Bayview Pharmacy's Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a semisolid formulation dispensed through a pump mechanism. This allows for easy and precise application on the skin, providing targeted treatment for conditions such as fibromyalgia, neuropathic pain, osteoarthritis, rheumatoid arthritis, and muscle spasms. The gel-like consistency ensures optimal absorption of the active ingredients.

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.
Bayview Pharmacy is pleased to present our compounded formulation of Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax®. This unique, semisolid formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment or absorption of active ingredients in a gel-like consistency.
Our formulation is designed to provide relief from a variety of conditions, including musculoskeletal pain, inflammation, and nerve pain. The addition of Menthol and DMSO not only provides a cooling sensation but also enhances the absorption of the active ingredients, ensuring fast-acting relief from pain and inflammation.
For patients suffering from musculoskeletal pain, our Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax® can provide fast-acting relief. The synergistic effect of Tramadol HCl and Lidocaine helps to alleviate pain, while Cyclobenzaprine HCl and Diclofenac Sodium work to reduce inflammation. The inclusion of Menthol and DMSO enhances the absorption of the active ingredients, providing faster relief.
Similarly, for patients suffering from nerve pain, our Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax® can provide fast-acting relief. The combination of Tramadol HCl and Lidocaine helps to alleviate pain, while Cyclobenzaprine HCl and Diclofenac Sodium work to reduce inflammation. The addition of Menthol and DMSO enhances the absorption of the active ingredients, providing faster relief.
At Bayview Pharmacy, we are dedicated to providing our patients with the highest quality of care. If you have any questions about our Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax®, please do not hesitate to reach out to us.
Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a compounded formulation designed for topical application. This semisolid formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin for targeted treatment or absorption of active ingredients in a gel-like consistency.
The formulation is a combination of six active ingredients, each with a specific role in managing musculoskeletal pain, inflammation, and spasm. Tramadol HCl is an opioid analgesic that works by blocking pain signals from reaching the brain. Lidocaine is a local anesthetic that works by blocking nerve signals in the affected area. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses that cause muscle spasms. Diclofenac Sodium is a non-steroidal anti-inflammatory drug (NSAID) that works by blocking the production of certain chemicals that cause inflammation. Menthol is an analgesic that works by activating cold-sensitive receptors in the skin, providing a cooling sensation. DMSO is a solvent that helps to increase the absorption of the other active ingredients.
Patients with a known hypersensitivity to any of the components of the formulation should not use this product. It is important to monitor patients for signs of opioid overdose, including respiratory depression, sedation, and hypotension. Signs of lidocaine toxicity, such as confusion, dizziness, and seizures, should also be watched for. Similarly, patients should be monitored for signs of cyclobenzaprine toxicity, including confusion, dizziness, and seizures. Signs of diclofenac sodium toxicity, including nausea, vomiting, and abdominal pain, should be monitored. Lastly, signs of menthol toxicity, including nausea, vomiting, and abdominal pain, should be watched for.
If you have any questions about this formulation or how it can be used to treat musculoskeletal pain, inflammation, and spasm, please reach out to us. We are here to provide you with the information you need to make informed decisions about your health.
Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a compounded, semisolid formulation designed for topical application. This unique blend of active ingredients is dispensed through a pump mechanism, ensuring easy and precise application on the skin for targeted treatment. The gel-like consistency aids in the absorption of the active ingredients, providing relief from a variety of musculoskeletal conditions.
The formulation contains Tramadol HCl, an opioid analgesic that works to alleviate pain. Lidocaine, a local anesthetic, is included to numb the area and reduce pain and inflammation. Cyclobenzaprine HCl, a muscle relaxant, is incorporated to alleviate muscle spasms. Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), is added to the mix to reduce inflammation and pain. Menthol, a cooling agent, is included to soothe the area and further reduce pain and inflammation. Lastly, DMSO, a solvent, is used to enhance the absorption of the other active ingredients into the skin.
This comprehensive formulation is applied directly to the affected area, providing targeted relief from conditions such as muscle spasms, inflammation, and pain. If you have any questions about this formulation or its mechanism of action, please do not hesitate to reach out.
This compounded formulation of Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 2%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a semisolid preparation that is dispensed through a pump mechanism. This design allows for easy and precise application on the skin, ensuring targeted treatment and optimal absorption of the active ingredients. The gel-like consistency of the formulation enhances its spreadability and absorption.
Indicated for the relief of pain associated with post-herpetic neuralgia, diabetic neuropathy, and other neuropathic pain syndromes, this formulation is a versatile tool in pain management. Furthermore, it can be used to alleviate muscle spasms and improve range of motion, enhancing the quality of life for patients with these conditions.
However, this formulation is not recommended for use in children under the age of 18. When using this product, it is crucial to adhere to the instructions provided by your healthcare provider. Avoid contact with the eyes, nose, and mouth to prevent irritation or other adverse reactions. If you experience any adverse reactions, such as skin irritation, it is important to contact your healthcare provider immediately.
If you have any questions or concerns about the use of this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and information you need to ensure safe and appropriate use of this product.
This compounded formulation is typically used for the management of pain. It contains several active ingredients, including Tramadol HCl, Lidocaine, Cyclobenzaprine HCl, Diclofenac Sodium, Menthol, and DMSO, which work together to provide relief from pain and inflammation.
This formulation is dispensed through a pump mechanism for easy and precise application. It should be applied directly to the skin over the area where pain relief is needed. Always follow your healthcare provider's instructions on how much to apply and how often.
This formulation is a semisolid, similar to a gel. It is designed to be easily absorbed by the skin for targeted treatment of pain and inflammation.
The active ingredients in this formulation are Tramadol HCl 5%, Lidocaine 5%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 2%, Menthol 1%, and DMSO.
Tramadol HCl is an opioid pain reliever, Lidocaine is a local anesthetic, Cyclobenzaprine HCl is a muscle relaxant, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID), Menthol provides a cooling sensation and DMSO enhances the absorption of the other ingredients through the skin.
No, you should not use this formulation if you are allergic to any of its ingredients. If you experience any allergic reactions such as rash, itching, swelling, severe dizziness, or trouble breathing, stop using it immediately and seek medical attention.
If you miss a dose, apply it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Do not double the dose to catch up.
Before starting any new medication, you should always inform your healthcare provider. Some medications may interact with this formulation, altering its effectiveness or increasing your risk for serious side effects.
Common side effects may include redness, warmth, or mild stinging at the application site. If any of these effects persist or worsen, or if you experience severe side effects such as blistering or swelling at the application site, contact your healthcare provider immediately.
This formulation should be stored at room temperature, away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)