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Amitriptyline HCl 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel

This formulation is a combination of Amitriptyline HCl 5%, Ketoprofen 15%, and Lidocaine 5% in a topical gel. 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 targeted treatment or absorption of the active ingredients.

Amitriptyline HCl is a tricyclic antidepressant that is used off-label for pain management. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation by blocking the production of certain natural substances in the body. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This formulation is designed to treat a variety of disease states, including neuropathic pain, inflammation, and localized pain conditions. The combination of these three active ingredients provides a multi-modal approach to pain management, addressing both the perception of pain and the underlying inflammation that often accompanies it.

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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.

Prescriber? Sign in or create an account 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
Ketoprofen
Lidocaine Hydrochloride
Topical Gel
65316e8e57972b6f902b1349

Formula Information

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This formulation combines Amitriptyline HCl 5%, Ketoprofen 15%, and Lidocaine 5% in a topical 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.

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

Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It is used on the skin to stop itching and pain from certain skin conditions (e.g., scrapes, minor burns, eczema, insect bites) and to treat minor discomfort and itching caused by hemorrhoids and certain other problems of the genital/anal area.

The gel formulation allows for easy and precise application on the skin, facilitating targeted treatment or absorption of the active ingredients. The pump mechanism ensures that the correct dose is dispensed each time, reducing the risk of overdose or underdose.

This formulation is particularly useful in treating conditions such as neuropathic pain, arthritis, gout, sprains, and other injuries where both pain and inflammation are present. It can also be used to relieve itching and discomfort from certain skin conditions and problems of the genital/anal area.

As with any medication, it is important to use this formulation as directed by your healthcare provider. Side effects may include skin irritation at the application site, dizziness, drowsiness, dry mouth, or constipation. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

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

Drug Interactions

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This formulation contains three active ingredients: Amitriptyline HCl, Ketoprofen, and Lidocaine. Each of these ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important to note that while this is a topical formulation, systemic absorption can still occur, especially with prolonged use or application to large areas of skin.

Amitriptyline HCl is a tricyclic antidepressant that can interact with a variety of medications. It can increase the effects of other CNS depressants, such as alcohol, antihistamines, sedatives, pain relievers, anxiety medicines, and muscle relaxants. It can also interact with certain anticholinergic drugs, thyroid medications, and other antidepressants. Additionally, it can affect the metabolism of certain drugs, such as cimetidine and fluoxetine.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can interact with other NSAIDs, including aspirin, increasing the risk of gastrointestinal side effects. It can also interact with blood thinners, certain blood pressure medications, and lithium. Furthermore, it can affect the elimination of certain drugs, such as methotrexate and cyclosporine.

Lidocaine is a local anesthetic that can interact with other local anesthetics and certain antiarrhythmic drugs, such as mexiletine and tocainide. It can also interact with certain antiviral drugs, such as amprenavir and fosamprenavir.

This formulation is primarily used for the management of localized pain, inflammation, and neuropathic conditions. Amitriptyline HCl can help manage neuropathic pain, Ketoprofen can reduce inflammation and pain, and Lidocaine can provide local anesthesia. However, it's important to use this formulation as directed by a healthcare provider, as inappropriate use can lead to increased risk of side effects and interactions.

Patients should inform their healthcare providers about all the medications they are currently taking, including prescription drugs, over-the-counter drugs, and dietary supplements.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We are here to help ensure that you use this formulation safely and effectively.

How Does it Work

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The Amitriptyline HCl 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel is a unique formulation that combines three active ingredients, each with its own mechanism of action, to provide targeted relief from various disease states. This semisolid formulation 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 effectively into the skin for targeted treatment.

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. When applied topically, Amitriptyline HCl can help to numb the skin and underlying tissues, providing relief from chronic pain conditions.

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.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. When applied topically, Lidocaine can provide rapid, localized relief from pain by numbing the skin and underlying tissues.

The gel formulation allows for easy application and absorption, ensuring that the active ingredients can reach the affected area effectively.

If you have any questions about this formulation, or if you would like more information about how it can be used to treat specific conditions, please don't hesitate to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy is always here to help.

Other Uses

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The formulation of Amitriptyline HCl 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel has primary applications in the management of chronic pain conditions, particularly of neuropathic origin or associated with inflammation. However, it has other uses that may be beneficial.

One potential use is in the management of symptoms associated with temporomandibular joint disorders (TMJD). This debilitating oral facial condition is characterized by inflammation, muscle tenderness, and nerve pain. The combination of the Amitriptyline, a tricyclic antidepressant that has analgesic properties, with Ketoprofen, a potent Non-Steroidal Anti-Inflammatory Drug (NSAID), and Lidocaine, a local anesthetic, could synergistically alleviate these symptoms.

Additionally, it is used off-label in the treatment of conditions like fibromyalgia and certain instances of chronic low back pain. The analgesic, anti-inflammatory, and numbing effects of this formulation can help manage these conditions and improve quality of life.

Another possible use is post-herpetic neuralgia, a complication of shingles that often results in severe nerve pain. The triple-action benefit of this formulation targets inflammation, blocks the pain pathway, and provides a numbing effect, providing relief for those experiencing this condition.

Please note that while this formulation has versatile uses, it is important to consult with your healthcare provider before beginning a new treatment regimen. This is because every patient is unique and may respond differently to treatments. This formulation is not suitable for everyone, particularly those with known hypersensitivity to any of its components. Misuse could lead to undesirable side effects or reduce the drug's effectiveness.

If you have any questions regarding this formulation or any potential uses for it, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of experienced and knowledgeable compounding pharmacists is ready to assist you and guide you through your healthcare journey.

Frequently Asked Questions

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What is Amitriptyline HCl 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel?

This is a compounded formulation of active ingredients Amitriptyline HCl, Ketoprofen, and Lidocaine, formulated into a semisolid topical gel for direct application on the skin.

How is this compound dispensed?

The gel is dispensed through a pump mechanism, which allows ease and precision in application, ensuring targeted treatment.

What's the consistency of this formulation?

The formulation is a semisolid equivalent to a gel-like consistency, which assists in easy application and absorption.

How does Amitriptyline HCl 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel work?

When applied, the active ingredients are absorbed through the skin, directly targeting the area for which treatment is intended.

How should I store this compound?

Store the gel in a cool, dry place, away from direct heat and light. Always ensure it's out of sight and reach of children.

Does Amitriptyline HCl 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel have any side effects?

Like any medication, this compound may have side effects. However, the risk is lower with topical applications than oral medications. If any side effects occur, you should consult your healthcare provider immediately.

Can I use this gel with other medications?

Before using this topical gel in conjunction with other medications or skin products, consult with your healthcare provider to avoid possible interactions.

What is the suitable dose for this compound?

The suitable dosage may vary depending on the patient's condition, the severity of the symptoms, and other individual factors. Your healthcare provider should provide comprehensive dosing instructions.

Can pregnant or breastfeeding women use this compound?

Please consult with your healthcare provider if you are pregnant, breastfeeding, or planning to become pregnant before using this medicine.

How quickly will I see results with this compound?

The length of time before you see results may vary depending on your specific condition and its severity. Please follow the dosing instructions provided by your healthcare provider and report any concerns promptly.

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 5%/Ketoprofen 15%/Lidocaine 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)