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Formulas

Amitriptyline HCl 7.5/Ketamine HCl 5.75/Ketoprofen 10/Lidocaine 5 Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Amitriptyline Hydrochloride
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride

This formulation is a compounded topical gel containing Amitriptyline HCl 7.5mg, Ketamine HCl 5.75mg, Ketoprofen 10mg, and Lidocaine 5mg. 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.

The combination of these active ingredients is designed to treat a variety of disease states. Amitriptyline HCl is a tricyclic antidepressant used for its analgesic properties, particularly in the management of neuropathic pain. Ketamine HCl is an NMDA receptor antagonist that can provide relief from chronic pain conditions. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation. Lidocaine is a local anesthetic that provides temporary relief from pain or discomfort in the skin and mucous membranes.

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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, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
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, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in 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
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Topical Gel
653169418e7cf95761a8a678

Formula Information

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This formulation is a compounded topical gel containing Amitriptyline HCl 7.5mg/g, Ketamine HCl 5.75mg/g, Ketoprofen 10mg/g, and Lidocaine 5mg/g. It is a semisolid formulation that is 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 targeted area.

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. Ketamine HCl is a powerful anesthetic that provides rapid pain relief by blocking the NMDA receptors in the brain and spinal cord, which are involved in transmitting pain signals. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain by inhibiting the production of prostaglandins, substances in the body that cause inflammation. Lidocaine is a local anesthetic that works by blocking nerve signals in your body, providing temporary relief of pain or discomfort in the area where it is applied.

This formulation is commonly used to manage chronic pain conditions, such as neuropathic pain, fibromyalgia, and arthritis. It can also be used to treat localized pain from injuries or surgical procedures. The combination of these four active ingredients provides a multi-modal approach to pain management, targeting different pain pathways to provide comprehensive relief.

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 more than the recommended dose, and avoid contact with eyes, mouth, and open wounds. If you experience any adverse reactions, such as skin irritation or allergic reactions, discontinue use and contact your healthcare provider immediately.

As compounding pharmacists, we are able to customize this formulation to meet individual patient needs, such as adjusting the concentration of the active ingredients or changing the base to accommodate for skin sensitivities. If you have any questions or concerns about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. We are here to help.

Drug Interactions

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This formulation combines four active ingredients: Amitriptyline HCl, Ketamine HCl, Ketoprofen, and Lidocaine. Each of these ingredients has a specific role in managing pain and inflammation, but they may also interact with other medications. It's important to understand these potential interactions to ensure safe and appropriate use of this formulation.

Amitriptyline HCl is a tricyclic antidepressant that can help manage chronic pain. It may interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain heart medications. Combining amitriptyline with these drugs can increase the risk of side effects such as serotonin syndrome, heart problems, and anticholinergic effects like dry mouth and constipation.

Ketamine HCl is an NMDA receptor antagonist used for its analgesic properties. It may interact with CNS depressants, opioids, and certain anesthetics, potentially leading to increased sedation, respiratory depression, and changes in blood pressure. It's important to monitor patients closely when these drugs are used together.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can reduce pain and inflammation. It may interact with anticoagulants, ACE inhibitors, diuretics, and other NSAIDs. These interactions can increase the risk of bleeding, kidney problems, and gastrointestinal issues. Patients should be monitored for signs of these complications.

Lidocaine is a local anesthetic that can numb the skin and relieve pain. It may interact with other local anesthetics and certain heart medications. These interactions can increase the risk of lidocaine toxicity, which can cause symptoms like dizziness, seizures, and heart problems.

This formulation is designed to be applied topically, which can reduce the risk of systemic side effects and interactions. However, it's still important to consider potential interactions, especially in patients who are using other topical medications or have compromised skin integrity.

This formulation can be used to manage various disease states associated with pain and inflammation, such as neuropathic pain, osteoarthritis, and post-herpetic neuralgia. By combining multiple active ingredients, it can target different pain pathways and provide more comprehensive relief.

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 help ensure that you can use this medication safely and effectively.

How Does it Work

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This formulation is a combination of four active ingredients: Amitriptyline HCl, Ketamine HCl, Ketoprofen, and Lidocaine, each playing a unique role in managing pain and inflammation. The formulation is designed to be applied topically, directly to the skin, where it can be absorbed to provide targeted 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. When applied topically, Amitriptyline HCl can help to numb the skin and underlying tissues, reducing pain in the applied area.

Ketamine HCl is a powerful anesthetic that works by blocking the NMDA receptors in the brain and spinal cord, which play a significant role in modulating pain. In this topical formulation, Ketamine HCl can provide profound pain relief in the area of application without causing the systemic side effects associated with its oral or injectable use.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing the production of prostaglandins, chemicals that cause inflammation, pain, and fever in the body. When applied topically, Ketoprofen can reduce inflammation and pain in the area of application.

Lidocaine is a local anesthetic that works by blocking the nerve signals in your body. It is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns. In this formulation, Lidocaine provides immediate, localized pain relief.

The gel formulation allows for easy and precise application, and the pump mechanism ensures that the correct dose is dispensed each time. The gel is designed to be absorbed through the skin, delivering the active ingredients directly to the area that needs treatment.

This formulation can be used to treat a variety of disease states that involve pain and inflammation, including but not limited to neuropathic pain, arthritis, sports injuries, and post-surgical pain. As with any medication, it is important to use this formulation as directed by your healthcare provider, and to discuss any potential side effects or interactions with other medications you are taking.

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 at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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This compounded formulation of Amitriptyline HCl 7.5/Ketamine HCl 5.75/Ketoprofen 10/Lidocaine 5 in a topical gel form is primarily used for the management of local pain and inflammation. Its unique blend of active ingredients helps alleviate pain and discomfort in a targeted area, thus maximizing its therapeutic effect while limiting systemic exposure.

Aside from its main use, this formulation may also be beneficial in other medical circumstances. Amitriptyline, a tricyclic antidepressant, can subtly alter the processing of pain signals in the central nervous system, making it potentially useful for neuropathic pain conditions such as diabetic neuropathy, post-herpetic neuralgia, and migraines. Furthermore, the addition of ketamine, an NMDA antagonist, can aid in the management of refractory chronic pain syndromes that fail to respond to standard pain management.

Ketoprofen, being a non-steroidal anti-inflammatory drug (NSAID), has analgesic, anti-inflammatory, and antipyretic properties. Thus, it may be also beneficial for conditions that involve joint and muscle pain, such as osteoarthritis and rheumatoid arthritis. Furthermore, lidocaine, a local anesthetic, temporarily relieves pain from minor skin irritations, burns, and abrasions.

The versatile combination of these medications might provide relief in the management of other off-label conditions, including lower back pain, sports injuries, and systemic disorders affecting the skin. It is also possible that it could be used in palliative care to provide comfort to patients with chronic, intractable pain. Of course, all these alternative uses should be explored under the guidance and careful monitoring of a qualified healthcare professional.

This information aims to enhance patients' understanding as well as serve as a comprehensive guide for prescribers interested in this topical gel formulation. We encourage both patients and healthcare professionals to contact us with any further inquiries or details about the potential uses of this medication. As compounding pharmacists, we can customize this medication to cater to patient-specific needs and offer in-depth counsel for its maximum benefit.

Frequently Asked Questions

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What is the composition of the compounded formulation?

The formulation is a compound of Amitriptyline HCl 7.5, Ketamine HCl 5.75, Ketoprofen 10, and Lidocaine 5.

What is the form of this formulation?

This formulation is a semisolid gel dispensed from a pump mechanism.

How does the pump facilitate the use of the formulation?

The pump mechanism facilitates an easy and precise application of the gel onto the skin. It's designed to help target specific areas for treatment.

What is the purpose of the gel form of the formulation?

This formulation in a gel-like consistency allows the active ingredients to get absorbed more effectively when applied to the skin.

What is the role of Amitriptyline in the formulation?

Amitriptyline is an antidepressant that can help to reduce the symptoms of nerve pain.

Why is Ketamine included in the formulation?

Ketamine in the formulation is present to help manage pain that hasn't responded to other treatments. It works by affecting the transmission of pain signals in the brain.

What is the function of Ketoprofen in the formulation?

Ketoprofen is a non-steroidal anti-inflammatory drug (NSAID) that reduces hormones causing pain and inflammation in the body.

Why is Lidocaine included in the formulation?

Lidocaine is an anesthetic agent that helps to numb the skin, providing a relief from pain and discomfort.

Can this gel be applied anywhere on the body?

While the gel can be applied to many parts of the body, it's important to only use it on the specific areas recommended by your healthcare provider. Avoid using on broken skin or open wounds.

How frequently should this gel be applied?

Application frequency should be determined by your healthcare provider. Always follow their instructions for using this medication.

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, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. 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 7.5/Ketamine HCl 5.75/Ketoprofen 10/Lidocaine 5 Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)