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

Amitriptyline HCl 5%/Dexamethasone 4%/Gabapentin 15%/Lidocaine 10% Topical Gel

This formulation is a compounded topical gel containing Amitriptyline HCl 5%, Dexamethasone 4%, Gabapentin 15%, and Lidocaine 10%. It is a semisolid formulation 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 combination of these active ingredients is designed to treat a variety of disease states. Amitriptyline HCl is a tricyclic antidepressant used for its analgesic properties, particularly in the management of neuropathic pain. Dexamethasone is a potent corticosteroid with anti-inflammatory and immunosuppressive abilities, used to treat conditions such as arthritis and dermatitis. Gabapentin is an anticonvulsant and analgesic used primarily in the treatment of epilepsy and neuropathic pain. Lidocaine is a local anesthetic that provides temporary relief from pain or discomfort in the skin and mucous membranes.

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.
Topical Gel
6530748fa43525df0dc760a1
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 compounded topical gel containing Amitriptyline HCl 5%, Dexamethasone 4%, Gabapentin 15%, and Lidocaine 10%. It is a semisolid formulation that is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed effectively for targeted treatment.

Amitriptyline HCl is a tricyclic antidepressant that is used in this formulation for its analgesic properties. It can help to relieve chronic pain, especially neuropathic pain. Dexamethasone is a corticosteroid that has anti-inflammatory and immunosuppressant abilities. It can help to reduce swelling, redness, and itching. Gabapentin is an anticonvulsant and nerve pain medication that is used to treat nerve pain caused by conditions such as shingles (postherpetic neuralgia). Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used to relieve pain and discomfort from certain skin conditions.

This formulation is particularly useful in treating disease states that involve chronic pain, inflammation, and nerve pain. It can be used to manage conditions such as neuropathic pain, postherpetic neuralgia, and certain skin conditions that cause discomfort. The combination of these four active ingredients allows for a multi-faceted approach to pain management, addressing not only the sensation of pain but also underlying causes such as inflammation.

As with any medication, it is important to use this formulation as directed by your healthcare provider. Potential side effects may include skin irritation at the application site, drowsiness, dizziness, and dry mouth. If you experience any severe or persistent side effects, please contact your healthcare provider immediately.

For prescribers, it is important to note that this is a compounded medication and may not be suitable for all patients. It should be prescribed with caution in patients with a history of hypersensitivity to any of the active ingredients. Additionally, the potential for drug-drug interactions should be considered, particularly with Amitriptyline HCl and Gabapentin.

If you have any questions about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to assist you.

Drug Interactions

A small arrow pointing down

This compounded formulation contains four active ingredients: Amitriptyline HCl, Dexamethasone, Gabapentin, and Lidocaine. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to note that this information is not exhaustive and other interactions may exist. Always consult with your healthcare provider or pharmacist for personalized advice.

Amitriptyline HCl is a tricyclic antidepressant that can interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain heart medications. Combining these drugs can lead to serious side effects such as serotonin syndrome, heart problems, or increased side effects. It's also important to avoid alcohol while using this medication as it can increase drowsiness and dizziness.

Dexamethasone is a corticosteroid that can interact with certain medications such as antifungal drugs, antibiotics, blood thinners, and diabetes medications. These interactions can alter the effectiveness of the medications or increase the risk for serious side effects. It's also important to avoid live vaccines while using this medication.

Gabapentin can interact with antacids, opioids, and certain seizure medications. These interactions can affect how gabapentin works or increase the risk for serious side effects. Avoid alcohol while using this medication as it can increase drowsiness and dizziness.

Lidocaine is a local anesthetic that can interact with certain heart medications, seizure medications, and other local anesthetics. These interactions can affect how lidocaine works or increase the risk for serious side effects.

This formulation is typically used to treat conditions such as neuropathic pain, inflammation, and certain skin conditions. Amitriptyline HCl and Gabapentin work by changing the way the body senses pain. Dexamethasone reduces inflammation and Lidocaine numbs the skin to provide temporary relief from pain and discomfort.

It's important to inform your healthcare provider of all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements. This will help your healthcare provider to prevent potential interactions and ensure the safe use of this medication.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We are here to help and provide you with the most accurate and up-to-date information.

How Does it Work

A small arrow pointing down

This formulation combines four active ingredients: Amitriptyline HCl, Dexamethasone, Gabapentin, and Lidocaine, each with a unique mechanism of action to provide relief from various disease states.

Amitriptyline HCl is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, sleep, and the body's response to pain. In a topical formulation, it can help to numb the skin and block pain signals to the brain, providing relief from localized pain.

Dexamethasone is a corticosteroid that works by reducing inflammation and suppressing the body's immune response. It can help to reduce swelling, redness, and itching in the area where the gel is applied.

Gabapentin is an anticonvulsant and nerve pain medication. It works by stabilizing electrical activity in the brain and affecting the way the nerves send messages to the brain. When used topically, it can help to reduce pain from damaged nerves (neuropathic pain).

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. In a topical gel, it is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns.

Together, these four ingredients work synergistically to provide relief from various disease states, including neuropathic pain, inflammation, and skin irritations. The gel formulation allows for targeted application, ensuring that the active ingredients are delivered directly to the area of discomfort. The pump mechanism allows for easy and precise application, ensuring that the correct dose is applied every time.

If you have any questions about this formulation, how it works, or how it can benefit you, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

A small arrow pointing down

Aside from the primary therapeutic indications, the formulation composed of Amitriptyline HCl 5%, Dexamethasone 4%, Gabapentin 15%, and Lidocaine 10% in a topical gel format possesses potential to manage a multitude of other conditions requiring pain relief and anti-inflammatory effects. Please note that any off-label uses should be discussed thoroughly and specific patient needs should be considered.

Perhaps the most notable use aside from the ones previously mentioned is for the treatment of neuropathic pain. Patients with conditions such as post-herpetic neuralgia, diabetic neuropathy and other types of peripheral neuropathy may experience relief from neuropathic pain and associated symptoms. The efficacy of both amitriptyline and gabapentin in treating these complications has already been established through previous explorations.

Fibromyalgia, a chronic pain disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas may also benefit from the use of this formulation due to the pain-relieving effects of gabapentin and amitriptyline. The anti-inflammatory characteristics of the dexamethasone component may also prove useful in reducing associated inflammation in the body.

In addition, this highly potent concoction might also serve as an effective off-label application for phantom limb pain, a condition that often occurs after amputation. The interaction between amitriptyline, gabapentin, and lidocaine may provide effective relief in such patients. In particular, amitriptyline's serotonergic and noradrenergic reuptake inhibition and gabapentin's ability to decrease the release of certain neurotransmitters makes them a potentially effective combination. Additionally, the local anaesthetic effects of lidocaine could provide rapid, localized relief to the afflicted area.

While we strive to provide extensive, dependable information it's important to keep in mind that individual patient needs should be considered in determining the relevance of these alternate uses, and medical advice should always be sought from a professional healthcare provider. If you have any further queries or concerns, please feel free to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

A small arrow pointing down

What is Amitriptyline HCl 5%/Dexamethasone 4%/Gabapentin 15%/Lidocaine 10% Topical Gel?

This is a compounded formulation of four active ingredients: amitriptyline HCl, dexamethasone, gabapentin, and lidocaine, all combined in a topical gel for easy and accurate application to the skin.

What is the purpose of this type of formulation?

The purpose of this combined formulation is to deliver targeted treatment via the skin, by providing precise application of the active ingredients.

What do the percentages in the name represent?

The percentages in the formulation's name represent the amount of each active ingredient, by weight, present in the gel. That is, 5% of Amitriptyline HCl, 4% of Dexamethasone, 15% of Gabapentin, and 10% of Lidocaine.

How do I apply the gel?

You apply the gel through a pump mechanism that facilitates easy and accurate application. Please follow your healthcare provider's instructions about the dosage.

What makes this gel semisolid?

The gel is considered semi-solid because while it is not fluid like a lotion, it is not solid either. It has a gel-like consistency that makes it easy to dispense and apply directly to the skin.

What conditions is this formulation used to treat?

This formulation is often used to provide pain relief related to nerve injury, inflammation, and certain pain-related conditions, although your healthcare provider could prescribe it for other reasons. Always follow their advice regarding use.

Does the formulation absorb into the skin?

Yes, the active ingredients in the formulation are designed to be absorbed into the skin for localized treatment. The rates of absorption may vary depending on the individual and the specific condition being treated.

Is this formulation safe for all skin types?

Generally, this type of formulation is safe for all skin types. However, if you have had previous allergic reactions to any of the ingredients, inform your healthcare provider. Always perform a patch test and monitor for reactions before full usage.

Should I keep the product in a specific environment?

Generally, store the product at room temperature, away from heat and direct sunlight. Make sure the container is properly closed after use. Please follow any additional storage instructions provided by your pharmacist.

Can I use the product on broken skin?

It is not typically recommended to apply this formulation on broken or irritated skin as it could cause further discomfort or complications. Always consult your healthcare provider before using any medication in a way not instructed.

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.