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Formulas

Amantadine HCl 3%/Carbamazepine 3%/Doxepin HCl 5%/Gabapentin 6%/Guaifenesin 5%/Ketamine HCl 11.5%/Pentoxifylline 3%/Piroxicam 0.5% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Amantadine Hydrochloride
Carbamazepine
Doxepin Hydrochloride
Gabapentin
Guaifenesin
Ketamine Hydrochloride
Pentoxifylline Hydrochloride
Piroxicam

This formulation is a semisolid preparation, dispensed in a pump mechanism for easy and controlled application on the skin. It is a topical cream that contains Amantadine HCl 3, Carbamazepine 3, Doxepin HCl 5, Gabapentin 6, Guaifenesin 5, Ketamine HCl 11.5, Pentoxifylline 3, and Piroxicam 0.5. These active ingredients are designed for localized treatment or absorption.

The cream is used to treat a variety of disease states. Amantadine HCl is an antiviral medication that can also treat Parkinson's disease symptoms. Carbamazepine is used to manage certain types of seizures and nerve pain. Doxepin HCl is an antidepressant that can also help with anxiety and insomnia. Gabapentin is used to treat nerve pain and seizures. Guaifenesin is an expectorant that helps to clear mucus from the lungs. Ketamine HCl is a powerful anesthetic. Pentoxifylline improves blood flow and reduces inflammation. Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation.

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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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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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
Carbamazepine
Doxepin Hydrochloride
Gabapentin
Guaifenesin
Ketamine Hydrochloride
Pentoxifylline Hydrochloride
Piroxicam
Topical Cream
652f21129a83c2b50997d2d7
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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This formulation is a complex blend of eight active ingredients: Amantadine HCl, Carbamazepine, Doxepin HCl, Gabapentin, Guaifenesin, Ketamine HCl, Pentoxifylline, and Piroxicam, all incorporated into a topical cream. The cream is dispensed via a pump mechanism, which allows for easy, controlled application to the skin. This formulation is designed for localized treatment, with the active ingredients being absorbed through the skin to target specific areas of discomfort or disease.

Amantadine HCl is an antiviral medication that also has properties for treating Parkinson's disease and certain conditions caused by drugs or chemical agents. Carbamazepine is an anticonvulsant and mood stabilizer, often used in the treatment of epilepsy and bipolar disorder. Doxepin HCl is a tricyclic antidepressant with sedative properties, used to treat depression and anxiety disorders. Gabapentin is an anticonvulsant and nerve pain medication, often used in the treatment of seizures and neuropathic pain. Guaifenesin is an expectorant, used to treat coughs and congestion caused by the common cold, bronchitis, and other breathing illnesses. Ketamine HCl is a powerful anesthetic with analgesic and anti-inflammatory properties. Pentoxifylline is a xanthine derivative used to improve blood flow in patients with peripheral vascular disease. Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation.

This formulation is designed to treat a variety of disease states. The combination of these active ingredients can provide relief from symptoms associated with neurological disorders, mood disorders, respiratory illnesses, pain and inflammation, and vascular diseases. The topical application allows for targeted treatment, reducing systemic side effects often associated with oral medications. It is important to note that this formulation should be used under the supervision of a healthcare provider, as some of these medications can have significant interactions with other drugs.

For patients, it is crucial to apply the cream as directed by your healthcare provider. Avoid contact with eyes, mouth, and other mucous membranes. If you experience any adverse reactions such as skin irritation, rash, or unusual symptoms, discontinue use and contact your healthcare provider immediately. For prescribers, it is important to consider the patient's overall health status, other medications, and potential drug interactions when prescribing this formulation.

If you have any questions about this formulation, its use, or any potential side effects or interactions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This formulation is a complex combination of several active ingredients, each with its own potential for drug interactions. It's important to consider these interactions when prescribing or using this medication.

Amantadine HCl, an antiviral and antiparkinsonian agent, may interact with anticholinergic drugs, increasing the risk of side effects such as dry mouth, blurred vision, and urinary retention. It may also interact with CNS stimulants, potentially increasing the risk of seizures.

Carbamazepine, an anticonvulsant, can interact with a wide range of medications, including other anticonvulsants, certain antidepressants, and some antifungals. These interactions can lead to changes in the effectiveness of the medications or increased side effects.

Doxepin HCl, a tricyclic antidepressant, can interact with MAO inhibitors, leading to potentially serious effects such as serotonin syndrome. It can also interact with anticholinergic drugs, increasing the risk of side effects.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids, reducing the absorption of gabapentin. It may also interact with opioids, increasing the risk of severe side effects such as respiratory distress.

Guaifenesin, an expectorant, has few known drug interactions, but it may interact with certain laboratory tests, potentially causing false test results.

Ketamine HCl, a general anesthetic, can interact with CNS depressants, potentially increasing the risk of respiratory depression, hypotension, and profound sedation. It may also interact with stimulants, potentially increasing the risk of hypertension and tachycardia.

Pentoxifylline, a medication used to improve blood flow, can interact with anticoagulants and antiplatelet drugs, potentially increasing the risk of bleeding. It may also interact with theophylline, potentially increasing theophylline levels.

Piroxicam, a nonsteroidal anti-inflammatory drug (NSAID), can interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with ACE inhibitors, potentially reducing their effectiveness.

This formulation is designed for topical application, 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's important to consider potential drug interactions when prescribing or using this medication.

This formulation is used to treat a variety of conditions, including nerve pain, inflammation, cough, and certain skin conditions. The combination of active ingredients works together to provide relief from these symptoms. However, it's important to use this medication as directed by a healthcare provider to ensure its safety and effectiveness.

If you have any questions about this formulation or its potential drug interactions, please don't hesitate to reach out to us. We're here to help.

How Does it Work

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This topical cream is a complex formulation of eight active ingredients, each with its own unique mechanism of action, designed to work synergistically to manage a variety of disease states. The cream is dispensed in a pump mechanism, which allows for convenient and controlled application on the skin. The active ingredients are absorbed through the skin to provide localized treatment.

Amantadine HCl is an antiviral medication that also has antiparkinsonian properties. It works by blocking the action of certain chemicals in the brain that may contribute to the symptoms of Parkinson's disease. In this formulation, it may help to reduce muscle stiffness and tremors.

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. It may help to manage symptoms of epilepsy and bipolar disorder in this formulation.

Doxepin HCl is a tricyclic antidepressant. It works by increasing the levels of certain chemicals in the brain that help elevate mood. In this formulation, it may help to manage symptoms of depression and anxiety.

Gabapentin is an anticonvulsant and nerve pain medication. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. In this formulation, it may help to manage nerve pain.

Guaifenesin is an expectorant. It works by thinning and loosening mucus in the airways, clearing congestion, and making breathing easier. In this formulation, it may help to manage symptoms of respiratory conditions.

Ketamine HCl is a general anesthetic. It works by blocking certain signals in the brain to prevent pain and induce a state of unconsciousness. In this formulation, it may help to manage pain.

Pentoxifylline is a xanthine derivative. It works by improving blood flow and reducing certain symptoms of a specific type of poor circulation (intermittent claudication). In this formulation, it may help to manage symptoms of poor circulation.

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. In this formulation, it may help to manage pain and inflammation.

This formulation is designed to provide a comprehensive approach to managing a variety of disease states. However, it's important to note that the effectiveness of this formulation can vary depending on the individual patient's condition and response to treatment. If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is this compounded formulation?

This compounded formulation is a combination of several different medications designed to treat a variety of symptoms. The compounds – Amantadine HCl, Carbamazepine, Doxepin HCl, Gabapentin, Guaifenesin, Ketamine HCl, Pentoxifylline, and Piroxicam – are combined in a semisolid cream dispensed by a pump mechanism for easy application on the skin.

What is the purpose of this compounded formulation?

This special formulation is designed for localized treatment or absorption of its active ingredients. Each of these ingredients has unique therapeutic actions addressing different medical conditions.

How does the product get applied?

The product comes in a semisolid state designed to be dispensed by a pump mechanism. This allows for convenient and controlled application on the areas of the skin that need treatment.

Can this cream be used for overall skin treatment?

No, this formulation is specifically designed for localized treatment. It should be applied directly to the specific area that needs treatment and not the whole skin.

Are there any possible side effects associated with these ingredients?

Like most medication, side effects are possible and may vary depending on your individual reactions, the dose applied and how long the cream is used. If any side effects occur, contact your healthcare provider immediately.

Who would require this specific formulation and why?

This specific formulation would be recommended by a healthcare provider, based on individual patient needs. This could include the need to manage multiple conditions simultaneously or when traditional therapies aren't effective.

Why does this cream contain so many different active ingredients?

The diversity and combination of active ingredients aim to target and treat a variety of symptoms. The ingredients affect different pathways in the body, offering a comprehensive approach to treatment.

Can I use this product without a prescription?

No, this is a prescription-only product and should be used under the guidance of a healthcare provider. Unauthorized or excessive usage may lead to adverse effects.

Is this cream safe to use with other medications?

Interactions with other topical or oral medications are possible. It's important to disclose all medications you're currently using to your healthcare provider before starting to use the cream.

How long does it take to see the effect of this cream?

The timeline can vary depending on the specific symptoms being treated and individual patient factors. It's essential to discuss this with your healthcare provider to establish realistic expectations.

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.

Amantadine HCl 3%/Carbamazepine 3%/Doxepin HCl 5%/Gabapentin 6%/Guaifenesin 5%/Ketamine HCl 11.5%/Pentoxifylline 3%/Piroxicam 0.5% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Three times daily