

This formulation is a compounded topical gel containing Amitriptyline 20%, Ketamine 10%, Lidocaine 10%, and Prilocaine 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 that the active ingredients are absorbed effectively into the targeted area for optimal therapeutic effect.
It works by increasing the levels of certain chemicals in the brain that help improve mood, sleep, and the body's response to pain. When applied topically, Amitriptyline can provide targeted pain relief with fewer systemic side effects compared to oral administration.
Ketamine is a powerful anesthetic and analgesic that works by blocking the NMDA receptors in the brain, which play a key role in pain transmission. Topical application of Ketamine can provide localized pain relief, particularly for neuropathic pain conditions, without the systemic side effects associated with its oral or injectable use.
Lidocaine and Prilocaine are local anesthetics that work by blocking nerve signals in your body, providing temporary relief from pain and discomfort. They are commonly used in topical formulations to provide localized numbness, reducing pain and discomfort in the applied area.
This compounded formulation can be used to manage various disease states that involve chronic or neuropathic pain, such as post-herpetic neuralgia, diabetic neuropathy, and certain types of cancer pain. It can also be used in the management of localized painful conditions such as osteoarthritis. The combination of these four active ingredients provides a multi-modal approach to pain management, targeting different aspects of the pain pathway for a more comprehensive relief.
As with all medications, this formulation should be used as directed by a healthcare provider. Potential side effects may include skin irritation at the application site, and in rare cases, systemic side effects may occur. It is important to discuss any concerns or questions with your healthcare provider or pharmacist.
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 formulation combines Amitriptyline, Ketamine, Lidocaine, and Prilocaine in a topical gel. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to be aware of these potential interactions to ensure safe and appropriate use of this medication.
Amitriptyline is a tricyclic antidepressant that can interact with a variety of medications, including other antidepressants, antipsychotics, antihistamines, and certain antifungal drugs. It can also interact with drugs that affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs), potentially leading to a serious condition called serotonin syndrome. Additionally, it can increase the effects of certain drugs that slow brain processes, such as alcohol, barbiturates, and benzodiazepines.
Ketamine is a powerful anesthetic that can interact with other anesthetics, as well as certain pain medications, sedatives, and drugs used for mental health conditions. It can also increase the effects of alcohol and other drugs that slow brain processes. Furthermore, it can interact with certain medications used for Parkinson's disease, seizure disorders, and high blood pressure.
Lidocaine and Prilocaine are local anesthetics that can interact with other local anesthetics, as well as certain heart medications. They can also increase the effects of drugs that slow brain processes, such as alcohol, barbiturates, and benzodiazepines.
This formulation is used topically, which can reduce the risk of systemic drug interactions. However, it's still important to be aware of potential interactions, especially if you're using other medications on the same area of skin. Additionally, this formulation can be absorbed into the bloodstream, particularly if used over large areas of skin or for extended periods of time, which can increase the risk of systemic interactions.
This formulation is typically used to treat conditions such as neuropathic pain, post-herpetic neuralgia, and other types of chronic pain. It works by numbing the skin and blocking pain signals in the nerves.
If you have any questions about this formulation or its potential drug interactions, please don't hesitate to reach out to us. We're here to help ensure that you can use this medication safely and effectively.
This formulation combines four active ingredients: Amitriptyline, Ketamine, Lidocaine, and Prilocaine, each with its unique mechanism of action to provide relief from various disease states. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed to provide targeted treatment.
Amitriptyline is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, relieve pain, and promote sleep. In this formulation, it is used for its analgesic properties to help manage chronic pain conditions.
Ketamine is a powerful anesthetic that works by blocking the NMDA receptors in the brain, which play a role in pain sensation. By blocking these receptors, Ketamine can provide significant pain relief, particularly for conditions involving severe or chronic pain. It also has antidepressant effects, which can be beneficial for patients dealing with chronic pain and associated mood disorders.
Lidocaine and Prilocaine are local anesthetics that work by blocking sodium channels in the nerve cells, preventing the initiation and conduction of nerve impulses. This results in a numbing effect at the site of application, providing immediate relief from pain.
The combination of these four active ingredients in a gel formulation allows for easy and precise application to the skin. The gel is designed to be absorbed through the skin, delivering the active ingredients directly to the site of pain.
This formulation can be used to treat a variety of disease states, including chronic pain conditions, neuropathic pain, post-surgical pain, and pain associated with minor injuries. It can also be beneficial for patients dealing with mood disorders associated with chronic pain.
If you have any questions about this formulation, how it works, or how it can be used to treat specific conditions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.
Amitriptyline, Ketamine, Lidocaine, and Prilocaine are all active ingredients in this topical gel formulation, each having multiple uses beyond their primary indications. Amitriptyline, originally an antidepressant, sometimes is used topically due to its analgesic properties for the management of neuropathic pain. Equally, Ketamine offers similar benefits, especially regarding post-operative or chronic pain. Lidocaine and Prilocaine both are local anesthetics often utilized for minor skin procedures due to their numbing effect.
This formulation, though primarily used for pain relief, can find use in other areas as well due to the distinct properties of its constituents. For instance, since Amitriptyline and Ketamine both are known to have properties which can numb the neurological pain pathways, it is possible to use this formulation off-label for treating neuropathic pain conditions, such as post-herpetic neuralgia or diabetic peripheral neuropathy. Moreover, the presence of Lidocaine and Prilocaine makes the formulation useful for anesthetic induction before minor skin procedures or to alleviate pain due to burns or insect stings.
Beyond this, Lidocaine and Prilocaine could potentially relieve itching caused by skin conditions like eczema, psoriasis, or allergic reactions. Additionally, Ketamine, due to its antidepressant properties, could be used as a part of the treatment plan for severe depression or chronic pain syndromes when other treatments have failed, though under careful supervision.
However, it should be noted that all these other uses are off-label and should be used after a thorough discussion with the healthcare provider regarding the potentials risks, benefits, and alternatives. This particularly applies to individuals with existing medical conditions, pregnant or lactating women, and the elderly as they oftentimes exhibit heightened sensitivity to these primary ingredients.
Please remember, the use of pharmaceutical products should always be done under the guidance of a healthcare professional. If you have any further questions or concerns regarding the use of this formulation, do not hesitate to reach out to us at Bayview Pharmacy. We are here to help and guide you through your healthcare journey.
This formulation is designed to target and alleviate severe and chronic pain conditions by topical application. Each component has its role in providing pain relief, and when compounded together, it may significantly reduce the pain sensation, thus providing relief.
This gel is dispensed through a pump mechanism for easy application. Apply it directly on the skin area where you're experiencing pain, so it can absorb the active ingredients effectively. Wash your hands thoroughly after application to avoid transferring the gel to sensitive areas such as eyes or mouth.
No, this gel is designed for usage on intact skin and is unsuitable for open wounds, broken skin, or mucous membranes. Always consult your healthcare provider before application on damaged or sensitive skin.
Relief from pain often depends on the condition being treated and the individual's response to the medication. It may not provide immediate relief; consistent use as prescribed by your healthcare provider will often yield the best results.
Like any medication, this compounded formulation can cause side effects. Though not everyone gets them, notable side effects could be skin irritations, such as redness, itching, or rash, and systemic effects, such as dizziness or burning sensations. Always report any unusual symptoms to your healthcare provider immediately.
Always inform your healthcare practitioner of all the medications you're currently taking. Depending on the nature of these medications, there may or may not be a negative interaction. Your healthcare provider will make a judgment based on your specific case.
If this formulation is accidentally ingested, contact poison control or seek immediate medical attention. Although the compounds are generally topical, ingestion may cause significant adverse effects.
This formulation hasn’t been studied extensively in children. Therefore, its use in pediatric patients should be under the direct supervision of a healthcare provider, who will evaluate the benefits and risks involved.
If you are pregnant or nursing, consult with your healthcare provider before using this compounded formulation. The effects of these drugs on a fetus or nursing infant are not fully understood; thus, caution is advised.
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 continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Apply topically to affected area(s)