This formulation is a compounded topical gel containing Amitriptyline HCl 6%, Clonidine HCl 0.23%, Gabapentin 6%, Lidocaine 6%, and Tetracaine HCl 4.55%. 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, particularly neuropathic pain. Clonidine HCl is an alpha-2 adrenergic agonist that can help to manage pain and inflammation. Gabapentin is an anticonvulsant that is often used to treat nerve pain. Lidocaine and Tetracaine HCl are local anesthetics that provide immediate relief from pain and discomfort by numbing the skin and blocking nerve signals in the body.

This formulation is particularly useful in treating various disease states that involve chronic pain, such as fibromyalgia, neuropathic pain, post-herpetic neuralgia, and certain types of arthritis. It can also be used to manage pain associated with certain skin conditions, such as shingles or diabetic neuropathy. The combination of these active ingredients works synergistically to provide comprehensive pain relief.

For patients, it is important to apply this medication as directed by your healthcare provider. Avoid contact with eyes, mouth, and other mucous membranes. If you experience any adverse reactions, such as skin irritation or allergic reactions, discontinue use and contact your healthcare provider immediately.

For prescribers, please note that this is a compounded medication and may not be suitable for all patients. Consider the patient's overall health status, other medications, and potential drug interactions before prescribing. Monitor the patient's response to therapy and adjust the treatment plan as necessary.

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 here to assist you.

This topical gel formulation contains a combination of Amitriptyline HCl, Clonidine HCl, Gabapentin, Lidocaine, and Tetracaine HCl. These active ingredients work synergistically to provide relief from various types of pain, including neuropathic pain, post-herpetic neuralgia, and other conditions that cause chronic pain. The gel is designed for topical application, allowing for targeted treatment and absorption of the active ingredients.

Amitriptyline HCl is a tricyclic antidepressant that is used off-label for pain management. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. Clonidine HCl is an alpha-2 adrenergic agonist that is primarily used to treat high blood pressure but is also used off-label for pain management. It works by relaxing blood vessels and decreasing heart rate, which can help to reduce pain. Gabapentin is an anticonvulsant that is also used for pain management. It works by reducing the number of pain signals that are sent out by damaged nerves in the body. Lidocaine and Tetracaine HCl are local anesthetics that work by blocking nerve signals in your body, providing temporary numbness or loss of sensation in the area where the gel is applied.

It's important to note that while this formulation is designed for topical use, some of the active ingredients may be absorbed into the bloodstream and could potentially interact with other medications. For example, Amitriptyline can interact with MAO inhibitors, leading to potentially serious side effects. Clonidine can interact with beta-blockers, causing a rebound hypertension if either medication is discontinued abruptly. Gabapentin can interact with antacids, reducing the absorption of Gabapentin into the body. Lidocaine and Tetracaine can interact with certain heart medications, potentially affecting heart rhythm.

Patients should inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements. This will help the healthcare provider to monitor for drug interactions and adjust the treatment plan as necessary.

As with any medication, this formulation may cause side effects. Common side effects may include redness, itching, or irritation at the application site. If these side effects persist or worsen, or if serious side effects occur (such as severe dizziness, slow or irregular heartbeat, or mental/mood changes), patients should seek medical attention immediately.

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

This topical gel formulation combines five active ingredients: Amitriptyline HCl, Clonidine HCl, Gabapentin, Lidocaine, and Tetracaine HCl. Each of these ingredients plays a unique role in managing pain and discomfort associated with various disease states.

Amitriptyline HCl is a tricyclic antidepressant that is used in this formulation for its analgesic properties. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. Topically, it can help to numb the skin and underlying tissues, providing relief from localized pain.

Clonidine HCl is an alpha-2 adrenergic agonist. It works by inhibiting the release of norepinephrine in the brain, which in turn reduces nerve signal transmission and thus decreases pain. It is particularly effective in treating neuropathic pain.

Gabapentin is an anticonvulsant that is often used to treat nerve pain. It works by stabilizing electrical activity in the brain and reducing the excitability of nerve cells, thereby reducing pain and discomfort.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. 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.

Tetracaine HCl is another local anesthetic that works by blocking nerve signals in the body. It is used in combination with lidocaine to provide a more potent and longer-lasting numbing effect on the skin and underlying tissues.

This formulation is 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 into the skin for targeted treatment. This formulation is particularly useful for treating localized pain, such as that caused by shingles, diabetic neuropathy, or other conditions that affect the nerves.

As compounding pharmacists, we are able to customize this formulation to meet the specific needs of each patient. If you have any questions about this formulation or how it may benefit you, please don't hesitate to reach out to us at Bayview Pharmacy.

The formulated combination of Amitriptyline HCl, Clonidine HCl, Gabapentin, Lidocaine, and Tetracaine HCl in a topical gel can provide relief for various conditions other than the commonly prescribed indications. This potent mixture is most typically utilized for the management of neuropathic pain, including post-herpetic neuralgia and diabetic neuropathy, and localized pain syndromes such as musculoskeletal and myofascial pain.

However, this topical gel can also be used off-label for the treatment of conditions related to cutaneous pain. Once applied, it can desensitize the area, providing temporary relief from painful symptoms. This formulation can be beneficial in dermatology, particularly in managing symptoms related to conditions such as post-burn itch, pruritus, and eczema. Note that the use of this compound in these cases is off-label, and effectiveness may vary between individuals.

The combination of ingredients can also provide symptomatic relief in conditions like fibromyalgia where patients suffer from chronic pain and tender points throughout their body. The anesthetic, analgesic, and anti-allodynic properties of this compound may mitigate these symptoms by blocking pain signals sent to the brain, providing temporary relief for these patients.

This formulation could also be considered for use in palliative care for managing the pain associated with various chronic and/or terminal illnesses. The direct application of this gel can help target localized areas of pain. Physicians might also find it useful for treating chronic itch, a common problem in many end-stage renal disease patients or those undergoing dialysis.

It's important to highlight that any off-label use should be carefully assessed and watched over by the prescribing physician, and the possible side effects should be monitored closely. The potential benefits and risks should be thoroughly assessed on an individual basis. If you have any more questions about this formulation, its uses, or specific applications, don't hesitate to reach out to us at Bayview Pharmacy. We have a dedicated team of compounding pharmacists who can help.