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Formulas

Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 10% Transdermal Gel

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

This formulation is a combination of Cyclobenzaprine HCl 2%, Gabapentin 6%, and Lidocaine 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 formulation is primarily used to treat various disease states. Cyclobenzaprine HCl is a muscle relaxant that helps to relieve muscle spasms, Gabapentin is used to manage nerve pain, and Lidocaine is a local anesthetic that helps to reduce pain and discomfort. This combination is often used in the management of conditions such as neuropathic pain, fibromyalgia, and post-herpetic neuralgia.

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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
Gabapentin
Lidocaine Hydrochloride
Topical Gel
653ee35c3c9b76f32b314930

Formula Information

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This formulation is a combination of Cyclobenzaprine HCl 2%, Gabapentin 6%, and Lidocaine 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. Gabapentin is an anticonvulsant and nerve pain medication that is used to treat nerve pain caused by conditions such as shingles (postherpetic neuralgia) or diabetic neuropathy. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.

Lidocaine 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 work synergistically to provide relief from various painful conditions. The transdermal gel formulation allows for targeted application, ensuring that the medication is delivered directly to the area of pain or discomfort. This can result in faster relief and fewer systemic side effects compared to oral medications.

It's important to use this medication as directed by your healthcare provider. The dosage is based on your medical condition and response to treatment. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase.

As with any medication, there may be potential side effects. These can include skin irritation at the application site, dizziness, drowsiness, or dry mouth. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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

Drug Interactions

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This formulation combines three active ingredients: Cyclobenzaprine HCl, Gabapentin, and Lidocaine, each with its own potential for drug interactions. Cyclobenzaprine HCl, a muscle relaxant, may interact with monoamine oxidase inhibitors (MAOIs), resulting in serious side effects such as high fever, convulsions, and even death. It's also advised to avoid alcohol, as it can increase drowsiness and dizziness while you are taking Cyclobenzaprine HCl.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids containing aluminum or magnesium, as they can reduce the amount of Gabapentin absorbed by the body. It's also important to avoid taking Gabapentin within 2 hours after taking an antacid. Gabapentin may also interact with drugs that cause drowsiness or slow your breathing, causing dangerous side effects or death.

Lidocaine, a local anesthetic, may interact with other local anesthetics, or drugs that are similar to Lidocaine, such as antiarrhythmic drugs like mexiletine. It's also important to note that applying Lidocaine to broken or inflamed skin may result in higher than expected absorption into the bloodstream, leading to side effects.

This formulation is designed to treat a variety of disease states. Cyclobenzaprine HCl is used to relieve muscle spasms and associated pain in acute musculoskeletal conditions. Gabapentin is used to manage postherpetic neuralgia and some types of seizures. Lidocaine is used to relieve pain and discomfort associated with skin conditions and to numb the skin before certain procedures. The combination of these three drugs in a transdermal gel allows for targeted treatment, potentially reducing systemic side effects.

It's important for patients and prescribers to be aware of these potential interactions and to manage them appropriately. This may involve adjusting the timing of medication administration, monitoring for side effects, or choosing alternative medications if necessary. As always, it's important to discuss all medications, including over-the-counter drugs and supplements, with your healthcare provider to avoid potential interactions.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to help.

How Does it Work

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The Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 10% Transdermal Gel is a unique formulation that combines three active ingredients, each with a distinct mechanism of action, to provide targeted relief from various disease states. This formulation is dispensed as a semisolid gel through a pump mechanism, which allows for easy and precise application on the skin.

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 form, it can provide targeted relief to the affected area.

Gabapentin is an anticonvulsant and nerve pain medication. It is often used to treat nerve pain conditions such as neuropathy. Gabapentin works by stabilizing electrical activity in the brain and also affects the way the body senses pain. When used in a transdermal gel, it can provide direct relief to the area of pain.

Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It does this by blocking the signals of pain from the nerves in the area where it is applied.

The gel formulation allows for the active ingredients to be absorbed directly through the skin, providing faster relief than oral medications. Furthermore, the pump mechanism allows for easy and precise application, ensuring that the medication is applied exactly where it is needed.

As compounding pharmacists, we have a deep understanding of the mechanisms of these medications and how they can be used to treat various conditions. If you have any questions about this formulation, or if you would like to know more about how it can be used to treat specific disease states, please do not hesitate to reach out to us. We are here to help.

Other Uses

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In addition to managing pain and muscle spasticity, this unique formulation of Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 10% Transdermal Gel also exhibits potential utilisation in managing other health conditions. Cyclobenzaprine HCl has been identified to possess a prefixed affinity for use in the treatment of fibromyalgia and temporomandibular joint (TMJ) disorders, due to its muscle relaxant properties. The addition of Gabapentin enhances the effect by managing nerve pain disorders associated with these conditions as well as postherpetic neuralgia and diabetic neuropathy, contributing to enhance the overall pain relief.

The high Lidocaine content of 10% acts as a local anesthetic and can possibly be used in minor procedures that need localized numbing. It can potentially serve as a primary topical analgesic in the management of post-operative pain, itchiness, burns, and insect bites. This triple combination can also potentially be investigated for its utilization in controlling symptoms of specific dermatologic conditions like erythromelalgia, neuropathic itch, or post-burn pruritus where both neuropathic pain and itch are issues.

These are alternative areas of use and while they have some supporting research, further studies may be necessary to identify the optimum indications and usage patterns for these applications. Dosage, frequency, and duration may vary depending on the condition to be managed and must always be under the instruction of a qualified healthcare professional.

Remember, every patient's circumstance or reaction to treatment can be different. Therefore, patients should discuss these alternatives with their health care provider before using this formulation for off-label use. For prescribing professionals, consider these other therapeutic potentials when assessing this formulation's suitability for individual patient needs.

If there are any further questions or you need more detailed information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. As a knowledgeable team of compounding pharmacists, we aim to ensure the optimal therapeutic outcome for every patient we serve.

Frequently Asked Questions

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What is Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 10% Transdermal Gel?

This is a compound formulation composed of three active ingredients: Cyclobenzaprine HCl, Gabapentin, and Lidocaine. It is a semisolid formulation dispensed through a pump mechanism, used in targeted treatment or absorption of active ingredients and comes in a gel-like consistency.

How should I use this formulation?

This gel should be applied topically to the skin as directed by a healthcare professional. The pump mechanism facilitates easy and precise application.

What are the active components of this gel?

The active components of the formulation are Cyclobenzaprine HCl at 2%, Gabapentin at 6% and Lidocaine at 10%.

What is the purpose of the different active components?

Cyclobenzaprine HCL is a muscle relaxant, Gabapentin is used for nerve pain, and Lidocaine is a local anesthetic. All these ingredients work together for pain relief and muscle relaxation.

Is this formulation for oral intake?

No, this formulation is intended for topical use only and should be applied on the skin. It is not for oral, ophthalmic, or intravaginal use.

Can I apply the gel on any part of my body?

It is generally applied to the area where pain relief is needed. However, seek advice from your healthcare provider on where specifically to apply the gel.

How often should I apply this gel?

The frequency of application depends on the individual’s condition and response to treatment. Please consult your healthcare provider for specific instructions.

Are there any side effects associated with this formulation?

Side effects can vary from person to person and can range from irritation at the application site, to drowsiness or dizziness. If you observe any persistent or concerning side effects, contact your healthcare provider.

Can I use this product if I am pregnant or breastfeeding?

You should consult with a healthcare professional before using this product if you are pregnant or nursing, to understand any potential risks to you or your baby.

Should I use this product before or after meals?

Since this is a topical product, it can be used at any time and is unaffected by meals. However, always follow the directions provided by your healthcare provider.

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 2%/Gabapentin 6%/Lidocaine 10% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)