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Amitriptyline HCl 10%/Bupivacaine HCl 1%/Cyclobenzaprine 1%/Ketoprofen 10% Transdermal Gel

This formulation is a semisolid compound of Amitriptyline HCl 10%, Bupivacaine HCl 1%, Cyclobenzaprine 1%, and Ketoprofen 10% in a transdermal gel. It is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients.

The formulation is designed to treat a variety of disease states. Amitriptyline HCl is used for its analgesic properties, particularly in the management of neuropathic pain. Bupivacaine HCl is a local anesthetic, providing relief from acute pain. Cyclobenzaprine is a muscle relaxant, used to alleviate muscle spasms, while Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation. Together, these ingredients work synergistically to provide comprehensive pain management.

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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.

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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
Bupivacaine Hydrochloride
Ketoprofen
Cyclobenzaprine Hydrochloride
Topical Gel
6530984d7fccc33b4e4b143d

Formula Information

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This formulation is a compounded transdermal gel containing Amitriptyline HCl 10%, Bupivacaine HCl 1%, Cyclobenzaprine 1%, and Ketoprofen 10%. 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. It can help to alleviate chronic pain, particularly neuropathic pain. Bupivacaine HCl is a local anesthetic that provides numbness or loss of feeling in the area where the gel is applied. This can help to reduce pain and discomfort in the targeted area.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. It is used to treat mild to moderate pain, inflammation, and stiffness caused by conditions such as arthritis.

This formulation is particularly useful in treating conditions that involve chronic pain, inflammation, and muscle spasms. It provides targeted relief by delivering the active ingredients directly to the area of discomfort. This can help to reduce systemic side effects that are often associated with oral medications. The pump mechanism allows for easy and precise application, ensuring that the medication is applied exactly where it is needed.

As with any medication, it is important to use this formulation as directed by your healthcare provider. If you have any questions or concerns about this medication, please do not 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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This transdermal gel formulation contains Amitriptyline HCl, Bupivacaine HCl, Cyclobenzaprine, and Ketoprofen. Each of these active ingredients has its own potential drug interactions, which can be amplified when used in combination. It's important to be aware of these interactions to ensure safe and appropriate use of this medication.

Amitriptyline HCl is a tricyclic antidepressant that can interact with MAO inhibitors, leading to serious, potentially fatal interactions. It can also interact with anticholinergic drugs, CNS depressants, and other tricyclic antidepressants. Concurrent use with serotonergic drugs can lead to serotonin syndrome. It's also important to note that amitriptyline can increase the effects of alcohol.

Bupivacaine HCl is a local anesthetic that can interact with other local anesthetics and class III antiarrhythmics. It can also interact with certain antihypertensive medications and CNS depressants, potentially leading to increased sedation or respiratory depression.

Cyclobenzaprine is a muscle relaxant that can interact with MAO inhibitors, leading to potentially life-threatening interactions. It can also interact with CNS depressants, tricyclic antidepressants, and serotonergic drugs, potentially leading to increased sedation or serotonin syndrome.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can interact with anticoagulants, increasing the risk of bleeding. It can also interact with other NSAIDs, corticosteroids, and certain antihypertensive medications. Concurrent use with alcohol can increase the risk of gastrointestinal bleeding.

This formulation is designed to treat various disease states, including chronic pain, muscle spasms, and inflammation. Amitriptyline HCl can help manage chronic pain, particularly neuropathic pain. Bupivacaine HCl provides local anesthesia, numbing the area to which the gel is applied. Cyclobenzaprine can help relieve muscle spasms, while Ketoprofen can reduce inflammation and pain.

It's crucial for patients and prescribers to be aware of these potential interactions and to monitor for any signs of adverse effects. If you have any questions or concerns about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy.

How Does it Work

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This formulation is a combination of four active ingredients: Amitriptyline HCl, Bupivacaine HCl, Cyclobenzaprine, and Ketoprofen, each playing a unique role in managing pain and inflammation. The formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to provide targeted relief.

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. In a topical formulation, Amitriptyline HCl can provide localized pain relief without the systemic side effects associated with oral administration.

Bupivacaine HCl is a local anesthetic. It works by blocking nerve impulses in the body, which helps to numb the area and reduce pain. When applied topically, Bupivacaine HCl can provide targeted pain relief directly to the area where it is needed most.

Cyclobenzaprine is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain. Cyclobenzaprine is used to relieve skeletal muscle spasms and associated pain in acute musculoskeletal conditions. In this formulation, it helps to relax the muscles in the area where the gel is applied, further reducing pain and discomfort.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. When applied topically, Ketoprofen can provide targeted relief from inflammation and associated pain.

The transdermal gel formulation allows for the active ingredients to be absorbed through the skin directly into the affected area. This provides targeted relief and minimizes systemic side effects. The pump mechanism allows for easy and precise application of the gel.

This formulation can be used to treat a variety of disease states associated with pain and inflammation, such as arthritis, muscle sprains and strains, nerve pain, and other similar conditions. As with any medication, it is important to use this formulation as directed by a healthcare provider.

If you have any questions about this formulation, how it works, or how it can be used to treat specific conditions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Other Uses

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Our compounded formulation of Amitriptyline HCl 10%/Bupivacaine HCl 1%/Cyclobenzaprine 1%/Ketoprofen 10% Transdermal Gel, traditionally used as a targeted treatment for localized pain, could have potential uses in managing a variety of other conditions. While the primary use is often different forms of pain management, due to the ingredients' analgesic, anti-inflammatory and muscle relaxant properties, extra-label uses could emerge with further investigation and consultation with your healthcare provider.

Amitriptyline, despite its original introduction as an antidepressant, might find new applications in the management of neuropathic pain, chronic headaches, and fibromyalgia due its potential ability to alter pain signals in the nervous system. Bupivacaine, a potent local anaesthetic, could be used off-label in a procedure known as a peripheral nerve block, potentially providing targeted pain relief in a specific area of the body. Furthermore, Cyclobenzaprine, a muscle relaxant, might find novel applications in treating muscle spasms caused by a variety of conditions such as musculoskeletal disorders or due to side effects from certain medications.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), was originally marketed for managing pain, inflammation, and stiffness caused by arthritis. However, it might also be used for general pain relief, reducing fever, and recovery from surgery or injury. Please note that this gel is intended for external use only and should not be ingested or applied to open wounds or mucous membranes. Also refrain from use on inflamed, broken, or irritated skin unless directed by your healthcare provider.

Remember that off-label use should always be discussed and approved by a healthcare provider as they can assess its potential benefits and risks based on your personal health situation. It's imperative to report any adverse reactions or unexpected side effects to your healthcare provider immediately. Feel free to reach out to us for any queries or concerns regarding the use of this compounded formulation.

Frequently Asked Questions

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What is the form of the compounded formulation of Amitriptyline HCl 10%/Bupivacaine HCl 1%/Cyclobenzaprine 1%/Ketoprofen 10% Transdermal Gel?

It is a semisolid formulation dispensed through a pump mechanism for easy and precise application on the skin.

How is this gel applied?

This gel formulation is applied topically on the skin. It is dispensed through a pump mechanism that allows for easy and precise application.

What is the consistency of the compounded formulation?

The compound formulation has a gel-like consistency, which allows it to be smoothly applied and easily absorbed into the skin.

Is the compounded formulation designed for targeted treatment?

Yes, the semisolid consistency and facile application mechanism facilitate targeted treatment or absorption of active ingredients directly at the area in need.

What are the active ingredients in this compounded formulation?

This formulation contains Amitriptyline HCl at 10%, Bupivacaine HCl at 1%, Cyclobenzaprine at 1%, and Ketoprofen at 10%.

Is this compounded formulation easy to use?

Yes, the pump mechanism ensures a user-friendly design, reducing the effort and imprecision involved in traditional methods of cream or ointment application.

Can I apply this compounded formulation anywhere on my body?

This compounded formulation is designed for targeted treatment so it's recommended to apply it on the specific area as advised by your healthcare professional.

How does this compound formulation work?

Once applied to the skin, the active ingredients are absorbed to provide localized relief and treatment. Each active ingredient plays a significant role in pain relief and muscle relaxation.

What is the benefit of having a pump mechanism?

The pump mechanism ensures easy application and allows for precise control of how much product is dispensed, reducing waste and ensuring optimal usage.

Why are the active ingredients in this particular blend?

Each of the four active ingredients serves a different purpose. Amitriptyline HCl is often used in pain management, Bupivacaine HCl is a local anaesthetic, Cyclobenzaprine is a muscle relaxant and Ketoprofen is a nonsteroidal anti-inflammatory drug. This combination allows for comprehensive treatment in one user-friendly formulation.

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 10%/Bupivacaine HCl 1%/Cyclobenzaprine 1%/Ketoprofen 10% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)