Buprenorphine 0.2 mg/g 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, buprenorphine, directly at the site of application.
This formulation is primarily used to manage chronic pain conditions, providing localized relief for patients suffering from conditions such as neuropathic pain and musculoskeletal pain. By delivering buprenorphine topically, it minimizes systemic exposure and potential side effects, offering a safer alternative for pain management.

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.
Buprenorphine 0.2 mg/g Topical Gel is a compounded medication designed for the localized management of pain. Buprenorphine is a partial opioid agonist that binds to opioid receptors in the skin and underlying tissues, providing analgesic effects directly at the site of application.
The gel formulation is a semisolid preparation dispensed through a pump mechanism, allowing for easy and precise application to the affected area. This delivery system enhances patient compliance by ensuring consistent dosing and minimizing systemic exposure, which can reduce the risk of systemic side effects commonly associated with opioid medications.
By applying the gel topically, patients may experience targeted pain relief for conditions such as localized musculoskeletal pain, neuropathic pain, or other chronic pain conditions affecting specific areas. The gel base facilitates efficient absorption of buprenorphine through the skin, providing sustained analgesic effects.
For prescribers, this formulation offers an alternative route of administration for buprenorphine, potentially beneficial for patients who cannot tolerate oral medications or require localized pain management. It may be particularly useful in multimodal pain management strategies, aiming to reduce reliance on systemic opioids.
Patients using Buprenorphine 0.2 mg/g Topical Gel should apply it as directed by their healthcare provider, taking care to apply it only to intact, unbroken skin. It is important to wash hands before and after application to avoid unintentional exposure to other areas or individuals.
As with all opioid medications, the potential for side effects exists, although topical application may reduce these risks. Common side effects may include local skin irritation. Patients should report any adverse reactions or concerns to their healthcare provider promptly.
If you have any questions, please reach out to us.
Buprenorphine 0.2 mg/g topical gel is a semisolid formulation designed for transdermal application, allowing for localized treatment and absorption of the active ingredient through the skin. This formulation is particularly useful for managing pain in specific areas, providing targeted relief while minimizing systemic exposure. However, as with any medication, it is important to be aware of potential drug interactions that could affect the efficacy and safety of the treatment.
Buprenorphine is a partial opioid agonist, and its use in a topical gel form can still interact with other medications, particularly those that affect the central nervous system (CNS). Concomitant use of buprenorphine with other CNS depressants, such as benzodiazepines, alcohol, or other opioids, can result in additive effects, leading to increased sedation, respiratory depression, and even potentially life-threatening conditions. Patients should be advised to avoid or limit the use of alcohol and consult their healthcare provider before using other CNS depressants.
Additionally, buprenorphine is metabolized primarily by the liver enzyme CYP3A4. Therefore, drugs that inhibit or induce this enzyme can alter the plasma concentration of buprenorphine, potentially affecting its efficacy and safety. Strong CYP3A4 inhibitors, such as ketoconazole, itraconazole, or certain macrolide antibiotics, can increase buprenorphine levels, leading to enhanced effects and risk of toxicity. Conversely, CYP3A4 inducers like rifampin, carbamazepine, or phenytoin can decrease buprenorphine levels, potentially reducing its effectiveness in pain management.
Patients using buprenorphine topical gel should also be cautious when using other medications that can affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), or monoamine oxidase inhibitors (MAOIs). The combination of these medications with buprenorphine can increase the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as agitation, hallucinations, rapid heart rate, and increased body temperature.
It is crucial for both patients and prescribers to review all current medications, including over-the-counter drugs and supplements, to identify potential interactions. Patients should be encouraged to maintain open communication with their healthcare providers and report any unusual symptoms or concerns promptly. If you have any questions or need further information regarding the use of buprenorphine 0.2 mg/g topical gel and its potential interactions, please reach out to us at Bayview Pharmacy. We are here to assist you in ensuring appropriate treatment.
Buprenorphine 0.2 mg/g Topical Gel is a specialized formulation designed to deliver the active ingredient, buprenorphine, directly through the skin. This semisolid gel is dispensed through a pump mechanism, which ensures easy and precise application, allowing for targeted treatment or absorption of the active ingredient. The gel-like consistency facilitates the even distribution of buprenorphine over the affected area, enhancing its therapeutic effects while minimizing systemic exposure.
Buprenorphine is a partial opioid agonist, which means it binds to the same receptors in the brain as other opioids but activates them to a lesser degree. When applied topically, buprenorphine acts locally at the site of application, which can be particularly beneficial for managing localized pain conditions. The topical route of administration bypasses the gastrointestinal tract, reducing the potential for systemic side effects and interactions with other medications.
The formulation of buprenorphine in a topical gel allows for controlled and sustained release of the medication, providing prolonged pain relief. This can be especially advantageous for patients with chronic pain conditions who require consistent pain management. The pump mechanism ensures that each dose is accurately measured, promoting adherence to prescribed treatment regimens and reducing the risk of over- or under-dosing.
For prescribers, the use of buprenorphine in a topical gel form offers a versatile option for patients who may not tolerate oral medications well or who are at risk for opioid-related side effects. The topical application also allows for easy integration into a patient's daily routine, enhancing compliance and overall treatment outcomes.
Patients using Buprenorphine 0.2 mg/g Topical Gel should follow the application instructions provided by their healthcare provider to ensure optimal results. It is important to apply the gel to clean, dry skin and to avoid covering the treated area with occlusive dressings unless directed by a healthcare professional. Patients should also be aware of potential skin reactions and report any adverse effects to their healthcare provider promptly.
If you have any questions about Buprenorphine 0.2 mg/g Topical Gel, its use, or its suitability for your specific condition, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.
Buprenorphine 0.2 mg/g Topical Gel, dispensed through a convenient pump mechanism, offers a unique delivery system for the administration of buprenorphine, a potent opioid analgesic. While primarily used for pain management, this formulation may have other potential applications that could benefit both patients and prescribers seeking alternative therapeutic options. The topical gel form allows for localized treatment, minimizing systemic exposure and potentially reducing the risk of systemic side effects commonly associated with oral or injectable opioid therapies.
One potential use of this formulation is in the management of localized neuropathic pain conditions, such as post-herpetic neuralgia or diabetic neuropathy, where targeted application can provide relief directly at the site of pain. The gel's ability to deliver buprenorphine directly to the affected area may enhance pain control while limiting the risk of opioid dependency and systemic side effects. Additionally, the gel formulation may be beneficial for patients with chronic pain conditions who are unable to tolerate oral medications due to gastrointestinal issues or who have difficulty swallowing pills.
Furthermore, the topical application of buprenorphine may be explored in palliative care settings, where managing pain with minimal systemic involvement is crucial. This could be particularly advantageous for patients with compromised liver or kidney function, as the topical route may bypass extensive hepatic metabolism and reduce the burden on these organs. The gel's precise dosing mechanism also allows for tailored treatment regimens, which can be adjusted based on the patient's specific needs and response to therapy.
For prescribers, the use of buprenorphine in a topical gel form provides an innovative approach to pain management, offering a balance between efficacy and safety. It is important to consider the patient's overall pain management plan and potential interactions with other medications. As with any opioid therapy, careful patient selection and monitoring are essential to optimize outcomes and minimize risks. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you in exploring the potential benefits and applications of buprenorphine topical gel for your patients.
Buprenorphine 0.2 mg/g Topical Gel is used for targeted treatment of pain by applying it directly to the skin, allowing for localized absorption of the active ingredient.
Apply the gel by dispensing it through the pump mechanism onto the affected area of the skin. Ensure the area is clean and dry before application for optimal absorption.
The frequency of application should be as directed by your healthcare provider. It is important to follow their instructions to ensure safe and appropriate use.
No, you should not apply the gel to broken or irritated skin. It is intended for use on intact skin only.
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 continue with your regular schedule. Do not double the dose.
Some users may experience skin irritation or redness at the application site. If you experience severe side effects or an allergic reaction, contact your healthcare provider immediately.
Before using this gel with other medications, consult your healthcare provider to avoid potential interactions.
Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.
If you are pregnant or planning to become pregnant, consult your healthcare provider before using this gel to ensure it is safe for you and your baby.
Consult your healthcare provider before using this gel while breastfeeding to ensure it does not affect your baby.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)