Pain Management

We will work with you and your patients to seek a customized solution to pain management.

Stomach irritation: Instead of a capsule or tablet, we can prepare pain medications in the form of a topical gel, cream or spray that can be applied directly to the site of the pain and absorbed through the skin. Or we could customize a flavored troche that dissolves under your tongue, a nasal spray, or a suppository.

Combining Medications: Multiple medications can be combined into a single dose of a specially prepared compound that combines two or more medications into a single capsule or topical preparation, providing greater convenience with fewer medications to take.

Medication Strength: We can vary medication strength based according to your prescription, enabling you to take into account your patient’s size, symptoms, and pain tolerance.Commercially available medications will not always provide the appropriate dosage strength for individual needs.

Medication dosage methods: We can customize medications into more appropriate dosage methods to suit specific needs, including:

Sublingual drops
Oral sprays
Nasal Sprays
Lollipops
Rectal solutions
Suppositories

Contact us to discuss your patients’ medication customization needs.

ConditionRemedy examplesNutraceuticalsReferences/Studies
Click on the titles to access the PubMed abstracts of the articles
MigrainesIndomethacin Transdermal gelMigraine ClearHeadache. 2012 Oct;52 Suppl 2:81-7
CoEnzyme Q10 and riboflavin: the mitochondrial connection

Arch Neurol. 1996 Dec;53(12):1285-91
Acute treatment of migraine with dihydroergotamine nasal spray. Dihydroergotamine Working Group

Neuropathic PainKetamine + Baclofen + Cyclobenzaprine + Gabapentin + LidocaineVitamin D

Curcumin Complex

Hyaluronic Acid

J Pain Symptom Manage. 2007 Mar; 33(3):356-64
Transdermal Lidocaine and Ketamine for Neuropathic Pain: A Study of Effectiveness and Tolerability

Med Clin North Am. 2007 Jan;91(1):113-24
Adjuvant analgesics

Musculoskeletal Pain-InflammationDiclofenac + Baclofen + Cyclobenzaprine +Gabapentin + TetracaineInflam-Ease
Bromelain
Anesth Analg. 2006 Mar;102(3):840-7
Amantadine sulfate reduces experimental sensitization and pain in chronic back pain patients

BMC Musculoskelet Disord. 2004; 5: 28.
Topical NSAIDs for chronic musculoskeletal pain: systematic review and meta-analysis

Radiculopathy – FibromyalgiaKetamine + Baclofen + Cyclobenzaprine + Diclofenac + Gabapentin + TetracaineVitamin D

Curcumin Complex

Hyaluronic Acid

Curr Med Res Opin. 2014 May 27:1-35.
Once-daily controlled-release pregabalin in the treatment of patients with fibromyalgia: a Phase III, double-blind, randomized withdrawal, placebo-controlled study.
Post-Operative Pain
More References