Microsoft word - lidocream-10

Rox-San Pharmacy
LIDOCREAM-10 (Lidocaine Cream 10%)

Active Ingredients:
Lidocaine 10%

Product(s):
Lidocaine is a local anesthetic that has neuron membrane stabilizing effect. Topical lidocaine is mostly used in
combination with other agents (NSAIDs, muscle relaxants, NMDA-receptor antagonist, and etc…). Lidocaine
produces pain relief by blocking the signals at the nerve endings in the skin.
Lidocaine causes loss of feeling (numbness) of skin and mucous membranes, which topically is used to relieve
pain.
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Stop using lidocaine topically and seek medical attention or contact your doctor immediately if you experience
any of the following rare but serious side effects:
An allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
chest pain or irregular heartbeats, dizziness or drowsiness, nausea and/or vomiting, trembling, shaking, or
seizures (convulsions), or blurred or double vision.
If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 times
daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
LIDOCREAM-10 (Lidocaine Cream 10%)

Active Ingredients:
Lidocaine 10%

Product(s):
Lidocaine is a local anesthetic that has neuron membrane stabilizing effect. Topical lidocaine is mostly used in
combination with other agents (NSAIDs, muscle relaxants, NMDA-receptor antagonist, and etc…). Lidocaine
produces pain relief by blocking the signals at the nerve endings in the skin.
Lidocaine causes loss of feeling (numbness) of skin and mucous membranes, which topically is used to relieve
pain.
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Stop using lidocaine topically and seek medical attention or contact your doctor immediately if you experience
any of the following rare but serious side effects:
An allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
chest pain or irregular heartbeats, dizziness or drowsiness, nausea and/or vomiting, trembling, shaking, or
seizures (convulsions), or blurred or double vision.
If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 times
daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
LIDOCREAM-5 (Lidocaine Cream 5%)
Active Ingredients:
Product(s):
Lidocaine is a local anesthetic that has neuron membrane stabilizing effect. Topical lidocaine is mostly used in
combination with other agents (NSAIDs, muscle relaxants, NMDA-receptor antagonist, and etc…). Lidocaine
produces pain relief by blocking the signals at the nerve endings in the skin.
Lidocaine causes loss of feeling (numbness) of skin and mucous membranes, which topically is used to relieve
pain.
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Stop using lidocaine topically and seek medical attention or contact your doctor immediately if you experience
any of the following rare but serious side effects:
An allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
chest pain or irregular heartbeats, dizziness or drowsiness, nausea and/or vomiting, trembling, shaking, or
seizures (convulsions), or blurred or double vision.
If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 times
daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
KETOCREAM-LC (Ketopropen/Lidocaine/Cyclobenazepril 10/5/2%)

Active Ingredients:
Ketoprofen 10 % , Lidocaine 5 %, Cyclobenazeprine 2 % Product(s):
This topical medicine is a combination of three active ingredients: Ketoprofen, Cyclobenzaprine, and
Lidocaine. Ketoprofen is used to treat inflammation and to provide analgesia or eliminate pain.
Cyclobenzaprine is used to treat muscle tension and to provide analgesia. Lidocaine produces pain relief by
blocking the signals at the nerve endings in the skin

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Ketocream-LC is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
KETOCREAM-L (Ketopropen/Lidocaine 10/5%)
Active Ingredients:
Ketoprofen 10 % , Lidocaine 5 %

Product(s):
This topical medicine is a combination of two active ingredients: Ketoprofen and Lidocaine. Ketoprofen is used
to treat inflammation and to provide analgesia or eliminate pain. Lidocaine produces pain relief by blocking the
signals at the nerve endings in the skin

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Ketocream-L is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
KETOCREAM-C (Ketopropen/Cyclobenazepril 20/2%)

Active Ingredients:
Product(s):
This topical medicine is a combination of two active ingredients: Cyclobenzaprine, and Ketoprofen. Ketoprofen
is used to treat inflammation and to provide analgesia or eliminate pain. Cyclobenzaprine is used to treat
muscle tension and to provide analgesia.

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Ketocream-C is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
KETOCREAM-20 (ketoprofen Cream 20%)

Active Ingredients:
Product(s):
Ketoprofen is one of the propionic acid class of non-steroidal anti-inflammatory drug (NSAID) with analgesic
and anti-pyretic effects. It acts by inhibiting the body's production of prostaglandin. Ketoprofen is a
nonsteroidal anti-inflammatory drug (NSAID) effective in treating fever, pain, and inflammation in the body.
Ketoprofen has been demonstrated to be more potent than Ibuprofen and works faster than orals and avoids
the gastroenterological tracts complications. Ketoprofen is excellent alternatives for those who are worried
about the growing number of unwanted side effects and safety concerns related to the usage of many
prescriptions and over the counter oral NSAID medications. Ketoprofen is preferred for deeper pain and is
commonly used to treat athletic related injuries and chronic inflammation such as Arthritis. Ketoprofen is also
effective in the treatment of a variety of conditions of inflammation and pain caused by rheumatoid arthritis,
osteoarthritis, tendonitis and bursitis.

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Ketoprofen is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 4
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
KETOCREAM-10 (ketoprofen Cream 10%)
Active Ingredients:
Product(s):
Ketoprofen is one of the propionic acid class of non-steroidal anti-inflammatory drug (NSAID) with analgesic
and anti-pyretic effects. It acts by inhibiting the body's production of prostaglandin. Ketoprofen is a
nonsteroidal anti-inflammatory drug (NSAID) effective in treating fever, pain, and inflammation in the body.
Ketoprofen has been demonstrated to be more potent than Ibuprofen and works faster than orals and avoids
the gastroenterological tracts complications. Ketoprofen is excellent alternatives for those who are worried
about the growing number of unwanted side effects and safety concerns related to the usage of many
prescriptions and over the counter oral NSAID medications. Ketoprofen is preferred for deeper pain and is
commonly used to treat athletic related injuries and chronic inflammation such as Arthritis. Ketoprofen is also
effective in the treatment of a variety of conditions of inflammation and pain caused by rheumatoid arthritis,
osteoarthritis, tendonitis and bursitis.

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Ketoprofen is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 4
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
INDOCREAM-20 (Indomethacin 20%)
Active Ingredients:
Product(s):
Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties, is
used to treat osteoarthritis and control acute pain. For moderate to severe rheumatoid arthritis including acute
flares of chronic disease, ankylosing spondylitis, osteoarthritis, acute painful shoulder (bursitis and/or
tendinitis) and acute gouty arthritis.
Anti-inflammatory effects of Indomethacin are believed to be due to inhibition of cylooxygenase in platelets
which leads to the blockage of prostaglandin synthesis. Antipyretic effects may be due to action on the
hypothalamus, resulting in an increased peripheral blood flow, vasodilation, and subsequent heat dissipation.

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, skin rash, constipation, nervousness, or headache. However, because
Indomethacin is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
INDOCREAM-10 (Indomethacin 10%)
Active Ingredients:
Product(s):
Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and antipyretic properties, is
used to treat osteoarthritis and control acute pain. For moderate to severe rheumatoid arthritis including acute
flares of chronic disease, ankylosing spondylitis, osteoarthritis, acute painful shoulder (bursitis and/or
tendinitis) and acute gouty arthritis.
Anti-inflammatory effects of Indomethacin are believed to be due to inhibition of cylooxygenase in platelets
which leads to the blockage of prostaglandin synthesis. Antipyretic effects may be due to action on the
hypothalamus, resulting in an increased peripheral blood flow, vasodilation, and subsequent heat dissipation.

How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, skin rash, constipation, nervousness, or headache. However, because
Indomethacin is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
GABACREAM-213 (Gabapentin/Ketamine/Baclofen 3/2/1%)

Active Ingredients:
Gabapentin 3% , Ketamine 2% , Baclofen 1% Product(s):
This topical medicine is a combination of three active ingredients: Gabapentin, Ketamine, and Baclofen. Gabapentin is an
antiepileptic medication used to control seizures. There have long been recognized similarities with neuronal misfiring in epilepsy and neuropathic pain. In neuropathic pain, injured nerve fibers may discharge spontaneously usually at regular intervals causing significant pain. Gabapentin is a glutamate antagonist. Glutamate is the chemical that stimulates the NMDA pain receptors. Blocking glutamate blocks pain transmission. In summary, Gabapentin is used to treat neuropathic pain, which provides analgesia and reduces pain. Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist. When the pain receptors in the dermatomes start sending signals there is a release of glutamate, which in turn acts on the NMDA receptors in the spinal cord. Activation of NMDA receptors causes the spinal cord neurons to become even more sensitive and responsive to painful stimuli. Ketamine works on receptors in the both the periphery and in the spinal cord. Ketamine is used for acute and neuropathic pain. Baclofen is a GABA-b receptor agonist. Gaba receptor agonists primarily cause muscle relation. Baclofen is used to treat muscle tension and muscle spasticity and to provide analgesia and reduce pain.
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a hot
compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because Gabacream-213 is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin, ibuprofen,
naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3 times daily
(as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30 minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds. Wait until these conditions have fully healed before using the cream. Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
GABACREAM-24 (Gabapentin/Ketamine/baclofen 10/10/4%)

Active Ingredients:
Gabapentin 10% , Ketamine 10% , Baclofen 4% Product(s):
This topical medicine is a combination of three active ingredients: Gabapentin, Ketamine, and Baclofen. Gabapentin is an
antiepileptic medication used to control seizures. There have long been recognized similarities with neuronal misfiring in epilepsy and neuropathic pain. In neuropathic pain, injured nerve fibers may discharge spontaneously usually at regular intervals causing significant pain. Gabapentin is a glutamate antagonist. Glutamate is the chemical that stimulates the NMDA pain receptors. Blocking glutamate blocks pain transmission. In summary, Gabapentin is used to treat neuropathic pain, which provides analgesia and reduces pain. Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist. When the pain receptors in the dermatomes start sending signals there is a release of glutamate, which in turn acts on the NMDA receptors in the spinal cord. Activation of NMDA receptors causes the spinal cord neurons to become even more sensitive and responsive to painful stimuli. Ketamine works on receptors in the both the periphery and in the spinal cord. Ketamine is used for acute and neuropathic pain. Baclofen is a GABA-b receptor agonist. Gaba receptor agonists primarily cause muscle relation. Baclofen is used to treat muscle tension and muscle spasticity and to provide analgesia and reduce pain.
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a hot
compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because Gabacream-24 is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin, ibuprofen,
naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3 times daily
(as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30 minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds. Wait until these conditions have fully healed before using the cream. Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
GABACREAM-4 (Gabapentin/Ketamine/Ketoprofen/Lidocaine 10/10/10/5%)
Active Ingredients:
Gabapentin 10% , Ketamine 10% , Ketoprofen 10 % , Lidocaine 5 %

Product(s):
This topical medicine is a combination of three active ingredients: Gabapentin, Ketamine, and Baclofen. Gabapentin is an
antiepileptic medication used to control seizures. There have long been recognized similarities with neuronal misfiring in epilepsy and neuropathic pain. In neuropathic pain, injured nerve fibers may discharge spontaneously usually at regular intervals causing significant pain. Gabapentin is a glutamate antagonist. Glutamate is the chemical that stimulates the NMDA pain receptors. Blocking glutamate blocks pain transmission. In summary, Gabapentin is used to treat neuropathic pain, which provides analgesia and reduces pain. Ketamine is an N-methyl-D-aspartate (NMDA) receptor antagonist. When the pain receptors in the dermatomes start sending signals there is a release of glutamate, which in turn acts on the NMDA receptors in the spinal cord. Activation of NMDA receptors causes the spinal cord neurons to become even more sensitive and responsive to painful stimuli. Ketamine works on receptors in the both the periphery and in the spinal cord. Ketamine is used for acute and neuropathic pain. Ketoprofen is used to treat inflammation and to provide analgesia or eliminate pain. Lidocaine produces pain relief by blocking the signals at the nerve endings in the skin.
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a hot
compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset stomach, nausea,
vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because Gabacream-4 is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin, ibuprofen,
naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3 times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30 minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds. Wait until these conditions have fully healed before using the cream. Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
GABACREAM-3 (Gabapentin/Ketoprofen/Lidocaine 6/10/10%)
Active Ingredients:
Gabapentin 6% , Ketoprofen 10 % , Lidocaine 10%
Product(s):
This topical medicine is a combination of three active ingredients: Gabapentin, Ketoprofen, and Lidocaine. Gabapentin is
an antiepileptic medication used to control seizures. There have long been recognized similarities with neuronal misfiring in epilepsy and neuropathic pain. In neuropathic pain, injured nerve fibers may discharge spontaneously usually at regular intervals causing significant pain. Gabapentin is a glutamate antagonist. Glutamate is the chemical that stimulates the NMDA pain receptors. Blocking glutamate blocks pain transmission. In summary, Gabapentin is used to treat neuropathic pain, which provides analgesia and reduces pain. Ketoprofen is used to treat inflammation and to provide analgesia or eliminate pain. Lidocaine produces pain relief by blocking the signals at the nerve endings in the skin
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a hot
compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because Gabacream-3 is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is bothersome, or if you experience any other side effects not mentioned above, contact your physician or pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin, ibuprofen,
naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3 times daily
(as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30 minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds. Wait until these conditions have fully healed before using the cream. Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children. The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
DICLOCREAM-20 (Diclofenac Sodium 20%)
Active Ingredients:
Product(s):
Diclofenac is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Diclofenac works by
reducing hormones that cause inflammation and pain in the body. Diclofenac is a nonsteroidal anti-
inflammatory drug (NSAID) effective in treating fever, pain, and inflammation in the body.
Diclofenac topical is used to relieve pain and inflammation in the muscles, tendons and joints, including symptoms associated with rheumatism. It works by reducing the effect of chemicals which are produced by the body as a response to inflammation. How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Diclofenac is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
DICLOCREAM-10 (Diclofenac Sodium 10%)
Active Ingredients:
Product(s):
Diclofenac is in a class of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Diclofenac works by
reducing hormones that cause inflammation and pain in the body. Diclofenac is a nonsteroidal anti-
inflammatory drug (NSAID) effective in treating fever, pain, and inflammation in the body.
Diclofenac topical is used to relieve pain and inflammation in the muscles, tendons and joints, including symptoms associated with rheumatism. It works by reducing the effect of chemicals which are produced by the body as a response to inflammation. How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a
hot compress.
Side effects:
Side effects of these medications are not common but when taken orally include: dizziness, fatigue, upset
stomach, nausea, vomiting, diarrhea, gas, constipation, nervousness, or headache. However, because
Diclofenac is used topically, not orally, chances of these side effects, except rash, are very unlikely. If it is
bothersome, or if you experience any other side effects not mentioned above, contact your physician or
pharmacist.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin,
ibuprofen, naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may
add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with
physician or pharmacist if you have questions.

Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3
times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30
minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for
about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds.
Wait until these conditions have fully healed before using the cream.
Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage
prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light.

The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
CAPSACREAM-5 (Capsaicin 0.05%/Menthol/Camphor)
Active Ingredients:
Capsaicin 0.05%, Menthol, Camphor
Product(s):
Capsaicin is used for the temporary relief of pain from neuropathic pain, diabetic neuropathy, osteoarthritis, rheumatoid
arthritis, and relief of neuralgias such as shingles/herpes zoster. This medication may also be used for other conditions as
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a hot
compress.

Side effects:
This compound may cause local irritation or rash at the site of administration when applied topically. If it is bothersome,
or if you experience any other side effects not mentioned above, contact your physician or pharmacist. Patient may also experience a feeling of warmth or coolness. This is considered normal and does not indicate an allergic reaction.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin, ibuprofen,
naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3 times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30 minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds. Wait until these conditions have fully healed before using the cream. Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378
Rox-San Pharmacy
CAPSACREAM-3 (Capsaicin 0.0375%/Menthol/Camphor)
Active Ingredients:
Capsaicin 0.0375%, Menthol, Camphor
Product(s):
Capsaicin is used for the temporary relief of pain from neuropathic pain, diabetic neuropathy, osteoarthritis, rheumatoid
arthritis, and relief of neuralgias such as shingles/herpes zoster. This medication may also be used for other conditions as
How to use your medication:
Apply to intact skin. It is absorbed best after increasing circulation such as after a warm shower or applying a hot
compress.

Side effects:
This compound may cause local irritation or rash at the site of administration when applied topically. If it is bothersome,
or if you experience any other side effects not mentioned above, contact your physician or pharmacist. Patient may also experience a feeling of warmth or coolness. This is considered normal and does not indicate an allergic reaction.
Precautions:
Do not use this medication if you have had unusual or allergic reactions to the following medications: aspirin, ibuprofen,
naproxen, or any other medicine used to treat pain, fever swelling, or arthritis. This medication may add to the effects of depressants or alcohol when taken orally. It is unlikely with a topical form, but discuss with physician or pharmacist if you have questions.
Directions:
This medication is for topical use only. Apply the compound to the affected area, in a thin smooth film, 2 to 3 times daily (as needed). If wearing a brace over the gel, make sure to first air out the area for approximately 30 minutes. This gel is easily removed with water. The cream should be massaged into the affected area(s) for about 30-60 seconds. Do not use the cream on skin that is irritated, peeling, or infected or on open wounds. Wait until these conditions have fully healed before using the cream. Patients should always follow their physician or pharmacist instructions. Patients should not exceed dosage prescribed by their physician.
Storage:
This medication should be stored at room temperature away from heat and light and away from children.
The information in this handout is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse
effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines
you are taking or would like more information, check with your doctor, and/or pharmacist.
465 N. Roxbury Drive, Beverly Hills, CA 90210
Tel (310) 273 – 1644 Fax (888) 885 - 7378

Source: http://www.roxsan.com/pdf/medicine%20directions.pdf