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Gabapentin 5%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel

The Gabapentin 5%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel is a specialized semisolid formulation designed for targeted application to the skin. This unique compound combines the analgesic and anticonvulsant properties of Gabapentin, the nonsteroidal anti-inflammatory effects of Ketoprofen, and the local anesthetic action of Lidocaine. The gel is dispensed through a pump mechanism, which ensures easy and precise dosing. The consistency of the gel allows for optimal skin contact and potential absorption of the active ingredients.

This formulation is primarily used in the management of neuropathic pain, a type of chronic pain caused by nerve damage or a malfunctioning nervous system. It may also be beneficial for patients experiencing inflammatory pain conditions. The combination of active ingredients works synergistically to provide pain relief, reduce inflammation, and alleviate discomfort associated with various disease states, including peripheral neuropathy, postherpetic neuralgia, and osteoarthritis. The transdermal delivery system is particularly useful for patients who may have difficulties with oral administration or require localized pain management.

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Topical Gel
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Formula Information

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The Gabapentin 5%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel is a specialized medication compounded to provide targeted relief from certain types of pain. This semisolid formulation is designed to be dispensed through a pump mechanism, which ensures that patients can apply a consistent and precise dose of the medication directly to the area of discomfort. The gel base allows for the active ingredients to be absorbed through the skin, offering a localized effect while minimizing systemic exposure.

Gabapentin, one of the active ingredients, is commonly known for its use in the management of neuropathic pain and as an adjunctive therapy in the treatment of partial seizures. In this transdermal formulation, gabapentin works to alleviate neuropathic pain by modulating the activity of certain neurotransmitters and reducing the abnormal excitability of nerves that can lead to pain sensations.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), provides its analgesic and anti-inflammatory effects by inhibiting the enzymes responsible for prostaglandin synthesis, which are mediators of inflammation and pain. This makes the gel particularly effective in treating conditions involving inflammation, such as arthritis or soft tissue injuries.

Lidocaine, a local anesthetic, offers immediate relief from pain by blocking the transmission of pain signals along the nerves. This can be especially beneficial for patients experiencing sharp, shooting pains or for providing a numbing effect to a painful area.

The combination of these three active ingredients in a transdermal gel allows for a multimodal approach to pain management, targeting different pain pathways and providing comprehensive relief. This can be particularly useful for patients who have not responded well to single-agent therapies or who are looking to reduce their oral medication burden due to systemic side effects.

It is important for both patients and prescribers to understand that this compounded medication should be used under the guidance of a healthcare professional, and it is tailored to meet the specific needs of the individual patient. The gel is intended for external use only, and patients should be instructed on proper application techniques to maximize the benefits of the medication while minimizing potential side effects.

If you have any questions or require further information about the Gabapentin 5%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest level of care and support to our patients and prescribers.

Drug Interactions

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The transdermal gel formulation containing Gabapentin 5%, Ketoprofen 10%, and Lidocaine 5% is designed for topical application and may offer localized relief from pain and inflammation. Gabapentin is commonly used for neuropathic pain, Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) for reducing inflammation and pain, and Lidocaine is a local anesthetic that provides temporary numbness in the area of application. When using this combination therapy, it is important to consider potential drug interactions.

Gabapentin, when used topically, has minimal systemic absorption; however, caution should be exercised when it is prescribed with other central nervous system (CNS) depressants, as it may potentiate the effects of sedatives, hypnotics, or opioids. Patients should be monitored for increased CNS depression if such combinations are necessary. Ketoprofen, as an NSAID, can interact with anticoagulants like warfarin, increasing the risk of bleeding. It may also reduce the effectiveness of antihypertensive drugs and may increase the nephrotoxicity of cyclosporine and other nephrotoxic drugs. Concurrent use with other NSAIDs or corticosteroids should be avoided due to an increased risk of gastrointestinal ulcers or bleeding.

Lidocaine, although used topically, can be absorbed systemically, especially when applied to large areas or when the skin's barrier is compromised. It should be used with caution in patients taking class I antiarrhythmic drugs (such as tocainide and mexiletine) due to additive cardiac effects. Additionally, the metabolism of lidocaine can be affected by CYP3A4 inhibitors, potentially leading to increased plasma levels of lidocaine and an increased risk of systemic toxicity.

It is also important to consider the potential for skin irritation or allergic reactions with any topical formulation. Patients with a history of hypersensitivity to any of the components should not use this product. The transdermal gel may also alter the absorption of other concurrently used topical medications, so it is advisable to apply different medications at separate sites.

Patients should be advised to report any signs of adverse effects, such as skin rash, increased pain, swelling, or gastrointestinal disturbances. Prescribers should review the patient's medication profile for potential interactions and adjust therapy accordingly. For any questions or concerns regarding this formulation or its use in treating specific disease states, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Gabapentin 5%/Ketoprofen 10%/Lidocaine 5% Transdermal Gel is a compounded medication designed to deliver active pharmaceutical 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 where it is applied and facilitates the absorption of the active ingredients into the skin.

Gabapentin, one of the active ingredients, is commonly known for its use in the treatment of neuropathic pain. It works by modulating the activity of certain neurotransmitters in the nervous system, which helps to reduce the sensation of pain. In a transdermal gel form, gabapentin can target specific areas of the body, potentially reducing systemic side effects compared to oral administration.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that provides both analgesic and anti-inflammatory effects. It works by inhibiting the cyclooxygenase enzymes (COX-1 and COX-2), which are involved in the synthesis of prostaglandins, substances that mediate inflammation and pain. By applying ketoprofen topically, the medication can directly reach the affected tissues, offering localized relief from pain and swelling without the gastrointestinal side effects often associated with oral NSAIDs.

Lidocaine is a local anesthetic that provides immediate relief from pain by blocking the transmission of pain signals along the nerves. When applied to the skin, lidocaine causes a temporary loss of sensation in the treated area, which can be particularly beneficial for patients experiencing sharp, shooting, or burning types of pain.

The combination of these three ingredients in a transdermal gel allows for a multimodal approach to pain management. This can be especially useful for conditions such as neuropathies, arthritis, musculoskeletal pain, or other localized pain syndromes where a targeted treatment is desired. The transdermal delivery system bypasses the gastrointestinal tract, which may reduce the risk of systemic side effects and drug interactions that are more common with oral medications.

It is important for both patients and prescribers to understand the proper use of this medication, including the appropriate dosing, application sites, and potential side effects. As with any medication, it is crucial to use this compound as directed by a healthcare professional. If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to support you with personalized care and expertise.

Other Uses

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The combination of gabapentin, ketoprofen, and lidocaine in a transdermal gel formulation is primarily designed for the management of neuropathic pain and inflammation localized to specific areas of the body. However, the therapeutic effects of these medications suggest that the gel may have additional uses beyond the treatment of neuropathic pain syndromes. Gabapentin, an anti-epileptic medication, is known to reduce neuronal excitability and, therefore, might offer benefit in certain dermatologic conditions, such as localized itching or syndromes involving hyperexcitable nerve endings.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can alleviate inflammation and pain not only in neuropathic but also in musculoskeletal conditions, such as tendinitis, bursitis or localized arthritis. Similarly, lidocaine, a local anesthetic, can be used to numb areas of the skin or to treat conditions such as post-herpetic neuralgia or other localized pain syndromes. The transdermal application through a semisolid gel ensures minimal systemic absorption, reducing the potential for systemic side effects while providing targeted relief at the site of application.

It is also worth noting that such a formulation may aid in symptomatic relief for patients with painful diabetic neuropathy or injuries involving the soft tissues where the combination of an analgesic and anti-inflammatory agent would be beneficial. The convenience of a pump mechanism allows for consistent dosing and ease of use, particularly for patients with limited dexterity. This transdermal gel may serve as an adjunct to other therapies, potentially reducing the need for oral medications or systemic treatments that might carry a higher risk of adverse effects.

As with any compounded medication, it is critical to use this formulation under the guidance of a healthcare professional. Providers should evaluate the patient’s particular condition and symptomatology to determine if this compounded gel is an appropriate treatment option. Furthermore, while this gel shows promise for various potential uses, the efficacy and safety profile for those uses outside of the initial indications should be carefully considered. For further information, custom formulation requests, or specific patient concerns, do not hesitate to reach out to us at Bayview Pharmacy. We are dedicated to providing tailored therapeutic solutions to meet the diverse needs of our patients and collaborators.

Frequently Asked Questions

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What is Gabapentin/Ketoprofen/Lidocaine Transdermal Gel used for?

This compounded medication is used for managing pain topically. It combines the nerve pain medication Gabapentin, the anti-inflammatory drug Ketoprofen, and the local anesthetic Lidocaine to target specific areas of pain on the body through the skin.

How do I apply this transdermal gel?

Press the pump to dispense a small amount of the gel. Apply a thin layer of the gel to the affected area, as directed by your healthcare provider. Rub it in gently and thoroughly. Wash your hands after application unless the area being treated includes the hands.

How often should I use this medication?

The frequency of application will depend on your physician's instructions. It's typically applied a few times a day. Do not use it more often than prescribed.

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

Do not cover the treated area with a bandage or dressing unless your doctor instructs you to do so. Covering the area can increase the absorption of the medication, potentially leading to unwanted side effects.

Are there any side effects when using this transdermal gel?

Possible side effects can include skin irritation at the application site, dizziness, drowsiness, or an allergic reaction. If you experience any severe side effects or signs of an allergic reaction, seek medical attention immediately.

Can I use this gel with other medications?

Always inform your healthcare provider about all other medications you are taking, as drug interactions can occur. This includes prescriptions, over-the-counter medicines, vitamins, and herbal supplements.

What should I do if I miss a dose?

If you forget to apply the gel at the scheduled time, do it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

How should this medication be stored?

Keep the gel at room temperature, away from heat and direct light. Do not freeze. Make sure the cap is securely in place after use to prevent the medication from drying out. Keep out of reach of children and pets.

Is this transdermal gel suitable for everyone?

Not everyone should use this gel. Individuals with certain medical conditions, allergies to any of the active ingredients, or skin conditions should consult their healthcare provider before using it. The safety and effectiveness of the medication have not been established in children or pregnant/breastfeeding women unless otherwise advised by a healthcare provider.

What should I avoid while using this medication?

Avoid contact with eyes, mucous membranes, and other sensitive areas of the body. Do not apply to broken or damaged skin. It is also important to avoid exposure to sunlight or artificial UV light on the area where the gel has been applied as this might enhance the risk of a sunburn.

What should I do if the pump mechanism is not working?

If the pump is not dispensing the gel, check to ensure it isn't locked or clogged. If it's a new bottle, you may need to prime the pump by pressing it several times until the product is dispensed. If the problem persists, consult your pharmacist or healthcare provider for advice.

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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.