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Dexamethasone 2%/Ketoprofen 10% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Dexamethasone
Ketoprofen

The Dexamethasone 2%/Ketoprofen 10% Transdermal Gel is a semisolid formulation designed for targeted delivery of active ingredients through the skin. This gel is dispensed via a pump mechanism, which ensures ease of use and precise dosing. Additionally, it may be used to alleviate pain and swelling associated with soft tissue injuries and other musculoskeletal disorders. The transdermal route of administration provides a convenient alternative to oral medications, potentially reducing systemic side effects and offering direct relief to the affected area.

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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, ME and PA. 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, ME and PA. 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.
Dexamethasone
Ketoprofen
Topical Gel
654e8a362bffd37f64204847

Formula Information

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The Dexamethasone 2%/Ketoprofen 10% Transdermal Gel is a specialized medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose to the affected area. The gel base provides a suitable medium for the transdermal delivery of the active ingredients, allowing for targeted treatment and enhanced absorption through the skin.

Dexamethasone is a potent corticosteroid that exerts anti-inflammatory and immunosuppressive effects. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that also has analgesic and antipyretic properties. When combined in this transdermal gel, dexamethasone and ketoprofen work synergistically to alleviate inflammation, reduce pain, and decrease swelling in affected areas.

This formulation is particularly useful for patients who require localized relief from inflammatory conditions such as arthritis, tendinitis, bursitis, or other musculoskeletal disorders. The transdermal route offers the advantage of minimizing systemic side effects that are often associated with oral administration of these medications. Additionally, the gel's consistency allows for a smooth application without leaving a greasy residue, making it a convenient option for patients.

Prescribers should consider this formulation for patients who may benefit from localized therapy with reduced systemic exposure. It is important to instruct patients on the proper application technique to ensure optimal efficacy of the medication. The area of application should be clean and dry, and patients should be advised to wash their hands before and after applying the gel. It is also crucial to adhere to the prescribed dosage and frequency to prevent overuse or potential adverse effects.

For more detailed information on the Dexamethasone 2%/Ketoprofen 10% Transdermal Gel, including potential side effects, contraindications, and patient-specific considerations, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to answer any questions and provide guidance to ensure safe and appropriate use of this medication.

Drug Interactions

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The combination of dexamethasone, a potent corticosteroid, and ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), in a transdermal gel formulation is designed for localized treatment of inflammatory conditions and pain. Dexamethasone works by reducing inflammation and suppressing the immune response, while ketoprofen blocks the production of prostaglandins, substances that mediate inflammation and pain. When used together in a transdermal gel, these medications can provide synergistic effects for conditions such as arthritis, tendinitis, or other musculoskeletal disorders.

However, it is important to consider potential drug interactions when using this formulation. Dexamethasone may interact with other medications that are metabolized by the liver enzyme CYP3A4. Inhibitors of this enzyme, such as ketoconazole, erythromycin, and certain protease inhibitors, can increase the levels of dexamethasone, potentially leading to increased effects and side effects. Conversely, inducers of CYP3A4, such as phenytoin, phenobarbital, and rifampin, may decrease the effectiveness of dexamethasone.

Ketoprofen, being an NSAID, can interact with anticoagulants like warfarin, increasing the risk of bleeding. It may also interact with other NSAIDs, including over-the-counter aspirin, leading to an increased risk of gastrointestinal ulcers or bleeding. Additionally, ketoprofen can affect the excretion of certain antihypertensive medications, such as ACE inhibitors and angiotensin II receptor blockers, potentially diminishing their effects and contributing to the risk of kidney damage when used concurrently.

Patients should be advised to avoid using other topical medications on the same area where the dexamethasone/ketoprofen gel is applied to prevent interactions at the site of application. The use of occlusive dressings over the area of application can increase the absorption of the active ingredients, potentially leading to systemic effects and interactions.

It is also important to monitor for signs of systemic corticosteroid side effects, such as adrenal suppression or Cushing's syndrome, especially if the patient is using other forms of corticosteroids. Patients with a history of peptic ulcers or gastrointestinal bleeding should use this medication with caution due to the presence of ketoprofen.

Before starting treatment with this transdermal gel, patients and prescribers should review all current medications, including over-the-counter drugs and supplements, to assess for potential interactions. Adjustments to therapy or additional monitoring may be necessary to ensure safe and appropriate use of this medication.

If you have any questions or require further information regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure optimal therapeutic outcomes for our patients.

How Does it Work

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The Dexamethasone 2%/Ketoprofen 10% Transdermal Gel is a specially designed medication that combines the anti-inflammatory and immunosuppressant properties of dexamethasone with the analgesic and anti-inflammatory effects of ketoprofen. This semisolid formulation is designed to be dispensed through a pump mechanism, which allows for easy and precise application directly to the affected area of the skin. The gel-like consistency ensures that the medication stays in place, providing targeted treatment and facilitating the absorption of the active ingredients through the skin.

Dexamethasone is a potent corticosteroid that works by reducing inflammation and modulating the body's immune response. It achieves this by inhibiting the release of substances in the body that cause inflammation, such as prostaglandins and leukotrienes. When applied topically, dexamethasone can help to reduce local inflammation and relieve associated symptoms such as swelling, redness, and pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that also works by inhibiting the synthesis of prostaglandins, which are chemicals responsible for pain, fever, and inflammation. When used in a transdermal gel form, ketoprofen can penetrate the skin to reach the underlying tissues where it exerts its anti-inflammatory and analgesic effects. This makes it particularly useful for treating localized musculoskeletal pain, such as strains, sprains, and sports injuries, as well as conditions like osteoarthritis.

The combination of dexamethasone and ketoprofen in a transdermal gel allows for the synergistic effects of both medications, providing potent anti-inflammatory action and pain relief directly at the site of discomfort. This localized approach helps to minimize systemic absorption and potential side effects that can occur with oral administration of these drugs. The transdermal delivery system also provides a convenient and non-invasive method of treatment, which can improve patient compliance and satisfaction.

This formulation is particularly suited for patients who require targeted relief from inflammation and pain in specific areas of the body. It is important for both patients and prescribers to understand that while this transdermal gel offers localized treatment, it should be used with caution in patients with certain medical conditions and should not be applied to broken or damaged skin. Additionally, the use of this medication should be monitored by a healthcare professional to ensure its efficacy and safety.

If you have any questions about the Dexamethasone 2%/Ketoprofen 10% Transdermal Gel or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your health conditions.

Other Uses

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Dexamethasone 2%/Ketoprofen 10% Transdermal Gel is primarily used for its anti-inflammatory and analgesic properties, targeting areas of localized pain and inflammation. While its use is often directed toward conditions such as osteoarthritis, tendinitis, and other musculoskeletal issues, there are additional applications where this formulation could be beneficial. This could include various dermatological conditions that exhibit inflammatory components, such as certain eczematous disorders or psoriasis plaques, where dexamethasone may help to reduce the inflammatory response when applied topically.

Furthermore, patients suffering from localized neuropathic pain might also experience relief from this compound, as the transdermal pathway can allow the active ingredients to reach the site of nerve irritation directly. Some individuals with specific soft tissue injuries or localized bursitis might find this gel particularly useful due to its combined corticosteroid and nonsteroidal anti-inflammatory drug (NSAID) properties. However, it must be noted that its effectiveness in such cases should be evaluated on an individual basis.

Overall, this transdermal formulation could provide a useful alternative for patients who have gastrointestinal intolerance to oral NSAIDs or systemic corticosteroids, or in cases where systemic effects are to be minimized. It is also worth considering for chronic pain management strategies that aim to reduce the need for systemic medication and the potential risk of side effects associated with oral therapy.

Despite these potential uses, it is important for prescribers to evaluate the appropriateness of this formulation for each patient, considering factors such as the severity of the condition, the site of application, and any contraindications or potential interactions with other medications. It is critical to advise patients on proper application techniques and to monitor for local skin reactions or systemic effects, even though the risk may be lower compared to oral administration.

If you have any questions regarding the suitability of this formulation for alternative uses, or if you require further information on how this product may benefit a particular patient, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing detailed guidance and support to ensure optimal therapeutic outcomes.

Frequently Asked Questions

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What is Dexamethasone 2%/Ketoprofen 10% Transdermal Gel?

Dexamethasone 2%/Ketoprofen 10% Transdermal Gel is a compounded medication formulated as a semisolid gel for targeted application on the skin. It combines the corticosteroid dexamethasone, which reduces inflammation, with the nonsteroidal anti-inflammatory drug (NSAID) ketoprofen, used for pain relief.

How do I use this transdermal gel?

The gel is applied topically to the affected area. Use the pump mechanism to dispense the recommended amount of gel and then gently rub it into the skin until fully absorbed. Follow the dosing instructions provided by your healthcare professional.

What conditions does this transdermal gel treat?

It is typically prescribed for inflammatory conditions and pain management. It may be used for the localized treatment of conditions like arthritis, tendonitis, or bursitis, among others. Your healthcare provider can give you specific information based on your condition.

Is this medication suitable for everyone?

No, this medication may not be suitable for everyone. It is important to share your medical history with your healthcare provider to determine if this compounded formulation is appropriate for your condition.

How should I store the Dexamethasone/Ketoprofen gel?

Store the gel at room temperature, away from heat and direct light. Make sure the cap is tightly closed to prevent the medication from drying out. Keep out of reach of children and pets.

Can I use this gel with other medications?

Always consult with your healthcare provider before combining any medications. Some drugs can interact with dexamethasone or ketoprofen, potentially altering their effects or increasing the risk of side effects.

How often can I apply the Dexamethasone/Ketoprofen gel?

Adhere to the dosing frequency prescribed by your healthcare provider. Do not apply the gel more frequently than instructed, as this may increase the risk of side effects.

What are the possible side effects of using this gel?

Side effects can include skin irritation, redness, itching, or burning sensation at the application site. Systemic side effects are less common with topical use, but may include gastrointestinal issues, allergic reactions, or changes in blood pressure or blood sugar levels. Contact your healthcare provider if you notice any adverse effects.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Can I apply the gel to open wounds or damaged skin?

No, avoid applying this medication to open wounds, cuts, or any skin that is infected or significantly damaged. This could increase the absorption of the medication into the bloodstream and lead to an increased risk of side effects.

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.

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, ME, and PA; 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.

Dexamethasone 2%/Ketoprofen 10% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)