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Cyclobenzaprine HCl 2%/Gabapentin 6%/Ketamine HCl 11.5%/Nifedipine 3%/Pentoxifylline 3% Topical Gel

This formulation is a compounded topical gel containing Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketamine HCl 11.5%, Nifedipine 3%, and Pentoxifylline 3%. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency aids in the targeted treatment or absorption of the active ingredients.

The combination of these active ingredients is designed to treat a variety of disease states. Cyclobenzaprine HCl is a muscle relaxant used to relieve muscle spasms, Gabapentin is used to manage nerve pain, Ketamine HCl is a potent analgesic for severe pain, Nifedipine is a calcium channel blocker used to treat high blood pressure and angina, and Pentoxifylline is used to improve blood flow in patients with circulation problems. The topical application allows for targeted treatment, reducing systemic side effects.

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Topical Gel
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Formula Information

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This formulation is a compounded topical gel containing Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketamine HCl 11.5%, Nifedipine 3%, and Pentoxifylline 3%. It is a semisolid formulation that is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency of the formulation ensures that the active ingredients are absorbed effectively into the skin for targeted treatment.

The combination of these five active ingredients is designed to address a variety of disease states. Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain, thereby helping to relieve muscle spasms. Gabapentin is used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. It is also used to treat nerve pain caused by other conditions such as diabetic peripheral neuropathy and fibromyalgia.

Ketamine HCl is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. It is often used in the management of chronic pain conditions, including neuropathic pain and complex regional pain syndrome (CRPS). Nifedipine is a calcium channel blocker that relaxes (widens) your blood vessels, which makes it easier for the heart to pump and reduces its workload. It is used to treat high blood pressure and angina (chest pain).

Pentoxifylline is a xanthine derivative that improves blood flow and reduces inflammation. It is used to treat intermittent claudication (pain in the legs that occurs with walking and disappears with rest) caused by peripheral arterial disease. The combination of these ingredients in a topical gel formulation allows for targeted treatment of the affected area, reducing systemic side effects and improving patient compliance.

It is important to note that this is a compounded medication, meaning it is made specifically for you based on a doctor's prescription. It is not a commercially available product and should be used under the supervision of a healthcare professional. 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.

Drug Interactions

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This compounded formulation contains Cyclobenzaprine HCl, Gabapentin, Ketamine HCl, Nifedipine, and Pentoxifylline. Each of these active 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 a healthcare provider for personalized advice.

Cyclobenzaprine HCl is a muscle relaxant that can interact with monoamine oxidase inhibitors (MAOIs), causing serious side effects such as high fever, convulsions, and even death. It can also interact with central nervous system depressants like alcohol, barbiturates, and benzodiazepines, leading to increased sedation and potentially dangerous respiratory depression.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids containing magnesium or aluminum, as they can reduce the absorption of gabapentin, decreasing its effectiveness. Combining gabapentin with opioids, antihistamines, or other drugs that cause sedation can increase the risk of drowsiness and respiratory depression.

Ketamine HCl, an anesthetic, can interact with other anesthetics, sedatives, and central nervous system depressants, potentially causing excessive sedation, respiratory depression, and even coma. It can also interact with stimulants, potentially causing dangerous increases in heart rate and blood pressure.

Nifedipine, a calcium channel blocker used for treating high blood pressure and angina, can interact with beta-blockers, potentially causing heart failure. It can also interact with CYP3A4 inhibitors, such as some antifungals and antibiotics, leading to increased levels of nifedipine in the body and potential toxicity.

Pentoxifylline, a medication used to improve blood flow, can interact with anticoagulants and antiplatelet drugs, increasing the risk of bleeding. It can also interact with theophylline, leading to increased levels of theophylline in the body and potential toxicity.

This formulation is designed to be applied topically, which can reduce some systemic interactions but does not eliminate them. It's important to inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs, supplements, and herbal products. If you have any questions about potential drug interactions, please reach out to us at Bayview Pharmacy. We are here to help ensure your treatment is safe and effective.

How Does it Work

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This unique formulation combines the therapeutic benefits of five active ingredients: Cyclobenzaprine HCl, Gabapentin, Ketamine HCl, Nifedipine, and Pentoxifylline, all in a topical gel form. Each of these ingredients plays a crucial role in managing various disease states, and their combined effect can provide significant relief for patients.

Cyclobenzaprine HCl is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is particularly effective in treating muscle spasms and associated pain. Gabapentin, on the other hand, is an anticonvulsant and nerve pain medication. It is believed to work by affecting the way the body senses pain. It is commonly used to treat nerve pain conditions, including neuropathic pain.

Ketamine HCl is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. It is often used in the management of chronic pain, particularly in conditions that have not responded well to other treatments. Nifedipine is a calcium channel blocker that relaxes (widens) your blood vessels, which makes it easier for the heart to pump and reduces its workload. It is commonly used to treat high blood pressure and angina (chest pain).

Pentoxifylline is a xanthine derivative that works by increasing the flexibility of red blood cells, which helps to improve blood flow. This improved blood flow helps to reduce pain and inflammation in the affected areas. It is often used to treat peripheral vascular diseases and conditions such as intermittent claudication (pain in the legs that occurs with walking and disappears with rest).

When applied topically, this formulation allows for targeted treatment, delivering the active ingredients directly to the area of discomfort. The gel form ensures easy and precise application, and the pump mechanism allows for controlled dispensing of the medication. This formulation is designed to provide relief from a variety of conditions, including muscle spasms, nerve pain, chronic pain, high blood pressure, angina, and peripheral vascular diseases.

As with any medication, it is important to use this formulation as directed by your healthcare provider. If you have any questions about this formulation or how to use it, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Other Uses

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This compounded medication formulation primarily focuses on managing pain and muscle spasms, especially for those with neuropathic pain conditions. However, it has potential uses beyond those explicitly stated in its designation. Additionally, this formulation has utility in mitigating other forms of chronic and acute pain. For patients suffering from conditions that result in chronic pain, such as fibromyalgia or degenerative diseases of the spine and joints, this topical gel could potentially provide relief by interrupting pain signaling pathways and reducing inflammation.

The formulation contains Cyclobenzaprine, essentially used as a muscle relaxant, which could potentially assist in conditions involving muscle stiffness such as muscular dystrophies or myofascial pain syndromes. Moreover, Gabapentin contained in the formulation can also be used off-label for anxiety disorders and insomnia due to its calming effects on the nervous system.

The inclusion of Ketamine in our compounding formulation also lends itself to other implications. Low-dose topical Ketamine has been associated with potential antidepressant effects, hence it could serve as a possible adjunct treatment for persistent depressive disorders, if research continues to substantiate these findings.

The Nifedipine component could also be useful in treatment of conditions involving abnormal vasospasm like Raynaud's disease, given its functionality as a calcium channel blocker. The Pentoxifylline in the formulation, renowned for its blood viscosity regulation, can potentially be used in the management of peripheral artery disease and intermittent claudication.

However, it’s crucial to recognize that the use of this medication should always be under the direct supervision of a healthcare provider. This recommendation comes keeping in mind the strong pharmacological effects of the agents contained in this compound formulation and the potential for interactions with other medications or treatments. Inform your healthcare provider about any current medications or health conditions before starting this treatment. The benefits and risks must be weighed with a healthcare provider before use.

At Bayview Pharmacy, our compounding pharmacists welcome your questions and are available to provide additional information on individualized therapies. Please do not hesitate to reach out to us, should you have any inquiries.

Frequently Asked Questions

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What is the Cyclobenzaprine HCl 2%/Gabapentin 6%/Ketamine HCl 11.5%/Nifedipine 3%/Pentoxifylline 3% Topical Gel?

This is a compounded medication that combines various active ingredients into a semisolid formulation. It is designed to be easily and precisely applied to the skin for targeted treatment or absorption.

Who can use this formulation?

This formulation is intended for patients prescribed by their healthcare professional. Your healthcare provider will give you detailed instructions on who can use this medication based on the condition being treated and the person's overall health condition.

What is the purpose of the pump mechanism?

The pump mechanism is designed to facilitate easy and precise application of the gel on the skin, reducing the potential for dosage errors and ensuring that the correct amount of medication is applied each time.

How is this formulation applied?

The gel is applied topically or directly onto the skin. The specific area and frequency of application will depend on your doctor's instructions.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and go back to your normal schedule. Do not double the dose to make up for a missed one.

Are there side effects that I need to look for?

As with any medication, this formulation may have potential side effects. Please consult with your healthcare provider for detailed information on what to expect and how to manage them.

What are the storage recommendations for this formulation?

This medication should be stored at room temperature, away from heat and light. It should also be kept out of reach of children.

Can this compound formulation be combined with other medications?

It is important to discuss with your healthcare provider about all the medications, vitamins, and herbal supplements that you are currently taking before using this formula. Some substances may interfere with the effectiveness of this product or increase the risk of side effects.

What happens if this gel gets in my eyes, nose or mouth?

If the gel accidentally gets into your eyes or mouth, rinse thoroughly with water. If irritation persists, seek medical attention.

How quickly can I expect results from using this formulation?

The response to treatment varies from patient to patient. It's important to keep your healthcare provider informed about your progress and any concerns you may have while using the medication.

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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.