Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Acyclovir 5%/2-Deoxy-D-Glucose 0.2%/Doxepin HCl 5.65%/Gabapentin 6%/Lidocaine HCl 5%/Orphenadrine Citrate 10% Topical Gel

This formulation is a semisolid topical gel containing Acyclovir 5%, 2-Deoxy-D-Glucose 0.2%, Doxepin HCl 5.65%, Gabapentin 6%, Lidocaine HCl 5%, and Orphenadrine Citrate 10%. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients.

The Acyclovir component is an antiviral medication used to treat infections caused by certain types of viruses. 2-Deoxy-D-Glucose is a glucose molecule analog that interferes with the glycolysis process, potentially inhibiting the growth of certain cells. Doxepin HCl is a tricyclic antidepressant that can also help reduce itching and hives. Gabapentin is a medication used to treat nerve pain and seizures. Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. Orphenadrine Citrate is a muscle relaxant used to treat muscle spasms/pain.

Together, these ingredients work to treat a variety of disease states, providing relief from symptoms and potentially aiding in the treatment process.

Want a different strength?
Click the Text Us button below.
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.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Acyclovir
2-Deoxy-D-Glucose
Doxepin Hydrochloride
Gabapentin
Lidocaine Hydrochloride
Orphenadrine Citrate
Topical Gel
652feb2c689c660df15d8e02
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

This formulation is a unique combination of Acyclovir 5%, 2-Deoxy-D-Glucose 0.2%, Doxepin HCl 5.65%, Gabapentin 6%, Lidocaine HCl 5%, and Orphenadrine Citrate 10% in a topical gel form. It is designed to be dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed effectively for targeted treatment.

Acyclovir is an antiviral medication used to treat infections caused by certain types of viruses. It is commonly used for the treatment of cold sores, shingles, and chickenpox. The inclusion of Acyclovir in this formulation can help to reduce the severity and length of these outbreaks.

2-Deoxy-D-Glucose is a glucose molecule which has the 2-hydroxyl group replaced by hydrogen, so that it cannot undergo further glycolysis. As such, it acts to inhibit glycolysis. It is used in this formulation for its potential antiviral properties.

Doxepin HCl is a tricyclic antidepressant that is used to treat symptoms of depression and/or anxiety. It can also be used to treat itching and hives caused by certain types of skin conditions. In this formulation, it can help to alleviate any associated discomfort or itching.

Gabapentin is a medication used to treat nerve pain and seizures. In this formulation, it can help to reduce pain and discomfort associated with certain skin conditions or nerve disorders.

Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It can be used to reduce pain or discomfort caused by skin irritations or conditions.

Orphenadrine Citrate is a muscle relaxant used to treat muscle spasms/pain. It can be used in this formulation to help relieve muscle spasms or pain associated with certain skin conditions or disorders.

This formulation is designed to provide targeted treatment for a variety of skin conditions and disorders. It combines the antiviral properties of Acyclovir and 2-Deoxy-D-Glucose, the antidepressant and anti-itch properties of Doxepin HCl, the pain-relieving properties of Gabapentin and Lidocaine HCl, and the muscle relaxant properties of Orphenadrine Citrate. This makes it a versatile and effective treatment option for a variety of conditions.

If you have any questions about this formulation, please do not hesitate to reach out to us. We are a team of knowledgeable compounding pharmacists at Bayview Pharmacy, and we are here to help.

Drug Interactions

A small arrow pointing down

This formulation contains a combination of Acyclovir, 2-Deoxy-D-Glucose, Doxepin HCl, Gabapentin, Lidocaine HCl, and Orphenadrine Citrate. Each of these active ingredients has a specific role in managing various disease states, but they may also interact with other medications. It's important to understand these potential interactions to ensure safe and effective use of this topical gel.

Acyclovir is an antiviral medication used to treat infections caused by certain types of viruses. It can interact with medications such as Probenecid and Tenofovir, potentially affecting kidney function. It's important to monitor renal function if these medications are used together.

2-Deoxy-D-Glucose is a glucose analog that interferes with the glycolytic pathway of energy production in cells. It may interact with antidiabetic medications, potentially leading to hypoglycemia. Blood glucose levels should be closely monitored when these medications are used together.

Doxepin HCl is a tricyclic antidepressant used to treat depression and anxiety. It can interact with MAO inhibitors, leading to serious side effects such as serotonin syndrome. It can also interact with anticholinergic drugs, increasing the risk of side effects such as dry mouth, constipation, and urinary retention.

Gabapentin is used to treat nerve pain and seizures. It can interact with antacids, reducing the absorption of gabapentin. It's recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin can also increase the effects of opioids, potentially leading to respiratory depression.

Lidocaine HCl is a local anesthetic used to relieve pain and discomfort. It can interact with antiarrhythmic drugs, potentially leading to heart problems. It's important to monitor heart function if these medications are used together.

Orphenadrine Citrate is a muscle relaxant used to treat muscle spasms. It can interact with anticholinergic drugs, increasing the risk of side effects such as dry mouth, constipation, and urinary retention. It can also interact with MAO inhibitors, potentially leading to serious side effects.

This formulation is designed for topical application, which may reduce the risk of systemic drug interactions. However, it's still important to inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements. If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us.

How Does it Work

A small arrow pointing down

This unique formulation combines several active ingredients, each with its own mechanism of action, to provide a comprehensive approach to pain management and antiviral treatment. The formulation is designed to be applied topically, allowing for targeted treatment and absorption through the skin.

Acyclovir, an antiviral medication, works by slowing the growth and spread of the herpes virus in the body. It interferes with the virus's ability to replicate and infect new cells. This helps to control outbreaks of herpes-related symptoms, such as sores and blisters.

2-Deoxy-D-Glucose is a glucose analog that interferes with the metabolism of glucose in cells. It's used in this formulation for its potential antiviral properties, as it can inhibit the replication of certain viruses.

Doxepin HCl is a tricyclic antidepressant that has been found to have significant analgesic properties. It works by increasing the concentrations of norepinephrine and serotonin in the central nervous system, enhancing their effects. This can help to alleviate neuropathic pain.

Gabapentin is a medication primarily used to treat seizures and neuropathic pain. It works by affecting the way nerves send messages to your brain, reducing the perception of pain.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It's used in this formulation to provide temporary relief from pain and discomfort.

Orphenadrine Citrate is a muscle relaxant that works by blocking certain nerve impulses to provide relief from pain and discomfort caused by strains, sprains, and other muscle injuries.

Together, these ingredients provide a multi-faceted approach to pain management and antiviral treatment. The gel formulation allows for easy and precise application, ensuring that the medication is delivered directly to the area that needs it most. This can help to maximize the effectiveness of the treatment while minimizing potential side effects.

If you have any questions about this formulation, please don't hesitate to reach out to us. We're here to help and provide you with the information you need to make informed decisions about your health.

Other Uses

A small arrow pointing down

This combination of Acyclovir, 2-Deoxy-D-Glucose, Doxepin HCl, Gabapentin, Lidocaine HCl, and Orphenadrine Citrate is primarily used in the topical management of conditions involving nerve pain and inflammation, offering both analgesic and anti-inflammatory effects. Generally, these conditions include herpes zoster related postherpetic neuralgia, painful diabetic neuropathy, and other conditions involving neuropathic pain. However, the compound may have the potential for additional utilities outside of the primary disease states mentioned, due to its wide range of active ingredients.

Acyclovir, as an antiviral agent, may help in conditions requiring localized antiviral treatments, such as certain types of herpes simplex. The 2-Deoxy-D-Glucose contributes to cellular metabolism alterations that could potentially aid in therapies involving altered cell growth or proliferation. Doxepin HCl, an antidepressant with antihistamine properties, can be used for the topical treatment of pruritus in eczematous dermatitis. Gabapentin can assist in managing neuropathic pain associated with peripheral neuropathy, spinal cord injury, or other origins. Lidocaine HCl, a local anesthetic, can be beneficial in localized pain relief, numbing the skin and underlying nerves for procedures such as skin biopsies or cannula insertion. Lastly, Orphenadrine Citrate offers anticholinergic actions and local muscle relaxation, further helping to ameliorate conditions involving muscle spasms or other muscular discomforts.

It is important to note that any use of this medication should be under the direction and supervision of a healthcare provider. Results may vary depending on the individual patient's condition and how their body responds to treatment. Side effects can occur, which may require medical attention, the most common ones include local skin reactions like erythema, rash, or pruritus. Given the broad pharmacological profile of the combination, it is vital that any other use is guided by a thorough understanding of the patient's overall health status and current medications to avoid potential interactions.

If you have any questions about the uses, interactions, or potential side effects of this formulation, do not hesitate to reach out to us. We, as a team of compounding pharmacists at Bayview Pharmacy, are here to help ensure you have all your questions answered and doubts addressed.

Frequently Asked Questions

A small arrow pointing down

What is the purpose of this compounded formulation?

This compounded formulation was designed to be a powerful, easy-to-use, precisized treatment with multiple active ingredients. It is topically applied on the skin to treat a variety of conditions that may be sensitive to Acyclovir, 2-Deoxy-D-Glucose, Doxepin HCl, Gabapentin, Lidocaine HCl, and Orphenadrine Citrate.

What are the active ingredients in the formulation?

The active ingredients in the formulation are Acyclovir 5%, 2-Deoxy-D-Glucose 0.2%, Doxepin HCl 5.65%, Gabapentin 6%, Lidocaine HCl 5%, and Orphenadrine Citrate 10%.

What is the form of this medication?

This medication takes the form of a semi-solid, gel-like formulation dispensed through a pump mechanism for targeted topical application.

How do I use this topical gel?

Apply the gel to your skin in the targeted area as directed by your pharmacist or doctor. The pump mechanism facilitates easy and precise application. Do not ingest or apply to the eyes or other sensitive areas.

Are there any potential side effects?

Side effects can vary depending on the individual and their reaction to the active ingredients. Always consult your pharmacist or doctor to understand the potential side effects for your personal case.

Can I use this compound formulation with other medicines?

Before using this compound formulation, always discuss with your doctor or pharmacist all the other medications you might be using to avoid potential drug interactions.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it's nearly time for your next dose, skip the missed dose and stick to your dosing schedule. Don’t double up on doses to compensate for the missed one.

How do I store this compounded formulation?

Store this medication at room temperature, away from heat, moisture, and direct light. Also, keep all medicine out of the reach of children.

Can I use this gel if I'm pregnant or breastfeeding?

It is important to inform your doctor if you are pregnant, planning to get pregnant, or breastfeeding before using this product, as certain compounds can impact both mother and child.

Will this medication stain my clothing?

While the gel is designed for effective application to the skin, care should be taken to allow the medicine to completely absorb or dry before coming into contact with clothing to avoid potential staining.

Related Formulas

Related Products
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.