This formulation is a compounded transdermal gel containing Amitriptyline 5%, Ketamine 1%, Ketoprofen 5%, and Lidocaine 1%. It is a semisolid formulation that is dispensed through a pump mechanism, allowing for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed directly into the targeted area, providing localized relief.

Amitriptyline is a tricyclic antidepressant that is used in this formulation for its analgesic properties. It works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce the sensation of pain. Ketamine, a powerful anesthetic, provides rapid pain relief by blocking the NMDA receptors in the brain which are responsible for transmitting pain signals. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain by inhibiting the production of prostaglandins, substances in the body that cause inflammation. Lidocaine is a local anesthetic that works by causing temporary numbness in the area where it is applied, thereby reducing pain and discomfort.

This formulation is used to treat a variety of disease states. It can be used for neuropathic pain conditions such as post-herpetic neuralgia, diabetic neuropathy, and trigeminal neuralgia. It is also effective in managing musculoskeletal pain conditions like arthritis, tendonitis, and fibromyalgia. Furthermore, it can be used for palliative care in cancer patients to manage pain and improve quality of life.

It is important to note that this formulation should be used as directed by a healthcare provider. The gel should be applied to the affected area in the amount and frequency prescribed. It should not be used on broken or irritated skin, and contact with eyes and mucous membranes should be avoided. Side effects may include skin irritation at the application site, drowsiness, dry mouth, and constipation. If any of these side effects persist or worsen, or if you experience any serious side effects such as rapid heartbeat, severe dizziness, or difficulty urinating, contact your healthcare provider immediately.

If you have any questions about this formulation or its use, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to assist you.

This formulation combines four active ingredients: Amitriptyline, Ketamine, Ketoprofen, and Lidocaine, each with its own mechanism of action and potential for drug interactions. It is important to note that while this formulation is applied topically, systemic absorption can still occur, leading to potential interactions with other medications taken orally or intravenously.

Amitriptyline is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, pain, and sleep. It can interact with MAO inhibitors, SSRIs, anticholinergic drugs, and certain antihypertensive medications. Concurrent use with these medications can lead to serious side effects such as serotonin syndrome, increased heart rate, and severe blood pressure changes.

Ketamine is an NMDA receptor antagonist used for its analgesic and anesthetic properties. It can interact with CNS depressants, opioids, and certain antipsychotic medications. These interactions can lead to increased sedation, respiratory depression, and changes in blood pressure and heart rate.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It can interact with anticoagulants, antiplatelet drugs, other NSAIDs, and certain antihypertensive medications. These interactions can increase the risk of bleeding, kidney damage, and blood pressure changes.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It can interact with other local anesthetics and certain antiarrhythmic drugs, leading to increased risk of systemic toxicity.

This formulation is primarily used for the management of neuropathic pain, inflammatory pain, and localized pain syndromes. Amitriptyline and Ketamine work synergistically to modulate the perception of pain, while Ketoprofen reduces inflammation and Lidocaine provides immediate local anesthesia. The transdermal route allows for targeted treatment, reducing systemic side effects and improving patient compliance.

It is crucial for patients and prescribers to consider all potential drug interactions before starting this medication. Always inform your healthcare provider of all the medications you are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements. If you have any questions or concerns, please do not hesitate to reach out to us at Bayview Pharmacy.

The Amitriptyline 5%/Ketamine 1%/Ketoprofen 5%/Lidocaine 1% Transdermal Gel is a unique formulation that combines four active ingredients, each with its own mechanism of action, to provide targeted relief from 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, a tricyclic antidepressant, works by increasing the levels of certain chemicals in the brain that help elevate mood and reduce pain perception. In this formulation, it is used for its analgesic properties to help manage chronic pain conditions.

Ketamine, a NMDA receptor antagonist, works by blocking the N-Methyl-D-aspartate receptor in the brain, which plays a role in pain signaling. By blocking this receptor, ketamine helps to reduce the sensation of pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing the production of prostaglandins, chemicals that cause inflammation, pain, and fever in the body. Ketoprofen is used in this formulation for its anti-inflammatory and analgesic properties.

Lidocaine, a local anesthetic, works by blocking sodium channels in the nerve cells, preventing the initiation and conduction of nerve impulses. This results in a numbing effect at the site of application, providing immediate relief from pain.

When combined in a transdermal gel, these four active ingredients work together to provide comprehensive pain relief. The gel formulation allows for targeted application, ensuring that the medication is delivered directly to the area of pain. The pump mechanism allows for easy and precise dosing, ensuring that the correct amount of medication is applied each time.

This formulation can be used to treat a variety of disease states, including neuropathic pain, fibromyalgia, post-herpetic neuralgia, and other conditions associated with chronic pain. It is important to note that while this formulation can help manage symptoms, it does not cure the underlying disease. Therefore, it should be used as part of a comprehensive treatment plan under the supervision of a healthcare provider.

If you have any questions about this formulation, or if you would like more information on how it can be used to manage specific disease states, please do not hesitate to reach out to us. We are here to help and provide you with the information you need to make informed decisions about your healthcare.

The Amitriptyline 5%/Ketamine 1%/Ketoprofen 5%/Lidocaine 1% Transdermal Gel formulation is primarily used for pain management, typically chronic nerve-related pain. The active ingredients in this formulation have known analgesic, anti-inflammatory and anesthetic properties that offer relief for these painful conditions. However, apart from this, there might be several other potentially beneficial uses.

A secondary use can be in the management of migraines and cluster headaches. Amitriptyline, a tricyclic antidepressant, has been shown to potentially be beneficial in preventing migraines and reducing the frequency and severity of such recurrent headaches. It's crucial to remember, though, that this should be done under professional medical supervision, as its effects on migraines aren't entirely understood yet.

Furthermore, this combination could also be used for post-herpetic neuralgia (PHN), an uncomfortable or painful condition that can occur after shingles. Lidocaine, a local anesthetic, helps to numb the area and offer temporary relief from the pain caused by PHN. Meanwhile, amitriptyline and ketamine's pain-modulating effects can augment this relief.

Other potential uses could be in managing pain associated with fibromyalgia (a disorder characterized by widespread musculoskeletal pain), diabetic peripheral neuropathy, post-surgical pain, and other similar chronic pain conditions. Always it's important to remember that individual patient responses can vary and that all medication use should be under the guidance of a healthcare professional.

Patients and prescribers wanting further information on other possible uses for this formulation, or with any questions regarding the formulation, are encouraged to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy will be happy to assist. Your complete understanding and safety are our top priorities.