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Ketamine HCl 50 mg/mL/Ketoprofen 50 mg/mL Topical Gel

This Ketamine HCl 50 mg/mL and Ketoprofen 50 mg/mL Topical Gel is a semisolid formulation designed for easy and precise application on the skin through a pump mechanism. It provides targeted treatment and absorption of active ingredients in a gel-like consistency.

This formulation is used to treat pain and inflammation associated with conditions such as arthritis, neuropathic pain, and musculoskeletal disorders.

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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, NY, NJ, NH, FL and ME.
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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Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.

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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.
Ketamine Hydrochloride
Ketoprofen
Topical Gel

Formula Information

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Ketamine HCl 50 mg/mL and Ketoprofen 50 mg/mL Topical Gel is a compounded medication designed to provide targeted pain relief through topical application. This formulation combines the analgesic properties of ketamine with the anti-inflammatory effects of ketoprofen, delivering a synergistic approach to managing various types of pain.

When applied topically, ketamine acts as an N-methyl-D-aspartate (NMDA) receptor antagonist, which can help in reducing pain signals transmitted by the damaged nerves without the systemic effects associated with oral administration.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, substances responsible for inflammation and pain in the body. Topical application of ketoprofen allows for localized anti-inflammatory action, reducing swelling and discomfort in the affected area with minimal systemic absorption.

The combination of ketamine and ketoprofen in a topical gel provides a multifaceted approach to pain management. This formulation is particularly beneficial for patients experiencing localized neuropathic pain, musculoskeletal pain, arthritic conditions, or inflammation resulting from injuries. By applying the gel directly to the affected area, patients can achieve significant pain relief and improved function.

The semisolid gel formulation is dispensed through a convenient pump mechanism, ensuring precise dosing and easy application. The gel-like consistency facilitates absorption through the skin, allowing the active ingredients to reach targeted tissues effectively. This method of delivery reduces the risk of systemic side effects commonly associated with oral medications.

For prescribers, this compounded topical gel offers a customizable treatment option for patients who may not tolerate oral medications well or who require localized therapy. It provides an alternative route of administration that can enhance patient compliance and satisfaction with their pain management regimen.

If you have any questions about Ketamine HCl 50 mg/mL and Ketoprofen 50 mg/mL Topical Gel, or if you would like to discuss how this formulation could benefit your treatment plan, please reach out to us. Our team at Bayview Pharmacy is here to assist you with any inquiries or support you may need.

Drug Interactions

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Ketamine HCl 50 mg/mL and Ketoprofen 50 mg/mL Topical Gel is a compounded formulation designed for targeted application on the skin, allowing for localized treatment and absorption of the active ingredients. This formulation is particularly useful in managing pain and inflammation associated with various conditions, such as arthritis, neuropathic pain, and other musculoskeletal disorders. However, it is crucial to be aware of potential drug interactions that may arise when using this topical gel, especially for patients who are concurrently taking other medications.

Ketamine, an NMDA receptor antagonist, can interact with medications that affect the central nervous system (CNS). When used in conjunction with other CNS depressants, such as benzodiazepines, opioids, or alcohol, there may be an additive effect, leading to increased sedation, dizziness, or respiratory depression. Patients should be advised to avoid or limit the use of other CNS depressants while using this topical gel, and prescribers should carefully evaluate the patient's medication regimen to prevent potential adverse effects.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), may interact with other medications that affect renal function, blood pressure, or gastrointestinal health. Concurrent use of other NSAIDs, including over-the-counter options like ibuprofen or aspirin, can increase the risk of gastrointestinal bleeding or ulceration. Additionally, ketoprofen may reduce the efficacy of antihypertensive medications, such as ACE inhibitors or diuretics, and may increase the risk of renal impairment when used with nephrotoxic agents like certain antibiotics or diuretics. Patients should be monitored for signs of gastrointestinal distress, changes in blood pressure, or renal function abnormalities.

Furthermore, both ketamine and ketoprofen can interact with anticoagulants, such as warfarin, potentially altering their effects and increasing the risk of bleeding. It is essential for prescribers to monitor coagulation parameters and adjust anticoagulant dosages as necessary. Patients should be informed about the signs of bleeding, such as unusual bruising or prolonged bleeding from cuts, and advised to seek medical attention if these occur.

Patients with a history of hypersensitivity to ketamine, ketoprofen, or other NSAIDs should avoid using this formulation. Additionally, those with a history of cardiovascular disease, liver or kidney impairment, or gastrointestinal disorders should use this gel with caution and under the guidance of a healthcare professional.

As with any medication, it is important for both patients and prescribers to be aware of potential interactions and to communicate openly about all medications being taken, including over-the-counter drugs and supplements. If you have any questions or concerns about the use of Ketamine HCl 50 mg/mL/Ketoprofen 50 mg/mL Topical Gel, please reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

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The Ketamine HCl 50 mg/mL and Ketoprofen 50 mg/mL Topical Gel is a compounded formulation designed to deliver targeted relief through transdermal absorption. This semisolid gel is dispensed via a pump mechanism, ensuring precise dosing and ease of application directly onto the skin. The gel-like consistency allows for smooth application, enhancing patient compliance and comfort. The formulation is specifically designed to treat localized pain and inflammation, providing a non-invasive alternative to oral medications, which can have systemic side effects.

Ketamine HCl, a well-known NMDA receptor antagonist, plays a crucial role in pain management by modulating the central nervous system's response to pain signals. When applied topically, ketamine can help reduce hyperalgesia and allodynia, conditions often associated with chronic pain syndromes. By blocking NMDA receptors, ketamine decreases the excitability of neurons involved in pain transmission, offering relief from persistent pain without the need for systemic administration, which can lead to undesirable side effects.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), complements the action of ketamine by targeting the inflammatory pathways. It works by inhibiting the cyclooxygenase (COX) enzymes, which are responsible for the synthesis of prostaglandins, compounds that mediate inflammation and pain. The topical application of ketoprofen allows for direct action at the site of pain and inflammation, reducing swelling, redness, and discomfort. This localized approach minimizes the risk of gastrointestinal and cardiovascular side effects commonly associated with oral NSAIDs.

The combination of ketamine and ketoprofen in a topical gel formulation provides a synergistic effect, enhancing pain relief and anti-inflammatory action. This dual-action approach is particularly beneficial for patients suffering from conditions such as arthritis, neuropathic pain, and localized musculoskeletal pain. The gel's transdermal delivery system ensures that the active ingredients penetrate the skin barrier effectively, reaching the underlying tissues where they exert their therapeutic effects.

For prescribers, this formulation offers a customizable option for patients who may not tolerate oral medications well or who require additional localized pain management. The ability to adjust the concentration of active ingredients allows for personalized treatment plans tailored to the specific needs of each patient. Additionally, the pump mechanism ensures consistent dosing, reducing the risk of over- or under-application.

Patients using this topical gel can expect a reduction in pain and inflammation with regular application as directed by their healthcare provider. It is important to apply the gel to clean, dry skin and to follow the prescribed dosing schedule to achieve optimal results. As with any medication, patients should be aware of potential skin irritation and report any adverse reactions to their healthcare provider promptly.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the best possible outcomes for your treatment.

Other Uses

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The Ketamine HCl 50 mg/mL and Ketoprofen 50 mg/mL topical gel is a versatile formulation that, beyond its primary indications, may offer potential benefits for a variety of other conditions due to its unique combination of active ingredients. Ketamine, an NMDA receptor antagonist, is known for its analgesic and anti-inflammatory properties, which can be beneficial in managing chronic pain conditions that are not adequately controlled by conventional therapies. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), further enhances the anti-inflammatory and analgesic effects, making this combination particularly useful for localized pain management.

One potential use of this formulation is in the management of neuropathic pain, which can arise from conditions such as diabetic neuropathy, post-herpetic neuralgia, or complex regional pain syndrome (CRPS). The topical application allows for targeted delivery of the medication, potentially reducing systemic side effects associated with oral administration. Additionally, the gel form can be advantageous for patients who have difficulty swallowing pills or who experience gastrointestinal side effects from oral NSAIDs.

Another area where this formulation might be beneficial is in the treatment of inflammatory skin conditions, such as localized psoriasis or eczema, where inflammation and pain are prominent symptoms. The anti-inflammatory properties of ketoprofen, combined with the analgesic effects of ketamine, may help alleviate discomfort and reduce inflammation in affected areas. Furthermore, the gel's ability to be dispensed through a pump mechanism ensures precise dosing and minimizes waste, which can be particularly important for chronic conditions requiring long-term management.

For patients with musculoskeletal pain, such as that associated with osteoarthritis or sports injuries, this topical gel can provide localized relief without the need for systemic medication, which can be especially beneficial for individuals with contraindications to oral NSAIDs or those who are at risk for gastrointestinal complications. The gel's formulation allows for easy application to joints or muscles, providing targeted relief where it is most needed.

It is important for both patients and prescribers to consider the potential benefits and limitations of this formulation for off-label uses. While the combination of ketamine and ketoprofen in a topical gel offers promising therapeutic potential, it is essential to evaluate each patient's specific condition and medical history to ensure the safe and appropriate use of this medication. As always, if you have any questions or need further information, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries regarding this formulation or other compounding needs.

Frequently Asked Questions

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What is the purpose of Ketamine HCl and Ketoprofen in this topical gel?

Ketamine HCl is used for its analgesic properties, helping to relieve pain, while Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain. Together, they provide targeted relief for localized pain and inflammation.

How should I apply the Ketamine HCl/Ketoprofen topical gel?

Apply the gel to clean, dry skin using the pump mechanism to dispense the appropriate amount. Gently rub the gel into the affected area until it is fully absorbed. Follow your healthcare provider's instructions regarding the frequency and amount of application.

Can I use this gel on broken or irritated skin?

No, you should not apply the gel to broken, irritated, or infected skin. Doing so may increase the risk of irritation or adverse effects. Consult your healthcare provider for alternative treatments if you have skin issues in the area of application.

How does the pump mechanism work?

The pump mechanism is designed to dispense a precise amount of gel with each pump, ensuring consistent dosing and easy application. Simply press down on the pump to release the gel onto your skin or fingertips.

Are there any side effects associated with this topical gel?

Some users may experience mild skin irritation, redness, or itching at the application site. If you experience severe irritation or an allergic reaction, discontinue use and consult your healthcare provider immediately.

Can I use this gel in conjunction with other medications?

Before using this gel with other medications, consult your healthcare provider to ensure there are no potential interactions. This is especially important if you are using other topical treatments or taking oral medications for pain or inflammation.

How should I store the Ketamine HCl/Ketoprofen topical gel?

Store the gel at room temperature, away from direct sunlight and moisture. Keep the container tightly closed when not in use, and ensure it is out of reach of children and pets.

Is this topical gel suitable for all age groups?

This gel is typically prescribed for adults. If you are considering its use for a child or adolescent, consult a healthcare provider to determine if it is appropriate and safe for their specific condition.

How long does it take for the gel to work?

The onset of relief can vary depending on the individual and the severity of the condition being treated. Some users may experience relief within a few hours, while others may require several applications over a few days to notice significant improvement.

What should I do if I miss a dose?

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

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.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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, NY, NJ, NH, FL, and ME. 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.

Ketamine HCl 50 mg/mL/Ketoprofen 50 mg/mL Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)