Dermatitis Formulas
The Dermatitis Formula is a customized prescription blend that may include ingredients such as; corticosteroids, keratolytic agents, hydrating agents, immunomodulators, vitamin B and E, antimicrobials, and/or ceramide lipids that target the main symptoms of thickened, cracked, dry and itchy skin. It is an odorless gel typically applied twice daily.
The Dermatitis Formula combines prescription ingredients in a proprietary base developed specifically to deliver ingredients while moisturizing and softening the skin. It uses a unique delivery system designed to feel light, smooth and creamy with a pleasant finish on the skin. It is also not tacky or oily, leaving a light and silky feel on the skin. The Dermatitis Formula is specifically made without fragrance or gluten.
Common Ingredients
Beta-glucans are soluble fibers that come from the cell walls of mushrooms, plants, algae, yeasts, and oats. Because beta-glucans have antioxidant properties and are anti-inflammatory, they are excellent ingredients for improving the look of redness and other signs of sensitive skin.
Ceramides are essential lipids naturally produced in the body and make up nearly 50% of the outermost layer of skin. Ceramides help in creating a lipid barrier that helps boost skin resilience and prevents the skin from losing moisture. When the skin lacks ceramides, it can lead to dryness and irritation, contributing to skin sensitivity.
Coal tar belongs to a class of drugs known as keratoplastics. It works by causing the skin to shed dead cells from its top layer and slow down the growth of skin cells. Coal tar has been shown to help slow the rapid growth of skin cells and restore the skin's smooth appearance. Additionally, it may help reduce inflammation, itching, and scaling.
Clobetasol is in a class of medications called super high-potency corticosteroids. This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Clobetasol works by getting the body to stop its extreme immune response. When the immune system's reaction calms down, cell turnover slows, and the itchy, scaly rash improves.
Hyaluronic acid is naturally produced by the body and is found in high concentrations within the skin. Hyaluronic acid is essential for maintaining your skin's moisture balance and is responsible for your skin’s plumpness and volume. Hyaluronic acid has been shown to attract and retain water, making it an excellent hydrating ingredient. As we age, hyaluronic acid levels decline, which is why it’s important to supplement products that contain this ingredient.
Lactic acid is a gentle alpha-hydroxy acid that helps promote the skin’s natural exfoliation process. By eliminating the buildup of dead cells, this ingredient may help soften and smooth your rough or scaly skin.
Mometasone is in a class of medications called high-potency corticosteroids. This medication is used to treat a variety of skin conditions (such as eczema, psoriasis, dermatitis, allergies, rash). Mometasone works by getting the body to stop its extreme immune response. When the immune system's reaction calms down, cell turnover slows, and the itchy, scaly rash improves.
Niacinamide, also known as vitamin B3, plays an important role in soothing and helping to restore the skin barrier. Niacinamide has become a popular ingredient in formulations for acne, eczema, rosacea, and skin discoloration. When applied topically, niacinamide may help strengthen the skin's moisture barrier, which may help reduce the visible effects of skin damage.
Panthenol, a precursor of vitamin B5, has been shown to decrease transepidermal water loss and also works as an emollient which means it can moisturize and soothe the skin, as well as help, protect it from environmental factors and skin stresses.
Petrolatum is a popular ingredient often found in over-the-counter lotions and creams for adults and children. It has long been considered one of the most effective moisturizing ingredients and is often referred to as the “gold standard” of occlusive ingredients because it creates a physical barrier that prevents moisture from leaving the skin.
Salicylic acid is a beta-hydroxy acid that helps promote the skin’s natural exfoliation process. Salicylic acid has long been used to target various concerns, including rough and bumpy skin, clogged pores, and skin conditions like psoriasis. Salicylic acid supports the natural shedding of dead cells, which may help slough away dull or rough skin. It is important to apply daily sun protection, especially when including salicylic acid is added to your routine due to its exfoliating effects.
Tacrolimus is an immunomodulator used on the skin to treat moderate to severe atopic dermatitis in patients who have received other medicines that have not worked well. Atopic dermatitis is a skin condition where there is itching, redness, and inflammation, much like an allergic reaction. Tacrolimus helps to suppress these symptoms which are reactions caused by the body's immune system.
Triamcinolone is in a class of medications called mid-potency corticosteroids. This medication is used to treat a variety of skin conditions. Triamcinolone works by getting the body to stop its extreme immune response. When the immune system's reaction calms down, cell turnover slows, and the itchy, scaly rash improves.
Urea is a humectant, which means it is able to absorb moisture from the environment and draw it to the skin. In addition, urea is also an exfoliant that softens and smooths the skin by reducing the buildup of dead skin cells.
Vitamin E research has shown it offers multiple benefits for your skin. Vitamin E has been shown to be a potent antioxidant that helps against free radicals, which can lead to dryness, rough surface texture, and signs of premature aging.
Zinc Pyrithione has antibacterial, antimicrobial, and antifungal properties that can help treat certain types of dermatitis, scalp psoriasis, and acne.
Frequently asked questions
One size doesn’t fit all and every patient is unique. Drug compounding is the process of combining, mixing, or altering ingredients to create a medication tailored to the needs of a patient by a pharmacist as the result of a practitioner’s prescription drug order. While compounded medications are not FDA-approved, they serve an important patient need—especially when FDA-approved medication is not available for treatment. Our formulations are made to order in small batches to ensure freshness. The specific ingredients in your compounded formula will depend on your specific concerns and goals. It should be understood that your personal healthcare practitioner will make the final decision.
Yes! All of our compounded formulations, regardless of ingredients, are eligible for Flexible Spending Accounts (FSA) and Health Saving Accounts (HSA).
Eczema, also known as atopic dermatitis, is a non-contagious inflammatory skin condition that affects up to 15 million Americans. It is a chronic disease characterized by dry, itchy skin that can weep clear fluid when scratched. A combination of genetic and environmental factors appears to be involved in the development of eczema. Eczema often appears on your inner elbow or behind your knees. You can also have it on your neck, writs, and ankles.
Psoriasis causes patches of thick red skin and silvery scales that are thicker and more inflamed than with eczema. Patches are typically found on the elbows, knees, scalp, lower back, face, palms, and soles of feet, but can affect other places (fingernails, toenails, and mouth). The most common type of psoriasis is called plaque psoriasis. According to current studies, nearly 8 million people in the US have psoriasis.
Based on research and patient testimonials, you may see improvement as early as 3 to 7 days; however, each patient is unique and time frames may differ.
The Dermatitis Formula is for topical use only. If this medicine gets in your eyes or mouth, rinse with water. Do not apply this medication to your eyelids.
Follow all directions on your prescription label. Using this medicine in larger amounts or applying it more often than prescribed will not make it work any faster, and it may increase side effects such as irritation, inflammation and darkening of skin.
Wash your hands with soap and water before and after applying the medicine. Do not allow other people to get this medicine on their skin. If this happens, wash the area thoroughly with soap and water.
Apply a thin layer to cover the affected area(s) twice daily or as directed.
Do not cover treated skin with a bandage. Bandaging can increase the amount of drug absorbed through your skin and may cause harmful effects.
Do not apply to open wounds or other skin infections.
The Dermatitis Formula should be used as part of a complete skin care program that includes avoiding sunlight, using an effective mineral based broad-spectrum sunscreen daily, and wearing protective clothing.
Do not start using the Dermatitis Formula if you have a history of hypersensitivity to the prescribed ingredients. The prescribed ingredients may include, but are not limited to; corticosteroids, tacrolimus, coal tar, lactic acid, salicylic acid, niacinamide, zinc pyrithione and/or hyaluronic acid.
Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time.
Store at room temperature away from moisture and heat between 68°F to 77°F (20°C to 25°C).
Research has shown, topically applied medications are less likely to cause the same systemic side effects or drug-to-drug interactions as oral medications; however, there is never an absolute zero chance that side effects or drug interactions will not occur. Tell each of your healthcare providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.
What should I avoid while using the Dermatitis Formula?
Avoid exposure to sunlight or tanning beds. The Dermatitis Formula can make you sunburn more easily. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.
Your skin may be more sensitive to weather extremes such as cold and wind. Protect your skin with clothing and use a moisturizing cream or lotion as needed.
Avoid using other products that may contain corticosteroids.
Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime. Do not use other medicated skin products unless your doctor has told you to.
Do not use this medicine if you are pregnant or breast-feeding a baby.
What are the common side effects of the Dermatitis Formula?
Common side effects may include application site reactions of:
Skin reactions (atopic dermatitis)
Burning, stinging or warmth
Itching or tingling
Redness, dryness or peeling
Changes of color of treated skin
Get emergency medical help if you have signs of an allergic reaction: hives, severe itching; difficult breathing; swelling of your face, lips, tongue, or throat. These are not all of the possible side effects of the Dermatitis Formula. For more information, ask your healthcare provider or pharmacist. Tell your healthcare provider if you have any side effects that bother you or do not go away.
What happens if I overdose?
An overdose is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication. High doses or long-term use of steroid medicine can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.
Schmied C, Piletta PA, Saurat JH. Treatment of eczema with a mixture of triamcinolone acetonide and retinoic acid: a double-blind study. Dermatology. 1993;187(4):263-7. doi: 10.1159/000247260. PMID: 8274782.
Berman B, Bienstock L, Kuritzky L, Mayeaux EJ Jr, Tyring SK; Primary Care Education Consortium; Texas Academy of Family Physicians. Actinic keratoses: sequelae and treatments. Recommendations from a consensus panel. J Fam Pract. 2006 May;55(5):suppl 1-8. PMID: 16672155.
Schwartz JR. Zinc Pyrithione: A Topical Antimicrobial With Complex Pharmaceutics. J Drugs Dermatol. 2016 Feb;15(2):140-4. PMID: 26885780.
All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. All compounded medications in the U.S. are considered off-label use. Licensed healthcare practitioners have the ability to prescribe compounds for off-label treatment, if they believe that it is an appropriate course of treatment.
The drug and medical information provided on this website is not meant to cover all adverse effects, drug interactions, warnings, medical uses, directions and precautions. The information provided is a medical resource and the judgment of your physician and/or healthcare practitioner should not be substituted. Premier Pharmacy has made every effort to ensure the information on the website is accurate and current based on present medical literature.
Premier Pharmacy does not make any guarantees regarding the drug and medical information, and does not assume responsibility regarding the content. The drug safety and drug information contained on the website may be time sensitive and should not be utilized as a medical reference beyond the date hereof. The deficiency of a warning for prescription medications and vitamins provided on this website in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient.
If you have questions or concerns about your medications, please do not hesitate to contact us and/or your medical practitioner, including your pharmacist. Compound prescription products have not been tested or approved by the FDA for their intended use. No claims are made as to the safety, efficacy or use of this compound.