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Baclofen 2%/Gabapentin 8%/Ketamine HCl 5.75%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel

Custom-compounded at Bayview Pharmacy, this topical gel may help manage neuropathic pain, fibromyalgia, and osteoarthritis. Learn more about personalized care today.
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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.
Gabapentin
Ketamine Hydrochloride
Ketoprofen
Lidocaine Hydrochloride
Baclofen
Topical Gel
6537ea62d82a520cd0cf9446

Formula Information

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This formulation is a compounded topical gel containing Baclofen 2%, Gabapentin 8%, Ketamine HCl 5.75%, Ketoprofen 10%, and Lidocaine HCl 5%. 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 that the active ingredients are absorbed effectively for targeted treatment.

Baclofen is a muscle relaxant and antispasmodic agent used to relieve spasms, pain, and stiffness caused by multiple sclerosis, spinal cord injuries, or other spinal cord disorders. Gabapentin is an anticonvulsant and nerve pain medication used to treat nerve pain caused by shingles (postherpetic neuralgia). It is also used to manage neuropathic pain, often in combination with other pain medications.

Ketamine HCl is a potent analgesic used for the management of acute and chronic pain. It works by blocking the NMDA receptor, which plays a key role in pain transmission. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness caused by arthritis. It works by reducing the levels of prostaglandins, chemicals that cells produce in response to injury and certain diseases, which cause pain, swelling, and inflammation.

Lidocaine HCl is a local anesthetic used to relieve pain and discomfort caused by skin irritations or conditions such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns. It works by blocking nerve signals in your body.

This formulation is designed to provide targeted relief for a variety of pain conditions, including neuropathic pain, musculoskeletal pain, and inflammatory pain.

As compounding pharmacists, we can customize this formulation to meet individual patient needs, adjusting the concentrations of the active ingredients as necessary. We can also provide advice on the appropriate use of this formulation, including how to apply it, how often to use it, and what to expect in terms of potential side effects or interactions with other medications.

If you have any questions about this formulation, or if you would like to discuss how it could be tailored to meet your specific needs, please don't hesitate to reach out to us at Bayview Pharmacy. We are here to help.

Drug Interactions

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

Baclofen, a muscle relaxant and antispastic agent, may interact with other central nervous system depressants like alcohol, benzodiazepines, and opioids, potentially leading to increased sedation and respiratory depression. Concurrent use with antihypertensive drugs may result in additive hypotensive effects.

Gabapentin, an anticonvulsant and nerve pain medication, may have its absorption rate affected when taken with antacids. It's recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin may also increase the effects of other drugs that cause sedation, including opioids, antihistamines, and alcohol.

Ketamine HCl, an NMDA receptor antagonist, may interact with other central nervous system depressants, potentially leading to increased sedation and respiratory depression. Concurrent use with monoamine oxidase inhibitors (MAOIs) may result in hypertensive crisis.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, increasing the risk of bleeding. Concurrent use with other NSAIDs or corticosteroids may increase the risk of gastrointestinal ulcers or bleeding. Ketoprofen may also reduce the effectiveness of antihypertensive drugs and diuretics.

Lidocaine HCl, a local anesthetic, may interact with other local anesthetics and Class I antiarrhythmic drugs, potentially leading to additive systemic toxicity. Concurrent use with MAOIs or tricyclic antidepressants may increase the risk of severe, potentially fatal, cardiac arrhythmias.

This formulation is designed to treat a variety of disease states, including neuropathic pain, musculoskeletal pain, and inflammation. The combination of these medications in a topical gel allows for targeted treatment, potentially reducing systemic side effects and drug interactions. However, it's still important to monitor for potential interactions, especially if you're using other topical products or if you have impaired skin integrity, which may increase systemic absorption.

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

How Does it Work

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This topical gel formulation combines the therapeutic benefits of five active ingredients: Baclofen, Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these ingredients plays a unique role in managing various disease states, primarily related to pain and inflammation.

Baclofen is a muscle relaxant and antispasmodic 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 is an anticonvulsant that is often used to manage neuropathic pain. It works by affecting the way the body senses pain.

Ketamine HCl is a powerful anesthetic that provides pain relief by blocking the NMDA receptors in the brain and spinal cord, which play a key role in transmitting pain signals. It is often used in the management of chronic pain conditions, including complex regional pain syndrome (CRPS).

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is commonly used to relieve pain, swelling, and joint stiffness caused by arthritis.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. It is used to relieve pain and discomfort caused by skin irritations, as well as to numb the skin before certain procedures.

When applied topically, this formulation allows for targeted treatment, delivering the active ingredients directly to the area of discomfort. The gel-like consistency ensures easy and precise application, while the pump mechanism allows for controlled dispensing of the product.

It's important to note that while this formulation can provide significant relief for many patients, it may not be suitable for everyone. Always consult with your healthcare provider before starting any new medication regimen. If you have any questions about this formulation, don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

Other Uses

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In addition to its primary use for managing pain, this formulation of Baclofen 2%/Gabapentin 8%/Ketamine HCl 5.75%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel could be used for other related conditions. The synergistic action of these medications may offer benefits for various other health conditions associated with chronic and acute pain.

This topical gel could be used as an alternative pain management strategy for postherpetic neuralgia - a nerve pain caused by shingles. Gabapentin present in the mixture is recognized for its effect in easing the nerve pain associated with shingles while the other agents provide additional analgesic and anti-inflammatory benefits.

This formulation may also benefit those suffering from fibromyalgia, a condition marked by widespread musculoskeletal pain, by targeting pain processing pathways. The combined effect of Baclofen, Gabapentin, Ketamine, and Ketoprofen works well to reduce chronic pain and inflammation in fibromyalgia patients. Lidocaine, a local anesthetic, can produce a numbing effect, further enhancing the pain-relieving effect.

Moreover, this topical gel can be used for localized neuropathic pain, including diabetic peripheral neuropathy. The combination of Baclofen, a muscle relaxer, and Gabapentin, a drug used to treat nerve pain, may be particularly beneficial.

Medical practitioners should be aware that while this formulation is designed to reduce systemic exposure and limit side effects, some patients may still experience local side effects such as skin irritation. As with all medications, it should be used in accordance with established protocols to ensure maximum efficacy while minimizing risk.

If there are any questions about this formulation and its potential applications, or you need guidance on prescribing, please don't hesitate to reach out to us here at Bayview Pharmacy, our knowledgeable team of compounding pharmacists is ready to assist.

Frequently Asked Questions

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What is Baclofen 2%/Gabapentin 8%/Ketamine HCl 5.75%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel?

This is a compounded medication in a semi-solid gel formulation, designed for topical application. The medication contains several active ingredients, including Baclofen, Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine HCl, which enable targeted treatment of certain conditions.

What is the purpose of the pump mechanism in the device?

The pump mechanism integrated into the device facilitates easy and precise application of the medication. This ensures you apply the right dose in the correct area for optimum effectiveness.

How should this medication be applied?

It should be applied directly on the skin where it has been prescribed by your healthcare provider. Use the pump to dispense the medication, make sure it's spread evenly for proper absorption.

What does the gel-like consistency offer?

The gel-like consistency provides ease of application and facilitates absorption of the active ingredients into the skin. Plus, the gel form of the medication can be more comfortable and less messy than other forms of topical applications.

What are the main ingredients in this topical gel?

The topical gel contains Baclofen 2%, Gabapentin 8%, Ketamine HCl 5.75%, Ketoprofen 10%, and Lidocaine HCl 5% as the primary active ingredients.

What is the purpose of each ingredient in the formulation?

Each ingredient has a specific purpose. Baclofen and Gabapentin are used to treat nerve pain. Ketamine HCl is used as a general anesthetic. Ketoprofen is an anti-inflammatory drug used to relieve pain and inflammation. Finally, Lidocaine HCl is used as a local anesthetic.

What conditions is the gel used to treat?

The gel is used to treat a variety of conditions that require targeted pain relief, such as neuropathic pain, arthritis, muscle inflammation, injury or post-surgical pain. However, it's crucial to consult with your healthcare provider for your specific needs.

Are there any side effects of using this medication?

As with all medications, potential side effects can occur. These may include skin irritation, redness, tingling sensation or numbness at the site of application. If you experience any severe or persistent side effects, you should contact your healthcare provider immediately.

Can I use this gel with other medications?

It's important to discuss all the medications you are currently taking with your healthcare provider before starting the use of this compound gel. Certain drugs can interact with the ingredients in the gel, affecting its effectiveness or causing unwanted side effects.

How should the medication be stored?

This medication should be stored at room temperature, away from heat, light, and moisture. Always keep the container tightly closed when not in use. It's also important to keep this medication out of reach of children.

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%/Gabapentin 8%/Ketamine HCl 5.75%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)