This formulation is a compounded topical gel containing Cyclobenzaprine 2%, Diclofenac 3%, Flurbiprofen 3%, Gabapentin 10%, Lidocaine 3%, and Tramadol 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. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms, Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) used to reduce pain and inflammation, Gabapentin is used to manage nerve pain, Lidocaine is a local anesthetic used to numb the skin and relieve pain and discomfort, and Tramadol is an opioid analgesic used to treat moderate to severe pain.
This formulation is particularly beneficial for patients suffering from conditions such as neuropathic pain, musculoskeletal pain, inflammation, and post-herpetic neuralgia. It provides targeted relief by delivering the medication directly to the affected area, reducing systemic side effects often associated with oral medications.

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.
This formulation is a compounded topical gel containing Cyclobenzaprine 2%, Diclofenac 3%, Flurbiprofen 3%, Gabapentin 10%, Lidocaine 3%, and Tramadol 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.
The combination of these six active ingredients provides a multi-modal approach to pain management. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant that is often used to relieve nerve pain. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. Tramadol is an opioid pain medication that works by changing the way your brain and nervous system respond to pain.
This formulation is used to treat various disease states that involve pain and inflammation. It can be used for conditions such as arthritis, nerve pain, muscle pain, and other types of chronic pain. The topical application allows for targeted treatment, reducing systemic side effects often associated with oral medications. It is important to note that this formulation should be used as directed by a healthcare provider, and patients should not apply more than the recommended dose.
As compounding pharmacists, we are able to customize this formulation to meet the specific needs of each patient. This includes adjusting the concentration of each active ingredient, changing the base of the formulation, or adding other active ingredients as needed.
If you have any questions about this formulation, or if you are a healthcare provider interested in prescribing this formulation for your patients, please do not hesitate to reach out to us. We are here to provide you with the information and support you need to make informed decisions about your healthcare.
This formulation is a combination of six active ingredients: Cyclobenzaprine, Diclofenac, Flurbiprofen, Gabapentin, Lidocaine, and Tramadol. Each of these ingredients has its own mechanism of action and potential for drug interactions. It's important to note that this is a topical formulation, which generally results in lower systemic absorption compared to oral administration. However, some systemic absorption can still occur, especially with prolonged use or application to large areas of skin.
Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It may interact with drugs such as monoamine oxidase inhibitors (MAOIs), certain antidepressants, and alcohol, leading to an increased risk of serotonin syndrome, a potentially life-threatening condition.
Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce substances in the body that cause pain and inflammation. They may interact with drugs such as anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. They may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness or increasing the risk of kidney problems.
Gabapentin is an anticonvulsant and nerve pain medication. It may interact with antacids containing aluminum or magnesium, potentially reducing the absorption of gabapentin. It may also interact with opioids, increasing the risk of sedation and respiratory depression.
Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It may interact with drugs such as class I antiarrhythmics and other local anesthetics, potentially leading to additive systemic toxicity.
Tramadol is an opioid pain medication. It may interact with drugs such as MAOIs, certain antidepressants, and other opioids, increasing the risk of serotonin syndrome or opioid toxicity. It may also interact with drugs that induce or inhibit CYP3A4 and CYP2D6 enzymes, potentially affecting the metabolism of tramadol.
This formulation is intended for the management of neuropathic pain, musculoskeletal pain, and inflammation. The combination of these active ingredients allows for a multimodal approach to pain management, targeting different aspects of the pain pathway. It's important to use this medication exactly as directed by your healthcare provider and to inform them of all the medications you are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements.
If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us.
This formulation is a combination of six active ingredients: Cyclobenzaprine, Diclofenac, Flurbiprofen, Gabapentin, Lidocaine, and Tramadol. Each of these ingredients works in a unique way to provide relief from pain and inflammation.
Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Diclofenac and Flurbiprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce substances in the body that cause pain and inflammation. Gabapentin is an anticonvulsant and nerve pain medication that alters the body's electrical activity and calms the nerves, providing relief from nerve pain. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes, thereby reducing pain and discomfort. Tramadol is an opioid pain medication that works by changing the way your brain and nervous system respond to pain.
When applied topically, this formulation allows for targeted treatment. The active ingredients are absorbed through the skin directly into the affected area, providing localized relief from pain and inflammation. This can be particularly beneficial for conditions such as arthritis, nerve pain, muscle pain, and other similar conditions. The gel-like consistency of the formulation allows for easy and precise application, and the pump mechanism ensures that the correct dose is dispensed each time.
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 crucial to use this medication as directed by a healthcare professional, as misuse can lead to serious side effects. If you have any questions about this formulation, don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.
This topical gel is used for the targeted treatment of various symptoms like muscle spasms, inflammation, nerve pain, localized pain, or chronic pain. It contains a combination of active ingredients that are absorbed through the skin directly to the affected area, providing relief.
The gel should be applied to the affected area as directed by your healthcare professional. It should not be rubbed or massaged into the skin. Instead, allow it to be absorbed naturally.
As with any medication, there can be side effects. Some common ones can include skin irritation or a burning sensation at the application site. If you experience any severe side effects or allergic reactions, contact your healthcare provider immediately.
Always consult your healthcare professional before using this gel in conjunction with other medications. They will be able to advise if it is safe to do so based on your individual medical history.
The formulation contains Cyclobenzaprine 2%, Diclofenac 3%, Flurbiprofen 3%, Gabapentin 10%, Lidocaine 3%, and Tramadol 5%.
If you have a history of allergic reactions to any of the ingredients in this formulation, you should not use it unless otherwise directed by your healthcare provider.
The gel-like consistency facilitates easy and precise application on the skin while supporting optimal absorption of the active ingredients.
This formulation is dispensed through a pump mechanism that can help ensure accurate application by delivering a consistent amount of medication with each use.
Individuals allergic to any of the active ingredients or those advised by their healthcare provider not to use this medication should refrain from using this topical gel.
This gel is designed to manage and relieve symptoms but not necessarily cure the condition. It can, however, contribute to improved quality of life and comfort.
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.
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.
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.
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)