Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Bupivacaine HCl 1% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Bupivacaine Hydrochloride

Bupivacaine HCl 1% Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a convenient pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of the active ingredient, Bupivacaine HCl, directly at the site of application.

This formulation is primarily used to manage and alleviate pain associated with various conditions, including neuropathic pain, post-surgical pain, and localized musculoskeletal pain. By delivering localized relief, it helps improve patient comfort and mobility.

View more
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.
Starting at
Get started as a patient
Get Started
This medication requires a prescription from your doctor

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.
Bupivacaine Hydrochloride
Topical Gel

Formula Information

A small arrow pointing down

Bupivacaine HCl 1% Topical Gel is a specially compounded formulation designed to provide localized pain relief through topical application. Bupivacaine is a long-acting amide-type local anesthetic known for its efficacy in blocking nerve signals that transmit pain sensations. This gel allows for targeted delivery of bupivacaine directly to the affected area, helping to alleviate discomfort associated with various conditions that cause localized pain.

The mechanism of action of bupivacaine involves the inhibition of sodium ion influx in nerve cells, which prevents the propagation of nerve impulses. By applying the gel topically, bupivacaine works at the site of application to numb the area, providing relief from pain without affecting the rest of the body. This can be particularly beneficial for patients who require localized pain management without the systemic effects of oral medications.

This formulation is dispensed through a pump mechanism, ensuring easy and precise application. The pump allows for controlled dosing, reducing the risk of applying too much or too little medication. The gel-like consistency promotes adequate absorption of the active ingredient into the skin, enhancing its efficacy while minimizing messiness and improving patient compliance.

To use the Bupivacaine HCl 1% Topical Gel, cleanse the affected area and apply the prescribed amount as directed by your healthcare provider. Gently massage the gel into the skin until it is fully absorbed. Wash your hands thoroughly after application to avoid accidental contact with mucous membranes or eyes, which could cause irritation or numbness in unintended areas.

Potential side effects may include skin irritation, redness, or an allergic reaction at the application site. Systemic absorption is minimal but can occur, especially with excessive use, potentially leading to symptoms of local anesthetic systemic toxicity such as dizziness, numbness around the mouth, or in severe cases, cardiac arrhythmias. Patients with a known sensitivity to amide-type local anesthetics should not use this product.

If you have any questions or concerns about using Bupivacaine HCl 1% Topical Gel, please reach out to us.

Drug Interactions

A small arrow pointing down

Bupivacaine HCl 1% Topical Gel is a local anesthetic formulation designed for topical application, providing targeted pain relief by blocking nerve signals in the body. This semisolid gel is dispensed through a pump mechanism, allowing for precise and easy application on the skin, which is particularly beneficial for localized treatment of pain associated with conditions such as post-herpetic neuralgia, localized neuropathic pain, or minor skin irritations.

When considering the use of Bupivacaine HCl 1% Topical Gel, it is important to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. Although topical application generally results in lower systemic absorption compared to other routes, interactions can still occur, especially in cases of prolonged use or application over large surface areas.

Patients using other local anesthetics or medications that affect cardiac conduction, such as antiarrhythmic drugs (e.g., amiodarone, quinidine), should exercise caution. The combined effects of these medications can potentially lead to additive cardiac effects, including arrhythmias or other cardiac conduction abnormalities. It is crucial for prescribers to evaluate the patient's medication history and consider any potential interactions that may arise from concurrent use.

Additionally, patients taking medications that influence the cytochrome P450 enzyme system, particularly CYP3A4 and CYP1A2, should be monitored closely. Bupivacaine is metabolized by these enzymes, and inhibitors or inducers of these pathways could alter the metabolism and clearance of bupivacaine, potentially leading to increased systemic exposure and toxicity. Common CYP3A4 inhibitors include certain antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), and protease inhibitors (e.g., ritonavir). Conversely, CYP3A4 inducers such as rifampin and certain anticonvulsants (e.g., phenytoin) may decrease bupivacaine levels, potentially reducing its efficacy.

Patients with hepatic impairment should also be carefully monitored, as impaired liver function can affect the metabolism of bupivacaine, leading to increased systemic exposure and risk of toxicity. In such cases, dose adjustments or alternative therapies may be necessary.

It is essential for both patients and prescribers to be aware of these potential interactions and to communicate openly about all medications being used, including over-the-counter drugs and supplements. If you have any questions or concerns regarding the use of Bupivacaine HCl 1% Topical Gel and its potential interactions, please reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

A small arrow pointing down

Bupivacaine HCl 1% Topical Gel is a specialized formulation designed to deliver targeted pain relief through a semisolid gel that is applied directly to the skin. This formulation is dispensed via a pump mechanism, which ensures precise dosing and easy application, making it convenient for both patients and healthcare providers. The gel-like consistency allows for smooth application and rapid absorption of the active ingredient, bupivacaine hydrochloride, into the skin.

Bupivacaine is a local anesthetic that works by blocking nerve signals in the body. When applied topically, it penetrates the skin and binds to sodium channels on nerve endings, inhibiting the influx of sodium ions. This action prevents the initiation and conduction of nerve impulses, effectively numbing the area and providing relief from pain.

This topical gel is particularly useful for treating localized pain conditions, such as neuropathic pain, post-surgical pain, or pain associated with minor skin irritations and injuries. By delivering the anesthetic directly to the site of pain, it provides targeted relief without the need for systemic medications, which can have broader side effects. The semisolid nature of the gel ensures that it stays in place on the skin, allowing for prolonged contact and sustained relief.

For prescribers, the Bupivacaine HCl 1% Topical Gel offers a versatile option for managing pain in patients who may not tolerate oral analgesics or who require localized treatment. The pump mechanism ensures that each dose is consistent, reducing the risk of over- or under-application. This formulation can be an integral part of a multimodal pain management strategy, providing an alternative to systemic analgesics and reducing the need for opioids.

Patients using this formulation should apply the gel as directed by their healthcare provider, typically to clean, dry skin over the affected area. It is important to follow dosing instructions carefully to achieve optimal pain relief while minimizing the risk of adverse effects. Patients should also be advised to avoid applying the gel to broken skin or mucous membranes and to wash their hands thoroughly after application.

If you have any questions about Bupivacaine HCl 1% Topical Gel or its use in treating specific pain conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this formulation.

Other Uses

A small arrow pointing down

Bupivacaine HCl 1% Topical Gel, dispensed through a convenient pump mechanism, is primarily used for localized pain management, but it also has several other potential applications that may be of interest to both patients and prescribers. This formulation can be particularly beneficial in managing neuropathic pain conditions, where traditional oral medications may not provide adequate relief or may cause undesirable systemic side effects. The gel's ability to deliver the active ingredient directly to the site of pain allows for targeted therapy, which can be advantageous in conditions such as post-herpetic neuralgia, diabetic neuropathy, or complex regional pain syndrome.

Additionally, Bupivacaine HCl 1% Topical Gel may be used in the management of pain associated with minor surgical procedures or dermatological interventions. Its application can help in reducing discomfort during and after procedures such as biopsies, laser treatments, or minor excisions. The gel's localized action minimizes systemic absorption, thereby reducing the risk of systemic toxicity, which is a significant consideration with local anesthetics.

For patients with chronic pain conditions, this topical gel can be an integral part of a multimodal pain management strategy, potentially reducing the need for systemic analgesics and their associated risks. It may also be considered for use in sports medicine, where it can aid in the management of acute musculoskeletal injuries by providing localized pain relief, thus facilitating early mobilization and rehabilitation.

Prescribers should consider the patient's overall pain management plan and any potential contraindications or allergies to local anesthetics when recommending this formulation. Patients should be advised on the proper application technique to ensure optimal efficacy and safety. As with any medication, it is important to monitor for any adverse reactions, particularly signs of local irritation or allergic response.

If you have any questions or need further information about the use of Bupivacaine HCl 1% Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or specific patient needs you may have.

Frequently Asked Questions

A small arrow pointing down

What is Bupivacaine HCl 1% Topical Gel used for?

Bupivacaine HCl 1% Topical Gel is used for providing localized pain relief by numbing the skin and surrounding tissues. It is often used for targeted treatment of pain or discomfort in specific areas.

How do I apply Bupivacaine HCl 1% Topical Gel?

To apply the gel, dispense the desired amount using the pump mechanism and gently spread it over the affected area. Ensure the skin is clean and dry before application for optimal absorption.

How often can I use Bupivacaine HCl 1% Topical Gel?

The frequency of application should be as directed by your healthcare provider. Do not exceed the recommended dosage to avoid potential side effects.

Can I use Bupivacaine HCl 1% Topical Gel on broken skin?

No, you should not apply the gel on broken or irritated skin. It is intended for use on intact skin only.

Is Bupivacaine HCl 1% Topical Gel safe for children?

The safety and efficacy of Bupivacaine HCl 1% Topical Gel in children have not been established. Consult a healthcare provider before using it on children.

What should I do if I experience side effects from Bupivacaine HCl 1% Topical Gel?

If you experience any adverse reactions or side effects, discontinue use and contact your healthcare provider immediately for further guidance.

Can I use Bupivacaine HCl 1% Topical Gel with other medications?

Before using this gel with other medications, consult your healthcare provider to ensure there are no potential interactions or contraindications.

How should I store Bupivacaine HCl 1% Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

What should I do if I miss a dose of Bupivacaine HCl 1% Topical Gel?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose.

Can I use Bupivacaine HCl 1% Topical Gel during pregnancy or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this gel to ensure it is safe for you and your baby.

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, 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.

Bupivacaine HCl 1% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)