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Ketoprofen 10%/Piroxicam 3% Transdermal Gel

Ketoprofen 10%/Piroxicam 3% Transdermal Gel, compounded at Bayview Pharmacy, offers customized relief for osteoarthritis, rheumatoid arthritis, and neuropathic pain.
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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
Piroxicam
Topical Gel
65aec6a6a2e5a28010a16f22

Formula Information

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The Ketoprofen 10%/Piroxicam 3% Transdermal Gel is a specialized medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose of the medication directly to the affected area. The gel base allows for the active ingredients, ketoprofen and piroxicam, to be absorbed through the skin, providing localized relief from pain and inflammation.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2), which are involved in the synthesis of prostaglandins and thromboxane. These biochemicals are responsible for causing inflammation, pain, and fever. Piroxicam, also an NSAID, operates similarly by reducing the production of prostaglandins. The combination of these two drugs in a transdermal gel allows for synergistic effects, enhancing the anti-inflammatory and analgesic properties of the formulation.

This transdermal gel is particularly useful for treating localized musculoskeletal conditions such as osteoarthritis, rheumatoid arthritis, tendinitis, and bursitis. By applying the gel directly to the skin over the affected joint or area, patients can experience targeted relief from pain and swelling without the systemic side effects often associated with oral NSAIDs. This can be especially beneficial for patients who may have contraindications for systemic NSAIDs or for those who prefer a topical treatment option.

It is important for both patients and prescribers to be aware that while this formulation provides localized treatment, it should be used with caution in patients with known hypersensitivity to NSAIDs, and it is not recommended for use on broken or damaged skin. Additionally, patients should be advised to avoid exposing the treated area to sunlight or artificial UV rays, as this can increase the risk of photosensitivity reactions. As with any medication, monitoring for adverse effects is essential, and patients should be instructed to report any signs of skin irritation or other side effects to their healthcare provider.

For optimal results, the gel should be applied as directed by a healthcare professional, and the dosage and frequency of application should be tailored to the individual patient's needs and response to therapy. The pump mechanism of the gel dispenser aids in delivering a measured dose, which helps in maintaining consistency in the amount of medication applied with each use.

If you have any questions or require further information about the Ketoprofen 10%/Piroxicam 3% Transdermal 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 ensure the safe and appropriate use of this medication.

Drug Interactions

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The Ketoprofen 10%/Piroxicam 3% Transdermal Gel is a compounded medication designed for topical application to provide localized relief from pain and inflammation. Both ketoprofen and piroxicam are nonsteroidal anti-inflammatory drugs (NSAIDs) that work by inhibiting the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2), which are involved in the synthesis of prostaglandins, substances that mediate inflammation and pain. This formulation is particularly used for treating localized musculoskeletal conditions, such as arthritis, tendinitis, or bursitis, where the dual action of these NSAIDs can provide synergistic effects for reducing inflammation and pain directly at the site of application.

When using this transdermal gel, it is important to consider potential drug interactions, especially with other NSAIDs, including oral forms, as the systemic absorption of ketoprofen and piroxicam can contribute to the total NSAID load and increase the risk of gastrointestinal ulcers, bleeding, or kidney damage. Concurrent use with anticoagulants or antiplatelet agents, such as warfarin or aspirin, may also increase the risk of bleeding. Caution is advised when using this gel alongside selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), as these can also increase the risk of gastrointestinal bleeding.

Patients should avoid using this gel with other topical preparations that may alter skin barrier function or increase the absorption of ketoprofen and piroxicam, potentially leading to increased systemic exposure and adverse effects. Additionally, the use of corticosteroids, either systemically or topically, may increase the risk of gastrointestinal side effects when used in conjunction with this gel. It is also important to monitor blood pressure when using this formulation, as NSAIDs can lead to fluid retention and worsen hypertension. Caution is advised in patients taking antihypertensive medications, such as ACE inhibitors, angiotensin receptor blockers, or diuretics, as the effectiveness of these drugs can be reduced.

Patients with a history of hypersensitivity to NSAIDs, including aspirin, should not use this gel due to the risk of allergic reactions, which can range from mild skin rashes to severe anaphylactic reactions. Additionally, the use of this gel should be avoided in the third trimester of pregnancy, as NSAIDs can cause premature closure of the ductus arteriosus in the fetus. It is also not recommended for use in nursing mothers, as NSAIDs can be excreted in breast milk and may harm the infant.

It is essential for patients and prescribers to be aware of these potential interactions and to monitor for signs of adverse effects. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements, to ensure safe use of this transdermal gel. If you have any questions or concerns regarding the use of Ketoprofen 10%/Piroxicam 3% Transdermal Gel or its potential interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Ketoprofen 10%/Piroxicam 3% Transdermal Gel is a specially compounded medication designed to deliver anti-inflammatory and analgesic effects directly to the site of pain or inflammation through the skin. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application. The gel-like consistency ensures that the medication is spread evenly and absorbed effectively into the affected area.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzyme cyclooxygenase (COX), which is involved in the synthesis of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammation process. By reducing the production of prostaglandins, ketoprofen decreases inflammation and pain in the tissues. Piroxicam, also an NSAID, operates in a similar manner, but it may have a longer duration of action due to its chemical structure. The combination of ketoprofen and piroxicam in a transdermal gel allows for a synergistic effect, enhancing the anti-inflammatory and analgesic properties of each drug while potentially reducing systemic side effects.

This transdermal gel is particularly useful for treating localized musculoskeletal conditions such as arthritis, tendinitis, or bursitis, where inflammation is a primary cause of pain. By applying the gel directly to the affected area, the active ingredients can penetrate the skin and reach the underlying tissues where they exert their therapeutic effects. This localized approach can lead to faster relief of symptoms and may minimize the systemic absorption that often occurs with oral NSAIDs, potentially reducing the risk of gastrointestinal or cardiovascular side effects.

Patients and prescribers should be aware that while transdermal delivery can offer advantages in terms of targeted therapy and reduced systemic exposure, it is still important to use the medication as directed to avoid overuse or adverse effects. The pump mechanism of the gel dispenser helps to ensure consistent dosing, but patients should follow the prescribed amount and frequency of application. As with any medication, there may be potential interactions with other drugs or health conditions, so it is important to discuss the patient's full medical history and current medications with the pharmacist or healthcare provider.

If you have any questions about the Ketoprofen 10%/Piroxicam 3% Transdermal Gel or its use in treating specific disease states, 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 effectively manage pain and inflammation.

Other Uses

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The Ketoprofen 10%/Piroxicam 3% Transdermal Gel is primarily indicated for the localized relief of pain and inflammation associated with musculoskeletal disorders such as arthritis, tendinitis, and myalgia. However, this gel can also be used to address other conditions associated with pain and inflammation. Its transdermal application allows for targeted delivery, which can be advantageous in managing localized soft tissue injuries, sports injuries like sprains and strains, and to alleviate discomfort in specific areas post-surgery.

In certain cases, this compounded gel has been utilized off-label for the symptomatic treatment of localized neuropathic pain, such as in conditions like peripheral neuropathy or certain neuralgias where inflammation may play a role. Patients with severe or chronic pain conditions that are localized and do not respond well to oral NSAIDs may also benefit from the use of this transdermal formulation, as it reduces systemic exposure and subsequent gastrointestinal side effects generally associated with oral NSAIDs.

It's important to note that while this gel can be used for various conditions, it should be used with caution in patients who have known contraindications to NSAIDs, such as those with a history of peptic ulcers or those at increased risk of bleeding. Furthermore, long-term use on large areas of skin should be monitored due to the potential for systemic absorption and the cumulative effects of the medication. As with any medication, efficacy and tolerability should be assessed on an individual basis, and the use of this gel should be in accordance with the prescriber's recommendations and pharmacological guidance.

For those interested in exploring the potential uses of Ketoprofen 10%/Piroxicam 3% Transdermal Gel for conditions outside of the primary indications, we invite you to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is equipped to provide detailed information on the formulation, dosing, application technique, and potential benefits for various disease states. We are available to assist and collaborate with healthcare professionals to tailor treatments that meet the specific needs of their patients.

Frequently Asked Questions

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What is Ketoprofen 10%/Piroxicam 3% Transdermal Gel?

Ketoprofen 10%/Piroxicam 3% Transdermal Gel is a compounded medication that combines two nonsteroidal anti-inflammatory drugs (NSAIDs), ketoprofen and piroxicam. It's formulated as a semisolid gel designed for application directly on the skin to provide targeted relief from pain and inflammation.

How do I use this transdermal gel?

To use the gel, apply a small amount to the affected area and gently rub it into the skin until fully absorbed. The pump mechanism of the container helps in dispensing a precise dose each time, as directed by a healthcare provider.

How often should I apply the gel?

The frequency of application depends on the advice provided by your healthcare provider. It is important to follow their specific instructions for your treatment regimen.

Can I use this medication for any type of pain?

This transdermal gel is specifically formulated for certain types of pain and inflammation as prescribed by your healthcare provider. Do not use it for other types of pain without consulting a medical professional.

Should I cover the area after applying the gel?

It is generally not necessary to cover the area after applying the gel unless instructed by your healthcare provider. Allow the area to breathe and the medication to be fully absorbed by the skin.

What are the possible side effects of using this transdermal gel?

Side effects may include local irritation, redness, itching or burning at the application site. If you experience any systemic side effects such as stomach pain, blood in stool, or allergic reactions, seek medical attention immediately.

Can the transdermal gel be used with other medications?

Certain medications may interact with this gel. Always inform your healthcare provider of all medications and supplements you are taking to determine if the transdermal gel is safe to use in conjunction.

How should I store the gel?

Store the gel at room temperature, away from heat and direct sunlight. Keep the container tightly closed when not in use to maintain the integrity of the medication.

What should I do if I miss a dose?

If you miss a dose, apply the gel as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose to catch up.

Can children use Ketoprofen 10%/Piroxicam 3% Transdermal Gel?

The suitability of this transdermal gel for children must be determined by a pediatrician or healthcare provider based on the child's specific condition and body response.

Is it safe to use this transdermal gel during pregnancy?

As with any medication during pregnancy, consult your healthcare provider before using the Ketoprofen 10%/Piroxicam 3% Transdermal Gel. They will assess the benefits and risks associated with its use.

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.

Related Formulas

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, NY, NJ, NH, FL, and ME. 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%/Piroxicam 3% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)