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Ketamine HCl 172.5 mg Oral Rapid Dissolve Tablets

Description: Ketamine HCl 172.5 mg Oral Rapid Dissolve Tablets are custom-made tablets produced in a mold at Bayview Pharmacy. These tablets are specially formulated to dissolve quickly in the mouth upon contact with saliva. This unique dosage form provides a convenient method of administration without the need for water or swallowing, making it an ideal option for patients who have difficulty with traditional oral dosage forms. The rapid dissolution of the tablets allows for efficient absorption of the medication through the oral mucosa, leading to a rapid onset of therapeutic effects. Ketamine HCl is used in the treatment of various disease states, including chronic pain management, depression, and certain anxiety disorders. This formulation is designed to provide relief for patients suffering from these conditions by leveraging the rapid-acting properties of the oral mucosal delivery system.

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Oral Dissolve Tablets
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Formula Information

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Our custom-compounded Ketamine HCl 172.5 mg Oral Rapid Dissolve Tablets are meticulously crafted in-house at Bayview Pharmacy to provide a unique and effective solution for patients requiring ketamine therapy. These tablets are designed to disintegrate swiftly when placed in the mouth, leveraging the rapid dissolve technology to ensure that the medication is readily absorbed through the oral mucosa. This innovative delivery system bypasses the gastrointestinal tract, offering a rapid onset of action, which is particularly beneficial for conditions where timely relief is paramount.

Ketamine, a medication traditionally used for anesthesia, has been found to have therapeutic effects in a variety of disease states when administered in sub-anesthetic doses. It has been shown to provide rapid relief of depressive symptoms, including in treatment-resistant depression, where patients have not responded to conventional antidepressants. Additionally, ketamine has been used in the management of chronic pain, including neuropathic pain, where its NMDA receptor antagonism can help modulate pain signaling. It is also being explored for its potential benefits in acute management of certain anxiety disorders and post-traumatic stress disorder (PTSD), where its rapid-acting properties can be particularly advantageous.

Our pharmacy takes pride in ensuring that each tablet contains the precise dose of Ketamine HCl, adhering to stringent quality control measures. The rapid dissolve formulation not only enhances patient compliance by eliminating the need for water and the act of swallowing but also potentially improves the therapeutic outcomes due to its fast absorption. It is important for prescribers to consider the individual patient's medical history, potential drug interactions, and the specific disease state being treated when prescribing this formulation. Monitoring for potential side effects, such as dissociation, sedation, and elevation in blood pressure, is also crucial.

Patients and prescribers interested in our Ketamine HCl 172.5 mg Oral Rapid Dissolve Tablets are encouraged to reach out to us at Bayview Pharmacy for more detailed information. Our team of expert compounding pharmacists is available to answer any questions and provide guidance on the appropriate use of this specialized medication. We are committed to supporting healthcare providers and patients in achieving optimal therapeutic outcomes with our custom-compounded medications.

Drug Interactions

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Ketamine HCl is a medication primarily used for its anesthetic properties, but it has also been found to have rapid-acting antidepressant effects. When considering the use of ketamine in any formulation, it is crucial to be aware of potential drug interactions that may affect its safety and efficacy. As a team of compounding pharmacists, we have identified several interactions that prescribers and patients should be mindful of when using ketamine HCl 172.5 mg Oral Rapid Dissolve Tablets.

Firstly, ketamine should be used with caution in combination with central nervous system (CNS) depressants, such as benzodiazepines, opioids, and alcohol. The concurrent use of these substances can lead to additive CNS depression, resulting in increased sedation, dizziness, and potentially dangerous respiratory depression. Patients should be advised to avoid alcohol and consult with their healthcare provider before taking any new CNS depressants while on ketamine therapy.

Secondly, ketamine is metabolized by the liver enzyme CYP3A4. Therefore, drugs that inhibit or induce this enzyme can affect ketamine levels in the body. Strong CYP3A4 inhibitors, such as clarithromycin, ketoconazole, and ritonavir, may increase ketamine concentrations, leading to enhanced effects and potentially increased side effects. Conversely, CYP3A4 inducers, like rifampin, carbamazepine, and phenytoin, can decrease ketamine levels and reduce its efficacy. It is important to monitor patients closely and adjust the ketamine dose as necessary when these medications are co-administered.

Additionally, ketamine has been reported to interact with serotonergic drugs, including selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and monoamine oxidase inhibitors (MAOIs). The use of ketamine with these medications can increase the risk of serotonin syndrome, a potentially life-threatening condition. Symptoms of serotonin syndrome may include confusion, agitation, rapid heart rate, dilated pupils, muscle rigidity, and gastrointestinal symptoms. Patients should be closely monitored for signs of serotonin syndrome, especially when initiating or increasing the dose of ketamine.

Furthermore, ketamine may increase blood pressure and heart rate, so caution is advised when used in patients taking antihypertensive medications or those with cardiovascular disease. Blood pressure should be monitored, and dose adjustments may be necessary to avoid hypertensive episodes.

Lastly, due to the potential for cognitive and psychomotor impairment, patients should be cautioned against driving or operating heavy machinery until they know how ketamine affects them. This is especially important when ketamine is used in combination with other medications that can also impair these abilities.

It is essential for prescribers to review the patient's complete medication profile for potential interactions before initiating ketamine therapy. Patients should be encouraged to report any new medications or changes in their health status to their healthcare provider. For any questions or concerns regarding this formulation or its potential interactions, please reach out to us at Bayview Pharmacy. Our team is dedicated to ensuring the safe and effective use of compounded medications.

How Does it Work

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Ketamine HCl, the active ingredient in our custom-made Oral Rapid Dissolve Tablets, is a medication traditionally used for anesthesia but has also been found to have rapid-acting antidepressant effects. The 172.5 mg dose has been carefully calculated to provide an effective treatment for certain conditions such as treatment-resistant depression, chronic pain, and certain anxiety disorders, under the guidance of a healthcare professional. The way ketamine works in these disease states is not fully understood, but it is thought to modulate neurotransmission in the brain, particularly at N-methyl-D-aspartate (NMDA) receptors, which play a role in mood regulation and pain perception.

Our Oral Rapid Dissolve Tablets are designed to maximize the bioavailability of ketamine. When placed under the tongue or in the buccal pouch, the tablet rapidly disintegrates in the presence of saliva. This allows ketamine to be absorbed directly into the bloodstream through the rich supply of blood vessels found in the oral mucosa. This method bypasses the gastrointestinal tract and first-pass metabolism in the liver, which can significantly reduce the bioavailability of orally ingested medications. As a result, the rapid dissolve tablet form can lead to a quicker onset of action and potentially more predictable pharmacokinetics.

The rapid dissolution of the tablet not only facilitates ease of administration for patients who may have difficulty swallowing or require rapid onset of medication effects but also provides a more consistent dosing experience. This is particularly important for medications like ketamine, where precise dosing is crucial for efficacy and safety. Our compounding pharmacy uses high-quality ingredients and follows strict protocols to ensure that each tablet contains the exact amount of medication required and is free from contaminants.

It is important for prescribers to monitor patients closely when initiating treatment with ketamine, as it can cause dissociative effects and other side effects that may require adjustment of the dose or frequency of administration. Additionally, due to the potential for abuse and psychological dependence, ketamine treatment should be part of a comprehensive treatment plan that includes psychological support and monitoring for signs of misuse.

At Bayview Pharmacy, we are committed to providing personalized medication solutions to meet the unique needs of each patient. If you have any questions about our Ketamine HCl Oral Rapid Dissolve Tablets or would like to discuss whether this formulation is appropriate for your patient, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists is here to support you and your patients with expert advice and high-quality compounded medications.

Other Uses

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While ketamine hydrochloride is traditionally known for its anesthetic properties in surgical settings, this custom-made oral rapid dissolve tablet formulation may have applications beyond its primary use. Ketamine is being investigated for its potential rapid-acting antidepressant effects, particularly in patients who have not responded to other treatments. Some studies suggest that ketamine may reduce symptoms of depression within hours to days of administration. Additionally, ketamine has been used off-label for the management of chronic pain, especially neuropathic pain, where traditional analgesics have been ineffective. It should be noted that these uses are still being researched, and ketamine's role in treatment regimens is evolving with ongoing clinical trials and case studies. Furthermore, because of its unique mechanism of action on the NMDA receptor, ketamine may be used off-label for certain conditions such as complex regional pain syndrome (CRPS) and as part of therapy for severe refractory headaches or migraines.

It is also important for patients and prescribers to be aware that ketamine can lead to dissociation and sedation, which may impact a patient's ability to perform tasks requiring full mental alertness, such as driving or operating heavy machinery, especially shortly after administration. Caution is also advised due to the potential for abuse and the development of dependency with the ketamine use. Close monitoring by a healthcare professional is essential when this medication is prescribed for any condition, and its use should be accompanied by a thorough assessment of potential risks and benefits for the individual patient.

The rapid dissolve tablet formulation offered by our compounding pharmacy is designed to provide a convenient and efficient route of administration. This may be particularly beneficial for patients with swallowing difficulties or those who require a rapid onset of action for their symptoms. Compounded ketamine tablets are prepared specifically for each patient according to a prescription from a licensed healthcare provider, and their use should be part of a comprehensive treatment plan. If patients or healthcare providers have any questions regarding this formulation, or its potential uses beyond the briefed conditions, please reach out to Bayview Pharmacy for more information and personalized guidance.

Frequently Asked Questions

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What is the purpose of Ketamine HCl Oral Rapid Dissolve Tablets?

Ketamine HCl Oral Rapid Dissolve Tablets are used for various therapeutic purposes as prescribed by a healthcare professional. Such purposes may include providing relief for chronic pain, treating certain mood disorders, or as part of a comprehensive anesthetic regimen. The rapid dissolve formulation ensures quick onset of the medication's effects.

How do I take Ketamine HCl Oral Rapid Dissolve Tablets?

To take the tablet, place it under your tongue or between your cheek and gum and allow it to dissolve completely. The tablet is designed to dissolve quickly upon contact with saliva, so there is no need for water or swallowing.

How quickly do the tablets dissolve?

The tablets are formulated to dissolve rapidly in the mouth, usually within a few minutes. The exact time may vary depending on the volume of saliva and movements of the mouth.

Are these tablets suitable for individuals who have difficulty swallowing?

Yes, the rapid dissolve tablets are ideal for patients who have difficulty swallowing pills or capsules. They dissolve in the mouth, eliminating the need to swallow them whole.

Can I chew the tablets instead of letting them dissolve?

For the best results, the tablets should not be chewed. They have been specifically designed to dissolve quickly in the mouth to facilitate absorption through the oral mucosa.

Why is it important for the tablet to dissolve in the mouth?

Dissolving the tablet in the mouth allows for absorption directly through the oral mucosa, leading to a more rapid onset of the medication's effects as compared to gastrointestinal absorption.

What are the advantages of compounding Ketamine HCl into an Oral Rapid Dissolve Tablet?

The compounding process tailors the dosage and form to meet individual patient needs, improving compliance and convenience. Additionally, the rapid dissolve form bypasses gastrointestinal metabolism, potentially reducing the time to achieve therapeutic effects.

Can I still drink water after taking the tablet?

Yes, you may drink water after the tablet has completely dissolved. However, it is advisable to wait a few minutes after the tablet has dissolved to ensure optimal absorption.

How should I store the Ketamine HCl Oral Rapid Dissolve Tablets?

The tablets should be stored in a cool, dry place, away from direct sunlight and moisture. Keep the medication in its original packaging until ready for use, and keep it out of reach of children and pets.

Will I receive instructions on how to take the medication from the pharmacy?

Yes, upon dispensing the medication, the compounding pharmacy will provide you with detailed instructions on how to properly take the Ketamine HCl Oral Rapid Dissolve Tablets, including the dosage and frequency of use as prescribed by your healthcare professional.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and proceed with your regular dosing schedule. Do not take two doses at one time to make up for a missed dose. Always consult your healthcare provider for guidance regarding missed doses.

Are there any potential side effects associated with this medication form?

As with any medication, there could be potential side effects. Some common side effects may include dizziness, nausea, altered mental state, or a feeling of dissociation. You should discuss the potential side effects and any concerns with your healthcare provider.

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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.
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