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Ketoprofen 30%/Lidocaine 2% Transdermal Gel

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

The Ketoprofen 30%/Lidocaine 2% Transdermal Gel is a specialized medication designed for the management of pain and inflammation associated with conditions such as osteoarthritis, rheumatoid arthritis, musculoskeletal pain, and neuropathic pain. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application directly to the affected area. The gel consistency ensures that the active ingredients, ketoprofen and lidocaine, are absorbed through the skin to provide targeted relief from pain and inflammation.

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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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HSA and FSA eligible
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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
65ae9e917104270194fb08a6
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 30%/Lidocaine 2% Transdermal Gel is a specialized medication designed for topical application to provide targeted 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 absorbed through the skin, offering a localized effect while minimizing systemic exposure and potential side effects.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes responsible for producing prostaglandins, which are compounds that contribute to inflammation, pain, and fever. By reducing the production of prostaglandins, ketoprofen effectively decreases inflammation and pain in the tissues where the gel is applied. This makes the formulation particularly useful for treating localized musculoskeletal conditions such as arthritis, sprains, strains, and other soft tissue injuries.

Lidocaine, on the other hand, is a local anesthetic that provides temporary relief from pain by blocking the transmission of pain signals along the nerves. When combined with ketoprofen, lidocaine enhances the analgesic effects of the formulation, offering additional pain relief. This combination is beneficial for patients experiencing acute pain or for those who require an analgesic effect to facilitate physical therapy and rehabilitation exercises.

The transdermal delivery system of this gel allows for direct application to the skin over the painful area, providing a convenient and non-invasive treatment option. The gel's consistency ensures that it stays in place, allowing for optimal absorption of the active ingredients. It is important for patients to follow the dosing instructions provided by their healthcare provider to maximize the therapeutic benefits while minimizing the risk of adverse effects.

For prescribers considering this formulation for their patients, it is essential to evaluate the patient's medical history, current medications, and the suitability of a topical NSAID and local anesthetic combination. Prescribers should also counsel patients on the proper application technique and the importance of not exceeding the recommended dose or frequency of application to avoid systemic absorption and potential side effects.

If you have any questions or require further information about the Ketoprofen 30%/Lidocaine 2% Transdermal Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to ensure the safe and appropriate use of this medication.

Drug Interactions

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The Ketoprofen 30%/Lidocaine 2% Transdermal Gel is a topical medication designed for localized 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, tendonitis, muscle strains, and other musculoskeletal pains.

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 should be used with caution in patients taking anticoagulants like warfarin, as there is an increased risk of bleeding. Additionally, ketoprofen may diminish the antihypertensive effect of medications like ACE inhibitors, beta-blockers, or diuretics, and may increase the nephrotoxicity of cyclosporine and other nephrotoxic drugs.

Lidocaine, on the other hand, may interact with antiarrhythmic drugs such as tocainide and mexiletine, potentially causing additive systemic effects. Caution is advised when using this gel in conjunction with other local anesthetics or medications that affect cardiac conduction, as these combinations may increase the risk of cardiac side effects. Furthermore, the application of lidocaine to large areas of skin or over prolonged periods, especially under occlusion, could lead to increased systemic absorption and potential interactions with other medications metabolized by the liver enzymes CYP1A2 and CYP3A4.

It is also important to note that the application of the gel to broken or irritated skin can increase systemic absorption of both ketoprofen and lidocaine, which may lead to an increased risk of adverse effects or interactions. Patients should avoid using other topical products, such as sunscreens, lotions, or cosmetics, on the same area where the Ketoprofen/Lidocaine gel has been applied, unless directed by a healthcare provider.

Patients should inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, vitamins, and herbal supplements, to avoid potential interactions. If any unusual symptoms occur, such as gastrointestinal discomfort, abnormal bleeding, or signs of an allergic reaction, patients should contact their healthcare provider immediately.

For prescribers, it is crucial to review the patient's medication history for potential interactions before prescribing this transdermal gel. Monitoring for signs of systemic side effects or interactions is recommended, especially in patients using the gel over large areas or for extended periods. Adjustments to the patient's medication regimen may be necessary to minimize the risk of interactions.

If you have any questions or require further information regarding the Ketoprofen 30%/Lidocaine 2% Transdermal Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure the safe and appropriate use of this medication.

How Does it Work

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The Ketoprofen 30%/Lidocaine 2% 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 through the skin, targeting the site of pain or inflammation.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the body's production of certain substances that cause inflammation and pain. When applied topically, ketoprofen penetrates the skin to reach the underlying tissues where it reduces the synthesis of prostaglandins, which are compounds associated with pain, swelling, and inflammation.

Lidocaine, on the other hand, is a local anesthetic that provides temporary relief from pain by blocking the transmission of pain signals along the nerves. When combined with ketoprofen in this transdermal gel, lidocaine works synergistically to enhance the analgesic effects. It numbs the affected area, providing immediate relief from pain while the ketoprofen acts to decrease the underlying inflammation.

The transdermal delivery system of this gel formulation offers several advantages. It minimizes systemic absorption and reduces the potential for systemic side effects that are often associated with oral NSAIDs. Additionally, the localized effect of the gel allows for higher concentrations of the active ingredients to be delivered to the site of pain or inflammation without significantly affecting other parts of the body.

This formulation is particularly suited for patients who require targeted pain management or who may not tolerate oral NSAIDs well. It is also beneficial for those who prefer a non-invasive treatment option with a lower risk of gastrointestinal side effects. The pump dispenser further aids in applying the medication cleanly and conveniently, making it a user-friendly option for patients managing chronic pain conditions.

It is important for both patients and prescribers to understand the proper use of this medication, including the appropriate dosing and application techniques, to ensure maximum efficacy and safety. If you have any questions or require further information about the Ketoprofen 30%/Lidocaine 2% Transdermal Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support for your specific healthcare needs.

Other Uses

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The compounded formulation of Ketoprofen 30%/Lidocaine 2% Transdermal Gel offers relief for a variety of conditions beyond its primary indication for the management of musculoskeletal pain. While it is commonly prescribed for ailments such as arthritis, tendinitis, and other inflammatory conditions, its utility extends to other scenarios where the individual components provide therapeutic benefits. For instance, the anti-inflammatory properties of ketoprofen can be advantageous in the treatment of localized soft tissue injuries and trauma-related inflammation. This may include conditions such as bursitis or even post-surgical inflammation to help reduce swelling and pain at the site of injury.

When combined, both ketoprofen and lidocaine in this transdermal gel can contribute to symptomatic relief of chronic pain conditions such as fibromyalgia, where patients often experience diffuse pain and localized tender points throughout the body.

Possible off-label uses of this formulation, which should only be explored under the guidance of a healthcare professional, could include the adjunctive management of certain types of headaches when applied to the forehead or temples, or even for certain dermatological conditions that present with pain and inflammation. Given the transdermal nature of this formulation, professionals should evaluate the suitability of its use based on the permeability and characteristics of the skin in the targeted area.

Patients and prescribers should note, however, that while the transdermal route avoids gastrointestinal side effects commonly associated with oral NSAIDs, it is still important to monitor for potential systemic effects, particularly with long-term use or application over large body areas. As with any compounded medication, the use of Ketoprofen 30%/Lidocaine 2% Transdermal Gel should be tailored to the patient's specific needs and under the direct supervision of a healthcare provider.

If you have any questions or require more information about the potential uses of this Ketoprofen/Lidocaine Transdermal Gel formulation, or if you are considering its use for an off-label condition, please reach out to us at Bayview Pharmacy. Our team of experienced compounding pharmacists is here to provide guidance and support to ensure appropriate treatment for your patients or yourself.

Frequently Asked Questions

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What is Ketoprofen 30%/Lidocaine 2% Transdermal Gel?

This is a compounded medication that combines Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), and Lidocaine, a local anesthetic, into a semisolid gel formulation for transdermal delivery. It's designed to alleviate pain and inflammation when applied to the skin over the affected area.

How do I use this transdermal gel?

Apply the gel as directed by your physician, typically to the affected area. Use the pump to dispense the prescribed amount, then spread the gel gently over the area, ensuring an even application. Do not cover with a bandage unless instructed by your doctor.

How often should I apply Ketoprofen/Lidocaine Gel?

The frequency of application will depend on your individual prescription. Follow your healthcare provider’s instructions exactly. Typically, it might be applied two to four times a day, but always adhere to the prescribed regimen.

Can I use this gel on any part of the body?

It should only be used on the specific area of the body as directed by your healthcare provider. Avoid contact with the eyes, mouth, and mucous membranes. Never apply to broken skin or use it in a manner other than prescribed.

Are there any side effects of using Ketoprofen/Lidocaine Gel?

Some common side effects may include skin irritation at the site of application, such as redness, itching, or rash. If you experience any severe reactions, unusual symptoms, or signs of an allergic reaction, contact your healthcare provider immediately.

Can I cover the area after applying the gel?

Unless advised by your doctor, avoid covering the treated area with bandages or occlusive dressings. Your healthcare provider will inform you if it's appropriate to cover the area.

What should I do if I miss a dose?

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

How should I store the Ketoprofen/Lidocaine Gel?

Store the gel at room temperature, away from light and moisture. Do not freeze the gel, and keep it out of reach of children and pets.

What are the benefits of the pump mechanism in this gel?

The pump mechanism of the gel's container allows for precise and hygienic dispensing of the medication, reducing the risk of contamination. It also helps in applying the exact prescribed amount of medication each time.

Can I use this gel with other topical medications?

Do not use other topical products on the same treatment area without first checking with your healthcare provider, as there is a potential for drug interactions or alteration in drug absorption.

Is it safe to use Ketoprofen/Lidocaine Gel during pregnancy or while breastfeeding?

The safety of this medication for use during pregnancy or while breastfeeding has not been established. Always consult your healthcare provider before using any medication if you are pregnant, plan to become pregnant, or are breastfeeding.

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 30%/Lidocaine 2% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily