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Formulas

Baclofen 2%/Bupivacaine HCL 1%/Cyclobenzaprine HCL 2%/Ketoprofen 10% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Bupivacaine Hydrochloride
Cyclobenzaprine Hydrochloride
Ketoprofen
Baclofen

This formulation is a combination of Baclofen 2%, Bupivacaine HCL 1%, Cyclobenzaprine HCL 2%, and Ketoprofen 10% in a topical gel. 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 formulation is designed to treat a variety of disease states. Baclofen is a muscle relaxant and antispastic agent used to treat muscle symptoms caused by multiple sclerosis, including spasm, pain, and stiffness. Bupivacaine is a local anesthetic that blocks nerve impulses in your body and is used to reduce pain or discomfort caused by surgical procedures or other medical conditions. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain and is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness caused by arthritis, reducing these symptoms and helping you do more of your normal daily activities.

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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.
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This medication requires a prescription from your doctor

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.
Bupivacaine Hydrochloride
Cyclobenzaprine Hydrochloride
Ketoprofen
Baclofen
Topical Gel
6535d9feba3e827de7cf52a2

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Bupivacaine HCL 1%, Cyclobenzaprine HCL 2%, and Ketoprofen 10%. It 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 targeted area for optimal therapeutic effect.

Baclofen is a muscle relaxant and antispasmodic agent that helps to relieve muscle spasms, tightness, and pain. Bupivacaine HCL is a local anesthetic that works by blocking nerve impulses, thereby reducing pain and discomfort. Cyclobenzaprine HCL is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain, while Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body.

It can be used to treat conditions such as muscle pain, inflammation, spasms, and neuropathic pain. It may also be beneficial for patients with conditions like fibromyalgia, arthritis, and other musculoskeletal disorders. The topical application allows for targeted treatment, reducing systemic side effects often associated with oral medications.

It's important to note that this formulation should be used as directed by a healthcare provider. Patients should apply the gel to the affected area as instructed, and avoid contact with eyes, mouth, and other sensitive areas. If any adverse reactions occur, such as severe skin irritation or allergic reactions, patients should discontinue use and contact their healthcare provider immediately.

As compounding pharmacists, we are able to customize this formulation to meet individual patient needs, adjusting the concentrations of the active ingredients as necessary. We encourage both patients and prescribers to reach out to us with any questions or concerns about this formulation. We are here to provide the information and support you need to ensure optimal treatment outcomes.

Drug Interactions

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This formulation contains a combination of Baclofen, Bupivacaine HCL, Cyclobenzaprine HCL, and Ketoprofen. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to consider these interactions when prescribing or using this medication.

Baclofen is a muscle relaxant and antispastic agent. It may interact with other central nervous system depressants such as alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to increased sedation or respiratory depression. Concurrent use with monoamine oxidase inhibitors (MAOIs) may result in hypotension.

Bupivacaine HCL is a local anesthetic. It may interact with other local anesthetics or medications with local anesthetic properties, potentially leading to additive systemic toxicity. It may also interact with class III antiarrhythmics, potentially leading to additive cardiac effects.

Cyclobenzaprine HCL is a muscle relaxant. It may interact with monoamine oxidase inhibitors (MAOIs), potentially leading to a life-threatening condition called serotonin syndrome. It may also interact with other central nervous system depressants, potentially leading to increased sedation or respiratory depression.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It may interact with anticoagulants, antiplatelet agents, and other NSAIDs, potentially leading to increased risk of bleeding. It may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or beta-blockers, potentially leading to decreased antihypertensive effect. Concurrent use with lithium or methotrexate may increase the plasma concentrations of these drugs.

This formulation is intended for topical application, which may reduce the risk of systemic drug interactions. However, systemic absorption can still occur, especially with prolonged use or application to large areas of skin. Therefore, it's important to consider potential drug interactions even with topical use.

This formulation is used to treat various disease states, including muscle spasms, pain, and inflammation. Baclofen and Cyclobenzaprine HCL help to relax muscles, Bupivacaine HCL provides local anesthesia, and Ketoprofen reduces inflammation and pain. By combining these active ingredients in a single formulation, it provides targeted treatment for these conditions.

If you have any questions about this formulation or its potential drug interactions, please don't hesitate to reach out to us. We're here to help ensure that you can use this medication safely and effectively.

How Does it Work

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This formulation is a combination of four active ingredients: Baclofen, Bupivacaine HCL, Cyclobenzaprine HCL, and Ketoprofen. Each of these ingredients plays a unique role in managing pain and inflammation, making this formulation a potent option for targeted treatment.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to alleviate muscle spasms, pain, and stiffness. This makes it particularly useful in conditions where muscle spasms are a significant issue, such as multiple sclerosis or spinal cord injuries.

Bupivacaine HCL is a local anesthetic. It works by blocking nerve impulses in the body, which helps to numb the area and reduce pain. This can be particularly useful in conditions where there is localized pain, such as post-surgical pain or pain from injuries.

Cyclobenzaprine HCL is another muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain, helping to alleviate muscle spasms. This can be particularly useful in conditions where muscle spasms are causing discomfort or pain, such as fibromyalgia or after a muscle injury.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. This makes it particularly useful in conditions where inflammation is causing discomfort or pain, such as arthritis or acute injury.

The formulation is designed to be applied topically, which means it is applied directly to the skin over the area where relief is needed. The gel-like consistency allows for easy and precise application, and the pump mechanism ensures that the correct dose is dispensed each time. The active ingredients are then absorbed through the skin, providing targeted treatment to the area where they are needed most.

This formulation can be used to treat a variety of disease states, including but not limited to: muscle spasms, post-surgical pain, localized pain from injuries, fibromyalgia, arthritis, and acute injuries. As always, it is important to use this medication as directed by a healthcare provider, and to reach out to us with any questions or concerns.

Other Uses

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The primary use of Baclofen 2%/Bupivacaine HCl 1%/Cyclobenzaprine HCl 2%/Ketoprofen 10% Topical Gel is for pain relief, specifically in cases of musculoskeletal conditions, neuralgia, nociceptive pain, and neuropathic pain. The ingredients combine to provide both muscle relaxation and pain relief benefits. Baclofen is a muscle relaxant and antispasmodic, Bupivacaine is a local anesthetic, Cyclobenzaprine is used for muscle spasms relief, and Ketoprofen is primarily used for its anti-inflammatory and analgesic properties.

Beyond these primary uses, this formulation can also be beneficial in other scenarios. For instance, it may be used topically for symptomatic relief of migraines or tension headaches due to its muscle relaxant and analgesic properties. Moreover, the anesthetic properties of Bupivacaine may provide some relief in instances of localized superficial pain of the skin, such as minor burns, cuts, or insect bites. It's also worth noting that this formulation could have potential uses in treating symptoms related to conditions like fibromyalgia or myofascial pain syndrome - specifically muscular tenderness and spasms, though more research is required to substantiate this benefit.

The gel's localized application, ease of use, and precise dosage enable it to be used in a targeted manner, minimizing systemic exposure to these drugs and reducing the risk of undesirable side effects. However, patients with known hypersensitivity to any of these ingredients or women who are pregnant or nursing should not use these formulations, as the safety and efficacy in these populations have not been established. Prescribers should be mindful of the potential for local skin reactions, such as burning or irritation, in some individuals.

Please note that the information provided here is not exhaustive and this compound might have other potential uses or benefits not listed in this write-up. We strongly recommend prescribers and patients to reach out to us with any questions regarding this formulation, its other potential uses, or if there are specific conditions you are curious about treating with this compound.

Frequently Asked Questions

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What is this compounded formulation designed to do?

This compounded formulation is designed to deliver targeted treatment to a specific area of the skin via a combination of active ingredients. It offers pain relief and muscle relaxation properties through the active ingredients: Baclofen, Bupivacaine HCL, Cyclobenzaprine HCL, and Ketoprofen.

How does the pump mechanism work?

The pump mechanism allows for easy and precise dosing of the medication. You simply press down on the pump to release a dose of the medication, which can then be applied directly to the target area.

How does this formulation feel when applied on the skin?

The medication is formulated as a semisolid gel, providing a smooth application on the skin. It is non-greasy and is intended to be quickly absorbed for maximum effectiveness.

What are the main components of this compounded formulation?

This compounded formulation contains Baclofen 2%, Bupivacaine HCL 1%, Cyclobenzaprine HCL 2%, and Ketoprofen 10% as active ingredients.

Is a prescription required to obtain this formulation?

Yes, a prescription from a qualified healthcare provider is required to obtain this medication as it contains several potent active ingredients that should be used under supervision.

Can I use this formulation over a large area of skin?

You should always follow your healthcare provider's instructions regarding how and where to apply this formulation. While it can be used on different areas of the skin, it is intended for targeted treatment.

How will this formulation deliver its active ingredients into my body?

Once applied to the skin, the active ingredients in the formulation are designed to be absorbed through the skin into the affected area. This allows for direct treatment of the target area.

What are the potential side effects of this formulation?

As with any medication, potential side effects can occur. This can include skin irritation, rash, or an allergic reaction. If you experience any unusual symptoms, you should contact your healthcare provider immediately.

How should this formulation be stored?

It should be stored at room temperature, out of direct sunlight and heat. Keep it out of reach of children and pets. Avoid freezing or exposure to extreme heat.

Why are there multiple active ingredients in this formulation?

Each active ingredient serves a unique purpose and works in synergy with the others. Baclofen and Cyclobenzaprine HCL relax muscles, Bupivacaine HCL is a local anesthetic, and Ketoprofen provides anti-inflammatory effects. The combination of ingredients provides comprehensive relief in a single product.

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, 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.

Baclofen 2%/Bupivacaine HCL 1%/Cyclobenzaprine HCL 2%/Ketoprofen 10% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)