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Amantadine HCl 2%/Lidocaine 4.6%/Meloxicam 0.5%/Topiramate 1.25%/Tramadol HCl 2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Amantadine Hydrochloride
Meloxicam
Topiramate
Tramadol Hydrochloride
Lidocaine Hydrochloride

This formulation is a semisolid, gel-like compound containing Amantadine HCl 2%, Lidocaine 4.6%, Meloxicam 0.5%, Topiramate 1.25%, and Tramadol HCl 2%. It is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The active ingredients are designed for targeted treatment and absorption through the skin.

The combination of these active ingredients is intended to treat a variety of disease states. Amantadine HCl is an antiviral medication that also has uses in treating Parkinson's disease symptoms and drug-induced extrapyramidal reactions. Lidocaine is a local anesthetic used to relieve pain and discomfort caused by skin irritations and minor burns. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, swelling, and stiffness caused by arthritis. Topiramate is an anticonvulsant used to prevent and control seizures and to prevent migraine headaches. Tramadol HCl is a narcotic-like pain reliever used to treat moderate to severe pain.

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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
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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.
Amantadine Hydrochloride
Meloxicam
Topiramate
Tramadol Hydrochloride
Lidocaine Hydrochloride
Topical Gel
652fe47fca01f653e8dba61d
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 compounded topical gel containing Amantadine HCl 2%, Lidocaine 4.6%, Meloxicam 0.5%, Topiramate 1.25%, and Tramadol HCl 2%. It is a semisolid formulation that is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed directly into the targeted area, providing localized treatment.

Amantadine HCl is an antiviral medication that also has properties for treating Parkinson's disease and certain types of pain. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used to prevent and relieve pain from certain procedures. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. Topiramate is a medication used to treat epilepsy and prevent migraines. Tramadol HCl is a strong painkiller used to treat moderate to severe pain.

This unique combination of ingredients works synergistically to provide relief from various disease states. The Amantadine HCl and Topiramate can help manage neuropathic pain, while the Lidocaine provides immediate, localized numbing to the application area. The Meloxicam helps reduce inflammation, and the Tramadol HCl provides potent pain relief. This formulation is particularly useful for conditions that require targeted, localized treatment, such as arthritis, neuropathic pain, and other localized pain conditions.

It is important to note that this is a compounded medication, meaning it is made specifically for the patient based on a doctor's prescription. It is not a commercially available product and should only be used under the supervision of a healthcare provider. As with any medication, it is important to use this product as directed by your healthcare provider and report any side effects or adverse reactions immediately.

If you have any questions about this formulation, its uses, or how it may benefit you or your patients, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Drug Interactions

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This compounded formulation contains several active ingredients, each with its own potential for drug interactions. It is important to consider these interactions when prescribing or using this medication.

Amantadine HCl is an antiviral medication that also has uses in Parkinson's disease and drug-induced extrapyramidal reactions. It may interact with anticholinergic drugs, increasing the risk of side effects such as dry mouth, blurred vision, and urinary retention. Concurrent use with other medications that affect the central nervous system, such as sedatives, hypnotics, or tranquilizers, may increase the risk of CNS side effects.

Lidocaine is a local anesthetic and antiarrhythmic drug. It may interact with other local anesthetics or antiarrhythmic drugs, potentially leading to additive systemic toxicity. Lidocaine may also interact with certain beta-blockers, potentially increasing plasma concentrations and toxicity of both drugs.

Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID). It may interact with other NSAIDs, increasing the risk of gastrointestinal bleeding. Concurrent use with anticoagulants or antiplatelet drugs may also increase the risk of bleeding. Meloxicam may interact with ACE inhibitors, angiotensin II receptor blockers, or diuretics, potentially reducing their effectiveness.

Topiramate is an anticonvulsant drug. It may interact with other anticonvulsant drugs, potentially leading to additive side effects or altered drug effectiveness. Concurrent use with carbonic anhydrase inhibitors may increase the risk of kidney stones. Topiramate may also interact with oral contraceptives, potentially reducing their effectiveness.

Tramadol HCl is an opioid analgesic. It may interact with other opioid drugs, potentially leading to additive CNS depression or respiratory depression. Concurrent use with monoamine oxidase inhibitors, selective serotonin reuptake inhibitors, or tricyclic antidepressants may increase the risk of serotonin syndrome. Tramadol may also interact with anticholinergic drugs, increasing the risk of urinary retention and constipation.

This formulation is intended for topical use, which may reduce the risk of systemic drug interactions. However, systemic absorption can still occur, especially with prolonged use or application to large areas of skin. Therefore, it is important to consider potential drug interactions when prescribing or using this medication.

This formulation is designed to provide targeted treatment for a variety of conditions, including neuropathic pain, musculoskeletal pain, and inflammation. The combination of active ingredients provides both analgesic and anti-inflammatory effects, potentially improving pain control and reducing inflammation in the treated area.

If you have any questions about this formulation or its potential drug interactions, please reach out to us. We are here to help and provide the information you need to use this medication safely and effectively.

How Does it Work

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This topical gel formulation combines the therapeutic effects of five active ingredients: Amantadine HCl, Lidocaine, Meloxicam, Topiramate, and Tramadol HCl. Each of these components plays a unique role in managing various disease states, primarily those associated with pain and inflammation.

Amantadine HCl is an antiviral medication that also has properties for treating Parkinson's disease and certain types of pain. It works by blocking the actions of chemicals in the body that can cause inflammation, redness, and swelling. In this formulation, it helps to reduce the sensation of pain.

Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It blocks nerve signals in your body and is used to reduce pain or discomfort caused by skin irritations.

Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. Meloxicam is used to treat pain or inflammation caused by osteoarthritis or rheumatoid arthritis in adults and children who are at least 2 years old.

Topiramate is a seizure medication, also called an anticonvulsant. Topiramate is used to treat certain types of seizures in adults and children who are at least 2 years old. It is also used to prevent migraine headaches in adults and teenagers who are at least 12 years old. This medication will only prevent migraine headaches or reduce the number of attacks but will not treat a headache that has already begun.

Tramadol HCl is an opioid pain medication used to treat moderate to severe pain. It works in the brain to change how your body feels and responds to pain.

When applied topically, this formulation allows for targeted treatment, delivering these active ingredients directly to the area of discomfort. The gel-like consistency ensures easy application and absorption through the skin. The pump mechanism allows for precise dosing and minimizes the risk of systemic side effects associated with oral administration of these medications.

If you have any questions about this formulation or how it may benefit your specific condition, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is always here to help.

Other Uses

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Aside from the typical uses, this proprietary blend of Amantadine HCl 2%/Lidocaine 4.6%/Meloxicam 0.5%/Topiramate 1.25%/Tramadol HCl 2% Topical Gel caters to a wider spectrum of therapeutic applications. Accessible and simple in its mode of delivery, it is not only prescribed for locale-centric pain management but also extends its benefits in other treatment areas.

The synergistic effect of Amantadine, an antiviral that with pain reduction properties, combined with Lidocaine, a local anesthetic, and Meloxicam, a nonsteroidal anti-inflammatory drug (NSAID), may provide potential relief for pain stemming from certain skin conditions or superficial burns. They could potentially exert a soothing effect and reduce discomfort or pains related to the skin's superficial layers.

Furthermore, this gel formulation's ingredients may alleviate pain due to sports injuries, sprains, strains, and muscle spasms. The topical application could target the affected area directly, reducing inflammation and providing an analgesic effect.

The anticonvulsant properties of Topiramate might also be used off-label to control withdrawal symptoms in addictions as its mechanism is believed to stabilize the overexcited nerves that may cause withdrawal. Lastly, Tramadol, an opioid analgesic, typically for moderate to severe pain, may be beneficial in alleviating neuropathic pain when used as part of this topical formulation.

It should be noted that this information is not exhaustive and anticipates an array of possible applications. The aforementioned uses should also be cross-referenced with a physician's or a health professional's advice, given individual-specific medical histories and conditions. Potential side effects and contraindications of each active ingredient should also be reviewed with a pharmacist or healthcare practitioner before use. For any queries or clarifications, please don't hesitate to contact us at Bayview Pharmacy.

Frequently Asked Questions

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What is the formulation of Amantadine HCl 2%/Lidocaine 4.6%/Meloxicam 0.5%/Topiramate 1.25%/Tramadol HCl 2% Topical Gel?

This is a semisolid formulation that is dispensed through a pump mechanism. It is designed to be smooth and easy to apply on the skin, for targeted delivery or absorption of the active ingredients. The formulation has a gel-like consistency.

How is the compound gel applied?

The compound gel is applied by dispensing it through a pump mechanism directly onto the skin where the treatment is targeted. It allows for precise application, ensuring an appropriate dosage is administered.

Are there specific amounts to apply for this compound formulation?

The exact dosage and frequency of use will depend on the advice of a healthcare provider who will take into consideration the individual's specific needs and condition.

Who should use Amantadine HCl 2%/Lidocaine 4.6%/Meloxicam 0.5%/Topiramate 1.25%/Tramadol HCl 2% Topical Gel?

This medication should only be used by patients for whom it has been prescribed. The combination of active ingredients in the compound is designed to provide relief for specific medical conditions as deemed appropriate by a healthcare provider.

What are the active ingredients in this formulation?

The active ingredients in this topical gel include Amantadine HCl, Lidocaine, Meloxicam, Topiramate, and Tramadol HCl.

What is the purpose of these active ingredients?

Each of the active ingredients in this formulation serves a specific purpose. For example, Lidocaine is used to numb the skin and surrounding area, Tramadol HCl is a pain reliever, Meloxicam is an anti-inflammatory, Amantadine HCl has antiviral and antiparkinsonian properties, and Topiramate is used to prevent migraines and control seizures.

What precautions should be followed while using this compound gel?

The compound should be used as instructed by a healthcare provider. Avoid contacting with eyes, open wounds, or mucous membranes. It should only be applied to intact, healthy skin. Do not cover the treated area with a bandage or heat wrap unless advised to do so by a healthcare provider. Wash hands thoroughly after applying, unless the hands are the area being treated.

Are there any side effects associated with the compound gel formulation?

As with any medication, side effects can occur. These may include redness or irritation at the application site. More serious side effects should be reported to a healthcare provider immediately.

How should this compound gel be stored?

This compound gel should be stored at room temperature, away from heat or open flame, and out of reach of children.

What should I do if I miss a dose of this gel?

If you have missed a dose, apply it as soon as you remember. If it is nearly time for the next dose, skip the missed one and continue with the regular application schedule. Do not apply a double dose to catch up for the missed one.

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.

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.

Amantadine HCl 2%/Lidocaine 4.6%/Meloxicam 0.5%/Topiramate 1.25%/Tramadol HCl 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily