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Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 2%/Prilocaine 2% Topical Gel

Bayview Pharmacy compounds Baclofen, Cyclobenzaprine, Gabapentin, Lidocaine, and Prilocaine into a topical gel tailored for neuropathic pain, muscle spasms, and fibromyalgia.
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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
Prilocaine Hydrochloride
Baclofen
Lidocaine Hydrochloride
Topical Gel
65358153d66929ffd75ad9e5

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, Lidocaine 2%, and Prilocaine 2%. 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 that the active ingredients are absorbed effectively for targeted treatment.

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 discomfort associated with muscle injuries.

Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain conditions such as postherpetic neuralgia and restless legs syndrome. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.

Lidocaine and Prilocaine are local anesthetics that work by causing temporary numbness/loss of feeling in the skin and mucous membranes. This effect makes these ingredients useful in relieving pain and discomfort from conditions such as sunburns, minor cuts, scratches, and insect bites.

Together, these ingredients work synergistically to provide relief from various painful conditions, making this formulation a versatile option for pain management. It is important to note that this formulation should be used as directed by a healthcare provider, and patients should report any adverse effects or lack of improvement to their healthcare provider promptly.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always ready to assist you.

Drug Interactions

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This topical gel formulation combines Baclofen, Cyclobenzaprine HCl, Gabapentin, Lidocaine, and Prilocaine. Each of these active ingredients has a specific role in managing various disease states, primarily related to pain and muscle spasms. However, it's important to be aware of potential drug interactions when using this formulation.

Baclofen is a muscle relaxant and antispastic agent. It may interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, or antihistamines, potentially leading to increased sedation or respiratory depression. Concurrent use with monoamine oxidase inhibitors (MAOIs) may result in hypotension.

Cyclobenzaprine HCl is another muscle relaxant. It can interact with monoamine oxidase inhibitors (MAOIs), leading to serious, potentially fatal interactions. 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.

Gabapentin is an anticonvulsant and nerve pain medication. It may interact with antacids, reducing the absorption of gabapentin. It's recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin may also increase the effects of other CNS depressants, including alcohol, antihistamines, and opioids.

Lidocaine and Prilocaine are local anesthetics. They have minimal systemic absorption and thus have a low potential for drug interactions. However, they may interact with other local anesthetics or medications metabolized by the liver, potentially leading to increased systemic levels.

This formulation is primarily used for localized pain management, including neuropathic pain, muscle spasms, and certain types of chronic pain. It works by numbing the skin and underlying tissues, reducing muscle spasms, and calming overactive nerves. The combined effect of these medications provides a multi-modal approach to pain management, targeting different aspects of the pain pathway.

It's important to inform your healthcare provider of all medications you are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions. If you have any questions or concerns about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. We are here to help.

How Does it Work

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This formulation is a combination of five active ingredients: Baclofen, Cyclobenzaprine HCl, Gabapentin, Lidocaine, and Prilocaine, each playing a unique role in managing pain and discomfort. It is designed to be applied topically, directly to the skin, where it can target the affected area without the need for systemic absorption, reducing the risk of side effects.

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. Cyclobenzaprine HCl is another muscle relaxant that works centrally within the brainstem to reduce muscle tone, thereby relieving muscle spasms and associated pain.

Gabapentin is an anticonvulsant and nerve pain medication. It is believed to work by affecting the way the body senses pain. In a topical formulation, it can provide targeted relief to a specific area of the body.

Lidocaine and Prilocaine are local anesthetics. They work by blocking nerve signals in your body, causing temporary numbness or loss of sensation in the area where the gel is applied. This can provide immediate relief from pain or discomfort.

The gel formulation allows for easy and precise application. The active ingredients are suspended in a semisolid base, which allows them to be absorbed through the skin directly into the affected area. This targeted approach can provide faster relief and reduce the risk of systemic side effects. The pump mechanism ensures that the correct dose is dispensed each time, reducing the risk of overuse or underuse.

This formulation can be used to treat a variety of conditions, including muscle spasms, nerve pain, and localized pain. It is particularly useful in situations where oral medications are not suitable or have not provided adequate relief. As with all medications, it should be used under the guidance of a healthcare professional.

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

Other Uses

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This formulation presents a quintuple-action strategy for targeted pain management through the use of multiple active agents: Baclofen, Cyclobenzaprine HCl, Gabapentin, Lidocaine, and Prilocaine. Each component brings a unique mechanism into play, providing an integrated strategy for pain management. It is mainly utilized for topical transdermal relief of neuropathic pain, muscle spasticity, fibromyalgia pain, and local anesthesia kinesthetically.

In addition to its main uses, this formulation also shows potential benefits beyond pain management. One possible area of application is the management of itching or pruritic conditions due to Gabapentin’s anti-pruritic properties. Therefore, this could help soothe skin conditions that cause persistent itching or burning sensations, such as eczema or some types of dermatitis.

Also, while Lidocaine and Prilocaine are predominantly used for their local anesthetic properties, they also show a potential role in curbing itching as aforementioned. In addition to this, the analgesic effect provided by these agents can be beneficial for managing discomfort after minor skin procedures, or even relieving the localized pain associated with conditions like herpes zoster (shingles).

Furthermore, the Baclofen in the formulation, a muscle relaxant, can be helpful in certain conditions where muscle relaxation is desirable like muscle spasms, dystonia, or stiffness and cramping associated with conditions like multiple sclerosis and cerebral palsy.

Finally, the presence of cyclobenzaprine, a muscle relaxant and Gabapentin, an anticonvulsant, extends the utility of the formulation even further. It can be beneficial in the management of nerve-related disorders and neuralgic conditions. However, any other uses should be thoroughly discussed with a prescribing physician or a knowledgeable compounding pharmacist to understand the potential benefits and risks.

If there are any questions or need for more in-depth information on this formulation, feel free to reach out to us at Bayview Pharmacy. Remember, it is crucial to discuss all possible uses, interactions, and potential side effects with a healthcare professional before using the product. Your safety and effectiveness of treatment are our highest priorities.

Frequently Asked Questions

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What is this compounded formulation used for?

This compounded formulation combines Baclofen, Cyclobenzaprine HCl, Gabapentin, Lidocaine, and Prilocaine. It is often used to manage pain and discomfort associated with a variety of conditions, such as nerve pain, muscle spasms, and inflammatory conditions.

How should I apply this topical gel?

Apply a thin layer of this gel to the affected area as directed by your healthcare provider. Its pump mechanism facilitates easy and precise application.

What is the consistency of this formulation?

This compound is a semisolid formulation with a gel-like consistency, making it easy to apply on the skin.

What does the pump mechanism do?

The pump mechanism is designed for easy dispensation of the formulation, ensuring a precise application on the skin for targeted treatment.

How does this compounded formulation work?

The active ingredients in the gel are absorbed through the skin, targeting specific areas for pain relief and muscle relaxation. Each component contributes to alleviate pain or discomfort in a synergistic way.

What are the main components of this formulation?

This formulation contains Baclofen, Cyclobenzaprine HCl, Gabapentin, Lidocaine, and Prilocaine, all of which are well-known for their analgesic or muscle-relaxant effects.

What side effects could I experience from this gel?

Like all medications, some patients may experience side effects like skin irritation, redness, or itching. It's important to inform your doctor if these side effects persist or become bothersome.

Can everyone use this compounded gel?

Not everyone may be able to use this gel. Always discuss with your healthcare provider if you have any allergies, other medical conditions or if you are taking other medications, including over-the-counter drugs, supplements and herbs.

Can this formulation be used with other medications?

While it's possible to use this formulation with other medications, it's crucial to inform your doctor about all the medications you're currently taking to avoid any potential drug interactions.

How should I store this compounded formulation?

Store this product at room temperature, away from heat and moisture. Keep out of reach of children and pets. Do not freeze or store in direct sunlight.

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.

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%/Lidocaine 2%/Prilocaine 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)