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Formulas

Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel

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

Bayview Pharmacy's Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel is a specialized compounded medication. This semisolid formulation is dispensed through a pump mechanism, allowing for easy and precise application on the skin. It is designed for targeted treatment or absorption of active ingredients in a gel-like consistency. It is used to treat conditions such as Myofascial Pain Syndrome, Fibromyalgia, Osteoarthritis, Tension Headaches, and Neuropathic Pain.

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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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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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.
Flurbiprofen
Tizanidine Hydrochloride
Cyclobenzaprine Hydrochloride
Lidocaine Hydrochloride
Topical Gel
6427079ea643249284518b30
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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Bayview Pharmacy's Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel is a specialized compounded formulation designed to provide targeted relief from a range of musculoskeletal conditions.

The formulation combines Flurbiprofen, a non-steroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of inflammation and pain-causing chemicals in the body. Tizanidine HCl and Cyclobenzaprine HCl, both muscle relaxants, function by blocking nerve impulses that trigger muscle spasms. Lidocaine HCl, a local anesthetic, operates by blocking nerve signals in the affected area, providing immediate relief.

This combination of medications creates a synergistic effect, enhancing the overall efficacy in pain and inflammation relief. The topical gel formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin. This allows for targeted treatment or absorption of active ingredients in a gel-like consistency, providing fast-acting relief directly to the affected area.

It offers a non-invasive, targeted approach to managing pain and inflammation, making it a preferred choice for many patients.

If you have any questions about this formulation or how it can help manage 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 for your needs.

Drug Interactions

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Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel is a compounded formulation designed to provide targeted treatment for conditions such as Fibromyalgia, Myofascial Pain Syndrome, Muscle Spasms, Sciatica, and Neuralgia. This unique blend of active ingredients works synergistically to alleviate symptoms associated with these conditions.

Flurbiprofen, a non-steroidal anti-inflammatory drug (NSAID), functions by inhibiting the production of certain chemicals in the body that trigger inflammation and pain. Tizanidine HCl and Cyclobenzaprine HCl, both muscle relaxants, operate by blocking nerve impulses that result in muscle spasms. Lidocaine HCl, a local anesthetic, works by obstructing nerve signals in the affected area, thereby providing pain relief.

This combination of medications is designed to reduce inflammation, muscle spasms, and pain, providing targeted relief for the aforementioned conditions. However, it is crucial to note that this formulation should not be used for more than two weeks due to potential side effects such as skin irritation, redness, or burning.

Furthermore, this formulation may interact with other medications. Therefore, it is essential for patients to discuss all medications they are currently taking with their healthcare provider before starting this treatment. This ensures safe and appropriate use of the medication, minimizing potential risks and maximizing benefits.

How Does it Work

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This compounded formulation is a topical gel that combines four active ingredients: Flurbiprofen 5%, Tizanidine HCl 0.2%, Cyclobenzaprine HCl 2%, and Lidocaine HCl 2%. Each ingredient plays a crucial role in providing relief from various painful conditions.

Flurbiprofen, a non-steroidal anti-inflammatory drug (NSAID), works by inhibiting the production of certain chemicals in the body that cause inflammation and pain. Tizanidine HCl and Cyclobenzaprine HCl are muscle relaxants that function by blocking nerve impulses responsible for muscle spasms. Lidocaine HCl, a local anesthetic, operates by blocking nerve signals in the affected area, providing immediate relief from pain.

This topical gel is used to treat a range of conditions, including fibromyalgia, myofascial pain syndrome, muscle spasms, sciatica, and neuralgia. Fibromyalgia and myofascial pain syndrome are chronic conditions characterized by widespread pain and tenderness in the muscles and joints. Muscle spasms refer to involuntary contractions of the muscles that can cause significant discomfort. Sciatica is a condition characterized by pain that radiates along the sciatic nerve, which extends from the lower back to the legs. Neuralgia is a condition characterized by pain along the path of a nerve.

The gel works by providing relief from pain and inflammation associated with these conditions. The combination of active ingredients helps to reduce inflammation, relax muscles, and provide local anesthetic relief. The gel should be applied directly to the affected area and gently massaged into the skin. It is crucial to follow the instructions provided by your healthcare provider when using this product.

If you have any questions about this formulation or its mechanism of action, please do not hesitate to reach out.

Other Uses

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This compounded formulation of Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel is a semisolid preparation designed for targeted treatment of various pain conditions. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients in this formulation are absorbed through the skin, providing localized relief from pain and inflammation.

Indications for this formulation include Myofascial Pain Syndrome, Fibromyalgia, Osteoarthritis, Tension Headaches, and Neuropathic Pain. It is designed to reduce inflammation and pain associated with these conditions. The Flurbiprofen component acts as a potent anti-inflammatory agent, while Tizanidine and Cyclobenzaprine provide muscle relaxant effects, helping to alleviate muscle spasms and improve range of motion. Lidocaine, a local anesthetic, helps to numb the affected area, providing immediate relief from pain.

Furthermore, this formulation may be used to reduce the frequency and intensity of muscle spasms, as well as to decrease the severity of muscle pain. It may also be beneficial in reducing the severity of headaches and other types of pain associated with the aforementioned conditions. The gel-like consistency of this formulation allows for targeted application, ensuring that the active ingredients are delivered directly to the area of discomfort.

Application of this formulation should be as directed by a healthcare provider. It is important to follow the prescribed dosage and application instructions to ensure optimal therapeutic effects. If you have any questions or concerns regarding the use of this formulation, it is recommended to consult with your healthcare provider or pharmacist.

Frequently Asked Questions

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What is the Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel?

This is a compounded formulation of various active ingredients, including Flurbiprofen, Tizanidine HCl, Cyclobenzaprine HCl, and Lidocaine HCl. It is a semisolid formulation that is dispensed through a pump mechanism for easy and precise application on the skin.

How does this topical gel work?

The gel works by delivering the active ingredients directly to the targeted area through the skin. Each ingredient plays a specific role, such as pain relief, muscle relaxation, or numbing, to provide comprehensive treatment.

How should I apply this topical gel?

You should apply this gel directly to the affected area as directed by your healthcare provider. The pump mechanism allows for easy and precise application.

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 you are unsure 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, redness, 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?

If you are pregnant or breastfeeding, you should consult your healthcare provider before using this gel. The safety of this product for use during pregnancy or breastfeeding has not been established.

Can I use this gel with other medications?

Before using this gel, inform your healthcare provider about any other medications you are currently taking. Some medications may interact with the active ingredients in this gel.

How should I store this topical gel?

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 doses.

Can I use this gel for long-term treatment?

The duration of treatment with this gel should be determined by your healthcare provider based on your specific condition and response to therapy. Do not use it for longer than prescribed without consulting your 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.

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.

Flurbiprofen 5%/Tizanidine HCl 0.2%/Cyclobenzaprine HCl 2%/Lidocaine HCl 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily