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Formulas

Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Diclofenac Sodium
Dimethyl Sulfoxide

The Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel is a semisolid formulation designed for targeted drug delivery through the skin. This gel is dispensed from a pump mechanism, which ensures easy and precise application. The transdermal delivery system provides a convenient alternative to oral administration, potentially reducing systemic side effects and improving patient compliance.

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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
Dimethyl Sulfoxide
Topical Gel
654e74f1d17a1fdbf3b2c20b

Formula Information

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The Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel is a specialized semisolid formulation designed for targeted drug delivery through the skin. This unique preparation combines the anti-inflammatory and analgesic properties of Diclofenac Sodium with the enhanced penetration capabilities of Dimethyl Sulfoxide (DMSO). Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), works by inhibiting cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins, thereby reducing inflammation, pain, and swelling in affected areas. DMSO, on the other hand, is known for its ability to penetrate the skin and other biological membranes, which facilitates the deeper delivery of Diclofenac Sodium into the tissues.

The gel is dispensed through a pump mechanism, which allows for easy and precise dosing. Patients can apply the gel directly to the skin over the painful or inflamed area, ensuring that the medication is delivered where it is most needed. The gel base provides a convenient and non-greasy medium for the active ingredients to be absorbed transdermally. This dosage form is particularly beneficial for patients who may have difficulties swallowing oral medications or for those who prefer a localized treatment approach to minimize systemic side effects.

This transdermal gel is indicated for the treatment of various inflammatory and pain-related conditions, such as osteoarthritis, rheumatoid arthritis, sprains, strains, and other musculoskeletal injuries. By delivering the active ingredients directly to the site of pain and inflammation, this formulation can provide rapid and targeted relief. Patients and prescribers should also be aware of potential side effects, including local skin irritation, which may result from the use of this formulation.

For optimal results, the application area should be clean and dry, and the gel should be applied as directed by a healthcare professional. It is essential to follow the prescribed dosage and not to exceed the recommended amount to avoid possible adverse effects. Patients should also avoid covering the treated area with occlusive dressings unless advised by their healthcare provider.

If you have any questions or require further information about the Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to both patients and prescribers to ensure the safe and appropriate use of this medication.

Drug Interactions

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The combination of Diclofenac Sodium and Dimethyl Sulfoxide (DMSO) in a transdermal gel formulation is designed for topical application and can be used to treat various conditions such as localized musculoskeletal pain, inflammation, and soft tissue injuries. Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. DMSO is used as a penetration enhancer to facilitate the absorption of diclofenac through the skin, and it also has anti-inflammatory and analgesic properties.

When using this Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel, it is important to consider potential drug interactions. Diclofenac, being an NSAID, can interact with various medications and substances. Concurrent use with other NSAIDs, including over-the-counter aspirin or ibuprofen, may increase the risk of gastrointestinal bleeding or ulcers. Patients should avoid using additional NSAIDs unless directed by a healthcare provider.

Patients taking anticoagulants or antiplatelet drugs such as warfarin, heparin, or clopidogrel should use diclofenac with caution, as it may enhance the effects of these medications and increase the risk of bleeding. Similarly, combining diclofenac with selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may also increase the risk of gastrointestinal bleeding.

Concomitant use of diclofenac with corticosteroids or alcohol may exacerbate the potential for gastrointestinal adverse effects. Patients on corticosteroids should consult their healthcare provider before using this transdermal gel. Additionally, diclofenac may interact with certain antihypertensive medications, such as ACE inhibitors, angiotensin receptor blockers (ARBs), or diuretics, potentially diminishing their antihypertensive effect and leading to kidney problems in some cases.

Dimethyl Sulfoxide (DMSO) can affect the absorption of other topically applied medications, so it is important to avoid using other topical preparations in the same area where the Diclofenac Sodium/DMSO gel is applied. DMSO may also interact with certain substances, such as blood thinners and medications that affect blood clotting, increasing the risk of bleeding. Patients should inform their healthcare provider of all medications they are taking, including prescription, over-the-counter, vitamins, and herbal supplements.

It is essential to use this medication as directed by a healthcare provider and to report any unusual symptoms or suspected drug interactions. The transdermal gel should be applied only to intact, non-diseased skin, and contact with eyes, mucous membranes, and other sensitive areas should be avoided. Hands should be washed thoroughly after application unless they are the site of treatment. If you have any questions or concerns about using this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Diclofenac Sodium 5%/Dimethyl Sulfoxide (DMSO) 15% Transdermal Gel is a specialized medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel is applied directly to the skin over the area of pain or inflammation, providing targeted treatment. The consistency of the gel ensures that it spreads evenly and is absorbed into the skin effectively.

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 the production of these compounds, Diclofenac Sodium effectively decreases inflammation and pain in the affected area. This makes it particularly useful for treating conditions such as osteoarthritis, rheumatoid arthritis, sprains, strains, and other musculoskeletal injuries.

Dimethyl Sulfoxide (DMSO) is a compound with anti-inflammatory properties and a unique ability to penetrate the skin and other biological membranes. When combined with Diclofenac Sodium, DMSO not only enhances the anti-inflammatory effects but also serves as a carrier, facilitating the deeper penetration of Diclofenac into the tissues. DMSO also has analgesic properties that contribute to the overall pain-relieving effect of the gel.

The combination of Diclofenac Sodium and DMSO in a transdermal gel form is particularly advantageous for patients who may have difficulties with oral NSAIDs, such as gastrointestinal side effects or those who require localized relief. The transdermal route bypasses the gastrointestinal tract, potentially reducing systemic side effects and providing a more favorable safety profile for long-term use.

It is important for patients and prescribers to understand that while this formulation provides localized relief, it should be used with caution in patients with known hypersensitivity to Diclofenac, DMSO, or other NSAIDs. Additionally, the use of this medication should be monitored by a healthcare professional to ensure safety and efficacy. As with any medication, adherence to the prescribed dosage and application instructions is crucial for optimal results.

If you have any questions or require further information about the Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to both patients and prescribers.

Other Uses

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Beyond its primary indication for the management of pain and inflammation in conditions such as osteoarthritis, rheumatoid arthritis, and other musculoskeletal disorders, the Diclofenac Sodium 5%/Dimethyl Sulfoxide (DMSO) 15% Transdermal Gel may be considered for several off-label or additional uses. This formulation leverages the anti-inflammatory and analgesic properties of diclofenac, coupled with the skin-penetrating and carrier capabilities of DMSO to potentially address various localized pain syndromes. For example, patients suffering from localized neuralgias, sports injuries, or tendinitis may find relief when applying this gel to the affected area. Due to the transdermal delivery system, the medication could prove beneficial in deep tissue therapies, targeting areas that oral medications might not reach as effectively.

Furthermore, there might be potential uses in the treatment of localized soft tissue injuries, such as bruises and strains, where the combination of diclofenac and DMSO can reduce inflammation and promote quicker healing. The formulation can also be explored as an adjunct therapy in complex pain management regimens, possibly providing additional relief from pain associated with certain neuropathic conditions. While not a cure, patients with conditions causing chronic pain might experience an improved quality of life through better pain control. Another area of interest could be in the treatment of certain dermatological conditions where inflammation is a significant component, though careful evaluation is advised due to DMSO's ability to carry substances through the skin, which may increase the risk of systemic side effects or drug interactions.

It is important for prescribers to note that while DMSO can potentiate the absorption and effect of diclofenac, it can also increase the penetration of other topical substances. Patients should be advised to avoid applying other topical agents in close proximity to the area of treatment with Diclofenac Sodium/DMSO gel, unless specifically directed by their healthcare provider. As with any medication, both the prescriber and the patient must weigh the potential benefits against any risks, particularly when using the product for conditions outside of its primary indications.

The effectiveness and safety of the Diclofenac Sodium/DMSO transdermal gel for other uses should be evaluated on a case-by-case basis, considering the individual patient's health status, concurrent medications, and the specific condition being treated. As compounding pharmacists at Bayview Pharmacy, we are committed to supporting prescribers and patients in optimizing therapy with compounded medications. We encourage both patients and healthcare providers to reach out to us with any questions or for further information regarding the tailored use of this transdermal gel formulation for alternative therapeutic applications.

Frequently Asked Questions

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What is Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel?

Diclofenac Sodium 5%/Dimethyl Sulfoxide 15% Transdermal Gel is a prescription medication used for the treatment of localized pain and inflammation. It combines the anti-inflammatory and pain-relieving effects of Diclofenac Sodium with the enhanced skin penetration properties of Dimethyl Sulfoxide, allowing the active ingredients to be delivered directly to the affected area through the skin.

How do I use this transdermal gel?

To use this gel, apply a small amount to the affected area as prescribed by your doctor. The gel is dispensed through a pump mechanism to facilitate easy and precise application. Rub the gel gently into the skin until it is completely absorbed. Make sure to wash your hands before and after applying the gel to avoid contaminating the treated area or transferring the medication to other parts of the body or other individuals.

Can this gel be applied on open wounds or irritated skin?

No, do not apply the gel on open wounds, infections, burns, or severely irritated skin, as it may worsen the condition and increase the risk of side effects. It is intended for use on intact skin only. Consult with your healthcare provider if you are unsure about where to apply the medication.

How often should I use the gel?

The frequency of application will be determined by your doctor based on your medical condition and response to treatment. It is important to use the medication exactly as prescribed to achieve the best results. Do not apply more frequently than recommended as this could increase the risk of side effects.

What should I do if I miss a dose?

If you miss a dose, apply the gel as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any potential side effects to be aware of?

Side effects can include skin irritation at the application site, such as redness, itching, or a burning sensation. More serious side effects may occur, though they are less common. If you experience any unusual symptoms, severe skin reactions, or signs of an allergic reaction, seek medical attention immediately.

Can I cover the treated area with a bandage?

You should not cover the treated area with an occlusive dressing or bandage unless directed to do so by your doctor, as doing so may increase the absorption of the medication and raise the risk of side effects.

What should I avoid while using this medication?

Avoid exposing the treated area to sunlight, tanning booths, and sunlamps. Also, avoid using other topical products on the same area unless advised by your doctor, as this may alter the effectiveness of the medication or increase the risk of side effects.

How should I store the transdermal gel?

Store the transdermal gel at room temperature, away from direct sunlight and heat. Do not freeze the medication. Keep the container tightly closed and out of reach of children and pets.

Can Diclofenac Sodium/Dimethyl Sulfoxide Transdermal Gel interact with other medications?

Yes, this transdermal gel can interact with other medications. It is important to inform your doctor of all prescription, over-the-counter, and herbal medications you are taking before starting treatment with Diclofenac Sodium/Dimethyl Sulfoxide Transdermal Gel. Your healthcare provider will guide you on how to manage any potential interactions.

What should I do in the case of an overdose?

If you suspect an overdose or if the gel has been ingested, seek emergency medical attention immediately. Overdose symptoms may include severe dizziness, trouble breathing, or unconsciousness. Make sure to provide healthcare professionals with details of the product and how much was used or ingested.

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 5%/Dimethyl Sulfoxide 15% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)