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Ketoprofen 20%/Lidocaine 10% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Ketoprofen
Lidocaine Hydrochloride

The Ketoprofen 20%/Lidocaine 10% Transdermal Gel is a semisolid formulation designed for targeted application to the skin. This gel is dispensed through a pump mechanism, which allows for easy and precise dosing. It is commonly used to alleviate symptoms associated with conditions such as osteoarthritis, rheumatoid arthritis, musculoskeletal pain, and neuropathic pain. The transdermal delivery system ensures that the active ingredients are absorbed directly into the affected area, providing rapid relief from pain and swelling.

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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
Ships within 1 to 2 business days after pharmacist verification
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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.
Ketoprofen
Lidocaine Hydrochloride
Topical Gel
65aeb0fc240ee3c2562c9773
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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The Ketoprofen 20%/Lidocaine 10% Transdermal Gel is a specialized medication compounded by Bayview Pharmacy to provide targeted relief from pain and inflammation. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures that patients can apply a precise dose of the medication directly to the affected area. The gel base allows for a smooth application and facilitates the transdermal delivery of the active ingredients, ketoprofen and lidocaine, through the skin and into the underlying tissues.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the body's production of substances that cause inflammation, pain, and fever. Lidocaine, on the other hand, is a local anesthetic that provides immediate relief from pain by blocking the transmission of pain signals along the nerves.

The transdermal delivery system of this gel formulation offers several advantages over oral medications, including localized treatment, reduced systemic side effects, and the potential for improved patient compliance due to its ease of use. The gel is particularly suited for patients who may have difficulties with oral administration or those who require a rapid onset of pain relief in a specific area of the body.

The prescriber should consider the patient's medical history, current medications, and the potential for drug interactions before recommending this formulation. Patients should follow the application instructions provided by the pharmacy and report any adverse effects or concerns to their healthcare provider immediately.

Bayview Pharmacy is committed to providing high-quality, customized medications to meet the unique needs of each patient. If you have any questions about the Ketoprofen 20%/Lidocaine 10% Transdermal Gel or would like to discuss its suitability for your condition, please do not hesitate to reach out to us. Our team of expert compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Drug Interactions

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The Ketoprofen 20%/Lidocaine 10% Transdermal Gel is a topical medication designed for the relief of pain and inflammation. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. Lidocaine is a local anesthetic that provides temporary numbness and relief of pain in the area where it is applied. This combination is particularly useful for conditions such as arthritis, muscle pain, and similar inflammatory disorders.

When using this transdermal gel, it is important to consider potential drug interactions. Ketoprofen, being an NSAID, can interact with other NSAIDs, including aspirin, increasing the risk of gastrointestinal bleeding or ulcers. It is advisable to avoid concurrent use with other NSAIDs unless directed by a healthcare provider. Additionally, ketoprofen may interact with anticoagulants such as warfarin, antiplatelet drugs like clopidogrel, selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs), enhancing the risk of bleeding. Patients should inform their healthcare provider if they are taking any of these medications.

Lidocaine, on the other hand, may interact with antiarrhythmic drugs such as tocainide and mexiletine, as well as other local anesthetics. Caution is advised when using this medication concurrently with drugs that may cause methemoglobinemia, a condition where the blood is unable to carry oxygen effectively. Such drugs include nitrates, nitrites, and certain antibiotics like dapsone and sulfonamides.

Patients with liver disease should use this medication with caution, as both ketoprofen and lidocaine are metabolized in the liver. Impaired liver function may lead to increased levels of the drugs in the body, potentially causing toxicity. It is also important to avoid applying the gel to broken or irritated skin, as this may increase systemic absorption and the risk of side effects.

It is essential to inform the healthcare provider of all medications, supplements, and herbal products the patient is currently taking to avoid potential interactions. This includes over-the-counter medications, as they may also interact with the active ingredients in this formulation. If there are any signs of adverse reactions or interactions, such as unusual bleeding, bruising, or signs of an allergic reaction, patients should seek medical attention immediately.

For any questions or concerns regarding the use of Ketoprofen 20%/Lidocaine 10% Transdermal Gel, or to report any adverse events or interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

How Does it Work

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The Ketoprofen 20%/Lidocaine 10% Transdermal Gel is a specialized medication designed for topical application to provide localized relief from pain and inflammation. This semisolid formulation is dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose of the medication to the affected area. The gel base allows for the active ingredients to be delivered directly to the site of pain or inflammation, offering targeted treatment without the systemic side effects often associated with oral medications.

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 chemical messengers that play a key role in the inflammation process. By reducing their production, ketoprofen effectively decreases inflammation and associated pain. This makes the gel particularly useful for treating conditions such as arthritis, muscle sprains, strains, and other musculoskeletal injuries where inflammation is a primary cause of pain.

Lidocaine, on the other hand, is a local anesthetic that provides symptomatic relief by blocking the sodium channels responsible for conducting pain signals in the nerves. When applied topically, lidocaine can numb the treated area, thereby providing immediate relief from pain. This can be especially beneficial for patients who experience sharp, shooting, or burning types of pain.

The combination of ketoprofen and lidocaine in a transdermal gel form offers the benefits of both pain relief and anti-inflammatory action. The gel formulation allows for the active ingredients to penetrate the skin and reach the underlying tissues where they exert their effects. This localized approach helps to minimize systemic absorption and reduces the risk of systemic side effects, which can be particularly important for patients who may not tolerate oral NSAIDs or for those who require long-term pain management.

It is important for both patients and prescribers to understand that while this transdermal gel provides targeted relief, it should be used with caution in patients with known hypersensitivity to NSAIDs or local anesthetics, and it should not be applied to broken or irritated skin. Additionally, the use of occlusive dressings over the application site should be avoided unless directed by a healthcare professional, as this may increase systemic absorption of the active ingredients.

For any questions regarding the use of Ketoprofen 20%/Lidocaine 10% Transdermal Gel, or to discuss whether this formulation is appropriate for a specific patient's treatment plan, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

Other Uses

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The semisolid formulation of Ketoprofen 20%/Lidocaine 10% Transdermal Gel, delivered through a pump mechanism, is primarily indicated for the management of pain and inflammation associated with conditions like arthritis, sprains, strains, and other musculoskeletal injuries. However, this compounded gel may also have utility in other clinical scenarios due to the pharmacological properties of its constituent medications. For instance, ketoprofen, as a nonsteroidal anti-inflammatory drug (NSAID), may provide symptomatic relief for individuals suffering from tendinitis or bursitis by reducing the inflammatory process in these conditions, and lidocaine, a local anesthetic, may alleviate the discomfort associated with neuralgia or postherpetic neuralgia by numbing the affected area.

Moreover, the transdermal delivery system offers the potential for off-label applications, such as localized symptom management in specific dermatological conditions that may be characterized by inflammatory pain, where the ingredients are suitable for use. The gel's properties allow for a directed approach to therapy, minimizing systemic exposure and associated side effects often seen with oral medications. This bespoke approach is particularly beneficial for patients who may have contraindications to systemic NSAIDs or require localized pain management without widespread anesthetic effects.

Additionally, the ease of application via the pump mechanism allows patients to self-administer a measured dose of the medication, potentially improving adherence to treatment regimens. The gel consistency provides a soothing effect upon application, which can enhance patient comfort and experience. While the combination of ketoprofen and lidocaine in this formulation has a primary purpose, it holds the prospect of serving as an alternative option for patients seeking a non-invasive and targeted therapeutic approach for various localized pain conditions.

It is crucial to note that all uses beyond the primary indication should be based on the prescriber's discretion and on a thorough evaluation of the patient's specific clinical situation. This formulation's safety and efficacy for conditions beyond the originally intended uses have not been established, and therefore, must be prescribed and used with caution. Compounding pharmacists at Bayview Pharmacy are available to discuss this formulation's potential applications, offer guidance on appropriate use, and provide detailed information on the product. For any questions or if there is a need for additional information on this compound, please do not hesitate to reach out to us.

Frequently Asked Questions

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What is Ketoprofen 20%/Lidocaine 10% Transdermal Gel?

Ketoprofen 20%/Lidocaine 10% Transdermal Gel is a topical medication that combines the anti-inflammatory and pain-relief properties of ketoprofen with the local anesthetic effects of lidocaine. It is designed to be applied directly to the skin to manage pain and inflammation locally.

How do you use this transdermal gel?

The gel is applied to the affected area using the pump mechanism, which dispenses a measured dose of the medication. Simply press the pump to release the gel and gently rub it into the skin over the area of discomfort. Follow your healthcare provider's instructions on how often to apply the gel.

Who should not use this compounded gel?

Individuals who are allergic to ketoprofen, lidocaine, aspirin, or other NSAIDs should not use this gel. It's also not recommended for those with a history of peptic ulcer disease, bleeding disorders, severe heart, liver, or kidney issues, without consulting their doctor. Additionally, pregnant or breastfeeding women should speak with their healthcare provider before using this medication.

Can this gel be used with other medications?

As with any medication, you should consult your healthcare provider before combining treatments. Certain drugs may interact with the ingredients in this gel, so it's important to discuss all of your current medications, including over-the-counter drugs, with your provider.

What are the possible side effects of Ketoprofen/Lidocaine Transdermal Gel?

Possible side effects include skin irritation, redness, itching, or a burning sensation at the application site. Systemic side effects are rare due to the localized application but can include gastrointestinal issues, allergic reactions, or cardiovascular effects. If you experience any severe side effects, contact your healthcare provider immediately.

How should this medication be stored?

Store the gel at room temperature away from heat and moisture. Make sure the cap is tightly closed after use, and keep the medication out of reach of children and pets.

How long can I use the transdermal gel?

The duration of use for the transdermal gel should be determined by your healthcare provider based on your medical condition and response to treatment. Do not use it for longer than recommended as overuse could increase the risk of side effects.

What should I do if I miss a dose?

If you miss a dose, apply the gel as soon as you remember. If it is nearly time for your next application, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Can the gel be applied under a bandage or dressing?

Do not cover the treated area with a bandage, dressing, or heat source unless instructed to do so by your healthcare provider, as this can increase the absorption of the medication and the potential for side effects.

Can the gel wash off in water?

After applying the gel, give it enough time to dry before getting the area wet to ensure the medication has been absorbed. Follow your healthcare provider's instructions regarding how long to wait before bathing or swimming.

What should I avoid while using this medication?

Avoid using other topical products on the same area unless directed by your healthcare provider. Also, avoid exposing the treated area to natural or artificial sunlight, as the medication may increase your skin's sensitivity to light.

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 20%/Lidocaine 10% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily