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Amitriptyline 5%/Gabapentin 5%/Ketamine 7% Transdermal Gel

This formulation is a combination of Amitriptyline 5%, Gabapentin 5%, and Ketamine 7% in a transdermal gel. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures targeted treatment or absorption of the active ingredients. This formulation is designed to treat various disease states, including neuropathic pain, fibromyalgia, and complex regional pain syndrome. The combination of these three active ingredients works synergistically to provide effective pain relief.

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Amitriptyline Hydrochloride
Gabapentin
Ketamine Hydrochloride
Topical Gel
652f31a4af11d37830e50553
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Formula Information

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This formulation combines Amitriptyline 5%, Gabapentin 5%, and Ketamine 7% in a transdermal gel. Amitriptyline is a tricyclic antidepressant that is often used in pain management, particularly for neuropathic pain. Gabapentin is an anticonvulsant and nerve pain medication that is also used to treat neuropathic pain. Ketamine is a powerful anesthetic that can provide significant pain relief. The combination of these three medications in a transdermal gel allows for targeted treatment of pain, with the medication being absorbed directly through the skin at the site of pain.

The transdermal gel is a semisolid formulation that is dispensed through a pump mechanism. This allows for easy and precise application of the medication. The gel-like consistency of the formulation ensures that it stays in place on the skin, allowing for optimal absorption of the active ingredients. This formulation is particularly beneficial for patients who have difficulty swallowing pills or who prefer a non-invasive method of medication administration.

This formulation is used to treat a variety of disease states. It is particularly effective in managing neuropathic pain, which can be caused by conditions such as diabetes, shingles, or spinal cord injury. The combination of Amitriptyline, Gabapentin, and Ketamine works to block the transmission of pain signals to the brain, providing significant pain relief. This formulation can also be used to manage chronic pain conditions, such as fibromyalgia or chronic regional pain syndrome (CRPS).

As with any medication, it is important for patients and prescribers to be aware of potential side effects. These can include skin irritation at the site of application, dizziness, drowsiness, or changes in mood. It is also important to note that this formulation should not be used by individuals who are allergic to any of the active ingredients. If you have any questions about this formulation, or if you are experiencing any side effects, please reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to help.

Drug Interactions

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This compounded formulation contains Amitriptyline, Gabapentin, and Ketamine, all of which are medications used to manage various types of pain. Amitriptyline is a tricyclic antidepressant that can help manage chronic pain, Gabapentin is an anticonvulsant that can help manage nerve pain, and Ketamine is a powerful anesthetic that can provide significant pain relief. When combined in a transdermal gel, these medications can provide targeted pain relief directly to the area where it's needed.

However, as with any medication, there are potential drug interactions that patients and prescribers should be aware of. Amitriptyline can interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain heart medications. Gabapentin can interact with antacids, morphine, and hydrocodone. Ketamine can interact with CNS depressants, psychotomimetic agents, and certain heart medications.

It's important to note that these are not all the possible drug interactions. Patients should inform their healthcare provider of all the medications they are currently taking, including prescription drugs, over-the-counter drugs, and herbal supplements. This will help the healthcare provider to prevent potential drug interactions and ensure the safe use of this compounded formulation.

Patients should also be aware of the potential side effects of these medications. Amitriptyline can cause drowsiness, dry mouth, and constipation. Gabapentin can cause dizziness, fatigue, and weight gain. Ketamine can cause hallucinations, confusion, and increased heart rate. If any of these side effects occur, patients should contact their healthcare provider immediately.

This compounded formulation is intended for topical use only. It should not be ingested or applied to broken or irritated skin. Patients should wash their hands thoroughly after applying the gel to avoid accidental ingestion or contact with the eyes.

If you have any questions about this compounded formulation or its potential drug interactions, please don't hesitate to reach out to us. Our team of knowledgeable compounding pharmacists is always here to help.

How Does it Work

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The Amitriptyline 5%/Gabapentin 5%/Ketamine 7% Transdermal Gel is a unique formulation that combines three potent medications, each with its own mechanism of action, to provide targeted relief for various disease states. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to exert its therapeutic effects.

Amitriptyline is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, relieve pain, and promote sleep. In this formulation, it is used for its analgesic properties, particularly in the management of neuropathic pain. When applied topically, Amitriptyline can provide targeted pain relief with minimal systemic side effects.

Gabapentin is an anticonvulsant and nerve pain medication. It works by stabilizing electrical activity in the brain and affecting the way the nerves send messages to the brain. In this formulation, Gabapentin is used for its ability to relieve nerve pain, particularly in conditions such as postherpetic neuralgia and diabetic neuropathy.

Ketamine is a powerful anesthetic that works by blocking the NMDA receptors in the brain, which play a role in pain signaling. In this formulation, Ketamine is used for its potent analgesic properties, providing additional pain relief and enhancing the effects of Amitriptyline and Gabapentin.

The combination of these three medications in a transdermal gel allows for targeted application and absorption, providing relief directly at the site of pain. This can be particularly beneficial for patients who have localized pain or who cannot tolerate oral medications. The gel is dispensed through a pump mechanism, which allows for easy and precise application.

This formulation can be used to treat various disease states, including neuropathic pain, postherpetic neuralgia, diabetic neuropathy, and certain types of chronic pain. It may also be used in palliative care settings to manage pain and improve quality of life.

As with any medication, it is important to use this formulation as directed by your healthcare provider. Side effects can occur, including skin irritation at the application site, drowsiness, dizziness, and changes in mood or behavior. If you experience any unusual or severe side effects, contact your healthcare provider immediately.

If you have any questions about the Amitriptyline 5%/Gabapentin 5%/Ketamine 7% Transdermal Gel, or if you would like more information about how it works or how it can be used to treat specific disease states, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is always here to help.

Other Uses

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This transdermal gel, containing amitriptyline 5%, gabapentin 5%, and ketamine 7%, is predominantly used to tackle challenging cases of neuropathic pain, which includes conditions like postherpetic neuralgia, peripheral neuropathy, and fibromyalgia. However, it may also have potential benefits aside from these particular disease states.

Given the individual components' properties, this medication formulation may offer relief for patients suffering from certain types of chronic pain. Amitriptyline, traditionally an anti-depressant, has off-label uses for chronic pains and migraines which is hypothesized to be due to its ability to improve mood and increase natural pain tranquilizers in the body. Gabapentin, an anti-epileptic medication, also treats nerve pain because it can stabilize the electrical activity in the brain which prevents nerve pain. Ketamine, being a powerful analgesic, can relieve severe or resistant forms of pain that other drugs might not be able to manage well.

In addition to pain management, the combination could theoretically be used as a part of treatment strategies for certain mood disorders. Major Depressive Disorder, for instance, may potentially be responsive to ketamine in treatment-resistant cases, while gabapentin is occasionally used off-label for residents with anxiety disorders. Overlapping pain and mood disorders often present treatment challenges, and a multifaceted approach to management could potentially offer benefits.

Furthermore, patients struggling with post-surgical pain that hasn't responded well to other therapies may find relief from this formulation. The localised application allows the active ingredients to target specific problem areas, bypassing the systemic circulation and reducing the risk of whole-body side effects.

Lastly, it may offer advantages for palliative care focused patients where traditional oral medications may not be feasible or desirable and the primary goal is comfort and symptom control, provided there's careful monitoring for side effects and potential abuse, particularly due to the inclusion of ketamine.

Yet, it's essential to remember that while these other uses are possible, they are largely off-label uses, meaning the safety and efficacy have not been thoroughly scrutinized by health regulators for these specific indications. They should only be considered after careful discussion and under the guidance of a skilled healthcare provider. Side-effects of these medications may include skin irritation, drowsiness, dry mouth and constipation. If experienced, consult with your healthcare provider promptly.

If you have any more questions about this compound or its potential applications, don't hesitate to contact us, providing you with open channels of communication and the most accurate, dependable information is our utmost concern.

Frequently Asked Questions

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What is the Amitriptyline 5%/Gabapentin 5%/Ketamine 7% Transdermal Gel?

This is a compounded formulation which contains Amitriptyline, Gabapentin, and Ketamine, dispensed in a semisolid gel-like form through a pump mechanism. It is topically applied on the skin for targeted treatment.

How does the pump mechanism work in this formulation?

The pump mechanism helps facilitate easy and accurate application of the compound on the skin. This ensures that the correct amount of dose is applied and the active ingredients are effectively absorbed.

What conditions is this formulation used to treat?

Given the properties of the active ingredients, the formulation is used in treating various conditions like neuropathic pain, fibromyalgia, and postherpetic neuralgia, among others. However, a health professional could prescribe it for other off-label uses.

What do the percentages mean for each of the active ingredients?

The stated percentages like 5% Amitriptyline, 5% Gabapentin, and 7% Ketamine indicate the weight-to-weight ratio of each active ingredient in the total formulation. It represents the concentration of each drug in the compound.

How is this medication stored?

The compounded formulation should be stored at room temperature, away from heat and direct light. It's not advised to freeze the compound. Keep it away from children and pets.

Can this formulation replace my oral medicines?

While the formulation delivers the active ingredients directly to the target area providing relief, a doctor’s advice should be sought for this purpose. It might be used in combination with your oral medicines or as an alternative, based on doctor’s prescription.

Are there any side effects of using this transdermal gel?

Some people might experience side effects such as skin irritation at the application site. Other systemic side effects are less common due to topical application but in case of any unusual symptoms, inform your doctor or pharmacist.

How frequently should I apply the medication?

The frequency of application will depend on your condition, the severity of your symptoms, and how your body responds to the treatment. Your healthcare provider will guide you with the appropriate frequency of use.

Can I use this medication on broken skin or open wounds?

Generally, it is not recommended to apply the medication to broken skin or open wounds unless directed by a healthcare provider. The gel should be applied only to clean, dry, intact skin.

What should I do if I experience severe skin irritation or allergic reaction?

If you experience severe skin irritation, discontinue use and seek medical help immediately. Signs of an allergy can include rash, itchiness, swelling, dizziness, trouble breathing. Emergency medical attention may be necessary.

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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.