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Meloxicam 15 mg/mL Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Meloxicam

Meloxicam 15 mg/mL Topical Gel is a semisolid formulation designed for easy and precise application on the skin, utilizing a convenient pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of the active ingredient, meloxicam, directly at the site of application.

This formulation is primarily used to treat conditions such as osteoarthritis and rheumatoid arthritis, providing localized relief from pain and inflammation associated with these disease states.

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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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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
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.
Meloxicam
Topical Gel
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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Meloxicam 15 mg/mL Topical Gel is a compounded medication formulated to provide targeted relief from pain and inflammation associated with musculoskeletal conditions. As a non-steroidal anti-inflammatory drug (NSAID), meloxicam works by inhibiting the enzymes responsible for the production of prostaglandins, which are mediators of inflammation and pain in the body.

This semisolid formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin. The gel-like consistency allows for efficient absorption of the active ingredient directly at the site of application, offering targeted treatment for localized pain and inflammation. This topical delivery system is particularly beneficial for patients who require localized therapy or who may have difficulty tolerating oral NSAIDs due to gastrointestinal side effects.

Meloxicam topical gel is commonly used to treat osteoarthritis, rheumatoid arthritis, tendinitis, bursitis, and other inflammatory conditions affecting the joints and soft tissues. By applying the gel directly to the affected area, patients can experience relief from symptoms such as joint stiffness, swelling, and pain, which can improve mobility and quality of life.

One of the advantages of using meloxicam in a topical form is the reduction of systemic exposure compared to oral administration. This localized delivery minimizes the risk of systemic side effects commonly associated with NSAIDs, such as gastrointestinal irritation, ulceration, and cardiovascular risks.

For patients, it is important to apply the gel as directed by the prescribing healthcare professional. Typically, a specific amount measured by the pump is applied to the affected area and gently massaged into the skin until fully absorbed. Patients should wash their hands before and after application and avoid contact with eyes or mucous membranes. It is also advised to avoid covering the treated area with occlusive dressings unless directed by a healthcare provider.

Possible side effects may include skin irritation at the site of application, such as redness, itching, or rash. If patients experience severe irritation or signs of an allergic reaction, they

Drug Interactions

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Meloxicam 15 mg/mL Topical Gel is a nonsteroidal anti-inflammatory drug (NSAID) formulated for topical application, designed to provide targeted relief from pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, and localized musculoskeletal pain. While the topical application of meloxicam reduces systemic exposure compared to oral administration, it is still important to consider potential drug interactions that may affect both the efficacy and safety of the treatment.

Patients and prescribers should be aware that the concurrent use of other NSAIDs, whether systemic or topical, can increase the risk of adverse effects such as gastrointestinal bleeding, ulceration, and renal impairment. Therefore, it is advisable to avoid using other NSAID-containing products alongside this topical gel unless specifically directed by a healthcare provider.

Meloxicam may also interact with anticoagulants such as warfarin, increasing the risk of bleeding. Patients using anticoagulant therapy should be closely monitored, and dose adjustments may be necessary. Additionally, the use of meloxicam with selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) can further elevate the risk of bleeding, necessitating careful consideration and monitoring.

Angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), and diuretics may have reduced efficacy when used concurrently with meloxicam, potentially leading to compromised blood pressure control or renal function. Patients on these medications should have their blood pressure and renal function monitored regularly.

Meloxicam may also interact with lithium, leading to increased serum lithium levels and potential toxicity. Patients on lithium therapy should have their lithium levels monitored more frequently if they are using this topical gel.

Furthermore, the use of meloxicam with methotrexate can increase the risk of methotrexate toxicity. Patients receiving high-dose methotrexate therapy should be monitored for signs of toxicity, and dose adjustments may be necessary.

Patients and prescribers should also be aware that meloxicam may interact with cyclosporine, potentially increasing the risk of nephrotoxicity. Close monitoring of renal function is recommended for patients using both medications.

It is important for patients to inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe and appropriate use of Meloxicam 15 mg/mL Topical Gel. If you have any questions or concerns about potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Meloxicam 15 mg/mL Topical Gel is a specialized formulation designed to deliver the nonsteroidal anti-inflammatory drug (NSAID) meloxicam directly to the site of pain or inflammation through the skin. This semisolid gel is dispensed via a pump mechanism, ensuring precise dosing and ease of application. The gel-like consistency allows for smooth application and rapid absorption, providing targeted relief while minimizing systemic exposure and potential side effects associated with oral NSAIDs.

Upon application, the gel facilitates the penetration of meloxicam through the stratum corneum, the outermost layer of the skin, reaching the underlying tissues where it exerts its therapeutic effects. Meloxicam works by inhibiting the cyclooxygenase (COX) enzymes, specifically COX-2, which play a crucial role in the synthesis of prostaglandins. Prostaglandins are lipid compounds that mediate inflammation, pain, and fever. By reducing the production of these compounds, meloxicam effectively alleviates pain and reduces inflammation in localized areas.

This topical formulation is particularly beneficial for patients who require localized treatment of musculoskeletal pain, such as that associated with osteoarthritis, rheumatoid arthritis, or soft tissue injuries. The direct application to the affected area allows for higher local concentrations of the drug, enhancing its efficacy while reducing the risk of systemic side effects like gastrointestinal irritation, cardiovascular issues, or renal impairment, which are more common with oral NSAID use.

For prescribers, the Meloxicam 15 mg/mL Topical Gel offers a valuable option for patients who may have contraindications to oral NSAIDs or those who prefer a non-oral route of administration. The pump mechanism ensures consistent dosing, which is crucial for maintaining therapeutic drug levels and optimizing treatment outcomes. Additionally, the gel's formulation is designed to be non-greasy and quick-drying, improving patient compliance and comfort.

Patients using this formulation should apply the gel as directed by their healthcare provider, typically to clean, dry skin over the affected area. It is important to avoid contact with eyes, mucous membranes, and open wounds. Patients should also be advised to wash their hands after application to prevent accidental transfer of the medication to other areas.

If you have any questions about Meloxicam 15 mg/mL Topical Gel or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure appropriate treatment.

Frequently Asked Questions

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What is Meloxicam 15 mg/mL Topical Gel used for?

Meloxicam 15 mg/mL Topical Gel is used for targeted treatment of pain and inflammation in specific areas of the body. It is applied directly to the skin to help reduce discomfort associated with conditions like arthritis.

How do I apply Meloxicam 15 mg/mL Topical Gel?

To apply the gel, dispense the recommended amount using the pump mechanism and gently rub it onto the affected area until it is absorbed. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can I use Meloxicam 15 mg/mL Topical Gel on broken skin?

No, you should not apply Meloxicam 15 mg/mL Topical Gel to broken or damaged skin. It is intended for use on intact skin only.

How often should I use Meloxicam 15 mg/mL Topical Gel?

The frequency of application will depend on your specific condition and your healthcare provider's recommendations. Typically, it is applied once or twice daily, but you should follow the instructions provided by your healthcare professional.

Are there any side effects associated with Meloxicam 15 mg/mL Topical Gel?

Some people may experience side effects such as skin irritation, redness, or itching at the application site. If you experience severe reactions or symptoms persist, contact your healthcare provider.

Can I use Meloxicam 15 mg/mL Topical Gel with other medications?

Before using Meloxicam 15 mg/mL Topical Gel with other medications, consult your healthcare provider to ensure there are no potential interactions. This is especially important if you are using other topical treatments or taking oral medications.

Is Meloxicam 15 mg/mL Topical Gel safe for pregnant or breastfeeding women?

If you are pregnant or breastfeeding, consult your healthcare provider before using Meloxicam 15 mg/mL Topical Gel to ensure it is safe for you and your baby.

How should I store Meloxicam 15 mg/mL Topical Gel?

Store Meloxicam 15 mg/mL Topical Gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

What should I do if I miss a dose of Meloxicam 15 mg/mL Topical Gel?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply extra gel to make up for a missed dose.

Can I use Meloxicam 15 mg/mL Topical Gel for other types of pain?

Meloxicam 15 mg/mL Topical Gel is specifically formulated for certain types of pain and inflammation. Consult your healthcare provider before using it for other types of pain to ensure it is appropriate for your condition.

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.

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.

Meloxicam 15 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily