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Diclofenac Sodium 10%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Diclofenac Sodium
Ketoprofen
Lidocaine Hydrochloride

This Diclofenac Sodium 10%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a specialized semisolid preparation intended for topical application. The formulation is compounded to combine the anti-inflammatory and analgesic properties of Diclofenac Sodium and Ketoprofen with the local anesthetic effects of Lidocaine HCl. The gel is dispensed in a pump mechanism, which allows for convenient, controlled, and targeted application to the affected area of the skin.

The gel is specifically designed to treat localized musculoskeletal pain, inflammation, and arthritis-related discomfort. It may also be used to alleviate pain associated with strains, sprains, and sports injuries. The combination of active ingredients works synergistically to provide relief from pain and reduce inflammation directly at the site of application, minimizing systemic exposure and potential side effects.

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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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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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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.
Diclofenac Sodium
Ketoprofen
Lidocaine Hydrochloride
Topical Cream
654ec32728c0d43266a9e679
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Diclofenac Sodium 10%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a specially compounded medication designed to deliver potent anti-inflammatory and analgesic effects directly to the site of pain and inflammation. This unique formulation combines the powerful nonsteroidal anti-inflammatory drugs (NSAIDs) Diclofenac Sodium and Ketoprofen, both at a concentration of 10%, with the local anesthetic Lidocaine HCl at a concentration of 5%. The gel is prepared as a semisolid dosage form, which allows for a localized effect with minimal systemic absorption, thereby reducing the potential for systemic side effects commonly associated with oral NSAIDs.

Diclofenac Sodium and Ketoprofen are both NSAIDs that work by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins, substances that mediate pain, inflammation, and fever. By reducing the production of prostaglandins, these agents effectively alleviate pain and reduce inflammation in conditions such as osteoarthritis, rheumatoid arthritis, and other musculoskeletal disorders. Lidocaine HCl is a local anesthetic that provides immediate relief from pain by blocking the transmission of pain signals along the nerves. The inclusion of Lidocaine in the formulation offers rapid symptomatic pain relief, which can be particularly beneficial for patients awaiting the anti-inflammatory effects of the NSAIDs to take full effect.

The gel is dispensed in a pump mechanism, which ensures a consistent and controlled dose with each application. This delivery system is not only convenient for patients but also helps to minimize the risk of contamination and maintains the stability of the active ingredients. The topical route of administration is advantageous for patients who may have contraindications to oral NSAIDs, such as gastrointestinal issues or those at risk for cardiovascular events. Additionally, the localized application minimizes systemic exposure and potential drug interactions.

This compounded gel is indicated for the treatment of localized pain and inflammation and can be particularly useful for patients with joint pain, soft tissue injuries, or chronic conditions requiring long-term pain management. It is important for both patients and prescribers to understand that while this formulation provides targeted relief, it should be used with caution in patients with known hypersensitivity to any of the components, and it is not intended for use on open wounds or damaged skin. As with any medication, the potential for side effects exists, and patients should be monitored for any adverse reactions.

For more detailed information on the use of this compounded topical gel, or if you have any questions regarding its suitability for specific patients or conditions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is committed to providing high-quality, customized medications to meet the unique needs of each patient.

Drug Interactions

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The combination of Diclofenac Sodium, Ketoprofen, and Lidocaine HCl in a topical gel formulation is designed to provide localized relief from pain and inflammation. Diclofenac Sodium and Ketoprofen are both nonsteroidal anti-inflammatory drugs (NSAIDs) that work by inhibiting the enzymes (COX-1 and COX-2) involved in the synthesis of prostaglandins, which are mediators of inflammation and pain. Lidocaine HCl is a local anesthetic that provides temporary relief of pain by blocking the transmission of pain signals along nerves.

When using this topical gel, it is important to consider potential drug interactions, especially if the patient is taking other medications systemically. Although the systemic absorption of Diclofenac Sodium, Ketoprofen, and Lidocaine HCl from a topical formulation is lower than from oral forms, interactions can still occur. Patients should be advised to inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements.

Concomitant use of other NSAIDs, either topically or systemically, should be avoided to reduce the risk of additive side effects, such as increased risk of gastrointestinal bleeding or renal impairment. Caution is also advised when this gel is used in patients taking anticoagulants (such as warfarin) or antiplatelet agents (such as aspirin), as there may be an increased risk of bleeding. The use of corticosteroids with this formulation may also increase the risk of gastrointestinal side effects.

Patients on selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may have an increased risk of bleeding when using topical NSAIDs. Additionally, the use of this gel in patients taking methotrexate or cyclosporine may increase the toxicity of these drugs due to potential NSAID-induced renal function impairment.

Topical Lidocaine may interact with other local anesthetics or medications that affect cardiac conduction. Caution is advised when using this gel in patients taking class I antiarrhythmic drugs (such as tocainide and mexiletine) or other drugs that have a potential to cause methemoglobinemia, as the risk may be increased.

It is important to apply the gel as directed, avoiding application on open wounds, mucous membranes, or near the eyes. The gel should not be used with occlusive dressings unless directed by a healthcare provider, as this may increase systemic absorption of the active ingredients.

This topical gel formulation is intended for the treatment of localized musculoskeletal pain, such as that associated with osteoarthritis, strains, sprains, and sports injuries. It is not intended for the treatment of widespread pain conditions or for use on large areas of the body. Patients should be advised to use the minimum effective amount for the shortest duration necessary to control symptoms.

If you have any questions or require further information regarding the use of this topical gel formulation or potential drug interactions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

How Does it Work

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The Diclofenac Sodium 10%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a compounded medication that combines the therapeutic effects of an anti-inflammatory and an analgesic for localized treatment of pain and inflammation. This formulation is designed to be applied directly to the skin where it can exert its effects on the affected area with minimal systemic absorption.

Diclofenac Sodium and Ketoprofen are both nonsteroidal anti-inflammatory drugs (NSAIDs). They work by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammation process. By reducing the production of these prostaglandins, Diclofenac Sodium and Ketoprofen decrease inflammation, swelling, and pain in the localized area where the gel is applied. The 10% concentration of each NSAID in the gel ensures a potent anti-inflammatory effect, which can be particularly beneficial for conditions such as arthritis, sprains, strains, and other musculoskeletal injuries.

Lidocaine HCl is a local anesthetic that works by blocking sodium channels in the neuronal cell membrane. This action inhibits the initiation and conduction of nerve impulses, thereby providing a numbing effect and temporary relief from pain. At a 5% concentration, Lidocaine HCl in the gel formulation helps to alleviate discomfort quickly, making it easier for patients to manage their pain while the anti-inflammatory effects of Diclofenac Sodium and Ketoprofen develop.

The gel is formulated as a semisolid preparation, which allows for a smooth and consistent application over the skin. The inclusion of a pump mechanism in the packaging is designed to provide a convenient and controlled dosing method. This ensures that patients can apply the correct amount of medication to the affected area with each use, minimizing waste and maximizing therapeutic effect. The gel base also facilitates absorption of the active ingredients through the skin, targeting the site of pain and inflammation directly.

This compounded formulation is particularly suited for patients who require localized relief from pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, tendinitis, bursitis, and other similar ailments. It is also beneficial for those who may experience gastrointestinal side effects from oral NSAIDs, as the topical route of administration bypasses the gastrointestinal tract, potentially reducing systemic side effects.

It is important for patients and prescribers to understand that while this topical gel can provide significant relief from pain and inflammation, it should be used as directed and is intended for localized treatment rather than systemic conditions. As with any medication, there may be potential side effects, and it is essential to consult with a healthcare provider before starting any new treatment. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with your medication needs.

Frequently Asked Questions

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What is Diclofenac Sodium 10%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel used for?

This topical gel is used for relieving pain, reducing inflammation, and alleviating discomfort in localized areas. It combines the anti-inflammatory effects of Diclofenac Sodium and Ketoprofen with the anesthetic properties of Lidocaine to address various kinds of pain, including muscular and joint pain.

How should I apply the Diclofenac Sodium/Ketoprofen/Lidocaine Topical Gel?

Apply a thin layer of the gel to the affected area using the pump mechanism, which is designed for controlled dispensing. Rub the gel gently into the skin until it is absorbed. Follow the dosage instructions prescribed by your healthcare provider, and don't use it more often than recommended.

Is this topical gel suitable for children?

Before using this gel for children, consult a pediatrician or healthcare provider.

Can I use Diclofenac Sodium/Ketoprofen/Lidocaine Topical Gel with other medications?

Using this gel in combination with other medications may increase the risk of adverse effects or alter the effectiveness of the drugs. Discuss with your healthcare provider any medications you are currently taking to ensure they are safe to use with this gel.

Are there any known side effects of using this compounded gel?

Common side effects might include skin irritation, redness, or itching at the site of application. If you experience more severe reactions or systemic effects, such as difficulty breathing or gastrointestinal issues, discontinue use and seek medical attention.

What should I do if I miss a dose?

If you miss an application of the gel, apply it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular application schedule. Do not apply extra gel to make up for the missed dose.

How should I store the Diclofenac Sodium/Ketoprofen/Lidocaine Topical Gel?

Store the gel at room temperature, away from direct sunlight and heat. Keep the pump container tightly closed when not in use. Do not freeze the gel, and keep it out of reach of children and pets.

Can I use Diclofenac Sodium/Ketoprofen/Lidocaine Topical Gel while pregnant or breastfeeding?

Consult your healthcare provider before using this gel if you are pregnant, planning to become pregnant, or breastfeeding. There may be potential risks that need to be carefully weighed against the benefits.

What should I avoid while using this topical gel?

Avoid contact with eyes, mucous membranes, and open wounds. Do not cover the treated area with occlusive dressings unless advised by a healthcare provider. Avoid exposure to sunlight or tanning beds on the treated areas due to the potential for increased sensitivity.

Can I apply cosmetics or sunscreen over the area where I have used the gel?

Wait until the gel has completely dried before applying cosmetics, sunscreen, or any other topical product over the same area. Additionally, consult with your healthcare provider regarding the wait time between applying the gel and other substances.

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.

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.

Diclofenac Sodium 10%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Three times daily