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Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel

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

The Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel is a specialized medication designed for the management of neuropathic pain and associated conditions. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application directly to the skin. The gel-like consistency ensures that the active ingredients, Gabapentin and Lidocaine HCl, are delivered in a targeted manner to the affected area, providing relief from symptoms of nerve pain, postherpetic neuralgia, and localized pain syndromes. The transdermal delivery system is particularly beneficial for patients who may experience gastrointestinal side effects with oral medications or require localized pain management.

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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.
Gabapentin
Lidocaine Hydrochloride
Topical Gel
65ad905f51268a5e9b277a14

Formula Information

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The Gabapentin 15%/Lidocaine HCl 3% 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 base provides a suitable medium for the transdermal delivery of the active ingredients, gabapentin and lidocaine HCl, directly to the site of pain or discomfort. The consistency of the gel ensures that it can be smoothly applied to the skin, enhancing patient comfort and compliance with the treatment regimen.

It works by modulating the activity of certain neurotransmitters in the nervous system, which helps in reducing the perception of pain. Lidocaine HCl is a local anesthetic that provides immediate relief from pain by blocking the transmission of pain signals along the nerves. The combination of gabapentin and lidocaine in this transdermal gel formulation targets both the chronic and acute aspects of pain management.

This transdermal gel is particularly useful in treating localized neuropathic pain conditions, such as postherpetic neuralgia or diabetic neuropathy, where the pain is confined to a specific area of the body. It may also be beneficial for patients experiencing localized musculoskeletal pain or certain types of chronic pain syndromes where the use of systemic medications is limited due to side effects or contraindications. The transdermal route of administration provides a favorable option for patients who may have difficulties with oral dosing or those who prefer to avoid systemic effects associated with oral medications.

For prescribers considering this formulation for their patients, it is important to note that the concentration of gabapentin and lidocaine has been carefully selected to maximize therapeutic effects while minimizing the risk of adverse reactions. The pump mechanism ensures consistent dosing, and the transdermal application allows for a localized effect, which can be advantageous in a multimodal pain management approach. As with any medication, monitoring for efficacy and tolerability is recommended.

Patients should be instructed on the proper application of the gel, including the amount to be applied and the frequency of use as prescribed by their healthcare provider. They should also be advised to wash their hands after applying the gel and to avoid contact with sensitive areas such as the eyes. It is important for both patients and prescribers to be aware of potential side effects, which may include skin irritation at the application site, dizziness, or drowsiness. If any severe reactions occur, they should discontinue use and consult their healthcare provider.

If you have any questions regarding the Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel or its suitability for a specific patient or condition, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and appropriate use of this formulation.

Drug Interactions

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The combination of Gabapentin 15% and Lidocaine HCl 3% in a transdermal gel is designed for topical application and may offer localized relief from neuropathic pain. Gabapentin is an anticonvulsant that is commonly used to treat nerve pain, while Lidocaine is a local anesthetic that provides temporary numbness or loss of sensation in the area where it is applied. When used together in a transdermal gel, these two agents may work synergistically to reduce pain in specific areas of the body.

While the risk of systemic drug interactions is generally lower with topical formulations compared to oral medications, there are still potential interactions that should be considered. Gabapentin, when absorbed systemically, can interact with other central nervous system (CNS) depressants, such as opioids, benzodiazepines, and alcohol, potentially enhancing sedation and respiratory depression. Although the systemic absorption of gabapentin from a topical formulation is expected to be minimal, caution is advised when it is used concurrently with other CNS depressants.

Lidocaine, on the other hand, is a local anesthetic that can cause additive systemic effects if used with other local anesthetics or agents that affect cardiac conduction. Caution is advised when using this gel in conjunction with other topical products that contain local anesthetics or when applied to large areas of skin, as increased absorption could lead to higher plasma levels of lidocaine. This is particularly important in patients with pre-existing cardiac conditions, as lidocaine can have cardiodepressant effects.

Patients with liver impairment may be at increased risk of systemic toxicity from lidocaine due to reduced metabolism and clearance. It is important to monitor these patients closely if the transdermal gel is used extensively or for prolonged periods. Additionally, gabapentin's elimination is renal, so dose adjustments may be necessary in patients with renal impairment, although this is less of a concern with topical administration.

It is also important to consider the potential for skin irritation or allergic reactions with the use of any topical formulation. Patients should be advised to monitor the application site for signs of redness, itching, or irritation, and to report any severe or persistent reactions to their healthcare provider.

As with any medication, it is crucial to inform healthcare providers of all the medications, supplements, and herbal products a patient is currently using to avoid potential interactions. If you have any questions or require further information about this formulation and its potential interactions, please reach out to us at Bayview Pharmacy. We are here to ensure the safe and appropriate use of this medication for the treatment of neuropathic pain.

How Does it Work

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The Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel is a specialized medication designed for topical application to provide localized relief from pain. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel is applied directly to the skin, where it can deliver the active ingredients to the affected area for targeted treatment.

When formulated into a transdermal gel, gabapentin is absorbed through the skin and works by modulating the activity of certain neurotransmitters in the nervous system, which helps to reduce the perception of pain.

Lidocaine HCl is a local anesthetic that provides immediate relief from pain by blocking the transmission of pain signals along the nerves. When applied topically, lidocaine causes a temporary loss of sensation in the treated area, which can be beneficial for patients experiencing sharp, burning, or stabbing pain.

The combination of gabapentin and lidocaine in a transdermal gel form offers the advantage of synergistic effects. While gabapentin works to provide longer-term relief by altering the way the body senses pain, lidocaine offers rapid, short-term relief by numbing the area. This dual-action approach can be particularly useful for conditions such as neuropathies, postherpetic neuralgia, and other localized pain syndromes where both immediate and sustained pain relief are desired.

The transdermal delivery system of this gel formulation is advantageous because it allows the medication to be absorbed directly into the affected area, minimizing systemic absorption and potential side effects.

Patients and prescribers considering the use of Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel should be aware that this medication is typically used when other pain management strategies have not been successful or when systemic side effects of oral medications are a concern. It is important to apply the gel as directed by a healthcare professional and to adhere to the prescribed dosing regimen to achieve the best therapeutic outcomes.

If you have any questions about the Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage pain with this specialized medication.

Other Uses

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While the primary use of the Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel is to manage neuropathic pain and local anesthetic effects, there are other potential therapeutic applications for this formulation. Patients with conditions such as postherpetic neuralgia may benefit from the analgesic properties of gabapentin and the numbing effect of lidocaine. The gel's targeted delivery system can also be advantageous for localized symmetrical pain around joints, providing relief for people with osteoarthritis or rheumatoid arthritis who experience flare-ups in specific locations.

Furthermore, individuals suffering from certain types of chronic soft tissue pain or muscle spasms might also find this formulation helpful as it can help to ease muscle tension and reduce discomfort. The transdermal application could also suit patients with fibromyalgia, a condition characterized by widespread musculoskeletal pain, as the combination of gabapentin and lidocaine may work on various pain pathways.

It is noteworthy to mention that some off-label uses may emerge from anecdotal reports or small studies, such as the management of pruritus (itching) associated with dermatological conditions or systemic diseases. The inclusion of lidocaine, which has local anesthetic and anti-itch properties, can be beneficial in these instances. The transdermal gel formulation may also offer an alternative for patients who have difficulty tolerating oral medications due to gastrointestinal side effects or who require a slower, more consistent release of medication.

Given the scope of potential applications, it is critical for both patients and prescribers to consider the specific condition being treated and to ensure that the use of this transdermal gel is appropriate. Efficacy and safety have not been established for all potential uses, so it is vital to weigh the benefits against possible risks. Moreover, patients with hypersensitivity to gabapentin, lidocaine, or any other component of the gel should not use this product. If you are considering this formulation for conditions other than those indicated, or if you have questions regarding its suitability for a particular use, please reach out to us at Bayview Pharmacy. We are here to provide further information and guidance to support appropriate treatment choices.

Frequently Asked Questions

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What is Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel used for?

This compounded transdermal gel is typically used to relieve nerve pain or to provide local anesthesia by delivering a combination of gabapentin and lidocaine directly to the site of discomfort through the skin. Its application may be recommended for conditions such as neuropathic pain or for the localized relief of pain in certain medical conditions.

How is this transdermal gel different from oral medications?

This gel offers targeted relief, delivering the active ingredients directly to the site of pain through the skin. This can minimize systemic side effects and may provide faster relief compared to oral medications that have to be absorbed through the digestive system.

How do I use the transdermal gel pump?

Press the pump to dispense a small amount of gel onto your fingertip or directly onto the affected area. Smooth the gel over the affected area until it is evenly distributed. Wash your hands immediately after application unless your hands are the area being treated.

How often should I apply Gabapentin/Lidocaine Transdermal Gel?

The frequency of application should be as directed by your healthcare provider based on your individual needs and condition. Do not apply more often than prescribed, as this may increase the risk of side effects.

Can I cover the area after applying the gel?

You may cover the area lightly with clothing after the gel has dried, but do not apply an occlusive (airtight) dressing unless directed by your healthcare provider.

Are there any side effects of Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel?

Possible side effects can include skin irritation, redness, or rash at the site of application. If you experience severe or persistent side effects, contact your healthcare provider. Systemic side effects are less common due to the nature of the delivery but could occur, particularly if the gel is overused.

Can I apply the gel to broken or damaged skin?

No, you should not apply the gel to broken or damaged skin. The gel is intended for intact skin to prevent an increased absorption rate which could lead to additional side effects.

What should I do if I miss an application?

If you miss a scheduled application, apply the gel as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose to avoid applying too much of the gel at once. Do not double the dose to catch up.

Can I use a heating pad or ice pack with this medication?

Avoid using external heat sources such as heating pads or ice packs on the treated area, as they can affect the absorption of the medication or increase the risk of adverse effects. Talk to your healthcare provider for more specific guidance.

How should I store the gabapentin/lidocaine pump gel?

Store the gel at room temperature, away from heat and direct light. Do not freeze it, and keep it out of the reach of children and pets.

What should I do in the case of an overdose?

In the unlikely event of an overdose, or if the gel has been ingested, seek urgent medical attention even if you do not notice any immediate symptoms, as an overdose can be serious.

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.

Gabapentin 15%/Lidocaine HCl 3% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)