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Cyclobenzaprine HCl 0.5%/Ketoprofen 5%/Lidocaine HCl 10% Transdermal Gel

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

This formulation is a combination of Cyclobenzaprine HCl 0.5%, Ketoprofen 5%, and Lidocaine HCl 10% 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.

The Cyclobenzaprine HCl acts as a muscle relaxant, reducing muscle spasms and providing relief from associated pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that helps to reduce inflammation and pain. Lidocaine HCl is a local anesthetic that provides numbing effects to alleviate pain.

This formulation is used to treat various disease states including musculoskeletal conditions such as muscle sprains, strains, and spasms, as well as conditions involving inflammation and pain. It can also be used for localized neuropathic pain conditions.

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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
Ketoprofen
Lidocaine Hydrochloride
Topical Gel
653f34f1dc1d8e4ef3e87d7c

Formula Information

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This formulation is a combination of Cyclobenzaprine HCl 0.5%, Ketoprofen 5%, and Lidocaine HCl 10% in a transdermal gel. 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, tenderness, and limited motion caused by acute, painful musculoskeletal conditions. The inclusion of this ingredient in the formulation helps to alleviate muscle-related discomfort.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that 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 conditions such as arthritis. The presence of Ketoprofen in the formulation provides anti-inflammatory and analgesic effects, helping to reduce pain and inflammation in the area where the gel is applied.

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. In this formulation, Lidocaine HCl acts as a local anesthetic, providing immediate relief from pain and discomfort.

This formulation is designed to provide targeted relief from pain and inflammation. It is important to use this medication as directed by your healthcare provider, and to not use it on broken or irritated skin. If you have any questions about this formulation or how to use it, please 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 formulation contains three active ingredients: Cyclobenzaprine HCl, Ketoprofen, 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.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. It can interact with blood thinners, such as warfarin, increasing the risk of bleeding. It can also interact with other NSAIDs, corticosteroids, and alcohol, increasing the risk of gastrointestinal bleeding. Additionally, it can interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), and diuretics, potentially reducing their effectiveness and increasing the risk of kidney damage.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It can interact with other local anesthetics and antiarrhythmic drugs, potentially leading to increased systemic absorption and toxicity. It can also interact with drugs that inhibit cytochrome P450 3A4 enzymes, potentially increasing the risk of systemic toxicity.

This formulation is designed to treat various disease states. Cyclobenzaprine HCl can help relieve muscle spasms associated with acute musculoskeletal conditions. Ketoprofen can help reduce pain and inflammation associated with arthritis, tendinitis, bursitis, and gout. Lidocaine HCl can help relieve pain associated with post-herpetic neuralgia, minor burns, abrasions, and cuts.

It's important to inform your healthcare provider about all the medications you're currently taking, including prescription and over-the-counter drugs, vitamins, and herbal supplements, to avoid potential drug interactions. If you have any questions about this formulation or its potential interactions, don't hesitate to reach out to us at Bayview Pharmacy.

How Does it Work

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The Cyclobenzaprine HCl 0.5%/Ketoprofen 5%/Lidocaine HCl 10% Transdermal Gel is a unique formulation that combines the therapeutic benefits of three active ingredients. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to provide targeted treatment.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. When applied topically in a gel formulation, it can provide targeted relief to specific areas of the body.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is commonly used to relieve pain, swelling, and joint stiffness caused by arthritis. In this formulation, it is absorbed through the skin to provide localized relief from these symptoms.

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. In this formulation, it provides immediate, localized pain relief.

The gel formulation allows for easy and precise application of the medication. The active ingredients are suspended in a semisolid base, which is dispensed through a pump mechanism. This allows for a controlled amount of medication to be applied to the skin, reducing the risk of overuse or misuse. The gel-like consistency also ensures that the medication stays in place, providing targeted treatment to the affected area.

By combining the muscle relaxant properties of Cyclobenzaprine HCl, the anti-inflammatory benefits of Ketoprofen, and the anesthetic effects of Lidocaine HCl, it provides comprehensive treatment in a convenient, easy-to-use format.

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

Other Uses

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This transdermal gel formulation - Cyclobenzaprine HCl 0.5%/Ketoprofen 5%/Lidocaine HCl 10% - is primarily known and prescribed for its targeted treatment benefits in alleviating localized pain, inflammation, and discomfort from several disease states. Yet, this formulation could have additional uses beyond its primary prescription.

For example, it could be used off-label for managing pain conditions not necessarily related to inflammation. Due to the analgesic properties of Lidocaine and Cyclobenzaprine, it has the potential to be used to alleviate localized pain resulting from conditions such as minor burns, sunburns, and insect bites. However, please note that it's necessary to get your doctor's advice before using this formulation for these purposes as its safety and efficacy for these indications have not been formally studied.

Another potential off-label use may be as a preemptive topical analgesic before minor invasive procedures such as needle insertion or minor skin surgeries. It could potentially numb the skin surface and alleviate procedure-related pain because Lidocaine HCl is a local anesthetic, and Ketoprofen can contribute to reducing inflammation post-procedure. Again, this should only be done under the guidance of a healthcare professional.

The gel can also be considered in managing some types of localized neuropathic pain. Lidocaine has been frequently applied in cases of postherpetic neuralgia or diabetic neuropathy to numb the area and provide relief. Adding Cyclobenzaprine and Ketoprofen may enhance analgesia and manage any accompanying inflammation or muscle spasm. Always consult with your healthcare provider before using the gel for these conditions to avoid any unwanted effects.

While these alternate uses offer other avenues for addressing discomfort and pain, any off-label use or modification in prescription should only be attempted under the careful guidance of a healthcare professional, considering the potential risks.

If you have any questions about this medication, including further potential uses or if you are experiencing side-effects, do reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of this compounded formulation?

This formulation is intended to provide targeted treatment for specific bodily discomforts by facilitating easy and precise application on the skin. Active ingredients contained within the formulation, including Cyclobenzaprine HCl 0.5%, Ketoprofen 5%, and Lidocaine HCl 10%, work to address inflammation, pain, and muscle spasms respectively.

How do I apply this gel?

The gel is dispensed through a pump mechanism, which allows for easy application on the skin. Simply pump the desired amount onto your finger, then apply to the targeted area by massaging gently until the gel is absorbed.

Is it safe for all skin types?

This compounded formulation has been thoroughly tested, however, those with sensitive skin or allergies to any of the active ingredients should avoid use or consult a healthcare provider before use.

Can this gel be used to treat all types of pain?

While this formulation does contain active ingredients known for their pain-relieving properties, it is not intended to treat all types of pain and discomfort. Always consult your healthcare provider for appropriate medications or treatments for your specific condition.

How quickly does this formulation absorb into the skin?

The gel-like consistency of this formulation facilitates quick and easy absorption into the skin. However, the actual rate of absorption may vary depending on the individual's skin type and the specific area of application.

What are the side effects of this compounded formulation?

Potential side effects could include skin irritation or allergic reaction to any of the active ingredients. If you experience any discomfort or adverse reactions, discontinue use immediately and consult your healthcare provider.

Can this formulation be used along with other topical medications?

As with any other medication, it is recommended to consult your healthcare provider before combining this formulation with other topical medications to avoid any possible interactions.

Is the pump mechanism easy to use?

Yes, the pump mechanism of this formulation was designed for easy use, facilitating a precise amount of gel to be dispensed each time.

Do I need a prescription to buy this compounded formulation?

Yes, a prescription is required for this formulation as it contains potent active ingredients intended for targeted treatment. Always consult your healthcare provider before starting any new medication.

Does the formulation have any fragrance?

This formulation does not contain any added fragrance, hence should not produce any notable scent once applied to the skin. However, minor odors from the active ingredients might be detected.

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 0.5%/Ketoprofen 5%/Lidocaine HCl 10% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)