This formulation is a compounded topical gel containing Baclofen 2%, Ibuprofen 6%, Lidocaine 4%, and Tramadol HCl 4%. 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 targeted treatment or absorption of the active ingredients.
The combination of these four active ingredients is designed to treat a variety of disease states. Baclofen is a muscle relaxant and antispastic agent, Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID), Lidocaine is a local anesthetic, and Tramadol HCl is a centrally acting opioid analgesic. Together, they provide relief from conditions such as muscle spasms, inflammation, local pain, and moderate to severe pain conditions.

Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.
Prescriber? Sign in or create an account for prescription details and order forms.
This formulation is a compounded topical gel containing Baclofen 2%, Ibuprofen 6%, Lidocaine 4%, and Tramadol HCl 4%. It is designed to be 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 into the targeted area for optimal therapeutic effect.
Baclofen is a muscle relaxant and antispastic agent that works by calming the nerves and reducing muscle tension. It is often used in the management of symptoms such as muscle spasms, pain, and stiffness caused by conditions like multiple sclerosis, spinal cord injury, or other neurological disorders.
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain by inhibiting the production of prostaglandins, substances in the body that cause inflammation. It is commonly used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis.
Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It is used to relieve nerve pain after shingles (postherpetic neuralgia). Lidocaine can also be used to treat discomfort from sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns.
Tramadol HCl is a centrally acting opioid analgesic that works by changing the way your brain and nervous system respond to pain. It is used to manage moderate to severe pain.
This combination of active ingredients in a topical gel formulation allows for targeted treatment of pain and inflammation, reducing systemic side effects often associated with oral administration of these medications. It can be particularly beneficial for patients who have difficulty swallowing pills, those with gastrointestinal issues, or those who require localized pain relief.
As with any medication, it is important to use this product as directed by your healthcare provider. Side effects may include skin irritation at the application site. If you experience any unusual symptoms, contact your healthcare provider immediately.
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 formulation contains four active ingredients: Baclofen, Ibuprofen, Lidocaine, and Tramadol HCl. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to consider these interactions when prescribing or using this medication.
Baclofen is a muscle relaxant and antispastic agent. It may interact with other central nervous system depressants, including alcohol, antihistamines, sedatives, and narcotics, potentially leading to increased sedation or respiratory depression. Concurrent use with antihypertensive drugs may result in additive hypotensive effects.
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can interact with several classes of drugs. These include anticoagulants (increased risk of bleeding), corticosteroids (increased risk of gastrointestinal ulcers), and other NSAIDs (increased risk of adverse effects). Ibuprofen can also reduce the effectiveness of certain antihypertensive drugs and diuretics.
Lidocaine is a local anesthetic that can interact with other local anesthetics and antiarrhythmic drugs, potentially leading to additive systemic toxicity. It may also interact with certain antiviral drugs, increasing the risk of lidocaine toxicity.
Tramadol HCl is an opioid analgesic that can interact with other central nervous system depressants, potentially leading to increased sedation or respiratory depression. It can also interact with certain antidepressants, increasing the risk of serotonin syndrome, a potentially life-threatening condition. Tramadol may also interact with certain antifungal medications, leading to increased tramadol levels and risk of adverse effects.
This formulation is designed to provide targeted treatment for a variety of conditions, including muscle spasms, pain, and inflammation. The combination of these four active ingredients allows for a multi-modal approach to pain management, addressing different aspects of the pain process. However, due to the potential for drug interactions, it's important to use this medication under the guidance of a healthcare provider.
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're here to help ensure that you can use this medication safely and effectively.
This formulation is a combination of four active ingredients: Baclofen, Ibuprofen, Lidocaine, and Tramadol HCl. Each of these ingredients plays a unique role in managing pain and inflammation.
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 associated pain. This makes it particularly useful in conditions where muscle spasms contribute to the pain, such as multiple sclerosis or spinal cord injuries.
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances in the body that cause inflammation and pain. By reducing the levels of these substances, ibuprofen can help to alleviate pain and reduce inflammation.
Lidocaine is a local anesthetic that works by blocking the transmission of pain signals from the nerves to the brain. This provides a numbing effect in the area where the gel is applied, offering immediate relief from pain.
Tramadol HCl is a centrally acting opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals to the brain. This helps to reduce the perception of pain.
The gel formulation allows for targeted application of these active ingredients directly to the area of pain or inflammation. The gel is also less likely to cause systemic side effects, as the amount of medication that enters the bloodstream is typically lower than with oral administration.
This formulation can be used to treat a variety of disease states that involve pain and inflammation, including but not limited to: musculoskeletal conditions such as arthritis or tendonitis, neuropathic pain conditions such as diabetic neuropathy or post-herpetic neuralgia, and conditions involving muscle spasms such as multiple sclerosis or spinal cord injuries.
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. We are here to help.
In addition to its primary prescription as a targeted topical medication for pain relief, this compounded medication formulation (Baclofen 2%/Ibuprofen 6%/Lidocaine 4%/Tramadol HCl 4% Topical Gel) can have several auxiliary uses provided they're within the purview of relevant medical recommendations and guidelines. Its unique composition provides a multi-pronged approach to pain management that may be beneficial in differing circumstances.
For instance, it can be used to manage localized pain symptoms related to arthritis or musculoskeletal conditions due to its anti-inflammatory and analgesic properties. The presence of Baclofen, a muscle relaxant, can help reduce muscle spasms and stiffness often found in these conditions. Similarly, the Lidocaine component, being a local anesthetic, may provide temporary relief from discomfort associated with minor burns, cuts, or abrasions.
Furthermore, the gel can be used to manage chronic conditions like fibromyalgia where systemic treatment may not be desirable or possible. The inclusion of Tramadol HCl, a potent opioid analgesic, makes this formulation a possible alternative or supplementary therapy in neuropathic pain management.
Notwithstanding these potential other uses, it is important to highlight that this formulation should only be used under the guidance of a healthcare provider and after careful consideration of the patient's medical history and current treatment plan. This encompasses potential drug interactions and contraindications with the individual ingredients present in this formulation, the appropriateness of the dosage form, and unique patient-specific factors such as sensitivity or allergy to any of the constituents.
Lastly, the semisolid consistency and pump mechanism for delivery of this gel formulation are designed for targeted application. This makes it an excellent option for localized treatment, potentially minimizing systemic exposure and related side effects.
If there are any questions regarding this compounded medication formulation, the potential for its use, or specific patient-related queries, reach out to our team of pharmacists at Bayview Pharmacy.
This compounded topical gel is primarily used for localized pain management. The active ingredients including Baclofen, Ibuprofen, Lidocaine, and Tramadol HCl all have analgesic properties, helping to relieve pain directly at its source.
This gel is dispensed via a simple pump mechanism, requiring that you apply it directly to the affected area of skin. Ensure your hands are clean prior to application, and avoid contact with eyes, mouth, and broken skin.
The four primary active ingredients all function to alleviate pain. Baclofen is a muscle relaxant, Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID), Lidocaine is a local anesthetic, and Tramadol HCl is an opioid pain reliever. Together, they provide comprehensive pain management.
Pain relief typically begins shortly after application, however, the exact timing can vary depending on the individual and the severity of the pain.
Side effects can include skin irritation at the application site such as redness, inflammation, or itching. More serious side effects could occur if the medication is absorbed into the bloodstream, however, this is rare with topical application.
Always inform your healthcare provider of all medications you are currently taking before start. Some drugs might interact with any of the active ingredients in this gel, complicating your treatment or causing harmful side effects.
If you miss an intended application, apply it as soon as you remember. However, if it's close to the time for the next application, skip the missed dose and resume on your regular schedule. Avoid applying extra to compensate for the missed dose.
No, people with certain conditions should avoid this gel. Particularly, if you are allergic to any of the ingredients or if you have other significant health conditions, you must inform your doctor.
Always consult your physician before applying this gel to other areas of the body outside of the original prescription. This medication is specifically formulated for musculoskeletal pain.
Store the tube in a cool, dry place away from heat and light. It's also recommended you only use the product within its specified expiration date.
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)