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Formulas

Clonidine HCl 0.232%/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

This formulation is a compounded topical gel containing Clonidine HCl 0.232%, 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 pain management, Gabapentin is used for nerve pain and seizures, Ketamine HCl is used for severe pain and anesthesia, and Lidocaine HCl is used for local anesthesia and chronic pain.

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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
Topical Gel
653f11440cdc8ffead905de3

Formula Information

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This formulation is a compounded topical gel containing Clonidine HCl 0.232%, 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. It works by stimulating alpha-2 adrenergic receptors, which can help to reduce nerve signal transmission and thus decrease pain sensation.

Gabapentin is a medication that is commonly used to treat nerve pain and seizures. In this formulation, it is used for its analgesic and anticonvulsant properties. It works by affecting the way the nerves send messages to the brain, which can help to reduce pain sensation.

Ketamine HCl is a medication that is primarily used as a general anesthetic, but in this formulation, it is used for its analgesic and anti-inflammatory properties. It works by blocking the N-methyl-D-aspartate (NMDA) receptor, which plays a key role in pain transmission, thus helping to reduce pain sensation.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in the body. In this formulation, it is used for its analgesic and anti-inflammatory properties. It works by blocking sodium channels in the nerve cells, which can help to reduce pain sensation.

This formulation is typically used to treat various disease states that involve chronic pain, such as neuropathic pain, post-herpetic neuralgia, fibromyalgia, and complex regional pain syndrome. It can also be used to manage pain associated with certain types of cancer and other chronic conditions.

As with any medication, this formulation should be used under the supervision of a healthcare provider. Patients should follow the dosing instructions provided by their healthcare provider and should not apply more than the recommended amount. Side effects can include skin irritation, dizziness, drowsiness, and dry mouth. If any of these side effects persist or worsen, patients should contact their healthcare provider immediately.

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

Drug Interactions

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This compounded formulation contains Clonidine HCl, Gabapentin, Ketamine HCl, and Lidocaine HCl. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important for patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of this medication.

Clonidine HCl is an alpha-2 adrenergic agonist that can interact with other medications that affect blood pressure or heart rate, such as beta-blockers, calcium channel blockers, and other alpha-2 adrenergic agonists. Concurrent use of these medications can lead to additive effects, potentially causing hypotension or bradycardia. Clonidine can also interact with CNS depressants, potentially enhancing their sedative effects.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids containing magnesium or aluminum, as they can reduce the absorption of gabapentin. It's recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin can also enhance the sedative effects of CNS depressants, including opioids, antihistamines, and alcohol.

Ketamine HCl, an NMDA receptor antagonist, can interact with other CNS depressants, potentially enhancing their sedative and respiratory depressant effects. Concurrent use of ketamine with other serotonergic drugs can increase the risk of serotonin syndrome, a potentially life-threatening condition. These drugs include selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and certain dietary supplements.

Lidocaine HCl, a local anesthetic, has fewer potential drug interactions. However, it can interact with other local anesthetics or medications with local anesthetic properties, potentially leading to additive systemic toxicity. Lidocaine can also interact with antiarrhythmic drugs, potentially affecting heart rhythm.

This compounded formulation is designed to provide targeted treatment for various disease states. Clonidine can help manage high blood pressure and attention deficit hyperactivity disorder (ADHD). Gabapentin is used to treat nerve pain and seizures. Ketamine can provide pain relief and has been used off-label for depression. Lidocaine can provide local anesthesia and relieve nerve pain. The combination of these active ingredients in a topical gel allows for targeted application, potentially reducing systemic side effects and drug interactions.

If you have any questions about this formulation or potential drug interactions, please don't hesitate to reach out to us. We're here to help ensure that you can use this medication safely and effectively.

How Does it Work

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This unique formulation combines four active ingredients: Clonidine HCl, Gabapentin, Ketamine HCl, and Lidocaine HCl, each with its own mechanism of action to provide relief from various disease states. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed and exert its effects.

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

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 formulation, Gabapentin is used for its ability to reduce nerve pain.

Ketamine HCl is a medication that is primarily used for starting and maintaining anesthesia. It induces a trance-like state while providing pain relief, sedation, and memory loss. In this formulation, it is used for its potent analgesic (pain-relieving) properties. It works by blocking the NMDA receptors in the brain, which play a key role in pain sensation.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It is used to reduce pain or discomfort caused by skin irritations. In this formulation, Lidocaine HCl is used for its local anesthetic properties, providing immediate relief from pain and discomfort.

The combination of these four active ingredients in a gel formulation allows for targeted treatment. The gel is easily applied to the skin, and the active ingredients are absorbed where they are needed most. This can provide relief from conditions such as neuropathic pain, post-herpetic neuralgia, and other conditions where nerve pain is a primary symptom.

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

Other Uses

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This unique formulation of Clonidine HCl 0.232%, Gabapentin 6%, Ketamine HCl 11.5%, and Lidocaine HCl 5% in a topical gel can also be applied for indications other than those initially stated. Beyond their primary applications, each active ingredient in this formulation offers additional therapeutic benefits that merit discussion.

Clonidine HCl, generally deployed for hypertension, can help manage withdrawal symptoms from opioids and also serves as a therapeutic intervention in attention-deficit hyperactivity disorder (ADHD). Hence, this formulation may be used off-label for treating these conditions topically. Gabapentin, most noted for its role in addressing seizures and nerve pain, has also been associated with relief from restless leg syndrome and certain types of neuropathic pain, potentially extending the formulation's therapeutic capability.

Ketamine HCl, traditionally used for its anesthetic properties, is undergoing growing research for its role in treating stubborn cases of major depression and suicidal ideation. Additionally, Lidocaine HCl provides local anesthetic effects, but is also used in treating ventricular arrhythmia - another potential, off-label use of this formulation.

However, it's crucial to remember that these additional uses require further research and clinical trials to affirm their effectiveness in a topical administration. Patients and prescribers should always consult with a compounding pharmacist or healthcare professional before initiating or modifying treatment plans. The primary purpose of this formulation is for treating the originally stated disease states, and these are not endorsed secondary uses. They are merely tentative, based on existing knowledge about these active ingredients.

Feel free to reach out if you have any questions about this formulation or its potential uses. Our team at Bayview Pharmacy is always eager to assist with comprehensive, accurate pharmaceutical information.

Frequently Asked Questions

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What is the intended use of this compounded formulation?

This formulation is designed to be applied on the skin for targeted treatment or absorption. Its active ingredients, including Clonidine HCl, Gabapentin, Ketamine HCl, and Lidocaine HCl, work together to manage symptoms associated with a range of conditions, such as nerve pain, post-surgical pain, shingles, and other similar health issues.

How do I apply this topical gel?

Thanks to its pump mechanism, this product is easy to dispense and apply to the skin. Simply pump out the prescribed amount and gently rub it into the affected area until fully absorbed.

What is the purpose of each component in the formulation?

Each component in this formulation serves a different role. Clonidine HCl acts as an α2-adrenergic receptor agonist which reduces the release of norepinephrine in the brain, thus having an analgesic effect. Gabapentin helps to control seizures in certain types of epilepsy and can relieve the pain of shingles. Ketamine HCl is a powerful anesthetic while Lidocaine HCl works as a local anesthetic, numbing the skin where the product is applied.

What is the consistency of this topical gel?

This compounded formulation is a semi-solid gel. It is dispensed through a pump mechanism, facilitating easy and precise application on the skin.

How frequently can I apply this product?

You should follow the dosing instructions provided by your healthcare provider, which will be based on your specific needs and condition. It's important not to apply more or less than directed, or to use it more often than prescribed.

What precautions should I take when using this product?

Do not apply this gel on wounded or irritated skin without consulting a healthcare professional. Avoid contact with your eyes, mouth, and other mucous membranes. If you experience any adverse reactions, such as rashes, itching, or swelling, stop using the product and contact your healthcare provider immediately.

Can I use other medications while using this product?

When discussing this medication with your healthcare provider make sure to disclose all other medications you are currently taking. This includes over-the-counter medications as well as any supplements or herbal remedies. This will help prevent any potential drug interactions.

Can this product be used on children?

This topical gel can generally be used on children, but always consult a healthcare professional before use. The dose, frequency, and duration of application may vary depending on the child's age, weight, and medical condition.

What about pregnant and breastfeeding women?

If you're pregnant, planning to become pregnant, or breastfeeding, it is essential to discuss the use of any kind of medication, including this topical gel, with your healthcare professional for directions tailored to your specific situation.

What to do in the event of an overdose?

If you think there has been an overdose, immediately call your poison control center or get medical care right away. Signs of a serious reaction to too much of the drug can include severe skin rash, hives, breathing problems, or unusual sleepiness.

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%/Gabapentin 6%/Ketamine HCl 11.5%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)