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Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel

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

This formulation is a combination of Cyclobenzaprine HCl 5% and Lidocaine HCl 5% in a topical gel form. 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.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. This combination is commonly used to treat muscle spasms, tension headaches, nerve pain disorders such as post-herpetic neuralgia, and certain pain conditions affecting the hands and feet like diabetic peripheral neuropathy.

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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
Lidocaine Hydrochloride
Topical Gel
653eb5d20a3f55d7f88c8b0c

Formula Information

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This formulation combines two active ingredients, Cyclobenzaprine HCl at 5% and Lidocaine HCl at 5%, in a topical gel format. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. When combined, these two ingredients work synergistically to provide both pain relief and muscle relaxation.

The gel is a semisolid formulation that is dispensed through a pump mechanism. This design allows for easy and precise application on the skin, ensuring that the medication is delivered exactly where it's needed. The gel-like consistency also aids in the absorption of the active ingredients, allowing them to penetrate the skin and provide targeted treatment.

This formulation is particularly useful in treating a variety of disease states. It can be used to manage musculoskeletal pain, such as that associated with muscle strains, sprains, and spasms. It can also be used to treat localized pain from nerve-related conditions, such as post-herpetic neuralgia or diabetic neuropathy. Additionally, it may be used in the management of certain types of chronic pain, such as fibromyalgia or low back pain.

Patients using this formulation should apply it as directed by their healthcare provider, typically to the affected area up to 3-4 times daily. It's important to wash hands immediately after application unless the hands are the area being treated. Avoid contact with eyes, mouth, nose, or other sensitive areas. If irritation or adverse reactions occur, discontinue use and consult with your healthcare provider.

Prescribers should consider this formulation for patients who require targeted, localized treatment for pain and muscle relaxation. It may be particularly beneficial for patients who have not responded to oral medications or who cannot tolerate them due to side effects. As with any medication, it's important to consider the patient's overall health status, other medications, and potential for drug interactions when prescribing this formulation.

If you have any questions about this formulation, its uses, or how it may benefit you or your patients, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Drug Interactions

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The combination of Cyclobenzaprine HCl and Lidocaine HCl in a topical gel formulation is primarily used for the management of localized pain and muscle spasms. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

While this formulation is generally safe for use, it is important to be aware of potential drug interactions. Cyclobenzaprine HCl may interact with drugs such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and certain anticholinergic drugs. These interactions may increase the risk of serotonin syndrome, a potentially life-threatening condition. If you are taking any of these medications, it is crucial to inform your healthcare provider.

Lidocaine HCl, on the other hand, may interact with antiarrhythmic drugs like mexiletine and phenytoin, as well as other local anesthetics. These interactions could potentially increase the risk of serious side effects such as slow heartbeats, severe drowsiness, and seizures. It is important to inform your healthcare provider if you are taking any of these medications.

Furthermore, both Cyclobenzaprine HCl and Lidocaine HCl may interact with alcohol and other CNS depressants, potentially enhancing their effects and leading to increased sedation and drowsiness. It is advisable to limit or avoid alcohol consumption while using this formulation.

It is also important to note that this formulation should not be used on broken or irritated skin, as this may increase the absorption of the active ingredients and potentially lead to systemic side effects. Always apply the gel as directed by your healthcare provider, and avoid contact with eyes and mucous membranes.

As always, it is crucial to inform your healthcare provider of all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements, to avoid potential drug interactions. If you have any questions or concerns about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists, and we are here to help.

How Does it Work

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The Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel is a unique formulation that combines the muscle relaxant properties of Cyclobenzaprine HCl and the local anesthetic effects of Lidocaine HCl. This combination is designed to provide targeted relief from pain and muscle spasms, particularly in conditions such as fibromyalgia, myofascial pain syndrome, and certain types of arthritis.

Cyclobenzaprine HCl works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is a muscle relaxant that acts centrally within the nervous system to produce its muscle relaxant effects. It does this by reducing the tonus of alpha and gamma motor systems, thereby influencing both gamma (intrafusal) and alpha (extrafusal) motor systems. This results in a reduction of muscle spasm, and a relief in pain and tenderness.

Lidocaine HCl, on the other hand, is a local anesthetic that works by causing a temporary numbing effect. It does this by blocking the voltage-gated sodium channels in the neuronal cell membrane, inhibiting the ionic fluxes required for the initiation and conduction of impulses. This results in a decrease in the perception of pain at the site where the gel is applied.

The gel formulation allows for easy application and targeted delivery of the active ingredients. The semisolid nature of the gel allows it to stay on the skin longer, providing a sustained release of the medication. The pump mechanism ensures that the right amount of medication is dispensed each time, reducing the risk of overdose or underdose.

It's important to note that while this formulation can provide significant relief from pain and muscle spasms, it does not cure the underlying condition causing these symptoms. It is typically used as part of a comprehensive treatment plan that may include physical therapy, exercise, and other medications.

If you have any questions about this formulation, its use, or how it can fit into your treatment plan, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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Beyond the primary use cases, the Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel formulation may be used in a variety of other scenarios as well, all thanks to its pain-relieving and muscle relaxing ingredients. Besides being used as a treatment for muscle spasms, strains, sprains, and various conditions related to the musculoskeletal system, this formulation can be utilized for the reduction of nerve-related pain and discomfort. The presence of Lidocaine can help numb the affected area. The formulation could also potentially be used during minor surgical procedures or prior to administering local anaesthesia, to minimize discomfort.

The Cyclobenzaprine component of the formulation is effectively a muscle relaxant, and can thus be potentially beneficial in managing conditions associated with muscle rigidity, such as fibromyalgia or certain forms of arthritis. The anti-spasmodic attributes of Cyclobenzaprine can enable this formulation to dampen instances of muscle cramps or spasmodic pain as well. However, it's important to note that the potential use cases listed here, apart from the labeled indications, are not universally accepted and may vary from patient to patient. It is always essential to consult a healthcare professional before using this medication for off-label purposes.

It is crucial to remember that this information is provided as a guidance, based on our expertise as compounding pharmacists, and should not replace a medical practitioner's advice. Always follow the directions of your healthcare provider while using this medication; misuse could potentially lead to unwanted side effects. If you have any queries, don't hesitate to reach out to us - patient safety and providing quality healthcare information is our priority at Bayview Pharmacy.

Frequently Asked Questions

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What is Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel?

This is a compounded formulation of two active ingredients - Cyclobenzaprine Hydrochloride 5% and Lidocaine Hydrochloride 5%. They are mixed in a semisolid gel, designed to be dispensed through a convenient pump mechanism and applied directly to the skin.

How does the topical gel work?

When applied to the skin, the active ingredients are absorbed through the skin layers, providing targeted treatment to the affected area.

How do I use Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel?

You simply press the pump to dispense the required amount of gel, and then directly apply it to the area of the skin as directed by your healthcare provider.

What does the pump mechanism do?

The pump mechanism allows for easy and precise dispensing of the formulated gel. This contributes to accurate dosing and minimizes wastage of the medication.

What is the advantage of the gel formulation?

The gel formulation allows for a quick and smooth application on the skin, facilitates absorption of the active ingredients, and aids in targeted treatment of the affected area.

Who can use the Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel?

The medication should be used as directed by the healthcare provider. It is typically prescribed for patients who would benefit from the combined effects of Cyclobenzaprine and Lidocaine.

Are there any storage instructions for the topical gel?

You should store the container at room temperature, away from heat, moisture, and direct light. Be sure to keep it out of reach of children and pets.

Is the Cyclobenzaprine HCl 5%/Lidocaine HCl 5% Topical Gel likely to cause any side effects?

As with any medication, it can cause side effects, but not everybody experiences them. If you notice any unusual or persisting symptoms, it is important to consult with your healthcare provider promptly.

Can I use other topical treatments while using this gel?

Before using any other topical products on the same treatment area, it’s important to discuss with your healthcare provider to prevent any potential interactions or adverse effects.

What should I do in case of an overdose?

If you suspect you have applied more than the directed quantity of the medication, immediately contact your healthcare provider or local poison control center.

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 5%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)