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Ketamine HCl 11.5% Topical Spray

FDA-approved generic
Dose form
Topical Spray
Active ingredients
Ketamine Hydrochloride

The Ketamine HCl 11.5% Topical Spray is a specialized liquid formulation intended for direct application to the skin. This product is housed in a spray bottle designed to dispense a fine mist, ensuring a convenient and precise delivery of the active ingredient, Ketamine HCl, to the targeted area. The concentration of Ketamine HCl in this formulation is specifically chosen to provide an optimal balance between efficacy and tolerability for the treatment of localized pain, neuropathic pain, and complex regional pain syndrome (CRPS). The spray application allows for a non-invasive, easily controlled dosage, making it an ideal choice for patients seeking targeted pain relief without systemic side effects.

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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
Topical Spray
65aeb702e3cb6a74a2e95351
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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Ketamine HCl 11.5% Topical Spray is a specialized liquid formulation designed for ease of use and targeted delivery of medication via a spray bottle. This dosage form is particularly beneficial for patients requiring localized treatment, as it allows for the direct application of the active ingredient, Ketamine HCl, to the affected area of the skin.

Ketamine, traditionally known for its use as an anesthetic, has been found to have analgesic properties when used in lower, sub-anesthetic doses. The mechanism of action involves the blockage of N-methyl-D-aspartate (NMDA) receptors, which play a key role in the sensation of pain. By inhibiting these receptors, Ketamine can effectively reduce the perception of pain, making it a valuable option for the management of various chronic pain conditions. This topical formulation is particularly useful for neuropathic pain, which can be resistant to other forms of pain management. Additionally, it may be beneficial for patients with complex regional pain syndrome (CRPS), postherpetic neuralgia, and other localized pain syndromes where the use of systemic medications is limited due to side effects or contraindications.

The topical route of administration offers several advantages, including reduced systemic exposure and associated side effects, the ability to apply medication directly to the site of pain, and ease of use. The spray form allows for a fine mist to cover the area, ensuring even distribution of the medication without the need for rubbing or spreading, which can be painful in sensitive areas. It is important for patients and prescribers to be aware that the use of Ketamine HCl Topical Spray should be part of a comprehensive pain management plan, and its efficacy may be enhanced when used in conjunction with other therapies.

As with any medication, there are potential side effects and considerations to be aware of. Patients should be counseled on the proper use of the spray, including the recommended frequency and duration of application, as well as any precautions to avoid contact with mucous membranes or eyes. Prescribers should consider the patient's overall medical condition, concurrent medications, and history of sensitivity or allergies to ketamine or related compounds. Monitoring for systemic side effects, although rare with topical administration, should be part of the ongoing care plan.

For more detailed information on Ketamine HCl 11.5% Topical Spray, including its pharmacokinetics, specific indications, contraindications, and potential interactions, patients and healthcare providers are encouraged to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to answer any questions and provide additional support to ensure the safe and appropriate use of this formulation.

Drug Interactions

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Ketamine HCl 11.5% Topical Spray is a medication used for its analgesic and anesthetic properties. When applied topically, it can help to alleviate pain in localized areas. However, it is important to consider potential drug interactions when using this formulation. Ketamine is known to interact with a variety of medications and substances, which can affect its efficacy and safety.

One of the primary concerns with ketamine is its interaction with central nervous system (CNS) depressants. Concurrent use of ketamine with other CNS depressants such as benzodiazepines, opioids, and alcohol can lead to additive sedative effects, which may increase the risk of respiratory depression, profound sedation, and hypotension. Patients should be advised to avoid or limit the use of alcohol and consult their healthcare provider before using other CNS depressants while on ketamine therapy.

Additionally, ketamine may interact with monoamine oxidase inhibitors (MAOIs). Using ketamine in conjunction with MAOIs can lead to severe cardiovascular effects, such as hypertension and tachycardia, due to the potential for increased catecholamine levels. Patients should inform their healthcare provider if they are taking MAOIs or have taken them within the past two weeks.

Patients on serotonergic drugs, including selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and triptans, should use ketamine with caution. There is a risk of serotonin syndrome, a potentially life-threatening condition, when ketamine is used in combination with these medications. Symptoms of serotonin syndrome include confusion, agitation, rapid heart rate, dilated pupils, loss of muscle coordination, and high blood pressure. Immediate medical attention is required if these symptoms occur.

Furthermore, ketamine may alter the effects of stimulant medications and increase the risk of cardiovascular side effects such as elevated heart rate and blood pressure. Patients using stimulant medications should be closely monitored when starting ketamine therapy.

It is also important to note that the topical application of ketamine may reduce its systemic absorption and potentially decrease the likelihood of some interactions. However, systemic absorption can still occur, especially with prolonged use or application to large surface areas. Therefore, all potential interactions should be considered.

Patients should be advised to inform their healthcare providers of all medications, supplements, and herbal products they are currently using to avoid potential drug interactions. Prescribers should review the patient's medication history and monitor for signs of adverse interactions. If you have any questions or concerns regarding the use of Ketamine HCl 11.5% Topical Spray and potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Ketamine HCl 11.5% Topical Spray is a specialized pharmaceutical formulation designed to deliver ketamine hydrochloride, a potent NMDA receptor antagonist, directly to the skin's surface for localized treatment. When applied topically, ketamine works by blocking the N-methyl-D-aspartate (NMDA) receptors located in the skin's nerve endings. This blockage can help to reduce the transmission of pain signals to the brain, providing analgesic effects without the systemic side effects typically associated with oral or intravenous ketamine administration.

The liquid formulation is contained within a spray bottle, which allows for a fine mist to be evenly distributed over the affected area. This method of application ensures that the medication is applied directly where it is needed, minimizing waste and maximizing the therapeutic effects. The spray form is particularly beneficial for patients who may have difficulty with traditional methods of application, such as those with limited mobility or dexterity.

Ketamine's mechanism of action involves its interaction with various neurotransmitters, which not only helps in managing pain but also has potential anti-inflammatory effects. This makes the Ketamine HCl 11.5% Topical Spray potentially useful in treating localized neuropathic pain conditions, such as complex regional pain syndrome (CRPS), postherpetic neuralgia, and certain types of chronic pain syndromes. Additionally, due to its unique mechanism, ketamine may be beneficial in cases where patients have become tolerant to other analgesics or are experiencing difficult-to-treat pain.

It is important for both patients and prescribers to understand that while topical ketamine provides a targeted approach with reduced systemic exposure, it should still be used with caution and under the guidance of a healthcare professional. Monitoring for potential side effects, such as local irritation or systemic absorption leading to dizziness or disorientation, is necessary. The concentration of ketamine in this formulation has been carefully selected to balance efficacy with safety, but individual responses can vary.

For prescribers considering the Ketamine HCl 11.5% Topical Spray for their patients, it is essential to evaluate the patient's medical history, current medications, and the specific pain condition being treated. As compounding pharmacists at Bayview Pharmacy, we are available to discuss the suitability of this formulation for individual patients, provide detailed information on its use, and answer any questions regarding its mechanism of action, potential benefits, and safety profile. Please reach out to us for any further clarification or assistance.

Other Uses

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Ketamine HCl 11.5% Topical Spray is primarily recognized for its analgesic properties and is used in treating various chronic pain conditions. However, this topical formulation may have additional applications beyond its main indication. Some reports have suggested potential for use in managing neuropathic pain, where the normal processing of pain is disrupted, such as in complex regional pain syndrome (CRPS) or postherpetic neuralgia. The way ketamine interrupts N-methyl-D-aspartate (NMDA) receptors could potentially alter pain signaling in neuropathic conditions.

There is also anecdotal evidence supporting the use of topical ketamine for the treatment of certain inflammatory skin conditions. The anti-inflammatory properties of ketamine might provide symptomatic relief in diseases where inflammation plays a role in pain. It's important to note that while these alternative uses may show promise, further research is required to establish efficacy and safety in these contexts. Patients with intractable pruritus, or intense itching often associated with dermatologic and systemic conditions, have also reported relief when using topical ketamine formulations. This may present another potential secondary use for the Ketamine HCl 11.5% Topical Spray, offering a path of exploration for symptom management where traditional treatments have failed.

In the palliative care setting, ketamine is sometimes used as an adjuvant to help manage severe, refractory pain, especially when opioid tolerance or hyperalgesia becomes a significant problem. The topical route of administration could be particularly advantageous in patients with difficulties taking oral medication or with concerns about systemic side effects of ketamine. It should be emphasized, however, that the effectiveness and safety profile of Ketamine HCl 11.5% Topical Spray for off-label uses must be further investigated through clinical trials and research, and its use should be guided by expert clinical judgement.

Patients and prescribers considering off-label applications of Ketamine HCl 11.5% Topical Spray should engage in detailed discussions about the risks, benefits, and available evidence supporting its use for conditions outside of its usual indications. Close monitoring and follow-up are essential to ensure patient safety and to assess treatment response. Should you have any questions or require personalized advice regarding the use of Ketamine HCl 11.5% Topical Spray, please do not hesitate to reach out to us. Our team at Bayview Pharmacy is committed to supporting the healthcare community and patients with accurate and timely information about the potential uses and considerations for compounded medications.

Frequently Asked Questions

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What is Ketamine HCl 11.5% Topical Spray used for?

Ketamine HCl 11.5% Topical Spray is used for providing relief from certain types of pain. It delivers ketamine hydrochloride to the affected area of the skin, which can help to alleviate localized discomfort. However, it’s important to note that it should only be used under the guidance and prescription of a healthcare professional.

How do I apply Ketamine HCl 11.5% Topical Spray?

To apply the spray, hold the bottle upright roughly a few inches away from the skin. Spray a light coating over the affected area as directed by your doctor, ensuring that the medication is applied evenly. Do not rub the spray into the skin unless instructed by your healthcare provider.

Can I use this spray on open wounds?

No, Ketamine HCl 11.5% Topical Spray should not be applied to open wounds, cuts, or abrasions. It is intended for use on intact skin only. If you are uncertain about the application of the medication, consult with your healthcare provider for guidance.

How often should I use Ketamine HCl 11.5% Topical Spray?

The frequency of use will be determined by your healthcare provider based on your condition and response to treatment. It is important to follow the prescription instructions and not to exceed the recommended dosage.

Are there any side effects associated with Ketamine HCl 11.5% Topical Spray?

As with any medication, there may be side effects. These can include local reactions such as redness, irritation, or dryness at the application site. If you experience any severe side effects or signs of an allergic reaction, seek medical attention immediately.

Is this spray safe for children?

The safety of Ketamine HCl 11.5% Topical Spray in children has not been well established. Use in children should be closely monitored by a healthcare professional. Always follow the pediatrician's directions regarding use in minors.

Can I cover the area after applying the spray?

Generally, it is best to let the medication dry before covering the treated area with any bandages or clothing. If you must cover the area, ensure the medication has dried and consult your healthcare provider for specific instructions.

Should I avoid anything while using Ketamine HCl 11.5% Topical Spray?

It is advised to avoid direct sunlight or UV light on the treated area immediately after application to prevent sensitivity reactions. Additionally, consult your doctor to understand if there are certain substances or activities to avoid while using the medication.

Will Ketamine HCl 11.5% Topical Spray affect my daily activities?

Ketamine HCl 11.5% Topical Spray is designed for localized topical application and is less likely to have systemic effects. However, if you experience drowsiness, dizziness, or any other symptoms that could impair your ability to perform daily activities safely, refrain from engaging in such activities and speak to your doctor.

How should I store Ketamine HCl 11.5% Topical Spray?

Store the spray at room temperature away from direct light and heat. Do not freeze the medication. Keep the bottle tightly closed when not in use and 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 nearly time for your next scheduled dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

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 11.5% Topical Spray
Topical Spray
120 mL
controlled

Apply topically to affected area(s)

Three times daily