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Cyclobenzaprine HCL 1%/Diclofenac Sodium 8%/Lidocaine HCL 10% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Lidocaine Hydrochloride

This formulation is a combination of Cyclobenzaprine HCL 1%, Diclofenac Sodium 8%, and Lidocaine HCL 10% 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 used to treat a variety of disease states. Cyclobenzaprine HCL is a muscle relaxant that helps to relieve muscle spasms, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation, and Lidocaine HCL is a local anesthetic that causes temporary numbness or loss of sensation in the area of application. This combination is often used to manage conditions such as arthritis, muscle pain, joint pain, and post-surgical 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.
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Lidocaine Hydrochloride
Topical Gel
653f6cc66b4a75e2e3699fe5

Formula Information

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This formulation is a combination of Cyclobenzaprine HCL 1%, Diclofenac Sodium 8%, and Lidocaine HCL 10% in a topical gel form. 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 HCL is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is commonly used to treat muscle spasms and to relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. It is used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis.

Lidocaine HCL is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used on the skin to stop itching and pain from certain skin conditions (e.g., scrapes, minor burns, eczema, insect bites) and to treat minor discomfort and itching caused by hemorrhoids and certain other problems of the genital/anal area (e.g., anal fissures, itching around the vagina/rectum).

Together, these three active ingredients provide a comprehensive approach to pain management, addressing not only the symptoms of pain but also the underlying causes. The topical application allows for targeted treatment, reducing the risk of systemic side effects often associated with oral medications. It is important to use this medication as directed by your healthcare provider, and to not use more than the recommended dose.

If you have any questions about this formulation, its uses, or how to apply it, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to assist you.

Drug Interactions

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This formulation contains three active ingredients: Cyclobenzaprine HCL, Diclofenac Sodium, and Lidocaine HCL. Each of these ingredients can interact with other medications, potentially altering their effects or increasing the risk of adverse reactions.

Cyclobenzaprine HCL is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It can interact with monoamine oxidase inhibitors (MAOIs), increasing the risk of serious side effects such as high fever, severe headache, stiff muscles, and confusion. It can also interact with other central nervous system depressants, including alcohol, barbiturates, benzodiazepines, and narcotics, potentially leading to increased sedation and respiratory depression.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces substances in the body that cause pain and inflammation. It can interact with other NSAIDs, increasing the risk of gastrointestinal bleeding. It can also interact with blood thinners, such as warfarin, increasing the risk of bleeding. Additionally, it can interact with certain blood pressure medications, potentially reducing their effectiveness.

Lidocaine HCL is a local anesthetic that works by blocking nerve signals in your body. It can interact with other local anesthetics, potentially leading to increased systemic absorption and toxicity. It can also interact with certain heart medications, such as beta-blockers and calcium channel blockers, potentially affecting heart rhythm.

This formulation is designed to be applied topically, which can reduce the risk of systemic interactions. However, systemic absorption can still occur, especially if the formulation is applied over large areas of the body, on broken or inflamed skin, or under occlusive dressings. Therefore, it's important to use this formulation 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.

This formulation is used to treat various disease states. Cyclobenzaprine HCL can help relieve muscle spasms associated with acute musculoskeletal conditions. Diclofenac Sodium can help reduce pain and inflammation associated with arthritis and other inflammatory conditions. Lidocaine HCL can provide local anesthesia, helping to numb the skin and underlying tissues. By combining these ingredients in a single formulation, it's possible to target multiple symptoms at once, potentially improving treatment outcomes.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us.

How Does it Work

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This formulation combines three active ingredients: Cyclobenzaprine HCL, Diclofenac Sodium, and Lidocaine HCL, each with a unique mechanism of action to provide relief from pain and inflammation. The gel is designed to be applied topically, directly to the skin, where it can be absorbed and exert its effects locally. This targeted approach helps to minimize systemic side effects that can occur with oral medications.

Cyclobenzaprine HCL 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. It is commonly used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis. Lidocaine HCL is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used on the skin to stop itching and pain from certain skin conditions (e.g., scrapes, minor burns, eczema, insect bites) and to treat minor discomfort and itching caused by hemorrhoids and certain other problems of the genital/anal area.

The gel formulation allows for easy and precise application, and the pump mechanism ensures that the correct dose is dispensed each time. The gel is absorbed through the skin, directly targeting the area of pain or inflammation. This targeted approach helps to minimize systemic side effects that can occur with oral medications. The gel formulation also provides a cooling effect on the skin, which can provide additional relief from symptoms.

It's important to note that while this formulation can provide significant relief from pain and inflammation, it is not a cure for the underlying conditions causing these symptoms. It should be used as part of a comprehensive treatment plan, under the supervision of a healthcare provider. As with any medication, it's important to use this formulation as directed, and to communicate any side effects or concerns to your healthcare provider promptly.

If you have any questions about this formulation, or if you would like more information about how it can be used in your treatment plan, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Other Uses

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This formulated compound comprising Cyclobenzaprine HCL 1%, Diclofenac Sodium 8%, and Lidocaine HCL 10% in a topical gel form, while primarily designed for treating various painful conditions, can also be used for a range of other purposes in accordance with healthcare recommendations. The multimodal synergistic action of the drugs potentially allows the compound to be effective in multiple disease states, thus broadening its application and usage. Please note that these uses should only be considered based on professional medical advice and diagnosis.

In addition to its most common use for treating musculoskeletal pains, strains, and sports injuries, this formulation may provide symptomatic relief for neuropathic pain disorders. It could potentially be used for the management of neuralgias, diabetic neuropathy, and post-herpetic neuralgia. The Lidocaine in the compound serves as a local anesthetic, providing immediate relief from pain and stinging sensations, while the Cyclobenzaprine acts to relax muscle spasms and the Diclofenac Sodium provides long-acting relief from inflammation and pain. Thus, the compound may serve as a comprehensive pain management solution in these cases.

The gel form, being skin-friendly, and dispensed through a pump mechanism for easy application, it could be used to manage symptoms in disease states involving the skin. For instance, it might be effective in providing relief in superficial burns or sunburns. Lidocaine's anesthetic properties will numb the pain, and Diclofenac Sodium's anti-inflammatory properties may help reduce swelling and inflammation.

Moreover, the compound may have off-label uses such as treating pain from certain invasive medical procedures or helping manage symptoms in certain dermatological conditions. However, it is important to emphasize that these uses should be considered only on the recommendation and under the guidance of a healthcare professional.

Certain precautions are necessary while using this compound. Since it includes both a muscle relaxant and an anti-inflammatory agent, use in patients with known hypersensitivity to any ingredients or those with severe cardiac, hepatic, or renal insufficiency should be avoided. Also, it is not recommended for use in children or pregnant or breastfeeding women, unless under strict medical supervision. Potential side effects could include drowsiness, dizziness, upset stomach, blurry vision, or skin irritation at the application site. In case it happens, it is advisable to consult with a healthcare professional immediately.

If you have further questions or require more information about this product, do not hesitate to reach out to us at Bayview Pharmacy. We as a team of knowledgeable compounding pharmacists are at your service to provide the most accurate information and to assist you in the best way possible.

Frequently Asked Questions

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What is the purpose of this formulation of Cyclobenzaprine HCL 1%/Diclofenac Sodium 8%/Lidocaine HCL 10% Topical Gel?

This topical gel is used to deliver targeted treatment to areas of pain or discomfort. The active ingredients – Cyclobenzaprine HCL, Diclofenac Sodium, and Lidocaine HCL – are all analgesics that work to reduce pain and inflammation at the site of application.

How do I use this gel?

The gel is designed to be applied directly to the skin over the area where you are experiencing pain. Apply as directed by your health care provider.

What is the pump mechanism for?

How often can I use this gel?

Instructions regarding the frequency of use will be provided by your doctor, but since this is a topical medication, it may be used more frequently than oral analgesics. It is important to follow the instructions provided with your medication.

Can I use this gel anywhere on my body?

The gel should only be used on areas as directed by your healthcare provider. Applying the gel on open wounds, sensitive areas, or mucous membranes should be avoided.

Are there any side effects associated with this gel?

As with any medication, this gel may cause side effects. Common ones include skin irritation at the site of application. Other less common potential side effects can include systemic issues related to the active ingredients such as gastrointestinal problems, rash, dizziness, and lightheadedness. Contact your doctor if you experience any unusual symptoms.

What should I do if I miss a dose?

If you miss a dose, you should apply it as soon as you remember. If it's close to the time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Can this gel interact with other medications I am currently taking?

Yes, this gel can potentially interact with other medications. Therefore, it is of utmost importance to discuss all medications, including over-the-counter products and supplements, that you are using with your doctor.

What should I do if I accidentally apply too much of this gel?

If you accidentally apply too much, you should contact your healthcare provider immediately. You may receive instructions to rinse the area thoroughly.

How should I store this gel?

The gel should be stored at room temperature, away from direct sunlight and heat. Keep out of reach from children and pets. Do not use this medication past its expiration date.

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 HCL 1%/Diclofenac Sodium 8%/Lidocaine HCL 10% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)