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Formulas

Gabapentin 6% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin

The Gabapentin 6% Transdermal Gel is a semisolid formulation designed for targeted application on the skin. This gel is dispensed through a pump mechanism, which allows for easy and precise dosing. The consistency of the gel ensures that the active ingredient, gabapentin, is delivered in a controlled manner to the affected area. This formulation is commonly used in the management of neuropathic pain, a type of pain caused by damage or disease affecting the somatosensory nervous system. Additionally, it may be utilized in the treatment of postherpetic neuralgia, a complication of shingles characterized by persistent nerve pain. The transdermal delivery system of this gel provides an 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.
Gabapentin
Topical Gel
65ad86d2cf24a5d3508bc25d

Formula Information

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Gabapentin 6% Transdermal Gel is a specialized medication formulated by our team at Bayview Pharmacy to provide patients with an alternative route of administration for gabapentin, which is traditionally taken orally. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose of medication directly to their skin. The gel-like consistency of the formulation allows for easy application and targeted treatment, potentially reducing systemic side effects associated with oral administration.

Gabapentin is commonly used to manage neuropathic pain, which is pain arising from nerve damage. This can occur in various conditions such as diabetic neuropathy, postherpetic neuralgia, and spinal cord injury. It is also used as an adjunctive therapy in the treatment of partial seizures in epilepsy. The transdermal delivery of gabapentin provides a direct approach to the affected area, which may offer pain relief with potentially fewer systemic side effects. The transdermal route can be particularly beneficial for patients who have difficulty swallowing pills or who experience gastrointestinal issues with oral medications.

The formulation of Gabapentin 6% Transdermal Gel is carefully compounded in our pharmacy under strict aseptic conditions to ensure the stability and efficacy of the medication. The concentration of gabapentin in the gel has been optimized to ensure adequate absorption through the skin while minimizing the risk of local irritation. It is important for prescribers to consider the patient's overall medication regimen and medical history when prescribing this formulation to avoid potential drug interactions and to tailor the treatment to the individual's specific needs.

Patients are advised to apply the gel as directed by their healthcare provider, typically to clean, intact skin in the area of pain. The site of application should not be covered with occlusive dressings unless directed by a healthcare professional. Patients should be counseled on proper application techniques and advised to wash their hands before and after applying the medication. It is also important to monitor for any signs of local or systemic adverse effects and to report these to their healthcare provider.

For prescribers and patients interested in Gabapentin 6% Transdermal Gel or seeking more information about this formulation, 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 medication.

Drug Interactions

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Gabapentin is an anticonvulsant medication that is commonly used to treat neuropathic pain, seizures, and sometimes restless leg syndrome. When formulated as a 6% transdermal gel, gabapentin is designed for topical application, which may reduce systemic side effects and drug interactions compared to oral administration. However, it is still important to consider potential interactions with other medications and substances.

While transdermal delivery of gabapentin may result in lower plasma concentrations than oral administration, patients should be advised to avoid using other central nervous system (CNS) depressants concurrently unless supervised by a healthcare provider. These include opioids, benzodiazepines, antihistamines, and alcohol, as they may enhance the CNS depressant effects of gabapentin, leading to increased drowsiness, dizziness, and potential respiratory depression.

Antacids containing aluminum or magnesium may interfere with the absorption of gabapentin if taken orally. Although this interaction is less relevant for a transdermal formulation, patients should still be cautious if they are using oral gabapentin or other medications that may be affected by antacids.

Patients with renal impairment should use gabapentin with caution, as it is renally excreted and its concentration can be affected by drugs that alter kidney function. Medications such as NSAIDs, which can affect renal function, may alter the clearance of gabapentin and potentially increase the risk of adverse effects.

It is also important to monitor for potential interactions with other topical products. The use of other topical medications, lotions, or creams on the same area of skin where gabapentin gel is applied may alter the absorption of gabapentin or the other topical agent. Patients should be advised to allow sufficient time between the application of different products and to consult with a healthcare provider before combining therapies.

As with any medication, it is crucial to maintain open communication with healthcare providers about all medications, supplements, and over-the-counter products being used to avoid potential interactions. If you have any questions or concerns about using gabapentin 6% transdermal gel or its interactions with other medications, please reach out to us at Bayview Pharmacy for personalized advice and support.

How Does it Work

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Gabapentin 6% Transdermal Gel is a specially compounded medication designed to deliver gabapentin, a medication originally used to treat seizures, through the skin directly to the site of pain or discomfort. 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 potentially reducing systemic side effects.

The way this transdermal gel works is based on the properties of gabapentin as a neuropathic pain agent. Gabapentin is believed to work by affecting the way that nerves send messages to your brain. When something causes pain, the nerves that are involved send pain messages to the brain, and gabapentin can interfere with this process. By applying gabapentin topically, it may help to calm the nerve activity in the area of application, thereby reducing pain and discomfort.

Transdermal delivery of gabapentin has several advantages. It allows the drug to bypass the gastrointestinal system, providing relief without some of the common side effects associated with oral administration, such as dizziness or gastrointestinal upset. This can be particularly beneficial for patients who have difficulty swallowing pills or who experience significant side effects from oral gabapentin. Additionally, the localized delivery can lead to higher concentrations of the drug at the site of pain, which may enhance pain relief.

This formulation is used to treat various disease states that involve neuropathic pain, such as postherpetic neuralgia, diabetic neuropathy, and potentially fibromyalgia. It may also be used off-label for other types of chronic pain where neuropathic mechanisms are suspected. It is important to note that while gabapentin is well-established in oral form for these conditions, the transdermal route is an alternative approach that may offer benefits for certain patients.

Patients and prescribers should be aware that the effectiveness and safety of gabapentin transdermal gel can vary from person to person. It is essential to use this medication under the guidance of a healthcare professional who can monitor its effects and make adjustments as necessary. As with any medication, there may be potential side effects, and it is important to report any adverse reactions to your healthcare provider.

If you have any questions about Gabapentin 6% Transdermal Gel or would like to know more about how it can be integrated into your treatment plan, 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 make informed decisions about your health care.

Other Uses

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Gabapentin 6% Transdermal Gel is primarily indicated for the management of neuropathic pain, where the medication is absorbed through the skin to target local nerve pain. However, the formulation's unique transdermal delivery system allows for a range of alternative uses due to its ability to bypass gastrointestinal metabolism and reduce systemic side effects. Other uses may include the off-label management of localized chronic pain conditions that do not respond well to oral medications or where oral administration is not desirable due to side effects or patient preference. Examples can include, but are not limited to, complex regional pain syndrome (CRPS), fibromyalgia, or localized pain syndromes arising from conditions like shingles (postherpetic neuralgia).

Additionally, the formulation might be beneficial in certain cases of diabetic neuropathy wherein patients experience focal pain. Since gabapentin's mechanism of action involves calcium channel modulation, it may contribute to a reduction in pain signaling at the dermal and subdermal levels. Furthermore, the gel's soothing and moisturizing base can provide a comforting effect on the skin, which might be particularly useful in conditions with a dermal manifestation, such as itchiness or irritation secondary to systemic neuropathies. However, the use for these conditions would be considered experimental and should be initiated with caution, under the guidance of a healthcare professional.

It is important to note that while gabapentin is well studied for its effects when taken orally, its transdermal application is less conventional and healthcare providers should monitor patients closely for efficacy and safety. The transdermal route offers the advantage of potentially minimized systemic side effects such as drowsiness or dizziness, which are commonly associated with oral gabapentin. Yet, patient response can vary, and dosage may require adjustment. Additionally, patients should be advised that the use of the gel must be consistent, as gabapentin requires steady-state levels to be maintained for optimal therapeutic effect, regardless of the route of administration.

As with all medications, the effectiveness and tolerability will depend on the individual patient's condition and the presence of any co-morbidities. Those interested in using Gabapentin 6% Transdermal Gel for any of the aforementioned conditions, or other unsanctioned uses should consult with healthcare professionals before initiating therapy. For any questions or additional information about the formulation and its various applications, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support to both patients and prescribers to ensure appropriate treatment practices.

Frequently Asked Questions

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What is Gabapentin 6% Transdermal Gel used for?

Gabapentin 6% Transdermal Gel is prescribed for the management of neuropathic conditions or nerve-related pain. It delivers the active ingredient, gabapentin, directly through the skin to the affected area to help ease discomfort.

How do I apply Gabapentin 6% Transdermal Gel?

To apply the gel, press the pump mechanism to dispense the prescribed amount of medication onto your fingertip and gently rub it onto the affected area of the skin. It should be applied as directed by your healthcare provider, usually once or multiple times per day depending on individual treatment requirements.

Can I cover the area after applying the gel?

It is generally recommended to let the gel dry before covering the treated area. If you need to cover it, consult with your healthcare provider for specific instructions, as covering the skin could alter the absorption of the medication.

What should I do if I miss a dose?

If you forget to apply a dose, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for a missed application.

Are there any side effects associated with Gabapentin 6% Transdermal Gel?

Some common side effects may include local skin irritation, redness, or rash. Systemic side effects are less common with transdermal application compared to oral administration, but can include dizziness or drowsiness. If you experience any severe reactions or signs of an allergic reaction, contact your healthcare provider immediately.

How should I store Gabapentin 6% Transdermal Gel?

Store the gel at room temperature, away from heat and direct light, and out of reach of children and pets. Do not freeze the gel, and make sure the cap is tightly closed when not in use.

Can I use Gabapentin 6% Transdermal Gel with other medications?

Always inform your healthcare provider about all other medications you are taking, as Gabapentin 6% Transdermal Gel can interact with certain drugs. Your healthcare provider can advise whether it is safe to use in conjunction with other medications.

Is Gabapentin 6% Transdermal Gel suitable for children?

Use of Gabapentin 6% Transdermal Gel in children has not been established and should only be used if prescribed by a healthcare provider who has determined it is appropriate for the child’s specific condition.

Can pregnant or breastfeeding women use Gabapentin 6% Transdermal Gel?

If you are pregnant or breastfeeding, you should discuss the risks and benefits of using Gabapentin 6% Transdermal Gel with your healthcare provider. They can provide guidance on whether the medication is safe for you and your baby.

What precautions should I take when using Gabapentin 6% Transdermal Gel?

Avoid applying the gel to broken, damaged, or irritated skin. Do not ingest the medication and avoid contact with eyes, mouth, and mucous membranes. Wash your hands thoroughly after application, unless your hands are the area being treated. Additionally, alert your healthcare provider if you have kidney issues or are taking antacids, as dosage adjustments may be required.

Can I apply cosmetics or sunscreen on top of Gabapentin 6% Transdermal Gel?

It is best to consult your healthcare provider regarding the use of additional skin products in combination with Gabapentin 6% Transdermal Gel. They may recommend waiting for a certain period after the gel's application before using other products on the treated area.

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 6% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)