Check out our most popular compounded medications! Get Started
Dashboard
Formulas

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

Bayview Pharmacy's compounded formulation of Dicofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel is a semisolid medication dispensed through a pump mechanism. This allows for easy and precise application on the skin, facilitating targeted treatment or absorption of active ingredients. It is used to manage conditions such as neuropathic pain, fibromyalgia, osteoarthritis, rheumatoid arthritis, and migraines.

View more
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.
Starting at
Get started as a patient
Get Started
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
6427079ea6432474f45189bb

Formula Information

A small arrow pointing down

Bayview Pharmacy is pleased to present a specialized topical gel formulation of Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2%. This unique compounded formulation is specifically designed to provide relief from a range of conditions, including musculoskeletal pain, neuropathic pain, and inflammation.

The formulation combines the analgesic and anti-inflammatory properties of Diclofenac Sodium and Lidocaine. Simultaneously, Gabapentin and Amitriptyline HCl work synergistically to alleviate neuropathic pain. The combination of these four active ingredients not only helps to reduce pain but also aids in decreasing inflammation, offering additional relief from discomfort.

This topical gel formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment. The gel-like consistency ensures optimal absorption of the active ingredients, providing fast-acting and efficient relief from pain and inflammation.

If you have any queries about this compounded formulation or how it can assist in treating your condition, please do not hesitate to contact us at Bayview Pharmacy. Our team is committed to helping you find the most suitable treatment option tailored to your specific needs.

Drug Interactions

A small arrow pointing down

Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel is a compounded formulation designed for targeted treatment of various pain conditions. This semisolid formulation is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency aids in the absorption of the active ingredients.

This topical gel is indicated for the treatment of pain associated with conditions such as osteoarthritis, neuropathic pain, and post-herpetic neuralgia. It also serves as a treatment for depression and anxiety. The combination of diclofenac sodium, gabapentin, lidocaine, and amitriptyline HCl in this formulation may increase the risk of certain adverse effects.

Patients using this product may experience skin irritation, sedation, and dizziness. It is important for patients to be monitored for these potential adverse effects. If any of these symptoms occur, patients should immediately contact their healthcare provider.

Precautions should be taken when using this product. Patients should avoid contact with the eyes and mucous membranes. It is also advised not to apply this product on broken or irritated skin. Concurrent use with other topical medications should be avoided as it may increase the risk of adverse effects.

Special caution should be taken by pregnant or breastfeeding individuals. It is recommended to avoid using this product during these periods. Always consult with a healthcare provider for personalized advice and treatment options.

How Does it Work

A small arrow pointing down

This compounded formulation of Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% Topical Gel is a semisolid preparation that is dispensed through a pump mechanism. This design allows for easy and precise application on the skin, ensuring targeted treatment or absorption of the active ingredients in a gel-like consistency.

The topical gel is a combination of four active ingredients, each with a specific role in managing pain, inflammation, and nerve-related conditions. Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), works by inhibiting the production of certain chemicals in the body that cause inflammation. Gabapentin, an anticonvulsant, functions by blocking nerve signals that trigger pain. Lidocaine, a local anesthetic, also works by blocking nerve signals that cause pain. Lastly, Amitriptyline HCl, an antidepressant, operates by blocking the reuptake of certain neurotransmitters in the brain, which can help alleviate pain.

Typically, this topical gel is applied to the affected area two to three times a day, as per the instructions provided by your healthcare provider. It is crucial to avoid contact with the eyes, mouth, and other mucous membranes when applying this medication. It is equally important to follow the prescribed dosage and application instructions to ensure the effectiveness of the treatment and to avoid potential side effects.

However, it is essential to consult with your doctor or pharmacist if you have any questions or concerns about using this medication. They can provide you with the necessary guidance and advice based on your specific health condition and needs.

Other Uses

A small arrow pointing down

This compounded formulation of Diclofenac Sodium 10%/Gabapentin 5%/Lidocaine 5%/Amitriptyline HCl 2% is a semisolid topical gel designed for targeted treatment. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency aids in the absorption of the active ingredients.

The formulation has been used to treat a wide range of conditions, including neuropathic pain, fibromyalgia, osteoarthritis, rheumatoid arthritis, and migraines. Furthermore, it has been used to manage chronic musculoskeletal pain, post-surgical pain, post-traumatic pain, and chronic pruritus, a condition characterized by intense itching.

Not only does this formulation help in reducing pain and inflammation, but it also provides relief from itching. However, it is crucial to remember that this formulation should not be applied on open wounds or on areas of skin that are broken or irritated. It is also not recommended for use on the face, groin, or axillae.

If you have any questions or concerns about the use of this formulation, please do not hesitate to contact us. Our team of compounding pharmacists at Bayview Pharmacy is always ready to assist you.

Frequently Asked Questions

A small arrow pointing down

What is the purpose of this compounded formulation?

This compounded formulation is designed to provide targeted treatment for pain and inflammation. The active ingredients - Diclofenac Sodium, Gabapentin, Lidocaine, and Amitriptyline HCl - work together to alleviate symptoms associated with conditions such as neuropathic pain, post-herpetic neuralgia, and other similar conditions.

How should I apply this topical gel?

This gel is dispensed through a pump mechanism for easy and precise application. Simply apply a thin layer of the gel to the affected area as directed by your healthcare provider. Do not apply more than the recommended dose.

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

This gel is intended for external use only. Avoid contact with eyes, mouth, and other mucous membranes. If the gel accidentally gets into these areas, rinse thoroughly with water. Always apply the gel to clean, dry skin.

What are the potential side effects of this compounded formulation?

Some potential side effects may include skin irritation, redness, or a burning sensation at the application site. If these side effects persist or worsen, contact your healthcare provider immediately.

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

If you are pregnant or breastfeeding, consult your healthcare provider before using this gel. The active ingredients in this formulation may be absorbed through the skin and could potentially affect the baby.

Can I use this gel with other medications?

Before starting any new medication, it is important to discuss with your healthcare provider. Some medications may interact with the active ingredients in this gel, altering their effectiveness or increasing the risk of side effects.

How should I store this compounded formulation?

Store this gel at room temperature, away from heat and direct light. Do not freeze. Keep out of 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 the dose to catch up.

Can I use this gel for a long period of time?

Long-term use of this gel should be determined by your healthcare provider. Regular check-ups may be necessary to monitor your progress and adjust the dosage if necessary.

What should I do in case of an overdose?

If you suspect an overdose, contact a poison control center or emergency room immediately. Symptoms of overdose may include severe skin irritation, redness, or burning sensation at the application site.

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)