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Ketamine 5%/Ketoprofen 15% Transdermal Gel

Ketamine 5%/Ketoprofen 15% Transdermal Gel is a compounded medication at Bayview Pharmacy designed to help manage chronic pain, neuropathy, and fibromyalgia.
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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.
Ketoprofen
Ketamine Hydrochloride
Topical Gel
65aec2fcd0e7e1a674793410

Formula Information

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The Ketamine 5%/Ketoprofen 15% Transdermal Gel is a specialized medication compounded by the expert team at Bayview Pharmacy to provide targeted relief for various conditions. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures easy and precise application directly to the affected area of the skin. The gel-like consistency allows for the active ingredients, ketamine and ketoprofen, to be absorbed transdermally, offering an alternative route of administration for patients who may have difficulties with oral medications or those seeking localized effect without systemic involvement.

Ketamine, a medication primarily known for its anesthetic properties, is utilized in this formulation at a 5% concentration for its potential analgesic effects. It may help in managing chronic pain, especially neuropathic pain, by blocking NMDA receptors and reducing pain signaling in the central nervous system. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), is included at a 15% concentration and works by inhibiting the cyclooxygenase enzymes COX-1 and COX-2, leading to a decrease in the production of prostaglandins, thereby reducing inflammation and pain.

This combination gel is particularly useful for patients suffering from conditions such as neuropathic pain, complex regional pain syndrome (CRPS), musculoskeletal disorders, and certain types of arthritis. By delivering the medications directly to the site of pain or inflammation, the transdermal route may reduce the risk of systemic side effects and provide a more favorable safety profile compared to systemic administration. Additionally, the transdermal application can result in sustained release of medication over time, potentially providing longer-lasting relief.

It is important for both patients and prescribers to be aware that this compounded medication should be used under the guidance of a healthcare professional, and it is essential to follow the prescribed dosing regimen. The effectiveness and safety of the Ketamine 5%/Ketoprofen 15% Transdermal Gel may vary among individuals, and close monitoring for adverse effects or allergic reactions is recommended. As with all compounded medications, this formulation is prepared specifically for individual patients based on a prescriber's order, ensuring that it meets the unique needs of each patient.

If you have any questions or require further information about the Ketamine 5%/Ketoprofen 15% Transdermal Gel, 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 this medication.

Drug Interactions

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The combination of ketamine, an NMDA receptor antagonist, and ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), in a transdermal gel formulation is designed for localized pain relief. While this formulation allows for targeted application and potentially reduced systemic side effects, it is important to consider potential drug interactions that may occur with systemic absorption of these medications.

Ketamine may interact with central nervous system (CNS) depressants, such as benzodiazepines, opioids, and alcohol. Concurrent use of these substances with ketamine can enhance sedation, respiratory depression, and increase the risk of CNS depression. Patients should be advised to avoid or limit the use of alcohol and other CNS depressants while using this formulation.

Ketoprofen, as an NSAID, can interact with various medications. It may increase the risk of bleeding when combined with anticoagulants (e.g., warfarin) or antiplatelet agents (e.g., aspirin, clopidogrel). Monitoring for signs of bleeding is advised if these medications are used concomitantly. Additionally, ketoprofen can reduce the effectiveness of antihypertensive drugs, such as ACE inhibitors and beta-blockers, and may worsen renal function when used with diuretics or other nephrotoxic drugs. Caution is advised in patients with pre-existing renal impairment or those taking medications that affect renal function.

Concomitant use of ketoprofen with other NSAIDs, including over-the-counter products, should be avoided to reduce the risk of additive side effects, such as gastrointestinal irritation or increased risk of renal impairment. Patients should also be aware of the potential for increased photosensitivity and are advised to use sun protection while using this formulation.

It is important to note that while the transdermal route of administration may reduce systemic exposure, systemic absorption can still occur, and the potential for drug interactions exists. Patients should inform their healthcare providers of all medications they are taking, including prescription, over-the-counter, and herbal supplements, to assess for potential interactions. Prescribers should review the patient's medication profile for potential interactions before prescribing this transdermal gel.

For any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide guidance and support to ensure the safe and appropriate use of this medication.

How Does it Work

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The Ketamine 5%/Ketoprofen 15% Transdermal Gel is a specialized medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel is applied directly to the skin, where it is intended to provide localized relief from pain and inflammation. The transdermal delivery system is advantageous because it allows the active ingredients to be absorbed through the skin, directly targeting the affected area, which may reduce systemic side effects compared to oral administration.

Ketamine, a medication primarily known for its anesthetic properties, is used in this formulation at a 5% concentration. When applied topically, ketamine works by blocking N-methyl-D-aspartate (NMDA) receptors in the nervous system. This action can help reduce the sensation of pain, particularly neuropathic pain, which is pain caused by nerve damage or a malfunctioning nervous system. By inhibiting these receptors, ketamine can interfere with pain signals traveling to the brain, thus providing relief.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), is included at a 15% concentration and contributes to the gel's pain-relieving and anti-inflammatory effects. Ketoprofen works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the production of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammation process. By reducing their production, ketoprofen can decrease inflammation and pain in the tissues where the gel is applied.

This combination of ketamine and ketoprofen in a transdermal gel form is particularly useful for treating localized pain conditions, such as musculoskeletal pain, arthritis, or neuropathic pain syndromes. The transdermal route allows for a sustained release of medication over time, which can provide prolonged pain relief without the need for frequent dosing. Additionally, the localized effect minimizes the potential for systemic side effects that are often associated with oral NSAIDs and systemic ketamine use.

It is also crucial to consider the patient's overall health status and any other medications they may be taking to avoid drug interactions. For any questions or concerns regarding the use of Ketamine 5%/Ketoprofen 15% Transdermal Gel, or to discuss its suitability for specific pain conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure appropriate treatment for our patients.

Other Uses

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While the primary indication for this Ketamine 5%/Ketoprofen 15% Transdermal Gel is pain management, particularly for conditions such as neuropathic pain, musculoskeletal disorders, and inflammatory conditions, there are other potential uses that prescribers and patients might consider. Please note that some of these uses are off-label and should be discussed thoroughly with a healthcare provider before proceeding.

In certain cases, patients suffering from complex regional pain syndrome (CRPS) may find relief with the application of this transdermal gel. The analgesic effects of ketamine, coupled with the anti-inflammatory properties of ketoprofen, might help to alleviate the chronic pain associated with CRPS when traditional oral medications do not provide sufficient relief.

Patients with certain types of dermatological conditions characterized by inflammation and pain, such as psoriasis or eczema, may experience symptomatic relief due to the anti-inflammatory nature of ketoprofen. Although ketamine's primary role in this formulation is analgesia, it may also have secondary benefits in reducing the sensation of itch, which is common in dermatological conditions.

Additionally, there may be potential for this gel to be used in palliative care settings, where patients may require topical management of pain due to various etiologies, particularly when systemic therapies are not tolerated or are contraindicated.

It's important to understand that the benefits of this gel outside of the approved indications are not as thoroughly researched, and its use should be guided by clinical judgment along with consideration of the safety profile. Before making a decision to utilize this gel for an off-label use, both prescribers and patients should weigh the risks and benefits, and consider any available evidence supporting its use in a specific condition. Monitoring for side effects is especially crucial when the gel is being used for purposes beyond its primary indications.

Consideration should also be given to any contraindications, such as hypersensitivity to ketamine, ketoprofen, or any of the excipients contained within the gel, and in those with conditions where the absorption of these agents could be detrimental. It's also essential to ensure that this formulation is not applied to broken or damaged skin, as this could potentially increase systemic absorption of the active ingredients and lead to unwanted side effects.

For a more in-depth discussion, and if there are any specific questions regarding the potential uses of this Ketamine 5%/Ketoprofen 15% Transdermal Gel, or if guidance is needed regarding its suitability for a particular patient or condition, please do not hesitate to reach out to us at Bayview Pharmacy. We are committed to the provision of comprehensive pharmaceutical care and are more than willing to assist healthcare providers and patients with personalized information and support.

Frequently Asked Questions

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What is Ketamine 5%/Ketoprofen 15% Transdermal Gel used for?

This compounded medication is designed to manage pain through a unique combination of ketamine, an anesthetic, and ketoprofen, a non-steroidal anti-inflammatory drug (NSAID). It's applied transdermally to deliver targeted relief at the site of pain or inflammation without the systemic side effects of oral medications.

How do I apply Ketamine 5%/Ketoprofen 15% Transdermal Gel?

The gel should be applied to clean, unbroken skin over the area of pain. Dispense the gel using the pump mechanism, which provides a measured dose, and gently rub in until fully absorbed. Do not cover with a bandage unless instructed by a healthcare provider.

How often should I use the transdermal gel?

The frequency of application will depend on your healthcare provider’s prescription, based on your specific condition and response to therapy. It is important to follow their instructions precisely and not to exceed the recommended dose.

Can I experience side effects from using this transdermal gel?

As with any medication, side effects are possible. Common side effects may include local skin irritation or reactions at the application site. If systemic side effects occur, such as dizziness or gastrointestinal issues, consult with your healthcare provider immediately.

Is this medication suitable for everyone?

No, certain individuals should not use this medication. Those with allergies to ketamine, ketoprofen, or any other components of the gel should avoid it. Additionally, it should be used with caution in patients with specific medical conditions—consult your healthcare provider for an assessment.

Can I use Ketamine 5%/Ketoprofen 15% Transdermal Gel with other medications?

Always discuss with your healthcare provider any other medications you are taking to ensure there are no interactions. This includes over-the-counter drugs, prescription medications, and herbal supplements.

How should I store this medication?

Store the gel at room temperature, away from heat and moisture. Keep the medication out of reach of children and pets, and do not allow the gel to freeze.

What should I do if I miss a dose?

If you miss a scheduled dose, apply it as soon as you remember. However, if it's close to the time for your next application, skip the missed dose and continue with your regular dosing schedule. Do not double the application to make up for a missed dose.

Can I shower or swim after applying the gel?

Water can affect the medication absorption or wash it off. It is usually recommended to apply the gel well in advance of swimming or showering to ensure adequate absorption. Generally, waiting at least an hour after application is advised, but follow your healthcare provider’s guidance.

Is it safe to use Ketamine 5%/Ketoprofen 15% Transdermal Gel during pregnancy or while breastfeeding?

The safety of this medication for pregnant or breastfeeding women has not been fully established. If you are pregnant, planning to become pregnant, or are breastfeeding, you should talk to your healthcare provider to weigh the potential risks and benefits before using this medication.

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.

Ketamine 5%/Ketoprofen 15% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)