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Baclofen 2%/Gabapentin 6%/Ketamine HCl 10% Transdermal Gel

This formulation is a Baclofen 2%/Gabapentin 6%/Ketamine HCl 10% Transdermal 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. This formulation is specifically designed to treat various disease states, including neuropathic pain, muscle spasticity, and complex regional pain syndrome.

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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.
Gabapentin
Ketamine Hydrochloride
Baclofen
Topical Gel
6535c6d978b53ab514b19a41

Formula Information

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This formulation is a compounded transdermal gel containing Baclofen 2%, Gabapentin 6%, and Ketamine HCl 10%. 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 of the formulation ensures that the active ingredients are absorbed effectively into the skin for targeted treatment.

Baclofen is a muscle relaxant and antispasmodic agent that works by reducing muscle tone. It is commonly used in the treatment of muscle symptoms caused by multiple sclerosis, including spasm, pain, and stiffness. Gabapentin is an anticonvulsant and nerve pain medication that is used to treat nerve pain caused by conditions such as shingles (postherpetic neuralgia) and diabetic neuropathy. It works by reducing abnormal electrical activity in the brain, which helps to reduce pain signals from damaged nerves. Ketamine HCl is a potent analgesic that provides pain relief by blocking the NMDA receptor, a type of glutamate receptor in the brain and spinal cord that is involved in pain transmission.

This combination of active ingredients in a transdermal gel formulation provides targeted relief from pain and muscle spasms. The transdermal route of administration allows for the active ingredients to be absorbed directly into the affected area, providing localized relief while minimizing systemic side effects. This makes it an ideal treatment option for patients who are unable to tolerate oral medications or for those who require targeted pain relief.

It is important to note that this is a compounded medication, meaning it is made specifically for you based on a prescription from your doctor. It is not a commercially available product and should only be used under the supervision of a healthcare professional. As with all medications, it is important to use this product as directed by your healthcare provider. If you have any questions about this formulation or how to use it, please reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists who are here to help.

Drug Interactions

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This compounded formulation contains Baclofen, Gabapentin, and Ketamine HCl, all of which are medications that can interact with other drugs. It's important to understand these potential interactions to ensure safe and appropriate use of this medication.

Baclofen, a muscle relaxant and antispastic agent, can interact with other central nervous system depressants like alcohol, benzodiazepines, opioids, and antihistamines. This can lead to increased sedation and potentially dangerous respiratory depression. It's important to avoid or limit the use of alcohol while using this medication.

Gabapentin, an anticonvulsant and nerve pain medication, can also interact with other central nervous system depressants. Similar to Baclofen, combining Gabapentin with these substances can increase the risk of sedation and respiratory depression. Additionally, antacids containing magnesium or aluminum can decrease the absorption of Gabapentin, reducing its effectiveness. It's recommended to take Gabapentin at least two hours after taking an antacid.

Ketamine HCl, an anesthetic, can interact with a variety of medications. These include other anesthetics, central nervous system depressants, and monoamine oxidase inhibitors (MAOIs). Combining Ketamine with these medications can increase the risk of serious side effects such as severe sedation, respiratory depression, and changes in blood pressure. It's important to inform your healthcare provider of all medications you're currently taking, including over-the-counter drugs and supplements.

This formulation is designed to treat a variety of disease states. Baclofen can help with conditions like multiple sclerosis and spinal cord injury by reducing muscle spasms. Ketamine HCl can provide pain relief for conditions such as complex regional pain syndrome (CRPS), fibromyalgia, and severe depression.

As with any medication, it's important to use this formulation as directed by your healthcare provider. Monitor for potential side effects and report any concerns to your healthcare provider promptly. This includes any new or worsening symptoms.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help ensure you receive the most benefit from your medication.

How Does it Work

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The Baclofen 2%/Gabapentin 6%/Ketamine HCl 10% Transdermal Gel is a unique formulation that combines three potent medications, each with its own mechanism of action, to provide targeted relief from various disease states. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to exert its therapeutic effects.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to alleviate muscle spasms, pain, and stiffness. This makes it particularly useful in conditions such as multiple sclerosis and spinal cord injuries.

Gabapentin, on the other hand, is an anticonvulsant and nerve pain medication. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Gabapentin is often used to treat nerve pain conditions such as postherpetic neuralgia and diabetic neuropathy.

Ketamine HCl is a powerful anesthetic that works by blocking the NMDA receptor, a type of glutamate receptor in the brain and spinal cord. This can help to reduce pain and inflammation, making it useful in the treatment of chronic pain conditions.

The transdermal gel formulation allows for targeted application and absorption of these medications. By applying the gel directly to the affected area, the active ingredients can be absorbed through the skin and into the underlying tissues, providing localized relief from symptoms. The gel formulation also allows for a controlled release of the medication, ensuring a consistent level of medication is delivered over time.

This combination of Baclofen, Gabapentin, and Ketamine HCl in a transdermal gel formulation can be used to treat a variety of disease states, including chronic pain conditions, nerve pain, muscle spasms, and stiffness. It provides a targeted, localized treatment option that can be tailored to the individual patient's needs.

If you have any questions about this formulation, or if you would like more information on 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 transdermal gel formulation contains a mixture of Baclofen, Gabapentin, and Ketamine HCl, three potent and well-established compounds in the treatment of various chronic and acute conditions. The primary intended use of this medicated gel is usually for the symptomatic relief of chronic pain conditions related to neuropathy, musculoskeletal issues, and fibromyalgia, as these drugs collectively work in synergy to decrease nervous system excitement and improve pain thresholds.

Aside from these disease states, this compounded formulation can potentially be used for other applications as well. Given the antispasmodic and muscle relaxant properties of Baclofen, this medication can be utilized by patients suffering from muscle spasms caused by spinal cord injury or multiple sclerosis. Similarly, due to its calming effect on the nervous system, Gabapentin, coupled with Baclofen, can help reduce discomfort arising from restless leg syndrome. Individually, Gabapentin is frequently used off-label for anxiety disorders and sleep imbalances, making this formulation potentially beneficial for related complaints.

In instances of acute pain, the addition of Ketamine HCl can provide immediate relief by inhibiting the transmission of pain signals. As such, patients with refractory pain conditions, burn-related discomforts, post-operative aches, or complex regional pain syndrome might also find this formulation useful. Moreover, ketamine's use in psychiatric conditions is currently being explored, suggesting potential applications in patients with depression or Post Traumatic Stress Disorder (PTSD).

Finally, the transdermal application mode is particularly useful in patients who have difficulty swallowing oral medications, or where a targeted, localized drug effect is desired. Even though this gel is noninvasive and easy to use, it is essential to remember that the combined active ingredients may lead to side effects such as dizziness, somnolence, or dry mouth. Healthcare professionals should monitor the progress while using this formulation, and dosages should be adjusted as per the patient's individual requirements and tolerance.

Please remember that all uses outside of the primary indications are considered 'off-label,' and the potential benefits and risks should be discussed thoroughly with your healthcare provider. This formulation should be used under the direction and supervision of a qualified healthcare professional. Given the variability in individual responses to these medications, patient-specific considerations should always be taken into account. If you have any questions or concerns, do not hesitate to reach out to our team at Bayview Pharmacy for further discussion and clarification.

Frequently Asked Questions

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What is Baclofen 2%/Gabapentin 6%/Ketamine HCl 10% Transdermal Gel?

This is a compounded formulation of three medications, Baclofen, Gabapentin, and Ketamine HCl, which are combined in a topical gel for transdermal, or skin-based, application. It is used for a variety of purposes such as targeted pain management.

How is the transdermal gel supplied?

The transdermal gel is supplied in a pump mechanism packaging. This design allows for easy and precise application of the medication onto the skin.

What is the consistency of the gel?

The consistency of this formulation is that of a semi-solid gel which aids in easy absorption through the skin.

Why is the product used topically?

The topical use of this formulation allows the active ingredients Baclofen, Gabapentin, and Ketamine HCl to be absorbed directly into the impacted area, providing targeted treatment.

What is the function of each active ingredient in the transdermal gel?

Baclofen is a muscle relaxant and antispasmodic, Gabapentin is primarily used for controlling seizures and reducing nerve pain, and Ketamine HCl is primarily used for starting and maintaining anesthesia but can also aid in pain management.

What is the strength of each active ingredient in this formulation?

The strength of each active ingredient in this particular formulation is: Baclofen 2%, Gabapentin 6%, and Ketamine HCl 10%.

How should the formulation be applied?

Typically, a specified amount of the gel would be applied topically to the affected area based on healthcare practitioner's instructions. It is important to apply the dose accurately for best efficacy.

Is the formulation absorbed quickly into the skin?

Yes, the semi-solid gel composition facilitates efficient absorption of the active ingredients through the skin and into the affected area.

Are there any precautions needed while handling this medication?

Yes, it's crucial to avoid contact with eyes or open wounds unless directed by a healthcare practitioner. Prevent ingestion and keep out of reach of children.

Is this formulation commonly used in pain management?

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, 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%/Gabapentin 6%/Ketamine HCl 10% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)