Today at Doctor’s Choice Pharmacy, we received a prescription from a dermatology office for a custom cream containing Nystatin, Hydrocortisone, and Lidocaine. A few hours later, the patient called, sounding curious:
“Hi Rania, I just got a message that my cream is ready. It’s for a rash that’s been burning and itching for weeks. Can you tell me what’s in this and how it helps?”

I said, “Absolutely! This is a triple-action compounded cream, specially designed for fungal rashes that are not just itchy, but also inflamed and painful.”

I walked her through the ingredients:

• Nystatin is an antifungal that treats yeast and candida infections, especially in warm, moist areas of the body.

• Hydrocortisone is a mild steroid that helps reduce inflammation, redness, and swelling.

• Lidocaine is a local anesthetic that provides immediate relief from burning or stinging.

She sighed, “That makes a lot of sense. I’ve tried over-the-counter creams, but they just don’t cut it.”

I reassured her, “That’s why your provider chose this compounded version. We prepare it fresh in our lab with a clean base, and it works really well in cases of chronic or treatment-resistant rashes—like under the breast, between skin folds, or in groin areas.”

She asked, “Is it safe to use long term?”

“It’s generally used for 7 to 10 days, just enough to calm the flare-up. After that, your provider might switch you to something milder or maintenance-based,” I explained.

She thanked me before hanging up, “It’s amazing how much I learned in just one call. I feel like this might finally give me some relief.”

At Doctor’s Choice Pharmacy, we love being the place where custom formulas meet everyday comfort—especially for those who haven’t found success with standard treatments.

Until tomorrow,
Rania – Your Friendly Pharmacist at Doctor’s Choice Pharmacy

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