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Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Ketamine HCl 11.5%/Ketoprofen 10%/Lidocaine HCl 4% Transdermal Gel

This formulation is a semisolid transdermal gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketamine HCl 11.5%, Ketoprofen 10%, and Lidocaine HCl 4%. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The active ingredients in this gel are designed for targeted treatment and absorption, providing relief for a variety of disease states.

The combination of these active ingredients works synergistically to manage pain and inflammation, making it an effective treatment for conditions such as neuropathic pain, muscle spasms, and fibromyalgia. Baclofen and Cyclobenzaprine HCl are muscle relaxants, Gabapentin is used to treat nerve pain, Ketamine HCl is a powerful analgesic, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID), and Lidocaine HCl is a local anesthetic.

By delivering these medications transdermally, the formulation can provide localized relief with minimal systemic side effects. This makes it a suitable option for patients who may not tolerate oral medications or those who require targeted pain management.

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Topical Gel
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Formula Information

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This formulation is a compounded transdermal gel containing Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketamine HCl 11.5%, Ketoprofen 10%, and Lidocaine HCl 4%. 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 aids in the targeted treatment or absorption of the active ingredients.

The combination of these active ingredients is designed to provide comprehensive pain relief and muscle relaxation. Baclofen is a muscle relaxant and antispastic agent, which helps to relieve muscle spasms. Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Gabapentin is used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Ketamine HCl is a potent analgesic that can provide relief from severe pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lastly, Lidocaine HCl is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This formulation is typically used to manage pain in various disease states, including neuropathic pain, musculoskeletal pain, and inflammation. It can be particularly beneficial for patients who have not responded to traditional oral medications or who cannot tolerate them due to side effects. The transdermal application allows for targeted treatment, potentially reducing systemic side effects and improving patient compliance.

It's important to note that this is a compounded medication, meaning it is made specifically for you based on a doctor's prescription. It should be used exactly as directed by your healthcare provider. If you have any questions about this formulation or how to use it, please reach out to us at Bayview Pharmacy. We are a team of knowledgeable compounding pharmacists who are here to help.

Drug Interactions

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This compounded formulation contains several active ingredients, each with its own potential for drug interactions. It's important to note that while this formulation is applied topically, systemic absorption can still occur, leading to potential interactions with other medications you may be taking.

Baclofen, a muscle relaxant and antispasmodic agent, may interact with other central nervous system depressants such as opioids, benzodiazepines, and alcohol, potentially leading to increased sedation and respiratory depression. It may also interact with antihypertensive medications, potentially enhancing their effects and leading to hypotension.

Cyclobenzaprine, another muscle relaxant, has similar potential interactions as baclofen. It may also interact with monoamine oxidase inhibitors (MAOIs), leading to a potentially life-threatening condition called serotonin syndrome. If you are taking an MAOI, you should not use this formulation.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids, reducing the absorption of gabapentin. It's recommended to take gabapentin at least 2 hours after taking an antacid. Gabapentin may also increase the effects of other central nervous system depressants, leading to increased sedation and respiratory depression.

Ketamine, an anesthetic, may interact with other central nervous system depressants, leading to increased sedation and respiratory depression. It may also interact with medications that affect heart rate and blood pressure, potentially leading to changes in these vital signs.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with other NSAIDs, increasing the risk of gastrointestinal bleeding. It may also interact with anticoagulants, antiplatelet drugs, and corticosteroids, further increasing this risk. Ketoprofen may also interact with antihypertensive medications and diuretics, potentially reducing their effectiveness.

Lidocaine, a local anesthetic, has few systemic interactions due to its local application. However, it may interact with other local anesthetics and antiarrhythmic drugs, potentially leading to additive effects.

This formulation is designed to treat a variety of conditions, including muscle spasms, nerve pain, and inflammation. The combination of active ingredients works synergistically to provide relief from these conditions. However, due to the potential for drug interactions, it's important to discuss all medications you are currently taking with your healthcare provider before starting this formulation.

If you have any questions about this formulation or potential drug interactions, please don't hesitate to reach out to us. We are here to help ensure that your treatment is safe and effective.

How Does it Work

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This formulation is a combination of six active ingredients: Baclofen, Cyclobenzaprine HCl, Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine HCl. Each of these ingredients plays a unique role in managing pain and inflammation, and their combined effect can provide significant relief for a variety of disease states.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to reduce muscle spasms, pain, and stiffness.

Cyclobenzaprine HCl is another muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. This can help to relieve muscle spasms caused by painful conditions such as sprains, strains, or injuries.

Gabapentin is an anticonvulsant and nerve pain medication. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. This can help to reduce pain and discomfort in conditions such as postherpetic neuralgia and certain types of seizures.

Ketamine HCl is a general anesthetic that works by blocking certain receptors in the brain that process pain signals. This can help to provide short-term pain relief in various conditions.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. This can help to relieve pain and inflammation in conditions such as arthritis, gout, or injury.

Lidocaine HCl is a local anesthetic that works by blocking nerve signals in your body. This can help to numb the area and provide temporary relief from pain or discomfort.

The transdermal gel formulation allows for targeted application and absorption of these active ingredients. By applying the gel directly to the affected area, the active ingredients can be absorbed through the skin and directly into the affected tissues. This can provide more targeted relief and reduce the risk of systemic side effects compared to oral medications.

This formulation can be used to treat a variety of disease states, including muscle spasms, nerve pain, inflammation, and certain types of seizures. It can also be used to provide temporary relief from pain or discomfort caused by injuries or other painful conditions.

If you have any questions about this formulation, please don't 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 health.

Other Uses

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Baclofen 2%/Cyclobenzaprine HCl 2%/Gabapentin 6%/Ketamine HCl 11.5%/Ketoprofen 10%/Lidocaine HCl 4% Transdermal Gel, while typically used for local pain management and relief, may present additional therapeutic efficacy in other areas. For instance, this formulation could potentially be useful for individuals experiencing neuropathic pain (nerve pain), fibromyalgia, migraines, or complex regional pain syndrome due to the presence of Gabapentin and Ketamine, compounds known for their effectiveness in managing these conditions.

Beyond this, Baclofen and Cyclobenzaprine in this formulation may offer spasmolytic (anti-spasm) effects, possibly making this compound ideal for patellar (or other) dislocation rehabilitation, cervical dystonia, and other conditions where muscle spasms cause discomfort or disruption of normal movement. Lidocaine and Ketoprofen combined provides both analgesic and anti-inflammatory effects, potentially assisting with inflammation-driven diseases such as rheumatoid arthritis or even tendinitis. The synergistic effect of the combined ingredients could maximize pain relief in nerve-related and inflammatory conditions when traditional therapy is ineffective or not tolerated.

The transdermal administration route may make this formulation particularly useful for patients who might struggle with oral administration, such as individuals with swallowing difficulties or gastrointestinal issues. The pump mechanism allows for precise dosage control and keeps the process of applying medication simple and easy.

However, it is crucial to remember that, despite discussing these 'other uses', this formulation has not been universally studied or approved for these applications. All final usage decisions should be made following consultation with a healthcare provider familiar with both the patient's specific health history and the latest research in the field. This is especially important considering potential side effects or contraindications with present medications and medical conditions.

Reach out to us at Bayview Pharmacy if you have any additional questions regarding the possible extended applications of this formulation or other related queries. We aim to help assure that the use of this or any other pharmaceutical blend is safe, effective and thoroughly understood by both patients and prescribers.

Frequently Asked Questions

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What is this compounded formulation made of?

This is a compounded formulation of various medications, including Baclofen 2%, Cyclobenzaprine HCl 2%, Gabapentin 6%, Ketamine HCl 11.5%, Ketoprofen 10%, and Lidocaine HCl 4%. These components provide a multifaceted approach to pain management and relief.

How is this formulation applied?

This formulation is a semisolid gel dispensed through a pump mechanism. It is designed for easy and precise application directly onto the skin.

What is the purpose of the gel consistency?

The gel consistency helps to introduce the active ingredients directly to the targeted area after application. The gel-like composition ensures the medicine remains at the intended site and absorbs effectively into the skin.

What conditions can this gel be used for?

As a multi-ingredient pharmaceutical product, this formulation can be used at the direction of a health care provider for a variety of conditions, particularly those requiring pain management. Specific conditions may include neuropathic pain, muscle spasms, inflammation and local pain relief.

Can this gel be used for all types of pain?

This formulation is specifically tailored for certain types of pain, such as neuropathic pain and muscle spasms. It's always best to consult your health care provider for appropriate treatments for your specific pain condition.

Are there any side effects to using this formulation?

As with any medication, the potential for side effects exists. One may experience local skin irritation at the application site. If you experience any unusual or severe side effects, you should consult with your health care provider immediately.

How often should this gel be applied?

Application frequency of this compounded formulation varies depending on the specific direction from the health care provider. Always follow the instructions provided by your health care provider or pharmacist when using this medicine.

Can I use other medications when using this compounded formulation?

Before using this or any other compounded formulation, you should tell your health care provider about any other medications you are taking. They can then make an informed decision about whether this compounded formulation is safe for you to use alongside other drugs.

Can I apply this gel to broken skin or open wounds?

No, this compounded formulation should not be applied to broken skin or open wounds. Always apply the gel to clean, intact skin unless directed otherwise by your health care provider.

Why are there multiple active ingredients in this formulation?

The presence of multiple active ingredients facilitates a multifaceted approach to pain management. Each ingredient has its own specific action which, in combination, provide better and more comprehensive pain relief. Always consult your health care provider if you have questions about this or any other medication.

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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.