Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Baclofen 2%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 3%/Lidocaine HCl 2% Topical Gel

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

This formulation is a combination of Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, and Lidocaine HCl 2% 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 relieve spasms, pain, and stiffness caused by multiple sclerosis, spinal cord injuries, or other spinal cord disorders. Cyclobenzaprine HCl is a 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. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

View more
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
Get started as a patient
Get Started
This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
Check if we ship to your state
No prescription yet?

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.
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Lidocaine Hydrochloride
Baclofen
Topical Gel
6535a43aad4bd95a5ef835be
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.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

This formulation is a compounded topical gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, and Lidocaine HCl 2%. It is a semisolid formulation that is 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 antispastic agent that works by restoring the normal transmission of nerve signals in certain parts of the brain. It is commonly used to treat muscle symptoms caused by multiple sclerosis, including spasm, pain, and stiffness. Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is used to relieve muscle spasms associated with acute, painful musculoskeletal conditions.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. It is used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis. Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It is used to relieve post-shingles pain, and can also be used to treat other types of chronic pain.

Together, these four active ingredients work synergistically to provide relief from various types of pain and inflammation, particularly those associated with musculoskeletal conditions. The topical application allows for targeted treatment, reducing the risk of systemic side effects that can occur 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

A small arrow pointing down

This formulation combines Baclofen, Cyclobenzaprine HCl, Diclofenac Sodium, and Lidocaine HCl in a topical gel. Each of these active ingredients has a specific role in managing pain and inflammation, often associated with conditions such as arthritis, muscle spasms, and neuropathic pain. However, it's important to be aware of potential drug interactions.

Baclofen is a muscle relaxant and antispasmodic agent. It may interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, or antihistamines, potentially leading to increased sedation or respiratory depression. Patients should avoid consuming alcohol while using this formulation.

Cyclobenzaprine HCl is another muscle relaxant. It can interact with monoamine oxidase inhibitors (MAOIs), causing a potentially life-threatening condition called serotonin syndrome. Therefore, patients should not use this formulation within 14 days of taking MAOIs. Cyclobenzaprine can also interact with other serotonergic drugs, such as selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and certain migraine medications.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID). It may interact with other NSAIDs, increasing the risk of gastrointestinal bleeding. It can also interact with blood thinners, like warfarin, and certain blood pressure medications, potentially reducing their effectiveness. Patients with kidney disease or heart disease should use this formulation with caution, as NSAIDs can worsen these conditions.

Lidocaine HCl is a local anesthetic. It can interact with other local anesthetics or medications that are similar in structure, such as antiarrhythmic drugs like mexiletine. This can lead to additive systemic toxicity. Lidocaine can also interact with certain seizure medications, potentially altering their effectiveness.

It's important to note that while this formulation is topical, systemic absorption can still occur, especially when applied over large areas or for extended periods. Therefore, the potential for interactions should not be overlooked. Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements.

As compounding pharmacists, we are here to answer any questions and provide further information. Please don't hesitate to reach out to us if you need any assistance.

How Does it Work

A small arrow pointing down

This formulation is a combination of four active ingredients: Baclofen, Cyclobenzaprine HCl, Diclofenac Sodium, and Lidocaine HCl. Each of these ingredients plays a unique role in providing relief from various disease states.

Baclofen is a muscle relaxant and antispasmodic agent. It works by inhibiting the transmission of signals from the nerves to the muscles, thereby reducing muscle spasms and providing relief from pain and discomfort associated with conditions such as multiple sclerosis and spinal cord injuries.

Cyclobenzaprine HCl is also a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain, particularly useful in treating muscle spasms from musculoskeletal conditions. It is often used in combination with rest and physical therapy.

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

Lidocaine HCl is a local anesthetic. It works by blocking nerve signals in your body and is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns.

When combined in a topical gel, these four ingredients work together to provide comprehensive pain relief and muscle relaxation. The gel is designed to be easily applied to the skin, allowing for targeted treatment of specific areas. The pump mechanism ensures a precise dose with each application.

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

If you have any questions about this formulation, how it works, or how it can be used in your specific situation, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Frequently Asked Questions

A small arrow pointing down

What is this compounded formulation of Baclofen 2%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 3%/Lidocaine HCl 2% Topical Gel?

This is a carefully mixed topical medication that contains four active ingredients: Baclofen, Cyclobenzaprine HCl, Diclofenac Sodium, and Lidocaine HCl. These ingredients are all designed to provide relief from pain in a specific area of your body.

How is this medication administered?

This medication is a semisolid formulation dispensed through a pump mechanism. You apply it directly to your skin in the region where you're experiencing pain.

What does the 2% or 3% mean in the medication’s name?

The percentages refer to the amount of each active ingredient in the medication. For example, this formulation contains 2% Baclofen, 2% Cyclobenzaprine HCl, 2% Lidocaine HCl, and 3% Diclofenac Sodium.

Can this medicine be used on any part of the body?

It is generally safe to use on most parts of the body, but it should never be applied to open wounds, cuts, or mucous membranes. Always follow your healthcare provider's instructions.

How often should I use the gel?

The frequency of use will depend on your healthcare provider's instructions. It's important not to use more than directed, as overuse can lead to possible side effects.

Can I use this compounded gel with other medications?

It's important to discuss all your medications, both prescription and over-the-counter, with your healthcare provider to avoid any possible interactions.

What should I do if I accidentally apply too much of the gel?

If you apply too much of the gel, wipe off the excess with a tissue. If you begin to experience any unusual symptoms, contact your healthcare provider immediately.

Can I use the gel if I am pregnant or breastfeeding?

The safety of using this gel while pregnant or breastfeeding is uncertain. Always consult your healthcare provider before starting any new medication if you are pregnant or breastfeeding.

What are the possible side effects of this medication?

Common side effects can include redness, irritation, or a tingling sensation at the application site. If these symptoms persist or worsen, consult your healthcare provider. More serious side effects are rare but may include allergic reactions and systemic side effects from absorption of the active ingredients.

Should I store the medication in any special way?

Keep this medication at room temperature, and avoid storing it in extreme heat or cold. Keep it out of reach from children or pets, and always secure the cap tightly after 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.

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

Apply topically to affected area(s)

Three times daily