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Amitriptyline HCl 1%/Lidocaine HCl 2.5%/Meloxicam 0.1% Topical Gel

This formulation is a semisolid compound consisting of Amitriptyline HCl 1%, Lidocaine HCl 2.5%, and Meloxicam 0.1% in a topical gel form. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients.

The combination of these three active ingredients is designed to treat various disease states. Amitriptyline HCl is a tricyclic antidepressant that can help manage chronic pain. Lidocaine HCl is a local anesthetic that provides temporary relief from pain and discomfort. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, swelling, and stiffness caused by arthritis.

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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.

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
Lidocaine Hydrochloride
Meloxicam
Topical Gel
65307252bed5b68eca6204f0

Formula Information

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This formulation combines Amitriptyline HCl 1%, Lidocaine HCl 2.5%, and Meloxicam 0.1% in a topical gel. Lidocaine is a local anesthetic that provides temporary relief from pain and discomfort. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the body.

The gel is dispensed through a pump mechanism, which allows for easy and precise application on the skin. This targeted treatment facilitates the absorption of the active ingredients directly into the affected area, providing localized relief from pain and inflammation. The gel-like consistency ensures that the medication stays in place, allowing for prolonged contact with the skin and enhanced absorption of the active ingredients.

This formulation is particularly useful in treating conditions such as neuropathic pain, osteoarthritis, and other conditions where inflammation and pain are present. Amitriptyline works by increasing the levels of certain chemicals in the brain that help improve the mood and reduce the sensation of pain. Lidocaine works by blocking nerve signals in your body, thereby reducing feelings of pain and discomfort. Meloxicam works by reducing hormones that cause inflammation and pain in the body.

It is important to use this medication as directed by your healthcare provider. Apply a thin layer of the gel to the affected area and rub in gently until it is absorbed. Do not apply this medication to broken or irritated skin. Avoid contact with eyes, nose, mouth, and other sensitive areas. If you experience any side effects such as rash, itching, swelling, severe dizziness, or trouble breathing, contact your healthcare provider immediately.

As compounding pharmacists, we are committed to providing high-quality, personalized medications to meet the unique needs of our patients. If you have any questions about this formulation or how to use it, please don't hesitate to reach out to us at Bayview Pharmacy. We are here to help.

Drug Interactions

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This compounded formulation contains Amitriptyline HCl, Lidocaine HCl, and Meloxicam, each of which may interact with other medications. It's crucial to inform your healthcare provider about all the medications you're currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements.

Amitriptyline HCl, a tricyclic antidepressant, may interact with other antidepressants, antipsychotics, certain antibiotics, and heart medications. It can also interact with MAO inhibitors, leading to serious, potentially life-threatening side effects. Avoid consuming alcohol as it can increase the risk of side effects.

Lidocaine HCl, a local anesthetic, may interact with other local anesthetics and certain heart medications. It's also important to note that applying topical Lidocaine to broken or inflamed skin may increase the risk of Lidocaine entering the bloodstream and causing side effects.

Meloxicam, a nonsteroidal anti-inflammatory drug (NSAID), may interact with other NSAIDs, blood thinners, certain antidepressants, and blood pressure medications. It can also interact with alcohol, leading to an increased risk of stomach bleeding.

This formulation is designed to provide targeted treatment for a variety of conditions. Amitriptyline HCl can help manage chronic pain, especially neuropathic pain. Lidocaine HCl provides local anesthesia, numbing the specific area of application to reduce pain or discomfort. Meloxicam, on the other hand, reduces inflammation and pain in the body.

While this formulation is generally well-tolerated, potential side effects may include skin irritation at the site of application, drowsiness, dizziness, dry mouth, and constipation. If any of these side effects persist or worsen, or if you experience any serious side effects such as rapid heartbeat, severe nausea, or mental/mood changes, seek medical attention immediately.

Remember, this medication should only be used as directed by your healthcare provider. Do not increase your dose or use it more frequently than prescribed. Your condition will not improve faster, and your risk of side effects will increase.

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

How Does it Work

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The formulation of Amitriptyline HCl 1%/Lidocaine HCl 2.5%/Meloxicam 0.1% Topical Gel works by combining the therapeutic effects of three active ingredients: Amitriptyline, Lidocaine, and Meloxicam. Each of these ingredients plays a crucial role in managing pain and inflammation.

Amitriptyline HCl is a tricyclic antidepressant that is used in this formulation for its analgesic properties. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. When applied topically, Amitriptyline can help numb the skin and underlying tissues, providing relief from localized pain.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. When applied to the skin, it causes a temporary loss of sensation in the area, providing immediate relief from pain and discomfort. This makes it particularly useful in managing conditions that cause surface-level pain and irritation.

Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. When applied topically, Meloxicam can help reduce inflammation and pain in the specific area it is applied to.

The gel formulation allows for easy and precise application of these active ingredients directly to the area of discomfort. The semisolid consistency of the gel ensures that the active ingredients stay in contact with the skin for a longer period.

This formulation is particularly useful in managing conditions that cause localized pain and inflammation, such as osteoarthritis, nerve pain, and certain skin conditions. By combining the effects of an antidepressant, a local anesthetic, and an NSAID, this formulation provides a comprehensive approach to pain management.

If you have any questions about this formulation or how it may benefit you, 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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This combination formulation of Amitriptyline HCl 1%, Lidocaine HCl 2.5%, and Meloxicam 0.1% in a topical gel form is primarily used for pain relief, in particular for localized neuropathic or musculoskeletal pain. The gel allows for the active ingredients to be absorbed through the skin at the site of the pain, easing discomfort and reducing inflammation.

Aside from its primary use, this medication formulation can also be utilized for other conditions. For instance, Amitriptyline HCl, a tricyclic antidepressant, may assist in painful conditions where sleep disturbances and mood are also a concern. Lidocaine HCl, a powerful local anesthetic, is useful in conditions like post-herpetic neuralgia, in which there may be a burning or shooting sensation caused by damage to the nerves, as it works by numbing the skin and blocking pain signals from the nerves to the brain. Meloxicam, a non-steroidal anti-inflammatory drug (NSAID), may provide added benefit in conditions with a significant inflammatory component, such as rheumatoid arthritis or osteoarthritis, due to its ability to reduce inflammation and swelling in joints and tissues.

Other potential applications could include the management of pain associated with fibromyalgia, chronic lower back pain, diabetic neuropathy, and symptomatic management of inflammatory skin conditions such as psoriasis or eczema where inflammation and pain are severe and localized. It could also be beneficial in postsurgical pain management, or in superficial nerve or soft tissue injuries such as sprains, strains, and contusions.

Beyond these indications, however, it is crucial that any decision to use the product for other purposes should be based on the clinical judgment of a healthcare provider, considering the potential risks and benefits for the individual patient. Remember that this medication formulation is for topical use only and should not be used on open wounds, damaged or infected skin, eyes, or mucous membranes.

If you have specific questions about this formulation and its possible applications, the Bayview Pharmacy team is always available to provide expert guidance and counsel. We're here to ensure you and your patients get the most out of the medications we compound. Don't hesitate to reach out to us for any further information or inquiries.

Frequently Asked Questions

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What is Amitriptyline HCl 1%/Lidocaine HCl 2.5%/Meloxicam 0.1% Topical Gel?

This is a compounded formulation designed for topical application on the skin. It combines the medical ingredients Amitriptyline HCl, Lidocaine HCl and Meloxicam, each at varying concentrations.

How is this medication applied?

It's a semi-solid formulation dispensed through a pump mechanism for easy and precise application. Simply press the pump to dispense the gel, then apply as directed by your healthcare provider.

What does the gel-like consistency mean?

The gel-like consistency means that the medicine has a thick, semi-solid texture. This makes it easy to apply on the skin, and it stays in place rather than running or dripping.

What is the purpose of having the medicine in gel form?

Having the medicine in gel form allows for easy and precise application on the skin. It facilitates the targeted treatment or absorption of active ingredients.

Can I apply the gel anywhere on my body?

You should only apply the gel on the area of your body as directed by your healthcare provider.

What does it mean for the medication to be compounded?

A compounded medication is a drug that is specifically formulated to meet the unique needs of a patient. It is often prescribed when the patient has special requirements that aren't met by commercially available medications.

Does it matter if I apply more or less than the amount dispensed with one pump?

Yes, it does matter. Different amounts of the medication can lead to different therapeutic effects. Always follow your healthcare provider's instructions in terms of the amount to apply.

Is this a painkiller gel?

Yes, the Lidocaine HCl part of the formulation is a local anesthetic that helps to numb the targeted area and reduce pain or discomfort.

Does Amitriptyline HCl 1%/Lidocaine HCl 2.5%/Meloxicam 0.1% Topical Gel require a prescription?

Yes, this medication requires a prescription because it contains prescription-only active ingredients. Always consult with your healthcare provider before starting any new medications.

Can I use other skin products in conjunction with this gel?

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 1%/Lidocaine HCl 2.5%/Meloxicam 0.1% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)