Pain Management & Pharmacy Compounding

Every individual is unique, and the types of pain experienced can be equally unique. By working with a compounding pharmacist, your healthcare provider can prescribe treatments tailored to your specific pain management needs. These dosage forms can bypass the gastrointestinal tract, providing results without GI irritation. This also helps with patients who have a hard time swallowing pills, removing another source of aggravation. Pain medications often can be compounded as a topical product that can be applied directly to the site of the pain and absorbed through the skin. Some chronic pain sufferers are placed on multiple medications; these products can be combined into a single dose, providing greater convenience for the patient. Because patients and pain tolerance vary, commercially available medications sometimes may not provide the appropriate dosage strength. Through compounding, a healthcare provider and pharmacist can customize the dosage to meet the exact needs of an individual. Pain can be debilitating, whether it’s muscle pain, arthritis, fibromyalgia, or nerve pain. Compounding may help to improve relief with potentially fewer side effects and less overall medication.

Pain Management Compounding Examples:

Ketoprofen Transdermal Gel is indicated for pain and inflammation associated with joint, ligament, tendon, or muscle. Local application results in a quick onset of relief – typically less than 5 minutes.

Keto-flex Transdermal Gel has the added effect of a muscle relaxant (Cyclobenzaprine). This compound does not cause drowsiness, which is common when taken orally. It has had great success with TMJ patients.

Ibuprofen is an anti-flammatory drug, Dextromethorphan is a safe and effective non-narcotic that is used in treating severe pain and NADH is a potent anti-oxidant form of vitamin B-3 which stimulates cellular production of Dopamine.

Keto-Gaba-Amitrip Transdermal Gel is specially for neuropathic pain.

Methylcobalamin for B-12 deficiency, an alternative to Cyanocobalamin for those that cannot metabolize it. This product is also used for Autism, Chronic Fatigue, and Fibromyalgia.

For Shingles Pain a compounding gel including DDG, Ketoprofen, Gabapentin, Amitriptyline and Tetracaine has worked well. The gel is quickly absorbed through the skin to the underlying tissue.

Quinine Capsules have been used for the treatment of leg pain for many years. With all generic strengths no longer available, comes the need for compounding these capsules.