

This formulation is a compounded topical gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Lidocaine HCl 5%, Ketamine HCl 11.5%, and Ketoprofen 20%. 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 targeted treatment or absorption of the active ingredients.
Baclofen is a muscle relaxant and antispastic agent that works by calming the nerves and reducing pain. Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. Ketamine HCl is a potent analgesic that provides pain relief. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body.
This formulation is used to treat a variety of disease states. It can be used to manage pain and inflammation associated with conditions such as arthritis, muscle sprains and strains, back pain, and nerve pain. It can also be used to manage symptoms of fibromyalgia and neuropathic pain. The combination of these medications in a topical formulation allows for targeted relief at the site of pain, reducing the potential for systemic side effects.
Patients should apply the gel to the affected area as directed by their healthcare provider. It is important to wash hands before and after application and to avoid contact with eyes, mouth, and other mucous membranes. If any adverse reactions occur, such as rash, itching, redness, or swelling, patients should discontinue use and contact their healthcare provider.
Prescribers should consider this formulation for patients who have not responded to other treatments, or who cannot tolerate oral medications due to side effects. As with all medications, the benefits and risks should be discussed with the patient. It is important to note that this is a compounded medication and may not be suitable for all patients.
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 here to assist you.
This topical gel formulation contains a combination of Baclofen, Cyclobenzaprine HCl, Lidocaine HCl, Ketamine HCl, and Ketoprofen. Each of these active ingredients has a specific role in managing pain and inflammation, particularly in conditions such as neuropathic pain, muscle spasms, and arthritis. However, it's important to be aware of potential drug interactions that may occur with this formulation.
Baclofen, a muscle relaxant, may interact with other central nervous system depressants like alcohol, benzodiazepines, and opioids, potentially leading to increased sedation or respiratory depression. Cyclobenzaprine HCl, another muscle relaxant, can interact with monoamine oxidase inhibitors (MAOIs), causing serious side effects such as high fever, convulsions, and even death. It can also interact with other serotonergic drugs, leading to serotonin syndrome.
Lidocaine HCl, a local anesthetic, may interact with antiarrhythmic drugs like mexiletine and cause additive systemic effects. Ketamine HCl, an NMDA receptor antagonist, can interact with CNS depressants, leading to increased sedation and potentially respiratory depression. It can also interact with drugs that affect serotonin levels, potentially leading to serotonin syndrome.
Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with anticoagulants, increasing the risk of bleeding. It can also interact with other NSAIDs, leading to an increased risk of gastrointestinal ulcers or bleeding. Additionally, it can interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness and leading to kidney problems.
It's important to note that while this formulation is applied topically and therefore has a lower risk of systemic absorption and interactions compared to oral medications, these interactions are still possible, particularly with prolonged use or in patients with impaired skin integrity. Therefore, it's crucial to inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs and supplements.
This formulation is designed to provide targeted treatment for pain and inflammation, with the active ingredients working synergistically to provide relief. Baclofen and Cyclobenzaprine HCl relax the muscles, Lidocaine HCl provides local anesthesia, Ketamine HCl works on the NMDA receptors to modulate pain, and Ketoprofen reduces inflammation.
If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We are here to provide you with the information you need to use this medication safely and effectively.
This topical gel formulation combines five active ingredients: Baclofen, Cyclobenzaprine HCl, Lidocaine HCl, Ketamine HCl, and Ketoprofen. Each of these ingredients plays a unique role in managing pain and inflammation.
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 and spinal cord injuries.
Cyclobenzaprine HCl is another muscle relaxant. It acts centrally within the brain stem to reduce muscle tone, thereby relieving muscle spasms. It is often used in the treatment of muscle sprains, strains, and injuries.
Lidocaine HCl is a local anesthetic. It works by blocking nerve signals in your body, providing temporary relief from pain and discomfort. It is commonly used to relieve pain caused by skin irritations, sore throats, sunburn, teething pain, vaginal or rectal irritation, ingrown toenails, hemorrhoids, and many other sources of minor pain on a surface of the body.
Ketamine HCl is a powerful anesthetic that provides pain relief by blocking the NMDA receptor, a type of glutamate receptor in the brain and spinal cord that is involved in pain transmission. It is often used in the management of chronic pain conditions, including neuropathic pain and fibromyalgia.
Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. It is used to treat pain or inflammation caused by arthritis, and it can also be used for other purposes such as relieving pain from sprains, strains, or other injuries.
The gel formulation allows for targeted application of these active ingredients, providing relief directly to the area of the body where it is needed. The semisolid consistency and pump mechanism make it easy to apply the exact amount needed, reducing the risk of side effects and waste.
If you have any questions about this formulation, how it works, or how it can be used to treat specific conditions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.
This compounding gel formulation contains active ingredients baclofen, cyclobenzaprine, lidocaine, ketamine, and ketoprofen. It is primarily designed to alleviate symptoms associated with various painful conditions, such as musculoskeletal discomfort, neuropathic pain, fibromyalgia, and complex regional pain syndrome. Although it is mainly applied to target these disease states, it may also have potential benefits for other conditions and pains.
Using this formulation could potentially help manage symptoms of other discomfort, like sports injuries, muscle sprains, strains, and spasms. Baclofen and cyclobenzaprine are muscle relaxants that can help ease muscular pains. Lidocaine, a local anesthetic, promptly numbs the area of application, providing immediate pain relief. Ketamine, usually known for its use in anesthesia, also possesses analgesic properties and can help manage neuralgia. At last, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID), which can help reduce inflammation and consequent pain.
Apart from this, patients suffering from conditions that cause chronic pain, such as osteoarthritis or diabetic neuropathy, may also find relief using this formulation. The gel form allows for easy application and targeted treatment, making it a suitable option even for geriatric patients that may have difficulty swallowing pills or concerns about systemic side effects.
Although not typically prescribed for these other uses, the possibilities are vast owing to the diverse nature of the active ingredients present in the gel. However, it is essential that any alternative usage of this formulation is done under the supervision of a health care professional. Each patient's unique needs and conditions should be considered before deciding the best course of treatment. Our knowledgeable team of pharmacists is always available to provide additional information or consultation regarding the potential applications of this compound. Please don't hesitate to reach out to us with your questions.
This formulation provides a targeted treatment for symptoms such as pain or inflammation. It is meant to be applied to the skin, where it is absorbed to deliver relief.
This gel is dispensed through a pump mechanism, which allows for easy and precise application to the skin.
Its semisolid formulation allows it to stay on the application site longer, giving ample time for skin absorption. Plus, it's easier to control the quantity of product used, as it is dispensed through a pump mechanism.
Usage instructions may vary depending on individual health conditions and physician advice. Always follow the prescription label or consult your healthcare provider for proper usage.
This formulation contains Baclofen, Cyclobenzaprine HCl, Lidocaine HCl, Ketamine HCl, and Ketoprofen.
This topical gel is intended for application on the skin at the site where relief is needed. It should not be used in or near the eyes, mouth or any areas with open wounds.
If you experience any adverse reactions, immediately stop using the gel and contact your healthcare provider. Symptoms of an adverse reaction may include skin irritation, rash, or other allergic reactions.
Before starting any new medication, it is essential to discuss your current medications with your healthcare provider to avoid potential drug interactions.
This compound formulation can be suitable for most skin types. However, it's always a good idea to perform a patch test to ensure no allergic reaction occurs. If you have unusually sensitive skin, consider consulting your healthcare provider before use.
It is crucial to discuss with your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding before using this compounded formulation.
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.
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.
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)