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Formulas

Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel

The Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a specialized semisolid formulation designed for targeted treatment of inflammatory skin conditions, musculoskeletal pain, and localized pain relief. This unique combination of a corticosteroid, a nonsteroidal anti-inflammatory drug (NSAID), and a local anesthetic is dispensed through a pump mechanism, ensuring easy and precise application. The gel consistency allows for the active ingredients to be absorbed directly into the affected area, providing relief from symptoms associated with dermatitis, eczema, psoriasis, arthritis, tendinitis, and neuropathic pain. The formulation is intended for external use only and should be applied as directed by a healthcare professional.

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Topical Gel
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Formula Information

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The Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a compounded medication designed to deliver a combination of anti-inflammatory, analgesic, and anesthetic effects directly to the site of application. Hydrocortisone, a corticosteroid, works by reducing inflammation and suppressing the immune response in the skin. This makes it effective for treating various dermatological conditions, such as eczema, psoriasis, and allergic reactions, where inflammation is a key component of the disease process.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), further enhances the anti-inflammatory action and provides additional analgesic effects, making this gel particularly useful for conditions involving pain and swelling, such as musculoskeletal injuries or arthritis. By inhibiting the enzymes involved in prostaglandin synthesis, ketoprofen helps to alleviate both pain and inflammation at the site of application.

Lidocaine HCl, a local anesthetic, provides immediate relief from pain by blocking the transmission of pain signals along the nerves. This component is especially beneficial for patients experiencing acute pain or for procedures that require numbing of the skin. The inclusion of lidocaine in the formulation allows for a more comfortable application and rapid onset of pain relief.

The gel is formulated to be dispensed through a pump mechanism, which offers several advantages. It ensures that the medication is delivered in a consistent dose, reduces the risk of contamination, and allows for a non-messy application. The semisolid consistency of the gel allows it to be easily spread over the affected area, providing a uniform distribution of the active ingredients. The gel base also facilitates the absorption of the active ingredients into the skin, ensuring that the medication reaches the target tissues effectively.

This combination gel is particularly suited for patients who require a multimodal approach to manage their symptoms, combining the benefits of anti-inflammatory, analgesic, and anesthetic agents in a single formulation. It is important for prescribers to consider the individual patient's condition and medical history when recommending this medication, as the presence of multiple active ingredients may increase the risk of side effects or interactions with other medications.

Patients should be instructed on the proper use of the gel, including the amount to apply, frequency of application, and any specific precautions to observe. They should also be made aware of potential side effects, such as skin irritation or systemic absorption, particularly with prolonged use or application over large areas of the body.

For more detailed information or to address specific concerns regarding this formulation, prescribers and patients are encouraged to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide expert guidance and support to ensure the safe and effective use of this compounded medication.

Drug Interactions

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The Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a compounded medication designed for topical application. Hydrocortisone is a corticosteroid that reduces inflammation and can be used to treat a variety of skin conditions such as eczema, psoriasis, and allergic reactions. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that also reduces inflammation and can provide pain relief. Lidocaine is a local anesthetic that can help to numb the skin, providing relief from pain and discomfort. When using this combination gel, it is important to consider potential drug interactions.

Patients should be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs, vitamins, and herbal supplements. The use of additional topical corticosteroids or NSAIDs should be approached with caution, as there may be an increased risk of systemic absorption leading to additive side effects. Concurrent use of other local anesthetics may increase the risk of systemic toxicity, especially if applied to large areas of the body or used over an extended period.

Systemic absorption of ketoprofen may interact with anticoagulants such as warfarin, increasing the risk of bleeding. Patients on anticoagulant therapy should be closely monitored. Similarly, ketoprofen may interact with other NSAIDs, aspirin, or selective serotonin reuptake inhibitors (SSRIs), enhancing the risk of gastrointestinal ulcers or bleeding. The use of alcohol with this medication may also increase the risk of gastrointestinal side effects.

Hydrocortisone, although less likely to cause systemic effects due to its low concentration in this formulation, may still interact with drugs that induce or inhibit CYP3A4 enzymes, as these can affect the metabolism of corticosteroids. Patients taking medications such as certain antifungals, anticonvulsants, or macrolide antibiotics should be monitored for potential interactions.

Lidocaine, when absorbed systemically, can interact with antiarrhythmic drugs, beta-blockers, and cimetidine, potentially altering its metabolism and increasing the risk of lidocaine toxicity. Caution is advised when using this medication in patients with pre-existing heart conditions or those taking medications that affect cardiac conduction.

It is also important to consider the potential for cross-sensitivity reactions in patients allergic to aspirin or other NSAIDs when using ketoprofen. Patients with a history of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs should not use this medication without consulting their healthcare provider.

Lastly, the application of this gel to broken or damaged skin can increase systemic absorption of the active ingredients, potentially leading to an increased risk of adverse effects. Patients should be instructed to apply the gel only to intact skin and to follow the prescribed dosage and application instructions carefully.

If you have any questions or require further information regarding potential drug interactions with this formulation, please reach out to us at Bayview Pharmacy. We are here to ensure the safe and effective use of this medication for our patients.

How Does it Work

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The Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is a compounded medication designed to deliver a combination of active ingredients directly to the site of inflammation, pain, or discomfort. This semisolid formulation is dispensed through a pump mechanism, which ensures easy and precise application, as well as consistent dosing. The gel-like consistency allows for the medication to be spread smoothly over the affected area, providing a localized effect without systemic absorption typical of oral medications.

Hydrocortisone is a corticosteroid that works by reducing inflammation and suppressing the immune response in the skin. It is effective in treating a variety of dermatological conditions, such as eczema, psoriasis, and allergic reactions. By decreasing inflammation, hydrocortisone can alleviate symptoms like redness, itching, and swelling.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2). These enzymes are involved in the production of prostaglandins, which are compounds that contribute to inflammation, pain, and fever. By blocking COX enzymes, ketoprofen reduces the levels of prostaglandins, thereby decreasing inflammation and pain in the affected area. This makes it particularly useful for treating musculoskeletal conditions such as arthritis, strains, and sprains.

Lidocaine HCl is a local anesthetic that works by blocking sodium channels in the neuronal cell membrane. This action inhibits the initiation and conduction of nerve impulses, providing temporary relief from pain. Lidocaine is commonly used to numb the skin before procedures or to relieve pain from conditions like post-herpetic neuralgia or other neuropathic pain syndromes.

When combined, these three active ingredients provide a multifaceted approach to treating conditions that involve pain and inflammation. The hydrocortisone addresses the inflammatory component, ketoprofen adds a potent anti-inflammatory and analgesic effect, and lidocaine offers immediate relief from pain by numbing the affected area. This combination can be particularly beneficial for patients who require both anti-inflammatory and analgesic properties in a topical formulation.

This compounded gel is intended for topical use only and should be applied as directed by a healthcare provider. It is important to use this medication only on the areas prescribed and not to cover treated skin with occlusive dressings unless instructed by a healthcare professional. Patients should be advised to wash their hands before and after applying the gel unless the hands are the area being treated.

If you have any questions about this formulation or its appropriateness for a specific condition, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to both patients and prescribers to ensure the safe and effective use of this medication.

Other Uses

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While this specific compounding formulation of Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel is primarily designed for its anti-inflammatory, analgesic, and anesthetic properties, it may have additional uses beyond the targeted treatment for which it was prescribed. It is important to note that all off-label uses should be considered carefully and only pursued under the guidance of a healthcare professional.

Aside from its main indications, this gel may potentially be used to provide symptomatic relief in other conditions involving pain and inflammation. For instance, patients suffering from localized musculoskeletal pain, such as that associated with minor sprains and strains or soft tissue injuries, might find this formulation beneficial due to the combined action of ketoprofen and hydrocortisone. Lidocaine's presence could offer temporary relief from the associated pain by numbing the affected area. Because of the gel's consistency and delivery mechanism, it may be suitable for applying to localized, hard-to-reach areas. Moreover, individuals with certain skin conditions characterized by inflammation and discomfort, not limited to but including dermatitis or psoriasis, might experience temporary relief of symptoms when using this compound.

Additionally, the formulation might be used in patients who are undergoing treatment for complex and multi-faceted pain syndromes where inflammation is a component of the pain cycle. For example, in cases of localized neuropathic pain, where conventional treatments have not provided sufficient relief, this compounded gel may act synergistically to provide comfort due to the anesthetic action of lidocaine alongside the anti-inflammatory effects of ketoprofen and hydrocortisone.

It is recommended that before considering the use of this formulation for conditions other than prescribed, the healthcare provider evaluates the patient's medical history, current medications, and the potential benefit-risk ratio. Each active ingredient within this compounded gel carries its own set of side effects and contraindications that must be taken into account. Therefore, communication with the prescriber or the consulting compounding pharmacist at Bayview Pharmacy is crucial to ensure optimal and safe use of this medication. If you have any questions regarding the potential applications of this formulation or its suitability for specific conditions, please reach out to us for tailored advice and professional guidance.

Frequently Asked Questions

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What is Hydrocortisone 2.5%/Ketoprofen 10%/Lidocaine HCl 5% Topical Gel used for?

This topical gel is used to reduce inflammation, alleviate pain, and numb the affected area. It combines the anti-inflammatory action of hydrocortisone and ketoprofen with the local anesthetic effects of lidocaine, making it suitable for treating localized conditions such as dermatitis, joint pain, and certain types of neuropathic pain.

How should this topical gel be applied?

The gel should be applied directly to the affected area of the skin. Use the pump mechanism to dispense the product, and gently spread a thin layer over the targeted site. Follow your healthcare provider's instructions regarding the amount to apply and frequency of application.

Can this product be used with other medications?

It is important to consult with your healthcare provider before using this product with other medications. There may be potential interactions, especially with other topical products, or systemic absorption that could affect other drugs you are taking.

Are there any side effects associated with Hydrocortisone/Ketoprofen/Lidocaine Topical Gel?

As with any medication, there can be side effects. Common side effects include skin irritation, redness, or itching at the application site. If you experience severe reactions or signs of allergic reaction, such as hives, difficulty breathing, or swelling, seek medical attention immediately.

How often should I apply the topical gel?

The frequency of application depends on the instructions provided by your healthcare provider. It is typically applied one to three times daily, but the specific regimen will be tailored to your condition and response to treatment.

Should this gel be applied to broken or irritated skin?

No, avoid applying the gel to open wounds, cuts, or severely irritated skin, as this could lead to increased absorption of the active ingredients and potential systemic side effects.

What precautions should I take when using this gel?

Avoid contact with eyes, mouth, and mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not cover the treated skin area with airtight dressings such as bandages unless your doctor has advised you to do so. Wash your hands after applying the gel unless you are treating the hands.

How should I store this medication?

Store the product at room temperature away from heat and direct sunlight. Keep the bottle tightly closed when not in use. Do not freeze. Keep out of reach of children and pets.

Can I apply cosmetics or sunscreen over the gel?

It's best to consult with your healthcare provider. Generally, you should wait until the gel has fully dried before applying cosmetics or sunscreen. Additionally, the absorption or effectiveness of the gel could be altered by the use of other topical products.

What should I do if I miss a dose of the gel?

If you miss a dose of the gel, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose.

Can pregnant or breastfeeding women use this gel?

Pregnant or breastfeeding women should only use this medication if clearly needed and prescribed by a healthcare provider. Make sure to discuss the potential risks and benefits with your doctor before using this product.

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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.