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Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel

Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel is compounded at Bayview Pharmacy to help manage musculoskeletal pain, osteoarthritis, and fibromyalgia.
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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.
Guaifenesin
Indomethacin
Lidocaine Hydrochloride
Topical Gel
65ad8ce04e7331a37b1a0479

Formula Information

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Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel is a specialized medication compounded to provide symptomatic relief and treatment for various conditions. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures easy and precise application. The gel-like consistency allows for targeted treatment and facilitates the absorption of the active ingredients through the skin.

Guaifenesin is an expectorant commonly used to help clear mucus from the airways. However, when included in a transdermal gel, it may aid in the management of muscle pain by providing a soothing effect and potentially enhancing the penetration of the other active ingredients. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), provides potent anti-inflammatory and analgesic effects, making it beneficial for treating localized inflammatory conditions such as arthritis, tendonitis, and bursitis. Lidocaine HCl, a local anesthetic, offers immediate relief from pain by numbing the affected area, which can be particularly helpful in conditions involving neuropathic pain or as an adjunct to reduce the discomfort associated with the underlying inflammation.

The combination of these three active ingredients in a transdermal gel allows for a multimodal approach to pain and inflammation management. The transdermal route offers the advantage of localized treatment, minimizing systemic absorption and potential side effects associated with oral administration of these medications. This can be particularly important for patients who may be at risk for gastrointestinal complications from systemic NSAIDs or those who require a localized approach to manage their symptoms.

Patients and prescribers considering this formulation should be aware of the potential for skin irritation or allergic reactions at the site of application. It is also important to consider the patient's overall medication profile to avoid interactions with other drugs. The use of this transdermal gel should be guided by a thorough understanding of the patient's medical history and the specific condition being treated.

For more detailed information on the use of Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel, including dosing, contraindications, and potential side effects, or to discuss the suitability of this formulation for a particular patient, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing personalized care and is ready to assist with any questions or concerns.

Drug Interactions

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The transdermal gel formulation containing Guaifenesin 10%, Indomethacin 10%, and Lidocaine HCl 2% is designed for topical application and may offer therapeutic benefits for conditions such as musculoskeletal pain, inflammation, and certain respiratory issues due to the expectorant properties of guaifenesin. However, it is important to consider potential drug interactions when using this medication.

Guaifenesin is generally considered to have a low potential for drug interactions, as it is primarily used to enhance mucus clearance in the respiratory tract. However, patients should be advised to avoid using other over-the-counter cough and cold products containing guaifenesin to prevent excessive dosing. Additionally, because guaifenesin can alter the viscosity of mucus, it may affect the absorption of concurrently administered inhaled medications.

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can interact with various medications. Concurrent use with other NSAIDs, including aspirin, may increase the risk of gastrointestinal ulceration or bleeding. Indomethacin may also reduce the effectiveness of antihypertensive drugs, such as ACE inhibitors, beta-blockers, and diuretics. It can potentially increase plasma concentrations of lithium and methotrexate, leading to toxicity. Patients taking anticoagulants or antiplatelet drugs should use indomethacin with caution due to an increased risk of bleeding. Additionally, indomethacin may interfere with the renal clearance of certain drugs, necessitating dosage adjustments.

Lidocaine, a local anesthetic, can interact with other local anesthetics and medications that affect cardiac conduction. Caution is advised when using this medication in patients taking class I antiarrhythmic drugs (such as tocainide and mexiletine) due to the additive effects on cardiac conduction. Lidocaine's metabolism may be affected by CYP3A4 enzyme inhibitors, such as ketoconazole, itraconazole, and certain protease inhibitors, potentially leading to increased plasma concentrations and toxicity. Conversely, CYP3A4 inducers, such as rifampin and phenytoin, may reduce lidocaine levels.

It is crucial for patients to inform their healthcare providers of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential interactions. Prescribers should evaluate the patient's medication profile for interactions before prescribing this transdermal gel. If you have any questions or require further information regarding this formulation and its potential drug interactions, please reach out to us at Bayview Pharmacy.

How Does it Work

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The Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel is a specialized medication formulated to deliver active ingredients directly through the skin to the targeted area. This semisolid formulation is designed to be dispensed through a pump mechanism, which allows for easy and precise application. The gel-like consistency ensures that the medication stays in place and facilitates the absorption of the active ingredients into the skin.

Guaifenesin is an expectorant commonly used to help clear mucus from the airways. However, when included in a transdermal gel, it may help to facilitate the penetration of the other active ingredients through the skin by altering the viscosity and providing a more favorable environment for absorption.

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing the production of prostaglandins, chemicals responsible for pain, fever, and inflammation. When applied topically, indomethacin can target local inflammation directly, potentially reducing systemic side effects associated with oral administration. This makes it useful for treating localized musculoskeletal conditions such as tendinitis, bursitis, or arthritis.

Lidocaine HCl is a local anesthetic that provides temporary relief of pain by blocking nerve signals in the body. In a 2% concentration within the transdermal gel, lidocaine can help to numb the area of application, providing pain relief at the site without affecting other parts of the body. This is particularly beneficial for patients who require localized pain management or who may not tolerate systemic analgesics well.

The combination of these three active ingredients in a transdermal gel allows for a multi-faceted approach to pain and inflammation management. The gel formulation not only ensures that the medication is delivered to the affected area but also provides a convenient and non-invasive method of application. This can be particularly advantageous for patients who have difficulty swallowing pills or who prefer to avoid systemic effects of oral medications.

Patients with skin conditions, allergies to any of the ingredients, or those on certain medications should consult with a healthcare provider before use.

If you have any questions about this formulation or its suitability for 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 guidance you need to make an informed decision about your healthcare options.

Other Uses

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The compounding pharmacists at Bayview Pharmacy carefully consider the multifunctional nature of compounded medication formulations. The Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel is primarily intended for its mucolytic, anti-inflammatory, and analgesic properties, making it suitable for addressing conditions such as localized musculoskeletal pain, soft tissue inflammation, and to enhance the penetration of active ingredients through the skin due to guaifenesin's muscle relaxing properties. However, its use is not limited only to these indications.

The compounded gel can be useful in a variety of other clinical scenarios. For instance, guaifenesin's properties may benefit patients with fibromyalgia by providing mild muscle relaxation. The anti-inflammatory action of indomethacin may be beneficial in conditions such as tendonitis, bursitis or other inflammatory disorders not originally targeted by the formulation. Lidocaine, known for its local anesthetic effects, could also be employed to alleviate localized neuropathic pain conditions or to provide symptomatic relief for patients with localized areas of pain, such as in post-herpetic neuralgia.

This transdermal gel has the distinct advantage of being formulated in a semisolid state with a pump mechanism, which aids in dispensing a controlled amount of medication to the precise area of discomfort. This can help in managing dosing and improving patient adherence to treatment. Furthermore, the convenience of a pump may benefit patients with dexterity issues who find it challenging to manage traditional tubes or jars.

As with any medication, it's essential to use it under the guidance of a healthcare professional, bearing in mind that different conditions may require different treatment strategies and dosages. Prescribers should consider both the individual active components and the collective effect of the gel when determining if this formulation is appropriate for other conditions not initially indicated.

It is important to note that transdermal delivery systems bypass the gastrointestinal tract and can potentially reduce systemic side effects associated with oral administration of these medications. However, they may not be suitable for all patients, especially those with skin conditions that might be exacerbated by topical applications or those with known sensitivities to any of the components.

Patients and prescribers are encouraged to discuss the potential benefits and risks of using this compounded medication for both labeled and off-label uses. If you have any questions regarding this formulation or its possible applications beyond the primary disease states, please reach out to us at Bayview Pharmacy. Our pharmacy team is dedicated to providing comprehensive information and support for the optimal use of compounded medications.

Frequently Asked Questions

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What is Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel?

This is a compounded transdermal gel formulation designed to deliver a combination of Guaifenesin, Indomethacin, and Lidocaine HCl through the skin. It is used for targeted therapy in certain conditions and is applied topically.

How should I use this transdermal gel?

Apply the gel as prescribed by your healthcare provider. Typically, it involves pressing the pump to dispense the recommended amount of gel, which is then applied and gently rubbed into the skin over the area of concern. Usage instructions including frequency and duration will be provided by your prescriber. Wash your hands after applying unless your hands are the area being treated.

What are the benefits of using a pump dispenser for this medication?

The pump dispenser allows for easy, clean, and precise dosing of the gel. It helps to ensure that you apply the correct amount of medication each time and reduces the risk of contamination often associated with tub or jar containers.

Can I apply this gel to any area of my body?

Apply the gel only to areas recommended by your physician. Avoid sensitive areas such as the eyes, mouth, and mucous membranes unless directed otherwise. Also, refrain from applying to broken or irritated skin.

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 apply the next one at your regular schedule. Do not double the dose to make up for the missed one.

Are there any side effects associated with this transdermal gel?

As with all medications, side effects are possible. These may include skin irritation, redness, itching, or rash at the application site. If you experience any severe reactions or if the mild side effects don't go away, contact your healthcare provider.

How should I store the transdermal gel?

Store the gel at room temperature, away from heat and direct light. Do not freeze the medication and keep the container tightly closed. Make sure to keep the gel out of reach of children and pets.

Can I cover the area with a bandage after applying the gel?

Consult your healthcare provider before covering the treated area. Some medications are designed to be used with an occlusive dressing, while others are not. Your physician will advise you based on your specific treatment plan.

What should I avoid while using this medication?

Avoid using other skin products on the treated area unless your doctor advises you otherwise. Also, avoid exposing the area to natural or artificial sunlight, as certain ingredients may make your skin more sensitive to light.

Can I use this medication if I am pregnant or breastfeeding?

You should inform your healthcare provider if you are pregnant, plan to become pregnant, or are breastfeeding. Your provider will discuss the potential risks and benefits before recommending this medication.

Is it safe to use this gel with other medications?

Before using this gel, inform your healthcare provider about all the medications you are currently on, including over-the-counter drugs, herbal supplements, and vitamins. Some medications may interact with the ingredients in the gel, and your provider can best determine the safety of concurrent use.

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.

Related Formulas

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, NY, NJ, NH, FL, and ME. 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.

Guaifenesin 10%/Indomethacin 10%/Lidocaine HCl 2% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)