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Formulas

Tramadol HCl 20 mg/0.25 ml Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Tramadol Hydrochloride

Tramadol HCl 20 mg/0.25 ml Topical Cream is a compounded semisolid preparation, dispensed via a pump mechanism for easy and controlled application. It is designed for localized treatment or absorption of active ingredients on the skin. This medication is commonly used to manage chronic pain, neuropathic pain, fibromyalgia, osteoarthritis, and rheumatoid arthritis.

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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.
Tramadol Hydrochloride
Topical Cream
6427079ea64324d4545192c0

Formula Information

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Tramadol HCl 20 mg/0.25 ml Topical Cream is a specially compounded medication, designed to provide targeted relief for a variety of chronic pain conditions. These conditions may include chronic pain, neuropathic pain, fibromyalgia, osteoarthritis, and rheumatoid arthritis. This semisolid preparation is dispensed in a pump mechanism, allowing for convenient and controlled application directly onto the skin of the affected area.

The active ingredient in this formulation, Tramadol HCl, is a centrally acting opioid analgesic. It functions by blocking the transmission of pain signals to the brain, thereby providing relief from pain. Additionally, Tramadol HCl is known for its anti-inflammatory properties, which can help reduce swelling and inflammation associated with these chronic pain conditions.

However, it is crucial to use this medication as directed by a healthcare professional. Patients should not exceed the recommended dosage and should not use this medication for a longer duration than prescribed. Potential side effects of this medication may include nausea, dizziness, drowsiness, and constipation.

At Bayview Pharmacy, we are dedicated to providing our patients with high-quality compounded medications. If you have any questions or concerns about Tramadol HCl 20 mg/0.25 ml Topical Cream or any of our other compounded medications, please do not hesitate to contact us. We are here to assist you with your healthcare needs.

Drug Interactions

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Tramadol HCl 20 mg/0.25 ml Topical Cream is a potent analgesic formulated for topical application. It is dispensed in a pump mechanism for convenient and controlled application on the skin, designed for localized treatment or absorption of active ingredients. This formulation is primarily used for the treatment of chronic pain, neuropathic pain, fibromyalgia, osteoarthritis, and rheumatoid arthritis. It may be used as an adjunct to other therapies, such as physical therapy, exercise, and lifestyle modifications.

Patients should exercise caution when using Tramadol HCl 20 mg/0.25 ml Topical Cream, especially those with a history of substance abuse, mental illness, or suicidal ideation. It is not recommended for use in patients with severe hepatic or renal impairment. The cream may interact with other medications, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, and other opioid analgesics. It may also interact with certain herbal supplements, such as St. John’s Wort.

Tramadol HCl 20 mg/0.25 ml Topical Cream is not recommended for use in pregnant or breastfeeding women. Elderly patients should use this medication with caution, as they may be more sensitive to its effects. Additionally, patients with a history of seizures should be cautious when using this medication, as it may increase the risk of seizures.

If you have any questions about the use of Tramadol HCl 20 mg/0.25 ml Topical Cream for the treatment of chronic pain, neuropathic pain, fibromyalgia, osteoarthritis, and rheumatoid arthritis, please do not hesitate to reach out for further information.

How Does it Work

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Tramadol HCl 20 mg/0.25 ml Topical Cream is a compounded formulation of the opioid analgesic, tramadol hydrochloride. This semisolid preparation is designed for direct application on the skin, providing localized treatment for conditions such as chronic pain, neuropathic pain, fibromyalgia, osteoarthritis, and rheumatoid arthritis. The cream is dispensed via a pump mechanism, ensuring convenient and controlled application.

The active ingredient, tramadol hydrochloride, is absorbed through the skin and works by blocking pain signals from reaching the brain, thereby providing relief from pain. Depending on the severity of the pain, the cream is typically applied two to four times a day. It is crucial to avoid applying the cream to broken or irritated skin.

Tramadol HCl 20 mg/0.25 ml Topical Cream is generally well tolerated. However, some users may experience mild side effects such as skin irritation, itching, and redness. It is important to avoid using this cream in conjunction with other opioid medications to prevent an increased risk of side effects. Furthermore, this cream is not recommended for use in children under the age of 18.

If you have any questions or concerns about Tramadol HCl 20 mg/0.25 ml Topical Cream, please do not hesitate to reach out. We are committed to helping you find the most suitable treatment option for your condition.

Other Uses

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This Tramadol HCl 20 mg/0.25 ml topical cream is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is primarily used for localized treatment or absorption of active ingredients. This formulation can be used to treat a variety of conditions including migraine headaches, tension headaches, post-operative pain, musculoskeletal pain such as muscle spasms, sprains, and strains.

However, it is crucial to note that this formulation should not be used by pregnant or breastfeeding women due to potential harm to the fetus or infant. It is also contraindicated in patients taking monoamine oxidase inhibitors (MAOIs) or serotonin reuptake inhibitors (SSRIs), and those with a history of seizures or who are on medications that can trigger seizures.

Caution is advised when using this formulation in patients with a history of substance abuse or addiction, as it can be habit-forming. It should also be used with caution in patients with a history of depression or suicidal thoughts, as it can exacerbate these symptoms.

If you have any questions about using this formulation for any of the conditions listed above, please do not hesitate to reach out for further information and guidance.

Frequently Asked Questions

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What is Tramadol HCl 20 mg/0.25 ml Topical Cream?

Tramadol HCl 20 mg/0.25 ml Topical Cream is a semisolid preparation of the pain medication Tramadol. It is designed for topical application on the skin for localized treatment.

How is this formulation of Tramadol different from oral tablets?

This formulation is designed for topical application, meaning it is applied directly to the skin. This can provide localized treatment, unlike oral tablets which have a systemic effect.

How does the pump mechanism work?

The pump mechanism allows for convenient and controlled application of the cream. It dispenses a set amount of cream with each pump, ensuring consistent dosing.

What is the benefit of a topical cream over a pill or injection?

Topical creams can provide targeted relief right where you need it, and they can be less invasive than injections. They also bypass the digestive system, which can be beneficial for those with sensitive stomachs or who have difficulty swallowing pills.

How often should I apply Tramadol HCl 20 mg/0.25 ml Topical Cream?

The frequency of application will depend on your specific condition and your doctor's instructions. Always follow the prescribed dosage.

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

This cream is designed for external use only. Avoid contact with eyes, mouth, and other mucous membranes. If you're unsure about where to apply the cream, consult with your healthcare provider.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. 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 cream to make up for a missed dose.

What are the potential side effects of this cream?

Side effects can vary from person to person. Some common side effects may include skin irritation at the application site. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Can I use other medications with this cream?

Always inform your healthcare provider about all the medications you're currently taking, including over-the-counter drugs and supplements. Some medications may interact with Tramadol, affecting its effectiveness or causing side effects.

How should I store Tramadol HCl 20 mg/0.25 ml Topical Cream?

Store this cream at room temperature, away from heat and direct light. Keep it out of reach of children and pets. Do not freeze the cream or store it in the bathroom where it could become exposed to moisture.

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, 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.

Tramadol HCl 20 mg/0.25 ml Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Apply 2.5 mL (20 mg of Tramadol HCl) topically to affected area(s) two to three times daily or as directed.