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Baclofen 2%/Cyclobenzaprine HCL 2%/Gabapentin 6%/Ketamine HCL 11.5%/Lidocaine HCL 5% Transdermal Gel

Bayview Pharmacy compounds a customized transdermal gel to help manage neuropathic pain, fibromyalgia, and chronic back pain. Learn more about personalized relief.
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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.
Cyclobenzaprine Hydrochloride
Gabapentin
Ketamine Hydrochloride
Lidocaine Hydrochloride
Baclofen
Topical Gel
6535a4cda2f722ff2c35e3d9

Formula Information

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This formulation is a compounded transdermal gel containing Baclofen 2%, Cyclobenzaprine HCL 2%, Gabapentin 6%, Ketamine HCL 11.5%, and Lidocaine HCL 5%. 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, which are common in conditions such as multiple sclerosis and spinal cord injuries. Cyclobenzaprine HCL is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain, providing relief from muscle spasms.

Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain caused by conditions such as shingles, diabetic neuropathy, and fibromyalgia. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.

Ketamine HCL is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. It is often used in the management of chronic pain conditions, including neuropathic pain and complex regional pain syndrome (CRPS).

Lidocaine HCL is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used to relieve pain and discomfort caused by skin irritations and minor cuts, burns, or abrasions.

This formulation is designed to provide targeted, localized treatment for a variety of pain conditions. By delivering the medication directly to the area of discomfort, it can provide relief without the systemic side effects often associated with oral medications. It is important to use this medication as directed by your healthcare provider, and to not use more than the recommended dose.

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

Drug Interactions

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This compounded formulation contains several active ingredients: Baclofen, Cyclobenzaprine HCL, Gabapentin, Ketamine HCL, and Lidocaine HCL. Each of these medications can interact with other drugs, potentially altering their effects or increasing the risk of adverse reactions. It's important to inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs, vitamins, and herbal supplements.

Baclofen, a muscle relaxant and antispastic agent, can interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to increased sedation or respiratory depression. Concurrent use with antihypertensive drugs may cause additive hypotension.

Cyclobenzaprine HCL, another muscle relaxant, can interact with monoamine oxidase inhibitors (MAOIs), causing serious, potentially life-threatening reactions. Avoid concurrent use with other serotonergic drugs like SSRIs, SNRIs, triptans, or tramadol to prevent serotonin syndrome. Cyclobenzaprine can also enhance the central nervous system effects of alcohol, barbiturates, and other CNS depressants.

Gabapentin, an anticonvulsant and nerve pain medication, can increase the effects of other drugs that cause sedation or drowsiness, including antihistamines, opioids, and sedatives. It may also interact with antacids containing magnesium or aluminum, reducing the absorption of gabapentin.

Ketamine HCL, an anesthetic, can interact with CNS depressants, including alcohol, opioids, and sedatives, potentially leading to increased sedation or respiratory depression. Concurrent use with sympathomimetic agents may cause increased blood pressure and heart rate.

Lidocaine HCL, a local anesthetic, can interact with other local anesthetics or antiarrhythmic drugs (like mexiletine), potentially leading to additive systemic toxicity. It may also interact with drugs that inhibit hepatic enzymes (like cimetidine or beta-blockers), potentially increasing the levels of lidocaine in the body.

This formulation is designed to treat various disease states related to pain and muscle spasms, such as neuropathic pain, fibromyalgia, and spasticity. The combination of these medications works synergistically to provide pain relief, muscle relaxation, and reduction of nerve-related symptoms. However, the potential for drug interactions necessitates careful monitoring and individualized dosing.

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, Cyclobenzaprine HCL, Gabapentin, Ketamine HCL, and Lidocaine HCL. Each of these ingredients works in a unique way to provide relief from various disease states.

Baclofen is a muscle relaxant and antispasmodic agent that works by inhibiting the transmission of reflexes at the spinal level, which can help to alleviate muscle spasms, pain, and stiffness. Cyclobenzaprine HCL is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain, providing relief from muscle spasms associated with acute musculoskeletal conditions.

Gabapentin is an anticonvulsant and nerve pain medication that works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.

Ketamine HCL is a general anesthetic that works by blocking certain receptors in the brain to maintain a state of anesthesia. In this formulation, it is used in a much lower concentration to provide pain relief and reduce inflammation. Lidocaine HCL is a local anesthetic that works by blocking nerve signals in your body, providing relief from pain and discomfort.

When combined in a transdermal gel, these ingredients can be applied directly to the area of discomfort, providing targeted relief. The gel is designed to be easily absorbed through the skin, allowing the active ingredients to work directly at the site of pain.

This formulation can be used to treat a variety of disease states, including muscle spasms, nerve pain, and other conditions associated with pain and inflammation. It is particularly useful for patients who have not responded to other treatments or who cannot tolerate oral medications due to side effects.

If you have any questions about this formulation, please don't hesitate to reach out to us. We are here to provide you with the information you need to make informed decisions about your health.

Other Uses

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Baclofen/Cyclobenzaprine HCL/Gabapentin/Ketamine HCL/Lidocaine HCL transdermal gel offers a unique combination of well-established ingredients known for their analgesic and muscle relaxing properties. Although traditionally used to alleviate neuropathic pain, muscle spasms, and other related neurological conditions, these active ingredients in transdermal form could potentially be advantageous in other therapeutic areas.

Besides its typical applications, this transdermal gel might be utilized in the management of certain skin conditions that require an analgesic effect, such as postherpetic neuralgia or localized shingles pain. The presence of Lidocaine HCL could help to numb the surface of the skin, providing temporary relief. This could be especially beneficial in certain dermatological practices.

Furthermore, it could be explored as an adjunctive therapy in the care of patients undergoing certain surgical procedures. The analgesic properties of this formulation might aid in postoperative pain reduction, potentially minimizing the requirement for conventional oral analgesics. This could be particularly beneficial for patients having difficulty with oral medication intake or with a high risk of gastrointestinal complications associated with oral analgesics.

Due to the muscle relaxant components in this formulation, namely Baclofen and Cyclobenzaprine HCL, it could also be examined for alleviating localized muscle tension or muscle related discomfort, such as in cases of fibromyalgia. However, the overall safety and effectiveness of this potential use would have to be assessed through thorough investigation and clinical trials.

Please note that these other uses are theoretical and have not been validated through rigorous clinical trials. Any change in a medication's use should always be undertaken under the guidance of a medical professional. Please reach out to us if you have any questions or require further information about this formulation. All patients and prescribers should understand that this formulation, like any medication or compound, could potentially have side effects and adverse reactions, and each individual's reaction to the medication could vary.

Frequently Asked Questions

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What is this compounded formulation of drugs primarily used for?

This formulation of Baclofen, Cyclobenzaprine HCL, Gabapentin, Ketamine HCL, and Lidocaine HCL is primarily used for pain management, particularly in cases of chronic and severe pain conditions. It can be used as targeted treatment for specific areas on the body experiencing pain.

How does the pump mechanism of this formulation work?

The pump mechanism facilitates both easy and precise application. This means you can control the quantity of gel you want to apply, reducing the risk of waste or overdosage.

How should I apply this transdermal gel?

You should apply this gel directly on the skin over the area of pain. Make sure the area is clean and dry before application. Avoid touching the area until the gel has absorbed into the skin.

Can this gel be used all over the body?

It is recommended that this gel is used for targeted treatment. Therefore, it should be applied on the specific areas where pain relief is needed. Always consult with your doctor regarding its use.

Does this compounded formulation have any side effects?

As with any medication, there may be possible side effects, although they may not occur in all patients. They can include skin irritation, itching, or redness where the gel is applied. If you noticed any adverse reactions, please get in touch with your healthcare provider immediately.

What are the concentrations of the different active ingredients in this gel?

The gel contains Baclofen at 2%, Cyclobenzaprine HCL at 2%, Gabapentin at 6%, Ketamine HCL at 11.5%, and Lidocaine HCL at 5%.

Why is this prescription compounded?

This prescription is compounded to meet the specific needs of individual patients. It allows for personalized concentrations of necessary medications in a single dose form for optimal therapy.

Can I use this gel with other medications?

Before starting any new medications, ensure you inform your doctor about this and other medications you are currently on. This will help avoid adverse drug interactions.

How should I store this transdermal gel?

Keep this product in a cool, dry place, away from direct heat and light. Do not freeze. Keep out of reach of children.

What should I do if I miss a dosage?

If you missed a dosage, apply it as soon as you remember. However, if it's closer to the time of your next dosage, skip the missed dosage and continue with your regular schedule. Do not double up.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Related Formulas

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.

Baclofen 2%/Cyclobenzaprine HCL 2%/Gabapentin 6%/Ketamine HCL 11.5%/Lidocaine HCL 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)