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Amitriptyline HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Diclofenac Na 8%/Flurbiprofen 8%/Gabapentin 6% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Amitriptyline Hydrochloride
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Flurbiprofen
Gabapentin
Baclofen

This formulation is a compounded topical gel containing Amitriptyline HCl 10%, Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Na 8%, Flurbiprofen 8%, and Gabapentin 6%. It is a semisolid formulation 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 active ingredients is designed to treat a variety of disease states. Amitriptyline HCl is a tricyclic antidepressant used for its analgesic properties, Baclofen is a muscle relaxant and antispasmodic agent, Cyclobenzaprine HCl is a muscle relaxant, Diclofenac Na and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) used for their analgesic and anti-inflammatory properties, and Gabapentin is an anticonvulsant used for its analgesic properties.

This formulation is typically used in the management of conditions such as neuropathic pain, musculoskeletal pain, inflammation, and muscle spasms. The topical application allows for direct delivery of the medication to the affected area, potentially reducing systemic side effects.

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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.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
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.
Amitriptyline Hydrochloride
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Flurbiprofen
Gabapentin
Baclofen
Topical Gel
653148382e166b5c90fb5330
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 Amitriptyline HCl 10%, Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Na 8%, Flurbiprofen 8%, and Gabapentin 6%. It is a semisolid formulation dispensed through a pump mechanism, which allows 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 relief.

Amitriptyline HCl is a tricyclic antidepressant that is used in this formulation for its analgesic properties, particularly in neuropathic pain. Baclofen is a muscle relaxant and antispasmodic agent, used to relieve muscle spasms, pain, and stiffness. Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses to the brain. Diclofenac Na and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce inflammation and pain in the body. Gabapentin is an anticonvulsant and nerve pain medication that is used to treat nerve pain and discomfort.

By applying the gel topically, patients can target specific areas of discomfort, and because the medication is absorbed through the skin, it can provide relief without the systemic side effects often associated with oral medications.

It's important for patients to use this medication as directed by their healthcare provider. The gel should be applied to the affected area(s) as needed, but not more than the prescribed amount. Patients should also avoid contact with eyes, mouth, and other mucous membranes. If any adverse reactions occur, such as skin irritation or allergic reactions, patients should discontinue use and contact their healthcare provider immediately.

For prescribers, it's important to note that this is a compounded medication, meaning it is made specifically for the patient and may not be suitable for all individuals. It's also important to monitor patients for potential interactions with other medications they may be taking, particularly with the Amitriptyline HCl and Gabapentin components of the formulation.

If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Drug Interactions

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This topical gel formulation contains a combination of Amitriptyline HCl, Baclofen, Cyclobenzaprine HCl, Diclofenac Na, Flurbiprofen, and Gabapentin. These active ingredients work synergistically to provide relief from various disease states, primarily those involving pain and inflammation. However, as with any medication, there are potential drug interactions that patients and prescribers should be aware of.

Amitriptyline HCl, a tricyclic antidepressant, may interact with other antidepressants, antipsychotics, certain antihypertensives, and anticholinergic drugs. It can increase the risk of serotonin syndrome when combined with other serotonergic drugs. Baclofen, a muscle relaxant, may have additive effects with other central nervous system depressants, including alcohol, benzodiazepines, and opioids.

Cyclobenzaprine HCl, another muscle relaxant, may interact with monoamine oxidase inhibitors (MAOIs), increasing the risk of serious side effects. It can also interact with other CNS depressants, leading to increased sedation. Diclofenac Na, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with certain antihypertensives and diuretics, potentially reducing their effectiveness.

Flurbiprofen, another NSAID, has similar potential interactions as Diclofenac Na. It may also interact with lithium, increasing the risk of lithium toxicity. Gabapentin, an anticonvulsant, may have additive effects with other CNS depressants. It may also interact with antacids, potentially reducing the absorption of Gabapentin.

It's important to note that this is not an exhaustive list of potential interactions. Patients should inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements. Prescribers should carefully consider the potential interactions and adjust the treatment plan accordingly.

This formulation is primarily used to treat conditions involving pain and inflammation, such as arthritis, neuropathic pain, and muscle spasms. The combination of active ingredients provides a multi-modal approach to pain management, targeting different aspects of the pain pathway. The topical application allows for targeted treatment, reducing systemic exposure and potential side effects.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We are here to provide the information and support you need to ensure appropriate treatment.

How Does it Work

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This formulation is a combination of six active ingredients: Amitriptyline HCl, Baclofen, Cyclobenzaprine HCl, Diclofenac Na, Flurbiprofen, and Gabapentin. Each of these ingredients plays a unique role in managing pain and inflammation, and their combined effect can provide significant relief for a variety of disease states.

Amitriptyline HCl is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, pain threshold, and sleep. Baclofen is a muscle relaxer and an antispastic agent. It works by helping to relax the muscles. Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain.

Diclofenac Na and Flurbiprofen are both nonsteroidal anti-inflammatory drugs (NSAIDs). They work by reducing substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant and nerve pain medication. It works by calming down nerve activity to reduce pain and discomfort.

When applied topically, this formulation allows for targeted treatment. The active ingredients are absorbed through the skin directly into the affected area, providing localized relief without the systemic side effects that can occur with oral medications. The gel-like consistency of the formulation allows for easy application and absorption.

This formulation can be used to treat a variety of disease states that involve pain and inflammation. These include conditions like fibromyalgia, neuropathic pain, musculoskeletal pain, and arthritis. By addressing pain and inflammation from multiple angles, this formulation can provide comprehensive relief.

It's important to note that while this formulation can provide significant relief, it's not a cure for the underlying conditions causing the pain and inflammation. It should be used as part of a comprehensive treatment plan under the guidance of a healthcare provider.

If you have any questions about this formulation, how it works, or how it can be used in your specific situation, don't hesitate to reach out to us. We're here to help.

Frequently Asked Questions

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What is the Amitriptyline HCl/Baclofen/Cyclobenzaprine HCl/Diclofenac Na/Flurbiprofen/Gabapentin topical gel?

This is a compounded formulation of various active ingredients - Amitriptyline HCl, Baclofen, Cyclobenzaprine HCl, Diclofenac Na, Flurbiprofen, and Gabapentin in a semisolid gel-like consistency. It is dispensed through a pump mechanism to be applied on the skin for targeted treatment or absorption.

How should I use this gel?

Apply an appropriate quantity to the area of pain or nerve irritation as suggested by your healthcare provider. Always wash your hands after application unless hands are the treated area.

What are the compound ingredients for?

These ingredients are used to target and manage various types of chronic pain, nerve irritation, inflammation and muscle spasms.

Is it safe to use this gel regularly?

Yes, this gel is safe for regular use, but should always be used under the supervision of a healthcare provider. Always follow your doctor's instructions for dosage and frequency of use.

What if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use extra to make up for a missed dose.

Are there any side effects associated with this gel?

Some patients may experience side effects such as redness, rash, or itchiness at the application site. More serious side effects are rare. Always contact your healthcare provider if you are concerned about any potential side effects.

What if the gel gets into my eyes or mouth?

If the gel accidentally gets into your eyes or mouth, immediately rinse thoroughly with water. Contact a healthcare professional if any symptoms persist or elevate.

Can this product be used by pregnant or nursing women?

The safety of this compounded formulation during pregnancy or while nursing has not been firmly established. Always consult with your healthcare provider for advice.

Can I apply other topical products when using this gel?

Consult with your doctor or pharmacist before applying other topical products with this gel to avoid any potential interactions or adverse reactions.

How should I store this gel?

Keep the product at room temperature away from direct sunlight and out of reach of children. Ensure that the cap of the pump mechanism is securely fastened to avoid leakage or drying out of the 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.

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, 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.

Amitriptyline HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Diclofenac Na 8%/Flurbiprofen 8%/Gabapentin 6% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily