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Ketamine HCl 10 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Ketamine Hydrochloride

Ketamine HCl 10 mg/mL Oral Suspension is a liquid dosage form where ketamine hydrochloride is uniformly dispersed in a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to manage treatment-resistant depression, chronic pain, and certain anxiety disorders, providing an alternative therapeutic option for patients who have not responded to conventional treatments.

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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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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
Suspension
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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Ketamine Hydrochloride (HCl) 10 mg/mL Oral Suspension is a liquid medication formulated to provide precise dosing of ketamine in an easy-to-administer form. This suspension ensures that ketamine is uniformly dispersed throughout the liquid medium, resulting in a homogeneous mixture that offers consistent therapeutic effects with each dose.

Ketamine is known for its anesthetic and analgesic properties. In medical settings, it has been utilized for induction and maintenance of anesthesia. Additionally, ketamine has been studied for its potential benefits in managing chronic pain and certain mood disorders. The oral suspension form allows for alternative administration routes, particularly beneficial for patients who may have difficulties with injections or require tailored dosing regimens.

For patients, this formulation offers a convenient method of administration, especially for those who have trouble swallowing pills or capsules. The liquid form can be easier to ingest and can be flavored to improve taste, enhancing adherence to the treatment plan. Precise dosing is possible with the 10 mg/mL concentration, allowing for adjustments as directed by a healthcare provider to meet individual therapeutic needs.

For prescribers, Ketamine HCl 10 mg/mL Oral Suspension provides flexibility in dosing and the ability to customize treatments. This is particularly useful when standard dosages are ineffective or when specific patient conditions require unique dosing strategies. Compounding this medication allows for adjustments in concentration and volume, enabling personalized care that aligns with the latest clinical guidelines and patient responses.

It is important to monitor patients closely during ketamine therapy due to its potent effects and the potential for side effects such as dizziness, nausea, or changes in blood pressure. Both patients and caregivers should be educated on the proper administration of the suspension, adherence to prescribed dosing schedules, and the importance of reporting any adverse reactions or concerns promptly to their healthcare provider.

If you have any questions about Ketamine HCl 10 mg/mL Oral Suspension or need further information, please reach out to us for assistance.

Drug Interactions

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Ketamine HCl 10 mg/mL Oral Suspension is a compounded liquid formulation designed to provide a homogeneous mixture for administration, ensuring consistent dosing and ease of use. This formulation is primarily used for the management of treatment-resistant depression, chronic pain syndromes, and certain psychiatric disorders. However, it is crucial to be aware of potential drug interactions that may affect the safety and efficacy of ketamine therapy.

Ketamine is an NMDA receptor antagonist and can interact with a variety of medications, potentially altering their effects or increasing the risk of adverse reactions. One significant interaction is with central nervous system (CNS) depressants, such as benzodiazepines, opioids, and alcohol. Concurrent use of these substances with ketamine can potentiate CNS depression, leading to enhanced sedation, respiratory depression, and impaired cognitive and motor functions. Patients should be advised to avoid or limit the use of these substances while on ketamine therapy.

Another important interaction to consider is with medications that affect hepatic enzyme activity, particularly those that induce or inhibit cytochrome P450 enzymes. Ketamine is primarily metabolized by CYP3A4, CYP2B6, and CYP2C9. Inducers of these enzymes, such as rifampin, phenytoin, and carbamazepine, may decrease ketamine plasma concentrations, potentially reducing its therapeutic effects. Conversely, inhibitors like fluconazole, erythromycin, and certain protease inhibitors may increase ketamine levels, heightening the risk of toxicity. It is essential to monitor patients closely and adjust ketamine dosages as necessary when these medications are co-administered.

Additionally, ketamine may interact with sympathomimetic agents, such as epinephrine and norepinephrine, leading to increased cardiovascular effects like hypertension and tachycardia. Caution is advised when using ketamine in patients receiving these agents, and cardiovascular parameters should be monitored regularly.

Patients with a history of substance use disorder should be carefully evaluated before initiating ketamine therapy, as there is a potential for abuse and dependence. Prescribers should assess the risk-benefit ratio in these individuals and consider alternative treatments if necessary.

For patients and prescribers considering the use of Ketamine HCl 10 mg/mL Oral Suspension, it is vital to conduct a thorough medication review to identify potential interactions and adjust treatment plans accordingly. If you have any questions or require further information, please reach out to us at Bayview Pharmacy. We are here to assist you in ensuring safe and appropriate use of this formulation.

How Does it Work

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Ketamine HCl 10 mg/mL Oral Suspension is a compounded liquid formulation designed to deliver ketamine hydrochloride in a precise and easily administrable form. This formulation is particularly beneficial for patients who may have difficulty swallowing tablets or capsules, providing an alternative route of administration that ensures consistent dosing and rapid absorption. The oral suspension is a homogeneous mixture, meaning that the active ingredient, ketamine hydrochloride, is evenly distributed throughout the liquid medium. This uniform dispersion is crucial for maintaining the accuracy of each dose, ensuring that patients receive the intended therapeutic effect with each administration.

Ketamine is a well-known NMDA receptor antagonist, which means it works by blocking the N-methyl-D-aspartate (NMDA) receptors in the brain. These receptors are involved in the transmission of pain signals and the modulation of mood and perception. By inhibiting these receptors, ketamine can produce analgesic effects, making it useful in the management of chronic pain conditions. Additionally, ketamine has been shown to have rapid-acting antidepressant properties, which can be particularly beneficial for patients with treatment-resistant depression or those who require immediate relief from severe depressive symptoms.

The oral suspension form of ketamine allows for flexible dosing, which can be tailored to the specific needs of the patient. This is particularly important in the treatment of complex conditions where individual responses to medication can vary significantly. The liquid form also facilitates titration, allowing healthcare providers to adjust the dose incrementally to achieve the desired therapeutic effect while minimizing potential side effects. This personalized approach to dosing can enhance the overall effectiveness of the treatment and improve patient outcomes.

For prescribers, the use of ketamine HCl oral suspension offers a versatile tool in the management of various disease states, including chronic pain syndromes and mood disorders. It is important to monitor patients closely for any adverse effects, as ketamine can cause side effects such as dizziness, nausea, and dissociation. However, when used appropriately, ketamine can provide significant relief for patients who have not responded to other treatments. As with any medication, it is essential to consider the individual patient's medical history and current medications to avoid potential interactions and contraindications.

Patients using ketamine HCl oral suspension should follow their healthcare provider's instructions carefully and report any unusual symptoms or concerns promptly. The liquid formulation should be stored as directed, typically in a cool, dry place, and shaken well before each use to ensure proper mixing of the active ingredient. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and prescribers in optimizing treatment outcomes with compounded medications.

Other Uses

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Ketamine HCl 10 mg/mL Oral Suspension is primarily known for its use in anesthesia and pain management, but it has garnered attention for several other potential therapeutic applications. Beyond its traditional roles, ketamine is being explored for its rapid-acting antidepressant effects, particularly in treatment-resistant depression. This formulation can be beneficial for patients who have not responded to conventional antidepressants, offering a novel mechanism of action that targets the NMDA receptors in the brain, potentially leading to rapid mood improvements.

Additionally, ketamine is being investigated for its efficacy in managing certain anxiety disorders, including generalized anxiety disorder and social anxiety disorder. Its unique pharmacological profile may provide relief for patients who experience severe anxiety symptoms that are unresponsive to standard treatments. Furthermore, ketamine has shown promise in the treatment of post-traumatic stress disorder (PTSD), where it may help alleviate symptoms by modulating the brain's response to stress and trauma.

In the realm of chronic pain management, ketamine oral suspension may serve as an adjunctive therapy for conditions such as fibromyalgia and complex regional pain syndrome (CRPS), where traditional pain medications have limited effectiveness. Its ability to modulate pain pathways can offer significant relief for patients suffering from debilitating pain syndromes.

For prescribers considering ketamine HCl 10 mg/mL Oral Suspension for these alternative uses, it is crucial to weigh the benefits against potential risks, including the possibility of dissociative effects and the need for careful monitoring of patients. Patients should be informed about the off-label nature of these uses and the importance of adhering to prescribed dosages to minimize adverse effects. As research continues to evolve, ketamine's role in treating various psychiatric and pain disorders may expand, offering hope to patients with limited treatment options.

If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in understanding the potential uses and benefits of ketamine HCl oral suspension.

Frequently Asked Questions

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What is Ketamine HCl 10 mg/mL Oral Suspension?

Ketamine HCl 10 mg/mL Oral Suspension is a liquid dosage form where ketamine is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

How should I store Ketamine HCl 10 mg/mL Oral Suspension?

Store the oral suspension at room temperature, away from direct sunlight and moisture. Ensure the bottle is tightly closed when not in use.

How do I administer Ketamine HCl 10 mg/mL Oral Suspension?

Use a calibrated oral syringe or measuring cup to ensure accurate dosing. Follow your healthcare provider's instructions for the correct dosage and frequency.

Can I mix Ketamine HCl Oral Suspension with food or drinks?

Consult your healthcare provider before mixing the suspension with food or drinks, as it may affect the medication's efficacy or absorption.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it's close to the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose.

Are there any side effects associated with Ketamine HCl Oral Suspension?

Common side effects may include dizziness, nausea, or drowsiness. Contact your healthcare provider if you experience severe or persistent side effects.

Is Ketamine HCl Oral Suspension safe for children?

The safety and efficacy of ketamine in children depend on the specific condition being treated. Always follow the guidance of a pediatrician or healthcare provider.

Can I drive or operate machinery after taking Ketamine HCl Oral Suspension?

Ketamine may cause drowsiness or impair your ability to operate machinery. Avoid such activities until you know how the medication affects you.

What should I do in case of an overdose?

In case of an overdose, seek immediate medical attention. Symptoms may include severe drowsiness, confusion, or difficulty breathing.

Can I take Ketamine HCl Oral Suspension with other medications?

Inform your healthcare provider about all medications and supplements you are taking, as ketamine may interact with other drugs, potentially altering its 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 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally

As needed