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Amitriptyline HCL 2%/Gabapentin 6%/Ketamine HCL 15%/Ketoprofen 5%/Lidocaine 3.5%/Prilocaine HCL 3.5% Transdermal Gel

Customized and compounded at Bayview Pharmacy, this transdermal gel may help manage neuropathic pain, fibromyalgia, and diabetic neuropathy. Learn more today.
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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
Gabapentin
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Prilocaine Hydrochloride
Topical Gel
652f1aa95efa9798409c4679

Formula Information

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This formulation is a compounded transdermal gel containing Amitriptyline HCL 2%, Gabapentin 6%, Ketamine HCL 15%, Ketoprofen 5%, Lidocaine 3.5%, and Prilocaine HCL 3.5%. 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 skin for targeted treatment.

Amitriptyline HCL is a tricyclic antidepressant that is used in this formulation for its analgesic properties, particularly in neuropathic pain. Gabapentin is an anticonvulsant that is also used to treat nerve pain. It works by stabilizing electrical activity in the brain and also affects the way the body senses pain. Ketamine HCL is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the body by reducing the production of certain substances that cause inflammation and pain. Lidocaine and Prilocaine HCL are local anesthetics that work by blocking nerve signals in the body, providing temporary relief of pain or discomfort in the area of application.

This formulation is used to treat various disease states that involve pain and inflammation, such as neuropathic pain, fibromyalgia, post-herpetic neuralgia, and certain types of arthritis. It is also used in the management of chronic pain conditions where oral medications may not be effective or cause undesirable side effects.

It is important to use this medication as directed by your healthcare provider. Apply a thin layer of the gel to the affected area and rub in gently until it is absorbed. Do not apply this medication to broken or irritated skin. Avoid contact with eyes, nose, mouth, and other sensitive areas. Wash your hands thoroughly after applying the medication. If you experience any side effects such as skin irritation, rash, or worsening of your symptoms, discontinue use and contact your healthcare provider immediately.

As compounding pharmacists, we are here to answer any questions you may have about this formulation. Please do not hesitate to reach out to us if you need further information or clarification.

Drug Interactions

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This compounded formulation contains a combination of Amitriptyline HCL, Gabapentin, Ketamine HCL, Ketoprofen, Lidocaine, and Prilocaine HCL. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's crucial for patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of this medication.

Amitriptyline HCL, a tricyclic antidepressant, can interact with MAO inhibitors, leading to serious, potentially fatal, interactions. It can also interact with anticholinergic drugs, thyroid medications, and other antidepressants. It's important to avoid alcohol and grapefruit juice while using this medication, as they can increase the risk of side effects.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids, morphine, and hydrocodone. It's recommended to avoid alcohol while using this medication, as it can increase the risk of side effects such as drowsiness and dizziness.

Ketamine HCL, an anesthetic, can interact with CNS depressants, including alcohol, benzodiazepines, and opioids. It can also interact with certain antibiotics and thyroid medications. It's important to avoid alcohol while using this medication, as it can increase the risk of side effects.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with blood thinners, corticosteroids, and other NSAIDs. It can also interact with certain blood pressure medications and diuretics. It's recommended to avoid alcohol while using this medication, as it can increase the risk of stomach bleeding.

Lidocaine and Prilocaine HCL, local anesthetics, can interact with certain heart medications and other local anesthetics. It's important to avoid applying this medication to broken or inflamed skin, as it can increase the risk of systemic absorption and potential side effects.

This formulation is designed to treat a variety of disease states, including neuropathic pain, post-herpetic neuralgia, fibromyalgia, and certain types of arthritis. The combination of these medications works synergistically to provide pain relief, reduce inflammation, and alleviate nerve-related symptoms. However, it's crucial to use this medication under the supervision of a healthcare provider, as the potential for drug interactions and side effects is significant.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We're here to provide the information and support you need to use this medication safely and effectively.

How Does it Work

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This transdermal gel formulation combines several active ingredients, each with its own unique mechanism of action, to provide targeted treatment for a variety of disease states. The gel is designed to be applied 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 improve mood, relieve pain, and promote sleep. In this formulation, it is used for its analgesic properties to help manage chronic pain conditions.

Gabapentin is an anticonvulsant and nerve pain medication. It works by stabilizing electrical activity in the brain and affecting the way nerves send messages to the brain about pain. It is commonly used to treat nerve pain conditions, such as postherpetic neuralgia and diabetic neuropathy.

Ketamine HCL is a powerful anesthetic that works by blocking the NMDA receptors in the brain, which play a role in pain transmission. It provides rapid pain relief and has been used in the management of chronic pain conditions, including neuropathic pain and fibromyalgia.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is used to relieve pain, swelling, and joint stiffness caused by arthritis, bursitis, and gout attacks.

Lidocaine and Prilocaine HCL are local anesthetics that work by blocking nerve signals in your body. They are used to numb the skin or surfaces of the body to prevent pain and discomfort during medical procedures or to relieve minor skin irritations, burns, and insect bites.

When combined in this transdermal gel formulation, these active ingredients work synergistically to provide comprehensive pain relief. The gel is easily applied to the skin and absorbed into the body, providing targeted treatment to the area of pain. This allows for a lower dose of each individual medication, reducing the risk of side effects and improving patient compliance.

If you have any questions about this formulation, please don't 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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This specific combination of ingredients is typically used for managing various forms of pain, including neuropathic pain, neuralgia, fibromyalgia, and arthritis, but it might also be used for several off-label purposes. Its components possess multiple mechanisms of action, which allows this formula to define a wide spectrum of medical uses.

Gabapentin is used to treat seizure disorders, nerve damage pain from herpes zoster, and neuropathic pain. Ketamine, an N-methyl D-aspartate (NMDA) receptor antagonist, is known for its use in anesthesia but is being used increasingly in lower doses for the management of chronic pain syndromes.

Lidocaine and Prilocaine are local anesthetics and may provide temporary relief to minor skin irritations, burns, insect bites, and even hemorrhoids. Their combined action can numb the skin to prepare it for invasive procedures, making this gel formulation potentially useful in a range of medical and cosmetic practices that require topical anesthesia — such as dermal filler injections, tattoo application, laser hair removal, and minor dermatological procedures. The combined power of the active ingredients in relieving pain may also be useful as an adjuvant in managing post-operative pain and other painful conditions like diabetic neuropathy and carpel tunnel syndrome.

Patients and prescribers should discuss all the potential benefits and risks associated with the use of this formulation for their specific circumstance.

If there are any questions or need more information about this compounded formulation, feel free to reach out to us. Bayview Pharmacy is experienced in compounding medicines to suit individual needs for the maximum therapeutic benefit.

Frequently Asked Questions

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What is this compounded formulation used for?

This compounded formulation is used for targeted treatment and absorption of a number of active ingredients prominent in pain relief and nerve stabilization, through the skin. It is useful in managing conditions like chronic pain, nerve pain, and inflammation.

How should one use this formulation?

It is to be applied on the skin, directly to the area in need of treatment. The pump mechanism makes the application process simple and precise.

What form does this formulation come in?

This formulation is a semisolid that comes in a gel-like consistency. It's dispensed through a pump mechanism.

What are the key active ingredients in this formulation?

The key active ingredients include Amitriptyline HCL, Gabapentin, Ketamine HCL, Ketoprofen, Lidocaine, and Prilocaine HCL.

Can this formulation be used on all areas of the body?

Before applying this gel formulation, it is important to consult with your healthcare provider who can give specific instructions depending on your unique health conditions and the area in need of treatment.

Can anyone use this medication?

Though it is designed for topical use, it should only be used by individuals for whom it was prescribed and under the supervision of a healthcare provider.

How does the pump mechanism benefit the use of this formulation?

The pump mechanism allows for easy and precise application of the medication, ensuring the correct dose is applied to the targeted area.

What should you do if you experience any side effects?

As with any medication, you should immediately report any side effects to your healthcare provider.

Can this transdermal gel be used with other medications?

This is subject to a case-by-case basis and should be clarified with your healthcare provider, ensuring there are no interactions between this medication and any others you are using.

How to store this formulation?

Most compounds should be stored in a cool, dry place. However, your healthcare provider or the instructions on the label should provide specific storage guidelines.

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.

Related Formulas

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 2%/Gabapentin 6%/Ketamine HCL 15%/Ketoprofen 5%/Lidocaine 3.5%/Prilocaine HCL 3.5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)