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Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel

Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel is expertly compounded at Bayview Pharmacy to help manage neuropathic pain, menopausal symptoms, and insomnia.
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.
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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.

Prescriber? Sign in or create an account 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.
Amitriptyline Hydrochloride
Estriol
Topical Gel
653182cbfa76cb78e9d27fd6

Formula Information

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This formulation combines Amitriptyline HCl 0.5% and Estriol 0.03% in a transdermal gel. Amitriptyline HCl is a tricyclic antidepressant that is often used off-label for the management of chronic pain, including neuropathic pain. It works by increasing the levels of certain chemicals in the brain that help elevate mood and alleviate pain. Estriol, on the other hand, is a form of estrogen, a female hormone produced by the ovaries. It is used to treat symptoms of menopause such as hot flashes, and vaginal dryness, burning, and irritation.

The transdermal gel formulation allows for targeted application and absorption of these active ingredients. The gel is dispensed through a pump mechanism, which ensures easy and precise application. This is particularly beneficial for patients who may have difficulty swallowing pills or for those who prefer a non-invasive method of medication administration. The transdermal route also bypasses the digestive system, reducing the risk of gastrointestinal side effects.

It's important to note that this formulation should be used as directed by a healthcare provider. The amount of gel to be applied and the frequency of application will depend on the individual patient's condition and response to treatment. Patients should also be aware of potential side effects, which may include skin irritation at the application site, dizziness, drowsiness, dry mouth, or changes in appetite or weight. If any of these side effects persist or worsen, or if serious side effects occur, patients should contact their healthcare provider immediately.

Prescribers should consider the patient's overall health status, other medications being taken, and the patient's response to treatment when deciding on the use of this formulation. Regular monitoring may be necessary to assess the patient's progress and to make any necessary dosage adjustments.

If you have any questions about this formulation, or if you need further information, please don't 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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Amitriptyline HCl and Estriol are two active ingredients in this transdermal gel formulation. Amitriptyline HCl is a tricyclic antidepressant that is often used to treat mental/mood problems such as depression. It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase energy level. Estriol, on the other hand, is a form of estrogen, a female hormone, which is used to treat symptoms of menopause like hot flashes and vaginal dryness.

It's important to note that this formulation may interact with other medications, potentially altering their effects or increasing the risk of side effects. Here are some key interactions to be aware of:

1. Monoamine Oxidase Inhibitors (MAOIs): Combining Amitriptyline with MAOIs (such as isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine) may lead to potentially life-threatening drug interactions like serotonin syndrome. It's recommended to avoid this combination or use it under close medical supervision.

2. Direct Oral Anticoagulants (DOACs): Estriol may increase the risk of clot formation when used with anticoagulants like warfarin, apixaban, or rivaroxaban. Regular monitoring of blood clotting parameters is advised when using these medications together.

3. Other Antidepressants or CNS Active Drugs: Combining Amitriptyline with other CNS active drugs (like sedatives, hypnotics, tranquilizers, etc.) may increase the risk of sedation and impaired motor skills. Caution is advised when using these medications together.

4. Thyroid Hormones: Estriol may affect the efficacy of thyroid hormones. If you're on thyroid medication, your doctor may need to adjust your dose accordingly.

Remember, this is not a complete list of possible drug interactions. Always inform your healthcare provider about all the medications you're currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements. Also, never start a new medication without consulting your healthcare provider.

It's also important to note that alcohol may enhance the sedative effects of Amitriptyline, so it's advisable to limit or avoid alcohol consumption while using this formulation.

If you have any questions or concerns about this formulation or its potential interactions, don't hesitate to reach out to us.

How Does it Work

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The Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel is a unique formulation that combines two active ingredients, Amitriptyline HCl and Estriol, in a gel-like consistency that is easily applied to the skin. This formulation is designed to be dispensed through a pump mechanism, which allows for precise application and targeted treatment.

Amitriptyline HCl is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help elevate mood. In this formulation, it is used for its analgesic properties to help manage chronic pain. When applied topically, Amitriptyline HCl can provide targeted pain relief by blocking the pain signals from the nerves to the brain. This can be particularly beneficial for patients suffering from conditions such as neuropathic pain or fibromyalgia.

Estriol, on the other hand, is a form of estrogen, a female hormone produced by the ovaries. Topical application of Estriol can help to replenish estrogen levels in the body, which can be beneficial for managing symptoms associated with menopause, such as hot flashes and vaginal dryness. Estriol can also help to improve skin elasticity and hydration, which can be beneficial for aging skin.

The transdermal gel formulation allows for the active ingredients to be absorbed directly through the skin and into the bloodstream. This can provide a more targeted treatment and reduce the risk of systemic side effects compared to oral medications. The gel-like consistency also makes it easy to apply and can provide a soothing effect on the skin.

It's important to note that this formulation should be used under the guidance of a healthcare provider, as both Amitriptyline HCl and Estriol can have side effects and may interact with other medications. Always use the medication as directed, and reach out to us if you have any questions or concerns.

Other Uses

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Frequently Asked Questions

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What is the Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel?

This is a semisolid formulation of Amitriptyline and Estriol, two active ingredients, in a gel-like consistency that is dispensed through a pump mechanism for easy and precise application on the skin.

How does the pump mechanism of the gel work?

The pump mechanism is designed to dispense the gel in controlled amounts to facilitate accurate application. This helps to ensure that the correct dosage is applied each time.

How should I apply the gel?

The gel should be applied to the skin as per your healthcare provider's instruction. The pump mechanism facilitates easy and precise application for targeted treatment.

What is Amitriptyline HCl and Estriol used for?

This specific combination of Amitriptyline HCl and Estriol is typically used for targeted treatments under specific medical instructions. Individually, Amitriptyline HCl is typically used as an antidepressant, while Estriol is a form of estrogen used in hormone therapy.

What happens if I apply more gel than recommended?

Applying more gel than recommended can potentially lead to overdosing and side effects. It is crucial to use only the right amount as prescribed by your healthcare provider. If you've applied more than you should, seek medical assistance immediately.

What do I do if I missed a dose?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed one and resume your usual dosing schedule. Don't double up on doses to make up for a missed one. If you're unsure, consult your healthcare provider.

Does the transdermal gel have any side effects?

Like all medications, Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel can have side effects. Some common ones include skin irritation at the application site. Always consult your healthcare provider for comprehensive information on the potential side effects.

Can this gel be combined with other medications?

It's crucial to inform your healthcare provider about all your current medications, including prescription, non-prescription, vitamins, and herbal products, as certain drugs may interact with this gel. Your healthcare provider will guide you on the safe use of this medication along with others.

Where should I store the Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel?

Store the gel at room temperature away from heat, light, and moisture. Do not freeze it and keep it out of the reach of children.

Is this gel safe for all skin types?

While the formulation is designed to be gentle, some individuals may have sensitivity or allergies to certain ingredients. If you experience any discomfort or adverse reactions like redness, burning, itching, or rash, discontinue use and contact your healthcare provider immediately.

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.

Amitriptyline HCl 0.5%/Estriol 0.03% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)