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Formulas

Acyclovir 3%/Carbamazepine 5%/Deoxy Glucose 0.2%/Ketamine HCl 2.3%/Ketoprofen 20%/Lidocaine HCl 4% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Acyclovir
Carbamazepine
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Deoxy-D-Glucose

This formulation is a compounded topical gel containing Acyclovir 3%, Carbamazepine 5%, Deoxy Glucose 0.2%, Ketamine HCl 2.3%, Ketoprofen 20%, and Lidocaine HCl 4%. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency aids in the targeted treatment or absorption of the active ingredients.

The Acyclovir component is an antiviral medication used to treat infections caused by certain types of viruses. Carbamazepine is an anticonvulsant and mood stabilizer, used primarily in the treatment of epilepsy and neuropathic pain. Deoxy Glucose is used as a diagnostic tool to detect cancer and monitor brain activity. Ketamine HCl is a potent analgesic used for the management of acute and chronic pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used for relief from pain and inflammation. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

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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
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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.
Acyclovir
Carbamazepine
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Deoxy-D-Glucose
Topical Gel
6530128d0c89ff7e6b51caba
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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This formulation is a unique combination of Acyclovir 3%, Carbamazepine 5%, Deoxy Glucose 0.2%, Ketamine HCl 2.3%, Ketoprofen 20%, and Lidocaine HCl 4% in a topical gel form. It is designed to be dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed effectively for targeted treatment.

Acyclovir is an antiviral medication used to treat infections caused by certain types of viruses. It is commonly used for the treatment of cold sores, shingles, and chickenpox. Carbamazepine is an anticonvulsant and mood stabilizer, used primarily in the treatment of epilepsy and bipolar disorder, as well as neuropathic pain.

Deoxy Glucose is a glucose analog that is absorbed by cells but cannot be metabolized, making it useful in the treatment of certain types of cancer. Ketamine HCl is a powerful anesthetic used for pain management. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used for the relief of pain, inflammation, and stiffness caused by conditions such as arthritis, bursitis, and menstrual cramps. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This formulation is designed to provide targeted relief from a variety of conditions, including viral infections, neuropathic pain, inflammation, and certain types of cancer. The combination of these active ingredients in a topical gel form allows for direct application to the affected area, providing localized treatment and minimizing systemic side effects.

As with any medication, it is important to use this formulation as directed by your healthcare provider. Side effects may include skin irritation at the application site, dizziness, or nausea. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to assist you with any concerns or inquiries you may have.

Drug Interactions

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This formulation contains a combination of Acyclovir, Carbamazepine, Deoxy Glucose, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to consider these interactions when prescribing or using this medication.

Acyclovir is an antiviral medication used to treat infections caused by certain types of viruses. It can interact with drugs like Zidovudine, Probenecid, and Tenofovir, potentially increasing the risk of kidney problems. It's important to monitor renal function when these drugs are used together.

Carbamazepine is an anticonvulsant used to control seizures and nerve pain. It can interact with a wide range of drugs, including other anticonvulsants, certain antidepressants, and some antifungal medications. These interactions can lead to changes in the effectiveness of the drugs or increased side effects.

Deoxy Glucose is a glucose analog that is used in medical imaging and as a potential treatment for cancer. It can interact with certain diabetes medications, potentially affecting blood sugar control.

Ketamine HCl is a powerful anesthetic that can interact with other central nervous system depressants, including alcohol, benzodiazepines, and opioids. These interactions can lead to serious side effects, including respiratory depression and loss of consciousness.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation. It can interact with other NSAIDs, blood thinners, and certain blood pressure medications, potentially increasing the risk of bleeding or kidney problems.

Lidocaine HCl is a local anesthetic that can interact with other local anesthetics and certain heart medications. These interactions can lead to changes in heart rhythm or increased risk of side effects.

This formulation is designed to be applied topically, which can reduce the risk of systemic drug interactions. However, it's still important to consider potential interactions, especially in patients who are using other medications or have underlying health conditions. Always consult with a healthcare provider before starting or stopping any medication.

This formulation is used to treat a variety of conditions, including viral skin infections, nerve pain, inflammation, and localized pain. The combination of active ingredients allows for targeted treatment, potentially improving effectiveness and reducing side effects.

If you have any questions about this formulation or potential drug interactions, please don't hesitate to reach out to us. We're here to help ensure that you have the information you need to use this medication safely and effectively.

How Does it Work

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This unique formulation combines several active ingredients, each with its own mechanism of action, to provide a comprehensive treatment for a variety of disease states. The formulation is designed to be applied topically, allowing for targeted treatment and absorption of the active ingredients.

Acyclovir, an antiviral medication, works by slowing the growth and spread of the herpes virus in the body. It interferes with the virus's ability to replicate and infect new cells. This can help control outbreaks of herpes virus infections, including cold sores, shingles, and genital herpes.

Carbamazepine is an anticonvulsant and mood stabilizer. It works by reducing the spread of seizure activity in the brain and restoring the normal balance of nerve activity. In a topical formulation, it can help to alleviate nerve pain in localized areas.

Deoxy Glucose, a glucose analog, is included in this formulation for its potential anti-inflammatory and analgesic properties. It is believed to work by inhibiting the metabolic processes of cells, which can help to reduce inflammation and pain.

Ketamine HCl is a powerful anesthetic that works by blocking the NMDA receptor, a type of glutamate receptor in the brain. This can help to provide rapid relief from pain and inflammation.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It can provide relief from pain and inflammation in localized areas when applied topically.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It can provide rapid, localized relief from pain and discomfort.

This formulation is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed effectively into the skin for targeted treatment.

This formulation can be used to treat a variety of disease states, including herpes virus infections, nerve pain, inflammation, and localized pain. It provides a comprehensive treatment approach by combining several active ingredients with different mechanisms of action.

If you have any questions about this formulation, please don't hesitate to reach out to us. We are here to provide you with the information you need to make informed decisions about your health.

Frequently Asked Questions

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What is the purpose of this specific compounded formulation in the gel form?

This compounded formulation is specialized for topical use, designed to combine the benefits of multiple medications into one. It can be used to address certain skin conditions, provide controlled release therapy and simultaneously administer several drugs to enhance patient convenience and compliance.

How does the pump mechanism work in administering the right dosage?

The pump mechanism allows for easy and precise application of the gel. Each pump delivers the same amount of medication, guaranteeing consistent and accurate dosing. The pump delivery system also helps in avoiding contamination.

How should this medication be stored?

This topical gel should be stored at room temperature, away from moisture and heat. The gel should not be frozen, and should be stored in the original container, safely out of reach of children.

What are the potential side effects of using this compounded formulation?

Common side effects may include skin irritation at the site of application such as itching, redness, burning or peeling. In case of more severe reactions like rash, hives or difficulty breathing, a doctor should be consulted immediately.

Can this gel be used with other medications?

As with all medications, interactions may occur. It is important to inform your healthcare provider of all medications you're currently using including prescriptions, over-the-counter drugs, and any supplements. Your healthcare provider will provide guidance based on your individual medical history.

What will happen if I miss a dose?

If you have missed a dose, apply the medication as soon as possible. However, if it's close to the time for your next dose, simply skip the missed dose and follow your regular schedule. Do not use extra gel to compensate for the missed dose.

Can this gel be used by anyone?

No, this gel is a prescription medication and should be used exclusively by the patient for whom it was prescribed. It should never be shared with another person, especially someone with a history of drug abuse or addiction.

What precautions should I take while using this gel?

Do not apply this gel on open wounds, burns or irritated skin. It is for external use only, avoid getting it in your eyes, nose, or mouth. If the gel gets in these areas, rinse with water immediately. Consult your healthcare provider for further advice.

Can this formulation be used during pregnancy?

Inform your healthcare provider if you are pregnant or plan to become pregnant. The risk of using this formulation during pregnancy will need to be discussed with your healthcare provider. Always follow your healthcare provider's instructions.

What should I do in case of an overdose?

If you suspect an overdose, contact a poison control center or seek medical attention immediately. An overdose may result in heightened side effects or serious health issues.

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.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Acyclovir 3%/Carbamazepine 5%/Deoxy Glucose 0.2%/Ketamine HCl 2.3%/Ketoprofen 20%/Lidocaine HCl 4% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily