What Is It?: Many pain relievers can be compounded into special creams or gels. Your compounded prescription may contain an NSAID (ibuprofen, ketoprofen, etc.), an antidepressant like amitriptyline, an anesthetic (benzocaine, lidocaine, etc.), a muscle relaxer or other pain relief medicine (like gabapentin). They can relieve pain when applied to the skin around a painful area. There is scientific evidence that certain topical products have the ability to drive medicines through the skin right to the site of action. This means you can apply a pain reliever where it hurts and not have to treat your whole body when only a small area needs attention. Lower doses of medicine can be used because it will not be destroyed or inactivated in the stomach.

How To Use: These products may be dispensed in special syringes, tubes, jars, or our special emp jar. If you have questions about how to use your prescription please ask the pharmacist. Commonly, all of the transdermal or topical pain medicines may be applied 2 to 5 times daily. Always wash your hands after applying the compound.

Possible Side Effects: Generally, side effects throughout the body, such as stomach upset and drowsiness, are avoided because the dose of the creams is lower than the oral dose and it isn’t ingested. Some people can be sensitive to either the active ingredients or to the items in the cream. If you experience any unusual itching, swelling, blistering, or redness at the site of application talk to your doctor or compounding pharmacist. It is possible that minor adjustments can be made in your compound to lessen the amount of irritation.

Warning:  Do not get the creams in your eyes.

Storage: Keep in the original container. Keep out of the reach of children and pets. Capsules and tablets may be stored at room temperature. Some liquids should be stored in the refrigerator (see the prescription label.)  Store all medicines away from excess heat and moisture. Do NOT store in the bathroom.

Note: Topical pain creams are usually applied 2 to 5 times daily – as needed.