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Formulas

Baclofen 2%/Bupivacaine HCl 2.5%/Cyclobenzaprine HCL 2%/Diclofenac Sodium 8%/Gabapentin 6% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Bupivacaine Hydrochloride
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Gabapentin
Baclofen

This formulation is a semisolid compound consisting of Baclofen 2%, Bupivacaine HCl 2.5%, Cyclobenzaprine HCL 2%, Diclofenac Sodium 8%, and Gabapentin 6% in a topical gel. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency of the formulation ensures targeted treatment or absorption of the active ingredients.

The combination of these active ingredients is designed to treat a variety of disease states. Baclofen is a muscle relaxant and antispastic agent, Bupivacaine HCl is a local anesthetic, Cyclobenzaprine HCL is a muscle relaxant, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID), and Gabapentin is an anticonvulsant and nerve pain medication. Together, they provide relief from conditions such as muscle spasms, inflammation, nerve pain, and localized pain.

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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.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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
Diclofenac Sodium
Gabapentin
Baclofen
Topical Gel
6535d9334d3ef41164c3b121
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Bupivacaine HCl 2.5%, Cyclobenzaprine HCL 2%, Diclofenac Sodium 8%, and Gabapentin 6%. 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 effectively for targeted treatment.

The combination of these active ingredients is designed to address a variety of disease states. Baclofen is a muscle relaxant and antispastic agent that helps to relieve muscle spasms, tightness, and pain. Bupivacaine HCl is a local anesthetic that numbs specific areas of the body, providing pain relief. Cyclobenzaprine HCL is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, swelling, and joint stiffness. Lastly, Gabapentin is an anticonvulsant and nerve pain medication that is used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults.

This formulation is typically used for conditions that involve pain and inflammation, such as arthritis, fibromyalgia, nerve pain, and muscle spasms. It is applied topically to the affected area, allowing for targeted treatment and reducing the likelihood of systemic side effects. The pump mechanism ensures that the correct dose is dispensed each time, and the gel formulation allows for easy application and absorption of the active ingredients.

As with any medication, it is important to use this formulation as directed by your healthcare provider. Side effects can occur, including skin irritation at the application site. If you experience any unusual symptoms, contact your healthcare provider immediately. It is also important to inform your healthcare provider of any other medications you are taking, as there may be potential interactions.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This topical gel formulation contains a combination of Baclofen, Bupivacaine HCl, Cyclobenzaprine HCl, Diclofenac Sodium, and Gabapentin. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to inform your healthcare provider of all medications you are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements.

Baclofen, a muscle relaxant and antispastic agent, may interact with other central nervous system depressants, including alcohol, antihistamines, sedatives, and opioids. This can lead to increased sedation and potentially dangerous respiratory depression. Baclofen may also interact with antihypertensive drugs, potentially leading to an additive effect on lowering blood pressure.

Bupivacaine HCl, a local anesthetic, can interact with other local anesthetics and medications that are similar in structure, potentially leading to additive systemic toxicity. It may also interact with antiarrhythmic drugs (like amiodarone), potentially affecting heart rhythm.

Cyclobenzaprine HCl, another muscle relaxant, can interact with monoamine oxidase inhibitors (MAOIs), leading to serious, potentially life-threatening side effects. It can also interact with other central nervous system depressants, leading to increased sedation.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), can interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with antihypertensive drugs and diuretics, potentially diminishing their effectiveness. Diclofenac Sodium can also interact with lithium and methotrexate, potentially increasing their levels in the body.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids, potentially reducing the absorption of gabapentin. It may also interact with central nervous system depressants, leading to increased sedation.

This formulation is designed to treat a variety of disease states, including muscle spasms, nerve pain, and inflammation. The combination of these medications in a topical gel allows for targeted treatment, potentially reducing systemic side effects. However, it's important to use this medication as directed by your healthcare provider and to monitor for potential side effects.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us.

How Does it Work

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This formulation is a combination of five active ingredients: Baclofen, Bupivacaine HCl, Cyclobenzaprine HCl, Diclofenac Sodium, and Gabapentin. Each of these ingredients plays a unique role in managing pain and inflammation, and their combined effect can provide significant relief for a variety of disease states.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to reduce muscle spasms, pain, and stiffness.

Bupivacaine HCl is a local anesthetic. It works by blocking nerve impulses in the body, which can help to numb the area and reduce pain. It is often used for surgical, dental, and diagnostic procedures, as well as for the management of pain and discomfort associated with certain medical conditions.

Cyclobenzaprine HCl is another muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain, which can help to relieve muscle spasms.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing substances in the body that cause pain and inflammation. It is often used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis.

Gabapentin is an anticonvulsant and nerve pain medication. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. It is often used to treat nerve pain caused by herpes virus or shingles (herpes zoster), seizures, and restless legs syndrome.

The semisolid formulation of this medication allows for easy and precise application on the skin. The active ingredients are absorbed through the skin and directly into the affected area, providing targeted treatment and relief. This can be particularly beneficial for conditions that affect specific areas of the body, such as arthritis, neuropathic pain, and muscle spasms.

If you have any questions about this formulation, or if you would like more information on how it can be used to treat specific disease states, please don't hesitate to reach out to us. We are here to help and provide you with the information you need to make informed decisions about your health.

Frequently Asked Questions

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What is the purpose of the Baclofen 2%/Bupivacaine HCl 2.5%/Cyclobenzaprine HCL 2%/Diclofenac Sodium 8%/Gabapentin 6% Topical Gel?

This compounded formulation is often prescribed as a pain relief agent. It is applied topically to the skin and can target specific areas experiencing pain and inflammation, like joint pain or areas of nerve damage.

Why does this formulation come in a gel form?

The gel formulation allows for easy and accurate application to the skin. It also enables the active ingredients to be efficiently absorbed into the body at the targeted location.

How do I use this topical gel?

This gel can be dispensed through a pump mechanism. You apply a quantity as prescribed by your healthcare professional directly to the targeted area, then gently rub the gel into your skin until it is absorbed.

Can I use this product on any part of my body?

While the gel can be applied to most external parts of the body, avoid applying to sensitive areas like the eyes or mucous membranes. Always follow your healthcare provider’s instructions.

Can I cover the treated area with bandage?

Speak with your doctor or pharmacist before applying any bandages or occlusive dressings over the area you've treated with the gel. They can provide instruction based on your specific treatment plan.

Can I use this gel alongside other medications?

Yes, it is generally safe to use this gel with other medications. However, you should always inform your healthcare provider about all medications you’re currently taking to avoid any potential interactions.

What should I do if I experience any negative side effects?

If you experience any negative side effects, stop using the product and immediately inform your healthcare provider. They can provide guidance and make any necessary adjustments to your treatment plan.

How should I store this product?

Like most medications, this gel should be stored at room temperature, away from heat and light. Also keep it out of the reach of children.

What should I do if I miss a dose?

If you miss a dose, apply 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 your normal time. Do not apply extra to catch up.

What makes up this formulation?

This topical gel is a specially compounded formulation consisting of Baclofen 2%, Bupivacaine HCl 2.5%, Cyclobenzaprine HCL 2%, Diclofenac Sodium 8%, and Gabapentin 6%.

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.

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 2.5%/Cyclobenzaprine HCL 2%/Diclofenac Sodium 8%/Gabapentin 6% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily