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Pain management plans are set by your prescriber based on your history and your goals. At our pharmacy, we compound pain management preparations to the specifications the prescriber writes, in strengths, combinations, and dosage forms that are not commercially manufactured.
The preparations we compound range from topical gels and creams to oral suspensions, capsules, and suppositories. Each is made only on a valid prescription.
Every person's experience with pain is different, and prescribers choose the agent, strength, and route for each patient. Topical gels, oral suspensions, and suppositories are among the dosage forms we compound when a prescriber specifies them.
Topical anesthetics are one option practitioners use before cosmetic procedures. These formulations contain local anesthetics such as benzocaine, lidocaine, and tetracaine, which temporarily block nerve signals in the skin. They are applied under the direction of the practitioner performing the procedure.
The practitioner selects the anesthetic combination and strength based on the procedure planned. High-concentration topical anesthetics are for use by, or under the supervision of, a healthcare practitioner.
We compound topical anesthetic preparations for cosmetic and medical practices to the practitioner's formula.
Arthritis and joint pain can be debilitating, affecting mobility and quality of life. Prescribers managing arthritis pain may select oral capsules, which act systemically, or topical gels, which act at the site of application. The preparations we compound contain the anti-inflammatory or analgesic agents the prescriber specifies for conditions such as osteoarthritis and rheumatoid arthritis.
Topical gels are applied to the skin over the affected joint or tissue, so the active ingredient acts locally. Systemic absorption from topical preparations is generally lower than from oral dosing; your prescriber can discuss what this means for you.
Whether an oral capsule, a topical gel, or both are appropriate is a decision for your prescriber.
We compound arthritis and joint pain preparations at the strength and in the base the prescriber orders.
Topical anti-inflammatory gels deliver active ingredients through the skin to the tissue beneath the site of application. Prescribers use them for conditions such as tendonitis, muscle strains, and arthritis. Because the preparation is applied locally, systemic exposure is generally lower than with oral anti-inflammatory medications.
The agents in these gels, such as ketoprofen, ibuprofen, and piroxicam, are non-steroidal anti-inflammatory drugs. They are compounded at the concentration the prescriber orders.
Whether a topical anti-inflammatory gel belongs in your treatment plan is a decision for your prescriber.
Neuropathic pain, often described as burning, tingling, or shooting pain, arises from nerve damage or dysfunction. Prescribers managing neuropathic pain sometimes request compounded topical preparations that combine agents acting on different pain pathways.
Topical preparations for neuropathic pain are applied to the skin over the affected area. They often combine anesthetics, anti-inflammatories, and nerve-stabilizing agents such as gabapentin or amitriptyline, at the concentrations the prescriber specifies.
Some of these preparations contain ketamine, a Schedule III controlled substance, or clonidine and baclofen, which are prescription only. Each is compounded only on a valid prescription from a licensed practitioner.
Whether a topical preparation is used alone or as part of a broader pain management plan is determined by your prescriber.
Muscle spasms, characterized by sudden, involuntary contractions, can cause significant discomfort and disrupt daily activities. Prescribers managing muscle spasms may select topical preparations that deliver muscle relaxants and anti-inflammatory agents to the affected area.
These formulations contain agents such as cyclobenzaprine, baclofen, and guaifenesin, compounded at the concentrations the prescriber orders. Applied topically, they act at the site of application; systemic exposure is generally lower than with oral muscle relaxants.
The prescriber sets the strength, the combination, and how often the preparation is applied.
Muscle spasms may be acute, following an injury, or chronic. In either case, whether a topical preparation is appropriate is a decision for your prescriber.
Oral suspensions are one option prescribers use for bone pain, particularly for individuals who have difficulty swallowing tablets or capsules. These liquid formulations contain the anti-inflammatory or analgesic agent the prescriber specifies, such as ibuprofen.
Oral suspensions allow the prescriber to set a dose that is not available in a commercial tablet strength. Each is compounded to the prescribed concentration and flavor.
Suppositories are an alternative route prescribers use when a patient cannot take medication orally. The active ingredient is absorbed through the rectal mucosa. Ibuprofen suppositories are compounded at the strength the prescriber orders.
Which dosage form is appropriate for a patient with bone pain is a decision for the prescriber.
Migraines are intense, often debilitating headaches. They can be accompanied by nausea, sensitivity to light, and other symptoms that disrupt daily life. Prescribers managing migraine use a range of treatments, and sometimes request compounded topical gels, nasal sprays, or capsules. Each route delivers the medication differently: topical gels act at the site of application, nasal sprays are absorbed through the nasal mucosa, and capsules act systemically.
Some capsule formulations combine agents prescribers use in migraine prevention protocols, such as riboflavin, with analgesic agents. The prescriber sets the combination and dose.
Migraine management is directed by your prescriber. Preparations containing ketamine are Schedule III controlled substances and are compounded only on a valid prescription.
Plantar fasciitis is a common and painful condition affecting the bottom of the foot, particularly the heel. It occurs when the plantar fascia, a thick band of tissue connecting the heel bone to the toes, becomes inflamed.
Prescribers managing plantar fasciitis sometimes request topical gels or creams that deliver anti-inflammatory agents and local anesthetics to the affected area. Plantar fasciitis preparations are compounded with anti-inflammatory and analgesic agents your prescriber selects.
Some formulations also include muscle relaxants such as cyclobenzaprine or baclofen, and a penetration enhancer such as DMSO, when the prescriber specifies them.
Whether a topical preparation belongs in a plantar fasciitis treatment plan is a decision for your prescriber. Preparations containing tramadol or ketamine are controlled substances and require a valid prescription.
Radiation burns, a common side effect of cancer treatment, can cause significant discomfort and skin damage. Prescribers managing radiation skin reactions sometimes request compounded topical lotions, gels, and creams for application to the affected skin.
These formulations combine agents the prescriber selects, such as a local anesthetic, an anti-inflammatory agent, misoprostol, or phenytoin, at the strengths on the prescription.
Some formulations are compounded in a barrier or moisturizing base when the prescriber specifies it.
Skin care during radiation therapy is directed by the treating oncology team. We compound the topical preparation they prescribe.
Painful wounds, whether from injuries, surgeries, or chronic conditions, are managed by a prescriber as part of a wound care plan. Where a prescriber includes a compounded topical in that plan, we compound it to their specified strength and base.
These formulations typically combine a local anesthetic or analgesic with an anti-inflammatory agent, and sometimes phenytoin or misoprostol, at the concentrations the prescriber orders. These topical preparations are compounded for application to wound sites under a prescriber's direction.
Barrier ingredients may be included in the formulation when the prescriber specifies them.
Morphine sulfate topical gel is a Schedule II controlled substance and is compounded only on a valid prescription from a licensed practitioner. Wound care is directed by your prescriber.
Vaginal pain, often associated with conditions like vaginismus, vulvodynia, or post-surgical discomfort, can significantly impact daily life and well-being. Prescribers managing vaginal pain sometimes request compounded vaginal gels and suppositories for local application.
These formulations often combine agents such as amitriptyline, baclofen, ketamine, or diazepam, at the concentrations the prescriber specifies. Applied vaginally, they act at the site of application.
Some suppository formulations combine antifungal and other agents when the prescriber specifies them.
Vaginal pain is diagnosed and managed by your prescriber. Preparations containing ketamine or diazepam are controlled substances and are compounded only on a valid prescription.
Burning Mouth Syndrome is a persistent condition characterized by a burning or scalding sensation in the mouth. It often affects the tongue, lips, and palate. Prescribers managing this condition sometimes request compounded mouthwashes, oral rinses, and troches.
These preparations contain agents the prescriber selects, such as doxepin, amitriptyline, gabapentin, lidocaine, or capsaicin. Mouthwashes and oral rinses are swished in the mouth; troches dissolve slowly.
Burning Mouth Syndrome is diagnosed and managed by your prescriber or dentist. We compound the preparation they prescribe at the strength on the prescription.
Amputation pain, including phantom limb pain and residual limb discomfort, can be particularly challenging to manage. Topical preparations are one route a prescriber may choose for pain following amputation.
These formulations often combine anesthetics, anti-inflammatories, and nerve-stabilizing agents such as gabapentin or amitriptyline. These topical preparations are compounded for application to the residual limb as directed by a prescriber.
Some formulations contain ketamine, a Schedule III controlled substance, or clonidine and baclofen, which are prescription only. Each is compounded only on a valid prescription from a licensed practitioner. Pain following amputation is managed by your prescriber and care team.
Pain management plans are set by your prescriber based on your history and your goals. We compound a range of dosage forms so a prescriber can direct medication to a specific site or route.
We work with your prescriber to compound what they determine is right for your pain. Compounded preparations are not FDA approved and are made only on a prescriber's order.
