Compounding for Pain Management
Customized Pain Relief, Tailored to Each Patient
Chronic or acute pain can disrupt every part of life. Our compounding pharmacists collaborate with practitioners to build personalized treatment protocols and delivery forms that target pain while minimizing side effects.
Chronic pain often has multiple causes and mitigating factors, making it challenging to treat. A combination approach frequently yields the best results, and our compounding pharmacist can help tailor therapies to the patient's specific pain management needs.
Pain protocols may include medications beyond traditional analgesics—such as anticonvulsants, antidepressants, antiarrhythmics, antiviral agents, anesthetics, and NMDA (N-methyl-D-aspartate) antagonists—to leverage multiple mechanisms for relief.
NMDA-receptor antagonists like ketamine and dextromethorphan can block pain transmission in dorsal horn spinal neurons, reduce nociception, and decrease tolerance to and need for opioid analgesics. [Anesth Analg 2001 Mar;92(3):739-44]
By combining medications with different mechanisms, less of each drug may be needed. Topical and transdermal options can also reduce systemic side effects and bypass first-pass metabolism, broadening what can be used in a gel base.
We can formulate topical and transdermal creams that deliver high concentrations at the application site (e.g., NSAIDs for joint pain), support systemic absorption, or enable trigger-point application for neuropathic pain.
Our pharmacists work with patients and practitioners to develop customized medications—strength, form, and combinations—to fit each patient. Contact us to discuss the protocol that best meets your patient's needs.