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Ketamine compound

My doc just ordered me a ketamine topical compound with lidocaine and gabapentin, has anyone used this? What are the side effects and were you able to drive while taking it? Thanks

-Shawn
Microdiscectomy/Laminectomy/Foraminalectoy L4/L5/S1 Oct 2009, Mar 2012
Laminectomy L4/L5/S1 Dec 2009, Oct 2012, Dec 2012
Microdiscectomy and Synovial Cyst removal Feb 2013
St Jude Spinal Cord Stimulator implanted January 2014

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Comments

  • I use a similar compound of Ketamine/Amitriptyline/Tetracaine/Baclofen. It works very well in deadening the sensations on the top of my feet. The only side of effect is that I'll get some eczema sometimes. I take a break from it when that happens. This compound allows me to where socks, stockings, and shoes. It has no effect on my ability to drive.

    B.
  • My hubby was just placed on compound of Ketamine, Baclofen, Gabapentin, Amitriptylene Clonodine and Tramadol. It has helped tremendously. He did have nausea and vomiting the first 2 weeks as well as dizziness but has been using for about 6 weeks and most symptoms are gone except for occasional nausea and no appetite. I hope itvworksxwell for you :)

    Kelli
  • EMS GuyEEMS Guy Posts: 911
    edited 10/09/2013 - 4:17 AM
    It's actually a very good medication, but keep it locked up and I wouldn't advertise to your neighbors that your on it. Ketamine, or other words known as "Special K", Cat Valium, "K" are being abused a lot on the street. Ketamine is used quite frequently by Veterinarians for our pets. But, it also has an abuse factor. Since it is being compounded, it would be much more difficult to abuse, so that's good. You might want to get some vinyl or latex gloves to wear while applying it.

    I hope it works well for you!
    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • jeffntatejjeffntate Posts: 58
    edited 10/14/2013 - 6:49 PM
    Like others, I have a prescription for a 6 ingredient compound that has 5% Ketamine. It definitely takes the edge off of neck pain, but doesn't get real deep to solve deep pain problems. But, I'm an advocate. And no side effects on your mind at all, since it is only local. It is a controlled substance, which I had always thought was wierd, but I guess the dope addicts have some way to boil off the other stuff to get the ketamine, so I guess it makes sense. Anyone who would ingest (eat or swallow) the compound is probably not long for this world anyways.
    Cervical laminectomy, facetectomy, and foraminotomy (3-6 of each) with instrumentation and cadaver fusion due to cervical spondylotic myelopathy, radiculopathy ,and spinal cord contusion - surgery done in April 2014.
  • For anyone wondering I would say almost the exact same thing as jeffntate, it takes care of some of the superficial pain but not the deep down pain or the sciatic pain. It works better than anything else I've used in the past 6 years.
    Microdiscectomy/Laminectomy/Foraminalectoy L4/L5/S1 Oct 2009, Mar 2012
    Laminectomy L4/L5/S1 Dec 2009, Oct 2012, Dec 2012
    Microdiscectomy and Synovial Cyst removal Feb 2013
    St Jude Spinal Cord Stimulator implanted January 2014

  • I use a 5 med compound with ketamine and it works great. I have severe tailbone pain and I rub a nickels worth in and very shortly I am getting relief. The only thing I dislike is mine is very sticky and gets all over my clothes!
  • backbback Posts: 190
    edited 10/19/2013 - 4:05 PM
    Try Baby Powder about 5 minutes after you apply it. Works wonders for me.
  • I haven't heard of this topical medication. I just had the Lidoderm patches and I thought it just took the superficial pain away. Now I use a natural blend of essential oils, for me it works just as well as the Lidoderm.
  • We saw a new pain management doctor yesterday and he suggested it for my husband. We just received confirmation of the order today and he'll have it some time next week. I'm hoping it gives him some relief.
    Andrea
    Spine patient caregiver
    Rockaway, NJ
  • terror8396tterror8396 Posts: 1,838
    edited 05/16/2014 - 7:21 AM
    as was mentioned it is a popular street drug, vitamin k and other names and pcp horse tranqualizer also. kids use it to get really really high. i was put on it once and i mean once and i had major side effects, dizzy, nausea and really spaced out. i had it in a lollipop form like my fentanyl lollipops but i would take the fentanyl anyday over the ketamine meds. i have not heard of too many doctors prescribing it due to the bad publicity associated with it. kind of like oxy. one can try and ask your pain dr for it but i am not sure if he would appreciate you asking for it or not. another drug the drs stay away from.
    jon
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • I use the compounded cream. Mine is ketamine to numb a little & nerve med, muscle relaxant etc as long as I use as directed I don't feel 'spaced out' or anything. I don't have any negative side effects. I like it. ;-)
    Osteoarthritis & DDD.
  • with several ingredients and it is the best thing she's found.......topically, it really works wonders.
  • I have had this "special K" compound cream too & I certainly never felt "spaced out" while using it, darn it J/K ;-) Jon, you are a child of the 60's, maybe that in itself makes you a lil bit more proned to get those "spacey" side effects from certain meds ;-)
  • it was in a lollipop form so i took it internally oh i see stars and tracers now. oh wow
    jon
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • July 4th at your house already, I see :-)
  • I am using this kind of topical gel for my lower back pain and other neuropatheic pain in buttocks, thighs and on other parts of the body for some annoying sensation, like pins&needles, tightness. I just use occasionally because I am afraid it causes more sensitizing on skin. It does take the edge off but not a lot. Mine consists of ketamine, diclofenac, amitriptline, gabapentin and cyclobenzaprine. I rotate with using voltaren gel and coconut oil as needed. I found the coconut oil soothing and has more lasting effect. The fact is the application site is right in the lumbar-sacral spine area where there are many nerves emerging out. I don't know if that would affect the proper function of these nerves. There have not been any comprehensive studies on the use of these topical agents, in particular, ketamine in the systemic effect on human body through transdermal route. A narcotic painkiller, Fantanyl as skin patch, is a popular mode of delivery for treating chronic severe pain as it is not orally active.
    I wish somebody knowledgeable enough would comment on the long term effects of Ketamine compound on human body.
  • I'm familiar with ketamine as a vet drug but it's also an anestethic for humans during surgery. It has been in clinical trials for depression use as well and it is also used recreationally. I saw at another forum stating their doctor prescribed them a ketamine cream that came in with other psychoactive ingredients such as: gabapentin, myristoleate, baclofen, cyclobenzaprine, flurbiprofen.

    What is this product called? I'm trying to use ketamine for depression but I'd prefer to be monitored by a qualified professional. I think my back aches is rooted to depression. I will either join a clinical study of ketamine so I can receive it for free and get paid for it or I could go to a specialized clinic that offers ketamine shots.
  • LexiLLexi Posts: 1
    edited 04/09/2015 - 7:26 PM
    As a Compounding Pharmacist who specialises in Topical Pain Management I found this thread very interesting! I know it's a bit old but I've seen so many patients benefit from topical compounds where oral medication can't be tolerated (sedation, blood pressure effects, gastrointestinal irritation etc).

    Ketamine systemically is very different from ketamine topically; when something is applied percutaneously the systemic absorption is minimal, yet concentration of drug at the target site usually matches or exceeds the concentrations achieved by oral medication.
  • This is an old thread about Ketamine but is still relevant. In fact, Combat Medic's are using it in Afghanistan to treat injured servicemen. They are finding that Ketamine has a way to prevent the injured from having any memory of the incident. Doing that is showing PTSD levels going down. Sort of like a Versed & morphine mix regarding effectiveness.
    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • Hi Lexi. You're completely right in my experience. I had a terrible time trying to find an oral nerve med that my body could tollerate without any luck. I LOVE my compounded topical meds!
    Osteoarthritis & DDD.
  • I'm wondering if I can ask my surgeon for this post operatively? What should I call it? Ketamine cream? I am super scared of pain and can't take long term narcotics.
  • It's worth asking about. I don't know if you can use it anywhere near an incision but no harm in asking.

    Compounded meds are when a special pharmacy takes a base & adds all sorts of meds to it. I've known people have oral & topical meds. The truth is we could be talking about different creams, very similar but not the same. Your doc decides what & how much of it to put in the cream. Mine has ketamine & lidocaine for numbing, a couple of muscle meds & some nerve meds. My doc adds different stuff & increases things sometimes.
    When I first had it I didn't think it was working. It's not a magic bullet for me. I used it 3 times a day for a month. It was only when I stopped that I realized how much it helps. It seems to build-up in my system.

    Make sure it's covered by your insurance. If you're not happy with how much you have to pay try phoning the compounding pharmacy before giving up. I know a few people who pay a lot less now after talking to the pharmacy. ;-)
    Osteoarthritis & DDD.
  • Thx,for sharing. I have never heard of Ketamine compound cream . what is it exactly used for ? Thx Theresa
  • To my knowledge they can compound pretty much anything, oral or topical. For me its pain relief. The numbing stuff (ketamine & lidocaine) is ok. My doc increased the ketamine a few times for it to help my muscles & joints. I have arthritis in many joints. It works very well at numbing my fingers when the joints get all swollen. It's 'ok' on my spine. Better than anything else topical ive tried. I take an oral muscle relaxant Baclofen before that I took Tizanidine for years. My cream has Cyclobenzaprine (makes me far too sleepy to take orally). It has a couple of nerve meds, Gabapentin & something else. I've tried all of the nerve meds orally & I just can't tollerate them & they don't seem to help with my pain.
    If I stop using my cream I really, REALLY feel it after a few days. When I first opened it & rubbed it on I didn't think it worked much. It seems to build-up in my system. That's logical because a lot of the meds in it build-up if taken orally.
    I like that it doesn't sit in my stomach & it doesn't go through my liver like oral meds.
    I like that I'm 'doing something'...does that make sense? When I really hurt I feel like I'm treating it by rubbing in a cream. It forces me to take a moment & relax. If I go out (not very often!) I can pop into the bathroom & rub some on when my back is starting to scream.

    I've known people have compounded oral meds. I think there's a guy in this thread who had compounded fentanyl lollipops. If not just search & there will be info.

    I need to say....I've NEVER found anything that takes my pain away. I've never found 1 thing that works for me. I have a lot of spine & joint damage. For me it's about a combination of things (meds, natural etc) that allow me to function a bit better. Which in turn allows me to move & exercise more which helps with my arthritis pain. Reduced pain lets me do more which distracts me from focusing on my pain. That makes life better ;-)
    I still have REALLY bad days, weeks, when nothing helps but having things to use & try gets me through the hour, day, week. I will never promote one thing & say "It could be the answer for you!". Depending on how severe your spine condition is there might not be an answer other than keep pushing, asking questions & trying things to manage the situation.
    Osteoarthritis & DDD.
  • It was a total miracle for me!!! I fight arthritis all over my body and fibromyalgia. The fibro left my right hand badly crippled. The first time i used this cream, i haven't felt crippling sense any more. Works on arthritis spots too.

  • KaylipsoKKaylipso Posts: 1
    edited 07/12/2015 - 11:06 AM
    I also was prescribed pain cream but my doc never told me what the ingredients were in it. All I see is ket8 dic4 bac2 bup1gab6
    Lido. I've done some research but I'm still unsure what some of them are. Does anyone have any info I could use?

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  • Kaylipso said:
    I also was prescribed pain cream but my doc never told me what the ingredients were in it. All I see is ket8 dic4 bac2 bup1gab6
    Lido. I've done some research but I'm still unsure what some of them are. Does anyone have any info I could use?
    That means Kemamine 8% diclofenac sodium 4% baclofen 2% bupivacane 1% gabapentin 6%. My pain cream is about the same mix as yours.
    Cervical laminectomy, facetectomy, and foraminotomy (3-6 of each) with instrumentation and cadaver fusion due to cervical spondylotic myelopathy, radiculopathy ,and spinal cord contusion - surgery done in April 2014.
  • MoiraMMoira AustraliaPosts: 1
    I  have been prescribed a compounded topical lotion with 10% ketamine for Trigeminal Neuralgia. I only developed this extremely painful face nerve pain problem about a year ago (my mother had it too). It has been called 'the suicide disease' for obvious reasons. The lotion is very helpful. The pain comes on too quickly for ordinary pain meds which need to be swallowed and digested before they have an effect. Thank goodness for the ketamine compound. Thank goodness for my kind and knowledgeable doctor.
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