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Cyclobenzaprine HCl 1%/Ibuprofen 1%/Ketoprofen 5% Transdermal Gel

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

This formulation is a combination of Cyclobenzaprine HCl 1%, Ibuprofen 1%, and Ketoprofen 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.

The formulation is designed to treat a variety of disease states. Cyclobenzaprine HCl is a muscle relaxant used to alleviate symptoms of muscle spasms. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that helps to reduce pain, inflammation, and fever. Ketoprofen, another NSAID, is used for its analgesic and anti-inflammatory properties. Together, these ingredients work synergistically to provide relief from conditions such as arthritis, back pain, strains, sprains, and other painful musculoskeletal 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
Ibuprofen
Ketoprofen
Topical Gel
653f6e33abfd15d10c08214e

Formula Information

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This formulation is a unique combination of Cyclobenzaprine HCl 1%, Ibuprofen 1%, and Ketoprofen 5% 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 ensures that the active ingredients are absorbed directly into the targeted area, providing localized relief.

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. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. It is used to reduce pain, inflammation, and stiffness caused by many conditions, including arthritis, bursitis, and gout attacks. Ketoprofen is another 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 arthritis.

The combination of these three active ingredients in a transdermal gel allows for targeted treatment. The gel is applied directly to the area of pain or inflammation, allowing the active ingredients to be absorbed directly into the affected area. The transdermal gel also allows for a lower dose of each active ingredient, reducing the risk of side effects.

It's important to note that while this formulation can provide significant relief for many patients, it may not be suitable for everyone. Patients with certain medical conditions or who are taking certain other medications may not be able to use this formulation. Always consult with your healthcare provider before starting any new medication.

If you have any questions about this formulation, or if you would like more information, please don't hesitate to reach out to us. 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, Ibuprofen, and Ketoprofen. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Ibuprofen and Ketoprofen are nonsteroidal anti-inflammatory drugs (NSAIDs) that reduce hormones that cause inflammation and pain in the body. Together, these ingredients work to relieve pain and inflammation, and relax muscles in the applied area.

It's important to be aware of potential drug interactions when using this formulation. Cyclobenzaprine HCl can interact with other medications that cause drowsiness such as opioid pain or cough relievers, alcohol, marijuana, drugs for sleep or anxiety, other muscle relaxants, and certain antihistamines. Additionally, it can interact with drugs that affect serotonin levels in your body, such as certain types of antidepressants, which can lead to a serious condition called serotonin syndrome.

Ibuprofen and Ketoprofen can interact with certain medications such as blood thinners, corticosteroids, and other NSAIDs, which can increase the risk of bleeding. They can also interact with certain blood pressure medications and diuretics, potentially reducing their effectiveness. Furthermore, they can interact with lithium and methotrexate, increasing the blood levels and effects of these drugs.

It's crucial to inform your doctor or pharmacist about all the products you use, including prescription drugs, nonprescription drugs, and herbal products, before starting treatment with this formulation. Also, while using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.

While this formulation is designed for transdermal use and is less likely to interact with oral medications or cause systemic side effects, it's still possible, especially if used over large areas of skin or for prolonged periods. Therefore, it's important to use this medication exactly as directed by your healthcare provider, and not to use more of it, use it more often, or use it for a longer time than prescribed.

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

How Does it Work

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The Cyclobenzaprine HCl 1%/Ibuprofen 1%/Ketoprofen 5% Transdermal Gel is a unique formulation that combines the therapeutic benefits of three active ingredients, each with a distinct mechanism of action, to provide targeted relief from pain and inflammation. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the underlying tissues to exert its therapeutic effects.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. When applied topically, Cyclobenzaprine HCl can provide targeted relief by relaxing the affected muscles and reducing muscle spasm.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. When applied topically, Ibuprofen can provide localized relief from pain and inflammation by inhibiting the production of prostaglandins, substances in the body that cause inflammation and increase pain sensitivity.

Ketoprofen is another NSAID that works similarly to Ibuprofen. It also inhibits the production of prostaglandins to reduce inflammation and pain. However, Ketoprofen is often used for its potent analgesic effects, providing additional pain relief in this formulation.

The gel formulation allows for easy and precise application, ensuring that the active ingredients are delivered directly to the area of pain or inflammation. This targeted approach not only enhances the effectiveness of the treatment but also minimizes systemic absorption, reducing the risk of potential side effects commonly associated with oral administration of these drugs.

This formulation is particularly beneficial for patients suffering from conditions such as arthritis, muscle sprains and strains, and other conditions characterized by pain and inflammation. By providing targeted relief, this formulation can significantly improve the quality of life for these patients, allowing them to continue with their daily activities with minimal discomfort.

If you have any questions about this formulation, or if you would like more information on how it can benefit 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.

Other Uses

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This compounded formulation of Cyclobenzaprine HCl, Ibuprofen, and Ketoprofen transdermal gel is primarily used for its anti-inflammatory and muscle relaxant properties. It is typically utilized to alleviate discomfort and pain associated with inflammatory conditions, soft tissue injuries, or muscle spasms. However, this product may have alternative uses depending on the individual needs of the patient and clinician’s discretion.

Apart from treating localized pain and inflammation, this three-drug combination may also be potentially beneficial for patients suffering from neuropathic pain conditions like postherpetic neuralgia and peripheral neuropathy. Antibiotic properties of ibuprofen may help manage any associated bacterial infections. Additionally, the muscle relaxant properties of Cyclobenzaprine can potentially be useful for mitigating muscle-associated issues like muscle tension headaches or bruxism.

The transdermal route of administration offers some advantages over other forms. This formulation could provide ease of administration, targeted drug delivery, reduced systemic side effects, and constant release of the medication. Therefore, this formulation might be a valuable option for individuals for whom oral treatment is not suitable, such as the elderly or those with swallowing issues, stomach problems, or liver disease.

While these potential applications are plausible, personalized medical advice should always be sought before using this medication for indications other than those it was originally intended for. It is crucial to remember that individual reactions to medications can vary. Please consult with your healthcare provider to better understand if this drug is an appropriate therapeutic choice for you.

Anyone considering the use of this specially compounded medication for other treatments should always include their healthcare provider in the decision. Our team at Bayview Pharmacy, with our extensive expertise in compounding pharmaceuticals, is also here to help. Feel free to reach out to us if you have any further questions or need further clarifications about this product.

Frequently Asked Questions

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What is Cyclobenzaprine HCl 1%/Ibuprofen 1%/Ketoprofen 5% Transdermal Gel?

This is a semisolid formulation of three active ingredients: Cyclobenzaprine HCl, Ibuprofen, and Ketoprofen. It is applied directly on your skin for targeted treatment through a pump mechanism, making it easy to apply and ensuring a precise dosage.

How do I use this gel?

Dispense the gel through the pump mechanism and apply it directly to the affected area of the skin. Always follow the dosage instruction provided by your healthcare professional.

What is the purpose of the pump mechanism?

The pump mechanism facilitates easy and precise application of the gel on your skin. This ensures that you only apply the correct amount needed for your treatment.

What is the form of this medication?

The medication comes in a semisolid formulation with a gel-like consistency, allowing it to be easily absorbed through the skin for targeted treatment.

What are the roles of each active ingredient?

Cyclobenzaprine HCl is a muscle relaxant, Ibuprofen is a nonsteroidal anti-inflammatory drug usually used for pain relief, and Ketoprofen is a potent analgesic. The combination of these three ingredients maximizes pain relief and muscle relaxation.

What conditions can this gel treat?

The combined effect of the three active ingredients can treat conditions such as muscular pain, strains, sprains, arthritis, and other conditions causing inflammation and discomfort. However, always seek professional medical consultation before using this medication.

Can this gel be used for all skin types?

Typically, yes. However, if you have especially sensitive skin or any known allergies, you should consult with your healthcare provider before use. If irritation or any adverse reaction occurs, stop using the product and seek immediate medical advice.

How should the gel be stored?

The gel should be stored in a cool, dry place, out of reach of children or pets. It should not be exposed to extreme heat or cold, and should be used before the expiry date indicated on the packaging.

What precautions should I take when using this gel?

Avoid contact with your eyes, nose, and mouth. Do not ingest the gel, and always wash your hands after application. If adverse reactions occur, stop using immediately and consult a healthcare professional.

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%/Ibuprofen 1%/Ketoprofen 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)