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Baclofen 4%/Gabapentin 8%/Ketoprofen 6%/Lidocaine HCl 5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin
Ketoprofen
Lidocaine Hydrochloride
Baclofen

This formulation is a compounded topical gel containing Baclofen 4%, Gabapentin 8%, Ketoprofen 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 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 relaxer and an antispastic agent, Gabapentin is used to treat nerve pain and seizures, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, swelling, and inflammation, and Lidocaine HCl is a local anesthetic that causes temporary numbness or loss of sensation in the area of application.

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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, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
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
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
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.
Gabapentin
Ketoprofen
Lidocaine Hydrochloride
Baclofen
Topical Gel
653599a98cf8471d9a66919a
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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This formulation is a compounded topical gel containing Baclofen 4%, Gabapentin 8%, Ketoprofen 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 effectively for targeted treatment.

Baclofen is a muscle relaxant and antispasmodic agent used to relieve muscle symptoms caused by multiple sclerosis, including spasm, pain, and stiffness. Gabapentin is an anticonvulsant and nerve pain medication used to treat nerve pain caused by shingles (postherpetic neuralgia). It is also used to manage neuropathic pain, often in combination with other pain medications.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is used to treat mild to moderate pain, or inflammation caused by arthritis. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used on the skin to stop itching and pain from certain skin conditions (e.g., scrapes, minor burns, eczema, insect bites) and to treat minor discomfort and itching caused by hemorrhoids and certain other problems of the genital/anal area.

This combination of medications in a topical gel formulation allows for targeted treatment of various disease states, including neuropathic pain, muscle spasms, inflammation, and localized pain. The gel is applied directly to the affected area, providing relief at the source of pain and minimizing systemic side effects often associated with oral medications.

It is important to use this medication as directed by your healthcare provider. The amount of gel to be applied and the frequency of application will depend on the condition being treated and the individual patient's response to therapy. Always wash your hands after applying the gel unless your hands are the area being treated.

If you have any questions about this formulation or its use, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy is always here to assist you.

Drug Interactions

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This compounded formulation contains Baclofen, Gabapentin, Ketoprofen, and Lidocaine HCl. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to note that this information is not exhaustive and other interactions may exist. Always consult with your healthcare provider or pharmacist for personalized advice.

Baclofen is a muscle relaxant and antispastic agent. It may interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, and antihistamines, potentially leading to increased sedation and respiratory depression. Concurrent use with monoamine oxidase inhibitors (MAOIs) may result in hypotension.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids containing magnesium or aluminum, as they can reduce the absorption of gabapentin. It may also increase the effects of other drugs that cause sedation, including opioids, antihistamines, and alcohol.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, potentially impairing kidney function. Concurrent use with lithium or methotrexate may increase their levels in the body.

Lidocaine HCl, a local anesthetic, has few systemic interactions due to its local application. However, it may interact with other local anesthetics or medications with similar metabolic pathways, potentially leading to increased systemic absorption and toxicity.

This formulation is designed to treat various disease states, including neuropathic pain, musculoskeletal pain, and inflammation. Baclofen and Gabapentin work to reduce nerve pain, Ketoprofen reduces inflammation and pain, and Lidocaine provides local numbing to the application area. The combined effect of these medications provides a targeted approach to pain and inflammation management.

It's crucial to inform your healthcare provider of all medications, supplements, and over-the-counter products you are currently taking to avoid potential interactions. If you have any questions or concerns about this formulation or potential interactions, please reach out to us at Bayview Pharmacy. We are here to help.

How Does it Work

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This formulation is a combination of four active ingredients: Baclofen, Gabapentin, Ketoprofen, and Lidocaine HCl, each playing a unique role in managing pain and inflammation. The formulation is designed to be applied topically, directly to the area of discomfort, allowing for targeted treatment.

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 pain, such as multiple sclerosis and spinal cord injuries.

Gabapentin is a medication primarily used to treat seizures and neuropathic pain. It works by reducing the abnormal electrical activity in the brain, which can lead to seizures, and by altering the way the nerves send signals to the brain about pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing the production of prostaglandins, chemicals that cells produce in response to injury, leading to inflammation, pain, and fever. By reducing the levels of prostaglandins, Ketoprofen can help alleviate symptoms of conditions like arthritis and other musculoskeletal disorders.

Lidocaine HCl is a local anesthetic. It works by blocking the nerve signals in your body, causing a numbing effect.

The gel formulation allows for easy and precise application, and the pump mechanism ensures that the correct dose is dispensed each time. The gel is designed to be absorbed through the skin, delivering the active ingredients directly to the area of discomfort.

If you have any questions about this formulation, how it works, or how it can be used to manage 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.

Frequently Asked Questions

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What is Baclofen 4%/Gabapentin 8%/Ketoprofen 6%/Lidocaine HCl 5% Topical Gel?

This is a compounded medication containing four active ingredients - Baclofen, Gabapentin, Ketoprofen, and Lidocaine. Each ingredient plays a strategic role in managing various types of pain, and all are delivered in a convenient gel form.

What are the main components of the compounded formulation?

The formulation is composed of Baclofen 4%, Gabapentin 8%, Ketoprofen 6%, and Lidocaine HCl 5% in topical gel format. Every element is included to provide relief from different types of pain and discomfort.

What are the indications for this particular compounded formulation?

The formulation is generally used for managing different types of pain, including neuropathic pain, muscle pain, inflammation, and skin irritation. As always the doctor will set the indication based on the individual patient's symptoms and history.

How does this compounded formulation work?

Each active ingredient delivers relief in different ways. Baclofen is a muscle relaxant; Gabapentin treats nerve pain; Ketoprofen is a nonsteroidal anti-inflammatory drug for reducing pain and inflammation, and Lidocaine is a local anesthetic. The gel is absorbed through the skin, targeting the area directly where the pain exists.

How is the Baclofen 4%/Gabapentin 8%/Ketoprofen 6%/Lidocaine HCl 5% Topical Gel applied?

This medication is released via a pump mechanism, which aids in the easy and accurate application on the skin. To use, you simply apply a small amount of the product to the skin in the area where pain or discomfort is experienced. Your doctor will provide instructions on how often to use the gel.

What is the texture of this compounded formulation?

Can this formulation be used for any type of pain?

While it has broad application potential because of its multiple active ingredients, one should only use it under the discretion of a healthcare provider, who will assess its suitability based on the individual's situation and health condition.

Are there any known side effects of this compounded formulation?

Side effects can vary between individuals and depend on how one's body responds to the medication. However, common side effects may include skin irritation or redness at the application site. If you experience severe side effects, immediately consult your healthcare provider.

Are there any precautions or contraindications for this formulation?

Yes, usage of this gel should be avoided if you have hypersensitivity or allergic reaction to any of the active ingredients. It's always vital to inform your healthcare provider about any other medications you use, your current health conditions, or any allergic reactions you've had in the past.

Can I purchase this medication over the counter?

No, this formulation contains prescription medications and therefore requires a prescription from a healthcare provider.

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.

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, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. 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 4%/Gabapentin 8%/Ketoprofen 6%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily