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Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Capsaicin
Ketamine Hydrochloride

Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a pump mechanism. This gel-like consistency ensures targeted treatment and effective absorption of active ingredients.

This formulation is used to treat neuropathic pain, arthritis, and localized musculoskeletal pain, providing relief by utilizing the analgesic properties of capsaicin and ketamine.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
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.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Capsaicin
Ketamine Hydrochloride
Topical Gel
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Capsaicin 0.5 mg/mL and Ketamine HCl 20 mg/mL Topical Gel is a compounded medication designed to provide targeted relief from certain types of pain when applied directly to the skin. The gel is dispensed through a convenient pump mechanism, allowing for precise dosing and easy application to the affected area, ensuring that the active ingredients are delivered exactly where they are needed.

Capsaicin, a natural compound derived from chili peppers, works by desensitizing sensory receptors in the skin known as TRPV1 receptors. By interfering with these receptors, capsaicin can reduce the sensation of pain in the area where it is applied.

Ketamine HCl is an NMDA receptor antagonist that, when used topically, can help to modulate pain signals transmitted through the nervous system. By blocking NMDA receptors, ketamine interferes with the transmission of pain impulses, providing relief from chronic pain conditions. The high concentration of ketamine in this formulation allows for significant analgesic effects while minimizing systemic absorption and potential side effects associated with oral or intravenous use.

The combination of capsaicin and ketamine in a topical gel provides a synergistic effect for pain management. While capsaicin desensitizes peripheral pain receptors, ketamine acts centrally to reduce pain signal transmission. This dual mechanism can offer enhanced relief for patients who may not have had success with single-agent therapies.

The gel formulation ensures that the medication remains in contact with the skin for an extended period, allowing for sustained absorption of the active ingredients. The pump mechanism not only facilitates easy application but also ensures that each dose is consistent, helping patients and caregivers to administer the correct amount without hassle.

To use this medication, apply the prescribed amount of gel to clean, dry skin over the affected area. Gently massage the gel into the skin until fully absorbed. It is important to wash your hands thoroughly before and after applying the gel to avoid unintentional contact with sensitive areas such as the eyes, nose, or mouth, which can cause irritation due to the capsaicin component.

Patients should be aware of possible side effects, which may include localized skin reactions such as redness, warmth, itching, or a burning sensation at the application site. These effects are typically mild and diminish with continued use as the skin becomes accustomed to the medication. If severe irritation occurs or persists, discontinue use and consult your healthcare provider.

Before starting treatment, inform your healthcare provider of any other medications you are taking and any underlying health conditions, especially skin disorders or sensitivities. This will help to ensure that this compounded medication is safe and appropriate for your specific situation.

For prescribers, this formulation offers a customizable option for patients who may require alternative routes of pain management, particularly those who experience side effects from systemic medications or have contraindications for oral therapies. The topical delivery can minimize systemic exposure.

If you have any questions, reach out to us.

Drug Interactions

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Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel is a compounded formulation designed for the management of pain conditions, including neuropathic pain, arthritis, and other chronic pain syndromes. The combination of capsaicin and ketamine in a topical gel allows for localized treatment, potentially minimizing systemic side effects associated with oral or injectable forms of these medications.

Capsaicin, a compound derived from chili peppers, works by desensitizing sensory neurons and reducing the sensation of pain. While it is primarily used topically, systemic absorption can occur, especially with prolonged use or application over large areas. Capsaicin may interact with other topical medications applied to the same area, potentially altering their absorption or efficacy. Patients should inform their healthcare provider of all topical treatments they are using to avoid potential interactions.

Ketamine, an NMDA receptor antagonist, is used in this formulation for its analgesic properties. When applied topically, ketamine is less likely to cause systemic effects compared to oral or intravenous administration. However, patients using other medications that affect the central nervous system, such as benzodiazepines, opioids, or other NMDA antagonists, should be monitored closely for additive CNS effects, including sedation or respiratory depression. Additionally, ketamine may interact with medications that alter hepatic enzyme activity, potentially affecting its metabolism and efficacy.

Patients with a history of cardiovascular disease should use this formulation with caution, as both capsaicin and ketamine can influence heart rate and blood pressure. Capsaicin may cause local skin reactions, such as burning or irritation, which could be exacerbated by other topical agents. Ketamine, although used topically, may still pose a risk of systemic side effects, particularly in patients with compromised skin integrity or those using high doses over large areas.

Healthcare providers should assess the patient's complete medication profile, including over-the-counter drugs and supplements, to identify potential interactions. It is crucial to educate patients on the proper application technique to minimize systemic absorption and potential interactions. Patients should be advised to report any unusual symptoms or side effects promptly.

If you have any questions or need further information regarding the use of Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any concerns or inquiries you may have.

How Does it Work

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The Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel is a specialized formulation designed to deliver targeted relief through a semisolid gel that is dispensed via a pump mechanism. This innovative delivery system ensures precise application, allowing patients to apply the gel directly to the affected area for optimal therapeutic effect. The gel-like consistency facilitates easy absorption of the active ingredients into the skin, providing localized treatment with minimal systemic exposure.

Capsaicin, a compound derived from chili peppers, is known for its ability to alleviate pain by desensitizing sensory neurons. When applied topically, capsaicin works by binding to the TRPV1 receptor, a protein found on the surface of nerve cells. This binding action leads to the depletion of substance P, a neuropeptide associated with the transmission of pain signals.

Ketamine HCl, on the other hand, is a well-known anesthetic and analgesic agent that provides pain relief through a different mechanism. Ketamine acts primarily as an NMDA receptor antagonist, blocking the excitatory neurotransmitter glutamate from binding to these receptors in the central nervous system. This action helps to modulate pain pathways and reduce hyperalgesia, which is an increased sensitivity to pain. By incorporating ketamine into a topical gel, the formulation allows for localized pain relief without the systemic side effects typically associated with oral or intravenous administration of ketamine.

The combination of capsaicin and ketamine in this topical gel offers a synergistic approach to pain management. While capsaicin targets peripheral pain pathways, ketamine addresses central pain mechanisms, providing comprehensive relief for patients suffering from various pain conditions. This dual-action formulation is particularly beneficial for individuals with complex pain syndromes that may not respond adequately to single-agent therapies.

For prescribers, this formulation represents a valuable tool in the management of chronic pain, offering a non-invasive, localized treatment option that minimizes the risk of systemic side effects and potential drug interactions. Patients can benefit from the ease of use provided by the pump mechanism, which ensures consistent dosing and reduces the risk of over-application.

If you have any questions about this formulation or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to make informed decisions about your pain management options.

Other Uses

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The Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel is primarily used for managing pain associated with various conditions, but it may have other potential applications that could be of interest to both patients and prescribers. This formulation, delivered through a convenient pump mechanism, allows for precise application, making it suitable for targeted treatment areas. Beyond its primary indications, this topical gel may be considered for off-label uses in managing neuropathic pain conditions that are not fully addressed by standard treatments. The combination of capsaicin and ketamine in a topical form may offer unique benefits due to their complementary mechanisms of action. Capsaicin works by desensitizing sensory neurons, which can help reduce pain sensation, while ketamine, an NMDA receptor antagonist, may provide analgesic effects by modulating pain pathways in the nervous system.

For patients experiencing localized pain due to conditions such as post-herpetic neuralgia, diabetic neuropathy, or complex regional pain syndrome, this gel may offer an alternative or adjunctive therapy to oral medications, potentially reducing systemic side effects. Additionally, the topical application may be beneficial for patients who have difficulty swallowing pills or who are at risk of drug interactions with oral medications. The gel's formulation allows for direct application to the affected area. Furthermore, the use of a pump mechanism ensures that patients can apply a consistent and controlled dose, minimizing the risk of over-application and potential side effects.

Prescribers may also consider this formulation for patients who have not achieved adequate pain control with other topical agents or who have contraindications to systemic therapies. The unique combination of capsaicin and ketamine may provide a synergistic effect, enhancing pain relief while minimizing the risk of systemic absorption and associated side effects. It is important for prescribers to evaluate each patient's individual needs and medical history to determine the appropriateness of this treatment option. As with any off-label use, careful monitoring and follow-up are essential to ensure patient safety and efficacy of the treatment.

If you have any questions or need further information about the potential uses of Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel used for?

This topical gel is used for targeted treatment of pain and inflammation. Capsaicin is known for its pain-relieving properties, while Ketamine HCl can help manage pain by acting on the nervous system.

How should I apply the Capsaicin/Ketamine topical gel?

The gel should be applied to clean, dry skin. Use the pump mechanism to dispense the gel and apply it to the affected area, gently massaging it in until fully absorbed.

How often can I use this topical gel?

Usage frequency should be determined by your healthcare provider. Typically, it may be applied 2-3 times daily, but follow the specific instructions given by your doctor or pharmacist.

Are there any side effects associated with this topical gel?

Some users may experience mild skin irritation, redness, or a burning sensation at the application site. If severe irritation or an allergic reaction occurs, discontinue use and consult your healthcare provider.

Can I use this gel on broken or irritated skin?

No, you should not apply the gel to broken, irritated, or infected skin. It is intended for use on intact skin only.

Is this topical gel safe for use during pregnancy or breastfeeding?

Consult your healthcare provider before using this gel if you are pregnant or breastfeeding, as the safety of these active ingredients in such conditions has not been fully established.

How should I store the Capsaicin/Ketamine topical gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

Can I use this gel in combination with other topical medications?

Before using this gel with other topical medications, consult your healthcare provider to avoid potential interactions or adverse effects.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose to catch up.

What should I do if I experience severe side effects?

If you experience severe side effects such as intense burning, swelling, or an allergic reaction, discontinue use immediately and seek medical attention.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Capsaicin 0.5 mg/mL/Ketamine HCl 20 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily