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Cyclobenzaprine HCl 10 mg/Gabapentin 50 mg/Ketoprofen 50 mg/Lidocaine 50 mg Vaginal Suppository

This formulation is a combination of Cyclobenzaprine HCl 10 mg, Gabapentin 50 mg, Ketoprofen 50 mg, and Lidocaine 50 mg in a vaginal suppository form. The suppository is a solid dosage form that is inserted into the vagina, where it dissolves or melts to release the medication. This allows for local or systemic absorption of the drugs.

The Cyclobenzaprine HCl in the formulation is a muscle relaxant that works by blocking nerve impulses to the brain. Gabapentin is an anticonvulsant and nerve pain medication that is used to treat nerve pain and control seizures. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This formulation is used to treat various disease states including muscle spasms, nerve pain, inflammation, and localized pain. The combination of these medications in a suppository form allows for targeted treatment, reducing systemic side effects and improving patient comfort and compliance.

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Formula Information

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This formulation is a compounded medication that combines four active ingredients: Cyclobenzaprine HCl 10 mg, Gabapentin 50 mg, Ketoprofen 50 mg, and Lidocaine 50 mg. It is designed as a vaginal suppository, a solid dosage form that is inserted into the vagina where it dissolves or melts to release the medication. This allows for local or systemic absorption of the drugs, depending on the intended therapeutic effect.

Cyclobenzaprine HCl 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 pain caused by nerve damage. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. The combination of these four medications can provide significant relief from pain and discomfort.

This formulation is often used to manage various disease states that cause pain and inflammation in the pelvic region. These may include conditions like endometriosis, interstitial cystitis, and vulvodynia. It can also be used to manage neuropathic pain, which is often a result of nerve damage or a malfunctioning nervous system. The combination of a muscle relaxant, an anticonvulsant, an NSAID, and a local anesthetic can provide comprehensive pain management, addressing different aspects of pain perception and inflammation.

It's important to note that this is a compounded medication, meaning it is made specifically for the patient based on a doctor's prescription. This allows for customization of the medication to meet the unique needs of the individual patient. As with any medication, there may be potential side effects, and patients should discuss these with their healthcare provider. These may include local irritation or sensitivity, dizziness, drowsiness, or gastrointestinal upset. It's also crucial to inform the healthcare provider of any other medications being taken to avoid potential drug interactions.

As compounding pharmacists, we are here to answer any questions you may have about this formulation. Whether you're a patient or a prescriber, don't hesitate to reach out to us for more information. We're committed to providing safe, effective, and personalized medication solutions to meet your healthcare needs.

Drug Interactions

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This formulation combines four active ingredients: Cyclobenzaprine HCl, Gabapentin, Ketoprofen, and Lidocaine. Each of these medications can interact with other drugs, potentially altering their effects or increasing the risk of adverse reactions. Therefore, it's crucial to inform your healthcare provider about all the medications you're currently taking, including over-the-counter drugs, vitamins, and herbal supplements.

Cyclobenzaprine HCl, a muscle relaxant, can interact with monoamine oxidase inhibitors (MAOIs), increasing the risk of serious side effects such as high fever, severe headache, and high blood pressure. It can also interact with other central nervous system depressants like alcohol, benzodiazepines, and opioids, potentially leading to increased sedation and respiratory depression.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids containing magnesium or aluminum, potentially reducing the absorption of Gabapentin. It's recommended to take Gabapentin at least two hours after taking an antacid. Gabapentin can also increase the effects of opioids, leading to increased sedation and respiratory depression.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with blood thinners, increasing the risk of bleeding. It can also interact with other NSAIDs, corticosteroids, and alcohol, increasing the risk of gastrointestinal bleeding. Additionally, Ketoprofen can reduce the effectiveness of certain blood pressure medications and can increase the levels of lithium and methotrexate in the body, potentially leading to toxicity.

Lidocaine, a local anesthetic, can interact with other local anesthetics and antiarrhythmic drugs, potentially leading to additive systemic toxicity. It can also interact with certain antibiotics and antifungal medications, potentially increasing the risk of Lidocaine toxicity.

This formulation is typically used to manage conditions such as neuropathic pain, muscle spasms, inflammation, and local pain. Cyclobenzaprine HCl helps to relax muscles and reduce spasms, Gabapentin helps to manage nerve pain, Ketoprofen helps to reduce inflammation and pain, and Lidocaine helps to numb the local area, providing immediate pain relief.

It's important to use this medication as directed by your healthcare provider. Avoid using more than the recommended dose or using it for longer than prescribed, as this can increase the risk of side effects. If you experience any unusual symptoms or side effects, contact your healthcare provider immediately.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We're here to help ensure that you can use this medication safely and effectively.

How Does it Work

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This formulation is a combination of four active ingredients: Cyclobenzaprine HCl, Gabapentin, Ketoprofen, and Lidocaine, each with a unique mechanism of action to provide relief from various symptoms. The suppository is designed to be inserted into the vagina, where it dissolves or melts, allowing the active ingredients to be absorbed locally or systemically.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is particularly effective in treating muscle spasms and associated pain. Gabapentin is an anticonvulsant and nerve pain medication. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Gabapentin is used to manage nerve pain, often resulting from herpes zoster infection or shingles.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. Ketoprofen is used to treat pain or inflammation caused by arthritis. The fourth active ingredient, Lidocaine, is a local anesthetic. It works by blocking nerve signals in your body and is used to reduce pain or discomfort caused by skin irritations.

When combined in a suppository form, these four active ingredients can provide comprehensive pain relief and muscle relaxation. The suppository is inserted into the vagina, where it dissolves or melts. This allows the active ingredients to be absorbed directly into the bloodstream through the rich network of blood vessels found in this area. This direct route of administration bypasses the digestive system, providing faster relief and reducing the risk of stomach upset or other gastrointestinal side effects.

This formulation can be used to treat a variety of disease states that involve pain, inflammation, muscle spasms, or nerve pain. It may be particularly beneficial for conditions such as vulvodynia, endometriosis, interstitial cystitis, or other gynecological conditions that cause chronic pain. As with any medication, it's important to use this formulation under the guidance of a healthcare provider, who can provide specific dosing instructions based on your individual needs and condition.

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 here to help.

Other Uses

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This particular formulation comprises active ingredients including Cyclobenzaprine HCl, Gabapentin, Ketoprofen, and Lidocaine, and it is provided in the format of a vaginal suppository. Originally, it is used for specific disease states related to pain, inflammation, seizure disorders, and muscle spasticity. However, there could still be alternative uses for this formulation.

Cyclobenzaprine is a muscle relaxant, traditionally used to relieve muscle spasm. However, it may also be used off-label for treating symptoms of fibromyalgia. Gabapentin, an anticonvulsant typically used to control seizures and manage postherpetic neuralgia, could be utilized off-label for the treatment of restless legs syndrome, hot flushes, and certain neuropathic pain syndromes. The third ingredient, Ketoprofen, is a non-steroidal anti-inflammatory drug used to relieve pain and inflammation; an alternative use might be to manage mild to moderate pain ranging from headaches to menstrual pain. Lastly, Lidocaine serves as a local anesthetic used to numb tissue in a specific area; yet, it could potentially be used off-label to relieve the pain and other symptoms of shingles, a viral infection affecting peripheral nerves.

Given the combined impact of these active substances, this formulation may offer relief for various ailment symptoms beyond the originally intended disease states. For instance, it could potentially be used off-label to alleviate chronic pelvic pain, vulvodynia (pain in the vulva), or even severe forms of menstrual cramps. Additionally, it could be used for the symptomatic relief of certain forms of neuropathic pain or the management of fibromyalgia symptoms.

It's essential to highlight that any off-label use of this formulation must be recommended and supervised by a healthcare professional. Certain precautions relating to adverse reactions, contraindications, drug interactions, and patient-specific factors should be carefully considered. Also, as this is a vaginal suppository, appropriate administration techniques should be advised to enhance patient compliance and treatment effectiveness.

If you have any questions about this formulation or its potential applications, do not hesitate to reach out to us. We are available to provide detailed medication counseling, ensuring the safe and effective use of this compounded preparation.

Frequently Asked Questions

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What is this compounded formulation used for?

This compounded formulation is typically used for managing severe pain, particularly in cases of neuropathic pain, muscle spasticity, and inflammatory conditions. However, do remember that its usage can vary depending on the patient's unique medical situation.

How should the suppository be used?

This suppository is typically inserted into the vagina, where it dissolves or melts to release the medication. The medication is absorbed locally or systemically. Being a prescription product, always use as directed by your healthcare professional.

What are the active ingredients in this formulation?

The active ingredients in this compounded formulation are Cyclobenzaprine HCl, Gabapentin, Ketoprofen, and Lidocaine.

What is the role of each active ingredient present in the suppository?

Cyclobenzaprine HCl is a muscle relaxant that can relieve muscle spasms, Gabapentin is used to manage nerve pain, Ketoprofen is a non-steroidal anti-inflammatory drug that reduces pain and inflammation, and Lidocaine is a local anesthetic used to numb the treated area.

Are there any side effects associated with this compounded formulation?

Some possible side effects may include irritation or sensitivity at the site of application, dizziness, drowsiness, and allergic reactions. If any side effects are experienced, immediately contact your healthcare professional.

What precautions should be taken before using this suppository?

Before using this suppository, discuss your full medical history with your doctor, including any medical conditions or allergies you may have, as well as any other drugs or supplements you are currently taking.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it's near the time of your next dose, skip the missed dose and resume your dosing schedule. Do not double your dose to make up for the missed dose.

Is it okay to use this suppository while pregnant or breastfeeding?

Before using this medication while pregnant or breastfeeding, consult with your healthcare provider. They can discuss the potential risks and benefits associated with its use during these periods.

How should this medication be stored?

This medication should be stored in a cool, dry place, away from direct heat and light. Always keep out of reach of children and pets.

Is it safe to drive or operate machinery after using this compounded formulation?

Some patients may experience drowsiness or dizziness after using this medication. If you experience these side effects, avoid driving or operating machinery until you know how this medication affects you.

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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.
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