of the condition being treated, use should be discontinued and medical advice sought.

Any further exploration into off-label or innovative uses of this compound should be done under the guidance of a healthcare professional with expertise in compounding pharmacy to ensure the safety and suitability for the individual patient. If you have any questions regarding this formulation or potential other uses, please reach out to us at Bayview Pharmacy, and our dedicated team of compounding pharmacists will be glad to assist you.

Frequently Asked Questions

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What is Nifedipine 8%/Pentoxifylline 8% Topical Gel?

Nifedipine 8%/Pentoxifylline 8% Topical Gel is a specially compounded medication that combines the vasodilating effects of Nifedipine and the blood flow enhancing effects of Pentoxifylline. It's a semisolid preparation intended for topical application on the skin to provide localized treatment and deliver the active ingredients directly to the affected area.

How should I use Nifedipine 8%/Pentoxifylline 8% Topical Gel?

You should apply the gel as directed by your healthcare provider. Typically, it involves applying a thin layer of the gel to the affected area of the skin. It is important to use the pump mechanism as instructed to dispense the correct dose and to keep the gel away from eyes, mouth, and any mucous membranes.

What conditions does Nifedipine 8%/Pentoxifylline 8% Topical Gel treat?

This compounded formulation is often prescribed for conditions that benefit from improved blood flow and vasodilation, such as Raynaud's phenomenon, certain types of ulcers, or other circulation-related issues. Your healthcare provider can provide specific information on why it has been prescribed for you.

Can I cover the area with a bandage after application?

It is usually advised to let the skin breathe and not to cover it immediately after application to allow for proper absorption. However, your doctor might give you specific instructions based on your treatment plan, so it's important to follow their advice.

How often should I apply this medication?

The frequency of application will depend on your individual prescription. Always follow the dosing schedule provided by your healthcare provider and do not adjust your dose without their guidance.

What are the potential side effects of Nifedipine 8%/Pentoxifylline 8% Topical Gel?

As with any medication, side effects could occur. You might experience local skin irritation, itching, or redness. If you experience any severe reactions, systemic side effects, or if the side effects persist, contact your healthcare provider immediately.

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 up on doses to make up for the missed application.

How should I store the gel?

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

Is this gel safe to use during pregnancy or while breastfeeding?

The safety of this medication for use during pregnancy or while breastfeeding has not been established. You should disclose your pregnancy or if you are breastfeeding to your healthcare provider before using this medication. They will weigh the benefits and risks and guide you appropriately.

Can I use Nifedipine 8%/Pentoxifylline 8% Topical Gel with other medications?

Interactions with other topical or systemic medications may occur. Inform your healthcare provider of all medications you are currently using, including over-the-counter drugs and herbal supplements, to avoid potential interactions.

What should I avoid while using this medication?

You should avoid direct sunlight on the treated area as well as the use of other topical products that have not been approved by your healthcare provider. Additionally, it's important to avoid any activity that your doctor advises against based on your specific health condition and treatment plan.

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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.