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Formulas

Lidocaine 15%/Bupivacaine 7.5%/Prilocaine 5% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Prilocaine Hydrochloride
Bupivacaine Hydrochloride
Lidocaine Hydrochloride

Bayview Pharmacy's Lidocaine 15%/Bupivacaine 7.5%/Prilocaine 5% Topical Cream is a compounded formulation of anesthetics. This semisolid preparation is dispensed in a pump mechanism for easy and controlled application on the skin. It is designed for localized treatment or absorption of active ingredients, effectively addressing various pain conditions such as neuropathic pain, post-surgical pain, post-traumatic pain, arthritis pain, and sciatica 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

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.
Prilocaine Hydrochloride
Bupivacaine Hydrochloride
Lidocaine Hydrochloride
Topical Cream
6427079ea64324d0ac518d59

Formula Information

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Bayview Pharmacy is pleased to present a specialized topical cream formulation that combines lidocaine 15%, bupivacaine 7.5%, and prilocaine 5%. The lidocaine component offers a rapid numbing effect, while the bupivacaine and prilocaine ensure prolonged pain relief.

This formulation is particularly beneficial in managing conditions such as post-operative pain, nerve pain, and muscle spasms. It can also be utilized to alleviate the discomfort associated with skin conditions like eczema and psoriasis. The cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients.

While this formulation is safe and user-friendly, it should be applied directly to the affected area and not on open wounds or broken skin. It's also worth noting that this formulation may cause temporary skin irritation or redness in some patients.

At Bayview Pharmacy, we are dedicated to providing the highest quality of care to our patients. We encourage anyone with questions about this formulation or its potential uses in treating specific conditions to reach out to us. Our team of experienced pharmacists is always ready to provide the necessary guidance and support.

Drug Interactions

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This compounded formulation of Lidocaine 15%/Bupivacaine 7.5%/Prilocaine 5% Topical Cream is a semisolid preparation dispensed in a pump mechanism. It is designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. This formulation is primarily used for the treatment of pain associated with various disease states.

It is crucial to note that this formulation should not be used in patients with known hypersensitivity to any of the components of the cream. Additionally, caution should be exercised in patients with renal or hepatic impairment, as the systemic absorption of lidocaine, bupivacaine, and prilocaine may be increased in these patients.

This formulation may interact with other medications, including those that are metabolized by the cytochrome P450 system. Lidocaine, bupivacaine, and prilocaine, the active ingredients in this formulation, are all metabolized by this system. Furthermore, this formulation may interact with other topical medications, as the absorption of these medications may be increased when applied concurrently.

It is important to consult with a healthcare provider or pharmacist if you have any questions regarding the interactions of this formulation. They can provide guidance based on your specific medical history and current medication regimen.

How Does it Work

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This compounded formulation is a topical cream that combines three potent local anesthetics: Lidocaine at 15%, Bupivacaine at 7.5%, and Prilocaine at 5%. It is specifically designed to provide relief from various conditions such as pain, itching, and inflammation. The Lidocaine component acts to numb the affected area, while Bupivacaine and Prilocaine work synergistically to reduce inflammation and provide sustained pain relief.

The cream is dispensed in a pump mechanism, which allows for convenient and controlled application. It is designed to be applied directly to the skin in the area where treatment is needed. It is crucial to follow the instructions provided by your healthcare provider when using this cream. Typically, a thin layer of the cream is applied to the affected area without rubbing it in.

Precautions must be taken to avoid contact with the eyes, nose, and mouth. In case of accidental contact, the area should be rinsed immediately with water. It is also important to note that this cream should not be applied to open wounds or broken skin. Furthermore, this formulation is not recommended for use in children under the age of 12.

As with any medication, it is essential to use this topical cream as directed by your healthcare provider. If you have any questions or concerns about the use of this cream, it is recommended to consult with your healthcare provider or pharmacist.

Other Uses

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This compounded formulation of Lidocaine 15%/Bupivacaine 7.5%/Prilocaine 5% Topical Cream is a semisolid preparation dispensed in a pump mechanism. It is designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. It is also beneficial in managing other conditions such as chronic musculoskeletal pain, myofascial pain, and fibromyalgia.

In addition to pain management, this formulation can be used to reduce inflammation and swelling in the affected area. However, it is crucial to note that this formulation should not be applied on open wounds or on areas of the skin that are broken or irritated. Potential side effects may include skin irritation or burning sensation. Patients are advised to use this formulation with caution and discontinue use and contact their healthcare provider if any of these side effects occur.

It is always recommended to consult with a healthcare provider or pharmacist for any questions or concerns regarding the use of this formulation. They can provide guidance based on individual health conditions and needs. Remember, it is important to use this medication as directed by a healthcare professional to ensure its effectiveness and safety.

Frequently Asked Questions

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What is Lidocaine 15%/Bupivacaine 7.5%/Prilocaine 5% Topical Cream?

This is a compounded formulation of three local anesthetics: Lidocaine, Bupivacaine, and Prilocaine. It is a semisolid preparation designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients.

How is this cream dispensed?

The cream is dispensed in a pump mechanism, which allows for easy and controlled application.

What is the purpose of this cream?

This cream is used to provide local anesthesia, which means it numbs a specific area of the body to block pain signals. It is often used for minor surgical procedures or to relieve pain from certain skin conditions.

How should I apply this cream?

Apply a thin layer of the cream to the affected area as directed by your healthcare provider. The pump mechanism allows for controlled application.

Can I use this cream on broken or irritated skin?

No, this cream should not be used on broken or irritated skin unless directed by a healthcare provider. It is intended for use on intact skin only.

What should I do if I experience any side effects?

If you experience any side effects such as redness, itching, or rash, stop using the cream and contact your healthcare provider immediately.

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

Consult your healthcare provider before using this cream if you are pregnant or breastfeeding. The active ingredients may be absorbed into the bloodstream and could potentially affect the baby.

Can I use this cream with other medications?

Before starting any new medication, it is important to discuss with your healthcare provider. Some medications may interact with the active ingredients in this cream.

How should I store this cream?

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

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

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.

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.

Lidocaine 15%/Bupivacaine 7.5%/Prilocaine 5% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)