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This formulation is a compounded topical gel containing Amitriptyline HCl 2%, Baclofen 2%, Bupivacaine HCl 0.5%, and Piroxicam 3%. 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, Bupivacaine HCl is a local anesthetic, and Piroxicam is a non-steroidal anti-inflammatory drug (NSAID). Together, they provide relief from conditions such as neuropathic pain, muscle spasms, inflammation, and localized pain.
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.
This formulation is a compounded topical gel containing Amitriptyline HCl 2%, Baclofen 2%, Bupivacaine HCl 0.5%, and Piroxicam 3%. It is designed to be applied directly to the skin, providing targeted treatment to the affected area. The gel is dispensed through a pump mechanism, which allows for easy and precise application.
Amitriptyline HCl is a tricyclic antidepressant that is used in this formulation for its analgesic properties. It can help to relieve chronic pain by increasing the levels of certain chemicals in the brain that help to transmit signals between nerve cells. Baclofen is a muscle relaxant and antispasmodic agent that can help to relieve muscle spasms, tightness, and pain. Bupivacaine HCl is a local anesthetic that can provide temporary numbness or loss of sensation in the area where the gel is applied. Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID) that can help to reduce pain and inflammation by blocking the production of certain substances in the body that cause inflammation.
This formulation can be used to treat a variety of disease states. It can be particularly beneficial for patients with neuropathic pain, such as that caused by shingles or diabetic neuropathy. It can also be used to treat musculoskeletal pain, such as that caused by arthritis or fibromyalgia. The combination of active ingredients in this formulation can provide both immediate and long-term relief from pain and inflammation.
As with any medication, it is important to use this formulation as directed by your healthcare provider. Apply the gel to the affected area as instructed, and avoid contact with the eyes, mouth, and other mucous membranes. If you experience any side effects, such as skin irritation or an allergic reaction, stop using the gel and contact your healthcare provider immediately.
If you have any questions about this formulation, or if you would like more information about how it can be used to treat your specific condition, please don't hesitate to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy is always here to help.
This formulation contains Amitriptyline HCl, Baclofen, Bupivacaine HCl, and Piroxicam, all of which can interact with other medications. It's important to inform your healthcare provider about all the medications you're currently taking, including prescription and over-the-counter drugs, vitamins, and herbal supplements.
Amitriptyline HCl, a tricyclic antidepressant, can interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain antihypertensive medications. It can also increase the effects of alcohol and other CNS depressants. Baclofen, a muscle relaxant and antispastic, can enhance the effects of other CNS depressants, including alcohol, antihistamines, sedatives, and narcotics.
Bupivacaine HCl, a local anesthetic, can interact with certain antiarrhythmic drugs (like lidocaine and mexiletine), certain beta-blockers (like metoprolol), and other local anesthetics. Piroxicam, a nonsteroidal anti-inflammatory drug (NSAID), can interact with anticoagulants, aspirin, other NSAIDs, certain antihypertensives, and lithium.
This formulation is used topically, which generally reduces the risk of systemic drug interactions. However, significant systemic absorption can still occur, especially when applied over large areas of the body or used for extended periods. Therefore, the potential for drug interactions should not be overlooked.
This formulation is typically used to manage pain and inflammation associated with conditions like arthritis, neuropathic pain, and muscle spasms. Amitriptyline HCl can help manage neuropathic pain, Baclofen can relieve muscle spasms, Bupivacaine HCl can provide local anesthesia, and Piroxicam can reduce inflammation and pain.
It's important to use this medication exactly as directed by your healthcare provider. Do not apply more than the recommended dose or use it more frequently than prescribed. Avoid applying this medication to broken or irritated skin. Also, avoid contact with eyes, nose, mouth, and other mucous membranes.
If you have any questions about this medication or its potential interactions, please don't hesitate to reach out to us.
The formulation of Amitriptyline HCl 2%/Baclofen 2%/Bupivacaine HCl 0.5%/Piroxicam 3% Topical Gel works by combining the therapeutic effects of four active ingredients, each contributing to the overall efficacy of the product. This semisolid formulation is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency aids in the absorption of the active ingredients into the skin for targeted treatment.
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 relief from pain without the systemic side effects associated with oral administration.
Baclofen is a muscle relaxer and an antispastic agent. It works by restoring the balance of certain natural substances (GABA) in the brain. Baclofen in this topical formulation can help relieve muscle spasms without the sedative effects that can occur with oral administration.
Bupivacaine HCl is a local anesthetic. It works by blocking nerve impulses in your body, thereby reducing pain and discomfort. In this formulation, Bupivacaine HCl provides immediate, localized pain relief.
Piroxicam is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. When applied topically, Piroxicam can provide targeted relief from pain and inflammation.
The topical application allows for targeted treatment, reducing the risk of systemic side effects that can occur with oral medications.
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 always here to help.
This is a compounded medication, which contains Amitriptyline, Baclofen, Bupivacaine, and Piroxicam. It exists in a semisolid gel-like state that is dispensed through a pump and is applied topically to the skin.
Each active ingredient in the compounded formulation has its role. Amitriptyline is a type of drug called a tricyclic antidepressant, which can also help relieve certain types of pain. Baclofen is a muscle relaxer and an antispastic agent. Bupivacaine is a local anesthetic that produces numbness or loss of feeling. Piroxicam is a non-steroidal anti-inflammatory drug (NSAID) that reduces pain and swelling.
You should apply this gel directly to the affected area as directed by your healthcare provider. The pump mechanism ensures easy and accurate dosage.
If you miss applying your dose, do 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 the regular dosing schedule. Do not apply double amounts at the same time to catch up.
People with known hypersensitivity to Amitriptyline, Baclofen, Bupivacaine, Piroxicam, or any component of the product should avoid using it.
Like any medication, this topical gel can cause side effects such as itching, burning, or redness at the application site. Some more serious side effects can occur and if you experience severe skin reaction, unusual weight gain, swelling of the ankles/feet, or strange behavior/mood changes, you should immediately contact your healthcare provider.
Always inform your healthcare provider of any other medications you are taking to avoid unforeseen drug interactions.
This product should be stored at room temperature, away from light and moisture, and out of reach of children and pets.
You should always seek advice from your healthcare provider before using any new medications during pregnancy or breastfeeding to assess potential risks.
Applying more gel than directed does not necessarily lead to better results and might cause side effects. If you use too much, you should contact your healthcare provider immediately.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)
