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Naproxen 20% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Naproxen

Naproxen 20% 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 active ingredients. It is specifically formulated to alleviate pain and inflammation associated with conditions such as arthritis, tendonitis, and bursitis, providing localized relief directly at the site of discomfort.

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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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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.
Naproxen
Topical Gel
66fd7b0bdc31c32733aec9f2
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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Naproxen 20% Topical Gel is a compounded semisolid formulation designed for precise and convenient application directly onto the skin. Dispensed through an easy-to-use pump mechanism, this gel allows for targeted treatment of pain and inflammation at specific sites. By delivering naproxen—a non-steroidal anti-inflammatory drug (NSAID)—directly to the affected area, the gel provides localized relief while potentially minimizing systemic side effects associated with oral NSAIDs.

This topical gel is particularly beneficial for managing conditions that involve musculoskeletal pain and inflammation, such as osteoarthritis, rheumatoid arthritis, tendonitis, bursitis, and acute injuries like sprains and strains.

For patients, this formulation offers the advantage of direct application, allowing the active ingredient to penetrate the skin and act precisely where needed. This localized approach can lead to faster relief of symptoms and improved mobility. Additionally, the pump mechanism ensures accurate dosing and reduces the risk of contamination, making it a hygienic option for regular use.

Prescribers may find this topical gel formulation advantageous for patients who cannot tolerate oral NSAIDs due to gastrointestinal side effects or those who require additional pain management strategies. The compounded nature of the gel allows for customization to meet individual patient needs, which can enhance therapeutic outcomes. It is essential for prescribers to consider the patient's overall medication profile and health status when recommending this treatment to ensure safety and efficacy.

Patients are advised to apply the gel as directed by their healthcare provider, typically by dispensing the prescribed amount onto the affected area and gently massaging it into the skin. It is important to avoid applying the gel to broken or irritated skin and to wash hands thoroughly after use to prevent accidental contact with the eyes or mucous membranes. Patients should report any adverse reactions, such as skin irritation or allergic responses, to their healthcare provider promptly.

If you have any questions, reach out to us.

Drug Interactions

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Naproxen 20% 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 naproxen reduces systemic exposure compared to oral administration, it is still important to consider potential drug interactions, especially in patients who may be using other medications concurrently.

Patients and prescribers should be aware that although the systemic absorption of naproxen from topical application is lower, it can still interact with other medications. Concomitant use of other NSAIDs, whether topical or systemic, should be avoided to reduce the risk of additive adverse effects such as gastrointestinal bleeding, ulceration, and renal impairment. Patients using anticoagulants, such as warfarin, should exercise caution, as NSAIDs can enhance the effects of these medications, increasing the risk of bleeding. Regular monitoring of coagulation parameters is advised if concurrent use is necessary.

Additionally, patients taking antihypertensive medications, including ACE inhibitors, angiotensin II receptor blockers (ARBs), and diuretics, should be monitored closely. NSAIDs, including naproxen, can reduce the antihypertensive effects of these drugs, potentially leading to elevated blood pressure. Patients with compromised renal function should be particularly cautious, as NSAIDs can further impair renal function, especially when used in conjunction with these medications.

For patients on lithium therapy, it is important to note that NSAIDs can increase lithium plasma levels, potentially leading to lithium toxicity. Monitoring of lithium levels is recommended if naproxen topical gel is used concurrently. Similarly, methotrexate clearance can be reduced by NSAIDs, increasing the risk of methotrexate toxicity, particularly at high doses. Patients should be monitored for signs of toxicity, and dose adjustments may be necessary.

Patients using cyclosporine or tacrolimus should be aware that NSAIDs can increase the nephrotoxic effects of these immunosuppressants. Close monitoring of renal function is advised when these drugs are used together. Additionally, caution is advised when using naproxen topical gel with selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), as the combination can increase the risk of gastrointestinal bleeding.

It is crucial for both patients and prescribers to consider these potential interactions when using Naproxen 20% Topical Gel, especially in patients with complex medication regimens. If you have any questions or concerns regarding drug interactions or the use of this formulation, please reach out to us for further guidance and support.

How Does it Work

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Naproxen 20% Topical Gel is a specialized formulation designed to deliver the active ingredient, naproxen, directly to the site of pain or inflammation through the skin. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2). These enzymes are responsible for the conversion of arachidonic acid to prostaglandins, which are compounds that mediate inflammation, pain, and fever. By blocking these enzymes, naproxen reduces the production of prostaglandins, thereby alleviating pain and inflammation.

The semisolid gel formulation is dispensed through a pump mechanism, which ensures easy and precise application. This delivery system is particularly beneficial for patients who require targeted treatment, as it allows for the direct application of the medication to the affected area. The gel-like consistency of the formulation facilitates rapid absorption through the skin, ensuring that the active ingredient reaches the underlying tissues where it can exert its therapeutic effects. This localized delivery minimizes systemic exposure, reducing the risk of systemic side effects commonly associated with oral NSAIDs, such as gastrointestinal irritation or cardiovascular risks.

The formulation is particularly advantageous for individuals who may have contraindications to oral NSAIDs or who experience gastrointestinal discomfort with oral administration. Additionally, the topical application allows for the use of higher concentrations of naproxen directly at the site of pain, potentially enhancing therapeutic outcomes.

Prescribers considering Naproxen 20% Topical Gel for their patients should evaluate the specific needs of the patient, including the location and severity of pain, as well as any potential contraindications to NSAID use. The pump mechanism ensures that patients can easily control the amount of gel applied, promoting adherence to prescribed dosing regimens. Patients should be advised to apply the gel to clean, dry skin and to avoid contact with open wounds or mucous membranes.

If you have any questions about Naproxen 20% Topical Gel or its use in treating specific disease states, 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 make informed decisions about your treatment options.

Other Uses

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Naproxen 20% Topical Gel, dispensed through a convenient pump mechanism, is primarily used for its anti-inflammatory and analgesic properties, offering targeted relief for conditions such as arthritis, tendonitis, and other musculoskeletal disorders. However, beyond these common applications, this formulation may have additional uses that can benefit both patients and prescribers seeking alternative therapeutic options. The topical application of Naproxen allows for localized treatment, minimizing systemic exposure and potential side effects associated with oral administration. This makes it a valuable option for patients who may have contraindications to oral NSAIDs or those who experience gastrointestinal discomfort with systemic use.

In addition to its primary indications, Naproxen 20% Topical Gel can be considered for off-label uses such as managing localized pain and inflammation associated with sports injuries, including sprains and strains. Its gel-like consistency ensures that the active ingredient is absorbed efficiently through the skin, providing relief directly at the site of discomfort.

Furthermore, the formulation may be explored for use in conditions like bursitis or localized soft tissue injuries, where reducing inflammation can significantly improve mobility and quality of life. The precision offered by the pump mechanism allows for controlled dosing, ensuring that patients receive the appropriate amount of medication with each application, thereby enhancing adherence and therapeutic outcomes.

For prescribers, considering Naproxen 20% Topical Gel for these additional uses involves evaluating the patient's overall health profile, potential drug interactions, and specific needs. It is essential to weigh the benefits of localized treatment against any potential risks, particularly in patients with a history of NSAID sensitivity or those on concurrent medications that may interact with Naproxen. As always, patient education on the correct application technique and adherence to prescribed dosing is crucial to maximize the benefits of this formulation.

If you have any questions or require further information about the potential uses of Naproxen 20% Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or support you may need in optimizing patient care with this formulation.

Frequently Asked Questions

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What is Naproxen 20% Topical Gel used for?

Naproxen 20% Topical Gel is used for targeted treatment of pain and inflammation directly on the skin, providing relief from conditions such as arthritis, muscle aches, and joint pain.

How do I apply Naproxen 20% Topical Gel?

Dispense the gel through the pump mechanism and apply it directly to the affected area. Gently massage the gel into the skin until it is fully absorbed.

How often should I use Naproxen 20% Topical Gel?

Follow your healthcare provider's instructions, but typically, it is applied 2 to 3 times a day, depending on the severity of your condition.

Can I use Naproxen 20% Topical Gel on broken skin?

No, you should not apply the gel to broken or damaged skin. It is intended for use on intact skin only.

Is Naproxen 20% Topical Gel safe for children?

Consult your healthcare provider before using this gel on children, as safety and efficacy have not been established for pediatric use.

Can I use other topical products with Naproxen 20% Topical Gel?

It is advisable to avoid using other topical products on the same area to prevent interactions. Consult your healthcare provider for specific recommendations.

What should I do if I experience skin irritation?

If you experience skin irritation, discontinue use and consult your healthcare provider. They may recommend an alternative treatment or adjust your dosage.

How should I store Naproxen 20% Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

Can I use Naproxen 20% Topical Gel if I am pregnant or breastfeeding?

Consult your healthcare provider before using this gel if you are pregnant or breastfeeding, as it may not be recommended in certain situations.

What are the possible side effects of Naproxen 20% Topical Gel?

Possible side effects include skin irritation, redness, or itching at the application site. If you experience severe side effects, 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.

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.

Naproxen 20% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily