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Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Diclofenac Sodium
Gabapentin
Amitriptyline Hydrochloride
Lidocaine Hydrochloride

This topical gel is a compounded formulation of Diclofenac Sodium 10%, Gabapentin 5%, Lidocaine 5%, and Amitriptyline HCl 2%. It is dispensed through a pump mechanism, allowing for easy and precise application. The gel-like consistency ensures targeted treatment or absorption of the active ingredients. It is designed to effectively manage conditions such as Neuropathic Pain, Fibromyalgia, Migraine, Osteoarthritis, and Rheumatoid Arthritis.

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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.
Diclofenac Sodium
Gabapentin
Amitriptyline Hydrochloride
Lidocaine Hydrochloride
Topical Gel
6427079ea6432400365189c2

Formula Information

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Bayview Pharmacy is pleased to present a specialized topical gel formulation that combines Diclofenac Sodium 10%, Gabapentin 5%, Lidocaine 5%, and Amitriptyline HCl 2%. This unique blend is specifically designed to alleviate a range of chronic pain conditions, including neuropathic pain, fibromyalgia, migraines, osteoarthritis, and rheumatoid arthritis.

The synergistic effect of diclofenac sodium and lidocaine offers potent anti-inflammatory and analgesic properties. Simultaneously, gabapentin and amitriptyline HCl contribute additional analgesic benefits and relief from neuropathic pain. This combination of active ingredients works in harmony to reduce inflammation and pain associated with these chronic conditions.

This topical gel formulation is a semisolid preparation dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment or absorption. The gel-like consistency ensures a smooth application process, providing a practical alternative to oral medications. It is designed to deliver the active ingredients directly to the affected area, enhancing the efficacy of the treatment.

It is crucial to note that this formulation should not be applied to open wounds or broken skin. Some patients may experience skin irritation or a burning sensation upon application. If these symptoms persist, it is recommended to discontinue use and consult a healthcare professional.

If you have any queries about this unique formulation or how it can assist in managing neuropathic pain, fibromyalgia, migraines, osteoarthritis, or rheumatoid arthritis, please do not hesitate to contact us.

Drug Interactions

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This compounded formulation of Diclofenac Sodium 10%, Gabapentin 5%, Lidocaine 5%, and Amitriptyline HCl 2% is a semisolid topical gel dispensed through a pump mechanism. This design allows for easy and precise application on the skin, targeting the treatment area for optimal absorption of the active ingredients.

The gel is indicated for the treatment of various conditions including neuropathic pain, fibromyalgia, migraine, osteoarthritis, and rheumatoid arthritis. Each active ingredient plays a crucial role in managing these conditions. Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), works by blocking the production of certain chemicals that cause inflammation and pain. Gabapentin, an anticonvulsant, functions by decreasing abnormal nerve activity. Lidocaine, a local anesthetic, works by blocking nerve signals in the affected area. Lastly, Amitriptyline HCl, a tricyclic antidepressant, increases the levels of certain chemicals in the brain that help reduce pain.

While this formulation is designed for targeted treatment, it may cause local skin reactions such as burning, stinging, itching, redness, or irritation. If these reactions worsen or persist, or if other side effects such as dizziness, drowsiness, nausea, vomiting, or difficulty breathing occur, patients should immediately contact their healthcare provider.

Patients with a history of bleeding disorders, allergies to any of the ingredients, or those taking other medications that may interact with this formulation should not use this product. It is also crucial for patients to inform their healthcare provider if they are pregnant, breastfeeding, or planning to become pregnant.

As with any medication, it is important to use this formulation as directed by your healthcare provider. If you have any questions or concerns, do not hesitate to reach out to your healthcare provider for guidance.

How Does it Work

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Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel is a compounded formulation designed to provide targeted relief from various chronic pain conditions. This unique blend of four active ingredients works synergistically to alleviate pain and inflammation.

Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), works by reducing inflammation and pain. Lidocaine, a local anesthetic, numbs the area of application, providing immediate relief. Amitriptyline HCl, a tricyclic antidepressant, aids in reducing pain signals in the brain.

The gel is dispensed through a pump mechanism, which allows for easy and precise application. It is recommended to apply the gel to the affected area two to three times daily, or as directed by your healthcare provider. Always wash your hands before and after application to maintain hygiene and avoid potential irritation. It is crucial not to apply the gel on broken or irritated skin.

While this formulation is generally well-tolerated, some individuals may experience side effects such as skin irritation, redness, or burning. If you notice any of these or other adverse reactions, discontinue use and contact your healthcare provider immediately.

If you have any questions or concerns about using this compounded formulation for your chronic pain condition, do not hesitate to reach out to your healthcare provider. They can provide you with the most accurate and personalized advice based on your specific health situation and needs.

Other Uses

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This compounded formulation of Diclofenac Sodium 10%, Gabapentin 5%, Lidocaine 5%, and Amitriptyline HCl 2% is a semisolid topical gel designed for targeted treatment of various pain conditions. The gel is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients in this formulation work synergistically to provide relief from Neuropathic Pain, Fibromyalgia, Migraine, Osteoarthritis, and Rheumatoid Arthritis.

Moreover, this formulation is currently under investigation for its potential efficacy in treating other conditions such as chronic low back pain, post-herpetic neuralgia, and diabetic neuropathy. The combination of these four active ingredients has shown promising results in alleviating pain, reducing inflammation, and relieving muscle spasms.

It is crucial to note that this topical gel should not be applied to open wounds or areas of skin that are broken or irritated. It is also not suitable for application on the face, groin, or axillae. Patients are advised to apply the gel to the affected area no more than four times daily and to wash their hands thoroughly after each application.

If any adverse reactions occur, such as redness, itching, or swelling, patients should immediately discontinue use and consult their healthcare provider. However, as with any medication, it is essential to use it under the guidance of a healthcare professional.

Frequently Asked Questions

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What is the Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel?

This is a compounded medication that combines four active ingredients: Diclofenac Sodium, Gabapentin, Lidocaine, and Amitriptyline HCl. It is a semisolid formulation that is dispensed through a pump mechanism for easy and precise application on the skin.

What is the purpose of this compounded formulation?

This formulation is designed to provide targeted treatment or absorption of the active ingredients. It is typically used for pain management, particularly for conditions that respond to these specific medications.

How should I apply this topical gel?

This gel should be applied directly to the skin in the area where treatment is needed. The pump mechanism allows for easy and precise application. Always follow your healthcare provider's instructions regarding how much to apply and how often.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Diclofenac Sodium, Gabapentin, Lidocaine, and Amitriptyline HCl. These medications work together to provide pain relief and manage symptoms of certain conditions.

What is the consistency of this topical gel?

This topical gel has a gel-like consistency. It is a semisolid formulation that is dispensed through a pump mechanism.

Can I use this gel on any part of my body?

This gel is intended for external use only. It should be applied to the skin in the area where treatment is needed. Avoid contact with eyes, mouth, and other mucous membranes. If you have any questions about where to apply the gel, consult your healthcare provider.

What should I do if I experience any side effects?

If you experience any side effects, such as skin irritation or an allergic reaction, stop using the gel and contact your healthcare provider immediately.

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

Before using this gel, inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. They will be able to advise you on whether this medication is safe for you to use.

How should I store this topical gel?

Store this medication at room temperature, away from heat and direct light. Do not freeze. Keep out of the reach of children and pets.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

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.

Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)