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Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% Topical Gel

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

Bayview Pharmacy's compounded formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% Topical Gel is a semisolid medication dispensed through a pump mechanism. This formulation allows for easy and precise application on the skin, facilitating targeted treatment or absorption of active ingredients. It is used to manage conditions such as neuropathic pain, fibromyalgia, complex regional pain syndrome, postherpetic neuralgia, and migraine headaches.

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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.
Ketamine Hydrochloride
Gabapentin
Lidocaine Hydrochloride
Clonidine Hydrochloride
Topical Gel
6427079ea643241d23518cdb
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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Bayview Pharmacy is pleased to present a specialized topical gel formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2%. This unique compounded formulation is designed to provide symptomatic relief for a range of conditions, including chronic pain, neuropathic pain, and inflammation. The synergistic effect of these four active ingredients allows for a more potent treatment than any of the individual components used separately.

Ketamine HCl, a long-established anesthetic, works by inhibiting the transmission of pain signals to the brain, thereby creating a numbing effect. Gabapentin, an anticonvulsant, is commonly used to manage neuropathic pain and seizures. Lidocaine HCl, a local anesthetic, is utilized to alleviate pain and inflammation. Clonidine HCl, an antihypertensive, has been employed to reduce inflammation and provide relief from chronic pain.

It is particularly beneficial for individuals suffering from chronic pain, neuropathic pain, and inflammation. The semisolid formulation dispensed through a pump mechanism facilitates easy and precise application on the skin for targeted treatment or absorption of active ingredients in a gel-like consistency. This allows for a more localized effect and targeted delivery of the active ingredients.

If you have any inquiries about this formulation or how it can be utilized to manage your condition, please do not hesitate to contact us at Bayview Pharmacy. Our team of experienced and dedicated pharmacists is always ready to assist and provide the necessary guidance.

Drug Interactions

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This compounded formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% Topical Gel is a semisolid preparation designed for easy and precise application on the skin. It is dispensed through a pump mechanism, ensuring targeted treatment or absorption of the active ingredients in a gel-like consistency. This formulation is primarily used for the management of chronic pain, neuropathic pain, and post-surgical pain. It also aids in reducing inflammation and promoting wound healing.

Ketamine HCl, an NMDA receptor antagonist, is known for its efficacy in treating chronic pain, neuropathic pain, and post-surgical pain. It also contributes to the reduction of inflammation and enhancement of wound healing. Gabapentin, an anticonvulsant, shares similar therapeutic benefits and is also used in the management of chronic pain, neuropathic pain, and post-surgical pain. It too aids in reducing inflammation and promoting wound healing.

Lidocaine HCl, a local anesthetic, is another component of this formulation. It is used in the treatment of chronic pain, neuropathic pain, and post-surgical pain, and it also contributes to the reduction of inflammation and enhancement of wound healing. Clonidine HCl, an alpha-2 agonist, is also included in this formulation for its efficacy in treating chronic pain, neuropathic pain, and post-surgical pain. It too aids in reducing inflammation and promoting wound healing.

Patients with a history of cardiovascular disease, renal impairment, or hepatic impairment should use this formulation with caution. It should also be used with caution by patients taking other medications that may interact with the components of this formulation. Monitoring for signs of adverse reactions, such as dizziness, drowsiness, nausea, vomiting, and confusion, is recommended. If you have any questions about this formulation or its use, please consult with a healthcare professional.

How Does it Work

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This compounded formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% Topical Gel is a semisolid formulation that is dispensed through a pump mechanism. This design allows for easy and precise application on the skin, targeting the treatment area directly and facilitating the absorption of the active ingredients in a gel-like consistency.

The topical gel formulation is a combination of four active ingredients: Ketamine HCl 10%, Gabapentin 6%, Lidocaine HCl 2%, and Clonidine HCl 0.2%. Each of these ingredients plays a crucial role in managing various conditions such as chronic pain, neuropathic pain, and inflammation.

Ketamine HCl is an anesthetic that functions by blocking nerve signals in the brain and spinal cord, thereby reducing pain and inflammation. Gabapentin, an anticonvulsant, works by decreasing the release of certain neurotransmitters in the brain, helping to alleviate neuropathic pain and inflammation. Lidocaine HCl is a local anesthetic that blocks nerve signals in the area where it is applied, contributing to pain and inflammation reduction. Lastly, Clonidine HCl is an antihypertensive medication that decreases the activity of certain hormones in the body, aiding in the reduction of inflammation.

When applied to the affected area, the active ingredients in this topical gel formulation are absorbed through the skin and enter the bloodstream. Working in synergy, these ingredients help to reduce pain and inflammation, providing relief to the patient.

It is safe and well-tolerated when used as directed. If you have any questions about this topical gel formulation or its mechanism of action, please do not hesitate to reach out for further information.

Other Uses

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This compounded formulation of Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% is a semisolid topical gel dispensed through a pump mechanism. This design allows for easy and precise application on the skin, ensuring targeted treatment or absorption of the active ingredients. The gel-like consistency of the formulation enhances its absorption and effectiveness.

The formulation is primarily used for the management of neuropathic pain, fibromyalgia, complex regional pain syndrome, postherpetic neuralgia, and migraine headaches. However, its use is not limited to these conditions. It can also be employed in the treatment of chronic musculoskeletal pain, chronic low back pain, and chronic pelvic pain. The anti-inflammatory properties of the formulation can aid in reducing inflammation and promoting wound healing.

Moreover, the formulation has been found to alleviate symptoms of anxiety and depression, adding to its versatility. However, patients should be aware that this formulation may cause skin irritation and should be used with caution. It is crucial to adhere to the instructions provided by the prescriber to ensure safe and appropriate use of this formulation.

While this formulation offers a wide range of therapeutic benefits, it is essential to consult with a healthcare provider before starting any new medication regimen. If you have any questions or concerns about the use of this formulation, it is recommended to reach out to a healthcare professional for guidance.

Frequently Asked Questions

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What is the Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% Topical Gel?

This is a compounded formulation of four active ingredients: Ketamine HCl, Gabapentin, Lidocaine HCl, and Clonidine HCl. It is a semisolid formulation that is dispensed through a pump mechanism for easy and precise application on the skin.

What is the purpose of this compounded formulation?

This formulation is designed for targeted treatment or absorption of the active ingredients. It is typically used for pain management, particularly for conditions that respond to these specific medications.

How should I apply this topical gel?

The gel should be applied directly to the skin in the area requiring treatment. The pump mechanism allows for easy and precise application. Always follow your healthcare provider's instructions regarding the amount and frequency of application.

What are the active ingredients in this formulation?

The active ingredients in this formulation are Ketamine HCl, Gabapentin, Lidocaine HCl, and Clonidine HCl. These medications work together to manage pain and discomfort.

What is the consistency of this topical gel?

This topical gel has a gel-like consistency. It is a semisolid formulation that is dispensed through a pump mechanism.

Can I use this topical gel for any type of pain?

This topical gel is typically prescribed for specific types of pain, particularly those that respond to the active ingredients in the formulation. Always use this medication as directed by your healthcare provider.

Are there any side effects associated with this topical gel?

As with any medication, there can be side effects. These can vary depending on the individual and the condition being treated. If you experience any unusual symptoms or side effects, contact your healthcare provider immediately.

How should I store this topical gel?

Store this medication at room temperature, away from heat and direct light. Do not freeze. Keep out of the 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. If it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not apply two doses at the same time or extra doses.

Can I use this topical gel with other medications?

Always inform your healthcare provider of any other medications you are taking, including prescription, over-the-counter, vitamins, and herbal supplements. Some medications may interact with this topical gel, altering its effectiveness or causing 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.

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.

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.

Ketamine HCl 10%/Gabapentin 6%/Lidocaine HCl 2%/Clonidine HCl 0.2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily