This formulation is a semisolid transdermal gel containing Amitriptyline HCL 2%, Diclofenac Sodium 5%, and Ketamine HCL 11.5%. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients in this gel are designed to be absorbed through the skin for targeted treatment.
These include chronic pain conditions, neuropathic pain, and inflammatory conditions. The transdermal delivery allows for direct application to the affected area, providing localized relief while minimizing systemic side effects.

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This formulation is a compounded transdermal gel containing Amitriptyline HCL 2%, Diclofenac Sodium 5%, and Ketamine HCL 11.5%. 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 directly into the targeted area, providing localized relief.
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. Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation by inhibiting the production of prostaglandins, substances in the body that cause inflammation. Ketamine HCL is a powerful anesthetic that provides rapid pain relief by blocking the NMDA receptors in the brain which are responsible for transmitting pain signals.
These include conditions such as neuropathic pain, fibromyalgia, arthritis, and other musculoskeletal disorders. The transdermal delivery allows for targeted treatment, reducing systemic side effects often associated with oral administration of these medications.
It's important for patients to understand that this is a compounded medication, meaning it is made specifically for them based on a doctor's prescription. It should be used exactly as directed, and any side effects or concerns should be reported to the healthcare provider immediately. As with any medication, it's crucial to discuss any other medications or supplements being taken to avoid potential interactions.
For prescribers, it's essential to consider the patient's overall health status, other medications, and the specific disease state being treated when prescribing this formulation. Regular follow-ups are recommended to monitor the patient's response to the treatment and adjust the dosage if necessary.
If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to provide the information and support you need.
Amitriptyline HCL, Diclofenac Sodium, and Ketamine HCL are active ingredients in this transdermal gel formulation. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to consider these interactions when prescribing or using this medication.
Amitriptyline HCL is a tricyclic antidepressant that can interact with a variety of medications. These include other antidepressants, antipsychotics, certain antihistamines, and drugs that affect serotonin levels, such as St. John's wort. Combining these medications can increase the risk of serotonin syndrome, a potentially life-threatening condition. Amitriptyline can also interact with certain heart medications, increasing the risk of arrhythmias.
Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that can interact with other NSAIDs, increasing the risk of gastrointestinal bleeding. It can also interact with blood thinners, certain blood pressure medications, and lithium, potentially leading to increased levels of these drugs in the body. Additionally, combining Diclofenac with certain diuretics can reduce their effectiveness.
Ketamine HCL is a powerful anesthetic that can interact with other central nervous system depressants, including alcohol, benzodiazepines, and opioids. These combinations can lead to increased sedation and potentially dangerous respiratory depression. Ketamine can also interact with certain medications for Parkinson's disease, potentially worsening symptoms.
This transdermal gel formulation is designed for targeted treatment or absorption of these active ingredients. It's used to manage a variety of disease states, including chronic pain, neuropathic pain, and certain types of depression. The combination of Amitriptyline, Diclofenac, and Ketamine works synergistically to provide pain relief and mood stabilization.
It's important to inform your healthcare provider of all medications you're currently taking, including over-the-counter drugs, dietary supplements, and herbal products, to avoid potential drug interactions. If you experience any unusual side effects while using this medication, contact your healthcare provider immediately.
If you have any questions about this formulation or its potential interactions, don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information you need to use this medication safely and effectively.
The Amitriptyline HCL 2%/Diclofenac Sodium 5%/Ketamine HCL 11.5% Transdermal Gel is a unique formulation that combines three active ingredients to provide targeted relief for various disease states. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to exert its therapeutic effects.
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.
Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. It is commonly used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis. In this formulation, it provides localized relief from pain and inflammation.
Ketamine HCL is a powerful anesthetic that works by blocking certain receptors in the brain that are responsible for transmitting pain signals. In this formulation, it is used for its potent analgesic properties to provide additional pain relief.
The transdermal gel formulation allows for the active ingredients to be absorbed directly through the skin and into the bloodstream. This provides targeted relief to specific areas of the body and minimizes systemic side effects. The gel is dispensed through a pump mechanism, which allows for easy and precise application.
This formulation is typically used to treat conditions such as neuropathic pain, osteoarthritis, rheumatoid arthritis, and other chronic pain conditions. It provides a multi-modal approach to pain management, targeting different aspects of pain to provide comprehensive relief.
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.
This Amitriptyline HCL 2%/Diclofenac Sodium 5%/Ketamine HCL 11.5% transdermal gel formulation is primarily used for treating certain types of pain stemming from nerve damage or inflammation. However, it does have potential for other therapeutic uses.
Firstly, Amitriptyline is a tricyclic antidepressant that can be used in treating other mental health conditions such as anxiety and post-traumatic stress disorder. It is understood to work by balancing neurotransmitters in the brain which helps improve mood and feelings of well-being. Additionally, Amitriptyline can be beneficial for specific kinds of chronic or neuropathic pain. It has also been used in a dermatological context for conditions such as vulvodynia.
Secondly, Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) mainly used to relieve pain and swelling from various mild to moderate painful conditions. Apart from these, it may also be used to treat other conditions such as migraines, gout attacks and menstrual cramps.
Lastly, Ketamine HCL is a powerful anesthetic known for its application in pain management. Outside of allying pain, it has also been used as a potential treatment for depression and other mood disorders. Recent studies also indicate its utility in treating substance use disorders especially alcohol and opioid addiction.
Please note that some of these other uses fall outside of the product's official label, nevertheless have demonstrated potential in clinical studies. As a result, all alternative usage should always first be discussed with a healthcare provider. Off-label use without proper medical consultation can lead to serious health risks along with potential for diminished efficacy of the original therapy.
If you require any additional information or have questions about this formulation, we invite you to reach out to us. Whether you're a patient or prescriber, we are more than happy to provide pertinent information and guidance on the use of this transdermal gel formulation.
It is a compounded medication, meaning it is made specifically for the patient by combining different active ingredients. This formulation integrates Amitriptyline HCL, Diclofenac Sodium, and Ketamine HCL in a semisolid gel state, dispensed via a pump mechanism for easy application on the skin.
When applied to the skin, the active ingredients are absorbed through the skin and into the targets area. This targeted approach can bring about relief from various conditions and symptoms related to those conditions.
The gel should be applied topically with the pump mechanism provided. A doctor or pharmacist will provide exact instructions based on your medical needs.
Generally, the gel is applied to the area where the treatment is intended. However, it's crucial to follow the specific direction provided by your healthcare professional.
This formulation could potentially interact with other medications. It's advised to inform your healthcare provider about all existing medications, supplements, or treatments you are currently taking.
Side effects can include skin irritation such as redness, itching or swelling at the application site. If these occur, contact your healthcare provider immediately.
No, this medication is strictly for topical use and should not be swallowed.
If you miss a dose, apply it as soon as you remember. However, if it's nearly time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double dose.
All patients have individual needs. The suitability of this medication for all ages is a decision that needs to be made by a healthcare professional due to the combined active ingredients.
Yes, but always ensure to store it following the necessary storage conditions. Additionally, certain countries may have restrictions, so it is recommended to check regulations at your destination if traveling internationally.
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)