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Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin
Ketoprofen
Lidocaine Hydrochloride

This Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel is a semisolid formulation designed for targeted relief of pain and inflammation associated with conditions such as neuropathic pain, arthritis, and localized musculoskeletal pain.

Dispensed through a pump mechanism, it facilitates easy and precise application on the skin. This formulation combines the analgesic and anti-inflammatory properties of ketoprofen, the nerve pain relief of gabapentin, and the numbing effect of lidocaine to provide comprehensive pain management.

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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
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.
Gabapentin
Ketoprofen
Lidocaine Hydrochloride
Topical Gel
Service area

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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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This compounded Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel is a specialized formulation designed to provide targeted relief from pain and inflammation directly at the site of discomfort. Administered through a convenient pump mechanism, this semisolid gel ensures precise dosing and easy application, allowing the active ingredients to be absorbed effectively through the skin.

Gabapentin is known for its efficacy in managing neuropathic pain by modulating nerve signal transmission, which can alleviate sensations of burning, tingling, and shooting pain associated with nerve damage. When used topically, gabapentin acts locally to diminish neuropathic pain without significant systemic absorption, thereby reducing the risk of systemic side effects commonly seen with oral administration.

Ketoprofen, a potent non-steroidal anti-inflammatory drug (NSAID), works by inhibiting the synthesis of prostaglandins that mediate inflammation and pain. By delivering ketoprofen directly to the affected area, the gel helps reduce local inflammation, swelling, and pain associated with conditions like arthritis, tendonitis, and musculoskeletal injuries.

Lidocaine is a local anesthetic that provides rapid onset of pain relief by blocking sodium channels responsible for nerve signal propagation. Its inclusion in the gel offers immediate numbing of the painful area, enhancing patient comfort while the gabapentin and ketoprofen exert their therapeutic effects.

The combination of these three active ingredients allows for a multimodal approach to pain management, addressing different pain pathways simultaneously. This makes the formulation particularly useful for patients suffering from chronic pain conditions such as neuropathies, osteoarthritis, and localized musculoskeletal pain, where both neuropathic and inflammatory components are present.

Patients should apply the gel as prescribed, typically by dispensing a specific amount from the pump and gently massaging it into the clean, dry skin over the affected area. It is important to avoid contact with open wounds, mucous membranes, or eyes. Patients should wash their hands before and after applying the gel to prevent unintentional spread to other body areas or individuals.

Prescribers considering this formulation should assess the patient’s medical history for potential contraindications, such as hypersensitivity to any of the active ingredients or other NSAIDs. While systemic absorption is minimal, caution is advised in patients with impaired renal function or those taking other medications that may interact with gabapentin, ketoprofen, or lidocaine. Monitoring for local skin reactions or signs of systemic side effects is recommended during the course of treatment.

If you have any questions, reach out to us.

Drug Interactions

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When using the Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel, it is important to consider potential drug interactions that may affect the efficacy and safety of the treatment. This formulation is designed for topical application, which generally reduces the risk of systemic drug interactions compared to oral medications. However, certain interactions may still occur, particularly if the patient is using other topical or systemic medications that could interact with the active ingredients in the gel.

Gabapentin, primarily used for neuropathic pain, has a low potential for drug interactions due to its renal excretion and lack of significant metabolism. However, caution should be exercised if the patient is taking other central nervous system (CNS) depressants, as gabapentin can enhance the sedative effects of these medications. Patients should inform their healthcare provider if they are using medications such as opioids, benzodiazepines, or alcohol, as these can increase the risk of CNS depression.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with other medications that affect bleeding risk or renal function. Patients using anticoagulants, antiplatelet agents, or other NSAIDs should be monitored closely, as the concurrent use of these medications can increase the risk of gastrointestinal bleeding or renal impairment. Additionally, ketoprofen may reduce the antihypertensive effects of certain blood pressure medications, such as ACE inhibitors, angiotensin II receptor blockers, and diuretics. Patients should inform their healthcare provider of all medications they are taking to assess potential interactions.

Lidocaine, a local anesthetic, is generally well-tolerated when used topically. However, systemic absorption can occur, especially if applied over large areas or broken skin, potentially leading to interactions with other antiarrhythmic drugs or medications that affect cardiac conduction. Patients with a history of cardiac arrhythmias or those taking medications such as beta-blockers or calcium channel blockers should use this formulation with caution and under medical supervision.

It is crucial for both patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of the Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel. Patients should provide a complete list of their current medications, including over-the-counter drugs and supplements, to their healthcare provider. If you have any questions or concerns about drug interactions or the use of this formulation, please reach out to us for further assistance.

How Does it Work

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The Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel is a compounded formulation designed to deliver a synergistic combination of active ingredients directly to the site of pain or inflammation. This semisolid gel is dispensed through a pump mechanism, allowing for easy and precise application on the skin, ensuring targeted treatment and optimal absorption of the active ingredients. The gel-like consistency facilitates even distribution over the affected area, enhancing the therapeutic effects of the formulation.

Gabapentin, a key component of this formulation, is primarily known for its ability to modulate the activity of neurotransmitters in the nervous system. When applied topically, gabapentin can provide localized relief by directly affecting the peripheral nerves in the area of application, minimizing systemic side effects often associated with oral administration.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), is included in the formulation for its potent anti-inflammatory and analgesic properties. By inhibiting the cyclooxygenase (COX) enzymes, ketoprofen reduces the production of prostaglandins, which are mediators of inflammation and pain. The high concentration of ketoprofen in this topical gel allows for significant reduction of inflammation and pain at the site of application, making it particularly useful for conditions involving localized inflammation, such as arthritis or musculoskeletal injuries.

Lidocaine, a local anesthetic, is incorporated into the gel to provide immediate pain relief by blocking sodium channels in the neuronal cell membrane. This action prevents the initiation and conduction of nerve impulses, effectively numbing the area and providing rapid relief from pain. The inclusion of lidocaine in this formulation ensures that patients experience prompt alleviation of discomfort while the other active ingredients work to address the underlying causes of pain and inflammation.

This combination of gabapentin, ketoprofen, and lidocaine in a topical gel form is particularly beneficial for patients who require targeted pain management without the systemic side effects associated with oral medications. The formulation is suitable for treating a variety of disease states, including neuropathic pain, localized inflammatory conditions, and acute musculoskeletal injuries. By delivering the active ingredients directly to the site of pain, this topical gel provides a comprehensive approach to pain management, addressing both the symptoms and underlying causes of discomfort.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Other Uses

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The Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel, dispensed through a convenient pump mechanism, is primarily designed for targeted pain relief and anti-inflammatory effects. However, beyond its primary indications, this formulation may offer additional therapeutic benefits for various conditions. The combination of gabapentin, ketoprofen, and lidocaine in a topical gel form allows for localized treatment, which can be particularly beneficial for patients who may not tolerate systemic medications well or who require targeted therapy to specific areas of the body.

Gabapentin, known for its role in neuropathic pain management, may also be useful in alleviating symptoms associated with restless leg syndrome and certain types of chronic pain syndromes that are not fully addressed by traditional pain medications. Its topical application can provide relief with potentially fewer systemic side effects compared to oral administration. The topical delivery of ketoprofen allows for direct action at the site of inflammation, which can enhance its efficacy and minimize gastrointestinal side effects commonly associated with oral NSAIDs.

Lidocaine, a local anesthetic, is included in the formulation to provide immediate pain relief by numbing the affected area. This can be particularly beneficial for patients experiencing acute pain flare-ups or those undergoing physical therapy, as it can facilitate movement and participation in rehabilitation exercises by reducing pain. Additionally, the combination of these active ingredients in a gel form allows for a synergistic effect, potentially enhancing the overall therapeutic outcome for patients with complex pain conditions.

For prescribers, this formulation offers a versatile option for patients who may benefit from a multimodal approach to pain management. It can be considered for off-label use in conditions where localized pain and inflammation are prominent features, and where systemic treatment options are limited or contraindicated. As always, it is important to evaluate each patient's individual needs and medical history when considering this formulation. If you have any questions or need further information about this topical gel, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in optimizing treatment outcomes.

Frequently Asked Questions

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What is Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel used for?

This topical gel is used for targeted pain relief and inflammation reduction. Gabapentin helps in managing neuropathic pain, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation, and Lidocaine is a local anesthetic that numbs the area to relieve pain.

How should I apply the Gabapentin/Ketoprofen/Lidocaine gel?

Apply the gel to the affected area using the pump mechanism for precise dosing. Gently rub it into the skin until it is absorbed. Follow your healthcare provider's instructions regarding the amount and frequency of application.

Can I use this gel on broken or irritated skin?

No, you should not apply this gel to broken, irritated, or infected skin. It is intended for use on intact skin only. Consult your healthcare provider if you have concerns about skin conditions.

Are there any side effects associated with this topical gel?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe reactions or symptoms persist, discontinue use and consult your healthcare provider.

How does the pump mechanism work?

The pump mechanism dispenses a measured amount of gel, ensuring easy and precise application. This helps in applying the correct dose and minimizing waste.

Can I use this gel with other medications?

Before using this gel with other medications, consult your healthcare provider to avoid potential interactions. This is especially important if you are using other topical treatments or taking oral medications for pain or inflammation.

How should I store the Gabapentin/Ketoprofen/Lidocaine gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets. Do not freeze the gel.

Is this gel suitable for all age groups?

This gel is typically prescribed for adults. If you are considering its use for children or elderly patients, consult a healthcare provider for appropriate guidance and dosage adjustments.

What should I do if I miss a dose?

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

Can I use this gel during pregnancy or while breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using this gel. They will assess the potential risks and benefits to determine if it is safe for you to use.

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.

Gabapentin 6%/Ketoprofen 20%/Lidocaine 10% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily