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Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel

This formulation is a semisolid compound of Amitriptyline HCl 4% and Ketamine HCl 10% in a topical gel form. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients. This formulation is used to treat various disease states, providing relief from symptoms and improving patient comfort.

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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
Ketamine Hydrochloride
Topical Gel
653064b6ee7f07e6c2eed7e9

Formula Information

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This formulation combines Amitriptyline HCl at a concentration of 4% and Ketamine HCl at a concentration of 10% in a topical gel. Ketamine is a powerful anesthetic that can also provide significant pain relief. When combined in a topical gel, these two medications can provide targeted pain relief directly to the area where it is needed most.

The gel is a semisolid formulation that is dispensed through a pump mechanism. This allows for easy and precise application on the skin. The gel-like consistency ensures that the medication stays where it is applied, allowing for targeted treatment or absorption of the active ingredients.

This formulation is particularly useful in treating disease states that involve chronic or neuropathic pain. This can include conditions such as fibromyalgia, post-herpetic neuralgia, diabetic neuropathy, and other similar conditions. By applying the medication directly to the area of pain, patients can experience significant relief without the systemic side effects that can come with oral medications.

For prescribers, it's important to note that this formulation can be a valuable tool in the management of chronic pain conditions. It allows for targeted treatment, reducing the risk of systemic side effects and potentially improving patient compliance. As with all medications, it's important to monitor patients closely for any potential side effects or adverse reactions.

For patients, it's important to use this medication exactly as directed by your healthcare provider. Apply the gel to the area of pain as directed, and do not use more than the recommended dose. If you experience any side effects or if your pain does not improve, contact your healthcare provider immediately.

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 help.

Drug Interactions

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Amitriptyline HCl and Ketamine HCl are both active ingredients in this topical gel formulation. Amitriptyline is a tricyclic antidepressant that is often used in pain management, while Ketamine is a powerful anesthetic that can also provide pain relief. When used topically, these medications can target specific areas of the body for pain relief without the systemic side effects often associated with oral or injectable medications.

However, it's important to be aware of potential drug interactions. Amitriptyline can interact with a number of medications, including other antidepressants, antipsychotics, certain antihistamines, and certain antifungals. It can also interact with medications that affect serotonin levels, such as SSRIs, as this can increase the risk of serotonin syndrome, a potentially life-threatening condition. Additionally, amitriptyline can interact with certain heart medications, including those used to control heart rhythm.

Ketamine can interact with a number of medications as well, including barbiturates, benzodiazepines, and opioids. These interactions can increase the risk of serious side effects, including slowed or stopped breathing, decreased heart rate, and decreased blood pressure. Additionally, ketamine can interact with certain medications used to treat Parkinson's disease, such as levodopa, potentially reducing their effectiveness.

It's also important to note that both amitriptyline and ketamine can interact with alcohol, leading to increased drowsiness and potentially dangerous changes in heart rate and blood pressure. Therefore, it's recommended to avoid alcohol while using this medication.

As with any medication, it's important to discuss all of your current medications and supplements with your healthcare provider before starting this topical gel. This includes prescription medications, over-the-counter medications, vitamins, and herbal supplements. This will help your healthcare provider to identify any potential drug interactions and adjust your treatment plan accordingly.

This formulation is intended for topical use only and should not be ingested or applied to the eyes or mucous membranes. If you experience any unusual side effects, such as rash, itching, swelling, severe dizziness, or trouble breathing, contact your healthcare provider immediately.

If you have any questions about this medication or its potential interactions, please don't hesitate to reach out to us.

How Does it Work

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The Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel is a unique formulation that combines two potent active ingredients, Amitriptyline HCl and Ketamine HCl, in a gel base for topical 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 effectively into the skin for targeted treatment.

Amitriptyline HCl is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help elevate mood. When applied topically, Amitriptyline HCl can help to numb the skin and block pain signals.

Ketamine HCl, on the other hand, is a powerful anesthetic that works by blocking the NMDA receptors in the brain, which are involved in pain signaling. By blocking these receptors, Ketamine HCl can help to reduce pain and inflammation. When combined with Amitriptyline HCl in a topical gel, the two ingredients work synergistically to provide potent pain relief.

These include neuropathic pain conditions such as postherpetic neuralgia, diabetic neuropathy, and fibromyalgia. It can also be used to manage pain associated with conditions such as osteoarthritis and rheumatoid arthritis.

It's important to note that while this formulation can provide significant pain relief, it should be used under the guidance of a healthcare provider. The dosage and frequency of application should be tailored to the individual patient's needs and response to treatment. As with any medication, there may be potential side effects, and patients should be monitored for any adverse reactions.

If you have any questions about the Amitriptyline HCl 4%/Ketamine HCl 10% Topical 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 always here to help.

Other Uses

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The formulation of Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel may also be beneficial for treating a range of other conditions involving neuropathic pain. It may be advantageous in managing post-herpetic neuralgia, a painful condition that can occur after shingles. Chronic pain conditions, such as fibromyalgia and complex regional pain syndrome, may also be alleviated with the use of this topical gel. This formulation might even be beneficial to those suffering from myofascial pain syndrome, a chronic pain disorder caused by pressure on sensitive points in the muscles. It's also noteworthy that neuropathic pain related to diabetes, known as diabetic neuropathy, may be mitigated by the topical application of this blend.

Additionally, off-label uses of this gel might include management of symptoms associated with conditions like migraines and chemotherapy-induced peripheral neuropathy (CIPN). The analgesic properties of Amitriptyline and Ketamine could help in reducing both the frequency and severity of migraines, as well as the discomfort associated with CIPN. However, these uses should be pursued under the guidance of a healthcare professional as they are not directly indicated and more research may be necessary.

Notably, this formulation is a topical product, which may hold an advantage for those unable to tolerate oral medication or for those who suffer from systemic side effects. This method of application allows for direct treatment of the affected area, potentially reducing systemic exposure and associated side effects. However, just like with any medication, this gel should be used with caution. Patients should always follow the prescribed dosage from their healthcare provider and report any unusual or unexpected side effects immediately.

The varied uses of this formulation show its potential flexibility and patient benefit. Despite this, it's important to note that the efficacy of medication can vary greatly from person to person and what works for one individual may not work for another. Make sure to consult with your healthcare professional for the most suitable treatment options for you.

If you have any additional questions, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is ready to assist you with tailored medication information and guidance.

Frequently Asked Questions

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What is the Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel?

This is a type of compounded medication containing Amitriptyline HCl and Ketamine HCl in specific percentages. It is a semisolid formulation that is dispensed through a pump mechanism, allowing for precise application on the skin for targeted treatment or absorption of these active ingredients.

How is the Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel applied?

This medication is administered topically - that is, applied to the skin - through a pump mechanism. The pump allows for easy and accurate application in the intended area.

What should the consistency of the gel look like?

The gel has a semisolid consistency, which allows it to adhere to the skin effectively for the absorption of the active components.

Where should Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel be applied?

The medication should be applied to the specific area of the skin as directed by your healthcare provider. The targeted application allows for faster relief and treatment.

What is this formula used for?

This formulation is used for treating specific conditions as prescribed by your healthcare provider. The combination of Amitriptyline HCl and Ketamine HCl provides a synergistic effect in managing certain conditions. Always follow the advice of your healthcare provider when using this medication.

Can Amitriptyline HCl 4%/Ketamine HCl 10% Topical Gel be used for any ailment?

No, this medication is for specific use as prescribed by a healthcare provider. It should not be used to treat other conditions without professional medical guidance.

Is this gel safe for everyone to use?

While this medication is generally safe for most, certain people may react differently to the formulation. Those allergic to any component of the gel or with specific medical conditions should consult a healthcare provider before usage.

Can this medication be taken orally?

No, this gel formulation is only intended for topical application. It should not be ingested or applied to mucous membranes.

What happens if I accidentally apply more than the recommended amount?

Excessive application could potentially lead to increased side effects. In case of overuse, contact a healthcare provider immediately.

Can I use this gel in conjunction with other medications?

Prior to using any other medications alongside this topical gel, it is always best to consult your healthcare provider to avoid adverse reactions or contraindications.

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, 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 4%/Ketamine HCl 10% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)