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Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% Topical Gel

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

Bayview Pharmacy's compounded formulation of Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% Topical Gel is a semisolid medication dispensed through a pump mechanism. This formulation allows for easy and precise application on the skin, facilitating targeted treatment or absorption of active ingredients. It is used to treat conditions such as Fibromyalgia, Neuropathic Pain, Complex Regional Pain Syndrome, Migraine, and Phantom Limb Pain.

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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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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.
Ketamine Hydrochloride
Cyclobenzaprine Hydrochloride
Gabapentin
Baclofen
Lidocaine Hydrochloride
Topical Gel
6427079ea643240bab518cc5
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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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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Bayview Pharmacy's compounded formulation of Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% Topical Gel is a multi-faceted medication designed to address a range of conditions. This unique blend combines five active ingredients, each with its own distinct mechanism of action, to provide targeted relief.

Ketamine HCl, an NMDA receptor antagonist, is known for its efficacy in treating chronic pain, depression, and anxiety. Baclofen, a GABA agonist, is commonly used to alleviate spasticity, muscle spasms, and pain. Gabapentin, an anticonvulsant, is used to treat neuropathic pain and seizures. Lastly, Lidocaine, a local anesthetic, is used to provide pain relief.

This compounded formulation is dispensed as a semisolid gel through a pump mechanism, facilitating easy and precise application on the skin. The gel-like consistency allows for targeted treatment and efficient absorption of the active ingredients. It is designed to provide relief from a variety of conditions, including chronic pain, depression, anxiety, spasticity, muscle spasms, and neuropathic pain.

It is crucial to understand that this formulation is not intended to replace any existing medications, but rather to complement them under the guidance of a healthcare provider. Always use this medication as directed by your healthcare provider.

If you have any questions about this formulation or how it can be used to treat your condition, please do not hesitate to contact us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the information and support you need.

Drug Interactions

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This compounded formulation of Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% is a semisolid topical gel dispensed through a pump mechanism. This design allows for easy and precise application on the skin, targeting the treatment area for optimal absorption of the active ingredients.

The gel is indicated for the treatment of pain, muscle spasms, and nerve pain. It is commonly used to reduce inflammation and provide relief from pain associated with musculoskeletal conditions such as arthritis, bursitis, and tendonitis. Additionally, it may be used to treat neuropathic pain, including conditions like diabetic neuropathy, postherpetic neuralgia, and trigeminal neuralgia.

Ketamine HCl, an anesthetic in the formulation, works by blocking nerve signals in the brain and spinal cord, reducing pain and providing sedation. Baclofen and Cyclobenzaprine HCl are muscle relaxants that work by blocking nerve impulses causing muscle spasms. They are used to treat muscle spasms associated with conditions like multiple sclerosis, spinal cord injuries, and musculoskeletal conditions.

Gabapentin, an anticonvulsant in the formulation, works by decreasing abnormal nerve activity and is used to treat neuropathic pain. Lidocaine, a local anesthetic, works by blocking nerve signals in the affected area, reducing pain and providing local anesthesia.

It's important to note that this topical gel formulation may interact with other medications, including other topical medications, anticonvulsants, muscle relaxants, and anesthetics. Patients should inform their healthcare provider of all medications they are taking, including prescription and over-the-counter medications, vitamins, and herbal supplements. If you have any questions about the interactions of this formulation, please consult with your healthcare provider.

How Does it Work

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Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% Topical Gel is a specially compounded formulation designed to provide targeted relief from a variety of conditions. This unique blend of active ingredients works synergistically to alleviate pain, inflammation, and muscle spasms.

The formulation contains Ketamine HCl, an anesthetic known for its potent pain and inflammation reducing properties. Baclofen and Cyclobenzaprine HCl, both muscle relaxants, are included to help alleviate muscle spasms. Gabapentin, an anticonvulsant, further aids in reducing pain and inflammation. Lastly, Lidocaine, a local anesthetic, is incorporated to provide immediate pain relief.

This topical gel is particularly beneficial for managing chronic pain, muscle spasms, and inflammation associated with conditions such as fibromyalgia, sciatica, and arthritis. The gel is applied directly to the affected area, allowing for targeted treatment and absorption of the active ingredients.

When using this formulation, it is crucial to follow the directions provided by your healthcare provider. Avoid contact with the eyes, nose, and mouth. In case of accidental contact, rinse the area thoroughly with water.

If you have any questions or concerns about this formulation or its application, do not hesitate to reach out to your healthcare provider.

Other Uses

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This compounded formulation of Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% is a semisolid topical gel dispensed through a pump mechanism. This design allows for easy and precise application on the skin, targeting the treatment area for optimal absorption of the active ingredients. The gel-like consistency ensures a smooth and comfortable application process.

The formulation is versatile and can be used to treat a wide range of conditions. The gel can also be used to alleviate inflammation and provide relief from muscle spasms. It has shown efficacy in reducing the symptoms of peripheral neuropathy, such as burning, tingling, and numbness.

Furthermore, this formulation can be used to lessen the intensity of headaches and migraines. It is also beneficial in managing chronic pain, reducing both the intensity and frequency of acute pain episodes. The gel can also be used to alleviate phantom limb pain, providing much-needed relief for those suffering from this condition.

However, it is important to note that it should not be used in patients with a known hypersensitivity to any of the ingredients. Always consult with a healthcare professional if you have any questions or concerns about the use of this formulation.

Frequently Asked Questions

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What is the purpose of this compounded formulation?

This compounded formulation is designed to provide targeted treatment for pain and muscle spasms. It combines the effects of Ketamine HCl, Baclofen, Cyclobenzaprine HCl, Gabapentin, and Lidocaine to provide relief from symptoms.

How should I apply this topical gel?

This gel is dispensed through a pump mechanism for easy and precise application. Apply it directly to the affected area of the skin as directed by your healthcare provider.

What is the consistency of this formulation?

This formulation is a semisolid gel, which allows for easy application and absorption of the active ingredients through the skin.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Ketamine HCl 10%, Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, and Lidocaine 5%.

What is the role of each active ingredient in this formulation?

Ketamine HCl is a powerful anesthetic, Baclofen and Cyclobenzaprine HCl are muscle relaxants, Gabapentin is used to treat nerve pain, and Lidocaine is a local anesthetic that causes temporary numbness in the skin.

Can I use this formulation for any type of pain?

This formulation is designed for targeted treatment of specific types of pain, particularly those associated with muscle spasms and nerve pain. Always consult your healthcare provider before using this medication.

How often should I apply this gel?

The frequency of application will depend on your specific condition and the instructions provided by your healthcare provider. Always follow the prescribed dosage.

Are there any side effects associated with this formulation?

As with any medication, there may be potential side effects. These can include skin irritation at the site of application. If you experience any unusual symptoms, contact your healthcare provider immediately.

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

Always consult your healthcare provider before using any medication if you are pregnant or breastfeeding. They will be able to provide advice based on your specific circumstances.

Can I use other medications while using this formulation?

Before starting any new medication, including this formulation, always inform your healthcare provider about any other medications you are currently taking to avoid potential interactions.

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.

Ketamine HCl 10%/Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Lidocaine 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily