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Clonidine HCl 0.5%/Dicofenac Sodium 5%/Diltiazem HCl 4%/Gabapentin 6%/Ketamine HCL 8%/Lidocaine 8% Transdermal Gel

This formulation is a compounded transdermal gel containing Clonidine HCl 0.5%, Dicofenac Sodium 5%, Diltiazem HCl 4%, Gabapentin 6%, Ketamine HCL 8%, and Lidocaine 8%. 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 targeted treatment or absorption of the active ingredients.

The combination of these active ingredients is designed to treat a variety of disease states. Clonidine HCl is used for hypertension and attention deficit hyperactivity disorder (ADHD). Dicofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and reduce inflammation. Diltiazem HCl is a calcium channel blocker used to treat high blood pressure and chest pain. Gabapentin is used to treat nerve pain and seizures. Ketamine HCL is used for starting and maintaining anesthesia. Lidocaine is a local anesthetic used to relieve pain and discomfort caused by skin irritations and minor burns.

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Topical Gel
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Formula Information

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This formulation is a compounded transdermal gel containing Clonidine HCl 0.5%, Dicofenac Sodium 5%, Diltiazem HCl 4%, Gabapentin 6%, Ketamine HCL 8%, and Lidocaine 8%. It is a semisolid formulation that is dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency of the formulation ensures that the active ingredients are absorbed directly into the targeted area, providing localized treatment.

Each active ingredient in this formulation plays a crucial role in managing various disease states. Clonidine HCl is an alpha-2 adrenergic agonist that is commonly used to treat high blood pressure, but in this formulation, it can help with neuropathic pain. Dicofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain and inflammation. Diltiazem HCl is a calcium channel blocker that can help improve blood flow, but it also has analgesic properties when used topically.

Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat seizures and pain caused by shingles. In this formulation, it can help manage neuropathic pain. Ketamine HCL is a powerful anesthetic that can provide significant pain relief, particularly for patients with chronic pain conditions. Lidocaine is a local anesthetic that provides immediate relief from pain and discomfort by numbing the skin and surrounding tissues.

This formulation is particularly beneficial for patients suffering from conditions such as neuropathic pain, chronic pain, and inflammatory conditions. It provides targeted relief by delivering the active ingredients directly to the affected area, reducing systemic side effects often associated with oral medications. It is important to note that this formulation should be used under the guidance of a healthcare provider, and the dosage and frequency of application should be strictly followed as per the prescriber's instructions.

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 ready to assist you with your medication needs.

Drug Interactions

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This compounded formulation contains several active ingredients, each with its own potential for drug interactions. Clonidine HCl, an alpha-2 adrenergic agonist, can interact with other medications that affect the nervous system, such as beta-blockers, calcium channel blockers, and other central nervous system depressants. Concurrent use with these medications may result in additive effects, potentially leading to hypotension, bradycardia, or excessive sedation.

Diclofenac Sodium, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants, antiplatelet drugs, and other NSAIDs, increasing the risk of bleeding. It may also interact with angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or diuretics, potentially reducing their effectiveness or increasing the risk of kidney damage. Furthermore, concurrent use with corticosteroids or selective serotonin reuptake inhibitors (SSRIs) may increase the risk of gastrointestinal bleeding.

Diltiazem HCl, a calcium channel blocker, can interact with other medications that affect heart rhythm or blood pressure, potentially leading to arrhythmias or hypotension. It may also interact with statins, increasing the risk of muscle damage, or with cyclosporine, potentially leading to cyclosporine toxicity.

Gabapentin, an anticonvulsant and nerve pain medication, may interact with antacids, potentially reducing its absorption and effectiveness. It may also interact with other central nervous system depressants, potentially leading to excessive sedation or respiratory depression.

Ketamine HCl, a general anesthetic, can interact with other central nervous system depressants, potentially leading to excessive sedation or respiratory depression. It may also interact with monoamine oxidase inhibitors (MAOIs), potentially leading to a hypertensive crisis.

Lidocaine, a local anesthetic, can interact with other local anesthetics or medications that affect heart rhythm, potentially leading to additive effects and increased risk of toxicity.

This formulation is intended for transdermal application, which may reduce the risk of systemic drug interactions. However, patients should still inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and dietary supplements. If you have any questions about potential drug interactions, please reach out to us at Bayview Pharmacy.

How Does it Work

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This formulation is a combination of six active ingredients: Clonidine HCl, Dicofenac Sodium, Diltiazem HCl, Gabapentin, Ketamine HCL, and Lidocaine, all incorporated into a transdermal gel. Each of these ingredients plays a unique role in managing various disease states.

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 nerves. This can help to alleviate symptoms of neuropathic pain and other conditions where pain management is necessary.

Diclofenac Sodium is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing substances in the body that cause pain and inflammation. It is commonly used to treat mild to moderate pain, or signs and symptoms of osteoarthritis or rheumatoid arthritis.

Diltiazem HCl is a calcium channel blocker that works by relaxing the muscles of your heart and blood vessels. It is often used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders. In this formulation, it may help to improve blood flow and reduce inflammation.

Gabapentin is an anticonvulsant that is often used to treat nerve pain. It works by affecting the chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. In this formulation, it can help to manage neuropathic pain.

Ketamine HCL is a powerful anesthetic that works by blocking certain receptors in the brain that are responsible for transmitting pain signals. It can provide significant pain relief for patients with severe or chronic pain conditions.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It is often used to relieve pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns.

The transdermal gel formulation allows for the active ingredients to be absorbed through the skin directly into the affected area. This provides targeted treatment and can reduce the potential for systemic side effects. The pump mechanism allows for easy and precise application of the medication.

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

Other Uses

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Aside from treating the specific disease states, this advanced transdermal gel is tailor-made for a wide range of therapeutic applications. With its innovative composition, it may also be employed as a potential treatment alternative for varying types of acute and chronic pain. Pain states potentially responsive to this formula could include diabetic neuropathy, neuralgia, and complex regional pain syndromes. As clinical experience with compound transdermal medications expands, off-label use against such complex syndromes has potential for increase.

Additionally, the individual components of the gel each have unique pharmacologic properties which could lend themselves to other uses. Clonidine, a medication traditionally used for hypertension, could potentially provide relief for symptoms of withdrawal from opioids. Diclofenac, as a potent anti-inflammatory, is utilized extensively for joints and musculoskeletal associated pain, but could also find use in deeper pain related afflictions.

Furthermore, the relaxant effect of Diltiazem may bring benefits in conditions where smooth muscle relaxation is beneficial, such as Raynaud's phenomenon. Gabapentin is prescribed frequently for different types of neuralgias and seizures, but it also has potential uses in mental health, such as anxiety disorders. Ketamine is an anesthetic which is showing promise in the form of addressing treatment-resistant depression, while Lidocaine, a local anesthetic, might be used for nerve pain, burns, and even insect bites.

Usage of this formulation outside its primary intent should always be done under medical supervision due to its potent combination of active ingredients. Off-label treatments always warrant cautious application and proper prescription. Unintended side-effects and interactions can still occur even with transdermal application, so consistent dialogue with a medical professional is paramount.

If you have further inquiries or need more precise information, please don't hesitate to contact us at Bayview Pharmacy. As a specialized team of compounding pharmacists, we are always at your disposal to ensure optimum treatment outcomes and patient safety.

Frequently Asked Questions

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What is this compounded formulation made up of?

This compounded formulation is made up of Clonidine HCl 0.5%, Dicofenac Sodium 5%, Diltiazem HCl 4%, Gabapentin 6%, Ketamine HCl 8%, and Lidocaine 8% in a transdermal gel.

What is the purpose of this formulation?

This formulation has been designed for easy application on the skin. The active ingredients can then be absorbed transdermally for targeted treatment.

How should this formulation be applied?

This formulation is dispensed using a pump mechanism enabling an easy and precise application on the skin. It should be applied based on the directions given by your healthcare provider.

What is the consistency of this gel?

The consistency of this transdermal gel is semisolid, similar to regular gel products. It's not too thick and not too runny, and can be easily spread and absorbed into the skin.

What is the function of each active ingredient in this formulation?

Each of the components in this formulation has its own medicinal properties: clonidine HCl reduces high blood pressure, diclofenac sodium relieves pain and inflammation, diltiazem HCl treats hypertension and angina, gabapentin manages nerve pain, ketamine HCl is for pain relief, and lidocaine is a local anesthetic.

Can this gel be used on any part of the body?

As a general rule, this gel should be used on the area as advised by your healthcare provider. It is intended for topical use and should not be used on areas with cuts, abrasions, or broken skin.

What should I do if I'm experiencing adverse reactions from this gel?

If you are experiencing any unusual or severe reactions, immediately stop using the product and contact your healthcare provider.

Can this formulation be used in conjunction with other medications?

It's important to discuss other medications that you're currently taking with your healthcare provider. Certain drugs may interact with the active ingredients in this transdermal gel, possibly affecting its efficacy or provoking side effects.

What should I do if I miss a dose?

If you miss a dose, you should apply it as soon as you remember. However, if it's close to the time of your next application, skip the missed dose and proceed with your regular schedule. Do not double the dose to make up for the missed one.

How should I store this transdermal gel?

This transdermal gel should be stored at room temperature, away from moisture and heat. Do not freeze. Keep the container securely closed when not in use.

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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.