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Baclofen 2%/Bupivacaine HCl 2%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 3%/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 compounded topical gel containing Baclofen 2%, Bupivacaine HCl 2%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, 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 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, nerve pain, inflammation, 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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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
6535a1406ae808c852e2324e
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%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, and Gabapentin 6%. 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.

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, 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. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain conditions.

It can be used to manage conditions such as neuropathic pain, musculoskeletal pain, inflammation, and spasticity. By applying the gel directly to the affected area, patients can experience targeted relief without the systemic side effects often associated with oral medications.

It's important to note that this is a compounded medication, meaning it is made specifically for you based on a doctor's prescription. It is not a one-size-fits-all medication and should be used exactly as directed by your healthcare provider. As with any medication, it's important to discuss any other medications you are currently taking, as well as any allergies or health conditions you may have, with your healthcare provider before starting treatment.

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

Drug Interactions

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This compounded formulation contains several active ingredients: Baclofen, Bupivacaine HCl, Cyclobenzaprine HCl, Diclofenac Sodium, and Gabapentin. Each of these medications has its own potential for drug interactions, which can be increased when used in combination. It's important to note that this information is not exhaustive and other interactions may exist. Always consult with your healthcare provider or pharmacist for personalized advice.

Baclofen, a muscle relaxant, may interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to increased sedation and respiratory depression. Bupivacaine HCl, a local anesthetic, can interact with other local anesthetics and certain antiarrhythmic drugs (like lidocaine and mexiletine), potentially causing additive systemic toxicity.

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, tricyclic antidepressants, and serotonin reuptake inhibitors, potentially leading to increased sedation, serotonin syndrome, or increased heart rate.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), can interact with other NSAIDs, anticoagulants, antiplatelet drugs, and selective serotonin reuptake inhibitors (SSRIs), potentially increasing the risk of gastrointestinal bleeding. It can also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness and leading to kidney problems.

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

This formulation is intended for topical use, which may reduce the risk of systemic drug interactions. However, systemic absorption can still occur, especially when applied over large skin areas or for prolonged periods. Therefore, it's important to use this medication as directed by your healthcare provider and report any side effects promptly.

This formulation is commonly used to manage various pain conditions, including neuropathic pain, musculoskeletal pain, and post-surgical pain. The combination of active ingredients works synergistically to provide analgesic, anti-inflammatory, and muscle relaxant effects, helping to reduce pain and improve function.

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. 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. 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.

When applied topically in a gel form, these ingredients can be absorbed through the skin directly to the area of pain or inflammation. This can provide targeted relief, and because the medication is not being ingested, it may result in fewer systemic side effects. The pump mechanism allows for easy and precise application of the medication.

This formulation can be used to treat a variety of disease states that involve pain and inflammation, including but not limited to: neuropathic pain, osteoarthritis, rheumatoid arthritis, fibromyalgia, and certain types of nerve damage. It may also be used to manage pain following surgery or injury.

As with any medication, it's important to use this formulation as directed by your healthcare provider. If you have any questions about this formulation or how to use it, don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

Frequently Asked Questions

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What is the Baclofen 2%/ Bupivacaine HCl 2%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 3%/Gabapentin 6% Topical Gel?

It's a compounded medication delivered in a gel form designed to target specific areas of the body by direct application to the skin. The semisolid formulation containing multiple active ingredients aims to alleviate conditions like pain and muscle spasms.

How does the pump mechanism work?

The pump mechanism dispenses a pre-measured amount of gel, ensuring precision and facilitating easy application on the skin.

What are the main active ingredients of the gel?

The main active ingredients are Baclofen, Bupivacaine HCl, Cyclobenzaprine HCl, Diclofenac Sodium, and Gabapentin.

What is the texture of this topical gel?

The gel is semisolid which allows it to adhere to the skin and absorb effectively into the targeted area.

What conditions can be treated with this topical gel?

This gel is typically used to alleviate pain or muscle spasms. However, as it contains multiple active ingredients, it may be prescribed for other conditions based on your doctor's advice.

What is the percentage of each active compound present in the gel?

The gel contains Baclofen (2%), Bupivacaine HCl (2%), Cyclobenzaprine HCl (2%), Diclofenac Sodium (3%), and Gabapentin (6%).

How should this medication be stored?

This medication should be stored in a cool, dry place, away from direct light. Always remember to keep it out of the reach of children.

Can this medication cause any side effects?

Just like any other medication, this compound could cause side effects. You should consult your healthcare provider for a detailed understanding of potential side effects before starting this medication.

How often should this gel be applied?

The frequency of application depends on your medical condition and the prescribing doctor's instructions. Always follow the direction given by your doctor or pharmacist.

Is this medication available over the counter?

No, this is a prescription medication and should be used under the supervision of a healthcare professional. You should not use it without a prescription as inappropriate use could potentially cause unwanted side effects or health risks.

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%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 3%/Gabapentin 6% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily