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Formulas

Ketamine HCl 10%/Gabapentin 6%/Orphenadrine Citrate 5%/Diclofenac Sodium 3%/Cyclobenzaprine HCl 2%/Tetracaine 2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Ketamine Hydrochloride
Gabapentin
Orphenadrine Citrate
Diclofenac Sodium
Cyclobenzaprine Hydrochloride
Tetracaine Hydrochloride

Bayview Pharmacy's compounded topical gel formulation contains Ketamine HCl 10%, Gabapentin 6%, Orphenadrine Citrate 5%, Diclofenac Sodium 3%, Cyclobenzaprine HCl 2%, and Tetracaine 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, Osteoarthritis, Muscle Spasms, and Tendonitis.

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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
Gabapentin
Orphenadrine Citrate
Diclofenac Sodium
Cyclobenzaprine Hydrochloride
Tetracaine Hydrochloride
Topical Gel
6427079ea643248066518cc7
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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Bayview Pharmacy's Ketamine HCl 10%/Gabapentin 6%/Orphenadrine Citrate 5%/Diclofenac Sodium 3%/Cyclobenzaprine HCl 2%/Tetracaine 2% Topical Gel is a specialized compounded formulation designed to address a range of conditions such as neuropathic pain, fibromyalgia, arthritis, muscle spasms, and sciatica. This unique blend of active ingredients, including ketamine HCl, gabapentin, orphenadrine citrate, diclofenac sodium, cyclobenzaprine HCl, and tetracaine, offers a potent analgesic effect, effectively reducing pain and inflammation.

The topical gel is dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment. The gel-like consistency allows for optimal absorption of the active ingredients, providing relief where it's needed most.

Ketamine HCl is an anesthetic that functions by blocking pain signals from reaching the brain, while gabapentin, an anticonvulsant, aids in reducing nerve pain and inflammation. Orphenadrine citrate and cyclobenzaprine HCl, both muscle relaxants, help alleviate muscle spasms and pain. Diclofenac sodium, a non-steroidal anti-inflammatory drug (NSAID), further aids in reducing inflammation and pain. Lastly, tetracaine, a local anesthetic, contributes to the overall pain reduction.

This powerful combination of medications in our topical gel formulation provides significant relief from pain and inflammation associated with various conditions, including neuropathic pain, fibromyalgia, arthritis, muscle spasms, and sciatica. The gel can be applied as needed, offering flexible and convenient symptom management.

If you have any questions about this formulation or how it can help manage your condition, please do not hesitate to contact us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you.

Drug Interactions

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This compounded formulation is a topical gel that combines Ketamine HCl 10%, Gabapentin 6%, Orphenadrine Citrate 5%, Diclofenac Sodium 3%, Cyclobenzaprine HCl 2%, and Tetracaine 2%. It is specifically designed for the treatment of Neuropathic Pain, Fibromyalgia, Arthritis, Muscle Spasms, and Sciatica. Each component of this formulation plays a crucial role in managing pain and inflammation.

Gabapentin, an anticonvulsant, is known for its ability to alleviate neuropathic pain. Orphenadrine Citrate, an anticholinergic, is used to manage muscle spasms. Cyclobenzaprine HCl, a muscle relaxant, is used to manage muscle spasms. Lastly, Tetracaine, a local anesthetic, is known for its ability to reduce pain.

This unique combination of medications works synergistically to provide comprehensive relief from pain and inflammation associated with Neuropathic Pain, Fibromyalgia, Arthritis, Muscle Spasms, and Sciatica. The semisolid formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment. The gel-like consistency allows for optimal absorption of the active ingredients.

How Does it Work

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This compounded formulation is a topical gel that combines six active ingredients: Ketamine HCl 10%, Gabapentin 6%, Orphenadrine Citrate 5%, Diclofenac Sodium 3%, Cyclobenzaprine HCl 2%, and Tetracaine 2%. Each ingredient plays a crucial role in providing targeted relief from various conditions such as neuropathic pain, fibromyalgia, arthritis, muscle spasms, and sciatica.

Ketamine HCl, the primary ingredient, functions as a potent analgesic, blocking the transmission of pain signals to the brain. Gabapentin, another key component, is known for its anti-inflammatory properties and its ability to alleviate nerve pain. Orphenadrine Citrate and Cyclobenzaprine HCl are muscle relaxants that help reduce muscle spasms, a common symptom in many of the conditions this gel is designed to treat.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), works to reduce inflammation and pain, providing additional relief. Lastly, Tetracaine, a topical anesthetic, is included in the formulation to numb the skin and further alleviate pain.

When applied to the skin, this gel delivers the active ingredients directly to the affected area, providing targeted treatment. The semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application. This ensures that the active ingredients are absorbed effectively, providing optimal relief from pain, inflammation, and muscle spasms associated with neuropathic pain, fibromyalgia, arthritis, muscle spasms, and sciatica.

It's important to note that while this formulation is designed to provide relief from these conditions, it's always recommended to consult with a healthcare professional before starting any new treatment regimen. If you have any questions about this formulation or its application, please don't hesitate to reach out.

Frequently Asked Questions

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What is this compounded formulation used for?

This compounded formulation is used for targeted treatment of various conditions such as pain and inflammation. It contains multiple active ingredients that work together to provide relief.

How should I apply this topical gel?

This gel should be applied directly to the skin over the area where relief is needed. It is dispensed through a pump mechanism for easy and precise application.

What does the gel-like consistency mean for application?

The gel-like consistency allows for smooth application and absorption into the skin. It is designed to stay on the skin surface for a while to allow the active ingredients to be absorbed gradually.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Ketamine HCl, Gabapentin, Orphenadrine Citrate, Diclofenac Sodium, Cyclobenzaprine HCl, and Tetracaine.

What is the purpose of each active ingredient in the formulation?

Each active ingredient has a specific role. Ketamine HCl is used for pain relief, Gabapentin is used to control seizures and to ease nerve pain, Orphenadrine Citrate is a muscle relaxant, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID), Cyclobenzaprine HCl is another muscle relaxant, and Tetracaine is a local anesthetic.

Can this formulation be used for all types of pain?

This formulation is designed to treat a variety of pain types, but it's always best to consult with your healthcare provider to determine if it's suitable for your specific condition.

Are there any side effects associated with this formulation?

As with any medication, there can be side effects. These can include skin irritation, redness, or a burning sensation at the application site. If you experience any severe or persistent side effects, you should contact your healthcare provider immediately.

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 by your healthcare provider or pharmacist.

Can I use this gel with other medications?

It's important to discuss all medications you're currently taking with your healthcare provider to ensure there are no potential interactions.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose.

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%/Gabapentin 6%/Orphenadrine Citrate 5%/Diclofenac Sodium 3%/Cyclobenzaprine HCl 2%/Tetracaine 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Before procedure