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Pain Management


Treatment for pain management has become increasingly challenging, as tolerance, dependence, risk of debilitating side effects and interactions between different drug combinations prove to be a constant struggle for prescribers, pharmacists and patients to consider. Coupling this, with the fact that most chronic pain patients suffer from multiple co-morbid diseases, further complicates effective therapy. For years, the gold standard in pain management involved systemic or parenteral therapy. In recent years, commercial transdermal patches and gels became available, offering an alternative route of administration for patients. The clinical research that emerged supporting these alternative dosage forms opened the door for prescribers and pharmacists to use their pharmacology knowledge to offer topical and transdermal pain creams, customized to the individual needs of the patient.

Advantages of compounding topical and transdermal pain preparations include:

  • Direct application to affected site
  • Reduction in systemic side effects
  • Reduction in drug concentration in blood
  • Reduction in first pass metabolism
  • Painless administration
  • Ability to combine multiple drugs into one preparation
  • Ability to choose desired base
  • Increased patient compliance
  • Ability to continually customise and modify based on patients’ changing needs
  • Avoidance of opioid or narcotic dependency

Most common ailments benefiting from compounded topical/transdermal pain creams include, but are not limited to:

  • Arthritis
    • Osteoarthritis
    • Rheumatoid
  • Neuralgia
    • Diabetic neuropathy
    • Shingles
    • Phantom limb
  • Fibromyalgia
  • Multiple Sclerosis
  • Sports Injury
  • Burns
  • Headaches
  • Anal Fissures
  • Gout

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