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Formulas

Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Ketamine Hydrochloride
Gabapentin
Clonidine Hydrochloride
Baclofen

Bayview Pharmacy's compounded formulation of Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical Cream is a semisolid preparation dispensed in a pump mechanism. This medication is designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. It is used to treat conditions such as Neuropathic Pain, Fibromyalgia, Spasticity, Migraine, and Trigeminal Neuralgia.

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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

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
Clonidine Hydrochloride
Baclofen
Topical Cream
6427079ea64324447f518ccc

Formula Information

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This compounded formulation is a topical cream that combines four active ingredients: Ketamine HCl 5%, Gabapentin 10%, Clonidine HCl 0.2%, and Baclofen 2%. It is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. This formulation is primarily used to treat a variety of conditions, including neuropathic pain, fibromyalgia, spasticity, migraine, and trigeminal neuralgia.

Ketamine HCl is an anesthetic that works by blocking the transmission of pain signals to the brain, thereby reducing pain and inflammation. Gabapentin, an anticonvulsant, is used to treat neuropathic pain by blocking the release of certain neurotransmitters in the brain that are involved in pain perception.

Clonidine HCl, an antihypertensive medication, and Baclofen, a muscle relaxant, are both used to reduce spasticity. They work by blocking the release of certain neurotransmitters in the brain that are involved in muscle contraction.

If you have any questions about this formulation or how it can be used to treat these conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information you need to make informed decisions about your health. We are committed to providing high-quality, personalized care to our patients.

Drug Interactions

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The compounded formulation of Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical Cream is a semisolid preparation dispensed in a pump mechanism. This design allows for convenient and controlled application on the skin, facilitating localized treatment or absorption of the active ingredients. The interactions between this formulation and other medications have not been extensively studied, hence it is crucial for patients to inform their healthcare provider of all medications they are currently taking. This includes over-the-counter medications, vitamins, and herbal supplements.

This formulation is primarily indicated for the treatment of neuropathic pain, fibromyalgia, spasticity, migraine, and trigeminal neuralgia. Each component of the formulation plays a significant role in managing these conditions. Ketamine HCl 5% is an anesthetic agent that has been used to treat neuropathic pain, fibromyalgia, and migraine. Gabapentin 10% is an anticonvulsant that has been used to treat neuropathic pain, fibromyalgia, and trigeminal neuralgia. Clonidine HCl 0.2% is an antihypertensive agent that has been used to treat spasticity. Baclofen 2% is a muscle relaxant that has been used to treat spasticity.

The combination of these medications in the formulation may provide synergistic effects in the treatment of these conditions. However, patients should be monitored for potential side effects, including sedation, dizziness, and hypotension. It is important to consult with a healthcare provider for any questions or concerns regarding this compounded formulation.

How Does it Work

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This compounded formulation is a topical cream that combines four active ingredients: Ketamine HCl 5%, Gabapentin 10%, Clonidine HCl 0.2%, and Baclofen 2%. Each ingredient plays a crucial role in managing various conditions. Gabapentin, an anticonvulsant, is also used to manage neuropathic pain, fibromyalgia, and trigeminal neuralgia. Clonidine HCl, an antihypertensive, is utilized in the treatment of spasticity. Lastly, Baclofen, a muscle relaxant, is used for managing spasticity as well.

The cream is designed for direct application on the skin, specifically on the affected area. It is a semisolid preparation dispensed in a pump mechanism, which allows for convenient and controlled application. Once applied, the cream is absorbed through the skin and enters the bloodstream, where it can then act on the affected areas. The recommended usage is twice daily, or as directed by your healthcare provider.

It is important to note that this formulation is not a cure for any of these conditions, but rather a way to manage the symptoms. It is always recommended to consult with your healthcare provider to determine the best treatment option for your condition.

If you have any questions about this formulation or how it works, please do not hesitate to reach out. We are here to assist you in understanding your treatment options and finding the best solution for your condition.

Other Uses

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This compounded formulation of Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical Cream is a semisolid preparation dispensed in a pump mechanism. It is designed for convenient and controlled application on the skin for localized treatment or absorption of active ingredients. This formulation has been utilized in the management of various conditions including Neuropathic Pain, Fibromyalgia, Spasticity, Migraine, and Trigeminal Neuralgia.

However, it is crucial to consult a healthcare provider before using this formulation for any condition not listed above. It is also advised not to combine this formulation with other topical medications or treatments without professional medical advice.

Patients should be aware that this formulation may cause skin irritation or other side effects. In the event of any adverse reactions, it is important to contact a healthcare provider immediately. This formulation is a specialized treatment option and any questions or concerns regarding its use should be directed to a healthcare professional.

Frequently Asked Questions

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What is this compounded formulation of Ketamine HCl 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical Cream?

This is a compounded medication that combines four active ingredients: Ketamine HCl, Gabapentin, Clonidine HCl, and Baclofen. It is a semisolid preparation designed for topical application on the skin. The medication is dispensed in a pump mechanism for convenient and controlled application.

What is the purpose of this compounded formulation?

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

How do I use this topical cream?

Apply the cream to the affected area as directed by your healthcare provider. The pump mechanism allows for controlled application. Do not apply more than the recommended dose.

Can I use this cream on any part of my body?

This cream is designed for external use only. Avoid contact with eyes, mouth, and other mucous membranes. If you are unsure about where to apply the cream, consult with your healthcare provider.

What should I do if I experience any side effects?

If you experience any side effects such as skin irritation, rash, or unusual symptoms, stop using the cream and contact your healthcare provider immediately.

Can I use this cream if I am pregnant or breastfeeding?

Consult with your healthcare provider before using this cream if you are pregnant, planning to become pregnant, or breastfeeding. The safety of this medication for these groups has not been fully established.

Can I use this cream with other medications?

Before starting any new medication, including this cream, inform your healthcare provider about all the medications you are currently taking. This includes prescription medications, over-the-counter drugs, and dietary supplements.

How should I store this cream?

Store this cream 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 extra cream to make up for a missed dose.

Can I use this cream past its expiration date?

No, do not use this cream past its expiration date. The effectiveness of the active ingredients may be reduced after this date. If your cream has expired, dispose of it properly and obtain a new supply.

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 5%/Gabapentin 10%/Clonidine HCl 0.2%/Baclofen 2% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)