Pediatric patients have also experienced toxicity when the cream is applied to their skin intentionally for a skin condition. In one case, a child who became severely ill after applying his mom's compounded topical fibromyalgia medication to his body-gabapentin, ketamine, diclofenac, clonidine, nifedipine, bupivacaine, menthol, and cyclobenzaprine. There have been cases of children ingesting or applying the creams, of adults intentionally abusing it, and of adults experiencing adverse effects with appropriate use. The Philadelphia Poison Control Center, one of our nation's 57 Poison Control Centers, has had 8 cases reported as a result of these products in the last 12 months, and no cases prior to that. In fact safety is likely to be more of an issue, even when used by the intended patient at the intended site. Consumers are charged per ingredient and there is really no proof that more ingredients make the product better.
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