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Ibuprofen 20%/Piroxicam 1% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Ibuprofen
Piroxicam

Bayview Pharmacy's Ibuprofen 20%/Piroxicam 1% Topical Gel is a semisolid formulation, dispensed through a pump mechanism for easy and precise application. This compounded medication is designed for targeted treatment of conditions such as Osteoarthritis, Rheumatoid Arthritis, Tendinitis, Bursitis, and Gout, delivering active ingredients directly to the affected area in a gel-like consistency.

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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.
Ibuprofen
Piroxicam
Topical Gel
6427079ea643247de3518c74
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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Ibuprofen 20%/Piroxicam 1% Topical Gel is a specially compounded medication designed to address various inflammatory conditions. This unique formulation combines two potent non-steroidal anti-inflammatory drugs (NSAIDs), Ibuprofen and Piroxicam, to create a synergistic effect that effectively reduces inflammation and pain. Ibuprofen functions as a non-selective COX inhibitor, while Piroxicam operates as a selective COX-2 inhibitor.

The topical gel formulation is dispensed through a pump mechanism, which facilitates easy and precise application on the skin. This method of delivery allows for targeted treatment and absorption of the active ingredients, providing a sustained release that ensures a more consistent and prolonged effect compared to oral medications. The gel-like consistency of the Ibuprofen 20%/Piroxicam 1% Topical Gel also minimizes the risk of systemic side effects, such as gastrointestinal upset, which are often associated with oral medications.

However, it is crucial to note that this formulation should not be used by patients with a known history of hypersensitivity to either Ibuprofen or Piroxicam. If you have any questions or concerns about this formulation, we encourage you to reach out for further information.

Drug Interactions

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Ibuprofen 20%/Piroxicam 1% Topical Gel is a semisolid formulation designed for easy and precise application on the skin. It is primarily used for the treatment of mild to moderate pain, inflammation, and swelling associated with various disease states. The active ingredients, Ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), and Piroxicam, a cyclooxygenase-2 (COX-2) inhibitor, work together to alleviate these symptoms. However, this combination may increase the risk of gastrointestinal (GI) bleeding, ulceration, and perforation. Patients should promptly report any signs or symptoms of GI bleeding, such as epigastric pain, dyspepsia, melena, and hematemesis. It is also recommended to avoid alcohol while using this medication.

Concurrent use of Ibuprofen 20%/Piroxicam 1% Topical Gel with other NSAIDs or salicylates may heighten the risk of adverse reactions, including GI bleeding. Patients are advised against taking other NSAIDs or salicylates while using this medication. This topical gel may also increase the risk of serious cardiovascular (CV) events, such as myocardial infarction and stroke. Any signs or symptoms of a CV event, including chest pain, shortness of breath, or weakness on one side of the body, should be treated as a medical emergency.

Furthermore, Ibuprofen 20%/Piroxicam 1% Topical Gel may heighten the risk of serious skin reactions, including Stevens-Johnson Syndrome and toxic epidermal necrolysis. Any signs or symptoms of a serious skin reaction, such as rash, blisters, or peeling of the skin, should be treated as a medical emergency. This medication may also increase the risk of serious renal events, including acute renal failure. Any signs or symptoms of a serious renal event, such as decreased urine output, swelling of the extremities, or difficulty breathing, should be treated as a medical emergency.

If you have any questions about the use of Ibuprofen 20%/Piroxicam 1% Topical Gel, please do not hesitate to reach out for further information.

How Does it Work

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Ibuprofen 20%/Piroxicam 1% Topical Gel is a compounded formulation that combines two potent nonsteroidal anti-inflammatory drugs (NSAIDs), Ibuprofen and Piroxicam. These drugs are known for their efficacy in treating pain and inflammation. Ibuprofen functions as a non-selective COX inhibitor, while Piroxicam operates as a selective COX-2 inhibitor. The synergistic action of these two drugs effectively reduces inflammation and pain.

This topical gel is designed for direct application to the skin over the affected area. It is dispensed through a pump mechanism, which allows for easy and precise application. The active ingredients are absorbed through the skin and enter the bloodstream, where they work to alleviate inflammation and pain. Typically, the gel is applied two to three times a day, or as directed by a healthcare provider.

Ibuprofen 20%/Piroxicam 1% Topical Gel is used to manage a variety of conditions. These include arthritis, bursitis, tendinitis, and other musculoskeletal conditions.

While generally well tolerated, some individuals may experience skin irritation or other side effects from using Ibuprofen 20%/Piroxicam 1% Topical Gel. If you experience any adverse effects, it is recommended to discontinue use and contact your healthcare provider.

If you have any questions about Ibuprofen 20%/Piroxicam 1% Topical Gel or its mechanism of action, please do not hesitate to reach out. We are here to assist you in finding the most suitable treatment for your condition.

Frequently Asked Questions

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What is Ibuprofen 20%/Piroxicam 1% Topical Gel?

This is a compounded formulation of two active ingredients, Ibuprofen and Piroxicam, in a gel form. It is designed for topical application on the skin.

How is this formulation dispensed?

This formulation is dispensed through a pump mechanism, which allows for easy and precise application on the skin.

What is the consistency of this gel?

The gel has a semisolid consistency, which facilitates targeted treatment or absorption of the active ingredients.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Ibuprofen, which is present at a concentration of 20%, and Piroxicam, which is present at a concentration of 1%.

How should I apply this gel?

You should apply this gel directly to the affected area of the skin. The pump mechanism allows for easy and precise application.

What is the purpose of the Ibuprofen in this formulation?

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that helps to reduce inflammation and pain.

What is the purpose of the Piroxicam in this formulation?

Piroxicam is also a nonsteroidal anti-inflammatory drug (NSAID) that helps to reduce inflammation and pain. It is used in this formulation to enhance the effects of Ibuprofen.

Can I use this gel for any type of pain?

This gel is designed for topical application to treat localized pain and inflammation. It may not be effective for all types of pain. Always consult your healthcare provider before using this medication.

Are there any side effects associated with this formulation?

As with any medication, there may be potential side effects. These can include skin irritation or allergic reactions. If you experience any unusual symptoms after applying the gel, stop using it and consult your healthcare provider immediately.

How should I store this gel?

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

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.

Ibuprofen 20%/Piroxicam 1% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily