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Ketorolac Tromethamine 2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Ketorolac Tromethamine

Ketorolac Tromethamine 2% Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a convenient pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of the active ingredient.

This formulation is primarily used to treat pain and inflammation associated with musculoskeletal conditions, including arthritis, tendonitis, and bursitis. It provides localized relief by delivering the nonsteroidal anti-inflammatory drug (NSAID) directly to the affected area, minimizing systemic exposure and potential side effects.

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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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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
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.
Ketorolac Tromethamine
Topical Gel
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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Ketorolac Tromethamine 2% Topical Gel is a compounded semisolid formulation designed for external application to the skin, delivering targeted analgesic and anti-inflammatory effects directly to the site of discomfort. The gel is dispensed through a convenient pump mechanism, allowing for easy handling and precise dosing, which enhances patient compliance and ensures consistent therapeutic results.

Ketorolac Tromethamine is a nonsteroidal anti-inflammatory drug (NSAID) known for its potent ability to reduce pain and inflammation. When applied topically, it works by inhibiting the cyclooxygenase (COX) enzymes, which play a key role in the synthesis of prostaglandins responsible for mediating inflammation and pain signals in the body.

This topical gel formulation is particularly beneficial for patients who require localized treatment for musculoskeletal conditions such as arthritis, tendonitis, bursitis, sprains, and strains. It can also be useful for managing localized pain due to soft tissue injuries or other inflammatory conditions affecting the skin and underlying tissues. The gel-like consistency allows for smooth application and absorption, facilitating quick onset of action and relief.

For prescribers, Ketorolac Tromethamine 2% Topical Gel offers a viable option for patients who may be sensitive to oral NSAIDs or those who are at risk of systemic side effects. It allows for direct delivery of the active ingredient to the affected area, potentially improving therapeutic outcomes while minimizing systemic exposure. The compounded nature of the formulation also enables customization of the treatment to meet specific patient needs, which can be particularly advantageous in managing chronic conditions or in patients with multiple comorbidities.

Patients using this topical gel should follow the application instructions provided by their healthcare provider. Typically, a measured amount of the gel is applied to the affected area and gently massaged into the skin until fully absorbed. It is important to apply the medication to clean, intact skin and to wash hands thoroughly after each application to avoid unintentional transfer to other areas or individuals.

While topical application reduces the likelihood of systemic side effects, patients should still be aware of potential local reactions, such as skin irritation, redness, or rash. If any adverse reactions occur, they should contact their healthcare provider promptly. Additionally, patients should inform their prescriber of all medications they are currently taking to avoid possible drug interactions, even though systemic absorption is minimal.

If you have any questions about Ketorolac Tromethamine 2% Topical Gel or would like more information on how it might help in managing your condition, please reach out to us. Our team at Bayview Pharmacy is dedicated to providing personalized care and will be happy to assist you with any inquiries.

Drug Interactions

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Ketorolac Tromethamine 2% Topical Gel is a nonsteroidal anti-inflammatory drug (NSAID) formulated for topical application, primarily used to relieve pain and reduce inflammation in localized areas. This formulation is particularly beneficial for patients experiencing musculoskeletal pain, arthritis, or localized soft tissue injuries. The semisolid gel is dispensed through a pump mechanism, allowing for easy and precise application on the skin, ensuring targeted treatment and optimal absorption of the active ingredient.

When considering the use of Ketorolac Tromethamine 2% Topical Gel, it is important to be aware of potential drug interactions, as these can affect the efficacy and safety of the treatment. Although the systemic absorption of topical ketorolac is generally lower compared to oral administration, interactions can still occur, especially in patients using other medications concurrently.

Patients using other NSAIDs, either topically or systemically, should exercise caution, as the combined use can increase the risk of adverse effects such as gastrointestinal bleeding, ulceration, and renal impairment. It is advisable to avoid concurrent use of multiple NSAID products unless specifically directed by a healthcare provider.

Anticoagulants, such as warfarin, and antiplatelet agents, like aspirin or clopidogrel, may interact with ketorolac, potentially enhancing the risk of bleeding. Patients on these medications should be closely monitored, and alternative pain management strategies should be considered if necessary.

Concomitant use of ketorolac with selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) may also increase the risk of bleeding. Patients should be advised to report any unusual bleeding or bruising to their healthcare provider promptly.

Patients with renal impairment or those taking medications that affect renal function, such as diuretics or ACE inhibitors, should use ketorolac with caution. The potential for renal toxicity may be increased, and renal function should be monitored regularly.

It is also important to consider the potential interaction with corticosteroids, as the combined use may increase the risk of gastrointestinal side effects. Patients should be monitored for signs of gastrointestinal distress, and protective measures, such as the use of proton pump inhibitors, may be considered.

For patients who are pregnant, especially in the third trimester, or breastfeeding, the use of ketorolac should be approached with caution due to potential risks to the fetus or infant. Alternative treatments should be discussed with a healthcare provider.

As with any medication, it is crucial for both patients and prescribers to be aware of these potential interactions and to communicate openly about all medications being used, including over-the-counter drugs and supplements. If you have any questions or concerns regarding the use of Ketorolac Tromethamine 2% Topical Gel, please reach out to us for further guidance and support.

How Does it Work

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Ketorolac Tromethamine 2% Topical Gel is a nonsteroidal anti-inflammatory drug (NSAID) formulated for topical application, designed to deliver targeted relief from pain and inflammation directly at the site of application. This semisolid formulation is dispensed through a pump mechanism, which ensures easy and precise application, allowing for controlled dosing and minimizing systemic exposure. The gel-like consistency facilitates rapid absorption through the skin, providing localized treatment while reducing the potential for systemic side effects commonly associated with oral NSAIDs.

Upon application, Ketorolac Tromethamine works by inhibiting the cyclooxygenase (COX) enzymes, specifically COX-1 and COX-2. These enzymes are responsible for the conversion of arachidonic acid into prostaglandins, which are lipid compounds that play a key role in mediating inflammation, pain, and fever. By blocking the activity of COX enzymes, Ketorolac Tromethamine effectively reduces the production of prostaglandins, thereby alleviating pain and inflammation at the site of application.

This formulation is particularly beneficial for patients experiencing localized musculoskeletal pain, such as that associated with arthritis, tendonitis, or minor injuries. The topical application allows for direct treatment of the affected area, providing relief without the need for systemic medication, which can be advantageous for patients who may be at risk for gastrointestinal, cardiovascular, or renal side effects from oral NSAIDs. Additionally, the pump mechanism ensures that patients can apply the gel with precision, avoiding overuse and ensuring consistent dosing.

It is important to instruct patients on the proper use of the pump mechanism to ensure accurate dosing and to advise them to apply the gel only to intact skin, avoiding open wounds or mucous membranes. Patients should be monitored for any local skin reactions, and the use of the gel should be limited to the prescribed duration to minimize the risk of adverse effects.

If you have any questions about Ketorolac Tromethamine 2% Topical Gel or its use, 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.

Frequently Asked Questions

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What is Ketorolac Tromethamine 2% Topical Gel used for?

Ketorolac Tromethamine 2% Topical Gel is used for the targeted treatment of pain and inflammation on the skin. It is commonly applied to areas affected by conditions such as arthritis, muscle strains, or other localized pain.

How do I apply Ketorolac Tromethamine 2% Topical Gel?

To apply the gel, dispense a small amount through the pump mechanism and gently rub it onto the affected area of the skin. Ensure the area is clean and dry before application for optimal absorption.

How often should I use Ketorolac Tromethamine 2% Topical Gel?

The frequency of application should be as directed by your healthcare provider. Typically, it may be applied 2 to 4 times daily, depending on the severity of the condition being treated.

Can I use Ketorolac Tromethamine 2% Topical Gel on broken skin?

No, you should not apply the gel to broken or damaged skin. It is intended for use on intact skin only to avoid irritation or adverse reactions.

Are there any side effects associated with Ketorolac Tromethamine 2% Topical Gel?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe reactions or symptoms persist, discontinue use and consult your healthcare provider.

Can I use Ketorolac Tromethamine 2% Topical Gel with other medications?

Before using this gel with other medications, especially other topical treatments, consult your healthcare provider to avoid potential interactions or reduced effectiveness.

Is Ketorolac Tromethamine 2% Topical Gel safe for children?

The safety and effectiveness of this gel in children have not been established. Consult a healthcare provider before using it on children.

How should I store Ketorolac Tromethamine 2% Topical Gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets to prevent accidental ingestion or misuse.

Can I use Ketorolac Tromethamine 2% Topical Gel during pregnancy?

If you are pregnant or planning to become pregnant, consult your healthcare provider before using this gel to ensure it is safe for you and your baby.

What should I do if I miss a dose of Ketorolac Tromethamine 2% Topical Gel?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

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.

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.

Ketorolac Tromethamine 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Twice daily