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

Bayview Pharmacy's compounded topical gel formulation contains Ketamine HCl 10%, Gabapentin 6%, Lidocaine 5%, Baclofen 2%, and Cyclobenzaprine HCl 2%. 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, Muscle Spasms, Chronic Pain, 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, NY, NJ, NH, FL and ME.
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, NY, NJ, NH, FL and ME.

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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.
Ketamine Hydrochloride
Gabapentin
Cyclobenzaprine Hydrochloride
Baclofen
Lidocaine Hydrochloride
Topical Gel
6427079ea6432468c9518cd6

Formula Information

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Bayview Pharmacy's compounded formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine 5%/Baclofen 2%/Cyclobenzaprine HCl 2% Topical Gel is a specialized blend of medications designed to address a range of chronic pain conditions. This unique formulation is specifically tailored to provide relief for conditions such as Fibromyalgia, Neuropathic Pain, Muscle Spasms, Chronic Pain, and Migraine.

The topical gel is a semisolid formulation dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment. The gel-like consistency allows for the efficient absorption of the active ingredients directly at the site of pain, providing localized relief.

Each component of this formulation plays a crucial role in pain management. Ketamine HCl, a well-established anesthetic, works by blocking the transmission of pain signals to the brain, thereby reducing the perception of pain. Lidocaine, a local anesthetic, aids in reducing pain and inflammation at the site of application.

Baclofen and Cyclobenzaprine HCl, both muscle relaxants, contribute to the reduction of muscle spasms and improvement of mobility. The combined effect of these medications in the formulation provides a comprehensive approach to pain management, potentially improving the quality of life for those suffering from chronic pain conditions.

This compounded formulation is a testament to the potential of targeted, personalized medication in managing chronic pain. If you have any questions about this formulation or how it may be beneficial in treating your specific condition, please do not hesitate to contact us.

Drug Interactions

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This compounded formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine 5%/Baclofen 2%/Cyclobenzaprine HCl 2% is a topical gel designed for targeted treatment of various pain conditions. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency aids in the absorption of the active ingredients.

The formulation is indicated for the treatment of Fibromyalgia, Neuropathic Pain, Muscle Spasms, Chronic Pain, and Migraine.

Ketamine HCl is an NMDA receptor antagonist that has been shown to reduce pain and improve mood in patients with Fibromyalgia. Gabapentin is an anticonvulsant that has been shown to reduce neuropathic pain and improve sleep in patients with Fibromyalgia. Lidocaine is a local anesthetic that has been shown to reduce pain and improve function in patients with Neuropathic Pain. Baclofen is a muscle relaxant that has been shown to reduce muscle spasms and improve function in patients with Muscle Spasms. Cyclobenzaprine HCl is a muscle relaxant that has been shown to reduce muscle spasms and improve function in patients with Chronic Pain and Migraine.

It is important to note that this formulation may interact with other medications. Therefore, patients should inform their healthcare provider of all medications they are taking before using this formulation. Potential side effects may include, but are not limited to, drowsiness, dizziness, nausea, and headache.

If you have any questions about this formulation or its use, please consult with your healthcare provider. It is crucial to use this medication as directed by a healthcare professional to ensure its effectiveness and to minimize potential risks.

How Does it Work

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This compounded formulation is a topical gel that combines five active ingredients: Ketamine HCl 10%, Gabapentin 6%, Lidocaine 5%, Baclofen 2%, and Cyclobenzaprine HCl 2%. Each ingredient plays a crucial role in managing various conditions such as fibromyalgia, neuropathic pain, muscle spasms, chronic pain, and migraines. Ketamine HCl and Lidocaine work in tandem to alleviate pain and inflammation. Baclofen aids in muscle relaxation and reducing spasms, while Cyclobenzaprine HCl further assists in mitigating muscle spasms and pain. This synergistic blend of medications aims to provide relief from pain, inflammation, and muscle spasms associated with these conditions.

When using this topical gel, it is essential to adhere to the instructions provided by your healthcare provider. The gel should be applied to the affected area as directed, avoiding contact with the eyes, nose, and mouth. In case of accidental contact, rinse the area thoroughly with water. It is also crucial to avoid applying the gel on broken or irritated skin.

While this topical gel is designed for targeted treatment, it may cause side effects such as skin irritation, redness, itching, burning, or stinging. If you experience any of these side effects, it is recommended to contact your healthcare provider immediately. Furthermore, this medication may interact with other medications you are currently taking. Therefore, it is important to discuss your complete medication list with your healthcare provider before starting this topical gel treatment.

If you have any queries or concerns about this topical gel or its mechanism of action, please do not hesitate to contact us. We are here to assist you in understanding your medication better.

Other Uses

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This compounded formulation of Ketamine HCl 10%, Gabapentin 6%, Lidocaine 5%, Baclofen 2%, and Cyclobenzaprine HCl 2% in a topical gel form is designed for targeted treatment and absorption of active ingredients. The semisolid formulation is dispensed through a pump mechanism, allowing for easy and precise application on the skin. It has been effectively used in the management of various pain conditions including Fibromyalgia, Neuropathic Pain, Muscle Spasms, Chronic Pain, and Migraine. It has also shown efficacy in treating other conditions such as chronic low back pain, post-herpetic neuralgia, and complex regional pain syndrome.

One of the significant benefits of this formulation is its potential to reduce the need for opioid analgesics in patients with chronic pain, thereby minimizing the risk of opioid dependency. It has been observed to reduce the intensity of pain and improve the quality of life in patients with chronic pain conditions. As with any medication, it is essential that this formulation is used as directed by a healthcare provider. Patients should be monitored for any adverse effects and should immediately contact their healthcare provider if any occur.

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 discomfort. It combines the effects of Ketamine HCl, Gabapentin, Lidocaine, Baclofen, and Cyclobenzaprine HCl to provide relief from various types of pain.

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 is the consistency of this gel?

The gel has a semisolid formulation, which means it is not as liquid as a lotion but not as solid as a cream. This consistency allows for easy application and absorption into the skin.

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

Ketamine HCl is a powerful anesthetic, Gabapentin is used to treat nerve pain, Lidocaine is a local anesthetic, Baclofen is a muscle relaxer, and Cyclobenzaprine HCl is also a muscle relaxant. Together, these ingredients work to alleviate pain and discomfort.

Can I use this gel on any part of my body?

This gel is intended for external use only. Avoid contact with eyes, mouth, and other mucous membranes. Always use as directed by your healthcare provider.

How often should I apply this gel?

The frequency of application will depend on your specific condition and the advice of your healthcare provider. Always follow the instructions provided to you.

What should I do if I experience any side effects?

If you experience any side effects such as skin irritation, redness, or an allergic reaction, stop using the product and contact your healthcare provider immediately.

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

Before using this gel, inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. They will be able to advise you on the best course of action.

Can I use this gel with other medications?

Before starting any new medication, including this gel, inform your healthcare provider about all the medications you are currently taking. This includes prescription and over-the-counter medications, vitamins, and herbal supplements.

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.

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, 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.

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

Apply topically to affected area(s)