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Baclofen 2%/Clonidine HCl 0.2%/Ketamine HCl 11.5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel

Bayview Pharmacy compounds Baclofen, Clonidine, Ketamine, Ketoprofen, and Lidocaine into a topical gel to help manage neuropathic pain, fibromyalgia, and more.
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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.
Clonidine Hydrochloride
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Baclofen
Topical Gel
6535a93bdb08e2d35d243120

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Clonidine HCl 0.2%, Ketamine HCl 11.5%, Ketoprofen 20%, and Lidocaine HCl 5%. It is a semisolid formulation that 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 targeted area for optimal treatment.

Baclofen is a muscle relaxant and antispasmodic agent that helps to relieve muscle spasms, which are common in conditions such as multiple sclerosis and spinal cord injuries. Clonidine HCl is an alpha-2 adrenergic agonist that can help manage pain by blocking pain signals from reaching the brain. Ketamine HCl is a powerful anesthetic that provides rapid pain relief by blocking the NMDA receptors in the brain and spinal cord. 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 HCl is a local anesthetic that provides temporary relief from pain or discomfort by causing numbness or loss of feeling in the applied area.

It can be used in various disease states where pain and inflammation are prevalent, such as arthritis, fibromyalgia, nerve injuries, and post-herpetic neuralgia. The topical application allows for targeted treatment, reducing the risk of systemic side effects commonly associated with oral medications.

Patients using this formulation should apply it as directed by their healthcare provider, typically to the affected area 3-4 times daily. It is important to wash hands immediately after application unless the hands are the treated area. Avoid contact with eyes, nose, mouth, and other sensitive areas. If irritation or adverse reactions occur, discontinue use and consult with your healthcare provider.

Prescribers should consider this formulation for patients who have not responded well to traditional oral medications or who cannot tolerate them due to side effects. It is also a viable option for patients who prefer a topical treatment method. As with all compounded medications, this formulation should be prescribed as part of a comprehensive treatment plan tailored to the individual patient's needs.

If you have any questions about this formulation or its use in treating specific disease states, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This compounded formulation contains several active ingredients: Baclofen, Clonidine HCl, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these medications can interact with other drugs, which could potentially alter their effectiveness or increase the risk of adverse effects. It's important to inform your healthcare provider about all the medications you're currently taking, including over-the-counter drugs, vitamins, and herbal supplements.

Baclofen, a muscle relaxant and antispastic agent, may interact with other central nervous system (CNS) depressants like opioids, benzodiazepines, and alcohol, potentially leading to increased sedation or respiratory depression. Clonidine HCl, an alpha-2 adrenergic agonist, can interact with beta-blockers, causing a rebound hypertension if either drug is discontinued abruptly. It can also interact with CNS depressants, leading to additive sedative effects.

Ketamine HCl, an NMDA receptor antagonist, can interact with other CNS depressants, potentially leading to increased sedation or respiratory depression. It may also interact with monoamine oxidase inhibitors (MAOIs), potentially leading to a hypertensive crisis. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with anticoagulants, antiplatelet agents, and corticosteroids, increasing the risk of gastrointestinal bleeding. It can also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or diuretics, potentially impairing renal function.

Lidocaine HCl, a local anesthetic, can interact with other local anesthetics or antiarrhythmic drugs (like mexiletine), potentially leading to additive systemic toxicity. It can also interact with drugs metabolized by cytochrome P450 1A2 and 3A4 enzymes, potentially affecting the metabolism of these drugs.

This formulation is designed to treat various disease states, including neuropathic pain, musculoskeletal pain, and inflammation. Baclofen and Clonidine HCl can help manage neuropathic pain by reducing nerve hyperexcitability. Ketamine HCl can provide analgesia by blocking NMDA receptors, which play a key role in pain transmission. Ketoprofen can reduce inflammation and pain by inhibiting prostaglandin synthesis. Lidocaine HCl can provide local anesthesia by blocking sodium channels, thereby reducing pain and discomfort.

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

How Does it Work

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This topical gel formulation combines five active ingredients: Baclofen, Clonidine HCl, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these ingredients plays a unique role in managing pain and inflammation, and their combined effect can provide significant relief for a variety of disease states.

Baclofen is a muscle relaxant and antispasmodic agent. It works by inhibiting the transmission of signals within the central nervous system, which can help to reduce muscle spasms and associated pain. This makes it particularly useful in conditions where muscle spasms contribute to discomfort, such as multiple sclerosis or spinal cord injuries.

Clonidine HCl is an alpha-2 adrenergic agonist. It works by stimulating receptors in the brain that help to lower blood pressure, slow heart rate, and decrease the body's response to pain. This can be beneficial in managing neuropathic pain and other conditions where the body's pain response is heightened.

Ketamine HCl is a NMDA receptor antagonist. It works by blocking the NMDA receptors in the brain and spinal cord, which play a key role in transmitting pain signals. This can help to reduce chronic pain, particularly in conditions where other treatments have been ineffective.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing the production of prostaglandins, chemicals in the body that cause inflammation and increase pain sensitivity.

Lidocaine HCl is a local anesthetic. It works by blocking sodium channels in the nerve cells, preventing the transmission of nerve signals to the brain. This can provide immediate, localized relief from pain.

The gel formulation allows for targeted application of these active ingredients. When applied to the skin, the gel is absorbed into the underlying tissues, delivering the active ingredients directly to the area of pain or inflammation. The pump mechanism allows for easy and precise dosing, ensuring that the correct amount of medication is applied each time.

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

Other Uses

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Baclofen 2%/Clonidine HCl 0.2%/Ketamine HCl 11.5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel is a powerful compounding remedy primarily designed for pain management. While its main indication is for the relief of severe, chronic pain, including neuropathic pain, it has potential uses for other conditions. The combination of these components provides an anti-inflammatory, analgesic, and muscle relaxant effect, which could potentially be used to manage sports-related injuries or muscle strains. The local anaesthetic, lidocaine, can also provide temporary relief for minor burns, cuts, and abrasions. Please note, this use should be monitored by a healthcare professional and the formulation should not be applied to broken skin or mucous membranes.

Another potential use of this formulation may be in the treatment of chronic skin conditions that are accompanied by inflammation and pain such as psoriasis or eczema, owing to the anti-inflammatory properties of ketoprofen. The analgesic effect of ketamine and lidocaine may also help manage discomfort associated with these skin conditions. However, it's important to note that the use of this formulation in this context should be initiated under the guidance of an experienced healthcare professional, as long-term use or application on large skin areas can lead to systemic absorption and related side effects.

Given the potency of this formulation, it could potentially be used as an adjuvant therapy in palliative care settings, helping to manage pain in patients with terminal illnesses where oral medication may not be possible or adequate. Again, this use should be supervised appropriately by a healthcare provider.

This erection is not exhaustive, and this multi-faceted formulation might have other therapeutic applications depending on patient-specific circumstances.

Frequently Asked Questions

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What is the Baclofen 2%/Clonidine HCl 0.2%/Ketamine HCl 11.5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel?

This is a compounded formulation of different medications that is dispensed in the form of a semisolid gel through a pump mechanism. It's applied directly to the skin to achieve targeted treatment of the intended area.

How should I apply this medication?

You apply this medication to the targeted area of your skin, as directed by your healthcare professional. The pump mechanism should facilitate easy and precise application.

What problems can this compounded formulation treat?

This formulation has a variety of active ingredients that can treat a range of symptoms and conditions based on your doctor's prescription. Because it targets specific areas, it is mainly used for localized conditions.

Can anyone use this formulation?

No, this is a prescription medication and it should only be used by the person it is prescribed to. It should also be used strictly according to your healthcare provider's directions.

Can I use this formulation on any part of the body?

You should apply this formulation only to the area of the body directed by your healthcare professional, which is typically where your symptoms are localized.

What should I do if I experience any adverse reactions?

If you experience any unusual symptoms or reactions after applying the formulation, contact your healthcare provider immediately. This may be an indication of an allergic reaction or a side-effect of one of the components in the formulation.

Can I use other gels or creams with this formulation?

Before applying any other gels, creams or topical treatments in combination with this formulation, discuss it with your healthcare professional to avoid possible medication interactions or other complications.

How often should I apply this compounded formulation?

The frequency of use should be directed by your healthcare professional and is typically based on your specific condition, the severity of your symptoms, and how well you respond to treatment.

What should I do in case of accidental ingestion?

If accidental ingestion occurs, immediately get in touch with a Poison Control Center or your healthcare provider. While it's intended for topical application, if eaten, this medication might cause unwanted side effects or serious harm.

Can I use this gel if I experience skin irritation?

If you experience skin irritation, redness, or any allergic reactions after applying this gel formulation, discontinue use immediately and contact your healthcare provider. It might mean that you are sensitive or allergic to one or more components of the formulation.

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.

Baclofen 2%/Clonidine HCl 0.2%/Ketamine HCl 11.5%/Ketoprofen 20%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)