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Ketamine HCl 5%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel

The Ketamine HCl 5%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel is a specialized medication compounded to manage pain associated with various disease states. This semisolid formulation is designed for transdermal delivery of active pharmaceutical ingredients and is dispensed through a pump mechanism, which allows for easy and precise application to the skin. The gel-like consistency ensures that the medication is spread evenly and absorbed effectively at the site of pain.

The combination of Ketamine HCl, an NMDA receptor antagonist, with Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), and Lidocaine, a local anesthetic, provides a multimodal approach to pain management. This formulation is commonly used to treat neuropathic pain, chronic pain syndromes, and inflammatory conditions. By delivering the medication directly to the affected area, this transdermal gel minimizes systemic exposure and potential side effects, offering targeted relief for patients suffering from these debilitating disease states.

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Topical Gel
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Formula Information

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The Ketamine HCl 5%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel is a compounded medication designed for topical application. This semisolid formulation is dispensed through a pump mechanism, which ensures easy and precise dosing. The gel base allows for the active ingredients to be absorbed through the skin, targeting localized areas for therapeutic effects. The combination of active ingredients in this formulation works synergistically to provide analgesic and anti-inflammatory effects.

Ketamine HCl, a N-methyl-D-aspartate (NMDA) receptor antagonist, is utilized in this formulation for its analgesic properties, particularly in neuropathic pain. By blocking NMDA receptors, ketamine can help reduce the sensation of pain. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), contributes to the formulation by providing anti-inflammatory and analgesic effects, making it beneficial for conditions involving inflammation and pain such as arthritis or musculoskeletal injuries. Lidocaine, a local anesthetic, offers immediate relief from pain by blocking sodium channels and numbing the affected area. This can be particularly useful for patients experiencing sharp, localized pain or for initiating therapy while waiting for the other components to take effect.

This transdermal gel is particularly suited for patients who require targeted pain relief or who may not tolerate oral medications well due to systemic side effects or gastrointestinal issues. The transdermal route of administration provides the advantage of delivering medication directly to the site of pain, potentially reducing the risk of systemic side effects. This formulation is commonly used in the management of neuropathic pain, localized inflammatory conditions, and certain musculoskeletal disorders.

It is important for both patients and prescribers to understand that this is a specialized medication prepared in a compounding pharmacy. The concentration of active ingredients has been carefully selected to maximize therapeutic effects while minimizing potential adverse effects. Patients should use this medication as directed by their healthcare provider and report any adverse reactions or concerns immediately. As with any compounded medication, it is essential to use this formulation under the guidance and prescription of a healthcare professional familiar with the patient's medical history and current condition.

For further information or questions regarding the Ketamine HCl 5%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel, or to discuss its suitability for specific patient needs, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is committed to providing high-quality, individualized care to our patients and supporting healthcare providers in their treatment plans.

Drug Interactions

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The transdermal gel formulation containing Ketamine HCl 5%, Ketoprofen 10%, and Lidocaine 10% is designed for topical application and may offer localized relief from pain and inflammation. Ketamine is an NMDA receptor antagonist that can provide analgesia and may have anti-inflammatory effects. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzymes COX-1 and COX-2, which are involved in prostaglandin synthesis, leading to reduced inflammation and pain. Lidocaine is a local anesthetic that blocks sodium channels, thereby providing a numbing effect and further contributing to pain relief.

When considering drug interactions, it is important to note that while the systemic absorption of these medications in a transdermal formulation is lower than oral or parenteral routes, interactions can still occur. Ketamine may interact with CNS depressants, such as benzodiazepines, opioids, and alcohol, potentially enhancing sedative effects. Caution is advised when using this medication concurrently with other CNS depressants. Ketoprofen, as an NSAID, may increase the risk of bleeding when combined with anticoagulants like warfarin or antiplatelet agents such as aspirin. It may also interact with other NSAIDs, leading to an increased risk of gastrointestinal ulcers or bleeding, and with ACE inhibitors or angiotensin receptor blockers, potentially diminishing their antihypertensive effects. Lidocaine, although less likely to interact due to its local action, may still pose a risk when used with other local anesthetics or medications that affect cardiac conduction, as it can have additive effects on the heart.

Patients should be advised to inform their healthcare providers of all medications they are taking, including over-the-counter drugs and supplements, to avoid potential interactions. Prescribers should carefully consider the patient's medication profile before prescribing this transdermal gel. Monitoring for side effects or signs of systemic absorption, such as dizziness, confusion, gastrointestinal distress, or abnormal bleeding, is recommended. If you have any questions or require further information regarding this formulation and its potential interactions, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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The Ketamine HCl 5%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel is a compounded medication designed to deliver active pharmaceutical ingredients through the skin, directly to the site of pain or inflammation. 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.

Ketamine HCl, a medication primarily used for starting and maintaining anesthesia, has been found to have analgesic properties when used in lower, sub-anesthetic doses. In this transdermal formulation, Ketamine HCl acts on the N-methyl-D-aspartate (NMDA) receptors in the central nervous system, which play a significant role in pain modulation. By blocking these receptors, ketamine can help reduce central sensitization, which is a condition where the central nervous system amplifies pain signals, leading to heightened sensitivity to pain.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the enzyme cyclooxygenase (COX), which is involved in the production of prostaglandins. Prostaglandins are chemicals in the body that promote inflammation, pain, and fever. By reducing the production of these chemicals, ketoprofen can help alleviate inflammation and pain at the site of application.

Lidocaine is a local anesthetic that provides rapid pain relief by blocking the sodium channels in the neuronal cell membranes. This action inhibits the initiation and conduction of nerve impulses, thereby providing a numbing effect and temporary relief from pain. When combined with ketamine and ketoprofen, lidocaine enhances the overall analgesic effect of the gel.

This transdermal gel is particularly useful for treating localized pain conditions such as neuropathic pain, musculoskeletal pain, and certain inflammatory conditions. By delivering the medication directly to the affected area, systemic side effects are minimized, and relief can be targeted more precisely. The combination of an NMDA receptor antagonist, an NSAID, and a local anesthetic provides a multimodal approach to pain management, which can be more effective than using a single agent alone.

Patients and prescribers should note that this is a specially compounded formulation and should be used under the guidance of a healthcare professional. It is important to apply the gel as directed and to the specific area of pain or inflammation to ensure the best therapeutic outcome. If there are any questions or concerns regarding the use of this transdermal gel, or if additional information is needed, please reach out to us at Bayview Pharmacy for assistance.

Other Uses

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The compounded transdermal gel containing Ketamine HCl 5%, Ketoprofen 10%, and Lidocaine 10% is traditionally used for the management of pain, notably neuropathic pain or complex regional pain syndrome, due to the analgesic properties of its active components. However, beyond these indications, this formulation may also be explored for other uses under the guidance of a healthcare professional. An area of potential off-label use is in the management of localized musculoskeletal pains, like tendinitis or bursitis, where the anti-inflammatory action of ketoprofen and the local anesthetic effect of lidocaine may offer symptomatic relief. Additionally, the medication might be beneficial in cases of certain dermatological conditions where neuropathic pain is a component, such as post-herpetic neuralgia resulting from shingles.

There is also anecdotal evidence suggesting that this gel might be used to address fibromyalgia pain, as the combination of active ingredients may help in reducing the painful muscular points characteristic of this condition. Furthermore, for individuals undergoing certain oncological treatments that induce painful peripheral neuropathy, this topical formulation might provide a localized treatment strategy to alleviate pain without the systemic side effects associated with oral medications. However, it's important to note that while these exploratory uses are backed by pharmacological rationale, robust clinical evidence for these additional indications is often limited, necessitating further research and careful consideration from the prescriber.

It is crucial for both patients and prescribers to understand that the safety and efficacy of this formulation for uses beyond the traditional treatment of pain conditions have not been established by large-scale clinical trials. Prescribers should exercise judicious consideration when using this compound off-label, ensuring that it is based on a sound understanding of the patient's condition and a weigh-in of the potential risks and benefits. For any question or need for additional information regarding this transdermal gel's potential applications, dosage, contraindications, or management of side effects, please do not hesitate to reach out to our team at Bayview Pharmacy for expert compounding advice.

Frequently Asked Questions

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What is Ketamine HCl 5%/Ketoprofen 10%/Lidocaine 10% Transdermal Gel?

This is a compounded medication that combines Ketamine HCl, Ketoprofen, and Lidocaine in a transdermal gel form. It is used to deliver these medications through the skin to provide pain relief in a targeted area.

How do I use this transdermal gel?

Apply a thin layer of gel to the affected area as directed by your healthcare provider. Use the pump mechanism to dispense the prescribed amount of medication. Spread the gel gently and thoroughly on the skin.

How often should I apply the transdermal gel?

The frequency of application will depend on your specific condition and instructions provided by your healthcare provider. Do not alter the dosing schedule without consulting them first.

Can this gel be applied to open wounds or damaged skin?

No, you should only apply the gel to intact skin. Avoid areas with open wounds, cuts or significant irritation. If you are unsure, please consult your healthcare provider.

Are there any side effects associated with this transdermal gel?

As with all medications, there can be side effects. These may include local skin reactions such as redness, itching, or irritation at the application site. Systemic side effects are less common but can occur, so if you experience any unusual symptoms, contact your healthcare provider immediately.

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 continue with your regular application schedule. Do not double the dose to catch up.

How should this medication be stored?

Store the gel at room temperature, away from heat and direct light. Do not freeze it, and keep it out of reach of children and pets.

Can I cover the area after applying the gel?

You can cover the area lightly with clothing, but do not bandage or wrap it tightly, which might increase the absorption of the medication. Wait until the gel has dried before putting any clothing over the treated area.

Will applying more gel than prescribed increase my pain relief?

No, applying more gel will not increase your pain relief and can lead to increased side effects. Always use the medication as prescribed by your healthcare provider.

Is it safe to use this gel with other medications?

Inform your healthcare provider about all the medications you are currently taking to avoid potential interactions. Some medications may alter the effects of the gel or increase the risk of side effects.

Can I use this product if I am pregnant or breastfeeding?

You should only use this medication during pregnancy or while breastfeeding if it has been specifically recommended by your healthcare provider. They will assess the risks and advise you accordingly.

What should I do in case of an overdose?

If you suspect an overdose, or if the gel has been ingested, contact your local poison control center or seek emergency medical attention immediately.

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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.