title: Topical amitriptyline-ketamine for treatment of rectal, genital, and perineal pain and discomfort.
abstract: BACKGROUND
  Pain in the rectal, genital, and perineal area is a common condition treated by pain physicians. These chronic pain syndromes are therapeutically challenging because both interventional and drug therapies often are ineffective.
  
  
  OBJECTIVE
  To determine if pelvic pain can be treated effectively with compounded topical amitriptyline-ketamine.
  
  
  METHODS
  A retrospective review of medical records.
  
  
  METHODS
  A single academic medical center in the United States.
  
  
  METHODS
  We identified all patients treated with topical amitriptyline-ketamine from January 1, 2004, through November 28, 2011. Medical records were evaluated to determine the diagnosis for which the medication was prescribed. Treatment efficacy and any adverse effects were recorded.
  
  
  RESULTS
  Of the 1,068 patients who received amitriptyline-ketamine, 13 had the medication prescribed for genital, rectal, or perineal pain and had medication efficacy recorded. Of these 13 patients, one (8%) had complete relief, 6 (46%) had substantial relief, 4 (31%) had some relief, and 2 (15%) had no response. One patient reported occasional irritation while using topical amitriptyline-ketamine with lidocaine; no other patients reported local or systemic adverse effects.
  
  
  CONCLUSIONS
  Retrospective review; lack of uniform system for pain grading; concurrent use of other medications.
  
  
  CONCLUSIONS
  Topical amitriptyline-ketamine provided a high rate of pain relief with a low adverse-effect burden in patients with pelvic pain. This topical medication could offer an effective, noninvasive, nonopioid therapy for pain in the rectum, perineum, and genitals.
authors.affiliation: Mayo Medical School, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Poterucha
authors.forename: Sinead L
authors.initials: SL
authors.lastname: Murphy
authors.forename: Richard H
authors.initials: RH
authors.lastname: Rho
authors.forename: Paola
authors.initials: P
authors.lastname: Sandroni
authors.forename: Roger A
authors.initials: RA
authors.lastname: Warndahl
authors.forename: William T
authors.initials: WT
authors.lastname: Weiss
authors.forename: Mark D P
authors.initials: MD
authors.lastname: Davis
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000639:Amitriptyline / Q000008:administration & dosage* / Q000009:adverse effects; D000700:Analgesics / Q000008:administration & dosage* / Q000009:adverse effects; D004338:Drug Combinations; D004339:Drug Compounding; D005260:Female; D005835:Genitalia; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage* / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D017699:Pelvic Pain / Q000188:drug therapy*; D010502:Perineum; D012007:Rectum; D012189:Retrospective Studies
chemical_list: D000700:Analgesics; D004338:Drug Combinations; D000639:Amitriptyline; D007649:Ketamine