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Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin
Ketamine Hydrochloride
Baclofen

This Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel is a semisolid formulation designed for targeted treatment of neuropathic pain and musculoskeletal pain. It is dispensed through a pump mechanism, allowing for easy and precise application on the skin.

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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 and ME. 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 and ME. 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.
Gabapentin
Ketamine Hydrochloride
Baclofen
Topical Gel

Formula Information

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The Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel is a compounded medication designed to provide targeted relief for patients experiencing various types of pain, particularly neuropathic pain and muscle spasticity. This unique formulation combines three active ingredients, each contributing to pain management through different mechanisms of action.

Baclofen is a muscle relaxant and antispastic agent that works by inhibiting neurotransmission at the spinal level, reducing muscle spasticity and associated discomfort. Gabapentin is an anticonvulsant that modulates the release of excitatory neurotransmitters, effectively diminishing neuropathic pain signals. Ketamine acts as an NMDA receptor antagonist, providing potent analgesic effects by interrupting pain pathways in the central nervous system.

This compounded topical gel allows for localized application, delivering the active ingredients directly to the site of pain with minimal systemic absorption. A semisolid formulation dispensed through a pump mechanism, it facilitates easy and precise application on the skin for targeted treatment or absorption of active ingredients in a gel-like consistency. This method enhances patient compliance and ensures consistent dosing, which is essential for managing chronic pain conditions.

For patients, this topical gel offers the advantage of targeted therapy with reduced risk of systemic side effects commonly associated with oral medications. It may be particularly beneficial for individuals who have not achieved adequate pain control with traditional treatments or who experience intolerable side effects from oral medications.

Prescribers may consider this formulation for patients suffering from conditions such as diabetic neuropathy, post-herpetic neuralgia, fibromyalgia, or muscle spasticity associated with multiple sclerosis or spinal cord injuries. The topical delivery system allows for flexible dosing and can be tailored to the patient's specific needs, potentially improving therapeutic outcomes.

As with all medications, it is important to monitor patients for any adverse reactions or skin irritation at the application site. Counseling patients on proper application techniques and adherence to the dosing schedule is crucial for optimal efficacy.

If you have any questions, please reach out to us.

Drug Interactions

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The Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel is a compounded formulation designed to provide localized relief for conditions such as neuropathic pain, muscle spasms, and other chronic pain syndromes. This unique combination leverages the synergistic effects of its active ingredients to target pain pathways and reduce discomfort. However, it is crucial to consider potential drug interactions when using this topical gel, as the active ingredients may interact with other medications, potentially altering their effects or increasing the risk of adverse reactions.

Baclofen, a muscle relaxant, primarily acts on the central nervous system to alleviate muscle spasms. When used in conjunction with other central nervous system depressants, such as benzodiazepines, opioids, or alcohol, there is a potential for enhanced sedative effects, which could lead to increased drowsiness, dizziness, or even respiratory depression. Patients should be advised to avoid or limit the use of such substances while using this topical gel.

Gabapentin, an anticonvulsant, is often used to treat neuropathic pain. It can interact with antacids containing aluminum or magnesium, which may reduce its absorption and effectiveness. Patients should be instructed to separate the application of this topical gel from the ingestion of such antacids by at least two hours. Additionally, gabapentin may enhance the effects of other central nervous system depressants, similar to baclofen, necessitating caution when used concurrently with these agents.

Ketamine, an NMDA receptor antagonist, is included in this formulation for its analgesic properties. While the topical application minimizes systemic absorption, there is still a potential for interaction with other medications that affect the central nervous system. Concomitant use with other NMDA antagonists or central nervous system depressants may potentiate sedative effects. Furthermore, ketamine may interact with medications that influence liver enzymes, such as CYP3A4 inhibitors or inducers, potentially altering its metabolism and efficacy.

Patients and prescribers should be aware of these potential interactions and monitor for any unusual symptoms or side effects. It is essential to maintain open communication with healthcare providers and pharmacists to ensure safe and appropriate use of this topical gel. If you have any questions or concerns regarding the use of Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel, please reach out to us for further guidance and support.

How Does it Work

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The Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel is a compounded formulation designed to deliver a synergistic combination of active pharmaceutical ingredients directly to the site of discomfort or pain. This semisolid gel is dispensed through a pump mechanism, ensuring easy and precise application on the skin, which allows for targeted treatment and optimal absorption of the active ingredients. The gel-like consistency facilitates even distribution over the affected area, enhancing the therapeutic effects while minimizing systemic exposure and potential side effects.

Baclofen, a muscle relaxant, works by inhibiting the transmission of nerve signals in the spinal cord, which helps to reduce muscle spasms and associated pain. When applied topically, Baclofen can provide localized relief by directly affecting the muscle tissues and nerve endings in the area of application. This targeted approach can be particularly beneficial for patients experiencing muscle spasticity or tension-related pain.

Gabapentin, an anticonvulsant and neuropathic pain agent, functions by modulating the activity of neurotransmitters in the nervous system. It is believed to inhibit excitatory neurotransmitter release, thereby reducing nerve pain and discomfort. In a topical formulation, Gabapentin can be absorbed through the skin to act on peripheral nerves, providing relief from conditions such as neuropathic pain, post-herpetic neuralgia, or diabetic neuropathy. The localized application helps to concentrate the effects where they are needed most, potentially reducing the risk of systemic side effects.

Ketamine, an NMDA receptor antagonist, is known for its potent analgesic and anesthetic properties. When used topically, Ketamine can help to alleviate pain by blocking the transmission of pain signals in the nervous system. Its inclusion in this formulation is particularly useful for managing chronic pain conditions, as it can help to reduce central sensitization and hyperalgesia. The topical application allows for high local concentrations of Ketamine, which can enhance pain relief while minimizing the risk of systemic effects typically associated with oral or intravenous administration.

The combination of Baclofen, Gabapentin, and Ketamine in this topical gel provides a multifaceted approach to pain management, addressing muscle, nerve, and central pain pathways. This formulation is particularly suited for patients who require localized pain relief without the systemic side effects of oral medications. It can be used to treat a variety of conditions, including but not limited to, neuropathic pain, muscle spasms, and chronic pain syndromes.

For both patients and prescribers, it is important to understand that the effectiveness of this topical gel can vary based on individual patient factors, including the specific condition being treated, the severity of symptoms, and the patient's overall health status. As with any medication, adherence to prescribed dosing and application instructions is crucial for achieving optimal therapeutic outcomes. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries or concerns you may have.

Other Uses

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The Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel is primarily formulated for the management of neuropathic pain, muscle spasms, and other related conditions. However, this unique combination of active ingredients in a topical gel form may have additional applications beyond these primary uses. The gel's semisolid formulation, dispensed through a pump mechanism, allows for precise application, making it suitable for targeted treatment of localized pain and discomfort. This can be particularly beneficial for patients who experience pain in specific areas, such as joints or muscles, where systemic medications may not provide adequate relief or may cause undesirable side effects.

Beyond its primary indications, this topical gel may be considered for off-label use in conditions where localized pain management is desired. For instance, patients with fibromyalgia, a condition characterized by widespread musculoskeletal pain, may find relief through the targeted application of this gel on particularly painful areas. Additionally, individuals suffering from post-herpetic neuralgia, a complication of shingles that results in persistent nerve pain, might benefit from the localized action of this formulation. The combination of baclofen, gabapentin, and ketamine in a topical form allows for the modulation of pain pathways directly at the site of discomfort, potentially reducing the need for oral medications and minimizing systemic exposure.

Furthermore, the gel may be explored for use in sports medicine, where athletes experience acute or chronic pain due to injuries or overuse. The ability to apply the gel directly to the affected area can provide targeted relief, aiding in quicker recovery and allowing athletes to maintain their performance levels. Additionally, patients with conditions such as complex regional pain syndrome (CRPS) or peripheral neuropathy may also find this formulation beneficial, as it can help manage pain symptoms that are often resistant to conventional treatments.

It is important for both patients and prescribers to consider the potential benefits and limitations of using this topical gel for off-label purposes. While the formulation offers a promising alternative for localized pain management, it is essential to evaluate each patient's specific condition and medical history to ensure the safe and appropriate use of the product. As with any medication, monitoring for potential side effects and interactions with other treatments is crucial. If you have any questions or need further information about the potential uses of Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel used for?

This topical gel is used for targeted treatment of pain and inflammation. It combines Baclofen, Gabapentin, and Ketamine to provide relief from muscle spasms, nerve pain, and other localized pain conditions.

How do I apply the Baclofen/Gabapentin/Ketamine Topical Gel?

The gel is dispensed through a pump mechanism, allowing for easy and precise application. Apply a small amount to the affected area and gently rub it into the skin until fully absorbed.

How often should I use this topical gel?

Follow your healthcare provider's instructions regarding the frequency of application. Typically, it may be applied 2-3 times daily, but your specific regimen may vary based on your condition and response to treatment.

Can I use this gel on broken or irritated skin?

No, you should avoid applying the gel to broken, irritated, or infected skin. It is intended for use on intact skin only.

Are there any side effects associated with this topical gel?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe reactions or symptoms persist, contact your healthcare provider.

Can I use this gel with other medications?

Before using this gel with other medications, consult your healthcare provider to avoid potential interactions. This is especially important if you are using other topical treatments on the same area.

How should I store the Baclofen/Gabapentin/Ketamine Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

Is a prescription required for this topical gel?

Yes, a prescription is required to obtain this compounded formulation. It is important to use it under the guidance of a healthcare professional.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose to catch up.

Can I use this gel during pregnancy or while breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this gel to ensure it is safe for you and your baby.

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, and ME; 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.

Baclofen 1%/Gabapentin 6%/Ketamine 10% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)