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Amitriptyline HCL 5%/Cyclobenzaprine HCL 2%/Piroxicam 1% Transdermal Gel

Get a customized transdermal gel from Bayview Pharmacy to help manage neuropathic pain, fibromyalgia, arthritis, and muscle spasms. Compounded for your needs.
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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.
Amitriptyline Hydrochloride
Cyclobenzaprine Hydrochloride
Piroxicam
Topical Gel
653183cc152074eba5bf51fd

Formula Information

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This formulation is a combination of Amitriptyline HCL 5%, Cyclobenzaprine HCL 2%, and Piroxicam 1% in a transdermal gel. It is a semisolid formulation that is dispensed through a pump mechanism, which allows for easy and precise application on the skin.

Amitriptyline HCL is a tricyclic antidepressant that is used to treat various forms of depression. It works by increasing the levels of certain chemicals in the brain that help improve mood, relieve anxiety, and promote sleep. In this formulation, it is used for its analgesic properties to help manage chronic pain.

Cyclobenzaprine HCL is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is used to relieve muscle spasms and associated pain in acute musculoskeletal conditions. In this formulation, it helps to reduce muscle tension and alleviate pain.

Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is used to treat pain or inflammation caused by osteoarthritis or rheumatoid arthritis. In this formulation, it helps to reduce inflammation and relieve pain.

This combination of medications in a transdermal gel form allows for targeted treatment of pain and inflammation. It is particularly useful for patients who have difficulty swallowing pills or who need to avoid systemic side effects of these medications. The gel is applied directly to the affected area, providing localized relief while minimizing systemic absorption and potential side effects.

As with any medication, it is important to use this formulation as directed by your healthcare provider. Do not use more than the recommended dose or apply more frequently than instructed. If you have any questions or concerns about this medication, please reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists who are here to help.

Drug Interactions

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This transdermal gel formulation contains Amitriptyline HCL, Cyclobenzaprine HCL, and Piroxicam, each of which can interact with other medications. It's crucial to inform your healthcare provider about all the medications you're currently taking, including over-the-counter drugs, vitamins, and herbal supplements.

Amitriptyline HCL, a tricyclic antidepressant, can interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain antihypertensive drugs. Combining these medications can lead to serious side effects such as serotonin syndrome, increased heart rate, and elevated blood pressure. It's also important to avoid alcohol while using this medication as it can increase drowsiness and dizziness.

Cyclobenzaprine HCL, a muscle relaxant, can interact with MAO inhibitors, CNS depressants, and other medications that cause drowsiness such as antihistamines, opioids, and alcohol. These interactions can lead to increased sedation, respiratory depression, and other serious side effects.

Piroxicam, a nonsteroidal anti-inflammatory drug (NSAID), can interact with blood thinners, other NSAIDs, corticosteroids, and certain antihypertensive drugs. These interactions can increase the risk of gastrointestinal bleeding and ulcers, and can also affect kidney function.

This formulation is designed to treat various disease states. Amitriptyline HCL is often used to manage chronic pain, particularly neuropathic pain. Cyclobenzaprine HCL is used to relieve muscle spasms and associated pain, while Piroxicam is used to reduce pain and inflammation caused by arthritis. The transdermal delivery allows for targeted treatment, reducing systemic side effects and improving patient compliance.

It's important to use this medication as directed by your healthcare provider. Do not apply more than the recommended dose, and avoid applying it to broken or irritated skin. If you experience any unusual side effects, 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 team of compounding pharmacists is here to provide you with the information you need to use this medication safely and effectively.

How Does it Work

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The Amitriptyline HCL 5%/Cyclobenzaprine HCL 2%/Piroxicam 1% Transdermal Gel is a unique formulation that combines three active ingredients, each with its own mechanism of action, to provide targeted relief from various disease states. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to exert its therapeutic effects.

Amitriptyline HCL is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, relieve pain, and promote sleep. In this formulation, it is used for its analgesic properties to help manage chronic pain conditions.

Cyclobenzaprine HCL is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It does this by acting on the central nervous system to produce a sedative effect and reduce muscle tone, thereby relieving muscle spasms and associated pain.

Piroxicam is a non-steroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is used to treat pain or inflammation caused by arthritis. It works by inhibiting the production of prostaglandins, substances in the body that play a role in pain and inflammation.

The transdermal gel formulation allows for targeted application and absorption of these active ingredients. The gel is applied directly to the area of pain or inflammation, allowing for localized treatment. This can reduce the potential for systemic side effects that can occur with oral medications. The gel formulation also allows for sustained release of the medication, providing longer-lasting relief.

This combination of Amitriptyline, Cyclobenzaprine, and Piroxicam in a transdermal gel offers a multi-modal approach to pain management, addressing different aspects of pain physiology for comprehensive relief. It can be particularly beneficial for patients with conditions that involve chronic pain, inflammation, and muscle spasms, such as fibromyalgia, neuropathic pain, and arthritis.

If you have any questions about this formulation, its mechanism of action, or its suitability for treating specific conditions, please do not 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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In addition to the chief application for which the Amitriptyline HCL 5%/Cyclobenzaprine HCL 2%/Piroxicam 1% Transdermal Gel is known, namely the management of musculoskeletal pain, the formulation may serve other medicinal purposes. The collective properties of these three active ingredients give this formulation a wide range of applications. Amitriptyline is commonly used in the management of neuropathic pain. This makes the gel formulation potentially useful in conditions like postherpetic neuralgia and diabetic peripheral neuropathic pain. Furthermore, the presence of amitriptyline can aid in improving the quality of sleep, thus, this formulation may provide some aid to patients suffering from disturbed rest due to chronic pain conditions.

Cyclobenzaprine is a muscle relaxant, typically used to relieve muscle spasms. Therefore, in combination with amitriptyline and piroxicam, this gel can also be used for the symptomatic relief of muscle spasms associated with acute musculoskeletal conditions. Piroxicam, a potent NSAID, offers anti-inflammatory, analgesic, and antipyretic activities. As such, the formulation might be useful not only in acute but also in chronic inflammatory conditions, such as, various forms of arthritis including rheumatoid and osteoarthritis.

Given its transdermal nature, this gel is good for targeted therapy, offering the benefit of direct administration to the affected area and potentially limiting systematic side effects. Importantly, this formulation is apt for patients who have difficulty swallowing or are unable to take oral medication. The ease of application also enhances patient compliance, making it an ideal choice for geriatric population and those with certain disabilities.

Moreover, individual responses to medications can vary, thus, while the typical use of this formulation is for the alleviation of musculoskeletal and neuropathic pain, it is conceivable that some patients may find it useful for treating other associated symptoms where the properties of Amitriptyline, Cyclobenzaprine, and Piroxicam would be beneficial.

As always, it is important to consult with a healthcare professional before starting, changing, or stopping any medication regimen. If there are any questions, you are encouraged to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Amitriptyline HCL 5%/Cyclobenzaprine HCL 2%/Piroxicam 1% Transdermal Gel?

This is a compounded medication, composed of Amitriptyline HCL, Cyclobenzaprine HCL, and Piroxicam, delivered through a transdermal gel format. It's primarily used for targeted treatment on the skin

How does the gel work?

The gel is a semisolid formulation that is dispensed through a pump mechanism. This makes it easy to apply on the skin for the absorption in targeted areas.

How should I use this gel?

This gel should be used as directed by your healthcare provider. Always apply it to the skin through its pump mechanism in the instructed amount.

What are the active ingredients in this gel?

The active ingredients in this gel are Amitriptyline HCL, Cyclobenzaprine HCL, and Piroxicam. The concentrations are 5%, 2%, and 1% respectively.

Can I use this gel on other parts of my body?

Please follow the instructions of your healthcare provider for the usage of this medication. It is primarily designed for targeted treatment on the skin.

What is the consistency of the gel?

The gel has a consistency somewhat similar to a semi-solid, making it easy and precise for topical application.

Do I have to keep this gel at a specific temperature?

For specific storage instructions, you should refer to your pharmacist or healthcare provider. However, to maintain the gel consistency, standard room temperature is usually recommended.

Can this gel be used in conjunction with other medications?

Whether this gel can be used with other medications depends on your specific medical condition and treatment plan. Always consult with your healthcare provider before starting any new medication.

What should I do if irritation or allergic reaction occur?

If signs of irritation or an allergic reaction occur such as redness, itching or swelling, stop using the gel immediately and contact your healthcare provider.

What should I do if the pump mechanism malfunctions?

If the pump mechanism of the gel malfunctions, report this to your pharmacist or healthcare provider for further instructions or replacement of the product.

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.

Related Formulas

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.

Amitriptyline HCL 5%/Cyclobenzaprine HCL 2%/Piroxicam 1% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)