Wednesday, January 28, 2015

Question of the Day January 28, 2015 How many others don't understand compounds, how to use them, what is in them, and more importantly find that aren't working or have adverse reactions that go unreported? Check out this discussion.

StephenB Says:

 
I'm having trouble with my shoulder from an accident I recently had. The Dr. prescribed me this, KETO/GAB/LID/PENCREAM 10/6/2/2% CR 100gm. Apply 1-2 grams (1-2 pumps) to affected area 3-4 times daily. Also with 5 refills. If anyone can tell me anything about this medication or tell me where to go to find it, I can't seem to find it anywhere. Does it help. So far I feel a small better feeling. I know the GAB, should (?) stand for gabapentine, which I take in a capsule form, 300mg. All the others, I have no idea. Is this something new? Has anyone else tried it. I read a little about it also helping depression ((??)) along with some "Other" things that would really help me. It is in a (*)topical cream that sort of resembles shaving cream. Any help sure would be appreciated. I'll keep posting as to how it helps my shoulder and "other" things also. Thanks. Stephen.
1
Verwon Says:
 
Hello, Stephen! How are you?

This is a speciality prescription that you'll have to have made at a compounding pharmacy, they'll basically create it for you according to your doctor's orders, which is why you're not finding it anywhere. It's not a ready made product that you'll be able to find in most regular pharmacies and it's not available over the counter.

Yes, one ingredient is Gabapentin, the Keto stands for Ketoprofen an NSAID, Lido isLidocaine a topical anesthetic, however, I am not sure what the Pen stands for, it might bePenicillin, but you'd need to ask the pharmacist for sure.

It's topical, so it's not going to help with depression and they usually aren't like a shaving cream, but more like a skin lotion.

Is there anything else I can help with?

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Stephen Says:
 via mobile
 
This helps me a lot. Thanks for replying. I'm always learning something new it seems like. I didn't know the pharmacy could make medication according to the doctors orders or prescription. If I had known I would have asked when I was in his office. I know now though, thanks again!


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Susan Says:
 
I just had cream prescribed with the same 2 first ingredients. Better have good insurance...it was $250 for less than 1/4 cup so ask before you have it filled.

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4
Diane Says:
 
Hi Ladies,
I am glad to see that someone else is using this cream too. I am finding that this medication is making my stomach upset. My husband applied it on two separate occasions, only applying 1 pump, and both times I felt sick. Taking a shower to wash it off didn't help. I am wondering if it is even helping. I'm not feeling any relief but using it.
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2 comments:

Anonymous said...

Sue,

I am curious as to where this conversation is posted. The patients physician should have fully explained what they were prescribing before the patient left the exam room. The API's in the compounds are often in them for an off label use which is done all the time with prescribing oral medications. The API's chosen by prescriber with the guidance of a pharmacist to work together to get a better outcome for the patient. The industry as a whole needs to work together to better educate everyone. Also, the pharmacist should have spoken to the patient before dispensing the compound to explain what was in it and why. Then the patient could have made a more informed decision.

January 28, 2015 at 9:44 AM
Anonymous said...

Agreed. Typically the pharmacist will go over each ingredient of a compound and ask the patient if they have any questions.

This is what is done in my pharmacy and many others.

January 28, 2015 at 1:01 PM

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