This formulation is a semisolid, gel-like compound containing Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, and Tetracaine HCl 2.27%. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients in this formulation are designed to target and treat specific disease states.
Baclofen is a muscle relaxant and antispastic agent, used to alleviate symptoms associated with muscle spasms and pain. Cyclobenzaprine HCl is also a muscle relaxant, often used to treat muscle spasms associated with acute musculoskeletal conditions. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce pain, inflammation, and stiffness caused by various conditions, including osteoarthritis and rheumatoid arthritis. Tetracaine HCl is a local anesthetic used to numb the skin and decrease pain.
Together, these ingredients work synergistically to provide relief from various disease states, including but not limited to muscle spasms, pain, inflammation, and conditions requiring local anesthesia.

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This formulation is a compounded topical gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, and Tetracaine HCl 2.27%. 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 effectively into the skin for targeted treatment.
Baclofen is a muscle relaxant and antispasmodic agent that helps to relieve muscle spasms, tightness, and pain. 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. Tetracaine HCl is a local anesthetic that numbs specific areas of the body, providing further relief from pain and discomfort.
It can be used to manage conditions such as muscle pain, muscle spasms, arthritis, and other conditions that cause inflammation and discomfort. The topical application allows for targeted treatment, reducing systemic side effects often associated with oral medications.
For both patients and prescribers, it's important to note that this is a compounded medication, meaning it is made specifically for the patient based on a doctor's prescription. It is not a commercially available product and should be used under the guidance of a healthcare professional. As with any medication, it's crucial to use this formulation as directed by your healthcare provider, and report any side effects or adverse reactions immediately.
If you have any questions about this formulation, its uses, or how it can benefit you or your patients, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.
This formulation combines Baclofen, Cyclobenzaprine HCl, Diclofenac Sodium, and Tetracaine 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 muscle spasms, arthritis, and other musculoskeletal disorders. However, it's important to be aware of potential drug interactions.
Baclofen, a muscle relaxant, may 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 hypotensive effects.
Cyclobenzaprine HCl, another muscle relaxant, can interact with monoamine oxidase inhibitors (MAOIs), causing serious, potentially life-threatening side effects. It may also interact with other serotonergic drugs, increasing the risk of serotonin syndrome. Avoid concurrent use with other CNS depressants to prevent additive sedation.
Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also reduce the effectiveness of antihypertensive drugs and diuretics. Concurrent use with lithium or methotrexate can increase their levels, leading to toxicity.
Tetracaine HCl, a local anesthetic, may interact with other local anesthetics or antiarrhythmic drugs, potentially leading to additive systemic toxicity. It may also interact with sulfonamides, potentially leading to the formation of insoluble precipitates in the solution.
It's important to note that this is a topical formulation, so systemic absorption and hence systemic interactions are less likely compared to oral or injectable formulations. However, they can still occur, especially in patients with impaired skin barrier or when applied over large skin areas for prolonged periods.
This formulation is intended for targeted treatment of pain and inflammation in specific areas. Baclofen and Cyclobenzaprine HCl relax the muscles, reducing spasms and associated pain. Diclofenac Sodium reduces inflammation and pain, while Tetracaine HCl provides local anesthesia, numbing the area to pain.
Patients should inform their healthcare provider of all the medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions. They should also inform their healthcare provider if they have any known allergies to any of the ingredients in this formulation.
If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us.
This formulation is a combination of four active ingredients: Baclofen, Cyclobenzaprine HCl, Diclofenac Sodium, and Tetracaine HCl. Each of these ingredients plays a unique role in the treatment of various 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 alleviate muscle spasms, pain, and stiffness. This makes it particularly useful in conditions such as multiple sclerosis or spinal cord injuries.
Cyclobenzaprine HCl is another muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain, providing relief from muscle spasms without reducing muscle function. It is often used in the treatment of muscle injuries or conditions such as fibromyalgia.
Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing substances in the body that cause pain and inflammation.
Tetracaine HCl is a local anesthetic. It works by blocking nerve signals in your body, which can provide temporary numbness or loss of sensation in the area where the medication is applied. This can be beneficial in managing pain associated with conditions such as postherpetic neuralgia or other nerve-related pain conditions.
The gel formulation allows for targeted application of these active ingredients. By applying the gel directly to the affected area, the medication can be absorbed through the skin, providing localized relief without the systemic side effects that can occur with oral medications. The pump mechanism allows for easy and precise application, ensuring that the correct dose is applied each time.
This combination of ingredients can provide comprehensive treatment for a variety of conditions, addressing not only pain and inflammation but also muscle spasms and nerve-related pain. As always, it's important to use this medication as directed by your healthcare provider, and reach out to us if you have any questions or concerns.
This compounding formulation of Baclofen 2%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 3%/Tetracaine HCl 2.27% Topical Gel does have other uses in addition to the main indications for certain disease states. One of its lesser-known uses is in the field of sports medicine. Topical formulations like this one can target localized areas of muscle pain or strain experienced by athletes. It can be applied directly to the area of discomfort, offering targeted relief. The ingredients of this topical gel work synergistically. Baclofen, a muscle relaxant, will help manage the muscle spasm often seen in sprain or injury. Cyclobenzaprine, another muscle relaxant and pain reliever, can dually control muscle spasm and induce pain relief. Diclofenac sodium, a nonsteroidal anti-inflammatory drug (NSAID), focuses on reducing the inflammation that is usually associated with muscle strain or injury. And finally, Tetracaine serves as a local anesthetic to numb the skin and decrease pain in the area where the gel is applied.
Another use for this compounded formulation, particularly in dermatology, could be in a pain or discomfort that commonly accompanies certain skin procedures. When applied prior to the procedure, this gel can help numb the area adequately to reduce discomfort. Its components help to relieve discomfort, inflammation and manage pain, making it an ideal choice in this situation. This use can offer another alternative for doctors looking for a local anesthetic with anti-inflammatory and muscle relaxation benefits.
Description notwithstanding, it is important to remember that the efficacy and safety of compounded prescription medications depend on their use in line with a professional medical consultation. As they can be used off-label, their use in numerous scenarios is subject to a physician’s guidance. Please ensure that you follow your healthcare provider's advice on the use of this medication thereby ensuring maximum benefits.
If you or a prescriber have any further queries about this compound or its potential uses, then please feel free to get in touch with us at Bayview Pharmacy. Our team of expert compounding pharmacists will be more than happy to assist with any questions or concerns you may have.
This is a semisolid compound formulation that contains four active ingredients: Baclofen 2%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 3%, and Tetracaine HCl 2.27%. These substances are mixed in a gel-like substance and are intended for topical use.
This formulation is designed to be easily applied to the skin. The container has a pump mechanism which allows for a clean, simple, and precise application on the targeted area.
Yes, it is important to apply the gel in the quantity as prescribed or according to the manufacturer's directions. The pump mechanism facilitates precise dosing and application.
The gel can be applied to any targeted area of the skin for treatment or absorption of the active ingredients. However, it is advised to follow the specific instructions provided by your healthcare provider.
No, this gel is only intended for topical use i.e. to be applied on the skin. It should not be ingested or applied near the eyes, mouth or any other sensitive areas of the body.
The different substances in the gel are all active ingredients intended for therapeutic use. Each ingredient has a specific role to play in providing relief to the patient and so, their cumulative effect helps to treat the health condition of the patient.
This formulation has ingredients that can provide relief from certain types of pain. However, it should be used under the guidance of a healthcare provider who will determine if it's suitable for the particular condition you're experiencing.
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your normal dosing schedule. Do not double the dose to catch up.
As with any medication, side effects may occur. Typical side effects can include itchiness, rash, or redness at the applied area. If you experience severe side effects or allergic reactions, such as difficulty breathing, hives, or swelling, seek medical attention immediately.
Before using other medications while using this gel, it is important to consult with your healthcare provider. They can provide advice considering the possible interactions and side effects.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)