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Gabapentin 10%/Ketoprofen 5% Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Gabapentin
Ketoprofen

The Gabapentin 10%/Ketoprofen 5% Transdermal Gel is a specialized medication designed for the management of neuropathic pain and inflammation. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise application directly to the affected area. The gel-like consistency ensures that the active ingredients, gabapentin and ketoprofen, are absorbed through the skin to provide targeted relief from symptoms associated with conditions such as diabetic neuropathy, postherpetic neuralgia, and other nerve-related pain syndromes. Additionally, the anti-inflammatory properties of ketoprofen make this gel suitable for treating localized musculoskeletal pain, reducing both pain and swelling at the site of application.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
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.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Gabapentin
Ketoprofen
Topical Gel
65ad9676c040d9e52215842d
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Gabapentin 10%/Ketoprofen 5% Transdermal Gel is a compounded medication designed to deliver its active ingredients directly through the skin. Gabapentin, an anticonvulsant and analgesic, is commonly used to treat neuropathic pain, which is pain caused by damaged nerves. It works by stabilizing electrical activity in the brain and affecting the way nerves send messages to each other. This can be particularly beneficial for patients with conditions such as postherpetic neuralgia or diabetic neuropathy. On the other hand, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that has analgesic, anti-inflammatory, and antipyretic properties.

The combination of these two medications in a transdermal gel allows for targeted therapy, which can lead to reduced systemic side effects compared to oral administration. The gel is designed to be applied to the skin, where it can penetrate to reach the underlying tissues. The semisolid formulation is dispensed through a pump mechanism, which ensures easy and precise dosing. This is particularly useful for patients who may have difficulty with traditional dosage forms or those who require a consistent and measured dose applied to a specific area of the body.

Patients using this compounded gel may experience relief from chronic pain conditions without the gastrointestinal side effects often associated with oral NSAIDs. Additionally, the transdermal delivery system may minimize the central nervous system side effects that can occur with systemic gabapentin use. It is important for prescribers to consider the patient's overall medication profile and medical history when prescribing this formulation to avoid potential drug interactions and contraindications.

For optimal results, patients should follow the application instructions provided by their healthcare provider and report any adverse effects or concerns. As with any medication, adherence to the prescribed regimen is crucial for effectiveness. If you have any questions or require further information about the Gabapentin 10%/Ketoprofen 5% Transdermal Gel, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support to both patients and prescribers.

Drug Interactions

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The Gabapentin 10%/Ketoprofen 5% Transdermal Gel is a compounded medication designed for topical application. Gabapentin is an anticonvulsant that is commonly used to treat neuropathic pain, while Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can be used to alleviate pain and inflammation. When used in combination, this transdermal gel is intended to provide localized relief from pain and inflammation without the systemic side effects often associated with oral administration of these medications.

It is important to consider potential drug interactions when using this transdermal gel. Gabapentin, when applied topically, is less likely to have systemic drug interactions; however, caution should still be exercised. Gabapentin may interact with antacids containing aluminum or magnesium, potentially reducing the absorption of gabapentin. Patients should be advised to administer antacids at least two hours after applying the gel. Additionally, central nervous system depressants and alcohol may increase the sedative effects of gabapentin, even though the systemic absorption is minimal with topical application.

Ketoprofen, as an NSAID, can interact with various medications. Concurrent use with other NSAIDs, including aspirin, may increase the risk of gastrointestinal ulceration or bleeding. Patients on anticoagulant therapy, such as warfarin, should be monitored closely for changes in coagulation parameters, as NSAIDs can enhance the effects of anticoagulants. Ketoprofen may also interact with anti-hypertensive medications, such as ACE inhibitors or diuretics, potentially diminishing their effects and leading to increased blood pressure. Additionally, caution is advised when using this medication with selective serotonin reuptake inhibitors (SSRIs), as there may be an increased risk of gastrointestinal bleeding.

Patients with renal impairment should use this gel with caution, as NSAIDs like ketoprofen can exacerbate renal dysfunction. It is also advisable to avoid use on broken or damaged skin, as this may increase systemic absorption and the potential for adverse effects. Patients with a known hypersensitivity to gabapentin, ketoprofen, or other NSAIDs should not use this product.

While the risk of systemic absorption is lower with topical application, patients should be aware of the signs and symptoms of systemic side effects, such as gastrointestinal distress, renal dysfunction, or CNS depression, and report any such symptoms to their healthcare provider immediately.

This transdermal gel is intended for the treatment of localized neuropathic pain and inflammation. It may be particularly beneficial for patients who are unable to tolerate oral medications or those who prefer targeted pain relief. As with any medication, it is essential to use this product under the guidance of a healthcare professional who can monitor for effectiveness and safety.

If you have any questions or concerns regarding the use of Gabapentin 10%/Ketoprofen 5% Transdermal Gel, or if you require further information about potential drug interactions and contraindications, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing you with the necessary support and guidance to ensure appropriate treatment.

How Does it Work

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The Gabapentin 10%/Ketoprofen 5% Transdermal Gel is a specialized medication designed for topical application to provide localized relief from pain and inflammation. This semisolid formulation is dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose of the medication to the affected area. The gel base allows for the active ingredients to be delivered directly through the skin, targeting the site of pain or discomfort.

Gabapentin, originally known for its use in the treatment of neuropathic pain and as an anticonvulsant, works in this transdermal formulation by potentially modulating the activity of certain neurotransmitters and reducing the inflammatory response in the peripheral nervous system. This can lead to a decrease in the sensation of pain, particularly in conditions like postherpetic neuralgia or diabetic neuropathy. The exact mechanism of action of gabapentin when applied topically is not fully understood, but it is believed to involve the reduction of calcium influx and modulation of calcium channel activity, which in turn can inhibit the release of excitatory neurotransmitters involved in pain transmission.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the cyclooxygenase (COX) enzymes, which are involved in the synthesis of prostaglandins. Prostaglandins are lipid compounds that play a key role in the inflammation process. By reducing their production, ketoprofen effectively decreases inflammation and pain in the tissues where the gel is applied. This makes it particularly useful for treating conditions such as arthritis, strains, sprains, and other musculoskeletal injuries where inflammation is a primary cause of pain.

The combination of gabapentin and ketoprofen in a transdermal gel allows for the synergistic effects of both analgesic and anti-inflammatory actions, providing a comprehensive approach to pain management. The transdermal route offers the advantage of localized treatment, minimizing systemic absorption and potential side effects that are often associated with oral administration of these medications. This can be especially beneficial for patients who may be sensitive to oral NSAIDs or who require targeted pain relief without the systemic effects.

It is important for both patients and prescribers to understand that while this transdermal gel can provide significant relief from pain and inflammation, it should be used as directed and is intended for use under the guidance of a healthcare professional. The formulation's efficacy and safety profile may vary depending on the individual patient's condition and medical history. As with any medication, there may be potential side effects, and it is essential to monitor the treatment area for any signs of adverse reactions.

If you have any questions about the Gabapentin 10%/Ketoprofen 5% Transdermal Gel 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 you with the information and support you need to effectively manage pain and inflammation with this specialized medication.

Other Uses

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The combination of gabapentin 10% and ketoprofen 5% in a transdermal gel form may have additional uses beyond the typical disease states for which it is prescribed. While this formulation is predominantly used for localized pain management, particularly in neuropathic pain conditions and inflammatory states, such as arthritis, it's important to discuss the potential off-label uses that may benefit some patients, always under the guidance and prescription of a healthcare provider.

One potential alternative use of this transdermal gel is the treatment of complex regional pain syndrome (CRPS), which involves a high degree of neuropathic pain. The gabapentin component may reduce the abnormal sensory signals, while ketoprofen may address the inflammation associated with this condition. Additionally, some patients with muscle strains or overuse injuries may find relief from the anti-inflammatory and analgesic properties of this formulation, even though these conditions are not strictly neuropathic in nature.

Given its anti-inflammatory properties, the gel may also be useful as an adjunct treatment for certain dermatological conditions characterized by inflammation or pain. However, caution should be exercised when applying to compromised skin. While not a primary indication, there may also be anecdotal evidence supporting the use of this formulation for attenuating pain associated with certain types of headaches when applied to the nape of the neck, though more research is needed in this area.

For patients with conditions that limit the use of systemic medications due to adverse effects or contraindications, this localized transdermal approach might provide a safer alternative. Likewise, patients who have difficulty swallowing pills or experience significant gastrointestinal side effects from oral medications could potentially benefit from the transdermal delivery of gabapentin and ketoprofen, bypassing the gastrointestinal tract entirely.

It is crucial to recognize that while there may be diverse applications for this formulation, all off-label uses should be closely monitored by a healthcare professional. Appropriate dosing, duration of treatment, and patient-specific factors must be considered. Our team is committed to patient safety and efficacy, and we are available to address any questions or concerns regarding potential uses of gabapentin 10%/ketoprofen 5% transdermal gel. Please reach out to Bayview Pharmacy for tailored advice and support for your healthcare needs.

Frequently Asked Questions

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What is Gabapentin 10%/Ketoprofen 5% Transdermal Gel used for?

This compounded transdermal gel is typically prescribed for the management of localized pain, inflammation, and nerve-related discomfort. It combines the effects of gabapentin, which is commonly used to treat neuropathic pain, with ketoprofen, an anti-inflammatory drug, to alleviate symptoms directly at the site of application.

How do I use this transdermal gel?

Apply the gel to the affected area as directed by your healthcare provider. The pump mechanism ensures that you can administer a measured dose with each use. Avoid applying the gel to broken or irritated skin, and wash your hands thoroughly after application unless treating the hands.

How often should I apply the gel?

The frequency of application should be determined by your healthcare provider based on your specific condition and therapeutic needs. Do not apply more frequently than prescribed.

Can this gel be used with other medications?

It is important to inform your healthcare provider of all medications you are currently taking, as interactions may occur. Depending on other medications, adjustments may be needed to ensure safety and efficacy.

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 resume your regular dosing schedule. Do not double-dose to make up for the missed application.

Are there any side effects with Gabapentin 10%/Ketoprofen 5% Transdermal Gel?

As with any medication, side effects are possible. Common side effects may include skin irritation at the application site. If you experience any severe reactions or signs of an allergic response, seek medical attention promptly.

Should I cover the area after applying the gel?

Your healthcare provider will advise if you need to cover the application area. Some conditions benefit from occlusion, while others do not. In general, avoid tight, occlusive dressings unless instructed otherwise.

Is this gel suitable for children?

It is crucial to consult a pediatrician or a healthcare provider before using this medication in children.

How should I store this medication?

Store the gel at room temperature, away from heat and direct light. Do not freeze the medication. Keep it out of reach of children and pets, and ensure the pump is locked or closed to prevent accidental dispensing.

Can I apply the gel before or after physical activity?

Consult your healthcare provider about the best timing for application relative to physical activity. They may advise you to apply it at a specific time to either avoid irritation during movement or to maximize the therapeutic effects during periods of rest.

What happens if I apply too much of the gel?

Applying too much can increase the risk of side effects. If you have applied more than prescribed and are concerned about potential adverse reactions, contact your healthcare provider for instructions on how to proceed.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Gabapentin 10%/Ketoprofen 5% Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Three times daily