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Baclofen 2%/Ibuprofen 6%/Tramadol HCl 4% Topical Gel

Custom-compounded at Bayview Pharmacy, this Baclofen/Ibuprofen/Tramadol HCl topical gel is tailored for musculoskeletal pain, arthritis, neuropathic pain, and more.
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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.
Ibuprofen
Tramadol Hydrochloride
Baclofen
Topical Gel
6535a6f04e73ed13e82cfb62

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Ibuprofen 6%, and Tramadol HCl 4%. It is a semisolid formulation that is 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 for targeted treatment.

Baclofen is a muscle relaxant and antispastic agent that works by restoring the normal transmission of nerve signals in certain parts of the brain. It is commonly used to treat muscle symptoms such as spasm, pain, and stiffness. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. Tramadol HCl is a strong painkiller that works in the brain to change how your body feels and responds to pain.

This unique combination of Baclofen, Ibuprofen, and Tramadol HCl in a topical gel formulation allows for targeted treatment of various disease states. It can be used to manage conditions such as chronic musculoskeletal pain, neuropathic pain, and certain types of arthritis. The topical application allows for direct delivery of the medication to the affected area, reducing systemic side effects often associated with oral administration of these drugs.

It is important to use this medication as directed by your healthcare provider. Apply the gel to the affected area as directed, usually 3 to 4 times daily. Do not apply this medication to broken or irritated skin. Avoid contact with eyes, nose, and mouth. Wash your hands thoroughly after applying the gel. If you have any questions about the use of this medication, please reach out to us.

As with any medication, this formulation may cause side effects. Common side effects may include skin irritation at the application site. If you experience any severe or persistent side effects, please contact your healthcare provider immediately.

Remember, it is important to inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and dietary supplements, as they may interact with this formulation. Also, inform your healthcare provider if you have any allergies, medical conditions, or if you are pregnant or breastfeeding.

If you have any questions or concerns 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.

Drug Interactions

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This formulation combines Baclofen, Ibuprofen, and Tramadol HCl in a topical gel, designed to provide targeted relief from pain and inflammation. Baclofen is a muscle relaxant and antispastic agent, Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID), and Tramadol HCl is an opioid analgesic. Together, these drugs work synergistically to alleviate pain and discomfort associated with various disease states.

However, it's important to be aware of potential drug interactions. Baclofen may interact with other central nervous system (CNS) depressants, including alcohol, antihistamines, sedatives, and other muscle relaxants, potentially enhancing their effects and leading to increased sedation or CNS depression. Patients should avoid consuming alcohol or using other CNS depressants while using this formulation.

Ibuprofen, as an NSAID, may interact with anticoagulants, antiplatelet drugs, corticosteroids, and other NSAIDs, potentially increasing the risk of gastrointestinal bleeding. It may also interact with antihypertensives and diuretics, potentially diminishing their effects. Patients with a history of peptic ulcer disease, gastrointestinal bleeding, or those taking anticoagulants or antiplatelet drugs should use this formulation with caution.

Tramadol HCl may interact with other CNS depressants, monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and other opioids, potentially leading to serotonin syndrome, a potentially life-threatening condition. Patients should avoid using other CNS depressants or serotonergic drugs while using this formulation.

It's also important to note that this formulation is intended for topical use only and should not be ingested or applied to broken skin or mucous membranes. Patients should wash their hands thoroughly after applying the gel and avoid contact with eyes, nose, and mouth.

As always, patients and prescribers should discuss all medications, supplements, and over-the-counter products being used before starting this formulation to avoid potential drug interactions. If you have any questions or concerns, please don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

How Does it Work

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This formulation is a combination of three active ingredients: Baclofen, Ibuprofen, and Tramadol HCl, each playing a unique role in managing pain and inflammation. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed and exert its effects locally. This method of administration can help to reduce systemic side effects that may be associated with oral administration of these medications.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to relieve muscle spasms, pain, and stiffness. In this formulation, Baclofen is present at a concentration of 2%, which allows for targeted relief of muscle-related symptoms.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances in the body that cause inflammation and pain. By reducing the production of these substances, Ibuprofen can help to relieve pain and reduce inflammation. In this formulation, Ibuprofen is present at a concentration of 6%, which allows for targeted relief of inflammation and pain.

Tramadol HCl is a centrally acting opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, which helps to block the transmission of pain signals. In this formulation, Tramadol HCl is present at a concentration of 4%, which allows for targeted relief of moderate to severe pain.

The gel formulation is designed to be easily applied to the skin and absorbed for targeted treatment. The pump mechanism allows for precise dosing and application, ensuring that the correct amount of medication is applied each time. This can help to improve the effectiveness of the treatment and reduce the risk of side effects.

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, back pain, and fibromyalgia, as well as neuropathic pain conditions. As always, it's important to use this medication as directed by a healthcare provider, and to reach out to us with any questions or concerns.

Other Uses

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This formulation, consisting of Baclofen 2%, Ibuprofen 6%, and Tramadol HCl 4% Topical Gel, is typically used for its analgesic and anti-inflammatory properties. Besides treating specific disease states such as different forms of arthritis, localized pain, muscle stiffness, or spasticity due to multiple sclerosis, it finds its auxiliary use in managing other conditions as well.

For instance, patients suffering from neuropathic pain due to conditions like shingles or diabetes may derive benefit from this formulation. It may also be beneficial for temporary relief of acute, localized muscle or joint pain such as strains, sprains, and bruises. Not only can it soothe the affected area but it can also reduce inflammation and pain perception.

The formulation's analgesic effect makes it a potential option for palliative care patients suffering from cancer-related pain. It can be applied to the specific area experiencing pain, potentially providing localized relief without systemic side effects associated with oral administration of these drugs. However, usage in such scenarios should only be done under strict medical supervision due to the opiate nature of Tramadol.

It's important to remember that this topical gel formulation should only be used on intact skin and not on wounds, cuts, or open skin areas. A healthcare provider should be consulted for the appropriate dosing and usage pattern specific to the condition being treated.

The Baclofen/Ibuprofen/Tramadol HCl combination may also be used for conditions that are off-label, at the discretion of a healthcare provider, due to its potent analgesic and anti-inflammatory effects. It's always important to discuss these other uses with your healthcare provider, as every patient's individual case can be different.

Bayview Pharmacy, our competent team of compounding pharmacists, is always ready to help with any questions or additional information required. Please reach out to us for further assistance or any queries related to this formulation.

Frequently Asked Questions

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What is Baclofen 2%/Ibuprofen 6%/Tramadol HCl 4% Topical Gel?

This is a compounded medication that contains Baclofen, Ibuprofen, and Tramadol. It's a semi-solid formulation designed for easy and precise application on the skin. It is absorbed by the body's system to deliver targeted treatment.

How is the medication dispensed?

This formulation is dispensed through a pump mechanism. This type of delivery method ensures the right amount of gel is applied and minimizes waste.

How does the gel-like consistency help with application?

The gel-like consistency makes it easier to apply on the skin surface. It's non-drippy, spreads easily, provides good coverage, and doesn't leave a greasy residue behind.

Is it safe to use Baclofen 2%/Ibuprofen 6%/Tramadol HCl 4% Topical Gel?

Yes, as with any medication, it's important to use this preparation as directed by your healthcare provider. If you have any concerns, don't hesitate to consult your doctor or pharmacist.

Can I use this medication for any kind of pain?

As a compounded medicine, it's typically prescribed for specific types of pain. Always consult your healthcare provider before using this medication to ensure it's appropriate for your condition.

Does the gel absorb quickly?

Yes, the gel is designed to be readily absorbed by the skin to work efficiently and target the area needed for treatment.

Can I apply this medication to broken or sensitive skin?

No, it's advisable to apply the medication only on intact and non-irritated skin. If you have sensitive or broken skin, consult your healthcare provider before use.

Can the pump mechanism be cleaned?

It's generally not necessary to clean the pump. If it becomes blocked, run it under warm water. However, it's important not to disassemble the pump as this could introduce contamination.

Can this medication cause any side effects?

As with any medication, side effects can occur, though not everyone gets them. If you experience any unusual or severe reactions, immediately contact your healthcare provider.

Can I use this medication with other topical treatments?

Before using other topical treatments with this medicine, consult your healthcare provider as it may interfere with the medication's effectiveness or cause unwanted side effects.

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%/Ibuprofen 6%/Tramadol HCl 4% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)