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Formulas

Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gel

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

This formulation is a compounded topical gel containing Bupivacaine HCl 2%, Gabapentin 5%, and Lidocaine HCl 7%. 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 Bupivacaine, a local anesthetic, Gabapentin, an anticonvulsant and nerve pain medication, and Lidocaine, another local anesthetic, is designed to provide relief from various disease states. These include neuropathic pain, postherpetic neuralgia, and other conditions where pain relief and nerve stabilization are required.

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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.
Bupivacaine Hydrochloride
Gabapentin
Lidocaine Hydrochloride
Topical Gel
6535d17548929f057f39349d
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 Bupivacaine HCl 2%, Gabapentin 5%, and Lidocaine HCl 7%. 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 into the targeted area.

Bupivacaine HCl is a local anesthetic that works by blocking nerve impulses, thereby reducing pain and discomfort in the applied area. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain conditions. It works by stabilizing electrical activity in the brain and affecting the way the nerves send messages to the brain. Lidocaine HCl is another 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 from pain and discomfort.

This formulation can be used to treat a variety of disease states that involve pain, particularly neuropathic pain. Neuropathic pain is a complex, chronic pain state that usually is accompanied by tissue injury. With neuropathic pain, the nerve fibers themselves may be damaged, dysfunctional, or injured. These damaged nerve fibers send incorrect signals to other pain centers. Conditions such as postherpetic neuralgia, diabetic neuropathy, and other nerve-related conditions can be managed with this formulation.

It is important to note that this formulation should be used as directed by a healthcare provider. The gel should be applied to the affected area in the amount and frequency as prescribed. It is not intended for oral, ophthalmic, or intravaginal use. Side effects may include skin irritation at the application site, dizziness, or drowsiness. If these side effects persist or worsen, contact your healthcare provider immediately.

As compounding pharmacists, we are able to customize this formulation to meet individual patient needs. This includes adjusting the concentration of the active ingredients, changing the base, or adding other active ingredients as prescribed by the healthcare provider. We are committed to providing high-quality, personalized medications to meet the unique needs of our patients.

If you have any questions about this formulation, or if you are a prescriber and would like to discuss potential modifications to better suit your patient's needs, please do not hesitate to reach out to us at Bayview Pharmacy. We are here to help.

Drug Interactions

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This formulation contains Bupivacaine HCl, Gabapentin, and Lidocaine HCl, all of which can interact with other medications. It's important to inform your healthcare provider about all the medications you're currently taking, including prescription and over-the-counter drugs, vitamins, and herbal supplements.

Bupivacaine HCl is a local anesthetic that can interact with certain medications such as antiarrhythmics, beta-blockers, and other local anesthetics. Concurrent use of these medications can increase the risk of cardiovascular side effects such as bradycardia, hypotension, and heart block. It's important to monitor heart rate and blood pressure during treatment.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids containing magnesium or aluminum, as they can decrease the absorption of gabapentin. It's recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin can also increase the effects of drugs like morphine, and can increase the risk of side effects such as drowsiness and dizziness.

Lidocaine HCl, another local anesthetic, can interact with medications such as antiarrhythmics, beta-blockers, and other local anesthetics, similar to Bupivacaine HCl. Concurrent use can increase the risk of cardiovascular side effects. Lidocaine can also interact with certain antibiotics, antifungals, and antivirals, which can increase the risk of lidocaine toxicity.

This formulation is used topically to manage pain associated with conditions such as post-herpetic neuralgia, peripheral neuropathy, and other nerve-related pain conditions. Bupivacaine HCl and Lidocaine HCl work by blocking nerve signals in your body, thereby reducing the sensation of pain. Gabapentin is believed to reduce the release of substances that transmit pain signals in the brain and spinal cord.

It's important to use this medication as directed by your healthcare provider. Avoid applying it to broken or irritated skin, and avoid contact with eyes, mouth, and other mucous membranes. If you experience any unusual side effects, contact your healthcare provider immediately.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us.

How Does it Work

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The Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gel is a unique formulation that combines the analgesic and anesthetic properties of three active ingredients to provide targeted relief from pain. This gel is designed to be applied topically, directly to the skin, where it can be absorbed to provide localized treatment.

Bupivacaine HCl is a local anesthetic that works by blocking nerve impulses in the body, thereby reducing feelings of pain. It is often used in surgical procedures or to provide relief from severe pain. In this formulation, Bupivacaine HCl provides a numbing effect on the area where the gel is applied, helping to reduce pain and discomfort.

Gabapentin is a medication that is primarily used to treat seizures and nerve pain. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. In this topical gel, Gabapentin helps to reduce nerve pain in the area where the gel is applied.

Lidocaine HCl is another local anesthetic that works similarly to Bupivacaine HCl. It also blocks nerve impulses in the body to reduce pain. Lidocaine HCl enhances the numbing effect of the gel, providing additional pain relief.

The combination of these three active ingredients in a single topical gel allows for targeted, localized treatment of pain. The gel is dispensed through a pump mechanism, which allows for easy and precise application. This means that the medication can be applied directly to the area of the body where pain relief is needed.

This formulation can be used to treat a variety of disease states that involve pain, including post-surgical pain, nerve pain, and pain associated with conditions like shingles or diabetic neuropathy. By providing targeted, localized pain relief, this gel can help to improve the quality of life for patients suffering from these conditions.

If you have any questions about this formulation, or if you would like more information about how it can be used to treat specific conditions, please don't hesitate to reach out to us. We are here to help and provide the information you need to make informed decisions about your health.

Frequently Asked Questions

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What is the Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gel?

This is a semisolid compounded formulation that consists of Bupivacaine HCl 2%, Gabapentin 5%, and Lidocaine HCl 7%. The gel is typically supplied in a container with a pump mechanism to ensure it can be applied to the skin easily and precisely for targeted treatment.

What is the consistency of this compound?

The compound is a semisolid formulation with a gel-like consistency. It can be easily applied to the skin for the absorption of its active ingredients.

How is the Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gel applied?

This compounded formation is designed for topical application to the skin. It is dispensed through a pump mechanism, which allows for easy and precise application.

What does the pump mechanism do?

The pump mechanism allows for an easily controlled dosage and precise application, minimizing waste and ensuring the right quantity is applied each time.

Are all Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gels the same?

No, not all gels are the same. Differences can arise from various factors, such as the manufacturing process, the source of the ingredients, and the formulation, which may affect how well the product works.

Can this compound be used on all parts of the skin?

Generally, it can be applied to the most surface areas of the skin, but it may not be suitable for wounded or inflamed skin or sensitive skin areas. Always consult your pharmacist or healthcare provider for guidance.

What should I expect after applying this compound?

After application, the active ingredients in the gel formulation will be absorbed through the skin, potentially providing pain relief and other therapeutic effects depending on the specific diagnosis and treatment plan.

What are Bupivacaine HCl, Gabapentin, and Lidocaine HCl for?

These three active ingredients have different modes of action. Bupivacaine HCl and Lidocaine HCl are local anaesthetics that can block nerve impulses, thereby reducing pain. Gabapentin is a medication often used to treat nerve pain and other conditions as directed by your healthcare provider.

Are there any known side effects of Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gel?

As with any medication, side effects can occur, typically limited to the area of application. Some possible side effects can include redness, itching, or rash. If you experience any severe or worrying reactions, contact your healthcare provider immediately.

Should I consult a pharmacist or doctor before using this compound?

Yes, always consult your healthcare provider or pharmacist before beginning any new treatment to ensure it is safe and appropriate for your specific condition.

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.

Bupivacaine HCl 2%/Gabapentin 5%/Lidocaine HCl 7% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily