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Dimethyl Sulfoxide 5%/Gabapentin 5%/Ketoprofen 5%/Tetracaine 2% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Dimethyl Sulfoxide
Gabapentin
Ketoprofen
Tetracaine Hydrochloride

The Dimethyl Sulfoxide 5%/Gabapentin 5%/Ketoprofen 5%/Tetracaine 2% Transdermal Gel is a specialized medication designed for the management of pain and inflammation associated with conditions such as neuropathic pain, chronic musculoskeletal pain, and complex regional pain syndrome. This unique formulation combines the anti-inflammatory and analgesic properties of dimethyl sulfoxide, gabapentin, ketoprofen, and tetracaine in a transdermal delivery system.

Dimethyl sulfoxide enhances penetration of the other active ingredients into the skin, gabapentin addresses neuropathic pain, ketoprofen provides potent nonsteroidal anti-inflammatory effects, and tetracaine serves as a local anesthetic to reduce immediate discomfort. The semisolid gel is dispensed through a pump mechanism, ensuring consistent dosing and allowing patients to apply the medication directly to the affected area with minimal mess and waste.

This transdermal gel is particularly suited for patients who require localized relief from pain and inflammation, offering a convenient and targeted approach to treatment without the systemic side effects often associated with oral medications.

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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.
Dimethyl Sulfoxide
Gabapentin
Ketoprofen
Tetracaine Hydrochloride
Topical Gel
654eb3e506c94fbb2a85bdc9

Formula Information

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The Dimethyl Sulfoxide 5%/Gabapentin 5%/Ketoprofen 5%/Tetracaine 2% Transdermal Gel is a compounded medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel base provides a suitable medium for the transdermal delivery of the active ingredients, ensuring that they are absorbed into the skin where they can exert their therapeutic effects locally.

Dimethyl Sulfoxide (DMSO) is known for its ability to penetrate the skin and enhance the absorption of other drugs, making it an ideal carrier for the active ingredients in this formulation. DMSO also has anti-inflammatory and analgesic properties, which contribute to the overall effectiveness of the gel.

In this transdermal formulation, Gabapentin may help to alleviate nerve-related pain by modulating the transmission of pain signals.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that provides analgesic and anti-inflammatory effects. It is commonly used for the treatment of musculoskeletal pain and inflammation, making it a valuable component of this compounded gel for patients suffering from conditions such as arthritis or soft tissue injuries.

Tetracaine is a local anesthetic that works by blocking sodium channels, which temporarily numbs the area to which it is applied. This can provide immediate relief from pain and discomfort on the skin's surface.

This unique combination of a carrier agent, a neuropathic pain reliever, an anti-inflammatory, and a local anesthetic makes the gel particularly suited for treating localized pain conditions, such as neuropathies, arthritis, and other musculoskeletal disorders. The transdermal route of administration ensures that the medication is delivered directly to the affected area, minimizing systemic absorption and potential side effects.

Patients and prescribers considering this formulation should be aware of the potential for skin irritation and should monitor for any adverse reactions. It is also important to consider the individual components' contraindications and interactions with other medications. As with any compounded medication, this formulation should be used under the guidance of a healthcare professional who can tailor the treatment to the specific needs of the patient.

If you have any questions or require further information about this transdermal gel formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and appropriate use of our compounded medications.

Drug Interactions

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The transdermal gel formulation containing Dimethyl Sulfoxide (DMSO) 5%, Gabapentin 5%, Ketoprofen 5%, and Tetracaine 2% is designed for topical application and may offer localized relief from pain and inflammation. However, it is important to consider potential drug interactions when using this compound, especially if the patient is taking other medications or has underlying health conditions.

Dimethyl Sulfoxide (DMSO) can enhance the absorption of other compounds through the skin, which may increase the systemic exposure to the other active ingredients in the gel (Gabapentin, Ketoprofen, and Tetracaine) as well as any other topical medications applied to the same area. DMSO may also interact with certain oral medications, such as sedatives or anticoagulants, potentially altering their effects. Patients should be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements.

Gabapentin, when used systemically, has been known to interact with antacids containing aluminum or magnesium, as they can reduce the bioavailability of gabapentin. Although the systemic absorption of gabapentin from the transdermal gel is expected to be lower than oral administration, patients should still be cautious when using antacids concurrently. Additionally, central nervous system depressants and alcohol may enhance the sedative effect of gabapentin, even if it is used topically.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may interact with other NSAIDs, increasing the risk of gastrointestinal ulceration or bleeding. Caution is advised when using this gel in conjunction with other NSAIDs, including over-the-counter aspirin or ibuprofen. Ketoprofen can also interact with anticoagulants, antiplatelet agents, selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs), potentially increasing the risk of bleeding. Patients on such medications should consult their healthcare provider before using this transdermal gel.

Tetracaine is a local anesthetic and, although its systemic absorption is limited in a transdermal formulation, it may still contribute to additive systemic effects if used with other local anesthetics or medications that affect cardiac conduction. Patients with a history of heart disease or those taking antiarrhythmic drugs should use tetracaine-containing products with caution.

This transdermal gel is intended to treat localized pain, including neuropathic pain, inflammatory conditions, and certain types of acute pain. DMSO has anti-inflammatory and analgesic properties, Gabapentin is used for neuropathic pain, Ketoprofen is an NSAID that reduces inflammation and pain, and Tetracaine provides local anesthesia. The combination of these agents in a transdermal formulation allows for targeted application and potentially reduced systemic side effects.

It is crucial for patients and prescribers to be aware of these potential interactions and to monitor for adverse effects. If you have any questions or require further information regarding this formulation and its use, please reach out to us at Bayview Pharmacy. We are here to ensure the safe and appropriate use of compounded medications.

How Does it Work

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The Dimethyl Sulfoxide (DMSO) 5%/Gabapentin 5%/Ketoprofen 5%/Tetracaine 2% Transdermal Gel is a compounded medication designed to deliver active pharmaceutical ingredients through the skin directly to the site of pain or inflammation. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application. The gel-like consistency ensures that the medication stays where it is applied and facilitates the absorption of the active ingredients into the skin.

Dimethyl Sulfoxide (DMSO) is a solvent that has the ability to penetrate the skin and other biological membranes. In this formulation, DMSO serves as a carrier for the other active ingredients, enhancing their absorption through the skin. DMSO also has anti-inflammatory and analgesic properties, which contribute to the overall effectiveness of the formulation.

Gabapentin is a medication primarily used to treat neuropathic pain and seizures. In a topical formulation, gabapentin can target localized neuropathic pain by modulating the activity of certain neurotransmitters and reducing the pain signal transmission in the affected area.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes responsible for producing prostaglandins, which are compounds that cause pain, inflammation, and fever. By reducing the levels of prostaglandins, ketoprofen effectively alleviates inflammation and pain at the site of application.

Tetracaine is a local anesthetic that works by blocking the sodium channels in the nerve endings. This action prevents the initiation and transmission of nerve impulses, leading to a numbing effect in the area where the gel is applied. Tetracaine provides rapid and temporary relief from pain by desensitizing the affected area.

This combination of DMSO, gabapentin, ketoprofen, and tetracaine in a transdermal gel is particularly useful for treating localized pain conditions such as neuropathic pain, inflammatory conditions, and certain musculoskeletal disorders. The transdermal route of administration ensures that the medication has a localized effect, which minimizes systemic absorption and reduces the potential for systemic side effects.

Patients and prescribers considering this formulation should be aware of the individual components' actions and potential interactions. It is important to use this medication as directed by a healthcare professional and to report any adverse effects or concerns promptly. For any questions or additional information regarding this formulation, please 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.

Other Uses

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This particular compounding combination of Dimethyl Sulfoxide (DMSO) 5%, Gabapentin 5%, Ketoprofen 5%, and Tetracaine 2% in a transdermal gel is primarily formulated and dispensed for the purpose of managing pain, providing localized relief from various musculoskeletal conditions such as arthritis, neuropathic pain, and soft tissue inflammation. However, the versatility of the active ingredients allows for several other potential uses, which may be considered off-label. It's important to consult a healthcare provider for proper evaluation and authorization before using this gel for alternative indications.

DMSO is known for its ability to penetrate the skin and enhance the absorption of other medications, which could be beneficial in facilitating the deeper penetration of the other components in this formulation. Some anecdotal evidence suggests that DMSO may help with the management of complex regional pain syndrome (CRPS) due to its anti-inflammatory and analgesic properties. Gabapentin, commonly used for its anticonvulsant and neuropathic pain-relief effects, can potentially aid in conditions outside traditional neuropathies, like postherpetic neuralgia or fibromyalgia. However, evidence for these uses varies in rigor and confirmation.

Tetracaine, meanwhile, is a local anesthetic that can offer temporary relief from itching and pain caused by conditions such as minor burns or insect bites when compounded in this formulation.

It is worth noting that the safety profile, efficacy, and dosage for these alternative uses have not been as clearly established as they are for the primary indications. Therefore, any decision to use this transdermal gel for off-label purposes should be made in collaboration with a medical professional, considering the patient's unique medical history and specific health needs. Patient monitoring and follow-up are crucial to ensure appropriate use and to minimize potential side effects or drug interactions.

If you have any questions about this formulation or its potential other uses, please do not hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is committed to providing comprehensive information and support to ensure the safe and beneficial use of compounded medications.

Frequently Asked Questions

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What is the purpose of this transdermal gel?

This compounded transdermal gel is designed for targeted treatment through the skin, employing a compound formulation of Dimethyl Sulfoxide (DMSO), Gabapentin, Ketoprofen, and Tetracaine to address issues such as pain or inflammation in a specific area of the body.

How should I use this transdermal gel?

Apply the gel as prescribed by your healthcare provider, typically by pressing the pump to dispense the required amount and gently massaging it onto the skin over the affected area. Always follow the prescribed dosage and do not exceed the recommended application frequency.

Can this gel be applied to any area of the body?

It is important to apply this gel only to the area of the body as directed by your healthcare provider. Avoid sensitive areas such as the eyes, mouth, and mucous membranes, and any broken or damaged skin.

What are the possible side effects of this compounded gel?

Side effects may include local skin irritation, redness, or itching at the application site. Systemic side effects are less common but possible due to the absorption of active ingredients. If you experience any adverse reactions or side effects, contact your healthcare provider immediately.

How does the pump mechanism work?

The pump mechanism is designed to accurately dispense a consistent amount of gel with each press, ensuring you receive the correct dosage. Before the first use, prime the pump by pressing it a few times until the product is dispensed, then apply the amount as prescribed.

Is this formulation safe for children?

The use of this transdermal gel in children has not been established and should only be used if prescribed by a healthcare professional who has taken into consideration the safety and dosage for pediatric patients.

Will this gel interact with other medications I'm taking?

As with any medication, interactions are possible. Inform your healthcare provider about all the medications, supplements, and herbs you are currently taking to ensure that there are no potential interactions with the ingredients in the gel.

Can I cover the treated area with a bandage or dressing?

Do not cover the treated area with a bandage or occlusive dressing unless advised by your healthcare provider, as this may increase absorption of the medication and raise the risk of side effects.

How should I store this medication?

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

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose, and continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose.

Is it normal for the gel to cause a cooling or warming sensation upon application?

You may experience a temporary cooling or warming sensation upon applying the gel. This is generally normal and is a response triggered by the ingredients interacting with your skin. If the sensation causes discomfort or persists, consult your healthcare provider.

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.

Dimethyl Sulfoxide 5%/Gabapentin 5%/Ketoprofen 5%/Tetracaine 2% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)