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Gabapentin 5%/Ketoprofen 4% Transdermal Gel

The Gabapentin 5%/Ketoprofen 4% 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 ensures easy and precise application directly to the affected area. The gel-like consistency allows for the transdermal delivery of gabapentin, an anticonvulsant and analgesic, and ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID). This combination is particularly effective in treating conditions such as diabetic neuropathy, postherpetic neuralgia, and complex regional pain syndrome, where both pain relief and anti-inflammatory action are desired.

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Topical Gel
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Formula Information

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The Gabapentin 5%/Ketoprofen 4% Transdermal Gel is a specialized medication compounded by Bayview Pharmacy to provide targeted relief from pain and inflammation directly through the skin. 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 to the affected area. The gel-like consistency of the formulation allows for easy application and may enhance the comfort and convenience for the patient.

Gabapentin, one of the active ingredients in this formulation, is commonly known for its use in the management of neuropathic pain. It works by modulating the activity of certain neurotransmitters in the nervous system, which helps to reduce the sensation of pain. This makes it particularly useful in conditions such as postherpetic neuralgia, diabetic neuropathy, and other forms of nerve-related pain.

Ketoprofen, the other active ingredient, is a nonsteroidal anti-inflammatory drug (NSAID) that provides analgesic and anti-inflammatory effects. It is effective in treating conditions that involve inflammation and pain, such as osteoarthritis, rheumatoid arthritis, and musculoskeletal injuries. By combining gabapentin and ketoprofen in a transdermal gel, this formulation aims to offer the benefits of both pain relief and reduction of inflammation directly at the site of discomfort.

The transdermal route of administration has the advantage of bypassing the gastrointestinal system, potentially reducing systemic side effects and providing localized relief. This can be particularly beneficial for patients who may have contraindications or intolerance to oral medications. Additionally, the transdermal delivery may result in more consistent plasma levels of the active ingredients over time.

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 effectiveness and safety of the Gabapentin 5%/Ketoprofen 4% Transdermal Gel can be influenced by factors such as the specific condition being treated, the area of application, and the patient's overall health profile.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to meet individual patient needs. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of this formulation. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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The combination of gabapentin and ketoprofen in a transdermal gel formulation is designed to provide targeted relief from pain and inflammation. Gabapentin is an anticonvulsant that is also used to treat neuropathic pain, while ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce inflammation and pain associated with various conditions. When used together in a transdermal gel, these medications can offer localized relief with potentially fewer systemic side effects compared to oral administration.

However, it is important to consider potential drug interactions when using this formulation. Gabapentin, when applied topically, is less likely to have systemic interactions; however, caution is advised if the patient is taking other central nervous system (CNS) depressants such as opioids, benzodiazepines, or alcohol, as there may be an additive effect leading to increased sedation and dizziness. Additionally, antacids containing aluminum or magnesium may interfere with the absorption of gabapentin if taken orally, but this is less of a concern with transdermal application.

Ketoprofen, as an NSAID, can interact with various medications. Concurrent use with other NSAIDs, including over-the-counter aspirin, ibuprofen, or naproxen, can increase the risk of gastrointestinal bleeding and ulceration. Patients on anticoagulants or antiplatelet drugs, such as warfarin or clopidogrel, should use ketoprofen with caution due to an increased risk of bleeding. Ketoprofen may also affect renal function and should be used cautiously in patients taking diuretics or ACE inhibitors. Additionally, when applied topically, ketoprofen can increase sensitivity to sunlight, so patients should be advised to protect treated areas from excessive sun exposure or artificial UV light.

It is also important to note that the transdermal delivery system itself can alter the pharmacokinetics of the active ingredients. The rate of absorption through the skin can be affected by the condition of the skin, the presence of other topical products, and heat exposure. Patients should be advised not to apply heat to the area of application, as this may increase absorption of the active ingredients and potentially enhance both therapeutic and adverse effects.

Patients should be instructed to inform their healthcare providers of all medications, supplements, and herbal products they are currently using to avoid potential interactions. Prescribers should review the patient's medication history to assess for any possible interactions and adjust therapy accordingly. If you have any questions or require further information regarding this formulation and its potential interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure safe and effective use of this medication.

How Does it Work

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The Gabapentin 5%/Ketoprofen 4% Transdermal Gel is a specialized medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which allows for easy and precise dosing. The gel is applied directly to the skin, where it is intended to provide localized relief from pain and inflammation. The transdermal delivery system is advantageous for patients who may experience gastrointestinal side effects with oral medications or for those who require targeted therapy.

Gabapentin, originally known for its anticonvulsant properties, is also used to treat neuropathic pain. In this transdermal formulation, gabapentin works by modulating the activity of certain neurotransmitters in the skin's nerve fibers, which can help to reduce the sensation of pain. The 5% concentration ensures that a sufficient amount of gabapentin is available at the site of application to exert its therapeutic effect without the need for systemic exposure.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that provides analgesic and anti-inflammatory effects. At a 4% concentration, ketoprofen acts locally to inhibit the production of prostaglandins, which are chemicals in the body responsible for pain, inflammation, and fever. By reducing prostaglandin synthesis directly at the site of pain, ketoprofen can decrease both pain and swelling in the affected area.

The combination of gabapentin and ketoprofen in a transdermal gel allows for a synergistic effect. While gabapentin targets neuropathic pain, ketoprofen addresses the inflammatory components. This dual-action approach can be particularly beneficial for conditions such as arthritis, where both nerve pain and inflammation are present, or for soft tissue injuries where localized pain management is desired.

It is important for patients and prescribers to understand that this transdermal gel is intended for localized treatment and should be applied as directed to the affected area. The pump mechanism facilitates consistent dosing, but patients should be instructed on the proper amount to apply and the frequency of application. 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, such as skin irritation or allergic response.

If you have any questions about the Gabapentin 5%/Ketoprofen 4% Transdermal Gel or its application, 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

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The Gabapentin 5%/Ketoprofen 4% Transdermal Gel offers a unique combination of a neuropathic pain modulator and a nonsteroidal anti-inflammatory drug (NSAID) for the management of pain. While this formulation is primarily used for conditions associated with neuropathic pain and inflammation, such as diabetic neuropathy, fibromyalgia, and osteoarthritis, it also may have potential benefits in other therapeutic areas. For example, patients suffering from localized musculoskeletal pain, like tendonitis or bursitis, may also experience relief due to the anti-inflammatory properties of ketoprofen coupled with the nerve pain attenuation provided by gabapentin. Additionally, the transdermal delivery system bypasses the gastrointestinal tract, making it a suitable option for patients who experience gastrointestinal side effects with oral medications.

Moreover, this formulation might be considered as an adjunct therapy for patients with complex regional pain syndrome (CRPS) due to its ability to target both neuropathic pain pathways and inflammation directly at the affected site. Some prescribers may have found off-label uses for such a compound in other chronic pain states where inflammation and nerve pain are contributory factors. The ease of application through the pump mechanism also allows for a controlled dosage and minimizes the risk of systemic side effects that are often associated with oral forms of these medications.

While the gabapentin/ketoprofen transdermal gel is a specialized medication, its utility may extend to other less common conditions that are characterized by a combination of pain types where localized, transdermal treatment is advantageous. However, its use in such cases should be based on careful consideration by the prescribing physician, as these applications would be off-label and might not be supported by extensive clinical research.

It is crucial for both patients and prescribers to be aware of the potential side effects, contraindications, and drug interactions associated with both gabapentin and ketoprofen, even when used in a transdermal gel form. Consultation with a compounding pharmacist is highly recommended to ensure the appropriate use and to explore the potential benefits of this formulation for individual patient needs. If you have any questions or would like to discuss specific patient cases and potential other uses of this compounded medication, please reach out to our team at Bayview Pharmacy for personalized advice and support.

Frequently Asked Questions

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What is Gabapentin 5%/Ketoprofen 4% Transdermal Gel?

Gabapentin 5%/Ketoprofen 4% Transdermal Gel is a compounded medication that combines two active ingredients, Gabapentin and Ketoprofen, at specific concentrations in a gel form designed for transdermal delivery through the skin for targeted pain relief.

How do I use this transdermal gel?

The gel is designed to be applied topically to the affected area. It should be dispensed through the pump mechanism and spread gently over the skin as directed by your healthcare provider. Always follow the prescribed dosage and application instructions.

What is the purpose of the pump mechanism?

The pump mechanism is included to ensure that each application is easy to administer and provides a precise amount of the gel, promoting consistent dosing and effectiveness of the medication.

Can I apply the gel to any area of my body?

It is best to apply the gel only to the area specified by your healthcare provider, as it is intended for targeted treatment. Avoid sensitive areas like the eyes, face, mucous membranes, and broken or damaged skin.

How often should I use this transdermal gel?

The frequency of use should be determined by your healthcare provider based on your specific condition and response to treatment. It is important not to use more often than prescribed.

What should I do if I miss a dose?

If you miss a dose, apply the gel as soon as you remember unless it is close to the time for your next dose. In that case, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Gabapentin 5%/Ketoprofen 4% Transdermal Gel?

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

Can I cover the area after applying the gel?

You can cover the area lightly if advised by your healthcare provider. However, avoid using occlusive dressings or bandages unless specifically instructed to do so, as this may alter the absorption or increase the risk of side effects.

How should I store this medication?

Store the medication at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets. Do not freeze the gel, and discard any medication that has surpassed the expiration date or appears altered.

Can I use other topical products alongside this medication?

It is essential to consult your healthcare provider before using other topical products in conjunction with this medication to avoid interactions or interference with the absorption and effectiveness of the gel.

Should I wash my hands after applying the gel?

Yes, it is recommended to wash your hands thoroughly after applying the gel unless you are treating the hands. This prevents the spread of the medication to other parts of the body or to other individuals.

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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.