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Baclofen 2%/Diazepam 1%/Gabapentin 6%/Hydrocortisone 2%/Ketamine HCl 1.15% Vaginal Gel

This formulation is a specialized vaginal gel, composed of Baclofen 2%, Diazepam 1%, Gabapentin 6%, Hydrocortisone 2%, and Ketamine HCl 1.15%. It is a gel-like semisolid formulation dispensed in a tube, specifically designed for easy and controlled application in the vaginal area. The unique combination of these active ingredients provides both medication delivery and therapeutic effects for various gynecological purposes.

The Baclofen component acts as a muscle relaxant and antispasmodic agent, while Diazepam provides sedative and anxiety-reducing effects. Gabapentin is included for its ability to manage nerve pain, and Hydrocortisone serves as an anti-inflammatory and anti-itch agent. Lastly, Ketamine HCl is incorporated for its analgesic properties.

This formulation is used to treat a variety of disease states, including but not limited to, vulvodynia, vestibulodynia, lichen sclerosus, lichen planus, and other conditions causing chronic pelvic pain. It can also be used to manage pain and inflammation associated with post-surgical healing or radiation therapy. The gel formulation allows for targeted application, ensuring that the medication is delivered directly to the area in need, providing relief and promoting healing.

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Vaginal Gel
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Formula Information

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This formulation is a compounded vaginal gel containing Baclofen 2%, Diazepam 1%, Gabapentin 6%, Hydrocortisone 2%, and Ketamine HCl 1.15%. It is a gel-like semisolid formulation dispensed in a tube, specifically created for easy and controlled application in the vaginal area. This formulation is designed to deliver medication or provide lubrication and therapeutic effects for various gynecological purposes.

Baclofen is a muscle relaxant and antispastic agent. It works by helping to relax the muscles. Diazepam is a benzodiazepine that produces a calming effect by acting on the brain and nerves (central nervous system). Gabapentin is an anticonvulsant and nerve pain reliever, often used to treat seizures and pain caused by shingles. Hydrocortisone is a corticosteroid that reduces swelling, itching, and redness. Ketamine HCl is a general anesthetic used to prevent pain and discomfort.

This unique combination of medications in a vaginal gel formulation can be used to treat a variety of gynecological conditions. It can provide relief from symptoms associated with conditions such as vulvodynia, vestibulodynia, lichen sclerosus, and other painful or uncomfortable gynecological conditions. The medications work together to provide pain relief, reduce inflammation, and calm the nervous system, providing overall relief and improving the quality of life for patients suffering from these conditions.

It is important to use this medication as directed by your healthcare provider. The gel should be applied to the vaginal area as instructed, and the frequency of application will depend on the specific condition being treated. As with any medication, potential side effects may occur, including drowsiness, dizziness, or skin irritation at the application site. If these or any other side effects occur, contact your healthcare provider immediately.

As compounding pharmacists, we are able to customize this formulation to meet the specific needs of each patient. We can adjust the concentrations of each medication, change the base of the gel, or add other medications as needed. We work closely with healthcare providers to ensure that each patient receives the most effective treatment for their specific condition.

If you have any questions about this formulation, or if you would like more information about how it can be customized to meet your needs, please reach out to us. We are here to help and are committed to providing the highest quality care for our patients.

Drug Interactions

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This compounded formulation contains several active ingredients: Baclofen, Diazepam, Gabapentin, Hydrocortisone, and Ketamine HCl. Each of these medications can interact with other drugs, potentially altering their effects. It's crucial to inform your healthcare provider about all medications, supplements, and herbal products you are currently taking to avoid any potential drug interactions.

Baclofen, a muscle relaxant and antispastic agent, may interact with other central nervous system (CNS) depressants like opioids, antihistamines, and alcohol, leading to increased sedation and potentially respiratory depression. Diazepam, a benzodiazepine, also has similar interactions with CNS depressants, potentially leading to increased sedation, dizziness, and in severe cases, respiratory depression.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids containing magnesium or aluminum, potentially reducing the absorption of gabapentin. It's recommended to take gabapentin at least 2 hours after taking an antacid. Similar to Baclofen and Diazepam, Gabapentin may also interact with CNS depressants, leading to increased sedation and dizziness.

Hydrocortisone, a corticosteroid, may interact with drugs like insulin, warfarin, and certain antifungal medications. These interactions can lead to increased blood glucose levels, altered anticoagulant effect, and decreased corticosteroid effect, respectively.

Ketamine HCl, an anesthetic, may interact with CNS depressants, leading to increased sedation and potentially respiratory depression. It may also interact with certain medications for high blood pressure, potentially leading to increased blood pressure and heart rate.

This formulation is designed to treat various gynecological conditions, such as vulvodynia, vestibulodynia, and other conditions associated with chronic pelvic pain. The combination of these medications works synergistically to provide pain relief, reduce inflammation, and relax the muscles in the vaginal area. However, the potential for systemic absorption and subsequent interactions exists, especially with prolonged use.

It's important to use this medication as directed by your healthcare provider and report any side effects or unusual symptoms immediately. If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us at Bayview Pharmacy. We are here to help ensure your treatment is safe and effective.

How Does it Work

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This unique formulation combines several active ingredients, each with its own mechanism of action, to provide a comprehensive treatment for various gynecological conditions. The gel is designed for easy and controlled application in the vaginal area, ensuring that the medication is delivered directly to the site of action.

Baclofen, a muscle relaxant and antispasmodic agent, works by inhibiting the transmission of nerve signals, thereby reducing muscle spasms and providing relief from pain and discomfort. This can be particularly beneficial in conditions such as vaginismus, where involuntary muscle spasms cause pain and discomfort.

Diazepam, a benzodiazepine, enhances the effect of the neurotransmitter GABA in the brain, producing a calming effect. This can help to reduce anxiety and tension, which can often exacerbate gynecological symptoms.

Gabapentin, an anticonvulsant and nerve pain medication, is believed to work by altering the way nerves send messages to the brain. This can help to reduce pain and discomfort in the vaginal area.

Hydrocortisone, a corticosteroid, works by reducing inflammation and swelling. This can help to alleviate symptoms such as itching, redness, and swelling associated with various gynecological conditions.

Ketamine HCl, an NMDA receptor antagonist, provides pain relief by blocking the receptors in the brain that are responsible for transmitting pain signals. This can help to provide relief from chronic pain conditions.

Together, these ingredients work synergistically to provide relief from a range of symptoms, making this formulation a versatile option for treating various gynecological conditions. As with any medication, it's important to use this formulation as directed by your healthcare provider, and to discuss any potential side effects or interactions with other medications you may be taking.

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

Other Uses

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This compounding formulation comprising of Baclofen, Diazepam, Gabapentin, Hydrocortisone, and Ketamine HCl in a vaginal gel form is primarily used to treat various gynecological conditions, but it may also have other potential uses. It's important to note these auxiliary applications are off-label uses, meaning they are not officially approved but may be suggested by healthcare providers based on their knowledge and experience. Patients should always consult with their doctor before using it for any off-label purpose.

Firstly, due to the analgesic properties of compounds like Gabapentin and Ketamine HCl, this gel could have a potential application for topical pain management in areas other than the vagina, such as localized neuropathic pain or post-surgical pain, though user discretion is advised because of potential skin sensitivity in different areas of the body. This could be helpful for patients suffering from conditions such as post-herpetic neuralgia or diabetic neuropathy.

Additionally, the muscle relaxant properties of Baclofen and Diazepam in this formulation could be beneficial in treating certain muscular conditions, such as muscle stiffness resulting from conditions like multiple sclerosis. The Hydrocortisone component offers anti-inflammatory and immune modulating effects, which could be beneficial for inflammatory skin conditions and certain autoimmune disorders. However, topical application of corticosteroids should be done under medical supervision to avoid potential side effects, especially over prolonged periods.

Further, it could be beneficial in research and clinical trials exploring new therapeutic applications of these compounded medications. Researchers might be interested in exploring the synergistic effects of these drugs and their potential in managing certain hard-to-treat conditions.

However, we strongly advise that any alternate uses must always be done under medical supervision. Also, these should be considered as potential applications rather than established uses, as more research and evidence are needed to validate the efficacy and safety in these contexts. If you have any further questions or need additional information, don't hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is this compounded formulation?

This is a specially formulated gel which contains Baclofen 2%, Diazepam 1%, Gabapentin 6%, Hydrocortisone 2%, and Ketamine HCl 1.15%. It is typically dispensed in a tube for easy application.

What is the purpose of this formulation?

This vaginal gel serves multiple gynecological purposes. It delivers medication, provides lubrication, and produces therapeutic effects for the vaginal area.

How is this formulation meant to be used?

This formulation is designed for easy and controlled application to the vaginal area. It should be used as per the prescriptions and instructions provided by your healthcare provider.

What actions do the ingredients of this formulation perform?

Baclofen, Diazepam, and Gabapentin are primarily used to treat pain signals from the brain. Hydrocortisone is utilized to mitigate inflammation and Ketamine HCl is generally used as an anaesthetic agent.

Can it cause allergic reactions?

Like any medication, it could possibly cause allergy in patients sensitive to the ingredients of the formulation. If you know you are allergic to any of these ingredients, it's important to communicate this to your healthcare provider.

What are the potential side effects?

Any side effects would depend largely on how a patient's body reacts to these specific ingredients, with possibilities including, but not limited to, allergic reactions, irritation, or changes in behavior or mood.

Is this product safe to use during pregnancy?

The safety of this product during pregnancy is something that should be determined by your healthcare provider. Always consult with them before using any medications.

How should I store this product?

Generally, the product should be stored at room temperature, away from heat or moisture. However, specific storage recommendations should be obtained from your healthcare provider or pharmacist.

Is this formulation available over-the-counter?

Given the types of medications that are compounded into this gel, it is unlikely that it would be available for over-the-counter purchase and would likely require a prescription from a licensed healthcare provider.

What should I do if I miss a dose?

If you miss a dose, it's typically recommended to apply it as soon as you remember, unless it's nearly time for the next dose. Never double dose to make up for the missed one. For specific advice, please consult your healthcare provider.

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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.
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