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Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax®

Bayview Pharmacy's Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a semisolid formulation dispensed through a pump mechanism. This formulation is designed 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.

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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, NY, NJ, NH, FL and ME.
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, NY, NJ, NH, FL and ME.

Prescriber? Sign in or create an account 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
Cyclobenzaprine Hydrochloride
Diclofenac Sodium
Menthol
Dimethyl Sulfoxide
Lidocaine Hydrochloride
Topical Gel
6427079ea6432425745192b8

Formula Information

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Bayview Pharmacy is pleased to present our compounded formulation of Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax®. This unique blend is specifically designed to address a range of conditions such as musculoskeletal pain, inflammation, and nerve pain.

The formulation combines the analgesic properties of Tramadol HCl and Lidocaine. Cyclobenzaprine HCl is included to relax muscles and alleviate spasms. Diclofenac Sodium is a potent anti-inflammatory agent, while Menthol imparts a cooling sensation to the affected area. The inclusion of DMSO enhances the absorption of these active ingredients, ensuring rapid and efficient relief.

This semisolid formulation is dispensed through a pump mechanism, facilitating easy and precise application on the skin. The gel-like consistency allows for targeted treatment or absorption of active ingredients, providing fast-acting relief. It is an excellent choice for patients suffering from musculoskeletal pain, inflammation, and nerve pain.

If you have any queries about Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax®, please do not hesitate to contact us at Bayview Pharmacy. Our team is committed to assisting you in finding the most suitable treatment option for your condition.

Drug Interactions

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Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a compounded formulation designed for topical application. This semisolid formulation is dispensed through a pump mechanism, allowing for easy and precise application on the skin. It is primarily used for the targeted treatment of musculoskeletal pain, inflammation, and spasms.

The formulation contains six active ingredients, each with a specific role in providing relief. Tramadol HCl, an opioid analgesic, works by blocking pain signals from reaching the brain, thereby reducing the perception of pain. Lidocaine, a local anesthetic, functions by blocking nerve signals in the area where the formulation is applied, providing a numbing effect. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses that lead to muscle spasms, thus helping to alleviate muscle stiffness and pain.

Diclofenac Sodium, a non-steroidal anti-inflammatory drug (NSAID), works by inhibiting the production of certain chemicals that cause inflammation, thereby reducing swelling and pain. Menthol, an analgesic, activates cold-sensitive receptors in the skin, providing a cooling sensation that can help to soothe the area. Lastly, DMSO is a solvent that enhances the absorption of the other active ingredients, ensuring that they penetrate the skin effectively to provide targeted relief.

This formulation is contraindicated in patients with known hypersensitivity to any of the active ingredients. As with any medication, it is important to use this product as directed by a healthcare professional. If you have any questions or concerns about this formulation, please consult with your healthcare provider.

How Does it Work

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Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a compounded, semisolid formulation designed for targeted treatment of various musculoskeletal conditions. This unique blend of active ingredients is dispensed through a pump mechanism, ensuring easy and precise application on the skin.

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 used to decrease inflammation and pain. Menthol, a cooling agent, is added to soothe the area and reduce pain and inflammation. Lastly, DMSO, a solvent, is included to enhance the absorption of the other active ingredients into the skin.

When applied topically to the affected area, Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax® is absorbed through the skin, providing targeted relief from pain, inflammation, and muscle spasms associated with various musculoskeletal conditions. This formulation offers a gel-like consistency, making it easy to apply and ensuring a comfortable experience for the user.

For any questions or further information about Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax®, please do not hesitate to reach out. We are here to provide the necessary support and guidance.

Other Uses

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This compounded formulation of Tramadol HCl 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax® is a semisolid preparation designed for easy and precise application on the skin. It is primarily used for targeted treatment of conditions such as Fibromyalgia, Neuropathic Pain, Osteoarthritis, Rheumatoid Arthritis, and Muscle Spasms. Additionally, it can be beneficial in managing other musculoskeletal conditions including tendinitis and bursitis.

The formulation combines the analgesic properties of Tramadol HCl, Lidocaine, Cyclobenzaprine HCl, Diclofenac Sodium, and Menthol. The inclusion of DMSO serves to enhance the absorption of these active ingredients. Despite its potent combination of ingredients, this topical formulation is generally well tolerated and associated with minimal side effects.

It is crucial to remember that this formulation should not be applied to open wounds or areas of skin that are broken or irritated. Always ensure to use this medication as directed and consult with a healthcare professional if you have any questions or concerns about its use.

Frequently Asked Questions

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What is this compounded formulation made of?

This formulation is a combination of Tramadol HCl 5%, Lidocaine 5%, Cyclobenzaprine HCl 2%, Diclofenac Sodium 5%, Menthol 1%, and DMSO in a Topical Lipoderm Activemax® base.

What is the form of this medication?

This medication is a semisolid formulation dispensed through a pump mechanism. It has a gel-like consistency for easy and precise application on the skin.

How does this medication work?

This medication works by delivering a targeted treatment to the area of application. The active ingredients are absorbed through the skin to provide pain relief and reduce inflammation.

How should I use this medication?

This medication should be applied to the skin as directed by your healthcare provider. The pump mechanism allows for easy and precise application.

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

This medication is intended for external use only. Avoid contact with eyes, mouth, and other mucous membranes. Always use as directed by 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 is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not apply extra doses.

What are the potential side effects of this medication?

Side effects may include skin irritation at the site of application. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

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

Consult your healthcare provider before using this medication if you are pregnant or breastfeeding. The effects of this medication on unborn babies and nursing infants are not fully known.

Can I use other medications with this formulation?

Always inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and supplements. Some medications may interact with this formulation.

How should I store this medication?

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

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, NY, NJ, NH, FL, and ME. 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 5%/Lidocaine 5%/Cyclobenzaprine HCl 2%/Diclofenac Sodium 5%/Menthol 1%/DMSO Topical Lipoderm Activemax®
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Apply topically to affected area(s) twice daily.Maximum of four applications per 24-hour period.