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Baclofen 2%/Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 2% Topical Gel

Bayview Pharmacy compounds Baclofen, Cyclobenzaprine, Ketoprofen, and Lidocaine into a topical gel for muscle spasms, chronic pain, arthritis, and neuropathy.
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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
Ketoprofen
Baclofen
Lidocaine Hydrochloride
Topical Gel

Formula Information

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This compounded topical gel combines Baclofen 2%, Cyclobenzaprine HCl 2%, Ketoprofen 10%, and Lidocaine 2% in a semisolid formulation dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment or absorption of active ingredients in a gel-like consistency.

Baclofen and Cyclobenzaprine HCl are muscle relaxants that help reduce muscle spasticity and relieve muscle spasms. Baclofen

Drug Interactions

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This compounded topical gel formulation contains Baclofen 2%, Cyclobenzaprine HCl 2%, Ketoprofen 10%, and Lidocaine 2%, each of which has its own potential for drug interactions. Baclofen, a muscle relaxant, may interact with other central nervous system (CNS) depressants, such as alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to enhanced sedative effects. Patients should be advised to avoid or limit the use of these substances while using this formulation to prevent excessive drowsiness or CNS depression.

Cyclobenzaprine HCl, another muscle relaxant, can also interact with CNS depressants, leading to increased sedation. Additionally, it may interact with monoamine oxidase inhibitors (MAOIs) and other serotonergic drugs, increasing the risk of serotonin syndrome, a potentially life-threatening condition. Patients should inform their healthcare provider of all medications they are taking, especially if they are on antidepressants or other medications that affect serotonin levels.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, such as warfarin, increasing the risk of bleeding. It can also interact with other NSAIDs or aspirin, potentially leading to gastrointestinal irritation or ulceration. Patients should be cautious when using other medications that affect blood clotting or gastrointestinal health. Additionally, ketoprofen may reduce the effectiveness of antihypertensive drugs, such as ACE inhibitors, beta-blockers, and diuretics, so blood pressure should be monitored closely.

Lidocaine, a local anesthetic, may interact with antiarrhythmic drugs, such as amiodarone or mexiletine, potentially leading to additive cardiac effects. Patients with cardiac conditions should use this formulation under close supervision. Lidocaine can also interact with other local anesthetics, so concurrent use should be avoided unless specifically directed by a healthcare provider.

Overall, while this topical gel is designed for localized application and may have a lower risk of systemic interactions compared to oral medications, it is still important for both patients and prescribers to be aware of potential interactions. Patients should provide a complete list of their current medications, including over-the-counter drugs and supplements, to their healthcare provider to ensure safe use. If you have any questions or concerns about potential drug interactions with this formulation, please reach out to us at Bayview Pharmacy for further guidance.

How Does it Work

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This compounded topical gel formulation combines Baclofen 2%, Cyclobenzaprine HCl 2%, Ketoprofen 10%, and Lidocaine 2% to provide a multifaceted approach to pain management and muscle relaxation. Each active ingredient plays a specific role in alleviating symptoms associated with musculoskeletal conditions, such as muscle spasms, inflammation, and localized pain. The semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application directly onto the skin, which allows for targeted treatment and absorption of the active ingredients.

Baclofen is a muscle relaxant that works by acting on the central nervous system to reduce the frequency and severity of muscle spasms. By inhibiting the transmission of nerve signals that cause muscle contractions, Baclofen helps to alleviate discomfort and improve mobility.

Cyclobenzaprine HCl is another muscle relaxant that complements the action of Baclofen. It works by blocking nerve impulses, or pain sensations, that are sent to the brain. Cyclobenzaprine is often used to relieve muscle spasms associated with acute musculoskeletal conditions. Its inclusion in this formulation enhances the overall muscle-relaxing effects, providing additional relief from muscle stiffness and pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain by inhibiting the production of prostaglandins, which are chemicals in the body responsible for inflammation and pain signaling. At a concentration of 10%, Ketoprofen in this topical gel provides potent anti-inflammatory effects, making it particularly useful for conditions characterized by inflammation, such as arthritis or tendonitis. By reducing inflammation, Ketoprofen helps to alleviate pain and improve joint function.

Lidocaine is a local anesthetic that provides immediate pain relief by blocking sodium channels in nerve cells, which prevents the initiation and transmission of nerve impulses. At a 2% concentration, Lidocaine offers rapid onset of action, numbing the area of application and providing temporary relief from pain. This is especially beneficial for patients experiencing acute pain flare-ups or those requiring immediate pain management.

The gel-like consistency of this formulation ensures that the active ingredients are evenly distributed and absorbed through the skin, allowing for localized treatment with minimal systemic exposure. This targeted approach minimizes the risk of systemic side effects commonly associated with oral medications, making it a suitable option for patients who may have contraindications to oral NSAIDs or muscle relaxants.

The combination of muscle relaxants, anti-inflammatory agents, and local anesthetics provides comprehensive relief, addressing multiple aspects of musculoskeletal discomfort. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist you with your compounding needs.

Other Uses

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The Baclofen 2%/Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 2% Topical Gel is a versatile formulation that, beyond its primary indications, may offer additional therapeutic benefits for various conditions. This compounded gel, with its unique combination of muscle relaxants, anti-inflammatory agents, and local anesthetics, can be considered for off-label uses where localized pain relief and muscle relaxation are desired. For instance, patients suffering from chronic pain conditions such as fibromyalgia or myofascial pain syndrome may find relief through the targeted application of this gel, as it can help alleviate muscle tension and reduce pain in specific areas without the systemic side effects associated with oral medications.

Additionally, this formulation may be beneficial for individuals experiencing pain and discomfort from sports injuries, such as sprains, strains, or tendonitis. The anti-inflammatory properties of ketoprofen, combined with the muscle relaxant effects of baclofen and cyclobenzaprine, can aid in reducing inflammation and muscle spasms, while lidocaine provides immediate local anesthetic relief. This can be particularly advantageous for athletes or active individuals seeking to manage pain and maintain mobility during recovery.

Furthermore, the gel may be used in the management of neuropathic pain conditions, such as post-herpetic neuralgia or diabetic neuropathy, where localized application can help diminish nerve pain and improve quality of life. The inclusion of lidocaine in the formulation offers a numbing effect that can be particularly soothing for patients experiencing burning or shooting pain associated with nerve damage.

For prescribers, it is important to consider the patient's overall health status, potential drug interactions, and specific pain management needs when recommending this compounded gel. Patients should be advised on the proper application technique to ensure optimal absorption and efficacy. As with any compounded medication, the use of this gel should be tailored to the individual, and ongoing communication between the patient and healthcare provider is essential to monitor effectiveness and adjust treatment as necessary.

If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is the purpose of Baclofen 2%/Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 2% Topical Gel?

This topical gel is formulated to provide targeted relief from muscle pain, inflammation, and discomfort. It combines muscle relaxants, an anti-inflammatory agent, and a local anesthetic to address various symptoms associated with musculoskeletal conditions.

How should I apply the topical gel?

The gel should be applied to clean, dry skin. Dispense the appropriate amount using the pump mechanism and gently rub it into the affected area until fully absorbed. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can I use this gel on broken or irritated skin?

No, you should not apply the gel to broken, irritated, or infected skin. Doing so may increase the risk of adverse reactions or further irritation. Consult your healthcare provider for guidance if you have concerns about skin conditions.

How does the pump mechanism work?

The pump mechanism is designed to dispense a precise amount of gel with each use, ensuring consistent application. Simply press down on the pump to release the gel onto your hand or directly onto the affected area.

Are there any side effects associated with this topical gel?

Some users may experience mild side effects such as skin irritation, redness, or itching at the application site. If you experience severe or persistent side effects, discontinue use and consult your healthcare provider.

Can I use this gel in conjunction with oral medications?

While this gel is designed for topical use, it is important to consult your healthcare provider before using it alongside other medications to avoid potential interactions or side effects.

How should I store the topical gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

Is this topical gel suitable for all age groups?

This gel is typically intended for adult use. If you are considering using it for a child or adolescent, consult a healthcare provider to ensure it is appropriate and safe for their specific needs.

How long does it take for the gel to work?

The onset of relief can vary depending on the individual and the severity of symptoms. Some users may experience relief within minutes, while others may require several applications over a period of time to notice significant improvement.

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

If you are pregnant or breastfeeding, consult your healthcare provider before using this topical gel to ensure it is safe for you and your baby. They can provide guidance based on your specific circumstances and health needs.

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.
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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%/Ketoprofen 10%/Lidocaine 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)