Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Cyclobenzaprine 0.5%/Diclofenac Sodium 5% Transdermal Gel

This formulation is a combination of Cyclobenzaprine 0.5% and Diclofenac Sodium 5% in a 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.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. The combination of these two active ingredients is used to treat muscle spasms, inflammation, and pain associated with various disease states.

View more
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, NY, NJ, NH, FL and ME.
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.
Starting at
I'm a Patient
Get Started
This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.

Prescriber? Sign in or create an account 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.
Diclofenac Sodium
Cyclobenzaprine Hydrochloride
Topical Gel
653ed0b7bbd225b6581707e4

Formula Information

A small arrow pointing down

This formulation combines two active ingredients, Cyclobenzaprine and Diclofenac Sodium, in a transdermal gel. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces substances in the body that cause pain and inflammation. The combination of these two ingredients provides both pain relief and muscle relaxation.

The gel is a semisolid formulation that is dispensed through a pump mechanism. This allows for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed directly into the targeted area, providing localized treatment. This can be particularly beneficial for conditions that affect specific areas of the body, such as arthritis or muscle strains.

As a transdermal gel, this formulation bypasses the digestive system, reducing the risk of gastrointestinal side effects often associated with oral NSAIDs. It also allows for a steady release of medication over time, providing prolonged relief. However, it's important to note that while this formulation can provide significant relief from pain and inflammation, it does not cure the underlying condition causing these symptoms.

Patients using this formulation should apply it as directed by their healthcare provider, typically to the affected area up to four times daily. It's important to wash hands thoroughly after application to avoid accidental contact with eyes or other sensitive areas. Side effects may include skin irritation at the application site. If these persist or worsen, or if you experience any other adverse effects, contact your healthcare provider immediately.

Prescribers should consider this formulation for patients who require targeted, localized treatment for pain and inflammation, particularly those who may be at risk for gastrointestinal complications from oral NSAIDs. As with any medication, it's important to consider the patient's overall health status, other medications, and potential drug interactions when prescribing this formulation.

If you have any questions about this formulation, or if you need further information, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

A small arrow pointing down

Cyclobenzaprine and Diclofenac Sodium are both medications that can interact with other drugs, potentially leading to adverse effects. Cyclobenzaprine, a muscle relaxant, can interact with drugs such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and other central nervous system depressants. These interactions can lead to an increased risk of serotonin syndrome, a potentially life-threatening condition. It is important to inform your healthcare provider if you are taking any of these medications.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), can interact with drugs such as aspirin, other NSAIDs, and blood thinners. These interactions can increase the risk of gastrointestinal bleeding and ulcers. Additionally, Diclofenac Sodium can interact with certain blood pressure medications, potentially reducing their effectiveness. It is crucial to inform your healthcare provider if you are taking any of these medications.

Both Cyclobenzaprine and Diclofenac Sodium can interact with alcohol, leading to an increased risk of side effects such as dizziness, drowsiness, and difficulty concentrating. It is recommended to avoid or limit the use of alcohol while using this formulation.

This formulation is designed to treat conditions such as muscle spasms and inflammation associated with conditions like arthritis. The Cyclobenzaprine component works by blocking nerve impulses (or pain sensations) that are sent to your brain, thereby reducing muscle spasms. The Diclofenac Sodium component works by reducing substances in the body that cause pain and inflammation.

It is important to use this medication exactly as prescribed by your healthcare provider. The gel should be applied to the affected area in the amount directed, typically three or four times daily. Avoid applying the gel to broken, damaged, or irritated skin. Also, avoid getting the medication in your eyes, nose, or mouth.

If you have any questions about this formulation or its potential interactions with other drugs, please do not hesitate to reach out to us. We are here to provide you with the most accurate and up-to-date information to ensure your safety and the effectiveness of your treatment.

How Does it Work

A small arrow pointing down

The Cyclobenzaprine 0.5%/Diclofenac Sodium 5% Transdermal Gel is a unique formulation that combines the muscle relaxant properties of Cyclobenzaprine and the anti-inflammatory and analgesic effects of Diclofenac Sodium. This formulation is designed to be applied topically, directly to the skin, where it can be absorbed into the underlying tissues to provide targeted relief from pain and inflammation.

Cyclobenzaprine, a muscle relaxant, works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is primarily used to treat muscle spasms and to relieve pain, stiffness, or discomfort caused by strains, sprains, or injuries to your muscles. When applied topically in a gel formulation, Cyclobenzaprine can provide targeted relief right where it's needed, without the systemic side effects that can occur with oral administration.

Diclofenac Sodium, on the other hand, is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. It is commonly used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis. When combined with Cyclobenzaprine in a transdermal gel, Diclofenac Sodium can provide powerful, targeted relief from pain and inflammation.

The gel formulation is designed to be easily dispensed through a pump mechanism, allowing for precise application. The gel-like consistency ensures that the medication stays where it's applied, providing targeted treatment right at the source of the pain. This can be particularly beneficial for conditions like arthritis, where the pain is often localized to specific joints.

It's important to note that while this formulation can provide significant relief from pain and inflammation, it's not a cure for the underlying conditions causing these symptoms. It's also important to use this medication as directed by your healthcare provider, and to let them know if your symptoms do not improve, or if they get worse.

If you have any questions about the Cyclobenzaprine 0.5%/Diclofenac Sodium 5% Transdermal Gel, or if you would like more information about how it works, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

Other Uses

A small arrow pointing down

The transdermal gel formulation of Cyclobenzaprine 0.5%/Diclofenac Sodium 5% in addition to treating local pain and inflammation could potentially be used for other off-label purposes. While this preparation is usually prescribed for conditions such as musculoskeletal pain or inflammation, in the neck or back, certain types of arthritic conditions, muscle spasms or strains, and other ailments where muscle relaxation and anti-inflammatory properties are beneficial, it might have more uses.

Some prescribers have found use for this compound in treating symptoms related to fibromyalgia, a condition characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. It works by decreasing the nerve signals sending pain messages to the brain. However, it's important for patients to discuss this off-label use with their healthcare provider before commencing treatment, as each individual's condition and response to medication may vary.

Some studies suggest that the combination of Cyclobenzaprine and Diclofenac Sodium could potentially be utilized for their synergistic effects in cases of tension headaches, migraines, or certain post-surgical pain scenarios. Research has demonstrated that this combination can be beneficial due to the muscle-relaxant and anti-inflammatory effects that ease the muscle tension often associated with these types of conditions.

In a topical gel formulation, it allows for localized treatment limiting systemic exposure and therefore decreasing the associated systemic side effects. As a result, this formulation can be used for off-label applications requiring localized muscle relaxation and anti-inflammatory effect.

Regardless, the balance of the medication's benefits against its potential for harm must be weighed carefully for each patient. Close monitoring for side effects is always necessary, particularly when used off-label. Therefore, consultation with healthcare providers is always advised before starting any new medication regimen, including the use of this formulation. If you have any questions about the uses of Cyclobenzaprine 0.5%/Diclofenac Sodium 5% Transdermal Gel, please don't hesitate to reach out to us the pharmacy team at Bayview Pharmacy.

Frequently Asked Questions

A small arrow pointing down

What is this compounded formulation of Cyclobenzaprine 0.5%/Diclofenac Sodium 5% Transdermal Gel?

It is a semisolid formulation which contains 0.5% Cyclobenzaprine and 5% Diclofenac Sodium. It is dispensed through a pump for easy application on targeted skin areas.

How should this product be used?

This product should be applied topically on the skin in the affected area. Its unique pump mechanism allows for precise dosage and easy application.

What is the consistency of this gel?

The consistency of this gel is semisolid, similar to other topical gels. It is not greasy and absorbs quickly into the skin.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Cyclobenzaprine and Diclofenac Sodium. Cyclobenzaprine is a muscle relaxant, while Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID).

What is the purpose of the pump mechanism in this formulation?

The pump mechanism is designed to facilitate easy and precise application on the skin while dispensing a controlled amount of the formulation for each use.

How does this formulation work?

This formulation works by delivering the active ingredients topically and directly to the targeted area. The NSAID helps to reduce inflammation, while the muscle relaxant works to ease muscle tension.

What conditions can this formulation be used to treat?

This formulation can help relieve inflammation, pain, and muscle spasms, especially in conditions like arthritis or after surgical procedures. However, you should always use it under the guidance of a healthcare provider.

How often should I use this gel?

The appropriate frequency of use will depend on your individual medical condition and the advice of your healthcare provider. Always follow the instructions given to you by your healthcare provider.

Is this transdermal gel safe for everyone?

While this gel is safe for most adults when used as directed by a healthcare provider, it may not be suitable for everyone. People with known allergies to Cyclobenzaprine, Diclofenac Sodium, or any of the other ingredients in the formulation should not use it. Always discuss your medical history with your healthcare provider before starting a new treatment.

What should I do if I experience any side effects?

If you experience any unexpected symptoms or side effects after use, such as skin irritation or a rash, you should stop using the product immediately and reach out to your healthcare provider.

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, NY, NJ, NH, FL, and ME. 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.

Cyclobenzaprine 0.5%/Diclofenac Sodium 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)