Pain Management

Pain Management

pain management

Customized Prescription Pain Medications


Compounded medications increase the level of personalized care you can give to patients who require prescription pain management.

We prepare any formula you request and can offer the following dosage forms: Transdermal Gels and Creams, Suppositories, Suspensions and Capsules. Topical and transdermal creams and gels can be formulated to provide high local concentrations at the site of application (e.g., NSAIDs for joint pain), for trigger point application (e.g., combinations of medications for neuropathic pain), or in a base that will allow systemic absorption. Side effects associated with oral administration can often be avoided when medications are used topically. Studies suggest that there are no great restrictions on the type of drug that can be incorporated into a properly compounded transdermal gel. When medications are administered transdermally, they are not absorbed through the gastrointestinal system and do not undergo first-pass hepatic metabolism.

We work together with prescriber and patient to solve problems by customizing medications that meet the specific needs of each individual.

Possible Use: Migraine Headaches


- Lidocaine Nasal Spray
- DHE Nasal Spray
- Metoclopramide + ASA + Ginger root capsules 
- Ergotamine SLT

Possible Use: Fibromyalgia


- Guaifenesin 10% + Lidocaine 10% in lipoderm or krisgel. Apply to tender points
- Ketoprofen 10% + Cyclobenzaprine 2% PLO Transdermal Gel
- Guaifenesin extended-release capsules
- Ketoprofen 10% + Cyclobenzaprine 2% + Guaifenesin 10% + Dextromethorphan 10% PLO Transdermal Gel
- Cyclobenzaprine 1-4% transdermal


Possible Uses: Neuropathy & Neuropathic Pain, Skeletal Muscle Spasticity, Post-Herpetic Neuralgia (oncology-related), Bone Pain (oncology-related), oral contraindications to NSAID use, Muscle pain
- Nifedipine 0.5-15% transdermal PLO gel
- Lipoic Acid 0.5-3% transdermal PLO gel
- Pentoxifylline 5-10% transdermal PLO gel
- Gabapentin 6-10% transdermal PLO gel
- Topical ketoprofen 0.5-10% transdermal PLO gel
- Baclofen 2% + Amitriptyline 2% + Lidocaine 2% + Gabapentin 2% in PLO gel
- Ketoprofen 10% + Lidocaine 5% + Amitriptyline 2% in Lecithin-organogel Transdermal Gel
- Ketoprofen 10% + Amitriptyline 2% in PLO transdermal gel
- Ketoprofen 10% + Gabapentin 3% PLO Transdermal Gel
- Ketoprofen 10% + Cyclobenzaprine 2% PLO Transdermal Gel
- Ketamine 10% + Capsaicin 0.025% PLO Transdermal Gel
- Ketamine 5% + Ketoprofen 10% + Lidocaine 5% in PLO Transdermal Gel
- Ketoprofen 10% or 20% in DMSO 5% transdermal Gel
- Deoxy-d-glucose(2) 0.2% / Gabapentin 5% or 10% / Ketoprofen 5% / Amitriptyline 2% / Tetracaine 1% in PLO gel
- Clonidine HCl 0.2% + Gabapentin 6% + Ketoprofen 10% in PLO gel
- Capsaicin 0.025-0.1% transdermal PLO gel
- Ketoprofen 5% + Acyclovir 5% + Lidocaine 1% Transdermal PLO Gel


Possible Use: Chronic Pain
- Hydrocodone as single ingredient (sublingual or nasal spray)
- Morphine in topical cream
- Tramadol in topical cream
- Pain medications in “lolli-pop” form
- Combination analgesics not available commercially
- Pediatric Oncology – pain management (lollipops or suspensions)

Physicians Click Links Below for Forms

pain_management_smcc1.pdf
530.1 KB
nerveentrapmentrx_smcc.pdf
160.7 KB

iontophoresisrx_smcc.pdf
147.0 KB

phonophoresisrx_smcc.pdf
157.6 KB