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Baclofen 5 mg/Diazepam 5 mg/Ketamine HCl 17.25 mg Vaginal Suppository

The Baclofen 5 mg/Diazepam 5 mg/Ketamine HCl 17.25 mg Vaginal Suppository is a solid dosage form designed for insertion into the vagina. Upon insertion, the suppository dissolves or melts, releasing the combined medications for local or systemic absorption. This formulation is typically used to treat a variety of disease states.

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Formula Information

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This formulation combines Baclofen, Diazepam, and Ketamine HCl into a vaginal suppository. Baclofen is a muscle relaxant and antispastic agent, Diazepam is a benzodiazepine that provides sedative, muscle relaxant, and anticonvulsant effects, and Ketamine HCl is an NMDA receptor antagonist that provides analgesic and anesthetic effects. The combination of these three active ingredients provides a multi-modal approach to pain management, muscle relaxation, and sedation.

The suppository dosage form allows for local absorption in the vaginal area, which can be beneficial for conditions such as pelvic pain, endometriosis, and interstitial cystitis. The medication can also be absorbed systemically to provide relief for conditions such as fibromyalgia, neuropathic pain, and certain types of chronic pain. The suppository form can be particularly beneficial for patients who have difficulty swallowing pills, or for whom oral administration is not ideal due to gastrointestinal side effects.

Patients using this formulation should be aware that it can cause drowsiness and impaired motor function, so they should avoid driving or operating heavy machinery until they know how it affects them. Other potential side effects include dizziness, nausea, and constipation. Patients should also be aware that long-term use of benzodiazepines like Diazepam can lead to physical dependence and withdrawal symptoms if the medication is stopped abruptly.

Prescribers should monitor patients closely for signs of excessive sedation or adverse reactions, and adjust the dosage as necessary. They should also be aware that this formulation may interact with other medications, particularly other CNS depressants, and should be used with caution in patients with a history of substance abuse or mental health disorders.

If you have any questions about this formulation, please don't hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is always here to help.

Drug Interactions

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This formulation combines Baclofen, Diazepam, and Ketamine HCl in a vaginal suppository. Each of these medications has its own potential interactions, which can be amplified when they are used together. It's important to be aware of these interactions to ensure safe and effective use of this medication.

Baclofen is a muscle relaxant and antispastic agent. It may interact with other central nervous system depressants, including alcohol, antihistamines, sedatives, and opioids, leading to increased sedation and potentially dangerous respiratory depression. Concurrent use with monoamine oxidase inhibitors (MAOIs) may cause hypotension.

Diazepam is a benzodiazepine used for its sedative, anxiety-reducing, muscle-relaxing, and anticonvulsant properties. It can interact with alcohol, opioids, and other central nervous system depressants, leading to increased sedation and potentially life-threatening respiratory depression. Diazepam may also interact with certain antifungal medications, such as ketoconazole and itraconazole, which can increase the levels of diazepam in the body and lead to increased side effects.

Ketamine HCl is a powerful anesthetic and analgesic. It can interact with other central nervous system depressants, including alcohol, benzodiazepines, and opioids, leading to increased sedation and potentially dangerous respiratory depression. Concurrent use with medications that increase heart rate, such as thyroid hormones or certain asthma medications, may lead to rapid heart rate and other cardiovascular complications.

This formulation is typically used to manage conditions such as severe chronic pain, muscle spasms, and certain types of anxiety disorders. The combination of these three medications provides a potent analgesic and muscle relaxant effect, which can be particularly beneficial for conditions that have not responded to other treatments. However, due to the potential for serious drug interactions, this medication should be used under the close supervision of a healthcare provider.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We are here to provide you with the information you need to use this medication safely and effectively.

How Does it Work

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The Baclofen 5 mg/Diazepam 5 mg/Ketamine HCl 17.25 mg Vaginal Suppository is a unique formulation designed to deliver medication directly to the affected area. This formulation combines three active ingredients: Baclofen, Diazepam, and Ketamine HCl, each with its own therapeutic properties.

Baclofen is a muscle relaxant and antispastic agent. It works by inhibiting the transmission of reflexes at the spinal level, which can help to alleviate muscle spasms, pain, and stiffness. Diazepam is a benzodiazepine that enhances the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABA-A receptor, resulting in sedative, hypnotic (sleep-inducing), anxiolytic (anti-anxiety), anticonvulsant, and muscle relaxant properties. Ketamine HCl is a noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist, and it blocks HCN1 receptors, leading to analgesia and sedation.

When the suppository is inserted into the vagina, it begins to dissolve or melt due to body heat. As it dissolves, the active ingredients are released and absorbed through the vaginal mucosa. This allows for direct delivery of the medication to the pelvic area, which can be beneficial for conditions such as pelvic pain, endometriosis, interstitial cystitis, and other gynecological conditions. The systemic absorption of the medication can also provide relief for conditions such as fibromyalgia, neuropathic pain, and certain types of anxiety disorders.

It's important to note that this formulation is typically used when other treatment options have not been effective or cannot be used due to side effects or other reasons. The combination of these three medications can provide significant relief for patients, but it's also important to monitor for potential side effects, which can include drowsiness, dizziness, and changes in mood or behavior.

If you have any questions about this formulation or how it may benefit you or your patients, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is always here to provide the information and support you need.

Other Uses

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Other than the primary identified uses, the Baclofen 5mg/Diazepam 5mg/Ketamine HCl 17.25 mg vaginal suppository formulation may have other potential applications. These uses are based on the individual component drugs in the formulation and their recognized clinical uses.

Firstly, Baclofen is typically used as a muscle relaxer and antispastic agent. It may therefore be used in this formulation to alleviate conditions involving muscle spasticity, such as spinal cord injuries or diseases, multiple sclerosis, or certain cases of cerebral palsy.

Similarly, Diazepam is a benzodiazepine that is commonly used for its sedative, anxiolytic, and muscle-relaxant properties. It could potentially be used in this suppository format for managing anxiety disorders, alcohol withdrawal symptoms, and certain seizures disorders, as well as for its muscle relaxant properties.

Ketamine HCl, on the other hand, is primarily used for inducing and maintaining anesthesia. It also has been found to have analgesic and potentially antidepressant properties. Therefore, it could potentially be used in this formulation for managing pain, inducing sedation in certain clinical situations, or possibly as part of treatment strategies for certain cases of major depressive disorder.

Combined together in this suppository format, the drugs may exploit their collective pharmacodynamic properties for their potential applications. However, it's vital to note that the use of these medications in this or any other format should only be considered under the guidance of a healthcare professional, as they carry risks, including adverse reactions and potential for dependency. Also, it is not common to administer these medications via the vaginal route, especially for systemic conditions, so this would be considered an off-label usage.

Please bear in mind that while we strive to provide the most accurate information, this is not an exhaustive list of the potential uses of this compound. New research and clinical practices evolve constantly, potentially devising novel applications for existing medications. It's encouraged to consult with a healthcare provider or reach out to us with any queries or concerns regarding this or any other formulation.

Frequently Asked Questions

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What is this medication made of?

The compounded formulation is made up of Baclofen 5 mg, Diazepam 5 mg, and Ketamine HCl 17.25 mg in a suppository form.

How is this medication administered?

This medication is administered by insertion into a body cavity, typically the rectum or vagina.

How does this medication work?

After insertion, the suppository dissolves or melts to release the medications for local or systemic absorption.

What is the purpose of this medication?

The purpose of this medication would depend on a doctor's medical assessment and prescription. The medication contains Baclofen, Diazepam, and Ketamine, which might be used for pain relief, muscle relaxation, and sedation, among other potential uses.

Who should use this medication?

This medication should only be used by patients with a valid prescription from a medical professional. Patients should also discuss potential allergens and health history with their doctor before using it.

Is it safe to use this medication while pregnant or breastfeeding?

Only use this medication if it's been prescribed by a medical professional who has considered potential risks and benefits. If you are pregnant or nursing, it is crucial to have a detailed discussion with your healthcare professional before starting any medication.

Can you use this medication while taking other medicines?

Before starting this medication, discuss any other medications you're currently taking or plan to take with your healthcare professional. It's important to consider any potential drug interactions.

Are there any known side effects of this medication?

Like any medication, possible side effects can occur. Side effects depend on the individuals' reaction to the medication and any pre-existing health conditions. Always consult with your medical professional to discuss potential side effects.

Does this suppository cause discomfort during insertion?

Some individuals might feel a little discomfort during insertion. You can apply a water-soluble lubricant for smoother insertion if required. However, if you experience severe discomfort or pain, notify your healthcare provider immediately.

What should I do if I forget to use my suppository at the scheduled time?

If you forget to use this medication at the scheduled time, use it as soon as you remember. If it's close to the time for your next dose, skip the missed dose and go back to your regular time. Do not use two doses at the same time.

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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.