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Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel

Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel is a semisolid formulation dispensed through a pump mechanism. This formulation is designed for easy and precise application on the skin, allowing for targeted treatment or absorption of the active ingredients. The gel-like consistency ensures a smooth application process.

The active ingredients, Amitriptyline HCL and Ketoprofen, work together to treat various disease states. Amitriptyline HCL is a tricyclic antidepressant used to treat mental/mood problems such as depression. It may help improve mood and feelings of well-being, relieve anxiety and tension, and increase energy level. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness caused by arthritis, reducing these symptoms helps you do more of your normal daily activities.

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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, NY, NJ, NH, FL and ME.
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, NY, NJ, NH, FL and ME.

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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
Ketoprofen
Topical Gel
65301b961d7938f586c68dd7

Formula Information

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This formulation combines Amitriptyline HCL 1% and Ketoprofen 5% in a transdermal gel. It works by increasing the levels of certain chemicals in the brain that help improve mood, sleep, and the body's response to pain. On the other hand, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body.

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 prefer a non-invasive method of medication administration. The gel is dispensed through a pump mechanism, which allows for easy and precise application on the skin. This can help ensure that the patient receives the correct dose of medication each time.

This formulation is used to treat various disease states. Amitriptyline HCL can be used for the management of neuropathic pain, fibromyalgia, and chronic tension-type headache. Ketoprofen, on the other hand, is commonly used to relieve pain, swelling, and joint stiffness caused by arthritis. By combining these two medications in a transdermal gel, patients can receive targeted relief from these conditions.

As with any medication, it's important for patients and prescribers to be aware of potential side effects. These may include skin irritation at the application site, drowsiness, dizziness, and dry mouth. It's also important to note that this medication may interact with other drugs, so it's crucial to inform your healthcare provider of all medications you're currently taking.

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

Drug Interactions

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Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel is a unique formulation that combines the antidepressant properties of Amitriptyline HCL and the anti-inflammatory effects of Ketoprofen. This combination is often used for the management of neuropathic pain and inflammation associated with conditions such as fibromyalgia, postherpetic neuralgia, and other nerve-related pain disorders.

While this formulation is generally well-tolerated, there are potential drug interactions that patients and prescribers should be aware of. Amitriptyline HCL, being a tricyclic antidepressant, can interact with other antidepressants, including MAO inhibitors, SSRIs, and SNRIs. Concurrent use of these medications can increase the risk of serotonin syndrome, a potentially life-threatening condition. It is recommended to avoid the use of MAO inhibitors within 14 days of using Amitriptyline.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with other NSAIDs, blood thinners, and corticosteroids, potentially increasing the risk of gastrointestinal bleeding. It can also interact with certain blood pressure medications and diuretics, potentially reducing their effectiveness. Furthermore, concurrent use of Ketoprofen with lithium or methotrexate can increase the blood levels of these drugs, leading to potential toxicity.

It's also important to note that both Amitriptyline and Ketoprofen can interact with alcohol, potentially enhancing the sedative effects and increasing the risk of gastrointestinal bleeding, respectively. Therefore, it is advisable to limit or avoid alcohol consumption while using this formulation.

Patients should inform their healthcare provider of all the medications, supplements, and herbal products they are currently taking to avoid potential drug interactions. It's also crucial to monitor for any adverse effects such as unusual bleeding, bruising, persistent or severe headache, mood changes, or signs of serotonin syndrome (such as agitation, hallucinations, rapid heartbeat, fever, loss of coordination).

This formulation should be used with caution in patients with a history of heart disease, liver disease, kidney disease, or stomach ulcers due to the potential risks associated with the use of NSAIDs and tricyclic antidepressants.

If you have any questions or concerns about this formulation, please don't hesitate to reach out to us. We are here to provide you with the most accurate and up-to-date information to ensure the safe and appropriate use of your medications.

How Does it Work

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The Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel is a unique formulation that combines two active ingredients, Amitriptyline HCL and Ketoprofen, in a gel base for transdermal application. This formulation is designed to be 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 directly into the targeted area, providing localized treatment.

Amitriptyline HCL 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 to help relieve pain. It is believed to work by blocking the reuptake of serotonin and norepinephrine in the brain, which helps to increase their concentration and effect in the nerve synapses. This can help to reduce the perception of pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. When applied topically, Ketoprofen can provide targeted relief from pain and inflammation in specific areas of the body. It works by inhibiting the enzyme cyclooxygenase, which is involved in the production of prostaglandins. Prostaglandins are substances in the body that contribute to inflammation and pain.

Together, Amitriptyline HCL and Ketoprofen work synergistically to provide relief from pain and inflammation.

It's important to note that while this formulation can provide targeted relief, it should be used under the guidance of a healthcare provider. As with any medication, there may be potential side effects and interactions that need to be monitored. Always use this medication as directed by your healthcare provider.

If you have any questions about the Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel, or if you would like more information about how it works, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Other Uses

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In addition to its primary uses, Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel can potentially be useful for various other medical conditions. A key attribute of this formulation is the ability for local, direct absorption of the active ingredients onto the affected area via transdermal delivery, reducing systemic side effects and potentially improving treatment efficacy. It is important to note these alternate applications are not universally accepted and should be used under the supervision of a healthcare provider.

For instance, Neuropathic pain syndromes like postherpetic neuralgia and diabetic peripheral neuropathy, may potentially respond well to this formulation. Furthermore, fibromyalgia's multifaceted symptom complex may achieve enhanced control through the antidepressant and anti-inflammatory effects of the active ingredients. Additionally, some types of chronic headaches or migraines may be managed effectively, particularly in patients who report amplified pain in a localised area.

Given the anti-inflammatory effects of ketoprofen, this gel might be beneficial for treating localized inflammatory conditions including early stages of gout, muscle strains, or localized onset of rheumatoid flare. The amitriptyline HCL component, being a tricyclic antidepressant, may also aid with managing chronic pruritus conditions, such as eczema or psoriasis, considering its potential histamine-blocking effects and neuromodulation.

Last but not the least, it might also be helpful in treating complex regional pain syndrome. However, more research is required in this direction before definitive claims are made. While using this gel, both patients and caregivers should be aware of the potential side effects, which can include skin irritation, allergic reaction or drowsiness.

Overall, this formulation may present a versatile weapon in a prescriber’s arsenal for managing patients presenting with various chronic and acute pain syndromes. As always, it is essential to consult with a healthcare provider before using this medication for these alternate uses. Always remember that the unique physiology and biochemistry of each patient mean that individual responses to medication may vary.

We hope this information bolsters your understanding of Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel's potential versatility. If you have any further questions or require more details about this formulation, please don’t hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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1. What is the Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel?

Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel is a semisolid formulation that is dispensed through a pump mechanism. This format assists in easy and precise application on the skin, allowing the active ingredients Amitriptyline HCL and Ketoprofen to be absorbed.

2. How does the gel-like consistency benefit the medication's use?

This gel consistency allows the medication to be easily and evenly applied to the skin. It also helps in improving the absorption of the active ingredients, making the treatment more targeted and efficient.

3. How do I use the Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel?

The gel is dispensed through a pump mechanism and should be applied to the affected area as directed by your healthcare provider. The medication should be massaged gently for ease of absorption.

4. Can I use the Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel on any part of the body?

This product is designed for external use on the skin only. It should not be applied to eyes, ears, mouth or any mucous membranes. Always use the medication as directed by your healthcare provider.

5. Who should use this compounded formulation?

Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel is usually prescribed by healthcare providers for conditions that could benefit from targeted treatment. Please consult with your healthcare provider to determine if this is the right treatment for you.

6. How is the dose measured with the pump mechanism?

The pump mechanism helps in dispensing a pre-determined amount of the drug formulation with each pump, ensuring precise dosing. However, always follow the dosage instructions provided by your healthcare provider.

7. How should this medication be stored?

This medication should be stored at room temperature, away from heat, light, and moisture. Keep the container tightly closed when not in use.

8. What are the benefits of a transdermal formulation?

Transdermal formulations target the area of discomfort directly and provide relief locally without the entire body being exposed to the drug. This often results in fewer side effects and improved patient compliance.

9. Can I use the Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel with other medications?

It’s important to inform your healthcare provider about all the medications you’re currently taking, to avoid potential interactions.

10. What should I do if I experience any side effects?

If you experience any unusual or severe side effects, contact your healthcare provider immediately. Common side effects may include skin irritation at the application site. If the irritation persists or worsens, stop using the product and consult with your healthcare provider.

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.

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, 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.

Amitriptyline HCL 1%/Ketoprofen 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)