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Cyclobenzaprine HCl 5%/Gabapentin 7.5%/Ketamine HCl 5.75%/Ketoprofen 5%/Lidocaine 1% Topical Gel

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

This formulation is a compounded topical gel containing Cyclobenzaprine HCl 5%, Gabapentin 7.5%, Ketamine HCl 5.75%, Ketoprofen 5%, and Lidocaine 1%. 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 combination of these active ingredients is designed to treat a variety of disease states. Cyclobenzaprine HCl is a muscle relaxant used to relieve muscle spasms, Gabapentin is an anticonvulsant and nerve pain medication used to treat seizures and pain caused by shingles. Ketamine HCl is used for starting and maintaining anesthesia, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness caused by arthritis. Lastly, Lidocaine is a local anesthetic used to numb the skin and decrease pain and discomfort.

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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
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Topical Gel
653f1bec1f3b035eb3a038d2

Formula Information

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This formulation is a compounded topical gel containing Cyclobenzaprine HCl 5%, Gabapentin 7.5%, Ketamine HCl 5.75%, Ketoprofen 5%, and Lidocaine 1%. 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. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain caused by shingles (herpes zoster) or other nerve pain conditions. Ketamine HCl is a powerful anesthetic that can provide pain relief, while Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lastly, Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This unique combination of active ingredients in the formulation can be used to treat a variety of disease states. The anti-inflammatory, anesthetic, and muscle relaxant properties of the ingredients can work together to provide significant relief from pain and discomfort. Furthermore, the topical application allows for targeted treatment, reducing the potential for systemic side effects that can occur 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. It is not a commercially available product and should be used under the supervision of a healthcare provider. As with any medication, it's crucial to use this formulation as directed by your healthcare provider and report any side effects or adverse reactions immediately.

If you have any questions about this formulation, its uses, or how it can benefit you or 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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This compounded formulation contains several active ingredients, 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 may also interact with other central nervous system depressants, including alcohol, barbiturates, and benzodiazepines, leading to increased sedation.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids containing magnesium or aluminum, as they can reduce the amount of gabapentin that the body absorbs. It may also interact with opioids, increasing the risk of serious side effects such as slowed breathing and sedation.

Ketamine HCl, an anesthetic, may interact with other anesthetics or sedatives, leading to increased sedation and potentially dangerous respiratory depression. It may also interact with certain medications for Parkinson's disease, such as levodopa, potentially causing hallucinations or other serious side effects.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with blood thinners, increasing the risk of bleeding. It may also interact with other NSAIDs, leading to an increased risk of stomach ulcers or kidney problems. Additionally, it may interact with certain high blood pressure medications.

Lidocaine, a local anesthetic, may interact with other local anesthetics or certain heart medications, potentially leading to serious side effects such as slow heart rate, low blood pressure, or even heart block.

This formulation is designed to treat a variety of disease states. The combination of cyclobenzaprine, gabapentin, and ketamine can help manage chronic pain, particularly neuropathic pain. Ketoprofen provides anti-inflammatory effects, useful in conditions such as arthritis or other inflammatory diseases. Lidocaine provides local numbing, offering immediate relief from pain at the application site.

It's important to note that while this formulation is applied topically, the active ingredients can still be absorbed into the bloodstream and cause systemic effects. Therefore, patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and dietary supplements, to avoid potential drug interactions.

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

How Does it Work

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This formulation is a combination of five active ingredients: Cyclobenzaprine HCl, Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine, each with a unique mechanism of action that contributes to the overall therapeutic effect. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed to provide targeted treatment.

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. 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 conditions such as shingles or diabetic neuropathy.

Ketamine HCl is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. It is often used in the management of chronic pain conditions, including neuropathic pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is commonly used to reduce pain, swelling, and joint stiffness caused by arthritis.

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 nerve signals in your body. Lidocaine topical (for use on the skin) is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns.

When combined in a gel formulation, these ingredients can provide comprehensive pain relief for a variety of conditions. The gel is designed to be easily applied and absorbed through the skin, allowing for targeted treatment of specific areas. The pump mechanism allows for precise dosing and application. This formulation can be particularly beneficial for patients with chronic pain conditions, providing relief directly at the source of pain.

If you have any questions about this formulation, its ingredients, 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 semisolid transdermal gel is a compound that brings together different medications for a multi-pronged approach to pain management. Furthermore, the combination of Cyclobenzaprine HCl, Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine may offer other potential benefits outside of relieving pain.

While primarily utilized as a topical analgesic, this formulation may have ancillary benefits for conditions such as fibromyalgia and neuralgia, due to the unique properties of its constituent medications. Gabapentin, for example, has been studied for its use in managing nerve pain associated with these conditions. Cyclobenzaprine HCl, a muscle relaxant, may be helpful in relieving muscle spasms and localized stiffness.

Ketamine HCl, an NMDA receptor antagonist, has been studied for its potential use in managing symptoms of major depressive disorders and treatment-resistant depression. Patients suffering from these conditions can explore, in consultation with their healthcare provider, the possible benefits of this formulation. Also, Ketoprofen, an NSAID, has anti-inflammatory properties which may help reduce swelling in conditions such as arthritis or injury.

Lastly, Lidocaine, a local anesthetic, may provide temporary relief for conditions like shingles or other skin issues such as sunburns and insect bites that cause a painful sensation. It is also employed to relieve the discomfort of skin conditions such as minor cuts, burns, and abrasions. Despite these potential alternate uses, it's crucial to note that this compounding formulation should be used under the supervision of a healthcare professional, and its use should be discussed thoroughly with your prescriber.

If you have any questions or are interested in learning more about this particular formulation, please feel free to reach out to us at Bayview Pharmacy. Our experienced team of compounding pharmacists is more than willing to assist with your queries.

Frequently Asked Questions

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What is the primary use of this compounded formulation?

This compounded formulation is used to manage and treat muscular pain, neuropathic pain, inflammation, and certain other conditions.

How is this particular formulation applied?

The formulation is a semisolid gel, which is applied topically to the skin. It is dispensed through a pump mechanism, allowing for precise application directly to the affected area.

What makes this formulation different from other pain relief gels?

This is a compounded formulation, meaning it combines several active ingredients to deliver a targeted, comprehensive approach to pain management. This includes muscle relaxants, analgesics, anti-inflammatories and anesthetics.

Are there any specific storage requirements for this compound?

As a general rule, medication should be stored at room temperature, away from too much light, heat, and moisture. For more specific storage instructions, refer to the packaging or consult with a pharmacist.

What does the percent (%) indicate on the medication labeling?

The percentages indicate the concentration of each individual active ingredient in the overall formulation. This provides an idea of the potency of each component in the compounded formula.

Can this form of medication be used by any age-group?

This is generally determined on a case-by-case basis by the prescribing healthcare professional. While the topical application makes it suitable for most, safety and effectiveness in different age groups vary. It is important to consult with a healthcare provider before use.

Can this formulation be used for any pain?

This formulation is designed specifically to treat muscular and neuropathic pain. However, it may be useful for other types of pain as determined by a healthcare professional.

Can these active ingredients have possible side effects?

Yes, all active ingredients can potentially cause side effects. Some common side effects include skin irritation or redness at the application site. Rare or severe side effects should be reported to a healthcare provider immediately.

How soon can I expect results after applying this formulation?

Results vary depending on individual factors like the severity of pain and individual responses to the medication. However, topical medications typically begin to work within a few minutes to an hour after application.

What if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is near the time for the next dose, skip the missed dose and proceed with your regular dosing schedule. Do not apply extra to compensate for the missed dose.

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.

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.

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 5%/Gabapentin 7.5%/Ketamine HCl 5.75%/Ketoprofen 5%/Lidocaine 1% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)