Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Bupivacaine HCl 2%/Clonidine HCl 0.22%/Gabapentin 10%/Ketamine HCl 5.75% Transdermal Gel

This formulation is a semisolid transdermal gel containing Bupivacaine HCl 2%, Clonidine HCl 0.22%, Gabapentin 10%, and Ketamine HCl 5.75%. It is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency of the formulation ensures targeted treatment or absorption of the active ingredients.

The combination of these active ingredients is designed to treat a variety of disease states. Bupivacaine HCl is a local anesthetic, providing relief from pain. Clonidine HCl is an alpha-2 adrenergic agonist, used for its analgesic properties. Gabapentin is an anticonvulsant and nerve pain medication, used to treat seizures and pain caused by shingles. Ketamine HCl is a general anesthetic, used for starting and maintaining anesthesia.

Want a different strength?
Click the Text Us button below.
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.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Topical Gel
6535aba2e6c1690c344991ce
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

This formulation is a compounded transdermal gel containing Bupivacaine HCl 2%, Clonidine HCl 0.22%, Gabapentin 10%, and Ketamine HCl 5.75%. 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 that the active ingredients are absorbed effectively into the skin for targeted treatment.

Bupivacaine HCl is a local anesthetic that works by blocking nerve impulses, thereby reducing pain sensation. Clonidine HCl is an alpha-2 adrenergic agonist that can decrease pain by blocking pain signals in the brain. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain conditions. It works by stabilizing electrical activity in the brain and affecting the way the nerves send messages to the brain. Ketamine HCl is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain.

This unique combination of ingredients works synergistically to provide effective pain relief for a variety of disease states. It can be used to manage chronic pain conditions such as neuropathic pain, fibromyalgia, and complex regional pain syndrome. It may also be beneficial for patients suffering from postherpetic neuralgia, diabetic neuropathy, and other conditions characterized by nerve-related pain. The transdermal delivery allows for targeted treatment, reducing systemic side effects often associated with oral medications.

Patients using this formulation should apply it as directed by their healthcare provider, typically to the affected area 1-3 times daily. It's important to wash hands immediately after application and avoid contact with eyes, mouth, and other mucous membranes. Side effects may include skin irritation at the application site, dizziness, dry mouth, and constipation. Patients should report any serious side effects to their healthcare provider immediately.

Prescribers should consider this formulation for patients who have not responded to traditional oral pain medications or who cannot tolerate their side effects. It's also a viable option for patients who prefer a topical treatment method. As with any medication, it's important to monitor patients closely for any adverse reactions or changes in their condition.

If you have any questions about this formulation or its use in treating specific disease states, please don't hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is here to assist you.

Drug Interactions

A small arrow pointing down

This compounded formulation contains Bupivacaine HCl, Clonidine HCl, Gabapentin, and Ketamine HCl. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's important for patients and prescribers to be aware of these potential interactions to ensure safe and effective use of this medication.

Bupivacaine HCl is a local anesthetic. It can interact with other local anesthetics and medications that affect the central nervous system, such as sedatives, tranquilizers, and general anesthetics. These interactions can increase the risk of serious side effects, including slow or irregular heartbeat, severe drowsiness, and respiratory problems.

Clonidine HCl is an alpha-2 adrenergic agonist used to treat high blood pressure. It can interact with other blood pressure medications, leading to potentially dangerous drops in blood pressure. It can also interact with medications that affect the central nervous system, including sedatives, antidepressants, and antipsychotics, potentially increasing the risk of side effects such as drowsiness, dizziness, and difficulty concentrating.

Gabapentin is an anticonvulsant and nerve pain medication. It can interact with antacids containing magnesium or aluminum, which can decrease the absorption of gabapentin and reduce its effectiveness. Gabapentin can also interact with opioids, increasing the risk of serious side effects such as respiratory distress and sedation.

Ketamine HCl is a general anesthetic. It can interact with other anesthetics, sedatives, and central nervous system depressants, potentially increasing the risk of serious side effects such as respiratory depression, low blood pressure, and profound sedation. It can also interact with stimulants, which can increase the risk of cardiovascular side effects such as rapid heart rate and high blood pressure.

This formulation is designed to be applied topically, which can reduce the risk of systemic drug interactions. However, it's still important to be aware of potential interactions, especially if the patient is using other medications topically or if the medication is being applied to large areas of skin, which can increase absorption into the bloodstream.

This formulation is used to treat various disease states, including chronic pain, neuropathic pain, and postoperative pain. The combination of active ingredients works synergistically to provide pain relief. Bupivacaine provides local anesthesia, clonidine reduces nerve signal transmission, gabapentin treats nerve pain, and ketamine provides general anesthesia and pain relief.

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

How Does it Work

A small arrow pointing down

The Bupivacaine HCl 2%/Clonidine HCl 0.22%/Gabapentin 10%/Ketamine HCl 5.75% Transdermal Gel is a unique formulation that combines four active ingredients, each with a specific role in managing pain and inflammation. This formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to provide targeted relief.

Bupivacaine HCl is a local anesthetic that works by blocking nerve impulses in your body, thereby reducing pain and discomfort. It is often used in surgical procedures or for postoperative pain relief. In this formulation, it provides a local anesthetic effect to the area where the gel is applied, numbing the pain.

Clonidine HCl is an alpha-2 adrenergic agonist that works by stimulating receptors in the brain that reduce the transmission of pain signals through the nervous system. This results in a decrease in the intensity of pain felt by the patient. It also has a sedative effect, which can help to reduce anxiety and improve sleep in patients with chronic pain.

Gabapentin is an anticonvulsant and nerve pain medication. It is often used to treat nerve pain conditions such as neuropathic pain. Gabapentin works by stabilizing electrical activity in the brain and affecting the way the nerves send messages to the brain about pain.

Ketamine HCl is a powerful anesthetic that is used in both human and veterinary medicine. It works by blocking a certain receptor in the brain (NMDA receptor) that is responsible for transmitting pain signals. By blocking this receptor, ketamine can provide significant pain relief.

The combination of these four active ingredients in a transdermal gel allows for targeted application and absorption, providing relief directly to the area of pain or inflammation. The gel formulation also allows for a controlled release of the medication, providing longer-lasting relief compared to other dosage forms.

This formulation can be used to treat a variety of disease states that involve pain and inflammation, including but not limited to postoperative pain, neuropathic pain, and chronic pain conditions. As with any medication, it is important to use this formulation as directed by a healthcare provider to ensure its safety and effectiveness.

If you have any questions about this formulation, how it works, or how it can be used to treat specific conditions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

A small arrow pointing down

This compounded formulation of Bupivacaine HCl 2%/Clonidine HCl 0.22%/Gabapentin 10%/Ketamine HCl 5.75% Transdermal Gel is typically utilized for managing severe chronic pain conditions such as neuropathic pain due to diabetes, post-herpetic neuralgia, and post-operative pain. However, it may also be used for other uses.

Given the individual properties of the components in the formulation, it can also be explored for treatment of conditions that involve localized pain, inflammation, or spasms. The local anesthetic, Bupivacaine, numbs specified areas and may provide relief for patients suffering from skin conditions that cause severe itch or superficially localized pain. Clonidine, an alpha-2 adrenergic agonist, while primarily used for hypertension has shown to be beneficial for withdrawal symptoms related to opioid addiction. It could also be used off-label for alleviation of withdrawal symptoms from certain substances.

Gabapentin, an anticonvulsant, and nerve pain medication, may help conditions associated with nerve dysfunction, ranging from seizures to restless leg syndrome, even hot flashes. Ketamine, an NMDA receptor antagonist, although primarily used for starting and maintaining anesthesia, may also be utilized in lower doses for the management of depression and mood disorders, in cases where other treatments have failed. However, usage for these conditions should be strictly under medical supervision due to the potential risks.

The gel form is optimized for transdermal or topical delivery, allowing for targeted treatment with minimal systemic effects. Hence, it may be used for symptomatic relief for a range of disorders presenting local discomfort, from muscular sprains to insect bites, always under medical advice. Please note that this information does not substitute professional healthcare consultation. Always consult with a healthcare provider for appropriate treatment.

If you or your prescriber have any questions about potential uses for this compounded formulation, our team is always available to advise. Do not hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

A small arrow pointing down

What is this compounded formulation used for?

The compounded formulation of Bupivacaine HCl 2%/Clonidine HCl 0.22%/Gabapentin 10%/Ketamine HCl 5.75% Transdermal Gel is typically used for the relief of various pain conditions. It may also be used for neuropathic pain and other related syndromes.

How should this compounded gel be applied?

This gel is meant to be applied topically to the skin using the included pump mechanism, which allows for easy and precise application. It's meant for targeted treatment, so it should be applied directly to the affected area.

How does this formulation work?

This formulation works by delivering four medications directly to the site of pain through the skin. The medications – bupivacaine, clonidine, gabapentin, and ketamine – work together to provide pain relief.

How often should this gel be applied?

The frequency of application should be discussed with your healthcare provider, as it may vary depending on the individual patient's needs and condition. Always follow your physician's instructions.

Who should use this compounded formulation?

This product is suitable for patients who require targeted pain relief, and for whom traditional oral medications may not have worked, or in cases where oral medications would be unsuitable or undesirable due to potential side effects.

Are there any side effects associated with this gel?

As with any medication, potential side effects may occur. Possible side effects of these medications include skin irritation at the application site, drowsiness, or other symptoms. It is advised to consult with your healthcare provider to understand all potential side effects.

Can this gel be used with other medications?

In general, this gel can be used in conjunction with other medications; however, as with any medical treatment, it is essential to discuss all current medications with your health care provider before starting any new treatment to avoid potential interactions.

What should I do if I miss a dose?

If you miss applying a dose of this gel, apply it as soon as you remember. If it is close to the time of your next dose, skip the missed application and resume your usual dosing schedule. Do not apply extra gel to make up for a missed dose.

Can I use this gel on broken or irritated skin?

No, this compounded formulation should not be applied to broken or irritated skin. It should only be applied to the skin's surface. If you are unsure, please refer to your healthcare provider.

How should I store this formulation?

This compounded gel should be stored at room temperature, away from heat, moisture, and direct light. It should also be kept out of reach of children and pets. Please consult the packaging or your pharmacist if you are unsure.

Related Formulas

Related Products
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.