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Diclofenac Sodium 4%/Lidocaine HCl 4%/Orphenadrine Citrate 5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Diclofenac Sodium
Lidocaine Hydrochloride
Orphenadrine Citrate

The Diclofenac Sodium 4%/Lidocaine HCl 4%/Orphenadrine Citrate 5% Topical Gel is a specialized medication designed for the management of musculoskeletal pain and inflammation. This unique formulation combines the anti-inflammatory properties of Diclofenac Sodium, the local anesthetic effects of Lidocaine HCl, and the muscle relaxant benefits of Orphenadrine Citrate. The semisolid gel is dispensed through a pump mechanism, which ensures a clean and measured dose with each use, providing patients with a convenient and controlled method of application directly to the affected area.

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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
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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
Lidocaine Hydrochloride
Orphenadrine Citrate
Topical Gel
654eb1c39a2f5403f9bc281b
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Diclofenac Sodium 4%/Lidocaine HCl 4%/Orphenadrine Citrate 5% Topical Gel is a compounded medication designed to deliver a combination of anti-inflammatory, analgesic, and muscle relaxant effects directly to the site of discomfort. This semisolid formulation is dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose of the medication to the affected area. The gel base allows for the active ingredients to be absorbed through the skin, providing localized relief without the systemic side effects often associated with oral medications.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. When applied topically, it is particularly useful for treating joint pain from conditions such as osteoarthritis. Lidocaine HCl is a local anesthetic that provides temporary relief of pain by blocking nerve signals in the body. It is commonly used for numbing the skin to relieve pain associated with minor burns, abrasions, and insect bites. Orphenadrine Citrate is a muscle relaxant that helps to alleviate muscle spasms and the associated pain and stiffness, often seen in musculoskeletal conditions.

This unique combination of Diclofenac, Lidocaine, and Orphenadrine in a topical gel form is particularly beneficial for patients who require targeted relief from pain and inflammation associated with conditions like sprains, strains, arthritis, backache, and tendonitis. The gel formulation allows for the active ingredients to penetrate the skin and reach the affected tissues, providing relief at the source of pain. Additionally, the topical route of administration minimizes the risk of systemic side effects and drug interactions that can occur with oral medications.

Patients should apply the gel as directed by their healthcare provider, typically to the affected area up to four times a day. It is important to wash hands before and after application and to avoid contact with eyes, mucous membranes, and open wounds. Prescribers should consider the patient's overall medication profile to avoid potential drug interactions, especially with other NSAIDs or medications that may increase the risk of bleeding.

For optimal treatment outcomes, prescribers should tailor the frequency and amount of gel application to the patient's specific condition and severity of symptoms. As with any medication, monitoring for adverse effects is essential, and patients should be instructed to report any signs of skin irritation or allergic reaction. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and healthcare providers.

Drug Interactions

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The topical gel formulation containing Diclofenac Sodium 4%, Lidocaine HCl 4%, and Orphenadrine Citrate 5% is designed for localized treatment of pain and muscle spasms. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. Lidocaine is a local anesthetic that provides temporary relief of pain by blocking nerve signals. Orphenadrine is a muscle relaxant that helps to relieve pain and stiffness in muscles and can improve mobility.

When using this topical gel, it is important to consider potential drug interactions. Diclofenac, being an NSAID, may interact with other NSAIDs, including aspirin, increasing the risk of gastrointestinal ulcers or bleeding. Patients should avoid using additional NSAIDs unless directed by a healthcare provider. Diclofenac may also interact with anticoagulants such as warfarin, antiplatelet drugs such as clopidogrel, and selective serotonin reuptake inhibitors (SSRIs), enhancing the risk of bleeding. It is crucial to monitor patients for signs of bleeding if these medications are used concomitantly.

Lidocaine, when applied topically, is generally considered to have a low risk of systemic interactions due to minimal systemic absorption. However, caution is advised when used with other local anesthetics or medications that affect cardiac conduction, as there is a potential for additive effects on the heart, such as arrhythmias, especially in patients with pre-existing heart conditions.

Orphenadrine may interact with other central nervous system depressants, including alcohol, benzodiazepines, opioids, and antihistamines, potentially enhancing drowsiness, dizziness, and impaired motor coordination. Patients should be advised to avoid or limit the use of alcohol and other CNS depressants while using this medication. Additionally, orphenadrine may interact with anticholinergic drugs, increasing the risk of side effects such as dry mouth, urinary retention, and constipation.

It is also important to consider that the combination of these three active ingredients may have a synergistic effect, potentially increasing the efficacy but also the risk of adverse effects. Therefore, patients should be instructed to use the gel as prescribed and report any unusual symptoms to their healthcare provider. The use of this topical gel should be approached with caution in patients with a history of cardiovascular disease, gastrointestinal bleeding, or renal impairment, and it should not be applied to broken or damaged skin.

Patients should be advised to inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs, vitamins, and herbal supplements, to avoid potential interactions. If you have any questions or concerns regarding the use of this topical gel formulation or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Diclofenac Sodium 4%/Lidocaine HCl 4%/Orphenadrine Citrate 5% Topical Gel is a compounded medication designed to deliver its active ingredients directly to the site of pain and inflammation through the skin. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application. The gel-like consistency ensures that the medication stays where it is applied, providing targeted treatment and facilitating the absorption of the active ingredients.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammation process. By reducing their production, Diclofenac Sodium effectively decreases inflammation and pain in the affected area.

Lidocaine HCl is a local anesthetic that provides temporary relief of pain by blocking the sodium channels in the neuronal membrane. This action prevents the initiation and conduction of nerve impulses, leading to a numbing sensation in the area where the gel is applied. Lidocaine's inclusion in the formulation helps to alleviate the discomfort associated with the underlying condition being treated.

Orphenadrine Citrate is a muscle relaxant that works by blocking certain neurotransmitters in the central nervous system, which helps to reduce muscle spasms. When used topically, Orphenadrine Citrate can help to alleviate the pain and discomfort associated with muscle strains, sprains, and other musculoskeletal conditions.

This combination of Diclofenac Sodium, Lidocaine HCl, and Orphenadrine Citrate in a topical gel form is particularly useful for treating localized musculoskeletal pain, inflammation, and muscle spasms. It is often prescribed for conditions such as arthritis, tendonitis, bursitis, and other similar ailments. The topical route of administration ensures that the medication acts at the site of pain with minimal systemic absorption, which can reduce the risk of systemic side effects commonly associated with oral NSAIDs and muscle relaxants.

Patients and prescribers should note that while this formulation is designed for targeted action with potentially fewer systemic effects, it is still important to use the medication as directed to avoid overuse or misuse. If you have any questions or require further information about this compounded medication, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have regarding the formulation, its use, or its suitability for specific patient needs.

Frequently Asked Questions

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What is this topical gel used for?

This gel is primarily used for the relief of pain and inflammation in conditions such as arthritis, strains, sprains, or other musculoskeletal ailments. Its active ingredients target pain and muscle spasms directly at the site of discomfort.

How does this compounded gel work?

The gel contains Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain; Lidocaine HCl, a local anesthetic that temporarily numbs the area; and Orphenadrine Citrate, a muscle relaxant that helps to alleviate muscle spasms.

How do I use this topical gel?

Apply a thin layer of the gel to the affected area. Use the pump to dispense the gel and spread it gently onto the skin. Follow your healthcare provider's instructions regarding dosage and frequency of application.

How often can I apply this gel?

The frequency of application will depend on your individual condition and the directions given by your healthcare provider. Do not exceed the recommended dose without consulting a doctor.

Can this gel be applied to open wounds?

No, do not apply the gel to open wounds, cuts, or irritated skin. It is intended for use on intact skin only.

Are there any potential side effects from using this gel?

As with any medication, side effects are possible. These may include skin irritation at the application site, itching, rash, or systemic effects if absorbed in significant amounts. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Should I cover the area after applying the gel?

It's not usually necessary to cover the treated area unless directed by a healthcare provider. If you're advised to cover the area, use a breathable material to avoid excess moisture which could lead to skin irritation.

Can I use this gel in conjunction with oral medications?

This topical gel may be used as part of a larger treatment plan, including with oral medications, but always consult your healthcare provider to prevent any potential interactions between the medication in the gel and other drugs you are taking.

How should this product be stored?

Store the gel at room temperature, away from heat and direct sunlight. Keep the pump bottle tightly closed when not in use to prevent the gel from drying out.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular application schedule. Do not double the dose to catch up.

Is this compounded gel suitable for children?

Only use this medication in children if it has been specifically prescribed by a healthcare provider.

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.

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 4%/Lidocaine HCl 4%/Orphenadrine Citrate 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily