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Amitriptyline HCl 2%/Baclofen 4%/Diclofenac Na 6%/Ibuprofen 6%/Lidocaine HCL 4% Topical Gel

This formulation is a compounded topical gel containing Amitriptyline HCl 2%, Baclofen 4%, Diclofenac Na 6%, Ibuprofen 6%, and Lidocaine HCL 4%. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency aids in the 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 that can help manage chronic pain. Baclofen is a muscle relaxer and an antispastic agent. Diclofenac Na and Ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce pain, swelling, and inflammation. Lidocaine HCL is a local anesthetic that causes temporary numbness or loss of sensation in the skin and surrounding tissues.

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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
Diclofenac Sodium
Ibuprofen
Lidocaine Hydrochloride
Baclofen
Topical Gel
652f4b7af6624c02344edd88

Formula Information

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This formulation is a compounded topical gel containing Amitriptyline HCl 2%, Baclofen 4%, Diclofenac Na 6%, Ibuprofen 6%, and Lidocaine HCL 4%. It is a semisolid formulation that is dispensed through a pump mechanism, allowing 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 relieve chronic pain, particularly neuropathic pain. Baclofen is a muscle relaxant and antispasmodic agent that can help to relieve muscle spasms, tightness, and pain. Diclofenac Na and Ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that can reduce inflammation and pain. Lidocaine HCL is a local anesthetic that can provide immediate relief from pain and discomfort.

This formulation can be used to treat a variety of disease states. It can be particularly beneficial for patients with conditions such as neuropathic pain, fibromyalgia, arthritis, and other conditions that cause chronic pain and inflammation. The combination of active ingredients works synergistically to provide comprehensive pain relief and reduce inflammation. As a topical formulation, it minimizes systemic absorption and potential side effects that can be associated with oral medications.

For prescribers, it's important to note that this is a compounded medication, meaning it is made specifically for the patient and can be customized to meet individual needs. This can be particularly beneficial for patients who have difficulty swallowing pills, have allergies to certain inactive ingredients in commercially available products, or require a dose or combination of medications that is not commercially available.

Patients should apply the gel to the affected area as directed by their healthcare provider. They should wash their hands immediately after application and avoid contact with the eyes, mouth, and other mucous membranes. If any side effects occur, such as skin irritation or allergic reaction, they should discontinue use and contact their healthcare provider.

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

Drug Interactions

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This topical gel formulation contains a combination of Amitriptyline HCl, Baclofen, Diclofenac Na, Ibuprofen, and Lidocaine HCL. These active ingredients work synergistically to provide pain relief, muscle relaxation, and anti-inflammatory effects. It is commonly used for conditions such as neuropathic pain, muscle spasms, arthritis, and other inflammatory conditions.

However, it is important to be aware of potential drug interactions. Amitriptyline HCl, a tricyclic antidepressant, may interact with other antidepressants, antipsychotics, certain antihistamines, and drugs that affect serotonin levels, such as St. John's wort. These interactions could increase the risk of serotonin syndrome, a potentially life-threatening condition.

Baclofen, a muscle relaxant, may interact with other central nervous system depressants like alcohol, benzodiazepines, and opioids, potentially causing increased sedation and respiratory depression. It may also interact with antihypertensive drugs, potentially causing an additive hypotensive effect.

Diclofenac Na and Ibuprofen, both nonsteroidal anti-inflammatory drugs (NSAIDs), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of gastrointestinal bleeding. They may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness and increasing the risk of kidney damage.

Lidocaine HCL, a local anesthetic, may interact with other local anesthetics and antiarrhythmic drugs, potentially causing additive systemic toxicity. It may also interact with drugs that inhibit cytochrome P450 3A4 enzymes, potentially increasing the risk of lidocaine toxicity.

It is crucial to inform your healthcare provider of all medications, supplements, and herbal products you are currently taking to avoid potential drug interactions. If you experience any unusual symptoms or side effects, contact your healthcare provider immediately.

While this topical gel formulation is generally well-tolerated, potential side effects may include skin irritation, dryness, or redness at the application site. If these side effects persist or worsen, contact your healthcare provider.

Remember, this medication should only be used as directed by your healthcare provider. Do not apply more frequently or use a larger amount than prescribed, as this may increase the risk of side effects.

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 here to assist you.

How Does it Work

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This topical gel formulation combines five active ingredients: Amitriptyline HCl, Baclofen, Diclofenac Na, Ibuprofen, and Lidocaine HCl. Each of these ingredients plays a unique 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 HCl can help to numb the skin and underlying tissues, providing relief from localized pain.

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 formulation helps to relieve muscle spasms, tightness, and pain.

Diclofenac Na and Ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that work by reducing substances in the body that cause pain and inflammation.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It is used in this formulation to provide immediate relief from pain and discomfort on the skin and in the underlying tissues.

When combined in a single topical gel, these ingredients provide a multi-pronged approach to pain management. The gel is designed to be easily applied to the skin, allowing for targeted treatment of specific areas. The pump mechanism ensures that the correct dose is dispensed each time, reducing the risk of overuse or underuse.

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

Other Uses

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This multi-functional formulation blends the potential benefits of several potent active ingredients, and thus, it might serve several other uses than the ones listed. To start with, Amitriptyline HCl, a tricyclic antidepressant with analgesic properties, may provide relief from neuropathic pain. It may also potentially ease symptoms of fibromyalgia and certain types of nerve-related pain (other than that associated with the mentioned disease states).

Baclofen, a muscle relaxer and an antispastic agent, may help alleviate symptoms of muscle spasms, tightness, and pain arising from conditions other than the specified ones. Diclofenac Sodium, an NSAID known for its anti-inflammatory and analgesic effects, could potentially be used for treating osteoarthritis and for minor aches and pains. Additionally, the numbing action of Lidocaine HCL might contribute to its efficiency in managing symptoms of certain skin conditions and minor surface wounds.

However, we advise patients and prescribers to use this formulation strictly under the guidance of a healthcare professional, given the wide range of active ingredients. The patient’s overall health, existing medication regimen, and specific symptoms should all be considered when deciding to use this formulation. Side effects should be promptly reported to the healthcare provider.

Our team of compounding pharmacists at Bayview Pharmacy is available for consultation and further details. If there are any questions regarding the uses, dosage, and any other aspect of this formulation, please feel free to contact us. We are more than willing to help you understand the multiple facets of this versatile topical gel.

Frequently Asked Questions

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What is Amitriptyline HCl 2%/Baclofen 4%/Diclofenac Na 6%/Ibuprofen 6%/Lidocaine HCL 4% Topical Gel?

This is a compounded medication that contains several active ingredients including Amitriptyline HCl, Baclofen, Diclofenac Na, Ibuprofen, and Lidocaine HCL. It's targeted at providing relief from pain and inflammation when applied on a specific area of the skin.

How is this gel applied?

This gel comes in a pump mechanism that allows for precise and easy application on the skin. Simply apply a layer of the gel to the affected area as advised by your healthcare provider.

Who should use this medication?

This medication is suitable for patients needing targeted treatment for pain and inflammation. However, it's important to have a prescription and consultation with a healthcare provider before use.

What is the consistency of this gel?

The formulation is a semisolid gel-like consistency, making it easy to apply and facilitating optimal absorption of the active ingredients.

How often should I apply this gel?

Application frequency will depend on your specific condition and the recommendation of your health care provider. Always follow your doctor's guidelines for use.

What should I do if I experience any side effects?

If you experience any unusual symptoms or side effects after applying the gel, stop using it immediately and consult your healthcare provider.

How should this gel be stored?

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

Can this medication be used with other drugs?

While it's generally safe to use this topical gel with other medications, it's important to inform your healthcare provider about all your current medications to avoid potential interactions.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Amitriptyline HCl, Baclofen, Diclofenac Na, Ibuprofen, and Lidocaine HCL.

Why does the gel contain multiple active ingredients?

Each active ingredient in the formulation has specific properties that contribute to pain relief and the reduction of inflammation. The combination of these ingredients can enhance the overall effectiveness of the treatment.

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 2%/Baclofen 4%/Diclofenac Na 6%/Ibuprofen 6%/Lidocaine HCL 4% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)