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Formulas

Gabapentin 6%/Meloxicam 0.5% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin
Meloxicam

The Gabapentin 6%/Meloxicam 0.5% Topical Gel is a specialized medication designed for the management of neuropathic pain and localized inflammatory conditions. This semisolid formulation is delivered through a pump mechanism, which ensures a clean, precise, and convenient application directly to the affected area. The gel base provides a soothing effect upon contact and allows for the gradual release and absorption of gabapentin, an agent commonly used for the treatment of nerve pain, and meloxicam, a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce inflammation and pain in the tissues. This combination therapy is particularly beneficial for patients suffering from conditions such as diabetic neuropathy, shingles (postherpetic neuralgia), and osteoarthritis, offering targeted relief with minimal systemic exposure.

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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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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
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.
Gabapentin
Meloxicam
Topical Gel
65ad8fb8e8aa60383f85239c
Service area

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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 Gabapentin 6%/Meloxicam 0.5% Topical Gel is a specialized medication compounded by Bayview Pharmacy to address certain pain-related conditions. Gabapentin, primarily known for its use in neuropathic pain, acts by modulating the activity of certain neurotransmitters in the nervous system, thereby reducing the sensation of pain. Meloxicam, on the other hand, is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances in the body that mediate inflammation and pain. This makes meloxicam beneficial for conditions involving inflammation, such as osteoarthritis or rheumatoid arthritis.

The combination of gabapentin and meloxicam in a topical gel form allows for direct application to the affected area, potentially reducing systemic side effects associated with oral administration. The gel is designed to be dispensed through a pump mechanism, which ensures that patients can apply a consistent and accurate dose each time. This dosage form is particularly useful for patients who may have difficulty swallowing pills or for those who prefer a localized treatment approach.

By compounding these two medications into a single topical formulation, patients may experience synergistic effects for the relief of pain and inflammation. The gel base provides a soothing effect upon application and facilitates the penetration of the active ingredients into the skin. This semisolid formulation is intended for external use only and should be applied as directed by a healthcare professional.

Patients and prescribers considering this compounded medication should be aware of the potential side effects, contraindications, and drug interactions associated with both gabapentin and meloxicam. It is important to use this medication under the guidance of a healthcare provider who can monitor its effectiveness and safety. For any questions or concerns regarding the Gabapentin 6%/Meloxicam 0.5% Topical Gel, or to discuss its suitability for specific pain-related conditions, please reach out to the knowledgeable team at Bayview Pharmacy.

Drug Interactions

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The combination of gabapentin and meloxicam in a topical gel formulation is designed to provide localized relief from pain and inflammation. Gabapentin is an anticonvulsant that is also used to treat neuropathic pain, while meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) that helps reduce inflammation and pain in the affected area. When used topically, these medications are less likely to cause systemic side effects or significant drug interactions compared to oral administration. However, it is still important to consider potential interactions with other medications or conditions.

Patients using this gabapentin/meloxicam topical gel should be aware that gabapentin can interact with central nervous system (CNS) depressants, such as opioids, benzodiazepines, and alcohol. These substances may enhance the CNS depressant effects of gabapentin, leading to increased drowsiness, dizziness, or difficulty concentrating. 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.

Meloxicam, being an NSAID, can interact with other NSAIDs, including over-the-counter aspirin, ibuprofen, and naproxen. Using multiple NSAIDs together can increase the risk of gastrointestinal irritation, ulcers, or bleeding. Patients should also be cautious if they are taking anticoagulants or antiplatelet drugs, such as warfarin or clopidogrel, as there may be an increased risk of bleeding. Additionally, meloxicam can affect renal function and may interact with medications that also have renal implications, such as ACE inhibitors, angiotensin receptor blockers, and diuretics.

Topical application of this gel may also interact with other topical products. It is advisable to avoid applying other topical agents to the same area without consulting a healthcare provider, as this could alter the absorption or effectiveness of the medications. Patients should inform their healthcare providers of all the medications they are currently using, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential interactions.

It is important to note that while the risk of systemic absorption and interactions is lower with topical formulations, patients with renal impairment or those at high risk for renal dysfunction should use this medication with caution due to the potential for systemic absorption of meloxicam. Additionally, patients with a history of hypersensitivity to gabapentin or meloxicam, or other NSAIDs, should not use this product.

For any questions or concerns regarding the use of this gabapentin/meloxicam topical gel, or to report any adverse effects or suspected drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

How Does it Work

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The Gabapentin 6%/Meloxicam 0.5% Topical Gel is a specialized medication designed for targeted application on the skin. 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 provides a medium for the active ingredients to be absorbed through the skin, allowing for localized treatment.

Gabapentin, the primary component of this formulation, is traditionally known for its use in the management of neuropathic pain and as an adjunctive therapy in the treatment of partial seizures. In a topical formulation, gabapentin works by modulating the activity of certain calcium channels on nerve cells, which are involved in the transmission of pain signals. By applying gabapentin topically, it can help to reduce the localized pain, particularly neuropathic pain, without the systemic side effects associated with oral administration.

Meloxicam, on the other hand, 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 inflammation and pain. By reducing their production, meloxicam can help to alleviate inflammation and pain in the localized area where the gel is applied. This makes the combination gel particularly useful for conditions involving both neuropathic pain and inflammation, such as certain types of arthritis or musculoskeletal injuries.

The combination of gabapentin and meloxicam in a topical gel allows for the synergistic effects of both medications, providing both analgesic and anti-inflammatory benefits directly to the site of pain and discomfort. This localized approach minimizes systemic absorption and reduces the potential for systemic side effects, which can be particularly advantageous for patients who may not tolerate oral medications well or who have contraindications to systemic therapy.

It is important for patients and prescribers to understand that while this topical formulation provides targeted relief, it should be used as directed and is intended for specific types of pain and inflammation. The effectiveness of the gel can vary depending on the individual patient and the specific condition being treated. As with any medication, there may be potential side effects, and it is essential to monitor the treatment area for any signs of adverse reactions.

If you have any questions about the Gabapentin 6%/Meloxicam 0.5% Topical Gel or its use in treating specific disease states, please do not hesitate to 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 your patients' pain and inflammation.

Frequently Asked Questions

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What is Gabapentin 6%/Meloxicam 0.5% Topical Gel used for?

This topical gel is used to provide relief from localized pain and inflammation. It combines the nerve pain medication Gabapentin and the nonsteroidal anti-inflammatory drug Meloxicam, and is typically prescribed for conditions like arthritis, nerve pain, or musculoskeletal pain.

How do I apply Gabapentin/Meloxicam Topical Gel?

Clean and dry the affected area before applying a thin layer of the gel. Use the pump mechanism to dispense the gel, and gently rub it into the skin over the area of pain or discomfort. Follow your healthcare provider's instructions regarding the exact dosage and frequency.

Can this gel be used with other medications?

Always consult your healthcare provider before combining this topical gel with other medications. There may be potential interactions, particularly with other topical products or oral medications that contain Gabapentin or NSAIDs.

Are there any side effects of using Gabapentin/Meloxicam Topical Gel?

Some users may experience side effects such as local skin irritation, redness, itching, or rash. Systemic side effects are less common with topical application, but possible. If you experience any severe side effects or signs of an allergic reaction, seek medical attention immediately.

How long does it take for this gel to work?

The onset of action may vary depending on the individual and the condition being treated. Some users might experience relief shortly after application, while for others it may take longer. Consult your healthcare provider if you have concerns about the effectiveness of the treatment.

How should I store Gabapentin/Meloxicam Topical Gel?

Store this medication at room temperature away from heat and direct light. Do not freeze the gel, and keep the pump container tightly closed when not in use. Keep out of reach of children and pets.

Can I apply the gel more than the recommended times per day?

You should use the gel exactly as prescribed by your healthcare provider. Applying more than recommended can increase the risk of side effects and does not necessarily improve effectiveness.

Can the gel be applied to open wounds or irritated skin?

No, do not apply the gel to open wounds, cuts, or irritated skin. It is intended for use only on intact skin. If you are unsure, consult with your healthcare provider before application.

Is Gabapentin/Meloxicam Topical Gel suitable for everyone?

This gel may not be suitable for individuals with certain medical conditions or those who are allergic to Gabapentin, Meloxicam, or any of the gel's ingredients. Pregnant or breastfeeding women should consult their healthcare provider before using this medication.

Will using this gel affect my ability to drive or operate machinery?

Topical Gabapentin/Meloxicam is less likely to cause central nervous system effects, such as drowsiness or dizziness, compared to oral forms. However, if you do experience these effects, it is recommended that you avoid driving or operating heavy machinery. Inform your healthcare provider if such side effects persist.

What should I do if I miss a dose of Gabapentin/Meloxicam Topical Gel?

If you miss a dose, apply the gel as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular application schedule. Do not apply extra gel to make up for a missed dose.

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.

Gabapentin 6%/Meloxicam 0.5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily