Our custom-compounded transdermal gel combines Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine HCl in a unique formulation designed to manage pain through a multimodal approach. Gabapentin, an anticonvulsant, is often used to treat neuropathic pain by modulating the nervous system's response to pain. Ketamine HCl, an NMDA receptor antagonist, provides analgesic effects, particularly in chronic pain conditions that have not responded to other treatments. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), offers anti-inflammatory and analgesic properties, making it effective in reducing swelling and pain associated with various conditions. Lidocaine HCl, a local anesthetic, provides immediate relief from pain by blocking nerve signals in the body.

This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application directly to the skin. The transdermal delivery system is designed for targeted treatment, ensuring that the active ingredients are absorbed at the site of pain, which can lead to a reduction in systemic side effects compared to oral medications. This gel-like consistency ensures that the medication stays in place, providing a localized effect while minimizing discomfort during application.

The combination of these four active ingredients in a transdermal gel form is particularly suited for patients experiencing various types of pain, including neuropathic pain, inflammatory conditions, and refractory pain that has not responded to other analgesics. By using a multimodal approach, this formulation can address different pain pathways simultaneously, which may result in more effective pain control. It is important for prescribers to consider the patient's medical history, current medications, and potential drug interactions when prescribing this compounded medication.

Patients should be instructed on the proper use of the transdermal gel, including the amount to apply and the frequency of application as determined by their healthcare provider. They should also be made aware of potential side effects, such as local skin reactions or systemic effects, although the latter are less common with transdermal applications. It is crucial for patients to follow the prescribed regimen and to communicate any concerns or adverse effects to their healthcare provider promptly.

For more detailed information or if you have any questions regarding this compounded formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing personalized care and support to both patients and prescribers to ensure the safe and effective use of our compounded medications.

The transdermal gel formulation containing Gabapentin, Ketamine HCl, Ketoprofen, and Lidocaine HCl is designed for topical application and may offer localized relief from pain without the systemic side effects associated with oral administration. However, it is important to consider potential drug interactions when using this compound, especially if the patient is taking other medications or has underlying health conditions.

Gabapentin, an anticonvulsant and neuropathic pain agent, may interact with antacids containing aluminum or magnesium, as they can reduce the absorption of gabapentin and decrease its effectiveness. Caution is advised when combining gabapentin with central nervous system (CNS) depressants such as opioids, benzodiazepines, or alcohol, as this may increase CNS depression and drowsiness.

Ketamine HCl, an NMDA receptor antagonist used for its anesthetic and analgesic properties, can also cause additive CNS depression when used concurrently with other CNS depressants. Additionally, there is a potential for increased blood pressure and heart rate if ketamine is combined with stimulant medications or sympathomimetic drugs.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with anticoagulants like warfarin, increasing the risk of bleeding. It can also reduce the effectiveness of antihypertensive drugs and may increase the nephrotoxicity of ACE inhibitors and diuretics. Concurrent use of other NSAIDs or corticosteroids should be approached with caution due to the increased risk of gastrointestinal ulceration or bleeding.

Lidocaine HCl, a local anesthetic, may interact with antiarrhythmic drugs such as mexiletine or amiodarone, potentially leading to additive cardiac effects. Caution is also advised when using other local anesthetics or medications that can increase lidocaine levels in the blood, such as cimetidine or beta-blockers.

It is crucial for patients to inform their healthcare provider of all medications, supplements, and herbal products they are currently using before starting treatment with this transdermal gel. The healthcare provider should assess for potential interactions and adjust therapy as necessary. Monitoring for adverse effects, such as excessive sedation, gastrointestinal issues, or signs of cardiac or renal dysfunction, is recommended. If you have any questions or require further information regarding this formulation and its potential interactions, please reach out to us at Bayview Pharmacy.

The Gabapentin 10%/Ketamine HCl 11.5%/Ketoprofen 10%/Lidocaine HCl 10% Transdermal Gel is a compounded medication designed to deliver a combination of active ingredients directly through the skin to the site of pain or discomfort. 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 in place and facilitates absorption through the skin.

Gabapentin is an anticonvulsant medication that is also used to treat neuropathic pain. In this transdermal formulation, gabapentin works by modulating the activity of certain neurotransmitters in the nervous system, which helps to reduce the sensation of pain. Ketamine HCl, a medication primarily used for anesthesia, also has analgesic properties. When applied topically, ketamine can block NMDA receptors, which are involved in the transmission of pain signals, thus providing relief from chronic pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances in the body that are involved in inflammation and pain. By reducing inflammation at the site of application, ketoprofen can help alleviate localized pain and swelling. Lidocaine HCl is a local anesthetic that provides immediate pain relief by blocking sodium channels, which are necessary for the conduction of pain signals along nerves.

The combination of these four active ingredients in a transdermal gel allows for a multimodal approach to pain management. This can be particularly beneficial for patients suffering from conditions such as neuropathic pain, complex regional pain syndrome (CRPS), or fibromyalgia, where multiple mechanisms of pain may be at play. The transdermal route of administration ensures that the medication bypasses the gastrointestinal tract, reducing the potential for systemic side effects and providing targeted relief at the site of application.

It is important for both patients and prescribers to understand that this compounded medication should be used as directed by a healthcare professional, and it is essential to adhere to the prescribed dosing regimen. The pump mechanism is calibrated to dispense a specific amount of gel with each actuation, ensuring consistent dosing. Patients should apply the gel to clean, intact skin and avoid contact with eyes, mucous membranes, and open wounds. Hands should be washed thoroughly after application unless the hands are the site of treatment.

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 guidance and support to ensure the safe and effective use of this medication.

The Gabapentin 10%/Ketamine HCl 11.5%/Ketoprofen 10%/Lidocaine HCl 10% Transdermal Gel formulation is primarily known for managing neuropathic pain and other types of chronic pain. Apart from its primary indication, this unique combination of medications in a transdermal gel base may offer alternative therapeutic benefits for various off-label uses. Given the individual properties of each active ingredient, this gel has the potential to be utilized in complex regional pain syndrome, post-herpetic neuralgia, and fibromyalgia, where multiple mechanisms of pain may coexist and a multimodal approach to pain management is advantageous.

Gabapentin's modulatory effect on neurotransmitters might provide relief in certain types of anxiety disorders and restless leg syndrome when systemic treatments are contraindicated or poorly tolerated. Ketoprofen, a nonsteroidal anti-inflammatory drug, could help reduce localized inflammation that may be secondary to conditions like arthritis or tendonitis. Meanwhile, lidocaine, as a local anaesthetic, might be effective for numbing localized areas experiencing acute pain from minor procedures or injuries. It is important to note, however, the use of transdermal gel preparations for conditions beyond chronic pain is less documented, and such use would be at the prescriber's discretion and based on their professional judgment.

Moreover, a transdermal gel formulation may be particularly beneficial for patients who have difficulty swallowing or prefer to avoid systemic side effects associated with oral medication. The synergistic effect of the combination might also allow for lower doses of each medication, potentially minimizing the risk of side effects commonly seen with systemic administration.

It is imperative that any off-label application of this combination gel be discussed with a healthcare professional to assess appropriateness, potential interactions with other medications, and overall patient safety. For tailored advice and potential alternative uses of this formulation, both patients and prescribers are encouraged to reach out to our knowledgeable team of compounding pharmacists here at Bayview Pharmacy for more information.