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

Diphenhydramine HCl 2.5%/Ketoprofen 20%/Lidocaine HCl 10% Transdermal Gel

The Diphenhydramine HCl 2.5%/Ketoprofen 20%/Lidocaine HCl 10% Transdermal Gel is a specialized medication designed for the management of localized pain and inflammation. This semisolid formulation is delivered through a pump mechanism, ensuring a clean, consistent, and precise dosage with each application. The gel's texture allows for smooth application and rapid absorption through the skin to the affected area.

Diphenhydramine HCl acts as an antihistamine that can help reduce itching and skin irritation. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that addresses inflammation and pain, making it useful for conditions such as arthritis, bursitis, and other musculoskeletal pains. Lidocaine HCl is a local anesthetic that provides immediate relief from pain by numbing the area. Together, these active ingredients offer a multifaceted approach to pain management, targeting both the sensation of pain and the underlying causes of discomfort.

This transdermal gel is commonly used to treat disease states such as localized musculoskeletal pain, inflammation, sports injuries, and certain types of neuropathic pain. It is particularly beneficial for patients seeking targeted relief without the systemic side effects associated with oral medications.

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
654eb5e0df73fba3e3acc7c6
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

The Diphenhydramine HCl 2.5%/Ketoprofen 20%/Lidocaine HCl 10% Transdermal Gel is a compounded medication designed to deliver its active ingredients directly through the skin. This semisolid formulation is dispensed through a pump mechanism, which ensures easy and precise application. The gel-like consistency allows for targeted treatment, enhancing the absorption of the active ingredients at the site of application.

Diphenhydramine HCl is an antihistamine that helps to alleviate itching and pain associated with various skin conditions by blocking histamine receptors. Its inclusion in this formulation can be particularly beneficial for treating localized allergic reactions or inflammatory skin conditions where histamine release is a contributing factor.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that provides potent anti-inflammatory and analgesic effects. At a concentration of 20%, ketoprofen in this transdermal gel can significantly reduce inflammation and pain in musculoskeletal conditions such as arthritis, tendinitis, or bursitis. By applying ketoprofen topically, patients may experience fewer systemic side effects compared to oral administration.

Lidocaine HCl, a local anesthetic, is included at a 10% concentration to provide rapid and effective numbing of the skin and underlying tissues. This can be particularly useful for managing localized pain, such as neuropathic pain or pain following minor surgical procedures. The anesthetic effect of lidocaine also contributes to the overall analgesic properties of the formulation.

This transdermal gel is intended for patients who require localized relief from pain and inflammation, with the added benefit of antihistaminic action. It is suitable for a variety of disease states, including but not limited to, localized dermatologic reactions, musculoskeletal pain, and neuropathic pain conditions. The combination of these three active ingredients in a transdermal delivery system allows for targeted therapy with potentially reduced systemic side effects, making it a valuable option for both acute and chronic treatment regimens.

For optimal results, the gel should be applied as directed by a healthcare professional. Patients should be advised on the proper application technique to ensure the correct dose is administered. Prescribers considering this formulation for their patients can expect a multifaceted approach to pain and inflammation management, with the added benefit of mitigating allergic skin reactions. If you have any questions or require further information about this compounded medication, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to support you and your patients.

Drug Interactions

A small arrow pointing down

The transdermal gel formulation containing Diphenhydramine HCl, Ketoprofen, and Lidocaine HCl is designed for topical application and may offer symptomatic relief for various conditions such as localized pain, inflammation, and pruritus. Diphenhydramine is an antihistamine that can help alleviate itching and pain by blocking histamine receptors. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the tissues where it is applied. Lidocaine is a local anesthetic that provides numbing to the area of application, offering relief from pain.

When using this transdermal gel, it is important to consider potential drug interactions. Diphenhydramine may potentiate the effects of other CNS depressants, such as alcohol, benzodiazepines, opioids, and other sedatives, which could lead to increased sedation and respiratory depression. Patients should be advised to avoid or limit the use of additional CNS depressants while using this medication.

Ketoprofen, being an NSAID, can interact with other NSAIDs, including over-the-counter aspirin, ibuprofen, and naproxen, increasing the risk of gastrointestinal bleeding and ulceration. Concurrent use with anticoagulants (e.g., warfarin) or antiplatelet agents (e.g., clopidogrel) may also increase the risk of bleeding. Patients should be monitored for signs of bleeding if these medications are used together. Additionally, ketoprofen may diminish the antihypertensive effect of ACE inhibitors and beta-blockers and may reduce the natriuretic effect of diuretics. Renal function should be monitored in patients taking diuretics or those with pre-existing renal impairment.

Lidocaine, when applied topically, is generally associated with fewer systemic interactions. However, caution should be exercised when used in conjunction with other local anesthetics or medications that affect cardiac conduction, as there is a potential for additive systemic effects, particularly with high doses or prolonged use. Patients with cardiac disease should use lidocaine-containing products under close supervision.

It is also important to consider the potential for skin irritation or allergic reactions with any topical product. Patients with known hypersensitivity to any of the components should not use this gel. The use of occlusive dressings over the application site can increase systemic absorption of the active ingredients and may increase the risk of systemic side effects.

Patients should be instructed to apply the gel as directed, avoiding contact with eyes, mucous membranes, and open wounds. They should wash their hands immediately after application unless the hands are the treated site. If any unusual symptoms or signs of an allergic reaction occur, such as rash, hives, swelling, or difficulty breathing, patients should discontinue use and seek medical attention immediately.

As with any medication, it is essential to inform healthcare providers of all prescription, over-the-counter medications, and dietary supplements that are being used to avoid potential interactions. If you have any questions or require further information regarding this formulation and its use, please reach out to us at Bayview Pharmacy.

How Does it Work

A small arrow pointing down

The Diphenhydramine HCl 2.5%/Ketoprofen 20%/Lidocaine HCl 10% Transdermal Gel is a compounded medication designed to deliver its active ingredients directly through the skin to the site of pain or inflammation. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application. The gel-like consistency ensures that the medication stays where it is applied and facilitates absorption into the skin.

Diphenhydramine HCl is an antihistamine that works by blocking the action of histamine, a substance in the body that causes allergic symptoms. In this transdermal formulation, diphenhydramine HCl can help to reduce localized itching and inflammation. This can be particularly beneficial in treating skin reactions where histamine release is a contributing factor.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that exerts its effects by inhibiting the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2). These enzymes are involved in the production of prostaglandins, which are chemicals that promote inflammation, pain, and fever. By reducing the levels of prostaglandins, ketoprofen can help to alleviate localized pain and swelling associated with conditions such as arthritis, strains, or sprains.

Lidocaine HCl is a local anesthetic that works by blocking sodium channels in the neuronal cell membrane. This action inhibits the initiation and conduction of nerve impulses, thereby providing a numbing effect. When applied topically, lidocaine HCl can help to relieve localized pain, providing a numbing sensation to the area of application. This can be particularly useful for patients experiencing neuropathic pain or for providing symptomatic relief of localized pain conditions.

The combination of these three active ingredients in a transdermal gel allows for a multimodal approach to pain and inflammation management. The gel formulation is designed to allow the active ingredients to penetrate the skin and reach the underlying tissues where they exert their therapeutic effects. This localized delivery system can reduce the potential for systemic side effects that are often associated with oral administration of these medications.

It is important for both patients and prescribers to understand that this compounded medication should be used as directed by a healthcare professional. The specific dose and frequency of application will depend on the individual patient's condition and response to treatment. If you have any questions or require further information about this formulation and its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

Other Uses

A small arrow pointing down

The compounding pharmacy formulation of Diphenhydramine HCl 2.5%/Ketoprofen 20%/Lidocaine HCl 10% Transdermal Gel extends beyond its immediate applications in addressing specific disease states. This unique combination of ingredients provides a multifaceted approach to pain relief and inflammation management, reflecting the individual benefits imparted by each active compound within the gel. Diphenhydramine, an antihistamine, can offer additional soothing properties by mitigating histamine-related responses such as itching and redness that might occur due to allergic reactions or chronic conditions like eczema when applied topically. Ketoprofen, a potent non-steroidal anti-inflammatory drug (NSAID), contributes not merely to the reduction of pain, but could also be beneficial in treating soft tissue inflammations and certain arthritic conditions due to its anti-inflammatory effects.

Lidocaine, a well-established local anesthetic, can provide immediate and localized pain relief. This makes the transdermal gel particularly suitable for use in conditions featuring localized pain and neuropathic discomfort, such as post-herpetic neuralgia or even in conditions like fibromyalgia where localized tender points may benefit from its application. Furthermore, the transdermal route of administration ensures that patients who may have contraindications for systemic use of these drugs, due to gastrointestinal side effects or systemic drug interactions, may still have the option to receive treatment directly at the site of discomfort without the potential systemic side effects.

It's noteworthy for patients and prescribers to consider the synergistic effect of this combination formulation. The use of Lidocaine can potentiate the analgesic effects of Ketoprofen, while Diphenhydramine may intensify the pain-relieving properties due to its sedative effects, potentially leading to an enhanced overall therapeutic outcome. This formulation may also serve as an option for managing symptoms in localized dermatologic conditions or in the palliative care setting, where patient comfort is of paramount importance and typical oral therapies may not be feasible.

As with any medication, the use of this transdermal gel should be guided by a healthcare professional, taking into account the patient's overall medical history, current medications, and the potential for adverse reactions. Efficacy and safety should be balanced with the specific needs and conditions of the patient. This formulation is contraindicated in individuals with known hypersensitivity to any of the active ingredients or certain skin conditions where the integrity of the skin is compromised. Lastly, the prescriber should regularly review the treatment effectiveness and make necessary adjustments.

The Bayview Pharmacy team is committed to patient care and safety, and we encourage both patients and prescribers to reach out to us with any questions regarding this formulation or its potential uses. Our skilled compounding pharmacists are ready to provide tailored information and support for the unique needs of our patients and the medical community we serve.

Frequently Asked Questions

A small arrow pointing down

What is Diphenhydramine HCl 2.5%/Ketoprofen 20%/Lidocaine HCl 10% Transdermal Gel?

This is a compounded medication consisting of three active ingredients—Diphenhydramine HCl, Ketoprofen, and Lidocaine HCl—in specified concentrations. It is designed for transdermal delivery of these medications to provide potential relief for various symptoms directly through the skin.

How do I use this transdermal gel?

To use, apply the prescribed amount of gel topically to the affected area. The pump mechanism is designed to dispense a specific dose per pump, so it's important to follow your healthcare provider's instructions regarding the number of pumps needed for each application.

What are the benefits of using a transdermal gel formulation?

A transdermal gel allows for direct application to the area of discomfort, which may reduce systemic side effects and provide targeted relief. The gel consistency can be easily absorbed into the skin without leaving a greasy residue.

Is this medication suitable for all skin types?

While the transdermal gel is designed for topical use, there may be individual sensitivities or allergies. It is important to consult your healthcare provider if you have sensitive skin or a history of skin reactions to medications.

Can I apply this gel to any part of my body?

You should only apply the gel to areas as directed by your healthcare provider. Avoid sensitive areas such as the eyes, mouth, and mucous membranes.

How often should I apply this medication?

The frequency of application will be determined by your healthcare provider based on the condition being treated and your individual response to therapy. Do not exceed the recommended dose or frequency.

Can I cover the area with a bandage after applying the gel?

It is usually recommended to let the gel dry before covering it with any type of dressing or clothing. Consult with your healthcare provider for specific instructions regarding the use of bandages or occlusive dressings over the medication.

What should I do if I miss a dose?

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

Are there any side effects associated with this medication?

As with any medication, side effects are possible. Common side effects may include skin irritation, redness, or itching at the application site. If you experience any severe side effects or signs of a systemic allergic reaction, seek medical attention immediately.

Should I avoid any activities or other medications while using this transdermal gel?

It's important to discuss your use of other medications, supplements, and activities with your healthcare provider. Certain medications may interact with the ingredients in the gel, and some activities, such as swimming or bathing, may affect the gel's efficacy.

How should I store this transdermal gel?

This medication should be stored at room temperature, away from heat and direct light. Keep the container tightly closed when not in use, and ensure that the pump is locked to prevent accidental dispensing. Keep out of reach of children and pets.

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.