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Cyclobenzaprine 2%/Gabapentin 10%/Ketamine 10%/Ketoprofen 10%/Lidocaine 4% Transdermal Gel

This formulation is a combination of Cyclobenzaprine 2%, Gabapentin 10%, Ketamine 10%, Ketoprofen 10%, and Lidocaine 4% in a transdermal gel. 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 formulation is used to treat a variety of disease states. Cyclobenzaprine is a muscle relaxant that helps to relieve muscle spasms, while Gabapentin is used to manage nerve pain. Ketamine is a powerful anesthetic that can provide pain relief, and Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces pain, inflammation, and swelling. Lidocaine is a local anesthetic that causes temporary numbness or loss of sensation in the area of application. Together, these ingredients work synergistically to manage pain and inflammation associated with conditions such as neuropathic pain, fibromyalgia, post-herpetic neuralgia, and complex regional pain syndrome (CRPS).

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Topical Gel
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Formula Information

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This formulation is a compounded transdermal gel containing Cyclobenzaprine 2%, Gabapentin 10%, Ketamine 10%, Ketoprofen 10%, and Lidocaine 4%. 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 relief.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. Gabapentin is an anticonvulsant and nerve pain medication that is often used to treat nerve pain caused by shingles (postherpetic neuralgia). Ketamine is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces hormones that cause inflammation and pain in the body. Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.

This combination of medications in a transdermal gel form is designed to provide targeted relief from various disease states. It can be used to manage chronic pain conditions, such as fibromyalgia, neuropathic pain, and musculoskeletal pain. It can also be used to treat acute pain conditions, such as post-surgical pain, sports injuries, and other forms of trauma. The transdermal delivery allows for the active ingredients to be absorbed directly into the affected area, providing localized relief without the systemic side effects often associated with oral medications.

As with any medication, it is important to use this formulation as directed by your healthcare provider. If you have any questions about this formulation, its use, or its potential side effects, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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This formulation contains a combination of five active ingredients: Cyclobenzaprine, Gabapentin, Ketamine, Ketoprofen, and Lidocaine. Each of these ingredients has a specific role in managing various disease states, but they may also interact with other medications.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It may interact with monoamine oxidase inhibitors (MAOIs), causing serious side effects such as high fever, convulsions, and even death. It can also interact with other medications that cause drowsiness such as sleeping pills, narcotic pain medicine, muscle relaxers, and medicine for seizures, depression or anxiety.

Gabapentin is used to treat nerve pain and seizures. It can interact with antacids containing aluminum or magnesium, as they can reduce the amount of gabapentin that the body absorbs. It may also interact with drugs that cause drowsiness or slow your breathing, such as opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

Ketamine is a general anesthetic used to prevent pain and discomfort during certain medical tests or procedures. It may interact with central nervous system depressants, including alcohol, narcotics, and sedatives, leading to increased sedation and potentially respiratory depression. It can also interact with medications that affect liver enzymes that remove ketamine from your body, such as erythromycin, rifampin, St. John's wort, among others.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and joint stiffness caused by arthritis. It may interact with anticoagulants like warfarin, increasing the risk of bleeding. It can also interact with other NSAIDs, corticosteroids, and alcohol, increasing the risk of gastrointestinal ulcers/bleeds.

Lidocaine is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes. It may interact with other local anesthetics and medications that are similar to lidocaine, such as antiarrhythmic drugs like tocainide and mexiletine.

This formulation is designed to treat a variety of conditions, including neuropathic pain, muscle spasms, inflammation, and localized pain. The combination of these medications in a transdermal gel allows for targeted treatment, reducing systemic side effects and improving patient compliance. However, it's important to inform your healthcare provider of all the medications you are currently taking, including prescription drugs, over-the-counter products, and herbal supplements, to avoid potential drug interactions.

If you have any questions about this formulation or its potential interactions with other medications, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

How Does it Work

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This formulation is a combination of five active ingredients: Cyclobenzaprine, Gabapentin, Ketamine, Ketoprofen, and Lidocaine, each with a unique mechanism of action that contributes to the overall therapeutic effect. The formulation is designed to be applied topically, directly to the skin, where it is absorbed into the body to provide targeted relief.

Cyclobenzaprine is a muscle relaxant that works by blocking nerve impulses (or pain sensations) that are sent to your brain. It is particularly effective in treating muscle spasms and associated pain. Gabapentin, on the other hand, is an anticonvulsant and nerve pain medication. It is believed to work by affecting the way the body senses pain. It is commonly used to treat nerve pain conditions, such as those caused by herpes virus or shingles in adults.

Ketamine is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. It is often used in the management of chronic pain conditions, including neuropathic pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is commonly used to treat mild to moderate pain, or inflammation caused by arthritis.

Lidocaine is a local anesthetic that works by blocking nerve signals in your body. It is used to relieve nerve pain from shingles and other painful skin conditions. Lidocaine's numbing effect on the skin helps to reduce the immediate feeling of pain and produce a cooling effect.

When combined in a transdermal gel, these five ingredients work together to provide comprehensive pain relief. The gel is designed to be applied directly to the area of pain, allowing for targeted treatment. The transdermal delivery system also allows for the active ingredients to be absorbed into the body over a longer period of time, providing sustained relief from pain.

This formulation is particularly effective in treating conditions such as neuropathic pain, arthritis, muscle spasms, and other conditions associated with chronic pain. It provides a multi-pronged approach to pain management, addressing both the symptoms and the underlying causes of pain.

If you have any questions about this formulation, or if you would like more information on how it can be used to treat specific conditions, 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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This specially designed formulation, a transdermal gel of Cyclobenzaprine 2%/Gabapentin 10%/Ketamine 10%/Ketoprofen 10%/Lidocaine 4%, is primarily used to manage various forms of pain, particularly neuropathic pain and myofascial pain, as well as for muscle spasms. However, this medication has several secondary or 'off-label' uses.

For instance, it may be employed to relieve chronic pain conditions often associated with diseases like fibromyalgia and diabetes. Furthermore, this compound gel may serve as an effective treatment for postherpetic neuralgia, which is a complication of shingles that results in severe and prolonged pain. In these cases, the formulation’s analgesic properties can help block pain signals and provide relief.

In addition to pain-related conditions, the gel might also be utilized in managing certain types of anxiety and mood disorders. Specifically, the Gabapentin ingredient is known to affect chemicals and nerves in the body that could be involved in certain types of seizures and some types of pain disorders, and is therefore often used as part of the treatment for such conditions.

While this formulation provides the benefits of multi-drug therapy, it is essential to remember that each drug within this formulation also has its unique side effects that can influence patient tolerance. Therefore, careful and individual evaluation should be made during prescribing, and continuous monitoring must occur during treatment. Patients and prescribers should also bear in mind that this formulation is intended for topical application only and must avoid mucous membranes and broken or irritated skin.

For any questions and further information on this formulation, we encourage patients and prescribers to reach out to us at Bayview Pharmacy. Our compounding pharmacists have extensive knowledge about this medication and can help guide you on its potential benefits, side effects, and other essential aspects.

Frequently Asked Questions

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What is the purpose of this compounded formulation of various medications?

This compounded formulation, which includes Cyclobenzaprine, Gabapentin, Ketamine, Ketoprofen, and Lidocaine, is designed to provide targeted relief from certain conditions such as neuropathic pain, muscle spasms and inflammation. Being a transdermal gel, it can easily be applied to skin and allows for systemic absorption of active ingredients.

How do I apply this transdermal gel?

This gel formulation is dispensed through a pump mechanism for easy and precise application. It should be applied to the affected area as directed by your healthcare provider. Ensure that your skin is clean and dry before application.

Can I use this gel anywhere on my body?

You should only apply this gel to the areas suggested by your care provider. Avoid application near eyes, open wounds or damaged skin as it can lead to side effects or irritation.

What are the possible side effects of this transdermal gel?

While this gel has been designed for topical use, some side effects might still occur such as rash, itching, and redness at the application site. It's important to contact your healthcare provider if these side effects persist or worsen.

Are there precautions or contraindications for using this gel?

If you have allergies to any of the ingredients in this gel, or if you have certain medical conditions, you should first consult your healthcare provider. Do not use this medication on broken skin or close to your eyes, nose, or mouth.

Does this gel have possible drug interactions?

There is a potential for drug interactions due to the mixture of multiple active ingredients. Always inform your healthcare provider about any other medications you are currently taking before starting this medication.

How long does a dose of this transdermal gel last?

The duration of relief provided by this gel can vary based on individual health conditions. Follow your healthcare provider's instructions concerning when and how often to reapply the gel.

Can I overdose on this medical gel?

While topical medication reduces the risk of systemic overdose, using more than directed can lead to increased side effects. Always use this medication as directed by your healthcare provider, and contact them if you suspect an overdose.

Can pregnant or breastfeeding women use this gel?

If you are pregnant or breastfeeding, make sure to consult with your healthcare provider before using this medication. Even though it's applied topically, it does have the potential to be absorbed systemically.

Can this medication be used on children?

This medication is not typically recommended for children. Always contact your healthcare provider for advice before using any new medication on your child.

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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.