This formulation is a combination of Cyclobenzaprine HCl 2%, Diclofenac Sodium 2%, Lidocaine HCl 2%, and Tramadol HCl 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 HCl is a muscle relaxant used to alleviate muscle spasms, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain and inflammation, Lidocaine HCl is a local anesthetic used to numb the skin and relieve pain, and Tramadol HCl is a strong painkiller used to treat severe pain. The combination of these ingredients provides comprehensive pain management and relief for conditions such as arthritis, muscle strains, sprains, and other musculoskeletal conditions.

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This formulation is a compounded topical gel containing Cyclobenzaprine HCl 2%, Diclofenac Sodium 2%, Lidocaine HCl 2%, and Tramadol HCl 5%. It is designed to be 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 targeted area.
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. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. Tramadol HCl is a strong painkiller used to treat moderate to severe pain.
When combined in a topical gel, these four active ingredients work together to provide relief from various disease states. The anti-inflammatory properties of Diclofenac Sodium, the muscle-relaxing effects of Cyclobenzaprine HCl, the numbing effect of Lidocaine HCl, and the pain-relieving properties of Tramadol HCl can effectively treat conditions such as arthritis, muscle strains, sprains, and other musculoskeletal conditions. The topical application allows for targeted treatment, reducing the potential for systemic side effects often associated with oral medications.
It's 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 unique needs of each patient. As with any medication, it's important to use this product as directed by your healthcare provider. Side effects can occur, including skin irritation at the application site. If you experience any unusual symptoms, contact your healthcare provider immediately.
If you have any questions about this formulation, or if you are a healthcare provider interested in prescribing this medication, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.
This formulation contains four active ingredients: Cyclobenzaprine HCl, Diclofenac Sodium, Lidocaine HCl, and Tramadol HCl. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important for patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of this medication.
Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It may interact with drugs such as monoamine oxidase inhibitors (MAOIs), certain antidepressants, and alcohol, leading to increased sedation and potentially serious side effects such as serotonin syndrome.
Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces substances in the body that cause pain and inflammation. It may interact with drugs such as aspirin, other NSAIDs, and certain blood pressure medications, potentially leading to increased risk of gastrointestinal bleeding or kidney damage.
Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It may interact with drugs such as certain heart medications, seizure medications, and other local anesthetics, potentially leading to increased risk of serious side effects such as slow or irregular heartbeat, seizures, or severe nervous system reactions.
Tramadol HCl is an opioid pain medication that works by changing the way your brain and nervous system respond to pain. It may interact with drugs such as certain antidepressants, other opioids, and certain medications for migraines, potentially leading to increased risk of serious side effects such as serotonin syndrome, slowed breathing, or addiction.
This formulation is designed to be applied topically, which can reduce some of the risk of systemic drug interactions. However, it's still important to be aware of potential interactions, especially if the medication is used over a large area of skin or for a prolonged period of time. Always inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs and dietary supplements, to ensure safe use of this medication.
This formulation is used to treat conditions such as muscle pain, joint pain, and nerve pain. The combination of active ingredients works to reduce inflammation, numb the affected area, relax the muscles, and provide pain relief. However, it's important to use this medication only as directed by your healthcare provider, and to monitor for any potential side effects or signs of drug interactions.
If you have any questions about this formulation or its potential drug 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.
This formulation combines four active ingredients: Cyclobenzaprine HCl, Diclofenac Sodium, Lidocaine HCl, and Tramadol HCl, each with a unique mechanism of action to provide pain relief and muscle relaxation. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed to target the affected area.
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 works by reducing 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 works by blocking nerve signals in your body and is often used to relieve pain and discomfort from a wide variety of conditions. Tramadol HCl is an opioid pain medication used to treat moderate to severe pain. It works in the brain to change how your body feels and responds to pain.
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 designed to be absorbed through the skin directly into the affected area, providing targeted treatment and reducing the potential for systemic side effects. This makes it an excellent option for patients who may be unable to take oral medications, or for those who prefer a topical treatment option.
It's important to note that while this formulation can provide significant relief for a variety of conditions, it should be used under the guidance of a healthcare provider. As with any medication, it's important to use it as directed to ensure the best results. If you have any questions about this formulation, or if you're interested in learning more about how it can benefit you, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.
This formulation, which combines Cyclobenzaprine HCl, Diclofenac Sodium, Lidocaine HCl, and Tramadol HCl, is primarily used in the management and treatment of pain, inflammation, and muscle spasms. However, it may have other potential uses.
For instance, the anti-inflammatory property of Diclofenac Sodium can be beneficial in addressing conditions such as osteoarthritis, rheumatoid arthritis, spondylitis, and gout. In these conditions, the gel can potentially help to alleviate stiffness, swelling, and joint pain, providing relief to patients. Similarly, Tramadol's analgesic properties can be beneficial in managing post-operative pain or severe pain conditions that are not manageable by other less potent analgesics.
The muscle relaxant property of Cyclobenzaprine HCl could be beneficial for patients experiencing muscle spasms or stiffness due to conditions such as fibromyalgia or cerebral palsy. Lidocaine HCl, due to its local anesthetic properties, can be utilized for local pain relief in conditions such as post-herpetic neuralgia. It might also be beneficial for patients who have undergone minor surgical procedures.
This gel formulation, by virtue of its semisolid consistency, renders it suitable for patients who prefer topical application over oral medications because of difficulties with swallowing or potential gastrointestinal side effects. The pump dispenser mechanism also allows for easy and precise application to the targeted area.
However, it must be stressed that any off-label use of this formulation must be overseen and approved by a qualified healthcare professional. Therefore, both patients and prescribers are strongly advised to first consult with their healthcare provider or pharmacist before using this formulation for any indications outside of its officially approved uses.
As trained compounding pharmacists at Bayview Pharmacy, we are willing and equipped to assist with any inquiries or concerns about this formulation. So, if you have any queries, please don’t hesitate to reach out to us.
This is a compound formulation intended for topical application. It contains four active ingredients: Cyclobenzaprine HCl, Diclofenac Sodium, Lidocaine HCl, and Tramadol HCl. This gel is dispensed through a pump mechanism, which makes for an easy and precise application on the skin.
Each active ingredient in this compounded topical gel has its own specific therapeutic mechanism. As a whole, this product is often used for targeted treatment of pain, inflammation, and skin conditions.
Apply this gel to the affected area as directed by your healthcare provider. Also, the pump mechanism facilitates easy and precise application to targeted areas.
This gel should be suitable for all skin types. However, to be safe, first test a small amount on your skin before full application, and consult your healthcare provider if you experience any adverse reactions.
No, this gel is generally only meant for application on intact skin. Avoid applying it to open wounds, cuts, or raw areas unless specifically advised to do so by your healthcare provider.
If you are on other medications, especially topical ones, discuss this with your healthcare provider before starting to use this gel. Certain medications may interact with the active ingredients in the gel.
Common side effects may include skin reactions like redness, itching, or rash. If these persist or worsen, or if you experience serious side effects like severe dizziness or fainting, please reach out to your healthcare provider immediately.
If you miss a dose, apply it as soon as you remember. However, if it is near the time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not double the dose to catch up.
This medication should be stored at room temperature, away from light and moisture. Do not store in the bathroom. Keep it out of reach of children and pets.
If you are pregnant or breastfeeding, consult with your healthcare provider before using this medication. Each ingredient may carry specific risks or precautions for use during pregnancy or while breastfeeding.
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.
This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
Licensed to dispense in RI, MA, CT, NY, NJ, NH, FL, and ME. 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.
Apply topically to affected area(s)