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Acyclovir 5%/Amitriptyline HCl 5%/Gabapentin 5%/Lidocaine HCl 5% Topical Gel

This formulation is a compounded topical gel containing Acyclovir 5%, Amitriptyline HCl 5%, Gabapentin 5%, and Lidocaine HCl 5%. 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 herpes simplex virus infections. Amitriptyline HCl is a tricyclic antidepressant that can help manage chronic pain. Gabapentin is an anticonvulsant and nerve pain medication used to treat seizures and pain caused by shingles. 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, NY, NJ, NH, FL and ME.
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, NY, NJ, NH, FL and ME.

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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
Amitriptyline Hydrochloride
Gabapentin
Lidocaine Hydrochloride
Topical Gel
652f5ce39a23042f9d5c67c7

Formula Information

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This formulation is a compounded topical gel containing Acyclovir 5%, Amitriptyline HCl 5%, Gabapentin 5%, and Lidocaine HCl 5%. 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 into the targeted area for optimal therapeutic effect.

Acyclovir is an antiviral medication used to treat infections caused by certain types of viruses. It works by slowing the growth and spread of the herpes virus in the body. This helps the immune system fight the infection more effectively. In this formulation, it can be used to treat localized herpes simplex infections.

Amitriptyline HCl is a tricyclic antidepressant that is often used in pain management. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. In this formulation, it can be used to manage localized neuropathic pain.

Gabapentin is an anticonvulsant and nerve pain medication. It is often used to treat nerve pain caused by shingles (postherpetic neuralgia). It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.

Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used to relieve pain and discomfort from skin irritations and minor cuts, burns, or abrasions.

This compounded formulation is designed to provide targeted relief from pain and discomfort associated with certain skin conditions and nerve pain. It is important to use this medication as directed by your healthcare provider. If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to assist you.

Drug Interactions

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This formulation contains Acyclovir, Amitriptyline HCl, Gabapentin, and Lidocaine HCl. Each of these active ingredients can interact with other medications, potentially altering their effects. It's important to inform your healthcare provider about all the medications you're currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements.

Acyclovir, an antiviral medication, can interact with drugs like Zidovudine, Probenecid, and Tenofovir. These interactions can increase the risk of kidney problems or potentially enhance the effects or side effects of the other drugs.

Amitriptyline HCl, a tricyclic antidepressant, can interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain antihypertensive medications. These interactions can lead to serious side effects such as serotonin syndrome, increased heart rate, and elevated blood pressure.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids containing magnesium or aluminum, as well as certain pain medications like morphine. These interactions can affect the absorption of Gabapentin or increase the side effects of the other drugs.

Lidocaine HCl, a local anesthetic, can interact with certain antiarrhythmic drugs like Amiodarone or Sotalol. These interactions can lead to serious heart problems. It's also important to avoid applying other local anesthetics or products containing similar ingredients while using this formulation.

This formulation is designed to treat a variety of disease states. Amitriptyline HCl can help manage depression and certain types of pain. Gabapentin is used to treat nerve pain and certain types of seizures. Lidocaine HCl provides local anesthesia, numbing the application area to reduce pain or discomfort.

It's crucial to use this medication as directed by your healthcare provider. Avoid applying it to broken or irritated skin, and be sure to wash your hands thoroughly after each application. If you experience any unusual side effects or if your condition does not improve, contact your healthcare provider immediately.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to help.

How Does it Work

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The Acyclovir 5%/Amitriptyline HCl 5%/Gabapentin 5%/Lidocaine HCl 5% Topical Gel is a unique formulation that combines four active ingredients, each with its own mechanism of action, to provide comprehensive treatment for certain disease states. This formulation is dispensed as a semisolid gel through a pump mechanism, allowing for easy and precise application on the skin.

Acyclovir is an antiviral medication that works by slowing the growth and spread of the herpes virus in the body. It interferes with the replication of viral DNA, helping to reduce the severity and duration of herpes outbreaks.

Amitriptyline is a tricyclic antidepressant that is often used in pain management. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. This makes it useful in managing chronic pain conditions such as fibromyalgia and neuropathic pain.

Gabapentin is a medication primarily used to treat seizures and neuropathic pain. It works by affecting the way nerves send messages to your brain, reducing the perception of pain.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It numbs the skin and surrounding area, providing temporary relief from pain and discomfort. This makes it useful in treating conditions such as minor burns, insect bites, and skin irritations.

When combined in a topical gel, these four active ingredients work together to provide comprehensive treatment for a variety of conditions. The gel formulation allows for targeted treatment, as it can be applied directly to the affected area. This can help to reduce systemic side effects and improve patient compliance.

If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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Acyclovir is an antiviral medication traditionally used to treat herpes simplex infections. It can be also useful in managing shingles caused by herpes zoster, herpes infections in individuals with HIV and in decreasing the risk of herpes virus spreading to other parts of the body in immunocompromised patients.

Amitriptyline, a tricyclic antidepressant, is used in this compound to help manage neuropathic pain, which is often a complication of shingles or herpes zoster infections. Amitriptyline can also be useful in treating fibromyalgia, migraine prophylaxis, and insomnia thanks to its sedative characteristics.

Gabapentin, although primarily used as an antiepileptic to control seizures, is also included in this compound for its pain-relieving effects, particularly in neuropathic pain. Off-label use for Gabapentin also includes treatment of restless leg syndrome, hot flashes, and certain types of tremors.

Lidocaine, in this formulation, works locally to deactivate nerve pathways and interrupt pain signals before they are sent to the brain. Its applications extend beyond pain relief and can be used to treat irregular heart rhythms (arrhythmias). However, it is also a crucial agent for reducing itching, burning, and inflammation that may result from various skin conditions.

In summary, the inclusion of these four active ingredients creates a multifaceted approach to treating and managing the symptoms of a variety of conditions, primarily focusing on viral skin infections, neuropathic pain, and conditions related to nerve disorders. Additional uses of such compound may include management of fibromyalgia, migraine prophylaxis, insomnia, restless leg syndrome, hot flashes, and certain types of tremors. Nevertheless, it is always recommended to follow the prescribing doctor's direct instructions, and all off-label uses should be proceeded by a thorough discussion with the healthcare provider.

Should you have any additional inquiries about this product or any other healthcare-related questions, please do not hesitate to reach out to our team of expert pharmacists at Bayview Pharmacy. Remember, your health and safety is our top priority and we are always here to provide professional help and advice.

Frequently Asked Questions

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What is this compounded formulation of Acyclovir 5%/Amitriptyline HCl 5%/Gabapentin 5%/Lidocaine HCl 5% Topical Gel?

This is a specialized medication blended with four active ingredients - Acyclovir, Amitriptyline HCl, Gabapentin, and Lidocaine HCl in equal proportions. It is designed to be applied on the skin to target specific areas for treatment.

How is this medication dispensed?

This medication is dispensed through a pump mechanism which allows for easy and precise application on the skin.

What is the consistency of this formulation?

The formulation is semisolid, which gives it a gel-like consistency. This makes it easy to apply and absorb into the skin.

Why is this medication in a gel form rather than a tablet or pill?

The gel formulation allows for targeted treatment as it can be applied directly to the affected area. It also facilitates quick absorption of active ingredients into the skin.

What does this compounded formulation treat?

Given the multidimensional nature of the formulation, it often treats a variety of conditions, depending on the individual patient's needs. It's always best to consult your healthcare provider for specific usage directions.

How often should I use this medication?

Usage varies depending upon individual treatment plans. Always follow the directions provided by your healthcare provider.

Are there any side effects with this topical gel?

As with any medication, there can be side effects. In the instance of this particular gel, common side effects may include skin irritation at the application site. If you experience any adverse effects, please stop using and immediately contact your healthcare provider.

Can I use this gel on any part of my body?

This gel is designed for external use only. It can be applied to many areas of the body, but avoid use on open wounds, damaged skin, or near the eyes, mouth, and other sensitive areas. If you're unsure, check with your healthcare provider.

What should I do if I apply too much of this medication?

If you apply more than the recommended dose, remove the excess gel and contact your healthcare provider for further guidance.

Do I need a prescription to use this gel?

Yes, this medication is a compounded formulation that requires a prescription from a licensed healthcare provider.

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, NY, NJ, NH, FL, and ME. 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 5%/Amitriptyline HCl 5%/Gabapentin 5%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)