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Formulas

Clonidine HCl 0.232%/Deoxy D-Glucose 0.5%/Gabapentin 6%/Ketamine HCl 11.5%/Lidocaine HCL 5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Clonidine Hydrochloride
Gabapentin
Ketamine Hydrochloride
Lidocaine Hydrochloride
Deoxy-D-Glucose

This formulation is a compounded topical gel containing Clonidine HCl 0.232%, Deoxy D-Glucose 0.5%, Gabapentin 6%, Ketamine HCl 11.5%, and Lidocaine HCL 5%. 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 these active ingredients is designed to treat a variety of disease states. Clonidine HCl is used for hypertension and attention deficit hyperactivity disorder (ADHD), Deoxy D-Glucose is used in diagnostic procedures, Gabapentin is used for seizures and nerve pain, Ketamine HCl is used for anesthesia and chronic pain, and Lidocaine HCL is used as a local anesthetic and to treat irregular heartbeats.

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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.
Clonidine Hydrochloride
Gabapentin
Ketamine Hydrochloride
Lidocaine Hydrochloride
Deoxy-D-Glucose
Topical Gel
653ea118385d013d44ded175

Formula Information

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This formulation is a compounded topical gel containing Clonidine HCl 0.232%, Deoxy D-Glucose 0.5%, Gabapentin 6%, Ketamine HCl 11.5%, and Lidocaine HCL 5%. It is a semisolid formulation that is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency of the formulation ensures that the active ingredients are absorbed effectively into the skin for targeted treatment.

Clonidine HCl is a medication that is primarily used to treat high blood pressure, but in this formulation, it is used for its potential analgesic and anti-inflammatory properties. Deoxy D-Glucose is a glucose analog that is included in the formulation for its potential to enhance the effectiveness of the other active ingredients. Gabapentin is a medication that is commonly used to treat nerve pain and seizures, and in this formulation, it is used for its analgesic properties. Lidocaine HCL is a local anesthetic that is used in this formulation to provide immediate and localized pain relief.

This formulation is designed to treat a variety of disease states that involve pain and inflammation. It can be used to manage conditions such as neuropathic pain, post-herpetic neuralgia, fibromyalgia, and other conditions that involve chronic pain.

It is important to note that this is a compounded medication, which means it is made specifically for each individual patient based on their specific needs and the prescription provided by their healthcare provider. As such, the effectiveness and safety of this formulation can vary between individuals. If you have any questions about this formulation, or if you are a healthcare provider considering prescribing this formulation, please reach out to us. We are a team of knowledgeable compounding pharmacists at Bayview Pharmacy, and we are here to help.

Drug Interactions

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This compounded formulation contains several active ingredients, each with its own potential for drug interactions. Clonidine HCl, a medication primarily used to treat high blood pressure, can interact with other antihypertensive drugs and enhance their effects, leading to a risk of hypotension. It can also interact with CNS depressants, potentially enhancing their sedative effects. Patients should be advised to avoid alcohol while using this formulation.

Deoxy D-Glucose, a glucose analog, is not typically associated with significant drug interactions. However, it may affect glucose metabolism and could potentially interact with antidiabetic medications. Patients with diabetes should monitor their blood glucose levels closely while using this formulation.

Gabapentin, a medication used to treat nerve pain and seizures, can interact with antacids, reducing its absorption and effectiveness. It is recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin can also enhance the effects of CNS depressants, including opioids, antihistamines, and alcohol, potentially leading to increased sedation and respiratory depression.

Ketamine HCl, an anesthetic, can interact with other CNS depressants, potentially enhancing their effects and increasing the risk of respiratory depression. It can also interact with monoamine oxidase inhibitors (MAOIs), potentially leading to a hypertensive crisis. Patients should be advised to avoid alcohol and other CNS depressants while using this formulation.

Lidocaine HCl, a local anesthetic, is not typically associated with significant drug interactions. However, it can interact with other local anesthetics and antiarrhythmic drugs, potentially leading to additive systemic toxicity. Patients should inform their healthcare provider if they are using any other local anesthetics or antiarrhythmic drugs.

This formulation is designed to treat a variety of disease states. Clonidine can help with withdrawal symptoms from opioids and can also have a synergistic effect with other pain medications to provide better pain control. Deoxy D-Glucose is included for its potential anticancer effects, although more research is needed in this area.

As with any medication, it is important for patients and prescribers to be aware of potential drug interactions and to monitor for any adverse effects. If you have any questions about this formulation or its potential interactions, please do not hesitate to reach out to us at Bayview Pharmacy.

How Does it Work

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This unique formulation combines several active ingredients, each with its own mechanism of action, to provide a comprehensive approach to pain management. The gel is designed to be applied topically, directly to the area of pain, allowing for targeted treatment and absorption of the active ingredients.

Clonidine HCl is a medication that is primarily used to treat high blood pressure, but it also has pain-relieving properties. It works by stimulating alpha-2 adrenergic receptors in the brain, which helps to reduce nerve signal transmission and thus decrease pain. The concentration of Clonidine HCl in this formulation is 0.232%.

Deoxy D-Glucose at a concentration of 0.5% is included in the formulation for its potential to interfere with the metabolism of nerve cells, thereby reducing the transmission of pain signals. It is a glucose analog that is taken up by glucose-transporting proteins but is not further metabolized, which can lead to a decrease in cellular activity.

Gabapentin, present at a concentration of 6%, is a medication that is commonly used to treat nerve pain. It works by affecting the way the nerves send messages to your brain, thereby reducing the perception of pain.

Ketamine HCl, at a concentration of 11.5%, is a powerful anesthetic that works by blocking the NMDA receptor, a type of glutamate receptor in the brain and spinal cord that is involved in pain transmission. By blocking this receptor, Ketamine HCl can provide significant pain relief.

Lidocaine HCl, present at a concentration of 5%, is a local anesthetic that works by blocking sodium channels in the nerve cells, preventing the initiation and conduction of nerve impulses. This results in a numbing effect, providing immediate relief from pain.

The combination of these ingredients in a gel formulation allows for easy and precise application, with the active ingredients being absorbed directly into the skin for targeted treatment. This formulation can be used to treat a variety of disease states that involve pain, including neuropathic pain, post-herpetic neuralgia, and complex regional pain syndrome. As always, if you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists and we are here to help.

Other Uses

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This formulation of Clonidine HCl 0.232%/Deoxy D-Glucose 0.5%/Gabapentin 6%/Ketamine HCl 11.5%/Lidocaine HCL 5% Topical Gel is noted for its analgesic and anti-inflammatory properties. Its key active ingredients function synergistically to offer relief from various pain conditions. It is most commonly used for the management of neuropathic pain conditions such as post-herpetic neuralgia, peripheral neuropathy, and trigeminal neuralgia. Additionally, it can effectively manage symptoms in patients with fibromyalgia and other forms of chronic pain.

Aside from its prominent use against pain, there are potential other uses for this topical gel. The inclusion of Clonidine, a medication approved for hypertension, may help mitigate the body's response to stress in patients with conditions such as tics, Tourette syndrome, or hot flashes due to menopause. Additionally, this medication's ability to penetrate the dermal layer might also present a possible application in minimizing symptoms of withdrawal in patients undergoing treatment for opioid dependence, though further research is necessary.

The gabapentin component of the gel has been shown to have an effect on seizures in certain individuals, and its topical administration may reduce some systemic side effects associated with its oral use. While this would not typically be a first-line treatment for such conditions, it may provide added benefit for patients with hard-to-control seizures, especially if they also suffer from neuropathic pain.

Though not a primary indication, the Ketamine HCl component in the formulation could potentially prove beneficial for some psychiatric conditions such as treatment-resistant depression and post-traumatic stress disorder (PTSD), considering its NMDA receptor antagonist property.

It should be noted that these are potential additional uses for the components individually. The formulation as a whole is designed and optimized primarily as a topical analgesic and anti-inflammatory gel for the management of neuropathic and chronic pain. Use of this formulation for any other purposes should always be under the direction of a healthcare provider. It is crucial to recognize the multi-faceted benefits this medication has to offer, but it is equally important to use it responsibly. Understanding the diverse potential uses of this distinct formulation can allow prescribers to custom-fit therapeutic regimens to patients' specific needs.

We encourage any patient or prescriber with more detailed questions about this formulation to reach out to us for a more in-depth consultation regarding its use.

Frequently Asked Questions

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What is the formulation of Clonidine HCl 0.232%/Deoxy D-Glucose 0.5%/Gabapentin 6%/Ketamine HCl 11.5%/Lidocaine HCL 5% Topical Gel?

This is a compounded semisolid formulation containing Clonidine HCl 0.232%, Deoxy D-Glucose 0.5%, Gabapentin 6%, Ketamine HCl 11.5%, and Lidocaine HCL 5%, which facilitates easy and precise application on the skin for targeted treatment or absorption.

How is the medicine administered?

The medication comes in a pump dispenser for easy application on the skin. It's a gel-like substance that is aimed for specific, localized treatment.

Does the gel's consistency affect the absorption of active ingredients?

The gel-like consistency helps to promote optimal absorption due to the fact that the skin tends to absorb formulas in this consistency efficiently, enhancing the effectiveness of the treatment.

Can I use this medication on the whole body?

This formulation is meant for targeted treatment, not whole-body application. It is best to apply this medication only to the areas as directed by your healthcare professional.

What conditions is this medication used to treat?

This customized medication can be used for a range of conditions requiring topical treatment. However, specific usage would depend on the individual patient's needs as determined by their healthcare provider.

Are there any precautions to take while using this medication?

You should always wash your hands before and after applying the gel, and ensure that you apply it only on the recommended area. Avoid contact with eyes or open wounds. Contact your doctor for further advice.

Is there a recommended skin type for using this medication?

No, this medication is suitable for all skin types. However, individuals with sensitive skin or allergies should first consult their healthcare provider before using this product.

Do I need to shake the bottle before using the medication?

No, shaking is not required. The pump dispenser manages the formulation to ensure that the medication is dispensed evenly and consistently for each use.

Can I wear clothes immediately after applying this medication?

It's recommended to allow the medication to dry first before putting on clothing to ensure the gel is thoroughly absorbed and does not transfer onto your clothes.

Does this medication have any side effects?

Like any medication, this formulation could potentially have side effects. If you experience signs of an allergic reaction (such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat), wash off the medication and seek medical attention immediately.

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.

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.

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 HCl 0.232%/Deoxy D-Glucose 0.5%/Gabapentin 6%/Ketamine HCl 11.5%/Lidocaine HCL 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)