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Gabapentin 10%/Ketoprofen 15%/Lidocaine HCl 5%/Menthol 5% Topical Cream

The Gabapentin 10%/Ketoprofen 15%/Lidocaine HCl 5%/Menthol 5% Topical Cream is a specially compounded semisolid preparation intended for localized treatment of neuropathic pain, inflammatory conditions, and associated symptoms. This formulation combines the nerve pain modulating effects of Gabapentin, the anti-inflammatory and analgesic properties of Ketoprofen, the numbing action of Lidocaine, and the cooling sensation provided by Menthol to offer symptomatic relief. The cream is dispensed in a pump mechanism, which allows for convenient, controlled, and hygienic application directly to the affected areas of the skin. This delivery system ensures consistent dosing and helps to target the site of pain or inflammation for effective management of the disease states.

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Gabapentin
Ketoprofen
Lidocaine Hydrochloride
Menthol
Topical Cream
65ad61095fe1091e9d6a5501
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Formula Information

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The Gabapentin 10%/Ketoprofen 15%/Lidocaine HCl 5%/Menthol 5% Topical Cream is a compounded medication specifically designed to provide targeted relief from pain and inflammation. This unique formulation combines four active ingredients, each with a specific role in managing symptoms associated with various disease states. Gabapentin, an anticonvulsant, is included for its ability to reduce neuropathic pain. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), is incorporated for its potent anti-inflammatory and analgesic effects, making it effective in treating conditions such as arthritis or musculoskeletal pain. Lidocaine HCl, a local anesthetic, provides immediate relief from pain by numbing the affected area. Lastly, Menthol is added for its cooling sensation, which can help soothe irritated skin and provide additional analgesic effects.

The cream is formulated as a semisolid preparation, allowing for easy application and absorption into the skin. The inclusion of a pump mechanism in the packaging ensures that the medication is dispensed in a controlled manner, promoting consistent dosing and minimizing waste. This delivery system is particularly beneficial for patients who may have difficulty with manual dexterity or who require precise dosing.

This topical cream is intended for localized treatment, making it an excellent option for patients who prefer to avoid systemic side effects associated with oral medications. It is particularly useful for conditions that benefit from direct application to the skin, such as localized neuropathic pain, specific areas of arthritis pain, or acute injuries where inflammation is a primary concern. The combination of active ingredients works synergistically to provide both immediate and sustained relief from pain and inflammation.

Patients and prescribers considering this formulation should be aware of the potential for skin irritation or allergic reactions, and it is important to monitor for any adverse effects. As with any compounded medication, this formulation should be used under the guidance of a healthcare professional who can evaluate the appropriateness of the cream for the patient's specific condition and monitor their response to treatment.

If you have any questions or require further information about this compounded medication, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide support and guidance to ensure the safe and effective use of this topical cream.

Drug Interactions

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The formulation you have described contains a combination of gabapentin, ketoprofen, lidocaine HCl, and menthol, which are intended for topical application. Gabapentin is an anticonvulsant that is also used to relieve neuropathic pain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can reduce inflammation and pain in the muscles or joints. Lidocaine is a local anesthetic that provides temporary relief of pain by causing a numbing effect. Menthol provides a cooling sensation and can act as a mild analgesic.

When considering drug interactions for this topical cream, it is important to note that systemic absorption of these medications through the skin is generally lower compared to oral administration. However, interactions can still occur, especially in individuals with compromised skin barriers or when applied to large areas of the body.

Gabapentin, when used topically, is unlikely to interact significantly with systemic medications due to its low systemic absorption. However, caution should be exercised when it is used in conjunction with central nervous system (CNS) depressants, as there may be an additive effect on sedation and drowsiness.

Ketoprofen, as an NSAID, can potentially increase the risk of bleeding when used with other anticoagulant or antiplatelet medications such as warfarin or aspirin. Although the risk is lower with topical application than with oral administration, it is still important to monitor patients for signs of increased bruising or bleeding.

Lidocaine applied topically has minimal systemic absorption, but it can still interact with other local anesthetics or medications that affect cardiac conduction. Patients with a history of cardiac disease should use lidocaine-containing products with caution.

Menthol does not typically interact with other medications, but it can cause skin irritation or allergic reactions in some individuals. It should be used with caution in patients with sensitive skin or allergies to menthol or other ingredients in the formulation.

It is also important to consider the potential for interaction with other topical products. The use of multiple topical medications on the same area of skin can alter the absorption and effectiveness of the drugs. Patients should be advised to allow adequate time between the application of different topical products.

This topical cream is used to treat localized pain, such as that associated with neuropathic pain conditions, arthritis, or musculoskeletal injuries. The combination of active ingredients works synergistically to provide analgesia, reduce inflammation, and soothe the affected area.

Patients should be advised to use this medication as directed by their healthcare provider and to report any adverse effects or concerns. Prescribers should review the patient's medication profile for potential interactions and contraindications. 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

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The Gabapentin 10%/Ketoprofen 15%/Lidocaine HCl 5%/Menthol 5% Topical Cream is a compounded medication that combines four active ingredients, each with a specific role, to provide relief from pain and inflammation. This formulation is designed to be applied directly to the skin where it can exert its effects locally without significant systemic absorption.

Gabapentin, originally used as an anticonvulsant, has been found to be effective in the treatment of neuropathic pain. When applied topically, gabapentin can help to reduce the abnormal excitability of nerves that is often associated with neuropathic pain conditions. By stabilizing the nerve membranes, it can decrease pain sensation and provide relief to the patient.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes cyclooxygenase-1 and -2 (COX-1 and COX-2), which are involved in the synthesis of prostaglandins. Prostaglandins are compounds that contribute to inflammation, pain, and fever. By reducing their production, ketoprofen can alleviate inflammation and pain in the affected area.

Lidocaine HCl is a local anesthetic that provides immediate relief from pain by blocking the transmission of pain signals along the nerves. It works by inhibiting the sodium channels in the neuronal cell membrane, which are necessary for the initiation and conduction of nerve impulses. This results in a numbing sensation and temporary loss of pain perception in the area where the cream is applied.

Menthol provides a cooling sensation when applied to the skin, which can help to distract from the pain by providing a counterirritant effect. Additionally, menthol has been shown to enhance the penetration of other drugs through the skin, potentially increasing their effectiveness.

The cream is dispensed in a pump mechanism, which allows for convenient and controlled application. This dosage form ensures that the patient can apply the medication directly to the area of pain or inflammation, which maximizes local action and minimizes systemic exposure. The semisolid preparation is designed to spread easily and absorb into the skin, delivering the active ingredients to the site of pain.

This compounded formulation is particularly useful for patients experiencing localized neuropathic pain, soft tissue inflammation, or specific musculoskeletal conditions. It may be prescribed for conditions such as arthritis, tendonitis, or peripheral neuropathy. By combining these four active ingredients, the cream provides a multimodal approach to pain management, addressing different mechanisms of pain and inflammation simultaneously.

If you have any questions about this formulation or how it can be integrated into your treatment plan, 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 effectively manage your condition.

Other Uses

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The formulation combining Gabapentin 10%, Ketoprofen 15%, Lidocaine HCl 5%, and Menthol 5% in a topical cream presents a unique synergy of active ingredients that can be used for a variety of purposes beyond its primary indication for managing certain pain conditions. This compound may serve as a multimodal approach to pain relief, offering analgesic, anti-inflammatory, anesthetic, and soothing properties. Although primarily indicated for neuropathic pain, musculoskeletal conditions, and localized areas of discomfort, this formulation can also be used for patients experiencing conditions such as complex regional pain syndrome (CRPS), diabetic neuropathy, and certain types of dermatologic pain syndromes. Moreover, the anti-inflammatory action of Ketoprofen, in combination with the nerve pain modulation of Gabapentin, makes it potentially useful in soft tissue injuries that have an inflammatory component.

The inclusion of Lidocaine adds a topical anesthetic effect, providing symptomatic relief of pain by numbing the affected area, which may be beneficial in situations requiring rapid onset of pain relief, such as post-herpetic neuralgia or after minor dermatological procedures. Furthermore, the Menthol component not only enhances the penetration of other actives but also provides a cooling sensation, which might help in mitigating the burning pain sensation often associated with neuropathic pain conditions. Another potential use of this formulation could include the treatment of certain sports-related injuries where soft tissue inflammation is prevalent, though care should be taken to avoid use on open wounds or damaged skin.

While the cream is designed for localized application, it is important for prescribers to consider the total dose of the active ingredients being applied, especially in terms of systemic absorption and potential interactions with other medications that the patient may be taking. Additionally, due to the inclusion of multiple active ingredients, the risk of skin sensitization or allergic reaction may increase, and thus patients should be monitored for such reactions, particularly with long-term use.

It is always essential when considering this formulation to consult with a healthcare provider to determine its suitability for a given condition, taking into account patient-specific factors such as other medical conditions, the severity of the pain, and previous treatment responses. Bayview Pharmacy is dedicated to ensuring the highest level of care and welcomes any questions from both patients and prescribers regarding the potential other uses of this topical cream formulation or any other inquiries related to its application.

Frequently Asked Questions

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What is Gabapentin/Ketoprofen/Lidocaine HCl/Menthol Topical Cream used for?

This compounded topical cream is used for localized treatment of pain and inflammation. It's particularly helpful for conditions such as neuropathies, arthritis, and other sources of chronic pain that benefit from the combination of a nerve pain modulator, anti-inflammatory, local anesthetic, and cooling agent.

How do I use this compounded topical cream?

To use, apply a thin layer of the cream to the affected area using the pump mechanism. The pump allows for controlled dispensing, ensuring that you apply the right amount as prescribed by your healthcare provider. Rub the cream in gently until it is fully absorbed by the skin. Be sure to use it only on the area and for the duration prescribed.

How often should I apply the cream?

The frequency of application will depend on your specific condition and the instructions given by your healthcare provider. Do not apply more often than recommended as this could increase the risk of side effects.

Can this cream be used for any type of pain?

This cream is formulated for specific types of pain and should be used as directed by your healthcare provider. It is not suitable for all pain types and should not be used for generalized pain or conditions for which it was not prescribed.

What are the possible side effects of this compounded cream?

While most people do not experience severe side effects, some may experience skin irritation, redness, itchiness, or rash at the site of application. More serious side effects are rare but can include systemic effects from absorption of the active ingredients. If you notice any adverse effects, discontinue use and consult your healthcare provider immediately.

Is it safe to use this cream with other medications?

As with any medication, interactions can occur. You should inform your healthcare provider of all medications you are taking, including over-the-counter drugs and supplements, to evaluate any potential interactions.

Can I apply this cream and then cover the area with a bandage?

Do not cover the treated area with occlusive dressings like bandages unless advised by your healthcare provider, as this may increase the absorption of the active ingredients and raise the risk of side effects.

What should I do if I miss a dose?

If you forget to apply the cream at the scheduled time, put it on as soon as you remember. However, if it's almost time for your next application, skip the missed dose and return to your regular schedule. Do not double up applications to make up for the missed dose.

How should I store the compounded cream?

Store the cream at room temperature away from direct light and heat. Keep the pump container sealed when not in use, and ensure it's kept out of reach of children and pets.

Can pregnant or breastfeeding women use this cream?

Before using the cream, women who are pregnant or breastfeeding should consult with their healthcare provider to ensure it is safe. Some of the active ingredients may not be recommended during pregnancy or nursing.

What should I do in case of an overdose?

If you or someone else has applied too much cream or ingested it, seek emergency medical attention or call a Poison Control Center right away. Symptoms of an overdose might include but are not limited to unusual dizziness, increased heart rate, or difficulty breathing.

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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.