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Ketamine HCl 10%/Diclofenac Sodium 8%/Gabapentin 6%/Baclofen 2%/Cyclobenzaprine HCl 2%/Bupivacaine HCl 1% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Ketamine Hydrochloride
Diclofenac Sodium
Gabapentin
Cyclobenzaprine Hydrochloride
Bupivacaine Hydrochloride
Baclofen

Bayview Pharmacy's compounded topical gel formulation contains Ketamine HCl 10%, Diclofenac Sodium 8%, Gabapentin 6%, Baclofen 2%, Cyclobenzaprine HCl 2%, and Bupivacaine HCl 1%. This semisolid formulation is dispensed through a pump mechanism, allowing for easy and precise application on the skin. It is designed for targeted treatment or absorption of active ingredients, offering relief for conditions such as Fibromyalgia, Neuropathic Pain, Osteoarthritis, Muscle Spasms, and Migraine.

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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.
Ketamine Hydrochloride
Diclofenac Sodium
Gabapentin
Cyclobenzaprine Hydrochloride
Bupivacaine Hydrochloride
Baclofen
Topical Gel
6427079ea6432451d8518ccd
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 is pleased to present a unique compounded formulation of Ketamine HCl 10%/Diclofenac Sodium 8%/Gabapentin 6%/Baclofen 2%/Cyclobenzaprine HCl 2%/Bupivacaine HCl 1% in a topical gel form. This advanced formulation is specifically designed to address various chronic pain conditions such as neuropathic pain, fibromyalgia, muscle spasms, chronic low back pain, and migraine headaches.

The formulation is a semisolid preparation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients.

Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), is used to alleviate inflammation and pain. Gabapentin, an anticonvulsant, is used to treat neuropathic pain and fibromyalgia. Baclofen and Cyclobenzaprine HCl, both muscle relaxants, are used to treat muscle spasms and chronic low back pain. Bupivacaine HCl, a local anesthetic, is used to reduce pain.

This unique topical gel formulation is designed to provide relief from a variety of chronic pain conditions. It is crucial to note that this formulation should only be used under the supervision of a healthcare professional. 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.

Drug Interactions

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Ketamine HCl 10%/Diclofenac Sodium 8%/Gabapentin 6%/Baclofen 2%/Cyclobenzaprine HCl 2%/Bupivacaine HCl 1% Topical Gel is a compounded formulation designed for targeted treatment of various pain conditions. This unique blend of active ingredients is dispensed in a semisolid gel-like consistency through a pump mechanism, allowing for easy and precise application on the skin.

The formulation is indicated for the management of neuropathic pain, fibromyalgia, muscle spasms, chronic low back pain, and migraine headaches. Each component of this formulation plays a crucial role in pain management. Ketamine HCl, an NMDA receptor antagonist, has demonstrated efficacy in reducing neuropathic pain and enhancing patients' quality of life. Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), is known for its ability to alleviate pain and inflammation in patients suffering from fibromyalgia and chronic low back pain.

Gabapentin, an anticonvulsant, has shown promising results in reducing neuropathic pain and improving patients' quality of life.

The combination of these medications in this topical gel formulation may offer enhanced pain relief and improved quality of life for patients suffering from these conditions. For any queries regarding this formulation, please feel free to contact us.

How Does it Work

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This compounded formulation is a topical gel that combines six active ingredients: Ketamine HCl 10%, Diclofenac Sodium 8%, Gabapentin 6%, Baclofen 2%, Cyclobenzaprine HCl 2%, and Bupivacaine HCl 1%. Each ingredient plays a crucial role in providing relief from various chronic pain conditions.

Ketamine HCl, an anesthetic, works by blocking pain signals from reaching the brain. It is commonly used to treat neuropathic pain, fibromyalgia, and muscle spasms. Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), reduces inflammation and pain.

Gabapentin, an anticonvulsant, reduces the activity of certain nerve cells in the brain. It is beneficial for managing neuropathic pain, fibromyalgia, and muscle spasms. Baclofen and Cyclobenzaprine HCl are muscle relaxants that work by blocking nerve impulses causing muscle spasms.

Bupivacaine HCl, a local anesthetic, serves as the base for this topical gel. It works by blocking pain signals from reaching the brain. When applied to the affected area, the topical gel delivers these active ingredients directly to the site of pain.

This semisolid formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin. The gel-like consistency ensures the active ingredients are absorbed effectively for targeted treatment. If you have any questions about this formulation or its application, please feel free to reach out.

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 inflammation. It combines several active ingredients, each with its own therapeutic properties, to provide a comprehensive approach to pain management.

How do I use this topical gel?

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

What are the active ingredients in this formulation?

This formulation contains Ketamine HCl, Diclofenac Sodium, Gabapentin, Baclofen, Cyclobenzaprine HCl, and Bupivacaine HCl. Each of these ingredients contributes to the overall effectiveness of the gel in treating pain and inflammation.

What is the consistency of this gel?

This is a semisolid formulation with a gel-like consistency. It is designed to be easily absorbed by the skin for targeted treatment.

Can this gel be used for any type of pain?

This gel is designed to treat a variety of pain types, but it should always be used under the guidance of a healthcare provider. Always consult your doctor before starting any new medication.

Are there any side effects associated with this formulation?

As with any medication, there can be potential side effects. These can vary depending on the individual and the dosage used. Always consult your healthcare provider for information specific to your situation.

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 to ensure the best results.

Can I use this gel with other medications?

It's important to discuss all medications you're currently taking with your healthcare provider before starting any new treatment, including this topical gel. Some medications may interact with the active ingredients in this formulation.

Is this gel safe for all skin types?

Generally, this gel is safe for all skin types. However, if you have sensitive skin or a history of allergic reactions to medications, it's important to discuss this with your healthcare provider before using this gel.

What should I do if I experience any adverse reactions?

If you experience any adverse reactions, such as skin irritation or worsening of your symptoms, stop using the gel and contact your healthcare provider immediately.

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.

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%/Diclofenac Sodium 8%/Gabapentin 6%/Baclofen 2%/Cyclobenzaprine HCl 2%/Bupivacaine HCl 1% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily