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Ketoprofen 10% Phonotophoresis Gel

FDA-approved generic
Dose form
Ultrasound Gel
Active ingredients
Ketoprofen

The Ketoprofen 10% Phonotophoresis Gel is a clear or tinted gel-like formulation designed to serve as a coupling medium for phonophoresis, a therapeutic modality that combines ultrasound and medication to enhance drug delivery through the skin. The gel is indicated for the treatment of various inflammatory conditions, including but not limited to osteoarthritis, rheumatoid arthritis, bursitis, tendonitis, and other musculoskeletal pain or injuries. By incorporating ketoprofen, the gel provides both the diagnostic or therapeutic benefits of ultrasound and the anti-inflammatory and analgesic effects of the medication, aiming to reduce pain and inflammation at the site of application.

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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.

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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.
Ketoprofen
Ultrasound Gel
65aeab6143d5d3cacdf04d63
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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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Ketoprofen 10% Phonotophoresis Gel is a specialized medication designed for use in phonotophoresis, a therapeutic technique that combines the anti-inflammatory and analgesic properties of ketoprofen with the enhanced delivery provided by ultrasound. This gel is a clear or tinted, viscous substance that serves as a coupling medium to facilitate the transmission of ultrasonic waves from the transducer to the patient's skin. The gel's composition not only ensures efficient ultrasound wave conduction but also optimizes the penetration of ketoprofen into the targeted tissues.

The primary active ingredient, ketoprofen, is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are chemical messengers that play a key role in the inflammation process. By reducing their production, ketoprofen effectively decreases inflammation, alleviates pain, and can reduce fever. This makes the gel particularly useful in treating a range of musculoskeletal conditions such as arthritis, bursitis, tendonitis, and other soft tissue injuries where inflammation is a significant contributor to pain.

When used in phonotophoresis, the ultrasonic energy not only helps in visualizing tissues for diagnostic purposes but also enhances the permeability of the skin, allowing for deeper penetration of ketoprofen into the affected area. This can lead to more rapid and targeted relief of symptoms compared to traditional topical applications. The gel's properties are carefully balanced to maintain the integrity of the ultrasound equipment while providing a medium for effective drug delivery.

As with any medication, potential side effects may include local skin reactions, systemic NSAID-related adverse effects, and interactions with other medications.

For optimal results, the gel should be applied by a healthcare professional trained in phonotophoresis techniques. The duration and frequency of treatment will depend on the specific condition being treated and the individual patient's response to therapy. It is important to follow the recommended guidelines for use to minimize the risk of side effects and ensure the effectiveness of the treatment.

If you have any questions or require further information about Ketoprofen 10% Phonotophoresis Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to both patients and prescribers to ensure the safe and appropriate use of this formulation.

Drug Interactions

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Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used for its analgesic and anti-inflammatory properties. When formulated as a 10% phonotophoresis gel, it is intended for topical application and is used in conjunction with ultrasound therapy to enhance the delivery of the medication through the skin and into the underlying tissues. This method of delivery is particularly useful in treating localized inflammatory conditions such as osteoarthritis, tendinitis, bursitis, and other musculoskeletal pain. The gel serves as a coupling medium to facilitate the transmission of ultrasound waves and to deliver the ketoprofen to the target tissues.

When considering drug interactions, it is important to note that even though ketoprofen is applied topically in this formulation, systemic absorption can still occur. Therefore, interactions that are relevant to systemic ketoprofen use should be considered. Patients who are taking other NSAIDs, including over-the-counter aspirin or ibuprofen, should use ketoprofen with caution as the concurrent use of NSAIDs can increase the risk of gastrointestinal bleeding, ulceration, and perforation. Additionally, patients on anticoagulant therapy, such as warfarin, should be monitored closely for changes in coagulation parameters, as NSAIDs can enhance the effects of anticoagulants and increase bleeding risk.

Patients taking selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) should also be cautious, as these medications can increase the risk of gastrointestinal bleeding when used in combination with NSAIDs. Ketoprofen may also interact with antihypertensive medications, such as ACE inhibitors, angiotensin receptor blockers, beta-blockers, and diuretics, potentially diminishing their antihypertensive effects. Furthermore, concurrent use with corticosteroids or alcohol may increase the risk of gastrointestinal side effects.

It is also important to consider the potential for topical drug interactions. The use of other topical medications on the same area of skin where ketoprofen phonotophoresis gel is applied should be done with caution to avoid altering the absorption or effects of either medication. Patients should inform their healthcare provider of all topical treatments they are using.

Patients with a history of hypersensitivity to ketoprofen, aspirin, or other NSAIDs should not use this formulation due to the risk of allergic reactions. Those with a history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs should also avoid this medication. Additionally, caution is advised in patients with renal or hepatic impairment, as systemic absorption of ketoprofen could potentially exacerbate these conditions.

As with any medication, it is essential to use ketoprofen phonotophoresis gel under the guidance of a healthcare professional. Patients should be advised to report any unusual symptoms or side effects to their healthcare provider promptly. If you have any questions or concerns regarding the use of this formulation or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Ketoprofen 10% Phonotophoresis Gel is a specialized medication designed to be used in conjunction with ultrasound therapy, a technique known as phonophoresis. This gel contains ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), at a concentration of 10%. Ketoprofen works by inhibiting the body's production of certain chemicals that cause inflammation, pain, and fever. When applied topically, ketoprofen can help reduce inflammation and alleviate pain in localized areas.

The gel itself serves a dual purpose. Firstly, it acts as a medium for the ultrasound waves, ensuring that there is no air between the ultrasound transducer and the skin, which could otherwise impede the transmission of the sound waves. The consistency of the gel allows for smooth movement of the transducer across the skin surface, facilitating optimal contact and transmission of the ultrasound waves. Secondly, the gel is formulated to enhance the delivery of ketoprofen into the tissues when used in conjunction with the ultrasound therapy. The ultrasound waves are believed to increase the permeability of the skin and the local blood flow, which may enhance the penetration of the ketoprofen into the underlying tissues, providing targeted anti-inflammatory and analgesic effects.

This formulation is particularly useful in treating localized musculoskeletal conditions such as tendinitis, bursitis, and other soft tissue injuries where inflammation is a significant contributor to pain. By delivering the anti-inflammatory medication directly to the affected area, the gel can help to reduce swelling, alleviate pain, and promote healing. The use of ultrasound therapy in combination with the medication may also provide additional benefits such as increased tissue relaxation, local blood flow, and scar tissue breakdown, which can further aid in the healing process.

The effectiveness of the treatment can vary depending on the individual patient and the specific condition being treated. Additionally, as with any NSAID, there may be potential side effects, and it is important to use the medication as directed to minimize risks.

If you have any questions about Ketoprofen 10% Phonotophoresis Gel or its use in treating specific conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure appropriate treatment for your patients.

Other Uses

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The compounding pharmacists at Bayview Pharmacy would like to highlight that beyond the primary application of Ketoprofen 10% Phonotophoresis Gel in enhancing ultrasound transmission for diagnostic or therapeutic procedures, this formulation may have a range of secondary applications. While designed for ultrasound-based treatments, the anti-inflammatory properties of ketoprofen allow the gel to be potentially useful in various therapeutic contexts. For example, the gel may be beneficial as an adjunct treatment in physical therapy regimens for soft tissue injuries such as sprains, strains, and tendinitis where reducing inflammation is desired.

Additionally, patients with osteoarthritis or rheumatoid arthritis may find this formulation helpful in managing localized pain and inflammation. This gel formulation allows the ketoprofen to be driven deeper into the tissue, which could enhance the delivery of medication to targeted areas, leading to potentially improved outcomes for these patients. Beyond musculoskeletal disorders, the gel might be used for conditions like bursitis or other inflammatory conditions where deep tissue penetration of the drug could be advantageous.

It is important for patients and prescribers to note that while the gel has potential uses beyond the labeled indications, these applications should be considered off-label and it is vital to consult with a healthcare professional before using this medication for any purpose not explicitly recommended by a prescriber. The gel's efficacy and safety for alternative uses have not been established by rigorous clinical studies, and its utilization should be based on a careful assessment of the patient’s condition and response to therapy. If you have any questions or require more detailed information about the potential other uses of Ketoprofen 10% Phonotophoresis Gel, or if you wish to discuss off-label applications, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide the support and information necessary to ensure safe and appropriate use of this formulation.

Frequently Asked Questions

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What is Ketoprofen 10% Phonotophoresis Gel?

Ketoprofen 10% Phonotophoresis Gel is a medicated gel formulated for use in phonophoresis, which is a technique that combines ultrasound with the topical drug application to promote drug delivery through the skin. The gel contains 10% Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), and is designed to enhance the transmission of ultrasound waves during therapeutic procedures.

How does Ketoprofen 10% Phonotophoresis Gel work?

When used in phonophoresis, the Ketoprofen 10% Gel aids in transmitting ultrasound waves into the tissues. The mechanical energy from the ultrasound can increase skin permeability and may facilitate the deeper penetration of Ketoprofen into the affected areas, potentially providing anti-inflammatory and analgesic effects.

What are the indications for using Ketoprofen 10% Phonotophoresis Gel?

This gel is typically indicated for the localized treatment of conditions like musculoskeletal pain, inflammation, strains, sprains, and arthritis. The goal is to reduce inflammation and pain in targeted tissues.

How do I apply Ketoprofen 10% Phonotophoresis Gel?

The gel should be applied to the skin over the affected area before an ultrasound therapy session. A sufficient amount of gel should be used to ensure a proper coupling between the ultrasound transducer and the skin. After the phonophoresis treatment, any remaining gel should be wiped off the skin.

Are there any side effects associated with Ketoprofen 10% Phonotophoresis Gel?

As with any medication, side effects are possible. The most common side effects are typically limited to localized skin reactions like redness, itching, or irritation. Systemic side effects are less common but can occur, especially in those with sensitivity to NSAIDs.

Can anyone use Ketoprofen 10% Phonotophoresis Gel?

Not everyone should use this gel. It should be avoided in individuals with known hypersensitivity to Ketoprofen, aspirin, or other NSAIDs. It's also not recommended for use in individuals with broken skin or certain medical conditions. Always consult with a healthcare professional before starting any new treatment.

How often can Ketoprofen 10% Phonotophoresis Gel be used?

The frequency of use will depend on the prescription provided by a healthcare professional. It is important not to exceed the recommended dosage and frequency to minimize the risk of side effects.

Is Ketoprofen 10% Phonotophoresis Gel safe for use during pregnancy or breastfeeding?

The safety of Ketoprofen 10% Gel during pregnancy or breastfeeding has not been fully established. It is crucial to seek medical advice from a healthcare professional before using this product if you are pregnant, plan to become pregnant, or are breastfeeding.

What should I avoid while using Ketoprofen 10% Phonotophoresis Gel?

Avoid contact with eyes, mucous membranes, and other sensitive areas. Do not apply to broken skin. It is also recommended to avoid exposure to sunlight or tanning beds on the areas treated with the gel, as NSAIDs can increase photosensitivity.

Can Ketoprofen 10% Phonotophoresis Gel interact with other medications?

It is possible for Ketoprofen and other topical NSAIDs to interact with certain medications, especially when used over large areas or for prolonged periods. Always inform your healthcare provider about all the medications you are using to avoid potential drug interactions.

How should Ketoprofen 10% Phonotophoresis Gel be stored?

The gel should be stored in a cool, dry place away from direct sunlight and kept out of reach of children. Do not freeze the gel, and check the expiration date before use to ensure effectiveness and safety.

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.

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.

Ketoprofen 10% Phonotophoresis Gel
Ultrasound Gel
120 g
controlled

Apply topically to affected area(s)

Three times daily