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Formulas

Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel

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

This formulation is a combination of Cyclobenzaprine HCl 2%, Ketoprofen 10%, and Lidocaine 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 muscle spasms, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation, and Lidocaine is a local anesthetic that numbs the skin and surrounding tissues.

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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
653f07dec4f88cf06b78fe04

Formula Information

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This formulation is a compounded transdermal gel containing Cyclobenzaprine HCl 2%, Ketoprofen 10%, and Lidocaine 5%. 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 targeted area.

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. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. It is used to treat mild to moderate pain, or inflammation caused by arthritis. The third active ingredient, 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.

Together, these three active ingredients work synergistically to provide relief from pain and inflammation, while also reducing muscle spasms. The transdermal delivery system allows for targeted treatment, as the medication can be applied directly to the area of discomfort. This can result in fewer systemic side effects compared to oral medications, as the medication does not need to pass through the digestive system. It also allows for a steady release of medication over time, providing longer-lasting relief.

It's important to note that this formulation should be used as directed by a healthcare provider. The area of application should be clean and dry before the gel is applied. The gel should not be applied to broken or irritated skin, and contact with eyes and mucous membranes should be avoided. If any adverse reactions occur, such as severe burning or redness at the application site, discontinue use and contact your healthcare provider immediately.

If you have any questions about this formulation, or if you are a prescriber interested in using this formulation for your patients, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Drug Interactions

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The formulation of Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel is a combination of three active ingredients, each with its own potential for drug interactions. Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It may interact with monoamine oxidase inhibitors (MAOIs), increasing the risk of serious side effects such as high fever, convulsions, and even death. It may also interact with other medications that cause drowsiness such as antihistamines, opioids, and sleeping pills, leading to increased sedation and potentially dangerous impairment of motor skills and cognitive function.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. It may interact with blood thinners, other NSAIDs, and corticosteroids, increasing the risk of gastrointestinal bleeding. It may also interact with ACE inhibitors, angiotensin II receptor blockers, and diuretics, potentially reducing their effectiveness and leading to kidney problems. Furthermore, it may interact with lithium and methotrexate, increasing their levels in the body and potentially leading to toxicity.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It may interact with other local anesthetics and medications used to treat irregular heart rhythms, potentially leading to serious side effects such as slow or irregular heartbeat, dizziness, and seizures. It may also interact with certain antibiotics and antifungal medications, potentially increasing their levels in the body and leading to toxicity.

This formulation is designed to treat a variety of disease states. Cyclobenzaprine is used to relieve muscle spasms associated with acute, painful musculoskeletal conditions. Ketoprofen is used to relieve pain, swelling, and joint stiffness caused by arthritis, reducing inflammation and allowing for increased mobility. Lidocaine is used to relieve nerve pain caused by shingles (postherpetic neuralgia).

It is important for patients and prescribers to be aware of these potential interactions and to monitor for any signs of adverse effects. If you are taking any other medications, please inform your healthcare provider to ensure this formulation is safe for you. If you have any questions or concerns, please do not hesitate to reach out to us at Bayview Pharmacy.

How Does it Work

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The Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel is a unique formulation that combines the therapeutic benefits of three active ingredients. Each of these ingredients plays a crucial role in managing pain and inflammation.

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.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces 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. In this formulation, it works synergistically with Cyclobenzaprine HCl to provide comprehensive pain relief.

Lidocaine is a local anesthetic that works by causing temporary numbness in the area where it is applied. It achieves this by blocking the signals at the nerve endings in the skin. This provides immediate relief from pain and discomfort, making it a valuable addition to this formulation.

The gel is dispensed through a pump mechanism, which allows for easy and precise application. The semisolid formulation ensures that the active ingredients are absorbed directly into the skin at the site of pain or inflammation. This targeted approach not only enhances the effectiveness of the treatment but also minimizes the risk of systemic side effects.

This formulation is particularly beneficial for patients suffering from conditions that cause pain and inflammation, such as arthritis, muscle spasms, and nerve pain. It provides a multi-pronged approach to pain management, combining the muscle-relaxing properties of Cyclobenzaprine HCl, the anti-inflammatory benefits of Ketoprofen, and the numbing effect of Lidocaine.

As compounding pharmacists, we are able to customize this formulation to meet the specific needs of individual patients. This includes adjusting the concentrations of the active ingredients, as well as the consistency of the gel. We encourage both patients and prescribers to reach out to us with any questions or concerns about this formulation.

Other Uses

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In addition to its conventional applications for treating pain and inflammation, the formulation of Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel may also be useful in a broader spectrum of scenarios.

Cyclobenzaprine HCl, a muscle relaxant, potentially provides relief for muscle spasms and stiffness, and could be indicated in conditions that require muscle relaxation such as fibromyalgia, neuralgia, or myofascial pain syndrome. lidocaine, a local anesthetic, can provide topical analgesia and may be relevant in conditions requiring a reduction in sensory nerve activity like post-herpetic neuralgia, sunburn, insect bites, or minor lacerations and abrasions. The presence of both these agents thus makes our gel potential therapeutic alternative in several dermatological, muscular, and nerve-related conditions.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can provide generalized pain relief and reduce inflammation, and may find utility in conditions like arthritis, bursitis, and other musculoskeletal disorders where localized, targeted anti-inflammatory action is desirable. The combination of these three agents in the gel formulation is likely to produce a synergy of effects leading to overall efficient management of pain and inflammation.

The transdermal delivery system of this medication could also be beneficial to patients who have difficulty swallowing oral medication, those who require targeted therapy, or those for whom systemic side effects of oral NSAIDs are problematic. Moreover, lidocaine’s local anesthetic properties in the gel could act as a vehicle for temporary relief from intense itching from conditions such as poison ivy, eczema, or other dermatologic conditions.

A well-drafted treatment plan addressing the appropriateness of the usage as well as the monitoring of side effects must be worked on for each patient in collaboration by prescribing physicians and pharmacists. It should be noted that while the formulation's active ingredients are designed to target pain and inflammation, the gel formulation does not inherently contain any antimicrobial properties and should, therefore, not be used as a primary treatment for skin infections or wounds. Each use scenario should be evaluated for potential benefits as well as any possible skin irritations or allergic reactions.

If you have any questions regarding the nonconventional use of the Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel, or about compounding pharmacy in general, please feel free to reach out to us. We at Bayview Pharmacy are happy to share our expertise and knowledge with you to ensure optimal patient care.

Frequently Asked Questions

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What is this compounded formulation of Cyclobenzaprine HCl 2%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel?

It is a semisolid formulation dispensed through a pump mechanism that allows for easy and precise application to the skin. The active ingredients in this gel consist of Cyclobenzaprine HCl, Ketoprofen, and Lidocaine, which work together for targeted treatment of pain and inflammation.

What is the main purpose of Cyclobenzaprine HCl in this formulation?

Cyclobenzaprine is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain, which helps to reduce discomfort associated with certain muscle conditions.

What is the role of Ketoprofen in this formulation?

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. This can help to relieve discomfort and reduce swelling.

What does Lidocaine do in this formulation?

Lidocaine is a local anesthetic. It works by blocking nerve signals in your body, which can help to provide temporary relief from local discomfort, inflammation, and swelling.

How should I use this transdermal gel?

You should apply this gel as directed by your healthcare provider. The pump mechanism allows for easy and precise application. It should be applied to the skin over the area of discomfort.

Can anyone use this compounded formulation?

No, this medication should only be used under the guidance and prescription of a licensed healthcare provider. It is not meant for use by everyone and can have side effects if not used properly.

What are possible side effects of this gel?

Some potential side effects of this medication could include skin irritation at the application site, dizziness, dry mouth, or lightheadedness. In rare cases, there could be severe side effects. If side effects occur or persist, check with your healthcare provider immediately.

Does this gel contain any allergens or irritants?

If you are allergic to any ingredient in the formulation such as Cyclobenzaprine HCl, Ketoprofen, or Lidocaine, you should not use it. It is always important to check the product label for a list of ingredients or ask your healthcare provider if you have any concerns about allergies.

Can this transdermal gel interact with other medications or substances?

Yes, it can. As with any medication, interactions with other drugs, foods, or substances are possible. Patients should inform their healthcare provider about all the medications or substances they are using, to prevent possible drug interactions.

Where should I store this gel?

This gel should be stored in a cool, dry place, away from heat and light. It should also be kept out of reach of children and pets.

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

Apply topically to affected area(s)