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Cyclobenzaprine 2%/Gabapentin 6%/Ketoprofen 10%/Lidocaine 2.5%/Prilocaine 2.5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin
Ketoprofen
Prilocaine Hydrochloride
Cyclobenzaprine Hydrochloride
Lidocaine Hydrochloride

This formulation is a combination of Cyclobenzaprine 2%, Gabapentin 6%, Ketoprofen 10%, Lidocaine 2.5%, and Prilocaine 2.5% in a topical 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 formulation is designed to treat a variety of disease states. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms, Gabapentin is an anticonvulsant and nerve pain medication used to treat seizures and pain caused by shingles. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness caused by arthritis. Lidocaine and Prilocaine are local anesthetics used to numb the skin or surfaces of the body to prevent pain and discomfort during medical procedures.

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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
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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
Ketoprofen
Prilocaine Hydrochloride
Cyclobenzaprine Hydrochloride
Lidocaine Hydrochloride
Topical Gel
653f18708325613ce0887255
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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This formulation is a compounded topical gel containing Cyclobenzaprine 2%, Gabapentin 6%, Ketoprofen 10%, Lidocaine 2.5%, and Prilocaine 2.5%. 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.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain caused by shingles (postherpetic neuralgia). Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lidocaine and Prilocaine are local anesthetics that work by causing temporary numbness/loss of feeling in the skin and mucous membranes. This combination of medications in the formulation works synergistically to provide pain relief, reduce inflammation, and numb the affected area.

This formulation is particularly useful in treating various disease states that involve pain and inflammation. These include conditions like fibromyalgia, neuropathic pain, musculoskeletal pain, and certain types of arthritis. It can also be used to manage pain from certain skin conditions or nerve-related pain conditions. The targeted application of the gel allows for localized treatment, reducing the potential for systemic side effects often associated with oral medications.

It is important for patients and prescribers to understand that this is a compounded medication, meaning it is made specifically for the patient, based on a doctor's prescription. The strength and combination of ingredients can be adjusted to meet the specific needs of the patient. As with any medication, it is important to use this formulation as directed by your healthcare provider, and report any side effects or adverse reactions immediately.

If you have any questions about this formulation, its uses, or how it may benefit you or your patients, 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 a combination of Cyclobenzaprine, Gabapentin, Ketoprofen, Lidocaine, and Prilocaine. Each of these active ingredients has its own mechanism of action and potential for drug interactions. Therefore, it is crucial to consider the potential interactions of each component when using this formulation.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It may interact with monoamine oxidase inhibitors (MAOIs), increasing the risk of serious side effects such as high body temperature, high blood pressure, muscle rigidity, and severe nervous system problems. It may also interact with other CNS depressants, including alcohol, antihistamines, sedatives, and opioids, potentially leading to increased sedation and respiratory depression.

Gabapentin is an anticonvulsant and nerve pain medication. It can interact with antacids containing magnesium or aluminum, potentially reducing the absorption of gabapentin and decreasing its effectiveness. It may also interact with opioids, increasing the risk of sedation and respiratory depression. Therefore, caution should be exercised when using this formulation with these medications.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. It may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with ACE inhibitors, angiotensin II receptor blockers, or diuretics, potentially reducing their effectiveness and increasing the risk of kidney problems.

Lidocaine and Prilocaine are local anesthetics that work by blocking nerve signals in your body. They may interact with other local anesthetics and certain antiarrhythmic drugs (such as amiodarone or mexiletine), potentially leading to additive systemic toxicity. They may also interact with sulfonamide antibiotics, potentially increasing the risk of methemoglobinemia, a serious condition that reduces the amount of oxygen that can be carried in the blood.

This formulation is intended for topical use and is designed to provide targeted treatment for a variety of conditions, including muscle pain, nerve pain, and inflammation. However, even though it is applied topically, it can still be absorbed into the bloodstream and may interact with other medications you are taking. Therefore, it is important to inform your healthcare provider 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 do not hesitate to reach out to us. We are here to provide you with the information you need to use this medication safely and effectively.

How Does it Work

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This formulation is a combination of five active ingredients: Cyclobenzaprine, Gabapentin, Ketoprofen, Lidocaine, and Prilocaine, each with a unique mechanism of action that contributes to the overall therapeutic effect of the formulation. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed and exert its effects locally.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Gabapentin, on the other hand, is an anticonvulsant and nerve pain medication. It is believed to work by affecting the way the body senses pain. It is commonly used to treat nerve pain conditions, such as those caused by herpes zoster virus, or shingles.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. It is used to treat mild to moderate pain, or inflammation caused by arthritis. Lidocaine and Prilocaine are local anesthetics that work by causing temporary numbness/loss of feeling in the skin and mucous membranes. This decreases pain by preventing the initiation and conduction of nerve impulses, thereby producing a local anesthetic action.

The gel formulation allows for easy and precise application of the medication to the affected area. The gel is designed to be absorbed through the skin, delivering the medication directly to the site of pain or inflammation. This targeted approach can provide significant relief from symptoms without the systemic side effects that can occur with oral medications. The pump mechanism allows for controlled dispensing of the medication, ensuring that the correct dose is applied each time.

This formulation is particularly useful in treating conditions such as neuropathic pain, arthritis, muscle spasms, and other conditions where inflammation, nerve pain, and muscle tension are present. By combining multiple active ingredients, this formulation can address multiple symptoms at once, providing comprehensive relief.

If you have any questions about this formulation, its uses, or how it works, 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 customized topical gel formulation with Cyclobenzaprine, Gabapentin, Ketoprofen, Lidocaine, and Prilocaine has been primarily designed with the intention of treating localized pain conditions. Though it's regularly used in conditions such as nerve pain, protein pain, fibromyalgia, and pain secondary to musculoskeletal conditions, there are other potential uses for this formulation.

Given its anti-inflammatory, anesthetic, and muscle relaxant components, this formulation could be used in a broader scope to manage various pain-related conditions. Furthermore, the presence of Lidocaine and Prilocaine, which are local anesthetics, indicates that this formulation could also be potentially used to provide localized numbness before certain minor surgical and non-surgical procedures. These may include skin grafts, sutures, or needle insertion procedures where a localized anesthetic effect is desired. However, these uses ought to be on the indication and supervision of a trained healthcare provider.

The combination of Gabapentin and Cyclobenzaprine may also help for nerve-related conditions, potentially including neuropathic itch or certain types of headaches, again on recommendation of a healthcare provider. Additionally, due to its anti-inflammatory effect from Ketoprofen, the gel could be beneficial in the management of certain dermatological conditions with an inflammatory component, such as eczema or dermatitis. However, this use should also be carefully considered by a healthcare provider, due to potential skin sensitivities.

If you are considering using this formulation for an alternative use, it is imperative to discuss this thoroughly with your healthcare provider first. This will ensure the suitability of the formulation for your specific condition and safety profile. It is important to remember that this medication is potent and may have side effects or interactions, hence it should be used under the appropriate supervision. If you have any further questions or wish to discuss potential other uses of this formulation, please reach out to us at Bayview Pharmacy. As a team of specialized compounding pharmacists, we are available to provide tailored advice and guidance to suit your individual needs.

Frequently Asked Questions

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What is the formulation of Compounded Cyclobenzaprine 2%/Gabapentin 6%/Ketoprofen 10%/Lidocaine 2.5%/Prilocaine 2.5% Topical Gel?

This formulation is a semisolid compound that includes Cyclobenzaprine (2%), Gabapentin (6%), Ketoprofen (10%), Lidocaine (2.5%), and Prilocaine (2.5%). It's dispensed through a pump mechanism for easy and precise skin application.

What is the purpose of this compounded medication?

This medication is used for targeted treatment or absorption of its active ingredients direct on the skin. It’s designed to manage different conditions like muscle pain, neuropathic pain, inflammation, and numbing certain areas of the skin.

How should I apply this compounded topical gel?

This gel should be gently applied to the affected area in the amount and frequency as directed by your healthcare provider. Thanks to its pump mechanism, it ensures easy and precise application.

What is the consistency of this formulation?

This formulation is a gel-like consistency which facilitates easy and comfortable application on the skin while ensuring uniform distribution of the active ingredients.

What makes this formulation unique?

This compounded medication combines the effects of five active ingredients in a single formulation. The pump mechanism also aids precision and ease of use, reducing the chances of dosage errors.

Can I use this formulation if I am allergic to one of the components?

No, you should avoid use if you are allergic to any of the components. If you're unsure, consult with your healthcare provider.

Should I use this medication if I'm pregnant?

If you're pregnant or breastfeeding, it's crucial to discuss the use of this medication with your healthcare provider. They will assess the risk/benefit balance based on your specific conditions.

Can this compounded medication be used in children?

The use of this compounded medication in children should be prescribed by a qualified healthcare provider who determines that the potential benefit justifies the risk to the child.

What should I do in case of an overdose?

If you believe you have applied too much of this compounded medication, contact a healthcare provider immediately. Overuse may lead to increased risk of side effects.

Are there any storage instructions for this formulation?

Store this gel in a cool, dry place out of direct sunlight. Remember to keep it out of reach from children and pets.

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.

Cyclobenzaprine 2%/Gabapentin 6%/Ketoprofen 10%/Lidocaine 2.5%/Prilocaine 2.5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Before procedure