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Baclofen 2%/Cyclobenzaprine HCl 2%/Ketamine HCl 11.5%/Ketoprofen 15%/Lidocaine HCl 5% Topical Gel

Customized at Bayview Pharmacy, this compounded topical gel is formulated to help manage neuropathic pain, muscle spasms, fibromyalgia, and osteoarthritis.
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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
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Baclofen
Topical Gel
6535a89b06e69588f146f0f2

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Ketamine HCl 11.5%, Ketoprofen 15%, 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 effectively into the targeted area for optimal 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. Ketamine HCl is a potent analgesic that provides relief from severe pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the body by reducing the substances that cause these symptoms. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

It can be used to treat conditions such as neuropathic pain, musculoskeletal pain, fibromyalgia, and other conditions that involve inflammation and pain. The topical application allows for targeted treatment, reducing the potential for systemic side effects that can occur with oral medications.

For patients, it is important to apply the gel as directed by your healthcare provider, usually to the affected area 3-4 times daily. Avoid contact with eyes, nose, mouth, and other sensitive areas. Wash your hands thoroughly after application. If you experience any adverse reactions such as skin rash, itching, redness, or severe dizziness, contact your healthcare provider immediately.

For prescribers, please note that this is a compounded medication and should be prescribed based on individual patient needs. Monitor your patient's response to the medication and adjust the dosage or frequency as necessary. As with all medications, this formulation should be used with caution in patients with a history of hypersensitivity to any of the active ingredients.

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 here to assist you.

Drug Interactions

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This topical gel formulation contains a combination of Baclofen, Cyclobenzaprine HCl, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to note that while this formulation is designed for topical use, systemic absorption can still occur, leading to potential interactions with other medications taken orally or through other routes.

Baclofen, a muscle relaxant, can interact with other central nervous system depressants like alcohol, benzodiazepines, and opioids, potentially leading to increased sedation and respiratory depression. Cyclobenzaprine HCl, another muscle relaxant, has similar potential interactions. It can also interact with monoamine oxidase inhibitors (MAOIs), leading to serious side effects such as hypertensive crisis.

Ketamine HCl, an NMDA receptor antagonist, can interact with other central nervous system depressants, potentially leading to increased sedation and respiratory depression. It can also interact with medications that affect serotonin levels in the brain, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs), potentially leading to a condition known as serotonin syndrome.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with other NSAIDs, increasing the risk of gastrointestinal bleeding. It can also interact with blood thinners, such as warfarin, increasing the risk of bleeding. Additionally, it can interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and beta-blockers, potentially reducing their effectiveness.

Lidocaine HCl, a local anesthetic, can interact with other local anesthetics and with medications that are metabolized by the liver, potentially leading to increased levels of these medications in the body.

This formulation is designed to treat conditions such as muscle pain, inflammation, and neuropathic pain. The combination of active 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 medications, and dietary supplements.

If you have any questions about this formulation or its potential interactions with other medications, please don't hesitate to reach out to us. We are here to help ensure that you receive appropriate treatment.

How Does it Work

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This topical gel formulation combines the therapeutic benefits of Baclofen, Cyclobenzaprine HCl, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these active ingredients plays a unique role in managing various disease states, primarily related to pain and muscle spasms.

Baclofen is a muscle relaxant and antispastic agent. It works by restoring the normal transmission of nerve signals in certain parts of the brain. This helps to reduce muscle spasms, which can be beneficial 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. It is commonly used to treat muscle spasms caused by painful muscle conditions.

Ketamine HCl is a potent analgesic that provides pain relief by blocking the NMDA receptor, a type of glutamate receptor in the brain and spinal cord. This action can help to reduce chronic pain, including neuropathic 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 mild to moderate pain, or inflammation caused by arthritis.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It is used to relieve pain and discomfort caused by skin irritations, as well as to numb the skin before certain procedures.

When applied topically, this formulation allows for targeted treatment, delivering the active ingredients directly to the area of discomfort. The gel-like consistency ensures easy application and absorption through the skin. The pump mechanism allows for precise dosing and minimizes the risk of contamination.

This formulation can be used to manage a variety of disease states, including but not limited to, chronic pain, neuropathic pain, muscle spasms, and inflammation. As with any medication, it is important to use this product under the guidance of a healthcare professional. Always follow the prescribed dosage and application instructions to ensure the best therapeutic outcome.

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

Other Uses

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This compounded transdermal gel is primarily prescribed for managing moderate to severe pain in patients with varied disease states. It's typically used for pain associated with conditions such as Fibromyalgia, Neuropathic Pain, and other Musculoskeletal conditions due to its multiple active ingredients each targeting different pain pathways. However, the nature and combination of its active ingredients do suggest potential for additional applications.

For example, it could be utilized for treating postherpetic neuralgia (a complication of shingles) and localized diabetic peripheral neuropathy. Baclofen, a muscle relaxer and an antispasmodic agent, could further be used to help ease tightness and stiffness due to conditions such as multiple sclerosis. Likewise, Cyclobenzaprine is typically used for muscle spasms, making this compound potentially useful for patients experiencing spasticity. Lidocaine, a local anesthetic, can numb a specific area, so it could be used for temporary relief from itching and burning caused by insect bites, minor burns, and small cuts.

Ketoprofen, the nonsteroidal anti-inflammatory drug in this formulation, could provide relief in conditions involving inflammation, like arthritis. Ketamine, on the other hand, has been observed to provide rapid relief in instances of severe depression and post-traumatic stress disorder (PTSD), adding to the literature supporting the potential role of this formulation in certain psychiatric cases, under the guidance and close monitoring of a medical professional.

The exact utility and efficacy of these alternative uses would, of course, depend on multiple factors like the specific patient profile, concurrent medication usage, disease severity and progression, etc. We strongly advise consulting with a healthcare professional before using this product for any application other than what it was originally intended for.

If you have any questions, don't hesitate to reach out to us. We are more than ready to assist you and provide you with the necessary information about this product. Remember, effective communication between patient, physician, and pharmacist is key to achieving optimal therapeutic outcomes.

Frequently Asked Questions

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What is Baclofen 2%/Cyclobenzaprine HCl 2%/Ketamine HCl 11.5%/Ketoprofen 15%/Lidocaine HCl 5% Topical Gel?

This is a compounded medication that combines several active ingredients into a topical gel format. The active ingredients are Baclofen, Cyclobenzaprine HCl, Ketamine HCl, Ketoprofen, and Lidocaine HCl at the percentages indicated. This medication is used in targeted treatment of various conditions. The gel is applied topically to the skin.

How do I use this compounded formulation?

This topical gel is dispensed via a pump mechanism which provides easy and precise application. It should be applied to the area of the skin as directed by your healthcare provider.

Does this formulation need any special storage?

This medication should be stored as advised by your pharmacist or healthcare provider, typically in a cool, dry place away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

What should I do if I miss a dose?

If you miss a dose of this medication, apply it as soon as you remember. In case it's close to the time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

How does this medication work?

The gel works by delivering various active ingredients directly to the area of the skin where they are needed, providing targeted treatment. Each active ingredient has its own mechanism of action, which together produce the overall therapeutic effect of the medication.

Can I use this topical gel with other medications?

Inform your healthcare provider about all the products you use, including prescription drugs, non-prescription drugs, and herbal products. Some products may interact with this medication. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

What should I do if I experience any side effects?

If you experience any side effects, notify your healthcare provider immediately. While most people tolerate this medication well, it's important to communicate any changes or concerns to ensure the medication is right for you.

Can anyone use this compounded formulation?

No, this compounded formulation is prescribed by your healthcare provider based on your specific needs and condition. Always consult with your healthcare provider before starting any new medication.

Is this a semisolid or a gel?

This compounded formulation is a semisolid that has a gel-like consistency. This allows for easy application and absorption.

How long after application does it begin to work?

The time it takes for this medication to work can vary depending on the individual and the condition being treated. Please discuss this with your healthcare provider for the most accurate information.

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%/Ketamine HCl 11.5%/Ketoprofen 15%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)