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Formulas

Baclofen 6%/Clonidine HCl 0.2%/Diclofenac Sodium 3%/Gabapentin 6%/Lidocaine 2.5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Clonidine Hydrochloride
Diclofenac Sodium
Gabapentin
Baclofen
Lidocaine Hydrochloride

This formulation is a combination of Baclofen 6%, Clonidine HCl 0.2%, Diclofenac Sodium 3%, Gabapentin 6%, and Lidocaine 2.5% in a topical gel. 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 formulation 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. Clonidine HCl is an alpha-2 adrenergic agonist that is primarily used to treat high blood pressure, but it also has pain relieving properties. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, swelling, and joint stiffness caused by arthritis. Gabapentin is used to treat nerve pain and seizures, while Lidocaine 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.
Clonidine Hydrochloride
Diclofenac Sodium
Gabapentin
Baclofen
Lidocaine Hydrochloride
Topical Gel
65359d4903eb7a73ab04140f
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 (6%), Clonidine HCl (0.2%), Diclofenac Sodium (3%), Gabapentin (6%), and Lidocaine (2.5%). 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. Clonidine HCl is an alpha-2 adrenergic agonist that can help manage neuropathic pain by blocking pain signals to the brain. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the body. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat seizures and pain caused by shingles. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This combination of medications in a topical gel form is designed to provide targeted relief for a variety of conditions. It can be used to manage pain associated with conditions such as neuropathy, fibromyalgia, and other types of chronic pain. The gel formulation allows for direct application to the affected area, reducing 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 doctor. 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.

As with any medication, this formulation may cause side effects. These can include skin irritation at the application site, dizziness, dry mouth, or constipation. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. If you have any questions or concerns about this formulation, 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 compounded formulation contains several active ingredients: Baclofen, Clonidine HCl, Diclofenac Sodium, Gabapentin, and Lidocaine. Each of these medications can interact with other drugs, potentially altering their effects. It's important to inform your healthcare provider of all medications you are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements.

Baclofen, a muscle relaxant and antispastic agent, may interact with other central nervous system depressants, including alcohol, antihistamines, sedatives, and opioids, potentially enhancing their effects and increasing the risk of respiratory depression, sedation, and low blood pressure. Concurrent use with monoamine oxidase inhibitors (MAOIs) may result in increased baclofen blood levels and effects.

Clonidine HCl, an alpha-2 adrenergic agonist, can interact with beta-blockers, calcium channel blockers, and digitalis, potentially causing bradycardia and hypotension. Concurrent use with tricyclic antidepressants may reduce clonidine's effectiveness. Abrupt discontinuation of clonidine while taking beta-blockers may increase the risk of rebound hypertension.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. Concurrent use with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or diuretics may impair renal function. Diclofenac may also reduce the effectiveness of antihypertensive drugs.

Gabapentin, an anticonvulsant, may interact with antacids, reducing gabapentin's absorption. Concurrent use with central nervous system depressants may enhance their effects. Gabapentin may also increase the risk of suicidal thoughts or behavior when used with other antiepileptic drugs.

Lidocaine, a local anesthetic, may interact with other local anesthetics and antiarrhythmic drugs, potentially causing additive systemic toxicity. Concurrent use with monoamine oxidase inhibitors (MAOIs) or tricyclic antidepressants may increase the risk of severe, potentially fatal, cardiac arrhythmias.

This formulation is designed for topical application, which may reduce the risk of systemic drug interactions. However, systemic absorption can still occur, especially when applied over large skin areas or under occlusive dressings. Therefore, it's important to use this medication as directed by your healthcare provider.

This compounded formulation is used for the management of neuropathic pain, muscle spasms, and inflammation. Baclofen and Gabapentin are used for their antispastic and anticonvulsant properties, respectively, which can help manage neuropathic pain. Clonidine HCl can provide analgesia and sedation. Diclofenac Sodium is an NSAID that can reduce inflammation and pain. Lidocaine is a local anesthetic that provides immediate pain relief by numbing the skin.

If you have any questions about this formulation or its potential drug interactions, please reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists, and we are here to help.

How Does it Work

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This topical gel formulation combines five active ingredients: Baclofen, Clonidine HCl, Diclofenac Sodium, Gabapentin, and Lidocaine. Each of these ingredients plays a unique role in managing pain and inflammation, and their combined effect can provide significant relief for a variety of disease states.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to reduce muscle spasms, pain, and stiffness. This makes it particularly useful in conditions such as multiple sclerosis and spinal cord injuries.

Clonidine HCl is an alpha-2 adrenergic agonist. It works by stimulating receptors in the brain that reduce the transmission of pain signals through the nervous system. This can help to alleviate neuropathic pain and other types of chronic pain.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing the production of prostaglandins, chemicals in the body that cause inflammation and increase pain sensitivity.

Gabapentin is an anticonvulsant and nerve pain medication. It works by stabilizing electrical activity in the nervous system and reducing the release of neurotransmitters that transmit pain signals. This can help to alleviate neuropathic pain, such as that caused by shingles or diabetic neuropathy.

Lidocaine is a local anesthetic. It works by blocking sodium channels in the nerve cells, preventing the initiation and conduction of nerve impulses. This can provide immediate, localized relief from pain and discomfort.

The gel formulation allows for targeted application of these active ingredients directly to the area of pain or inflammation. The semisolid consistency and pump mechanism facilitate easy and precise application, while the topical route of administration minimizes systemic absorption and potential side effects.

This formulation can be used to treat a variety of disease states that involve pain and inflammation, including but not limited to neuropathic pain, musculoskeletal pain, osteoarthritis, rheumatoid arthritis, multiple sclerosis, and spinal cord injuries. As with any medication, it should be used under the supervision of a healthcare provider, and patients should follow the prescribed dosage and application instructions to ensure safe and appropriate use.

If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Frequently Asked Questions

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What is this compounded formulation of Baclofen/Clonidine/Diclofenac/Gabapentin/Lidocaine Topical Gel?

This is a semisolid formulation that combines multiple medications - Baclofen 6%, Clonidine HCl 0.2%, Diclofenac Sodium 3%, Gabapentin 6% and Lidocaine 2.5%. It is designed to deliver a targeted treatment through skin absorption.

How is this medication applied?

The medication is dispensed through a pump mechanism for easy and precise application on the skin. Simply apply the recommended dose to the affected area and rub it in gently until it is absorbed.

What is the consistency of this medicinal gel?

This is a semisolid formulation that is similar in consistency to a gel. It is designed to be easily applied to the skin and absorbed quickly.

What does each active ingredient in this compounded formulation do?

This unique blend of medications works together for targeted treatment. Baclofen and Gabapentin are both antispasmodics, Diclofenac Sodium is an anti-inflammatory, Clonidine HCl for high blood pressure, and Lidocaine is a local anesthetic. This combination can provide pain relief and reduce inflammation.

Are there any precautions I should take when using this medication?

Always use this medication as directed by your healthcare provider. Avoid contact with eyes, mouth, and any open wounds. If you notice any allergic reactions or adverse effects, stop using it immediately and consult your doctor.

Can I use this medication if I am pregnant or nursing?

Consult your healthcare provider before using this medication if you are pregnant, nursing, or planning to become pregnant.

How should I store this medication?

Store this medication in a cool, dry place away from direct heat or sunlight. Make sure the lid is tightly closed when not in use. Keep it out of reach of children and pets.

Is it suitable for everyone?

No, not everyone may be suitable for this medication. It's important to thoroughly discuss your medical history and current medications with your healthcare provider before starting this treatment.

What should I do if I miss a dose of this medication?

If you miss a dose, you should apply it as soon as you remember. If it is near the time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Is this a prescription medication?

Yes, this compound medication is prescription-only. It should only be used under the supervision and direction of a healthcare professional.

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 6%/Clonidine HCl 0.2%/Diclofenac Sodium 3%/Gabapentin 6%/Lidocaine 2.5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily