Where can I get the Ketamine 0.5% and Amitriptyline 1% Cream?

Can anyone advise who in the US or UK can prescribe this?

Doctor name & compound pharmacy to go to?

I have EM & Subtype 1 rosacea, basically flushing and redness all the time.

I’m in the UK and I’ve tried all my ‘go to’ doctors and all claim they wouldnt be able to get hold of it. All the compound pharmacies in the UK also claim they cant hold the Ketamine.

If anyone can advise where in the US to go, I’m happy to visit as I visit the US regularly.


I am in the UK. It seems it isn’t available here on prescription, but trials are being done and people are saying it should be.

Yes, I am travelling to the US.

Can anyone recomend a doctor in NY who would actually be willing to prescribe it?

Don’t want to waste my time.


Any doctor can prescribe the Ketamine cream. I am not sure if a doctor from the UK can prescribe in the US. But, as far as I know, the only place to get the cream is the Mayo Clinic in Rochester, Minnesota. I live in Dallas,Texas and have the cream mailed to me.

Good luck!

anyone else know where in the UK to get it? i have the prescription, just need a pharmacy or compound that will do it for me.


I have nerve damage from cervical problems and have had my c5,6, and 7 fused I will ask my pain dr what the compound cream was she gave me at one point for nerve pain. I know that they prescribed it and then it was mailed to me but it’s been at least a year ago so not sure exactly what it was I see dr shipon at valley pain she is in the US in Chandler Arizona

Just wanted to mention that Mayo prescribed me amitriptyline 2% and ketamine 0.5% in a Lipoderm base. My pharmacy could not compound it, so I had filled at Mayo pharmacy and mailed to me. I’ve experienced some relief in the few weeks I’ve been using it.

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For those interested, here is the research paper published by Mayo doctors related to their investigative use of compounded ketamine and amitriptyline gel for the treatment of erythromelalgia.


For US patients: While your average CVS, Walgreens, or local pharmacy will not be able to compound the medication, there are many compounding pharmacies you can have your physician send a prescription to that will fill an order by mail.

This may be too late of a post, but I see a neurologist - Dr Dipika Aggarwal in Overland Park, Kansas and she prescribes me a cream compound that I obtain from US Compounding in Conway Arkansas, for $60 (it’s 120 grams and lasts me 20 days usually). My insurance does not pay for compounding, so I pay for it out-of-pocket, unfortunately.

The cream contains Ketamine HCL 10%, Baclofen 2%, Cyclobenzaprine HCL 2%, Gabapentin 6%, and Lidocaine 5%. The neuro’s office sends them a script and they ship it two-day to me via U.P.S. Hope this helps…