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Formulas

Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Ketoprofen 20%/Lidocaine HCl 2% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Cyclobenzaprine Hydrochloride
Gabapentin
Ketoprofen
Lidocaine Hydrochloride
Baclofen

This formulation is a combination of Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketoprofen 20%, and Lidocaine HCl 2% in a transdermal 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, Cyclobenzaprine HCl is a muscle relaxant, Gabapentin is used to treat nerve pain and seizures, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness, and Lidocaine HCl is a local anesthetic used to relieve pain and discomfort caused by skin irritations or conditions such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns.

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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.
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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.
Cyclobenzaprine Hydrochloride
Gabapentin
Ketoprofen
Lidocaine Hydrochloride
Baclofen
Topical Gel
6535c10ca7e2ce87eefab76b
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 transdermal gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketoprofen 20%, and Lidocaine HCl 2%. 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 caused by painful muscle conditions.

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

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is used to treat pain or inflammation caused by arthritis. Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body, providing numbing relief from pain and discomfort.

This formulation is designed to provide targeted relief from pain and inflammation, muscle spasms, and nerve pain. It is particularly beneficial for patients who have difficulty swallowing pills or those who prefer a topical treatment option. As a compounded medication, it can be customized to meet the specific needs of each patient.

Prescribers should be aware that this formulation is a compounded medication and may not be suitable for all patients. It should be used with caution in patients with a history of hypersensitivity to any of the active ingredients. As with all medications, potential side effects and drug interactions should be discussed with the patient.

If you have any questions about this formulation, please don't hesitate to reach out to us. We are a team of knowledgeable compounding pharmacists at Bayview Pharmacy, and we are here to help.

Drug Interactions

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This formulation is a combination of five active ingredients: Baclofen, Cyclobenzaprine HCl, Gabapentin, Ketoprofen, and Lidocaine HCl. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to note that this formulation is intended for topical use, which may reduce the risk of systemic interactions but does not eliminate it entirely.

Baclofen is a muscle relaxant and antispastic agent. It may interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to increased sedation and respiratory depression. It may also interact with antihypertensive drugs, potentially enhancing their effects and leading to hypotension.

Cyclobenzaprine HCl is also a muscle relaxant. It may interact with monoamine oxidase inhibitors (MAOIs), leading to serious, potentially life-threatening side effects. It may also interact with other central nervous system depressants, tricyclic antidepressants, and serotonergic drugs, potentially leading to increased sedation, serotonin syndrome, or increased risk of seizures.

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

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, potentially increasing the risk of bleeding. It may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness and leading to kidney damage.

Lidocaine HCl is a local anesthetic. It may interact with other local anesthetics or antiarrhythmic drugs, potentially leading to additive systemic toxicity. It may also interact with drugs that inhibit cytochrome P450 3A4 enzymes, potentially increasing the levels of lidocaine in the body and leading to toxicity.

This formulation is intended to treat conditions like muscle pain, nerve pain, inflammation, and localized pain. The combination of ingredients works synergistically to provide pain relief, reduce inflammation, and relax muscles. However, due to the potential for drug interactions, it's important for patients to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter drugs, and dietary supplements.

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, Ketoprofen, and Lidocaine HCl. 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.

Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain.

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

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body.

Lidocaine HCl is a local anesthetic. It works by blocking nerve signals in your body and is often used to relieve pain and discomfort from skin irritations and minor cuts.

The transdermal gel formulation allows for targeted application and absorption of these active ingredients. By applying the gel directly to the affected area, patients can experience faster and more localized relief. The gel-like consistency and pump mechanism also make it easy to apply and control the dosage.

This formulation can be used to treat a variety of disease states, including but not limited to muscle spasms, nerve pain, inflammation, and general pain relief. As always, it's important to use this medication under the guidance of a healthcare professional, and to discuss any potential side effects or interactions with other medications you may be taking.

If you have any questions about this formulation or how it may benefit you, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Frequently Asked Questions

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What is the Baclofen/Cyclobenzaprine/Gabapentin/Ketoprofen/Lidocaine transdermal gel?

This medication is a compounded formulation made from five different drugs: Baclofen, Cyclobenzaprine, Gabapentin, Ketoprofen, and Lidocaine. It comes in a gel-like consistency which is easily applied to the skin through a pump mechanism for targeted treatment.

What are the benefits of this compounded formulation?

The gel form makes this medication easy to apply to specific areas of the body. It also allows for the active ingredients to be absorbed directly through the skin, providing relief from pain at the targeted area.

How should Baclofen/Cyclobenzaprine/Gabapentin/Ketoprofen/Lidocaine transdermal gel be used?

It is recommended that the medication be applied directly to the area of the body where pain or discomfort is experienced. The pump mechanism facilitates a precise application.

Who should use this formulation?

The drug should only be used under the direct supervision of a healthcare professional and is typically prescribed to patients who suffer from pain and inflammation and have not responded satisfactorily to other forms of treatment.

What should I avoid while using this formulation?

Avoid applying the gel to broken, damaged, or inflamed skin. Additionally, the drug should not be ingested or applied near the eyes or mouth.

What are potential side effects of the Baclofen/Cyclobenzaprine/Gabapentin/Ketoprofen/Lidocaine transdermal gel?

Like all medications, this formulation can cause side effects, although not everybody gets them. Some common side effects include skin irritation or rash at the application site. Non-skin related effects may occur due to systemic absorption, including drowsiness, fatigue or gastrointestinal complications.

Can I use other medications while using this gel?

Always inform your healthcare provider about any other medications you are currently taking, including over the counter drugs and supplements, to avoid potential drug interactions.

Does the Baclofen/Cyclobenzaprine/Gabapentin/Ketoprofen/Lidocaine transdermal gel have a strong odor?

No, this gel-like medication should have a minimal odor, if any. If an unusual odor is detected, contact your healthcare provider.

What if I miss a dose?

If you forget to apply your medication, do so as soon as you remember. However, if it's near the time for your next dose, skip the missed dose and go back to your regular dosing schedule.

What are the proper storage conditions for this medication?

Keep the medication in a cool, dry place away from heat, light, and moisture. Do not freeze. Keep the medication out of reach of children.

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%/Gabapentin 6%/Ketoprofen 20%/Lidocaine HCl 2% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily