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Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Amitriptyline Hydrochloride
Ketamine Hydrochloride

The Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel is a semisolid formulation dispensed through a pump mechanism. This design allows for easy and precise application on the skin, ensuring targeted treatment or absorption of the active ingredients. The gel-like consistency of the formulation enhances the delivery of Amitriptyline and Ketamine HCL, two potent compounds known for their efficacy in managing various disease states.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
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.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Amitriptyline Hydrochloride
Ketamine Hydrochloride
Topical Gel
652f21abe3277fa77293e9eb

Formula Information

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This formulation combines Amitriptyline 5% and Ketamine HCL 5% in a transdermal gel. Amitriptyline is a tricyclic antidepressant that is often used in pain management, particularly for neuropathic pain. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. Ketamine HCL, on the other hand, is a powerful anesthetic that has been found to have analgesic properties. It works by blocking certain receptors in the brain that are responsible for transmitting pain signals.

The transdermal gel formulation allows for targeted application and absorption of these active ingredients. This is particularly beneficial for patients who may have difficulty swallowing pills or who require localized pain relief. The gel is dispensed through a pump mechanism, which ensures easy and precise application. This can help to minimize potential side effects and maximize therapeutic benefits by delivering the medication directly to the area of pain.

This formulation can be used to treat a variety of disease states. It may also be used in the management of mood disorders, such as depression and anxiety, particularly when these conditions are associated with chronic pain.

As with any medication, it is important to use this formulation under the guidance of a healthcare provider. Potential side effects may include skin irritation at the application site, drowsiness, dizziness, and changes in mood or behavior. If you experience any unusual or severe side effects, contact your healthcare provider immediately.

At Bayview Pharmacy, we are committed to providing high-quality, personalized care to all of our patients. If you have any questions about this formulation or how it may benefit you, please don't hesitate to reach out to us. Our knowledgeable team of compounding pharmacists is always here to help.

Drug Interactions

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Amitriptyline and Ketamine are both potent medications that can interact with a variety of other drugs. It's crucial to be aware of these potential interactions to ensure appropriate treatment.

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

Ketamine, on the other hand, is a powerful anesthetic that can interact with CNS depressants, opioids, and certain antipsychotic medications. These interactions can lead to severe respiratory depression, increased sedation, and potentially life-threatening changes in heart rate and blood pressure. It's also crucial to avoid grapefruit and grapefruit juice while using this medication, as it can increase the levels of Ketamine in your blood, leading to increased side effects.

This formulation of Amitriptyline and Ketamine in a transdermal gel is designed for targeted treatment of certain disease states. Amitriptyline can help manage symptoms of depression, anxiety, and certain types of pain, while Ketamine can provide potent pain relief. The transdermal delivery allows for direct application to the affected area, potentially reducing systemic side effects and improving patient compliance.

However, it's important to remember that every patient is unique, and what works well for one person may not work as well for another. Always consult with your healthcare provider before starting any new medication, and be sure to discuss any other medications, supplements, or health conditions you may have.

If you have any questions about this formulation or any potential drug interactions, please don't hesitate to reach out to us. Our team of knowledgeable compounding pharmacists is here to help.

How Does it Work

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The Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel is a unique formulation that combines two potent active ingredients, Amitriptyline and Ketamine, in a transdermal gel base. This formulation is designed to be applied directly to the skin, where it is absorbed into the body to provide targeted treatment for a variety of disease states.

Amitriptyline is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help elevate mood. In this formulation, it is used for its analgesic properties, particularly in the management of neuropathic pain. It is believed to work by blocking the reuptake of serotonin and norepinephrine in the brain, thereby increasing their levels and enhancing their pain-relieving effects.

Ketamine, on the other hand, is a powerful anesthetic that works by blocking the N-methyl-D-aspartate (NMDA) receptor, a type of glutamate receptor in the brain. This action is believed to help reduce pain signals in the central nervous system. In this formulation, Ketamine provides additional pain relief, particularly for chronic and neuropathic pain conditions.

The transdermal gel base of this formulation allows for the direct application of these active ingredients to the skin. This method of administration provides several advantages. Firstly, it allows for targeted treatment, as the medication can be applied directly to the area of pain. Secondly, it bypasses the digestive system, reducing the risk of gastrointestinal side effects. Lastly, the gel base provides a sustained release of the active ingredients, allowing for longer-lasting effects.

This formulation is particularly useful in the management of conditions such as neuropathic pain, fibromyalgia, and other chronic pain conditions. It may also be used in the management of depression and anxiety, given Amitriptyline's antidepressant properties. However, it should be noted that the use of this formulation should be under the guidance of a healthcare provider, as both Amitriptyline and Ketamine have potential side effects and interactions.

If you have any questions about the Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel, or if you would like more information about how it works, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel, which is a semisolid formulation dispensed through a pump mechanism, is primarily used for neuropathic pain management. However, this formulation may have some other uses that address different disease states or conditions.

For instance, amitriptyline, an antidepressant often used in pain management, might benefit patients suffering from depressive symptoms or certain anxiety disorders. While the main aim of this formulation is not to treat depression or anxiety, it is possible that the presence of amitriptyline may help manage the symptoms associated with these conditions, though this usage is off-label and should be done under a healthcare provider's guidance.

Additionally, ketamine is recognized for its potential benefits in patients with treatment-resistant depression and other mood disorders. Some research points to the efficacy of topical ketamine in managing symptoms related to complex regional pain syndrome (CRPS) in addition to other types of chronic neuropathic pain.

Moreover, this unique combination of amitriptyline and ketamine in a transdermal gel could also offer pain relief benefits to patients with fibromyalgia or other chronic pain disorders. Knowledgeable doctors sometimes use it as an added therapy to standard pain regimens for these conditions.

It’s critical, however, that the prescriber and patient are aware that these uses are not the primary intention of this specific formulation. This transdermal gel is primarily indicated for neuropathic pain, and any other uses should be thoroughly discussed with and monitored by a healthcare provider to ensure safety and appropriateness.

If you have any further questions or need additional information, please feel free to reach out to us at Bayview Pharmacy. Our team of dedicated compounding pharmacists is always here to help you with your medication-related inquiries and concerns.

Frequently Asked Questions

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What is Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel?

This is a compounded formulation designed for transdermal administration, meaning it's applied to the skin. It contains two active ingredients, Amitriptyline and Ketamine HCL, each at a 5% concentration. The purpose of these ingredients is to provide targeted treatment to the area of application.

How is Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel administered?

This formulation is dispensed as a semisolid gel through a pump mechanism for easy and precise application on the skin. It is not to be ingested or injected.

What is the texture of the Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel?

The transdermal gel has a gel-like consistency, making it comfortable and non-irritating when applied to the skin.

What is the advantage of using a transdermal gel?

Transdermal gels allow for direct application to the affected area, providing targeted treatment. This method also enables active ingredients to be readily absorbed through the skin.

Where is the Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel applied?

The gel is typically applied to a clean, dry, and unaffected area of skin, unless specifically advised otherwise by a healthcare professional.

Can Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel be used with other medications?

Before beginning any new medication, including a transdermal gel, it's crucial to discuss your current medication regimen with a healthcare provider to avoid potential interactions.

Can anyone use Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel?

As with any medication, this compounded formulation should only be used under the direction and supervision of a healthcare professional. It may not be suitable for individuals with certain health conditions or those who are pregnant or nursing.

What should I do if I experience any adverse effects?

If you experience any adverse effects while using the Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel, stop using it immediately and contact your healthcare provider.

Is the pump mechanism difficult to use?

No, the pump mechanism is designed for user-friendliness. It facilitates easy and precise application of the gel, allowing you to control the amount dispensed.

How often should Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel be applied?

The frequency of application will greatly depend on the individual's condition and the healthcare provider's recommendation. Always use as directed by your healthcare professional.

About this compounded preparation

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.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

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.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

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.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. 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.

Amitriptyline 5%/Ketamine HCL 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)