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Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel

This formulation is a semisolid, gel-like compound of Amitriptyline HCl at 2% and Clonidine HCl at 0.232%. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients in this topical gel are specifically designed for targeted treatment and absorption.

Amitriptyline HCl is a tricyclic antidepressant that is used to treat various forms of depression. Clonidine HCl is an alpha-2 adrenergic agonist that is commonly used to treat high blood pressure. When combined in this topical gel formulation, they work together to provide relief from certain disease states.

It's important to note that this formulation should be used as directed by a healthcare professional, and patients should always follow the prescribed dosage to ensure the best possible results.

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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
Clonidine Hydrochloride
Topical Gel
652ef6406ec1f6d05d6c2ab4

Formula Information

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This formulation combines Amitriptyline HCl at a concentration of 2% and Clonidine HCl at a concentration of 0.232% in a topical gel. The gel is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients are absorbed through the skin, providing 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. Clonidine HCl, on the other hand, is an alpha-2 adrenergic agonist. It is used in this formulation for its ability to manage neuropathic pain and certain types of inflammatory conditions. It works by blocking pain signals from reaching the brain.

This formulation is particularly useful in treating various disease states that involve chronic pain, such as fibromyalgia, neuropathic pain, and certain types of arthritis. It can also be used to manage pain associated with certain skin conditions. The topical application allows for targeted treatment, reducing systemic side effects often associated with oral administration of these medications.

Patients using this formulation should apply it as directed by their healthcare provider, typically to the affected area(s) once or twice daily. It's important to wash hands immediately after application unless the hands are the area being treated. Avoid contact with eyes, mouth, and other mucous membranes. Side effects may include skin irritation at the application site, drowsiness, dry mouth, and constipation. If these side effects persist or worsen, contact your healthcare provider immediately.

Prescribers should consider the patient's overall health status, other medications being taken, and the specific disease state being treated when deciding to use this formulation. Regular follow-ups should be scheduled to monitor the patient's response to treatment and adjust the dosage if necessary.

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 always here to help.

Drug Interactions

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Amitriptyline HCl and Clonidine HCl are both medications that can interact with a variety of other drugs. It's important to be aware of these potential interactions to ensure safe and appropriate use of this topical gel formulation.

Amitriptyline HCl, a tricyclic antidepressant, can interact with MAO inhibitors, leading to serious, potentially fatal, interactions. It's recommended to avoid MAO inhibitors for two weeks before, during, and two weeks after treatment with amitriptyline. Other significant interactions can occur with anticholinergic drugs, thyroid medications, antihypertensive drugs, and CNS depressants, including alcohol.

Clonidine HCl, an alpha-2 adrenergic agonist, can interact with beta-blockers, causing a rebound hypertension if either drug is discontinued abruptly. It can also interact with CNS depressants, leading to additive sedative effects. Other significant interactions can occur with antihypertensive drugs, cardiac glycosides, and tricyclic antidepressants.

Both amitriptyline and clonidine can cause additive CNS and respiratory depression if used with other CNS depressants, including alcohol, benzodiazepines, and opioids. Therefore, caution should be exercised when using these medications together.

It's also important to note that the absorption of these medications can be affected by the application site and the presence of skin lesions. Therefore, it's recommended to apply the gel to intact skin and avoid areas with cuts, abrasions, or irritations.

This formulation is used for the management of neuropathic pain, a type of chronic pain that can result from damage to or dysfunction of the nervous system. Amitriptyline works by increasing the levels of certain chemicals in the brain that help improve mood, sleep, and the body's response to pain. Clonidine works by decreasing the levels of certain chemicals in the blood to allow your blood vessels to relax and your heart to beat more slowly and easily.

It's crucial to inform your healthcare provider of all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements, to avoid potential drug interactions. If you have any questions or concerns about this formulation, please don't hesitate to reach out to us.

How Does it Work

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Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel is a unique formulation that combines two active ingredients, Amitriptyline HCl and Clonidine HCl, in a gel base for topical application. This formulation is designed to be 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 effectively into the skin for targeted treatment.

Amitriptyline HCl is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, relieve anxiety, and treat certain types of chronic pain. When applied topically, Amitriptyline HCl can help to numb the skin and block pain signals, providing relief from conditions such as neuropathic pain, fibromyalgia, and post-herpetic neuralgia.

Clonidine HCl, on the other hand, is a medication that is primarily used to treat high blood pressure. It works by stimulating alpha-2 adrenergic receptors in the brain, which decreases cardiac output and lowers blood pressure. In a topical formulation, Clonidine HCl can help to reduce pain and inflammation by inhibiting the release of certain substances in the body that cause inflammation and pain.

The topical application allows for targeted treatment, reducing the risk of systemic side effects that can occur with oral administration of these medications. This makes the Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel an excellent option for patients who require long-term pain management.

It's important to note that while this formulation can provide significant relief from pain, it does not cure the underlying condition causing the pain. Therefore, it should be used as part of a comprehensive treatment plan under the supervision of a healthcare provider.

If you have any questions about the Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel, or if you would like more information about how it works, 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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In addition to its targeted design for the treatment of specific conditions, this Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel has other potential uses that leverage its careful formulation and easy application method. The gel can, therefore, be used to manage pain symptoms in conditions ranging from diabetic peripheral neuropathy to post-herpetic neuralgia.

Off-label, this non-systemic gel formulation could be applied to manage localized pain for minor skin injuries or irritations where swelling and pain are present but broken skin is not. The regimen's medication amount control mechanism makes it a safe, convenient option for many differing circumstances where localized treatment is needed. As the formulation is non-systemic, it is useful for those who want to avoid oral medication absorption across their entire body.

A context that might profit from this gel's application might be patients with certain types of migraines or cluster headaches, who might find relief by applying the gel to points of intense pain. Similarly, it may be useful for Fibromyalgia sufferers who experience localized pain and could apply the gel at tender points for potential relief.

Please note, any off-label usage of medications should only be considered under the guidance and supervision of your healthcare professional. As compounding pharmacists, while we can suggest possible other uses, our advice should not substitute the advice given by your healthcare professional. We strongly recommend discussing with them before trying any new treatment methods.

If there are questions regarding this product, its composition, or its potential usages, we welcome you to reach us directly. We are more than happy to provide any information needed to ensure the safe and appropriate use of this formulation.

Frequently Asked Questions

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What is Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel?

It is a compounded formulation comprising two active ingredients: Amitriptyline HCl at 2% and Clonidine HCl at 0.232%. It is a semisolid formulation designed to be dispensed as a topical gel for targeted treatment.

Why does Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel have a pump mechanism?

The pump mechanism facilitates easy and precise application of the gel to the skin. This allows for consistent dosing and helps to minimize waste or spillage of the product.

How do I use Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel?

It should be applied to the skin as directed by your healthcare professional. The pump dispenser ensures that the correct amount of the product is applied each time.

Is the use of Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel safe?

Yes, when used as directed by a healthcare professional. However, as with any medication, it's important to discuss your medical history and any current medications with your provider to avoid potential interactions or adverse reactions.

What are the benefits of using Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel?

This product is designed for targeted treatment, meaning it is applied directly to the area requiring therapy. This can lead to a faster, more localized effect, reducing systemic side effects associated with oral intake of these drugs.

What is the consistency of Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel like?

The gel has a semisolid, gel-like consistency. This ensures that it stays in place after application for effective absorption of the active ingredients.

What happens after I apply Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel?

After application, the gel is absorbed through the skin, allowing the active ingredients to perform their therapeutic functions. Always wash your hands after application to avoid unintentional transfer of medication to other parts of the body or to other people.

Can I use other products when using Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel?

Before using other pharmacological products, especially other topical treatments, always consult your healthcare provider to avoid possible drug interactions.

Can I apply more than the prescribed amount of Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel to hasten results?

No, it's essential to use only the amount prescribed by your healthcare provider. Exceeding the recommended dose does not speed up recovery and may increase the risk of side effects.

Who should not use Amitriptyline HCl 2%/Clonidine HCl 0.232% Topical Gel?

Individuals who have had allergic reactions to Amitriptyline HCl, Clonidine HCl, or any of the other ingredients in the gel should avoid using this product. Additionally, if you have certain health conditions or are pregnant, nursing or planning to conceive, consult with your healthcare provider before use.

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%/Clonidine HCl 0.232% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)