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Formulas

Clonidine 0.1%/Gabapentin 6%/Lidocaine 5% Transdermal Gel

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

This formulation is a Clonidine 0.1%/Gabapentin 6%/Lidocaine 5% Transdermal 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 active ingredients in this formulation are Clonidine, Gabapentin, and Lidocaine. Clonidine is used to treat high blood pressure, ADHD, and cancer pain. Gabapentin is used to treat seizures, nerve pain, and restless legs syndrome. Lidocaine is a local anesthetic used to relieve pain and discomfort caused by skin irritations and minor burns.

This formulation is used to treat a variety of disease states, including neuropathic pain, post-herpetic neuralgia, diabetic neuropathy, and other conditions where the combination of these three active ingredients is beneficial. It provides targeted relief by delivering the medication directly to the area of discomfort, reducing systemic side effects.

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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

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
Clonidine Hydrochloride
Lidocaine Hydrochloride
Topical Gel
653ea2e87bc2dc8da193df20

Formula Information

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This formulation combines Clonidine, Gabapentin, and Lidocaine in a transdermal gel, designed to be easily applied to the skin for targeted treatment. Clonidine, a medication primarily used to treat high blood pressure, is included at a concentration of 0.1%. It works by stimulating alpha-2 receptors in the brain, which decreases cardiac output and lowers blood pressure. In this formulation, it can help to alleviate symptoms of withdrawal from opioids, nicotine, or alcohol, and can also be used off-label for pain management and certain psychiatric disorders.

Gabapentin, a medication used to treat nerve pain and seizures, is included at a concentration of 6%. It works by affecting the way the nerves send messages to the brain, helping to reduce pain signals. In this formulation, it can be used to manage neuropathic pain, postherpetic neuralgia, and restless legs syndrome. It may also be used off-label for fibromyalgia, migraines, and certain mood disorders.

Lidocaine, a local anesthetic, is included at a concentration of 5%. It works by blocking nerve signals in the body, providing temporary relief from pain and discomfort. In this formulation, it can be used to manage pain from burns, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns. It can also be used to treat irregular heart rhythms when administered intravenously.

The gel is dispensed through a pump mechanism, which allows for easy and precise application. The active ingredients are absorbed through the skin, providing targeted treatment to the affected area. This can be particularly beneficial for patients who have difficulty swallowing pills, or for those who require localized treatment. The gel-like consistency also allows for a smooth application, and the formulation is designed to minimize skin irritation.

As with any medication, it's important to use this formulation as directed by a healthcare provider. Potential side effects may include drowsiness, dizziness, dry mouth, constipation, and skin irritation at the application site. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

If you have any questions about this formulation, or if you would like more information on how it can be used to treat specific disease states, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

Drug Interactions

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This formulation combines Clonidine, Gabapentin, and Lidocaine in a transdermal gel, each of which can interact with other medications. Clonidine, an alpha-2 adrenergic agonist, can interact with beta-blockers, causing a rebound hypertension if either drug is discontinued abruptly. It can also interact with CNS depressants, potentially enhancing their effects. Clonidine should be used cautiously with antihypertensive drugs due to the risk of additive effects.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids containing magnesium or aluminum, as they can reduce the amount of Gabapentin that the body absorbs, reducing its efficacy. It's recommended to take Gabapentin at least two hours after taking an antacid. Gabapentin can also increase the effects of certain drugs that cause sedation, including opioids, antihistamines, and alcohol.

Lidocaine, a local anesthetic, can interact with other local anesthetics and antiarrhythmic drugs, such as mexiletine and tocainide. Concurrent use can lead to additive systemic toxicity. Lidocaine should also be used cautiously with other drugs that are known to cause methemoglobinemia, such as sulfonamides, nitrates, and antimalarial drugs.

This formulation is designed to treat various disease states. Clonidine is often used to manage withdrawal symptoms from opioids, as well as to treat high blood pressure. Gabapentin is used to treat nerve pain and can also help reduce seizures. Lidocaine is a local anesthetic that can help numb a specific area of the body to reduce pain and discomfort. The combination of these three drugs in a transdermal gel allows for targeted treatment, reducing systemic side effects and improving patient compliance.

It's important for patients and prescribers to be aware of these potential interactions when using this formulation. Always inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs and dietary supplements. If you have any questions or concerns 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.

How Does it Work

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The Clonidine 0.1%/Gabapentin 6%/Lidocaine 5% Transdermal Gel is a unique formulation that combines three active ingredients, each with its own mechanism of action, to provide targeted relief from various disease states. This formulation is dispensed as a semisolid gel through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed directly into the affected area, providing localized treatment.

Clonidine, the first active ingredient, is a medication primarily used to treat high blood pressure. It works by stimulating alpha-2 adrenoceptors in the brain, which decreases cardiac output and peripheral vascular resistance, reducing blood pressure. In this formulation, Clonidine is used for its analgesic properties. It is believed to inhibit the release of pain-inducing neurotransmitters in the spinal cord, providing relief from neuropathic pain.

Gabapentin, the second active ingredient, is an anticonvulsant and nerve pain medication. It is used to treat seizures and pain caused by shingles. Gabapentin works by stabilizing electrical activity in the brain and affecting the way the nerves send messages to the brain. In this formulation, Gabapentin is used for its ability to reduce the release of neurotransmitters that signal pain, providing relief from neuropathic pain and restless leg syndrome.

Lidocaine, the third active ingredient, is a local anesthetic. It works by blocking sodium channels in the nerve cells, preventing the initiation and conduction of nerve impulses. This results in a numbing effect, providing relief from pain and discomfort. In this formulation, Lidocaine is used for its ability to provide immediate, localized relief from pain and discomfort.

This unique combination of Clonidine, Gabapentin, and Lidocaine in a transdermal gel formulation allows for targeted treatment of various disease states. The gel is applied directly to the affected area, allowing the active ingredients to be absorbed directly into the skin, providing localized relief from pain and discomfort. This formulation is particularly beneficial for patients who have difficulty swallowing pills or who prefer a non-invasive method of medication administration.

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

Other Uses

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In addition to treating disease states, a compounded formulation of Clonidine, Gabapentin, and Lidocaine in a transdermal gel form has other potential uses. It is important to note that this medication has significant anesthetic and analgesic properties due to its three active ingredients. Lidocaine, a local anesthetic, can provide immediate relief from localized pain, while Gabapentin and Clonidine can help manage chronic pain with regular use.

This combination can also be utilized in managing neuropathic pain, which is characterized by damage or injury to the nervous system. Conditions like Postherpetic Neuralgia (PHN), Diabetic Neuropathy, and Trigeminal Neuralgia that have pain typically difficult to control can significantly benefit from this formulation. The neuropathic pain management mechanism of both Clonidine, an alpha-agonist hypotensive agent, and Gabapentin, an anticonvulsant, can provide patients with better control over their symptoms.

Furthermore, the transdermal application of this medication has potential uses in patients who cannot tolerate the side effects of systemic administration of these drugs, or in situations where oral or systemic administration is not feasible. Its ease of use and targeted pain therapy also makes it a good option for pediatric patients or elderly patients who might have difficulty swallowing pills. Another potential application could be in the use for localized muscular pain or spasm as lidocaine also possess muscle-relaxing properties.

However, it should always be remembered that while this formulation can provide significant relief for a range of indications other than its traditional uses, it is crucial that any new applications of this therapeutic product be guided by a qualified healthcare provider. Always consult with a healthcare provider before instituting any new treatment regimen. If any additional questions arise regarding this particular preparation or its potential applications, please don't hesitate to contact us at Bayview Pharmacy. Our team of skilled and knowledgeable compounding pharmacists is always ready to assist.

Frequently Asked Questions

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What is the Clonidine 0.1%/Gabapentin 6%/Lidocaine 5% Transdermal Gel?

This is a semisolid formulation that combines Clonidine, Gabapentin, and Lidocaine in specific proportions. It is typically dispensed through a pump mechanism and is applied on the skin.

What is the purpose of the pump mechanism in this transdermal gel?

The pump mechanism allows for easy and precise application of the gel onto the skin. It ensures that the correct dose is administered every time it is used.

How does the gel's consistency aid in its function?

The gel consistency of this formulation makes it easy to apply and absorb on the skin. It ensures the active ingredients reach the target area effectively.

How is the Clonidine/Gabapentin/Lidocaine gel used?

This gel is applied topically to the skin, usually in the area where treatment is needed. The pump on the dispensed bottle should be used to precisely measure the right dose.

Can this gel be used on all skin types?

While this gel is generally safe for various skin types, it is essential to talk to a healthcare provider before use, especially for those with sensitive skin or known allergies to any of the active ingredients.

What are the active ingredients in this formulation?

The active ingredients include Clonidine (0.1%), Gabapentin (6%), and Lidocaine (5%). Each of them plays a specific role in the management of certain conditions.

What is the function of each active ingredient in the gel?

Clonidine helps to manage high blood pressure, Gabapentin is used for nerve pain, and Lidocaine helps numb the skin, providing relief from pain and discomfort.

Are there any side effects of using this formulation?

Side effects can vary depending on individual reaction to any of the active ingredients. Some people may experience minor skin irritation, while others may have allergic reactions. It's essential to notify your healthcare provider if any serious side effects occur.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's close to your next dose time, skip the missed dose and continue with your regular application schedule. Never double-dose to make up for a missed application.

Is this gel formulation suitable for long-term use?

Long-term use will depend on your individual treatment plan and the discretion of your healthcare provider. It is always important to follow your doctor's recommendation when using any medicinal formulations.

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.

Clonidine 0.1%/Gabapentin 6%/Lidocaine 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)