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Baclofen 2%/Diclofenac Sodium 3%/Gabapentin 6%/Lidocaine HCl 5% Topical Gel

This formulation is a semisolid compound consisting of Baclofen 2%, Diclofenac Sodium 3%, Gabapentin 6%, and Lidocaine HCl 5% in a topical gel. It is 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 combination of these active ingredients is designed to treat a variety of disease states. Baclofen is a muscle relaxant and antispasmodic agent used to relieve spasms, pain, and stiffness caused by multiple sclerosis, spinal cord injuries, or other spinal cord disorders. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, swelling, and joint stiffness from arthritis. Gabapentin is used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

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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, NY, NJ, NH, FL and ME.
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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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.

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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.
Diclofenac Sodium
Gabapentin
Lidocaine Hydrochloride
Baclofen
Topical Gel
65359661a9ac0f823abfa781

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Diclofenac Sodium 3%, Gabapentin 6%, and Lidocaine HCl 5%. 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 directly into the targeted area, providing localized relief.

Baclofen is a muscle relaxant and antispasmodic agent that helps to relieve muscle spasms, tightness, and pain. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant and nerve pain medication that is used to treat nerve pain and discomfort. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. Together, these ingredients work synergistically to provide relief from various disease states.

It can also be used to manage pain associated with shingles (post-herpetic neuralgia), diabetic peripheral neuropathy, and other nerve-related pain conditions. The topical application allows for targeted treatment, reducing the potential for systemic side effects often associated with oral medications.

It is important to use this medication as directed by your healthcare provider. Apply a thin layer of the gel to the affected area, usually 3 to 4 times daily or as directed by your healthcare provider. Wash your hands immediately after use unless you are treating an area on the hands. Avoid contact with the eyes, nose, mouth, and any areas of broken skin to prevent irritation. If you have any questions about the use of this medication, please reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists ready to assist you.

Drug Interactions

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This formulation combines the muscle relaxant Baclofen, the nonsteroidal anti-inflammatory drug (NSAID) Diclofenac Sodium, the anticonvulsant and nerve pain reliever Gabapentin, and the local anesthetic Lidocaine HCl. It is designed to provide targeted relief from pain and inflammation associated with conditions such as neuropathic pain, musculoskeletal pain, and post-herpetic neuralgia.

While this formulation is generally safe for most patients, it's important to be aware of potential drug interactions. Baclofen may interact with other central nervous system depressants, including alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to increased sedation or respiratory depression. Patients should avoid consuming alcohol while using this formulation and should inform their healthcare provider of any other medications they are currently taking.

Diclofenac Sodium, as an NSAID, may interact with other NSAIDs, anticoagulants, antiplatelet drugs, and selective serotonin reuptake inhibitors (SSRIs), increasing the risk of gastrointestinal bleeding. It may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or diuretics, potentially impairing kidney function. Patients with a history of stomach ulcers, kidney disease, or those taking any of the aforementioned medications should consult their healthcare provider before using this formulation.

Gabapentin may interact with antacids containing magnesium or aluminum, potentially reducing the absorption of Gabapentin. It is recommended to take Gabapentin at least 2 hours after taking an antacid. Gabapentin may also increase the effects of other drugs that cause sedation, including opioids, antihistamines, and alcohol.

Lidocaine HCl is a local anesthetic and is generally safe with minimal systemic absorption. However, it may interact with other local anesthetics and antiarrhythmic drugs such as beta-blockers or digoxin, potentially leading to additive cardiac effects.

Patients should always inform their healthcare provider of all medications, supplements, and over-the-counter products they are currently using 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.

How Does it Work

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This formulation is a combination of four active ingredients: Baclofen, Diclofenac Sodium, Gabapentin, and Lidocaine HCl. Each of these ingredients works in a unique way to provide relief from pain and discomfort.

Baclofen is a muscle relaxant and antispasmodic agent. It works by inhibiting the transmission of signals from the nerves to the muscles, thereby reducing muscle spasms and providing relief from pain and discomfort. This makes it particularly useful in conditions where muscle spasms contribute to pain, such as multiple sclerosis and spinal cord injuries.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing the production of prostaglandins, chemicals that cause inflammation, pain, and fever in the body. By reducing these chemicals, Diclofenac Sodium can help to alleviate pain and inflammation.

Gabapentin is an anticonvulsant and nerve pain medication. 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 HCl is a local anesthetic. It works by blocking nerve signals in your body, thereby providing a numbing effect on the area where it is applied. This makes it particularly useful in providing immediate relief from pain and discomfort.

The gel formulation allows for easy and precise application of the medication to the affected area. The active ingredients are absorbed through the skin, providing targeted treatment to the area of pain or discomfort. This can be particularly beneficial for conditions where oral medications may not be as effective, or where side effects from systemic absorption may be a concern.

It's important to note that while this formulation can provide significant relief from pain and discomfort, it does not cure the underlying condition causing the pain. Therefore, it should be used as part of a comprehensive treatment plan, under the supervision of a healthcare provider.

If you have any questions about this formulation, or if you would like more information on how it can be used to treat specific conditions, please don't hesitate to reach out to us. We are here to help and provide you with the information you need to make informed decisions about your healthcare.

Other Uses

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This compounding formulation of Baclofen 2%/Diclofenac Sodium 3%/Gabapentin 6%/Lidocaine HCl 5% Topical Gel, while primarily designed for external use on the skin, may have alternative uses based on the key active ingredients. However, it should be stressed that the utilization of this formulation outside its primary use should always be under the guidance of a healthcare provider.

Baclofen acts as a muscle relaxer and an antispasmodic agent, possibly providing additional benefits in the management of conditions characterized by muscle spasms. Diclofenac Sodium, an NSAID, works by reducing substances in the body that cause pain and inflammation, and its potency might aid in lessening swelling, pain or inflammation caused by other medical conditions such as minor soft tissue injuries.

Gabapentin, traditionally used to treat nerve pain and seizures in specific types of epilepsy, can potentially be useful in situations where nerve pain is a notable issue. Similarly, Lidocaine as a local anesthetic can provide temporary numbness or relief where nerve-related pain is a concern, possibly in conditions like shingles or diabetic peripheral neuropathy.

It’s crucial to note that while this Baclofen/Diclofenac Sodium/Gabapentin/Lidocaine HCl gel has potential in treating these other conditions, it should only be used or repurposed in this manner under the careful supervision of a healthcare provider as potential risks and side-effects must be assessed and considered.

If you have any additional questions regarding the uses or applications of this particular compounding formulation, please do not hesitate to reach out to our team at Bayview Pharmacy. We’re always here to provide expert support and to facilitate your communication with prescribers regarding your medication regimen.

Frequently Asked Questions

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What is this compounded formulation comprised of?

This compounded formulation consists of Baclofen 2%, Diclofenac Sodium 3%, Gabapentin 6%, and Lidocaine HCl 5% in a topical gel form.

How is this compounded formulation dispensed?

This formulation is a semi-solid gel dispensed through a pump mechanism, designed for easy and precise application.

How should I use this compounded formulation?

The formulation should be applied to the skin in the target area. The pump mechanism ensures easy and accurate dosing.

What is the purpose of the specified active ingredients in the formulation?

Each active ingredient plays a unique role. Baclofen is a muscle relaxant, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID), Gabapentin is used for nerve pain, and Lidocaine HCl is a local anesthetic.

What is the consistency of this compounded formulation?

The compounded formulation is in a gel-like consistency, allowing it to spread easily and penetrate the skin for targeted treatment.

Can I use this formulation for any kind of pain?

This formulation is primarily intended for use on areas of the skin where there is pain or inflammation, but always consult your healthcare provider for specific instructions based on your condition.

How does the dosing work using a pump mechanism?

The pump mechanism allows accurate dispensing of the medication. Detailed dosing instructions will be provided by your healthcare provider or pharmacist.

Can I use the Baclofen/Diclofenac Sodium/Gabapentin/Lidocaine Topical Gel for other skin conditions?

This topical gel is formulated for pain and inflammation relief and may not be suitable for other skin conditions. Always check with your healthcare provider before using it for any other purposes.

Can I expect instant relief after applying the gel?

While many patients report feeling relief quickly, the timing can vary depending on the individual's response to the active ingredients and the nature of their condition. Always follow your doctor's directions for use.

Can anyone use this topical gel?

This medication is typically prescribed by a healthcare provider, based on the patient's specific needs and conditions. It should only be used by the individual for whom it was prescribed and according to the prescribed dosage.

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.

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%/Diclofenac Sodium 3%/Gabapentin 6%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)